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2 Healthy Horizons
4 An Ounce of Prevention2 Common Causes of Vision Loss
5 MCA Fitness CenterAny Age is The Right Age to Exercise
6 Center for Robotic Surgery at Baptist Medical Center East
13 The Right StuffAlabama Pathology Invests in Technologyto Improve Quality and Patient Safety
15 Know The Signs of a Heart Attack
18 Know Your FactsThe great news is that stroke can be prevented and most risk factors are controllable
19 Baptist Health and UAB Partner to Bring New Medical School
20 Massage vs. Bodywork
21 Don’t Let an Open Wound Get the Best of You
23 Robotic SurgeryExperience Makes the Difference
25 Stop Suffering: Tips For A Better Night’s Sleep.
28 Rules of the RoadAlabama Graduated Driver License Law
30 A Dad Made By God
31 Remedy For Stress
32 Have You Been Screened For Colorectal Cancer (CRC)?
33 A New Standard in the Imaging Community
35 What is Hog?
37 TROY Chancellor’s Invitational Golf Tournament Provides Fun and Fellowship For a Good Cause
38 Turkey Burner 5K
39 Endovascular Surgery - Healing From the Inside Out
40 Information at Your FingertipsHelpful Numbers of Area Services
Publishers
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Contributing Writers
Dr. ParmaJacob C. Laputka, LMT, CKTP
Richard O’Connor
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devoted reader. We are also very
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dream of health advocacy a reality. Inside this particular issue you will find articles related
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wo common causes of vision loss in the United States are
Macular Degeneration and DiabeticRetinopathy. Macular Degeneration is the most common cause of legalblindness in older Americans. It is estimated that one third of all seniorsaged 75 years or older have some formof this disease. Diabetic retinopathy isthe most common cause of legal blindness in middle-aged Americans. It is estimated that 4.4 million peopleover 40 years of age have this disease.
Macular degeneration comes in twobasic forms called “dry” and “wet.”Almost all people who develop the disease have the dry form. Dry macu-lar degeneration occurs when the vision cells of the macula “wear out.”The cause is strongly hereditary although environmental factors maycontribute to the development of thedisease. Figure 1 shows a normal macula (center part of the retina) whileFigure 2 shows a macula that is worndown by the disease. The macula canbe thought of as the center part of the“film in the camera.” Therefore, thisdisease only affects the center vision.Patients almost never lose all of theirvision. The side vision is unaffectedand this is important to understand because many elderly patients mistak-enly live in fear of developing totalblindness from this disease.
Wet macular degeneration occurswhen abnormal blood vessels growand bleed into the macula (Figure 3).This causes sudden vision loss unlikethe slow and progressive vision loss associated with the dry form. Of those patients with dry macular degeneration, approximately 10-15%will develop the “wet” form of the disease. It is important to notify yourdoctor immediately if you notice asudden blurring or distortion of vision
in one eye. This may be a sign thatbleeding has occurred. There are medicines that are commonly injectedinto the eye that can restore some ofthe vision loss in roughly 50% of patients if caught early.
There are several steps to take toensure keeping your best vision. First, you need to be examined byyour local eye doctor to see if you have the disease. If you do, discusswith your doctor whether you shouldtake vitamin supplements specificallytargeted to slow down the progressionof vision loss. The national standard ofcare for these vitamins is referred to asAREDS (Age Related Eye DiseaseStudy). Second, eat fish and greenvegetables at least twice a week alongwith a daily fish oil supplement. Third, maintain good health throughexercise and keep your cholesterol levels controlled. Finally, and most importantly, STOP SMOKING. It has been estimated that active smoking can increase the rate of visionloss by 300% – 500% with this disease.
Diabetic retinopathy is another common cause of vision loss. The highsugars and high blood pressure associ-ated with diabetes can cause the bloodvessels in the retina to leak fluid andcholesterol (Figure 4). This can causesevere and permanent vision loss. Furthermore, abnormal blood vesselscan grow into the retina causing a retinal detachment (Figure 5). There is a multitude of treatments availableincluding lasers, injections, topicaldrops and surgery to improve andmaintain good vision if this disease iscaught in time. Blood pressure, bloodsugar, and cholesterol control is alsoessential in ensuring your best visionwith this disease. As a general rule,every diabetic patient should see theireye doctor at least once a year.
An ofOUNCE PREVENTION
4 Healthy Horizons
T
1)
2)
3)
4)
5)
> Normal macula
> Macula has been worn down by disease
> Wet macular degeneration
> Retinal detachment
by Dr. Parma
MCA Fitness Center has been designing and monitoringpersonalized fitness programs for individuals in the River Regionwith an emphasis on health for over a decade.
History: founded for the community in 1996 by MontgomeryCardiovascular Associates as an extension of their services in cardiovascular health.
Philosophy:“Any age is the right age to exercise.” MCA specializes in adultand senior fitness. Senior fitness especially is an overlooked demographic. Yet fitness is so vital to quality of life and ultimately,independent living, which is a huge social issue today. We also believe fitness training for middle age and senior adults is an essential component of preventive care, another social and economic issue of the day.
Goal: To simply add to quality of life and improve health foreveryone through a personalized physical fitness regimen. MCA’s success comes when members, especially former cardiac,pulmonary and orthopedic patients regain their strength and qual-ity of life. MCA has faithful members in their 80’s and even 90’s.
Distinguished factors: MCA staff members are familiar with members’ health histories and take blood pressure before and afterexercise. They also check oxygen saturation and pulse. Secret ofsuccess: Personal attention and creating a friendly and comfort-able atmosphere. Some members come in street clothes and justadd gym shoes. Others come in for a real “sweat” workout. Every-one has their own style. There is no pressure, just encouragement.
Focus: Health and well being, both mentally and physically, with the recognition that the two are very interdependent. Every day, MCA sees how quality of life and attitude areimproved by its services.
Hours of operation:Mon. – Fri. 6am-7pm, Sat. 9am-2pm, Sun. 1pm-4pm.2119 East South Blvd.Next door to Baptist South Hospital334-280-1409www.mcva.com
MCA Fitness CenterMontgomery Cardiovascular Associates Fitness Center
MCA member Robert Scruggs has his blood pressure taken after excercising.
5
Dr. Gregory Waller, an OB/GYN atOB-GYN Associates of Montgomery,P.C., who has performed more than100 robot-assisted surgeries, has seen
the immediate improvement in his patient’s post-operative experience andrecovery time. Most women return tonormal activities, including returning to work, in as little as two weeks afterrobot-assisted hysterectomies. Traditional open hysterectomies usuallyrequire a six-week recovery time.
Dr. Waller also says he really enjoysusing the da Vinci robot to perform
surgery. He adds, “We want the community to know robot-assisted surgery is an option.”
Over time, the Center for Robotic Surgery at Baptist East will add additional specialties including urologyand general surgery with still more specialties joining the robot-assistedprocedures like ear, nose and throat, pediatrics and orthopedics.
Center for Robotic Surgery at Baptist Medical Center East
In late 2011, Baptist Health achieved the next level in minimally invasive surgery. The Center for Robotic Surgery at Baptist Medical Center Eastlaunched with the successful completion of three robot-assisted gynecologicalsurgeries. According to Peter Selman, Baptist East CEO, starting the roboticsprogram in the gynecology specialty makes sense because Baptist East is the recognized leader in Women’s Services in the River Region.
Adding the da Vinci robot for minimally invasive surgery is an important advancement for gynecological procedures. Gail Hughes, director of Surgical Services at Baptist East, says “The da Vinci robot allows a greater number of women needing gynecologic surgery to have the minimally invasive approach.”
Advantages of robot-assisted surgery include
small incisions, less blood loss, less post-
operative pain, shorter hospital stays and
faster recovery to normal activities
6
13
Today is a great day for patients served by Alabama PathologyAssociates, PC. Over the past year, the anatomic pathology laboratory has invested in new technology to become one of themost advanced anatomic pathology laboratories in the region.This includes the latest of Ventana Medical System/Roche Diagnostics’s VANTAGE, SYMPHONY and BENCHMARKULTRA platforms to form the technological backbone of theirMontgomery, Alabama laboratory. This allows Alabama Pathologyto barcode, track and re-confirm identity of each patient specimen,automate processes, and provide the best patient safety and quality possible.
Anatomic pathology involves a doctor (pathologist) examiningstained tissue using a microscope to determine at a cellular level if (and if so, what type of) cancer or another type of disease ispresent. After the patient’s biopsy arrives from surgery (or anoutpatient or physician office procedure), the process of trans-forming the specimen into a section of tissue on a glass slide involves multiple steps in which the tissue is transferred to a different media. Pathologists provide patients’ direct caregiversthe information they need to treat disease, so the quality andtimeliness of pathology results are a critical piece in the patientcare and treatment continuum.
VANTAGE BARCODE TRACKING SYSTEMIn 2011, Alabama Pathology began using lean principles to maximize their workflow. Lean has been used in manufacturingand service industries all over the world as a systematic method to improve processes and ensure accuracy. After maximizingtheir anatomic processes, they put the barcode technology solution in place.
With Vantage, when a specimen arrives at the Alabama Pathologylaboratory, the information about that patient is entered into acomputer only once, and electronically transferred throughoutthe process, which reduces the chance for errors. Vantage alsoprovides an electronic “double check” that the proper patient tissue is placed on the proper slide and allows the laboratory topinpoint exactly where each patient’s tissue is at any moment.
SYMPHONY H&E STAININGPLATFORM:In addition to implementing a barcodingsystem, Alabama Pathology uses a fullyautomated, one-touch H&E system thatreduces risk to patients and technologists,while enhancing laboratory productivityand specimen quality. Symphony is acritical component of the Patient Focused Solution as envisioned by thepathologists, and is the only H&E staineron the market with the ability to read
barcodes on a patient slide. Automated, individually barcodedslide staining reduces risk by virtually eliminating the possibilityof human error. When processing 150,000 slides per year, each one dealing with a patient’s tissue specimen, it is critical for a laboratory to have zero errors. In addition to being a component of the barcoding solution, the Symphony platformimproves slide quality. Fresh reagent chemicals are applied toevery slide, so staining quality remains consistent throughout the day. This level of consistent quality can’t be achieved withtraditional H&E staining methods. Symphony “Clear” stainingmedia also reduces laboratory staff and environmental exposureto hazardous chemicals.
BENCHMARK ULTRA SPECIAL STAINING PLATFORM:Certain complex cases require additional special staining to determine the proper diagnosis. The Benchmark Ultra platformimproves turnaround times and efficiency through Lean SixSigma “single piece flow” processing. The Benchmark platformallows Alabama Pathology to process all slides in each patient’scase together and eliminate manual sorting. It also allows techni-cians to immediately process STAT and late-arriving samples, andquickly respond to unexpected test requests without impactingother cases in process.
All this ensures fast delivery of slides to pathologists, which inturn means the patients’ primary care physician, surgeon, oncologist, or other provider has the information they need asquickly as possible.
What does Alabama Pathology’s use of this new technology meanto the patient? The laboratory is confident that the right tissue is on the right slide, and every patient gets the righttest result. This is now done with the fastest possible turn-around time and the assurance that each patient’s biopsy has beenhandled with the utmost care at every step in the process, toachieve the most accurate and timely results possible.
Alabama Pathology Invests in Technology to Improve Quality and Patient Safety
The Right Stuff
15
If there’s any chance you—or anyone
around you—is having a heart attack,
a wait-and-see approach is never a good
choice. Here are two reasons why:
1) The first hour after symptoms start is
the most dangerous time of a heart attack.
This is when your heart might suddenly stop
beating. Your very survival may depend on
the availability of medical help.
2) Doctors today have clot-busting drugs
and artery-opening procedures that can stop
or reverse a heart attack. These treatments
can limit damage to the heart. But to be most
effective, they must be given shortly after
symptoms appear.
Even so, most people delay getting emer-
gency help. Some let precious minutes slip
by because they falsely blame their symptoms
on something else. Still others are afraid of
feeling foolish if they go to the hospital and
learn they’re not having a heart attack.
Know these heart attack warning
signs2, and respond to them
immediately by calling 911:
CHEST DISCoMfoRT. This signature
heart attack symptom affects the center
of the chest and lasts for more than a few
minutes—or goes away and comes back.
Discomfort can feel like uncomfortable
pressure, squeezing, fullness or actual pain.
DISCoMfoRT ElSEwHERE IN THE BoDY.
The back, neck, jaw, or one or both arms
may be involved.
SHoRTNESS of BREATH. This may
accompany chest discomfort or come
before it.
SwEATINg, NAuSEA oR lIgHT-HEADED-
NESS. women in particular are prone to
these sensations.
Know The Signs of a Heart Attack
1 The Society of Cardiovascular Patient Care (SCPC), Dec. 2011
2 American Heart Association; National Institutes of Health
There are more than 100 hospitals in Alabama, but Jackson Hospital is one of only twelve that offer certified chest pain centers.1
In 2011, Jackson received full accreditation
from the Society of Cardiovascular Patient
Care (SCPC), an international organization
dedicated to eliminating heart disease as the
number one cause of death worldwide.
To become an Accredited Chest Pain Center,
Jackson Hospital engaged in rigorous evalua-
tion by SCPC for its ability to assess, diagnose,
and treat patients who may be experiencing a
heart attack. To the community served by
Jackson Hospital, this means that processes
are in place that meet strict criteria aimed at:
• Reducing the time from onset of symptoms
to diagnosis and treatment.
• Treating patients more quickly during the
critical window of time when the integrity of
the heart muscle can be preserved.
• Monitoring patients when it is not certain
that they are having a heart attack to ensure
that they are not sent home too quickly or
needlessly admitted to the hospital.
18 Healthy Horizons
The more you know about stroke, the better prepared you can be if it happens to you or someone you love.First, time lost is brain lost. Stroke isa condition that occurs when bloodflow to the brain is interrupted. Whenblood flow is blocked or lost, localizeddamage occurs, causing a stroke.
There are two main types of stroke,
ischemic and hemorrhagic. During anischemic stroke, the blood flow isblocked by a clot or narrowing of theblood vessel. Eighty percent of allstrokes are ischemic. A hemorrhagicstroke is when a blood vessel rupturesor breaks and causes bleeding in oraround the brain.
minutes matter in stroke care!
A person who receives immediate carehas a significantly better chance ofsurvival and recovery. Stroke isthe third leading cause of death. However, many people are unaware of the warning signs. Fewer than fivepercent of stroke victims reach a hos-pital in time to receive optimal care.
stroke symptoms include suddennumbness or weakness of the face,arm or leg; sudden confusion, troublespeaking or understanding; suddentrouble seeing in one or both eyes;sudden trouble walking, dizziness, loss of balance or coordination; or asudden, severe headache. Symptomscan vary depending on the severityand location of the damage and maygo away and return.
Stroke Risk FactorsWhat risk factors for stroke can’t
be changed?
Age. The chance of having a strokemore than doubles for each decade of life after age 55. While stroke iscommon among the elderly, a lot ofpeople under 65 also have strokes. Heredity. Stroke risk is greater if aparent, grandparent, sister or brotherhas had a stroke. rAce. African Americans have amuch higher risk of death from astroke than Caucasians. This is partlydue to higher rates of high blood pressure and diabetes in African Americans. gender. Stroke is more common inmen than in women. In most agegroups, more men than women willhave a stroke in a given year. However,more than half of total stroke deathsoccur in women. At all ages, morewomen than men die of stroke. Use ofbirth control pills and pregnancy posespecial stroke risks for women. prior stroke, tiA, or HeArt
AttAck. If you have suffered fromany of these in the past, you are at ahigher risk of having a stroke.
What stroke risk factors
can be changed, treated, or
controlled?
• High blood pressure • Tobacco use • Diabetes• Carotid or other artery disease • Atrial fibrillation • Other heart disease • Sickle Cell disease (also called Sickle
Cell Anemia)
• High blood cholesterol• Alcohol intake• Drug use • Poor diet • Physical inactivity and obesity • Obstructive Sleep Apnea (OSA)
ACT FASTIf you think someone you love is having a stroke use this acronym to check for signs of a stroke:
F is for Face. Ask the person to smile.Does one side of the face droop?
A is for Arms. Ask the person to raise both arms. Does one arm driftdownward?
S is for speech. Ask the person to repeat a word or sentence. Are thewords slurred?
T is for time. If the person shows anyof these symptoms, time is important.Call 911 immediately.
• Note the time the symptoms firststarted. In some patients a clot-bust-ing drug can be given to reduce braindamage if given within three hours of onset. • If you have stroke symptoms, imme-diately call 911. Do not drive yourself.• If you’re with someone who may behaving stroke symptoms, immediatelycall 911. Don’t take “no” for an answerbecause time lost is brain lost. • When communicating with 911 orthe hospital make sure and use theword “STROKE.”
know your facts{ }
Recently, Baptist South received recognition from The Joint Commission as a Primary Stroke Center, making the
hospital the first and only certified stroke center in Central Alabama. In fact, during the on-site survey by The Joint
Commission, Baptist Medical Center South received a perfect score in meeting all requirements of the designation.
The great news is that stroke can be prevented and most r isk factors are contro l lab le
Baptist Health and the University of Alabama at Birmingham School of Medicine
have announced the creation of a regional medical campus to be located at
Baptist Medical Center South.
The school is expected to enroll 10 third-year students beginning in May 2014;
20 third-year students and 10 fourth-year students in 2015; and beginning in
2016 and thereafter, 20 third-year and 20 fourth-year students will be enrolled.
“The UAB School of Medicine’s regional campus in Montgomery will help us continue to recruit and retain the best and the brightest physicians – helping increase thecare to our community while making a positive impact on the economy,” W. Russell Tyner, president and CEO of Baptist Health, said. “We are delighted to be a partner with UAB in expanding medical education and increasing the number of primary care physicians being trained in our state.”
Data show that doctors have a tendency to practice where they train: 44 percent of UAB medical students stay in Alabama for their residency; 57 percent of graduatesfrom regional campuses stay in Alabama to practice and 30 percent of them practice primary care in the state. At regional campuses in Huntsville and Tuscaloosa, 52 per-cent of graduates enter primary care. At the main campus inBirmingham, the majority of graduates, 74 percent, choose
non-primary care specialties.
Wick Many, M.D., former director of the Montgomery Internal Medicine Residency Program is the newly appointed regional dean of the Montgomery branch campus.
“It will be the mission of this campus to produce highly professional individuals who are clinically competent andcompassionate physicians,” Dr. Many said. “Though therewill be a focus on primary care, medical students who have a diverse vision for their professional future will receive thetools necessary for them to be successful.”
“The Montgomery campus will provide an option to staycloser to home for many medical students,” Many says. More than 7 percent of medical students at UAB came fromMontgomery and the surrounding counties; between 16 percent and 18 percent came from Southeast Alabama. “For these students, choosing the Montgomery campuscould help ease their debt burden if they can live at home,and they’ll have more family support,” Many says.
The new campus is a collaborative effort among UAB, Baptist Health, and
the city of Montgomery, and adds to the existing UAB Montgomery Internal
Medicine Residency Training Program, the UAB Selma Family Medicine
Program, and the Montgomery Family Medicine Residency Program.
Baptist Health and UAB Partner to Bring New Medical School to Central Alabama
19
In today’s culture massage has become synonymous with relaxation, and a
tranquil environment untouched by the hustle and bustle of daily concerns.
However, what if you are not really stressed mentally, but rather dealing
with discomfort and pain? Even more so, what if you are in chronic pain?
Though a good massage can help take the “ache” out of a sore back or hip,
it never seems to last longer than a few days. The question becomes “what
more can be done?” To answer this question, I would like to share with you
an introduction to the world of Bodywork.
Advanced therapy techniques and methods have been in use as far back
as the sixties and seventies! Some bodywork techniques are Structural
Integration/Rolfing®, Myofascial Release, Neuromuscular Therapy, and
The Feldenkrais Method® just to name a few. A bodyworker relies on this
improved anatomy and physiology education to provide assessments of a
client’s body, allowing the session to be very detailed in its approach, and
provide not only better pain relief, but longer lasting results!
Hands on techniques for bodyworkers differ greatly from that of an average
massage therapist. Bodywork techniques are very focused and geared to-
wards releasing what is called “soft-tissue.” The simplest way of describing
soft-tissues is a ground substance that gives shape to all your muscles, as
well as the organization of bones, organs, and nerves. Bodyworkers directly
engage and manipulate this underlying tissue, releasing areas where the
tissue has become restricted or “tight,” and in so doing, the therapy allows
the body to reestablish healthy organization and function.
Now you might be thinking, “Why have I never heard of this before?”
In the last decade a very large body of evidence has been developing
thanks to the hard work of very diligent researchers, and has shed light on
the benefits of many of these advanced therapy
methods; as a result, therapists all over the country have begun to adopt
and apply these advanced techniques and methods into their practice.
The company I personally work for, Hands On Healing Inc. (HOH),
located in Montgomery, AL is one such business that is changing the
face of the massage therapy industry.
Hands On Healing shares a focus amongst its therapists of treating
conditions based on causes, not symptoms. Rather than have a client
come to our studio to receive “just a massage” (even though we could
provide such a service), each session is instead focused on assessing
a client’s conditions and complaints as something specific to their body.
This eliminates “cookie-cutter” techniques, providing better results from
each session, and also allows the therapist to work in a more one-on-one
environment with the client, offering long-term treatment options and
continued improvements over time.
If chronic pain has been an issue for you at any point in your life,
I encourage you to explore the vast environment and options that
are offered by bodyworkers. This little known field of therapy may be
the very step you’ve been looking for to get your health back on track,
and keep it there.
— Jacob C. Laputka, LMT, CKTP
Massage vs. Bodywork
20
our skin isn’t resilient to every cut, scrape or puncture.
Sometimes wounds can be pesky and hard to heal.
It’s important to seek medical attention when wounds show
sure signs that they are not healing. This may include pain,
swelling, heat or blistering.
TreaTmenT OpTIOns
There are many methods for the treatment of chronic
wounds. Compression pump therapy and gradient stockings
to reduce fluid buildup are among the most important
long-term treatments. Physical therapy such as deep
neuromuscular stimulation, ultrasound, and whirlpool
therapy are also often recommended for cleaning the wound
and removing dead tissue.
Aggressive wound treatment including the removal of
nonviable tissue through topical medication, bedside treat-
ment or even surgical excision, can be most beneficial in
stimulating improvement in a chronic wound.
HyperbarIc Oxygen THerapy
one of the unique therapies available to patients at the
Jackson Hospital wound Care Center is Hyperbaric oxygen
Therapy. The only center in Central Alabama to offer this
option, oxygen therapy can be used to manage problem
wounds caused by diabetes, circulatory problems, and other
conditions. During hyperbaric oxygen therapy a patient
breathes 100 percent oxygen while relaxing in a pressurized
chamber. This delivers high concentrations of oxygen to the
blood stream and the wound bed, which rapidly accelerates
the healing process.
Dr. Randy Cook, medical director of the Jackson Hospital
wound Care Center confirmed the life-changing nature of
advanced wound healing therapies, which is exciting news
for wound patients. “we are able to offer something not
previously available. Being able to save a patient’s limb is
unquestionably the most rewarding thing that we experience
with hyperbaric oxygen and we see it a lot.”
For more information about hard to heal wounds,
contact the Jackson Hospital Wound care center
at (334) 293-8138.
Don’t Let an Open Wound Get the Best of You
It’s important to seek medical attention
when wounds show sure signs that they are not healing.
This may include pain, swelling, heat or blistering.
21
UAB Health Center
MontgomerySuite 202, 2055 E. South Blvd, Montgomery, AL 36116
Tel. 334-284-5211 • 1-888-467-0765 (toll free)
Leslie Harris Jr., MD
Internal Medicine
W. J. Many Jr., MD
Infectious Diseases
Jyoti Samant, MD
Infectious Diseases
Amit Sharma, MD
Hospitalist
Jewell Halanych, MD
Internal Medicine
Lori White, MD
Internal Medicine
Do you have trouble
sleeping? Are you feeling
tired during daytime
hours? If so, you are
definitely not alone.
According to a national
survey, almost 35 percent
of respondents reported
difficulty sleeping. If you
have difficulty falling
asleep or staying asleep through the night, you may
have insomnia.
Insomnia is a term used to describe impaired sleep.
That can mean trouble falling asleep, trouble staying
asleep, or simply experiencing sleep that is poor in
quality. If any of these problems occur despite having
an adequate opportunity to sleep and result in
decreased daytime performance, then the diagnosis
of insomnia is made. Insomnia should not be
confused with sleep deprivation, which is intentional
(and sometimes miserable!) or a result of lifestyle
or occupation.
Insomnia can be a short-lived problem,
often due to specific life stresses. It may
also become a chronic condition, with
some people reporting months or even
years of troubled sleeping patterns. In
general, people who report symptoms
of insomnia also report decreased
quality of life, poorer self-reported health, and
greater difficulty performing daily tasks when com-
pared to those who do not have insomnia. Patients
who develop insomnia are also more commonly
affected by depression, anxiety and drug abuse.
Fortunately, for those who suffer from poor sleep
and impaired daytime functioning, there are treat-
ments available. Basic treatment strategies consist
of behavior modification therapy, medications, or
a combination of the two. While some more
advanced behavioral therapy may require the
guidance of a clinician, here are a few things you
can do at home to improve your sleep patterns:
Maintain a regular sleeping
schedule. Your body operates
on Circadian rhythms and these
rhythms can be thrown off by
highly variable sleep-wake schedules.
Avoid caffeine, alcohol, and other stimulants like
nicotine before bedtime.These substances can
impair sleep function. It is best to refrain from
use within 4 hours of your expected bedtime.
Decrease the amount of other stimuli when
preparing for bed. Turn off lights, televisions,
computers, or other distractions.
Exercise regularly, but do it well before bedtime.
Regular exercise promotes better sleep, but exercis-
ing within 4 or 5 hours of expected bedtime can
delay sleep onset.
If you are unable to fall asleep, get
out of bed. Try to relax for 20
minutes and then return to bed
and try to fall asleep again. If you
are not tired, don’t try to force
sleep. Lying in bed wide awake can create fear of
poor sleep and this fear grows stronger the longer
someone lies in bed without falling asleep.
If these techniques are unhelpful, you may wish
to discuss your sleep patterns with your doctor.
Certain prescription and over-the-counter
medications can be used to treat insomnia, and
you should discuss this option with you physician
before starting any new medications. Other
“natural” remedies have been promoted to treat
insomnia, but these should also be discussed with
your doctor to address potential side effects and
interactions with other medicines.
Insomnia is a common, yet very treatable ailment.
If you are affected by poor sleep, then seek help.
More productive days are ahead of you!
Stop Suffering: Tips For A Better Night’s Sleep.
23
In medical matters, bigger isn’t always better. from pills to needles to scars, we’ll take
the smallest we can get. That’s also true of surgical incisions. And the very smallest of
which are likely to come when a doctor uses the da Vinci® SiHD™ surgical system—the
latest in robotic-assisted minimally invasive surgery.
Minimally invasive surgery is a technique that allows a skilled surgeon to operate through a
series of tiny openings, instead of one larger cut. Smaller cuts come with potential benefits
for the patient, such as less discomfort and a quicker recovery.
But with all technology, it is only as good as the people who use it. Since launching its
robotics program in 2008, Jackson Hospital has become the River Region’s robotic surgery
leader. with 10 surgeons and a surgical team in place for more than three years, use of
the system has quickly grown performing more than 500 gynecologic, urologic and general
surgery procedures.
An extension of the surgeon’s hands, the da Vinci SiHD places a surgeon’s hands at the
controls of a state-of-the-art robotic system allowing surgeons to perform the most complex
and delicate procedures through very small incisions.
The robot is made up of two main parts: a cart and a console. The cart stands next to the
patient. It features up to four robotic arms. Three can be fitted with a wide array of surgical
instruments, and the fourth is equipped with a sophisticated 3-D camera.
A few feet away, the surgeon operates while seated comfortably at a console viewing a
3D image of the surgical field. The surgeon’s fingers grasp the master controls below the
display, with hands and wrists naturally positioned relative to his or her eyes. The system
seamlessly translates the surgeon’s hand, wrist and finger movements into precise, real-time
movements of surgical instruments inside the patient. And with the Si System and its new
dual consoles, two surgeons can operate simultaneously on more complex cases.
Every action is directly controlled by the surgeon. The robotic arms cannot be
programmed to move on their own.
Although it’s not suitable for every procedure, the da Vinci system allows surgeons
to perform complex operations through incisions the size of a dime.
Benefits for the patient may include:
• significantly less pain
• Less blood loss
• Less scarring
• shorter recovery time
• a faster return to normal daily activities
• and in many cases, better clinical outcomes
Robotic Surgery
Experience Makes the Difference
Robots Help MakeSurgery Safer
among the benefits of the
da Vinci surgical system is one
that ranks high on everyone’s list:
saFeTy. Here are some ways
robotic surgery can help make
operations safer:
Less pHysIcIan FaTIgue.
Instead of standing over a patient
for hours, a doctor operates while
seated at a nearby console.
FeWer unInTended
mOVemenTs by the surgeon’s
wrists and fingers. These move-
ments are filtered by robotic
controls. makers of the da Vinci
system say its movements can
be more precise than those of
the human hand.
a cLearer LOOK for the
physician. The doctor views the
procedure through a high-tech
optical system that allows images
to be magnified as needed.
muLTIpLe sysTem cHecKs
durIng prOcedures.
The system performs millions of
self-checks during each surgery.
If a problem is detected—or if
there’s a power failure—the system
shuts down in a way that lets the
surgeon remain in control.
Robotic surgery has revolutionized our ability to perform major urologic procedures
in a minimally invasive way,” says Brian Richardson, MD, a urologic surgeon
with the Jackson Clinic. “The robotic surgical system provides the surgeon with
better vision than the human eye, better precision than the human hand, and a
platform to translate those advantages into better patient outcomes.
”
“
25
When your teen gets a driver’s license, it’s important to setsome rules of the road beyond the relevant driving laws. Byclearly defining your expectations before you hand over thecar keys, you’ll reduce the risk of frustrating conflicts, costlycrashes and other problems. What’s more, you’ll feel moreconfident about your teen’s safety.
“The American Academy of Pediatrics recommends that adriving contract be signed between parents and their childwhen a teen is first learning to drive,” said Dr. Kathy Monroe,Emergency Medicine physician at Children’s of Alabama.“These are great tools because they initiate important topicsto talk about before the car keys are relinquished.”
The rules you establish may cover a wide range of factorssuch as seatbelts, passengers, curfews, and dealing with distractions like cell phones. Try to involve your teen in the process of creating the rules and consequences. Thiseliminates gray areas and stresses that you take the rules seriously and your teen should too.
Texting and Driving Inattentive driving is becoming more of a problem as people“multitask” by talking on the phone, texting or checkingmessages as they drive.
When people text while behind the wheel, they’re focusingtheir attention — and often their eyes — on something otherthan the road. In fact, driving while texting can be more dan-gerous than driving under the influence of alcohol or drugs.
The problem is multitasking. The human brain just isn’t capable of doing several things at once and giving full attention to all of them. So you can get into some majordanger if you text in situations that require your full focus.
Nighttime DrivingEase teens into driving after dark. While many states’ provisional licenses don’t require teens to be home untilmidnight, you might want to set an earlier curfew, then extend it as you see fit. Driving at night is even more dangerous for new drivers.
SpeedingMake sure that your teen driver understands the consequencesof speeding — how it can lead to potential deadly crashes,costly tickets, demerit points associated with tickets, and revoked driving privileges. Consider making your youngdriver responsible for paying speeding tickets and any insurance rate hikes they cause.
SeatbeltsStudies show that teens are the least likely age group to wearsafety belts, so it’s important to stress the importance ofwearing them. Make buckling up a rule for your teen and allpassengers. Nearly every state fines drivers and passengers fornot wearing seatbelts, sometimes as much as $200!
Drinking and DrivingTeens should understand that driving under the influence of drugs or alcohol — or getting in the car with someonewho is — can be a fatal mistake. Encourage teens to call for a ride — regardless of the time or whether they’re somewhere off-limits — and promise to withhold punishment and questions.
Weather ConditionsSet ground rules with your teen about which conditions areOK to drive in and which aren’t. Explain that if he or she isdriving and a strong storm starts, it makes sense to pull offthe roadway and wait it out — even if curfew is compromisedbecause of bad weather, safety always comes first.
And from time to time, get in the passenger seat while yourteen drives. This will give you a sense of how comfortable heor she is behind the wheel — and how comfortable you arehanding over the keys. Creating rules for the road now canhelp build a foundation for safe driving that your teen willhave forever.
For more information about this or other health and safety topics,
visit www.childrensal.org.
Rules of The Road
Reiterate to your child that while they are behind the wheel, the phone needs to be put up completely.
Teens are the least likely age group to wear safety belts
28 Healthy Horizons
30 Healthy Horizons
Although many people will influence our lives for betteror for worse, there are those certain few that will affectus on a greater scale than all others. One of the peoplewho has the potential to make an indelible print on ourlives forever is our father. And each man who decidesto become a father must realize that with the titlecomes a grand responsibility. God certainly helps fathers with the information to become the men theyneed to be. The word of God is filled with divine guidance for every father. Let’s notice one such passage as God describes the making of a dad inProverbs 20:3-7: “It is honorable for a man to stop striving,
since any fool can start a quarrel. The lazy man will not
plow because of winter; He will beg during harvest and have
nothing. Counsel in the heart of a man is like deep water,
But a man of understanding will draw it out. Most men will
proclaim each his own goodness, But who can find a faithful
man? The righteous man walks in his integrity; His children
are blessed after him.”
DaDs NeeD PaTIeNCe (v. 3) - One translation of this passage says, “It is an honor for a man to remain farfrom strife; but every fool shows his teeth.” We haveall seen angry and irritable dogs who showed theirteeth, but what kid wants to be around an irritable dadwho is constantly growling at them? God’s dad worksto make his personality one that is positive and patientand demonstrates the characteristics of his heavenly father. A constant prayer of each father should be:“Lord, help me control my temper, help me to demon-strate more love for my children and may they see mesmile at them more and more.”
DaDs NeeD To Work HarD (v. 4) - I have often said thatmy dad is the hardest working man I have ever beenaround. I still believe that to be true. He helped usboys to learn not to be afraid of working hard anddoing your best at what you do. Too many fatherstoday go to work and then come home and plop downin front of the T.V. for the rest of the night thinkingtheir job is done. But God’s dad knows that the Wordsays, “redeem the time” and that spending time withchildren is all part of a day’s work. Although my dad
worked very hard, he always had time to throw the ballwith us in the backyard and to be at all of our events. Agood dad knows hard work doesn’t end at the job site,but that it continues at home with the wife and kids!
DaDs NeeD To Be FaITHFul (v. 6) - God’s dad is a faithful man. Many men will state their love for theirwives and children - but how do they demonstrate thatlove? Is it with time spent with them in meaningfulconversation or activities? Is it taking time to help meetthe emotional needs of his family? Is he taking the roleof the spiritual leader in the home? This world needsmore faithful dads - but more importantly your homeneeds a faithful dad!
DaDs NeeD To Be rIgHTeous (v. 7) - “The righteous
man walks in his integrity.” Living righteously is morethan simply attending church services. It is living a lifeof integrity committed to Jesus Christ. Being a discipleof Jesus includes being dedicated to His word, toprayer, which equates to learning more about Him and asking for the power to become more like Him!
May God bless all of our dads with the determination to enhance their lives and become more like their heavenly Father. And by doing so make the lives of their children immeasurably better by them having a dad made by God.
A Dad Made By God
“... help me to demonstrate more love for my children and may they see me smile at them more and more.”
By Richard O’Connor
The bottom line to success or failure in dealing with stress is
the simple matter of how we react to it.
Regardless of where the stress originates, or what the causes
may be, the important thing for all of us as individuals is to
learn how to deal with it. “Casting all your care upon him,
for he cares for you” (1 Pet. 5:7). The cure for care is casting!
Casting it upon the Lord. Christians should be, generally
speaking, the most relaxed people on earth. The Lord
promises that He will strengthen us if we “wait” on Him:
“He giveth power to the faint; and to them that have no
might he increaseth strength. Even the youths shall faint and
be weary, and the young men shall utterly fall: But they that
wait upon the LORD shall renew their strength; they shall
mount up with wings as eagles; they shall run, and not be
weary; and they shall walk, and not faint” (Isa. 40:29-31).
This is the proper form of relaxation when dealing with
problematic and stressful situations.
Give your heart to Jesus, slow down, and relax! Jesus prom-
ised: “These things I have spoken unto you, that in me ye
might have peace. In the world ye shall have tribulation: but be
of good cheer; I have overcome the world” (John 16:33).
Remedy for Stress
31
CRC is the second leading cause of cancer deaths among all Alabamians andthe leading cause of cancer deaths amongnon-smokers. Both men and women canget it and it is most often found in people50 or older. However, CRC is largely preventable through routine screening.The body sometimes makes abnormalgrowths or polyps in the colon; occasion-ally these polyps change to become cancer. Screening tests can find polyps sothey can be removed before they have achance to turn into cancer. Screening alsohelps find cancer earlier when it is easierto treat. If you are 50 or older and havenot been screened, it is time to talk toyour doctor.
getting screened is probably easier
than you think. There are several types ofCRC screening tests that have beenproven effective. For average risk peopleaged 50 to 75, the United States Preven-tive Services Task Force (USPSTF)
recommends three different test options:1) a colonoscopy every 10 years;
2) a sigmoidoscopy every five years
with a high sensitivity fecal occult blood
test (FOBT) or fecal immunochemical
test (FIT) every three years;
3) a high sensitivity FOBT or FIT annually.
Any of these options are equally effectivein saving lives. (People who are at higherrisk for CRC may need to be screenedearlier or more frequently.)
the Fit is an easy way to be screened
for crc. The FIT is a take-home test thatfinds hidden blood in the stool, whichmay be evidence of polyps. This takehome test is more accurate in finding orruling out disease than older types ofstool tests. The FIT is not expensive, itcan be completed at home, and it doesnot require time off from work or trans-portation arrangements. Additionally, theFIT does not require you to change yourdiet or medications. To complete a FIT,
you would use a kit provided by yourdoctor to collect a tiny sample of stoolwhich you return to your provider or alaboratory. If the test is positive, acolonoscopy is needed.
Many medical conditions are beyond ourcontrol. However, colorectal cancer isone of life’s complications you can helpavoid simply through regular screeningand polyp removal. Precancerous polypsand early stage colorectal cancer don’t always cause symptoms. This is whyscreening is so important. Please makeCRC screening a priority for yourself oryour family members.
For more information about screening for CRC with FIT, visit the Alabama FITWAY Colorectal Cancer PreventionProgram website at adph.org/fitway. The FITWAY Program is funded by the CDCto increase CRC screening rates statewide.
Have you been screened for colorectal cancer (crc)?
Screening could save your life.
32 Healthy Horizons
SINCE OPENING IN OCTOBER2008, Jackson Imaging Center hasbeen on the cutting edge of diagnosticimaging technology. A joint venturebetween Jackson Hospital and Radiol-ogy Group, PA, the Jackson ImagingCenter is a 13,500 square foot, all digital, free-standing facility reflects the very best in convenience, personalpatient care and imaging technology.
The days of waiting for a patient’smedical records are over. Partnershipwith Jackson Hospital gives JacksonImaging Center several advantagesover a non-hospital affiliated facility.One advantage is the ability to accesspatient's records electronically throughthe hospital physician portal. Thephysician portal allows the referringphysician to instantly view a patient’sentire medical history with a click of amouse. A physician can refer a patientfor any number of imaging tests, andbefore the patient leaves the center, adoctor can view all images and studiesin real time from the comfort of homeor private office. This system allowsphysicians to share a patient’s medicalinformation with ease and convenience.
The use of electronic medical recordshas made other means of patientrecord keeping obsolete. Simply put,any exam preformed on the hospital’s
campus is automatically scanned andstored as part of the patient’s medicalrecords. Jackson Hospital campusphysicians are not the only ones tobenefit from this access. Jackson Imaging Center and Jackson Hospitalhave partnered with other local hospitals and physicians, allowing participating facilities the ability toview patient’s records. This ease ofrecords sharing is critical for patientcare when time is of the essence. Theexchange of information electronicallyis also enormously beneficial to our ra-diologists who read from multiple sitesall across Alabama.
We have all heard the old adage thatit’s not wise to keep all your eggs inone basket. However, from a patient’sprospective, having “all your eggs inone basket” is a good thing. The ability to have all necessary imagingstudies performed at one centralizedlocation allows for better continuity of care. Recently, a patient was sent to Jackson Imaging Center for a computed tomography (CT) scan ofthe chest to diagnose the origins of a persistent cough. The radiologist
diagnosed the patient with acute bronchitis. Two weeks later, the samepatient returned for a repeat CT scanbecause the symptoms were worse.
What was previously diagnosed as asimple case of bronchitis had evolvedinto a serious case of pneumonia.
Fortunately, the patient’s physician referred to Jackson Imaging Center forthe repeat study. Because the patientstayed in the Jackson system, the radiologist was able to compare thecurrent CT scan to the pervious exam.This allowed the radiologist to see acomplete picture of the patient’s over-all medical condition and, in return,render a better diagnosis. Had the patient not been seen again at theCenter, the radiologist may or may nothave had the ability to compare priorstudies, which could have resulted in aless than accurate diagnosis.
Jackson Imaging Center provides patients and physicians with conven-ience and continuity of care in a facilitythat houses the latest technology in the area. As medicine continues to advance, better equipment, softwareand imaging techniques to see insidethe human body are a necessity. Jackson Hospital’s partnership withthe Jackson Imaging Center allows fora solid financial backing that givesJackson Imaging Center the ability toupgrade and purchase the latest stateof the art imaging equipment and soft-ware. Jackson Imaging Center is acomplete, all digital diagnostic facilitythat utilizes all imaging modalities, andproudly offers our patients a completeand comprehensive experience.
A New Standardin theImaging Community
33
What is HOG? Harley-Davidson® established the Harley Owners
Group® (HOG) in 1983 in response to a growing desire by Harley® riders
for an organized way to share their passion and show their pride. The HOG
is a group of fellow Harley-Davidson® motorcycle owners and enthusiasts
who have a passion for Harley-Davidson motorcycles and a common goal to
“Ride and Have Fun.” There are over a 1,000,000 HOG members world-
wide and over 1400 HOG Chapters in 60 countries!
What is the Montgomery HOG? The Montgomery Chapter (# 0046) is
one of nearly 1,400 chapters located throughout the world. Each Chapter
must have a sponsoring Harley-Davidson dealership, and Montgomery HOG
is fortunate to have one of the best, Tim Russom, the owner of Montgomery
Harley Davidson. The local membership is nearly 250 members. You will
meet some of the best new friends you could ever hope to meet.
What Montgomery HOG is not? The Montgomery HOG is not a
“controlling” organization. You can choose to participate to whatever
level you wish. What you get out of your membership (meetings, rides,
fellowship) is entirely up to you.
HOG and Montgomery HOG Charity
work? The National HOG works with
Harley-Davidson, and is a major fundraiser
for the Muscular Dystrophy Association
(MDA). Many millions of dollars have been
contributed over the years in the name of
Harley-Davison nationwide. Locally, we are
proud of this heart-warming relationship and
have annual, Montgomery HOG Chapter
fundraising activities in support of MDA.
We also have an annual MDA Camp ASCCA
Ride, where Chapter members and dealership employees spend an after-
noon visiting with MDA kids at the camp near Jackson’s Gap, AL. Another
favorite of the MDA families that participate is a Harley-escorted ride to the
annual ZooBoo festivities at the Montgomery Zoo. A Christmas party is
also held for the children each year.
For many years, the HOG chapter has provided a number of local foster
program children with a special Christmas party. Working closely with the
AL Department of Human Resources, specially purchased gifts are given to
each of the children after Chapter members escort a Harley-riding Santa to
the location of the party. This is always a great time for the children, their
foster families, and the HOG Chapter members.
The Chapter also partici-
pates in a community out-
reach event held by the
Montgomery Chapter along
with the Harley-Davidson
dealership. An annual
Disabled American Veterans
weekend where the “DAV”
van is parked at the dealership to meet with Veterans as needed. A special
lunch is prepared for those who attend, and the Montgomery Fire Dept
proudly flies a humongous American flag over the location.
Along with the many activities, events, and rides that are planned and
scheduled by the local chapter, many of its members participate in rides and
events in support of other motorcycle organizations. Several people have a
heart for charity organizations and will choose to support those causes as
well. There aren’t many weekends throughout the year when you won’t find
a member riding somewhere for a “cause” or just to eat and fellowship.
WHAT IS HOGBUYING A HARLEY-DAVIDSON IS LIKE BECOMING PART OF A FAMILY
The Montgomery Chapter (# 0046) is sponsored by
Tim Russom, the owner of Montgomery Harley Davidson.
35
OUR COMMUNITY
Troy University Chancellor Jack Hawkins, Jr.,played in the tournament alongside
State Rep. Alan Boothe of Troy, his son, Jason Boothe,
and Dick Pridgenof Nashville, Tenn.
• ABOVE: The Vision Insurance Group team consisted of David Bronner, Angel Rodriguez,
Bruce Hodges and Pat Mathews. • ABOVE RIGHT: Participants in the opening ceremony
included Miss Troy University KeLeigh Edwards of Smiths Station, retired Frazier Memorial
United Methodist Church pastor John Ed Mathison, Lonnie Cochran, campus director
of TROY’s Fellowship of Christian Athletes and Chancellor Hawkins. • RIGHT: Attorney
Gibson Vance, a TROY alumnus and a member of the University’s Board of Trustees, and
Cory Phillips with Forge Consulting were members of the Beasley Allen Law Firm team.
(TROY photo/Kevin Glackmeyer)
TROY Chancellor’s Invitational Golf Tournament provides fun, fellowship for a good causeTroy University’s annual Chancellor’s Invitational Golf Tournament was held Wednesday, Sept. 12, in Prattville with proceeds goingto support the TROY chapter of the Fellowship of Christian Athletes and an endowment to support its continued operation. /The tournament was held at the Robert Trent Jones Golf Trail Capitol Hill Golf Course. About 30 teams and more than 100 golfersrepresenting local businesses and organizations took part in the event. / The tournament raised funds toward an endowment that will support the University’s Fellowship of Christian Athletes chapter, which provides mentoring and spiritual guidance for TROY’smany athletes. The FCA at TROY is led by campus director Lonnie Cochran. / Chancellor Jack Hawkins, Jr., said the event benefits a worthy cause while also providing an excellent opportunity for fellowship among alumni and friends of the University.
37
38 Healthy Horizons
The Peppertree Center Turkey Burner is one of the largest and most fun 5Ks in the River Region. This annual event is alwaysheld on the Saturday before Thanksgiving.
The Turkey Burner course takes you through the Halcyon and Wynridge neighborhoods in East Mont-gomery. While it is a fast course (last year’s winner,Campbell Wallace, finished in 15:26), there are some nicerolling hills to keep it interesting. The course is USATFcertified. There is also a one mile fun run for the kids.This race is known for its unique long sleeve shirts(changing every year) and a great after-party; with a livejazz band, lots of food, plenty of vendors and custommedals for age groups and trophies for the winners.
The Peppertree Center Turkey Burner has always beenabout more than just a 5K. Since the first race in 2000,this event has collected cans for the Montgomery FoodBank. As the race has grown, so has the impact. Twoyears ago, the race was put under the umbrella of MMSCharities (mmscharities.org). This nonprofit organiza-tion puts on multiple endurance events around the RiverRegion with the sole purpose of raising money for localcharities. Last year over 700 lbs of food was collected bythe participating athletes. On top of that, MMS Charitieshanded the Food Bank a check for $1,000. Parke Hinman, the executive director of the Montgomery Food Bank said “We greatly appreciate the support weget from the Turkey Burner run. For every dollar we receive to support our operation we can provide 6.5 lbsof food to the hungry. Thus, the 702 lbs and $1000supported our mission to the tune of 7,202 lbs.”
Also last year, Urban TREC, a local Montgomery home-less ministry was given $1,000, two dozen wool blanketsand a dozen pair of wool gloves. Jeff McFarland, presi-dent of Urban TREC (trecmud.com) said “I really appre-ciate all those who participated in and helped put on andsponsor the Turkey Burner. It was fun to watch andcheer on all those who came out. The blankets andgloves were passed out during the first cold spell of thewinter and the money was used to buy space heaters forthose whose homes didn’t have heat.”
Peppertree Center has alreadystepped up to sponsor the 2013Turkey Burner on November 23.Race Director Leigh Ann Richard-son says “I never dreamed whenwe started this race in 2000 that itwould grow to what it is today.People have embraced this race
and the purpose of the race. The race takes place at a timeof year that people are looking to give and the TurkeyBurner fits perfectly. We are always looking to make eachyear a little better for the participants. Our wheels are already turning for 2013.”
You can register for this year’s race at montgomerymultisport.com under events.
A recovery that’s as speedy and pain-free as possible—this
is a key goal of endovascular surgery, a minimally invasive
treatment for blood vessel problems, which are often serious.
There are many types of vascular disease that can be
treated with endovascular surgery, including Peripheral
Arterial Disease (PAD), aneurysms and varicose veins.
“If you develop crampy pain in your calves when you walk
or develop foot wounds that are difficult to heal, you may
suffer from PAD or inadequate blood supply to your legs
due to blockages in the arteries,” says Vladimir Zahardnik,
MD, a vascular surgeon with the Jackson Clinic. “This can
be treated now with angioplasty, and stenting or arthrectomy
which excise the built-up plaque. This is all done through a
groin stick slightly bigger than an IV catheter.”
endovascular surgery is also used to repair aneurysms—
weak spots in blood vessels that bulge and could burst and
cause deadly bleeding. often the surgery treats aneurysms
that form in the aorta, the body’s largest artery. A surgeon
makes small incisions in the groin so that a tiny tube called a
stent graft can be guided through blood vessels to the
aneurysm. The stent graft is then expanded and anchored in
place inside the aorta. It reinforces the weakened section
of the vessel, helping to keep the artery from bursting.
In contrast, conventional aneurysm surgery requires a major
incision. Doctors cut into either the chest or the abdomen,
depending on where the aneurysm is located. Next, they
remove the fragile section of the aorta and replace it with
synthetic material.
Varicose veins are another common type of vascular
disease, and physicians use endovenous ablation for treat-
ment. During this procedure, radiofrequency or laser energy
is used to cauterize the lining within the vein, damaging it
and causing it to collapse, shrink, and eventually disappear.
This technique typically takes less than 30 minutes to
perform, and is done on an outpatient basis. In the past,
varicose veins were typically treated by painful stripping
procedures in which the damaged vein section was cut
and then removed from the leg.
If you have symptoms that may indicate a problem with your
blood vessels, talk to your physician about it and about minimally
invasive treatment options through endovascular surgery.
Endovascular Surgery - Healing From the Inside Out
39
40 Healthy Horizons
Information at your fingertips.
Helpful numbers of area services.
emergency diAl 911
Alabama Bureau of investigation
334-353-1100
Alabama one call
1-800-659-6242
Bureau of Alcohol
1-800-659-6242
csx transportation police department
1-800-232-0144
montgomery police (non-emergency)
334-241-2700
crime stoppers
334-262-4000
drug Helpline
1-800-662-4357
elmore county emergency
management Agency
334-567-1155
prescription drug Assistance
1-800-762-4636
poison control
1-800-462-0800
1-800-292-6678
police department
334-241-2708 (Montgomery)
334-285-3700 (Coosada)
334-227-4331 (Fort Deposit)
334-361-3671 (Prattville)
334-567-5321 (Wetumpka)
sheriff’s office
334-832-4980 (Montgomery)
334-365-3211 (Autauga)
334-567-5227 (Elmore)
state troopers
334-270-1122
elder ABuseelder Abuse Hotline
1-800-458-7214
Family sunshine center
334-206-2100
utilities
electricityAlabama one call
1-800-659-6242
Alabama power company
1-800-245-2244
dixie electric company
334-262-2946
natural gasAcme propane gas
334-288-4441
Allgas inc of montgomery
334-265-0576
After Hours emergencies
1-800-660-8683
emergency service
334-832-4477
telepHoneBellsouth
1-888-757-6500 (Residential)
1-866-620-6000 (Business)
wAterelmore water Authority
334-285-6109
montgomery water works Board
334-206-1600
pintala water and FpA
334-288-5054
montgomery water works
334-206-1600
HospitAlsBaptist medical center east
334-277-8330
Baptist medical center south
334-288-2100
central Alabama veterans Health care system
west campus
334-272-4670
children’s of Alabama
205-939-9100
griel Hospital
334-262-0363
Healthsouth rehabilitation Hospital
of montgomery
334-284-7700
Hill crest Behavioral Health services
1-800-292-8553
Jackson Hospital
334-293-8000
long term Hospital at Jackson
334-240-0532
montgomery surgical center
334-284-9600
prattville Baptist Hospital
334-365-0651
southeastern psychiatric management
334-409-9263
uAB Healthcare center of montgomery
334-284-5211
AmBulAnce servicescare Ambulance services
334-262-2550
Haynes Ambulance
334-265-1208
AmBulAnce services-AirA Acls Advanced Air Ambulance
1-800-633-3590
References: Retrieved December 2, 2011 from The
Real Yellow Pages, Montgomery, May 2011.
Disclaimer: Healthy Horizons provides this re-
source directory free of charge. Healthy Horizons
strives to assure that the information contained in
this directory is accurate and up to date. However,
the user is advised that Healthy Horizons does not
endorse the organizations listed in this directory,
nor does exclusion in this directory signify disap-
proval. The consumer is strongly encouraged to
seek information from the organization and assess
if this organization meets your particular needs.
41
Adult dAy cAreAlzheimer’s and dementia day care334-272-8622
eastside Adult day care center334-261-1975
parkview Adult day care Health services334-262-4111
Adult educAtionAsu div of continuing education334-229-4686
Alabama career center334-286-1746
Aum continuing education334-244-3804
central Alabama laubach literacy council334-264-1239
ged program, nehemiah center334-369-3774
troy university334-241-8654
AmBulAnce servicescare Ambulance services334-262-2550
Haynes Ambulance334-265-1208
AmBulAnce services-AirA Acls Advanced Air Ambulance1-800-633-3590
Assisted living FAcilitiesAngels for the elderly –specialty care334-270-8050334-279-6111
Autumn place334-285-1996
Belmont334-273-0110
caravita village334-284-0370
central Alabama nursing & Freedom Home care334-262-8156
central Alabama veterans Health care system334-272-4670
country cottage Assisted living334-260-8373
gardens of wetumpka Assisted living334-514-4839
country cottage334-260-8373
elmcroft of Halcyon334-396-1111
golden living center-skilled nursing Facility334-263-1643
Hickory Hill334-361-5111
oak grove inn334-215-8881
south Haven Health & rehabilitation334-288-0122
waterford place – specialty care334-288-2444
wesley gardens retirement community334-272-7917
cAncer cAre centerscancer care center of montgomery334-281-7710334-273-8877
cancer care center of prattville334-358-7791
montgomery cancer center337-872-2336
cHiroprActorsAlabama Back pain clinic334-265-4800
Alabama chiropractic Association334-262-2228
Alabama Family chiropractic clinic334-834-6282
Alabama injury & pain clinic334-281-7246
Alabama orthopedic specialist pA334-274-9000
Back to Health chiropractic334-271-0353
Bell Family chiropractic pc334-514-4977
Brock chiropractic334-288-1170
chiropractic care center334-265-7123
chiropractic center334-262-4877
east montgomery chiropractic center334-272-7746
Health star chiropractic334-356-1111
Henderson chiropractic clinic334-872-4470
Hollowell chiropractic clinic334-393-4425
kirby chiropractic334-277-2225
montgomery neck & Back center pA334-272-3030
sadler chiropractic334-819-7222
shiver chiropractic clinic334-393-9355
zink chiropractic & wellness center334-270-3333
clinicAl psycHologygrandview Behavioral Health334-409-9242
uAB Health center334-284-5211
constructioningram construction334-244-1440
eAr nose And tHroAtAll ears Hearing center334-281-6327
central Alabama ear nose and throat Associates334-284-1870
ent Associates of Alabama pA334-284-5470
montgomery otolaryngology334-834-7221
elder lAwclenney & palmer llc334-262-0400
davis & neal Attorneys at law334-244-2097
esco & Benson, llc334-832-4529
pitts & zanaty334-244-0181
reneau & thornton334-567-8488
shinbaum, mcleod, & campbell334-269-4440
endocrinology cAreuAB Health center montgomery334-284-5211
Fitness centersmcA Fitness center334-280-1409
HeAltH centerseast montgomery Family practice334-271-5700
grandview Behavioral Health334-409-9242
river region Health center334-420-5001
uAB Health center334-284-5211
HeArt centerscardiology Associates of montgomery334-264-9191
montgomery cardiovascularAssociates334-280-1500
river region cardiology334-387-0948
southeastern cardiology consultants334-613-0807
Home HeAltH servicesAbundant life Home & Healthcare334-396-6826
Abba Home care service334-284-4878
Alabama At Home334-213-1188
Alabama department of public Health334-206-5300 – Montgomery
Alacare Home Health & Hospice334-272-3538 – Montgomery334-361-3472 – Prattville
Amedisys Home Health334-272-0313 – Montgomery
At Home medical334-264-5454
42 Healthy Horizons
Baptist Home Health334-395-5100
central Alabama nursing & Freedom Home care334-262-8156
choice source therapeutics montgomery334-215-8484
elmore county Health department334-567-1171
Freedom Home care334-262-8156
Home instead senior care334-215-9577
Hospice of montgomery334-279-6677
innerfit inc.334-262-6878
intrepid usA Healthcare services334-270-7913
ivy creek Home Health334-567-7710
kelly Home care services334-395-6734
respite care Foundation334-264-3002
HospiceAlacare Home Health & Hospice334-272-3538 – Montgomery334-361-3472 – Prattville
Amedisys Hospice of montgomery334-395-7789
Baptist Hospice334-395-5000
Hospice of montgomery334-279-6677
southeast Hospice network334-260-2916
HospitAlistuAB Healthcare center of montgomery334-284-5211
HospitAlsBaptist medical center east334-277-8330
Baptist medical center south334-288-2100
central Alabama veterans Health care system334-272-4670
children’s of Alabama205-939-9100
griel Hospital334-262-0363
Healthsouth rehabilitation Hospital of montgomery334-284-7700
Hill crest Behavioral Health services1-800-292-8553
Jackson Hospital334-293-8000
long term Hospital at Jackson334-240-0532
montgomery surgical center334-284-9600
prattville Baptist Hospital334-365-0651
river region Health center334-420-0651
southeastern psychiatric management334-409-9263
HospitAlizAtion, medicAl & surgicAl plAnsAll kids334-206-5568
Bluecross and Blueshield of Alabama—montgomery office334-244-1117
imAgingintegrated magnetic imaging334-271-1345
Jackson imaging center334-834-3671
inFectious diseAsesuAB Health center montgomery334-284-5211
internAl medicineuAB Health center montgomery334-284-5211
mAssAge tHerApistsAdvanced massage therapy334-274-0013
doug’s 2 salon-spa334-396-7120
enchanted Healing334-399-7999
Hand’s on Healing334-279-4263
mt connections montgomery334-396-1491
montgomery school of Bodywork & massage334-270-9340
natural Healing by vitamins plus334-356-8195
peaceful solutions334-356-7772
meAls on wHeels/nutrition centersgeneral nutrition centers334-271-5671—Eastdale334-269-4462—Montgomery334-213-2462—Sturbridge334-265-1133—Maxwell AFB334-872-4696—Selma Mall
montgomery Area council on Aging334-263-0532
nellie Burge community center334-264-4108
medicAl equipment & suppliesAriel Home medical334-612-2100
At Home medical888-567-5454
custom medical solutions334-273-9993334-271-3818
medical place inc.334-262-4283
midstate medical services inc.334-263-6034
precision cpAp334-285-6120 (Prattville)334-396-4110 (Montgomery)
precision medical solutions llp334-260-3767
prehab diabetes services334-270-1630
secure Health334-270-1342
turenne pharmed co334-244-0200
neurosurgeryneurosurgery & spine Associates334-281-6990
nursing Homesrehab First & capitol Hill Healthcare center334- 834-2920
cedar crest nursing Home334- 281-6826
Hillview terrace nursing Home334- 272-0171
John knox manor ii nursing Home334- 281-6336
prattville Health and rehabilitation llc334- 365-2241
south Haven Health and rehabilitation334- 288-0122
sunbridge at merrywood lodge334-567-8484
woodley manor Health & rehabilitation334- 288-2780
ortHopedicsAdvanced orthopedic surgical specialists pc334-262-0523
east montgomery orthopedic334-260-2288
east Alabama orthopedics & sports medicine334-396-8410
Jackson Hospital orthopedic & Joint center334-293-8020
montgomery spine center334-396-1886
pAtHologyAlabama pathology334-263-6228
pediAtricsAll About kids334-277-5431
montgomery pediatrics Associates334-260-9129
professional pediatrics334-271-5959
partners in pediatrics334-272-1799
pediatrics Healthcare334-273-9700
physicians to children334-277-6624
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pHArmAciesAdams drugs334-264-3496—Adams Avenue334-386-9370—Copperfield Road334-281-1671—McGehee Road334-272-0802—Mitchell Drive334-277-4800—Vaughn Road334-358-5353—Prattville334-567-5136—Wetumpka334-386-3501—Millbrook334-288-5532—Medicine On Time
Baptist tower pharmacy334-286-3200
city drug334-263-6144
proHealth334-270-0700—Montgomery334-358-1644—Prattville
richardson’s pharmacy334-262-5775
springview drugs334-285-6705
target stores pharmacy334-356-6440
the medicine shoppe334-264-1110—Montgomery334-358-1630—Prattville
walgreen drug stores334-409-0611—Brown Springs Road334-270-0757—Perryhill Road334-286-6678—Woodley Road
winn-dixie334-277-9676
pHysiciAn FinderBaptist Health334-273-4444
prescription AssistAncepartnership for prescription Assistance1-800-762-4636
primAry medicineAlabama department of public Health1-800-438-5383
east montgomery Family practice334-271-5700
Family care Associates334-244-4322
montgomery primary medicine Associates334-286-2390—Montgomery334-361-7306—Prattville
river region Health center334-420-5001
tri county industrial medicine334-260-8565
reHABilitAtion centersBaptist medical center eastcomprehensive therapy center334-244-8345
capilouto center For the deaf334-244-8090
cedar crest nursing Home334-281-6826
excel rehabilitation llc334-532-0220
golden living center montgomery nursing & rehabilitation center334-262-1430
Healthsouth rehabilitation Hospital of montgomery334-284-7700Hillview terrace nursing Home334-272-0171
Jackson Hospital-physical therapy334-293-8158
montgomery east physical therapy pc334-244-5892
rehab First and capital Hill Healthcare center334-834-2920
rehab Associates334-244-4098334-272-8255
renascence inc.334-832-1402
south Haven Health & rehabilitation334-288-0122
sunbridge at merrywood lodge334-567-8484
tallassee Health & rehabilitation llc334-283-3975
woodley manor nursing Home334-288-2780
sAFety equipmentAlabama safety Bath/dream Bath of Alabama334-312-1825
senior centers & servicescrump community center334-240-4547
Home instead senior care334-215-9577
mAcoA334-263-0532
ombudsman program central Alabama Aging consortium334-240-4666
parkview Adult day Health services334-262-4111
st. Jude social services334-269-1983
south central Alabama development commission334-244-6903
sleep disorder centersBaptist medical center south sleep disorders334-286-3252
central Alabama sleep center334-514-5515
Jackson sleep disorder center334-264-0222
support groupsAlabama Family ties334-240-8437
Family guidance center334-270-4100
Frazer united methodist churchcounseling clinic and grief support334-272-8622
mental Health America in montgomery, inc.334-262-5500
montgomery metro treatment center334-288-5363
montgomery therapeutic recreation center334-240-4595muscular dystrophy Association of Birmingham1-800-525-6793
sAFy (for victims of Abuse, neglect and Family crisis)334-270-3181
trAnportAtioncapital Area transit334-262-7321
dubose express & co.334-467-1005
Haynes Ambulance of Alabama334-265-1208
mAcoA334-263-0532
re transportation334-271-2244
st. margaret’s services334-262-0784
transit management montgomery334-240-4021
volunteer & information center334-264-4636
volunteer opportunitiesmAcoA- senior services334-263-0532
montgomery Area ymcA’s334-262-6411—Southeast
334-365-8852—Prattville
wHeelcHAirs-liFts, & rAmpscentral Alabama mobility, inc.334-514-6590
midstate medical services inc.334-263-6034
phase iii mobility (Handicapped and wheelchair vans)334-281-2160
sylacauga Handicapped inc.1-888-249-3717
the scooter store334-984-0169
wound cAre centersJackson Hospital wound care center334-293-8000
References: Retrieved December 2, 2011from The Real Yellow Pages, Montgomery, May 2011.Disclaimer: Healthy Horizons provides this resource direc-tory free of charge. Healthy Horizons strives to assure thatthe information contained in this directory is accurate andup to date. However, the user is advised that Healthy Hori-zons does not endorse the organizations listed in this direc-tory, nor does exclusion in this directory signify disapproval.The consumer is strongly encouraged to seek informationfrom the organization and assess if this organization meetsyour particular needs.
If you or yourorganization is notincluded in thislisting, please call256-235-1957 to haveit added before thenext addition.