care magazine_sept 2014

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A “Must-read” for Helpful, Trustworthy, Up-to-Date Health News, Ideas & Options

• Area Support Groups & Community Events • Regional Blood Drives • Healthy Recipes

CareSEPTEM

BER 20

14

®

Options and References for a Healthier Life

magazine

Why the Tooth Fairy Gave Up Grains

Pet Benefits

Think Yourself

Happy!

What Science says aboutflax seed

Adult Sickle Cell Disease Reversed

2 www.caremagazine.com SEPTEMBER 2014

Features4 Beware of Health Care Scams —FDA Consumer Updates

6 Why the Tooth Fairy Gave Up Grains —By Alvin Danenberg, DDS

10 Adult Sickle Cell Disease Reversed with Stem Cell Transplants —NIH.gov

12 What Science Says about Flaxseed —National Center for Complementary and Alternative Medicine

13 Think Yourself Happy! —Journal of Positive Psychology

19 6 reasons Pets are Good for Your Health

21 Filling in Facial Wrinkles, Safely —Janette Alexander, MD

30 ParentPULSE: Jaundice in infants

In Every Issue

CONTENTS

14 Professional Forum

16 RegionPULSE - Beaufort Memorial Hospital Pediatrician Receives Grant to Launch ‘Healthy Steps’

- Hilton Head Hospital Breast Center opens new location

18 NationPULSE

20 Regional Health Facilities

22 Community Calendar and Healthy Events

24 Regional Support Groups

25 Regional Blood Drives

26 careTALK©

Capsules of Healthy Information

29 Healthy Recipes— - No-Oat Oatmeal

- Plantain Pancakes

- Cracklin’ Italian-spice Chicken

31 Family FUN Page

Healthy & delicious plantain pancakes

September 2014

When Mike McCarty was diagnosed with prostate cancer, he considered the treatment landscape from every angle. Then he chose Beaufort Memorial for its robot-assisted surgical program. Knowing this minimally invasive option affords greater precision and fewer side effects, Mike was confident in his approach. And returning quickly to the game he loves made the difference between living and living well.

Approach is everything.


care magazine® is published by The Catalyst MediaGroup, Inc., P.O. Box 1513, Beaufort, SC 29901, and isdistributed monthly to doctors’ waiting rooms, dentists’ offices,diagnostic centers, optical centers, outpatient facilities,pharmacies, grocery stores, health food stores, physiotherapycenters, exercise and weight loss centers, assisted living facilitiesand other related health-based businesses throughout the SCand GA Coastal/Lowcountry. Advertisers appearing within thisissue have committed to support the distribution of thispublic service magazine. Please support them.

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care magazine® is intended as a reference and optionssource only, not as a guide to self-treatment. Information containedwithin is not intended to be a substitute for professional medical advice. It is provided for educational purposes only. You,the reader, assume full responsibility for how you choose to use this information. Guest columns do not necessarily reflect the viewsor opinions of care magazine®, its publisher or editors.

Options and References for Healthier Living

SEPTEMBER 2014

care magazine®

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Contributors:

Alvin Danenberg, DDS www.FDA.gov

Janette Alexander, MD

Journal of Positive Psychology

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Don't Fall forHealth Fraud

ScamsBogus product! Danger! Health fraud alert!You’ll never see these warnings on health products, butthat’s what you ought to be thinking when you see claimslike “miracle cure,” “revolutionary scientific breakthrough,”or “alternative to drugs or surgery.”

Health fraud scams have been around for hundreds ofyears. The snake oil salesmen of old have morphed into thedeceptive, high-tech marketers of today. They prey on people’sdesires for easy solutions to difficult health problems—fromlosing weight to curing serious diseases like cancer.

According to the Food and Drug Administration (FDA),a health product is fraudulent if it is deceptively promotedas being effective against a disease or health condition buthas not been scientifically proven safe and effective for that purpose.

Scammers promote their products through newspapers,magazines, TV infomercials and cyberspace. You can findhealth fraud scams in retail stores and on countless websites,in popup ads and spam, and on social media sites likeFacebook and Twitter.

Not Worth the RiskHealth fraud scams can do more than waste your money.They can cause serious injury or even death. Usingunproven treatments can delay getting a potentially life-saving diagnosis and medication that actually works. Also,fraudulent products sometimes contain hidden drugingredients that can be harmful when unknowingly takenby consumers.Fraudulent products often make claims related to:

weight losssexual performancememory lossserious diseases such as cancer, diabetes, heart disease, arthritis and Alzheimer’s.

A Pervasive ProblemHealth fraud is a pervasive problem,” says a FDArepresentative, “especially when scammers sell online. It’sdifficult to track down the responsible parties. When theyare found and told their products are illegal, some willshut down their website. Unfortunately, however, thesesame products may reappear later on a different website,and sometimes may reappear with a different name.”Fraudulent products not only won’t work—they couldcause serious injury.

National Center forComplementary andAlternative Medicine

SEPTEMBER 2014 www.caremagazine.com 5

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Fraudulent products marketed as drugs or dietarysupplements are not the only health scams on themarket. FDA found a fraudulent and expensive lighttherapy device with cure-all claims to treat fungalmeningitis, Alzheimer’s, skin cancer, concussions andmany other unrelated diseases. Generally, makinghealth claims about a medical device without FDAclearance or approval of the device is illegal.

6 Tip-offs to Rip-offs:One product does it all. Be suspicious of products thatclaim to cure a wide range of diseases/problems. Example:

In the past few years, FDA laboratories have found morethan 100 weight-loss products—illegally marketed asdietary supplements—that contained sibutramine, theactive ingredient in the prescription weight-loss drugMeridia. In 2010, Meridia was withdrawn from the U.S.market after studies showed that it was associated with anincreased risk of heart attack and stroke.

Personal testimonials. Success stories, such as, “Itcured my diabetes” or “My tumors are gone,” are easy tomake up and are not a substitute for scientific evidence.

Quick fixes. Few diseases or conditions can be treatedquickly, even with legitimate products. Beware oflanguage such as, “Lose 30 pounds in 30 days” or“eliminates skin cancer in days.”

“All natural.” Some plants found in nature (such aspoisonous mushrooms) can kill when consumed.Moreover, FDA has found numerous products promotedas “all natural” but that contain hidden and dangerouslyhigh doses of prescription drug ingredients or evenuntested active artificial ingredients.

“Miracle cure.” Alarms should go off when you see thisclaim or others like it such as, “new discovery,”“scientific breakthrough” or “secret ingredient.” If a realcure for a serious disease were discovered, it would bewidely reported through the media and prescribed byhealth professionals—not buried in print ads, TVinfomercials or on Internet sites.

Conspiracy theories. Claims like “The pharmaceuticalindustry and the government are working together tohide information about a miracle cure” are alwaysuntrue and unfounded. These statements are used todistract consumers from the obvious, common-sensequestions about the so-called miracle cure.

Even with these tips, fraudulent health products are notalways easy to spot. If you're tempted to buy an unprovenproduct or one with questionable claims, check with yourdoctor or other health care professional first.

Source: FDA's Consumer Updates page, www.fda.gov/ForConsumers/


You may think you know all about tooth fairies. As you know, they discreetly appear at night to exchange yourchild’s baby tooth, that’s tucked away under his or her pillow, for little trinkets or coins. They flutter about withtheir cute big eyes and their huge smiles and their soft, silky wings. But what you probably didn’t know was thatthese precious little busy bees have been around for a long time. As a matter of fact, they have been around fortens of thousands of years.

These tooth fairies knew of a time when little boys and little girls hardly ever got tooth decay. In those days,mommies and daddies worked hard gathering and hunting food. The children ate all the good, nutritious foodsthat their parents brought to the table. Bodies were strong and lean, and teeth were white and straight. Adult teethlasted a lifetime, as they were designed to do. But then, something changed, but the fairies didn’t realize it untilmuch later.

About 10,000 years ago, certain foods were cultivated that slowly became part of almost everyone’s diet. Thefairies didn’t think any harm was going to come from these new foods. But it did. In time, these foods started todamage the teeth of children and adults. All of a sudden, it seemed like many people started to developtoothaches and loose teeth and holes in their teeth. The fairies finally learned that something was wrong withthese new foods. They learned that these foods—these grains—were the cause of the dental problems and otherhealth problems that were beginning to plague humans.

Then, refined sugars became part of most human’s diets.And then, the fairies understood that these sugars andthe added intake of processed grains created addedhealth problems. The fairies made a pledge to give upthese grains and sugars and to try to tell everybody thatthese were not foods people should be eating.

The way the fairies used to eat, and the way humans usedto eat before grains became so much a part of the diet,was the healthy way to eat. So the fairies became focusedon a mission—to tell the world that grains and sugarsneeded to be avoided in order to regain dental healthand overall health. You see, our bodies were neverdesigned to eat modern-day processed foods. Our gutscannot fully digest them, and these foods eventually

Why The Tooth FairyGave Up Grains

By Alvin Danenberg, DDS

Dr. Danenberg specializes inperiodontics, and currently

practices dentistry in Beaufort,Bluffton and West Columbia, SC.He received advanced training in evolutionary nutrition from the

Kripalu Center for Yoga and Healthas well as The Center for Mind-BodyMedicine. Dr. Danenberg recentlyreceived the designation "CertifiedFunctional Medicine Practitioner".


—continued on page 8

upset our delicate balance. It took a long time for the fairies torealize that so many chronic problems were caused bythese “foods”.

So, the fairies gave up grains and sugars and started toteach the world to be a healthier place. Mostimportantly, the fairies wanted to teach the children,whom they were meant to protect, to eat healthy.

To create healthy meals for your children, considerleaving grains and added-sugars out, and replacing themwith healthy meats, fish, vegetables, fruit, nuts, seeds, andvarious spices. It is important to include leafy greenvegetables at every meal. The foods hunter-gatherers ate for thousands and thousands of yearsare the foods that will allow healthy bodies of allages to survive and thrive today. These foodchoices are part of a Paleo Lifestyle.

Is a Paleo diet a healthy diet for children under age 18?

Dr. Danenberg answers: “Absolutely. But the term“diet” is misleading. A diet generally is a strict form ofeating where calories are counted and portions of foodare measured in some fashion. A Paleo diet is really alifestyle of eating nutrient dense foods with noconcern for calories. When the proper foods areeaten together, then the body begins to regulate itsdigestive hormones, and the body will tell you to stopeating because it is full. Every meal should be thought ofas a plate of food. Conceptually, at least one-half of theplate should consist of non-starchy vegetables; about one-quarter should consist of some type of protein; and the last quarter or less could be make up of healthy fats, andpossibly a starchy vegetable, or some nuts or seeds, or some deeply colored fruits. The nutrients that are availablefrom eating animal products, vegetables, fruit, nuts, and seeds are all the nutrients that the human body needs—no matter what the age.”

Does some sugar in a child’s diet mean they are destined for poor dental health?

Dr. Danenberg answers: “Sugar in the natural form is not the same as concentrated sugars and refined sugars thatactually are added to foods like processed foods. Sugars that are in fruits are much healthier than the sugars achild gets in soda, sports drinks, cakes, cookies, candy, and the list goes on and on. However, if too much freshfruit is eaten instead of balancing fruit with proteins and vegetables and healthy fats, then too much fructose willaccumulate in the body creating excesses for the liver and the brain, damaging the gut, and creating fat depositsaround the waist. Sugar is a fermentable carbohydrate, and if bad bacteria are predominant in the gut and in themouth, and if sugar is a dominant element in the child’s diet, and if healthy nutrients are not part of the child’sdiet, then tooth decay will be inevitable.


—continued from page 7

How do you suggest dealing with the typical parent’s dilemma of keepingsugary foods out of their children’s diet?

Dr. Danenberg answers: “Regulating or eliminating sweets, sugary drinks, refined milk products, processed graintreats may be the best idea, but it’s often not practical for a parent. Often times, parents are not even aware if theirchild has sugar… i.e. a sports drink or “energy” bar after a Little League game; cakes or sweets at a birthday party. Parents are in control of the foods that are presented to their children. Healthy foods are easy to provide, but in thebeginning there is a learning curve. The books recommended at the end of this article have excellent meals thatare easy to prepare and delicious to eat for the whole family. Many of them are easy to pack up and take on a tripor to school. The foods that are most important to eliminate are grains and added sugars. Whole foods will notcontribute significantly to an unhealthy level of sugars. If a child’s food choices in the home are generally healthy,

then some cheating outside of the home is not going to be a problem. Dr. Loren Cordain,who is the “godfather” of Paleo research, states that if a person is 85% compliant, then

that person overwhelmingly will benefit from their Paleo eating lifestyle.The younger the child is when you start a Paleo lifestyle, the easier it will be to

follow. An older child’s eating habits may be more difficult to change but notimpossible. Take baby steps, but children learn from what they see at home. YOU are their role model.”

Parents these days are so often in a hurry to get everythingdone in a typical day. Grocery shopping presents quitea hurdle in these cases… it’s so much easier to ‘graband go’ when your child is hungry and you need to

get them fed.

Dr. Danenberg answers: “Again, try to avoid the grains andadded sugars when your child is fed. Shop the outer isles in thegrocery store where the more natural foods are located and

avoid the packaged and overly processed foods in thecenter of the store. If purchasing package foods, look atthe ingredients, and be selective. You will be amazed atwhat are in some of these “foods”. Again, grains andadded sugars are the most troublesome. You may notbe 100% Paleo, but you will be providing your childwith a very healthy foundation.”

Some quick ideas for on-the-go:• Raw almond butter spread on stalks of celery.• Raw vegetables and/or sliced fruits with individual containers of live culture, full fat yogurt for dipping. Add spices to the yogurt to create different flavors.• Chicken salad or tuna salad with chopped nuts, blueberries, and cut up celery, or with lettuce leaves (butter or Romaine lettuce) are good for a salad wrap.• Raw macadamia nuts.

If you eat out while ‘on the road’, are fast food places forever banned? Dr. Danenberg answers: “Fast food places usually are not a problem once you understand what you cannot eat.Some examples of what to eat”:

• Some type of salad with oil and vinegar dressing and whatever spices that are available at the restaurant. • Hard boiled eggs, hamburger or chicken meat – crumbled up and tossed into the salad.• Fresh fruit if available. • Water, unsweetened iced or hot tea, or seltzer.

See pages 28–29 for three of “Dr. Dan’s” favorite recipes:

• Cracklin’ Italian-spiced Chicken Thighs

• No-Oat Oatmeal

• Plantain Pancakes

Dr. Danenberg received his dental degree from Baltimore Collegeof Dental Surgery, and his Specialty Certification in Periodonticsfrom the University of Maryland, School of Graduate Dentistry. He was Chief of Periodontics at Charleston Air Force Base, andlater had a periodontal practice in Charleston. He joined BeaufortFamily Dentistry in 2009 and now sees patients both at theBeaufort office and at the new Bluffton office.He and his wife Sue have been married since 1969 and have

two children and three grandchildren.


“I’m super-excited about my new smile and appreciate everything

Dr. Porcelli and his professional team have done to restore my confi dence.”

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Here are some of Dr. Danenberg’s favorite family books to help you design exciting eating options for your kids, as well as yourselves:

“Nom Nom Paleo: Food For Humans”, Michelle Tam and Henry Fong, 2013

“Paleo Lunches and Breakfasts on the Go”, Diana Rodgers, 2013

“Practical Paleo: A Customized Approach to Health and a Whole-Foods Lifestyle”, Diane Sanfilippo, et al, 2012

“The Paleo Primer”, Keris Marsden and

Matt Whitmore, 2013


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Adults with severe sickle cell disease weresuccessfully treated with a stem cell transplantapproach that doesn't require extensiveimmune-suppressing drugs. Further follow-upand testing will be needed to assess thepotential new therapy.

Sickle cell disease is an inherited blood disorderthat affects more than 90,000 Americans, mostlyof African descent. The condition arises from agenetic defect that alters the structure ofhemoglobin, the oxygen-carrying protein foundin red blood cells. The modified hemoglobincauses normally round red blood cells to becomestiff, sticky, and sickle-shaped. The deformedcells can block blood flow, causing severe pain,organ damage, and stroke.

There is no widely available cure for sickle celldisease. Some children with the disease havebeen successfully treated with blood stem cell, orbone marrow,transplants.This approach,though, wasthought to betoo toxic foruse in adults.High doses ofchemotherapyare used todestroy all of achild’s bonemarrow, whichis thenreplaced withmarrow from adonor. Stemcell recipientstypically needto take immunosuppressants for months to a few years. These medications can cause seriousside effects.

Stem Cell Transplant Reverses Sickle CellDisease in Adults

Sickle cell blood normal cell blood


In earlier studies, transplant recipients werefound to have a mix of their own and the donor’scells in their blood. Despite the mix, sickle celldisease was reversed. Based in part on thesefindings in children, as well as other preliminarywork, a team at NIH’s Clinical Center in Bethesda,Maryland, set out to test a modified transplantprocedure in adults with sickle cell disease. Theclinical trial was conducted by researchers fromNIH’s National Institute of Diabetes and Digestiveand Kidney Diseases (NIDDK) and NationalHeart, Lung, and Blood Institute (NHLBI). Resultsappeared online on July 1, 2014, in the Journal ofthe American Medical Association.

Thirty patients, ages 16 to 65, with severe sicklecell disease enrolled in the study between 2004and 2013. The patients first underwent a less toxicregimen to kill off some of their marrow cells.They then underwent a stem cell transplant,receiving cells donated by a healthy brother orsister. The team found that the stem celltransplant reversed the disease in 26 of 30patients (87%). The patients had normalhemoglobin, fewer hospitalizations, and loweruse of narcotics to treat pain from the disease.The patients didn’t experience graft-versus-hostdisease—in which donor cells attack therecipient—after a median follow up of 3.4 years.Fifteen patients successfully stoppedimmunosuppression medications a year after thetransplant. The treatment was unsuccessful infour patients, and some complications, such asinfections, occurred.

“Side effects caused by immunosuppressants canendanger patients already weakened by years oforgan damage from sickle cell disease,” sayssenior author Dr. John Tisdale. “Not having topermanently rely on this medication, along withuse of the relatively less-toxic partial stem celltransplant, means that even older patients andthose with severe sickle cell disease may be ableto reverse their condition.”

The researchers continue to follow the patients totrack the success of the approach. People withsickle cell disease interested in joining NIHblood stem-cell transplant studies may call 1-800-411-1222 or visit the NIH clinical trialsregistry at www.clinicaltrials.gov

—continued from previous page


Flaxseed is the seed of the flaxplant, which is believed to haveoriginated in Egypt. It growsthroughout Canada andNorthwestern United States.Flaxseed oil comes from flaxseeds.The most common folk ortraditional use of flaxseed is as alaxative; it is also used for hotflashes and breast pain. Flaxseedoil has different folk or traditionaluses, including arthritis. Bothflaxseed and flaxseed oil have beenused for high cholesterol levelsand in an effort to prevent cancer.

Whole or crushed flaxseed can bemixed with water or juice andtaken by mouth. Flaxseed is alsoavailable in powder form. Flaxseedoil is available in liquid andcapsule forms. Flaxseed containslignans (phytoestrogens, or plantestrogens), while flaxseed oilpreparations lack lignans.

What the Science SaysFlaxseed contains soluble fiber,like that found in oat bran, andmay have a laxative effect.

Studies of flaxseed preparationsto lower cholesterol levels reportmixed results. A 2009 review of theclinical research found thatcholesterol-lowering effects weremore apparent in postmenopausal

women and in people with highinitial cholesterol concentrations.

Some studies suggest thatalpha-linolenic acid (a substancefound in flaxseed and flaxseed oil)may benefit people with heartdisease. But not enough reliabledata are available to determinewhether flaxseed is effective forheart conditions. Study results aremixed on whether flaxseeddecreases hot flashes.

Although some population studiessuggest that flaxseed might reducethe risk of certain cancers, there isnot enough research to support arecommendation for this use.NCCAM is funding studies onflaxseed. Recent studies arelooking at its potential role inpreventing or treating athero-sclerosis (hardening of the arteries),breast cancer, and ovarian cysts.

Side Effects and CautionsFlaxseed and flaxseed oilsupplements seem to be welltolerated. Few side effects havebeen reported.

Flaxseed, like any supplementalfiber source, should be taken withplenty of water; otherwise, it couldworsen constipation or, in rarecases, even cause intestinalblockage. Both flaxseed andflaxseed oil can cause diarrhea.

The fiber in flaxseed may lowerthe body’s ability to absorbmedications that are taken bymouth. Flaxseed should not betaken at the same time as anyconventional oral medications orother dietary supplements.

Tell all your health careproviders about anycomplementary health practicesyou use. Give them a full picture ofwhat you do to manage yourhealth. This will help ensurecoordinated and safe care.

For tips about talking with your healthcare providers about complementaryand alternative medicine, seeNCCAM’s Time to Talk campaign:http://nccam.nih.gov/timetotalk

Flaxseedand

Flaxseed Oil

Common Names: flaxseed, linseedLatin Name: Linum usitatissimum


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Is becoming happier as easy as trying to becomehappier? The latest research by two US academicssuggests it might be.

Trying to be happier really can work. Writing in TheJournal of Positive Psychology, Yuna L. Ferguson andKennon M. Sheldon present the results of their recentexperiments into ‘trying to become happier’.

In the first study, two sets of participants listened to‘happy’ music. Those who actively tried to feel happierreported the highest level of positive mood afterwards.In the second study, participants listened to a range of‘positive’ music over a two-week period; those whowere instructed to focus on improving their happinessexperienced a greater increase in happiness thanthose who were told just to focus on the music.

What seems to have made one group so much happierthan the other in their respective studies was acombination of actively trying to become happier andusing the right methods—in this case, listening tohappy music.

Ferguson and Sheldon’s findings challenge earlierstudies suggesting that actually trying to becomehappier was, in fact, counterproductive. “[Our] resultssuggest that without trying, individuals may notexperience higher positive changes in their well-being,” they write. “Thus, practitioners andindividuals interested in happiness interventionsmight consider the motivational mindset as animportant facet of improving well-being.”

And that’s definitely something worth thinking about.

Source: Yuna L. Ferguson, Kennon M. Sheldon. Trying to behappier really can work: Two experimental studies.

The Journal of Positive Psychology, 2013; 8 (1): 23 DOI:10.1080/17439760.2012.747000

Think Yourself

Happy!


Beaufort DNA Testing Goes Mobile Beaufort, S.C.– Coastal Paternity, LLC. co-owners DeniseDrake RN & Olivia Bolin, recently announced that Beaufortpaternity DNA is now an agency on wheels. New to the LowCountry, Coastal Paternity, LLC is comprised of a team ofdedicated medical professionals who provide high-qualityaffordable mobile DNA paternity testing in the privacy ofyour home, hospital bedside, or Attorney’s office. Themedical staff is available to help guide you through theprocess of ordering a test, providing a sample andunderstanding your results. Test results are 100% guaranteedaccurate chain of custody and results are court admissible.

Coastal Paternity, LLC is proud to partner with the DDC/DNA Diagnostic Center Laboratory the AABB accreditedfacility that provides testing for high profile celebrities,business professionals, musicians and athletes. .

Servicing Beaufort, Jasper, Hampton, Colleton, andAllendale County, Coastal Paternity, LLC. offers high-quality,affordable, paternity DNA testing performed by professionalswith the highest level of credentials. Mobile services can be retained by individuals, Attorneys, and healthcareestablishments. The staff is available for depositions andqualified to deliver expert witness testimony. All informationand test results are strictly confidential.

Coastal Paternity, LLC, offers same day testing, newborntesting, and New Non-Invasive Prenatal Paternity Testing.Payment plans are offered.

For more information, call 843-521-1DNA (1362), oremail [email protected]. Visit their websitewww.CoastalPaternity.com.

Beaufort Memorial now Provides Single-incision HysterectomiesBeaufort, S.C.– Beaufort Memorial Hospital has expanded itsuse of robot-assisted surgery to offer a single-incisionhysterectomy procedure, the first in the region to providethis minimally invasive option.

Beaufort Memorial board-certified surgeons Dr. PatThompson, of Beaufort Gynecology Associates, and Drs.Greg Miller and Chris Benson of Beaufort MemorialObstetrics and Gynecology Specialists are among a smallgroup of surgeons in the nation trained to perform thisadvanced procedure, and the first surgeons to offer it towomen in the Lowcountry region.

Hysterectomy, the surgical removal of the uterus, is thesecond most common surgical procedure for women in theUnited States. An estimated one-third of all women will havea hysterectomy by age 60, according to the U.S. Departmentof Health and Human Services.

Compared to a traditional hysterectomy, a robot-assistedprocedure is minimally invasive and helps women return to

their normal activities more quickly. The surgery isperformed in less than two hours and many patients havethe option to return home the same day and nearly all gohome within 24 hours. The da Vinci robot also allows for asingle incision hidden within the belly button, compared totraditional laparoscopic surgeries which require three to fivesmall, visible incisions.

Beaufort Memorial Offers Latest 3-D MammographyBeaufort, S.C.– A new advanced imaging technology is now available at Beaufort Memorial Hospital’s Women’s Imaging Center.

Digital breast tomosynthesis, the latest breakthrough inmammography, is a three- dimensional x-ray that provides aclearer, more accurate view of the breast, improving breastcancer detection and reducing the number of false positivesand the anxiety that comes with them.

Breast tomosynthesis is performed at the same time as anormal screening mammogram using the same digitaldetector. During the 3-D portion of the exam, the c-arm ofthe mammography machine makes a quick arc over thebreast, taking a series of images that a computer forms into athree-dimensional picture.

With 3-D imaging, radiologists are able to examine thebreast tissue one layer at a time. Fine details are clearlyvisible, allowing doctors to more effectively pinpoint the size,shape and location of any abnormalities. Tomosynthesis isespecially beneficial for women with dense breast tissue,which can mask cancers or lead to false positives.

At the Women’s Imaging Center, a dedicated radiologist ison site to examine both 3-D and 2-D mammograms,providing patients with the results before they leave thecenter. Same-day mammography results are also available atBluffton Medical Services.

A Breast Imaging Center of Excellence, the Woman’sImaging Center also offers digital diagnostic mammograms,ultrasounds, bone density scans and stereotactic breastbiopsy in a spa-like setting designed with the healing arts inmind. To make an appointment for tomosynthesis or atraditional screening mammogram, call (843) 522-5015.

Hollings Cancer Center Awarded $3.4 MillionGrant to Conduct Multi-site Clinical Trialsand Cancer Care Delivery Research StudiesCharleston, S.C. – The National Cancer Institute (NCI) hasawarded a new five-year grant to Hollings Cancer Center(HCC) researchers to conduct multi-site cancer clinical trialsand cancer care delivery research studies, specifically those

Professional Forum news from + about our regional healthcare professionals


Professional Forum continued from previous page

that include significant representation of minority andunderserved communities. Funding for the HCC program is$3.4 million to be awarded over five years.

Research through this grant will be conducted acrossthree facilities—the Medical University of South Carolina,Medical University of South Carolina/Hilton Head BreastHealth Center, and the Ralph H. Johnson VA Medical Center—and will include the entire state of South Carolina.

Cancer care delivery research within NCORP focuseson diverse and multi-level factors (e.g. social, financingsystems, process, technology, and others) that affectaccess to and quality of care in the community.

The HCC received this grant as one of 12 NCORPMinority/Underserved Community Sites, designated forsites that have a patient population comprised of at least 30 percent racial/ethnic minorities or rural residents.A total of 53 NCORP grants were awarded, with only 12designated as Minority/Underserved Community Sites.

For additional information about NCORP, please visithttp://ncorp.cancer.gov.

EHR Implementation Remains Top ConcernAmong Physicians, Practices

As more physicians and medical practices work towardmeaningful use of an Electronic Health Records (EHR),getting the technology seamlessly integrated into daily workflow continues to be a main concern.

For the second straight year, EHR adoption andimplementation issues were ranked as the most pressinginformation technology problem by respondents of thePhysicians Practice 2014 Technology Survey, sponsored byKareo. Seventeen percent of the 1,442 respondents to thisyear's survey said getting an EHR onboard and fullyoperational at their practice was their top concern, followedclosely by lack of interoperability between EHRs (16%) andcosts to implement and use new technology (13%). It doesseem, however, due to meaningful use incentive paymentsor other factors, that cost is becoming less of a concern,having dropped 4 percentage points from the 2013 survey.

For more than a decade, Physicians Practice, theleading online community for physicians and practicemanagement professionals, has asked physicians and othermedical practice staff about their technology use and issuesabout implementing tech tools to aid patient care.

This year's technology survey includes data on variousissues surrounding EHR implementation, including lengthof time to get up and running, impact on work flow, andwhether or not practices would recommend their vendor topeers. For more information or to review latest EHRsoftware report before you make a vendor decision, visithttp://www.physicianspractice.com

VISIT SAFERCAR.GOV/THERIGHTSEAT

KNOW FOR SURE IF YOUR CHILD IS IN THE RIGHT CAR SEAT.

THE NUMBER OF PEOPLE

THEY HAVE THEIR CHILD IN THE RIGHT SEAT.

WHO THINK

THE ONES

WHO ACTUALLY

DO.

BY AGE & SIZECHOOSE CAR SEAT:

Hollings Cancer CenterCelebrates State’s Increasesin HPV Vaccine Use

Officials Note OngoingChallenges in Vaccination Numbers

Charleston, SC– The Center forDisease Control (CDC) released lateJuly their National ImmunizationSurvey for Teens (NIS-Teen) datashowing that Human Papillomavirus(HPV) coverage increased“significantly” from 2012 to 2013 inonly five states, with South Carolinaamong those states and heralded asan example of positive response toadvocacy.

While South Carolina continuesto lag behind national rates ofcoverage for many otherrecommended vaccines, the state isnow above the national HPVvaccination coverage rate in femalesreceiving one or more HPV vaccinesand for females receiving the fullcourse of three doses of HPV vaccine.

Officials are quick to note thatthere is still much work to be done.

Half of South Carolina females ages 13to 17 years still have not received allHPV vaccine doses, and eight out often South Carolina males ages 13 to17 years old have not received theHPV vaccine.

The HPV vaccine is nowrecommended by the CDC and majormedical groups, including theAmerican Academy of Pediatrics(AAP), the American Academy ofFamily Physicians (AAFP), and othermedical societies, for 11 or 12 year oldboys and girls, for protection fromHPV infection and HPV-relateddisease. According to the CDC, HPVcauses more than 20,000 cancers inwomen and about 12,000 cancers inmen annually in the US.

An Easy Way to HelpMemory Matters

If you are a Kroger customer,there is a simple way to supportMemory Matters. Simply register yourKroger Plus card online at

www.krogercommunityrewards.comClick on enroll, enter your card

number, and then enter MemoryMatters or 51366 to begin earningrebates for charity!

Our supporters who have alreadyregistered their Kroger Plus card needto re-enroll in Kroger CommunityRewards for the 2014-2015 programyear. Kroger evaluates this programevery year so members have to signinto their account, click on MemoryMatters and hit Save.

Remember, it costs you nothing!Kroger offers a maximum annualrebate of $24,000 per organization. By linking your card, every time youswipe it, your purchases will counttoward the charitable rebate!

Memory Matters Featured in National Article

The Brookdale Foundation hasfeatured Memory Matters in their2014 edition of the Respite Reporter.To view the full article, visit this link:http://eepurl.com/Z-MEH


RegionPulse news, opinions, healthy options + referencesPUZZLE SOLUTION

Beaufort County Library“For Learning. For Leisure. For Life”

September events at County Branches:

Call 843-255-6430, or visit beaufortcountylibrary.org

BMH PEDIATRICIAN RECEIVES GRANT TO LAUNCH HEALTHY STEPS

National preventive care program uses home visitation toaddress physical, emotional and intellectual development ofchildren from birth to age three

Beaufort Memorial pediatrician Dr. James Simmonshas received a $273,000 grant from Children’s Trust of South Carolina to launch Healthy Steps, a national initiativedesigned to improve the health and development of childrenfrom birth to age three.

The early-intervention program uses developmentalscreenings and home visitations by trained specialists to help identify and address issues that could affect the physical, emotional and intellectual growth of at-risk children.

Simmons, of All Children’s Pediatrics in Port Royal, will teamup with physicians from Beaufort Pediatrics and Beaufort JasperHampton Comprehensive Health Services (BJHCHS) to initiatethe Healthy Steps program. “The earlier we can catch problems,”Simmons said, “the easier it is to modify bad habits.”

Along with the developmental screenings and homevisitations, Healthy Steps also offers: • Well-child visits with a clinician and Healthy Steps specialist • Child development and family health check-ups• Written materials on topics such as toilet training, disciplineand nutrition

• Referrals for services, including speech or hearingspecialists for children and depression counseling for mothers.


RegionPulse continued

Hilton Head HospitalBreast Health Centeropens New Center for Mammography and Bone Density

Hilton Head Hospital Breast Health Center understandsthe importance of convenience. That’s why we are proud toannounce the opening of a second location in Beaufortat 13 Marshellen Drive at the gateway to Parris Island.The Breast Health Center North location will offer digitalmammography screenings read by radiologists fellowshiptrained in breast imaging and bone densitomety (DEXA).

Hours of operation for the new center are

7:30 a.m. to 3:00 p.m. Tuesday,Wednesday and Thursday.

Mammogram appointments can be made directly by calling

Hilton Head Hospital at 843.689.8121.

Hilton Head Hospital’s main Breast Health Center islocated in the Bluffton Medical Campus at 75 Baylor Drivein Bluffton. The nationally accredited Breast HealthCenter offers comprehensive screening, diagnostic,medical and surgical breast services, as well as access togenetic counseling, and a full array of support for patientsand families. Women’s imaging services are recognizedas a Breast Imaging Center of Excellence by theAmerican College of Radiology and include diagnosticmammograms, breast ultrasound, stereotactic andultrasound guided biopsies, and bone densitometry.

Today's high-quality screening mammography is the mosteffective tool available to physicians in detecting breastcancer before lumps can be felt or symptoms of cancerappear. Early detection of breast cancer not only helpsprovide a woman with more options, but also increasesthe possibility of a favorable prognosis. The AmericanCancer Society recommends that women 20 and olderperform monthly breast self-exams and women 40 andolder receive an annual screening mammogram for earlydetection of cancer.

Services offered:


NationPulse national news + concerns affecting your health + family

Mental health is just as important as physical health. If you, or someone you know is suffering from depression, there is help out there.

If you or somebody else is in emotional distress, or if you’re concerned about suicide, you can call:

1-800-273-TALK (1-800-273-8255). For emergency help, you can always dial 9-1-1.

Depression affects children as well as adults, so know what signs to look for as a parent. Go to :

www.suicidepreventionlifeline.org

Wouldn't it be wonderful if a single blood test couldgauge the heart's health? Medicine isn't quite yet atthat point. But there are a few indicators that cansignal where your cardiovascular health is headedand let you know whether you need to take actionnow to prevent a heart attack or stroke.

Substances called biomarkers reflect processes thatare going on inside the body. "Biomarkers could beused both for predicting disease risk and forselecting those who would potentially benefit mostfrom therapy," says Dr. Samia Mora, a cardiologist atBrigham and Women's Hospital and assistantprofessor of medicine at Harvard Medical School.

A good biomarker must be accurate, easy tomeasure, and safe. Think cholesterol. A usefulbiomarker also needs to provide new informationbeyond what other tests already offer. Over the lastdecade or so, researchers have been testing severalother biomarkers to help fine-tune heart diseaseprediction. They include:

• C-reactive protein, a marker of inflammation inthe body.

• Apolipoproteins, types of protein that travel in theblood with cholesterol.

• Lipoprotein-associated phospholipase A2, anenzyme released by immune system cells.

• B-type natriuretic peptide, a hormone producedin response to excess stress on the heart.

Many of the processes and risks these biomarkersidentify are the same in men and women. Butbecause women naturally have different levels ofcertain biomarkers, the tests used to measure thesebiomarkers may need to be interpreted differentlyor have separate thresholds for men and women.

A single biomarker won't be the great crystal ballable to predict a future heart attack. But a group ofbiomarkers taken together could give valuableinsight into a person's cardiovascular future. "Ithink there will probably be a panel of biomarkersthat can identify risk based on different underlyingprocesses," Dr. Mora says.

Read the full-length article: "Predicting heart disease risk in women" athttp://www.health.harvard.edu/newsletters/

Harvard_Womens_Health_Watch/2014/August/...

Harvard Women's Health Watch is available from Harvard Health Publications, the publishing division

of Harvard Medical School, for $20 per year. Subscribe at www.health.harvard.edu/newsletters/womens

or by calling 877-649-9457 (toll-free).

Biomarkers aim to help predict heart disease risk, from the August 2014 Harvard Women's Health Watch


1 Pets keep you active. Pets, especially dogs, keep youactive. Walking and playing with your dog gives you a greatworkout. Just throwing a toy for your dog in the park will strengthenyour muscles and the simple act of walking will do you good too.Pet owners have been found to have lower blood pressure andbetter circulation, than non-pet owners, and this applies to childrenas well. Pets may also boost your immune system.

2 Pets are a great distraction. When something is troublingyou, it will trouble you far less, if you have a pet. Pets make yousmile. Pets don’t judge and, frankly, they couldn’t care less that youjust lost your job; they just want to be loved. Looking after a pettakes your mind off the stresses of the day and calms you down.

3 Pets are great company and great listeners. Petsmake fantastic companions, keep you from feeling lonely, will comfortyou and cheer you up. They may not be great conversationalists, butthey are quite happy to sit and listen, while you get things off yourchest and your pet is not going to argue with you either!

4 They help you make new friends. Pets make great ice-breakers when you meet someone new and you can find yourselfwith a whole new circle of friends, when you have a pet.

5 Pets can give you a purpose. They rely 100% on you fortheir needs and they can’t be ignored, so caring for them makesyou focus on something other, than your own troubles.

6 Pets give true and unconditional love. Less complicatedthan human relationships, a pet’s love really is unconditional. Some-thing you can fall back on, when those pesky humans let you down.

Pets can decrease your blood pressure, cholesterol levels,stress, and feelings of loneliness, says the Centers for DiseaseControl. Interacting with a pet increases a person’s oxytocinlevel, and oxytocin contributes to reinforcing social groups andbonding, someone with a mental illness who has a service-trained pet is more likely to have better-socialized behavior.

Animals can also act as therapists themselves or facilitate therapy —even when they're not dogs or cats. For example, psychologists whowork with emotionally, mentally or physically-challenged children,often use dogs in their practice—but also other pets—a cockatoo andeven a bearded dragon. Psychologists explain that animals can helpa clinician go under the radar of a child's consciousness, because thechild is much more at ease and seems to be much more willing toreveal, when interacting with a pet during a session

Current research has indicated that pet owners benefit from a hugerange of psychological and other health benefits by simply owning apet. Here are some top reasons why . . .

6 reasons why PETS areGOOD for your HEALTH


BEAUFORT–JASPER–HAMPTON COMPREHENSIVE HEALTH SERVICESwww.bjhchs.com

BEAUFORT MEMORIAL HOSPITALwww.bmhsc.org

KEYSERLING CANCER CENTER:(Affiliated with Duke University Medical Center)

COASTAL CAROLINA HOSPITALwww.coastalhospital.com

HAMPTON REGIONAL MEDICAL CENTERwww.hamptonregional.com

HILTON HEAD HOSPITALwww.HiltonHeadRegional.com

MUSC–Medical University of South Carolinawww.MUSChealth.com

HOLLINGS CANCER CENTER at MUSChttp://hcc.musc.edu

SURGERY CENTER of Beaufortwww.BeaufortSurgery.com

US NAVAL HOSPITALwww.nhbeaufort.med.navy.mil

SCDHEC PUBLIC HEALTH REGION 8 REGION 8 HEADQUARTERSwww.scdhec.net/health

CHILDREN WITH SPECIAL HEALTH CARE NEEDS

GOOD NEIGHBOR MEDICAL [email protected]

PREGNANCY CENTER & CLINIC OF THELOWCOUNTRY- FREE prenatal care through 16 weeks

MEMORIAL UNIVERSITY MEDICAL CENTERwww.memorialhealth.com

ST. JOSEPH/CANDLER HOSPITAL SYSTEMwww.sjchs.org

PORT ROYAL Port Royal Medical Center, 843-986-0900ST. HELENA ISLAND Leroy E. Browne Medical Center, 843-838-2086CHELSEA Ruth P. Field Medical Center, 843-987-7400HARDEEVILLE Donald E. Gatch Medical Center, 843-784-2181HAMPTON 200 ELM St.,803-943-2233RIDGELAND Ridgeland Family Medical Center, 843-726-3979SHELDON Elijah Washington Medical Center, 843-846-8026ESTILL Estill Medical Center, 803-625-2548

BEAUFORT 995 Ribaut Road, 843-522-5200

PORT ROYAL 1680 Ribaut Road, 843-522-7800

HARDEEVILLE 1000 Medical Center Drive, 843-784-8000

VARNVILLE 503 Carolina Avenue W., 803-943-2771 or 800-575-1435

HILTON HEAD ISLAND 25 Hospital Center Blvd., 843-681-6122

CHARLESTON 171 Ashley Avenue, 843-792-1414

CHARLESTON 86 Jonathan Lucas Street, 843-792-0700

BEAUFORT 1033 Ribaut Rd., 843-322-5800

BEAUFORT 1 Pickney Blvd, 843-228-5600

BEAUFORT 1407 King St., 843-525-7603

BEAUFORT 843-525-4080

BEAUFORT 30 Professional Village Dr., 843-470-9088

HILTON HEAD ISLAND 843-689-2222 www.pregnancycenterhhi.org

SAVANNAH, GA 4700 Waters Avenue, 912-350-8000

SAVANNAH, GA St. Joseph's Campus: 11705 Mercy Blvd., 912-819-4100 Candler Campus: 5353 Reynolds St., 912-819-6000

Regional Hospitals, Centers and Clinics


What are Dermal Fillers, and How are They Used?Injectable dermal fillers are soft tissue and wrinkle fillersapproved by FDA as medical devices. Generally, theseproducts are injected into the skin to help fill in facialwrinkles, restoring a smoother appearance. Most of thefillers achieve a smoothing or filling effect, which lasts forabout six months or longer in most people.

FDA has approved only one permanent wrinkle filler, whichcontains the polymethylmethacrylate beads. The filler is FDA-approved only for correcting facial tissue around the mouth.

In addition, FDA has approved a number of injectabledermal fillers that are temporary because the bodyeventually absorbs them. These products are used forcorrecting soft tissue defects in the face, such as moderateto severe facial wrinkles and skin folds, lip and cheekaugmentation. Not all products have been approved for theindications mentioned above. Please refer to the FDA’s listof approved dermal fillers for more information on a specific dermal filler at http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/CosmeticDevices/WrinkleFillers/ucm227749.htm

These temporary fillers include the following materials:Collagen injections, made of highly purified cow orhuman collagenHyaluronic acid gel, a protective lubricating gel,produced naturally by the bodyCalcium hydroxylapatite, a mineral and a majorcomponent of bonePoly-L-lactic acid (PLLA), a biodegradable,biocompatible, synthetic material

FDA has not approved dermal fillers for increasing breast orbuttock size, or for injections anywhere else than the face.

What are the Risks?“As with any medical procedure, being injected withdermal fillers poses some risks,” Alexander says. “Youshould ask what you can expect and contact your healthcare professional if you are concerned about a particularside effect.” The most common side effects include:bruising, redness, swelling, pain, itching. Most side effectsoccur shortly after injection and go away within two weeks.In some cases, side effects may emerge weeks, months, oryears later. You should not use wrinkle fillers if you have:• severe allergies marked by a history of anaphylacticshock (the body’s potentially fatal allergic reaction)

• an allergy to collagen (when considering wrinkle fillersthat contain collagen)

• allergy to lidocaine (when considering wrinkle fillers thatcontain lidocaine)

• predisposition to form excessive scarring (keloid) or thickscarring (hypertrophic scars)

• bleeding disorder• active inflammatory condition (cysts, pimples, rashes orhives) or infection; you should postpone treatment untilthe condition is controlled.

Before deciding to get injected with a dermal filler beaware of the following:- Do not buy dermal fillers on the Internet. They may befraudulent, tainted, and/or harmful.

- You should be able to get patient labeling information on FDA-approved injectable wrinkle fillers from your health care professional.

- Know the type of product to be injected and all of its possible side effects. Know where each product used isto be injected.

Discuss the different types of FDA-approved dermal fillersand the results you want to achieve with your health careprofessional who can refer you to a dermatologist orplastic surgeon, and be sure to select a certified specialist.

WISE information = a healthier YOU!

Filling in Wrinkles SafelyIn the quest for youth—or at least a more youthful

appearance—women and men are seeking treatmentsto minimize laugh lines, crow's feet, and frown lines, as well

as to plump up lips and cheeks. A popular treatmentinvolves injecting dermal fillers into the face. In studies ofFDA-approved dermal fillers, people generally report they

are satisfied with the outcome of their treatments.

But Food and Drug Administration (FDA) medical officerJanette Alexander, M.D., advises that it’s important

to know the risks before having the treatment.

2014 Beaufort Jasper Active Adult ChallengeRegistration Available Now

Registration for the Beaufort Jasper Active Adult Challengeis now available online at www.BJAAC.org (paper registra-tions are available at Sun City Fitness Centers).

All events are set for September 27th–October 4th.Individuals age 50 or more are eligible to participate ineight days of friendly fun and competition held all overJasper and Beaufort Counties. Athletes have theopportunity to win gold, silver and bronze pins, walk in theParade of Athletes and participate in the closing celebrationwith dancing, cocktails and appetizers. All athletes willreceive an official BJAAC Sports Cap if registered by theSeptember 12th deadline.

This event also has a need for volunteers to help outwith traffic control, timing of events, decorations, resultpostings, refreshments, etc. Please contact Lori Hollandat (843)645-4515.

The primary vision of the Challenge is to inspire seniorsto stay active, promote health and well-being and to providea true sense of fellowship within the area.

Thursday, September 4NAMI Family-to-FamilyNew Classes Beginning

Unitarian Universalist Congregation110 Malphrus Road, Bluffton

6:00-8:30pm: Do you have a family member with mentalillness? Have you struggled to understand the diagnosis?NAMI’s Family-to-Family program is a FREE 12-weekcourse for caregivers of individuals with mental illness.Classes are FREE and open to anyone. Registration IsRequired. For more information or to enroll, call NAMIBeaufort County at 843-681-2200, or [email protected]

Tuesday, September 16NAMI Peer-to-Peer New Classes BeginUSC-B Hilton Head Gateway Campus,

Room 238 in the Library2:00-4:00 pm: This signature education program is a tensession education course centered on the topic of recovery.Peer-to-Peer is for any individual with serious mental illnesswho is interested in establishing and maintaining wellness.The inspirational series is offered at no cost to participants.

Peer-to-Peer combines lecture, interactive exercises andstructured group processes. Diversity of experiencesamong course participants results in a lively dynamic.Classes are FREE, but registration is REQUIRED as spaceis limited. Call today, 843-681-2200 ext.1, or email SarahEliasoph: [email protected] For more information: www.NAMIBeaufortCounty.org

Beginning September 16Brain Boosters Fall Classes

at Memory Matters 2:30-4:30pm: Need some great tools to help keep yourbrain in top-notch condition? Sign up today for the nextBrain Boosters class. Our brains are amazing at any age;however it does take a bit more effort to keep an agingbrain in tiptop shape. We exercise our bodies to keepstronger so it makes sense to exercise our brain to keep itfiring on all cylinders. The class begins Tuesday,September 16 and will continue for 10 consecutiveTuesdays. To sign up call Karen at Memory Matters, 843-842-6688; or email [email protected].

Tuesday, September 23An Evening of Vibro Energy Tuning

7:00pm: Vibro Energy Living—an integrated approach tothe use of ancient methods and healing practices fordevelopment and progressive self-fulfillment of humannature.The Energi Center 35 Bill Fries Drive, Bldg C, HiltonHead Island, South Carolina 29926. Call 843-422-7697.

Monday September 29The Ronald Championship

“A Hole Away from Home”Benefiting the Ronald McDonald House of the Coastal Empire

Savannah Quarters Country Club Participation Cost: Team $1,200 / Individual $300

Golf packages include:(1) Ticket for Opening Sunday night “Par-Tee” for the House(additional guest tickets at a reduced rate of $50). Monday Shotgun Start at 9 a.m. Breakfast / Lunch and oncourse snacks & drinks. Fabulous Prizes and Contests!

On the evening before: Sunday,September 28th 6:00-9:00 p.m.Cotton Sail Hotel

Not a golfer? Then come to the “Par-Tee” for the House atthe beautiful Cotton Sail Hotel. Tickets are $100. The “Par-Tee” will be held at Top Deck roof top bar and includesilent auctions, entertainment. Open bar (6 pm–8 pm) willbe available with food provided by Jim ‘N Nick’s.

For more information contact: Bill Sorochak912-350-7641, or email [email protected]

www.rmhccoastalempire.com


Community Calendar & Healthy EventsPlease e-mail your healthy events a month in advance of publication date to [email protected]

The AARP Chapter of the Lowcountry

Thursday, Sept. 4, 2014 at 1:00 PMCommunity Room, Palmetto Electric Coop Bldg (off 278)

Contact President Chris Olsen, 843-705-5097.www.aarp.org

COASTAL DISCOVERY MUSEUM Fall Programs:

70 Honey Horn Drive on Hilton Head IslandRESERVE at 843-689-6767 ext 223 or online at

www.coastaldiscovery.org

September 2 through November 11 at 3:00pmLearn to throw a cast net

Classes will be held every Tuesday. For ages 12 and older,cost is $10 per person and reservations are required.Beginners are welcome, and you may bring your own net,or a loaner will be made available to you.

September 6 and 20, October 4 and 18, November 1, 15 and 29 at 9:00 - 11:00am

“Waterway Excursion”Explore the waterways around the Pinckney Island ForestPreserve on board the Tammy Jane. You will learn aboutthe salt marsh, maritime forest, barrier islands, and thehistory of Pinckney Island. This adult-oriented cruise is $35per person and reservations are required. The cruiseleaves from the Hudson’s Dock on Squire Pope Road.

September 3 at 3:00pmLowcountry Dragonflies

A presentation on the dragonflies inhabiting the lagoons ofHilton Head by Biologist Vicky McMillan. Reservations arerequired; limited seating. Cost: $7.00 per person.

September 17 at 3:00pmA Fisherman’s Guide to Seafood in our Lowcountry Restaurants

David Harter will give advice about what are the bestseafoods to order for your palette, health and your walletwhen dining in our local restaurants and buying at ourseafood distributors. The cost is $7 per person (for ages 12and older). Reservations are required.

September 18 at 3:00pm“Formation of the Confederacy”

John Keller will address the history of the formation of theConfederacy. He will trace the history of many flags used bymilitary regiments, state and local governments and theConfederacy. The cost is $7 per person (ages 12 and older)and reservations are required.

September 24 at 3:00pmPiping Plovers of Hilton Head Island

Sally Krebs will speak about the piping plovers—small,endangered shorebirds that fly thousands of miles to cometo this area for the winter. Reservations are required andthe program is $7 (ages 12 and older).

Thursdays and Saturdaysstarting September 4 and going through November 29

from 11:00 - 2:00pmLowcountry Critters with Joe Maffo

This casual “Meet and Greet” designed to encourageparticipants to learn more about the alligators, snakes,turtles and other critters that share Hilton Head Island withus. Cost is adult $10 and child $5 (12 and under) under 5are free. No reservations for this program, just drop in andsee the animals he brings!

Thursday, September 4 through November 2010:00am until noon

May River ExpeditionThis new 2-hour water expedition tour will explore Bluffton’sMay River aboard research vessel SPARTINA. Theexpedition will leave from the Calhoun Street Dock,Bluffton. This dock is located at the end of Calhoun Streetadjacent to the Church of the Cross. Cost is $35 adult, $25child (ages 12 and under). Reservations are required.

Saturdays, September 6 and ending November 29Shrimp Trawling Expedition

Times vary for these cruisesThis interactive cruise will take you from Hudson’s Dock outinto Port Royal Sound where you’ll have a chance to seehow a shrimp trawler works—plus, you’ll have a chance toshare in the ‘catch’ and might take some shrimp home!Cost is $40 adult and $20 child, with reservations required.

October 15 at 3:00pmLowcountry Shore Birds

Nicholas Wallover will speak about these incredible birdsand the role of communities in South Carolina in protectingthis important part of our coastal heritage. Cost is $7 (forages 12 and older) and reservations are required.

SAVE the DATESaturday, October 4

Coligny Beach, Hilton Head IslandNAMI Walks

Walking for Mental Health! Join thousands of NAMIWalkers as they raise awareness and fund for their FREE

Beaufort County mental health programs.

Monday, November 3Moss Creek Golf ClubMemory Matters

15th Annual Charity Golf TournamentRegistration begins, September 2, 2014Call 843-842-6688 for more details


Community Calendar continued


To have your free listing included in this column, email info to [email protected]. The information updated at the time of printing.Please check with individual organizations or groups for updated times, dates and locations. AREA CODE is 843, unless otherwise noted.

Regional Support Groups

AIDS• HIV-AIDS Support: Free, confidential HIV testing and counseling; Access Network Group and personal support: www.theaccess-network.org/ Beaufort/Jasper Counties: 379-5600; Hampton/Colleton Counties: 803-943-0554

ALZHEIMER’S + DEMENTIA• Alzheimer’s + Dementia Caregivers support: HHI/BLUF: Every Wed., 9:45 –11:15 a.m. for caregivers of someone with Alzheimer’s; Men’s Support Group, 1st + 3rd Mon. each month, 9:45 –11:15a.m. at Memory Matters, 117 Wm. Hilton Pkwy., 843-842-6688. Call 842-6688,or www.memory-matters.org.• Alzheimer’s Association Caregiver Support: 2nd Tues. each month, 2–4 PM at NHC of Bluffton, 705-8220 or email [email protected] AND 2nd and 4th Thurs. each month, St. Andrews Methodist Church, Hilton Head, 671-5696.• Alzheimer’s Family Services of Greater Beaufort Caregivers Support Group: 12:30-1:30 p.m., Wednesdays, Helena House, Port Royal, 521-9190 or 252-8754. • Alzheimer’s Family Services Education & Social Day Programs: BFT: Mon., & Wed., 10:00 am-1:45 pm; Port Royal United Methodist Church, Friday, 10:00 am-1:45 pm, Summit Place; AFS services call: 521-9190.• Early Diagnosis Support Group: 1-2PM 1st Tuesday of each month at Memory Matters. Are you 65 or under and been diagnosed with some form of dementia? We help with support and resources. Please call if you are coming: 843-842-6688. Call 757-9388 for information.• Early Memory Loss Group: 2nd and 4th Thur., 10:00 am–noon, Helena House, Port Royal, Call Louise Blanchard, 521-9190. BEREAVEMENT• Grief support for recently bereaved: All situations–United Hospice, Contact Bereavement Counselor, 522-0476. Beyond Now: 6 p.m. first Thursday, Island Hospice, Hardeeville, 208-3660. Friends of Caroline Hospice, 525-6257; Tidewater Hospice, 5 p.m., Thurs., 757-9388.

CANCER• Cancer Care Connect: (through BMH), 1-800-813-4673 or 1-212-712-8080• Cancer support groups: Keyserling Cancer Center, 4 p.m. first Wednesday, Beaufort: 522-7807 Friends of Caroline Hospice, Port Royal: 525-6257; WISH - Women in Search of Help, a breast cancer support group for the newly diagnosed; 3rd Thursday of each month: 5:30 PM, Keyserling Cancer Center. Call 522-5897. • I Can Cope Cancer Support: HHI: 842-5188;• Prostate Cancer: Beaufort Co.: John Grauer, 681-5646, Dan Ruth, 689-3129

DIABETES• Diabetes support groups: Beaufort, 522-5560; Hampton County, 803-943-3878 ext. 216; Hilton Head: 681-5879; Hardeeville/Bluffton: 784-8172; JDRF Adult Type 1 Support Group: monthly meet-ups, Bluffton library 6:00 p.m. Email: [email protected]; Facebook: JDRFAdultType1SupportGroupHilton Head/Bluffton

MENTAL HEALTH• Coastal Empire Mental Health: Beaufort: 1050 Ribaut Road, 524-3378 HHI: 151 Dillon Rd, 681-4865 Ridgeland: 1510 Grays Hwy, 726-8030 Varnville/Hampton: 65 Forest Dr., 803-943-2828 Walterboro: 2004 N Jefferies Blvd, 843-549-6536.• Depression & BiPolar Support Alliance: Hilton Head: 682-2900• Mental Health Association Beaufort-Jasper: Information, referral, direct service, and emergency assistance; 682-2900.• NAMI Connection Recovery Support Group for Consumers : Every Mon. 5:30-7 p.m.; Hilton Head, Palmetto Elec. Comm Rm; Hardeeville/Bluffton, Every Wed., 6:30 pm–8:00 p.m. USCB library rm. 144; Beaufort: 2nd Mon noon-1:30 p.m., Beaufort Medical Plaza Rm 350. Info. call 681-2200, ext.3# • NAMI Caregiver Support Groups: Every Wed., 6:30 pm - 8:00 p.m. USC-B Gateway to Hilton Head (Hardeeville), Library Room 144; Tuesday, May 27, 10:00 a.m. Lowcountry Presbyterian Church, Bluffton; Monday, May 19, 7:00 p.m. St. John's Lutheran Church, Lady's Island NEW: Bluffton/Hilton Head-evening. By appt. Call 843-681-2200. Info. call 681-2200, ext.3#

SUBSTANCE ABUSE• Adult Children Of Alcoholics: Noon Wednesday, 6:30 p.m. Thursday, YANA club. Mary, 290-8774. • Al-Anon: 8:00 p.m. New Beginnings, Alano Hall, Port Royal; 6:30 p.m. Sunday, YANA club, HHI; Noon Monday Brown Bag, St. Helena Episcopal Church, Beaufort; 7:00 p.m. Monday, YANA club, HHI; 10:30 a.m. Wednesday, St. Luke’s United Church, Bluffton; Noon Wednesday, Sea Island Presbyterian Church, Beaufort; 7:00 p.m. Thursday, St. Luke’s Episcopal Church, HHI; 7:30 p.m. Thursday, St. Peter’s Catholic Church, Beaufort; 7:30 p.m. Thursday, United Methodist Church, Bluffton; Friday, 12:15 p.m. YANA club, HHI.• Alateen: 8:00 p.m. Monday, Alano Hall, Port Royal; 7:30 p.m. Tuesday, United Methodist Church, Bluffton; Al-Anon + Alateen, 785-9630.• Alcoholics Anonymous: Meeting info: 785-2921 or 888-534-0192; en Español: 247-2713; visit www.area62.org. YANA club, 681-9262. • Crossroads Addiction/Dependency Christ centered Recovery & Support program: Grace Coastal Church, Okatie; [email protected]• Narcotics Anonymous: Hilton Head, Bluffton and Lowcountry environs: 852-3001. • Smoking Cessation Classes: Freedom from Smoking: Beaufort: 522-5635; 522-5200; Hilton Head: 681-5651.

WEIGHT ISSUES• Community Health/ Weight Loss Classes Fun, Supportive and Educational: Tuesdays, 6:00pm; Bluffton and soon in Beaufort. For information, call Sheila 843-644-1991• Overeaters Anonymous, Hilton Head: Fri.,10:30am, YANA Club, 706-3606; Bluffton: Tues., 6:00pm, St. Luke United Methodist Church, contact Lynne 271-2114; Beaufort: Sun. & Mon., 6:00pm, Beaufort Memorial Hospital, 846-1347• Take Off Pounds Sensibly www.tops.org: Port Royal: YMCA, Thurs., 6:30 / 7:00pm;

OTHER MEDICAL• Asthma Management Program, Wheeze Busters: Beaufort:, 522-5635• Better Breathers: Hilton Head: 877-582-2737• Cardiac Support Group: Beaufort: 522-5635• Chronic Pain Support Group of the Lowcountry: Mon., 1 p.m., Beaufort, 522-8569• Fibromyalgia support groups: Hilton Head: 837-5911or 342-3434; • Healthy Hearts Support Group: 2nd Thursday each month 10:30-noon at Bluffton-Okatie Outpatient Center; Call Greg Estes, 522-0476. • Hearing Loss Support Group ‘SHHH’: Lowcountry: Russ Cooper, 705-6312, or Bob Perkins, 705-6118.• Lowcountry Huntington Disease support: Sandra, 912-964-0455• Liver Transplant support group: Savannah: SJCH 912-819-8350 • Lung Disease support group, Better Breathers Club: Beaufort: 522-5635, staff available from 6 a.m. to 8 p.m.; • Med-I-Assist prescription assistance program for the uninsured (Sheldon): Thurs., 10 a.m.-2 p.m. Mt. Carmel Baptist Church, 367 Keans Neck Rd. Appointments: 843-846-8703• Multiple Sclerosis support groups: meets monthly, call for time/location Bluffton: contact Betty Brusco, 757-4402; Hilton Head: Terry Doyle, 681-1981; • Myositis Association: Danielle Haines, RN; 341-7737• National Fed. of the Blind: Monthly meetings: Hilton Head, Bob Martin, 342-9180; Beaufort, Ruth Collier, 524-9247.• Neuropathy Support: Hilton Head: 705-5878• Osteoporosis Exercise & Education Program: Beaufort:, 522-5593• Ostomy Association of the Lowcountry: Support group meets monthly. Call, 766-4528. • Parkinson’s Disease support groups: Port Royal/Beaufort: Helena House, 1st Thurs. every month, 1:30-3:30pm; www.psglc.org; Hilton Head: Ellen Forwalk 681-3096; Bluffton: Muriel Coleman, 987-3505• Pulmonary Disease Support Group: BMH Call Toni Rehkop at 522-5830 • Stroke Support Groups: Hilton Head: 689-2095; Savannah: 912-598-1766; Stroke Survivors Group, Beaufort: & Bluffton: 522-5993; 522-7445• Syncope Support Group: STARS-US; 785-4101; www.stars-us.org

OTHER SUPPORT GROUPS• CAPA - Child Abuse Prevention Association; Serving the Lowcountry region; 524-4350• CODA - Citizens Opposed to Domestic Abuse: Women’s and children’s support groups for victims and survivors of domestic violence: Bluffton: Thursdays, 5:30-7:00 p.m.; Beaufort: Tuesdays, 5:30-7:00 p.m. , 770-1070. www.codabft.com• Meals on Wheels: Hilton Head: 689-8334• Parent/Caregiver Support (for non-offenders) at Hope Haven: Beaufort, Jasper, Hampton, Colleton: 800-637-7273; www.hopehavenlc.org• Survivors of Suicide: Renee Pigat, HHI: 681-7814


The Blood AllianceFor appointments, please call

LOWCOUNTRY Fixed Site Donor Center1001 Boundary St., Suite A

843-522-0409or, use free app at iDon8

BEAUFORTWednesday, September 10

Beaufort County Government Center106 Ribaut Rd.

Monday, September 15Beaufort High School85 Sea Island Parkway

Portable

Tuesday, September 16Technical College of the Lowcountry

921 Ribaut Rd.

Friday, September 26, 2014Battery Creek High School

1 Blue Dolphin Dr.

LADYS ISLANDSunday, September 07St. John's Lutheran157 Lady's Island Dr.

Sunday, September 28Tidal Creek Fellowship Church

290 Brickyard Point Rd. S.

OKATIEThursday, September 11

Beaufort Jasper Water

& Sewer Authority

6 Snake Rd.

RIDGELANDSaturday, September 13

The Town of Ridgeland

One Town Square

HARDEEVILLEThursday, September 18

City of Hardeeville

205 E. Main St.

Bloodmobile

Thursday, October 02

Coastal Carolina Hospital

1000 Medical Center Dr.

BLUFFTONWednesday, September 24

Bluffton Boots & Badges Blood Drive

Station 300 - Buckwalter Pl.

25 Innovation Drive

HILTON HEAD ISLANDSunday, September 21

Resurrection Christian

Community Church

296 Spanish Wells Rd.

Government issued photo ID is required to donate. Examples are a driver’s license, passport, military ID, student ID

SEPTEMBER 2014

Regional Blood Drives Give Blood.

Save Lives.

FACT:Your donation ofone pint ofone pint ofwhole bloodwhole bloodtakes about an hour and can save can save three livesthree lives..

If you’re already a blood donor,THANK YOU!

If you’re not, we ask that you pleaseconsider it.

Providing Outstanding Blood Servicein South Carolina, Georgia and Florida

Make your appointmentTODAY. Call the

Lowcountry Donation Center

843-522-0409


Flexible Sigmoidoscopy CutsColorectal Cancer Incidence,Mortality one-time screening withflexible sigmoidoscopy reducescolorectal cancer incidence andmortality, a JAMA study finds.In a JAMA editorial, NEJM Journal

Watch General Medicine editor-in-chief Allan Brett notes thatsigmoidoscopy screening “has all butvanished” in the U.S., largelyreplaced by colonoscopy—eventhough “randomized trial-levelevidence of reduced cancer-specificmortality exists for flexiblesigmoidoscopy and FOBT but not forcolonoscopy.” He then examines the“quandaries” that U.S. primary careclinicians face as they navigate themany colorectal screening optionsand recommendations, and notesthat stool DNA testing may changethe conversation substantially.

–By Amy Orciari Herman, JWatch.org

Noninvasive DNA-Based ColonCancer Screen ApprovedThe FDA has approved a novelcolorectal cancer screening test—Cologuard—that detects DNAmutations and hemoglobin in stoolsamples. Patients testing positiveshould follow-up with colonoscopy.In a clinical trial of some 10,000

patients, Cologuard accuratelydetected more advanced adenomasand colorectal cancers than fecalimmunochemical testing. The newtest, however, did not correctly ruleout cancer as accurately as theolder test.The FDA notes that this approval

does not change the U.S. PreventiveServices Task Force’s guidelines,which recommend screening usingcolonoscopy, sigmoidoscopy, or fecaloccult blood testing.

–By Kristin J. Kelle, JWatch.org

MostOverweightKidsMisperceiveTheir SizeRoughly 81% ofoverweight boysand 71% of overweight girlsconsider themselves to be “aboutthe right weight,” according to anew CDC report.As part of the National Health and

Nutrition Examination Survey, U.S.children aged 8 to 15 years wereasked, “Do you consider yourself nowto be fat or overweight, too thin, orabout the right weight?” Their answerswere compared with their BMIs.In children who were obese, 48%

of boys and 36% of girls said theywere about the right weight. Childrenfrom families with lower incomeswere more likely to misclassify theirweight status than those from higher-income families.For additional information visit the

National Center for Health Statisticsdata brief. (Free PDF)

–By Kelly Young, JWatch.org

Prophylactic Aspirin UseAssociated with ReducedCancer RiskUsing daily low-dose aspirin for aminimum of 5 years appears to havemore benefits than harms in terms ofcancer prevention, according to areview in the Annals of Oncology.

The review found reduced cancerincidence and mortality at dosesbetween 75 and 325 mg per day,starting between ages 50 and 65,with longer duration of use appearingto confer the greatest benefits. Menand women at average risk who tookaspirin for a decade could expectrelative reductions of 9% and 7%,respectively, in the rate of cancer,myocardial infarction, or stroke over15 years.The researchers found substantial

benefit in terms of colorectal,esophageal, and gastric cancerincidence and mortality. Reductionsin breast, lung, andprostate cancers weremore modest.As expected,aspirin use wasassociated withincreased risk for bleedingevents, but the cancer-preventionbenefitsoutweighed this risk. –By Kelly Young,JWatch.org

More than a Delicacy: Bonemarrow fat may haveuntapped health benefitsResearchers find that with calorierestriction, a less-studied fat tissuereleases adiponectin, which is linkedto reduced risk of diseases likediabetes.It has been known for its flavorful

addition to soups and as a delicacyfor dogs but bone marrow fat mayalso have untapped health benefits,new research finds.A new University of Michigan-led

study—which included people withanorexia and patients undergoingchemotherapy—shows that the fattissue in bone marrow is a significantsource of the hormone adiponectin,which helps maintain insulinsensitivity, break down fat, and has

care TALK©

capsules of healthy + helpful information

been linked to decreased risk ofcardiovascular disease, diabetes,and obesity-associated cancers.See the full story at

http://www.uofmhealth.org/news/archive/201407/bone-marrow...

New Research UncoversGenetic Identifier, CommonPhysical Traits for AutismMay Allow Clinicians to DetermineRisk for Babies Still In UteroA researcher at Seattle Children'sHospital and Research Institute hasfound a genetic identifier for autismthat includes physical features thatmay eventually allow clinicians toidentify babies who are at risk forautism before they are born. This isthe first time a genetic mutation hasbeen linked to autism. A mutation of the CHD8 gene that, in addition tosignificantly increasing a child's riskof developing a specific subtype ofautism, also causes several physicaltraits and symptoms that are uniqueto children with the same subtype of autism.The physical traits—subtle facial

features, such as larger heads andprominent foreheads—are featuresthat, combined with confirmation of aCHD8 gene mutation, could allowclinicians to screen babies still inutero for a higher risk of developingautism, much like clinicians nowscreen for physical and geneticindicators of disorders likeDown's Syndrome.

Early detection is critical in thetreatment of autism symptoms.Research studies of behavioraltherapies used with younger siblingsof kids with autism, who are at higherrisk for developing autismthemselves, suggest that interventionbetween three to six months of agecan lessen or even preventsymptoms from developing.For more information visit

www.seattlechildrens.org

Time to Test for AnotherBreast Cancer Gene?Mutations in the PALB2 gene conferas much increased risk for breastcancer as BRCA2 mutations,according to a New England Journalof Medicine study. The PALB2protein is key to several BRCA2functions, including limiting cellularDNA damage.U.K. researchers examined breast

cancer risk among some 360members of 154 families in which atleast one person had breast cancerand a loss-of-function mutation inPALB2 (but no BRCA mutations).They found that breast cancer riskwas 9.5 times higher among mutationcarriers than in the generalpopulation. The absolute breastcancer risk by age 70 among womenwith PALB2 mutations ranged from33% among those with no familyhistory of breast cancer to 58%among those with at least two first-degree relatives with breast cancerat age 50. PALB2 mutations alsoincreased risk among men.The researchers say the level of

risk conferred by PALB2 mutationswould be considered high accordingto American Cancer Society andother guidelines. “This level of risk,”they write, “may justify adding PALB2to genetic testing for BRCA1 andBRCA2.”

–By Amy Orciari Herman, JWatch.org

Harvard Business School andHarvard Medical SchoolLaunch “The HealthAcceleration Challenge”Over the last half-century, some of thegreatest health care innovations havetaken decades to reach widespreadadoption. Why does it take so long?The Forum on Health Care

Innovation, a collaboration betweenHarvard Business School (HBS) andHarvard Medical School (HMS) arelaunching the Health AccelerationChallenge to identify innovations thathave demonstrated effectiveness forU.S. health care delivery and shortenthe time frame for their widespreaddissemination, and are ready to scale.Its purpose is to unite leading

executives, policymakers, andacademics in a cross-disciplinaryexploration of innovative actions toimprove quality, reduce costs, and,ultimately, increase value in the healthcare industry.

The Forum on Health CareInnovation wants to hear about yourinnovations that…

-improve the quality of care -lower care delivery costs -expand access to care -have demonstrated real value -can scale to create broader impact

Finalists will share $150,000 inprize money, meet senior health careleaders at the HBS-HMS Forum onHealth Care Innovation Conference in April 2015, and have an HBS casewritten about them.

APPLICATION DEADLINESEPTEMBER 29, 2014To find out more, go to

www.HealthAccelerationChallenge.com

All applicants can benefit fromcrowd-sourced feedback on theapplication platform.

Winning innovations will attractthe attention of a broad network ofhealth care experts, becomesubjects for HBS case studies, andreceive cash prizes.


care TALK©

capsules of healthy + helpful information

No-Oat OatmealIngredients:

1 cup of raw pumpkin seeds½ cup of milled flax seeds½ cup of macadamia nuts 8 pitted dates

½ Teaspoon of sea salt½ Teaspoon vanillaorganic unsweetened coconut milk

Optional: coconut cream;cinnamon; fresh berries, sliced banana

Directions:• Place the seeds, nuts, dates, sea salt and vanilla in food processor and process for 2 minutes until you have a rough chopped mixture.

• Place mixture in a glass jar to store in fridge.

• Take ½ cup of the mixture and 1 cup of coconut milk and place in a medium-size pan on stove.

• Bring to a boil and let simmer for 10 minutes.

• Optional: add coconut cream and/or fruit and/orcinnamon if desired


Plantain PancakesIngredients:2 large green plantains (about 2 cups pureed)4 free-range eggs4 Teaspoons of vanilla 3 Tablespoons of extra virgin coconut oil1/4 Teaspoon of sea salt1/2 Teaspoon of baking sodaAdditional coconut oil for cooking

Directions:• Peel plantains. (It is easier to cut themlengthwise and then cut each section in half;then separate the peel from the meat of theplantain with your fingers.)

• Place plantain pieces into your foodprocessor or powerful blender. (A goodblender is the Vitamix®.)

• Add the rest of the ingredients to the foodprocessor or blender and process until itforms a smooth batter (about 1-2 minutes).

• Heat 1 Tablespoon of coconut oil in fryingpan over medium-high heat. Pour the batterinto the frying pan until your pancake is thedesired size.

• Cook like a regular pancake. After 2-3minutes, the top will form little bubbles just like a regular pancake. Flip it and cookthe other side for another minute or so until done.

• Repeat until the batter runs out. Add a littlecoconut oil to the pan as needed.

• Top with butter, fruit or honey, grade Bmaple syrup, or whatever makes you happy!

Easy, healthy

Paleo recipes


Cracklin’ Italian-spice Chicken

Ingredients:8 bone-in, skin-on, free-range chicken thighs

Skin-side seasoning:1 tablespoon Kosher salt2 teaspoons grass-fed butter (Kerrygold)

Meat-side seasoning:1 Tablespoon garlic powder1 Teaspoon red pepper flakes1 Teaspoon dried oregano1 Teaspoon sea salt

The Paleo Diet (see page 6) may not be appropriate for all people with diabetes. Anyone interested in starting a new dietshould always speak with their healthcare provider and/or Certified Diabetes Educator® before making dietary changes.

For those interested in trying the Paleo Diet, Kelly Schmidt, RD, suggests starting in steps. “Definitely take on the diet in phases,”she said. “For example, start with just eating gluten-free and using gluten-free grains – rice, quinoa, gluten-free oats, millet – astransitional foods. Next, cut back on the vegetable oils and sugar, then try to cut out dairy and beans, and then all grains. Whenremoving the grains entirely, still get some carbohydrate-containing foods like sweet potatoes, root vegetables and low-sugar fruitslike berries and citrus.”

Proceed at your own pace, says Kelly. “Try one new recipe that is based on whole foods every other week or every week if youcan,” she said. “And just pay attention to how food makes you feel. When you feel better, it can be more motivation not to be eventempted by old favorite foods.”

Another key to the Paleo Diet is planning. “I always say a health goal starts with a grocery list, so your grocery shopping is moreefficient,” she said. “I also make things in bulk. And I think about what meals I’m going to have tomorrow or the following few daysso I’m not just throwing something together at the last minute.”

Source: Kelly Schmidt, RD (who lives with type 1 diabetes)http://www.discussdiabetes.com/2014/03/kelly-schmidt-explains-paleo-diet/

Directions:• Dry chicken with a paper towel.

• Cut out the bone, making sure you don’t cut through the meat. Stay as closeto the bone as possible. Don’t cut off the skin. The skin makes the dish Yummy!

• Flatten the chicken with a meat pounder or just use your fist to pound it flat.

• Turn the chicken skin-side-up, and sprinkle Kosher salt on the skin from highup in order to get it salted evenly.

• Heat a large skillet over medium high heat, and then melt the butter. Placefour chicken thighs skin-side down in the skillet.

• Sprinkle the “meat seasoning” on the meat side.

• Cook the skin side until crispy and golden brown (around 7-10 minutes), Youwill need to have a splatter guard because the hot fat will splatter.

• Turn over the thighs and cook the meat side for 2-3 more minutes tothoroughly cook, and then place them on a wire rack to rest and drain whileyou get the next batch cooked.

• Repeat the cooking steps for the remaining four thighs.

Perfectly-seasoned chicken thighs ready for the grill


ParentPulse helpful insights and tips for effective parenting

Most Parents Unaware of Possible Brain Damagefrom Untreated Jaundice

A majority of Americans are not aware of the seriouspotential risks associated with newborn jaundice,according to a recent survey. This national survey ofnearly 5,000 Americans found that more than 70percent (71.9 percent) of respondents polled had neverheard of kernicterus, a condition that results frombrain damage caused when bilirubin levels get toohigh and go untreated.

Bilirubin increases when red blood cells break down,and it is normal for some red blood cells to die every day.Sometimes a baby’s liver is too immature to adequatelyget rid of excess bilirubin and jaundice develops.

Kernicterus is a devastating condition that canpermanently change the lives of otherwise healthybabies. Prevention is the key to keeping these babieshealthy; parents should ask their baby’s doctor ornurse about a bilirubin test. This simple blood test canbe done soon after birth to see if a baby is at risk.

Many parents are aware that jaundice is a potentialthreat, but relatively few are aware of how serious thethreat is. Because jaundice is so common, manyparents are told not to worry. Parents should notdismiss any signs of a high bilirubin level and shouldconsult their baby’s doctor. A bilirubin test is the bestway to assess the baby’s bilirubin level. Putting a baby in sunlight is not recommended as an effectiveway to treat jaundice.

Nearly two-thirds (59.9 percent) of all surveyrespondents reported that they were not sure ifjaundice could cause brain damage in a newborn baby.Among women of childbearing age, only 17 percentthought jaundice in a newborn baby could cause braindamage, whereas nearly 60 percent of this groupresponded that they were not sure.

Jaundice is a common condition—occurring in about60 percent of newborn babies—and is caused when ababy’s liver cannot adequately remove excess bilirubin.

When a baby’s bilirubin level is elevated, it can lead toa yellowing of the skin and whites of the eyes. Whilenot all jaundice leads to kernicterus, high levels ofbilirubin can permanently damage the brain if notmanaged or treated appropriately. Kernicterus ischaracterized by cerebral palsy, hearing loss,problems with vision and teeth, and in some cases,mental retardation.

Once a baby is discharged from the hospital after birth,parents need to be aware of any possible signs thatmight indicate the progression of jaundice. Parentsshould seek medical attention if their infant is overlysleepy, does not want to breastfeed or take a bottle,does not have at least four wet or dirty diapers daily,seems too awake, or has an overall change in behavior.There are also advanced warning signs that indicateyour baby needs immediate treatment includingarching of the back or neck, high-pitched crying,irritability, or strange eye movements. If you see any ofthese things, seek medical attention immediately.

CDC is a partner in the Kernicterus PreventionPartnership Campaign (KPPC), a collaborationbetween health care professionals, public healthorganizations, and consumer groups who have cometogether in an effort to raise awareness for, andincrease prevention of, kernicterus. Through its efforts,the KPPC aims to eradicate kernicterus and ensure allbabies have the opportunity to develop to their fullpotential. For more information about newbornjaundice and kernicterus, visit www.cdc.gov/jaundice.


Crossword Puzzle solution on page 16

FamilyFun

CLUES ACROSS1. Locates by tracking7. Learned person13. Rail transport charge14. Asserted16. Obstetrics (abbr.)17. Type of puzzle19. Of I20. Strongboxes22. Mow grass23. Passover feast25. Makes a mistake26. Gambling blocks28. Saint Filippo29. Dental organization30. Spigot31. Van Winkle33. Spanish hero El ___34. Chinese weight unit =1.3 oz36. Flightless birds38. Comb-plate organ40. TV awards41. Infuse with air43. Earthen hollow44. Took part in a race45. Kids’ musician Palmer47. Process a hide48. Restaurant bill51. Expression of annoyance53. Music term for silent55. Body fluids56. Runs disconnected58. Seaport (abbr.)59. Wrap brand60. 32nd Pres. initials61. Foodie64. “Dark Victory” actress’ initials65. Wood ant genus67. Attacks69. Delicate hue70. Prescribed amount

CLUES DOWN1. Knights’ garment2. Are You? in texting3. Moose genus4. Rail vehicles5. Self-importance6. Send again7. Twain’s Tom8. Macao monetary unit9. One minus a cosine (trig.)10. “As You Like It” forest11. “My Turn” author’s initials12. Audacity13. 8th-century B.C. prophet15. Mocks18. Animal pouch21. Brotherly24. Metric linear unit26. Decalitre27. Title of respect30. Choppers32. Encomium35. Coin collector group37. Tobacco mosaic virus38. Capital of Wales39. A single tear42. Ingest43. Feline46. Adding machine inventor47. 449. Cultivatable land50. Musician groups52. Abounds54. Central processing unit55. Yemen capital57. Cough up59. Impudence62. Frozen water63. Garching astronomy org.66. Egyptian sun god68. Immunoglobulin (abbr.)

www.bjhchs.org

Most Insurance Plans AcceptedHablamos el espanol

Port Royal Medical Center1320 S. Ribaut Road Port Royal/Beaufort • 843-986-0900

Ruth P. Field Medical Center721 Okatie Hwy. 170 Chelsea • 843-987-7400

Leroy E. Browne Medical Center6315 Jonathan Francis, Sr. Road St. Helena Island • 843-838-2086

Donald E. Gatch Medical Center522 Stiney Road Hardeeville • 843-784-2181

8ConvenientLocationsAccepting same-day appointments

We are HERE FOR YOU

Elijah Washington Family Medical Center211 Paige Point Road Sheldon • 843-846-8026

Ridgeland Family Medical Center1550 Grays Highway Ridgeland • 843-726-3979

Hampton Family Medical Center200 East Elm Street Hampton • 803-943-2233

Estill Family Medical Center454 Second Street EastEstill • 803-625-2548

SERVICES PROVIDED:

• Family Practice • Internal Medicine

• Pediatrics • Ronald McDonald Care Mobile

• OB/GYN • Dental Care • Pharmacy Services

• Imaging Services • Home Health Nursing

• Best Chance Newtwork: Breast Cancer Care + Prevention

• Ryan White HIV Services

• Medical Social Work

• Nutrition Counseling

• Community Outreach

• Diabetes Initiative

• WIC Services

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