Health & Wellness 2013

SUMMERTIME HEALTH
TIPS FOR KIDS

DIET VS. EXERCISE
Which is more effective in the battle
to lose weight?
+
In-Home Senior Care
A Common Sense Approach to Diabetes

5 Questions to Ask Before Starting
a Weight Loss Programs
AND MUCH MORE!
Health
& Wellness
GUIDE 2013
June 9, 2013
Renee and Will Reedy and their son
Garrison make running together at the
Columbus Riverwalk a part of their
ftness routine four to fve times a week.
BY ANNE E. STEIN
S
ix years ago, New York Times food writer Mark
Bittman was overweight, had high cholesterol and
was considering surgery for his achy knees. Instead
of prescribing medication, his doctor proposed
something more radical: Becoming a vegan and avoiding
all animal-based foods. Bittman mulled it over and came
up with his own idea. From the moment he woke until
dinnertime, hed avoid animal products, junk food,
alcohol and over-processed foods. At 6
p.m., Bittman could eat meat (and
anything else) he wanted. He explains the
philosophy and provides recipes in his
new book, VB6: Eat Vegan Before 6:00 to
Lose Weight and Restore Your Health . . .
for Good (Clarkson-Potter, 2013).
Q: How has VB6 affected your life and your
health? OK, you want to know weight,
and the answer is Ive lost about 30
pounds. All of my blood numbers,
including cholesterol and blood sugar, are
back where they belong. I sleep better
[no apnea; thats all about weight, in
many people] and I run better. Needless
to say, there are some sacrifices, but
theyre hardly onerous and theyre totally
worth it.

Q: What would you say to meat-eaters who
are skeptical about living happily on this diet? Very simple:
You can remain meat-eaters. After 6. Everyone knows
anticipation makes things sweeter, so you can think all
day about the meat youre going to eat for dinner. Theres
little to be skeptical about.

Q: You write that VB6 isnt just about weight loss and good
health. Its also about having a positive impact on the
environment. The estimates of greenhouse gases
generated by industrial livestock production range from
20 to 50 percent; split the difference and call it a third.
That would mean that reducing meat consumption by
10 percent would reduce greenhouse gas generation by
3 percent. Not bad. Then theres the general
environmental damage that comes from factory farming
and monoculture, like the annual dead zone in the Gulf
of Mexico from fertilizer carried down there by the
Mississippi, and the essentially undrinkable water now
found in so many farming communities.

Q: How much sugar is there in the typical American diet and
why is it bad for our health? We eat unprecedented
amounts of refined carbohydrates, especially sugar and
hyper-processed flour, which provide most of our
calories but are the foods we should be eating the least
of. Sweets and desserts account for 12 percent of
Americans daily caloric intake, with soft drinks making
up an additional 7 percent. We dont need all this sugar,
and when we consume excess sugar [glucose], our
bodies turn those sugars into fat. When that fat is not
burned but stored, the result is illness two-thirds of
Americans are overweight, and risks for cardiovascular
disease and diabetes are skyrocketing.

Q: Why are minimally processed foods, such as whole grains,
healthier for us? Where do I start? Junk food and by
junk I mean foods with no nutritious value or foods
that are loaded with chemicals and so highly processed
you cant tell what the heck they are wreak havoc on
our bodies, on our environment and the animals raised
in industrial farming. These foods place foreign
chemicals, non-nutritious substances, and often harmful
substances into our bodies and environment.

Q: What else is wrong with the typical American diet? The
Standard American Diet [SAD] our manner of eating
is not only unhealthy, as has been well-documented;
its also unnatural. Junk, like soda, doughnuts and Corn
Flakes, and meat have become the base of the American
diet, instead of the fibrous, nutritious plants that keep us
healthy and provide natural, wholesome sugars, which
were once the base of the pyramid, so to speak. The SAD
is best described as a vicious cycle of consuming hyper-
processed, brilliantly marketed junk along with the diet
schemes intended to combat the very system theyre a
part of that incorporate even more over-processed,
repackaged and higher-priced junk.
It promotes a diet of excess sugar consumption, which
will inevitably be stored as fat, which will then lead to
obesity, cardiovascular disease, diabetes and a number of
other health issues; processed food consumption, which
introduces chemicals to the body and air; and meat
consumption, one of the top two contributors to
greenhouse gas emissions. CTW FEATURES
The noted food and cookbook author shows
how going vegan even part-time can
have a dramatic effect on your health.
ASK THE EXPERT: MARK BITTMAN
2 SUNDAY, JUNE 9, 2013
cdispatch.com HEALTH & WELLNESS HEALTH & WELLNESS
cdispatch.com SUNDAY, JUNE 9, 2013 3
BY BEV BENNETT
Y
ou hear advice all the time about the key to
slimming down. Cutting calories is an obvious
step. If you consume fewer calories than your
body burns, youll lose weight.
So, how does exercise fit in?
Exercise also burns calories. But, if you prefer to eat
at your current level, can you burn enough calories in
physical activity to make a significant difference on
the scale?
VS.
diet exercise
Eat well or exercise hard which is more effective?
There's a debate in the medical community
about the path to faster, long-term weight loss.
So which is it?
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That answer is more nuanced than
you may think. Exercise provides a
wide range of health benefits.
Regardless of whether youre trying
to lose weight, you should get at least
150 minutes of moderate intensity
aerobic activity a week plus muscle-
strengthening activities at least two
days each week. (Recommendations
for different age groups and different
ways to get enough exercise are
available at tinyurl.com/CDCexercise.)
However, if youre exercising to
drop pounds, youll want to focus on
certain exercises that are more
productive and be realistic about how
many calories you actually burn. To
lose weight and fat emphasize aerobic
training.
In a study of obese, sedentary
adults, volunteers aged 18 to 70 were
divided into one of three groups. One
did vigorous aerobic training for 45
minutes for three days a week,
another did resistance training, which
called for three sets of eight to 12
reps on eight resistance machines
also for three days and the third did
both the assigned aerobic and
resistance training.
The aerobic and aerobic-plus-
resistance exercise volunteers lost
more weight than those who only did
resistance training during an eight-
month experiment.
In addition, the volunteers in either
the aerobic or aerobic plus resistance
group lost more fat and more of their
waistline measurement than the
resistance group, according to
research published in the Journal of
Applied Physiology.
This is important because when
youre losing fat, part of that is likely
to be visceral fat, which is associated
with health risks.
The aerobic versus resistance results
shouldnt lead you to toss those
weights in the attic, however. The
researchers also found that the
resistance and the combination training
groups increased their lean body mass,
which didnt happen to the aerobic-
only trainers. It wont show up on your
scale, but maintaining lean muscle mass
is beneficial for your overall health,
especially as you age. Your best bet may
be both aerobic and resistance training
to decrease body fat and increase
muscle.
Along with considering which
exercises to embrace, adjust your
expectations.
If your aerobic and resistance
routines leave you sweating, you may
be jubilantly counting up the calories.
Not so fast, say the experts. You
might have an exaggerated sense of
how much exercise youre getting,
says Tracey Ledoux, Ph.D., registered
dietitian and assistant professor,
Department of Health and Human
Performance, College of Liberal Arts
and Social Sciences, University of
Houston.
When we move at all, walk a little
bit, we think weve done all this
activity. Its not as much as you think,
she says.
Take a look at a calorie-activity
chart and youll see that 30 minutes
of aerobics burns only 240 calories in
a 154-pound man (for more calorie-
exercise information,visit tinyurl.
com/tablecalories).
Doing an hour of aerobics a day
could result in a weight loss of about
a pound a week, but can you
realistically do that much and
maintain it?
Thats a lot of time, says Diana
Thomas, Ph.D., director of the Center
for Quantitative Obesity Research and
professor, Montclair State University,
Montclair, N.J. She and others doubt
that this is a reliable strategy for most
people. Instead, health experts
recommend exercise but emphasize
eating fewer calories as well.
When people ask Cris Slentz about
exercise for weight loss, he tells them
they wont lose a lot of weight. The
majority of papers show exercise has
a nice effect, but modest, says Slentz,
Ph.D., assistant professor of Medicine
at the Duke University School of
Medicine, Durham, N.C. You still need
to eat fewer calories, the expert says.
CTW FEATURES
BY JESSICA ROYER OCKEN
A
lthough major surgery is nothing to
sneeze at, for those who have long
struggled with their weight and the
health problems that accompany obesity, a
procedure that exists to accomplish what
dieting has been unable to do might sound
too good to be true.
And if it were that simple, it might be.
However, gastric bypass and other bariatric
surgeries are just one tool in
accomplishing a larger goal. If you think
youll get the surgery and then do what
youve always done, youll get what you
always got,says Dr. Garth Davis, a surgeon
at Houstons The Davis Clinic and star of
the reality show Big Medicine.
But for those who are ready to change
their lifestyle and their approach to eating,
this sort of surgery may literally save their
lives. More than just a way to get skinny,
surgery adjusts the way metabolism works,
explains Dr. Jaime Ponce, president of the
Society for Metabolic & Bariatric Surgery
(ASMBS) and a surgeon in Dalton, Georgia.
So these surgeries ability to resolve other
health problems including diabetes,
sleep apnea, high blood pressure, and fatty
infiltration of the liver may be an even
greater benefit than shedding pounds.
The procedures are increasingly
common (about 200,000 in the US last
year, says Ponce) and as safe as a gall
bladder surgery, so many obese patients
are now finding a surgical path to better
health and improved quality of life,
including Gail Engebretson and Kimberly
Tremblay.
GAIL ENGEBRETSON, 61, had been
overweight her entire life. I dont
remember a time when I wasnt,she says,
even as a small child.She tried every fad
diet and weight loss program there was,
and she once lost 100 pounds on a doctor-
supervised liquid diet. But she still tipped
the scales at 240 pounds, and over time
she gained the weight back.
She also had medical problems. Her
blood sugar was on the rise, and doctors
warned she would soon develop diabetes.
That scared me a lot,she says. I have
seen what my family members [with
diabetes] have gone through.Acid reflux
disease forced her to sleep sitting up, and
lower back and hip problems prevented
her from standing for more than 10
minutes without pain.
I always wanted to lose weight because
I knew Id feel better overall,Engebretson
says. I wanted to be more active, and I
hated walking into a room and feeling like
people were staring at me.So after
extensive research, in March 2004 at age
52, she underwent gastric bypass surgery.
The procedure went well, and her
recovery was smooth. I was very excited
and ready for this,she says. I had no
doubts or questions. I was totally
determined.
As the weight began to come off, her
energy level shot up. In the mornings I
would dance around the kitchen because I
felt so good,she says. I had a very
different body that felt lighter and could
move in ways Id never moved it before.
She also began exercising just walking
to the end of the block at first, but today,
nearly 10 years after her surgery, shes still
pretty darn active.The surgery also
required that she change everything about
the way she ate from the foods she
chose to the amount she consumed
and at times I really missed enjoying
eating,she says. But Id never felt this
feeling of not being hungry and not caring
about food.
As Engebretson searched for the support
she knew shed need to continue her new
lifestyle, she connected with a life coach,
which she credits for her success. Theres
so much about this that has nothing to do
with the physical,she says. It has to do
with where your head is.As she learned
what triggered her sugar cravings and
what stressors sent her looking for food,
she took charge of her life.
Today, Engebretson is herself a life coach
and the author of a self-published book,
Fat No More: Long-Term Success
Following Weight-Loss Surgery(2008). She
also maintains the website
fatnomorelifestyle.com.
KIM TREMBLAY did not have a problem
with her weight until she became
pregnant with her daughter, whos now
23. As she carried the baby, she gained
more than 100 pounds, and found it
impossible to lose.
Tremblay had never been one to
exercise; she worked in a corporate office
and ate out just about every day. She
gained more weight, and then about 10
years ago, she became diabetic. Every year
her condition worsened as she continued
to add more weight to her body.
After lots of research (she jokes that she
could have done the procedure herself),
Tremblay was ready to have a gastric
bypass in the fall of 2011. But her doctor
refused to do the procedure until she quit
smoking. Smoking would slow healing and
make her prone to dangerous ulcers, he
explained. Though shed been smoking
since she was 14, Tremblay decided to quit.
And despite months of horrific side effects
from the medications she took to help, she
remains a non-smoker today.
In May 2012, at age 44, Tremblay
underwent gastric bypass surgery. Now
my stomach holds a half cup of food, and
thats all there is to it. Theres no cheating,
no gorging on a giant steak or Ill be sick
as a dog,she explains. Its kind of
disappointing sometimes I want to try
one of everything and I can only eat three
bites but then I look in the mirror and
its not so bad.
She says quitting smoking was much
more difficult than her recovery, and today,
about seven months later, shes lost 90
pounds and dropped from size 4X to a
large. And though shed like to lose 50 or
60 pounds more, by her six-month
checkup her diabetes was completely
resolved. Tremblay is also an active person
for the first time in her life.
Exercise isnt as traumatizing as it used
to be,she says. When you go to a gym, its
small people using the bikes and
treadmills, and they look cute doing it.
Heavy people feel uncomfortable.Today
she skips the gym in favor of walking or
jogging with her dogs, and in February she
completed her first 5K race.
Tremblay says her biggest challenge is
dealing with stress. Emotional eating and
smoking used to be her outlets. The
surgery took both of those away, so Ive
had to find another addiction,she says:
Exercise! I was a little stressed out at
work today, so I went for a walk at lunch
instead of smoking,she says. If your head
says youre hungry, you have to tell it to
shut up.
WHO MAKES A GOOD CANDIDATE FOR
SURGERY?
Doctors say those likely to be helped by
bariatric surgery have a body mass index
(BMI) of 40 or more and are likely to be
100 pounds or more above their ideal
body weight. However, if health problems
like diabetes and high blood pressure have
already developed, even someone with a
BMI of 35 could be helped by surgery, says
Dr. Ponce.
But because surgery is only part of the
solution, theres more to a successful
outcome than just having the procedure.
A major part of making the decision is
whether youre willing to really change
your whole life around,says Engebretson.
If youre not willing to put the work in,
theres no sense in having surgery.
For more information, visit the ASMBS
website at asmbs.org or The Davis Clinic
website at thedavisclinic.com.
CTW FEATURES
TAKE THE BYPASS TO SKINNY?
Gastric bypass and lap band surgery often are dirty words in the weight loss
community, but for many they mean the difference between life and death.
223 South Jackson Street, Starkville 324-7112
(across from Rosey Baby)
Full Service Pharmacy
Drive Thru & Over the Counter Service
Monday - Friday 8 - 6 Saturday 8 - 2
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Starkvilles New Hometown Pharmacy
OCH Regional Medical Center is
proud to launch a brand new look
for our website in keeping with our
commitment to bring state-of-the-art
healthcare to our community.
Visit OCH.org today!
Your Health Right
at Your Fingertips
Weve designed OCH.org with user-
friendly technology to provide conve-
nient, up-to-date information about our
many programs and services. The new
site offers easier navigation, a new
and searchable physicians directory,
a comprehensive calendar of events,
videos and downloadable resources
and much, much more.
BY JEFF SCHNAUFER
PHOTOS COURTESY NBC TELEVISION
D
anny Cahill and Amy Parham rose to fame recently on The Biggest Loser.
She shed over 100 pounds and he has dropped over 200 pounds since.
They have both gone on to author books. Amy wrote 10 Lessons from a
Former Fat Girl (Harvest House, 2011) and Danny & Darci Cahill are authors of
Losing Big (Harrison House, 2012). We asked them how life is going for them
and what challenges they are facing today.
Q: What are your greatest emotional and mental challenges following weight loss?
Amy: After you lose weight, you realize how much you allowed yourself to
settle for other things in life. This causes you to examine relationships, careers,
etc. So you kind of feel like you lived life halfway before. This causes regrets.
Maybe I could have done more, maybe I allowed people to take advantage of me
that I shouldnt have etc. So you see your weight not only affects your body, but
also other areas of your life.
Danny: Coming off "Biggest Loser," I had to re-adjust to life off the ranch. This
meant the 7-8 hours of workout a day had to be trimmed down to a normal
level of 1 to 1.5 hours a day. This was tough, as I was mentally afraid I would
immediately gain the weight back! My family also suffered the fact that I had
lived such an extreme lifestyle for those few months. Everything to me was
about moving! As time went by I settled back into balance. This was a great
relief for 2 years, but then tragedy struck my father died. The stress of that
lead to a quick 50+ pounds of weight gain! I had fallen back into my addiction!
My wife had to set me down and tell me she didnt know if she could go there
again. She asked me to get help and get my addiction under control. I soon
regained my composure and found peace, and my life came back to normal.
This opened our eyes to the fact that addiction is with me, always ready to show
back up. I have to recognize when I feel those feelings and get them under
control! The way to do that is not to stuff them and give them a voice other
than addictive tendencies. Write a song, run a race, build something anything
to get the issues out of my tissues and not turn to the addiction again. I am
doing much better now and have almost lost all of the weight I put back on.
Q: What are the greatest physical challenges of keeping weight off?
Danny: When I lost the fat, I found the skin issues. I was left with pound upon
pound of skin. Well, I was offered a surgery on The Doctors show and they cut
10 pounds of skin off my body in an eight-hour procedure. It was a trial, but the
results were fabulous. You can actually look on YouTube for Danny Cahill Skin
Surgery and watch a portion of the surgery and the reveal. It was amazing. Now
I am finding that all of the running, I have been doing is wreaking havoc on my
back. I have laid off so much running and returned to the gym with a one-on-
one training experience. I am loving it and my body is on its way to the best
shape it has ever been!
Losing weight is just the beginning. What
comes next is just as big of a challenge. The
Biggest Loser contestants Amy Parham and
Danny Cahill discuss their emotional and
mental battles following extreme weight loss.
Biggest Loser Amy PArhAm Before & After
Biggest Loser DAnny CAhiLL
Before & After
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Q: What are the ups and downs of keeping weight off?
Amy: Having been on a reality show, you are always
under a microscope where your weight is concerned.
It puts pressure on you constantly. Sometimes that is
good because it keeps you accountable, but it is
frustrating too when you want an occasional dipped
cone and the ice cream guy gives you the look.
Danny: Traveling is the toughest thing. The food when
traveling which I do now that I motivationally speak
around the country at businesses, churches and
organizations is not always exactly what I would
choose. Its been tough to keep in shape while flying
over 100 flights for three years in a row. I have the
knowledge to make better choices, but I also need to
keep in the gym while traveling. Before, I wasnt as
busy. Now, I am 10 times busier than I have ever been
and I love it. Helping people by paying it forward with
speaking, authoring my two books (Losing Big and
Lose Your Quit) and mission trips has been such a
blessing in my life.
Q: What is the hardest moment youve had since losing
weight?
Amy: My son said I should say giving up Doritos.
(Laughs out loud). But I can honestly say I never had
any attention from men or jealousy from women
before I lost weight. Its unsettling. Especially when
you are not used to that.
Danny: The hardest moment I have had since losing
the weight was my fathers death in December of 2011.
I was speaking for Chick-fil-A away from home and had
to quickly catch a flight back home. It was absolutely
heartbreaking. I miss him dearly, as he was my father,
coach, boss, co-worker and my best friend. I have lost a
true companion in him and each day I am reminded of
him in some way. I have battled through the loss to
turn it into inspiration. My father sowed so much into
my life that his champion moments show up in me in
some way every day. I know he is always with me.
Q: Whats the best piece of advice you could give to
someone trying to keep off the weight they have lost?
Amy: Stay active. Move your body some. And dont
be afraid of food. You have to eat. Just eat things that
are real and whole. Its not how much we eat, but what
we eat that counts.
Danny: The best advice I can give is to find support.
Get involved in a 12-step program such as Overeaters
Anonymous or Alanon. If people are having really hard
times keeping the weight off, I recommend the 6-day
intensive at Shades of Hope Treatment Center in
Buffalo Gap, Texas. Tennie McCarty does great work
and is wonderful at getting to the real issues of the
weight issues. Another great program is The Journey
Training in Tulsa, Oklahoma. I facilitate the program
myself and it gets down to those core issues. If you
simply lose the weight and expect that youll control it
from now on without dealing with the reason you
gained the weight in the first place, youll be fighting
an uphill climb. Real victory comes with freedom, and
freedom comes with education, support and treatment.
Invest in yourself first and take control of your life by
making you a priority.
CTW FEATURES
The Overeaters Mental Toolbox A weight loss experts
best coping tools for emotional and stress-related eating:
Marjorie Nolan Cohn, a New York City-based spokesperson for the
Academy of Nutrition and Dietetics, nutritionist and personal trainer, has
several ready-made suggestions for when we reach out for sweets and
junk foods when we get stressed out:
The frst thing it always starts with if they are doing stress eating on
a regular basis is to have a very defned meal plan, Cohn says. If your
blood sugar is mostly stable throughout the day, you can certainly deal
with the psychological craving much better. In nutritional therapy, we
focus on what is the physical side of the program. A dietician can help.
Having lower calorie snack options are ideal. One of the best options
is frozen yogurt maybe Greek yogurt that you mix with honey or
fruit that you keep in the freezer. Having things like that when you are
really in a bind can help, Cohn says.
If you are looking for other food ingredients, try high protein snacks
like whole grain bars, protein bars, also trail mix with dried fruits or whole
grain cereal, like mixing it into trail mix, Cohn says.
You may have more options with work because you may have a
refrigerator one of the things a lot of clients like is to make a hot
cocoa its going to take you longer to drink because its hot, whereas
you can polish off a whole bag of potato chips in a minute if you are
stressed.
If you are in a car and you need to pull over because you are so
stressed out and you need to have a snack, you probably need to call a
therapist.
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Columbus 662-328-6865
Toll Free: 888-328-6865

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From left are Steve Talbot, ATP, RRTS,
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There are many options for patients when
it comes to home medical equipment and
supplies. We at Home-Med know this and that is
why we strive to set ourselves apart by making
customer service our #1 priority.
At Home-Med you not only get professional
customer service by licensed staff
members, but we also service what we sell.
If you have diffculty getting around and are
interested in power mobility or if you have a
child with special rehab equipment needs,
call and speak with Steve Talbot. Steve is the
only licensed ATP, RRTS in this area and has
more than 10 years of experience.
If you have sleep apnea or other
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Call Home-Med to discuss these or any other of your personalized needs in detail.
BY NATHAN GREGORY | ngregory@cdispatch.com
A
s is true in so many practices in the
medical field, advances in dental care
technology continue to advance at a quick
rate. Continuing education is key in staying
up to speed with these developments,
according to local dentist Dr. Jay Wiygul,
who said his employees are always hitting
the books to deliver the best care possible
to their patients.
Wiygul said he and his staff keep up with
the latest trends and advances by utilizing
research centers on the Internet and
attending classes on a regular basis.
Among the latest improvements theyve
incorporated into their care are in surgical
procedures, he said.
Weve adopted the use of soft tissue
lasers for treatment of periodontal disease
and surgical procedures during operative
dentistry,Wiygul said. Lasers have been
around for a number of years, but new
advances make it more mobile and possible
in chairside dentistry.
Another major development as of late has
been zirconium the material he uses in
his offices in Columbus and Starkville for
crowns, which he said was harder than
diamond in terms of strength.
One of the things were excited about is
new materials were using for restoration,
including natural looking composites, or
tooth colored fillings we can use for a
variety of purposes. The zirconia material
were using for crowns now is durable and
translucent, which provides better
aesthetics as well as long term stability for
patients we use it on,he said. The
rationale has gone from use of all gold
crowns in the past 50 years to different
types of porcelain restorations and now
porcelain is still used, but zirconium is
building in popularity because you dont
have to worry about breakage or long-term
stability.
Another adaptation he said his businesses
have made is addressing the growing
concern of ongoing changes in health care
laws. Making a concerted effort to provide
dentistry to underserved patients is a
priority of his, he said. Through a finance
company called CareCredit, he said the
balance of service and profit is being
achieved.
CareCredit is a dental finance company
that gives you a credit card you can use.
Patients can go online, provide their
information and once approved approved
for a certain amount they can reimburse
the company themselves like paying off a
credit card and company pays me directly,
Wiygul said. We dont have to worry about
the collection part of the process and for
patients who do not have dental insurance,
this gives them the opportunity to have
procedures done without making decisions
based on economics.
Particularly for adults, the basic dental
health habits learned as youth, such as
regular checkups and daily, consistent
patterns of brushing and flossing are of
utmost importance, he said.
As we age, things are going to change in
our mouth, but monitoring those and being
aware of problems as they arise as quickly
as possible is the best way to prevent major
issues,he said.
Robbie Upton, of Columbus, sits back to allow Dr. Jay
Wiygul, DMD, to check her teeth following a cleaning.
Photo Luisa Porter
DENTAL CARE ADVANCEMENTS
INCLUDE IMPROVED CROWNS
Continuing education key in staying up to date
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Same day patient setup
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B
esides its doctors commitment to local patients health,
OCH Regional Medical Center staff members are actively
working with the community to ensure residents affected
by diabetes can properly handle their condition.
OCH Certified Diabetes Educator Nicky Yeatman helps
organize the hospitals monthly diabetic management class,
a free session open to the public every Tuesday at 5:30 p.m.
With dedicated, common sense approaches to testing,
medicine, nutrition and exercise, patients can help manage
their diabetes and even improve their quality of life.
Our whole message is diabetes is manageable. My motto
is Empower those who are living with this, she said. It
doesnt have to rule or ruin ones life, but you do have to
put on your tool belt and work hard to make sure it doesnt.
We try to provide information and motivation to help those
patients do that.
OCH Physician Ramon Osorio said the two main types of
diabetes he treats are Type 1 and Type 2. Type 1, otherwise
known as juvenile diabetes, occurs when the body fails to
produce insulin, while Type 2 develops as the body begins
resisting the insulin the pancreas produces. A third type,
gestational diabetes, can also develop during pregnancy.
Calling Type 1 juvenile diabetes is misleading, Osorio
said, because a person with the condition will require
insulin throughout all stages of life. Documented cases of
Type 2 diabetes is the most prominent type of the illness he
treats, Osorio said.
There are a lot of environmental factors (with Type 2
diagnoses), with obesity being the most important one.
Nowadays, we see more and more 20-year-olds and
teenagers being diagnosed with it, he said. The main
contributing factors are diet and a lack of exercise.
Doctors prescribe a variety of direct medicinal treatments,
ranging from pills to insulin injections, to treat diabetes, but
Osorio says lifestyle changes are required to fully manage
the condition.
Diet is one of the most important factors when it comes
to diabetes management. One of the most important things
you have to do is control carbs, he said. You do need them
thats where sugars come from in digestion but you
need to make sure youre getting them from healthy sources.
You also have to maintain a carb-consistent diet."
Your body produces insulin based upon how much you
need with your diet, Osorio added. Our patients need to
recognize the components of their meals and try to make
sure theyre consistent with their carb intake every day.
Exercise, too, plays an important factor with treating
diabetes. Many patients with the condition are also
prescribed medicines for other correlating health problems,
he said, including high cholesterol and blood pressure.
Your muscles use glucose when exercising, and its
important because the more you weigh, the more resistant
to insulin you become, he said. Gastric bypass surgery is
another option for patients looking into their weight
because most come off diabetic medicines once they drop
all their excess weight.
OCH Regional Medical Center Certifed Diabetes Educator Nicky Yeatman,
left, tests a patient's blood sugar. Photo submitted
A COMMON SENSE
APPROACH TO
MANAGING DIABETES
Diet, exercise are paramount
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Expect Exceptional Vision
COLUMBUS EYE CLINIC &
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Doctors Park - 425 Hospital Drive Columbus, MS 39705
662.328.2061 www.ColumbusEyeClinic.com
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Scott T. Bradley, MD
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BY MICAH GREEN | mgreen@cdispatch.com
W
hen cardiologist Michael Boland first
began practicing medicine 40 years
ago, things were a tad bit different. Take
heart attacks, for example. When Dr. Boland
first entered the field, he wasnt trained to
stop heart attacks, he was trained to deal
with the complications that come with
them.
Death and dying were daily affairs,
Boland says. I remember having to watch
patients suffer right in front of me, and
there was little to nothing I could do.
But like with every other aspect of
human life, technology has found a way to
ease the burden, and in this case, save lives.
Devices like implanted defibrillators and
procedures such as x-ray computed
tomography, or CT scans, have made
predicting and treating heart-related
illnesses an easier task.
Even so, Boland, who has been practicing
in north Mississippi for more than 25 years,
says anyone living in the Stroke Belt
should be aware of the very common risk
factors that plague much of the
southeastern United States.
Some of these risk factors can be
controlled, others, not so much.
Anyone reading this probably has at least
three of these risk factors, right off the bat.
Having a Y chromosome, a birthday every
year and living in America all place patients
at risk, statistically, for heart-related illness.
Have diabetes? Double the risk. High blood
pressure? Triple it. Male sex? You get the
drill.
But there are, of course, things to avoid
and things to seek out in order to ensure
other risk factors do not pile up.
Bolands most simple advice?
Dont smoke, dont ever smoke,Boland
says. Dont even hang around people who
smoke.
That is not all though. A healthy diet,
though not necessarily full proof, can
definitely help, too.
Boland recommends a Mediterranean-
style diet. Olive oil, fish, poultry, fruits, nuts
and vegetables should play big roles in
what you are consuming. But the diet
should also be accompanied by a fair share
of exercise.
Any male over the age of 40, and any
female over the age of 50 should get
checked for risk factors regularly, but if you
are already at high risk due to genetics,
getting checked earlier is a safer bet.
Medical technology has certainly come a
long way, and is without a doubt, saving
lives, but the only way to really prevent or
treat heart related illnesses, is to take an
active approach.
Liz Varco RN, works with Geneene Saunders on a cardio bike while Tom Althen looks on. Vacro runs the
cardiac rehab facility at the Oktibbeha County Regional Hospital. Photo Micah Green
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OXFORD
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AHS State & School Employees Health Insurance, Medicare,
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No more yo-yo diets.Its time for a lifestyle change.
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Clinic can help you achieve your goal of a healthy
weight through weight loss surgery.
Dr. Byars has had the pleasure of helping hundreds
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of life through either Adjustable LapBand or
Laparoscopic Sleeve Gastrectomy. Let us help
you put an end to the yo-yo dieting and a
new beginning to life.
BY MATTHEW M. F. MILLER
E
ven avid runners need a little extra
motivation from time to time and
theres nothing like the oppressive
fear of zombies nipping at your heels to
get you off the sofa and running for your
life. Zombies, Run! ($7.99; available in the
Apple App Store and Google Play) is an
interval-training app that puts the
survival of the human race in the hands
and feet of the user.
With more than 30 missions, a
voiceover track guides runners to collect
critical supplies (think medicine,
batteries, ammo), rebuild their world and
escape flesh-hungry zombies all while
listening to a favorite music playlist. The
storys narrative is interjected between
songs through a series of faux radio
messages and voiceovers. Workouts can
be done on a treadmill or an outdoor
running track. It mixes jogging with
sporadic run-for-your-life sprints as
zombies virtually sneak up on runners in
an effort to build speed and endurance.
Game play continues after the run is
over, too. Users decide how the supplies
collected during a run are dispersed,
and the choices they make decide how
big and thriving their home base
becomes. The stronger the base, the
more missions a user can play.
An online interface allows users to
view running logs and statistics,
including the usual (miles run, calories
burned) and the unusual (number of
zombies evaded, average speed during a
zombie chase). Its a virtual dream-come-
true for the zombie enthusiast that
thinks the fictional world of The
Walking Dead looks like the ideal spot
for a real-life adventure vacation. This just
might be the best of both worlds users
can get in a good workout without the
fear of getting infected. CTW FEATURES
THE RUNNING
DEAD
From the page to TV to the big screen, zombies suddenly are
everywhere. Now, the undead are aiming to take a bite out of
the fitness world. Figuratively of course
James Beadling, dressed as a zombie, chases a runner in the woods during the Zombie 5k Run hosted by
Columbus Air Force Base in early May. Photo Luisa Porter
PEANUT BUTTER AND QUINOA GRANOLA
Recipe excerpted from 500 Best Quinoa Recipes by Camilla V. Saulsbury 2012
Robert Rose Inc. www.robertrose.ca May not be reprinted without publisher
permission. [photo credit: Colin Erricson/www.robertrose.ca]
MAKES: about 4 cups
INGREDIENTS:
2 cups large-flake (old-fashioned) rolled oats
34 cup quinoa, rinsed
34 cup lightly salted roasted peanuts, coarsely chopped
12 tsp fine sea salt
12 tsp ground cinnamon
14 cup natural cane sugar or packed light brown sugar
14 cup liquid honey or brown rice syrup
12 cup unsweetened natural peanut butter
13 cup vegetable oil
1 tsp vanilla extract
23 cup dried cranberries
PREPARATION:
Preheat oven to 325F
Large rimmed baking sheet, lined with parchment paper
In a large bowl, combine oats, quinoa, peanuts, salt and cinnamon.
In a small saucepan, combine sugar and honey. Bring to a simmer over medium
heat, stirring constantly.Turn off heat and stir in peanut butter, oil and vanilla until
blended.
Pour peanut butter mixture over oat mixture and stir until coated. Spread mixture
in a single layer on prepared baking sheet.
Bake in preheated oven for 40 minutes, stirring twice, until golden brown. Let
cool completely on pan.
Transfer granola to an airtight container and stir in cranberries. Store at room
temperature for up to 2 weeks.
RECIPES: High energy snack solutions
FRUIT & NUT BARS
Recipe submitted by Beth Jeffers,
owner, The Fitness Factor in Columbus
MAKES: 8 bars
INGREDIENTS:
1/3 cup whole wheat four
1/8 tsp baking soda
1/8 tsp baking powder
1/4 tsp salt
1/4 cup brown sugar
1 1/2 cups chopped walnuts (or pecans)
1/2 dried cranberries
1 1/2 cups chopped dates
1 cup dried aprcots --chopped
1 large egg
1/2 tsp vanilla extract
PREPARATION:
Preheat oven to 325F
Line bottom and sides of an 8x8 square
baking pan with foil.
Combine all dry ingredients, making sure
that everything is coated with four.
In a separate bowl mix egg and vanilla.
Pour egg mixture into the dry mixture and
stir until everything is covered in a light
coating.
Spread into pan and press to make an even
layer.
Bake 35-40 minutes until golden brown.
MELT AWAY THE POUNDS
Renowned fitness expert Sue Hitzmanns top moves for a better, pain-free body.
BY LINDSEY ROMAIN
S
ue Hitzmann began her career as
an international fitness presenter
and instructor, working with
clients to better their lives through
physical activity. But her theory on
health changed dramatically after
suffering chronic foot pain in her 20s.
That pain, coupled with observations
she was making about her clients,
helped her develop the MELT Method, a
simple self-treatment technique to learn
how to address the cause of chronic
pain, says Hitzmann.
The MELT Method is intended to
stimulate cells in an effort to better the
state of the bodys connective tissue, a
fluid system that connects all other
systems of the body. Its like a grid, says
Hitzmann. Its the only seamless 3-D
system in the body.When the
connective tissue is dehydrated, it
disrupts the bodys natural ability to
heal. The skin will wrinkle, cellulite
increases, joints compress and muscles
fall out of balance, making the body stiff.
To address these issues, Hitzmann
developed what she calls the Four Rs
of MELT: reconnect, rebalance,
rehydrate and release. Reconnecting is
about tapping into a mind and body
connection to self-assess stuck stress
and inefficiency. Rebalancing is about
improving whole body balance,
grounding and organ support.
Rehydrating is about restoring the fluid
state of the connective tissue to
improve joints, muscles, organs, bones
and cells, as well as the tensional
integrity of the body. Releasing is about
decompressing the neck, low back and
the joints of the spine, hands and feet
in an effort to keep you youthful,
mobile and pain-free.
Hitzmann, author of The MELT
Method: A Breakthrough Self-Treatment
System to Eliminate Chronic Pain, Erase
the Signs of Aging, and Feel Fantastic in
Just 10 Minutes a Day! (HarperCollins,
2013) selected these basic sequences as
some of the key MELT moves. You will
need a MELT soft body roller and a
MELT treatment ball.
REST ASSESS
Before you get started, do what Hitzmann refers to as the rest assess. Lay on your back
with your arms straight and relaxed and the palms facing up. Breathe and let the body
relax. Dont adjust or touch the body simply see how it feels. Is the arch of your back
touching the floor? Do your ribs feel weighted down? Notice if one side of the body
feels more on the floor than the other side. This should give you a good idea of where
the body is out of balance.
BACK THIGH SHEAR
When you compress the connective tissue for long periods of time, it creates an effect
where the cells soak up pressure like a sponge. When the thighs are compressed, the
spine is tugged from the top of the head, causing a strain in the back of the body.
This move helps delude that stress. Lie on your back, put the roller under the back of
your legs, and roll the legs in a figure-8 not back and forth, but around, like ringing a
rag around a pole. Do this for about 30 seconds.
thank you to whitney jeffers brown of the fitness factor
for demonstrating a selection of melt method moves.
MELT AWAY THE POUNDS
3-D BREATH BREAKDOWN
This move focuses on expanding your torso and stimulating your diaphragm.
Remain on the soft roller and place one hand on your chest and the other on
your belly, over the belly button. Take four or five breaths into the area
between the front and back of your body. Focus on expanding the diaphragm.
Next, place your hands on the widest part of the rib cage, below the armpits.
Take another four or five breaths. Next, place one hand on your collarbones
and the other on your pubic bone. Take four or five breaths, allowing the
diaphragm to move downward.
The nervous system is involuntary you breathe all day and never think
about it, says Hitzmann. If you start to focus on breathing directions, that
helps to trigger your nervous system to work.
FOOT GLIDE AND RINSE
To rehydrate the foot, stand up and place the MELT treatment ball right in front of the heel.
Rub the heel back and forth over the ball, to glide and prepare the tissue. Keep consistent
pressure as you work your way to the back of the heel. Then, move the ball to under the big
toe and roll it across the knuckles of the foot. Lift the foot and return the ball to under the big
toe, repeating two more times. Next, place the ball back under the big toe and then press the
ball toward the heel in a continuous motion, with consistent pressure.
The fluids are going to start to get entrapped around all of the cells in the system, so this
stimulates the whole body, says Hitzmann.
BASE OF SKULL SHEAR
Begin by lying on your back on the floor and turning the head left and right. If you have any
pain, lift your head and place the roller on the base of your skull.
When people are hurt, they want to rub where it hurts, says Hitzmann. But you dont
want to cause compression where it hurts. You want to pull liquid to the painful area.Turn
your head to one side and roll it in small circles, both clockwise and counter-clockwise. Slowly
nod your head up and down, then left and right.
BACK THIGH SHEAR
When you compress the connective tissue for long periods of time, it creates an effect
where the cells soak up pressure like a sponge. When the thighs are compressed, the
spine is tugged from the top of the head, causing a strain in the back of the body.
This move helps delude that stress. Lie on your back, put the roller under the back of
your legs, and roll the legs in a figure-8 not back and forth, but around, like ringing a
rag around a pole. Do this for about 30 seconds.
GENTLE ROCKING
For this first move, you must lie on the length of the soft roller. This will apply
gentle pressure to your spine. (If you need additional support, place rolled
towels, pillows or bolsters on either side of the roller.) Once youre sure that
youre fully supported, bend your knees and rock for 30 seconds.
Just this one move will rebalance your nervous system, says Hitzmann.
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Comfortable & Conveni ent Li vi ng
BY NATHAN GREGORY | ngregory@cdispatch.com
L
ocal senior care providers Danny Avery of Comfort
Keepers and Columbus Jones of ComForcare both agree
that one of the common trends among that population is the
growing desire to stay at home. Constant advances in
technology have helped meet those changing needs.
That desire to stay at home as opposed to moving to a
nursing home or assisted living facility has prompted some
to place a larger emphasis on health as they age than they
did when they were younger, Avery said.
It has brought about a trend for people being more
preventive. Youre seeing a lot more people in their 60s, 70s
and 80s exercising and taking their health seriously,Avery
said. We specialize in going in and helping
people in their own home. New technology is
helping to do that. There is a device that will
dispense your prescriptions on time when you
need to take them. Companies like Safety Choice
make a handheld GPS device people can have
on them so they dont have to stay in their
house all the time. Having something on their
person to monitor them is marvelous.
Personal response systems provide 24/7
peace of mind. An older adult can summon
emergency help for any situation by simply
pressing a button on a pendant worn at all
times,Jones said. In addition to in-home care
visits, virtual care technology allows home care
providers to check in on a client through phone
and video chats and keep family members and
other members of the clients care team
informed of clients well-being through an online
communication portal.
Avery said another important aspect of his and his staffs
role of providing quality care for seniors is recognizing their
need for independence.
I recognize the fact that Im not as capable as I was at
one time physically but its important people feel
independent. So many parents try to teach that same value
to their own children. We want to promote a sense of
achievement that helps the person to have some self worth,
Avery said. One of the things we do a lot is change the
bedsheets for them and go do their grocery shopping. Even
when we are assisting people, we are involving them in the
decision making process so they know we are helping them
and not doing it for them. This fosters a sense of purpose
and control and assures they dont feel totally dependent on
someone else.
Other advances include single level lifts for those with
physical limitations living in multiple-story homes, Avery said,
as well as maps with electronic sensors that can be placed at
the side of a bed for monitoring purposes.
Jones said there were a variety of affordable sources
available for paying for senior care, including long-term care
insurance, workers compensation, auto insurance and
veterans benefits.
Benefits vary based on insurance coverage and if
individuals meet eligibility requirements for state and federal
programs,Jones said. Home care providers can assist clients
in determining their payment options.
Danny Avery, right, discusses services offered by Comfort Keepers with Jenni Hebert.
Photo Luisa Porter
A SENSE OF INDEPENDENCE
Trend among seniors is desire to stay at home
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Monday - Thursday 7 a.m. - 4 p.m. | Closed for Lunch Wednesday 12 p.m. - 1 p.m. | Friday 7 a.m. - 12 p.m.
BY SARAH FOWLER | sfowler@cdispatch.com
N
ow that summer is here and children are spending
more time outside, pediatricians encourage parents to
get outside and play, too, to promote a healthy lifestyle.
Columbus Pediatrician Pam Sykes said she hopes parents
will turn off the television, put down their cell phones and
get outside to spend quality time with their children.
Children need to be outside getting exercise, being
active and moving, not sitting in front of a TV all summer,
Skyes said. A childs screen time should be less than one
hour a day.
Spending time together outdoors ensures that children
are active and creates positive habits.
"Throw a ball, jump rope, play hopscotch, kick a soccer
ball, ride bikes or take a walk around the neighborhood
these are just a few activities you can do with your children
that can make a huge difference, she said.
When playing outside, Sykes said sunscreen should be a
part of everyone's daily routine and should be applied every
four hours.
On rainy days, Sykes suggested involving children in
indoor activities.
Take them to the grocery store and let them pick out
items on a list or let them help fold clothes. Are they going
to fold clothes that great? Probably not, but children love
that feeling of accomplishment.
Sykes stressed the importance of minimizing screen time
for both children and parents.
Put the phone down and turn the TV off so that youre
fully engaged, listening only to the child and vice versa.
In addition to avoiding sugary foods and drinks and
making nutritious food choices, Skyes said living in a smoke-
free environment is greatly beneficial to children and adults.
Second-hand cigarette smoke is such a danger to all
children. As parents we should strive in every way possible
to give them a smoke-free environment, she said.
Sykes said all children, once they reach 2 years of age,
should receive a checkup annually.
SUMMERTIME HEALTH TIPS FOR KIDS ... AND PARENTS
10-month-old Maggie Brown sits still for her checkup with Dr. Pamela Sykes at Columbus Children's Clinic. Photo Luisa Porter
BY SARAH FOWLER | sfowler@cdispatch.com
A
ccording to the American Academy of Pediatric Dentistry, children should see a dentist by their first
birthday.
Starkville Pediatric dentist Dr. Mary Huxford concurs and recommends choosing a dental home a
dentist familiar with the child and the child's parents that they will see twice a year by the age of one.
Even though the child won't have teeth yet, it will allow the dentist to educate the parents on diet and
hygiene. They can then monitor the child's growth and development to prevent problems from occurring.
While children are young, parents need to be cautious about sugary drinks, including milk. If a drink has
too much sugar, it can cause dental carries, or as they are more commonly referred to, cavities.
We discourage going to bed with a bottle or cup of milk or juice. Its a common practice, but when the
child falls asleep, the sugary liquid pools in their mouth and on their teeth, which leads to cavities, said Dr.
Huxford.
She also instructs parents to have children begin brushing their teeth at the first sign of a tooth using a
smear layer of toothpaste on the toothbrush. When the child is able to spit, a pea-sized amount can be
used.
In addition to brushing regularly, children also need to floss. The number one thing is educating parents
on flossing, she said. The rule of thumb is that if they can tie their shoes, they can floss.
Dr. Huxford also recommends using new smart rinses that highlight where excess plaque is located.
Children can see the spots they need to concentrate on when brushing.
Pediatric dentists say the earlier the better
Dr. Mary Huxford of Pediatric Dentistry checks the teeth of patient Joshua Carver, 6, while dental hygienists
Mary Carmichael (center) and Jennifer Green (background) conduct cleanings for Joshua's siblings, Rebecca,11,
and Daniel, 9. Joshua, Rebecca and Daniel's parents are DeDe and Brian Carver of Starkville. Photo Luisa Porter
B
efore beginning a weight loss program, talk
to your doctor seems to be the footnote of
every plan. Find out what you should ask,
and if its really necessary. Ask these questions to get
your doctor and yourself more engaged in your
weight loss.
1. HOW MUCH WEIGHT DO I NEED TO LOSE?
You may have already decided or been told that
you need to shed some pounds, but asking your doctor
exactly how much you need to lose in order to reach a
healthy body weight is essential. Using a patients body
mass index, which takes both height and weight into
consideration, doctors can tell someone whether they
fall in the overweight range or the obese range and
really how much weight they need to lose to get out of
an unhealthy situation, says Dr. Salila Kurra, co-director
of Columbia Universitys Adrenal Center in New York
City. Then, you (or your doctor) can set realistic goals
in terms of how long it should take to lose a certain
amount of weight.
2. DO YOU HAVE ANY CONCERNS ABOUT ME
PARTICIPATING IN A WEIGHT LOSS PROGRAM,
REGARDING MY HEALTH AND MY MEDICATIONS?
The most important thing is to make sure that
whatever underlying conditions [the patient] may have
are not going to be adversely affected by whatever
weight program they decide to start, Kurra says. Diet
and activity may need to be tailored accordingly, as
well as medication. If a patient has a medical condition
such as diabetes or hypertension, it may be necessary
to adjust their medications dosage so they dont
become overmedicated as they lose weight, says Dr.
Robert Kushner, clinical director of Northwesterns
Comprehensive Center on Obesity based in Chicago,
Ill. Not every medicine will be affected by changes in
weight, but its good to check.
3. DO YOU RECOMMEND A CERTAIN PROGRAM,
OR KNOW ANYTHING ABOUT THE ONE I AM
INTERESTED IN?
Asking you doctor for recommendations is a good way
to get an individualized approach to weight loss, Kurra
says.
Your doctor can offer suggestions for diet or weight
loss programs that fit your specific medical conditions
or lifestyle. Additionally, the doctor may have
experience with some other patients of how certain
programs have performed, or the balanced nature of
the program and the effectiveness of the program,
Kushner adds.
4. ARE THERE ANY LIMITATIONS AS TO WHAT I
CAN DO?
Some patients may need to limit the nutrients they
consume. If somebody has diabetes [your doctor] may
say Make sure that you dont eat as many simple
carbohydrates, whereas somebody else may need to
have less fat in their diet or less protein, Kurra says.
Also ask your doctor if the amount or type of
activity you plan on starting is safe for you.
5. DO YOU NEED ANY INFORMATION ON MY
PROGRESS, OR NEED TO SEE ME FOR FOLLOW-
UP VISITS?
A lot of patients do like to be monitored by their
doctor, Kushner says, which has to do with safety and
making sure progress is being made. Furthermore, your
doctor may want to receive information from your
weight loss program, or have you monitor your own
health in order to alert him or her of any abnormalities.
The more correspondence between the program
and the doctor, I think the more theyll be able to
monitor and evaluate how well that patient is doing,
Kushner says. So for example, if they get ongoing
correspondence and its now four months later and the
patients lost two pounds, and the patient is 40 pounds
overweight, that hopefully would trigger to the doctor
You know, Id like to see you soon so we could talk
about maybe some alternatives because thats not
working for you. CTW FEATURES
5 Questions to Ask Your
Doctor Before Starting a
Weight Loss Program
Every fitness program and diet
reminds users to talk to a doctor
before starting use. So, what should
you ask?
BY MEGAN PATSAVAS
BY CARMEN SISSON
B
reast cancer research has led to
advances in early detection and
treatment, giving women more options
than their mothers and grandmothers may
have had.
Mississippi remains among the states with
the highest mortality rates, with the
Mississippi Department of Health estimat-
ing that approximately 400 women in the
state die each year of breast cancer.
But as awareness increases, more women
are getting yearly mammograms, allowing
physicians to catch the cancer in its earlier
stages and improving survival rates, espe-
cially among women younger than 50. There
are now more than 2.9 million breast cancer
survivors in the United States.
The American Cancer Society recom-
mends women begin annual breast cancer
screenings at the age of 40.
Baptist Memorial Hospital-Golden Triangle
offers digital mammography, which takes
around 30 seconds per breast and allows
technicians to see the results in real-
time. In addition to being faster, the
tests are also more comfortable now. A
soft, disposable breast cushion pad,
similar to memory foam, keeps the
compression plates warm and cuts
down on pain as the plates are
squeezed together.
There is more good news: Many
women are now able to avoid mastectomies.
Mastectomy is not the first line of treat-
ment anymore, said Dr. Michael Berry, of
Columbus Surgery. Were able to save the
breasts now. Mastectomy is not even the
first line of treatment on the effective side.
Breast conservation surgery a combi-
nation of lumpectomy and radiation is
now the first course of action, he said.
Whenever possible, doctors try to spare the
breasts.
Many women are surprised by that,
Berry said. They (have to) make the best
decision for them. If they want a mastecto-
my, well do what they want to do.
Major breast cancer risk factors include
being over the age of 50, having a mother or
sister with breast cancer, being childless or
having children after 30, being overweight
or previously having breast cancer.
Breast cancer is the third leading cause of
death among white women and the second
leading cause of death among black women.
Nationwide, one in every seven women will
develop breast cancer during their lifetime.
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Debbie Miller, foreground, and Sherry Monaghan are both Radiologic Technologist Mammographers on staff at
Baptist Memorial Hospital-Golden Triangle. Photo Luisa Porter
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