Win a Free Flip!...• Prehypertension—120–139 over 80–89 • Hypertension—140 or more over...

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It’s the start of a new year, and it can also

be the beginning of your journey to a whole new you.

January seems to provide the perfect opportunity to

leave the bad habits in the previous year and start

fresh with a focus on living a better life. And that’s

exactly what we hope this edition of On Health magazine will help you do. Each month of 2011

features different health topics, so you can keep the

magazine around for information and inspiration

throughout the year. In each month, you’ll find tips

that will help you improve the health of your mind,

body, and spirit—all of which are important.

We hope that 2011 is your best year yet!

Your friends at

Tift Regional Medical Center

Win a Free Flip!

Who doesn’t love to win cool prizes? How does a new Flip video camera sound? Here’s how you can earn a chance at winning the fun new video camera system.

Throughout this edition of On Health magazine, there are hidden TRMC logos that look like this . They are small and could be hiding anywhere. There is one in each month’s feature.

Your job is to find at least four of them. Then visit www.tiftregional.com, click on the New Year, New You icon and tell us the four places you saw the TRMC hidden logos. The deadline for entries is Jan. 31, 2011. We’ll throw all the entries into a hat, and one lucky winner will receive a new video camera!

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Community SpiritWant the latest information about the wide variety

of support groups, screenings, classes, and events available through Tift Regional Medical Center?

Look no further than our Community Spirit insert, included in this issue of On Health.

This valuable resource will put an entire year of health information at your fingertips.

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“People of all ages face health issues,” explains David Johnson, MD, family physician on the medical staff at Tift Regional Medical Center. “Keeping a close eye on your health and partnering with trustworthy providers can help keep you healthy, regardless of your age.”

Your Roaring 20sMost 20-somethings are braving the ins and outs of the career world, embarking on the adventures associated with a new family or tackling classes in school. Set realistic goals and don’t become depressed if your life looks a little different than you thought it would. Your health will thank you.

Keep your body healthy by scheduling—and keeping—regular appointments with a trusted primary care physician and gynecologist. Women in this age group should be undergoing Pap tests on a regular basis.

During this decade, form good health habits that will stay with you throughout your life. Eat plenty of fruits and vegetables, and pencil at least half an hour of exercise into your routine most days of the week.

Thriving through Your 30sMany people truly enjoy their 30s because they have a sense of the person they are and the goals they hope to achieve. While you may enjoy a new emotional balance during this decade, the demands of being a busy person in your 30s may mean you begin neglecting your health.

Be sure you get plenty of sleep. Many women begin to develop high blood pressure during this decade. Women may also experience menstrual problems. Keep your primary care provider and gynecologist in the loop about any of these issues.

If you find yourself gaining weight during your 30s, you aren’t alone. It is vital for those in this age group to keep a close eye on their diet and exercise regimens.

Your Best Decade YetEmbrace

Fabulous in Your 40sYour children may be beginning to consider their futures, and your career is soaring. But the best thing a woman can do for her health during this decade is to undergo an annual mammogram. This screening is recommended yearly for women over age 40. Because approximately one woman in eight will battle breast cancer at some point during her life, it is vital to protect your breast health.

At this age, you may also be at a higher risk for developing diabetes. If you have a family history of this controllable health condition, touch base with your primary care provider about screenings for it.

Fantastic at 50 and Beyond

As you pass 50, you may begin to enjoy the little things more—a quiet house now that your children have moved out or spending time in your garden. Anyone over age 50 also must be vigilant about certain health risks. Be sure you are taking proper care of your heart by controlling heart disease risk factors, such as blood pressure and cholesterol.

At age 50, everyone should also begin undergoing regular screenings for colorectal cancer. Colonoscopies are recommended at least every 10 years for people over age 50.

Dr. Johnson practices at Family Practice Associates and is on the medical staff at TRMC. He can be reached at (229) 391-3300.

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January

Cool✧

✦✦

✧✧

David Johnson, MD, family practice physician

Life is exciting, and every decade presents a unique set of

challenges and opportunities. Whether you’re 25 or 55, it

is possible to live an active, full life. Read on to find out how.

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Your Best Decade Yet

Tift Regional Medical Center’s

Best SmilePam Matt, Lab Henry Taylor, Security

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✧

Awesome

Groovy

Get Off the CouchIt’s never too late to get out of your recliner and start doing something good for your health. Tift Regional Medical Center is proud to offer an exciting program called Couch to 5K to local residents who want to jumpstart their fitness regimens.

To learn more about this program, or to enroll, call (229) 353-6194.

A New Grocery ListOne of the best places to be adventurous is in the kitchen. For many home chefs, the challenge of creating new dishes using unique ingredients is enjoyable. If you want to improve your health—and challenge yourself to try new items—consider adding these healthy picks to your shopping list.

• avocado

• dark chocolate

• green tea

• salmon

• walnuts

Whether you add walnuts to a salad, mix up fresh guacamole with an avocado, enjoy a steaming mug of green tea, or grill a fillet of salmon to serve with dinner, your body will thank you.

✦

Copy T/F

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February

{ {TRMC is embracing the benefits of computerized patient order entry (CPOE) and is planning to go live with the system this spring.

CPOE eliminates the traditional paper and pen and gives physicians the ability to electronically enter all hospital patient orders for diagnostic testing, prescriptions, treatments, consultations, and other services. CPOE will enhance care and improve efficiency by decreasing legibility errors, improving turnaround times, and minimizing order entry variances. Patient safety is enhanced because CPOE

eliminates the need for clinical staff to interpret handwritten orders.

Advanced ICU

The second new program, set to kick-off in February, is the implementation of Advanced ICU Care’s eICU program. The program will use remote computer monitoring to connect TRMC’s ICU patients 24 hours a day, seven days a week, to critical care physicians (intensivists) and nurses from Advanced ICU Care’s Monitoring Center. This eICU technology, in collaboration with TRMC’s local medical and nursing staff, provides an extra level of care to patients and has been proven to help save lives and shorten the length of ICU and hospital stays.

To learn more about advanced technology at TRMC, visit www.tiftregional.com.

New Technology Enhances CareNew technology will forever be a part of the healthcare system and Tift

Regional Medical Center is seeing two new additions that will continue

to improve patient safety.

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Control Your TriggersManaging asthma is essential for people with the condition who want to live a full, healthy life. Because there is no cure for asthma, the condition must be managed through medication therapies and other means, including avoiding asthma triggers.

While every person with asthma may have an individualized set of triggers, several common allergens are the most likely culprits for causing asthma attacks. These include:

• cleaning chemicals or household sprays

• pet dander

• pollen or mold

• tobacco smoke or air pollution

Going beyond Your Limitations Don’t let physical limitations stop you from living a healthy life. By partnering with your physician, you can find an exercise regimen that will allow you to excel regardless of your abilities.

While you should always consult your physician before beginning a new exercise regimen—especially if you have a condition such as severe arthritis or chronic obstructive pulmonary disease (COPD)—these suggestions may help you discover the perfect exercise routine for you.

• If your back is an area of concern, you may want to avoid jogging or running on hard concrete surfaces. Instead, take a slow jog or a fast-paced walk on a softer surface. Also, include plenty of exercises in your routine that strengthen your core.

• If you have severe arthritis, consider swimming. It’s a low-impact workout that is easy on aching joints and very effective.

• If your concern is a chronic respiratory condition such as COPD, it’s important to gradually increase your level of activity. Also, consult with a physician about your best options for optimal cardiovascular fitness.


MOsT COMPAssiONATeDawn Floyd, Emergency Department Leon Donahoo, Medical West

H igh blood pressure is caused by extra fluid in the body as well as clogged, narrow, or stiff blood vessels. Although it often causes no symptoms on its own, high blood pressure left unchecked can increase your risk of blindness, heart disease, heart failure, kidney disease, and stroke.

Blood pressure is easily measured with a blood pressure cuff, which indicates pressure while the heart is beating—systolic—over its resting pressure—diastolic. Ranges include:

• Normal—Less than 120 over less than 80

• Prehypertension—120–139 over 80–89

• Hypertension—140 or more over 90 or more

Further ComplicationsNew cases of hypertension-related kidney disease are diagnosed in nearly 25,000 Americans each year. People with kidney disease should use medication and lifestyle changes to maintain blood pressure levels lower than 130 over 80.

“Untreated chronic hypertension leads to damage of the architectural structures of the kidneys, resulting in a disease called hypertensive nephrosclerosis,” says Erik Bernstein, MD, nephrologist on the medical staff at Tift Regional Medical Center. “Over time, this disease can worsen, causing end-stage kidney disease requiring dialysis. Indeed, it is the second most common cause in the United States for a person to end up on a dialysis machine.”

Tools for Change

Whether you have been diagnosed with hypertension or prehypertension, take these five steps toward a healthier lifestyle.

1. Enjoy nutritious foods, including fruits, whole grains, lean proteins, low-fat dairy, and vegetables.

2. Get at least 30 minutes of moderate exercise—cycling, swimming, or walking—five or more days each week.

3. Limit alcohol consumption to one drink daily for women or two drinks for men.

4. Reach and maintain a healthy weight.

5. Restrict total sodium intake to less than 2,000 milligrams daily.

6. Quit smoking cigarettes.

“High blood pressure is a risk to our entire community, with African-Americans more than five times as likely to develop this complication,” says Dr. Bernstein. “Regularly monitoring blood pressure and making healthy lifestyle changes can reduce your risk of hypertension-related kidney failure.”

Dr. Bernstein practices at the Affinity Clinic at TRMC’s West Campus and is on the medical staff at TRMC. He can be reached at (229) 391-4100.

March March

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MOsT WeLL-ROUNDeDIlse Boyette, Education Jeff Robbins, Neurology

March

Erik Bernstein, MD, nephrologist

Most people with high blood pressure and early kidney disease have no

symptoms. Work with your physician to manage your risk for hypertension

and stop the silent threat of hypertension-related kidney disease.

A Silent Threat

Now You’re CookingGive your heart health a boost with healthy food preparation techniques. Heart healthy never tasted so good!

• Baking, broiling, poaching, roasting, sautéing, and steaming are low-fat ways to cook your favorite entrees and sides.

• Chilling stews and soups overnight will allow you to skim the congealed fat off the top without sacrificing flavor.

• Choosing non-stick cookware will help keep your food from sticking to the pan without the added fat.

• Kick the flavor up a notch with herbs and spices instead of salt.

Researchers at Indiana University have found that four 10-minute walks are more effective for managing high blood pressure than one 40-minute walk.

Exercising is as easy as a walk in the park for Tifton area residents. Choose from a number of outdoor facilities, including:

• 8th Street Middle School—An outdoor track is available for walking or running.

• Fulwood Park—This 28-acre park features ball

fields, pavilions, a playground, and public restrooms.

Rails to TrailsTaking a walk around Tifton is getting even easier through the work of the Tifton Trail System Committee. With $10,000 donated by Tift Regional Medical Center, the committee has the beginning of the funds needed to connect current trails to create a 37-mile circuit in and around Tifton. Additional fundraising totaling $25,000 is needed to qualify

for a federal grant of $100,000 to help complete the project. Flat, scenic rail beds that are no longer used by trains are ideal for conversion to multi-use paths for walking, jogging, cycling, or even horseback riding.

For more information about the Tifton trail project or how to make a contribution, call Ted McElroy at (229) 382-4765. To learn more about recreational facilities in your area, contact your local recreation department.

Forward, March!

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In most cases, surgery is the best cure for breast cancer, removing affected cells in the breast tissue in addition to surrounding lymph nodes. Whether to have reconstructive surgery after breast cancer treatment is a personal choice, but many patients are surprised to find this procedure is covered by their insurance policies. Women should discuss the benefits and risks of each procedure to determine the best course of action.

Surgical Options

Advanced techniques ensure the reconstructed breast matches the unaffected breast using the patient’s own tissue. Immediate or delayed reconstructive surgery can restore a woman’s appearance, depending on each patient’s follow-up treatment plan.

To leave more skin for an upcoming reconstruction, your surgeon may perform a skin-sparing mastectomy. This procedure is commonly followed by one of three options for reconstruction.

Tranverse rectus abdominous muscle (TRAM) flap—Tissue from the lower abdomen is tunneled under the skin to the breast area to form the new breast mass. This procedure allows blood vessels to remain connected, while another option removes a section that must be reconnected to blood vessels under the arm. A second procedure can create a new nipple and areola to complete the appearance, but not function, of the new breast.

Latissimus muscle flap with a breast implant for shape—Tissue from the back is tunneled under the skin to the breast area, leaving blood vessels connected. A saline or silicone implant may be needed to match the size and shape of the removed breast. Similar to the TRAM flap, additional surgery will be required to add a nipple and areola.

Breast reconstruction can also be performed in a two-stage procedure with tissue expander followed by implants.

“Reconstructive surgery requires technical skills as well as artistry to achieve the results patients expect,” says Derron Spikes, MD, plastic and reconstructive surgeon on staff at Tift Regional Medical Center. “I work closely with patients’ surgical oncologists to determine the optimal timing of reconstruction procedures.”

If only one side is done, a matching procedure can be performed on the opposite side.

Part of the Plan

Reconstructive surgery planning before breast cancer treatment allows surgeons to facilitate future procedures while minimizing potential complications. Most patients are candidates for immediate reconstruction, while others may wait to achieve the best results.

“Breast cancer patients who must have chemotherapy after surgery do well with immediate reconstructive procedures,” says Dr. Spikes. “However, if a patient will receive radiation therapy post-surgery, we can minimize her risk for complications by waiting until radiation treatment is

complete before reconstructing the breast. Having reconstruction surgery will not

negatively impact the ability to detect cancer cells should they return.”

Dr. spikes practices at Allure Plastic & Reconstructive surgery and is on the medical staff at TRMC. For more information about plastic and reconstructive surgery options or to schedule an appointment, call (229) 391-3600.

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MOsT ARTisTiCTony Bell, Operating Room

Kristen Skinner, Radiology

April

Reconstructive surgery performed during or after breast cancer treatment can

restore a woman’s natural shape and her sense of well-being. Derron Spikes, MD, plastic and reconstructive surgeon

Getting Back to You

Think PinkThe most common cancer in women, breast cancer occurs when the DNA of single cells in a woman’s breast mutate. A woman’s risk for breast cancer increases as she ages, as two thirds of breast cancer cases occur at age 55 or older.

Although risk factors, such as family history of the disease and mutations to the BRCA1 and BRCA2 genes, are not under an individual’s control, women can reduce their

risk for breast cancer by making these lifestyle choices:

• Drink alcohol in moderation.

• Engage in up to an hour of physical activity most days of the week.

• Maintain a healthy weight.

If the Sports Bra FitsExercise will increase women’s muscle tone, but repetitive motion can stretch Cooper’s ligaments—the structure supporting the mass of women’s breasts. Wearing a sports bra is recommended for women of all cup sizes to prevent this breakdown.

Research has shown regular bras decrease breast movement by 38 percent while sports bras can reduce movement up to 74 percent. To ensure a proper fit, take a tight measurement around the chest under the breasts where the bra will sit. Choose the closest band size to your measurement, determining fit from the last hook to allow adjustments when the band stretches over time.

Sports bras should fit snugly; you should only be able to put two fingers under the band or strap. Choose a cup size that covers breasts completely with no overspill at the bottom, side, or top of the bra.

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What happens when a forgotten address sends you driving two counties over? Or, when tying your shoelaces seems as complicated as calculus? Memory loss is the classic trademark of an aging mind, and when it progresses normally, should be little cause for concern. But, when mild forgetfulness turns into major confusion and trouble performing everyday tasks interferes with your ability to function normally, it might be time to see a physician.

When Memory Matters

According to Brad Lindsey, MD, neurologist on the medical staff at Tift Regional Medical Center, severe memory loss and drastic changes in personality and behavior in the elderly may be indicative of dementia.

“When seniors forget how to use everyday objects, have trouble following basic directions, get lost easily, and begin neglecting their health and safety, they should see a physician right away,” says Dr. Lindsey. “Alzheimer’s disease and other forms of dementia occur most commonly among people over age 65 and is treated most effectively when caught early.”

Affecting one out of every eight American seniors, Alzheimer’s disease, unlike general age-related memory loss, impairs a person’s ability to think, reason, and perform everyday tasks. While no known cure for the disease currently exists, advanced medicinal, behavioral, and psychosocial treatments can prolong and improve the quality of life in those afflicted with the condition.

Teach Yourself New Tricks

For those experiencing normal memory loss, Dr. Lindsey suggests counteracting the effects of aging on the brain by engaging in activities that continuously challenge the mind.

“Protect yourself against cognitive decline by taking on a new hobby, reading, learning to play an instrument, or playing games that engage the mind,” says Dr. Lindsey. “Remember, you’re never too old to acquire new skills. Embrace the wisdom that comes with aging and actively seek to add to it. A healthy mind can be a powerful tool, and it’s up to you to treat it as such.”

Dr. Lindsey practices at the Affinity Clinic at TRMC’s West Campus and is on the medical staff at TRMC. He can be reached at (229) 391-4100.

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May

Brad Lindsey, MD, neurologist

Overcoming Mem0ry ObstaclesMisplaced keys. Forgotten appointments. Names we can’t remember. We all have our forgetful

moments. As we grow older, these little lapses are bound to occur more frequently.

As the mind and body go through the trademark changes associated with advancing age, it’s not uncommon for people to neglect proper nutrition. Whether depression, physical disability, limited income, or the side effects of medication prevent an elderly person from eating well, the consequences are the same. Malnutrition weakens the muscles

and immune system and can also lead to depression and other emotional problems. If poor dietary habits lead to extreme weight loss, dental problems, easy bruising, and the slowed healing of wounds in you or someone you know, see a dietitian who can establish a nutrition plan to prevent further health problems.

Protect Your Health with the Power of Nutrition

Calling All SeniorsTift Regional Medical Center will host its annual Senior Seminar in honor of National Older Americans Month on Thursday, May 5, from 10 a.m. to 2 p.m. Speakers at this year’s event will discuss important senior health topics.

Open to people ages 55 and older, this event is free to the public and aims to encourage physical and mental well-being among seniors. Those who attend will receive information about the local resources available to assist them in leading healthier lifestyles.

The Senior Seminar will be held at the UGA Tifton Campus Conference Center. For more information, please call (229) 353-6318.

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FRieNDLiesTRhonda Jordan, Speech Therapy Saul Eady, Environmental Services

Brad Lindsey, MD, neurologist

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June


MOsT ATHLeTiCBrandy Dorminey, Radiology Gabe Reese, Physical Therapy

David Banks, MD, orthopedic surgeon

Sports injuries are very common and involve a range of conditions that occur during physical activity. These injuries can worsen over time or happen unexpectedly. To decrease your risk of sports injuries, stretch and warm up before exercising and slowly increase intensity. Attempting to cram an entire week’s worth of exercise into a two-day weekend—commonly known as “weekend warrior” syndrome— can place too much stress on your muscles, bones, and joints.

Get the Gear

An important aspect of staying safe while playing sports is making sure you have the appropriate equipment. If you’re playing a sport involving contact or riding a bike, a helmet is key. Pads, mouth guards, shin guards, and protective cups are also helpful for staying safe while playing.

No matter what sport you’re engaging in, having the appropriate footwear can make all the difference. For running, get fitted for a shoe that is specifically targeted for your body to help reduce wear and tear on your feet and joints. If you play baseball, football, softball, soccer, or another game that takes place on a field, wear cleats to prevent slipping during the game.

Know Thyself

If you feel pain while playing a sport or engaging in another type of physical activity, stop. Though you may think the feeling will fade, “playing through the pain” is never a good idea and can actually contribute to more serious injury.

“You know your body’s limits, so don’t let the competitive spirit or teammates pressure you into pushing too far,” says David Banks, MD, orthopedic surgeon on staff at Tift Regional Medical Center. “If you have sustained a previous orthopedic injury, talk with your physician to confirm that the injury is completely healed and it’s safe for you to exercise again.”

Dr. Banks practices at Georgia sports Medicine and is on the medical staff at TRMC. He can be reached at (229) 386-5222.

Have an Injury-Free SummerAs you’re enjoying fun outdoor activities and warm weather, keep in mind that many common injuries

can be avoided with the proper precautions. Take the time to consider safety concerns to keep you and

your loved ones from sustaining an injury while soaking up the sun.

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The Lowdown on Sprains and BreaksAfter an intense game of soccer, you feel a serious pain in your leg. How do you know if your pain is the result of a sprain or a broken bone?Sprains occur when tendons in the body—commonly in the ankle—are stretched or torn. Pain associ-ated with these injuries varies and can even be more severe than with a broken bone. Sprains are typically obtained when a person twists his or her ankle or feels significant instability in a joint. Depending on the severity of your injury, you may be able to treat it at home. Any suspected breaks, however, should be evaluated by a physician.

At-Home Treatment

If you believe you have suffered from a minor sprain, the rest, ice, compression, and elevation (RICE) method can help reduce pain and swelling. Here’s how to use it:

• Rest—An often-neglected aspect of recovery from injury, taking a break from physical activity can speed up the healing process.

• Ice—Apply ice to the injury for 20 minutes and repeat at least four times daily.

• Compression—Utilize elastic bandages and splints to apply pressure to decrease swelling.

• Elevation—Reduce swelling by elevating the area of injury using a pillow.

If your injury is severe, seek medical advice. Receiving proper treatment is the only way to reduce long-term injury risk.

Warming up before exercise can help you increase flexibility, avoid orthopedic injury, improve blood circulation, and reduce stress. Start with these ben-eficial stretches as you warm up or cool down:

• Achilles tendon: Step forward with the ball of your foot onto a surface a few inches high. Bend the elevated leg and lean into the stretch.

• Hamstring: While sitting on the floor, extend one leg straight in front of you. Bend your other leg and rest your foot against the knee of the extended leg. Touch your toes or reach as far as you can.

• Shoulder: Reach with one arm across your body, and bend at the elbow to create a 90° angle. To stretch, pull your elbow with your other arm closer to your chest.

stretch it Out

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July

Robert Hawes, MD, family practice physician

Every year, more than 6 million American men are diagnosed with some form of depression. Compared to the 12 million women who are diagnosed each year, it may seem like more women suffer from depression. The truth is, however, that many men go about their daily lives with unrecognized cases of depression.

“Depression cases in men have a high potential to continue undiagnosed,” explains Robert Hawes, MD, family practice physician on staff at Tift Regional Medical Center. “Men with depression often exhibit a different set of symptoms from women and are much less likely to visit a physician for assistance.”

Seeing the Signs

The root cause of depression is often a chemical malfunction or imbalance in the brain. Although the underlying cause may be the same, the condition exhibits itself very differently according to gender. In addition to the typical symptoms of a depressed mood, lack of concentration, insomnia, weight gain or loss, and feelings of worthlessness, men may exhibit symptoms that are difficult to link to depression. These symptoms are often behavioral and include:

• alcohol or substance abuse

• extreme anger or abusive behavior

• overworking or escapist behavior

• reckless behavior

• risky sexual activity

Asking for Help

Understanding men’s unique symptoms of depression is a vital step toward diagnosing and treating the troublesome condition. For depression to be managed, the assistance of a physician may be necessary. Unfortunately, many men may be opposed to visiting a doctor to discuss their symptoms. The reasons behind this reluctance are varied and may include embarrassment, difficulty discussing emotional topics, and simple refusal of treatment. Whatever the reason, it is important that men understand the implications of untreated depression and take strides to treat the condition.

“Many men may be reluctant to see a physician for depression because they see mental illness as a poor reflection of their masculinity,” adds Dr. Hawes. “The truth is, however, that depression is a serious medical problem and must be treated to help keep the condition controlled and managed. The risks of untreated cases of depression are tremendous, including a decreased quality of life and an increased risk for heart attack and stroke.”

Dr. Hawes practices with the Affinity Clinic and is on the medical staff at TRMC. He can be reached at (229) 391-4100.

Dialing In On Men’s DepressionDepression impacts millions of people across the United States. Although men and women both suffer

from depression, male sufferers often ignore symptoms, paving the way for a host of emotional and

physical problems.

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MOsT HOsPiTAL-sPiRiTeDKatie Lodge, Service Excellence Daniel Bailey, Employee Health

A Spotlight on Men’s HealthGet a head start on football season by joining Tift Regional Medical Center

for the Fifth Annual Men’s Health Event.

Following in the tradition of previous Men’s Health Events, this year’s celebration will include a high school football preview and health services that have made the event entertaining and rewarding in years past. Attendees will be provided lunch, have access to free health screenings, and get a preview of the upcoming football season.

The Men’s Event will be held in July at the UGA Tifton Campus Conference Center. Check out www.tiftregional.com for further details closer to the event date. No registration is required, but call (229) 353-6318 for more information.

Creating Positive HabitsYou can make simple lifestyle changes that will allow you to live an overall healthier and happier life. To help ward off depression, focus on these points:

• Eat a healthy diet. Proper nutrition will help you feel better and less likely to feel down or depressed.

• Exercise regularly. Research has shown that moderate exercise can reduce anxiety and stress levels, while also reducing some symptoms of depression.

• Minimize stress. Overworking and high stress levels can contribute to long-term cases of depression. Taking time to relax and enjoy your life will result in a more positive mood.

• Seek support. A strong network of friends and family members is essential to preventing depression. You should feel like you are able to talk about your feelings and emotions to those close to you instead of bottling things up.

It is important to remember that not all cases of depression can be prevented. The brain chemistry issue at the core of many depression cases can often be genetic and may require the assistance of a medical professional.

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Bottoms Up?

A lot of women enjoyed the occasional night of overindulging in mixed drinks at parties during their college years. The good news is that drinking a little too much at a few parties in your 20s won’t have a serious negative impact on your health today. However, even if you are overcoming an addiction to alcohol, you can take steps to lessen the impact of this problem.

A brisk walk around a local park most days of the week, which can help the brain replenish neurons harmed by binge drinking, may help you atone for some of the damage. Also, try to eat plenty of foods rich in vitamin B, including greens and whole grains, which can help lower the risks of certain cancers your drinking habits might have increased.

Most importantly, vow to drink in moderation only—or not at all.

No Butts about It

The Centers for Disease Control and Prevention estimates that one in six American women over the age of 18 smoke. More deaths are caused by tobacco use than all deaths from illegal drug use, alcohol use, human immunodeficiency virus (HIV), motor vehicle injuries, suicides, and murders combined. Whether you smoked for years or enjoy an occasional cigarette after a long day at work, it might impact your health.

“Smoking is responsible for 80 percent of lung cancer deaths in women,” says Lee Edmondson, MD, obstetrician/gynecologist on the medical staff at Tift Regional Medical Center. “Smokers are two to four times more likely to have a heart attack than non-smokers.”

Quitting smoking is one of the best things you can do for your health. Remember: Even a cigarette enjoyed in a social setting is unhealthy. People who quit smoking will see a dramatic decrease in their risk of developing both heart disease and lung cancer. In fact, after approximately 15 years of resisting the temptation to have a cigarette, a former smoker has roughly the same risk of developing lung cancer or heart disease as a non-smoker.

In the interim, discuss any respiratory problems with your physician and start getting plenty of aerobic exercise. Also, try serving up a spinach salad with your dinner. Diets that are high in antioxidants are healthy for the lungs.

The Not-So-Bright Side of Tanning

While it might seem “cool” to bake in the sun during the summer or seek a tan from a tanning bed, the long-term effects can wipe away the short-term perks.

“More than 1 million new cases of skin cancer are diagnosed each year,” Dr. Edmondson says. “The most serious and fatal type of skin cancer—melanoma—can be curable if diagnosed and treated early.”

The good news is that even if you only start protecting your skin today, you can still lower your risk of developing melanoma by applying SPF 30 sunscreen daily. Check your skin for suspicious moles—meaning spots that are asymmetrical, a strange color, bleeding, or painful—every month. Undergoing an annual skin check with a dermatologist may help catch any possible problems early, too.

Dr. edmondson practices at south Georgia Physicians for Women and is on the medical staff at TRMC. He can be reached at (229) 382-8822.

August


MOsT sTYLisHMachelle Baisden, Medical Staff Services Will Nesmith, Pharmacy

Lee Edmondson, MD, OB/GYN

Making Up f0r Past Health MistakesRemember those long summer days lying by the pool as a teenager? How about the smoking

habit it took you so long to break? Habits such as these can have a negative impact on a

woman’s health, but there are ways to reduce the damage.

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Annual Women’s event Want to improve your health and enjoy a fun day out? Mark the Tift Regional Medical Center Annual Women’s Event on your calendar. Scheduled for August, this exciting day will include screenings and an entertaining guest speaker. Plan to attend and bring a friend!

The Women’s Event will be held at the UGA Tifton Campus Conference Center. Check out www.tiftregional.com for further details closer to the event date. Registration is not required, but call (229) 353-6318 for more information.

save the skin You’re In Skin cancer is the most common form of cancer in the United States. Enjoy the days outside by pro-tecting yourself and your loved ones from the sun with the following tips.

• Avoid spending time in the sun between the hours of 10 a.m. to 4 p.m. by scheduling outdoor activities in the early morning or late afternoon.

• Apply sunscreen 30 minutes before you go outside.

• Cover as much skin as possible with long shorts and long-sleeved t-shirts when in the sun.

The sun can also cause your skin to dry and flake. To help keep your skin soft this summer, moistur-ize your skin daily. If sunburn does occur, wear loose clothes made of breathable fabrics, such as cotton, in order to help the burn heal.

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“There is no cure for the common cold or flu—which are both caused by viral infections—so prevention is key,” says Tibisay Villalobos, MD, pediatrician and pediatric infectious disease specialist on staff at Tift Regional Medical Center. “Taking steps to protect yourself from germs is the best place to start.”

Read on for some tips to keep germs away.

1. Practice healthy habits. Eating nutritious foods, exercising regularly, staying hydrated, and getting sufficient sleep can all help boost your immune system. Reap the most rewards by eating vitamin-rich fruits and vegetables and participating in aerobic exercise, such as walking, riding a bike, or jogging.

2. Keep your hands clean. Wash your hands regularly with warm water and soap throughout the day. If soap and water are not readily available, use an alcohol-based hand sanitizer.

3. Do not touch your mouth, eyes, or nose. If you touch a contaminated surface and then touch your face, you can put yourself at risk for catching a contagious illness. Talk with your children and explain to them how illnesses are spread, as this is a very common way for children to share germs.

4. Cough into your elbow or a tissue—not your hand. By coughing or sneezing into your hand, you can spread germs to others by touching shared surfaces. Instead, use a tissue or the crook of your arm.

5. Limit your time around people with colds or flu. When others are sick, it is important to limit the amount of time you spend with them so you don’t catch the illness as well.

6. Get vaccinated. Getting your annual flu shot is one of the best ways to prevent coming down with the flu. It is important for your entire family to receive the vaccination.

7. When you are sick, stay home. Although it can be very difficult given many people’s hectic schedules, the best way to recover after an illness and to prevent spreading it to others is to stay home. The Centers for Disease Control and Prevention recommends staying home until you have been fever-free without the use of fever-reducing medications, such as acetaminophen, for 24 hours.

Dr. Villalobos practices with Affinity Pediatrics and is on the medical staff at TRMC. she can be reached at (229) 391-4380.

September


MOsT HeLPFULJana Douglas, Payroll Bren Shepherd, Orthopedics

Tibisay Villalobos, MD, pediatrician and pediatric infectious disease specialist

Germs, Germs Go AwayWith the summer months coming to an end and school back in session, many

families begin spending more time indoors, which can make illness more prevalent.

Keep your family healthy this year by taking steps to protect your health.

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is it Allergies or Something More?Distinguishing between a cold and allergies can be difficult. Your physician may even have a hard time distinguishing whether your runny nose is due to a cold or exposure to allergens. By analyzing your symptoms—what you are experiencing and how long they last—you may be able to tell if what you are experiencing is from allergen exposure.

One way to tell whether it is a cold or allergies is to consider the duration of your symptoms.

While colds often resolve within a few days to a week, allergy symptoms will not resolve as long as you are being exposed to the allergen that triggered them. Also, while cold and allergies often share the same symptoms—runny nose, cough, and fatigue—there are some cold symptoms, including fever and body aches, which do not occur with allergies.

Protect Your Health. Get Vaccinated.The Centers for Disease Control and Prevention recommends that everyone over the age of six months receive a flu shot as soon as they become available each fall, generally during the month of October. While some may worry that getting a flu shot is unsafe, the truth is that the vaccine is your number one defense in protecting yourself and your family from the virus.

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Screenings for polyps and growths in the colon can prevent colorectal cancer. According to the American Cancer Society (ACS), this disease is the second leading cancer killer in the United States—but the good news is simple. You don’t have to be a victim.

People ages 50 and older are more likely to develop colorectal cancer, and the risk of the disease increases with age in both men and women. Other risk factors include having:

• a personal or family history of colorectal polyps or cancer

• certain genetic syndromes or hereditary nonpolyposis colorectal cancer

• inflammatory bowel disease

“Screening for colorectal cancer can save lives,” says Apurva Shah, MD, hematologist and oncologist on staff at Tift Regional Medical Center. “Through these screenings, physicians can remove growths or polyps that, if left intact, could develop into cancer. Also, the earlier cancerous cells are found, the easier they are to treat.”

Understanding the Signs

While early stages of colorectal cancer may show no symptoms, you can increase your awareness of the disease by understanding the symptoms. According to the ACS, these include:

• a change in bowel habits lasting more than a few days

• cramping or stomach pain

• feeling that you need to have a bowel movement that doesn’t fade after doing so

• rectal bleeding or dark stools

• unexpected weight loss

• weakness and tiredness

If you experience any of these symptoms, speak with your physician about appropriate screenings and treatments. Other conditions may be causing these irregularities, but it’s important to rule out colorectal cancer.

“Based on your uncontrollable risk factors, such as age and family history, your physician will recommend the screening method that will be most effective for you,” says Dr. Shah. “However, there are other healthy lifestyle choices you can make to lower your risk of colorectal cancer, such as quitting smoking, getting exercise, and eating a diet full of fruits and vegetables.”

Dr. shah practices with the Oncology Center at Tift Regional Medical Center and is on the medical staff at TRMC. He can be reached at (229) 386-1300.


CLAss CLOWNMichael Thompson, ICUTara Pearman, Emergency Department

October

Col0rectal Health 101It’s something we don’t like to talk about. However, the health of your

colon is just as vital to your well-being as the beating of your heart.

Apurva Shah, MD, hematologist and oncologist

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While some risk factors for colorectal cancer such as age or family history can’t be changed, you can take healthy lifestyle steps to decrease your risk of the disease. Follow these tips to promote overall health.

• Eat a diet full of fruits and vegetables. Certain diets have been shown to increase a person’s risk of cancer—those full of red meats, such as beef, lamb, and liver, as well as processed meats. Similarly, frying, broiling, or grilling meats has been shown to produce harmful chemicals that may increase a risk for cancer. Aim to incorporate more raw or lightly cooked vegetables into your diet.

• Exercise. The Centers for Disease Control and Prevention recommends adults get 150 minutes of exercise a week, and the benefits are abundant. A 10-minute brisk walk three times per day, five days a week can not only help reduce stress levels and lower blood pressure, but also helps reduce your risk of cancer.

• Maintain a healthy weight. Being overweight or obese could increase your risk for developing cancer. If you’re overweight, talk with your physician about finding a weight loss program that works for you.

Take Control

Screenings can be life-saving tools for detection of cancer. The Centers for Disease Control and Prevention (CDC) recommends individuals ages 50 through 75 be screened regularly for colorectal cancer. It’s important to talk with your physician about what test is right for your health, as each has different benefits.

• A high-sensitivity fecal occult blood test (FOBT) can detect blood in stool samples. These are typically administered annually.

• A flexible sigmoidoscopy gives physicians a view of the lower third of the colon and

rectum to look for polyps or cancer. The CDC recommends these be administered every five years. When screened with a FOBT, the FOBT is recommended every three years.

• A colonoscopy allows physicians to see the rectum and the entire length of the colon. This screening method also enables physicians to remove any polyps or cancers during the test. These are typically recommended every 10 years.

Preventive Screenings

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“It is important to talk about tough topics such as smoking, drinking, puberty, and sex, but don’t start there,” says Stephanie Russ-Barber, MD, pediatrician on the medical staff at Tift Regional Medical Center. “You should start by discussing simple, everyday topics. Ask your child about things such as his or her friends and hobbies, as well as how things are going at school.”

To avoid getting one-word answers, ask open-ended questions. Teens often don’t volunteer information, so it’s up to you to ask questions that will yield detailed responses. Consider the following chart as you revamp your conversation starters:

Talking Early OnBecause of media images and other factors, kids may be exposed to things such as sex, drugs, and smoking earlier than you were. Talking about everyday topics regularly may help your child feel more comfortable coming to you when tougher things pop up.

Don’t ask… Do ask…

Did you have a good day at school? What are you studying in math right now?

Did you sit with your friends at lunch? What did you do at lunch today?

Do you have a lot of homework? What did you bring home to work on tonight?

November

Knowing the Facts

When you show your teen you’re interested in his or her thoughts, feelings, and questions, he or she will feel more comfortable coming to you to talk about tougher subjects. Remember: Although dealing with certain topics is uncomfortable for you, it’s even more uncomfortable for your teen. Don’t avoid difficult talks because the only way you’ll know your child is dealing with situations in a way you’d approve of is if you’re willing to talk about them.

Dr. Russ-Barber practices with Children’s Medical Center and is on the medical staff at TRMC. she can be reached at (229) 391-3640.

Stephanie Russ-Barber, MD, pediatrician

Speaking the Same LanguageBoyfriends, girlfriends, driving, peer pressure—there are tons of things teens deal with as they grow

from children into adults. Although you may assume your teen would rather do anything but chat

with Mom or Dad, you might be surprised at how easy it can be to open the lines of communication.

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The Building Blocks of a BondAs your teen continues to gain freedom, he or she may be spending less time around the house—but don’t be discour-aged. You still have plenty of opportunities to bond.

Perhaps the best way to bond with your teen is to avoid forcing special moments. Your teen will pick up on the “awkward vibes” if you’re trying too hard, so take a more subtle approach.

We know it can be difficult to figure your teen out, but asking too many questions may do more harm than good. If your teen thinks you’re prying into his or her personal life, he or she may shut you out altogether. Use questions as conversation starters—not to play 20 questions.

Receiving Their Signals

Your teen is growing into a young adult and has developed his or her own unique interests and hobbies. Although your teen wants freedom, he or she also still needs recognition and praise. If he enjoys playing music or singing, take time to listen. If reading is her thing, consider checking out her favorite book series. You might even find you enjoy reading Bella Swan and Edward Cullen’s love story or that you have a new appreciation for jazz. Your teen will appreciate you showing interest in his or her hobbies and may begin to open up about tougher subjects.

Get Excited about staying in If your child is glued to the computer or the television, there

are ways to get him or her up and moving.

Although building blanket forts and finger painting might have been good options for indoor family activities 10 years ago, your teen probably wouldn’t be too thrilled if you suggested them now. Instead consider:

• cooking together. Have your teen help you make a healthy, hearty vegetable stew. You’ll have great opportunities to chat while chopping up fresh veggies—and you’ll also be teaching your child an important life skill.

• doing yoga. Purchase a couple of yoga DVDs, and clear out some space in your living room. Yoga enhances strength and flexibility and is beneficial for both teens and adults. If you find that you both enjoy the exercise, you may be able to keep up the healthy hobby throughout the year, either at home or at a gym.

• having a movie night. Invite your teen’s friends, and pile up with pillows, blankets, and popcorn. They’ll love having friends over, and you’ll have a great opportunity to learn about their interests, as well as how they interact with one another.


BesT COMMUNiTY VOLUNTeeRsJoy Davis, Outreach and Development Marty Freeman, Maintenance

“Palliative care is often mistaken for hospice care, but the two differ in several ways,” says Shantu Patel, MD, palliative care physician on the medical staff at TRMC. “The most important difference is that palliative care can be called upon during any point of a serious illness, not just for end-of-life care. Palliative care can also be provided in a variety of settings, including the hospital or home.”

The goal of palliative care is to improve a sick loved one’s quality of life as much as possible while he or she continues to receive treatment for the disease. Palliative care can help relieve unpleasant symptoms—including pain, shortness of breath, nausea, and insomnia—as well as improve patients’ ability to perform daily tasks and increase knowledge of their medical conditions.

A Team Approach

The key to palliative care is coordination and cooperation. When a patient’s primary physician refers him or her

for palliative care, the physician’s part in the patient’s treatment is far from over. The TRMC team—which includes a palliative care physician, physician assistant, pain management and palliative care nurses, Masters’ level social worker, and others—works with the patient’s physician to coordinate everything from pain management to home care.

Diseases including cancer, heart disease, kidney failure, and cystic fibrosis take a toll not only on those suffering from them, but also on their loved ones. One of the most beneficial aspects of palliative care is that the team provides support to families as well as patients. If you or a loved one needs help living with a serious illness, don’t delay—ask your physician for a referral to TRMC Palliative Care. Dr. Patel practices at Tift Regional Medical Center. she can be reached at (229) 353-6253. For more information about TRMC Palliative Care, visit www.tiftregional.com and select “All Departments and services.”

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December

I enjoyed having you

in Advanced Biology

this year. Continue to

study hard, and you’ll

become a doctor.

Thanks for helping me cram for my Spanish

test. You’re the reason I passed it!

No matter what, you’ll always be my best friend!

Shantu Patel, MD, palliative care physician

In your life, you wear many hats. You may be a spouse and a

parent, but you may also hold another title you didn’t plan

for—caregiver to your seriously ill mother or father. That’s

why Tift Regional Medical Center Palliative Care is here to

offer expert care to your loved one.

Finding Help and Hope with Palliative Care

Enjoying favorite seasonal foods is as much a part of the holiday season as stockings, carols, and twinkling lights. Some holiday staples, however, pack an unhealthy punch. Dips, for example, may be loaded with calories, saturated fat, and sodium, and everyone knows it’s tough to dip just one cracker or chip. Creamy soups may be hearty, but their saturated fat content hardly makes them heart healthy.

Other holiday favorites actually benefit the body. Green beans—when

boiled or steamed and not prepared with butter or cream sauce—harbor a host of vitamins, fiber, and minerals. Turkey is a low-calorie protein, and sweet potatoes are a good source of fiber and antioxidants.

To make some of your favorite, fat- or calorie-laden dishes healthier, simply replace some of the offending ingredients. Choose frozen or low-fat yogurt instead of cream when preparing pies, and try chestnuts instead of bread in your stuffing.

‘Tis the Season to Eat Wisely

Take Time to Give Back

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Don’t ever change!

See you next year!

Congratulations on getting valedictorian! I know you’ll do well in college!

The holidays are a time for giving, and for many people, that means performing acts of kindness and compassion for others. But did you know that playing the role of Good Samaritan has benefits for the body as well as the soul?

Several scientific studies have revealed that performing good deeds reduces stress and its unpleasant consequences, includ-ing faster breathing and heartbeats. Other studies suggest a link between perform-

ing acts of generosity and a boost in the body’s immune system.

This December, Tift Regional Medical Center is hosting the Tree of Life Lighting Ceremony. Dozens of generous individuals give back to the TRMC Oncology Center and Hospice of Tift Area by purchasing lights in memory or honor of loved ones every year. Do yourself a favor and find a way to give back this holiday season—your body, and those you help, will thank you.


MOsT eNeRGeTiCGwen Daughtry, PACU Chris Bush, Affinity Health Clinic

901 East 18th StreetTifton, GA 31794 www.tiftregional.com

PRSRT STDU.S. Postage

PAIDLynchburg, VAPermit No. 830

The material in this publication in no way seeks to diagnose or treat illness or to serve as a substitute for professional medical care. Please speak with your health care provider if you have a health concern or if you are considering adopting any exercise program or dietary guidelines.

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