MPMC: Healthbeat - The Daily Dispatch - Jan. 25, 2012

A1 HB 1Q12 6-TAB

Maria Parham HealthbeatA publication of Maria Parham Medical Center and The Daily Dispatch January 25, 2012

Maria Parham Medical Center, a Duke LifePoint Hos-pital, has always been your partner in health in our com-munity. We are very pleased to offer eHealth, an online tool for you to manage your health, get the very latest healthcare news, and personalize health topics for you and your fam-ily. eHealth is your complete health management tool. It’s free and it’s available online, anytime, anywhere.

eHealth consists of several healthcare tools including:

• My Health Newsletter — Each month you’ll receive an e-newsletter that you have designed around only the top-ics that matter most to you.

• My Health Reminders and My Health Reminders for Loved Ones — Receive reminders of appointments and recommended health screenings.

• My Health Assessments — Interactive health and well-ness questionnaires.

• My Baby Expectations — What to expect guide for all stages of pregnancy.

The best part of the My Health Newsletter is that you can design the newsletter to include any health related topic that you want to read about. You can also change it at anytime — adding or sub-tracting topics as you see fit. Currently, there are over two dozen health topics available. These stories are not hand-picked stories from MPMC, but medically-reviewed, cur-rent health news/ar ticles from 350+ sources, delivered monthly to your inbox.

When you subscribe to My Health Newsletter, you also get free access to My Health Reminders. Not only is My Health Reminders great for helping you with your upcom-ing appointments, it will show you, based on your age and gender, CDC (Centers for Dis-ease Control) recommenda-tions for periodic exams, tests and more. If you would like to include other members of your family, you can. My Health Reminders for Loved Ones allows you to add information about loved ones so that they may also receive the same types of health reminders and CDC recommendations.

My Health Assessments is yet another health tool available on Maria Parham’s eHealth. My Health Assess-ments includes comprehen-sive health and wellness tools that give expert health and wellness recommendations based on easy-to-use inter-active questionaires. Each

assessment meets rigorous editorial standards to provide you with accurate and trust-worthy health and wellness information.

Are you expecting or know someone who is? MPMC is pleased to offer a specialty newsletter just for you. My Baby Expectations is custom designed to grow with you from the time you discover that you are pregnant to your baby’s first birthday. This pro-gram includes pertinent infor-mation about each step of your pregnancy, checklists to help prepare your home for your newest family member, as well as, educational information on important topics such as SIDS and breastfeeding.

Also included as part of Maria Parham’s eHealth are Medline and MedlinePlus — programs that utilize trusted health information from the National Library of Medicine and the National Institutes of Health. You can research

health topics, drug informa-tion and even look at medical illustrations.

How do you sign-up for Maria Parham’s eHealth? There are two easy ways to sign-up for this exciting health tool:

• Go to www.mariapar-ham.com/ehealth and click on “Click Here”. You may also go to www.mariaparham.com, click on the green box with the letter “p” and then click on “Click Here”.

• Call (252) 436-1800 and talk to a member of Maria Par-ham’s Community Relations team. We will ask you a few questions as we sign you up for eHealth. You will need to know your email address and we will send you an email con-firmation and link so you can go to Maria Parham’s eHealth.

If you have additional questions, or if you would like more information, feel free to give us a call at (252) 436-1800.

Introducing Maria Parham’s eHealth

Pollen exposure can be limited by spend-ing less time outdoors, especially on windy and high pollen count days.

Asthma is still a serious disease. The number of deaths from asthma is not decreasing in spite of better medi-cines. In fact, the trust people have placed in these effective medicines may be the cause of delays in seeking treatment for some severe attacks.

But preventing attacks is as impor-tant as treating them, and often eas-ier. A person can frequently control some of the triggers which cause asthma.

Animal danders are a controllable source of asthma attacks. Cats are the traditional cause, with “cat asthma” being well-known. If a person is aller-gic to cats, then cats must be kept out of the house. Horses, dogs and birds can also cause problems. Feather pil-lows should be avoided.

More serious problems occur with dust mites and molds. These are con-stantly present, although the quantity may vary. Starting the furnace will

SEE ASTHMA/PAGE 2

Decreasing asthma

triggers: easier than treatment

2 The Daily DispaTch HealthBeat WeDnesDay, January 25, 2012

A2 HEALTHBEAT

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(252) 492-8021800-331-6744










Henderson, NC 27536


(252) 492-8021800-331-6744










Henderson, NC 27536


(252) 492-8021800-331-6744







www.fourcountyeyeassociates.medem.comProviding Services To Our Communities For Over 36 Years

FROM THE FRONT PAGE

st i r up dust and mo lds tha t have accumulated dur-i n g t h e s u m m e r months. Dust mites and molds can be limited by keeping the house cooler and dr yer during the summer months.

Pollen exposure can be limited by using air condition-ers and spending less time outdoors, especially on windy a n d h i g h p o l l e n count days. Chemi-ca l i r r i t an ts can usual ly be avoid-ed. These include c igar e t te smoke , industr ia l chemi -cals and even food

additives.I n f e c t i o n s a r e

a common trigger of asthma attacks, e s p e c i a l l y v i r a l in fect ions . Whi le these infections can not always be avoid-ed, some can be pre-vented by avoiding unnecessar y expo-sure to crowds dur-ing flu season. Get-t ing a pneumonia vaccine and a yearly flu shot is also very important, especial-ly for anyone over 65.

Go to www.lun-gusa .or g to f ind valuable information on how to decrease your asthma trig-gers and about the overall treatment of asthma.

ASTHMAAny arthritis is trouble-

some, but rheumatoid arthritis is the kind that is considered “crippling.” This is because of the severe changes that take place in the hands and other joints if it is not treated. The good news, however, is that with the medicines we have avail-able today, the crippling changes are far less com-mon.

The cause of rheumatoid arthritis is unknown, but it is possible that it is brought on by a type of virus. A virus or some similar factor dis-turbs the person’s immune system so that it begins to attack the person’s own tis-sue. With the immune sys-tem attacking the tissues of the joints, inflammation occurs. This leads to swell-ing and eventually damage

to the joint capsule, cartilage and bones.

Today, physicians often give very potent medicines early in the disease’s devel-opment to limit the damage from inflammation. These medicines are called “dis-ease-modifying antirheumat-ic drugs” or DMARDs and they can prevent many of the crippling joint changes if they are started in the first

six months or year of the ill-ness.

Speak to your doctor to find out how you can learn to cope with arthritis or check out www.arthritis,org for more information. If you do not have a doctor or are looking for a specialist, go to www.mariaparham.com and click on Physician Finder to locate the doctor who is right for you.

Treat “crippling” arthritis early on

Accidental burns are very common — nearly everyone has had one at some point. Most are just minor burns that do not require any spe-cial care. Larger burns, how-ever, can be very serious.

Most burns are caused by direct heat (flames or hot objects), although some are caused by electricity or chemicals. Even sunburns can cause first and second degree burns.

The first step in caring for a burn is to cool it off. Quick-ly apply cool wash cloths or place the burn in cool water. This helps stop the reaction

and decreases the pain and burning. Remove rings and jewelry which may obstruct circulation if swelling occurs.

You should have all burns checked by your doctor. Burns that seem mild at first may develop second-ary infections or scarring. The face and hands are par-ticularly important to treat appropriately to prevent any unnecessary cosmetic prob-lems or limited function of the fingers or hands. A teta-nus shot may be necessary as well.

Many burns have asso-ciated injuries that may go

unnoticed because of the pain of the burn. This may include trauma and lacera-tions from falls or explosions, or lung damage from smoke inhalation.

Dress the wound in clean, dry sheets. You do not need to apply any oint-ment because this will need to be cleaned off by your doctor, adding to the discomfort. Antibiotic creams can be applied after the wounds are clean.

If the burn is caused by a chemical, first aid includes prolonged irri-

gation with water to dilute and wash away the chemical. Electrical or lightning burns are particularly troublesome because of internal injuries that are much worse than what appears on the surface. These need immediate atten-tion and prolonged follow-up.

First aid tips for healing burns

The Daily DispaTch HealthBeat WeDnesDay, January 25, 2012 3

Think back to the last time you picked up your child or grandchild. Or the last time you prepared food at your h o u s e . O r even the last time you used the bathroom at home. Did y o u w a s h your hands p r o p e r l y b e f o r e y o u pick up the child, before you touched the food or the utensils or after you’ve used the facili-t ies? Surprisingly, or perhaps, not surpris-ingly, the most common answer would probably be “No.”

Proper hand washing (or hand sanitizing) is the single most impor-tant factor in preventing the spread of germs. The

g o o d n e w s is that hand washing has never been easier. With today’s new hand washing liquids, foams and wipes, we are no longer t ied to the

sink and traditional soap and water. Of course, nothing beats the old soap and water when your hands are dirty.

However, you may be

SEE GERMS/PAGE 10

A3 HEALTHBEAT

Getting the germs off of your hands and keeping them off

When using hand sanitizers, it is very important to read the directions to effectively kill germs.


A4 HEALTHBEAT

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Beckford Medical Centers

One of the most con-troversial topics in sports today is the treatment of players with potential con-cussions. A lot has been made in recent years about the life-long effects of such injuries — and deservedly so. Concussions do not occur just on the playing field, they can occur almost anywhere.

A concussion is often considered a minor injury. After regaining conscious-ness, everything may seem to be back to normal again. But sometimes there are temporary changes that may last for weeks or months, or even become permanent. Head injuries can be more serious than one might think.

Nearly one person in

three will develop sig-nificant symptoms after a concussion. The common symptoms include head-aches, decreased hearing and poor coordination. Many of the symptoms, however, are hard to quan-tify or even identify. These include dif ficulties with memory, feelings of light-headedness, irritability, changes in personality and a short attention span.

While these changes are difficult to identify, they do affect a person’s life. In one study, one third of persons with minor head injuries had lost their jobs within three months of their inju-ry. Over half had persistent headaches and problems with memory.

It also appears that after

having one concussion, a person is at higher risk of having more. This may be due in part to the person’s lifestyle, but may also be due to an increased sensi-tivity of the brain to further injuries.

After multiple concus-sions, a person may begin to show cumulative effects of brain injury. It is also harmful to have two con-cussions in close succes-sion. A syndrome called the “second concussion syndrome” is especially dangerous to children and teenagers, and has caused a number of deaths. It is advisable for children to avoid contact sports for a month after the first con-cussion, and a few months after a second concussion.

‘Minor’ head injuries don’t exist

Concussions are not minor injuries: they may have lasting consequences that change your life. Always see your doctor if you have had a head injury.

The Daily DispaTch HealthBeat WeDnesDay, January 25, 2012 5A5 HEALTHBEAT

Vance Medical Arts, 511 Ruin Creek Road,

Suite 101 Henderson, NC 27536

252-492-8576

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1018 College Street Oxford, NC 27565919-693-9998

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Certified Nurse Practitioner

Jon Clark, director of Respiratory at Maria Parham Medical Center, administers a Pulmo-nary Function Test to a patient.

How can you tell if your lungs are working up to par? It is not always easy. Asthma or infec-tions can cause a signifi-cant decrease in breath-ing capacity before any wheezing or s y m p t o m s appear, or a person can b e c o m e s o accustomed to a lower level of activity that it seems nor-mal to him.

S m o k i n g can cause the gradual onset of emphysema with a great loss of lung capac-ity before any symptoms reveal the problem.

The best way for a person to identify these changes at an early stage, when treatment is most

ef fective, is by doing a lung function test called spirometr y. This test involves breathing into a machine which measures the speed and volume of air flow. Healthy lungs

can move a large volume of air quickly. U n h e a l t h y lungs move air slowly. The test is not only useful in diag-nosing a prob-lem, such as emphysema or asthma, but it is also useful

in following the progress of an illness.

When a person begins a medicine it is good to know how well it is work-ing. This can easily be determined by check-ing the lung function test

after using the medicine for a couple weeks. If there is no improvement, an increase in the dosage or a change to another medicine may be indicat-ed.

Since asthma is com-pletely reversible, a per-son should be able to raise his lung function tests up to the predict-ed level for his age and weight. Spirometry will indicate when the maxi-mum improvement has been reached.

Your doctor can order lung function tests and tell you exactly where you stand. For a list of physicians in the area who can help you live a healthier life, check out MPMC’s website, www.mariaparham.com or call (252) 436-1800 to request information.

Lung tests can very be helpful

Smoking can cause the gradual onset of emphysema with a great loss of lung capacity before any symptoms reveal the problem.


A6 HEALTHBEAT

Medicines are not always needed for anxi-ety and depression. In fact , they are some-times not even the best choice. Medicines for d e p r e s s i o n h a v e s o m e undes i rab le s ide ef fects a n d t r a n -quilizers for anxie ty can increase the risk of acci-d e n t s a n d can be habit forming.

E x e r c i s e , too, may be hab i t fo r m-ing, but good habits are always worth-while. And exercise can

be a very effective treat-ment for either anxiety or depression.

W h i l e s t u d i e s d o not show how exercise works, many studies

a n d m a n y p h y s i c i a n s have conclud-ed that there is a positive re lat ionship b e t w e e n exercise and i m p r o v e -ment of one’s anxiety and depression.

One study s h o w e d t h a t b o t h d e p r e s s e d

and non-depressed stu-dents had a significant

improvement in their symptoms and sense of well -being when they exercised.

A n o t h e r s t u d y s h o w e d s i g n i f i c a n t decreases in anger, hos-tility, fatigue and anxiety as well as increases in a person’s cheer fulness, energy and activity level — very favorable results indeed.

How much exercise is needed to help treat anx ie ty and depr es -sion? For f i tness, 20 m i n u t e s o f a e r o b i c exercise three t imes a week is advised, but many exper ts feel that a longer period — per-haps 45 minutes — but at a lower intensity and

more leisurely is most ef fective for anxiety and depression.

Exerc ise can he lp many persons with anxi-ety and depression, and even for those in whom it doesn’t, the results of a regular exercise pro-gram are still positive.

Make sure that you t a l k t o y o u r p h y s i -cian prior to beginning an exercise regimen or if you have signs of depression or severe anxiety. For a listing of physicians in the area, go to the Maria Parham Medical Center website at www.mariaparham.com or call the hospi-tal’s marketing depar t-ment at (252) 436-1800.

Exercise can fight anxiety and depression

Exercise can help many persons with anxiety and depression, and even for those in whom it doesn’t, the results of a regular exercise program are still positive.

When co lds and other viruses are going around, the sinuses can get into a lot of trouble. The sinuses normally secrete mucus to help moisten the air you breathe and to trap pollution and particles of dir t. When viruses, allergies or weather changes cause conges-tion, the sinuses cannot work properly.

The sinus openings become blocked and cannot drain adequately.

The normal secretions accumulate and the bac-teria can multiply since the body cannot easily remove them from the plugged nose and sinus-es. Then the mucus becomes thicker, and the color turns to yellow or gray — an infection has started.

The infections may cause pain in the cheeks and along the sides of the nose. There is often

SEE SINUS/PAGE 7

Preventing or treating sinus

infections

9 Locations in the Triangleincluding your neighborhood!

857 S. Beckford Dr., Suite. E

Orthopaedic Urgent Care9am-9pm Every Day

in Wakefield:11200 Governor Manly Way, Ste. 309, Raleigh, NC 27614


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120 Charles Rollins Rd Suite 102

Henderson, NC

Gary A. Smith, MD

Lending you a helping hand throughout life’s journey.

is committed to providing the very highest quality, compassionate, comprehensive and cost-effective health care to all members of your family, from newborn to seniors. We recognize the importance of open communication, trust and respect between our patients and their physician, and encourage the development of a relationship that promotes your active participation in your health care decisions.

John J. Faulkner, MD

FROM PAGE 6

a fever and pain in the teeth, especially the upper molars.

What can you do to prevent or treat sinus infections? It is useful to open the nasal air ways with d e c o n g e s -tants, such as pseudoephre-dine. Antihis-tamines are of ten used, especially if allergies are involved. You should also raise the humidity in the house and drink plenty of warm liquids to keep the secretions thin and liquid. Salt water nasal sprays and

washes are very helpful in cleaning the passages.

Cigarette smoke para-lyzes and eventually kills the cilia which sweep the sinuses clear of mucus. This damage from smok-

i n g a l l o w s the mucus to build up, and the amount of secretions is increased because o f the ir ritants i n s m o k e . Always avoid

smoking.When a bacterial infec-

tion develops, you will usually need antibiotics to help clear it up. It may take a prolonged course

of antibiotics or a change of antibiotics if there is a slow response. Corti-sone nasal sprays may be useful depending on the cause of the sinus infec-tion. Viral infections are the most common cause and, unfortunately, do not respond to antibiotics. Make sure that you talk to your physician if your sinus infection persists or occurs frequently.

For a listing of physi-cians in the area, go to the Maria Parham Medical Center website at www.mariaparham.com and click on the “Physician Finder” or call the hos-pital’s marketing depart-ment at (252) 436-1800.

SINUS

The Plate Planning Method -- Healthy diets come in all shapes and sizes. But the plate is one that can simplify our healthy dining experiences.

Cigarette smoke paralyzes and eventually kills the cilia which sweep the sinuses clear of mucus.

A healthy diet can be illustrated in many ways, but it has typi-cally been found in the shape o f a p y r a m i d . Most people are familiar with MyPyra-m i d d e v e l -oped by the Depar tment o f A g r i c u l -t u r e , T h e pyramid is a v isua l representation of the D i e t a r y G u i d e l i n e s for Amer icans . But move over pyramid to something f latter —

this shape has been replaced with MyPlate.

Like the pyramid, the plate illustrates how the pieces of a healthy diet fit together. Since we do eat on plates, and not

p y r a m i d ’ s , t h i s i n f o r -m a t i o n i s exhibited in a more famil-iar and sim-pler fashion. The plate is divided into h a l v e s a n d

then quar ters. So you would use this plate method by filling half of your plate with non-starchy vegetables, like broccoli or carrots; 1/4

filled with a lean meat, l ike chicken or fish; and the other 1/4 with a starch choice, prefer-ably higher fiber like brown rice or wheat bread. On the plate perimeter, add a ser v-ing of fruit and low fat dairy product for a com-plete meal.

Of course, no single food provides al l of the nutrients that your body needs. The idea is to eat a variety of foods from each group in the proper propor tions, to get all the necessar y nutrients and other sub-stances that promote good health. Here’s to a healthier plate.

Filling your plate (wisely)BY ANN MARGARET

FERGUSONMPA, RD, LDN

The pyramid is a visual representation of the Dietary Guidelines for Americans.


A8 HEALTHBEAT

Serving our Community SinCe 1980

www.hendersonymca.org

• Wellness Center With Cybex equipment • indoor sWimming pool

• sauna • steam room • hot tub • Kids gym • Full size gym

• raCquet ball and squash Courts • Fitness Classes • nursery and Kids zone

• youth sports • summer and aFtersChool Camps

Henderson Family YMCA380 Ruin Creek Road • Henderson, NC • 252-438-2144

OUR LOOKTechnical Supplement to the Y Graphic Standards for Quick Reference

The Y’s brand reflects our true identity—a vibrant, innovative and diverse movement that is devoted to our cause of strengthening community. Its visual system uses more than words to bring our cause to life. Its basic elements—logo, areas of focus, color palette, imagery, font and benefit statements—are the building blocks for consistently and effectively communicating who we are and our impact.

Our Brand Architecture is a well-developed hierarchy that structures how we order and represent information, aligning “what we do” with “why we do it.” Its elements are identified by number on the layout at left and explained below.

1. The logo is bold, active and welcoming, and it represents our determined commitment to deliver lasting personal and social change. There are five color options from which to choose, reflecting the diversity of our communities and the breadth of our offerings. When we present our areas of focus with our logo, we help audiences understand the totality of our organization.

2. Create a message that matters. The benefit statement should lead with why we do what we do rather than a name of a program.

3. The images we choose reflect our enthusiasm and optimism as an organization. Select images of clear, high quality.

4. The brand architecture showcases our programs and services in a clear, compelling way. The order: offering category or program name, then location name.

The Y brand’s visual system enables us to present ourselves consistently as a unified cause with shared values and a common voice.

Revised 1.3.12 1111128 10/11* Denotes colors used in 2-color PMS logo

Logo variationOur new logo adds vibrancy to our identity. The Y has a masterbrand strategy that mandates the use of a single, stand-alone logo. Below are the only acceptable versions of our logo. Make sure to use a variety of logo colors in your Y location, and use the knockout and black versions only when necessary. Logo color should not be assigned to a location, department or program. The logo is available in full-color, 2-color, white and black on the Brand Resource Center.

Areas of focusOur areas of focus are essential for demonstrating how we deliver on our cause and driving an understanding of our organization for our members, donors and volunteers. When a logo is paired with the areas of focus, the primary color from the logo is applied to the areas of focus, as shown here. Do not alter these colors or combinations for any reason. Do not use the areas of focus without the logo. The areas of focus are available in full-color, 2-color, white and black on the Brand Resource Center.

FontTypography gives our words a distinct look and feel. Cachet and Verdana are the only two fonts ever to be used for YMCA collateral. Cachet, as our primary font, should be used for all internal and external materials. For online applications or instances in which Cachet font is not available, use Verdana.

Primary font

CachetBook ABCDEFGHIJKLMNOPQRSTUVWXYZ abcdefghijklmnopqrstuvwxyz 0123456789!@#$%^&*

Medium ABCDEFGHIJKLMNOPQRSTUVWXYZ abcdefghijklmnopqrstuvwxyz 0123456789!@#$%^&*

Bold ABCDEFGHIJKLMNOPQRSTUVWXYZ abcdefghijklmnopqrstuvwxyz 0123456789!@#$%^&*

Electronic / system font

VerdanaRegular ABCDEFGHIJKLMNOPQRSTUVWXYZ abcdefghijklmnopqrstuvwxyz 0123456789!@#$%^&*

Italic ABCDEFGHIJKLMNOPQRSTUVWXYZ abcdefghijklmnopqrstuvwxyz 0123456789!@#$%^&*

Bold ABCDEFGHIJKLMNOPQRSTUVWXYZ abcdefghijklmnopqrstuvwxyz 0123456789!@#$%^&*

Bold Italic ABCDEFGHIJKLMNOPQRSTUVWXYZ abcdefghijklmnopqrstuvwxyz 0123456789!@#$%^&*

Clear space/Areas of focus Minimum sizeThe correct amount of clear space gives our logo maximum impact. The minimum clear space around our logo is equal to the full height of the word “the” in the logo. Also shown is the preferred relationship of the logo to the areas of focus: FOR YOUTH DEVELOPMENT aligns with the baseline of “the” in the logo; FOR SOCIAL RESPONSIBILITY aligns with the baseline of the logo.

To ensure legibility, the logo must always be 0.25” in height or larger.

0.25"

Color palette

The use of color helps us express that we are as vibrant as the communities we serve, and it is important to be consistent and use only the colors that we’ve chosen as part of our brand.

Light Medium Dark

Green C 70 M 0 Y 30 K 0 R 32 G 189 B 190 #20bdbe PMS 7472 C

C 95 M 0 Y 55 K 0 R 1 G 164 B 144 #01a490 PMS 3268 C*

C 100 M 55 Y 65 K 0 R 0 G 107 B 107 #006b6b PMS 3298 C

C 0 M 0 Y 0 K 75 R 99 G 100 B 102 #636466 PMS Cool Gray 11 C

Blue C 100 M 0 Y 0 K 0 R 0 G 174 B 239 #00aeef PMS Process Cyan C*

C 100 M 30 Y 0 K 0 R 0 G 137 B 208 #0089d0 PMS 3005 C

C 100 M 65 Y 0 K 0 R O G 96 B 175 #0060af PMS 661 C

C 0 M 0 Y 0 K 100 R 35 G 31 B 32 #231f20 PMS Process Black C

Purple C 20 M 100 Y 0 KO R 198 G 22 B 141 #c6168d PMS 233 C

C 50 M 100 Y 0 K 0 R 146 G 39 B 143 #92278f PMS 2415 C*

C 80 M 100 Y 0 K 0 R 92 G 46 B 145 #5c2e91 PMS 268 C

Red C 0 M 80 Y 100 K 0 R 241 G 89 B 43 #f15922 PMS 166 C

C 0 M 100 Y 100 K 0 R 237 G 28 B 36 #ed1c24 PMS 485 C*

C 39 M 100 Y 100 K 0 R 169 G 43 B 49 #a92b31 PMS 1807 C

Orange C 0 M 35 Y 100 K 0 R 252 G 175 B 23 #fcaf17 PMS 137 C*

C 0 M 65 Y 100 K 0 R 244 G 121 B 32 #f47920 PMS 152 C

C 10 M 80 Y 100 K 0 R 221 G 88 B 40 #dd5828 PMS 173 C

ImageryThe images we choose reflect our enthusiasm and optimism as an organization. Our primary imagery is silhouette. When necessary, images with backgrounds may be used to tell our story—just make sure the background is simple and is used as a full-bleed, circular shape or rectangular shape with a corner radius of 0.17”. Alternatively, select simple, clean illustrations that visually complement our logo.

Silhouette

Image with a background

Illustration

ALWAYS HERE FOR OUR COMMUNITYHead StartYMCA OF BAYSIDE

1

2

4

3

Kerr Lake Nursing and Rehabilitation Center

252-492-70211245 Park Avenue, Henderson, NC

Voted Best Nursing Home in Vance County

One of the more com-mon complaints from people tr y ing to get back into shape this time of the year is: “My shins hurt.” A common misconception is that it is due to being out of shape and that you can exercise your way through it.

That pa in you get in the front of the leg when you take up run-ning or p laying bas -ke tba l l i s a bo ther -some symptom — shin splints. It is a form of tendonit is where the muscles on the front of the leg become inflamed and sore where they attach to the shin bone, or tibia.

As with most forms of tendonitis, shin splints result from overuse. The overuse that brings it on is usually an increase in activity, especially when it is a sudden increase or a change in activity such as changing sports.

Star ting an activity such as running, basket-ball or tennis will com-monly cause shin splints until the muscles and tendons have a chance to adapt to the increased work. People who are already active can also develop the condition. Increasing running mile-age too quickly or run-ning at a faster pace can cause it.

Since shin splints can be slow to resolve, pre-vention is ver y impor-tant. This is achieved by building up slowly and avoiding sudden changes in types of activities or intensity of training. It is safe to increase mileage

or sports activity at about 10 percent per week. This will allow time for the muscles and tendons to respond to the new stresses. Unfortunately, the body does not always respond as quickly as our eager imaginations expect.

At the first sign of a flare up, it is best to decrease your training — getting shin splints is a sign that the muscles and tendons are being overworked. Cool packs are ver y important and should be used as soon as the problem is identified. Anti-inflammatory medi-cines, such as ibuprofen, naproxen, or prescription medicines, can be useful in decreasing the pain and inflammation, allow-ing it to heal more quick-ly.

For a list of physicians in the area who can help

you live a healthier life, check out Maria Parham Medical Center’s website, www.mariaparham.com or call (252) 436-1800 to request information.

Preventing nasty shin splintsWhat should you do

when your child gets a fever? Does he need to be checked right away or can it be treated with acetaminophen or ibu-profen?

A fever is merely a symptom which means an infection or, occa-sionally, some other ill-ness is going on. Typi-cally, the fever is low grade with viruses and higher with bacterial infections. Generally, the higher the fever, the worse the infection.

However, some chil-dren will get a fever of 105 with mild infections

and very sick children may have only mild fevers.

In in fants under three months old, any fever should be con-sidered serious and be evaluated very prompt-ly. In older children, a low-grade fever with the typical viral symp-toms of a runny nose and cough may best be treated with acet-aminophen or ibupro-fen, decongestants and cough suppressants.

If a child has persis-tent or high fevers, or

SEE FEVER/PAGE 9

Taking care of a child’s fever


FAMILY DENTISTRYJames E. Crenshaw, Jr. DDSWilliam C. Haight, Jr. DDS

202 Graham Street, Warrenton

257-3736Mon-Wed 8am – 5pm • Thursday 7am-3pm • Fridays By Appointment

COMPREHENSIVE DENTAL SERVICESINSURANCE ACCEPTED

FROM PAGE 8

localized symptoms such as an ear ache or sore throat, he should be examined to determine if antibiotics are needed.

Once antibiotics and other specific therapies are star ted, it is wise to treat the fever to make the c h i l d m o r e comfor table, help him rest b e t t e r a n d h e l p a v o i d dehydration.

Acetaminophen or ibuprofen should be given on a regular basis to maintain a therapeu-tic level. Sponge baths may be helpful once the

medicines have reset the “thermostat” in the brain. Always give plenty of fluids. Although aspi-rin is normally avoided in children with infec-tions because of the risk of Reye’s Syndrome, ibu-profen is safe, ef fective

and long act-ing, making it a popular choice.

R e m e m -b e r, w h e n you have any doubts about the severity of your child’s

fever, contact your doc-tor. If your doctor’s office is closed, Maria Parham Medical Center’s Emer-gency Depar tment is there for you 24/7.

FEVER

In infants under three months old, any fever should be considered serious and be evaluated very promptly.

Acetaminophen or ibuprofen should be given on a regular basis to maintain a therapeutic level.

T h e f o l l o w i n g e m p l o y e e s w e r e recently recognized as the 2011 Class of the Circle of Excellence:

• Kay Abbot t — registered nurse in ICU/PCU

• J o n i A y e r s — medical technician in the Laboratory

• Pete Elbaum — registered sleep tech and supervisor of The Sleep Center

• Chassity Evans — phlebotomist and EKG tech in the Laboratory

• Eileen Grissom — registered nurse and

director of ICU/PCU• Roy Hargrove —

pharmacy tech in the Pharmacy

• Janet Parham — registered nurse and Stroke coordinator

• Lee Anne Peoples — community re la -t ions coordinator in Marketing

• Jennifer Shaw — registered nurse at Maria Parham Region-al Home Health

• J a m e s R i d l e y — cook in Dietar y/F o o d S e r v i c e s

SEE CIRCLE/PAGE 10

Recognizing a perfect ‘Circle’


A10 HEALTHBEAT

Where the PatientComes First.

Carl L. Smith, MD

Offering Outpatient & InpatientCare for the Following:

J. W. Jenkins Building (252) 436-1380

568 Ruin Creek Road Suite 128

Henderson, NC

What is Physical & Rehabilatative Medicine?

(EMG)

FROM PAGE 3

surprised to learn that most of the hand sanitiz-ing products available today are more effective in removing germs and bacteria compared to soap and water. Other advantag-es of these alcohol-based liquids, foams and wipes include:

• Requires less time (proper soap and water hand washing needs to be a minimum of 20 seconds)

• Can be done almost anywhere

• Many include lotions that help improve skin condition

When using hand sani-tizers, it is very important to read the directions to

ef fectively kill germs. Common mistakes when using the liquids, gels and forms are:

• Using too small of an amount of the product — you should apply enough so that you can cover the front, back and fingers on each hand, but not too much so it will not air dry. Make sure that you rub it on all parts of your hand — especially on your fin-gertnails, an area that col-lects the most germs.

• The product needs to air dry. Do not wipe the excess off on a towel. The towel may hold germs and make your hand cleaning efforts less effective.

• Not using the prod-uct frequently enough.

Using hand sanitizer does not have a lasting effect, so just because use used it five minutes ago, it doesn’t mean it is killing germs on your hands now.

• Be aware that most hand sanitizers contain alcohol that may be flam-mable. Do not use while you are smoking or near open flame.

Proper hand washing or hand sanitizing is the best way to lessen your chance of catching or transmitting germs and bacteria. This is especially important during flu and cold season.

Do you remember your mom telling you to wash up before you eat? Mom was most definitely right.

GERMSCardiac rehab is walk-

ing on a treadmill and peddling an exercycle. And much, much more. It involves a full evaluation of heart disease risk fac-tors and often a significant change in life style.

Millions of Americans qualify for cardiac rehab because they have had a heart attack, angioplasty or bypass surgery. Mil-lions more who have angi-na or are at high risk for heart disease would also benefit from this program.

Following a medi-cal evaluation, a person begins a super vised, graded exercise program that incorporates a variety of exercises using differ-ent muscles groups and physical activities. The length of exercise and

the degree of exertion are gradually increased over the course of the program.

Dietitians and educa-tors can evaluate your risk factors, such as high cholesterol or high blood pressure, and recom-mend changes in your diet. Diabetes is often a factor in heart disease, and tight control of a person’s blood sugar is important.

Often the most impor-tant life style change is to stop smoking. It is one of the most significant risk factors and is entirely unnecessar y. Smoking cessation classes are high-ly recommended and pre-scription medicines may help.

Counsel ing about

s t r e s s a n d r e s o l v -ing conflicts can be very important.

The basis of cardiac rehab, however, is a graded exercise program which safely trains the heart, blood vessels and musculoskeletal system to work more efficiently and tolerate greater exer-tion without precipitating symptoms. The benefits a person attains include an increased exercise tolerance, an improved sense of well-being, a decrease in symptoms, less stress and a longer life.

Maria Parham Medi-cal Center offers a cardi-ac rehab. See the accom-panying article for more information about the program.

The benefits of cardiac rehab

The Daily DispaTch HealthBeat WeDnesDay, January 25, 2012 11

You’re in the intensive cardiac care unit when you realize how lucky you are: You’ve survived a heart attack. But soon, your thoughts race to what’s ahead — months out of work, a difficult recupera-tion, perhaps more heart trouble?

Not necessarily. The fact is, you can sidestep more cardiac trouble and return to a normal life in about six to 12 weeks. How? With cardiac rehabilitation — a program of closely moni-tored exercises, medica-tions and lifestyle educa-tion. There’s no waiting for the program to start; most rehab begins within 48 hours of the attack itself.

Wai t a minute … exercise right after a heart attack? Absolutely! Although it may sound counterintuitive, cardi-ologists know that cardiac rehab significantly reduces a patient’s chance of suffer-ing another heart-related episode.

TEACHING YOU A NEW WAY OF LIFE

Heart Wise is Maria Parham’s 12-week medi-cally supervised cardiac rehabilitation program designed to help patients with heart disease recover

faster and return to full and productive lives. You can benefit from rehab if you have had a heart attack, angina pectoris, recent coronary artery bypass surgery, recent angioplasty and/or stent placement. Cardiac rehab is covered by Medicare and most major medical insurance companies. We will work with you to verify your cov-erage before starting the program.

The program offers indi-vidually prescribed exer-cises, education and coun-seling to help participants begin heart healthy living.

The goals of cardiac rehab include:

• Reducing the risk of future heart problems

• Controlling cardiac

symptoms • Stabilizing or revers-

ing the heart disease pro-cess

• Improving the quality of life

• Returning the partici-pant to gainful employment when possible

• Increasing exercise tolerance

• Reducing hospitaliza-tions

• Reducing stress

At Maria Parham’s Heart Wise, you will find a fun and supportive atmo-sphere where our caring staff works to help each patient reach their goals. Our group walks and bikes to their favorite old-ies music helping to make exercise fun. Following their cardio workout, par-ticipants can work with our staff on resistance training or strength training exer-cises.

Our participants all look forward to coming each week to not only workout, but see their friends and our staff. Many of our pro-gram members have seen substantial positive results in their lives that they con-tinue participation through our maintenance program. Visit www.mariaparham.com and look under “Ser-vices” or call (252) 436-1570 for more information about Cardiac Rehab at Maria Parham Medical Center.

A11 HEALTHBEAT

943 West Andrews Ave.252-438-2573

Mon. - Sat.7:00am -7:45pm

Call ForCompleteSchedule

Call ForCompleteSchedule

381 Ruin Creek Road Henderson, NC 27536

Family Practice • Pediatrics • OB/GYN • Geriatrics Sports Medicine • Occupational Medicine

Hours: Mon - Thurs 8:00 am - 8:00 pmFri - Sun 8:00 am - 5:00 pm

Matthew Higgins, MD

Peggy Harris, PA-C

Chinwe N. Chukwurah, MD

Kristen White, PA-C

Darleane Wilson, PA-C

Tanya R. Darrow, PA-C

Benjamin Dieter, MD

Mary Katherine Williams, PA-C

David Kleczek, PA-C

Valeriya Briggs, PA-C

Megan Jones, PA-C

Sheena Harris, PA-C

Khanh T. Vu, MD

FROM PAGE 9

• Brandon Sheets — physical therapist in Rehabilitation Ser-vices

• Anna Will iams — cer tified nursing assistant in the Surgi-cal Unit

T h e C i r c l e o f E x c e l l e n c e r e p r e -sents the top 2 per-cent of a l l MPMC employees when it comes to providing

ser vice excellence. They are nominated by their peers final selections are made by the of members of the 2010 Circle of Excellence.

MPMC would like to once again con-gratulate ever yone and thank the mem-bers of the 2011 Cir-cle of Excellence for making our hospital a better place.

CIRCLE

At Maria Parham’s Heart Wise, you will find a fun and sup-portive atmosphere where our caring staff works to help each patient reach their goals. Our group walks and bikes to their favorite oldies music helping to make exercise fun. Fol-lowing their cardio workout, participants can work with our staff on resistance training or strength training exercises.

Concerning matters of the heart

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MPMC: Healthbeat - The Daily Dispatch - Jan. 25, 2012

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