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    BEHealthySETX.com | November/December 2012

    November/Decembe

    201

    Uer the tree:Healthy gifts

    Festive taste,less weight

    Tis the seas

    for safety

    Srai, srai:Go away

    r theRxholidays

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    2 November/December 2012 | BE HealthySETX.com

    Paraesophageal Hernia

    and Refux Center at

    Previty Clinic

    40% of Americans

    experience heartburn

    once a month

    If you have a hiatal hernia, heartburn

    or reux, we are here to help.

    Call today to meet our surgeons.

    GE

    RD LIVE

    WITHOUT

    THE

    BURN

    Visit the only comprehensive

    surgical center for hiatal

    hernia, heartburn and reux

    disease in Southeast Texas.

    Our minimally invasive

    approaches can help treat

    GERD, pre-cancer esophagealproblems and reduce and

    possibly eliminate your

    medications.

    Christopher A. Timmons, MD

    Chief, Paraesophageal Hernia and

    Reux Center

    www.prevityclinic.com

    740 Hospital Drive Suite 280

    Beaumont, Texas 77701

    409.835.9500

    610 Strickland Drive Suite 190

    Orange, Texas 77630

    409.886.1111

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    BEHealthySETX.com | November/December 2012

    Receiving nursings highest honor means our patientsreceive the highest level of care.

    Once again, our hospitals have earned Magnet status for excellence in nursing.

    www.christushospital.org | 1-866-683-3627

    Awarded to only seven percent of hospitals nationwide, the highly coveted Magnet

    designation from the American Nurses Credentialing Center is the most prestigious

    honor bestowed for nursing excellence. To earn it, Magnet hospitals must rise above

    their stringent standards for professionalism, teamwork and exceptional patient care.

    And while its a tremendous achievement for our nurses, they would be the rst to

    tell you they didnt do it on their own. It took the commitment and cooperation of

    the entire hospital staff and leadership, working together in a positive, patient-focusedenvironment. The Magnet designation is high praise indeed. But, in the end, providing

    the highest level of care possible for our community means more to us than any award.

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    4 November/December 2012 | BE HealthySETX.com

    Photogaphy by

    Guiseppe Baanco

    This issue of BE Healthy containslots of helpful information forthriving and surviving during theholiday season.

    Onthecover

    8HOLIDAY HEALTH

    GIFTS FOR THOSE

    WHO GET UP AND GO

    Frm ruig turs t tst

    ts, ts is bt susg

    B Mg Grr

    12HOLIDAY HEALTH

    FEAST VS. FIT:

    THE CHALLENGE

    Sss ms t v

    t b utriti isstrs

    B Mg Grr

    14STAYING SAFE

    HOME IS THE HUNTER

    IF HES CAREFUL

    Cm, c cct

    is sfst w t bg gm

    B Cr Rs

    6 P To Th Nws

    18 Innovtions

    18 Crosst puzz

    BE Healthy | November/December 2012 | Volume 3, Issue 6

    Contents BEEditoial

    Contributing WritersCATHLEEN COLE

    MARGARET BATTISTELLI GARDNERCHERYL ROSE

    Contributing EditorCHRISTOPHER CLAUSEN

    Medical AdiseDR. GARRETT K. PEEL

    PhotogaphyContributing PhotographersGIUSEPPE BARRANCO

    AtGraphic Design

    AFFINITY EXPRESS

    Gaphic Design ConsultantKRISTEN FLORES

    AdetisingTo advertise in BE Healthy

    409.880.0700

    Contact UsBE Healthy

    380 MAIN ST.

    BEAUMONT, TX 77701409.880.0700

    TO DISPLAY THE MAGAZINE

    AT YOUR BUSINESS LOCATIONPLEASE CALL 409.838.2829

    SUBMISSIONS

    TO SUBMIT AN EVENT, ORGANIZATIONOR PERSON FOR CONSIDERATION

    IN AN UPCOMING ISSUE, SUBMIT BYUSPS AT ADDRESS ABOVE.

    A DIvISION Of HEArST NEwSPAPErS

    PublisherBILL OFFILL

    EDITOr

    TIMOTHY M. KELLY

    COPYRIGHT 2012

    THE BEAUMONT ENTERPRISEVisit us online at BEHealthySETX.com

    Be part of keepingSoutheast Texas green!Recycle this magazine.

    16MEDICAL ADVICEDOS AND DONTS

    FOR ANKLE INJURIES

    T rigt trtmt, fw-up

    c tis cmm ijur

    B Cr Rs

    G1

    R2

    E3

    E K4

    H5

    E A6

    L I7

    N G8

    R9

    A N A Y C M A

    E10

    Y E D R O P C11

    U B E S

    E R M E E A

    N12

    A G A13

    D R E N A L I N14

    S Y G T A E

    P15

    C16

    O17

    O L S O18

    N C E

    S19

    E E Y C D

    O20

    R G21

    A N C22

    A N23

    K E R

    D L O

    24

    D E O U

    25

    I26

    R A M M27

    A N G O28

    E S

    U N E I O N E

    M29

    O D E L A30

    B S C E S S

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    BEHealthySETX.com | November/December 2012

    We are very proud of our new facility and

    extremely pleased to be able to provide

    this level of Pediatric Care to our region.

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    6 November/December 2012 | BE HealthySETX.com

    Each edition, BE Health

    Medical Adviser Dr. Garrett K

    Peel will cut through the previou

    months medical and health new

    and bring you the most relevan

    and interesting tidbits to help yo

    make informed health decision

    PeelDtoMedicalNEWS

    A recent study by the Mayo Clinic showed a

    strong association between a pre-cancerous disease

    o the esophagus and diabetes. Patients with Type

    2 Diabetes may ace an increased risk or Barretts

    Esophagus (BE), regardless o other risk actors,

    including smoking, alcohol consumption, obesity

    and gastroesophageal reux disease.

    Researchers report that this risk may be higher

    in men with diabetes, probably because men tend

    to carry more at in the abdomen, compared to

    women, who tend to carry weight around the hips

    and thighs.

    Type-2 diabetes is the most common orm odiabetes, with millions o Americans living with the

    disease. BE is a condition in which the tissue lining

    the esophagus is replaced by tissue that is similar

    to the lining o the intestine. No signs or symptom

    are associated with BE, but it is commonly ound i

    people with GERD. About 5 to 10 percent o patien

    with chronic GERD will develop BE.

    Obesity is associated with an increased risk o

    BE and esophageal cancer, but it is unclear i this

    is caused rom mechanical and/or metabolic eects

    such as hyperinsulinemia, according to researchers

    They report a two-old increase risk o developing

    BE among diabetics.

    I you are a diabetic and suer rom heartburn

    or reux, alert your physician. You may needurther testing to include an endoscopy to diagno

    possible BE.

    More than 40 percent o breast cancer survivors

    suer rom a debilitating condition called lymphede-

    ma. Researchers at the University o Missouri have

    ound that ull-body exercise and decongestive therapy

    may relieve symptoms and improve quality o lie.

    The ull-body exercising includes weight liting

    and stretching. Decongestive treatments incorporat

    skin care, exercise, manual lymphatic drainage and

    bandaging o swollen limbs.

    I you suer rom lymphedema ask your doctor

    or a reerral to wound care centers that specialize in

    lymphedema therapy.

    The Mayo Clinic reports that statin use is associ-

    ated with protection rom esophagus cancer. A sys-

    tematic review o eleven studies reporting 8,613 cases

    o esophageal cancer rom studies including almost 1

    million patients showed the incidence o esophageal

    cancer is increasing in the United States, especially

    esophageal adenocarcinoma in patients with Barretts

    esophagus.

    The meta-analysis o these studies showed a

    signicant 30 percent reduction in esophageal cancer

    incidence with statins use.

    An analysis o a subset o patients with Barretts

    esophagus, a pre-malignant condition associated wi

    chronic acid reux or GERD, revealed that, in this

    higher risk population, statin use was associated wit

    a signicant 41 percent decrease in the risk o adeno

    carcinoma o the esophagus.

    I you have Barretts Esophagus ask your doctor

    about the benet o taking a statin medication that

    may reduce your risk or esophageal cancer.

    A University o Illinois study suggests avoiding

    cooking methods that produce the kind o crusty bits

    youd nd on a grilled hamburger, especially i you

    have diabetes. A recent study ound that preparing

    oods that are crusty, might lead to coronary artery

    plaque build-up.

    Think o the edge o a brownie or the crispy

    borders o meats prepared at very high tem-

    peratures. These produce advanced glycation

    end products (AGEs), which are associated with

    plaque ormation, the kind we see in cardiovascu

    lar disease.

    I you are diabetic, you should bake, broil or

    grill your ood, instead o over-heating or baking

    or even rying. Boiling or stewing meat will reduce

    your AGEs intake urther. Scrambling an egg with

    cooking spray instead o rying leads to a signican

    reduction in AGEs as well.

    Typ-2 ibts my incrs risk o soph probms

    Bttr wys to mn ymphm

    Sttins my protct inst soph cncr

    Sty wy rom crusty burn oos

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    BEHealthySETX.com | November/December 2012

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    8 November/December 2012 | BE HealthySETX.com

    Face it, the best gits are those that really

    take into account the recipients interests,

    tastes, predilections, etc. And i you have

    health warriors or tness reaks on your list,

    there are lots o ways to please them. Here

    are a ew ideas that are just a bit more inter-

    esting than an exercise ball or running shoes.

    Running tours

    This is a pretty cool idea or the runners

    on your list, especially i they travel a lot. A

    company called City Running Tours provides

    both guided personalized and group running

    tours o major cities across the country.

    Personalized runs can be designed to t

    the guests preerences (he or she decideswhen, how long and even i the run stops or

    slows to a walk). Group runs have several

    guides ready to lead dierent running paces.

    Either way, the guided run/tours oer run-

    ners a chance to exercise while learning

    about history, urban myths and unofcial

    landmarks native to the cities where they

    take place.

    The closest location to southeast Texas

    with running tours is Austin, but i you have

    running riends who travel, they are also

    available in Boston, Charleston, Chicago,

    Minneapolis, New York, Philadelphia, San

    Francisco, Seattle, and Washington, D.C.

    Inormation: cityrunningtours.com

    Yoga shapes cookie cutters

    Got a yoga lover with a sweet tooth and sense o whimsy on your list? Baked Ideas,

    custom baking company in New York, oer

    sets o cookie cutters in yoga shapes. They

    come in two collections the Lotus Group

    and the Down Dog Group and include a

    recipe or the bakerys amous gingerbread

    Yummy Yogi also oers yoga cookie cut-

    ters by collection and individually.

    Inormation: bakedideas.com/store and

    yummiyogi.com/shop.

    Good thinGs in

    packages

    holiday health

    Kp your rins hth n tnss os in minthis yr by ivin som o ths o-th-w ns.

    By MeG GaRdneR

    E

    verybody lovessausage, right? Soits OK to handleyour entireholiday shopping

    list at HickoryFarms, right? Not so ast. Youbetter ask your vegan cousin.

    >>

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    BEHealthySETX.com | November/December 2012

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    Tea time

    I your riend thinks tea is terric,

    consider a Tea o the Month club. A

    ton o them pop up in Google search

    results, but The Republic o Tea oers a

    Wellness Tea o the Month package that

    includes teas that are ormulated or

    specic wellness needs.

    The 12-month collection includes blends such as Get Clean, Get

    Limber, Get Relaxed, Get Charged, Get Burning, Get Happy, Get

    Hydrated, Get Some ZZZs and Get Gorgeous.Inormation: republicotea.com

    T-shirt with tude

    Your anti-meat warrior riends who have an

    eye or ashion and snarky T-shirts will love

    a 100-percent cotton, organic Tou Never

    Screams shirt, with an image o happy little

    block o tou that is blissully unaware o the

    cleaver wedged in its head.

    Inormation: etsy.com/listing/38150005/

    sale-tou-never-screams-organic-mens-t

    Stuck on yoga

    Function gets unky with this cool-looking

    magnet set. It includes 63 one-inch tiles, each

    representing a dierent yoga position. The yogi

    in your lie need only snap them apart and then

    arrange in any o an endless variety o ways on

    the hanging backer board to create complete

    personalized yoga routines.

    Added bonus: The magnets and board are

    colorul and captivating enough to double as

    dcor or a studio or even just at home on the

    ridge.

    Inormation: greggomagnets.com/product/magnetic-yoga

    Running water

    Nobody wants to have

    to hold on to a water bottle

    while working out. Show your

    athletic riends how much you

    care with a cool Amphipod

    RunLite AirStretch 4 hydra-

    tion belt.

    Its a belt duh with

    our docking bases that each

    hold an 8-ounce ask, along with compartments or a cell phone,

    music player, keys, ID, cash and even snacks.The asks are included; what your riends put in them is up to

    them.

    Inormation: rei.com/product/813464/amphipod-runlite-air-

    stretch-4-hydration-belt-32--oz

    Grown-up lunch box

    Healthy eaters nd it easier to stic

    to their guns when they bring ood

    rom home rather than relying on the

    lunch wagon outside the ofce or a

    drive-through disaster while on the

    road. But brown-bagging can be so

    inconvenient. Help out by giving him

    or her a sturdy, no-uss container to

    tote ood to and ro.

    They come in all shapes and sizesand can be made rom plastic, stainle

    steel or even bamboo. One cool choice is Laptop Lunches Bento-

    Ware, a line o recycled and recyclable, compartmentalized boxes

    that lets you keep lunch items resh and separated. Theyre also

    lead-, BPA-, phthalates- and PVC-ree.

    Inormation: laptoplunches.com

    Food or thought

    Far be it or you to try to dictate

    anyones liestyle, but i you have

    riends who are ast-ood anatics in

    need o a little enlightenment, you

    cant beat Fast Food Nation: The DarkSide o the All-American Meal by Eric

    Schlosser.

    Even i the reality o pink slime and

    mechanically separated chicken didnt

    sway them rom ast ood, this just

    might.

    Inormation: amazon.com/Fast-

    Food-Nation-Dark-All-American/

    dp/0060938455

    10 November/December 2012 | BE HealthySETX.com

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    BEHealthySETX.com | November/December 2012

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    12 November/December 2012 | BE HealthySETX.com

    holiday health

    By MeG GaRdneR

    H

    oliday ood traditions arehard to break. Take it romsomeone whose atheronce let the Thanksgiving

    dinner table in a hu,only to return a ewminutes later with two cans o Ocean Spraycranberry sauce. He had gotten whi o arumor that his traditional avorite would bereplaced on the table that year by homemadecranberry-orange relish with walnuts oh, the horror and he made sure to beprepared.

    Ms ont n to b nutritionisstrs. Ry on simp rcips,bo fvors n coors, nstiv prsnttions to mk thnmmorb.

    health

    herestoyourholiday

    holiday health

    Theres much to be said or our tried-and-try holiday are. But most o it

    is a nutritional nightmare. Although many olks subscribe to the its a spe

    cial occasion so Im not going to worry about at, calories, carbs, etc., many

    others would appreciate making it through the holidays without derailing

    11 months o sane eating.

    Believe it or not, its possible to create relatively healthy holiday meals

    that keep the party going without all o the nutritional regret. The key is tokeep them estive and in keeping with the celebratory eel o the occasion.

    Be creative. Serving skinnied-down versions o traditionally at- and

    calorie-laden are oten backres, since they rarely match the richness that

    has come to be expected, and they wind up leaving everyones (holiday)

    stockings in a bunch.

    I youre ready to take the plunge into serving healthier holiday are, her

    are a ew recipes to get you started. Note that simplicity is key. Not only doe

    this approach allow you to eliminate atty, complicated sauces and such, bu

    it lets the bold avors and colors o nutritional ood take center stage to add

    to the estive eel.

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    Remember also to present your healthy

    meals with air, incorporating seasonal

    touches into your presentation.

    Crab martinis

    This is a cool-looking, elegant appetizer

    that is simple to put together but special

    enough or the holidays. A table set with one

    o these martinis in the middle o each

    plate looks tres chic. For a larger crowd, try

    making them in shot glasses and settingthem up amid sprigs o holly on a silver tray.

    Careully pick through lump or jumbo

    lump crabmeat (rom the rerigerated sea-

    ood section, not the shel-stable kind you

    nd with the canned tuna) to remove any

    shell ragments. Be sure not to break up the

    crabmeat pieces; this dish is so simple that

    the meat is part o the visual appeal.

    In a bowl, combine the crabmeat with

    a ew squeezes o resh lime, reshly and

    coarsely ground mixed peppercorns, and a

    very small amount o salt. Toss together well

    but gently.To the bottom o each glass, add a layer

    o resh, mild salsa or pico de gallo. (You

    can make it yoursel or nd the really resh

    bottled kind rom the rerigerated section at

    the market dont use the mush you nd in

    the chips aisle. The veggies chunks should be

    big, resh and bright.)

    Top that with a portion o the crabmeat,

    then sprinkle lightly with ground cayenne

    pepper. Stand a red tortilla chip into the

    mound o crab. A short spiral o lime rind

    also makes or an extra estive touch.

    Baked salmon with apricot

    You might have seen the episode o

    Everybody Loves Raymond where his

    wie serves sh on Thanksgiving. Chaos, o

    course, ensues. But dont worry i you decide

    to go that route lies not a sitcom, right?

    I youre really araid o causing a

    culinary scene by orgoing turkey on T-Day,

    you can always save this recipe or Christ-

    mas. Culturally, there seems to be a bit more

    wiggle room with entrees then.

    This can be made using a large slab o

    salmon, which would be best or buet-style

    meals. But using one nice, thick salmon let

    per person or a sit-down dinner allows you

    to control portions.

    Spray a baking dish with cooking spray

    and line with rounds o thinly sliced mild orsweet onion. Season salmon lightly with salt,

    pepper and garlic powder. Arrange salmon

    lets on top. In a separate bowl, combine

    1/3 cup white wine (you can use chicken or

    vegetable broth instead) with 1/3 cup all-ruit

    apricot preserves and about teaspoon o

    grainy mustard. Spread mixture over the

    salmon. (This will cover about six lets.)

    Bake at 375 degrees or 15 to 20 minutes

    or until the sh akes easily with a ork. This

    looks really pretty served alongside some wild

    rice and a bright, green veggie; the apricot is

    especially compatible with Brussels sprouts.

    Fennel salad

    This salad is light and resh, and ennel

    is well-known or its ability to aid digestion,

    so its a great addition to a big meal (not that

    thats what youre going or here).

    Cut three or our bright, juicy oranges

    (i you can get blood oranges, all the better)

    into sections, then cut away rom skin and

    remove as much o the pith and membranes

    as possible. You want pure orange and no

    seeds. Salt these slightly and set aside as you

    prepare the ennel. Wash a large bulb o reshennel really well (they tend to be sandy) and

    trim o the leaves. Quarter the bulb and cut

    it into thin slices. Toss it with the oranges

    and season with lots o resh-ground black

    pepper. Drizzle with olive oil and balsamic

    vinegar, then toss. Garnish with ennel leaves

    beore serving.

    Dessert

    Desserts can be tricky, o course, when

    youre looking to serve healthy are. One

    great idea is small, individual resh ruit an

    cheese platters. Or a ew pieces o really di-

    vine dark chocolate with some resh berrie

    and homemade whipped cream (no sugar

    needed).

    BEHealthySETX.com | November/December 2012

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    Some people cant control their emotions

    they get excited and anxious, get in a hurry

    and start making mistakes, Boone said.

    People need to take their time and control

    their emotions in the wild.

    In the State o Texas, anyone born ater

    1971 is required to take a one-time hunter

    education class that covers rearm saety,

    basic rst aid, hunting ethics and more. As

    the hunting season begins, Boone reviewed

    some o the common precautions to prevent

    injury:

    Wear orangeWearing blaze orange is only required on

    public land, such as the Big Thicket Nation

    Preserve. Wearing orange is not enorced on

    private land. Youre not required to, but it

    a good idea, Boone said. You never can be

    overcautious.

    Identiy the targetand the line o fre

    One o the most common hunting

    accidents we have is because people are

    mistaken or game and its just senseless,

    Boone said. The hunter is not identiying

    his target, not sure o what his target actu-

    ally is and knowing whats behind it. With

    high-powered ries that can carry a bullet

    300 to 500 yards, hunters need to consider

    where the bullet could go beyond the target

    In huntin, sty coms rom cm

    n concntrtionBy CheRyl RoSe

    WIld gaMe,cool emotions

    T

    he adrenaline rush that comes with bagging a targetis part o the appeal o the sport or hunters, butit can also be a time o danger when excitementovercomes caution. Mike Boone, a game wardenin Hardin County or 20 years, has seen the

    results o careless accidents many times, ater thecommandments or hunter saety were orgotten in the criticalmoments o excitement or in the distractions o the atermath.

    saety frst

    14 November/December 2012 | BE HealthySETX.com

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    A wi meats are eaer tha ree-rae chicke amst sh, accri t Mary Ee Vivrett, a reistere ieti-tia. Veis, r exame, is a w-chester, w-siumrtei that has tyica arm-raise meats beat. Cmareveiss .5 rams at er servi (zer saturate) t auce chicke breast, which has arximatey 3 rams at (.84 rams saturate).

    Hwever, Vivrett cautie that veis a ther amemeats ca se their heath avatae eei rea-rati. Whe veis is rcesse, tyicay 60/40 withrk at, it eates its heathiess with at a sium,

    she sai. Hwever, i reare i a w-at meth, usia w-at/w-sat mariae a a w-at cki meth,withut breai r ryi, it is a heathu chice.

    Che Mica Cbb, a ca ret usi wiame i cki, as beieves it is a heathier aterative.I my ii, wi ame is heathier because its t ehrmes a rais ae with chemica aitives areservatives.

    Athuh Vivrett aree i ricie with Cbb, she tethat sme huters eeers with cr a ther sue-meta s t a ame has a urey rae iet.

    WIld gAME oFFERS lEAn pRoTEIn

    You might be shooting towards the pub-

    lic roadway or a residential area, Boone

    cautioned. He said hunters can be proactive

    about their lines o re when they set up

    their deer stands or eeding stations to be

    sure that when the shot is taken, it will be in

    a sae direction.

    Firearm saetyThere are several cardinal rules in gun

    saety, but top o the list is always point the

    muzzle in a sae direction. Inattention, care-lessness and excitement can all cause hunt-

    ers to orget this rule and injure themselves

    or a companion. Its like when a kid shoots

    his rst squirrel and they run o to take

    pictures o it and their guns are pointing in

    every direction, Boone said. The gun is not

    going to go o by itsel normally. Its usually

    human error.

    Saety harnesses

    Any hunter using a tree stand should

    wear a saety harness at all times, Boone

    emphasized. Tree stands are popular with

    bow hunters, but gun hunters also use theseelevated stands, sometimes as high as 60 eet

    o the ground. The saety harness reduces

    the risk o major injury i the hunter should

    all. It is not required by law, but it is a big

    saety tool, Boone said. Its highly recom-

    mended that it should be worn every time.

    Deer stand integrityHunters should check the durability o

    their deer stands beore entering. A lot o

    injuries occur with rickety old deer stands

    that have been out there or years rotten,

    steps not secure and some just plain all over

    when youre in them, Boone said. Bees andhornets love to nest in those deer stands, too.

    Hunters climb up the ladder, bees swarm

    them and they have to dive out.

    Getting lost

    Boone said an increasingly common call

    to the game wardens is to rescue hunters

    who have become lost in the woods. He

    recommends carrying GPS and cell phones,

    along with a compass, tools and rations.

    With technology now, we can get a ping

    on their cell phone and get an idea o their

    general area, Boone said. Its a good idea to

    hunt with a partner or at least let someone

    know where you intend to hunt so we will

    have an idea where to look. Also, Boone

    cautioned that children behave in the woods

    as they do in a shopping mall they like

    to stop and wander, ollowing their curios-

    ity. Turn your back and they are gone, he

    warned.

    Mental checklist

    Knowing the commandments o rearm

    saety, keeping emotions in check and using

    saety equipment and clothing will limit the

    risks or hunters. In a last caution to always

    concentrate on saety, Boone said, One

    thing about a rearm: Once it goes o, you

    cant take that shot back.

    Accri t statistics ket by Texas parks a Wiie, huti ijuries a ataities rma wea have bee steaiy ecii sice maatry huter eucati became eective i1988, with 2011 setti a recr w y 23 rerte iciets, icui tw ataities. Wthe state issui mre tha 1.1 mii huti iceses ast year, these iciets rereset atiy ercetae the tetia huters. Hwever, t a huti ijuries ivve rearms rbws.

    o the rerte weas iciets, eary ha were se-ificte ue t careess hai rearms, articuary aru vehices, te Terry Erwi, the huter eucati maaer rTexas parks a Wiie. The mst cmm ijuries t thers ccurre i ve huti, wherthe huter swii the fiht the bir i t stay i the sae ze re. Erwi attributthis statistic t the uarity ve huti (icrease umbers huters) a a aiure twear baze rae rivate a because it is t require. The mst ijuries er ame aimccurre i era h huti. Erwi ite ut that hs may be hute year-ru, uikether ame aimas.

    TEXAS HUNTINGINCIDENTS

    TEXAS HUNTINGINCIDENTS

    BEHealthySETX.com | November/December 2012

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    16 November/December 2012 | BE HealthySETX.com

    Josh Yonker, head athletic trainer at La-

    mar University, has seen ankle injuries in ev-

    ery sport, rom soccer to diving. In ootball,or example, we see a couple a week, several

    dozen over the course o a season, he said.

    Stretched ligaments

    Though an ankle sprain can occur at

    any age, Abraham sees it mostly in youth

    and seniors, but or dierent reasons. With

    younger people and teens, the cause is

    usually activity-related organized sports

    or recreational play such as skateboarding.

    With mature adults, ankle sprains commonly

    link to poor balance, slips and alls.

    Dr. Keith Hill, an orthopedic surgeon with

    Beaumont Bone and Joint who specializes inthe oot and ankle, explained that a twisted

    ankle injures the ligaments that hold the

    joint in place. Those brous ligaments can

    be stretched or torn by the injury. Ligament

    injuries are divided into three degrees with

    grade-1 being slightly stretched to grade-3

    being a complete tear.

    Typically, 85 percent o ankle sprains

    will get better and you can speed up the

    process and increase your odds by treating

    promptly and doing rehab exercises, he

    said. Other patients get chronic pain and

    instability, and o those, 85 percent will re-

    spond to physical therapy. Only a very sma

    percentage o patients require surgery.

    Abraham said her clinic sees grade-2

    sprains most requently. We seem to catch

    them a ew days ater the injury, when they

    are concerned the swelling hasnt gone

    down, she said.

    Treatment

    A sprain does not always require an X-ra

    and rarely needs an ER visit, Hill said. Iwould discourage anyone rom going to the

    ER, even i they are limping, he said. Som

    pain, swelling and bruising are common

    reactions. I there is an inability to bear u

    weight on the oot, then an urgent care or

    physician visit in a couple o days is warran

    ed, he said. An actual ER visit is not nece

    sary as this injury is not an emergency.

    Yonker uses that weight-bearing test

    whenever a player is injured on the eld.

    Watch

    your

    stepTh common sprin nk crtsvunrbiity i not trt n rhbb

    By CheRyl RoSe

    Somewhere in Southeast Texas, someone isgrimacing over a wrong step. According to a varietyo tracking statistics, ankle sprains are one o themost common injuries incurred. We see one tothree a day, said Dr. Aleyamma Abraham, thedirector o Christus Minor Care in Beaumont, with

    a spike in those numbers in the summer months, she added.

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    Whe she sees tees with srais, Abraham sai te her reatest chaee is hw t hae the execta-tis arets, wh ca be very aressive i wati their chi t back t ay immeiatey.

    At the ceiate eve, Yker sai a ayer may receive a srai i the rst ha a ame a with immeiatetreatmet, sti be abe t ay i the sec ha. Whe csieri whe t ut that athete back i, he mustshw that he has a u rae mti, that he ca ru a cut withut imi, Yker sai. He est havet be ai ree there may be sme ai.

    Abraham a Hi bth aree that srais i chire uer 12 may ee mre thruh w-u because the tetia r micr-ractures t the rwth ate, which ca be very icut t assess. Whe I see a ki 11t 12 years with a ba srai, I wi tyicay treat them mre aressivey, as i they have a racture, Hi sai.

    For normal sprains, he said to begin R.I.C.E. therapy

    right away to decrease swelling and speed recovery.

    An acronym, R.I.C.E. stands or rest, ice, compression,

    elevation.

    Abraham said that two to our weeks are a normal

    recovery period. Ater we rule out a racture, we oer

    crutches, an Ace wrap or a modied splint to stabilize

    the ankle and anti-inammatory medication, she said.

    Rehab

    Once the pain and swelling recede, that is oten the

    end o the treatment, but its a mistake to think thehealing is done. Once stretched, the ligaments are never

    quite the same, which also aects the nerve receptors

    located within them, Hill explained. I patients dont

    ollow through with some rehab exercises, the weakness

    caused by the injury leaves them vulnerable to a repeat

    occurrence and potentially a chronic issue.

    I you strengthen the ankle, improve overall balance

    and get the nerve control better, you can help avoid

    these problems, Hill said. All o these aspects can be

    addressed through rehabilitation exercise. It doesnt x

    the ligaments, but it does maintain the stability o the

    ankle.

    Hill recommends patients visit a physical therapisti possible, but there are some exercises that they can

    do at home with very little equipment. One exercise is

    to practice balancing. Its not ancy, but it works, he

    said. Yonker said he also uses balance exercises with his

    injured athletes. He has the athlete stand on one oot or

    30 seconds, then switch eet. Then the athlete repeats

    the routine, but with his eyes shut. The routine is then

    repeated again on an unstable surace, such as a piece o

    oam.

    Ater a month o healing, the injury shouldnt require

    a brace. Ideally, you dont want to use a brace. What

    you want to do is rehabilitate the ankle, Hill said. I

    you eel like you have to use a brace or any type oexercise, your ankle probably isnt where it should be

    and you should consider some kind o rehabilitation.

    Occasionally wearing a brace is OK, but relying on one

    or normal activity can actually weaken the ankle over

    time.

    BEHealthySETX.com | November/December 2012

    Yuth athetes: Whe is it oK t ay?

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    18 November/December 2012 | BE HealthySETX.com

    SE Texas MedicaInnovations

    Options for bowel control disorder include innovative new therapy

    I yu suer rm bwe ctr rbems, yu are

    t ae. As may as 1 i 13 auts has siicat

    rbems with bwe ctr but mst are t embar-

    rasse t iscuss it eve with their ctrs.

    Athuh bwe ictiece is a cmm c-

    sequece chibirth a the ai rcess, may

    suerers icrrecty thik there are rea sutis.

    But there is w he r thse wh aie rst-ie

    theray. Its cae the SECCA rceure a is ere

    riht here i Sutheast Texas at previty Ciic r

    Surica Care.

    Bwe Ictiece r BCd (bwe ctr isrer)

    is the ivutary eakae as, iqui r st. Themst cmm cause BCd is ijury t a erve r

    musce uri chibirth, which is why wme te t

    suer a hiher rate BCd tha me. Chibirth-reate

    BCd ca reset immeiatey but te est ccur

    uti ater i ie.

    leai causes causes eca ictiece (FI) are:

    Age-related loss of muscle tone in both genders

    Anorectal surgery

    Accidents resulting in trauma to the sphincter muscle

    Anatomic birth defects

    Deterioration of nerve function due to diseases

    such as iabetes a MS

    Treatmet tis r bwe ctr isrer te

    ee the cause a severity the citi a

    may icue the wi:

    Dietary changes: Food affects the consistency of

    st a hw quicky it asses thruh the ies-

    tive system. Ajusti what is eate a whe may

    be heu i maaemet FI. Avi as-r-

    uci s such as beas a cabbae as we

    as caeie, ach, rie r sicy s a s

    hih i at. As, certai sweeteers, hey asme ruits are ry absrbe by the bwes.

    Prescription medications: In certain patients

    chric iarrhea is the cause FI a ca be

    aresse by atiiarrhea meicatis such as

    eramie r ihexyate a buk axatives t

    create a mre reuar bwe mvemet atter.

    Bowel training: Some people can relearn to control

    their bwe mvemets by strethei their

    evic fr musces r citii the bwes t

    emty at a secic time ay.

    Invasive surgery: Various procedures involve

    surica reair amae tissue. They tyicay

    require eera aesthesia a miht require

    veriht r mutie-ay hsita stays. They

    icue imati a articia aa shicter,

    reaci the aa musce with a rat rm a im

    a imati a erve stimuati evice simia

    t a acemaker.

    The Secca Treatment: Secca is an effective out-

    atiet rceure r atiets wh reer a ess

    ivasive ti a wh have aie t res

    t rst-ie theraies. It is a 60-miute rceurthat ca be e as a utatiet with hsi

    stay. It has shw eective resuts, with a 1-2

    retur t rma activity.

    I yu exeriece bwe ctr isrer a/r e

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    ca et ctr yur ie with the Secca rceure

    Dr. Garrett K. Peel is the medical adviser to

    BE Healthy magazine.

    Eite by dr. garrett K. pee, BE Heathy Meica Aviser

    crossftB Ms Mr

    B dr. Grrtt K. P

    Across

    1 Heathy saa

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    9 Je

    10 Suti t sthe the eye

    11 Ice ieces

    12 Criticize a t

    13 Its secrete i resse

    t stress

    16 Chis

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    er ay

    19 Cmass irecti

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    Down

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    BEHealthySETX.com | November/December 2012

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