Living WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving Well

PLUS the story of morning show host Robin Roberts and the sister who saved her life

FamilyTime

49 �ways to revitalize��your family’s health�

FALL 2014

MEET THE NEWEST MEMBERS OF OUR GROWING FAMILY

BREAST BIOPSY: IT DOESN’T HAVE TO MEAN CANCER

KEEP YOUR KIDS FROM SUFFERING RAT RACE BURNOUT

Living WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLIFE, LIVED BETTER WWW.BMHSC.ORG

Check out our new look! We think you’re going to love it!

3-D breast tomosynthesis, a powerful new FDA-approved diagnostic tool for the early detection of breast cancer, is now available in our area only at the Beaufort Memorial Women’s Imaging Center.

The new 3-D mammograms improve breast cancer detection and reduce the number of thoseunnerving false positives.

SHOULD YOU OPT FOR A 3-D MAMMOGRAM?Tomosynthesis does not replace the traditional mammogram. But it is recommended for certain women, including those who:• Have dense breast tissue, because it can mask cancers or lead to false positives• Are considered high risk• Have been recommended for a diagnostic study• Are having a baseline mammogram

mother'smammogram

NOT YOUR

To make an appointment for a mammogram at the Women’s Imaging Center or Bluffton Medical Services, call 843-522-5015. _______________________________________Same day results available at both facilities.________________________________________________________________ beaufortmemorial.org

Schedule your annual mammogram today!

ContentsFALL 2014

FEATURES9 The Great American

Family TuneupCould your clan use a

health check?

10 Call in the FamilyGood Morning

America host Robin Roberts has a lot to be grateful for—including one very special sister.

14 Eat, Play, LoveHow to help your partner (and you)

stay healthy, happy and strong: a guide to fast food; 10 steps to a happier heart; and getting him to screenings with a smile.

22 Senior StrongDo you have an elderly parent who

should be building muscle strength? This at-home workout is just the ticket.

26 Girl TalkEven if your teen-ager would never

go to you for health advice, we’ll tell you what’s on her mind.

32 10 Takeaways for Your FamilyYour Rx cheat sheet.

36 Beating the OddsRobot-assisted laparoscopy is the cutting-edge treatment for prostate cancer surgery.

IN EVERY ISSUE

COVER PHOTO BY MELANIE DUNEA/CPI SYNDICATION

2 Opening Thoughts 3 Introductions 4 Collected Wisdom 6 Out of the White Coat 8 Healthy Insights 38 Foundation-Building 41 This Just In 44 The Truth About:

Flu Shots 46 Healthy Buys: Planet Pink 50 Quiz: Freak Out

or Chill Out? 52 At a Glance:

Refrigerator Rehab

54 In the Market: Butternut Squash

56 Health by the Numbers: Backto School

THE BIG STORY

If you’re the family health nudge, we’ve

got tips to ease the load.

PAGE 14

36

In the Market: Butternut Squash Health by the Numbers: Back

What’s better for your health, a cat or a dog? PAGE 42

33 Oh, What a Relief It IsA quick diagnosis

reduces the anxiety of breast biopsy.

FALL 2014 1

It has been said that the only thing certain in life is change, and the monumental changes in healthcare across the nation

and here at home have only served to underscore that truism.

As the president and CEO of Beaufort Memorial Hospital, I’ve chosen to embrace these changes and to realize the opportunities they can bring—and I believe your hospital and all of the communities it serves are stronger than ever because of that choice.

For you, our partners and friends in health, the changes we have made offer more options for primary care in Beaufort and Hampton counties with the additions of Lowcountry Medical Group in Beaufort; new providers at Beaufort and Bluffton Primary Care; and Harrison Peeples Health Center in Hampton.

Beaufort Memorial Obstetrics & Gynecology Specialists offers women in our community access to board-certified, fellowship-trained obstetricians and gyne-cologists who are ensuring women can continue to deliver babies at Beaufort Memorial, and who can provide minimally invasive procedures for everything from single-incision hysterectomy to surgery for urinary incontinence.

New technologies, including breast tomosynthesis for screening mammo-grams, offer more accurate breast imaging and lower rates of biopsy. And, our high-risk breast program offers continuous monitoring to women who are most susceptible to breast cancer, allowing physicians to stay ahead of the curve and patients to receive the reassurance of more-frequent care.

As the leader of your community hospital, I want to assure you that our entire team is committed to one thing: your health.

To that end, we will continue our 70-year tradition of growing to meet the community’s needs, and of living our mission to provide superior healthcare services and improve the health of the communities we serve.

Yours in good health,

Rick ToomeyPresident & CEO

Embracing changEFrom new faces to new programs and devices, BMH continues its commitment to your health

Opening ThOughTs

Living Well, a subtitle of Vim & Vigor™, Fall 2014, Volume 30, Number 3, is published quarterly by McMurry/TMG, LLC, 1010 E. Missouri Ave., Phoenix, AZ 85014, 602-395-5850. Vim & Vigor™ is published for the purpose of disseminating health-related information for the well-being of the general public and its subscribers. The informa-tion contained in Vim & Vigor™ is not intended for the purpose of diagnosing or prescribing. Please consult your physician before under-taking any form of medical treatment and/or adopting any exercise program or dietary guidelines. Vim & Vigor™ does not accept adver-tising promoting the consumption of alcohol or tobacco. Copyright © 2014 by McMurry/TMG, LLC. All rights reserved. Subscriptions in U.S.: $4 for one year (4 issues). Single copies: $2.95. For subscriptions and address changes, write: Circulation Manager, Vim & Vigor™, 1010 E. Missouri Ave., Phoenix, AZ 85014.

Beaufort MeMorial Hospital

president & CeoRichard K. Toomey, DHA, FACHE

BMH Board of trustees Terry Murray, ChairPat Thompson, MD, Vice ChairDavid Tedder, Secretary/TreasurerAndrea Allen, MS, LMSWKathleen CooperDavid HouseWilliam “Bill” HimmelsbachFaith Polkey, MDJames Simmons, MD

ex-offiCio MeMBersJ. Chadwick Tober, MD, Chief of StaffWilliam “Bill” Harvey, Foundation ChairmanBill McBride, Beaufort County Council Representative

BMH editorialCourtney McDermott, Director, Marketing & CommunicationsSallie Stone, Editor and Marketing & Communications Senior

AssociatePaul Nurnberg, Photographer

produCtionEditorialeditor-in-CHief: Sally Kilbridge editors: Erin Feeney, Matt Morgan, E, Tom Weede Copy editor: C.J. Hutchinson

dEsignCHief art direCtor: Tami Rodgers art direCtors: Rod Karmenzind, Kay Morrow

Productionsenior produCtion Manager: Laura MarlowespeCial projeCts Coordinator: Jenny BabichiMaging speCialist: Dane NordineproduCtion teCHnology speCialists: Julie Chan,

Sonia Fitzgerald

circulationVp/Business intelligenCe group: Patrick Kehoepostal affairs & logistiCs direCtor: Joseph Abeyta

Client serViCesCHief Client offiCer: Beth Tomkiw Vp/Client serViCes & strategy: Paul PetersonaCCount Managers: Carey Ballard, Rachael Bretheim,

Annika Honkanen, Lauren Keeton, Gerry Kubek, Mendy Metcalf, Barbara Mohr, Jenna Rutschman

adMinistration CHief exeCutiVe offiCer: Matthew J. PetersenexeCutiVe Vp/sales: Chad Rose, 888-626-8779Vp/Content: Jeff FickerCreatiVe direCtor: Marc OxborrowVim & Vigor founder: J. Barry JohnsonCHairMan eMeritus: Preston V. McMurry Jr.

Beaufort Memorial Hospital955 Ribaut Road

Beaufort, SC 29902843-522-5200

843-522-5585 – Doctor Referral Service

FALL 20142

Beaufort Memorial Physician Partners welcomes the multi-specialty Lowcountry Medical

Group to its growing network of provid-ers. Founded in 1997, the practice—now called Beaufort Memorial Lowcountry Medical Group—includes a family medi-cine physician, three internists, two nurse practitioners, two physician assistants and a broad spectrum of specialists in gynecology, gastroenter-ology, medical oncology, neurology, nephrology and orthopedics.

To offer patients easier access to the group’s physicians, the practice has established offices in both Beaufort and Bluffton. The Beaufort location at 300 Midtown Drive also offers on-site imaging and lab services.

For more information on Beaufort Memorial Lowcountry Medical Group or to make an appointment with one of the healthcare providers, call 843-770-0404 or visit www.lcmedicalgroup.com. n

Meet Our New Medical teaMLowcountry Medical Group is now part of Beaufort Memorial Physician Partners

IntroductIons

Gastroenterology specialists Kimberly Thorpe, PA, John Crisologo, MD, and Richard Stewart, DO

Leland Stoddard, MD, and Lika Schrock, PA-C, orthopedic specialists

Marcus Newberry III, MD, oncologist

Family medicine specialists Jenny Martin, NP-C, Craig Floyd, MD, and Erin Scott, ANP-BC

Gynecologist Eve Ashby, DO

Neurologist Charles Shissias, MD

Cardiologists Shannon Shook, MD, and Stuart Smalheiser, MD

Internists Carl Derrick, MD, Nicholas Dardes, DO, and Robert Parrick, DO

FALL 2014 3

Maybe babyThinking about getting pregnant? Before you go shopping for maternity clothes, make an appointment with your OB-GYN for a preconception checkup. Your doctor will go over your current health and medi-cal history, make sure you’re up to date on immunizations and review the medica-tions you’re taking to weed out any that could be dangerous during pregnancy.

During the visit, your practitioner also should discuss diet, weight and exercise, and may recommend a multivitamin to get your body ready for pregnancy as well as folic acid supplements to reduce your chances of having a baby with birth defects.

The recommended dose is 400 micro-grams of folic acid a day for at least one month before you conceive and during your first trimester.

ColleCted Wisdom

APPOINTMENTS

Need an OB-GYN?To make an appointment with any of the four board-certified physicians at the new Beaufort Memorial Obstetrics & Gynecology Specialists, call 843-522-7820. The office is in Suite 210 of Beaufort Medical Plaza, 989 Ribaut Road.

now what do I do?You read the baby books, took the parenting classes and bought all the essential gear. But now that you’ve brought your little bundle of joy home from the hospital, you feel totally unprepared.

No need to panic. It’s normal for first-time moms to feel anxiety once they leave the safety of the maternity wing. In addition to your being exhausted from the delivery, postpartum hormones are surging through your body, kicking up your stress level.

Just because your baby cries doesn’t mean you’re doing anything wrong. Crying is how babies tell you they need to be fed or burped, have their diaper changed or be rocked to sleep. In time you will learn your baby’s cues, and motherhood will become second nature.

If you’re feeling overwhelmed in those first few weeks, bring in rein-forcements. Don’t be afraid to ask a family member or a friend to help you whip up a meal or throw in a load of laundry.

When you finally get a quiet moment to yourself, take a bubble bath, indulge in a good book or just close your eyes and catch a few of those much-needed ZZZs.

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DaDDy DutyOnce relegated to pacing the maternity waiting room, today’s dads are no longer the cigar-smoking bystand-ers of the Father Knows Best generation. Most men play an important role from the moment the pregnancy test comes back positive, attend-ing prenatal appointments and childbirth classes and coaching their partner during labor and delivery.

While moms may take charge of most of the pre-birth nesting, dads can help, too. They can paint the baby’s room, assemble furniture and properly install the car seat. After the baby comes home, the father can change diapers, prepare formula and help with bathing. Parenting classes offer instruction on all these practical skills.

Taking care of a baby can be exhausting, leaving both mom and dad with little time or energy to even think about going out on a date night. But your relationship doesn’t have to suffer during those early months. Cuddling, kissing, nuzzling or a simple touch can help you maintain intimacy with your partner.

And make a point to say “I love you” at least once a day.

GrandparentinG dos and don’tsYou’ve waited so long for the big day. Eager as you are to bond with your new grandchild, you don’t want to become that over-bearing in-law.

It’s important to give the baby’s parents time to adjust to the demands of a newborn, espe-cially in those first few weeks. Frequent visits can be disruptive and make it difficult for them to develop a routine.

There is no set standard for child-rearing, so be careful about

offering advice or opinions unless asked directly. Respect the parents’ wishes and follow their rules. It’s their turn to be the parents.

During your visits, ask if you can help by running errands, making a meal or cleaning up. If the new parents look like they could use a rest, offer to take care of the baby while they nap.

Make yourself a welcome guest, and you’ll be welcomed over often.

GettinG in shape for BaByDo you want a boy or a girl?

Whatever their preference, mothers-to-be will tell you they want a healthy baby first and foremost.

One of the best ways to ensure your newborn is in the pink is to enter pregnancy fit and healthy. To get you on track, Beaufort Memorial’s LifeFit Wellness Center offers a series of programs designed for women before, during and after pregnancy.

Studies show that women who are a healthy weight get pregnant more easily than those who are underweight or overweight. A strong body also provides the optimal environment for your growing baby. And building muscle will aid in the challenges of delivery.

After you’ve given birth, a regular exercise program and healthy diet will boost your energy level to help you keep up with your soon-to-be toddler.

CLASS

Fit for MotherhoodLifeFit Wellness Center’s perinatal programs include discounted membership, dietary evaluation with a registered nutritionist and discounted personal/buddy training and small-group training. For more information, call 843-522-5635 or email mdeagan@bmhsc.org.

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Out Of the White COat

Fast and Furious

Christopher Benson, MD

Christopher Benson, MD, was a resident at William Beaumont Army Medical

Center in El Paso, Texas, when he com-pleted his first marathon. He went on to run five more of the 26.2-mile endur-ance races.

And then he kicked it into high gear. The OB-GYN added swimming and

cycling to his athletic repertoire and began competing in Half Ironman tri-athlons. He upped his game again, completing three Ironman events—an endurance race requiring participants to swim 2.4 miles, bike 112 miles and run a full marathon—without taking a break.

In his 40s, Benson took up adventure racing with fellow OB-GYN Gregory Miller, MD. A multiday, nonstop event, it combines orienteering, cross-country running and hiking, mountain biking, pad-dling, climbing and rappelling. Working with three or four partners, teams must navigate through remote wilderness areas with only a map to guide them to specified checkpoints.

“I like taking on new challenges to encourage me to get in the best shape

I can,” Benson says. “If I’m always signing up for a race, then I’m constantly train-ing. It keeps the pressure on.”

Before moving to Beaufort this spring, Benson lived in Rock Hill and was a regular at the Giordana Velodrome, a 250-meter banked bicycle racing track.

Longtime OB-GYN partners share passion for adventure racing

CALL

Dr. Christopher Benson is a board-certified OB-GYN with Beaufort Memorial Obstetrics & Gynecology Specialists. He can be reached at 843-522-7820.

His training schedule also included swim-ming, running and playing basketball at 5:30 a.m. three days a week.

“As part of my OB-GYN practice, I focus on health, fitness and weight loss,” says the father of three. “It’s one thing to talk to your patients about living a healthy lifestyle; it’s another to walk the walk.”

Now settled in his new home, Benson has begun cycling around the Lowcountry with his wife, Laurie, and their 13-year-old son, Connor.

His latest challenge? Road racing. “Cycling is something I can do with my

son,” Benson says. So far this year, the two have competed in eight category-5 road races. But unlike his son, the father has yet to win or place in the races.

Let the challenge begin!

FALL 20146

Miller’s fi rst adventure contest was in the mountains of West Virginia. During the course of the event, it hailed and snowed. His next race in Colorado required him to rock climb and rappel—activities he had never tried.

CALL

Dr. Gregory Miller is a board-certifi ed OB-GYN with Beaufort Memorial Obstetrics & Gynecology Specialists. He can be reached at 843-522-7820.

“I had a subtle fear of heights, so it was a challenge,” he says. “Now, I really enjoy it.”

Operating on little sleep while keep-ing an intense pace takes a toll on the mind as well as the body.

“It’s not unusual to hallucinate,” Miller says. “On one race, I saw lions and bears.”

To stay in top form, Miller works out every day either at the gym or outdoors. In addition to adventure races, he plays competitive ten-nis and participates in triathlons and Ironman competitions.

“When I get out there, I’m not sure I can do it,” Miller says. “But there’s a thrill that comes with pushing yourself. It’s when I feel most alive.” �

Gregory Miller, MD

As vacations go, traveling 420 miles in three and a half days might not seem an

arduous itinerary—unless you’re hiking, biking or canoeing every mile of it.

OB-GYN Gregory Miller, MD, and three friends—among them practice partner Christopher Benson, MD—made the grueling trek in Wyoming last summer as part of the Cowboy Tough Expedition Race. To complete the course, they had to keep moving 16 to 24 hours a day in 100-degree heat, fi nding their own way through rugged backcountry terrain to reach required destination points.

“It’s more about distance and endur-ance than racing,” Miller says. “On the fi rst day, we started at 8 a.m. and didn’t stop until 5:30 the next morning. We slept for an hour and then started up again. It’s sort of like being on call as an OB-GYN.”

Miller, who is married to his college sweetheart, Alison, has been partici-pating in adventure racing for a dozen years. In the last few years, he has been taking part in multiday events.

“We’re usually the oldest competitors out there,” says the 51-year-old father of four. “Fifty percent of the people don’t even fi nish the race.”

FALL 2014 7

We’re not the Cleavers anymore, but we can still plan family time together. Riding bikes, tossing around a football—anything that gets you moving is great. And the exercise will help you sleep better so you’ll be mentally sharp the next day. A lack of sleep deteriorates brain function.

Q How can I make dinnertime family time again?For starters, leave the digital

devices in another room when you’re eating. Your kids shouldn’t be texting, they should be talking. Dinnertime is when they have a chance to tell you about their day and how they’re doing in school.

Try to have a sit-down meal with the whole family at least once a week. It’s more of an effort to make dinner than to run through the drive-in at Chick-fil-A. If both parents are working, you may need to get creative.

Have the children pitch in. If they’re old enough, assign them a night when it’s their turn to prepare dinner. It gives them a little responsibility and teaches them what it will be like to be the head of a household.

Craig Floyd, MD, is a board-certified family medicine specialist with Beaufort Memorial Lowcountry Medical Group. He can be reached at 843-770-0404. n

HealtHy InsIgHts

Everyone knows eating well and exercising will help keep your family healthy. But BMH family medicine

specialist Craig Floyd, MD, says it’s just as important to focus on your family’s emotional health and reduce the stress that comes with today’s hectic culture

All for one And one for All

Q How does today’s fast-paced lifestyle affect our family’s health?

It’s becoming more and more of an issue. We’re running constantly, and that can create a lot of stress and anxiety for the whole family. I’m seeing an increased number of adults and kids who are burned out.

Busy as we are, we have to make family time a priority. All that chaos has an impact on our children. Studies have shown that kids with strong family bonds are less likely to have behavior problems.

If you don’t make a conscious effort to slow things down, the rat race will run your life. You have to be willing to say no to some things.

Q What can parents do to cre-ate a strong family unit?Family vacations, involvement in

your church and recreational activities can bring a family together. It’s not just mom here and dad there and the kids flying everywhere. You’re participating as a group. It’s the old cliché: “A family that plays together stays together.”

Craig Floyd, MD

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FamilyIssue

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9FALL 2014

Which of the following situations is most likely to occur?

A Your spouse makes a colonoscopy appoint-ment and marks it on the calendar with a happy face.

B Your elderly father goes shopping for yoga pants.

C Your teenager comes in from a party, sits next to you on the sofa and says, “Let’s talk!”

D Your dog learns Portuguese.

If you answered “D,” you’re in good company. But while husbands who love screenings, elderly parents who embrace exercise, and teens eager to share their social lives may not be common-place, there’s no reason to give up on your family’s well-being.

The articles in this special section are full of practical tips and hands-on advice to help your family get healthy and happy.

The GreaT american Family Tuneup

Fa milyCALLIN THE

FALL 201410

Fa mily

When ROBIN ROBERTS faced a serious health scare—for a second time—the prognosis was di� cult. Leaning on family and friends for strength, support and a lifesaving procedure, she vowed to beat it. And she has. BY LESLIE PEPPER

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An anniversary is special. But when Robin Roberts blew out the single candle on a red vel- vet cake in late summer 2013,

the celebration was particularly joyful. The year before, the Good Morning

America anchor had been diagnosed with myelodysplastic syndrome (MDS), a rare blood disease she developed as a result of chemotherapy treatments for breast cancer in 2008. MDS is a condition in which bone marrow is not populated with suffi cient healthy blood cells. Shortly after her diagnosis, Roberts left her anchor chair to begin treatment, which included a bone mar-row transplant.

The cake marked the one-year anni-versary of that lifesaving procedure.

It Takes a Family As she wrote in her GMA blog: “Unlike my fi rst birthday—which of course I don’t remember—this time around I know I will never forget all the people who have reached out to me over the past year. Your words of encouragement, smiling faces, and prayers have carried me through the toughest times. I know that I would not have made it to this milestone without you.”

Roberts, now 53, got more than just smiles from those around her. It was her older sister, Sally-Ann, who donated bone marrow for the transplant. Roberts was extremely lucky. Bone mar-row donors are scarce, particularly for African-American women.

Nowadays, Sally-Ann and Robin share more than a great smile.

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Roberts also received plenty of sup-port from her Good Morning America family. She announced her illness on-air, colleagues by her side and a box of Kleenex Velcroed to the couch. Her fel-low anchors not only rallied around her when she revealed her diagnosis but also supported her when she was off the air. When Roberts took a leave of absence, ABC News said there would be no ongoing replacement. Instead, Barbara Walters, Diane Sawyer, Katie Couric and Kelly Ripa offered to tag-team.

“We have so many people who love Robin so much that everyone is willing to come and join us for a bit,” said Good Morning America executive producer Tom Cibrowski.

Build Your TeamWhen you’ve been given a life-threatening diagnosis, support from friends and fam-ily is important. “People dealing with serious illnesses are better able to man-age the emotional impact when receiving little kindnesses from family and friends, and peers who have dealt with similar issues,” says William Penzer, PhD, author of How to Cope Better When Someone You Love Has Cancer.

“There is pretty solid evidence that companionship … improve[s] survival rates for patients with many types

of illness,” adds Elizabeth Chabner Thompson, MD, founder of BFFL Co. (“Best Friends for Life”), which designs products to help patients recover from breast and prostate cancer surgeries, among other procedures.

But it’s not always easy to get the right support. If you’re the family care-taker, it is difficult to ask for help or accept the attention being focused on you. A few lessons from Roberts:

When you need it, reach out for help—even if it feels awkward. As Sally-Ann Roberts told Parade, “I was really surprised at how difficult it was for her to be the one in need.” Robin was used to being the caretaker in her family. “I’m always the mother hen and I always want to take charge,” she has said. But the Roberts family relished the opportunity to give something back.

Chabner Thompson recommends asking specifically for things you need. “If you leave it up to [others], you’ll have five lasagnas and no milk in the refrigerator.”

Spread the wealth. If you feel bad about putting the burden on one person, ask several people to help. One friend can drive you to appointments, another can pick up your medication, a cousin can just sit and watch television with you when you’re too tired to do anything else.

The Basics of Bone Marrow Donation Each year nearly 20,000 people could benefit from a potentially lifesaving bone marrow transplant. If you’re thinking about donating, here’s what to expect.

3During the procedure, called bone marrow harvest, doctors use a special needle to withdraw the liquid mar-row from both sides of the back of the pelvic bone.

3You’ll be under anesthe-sia and won’t be aware of the procedure, which usually takes an hour or two.

3The incisions are so small, you won’t need stitches.

3Afterward, you’ll go to the recovery room to be monitored. Most donors go home the same day or the next morning.

3Although you may have soreness or bruising in the hip and lower back, most donors return to their regular schedule within a few days.

FALL 201412

Friends in needWhat do you say to a friend who’s seriously ill? How can you make a relative’s recovery easier? Here are seven tips for bringing comfort—and even joy—to the people you love.

3PreP for the worst She may look very different, but don’t express shock or go on about her appearance. Give her a hug and say, “It’s great to see you.”

3Be Positive But Prudent Instead of say-ing, “You’ll be just fine,” which

implies you’re dismissing your friend’s fears, acknowledge the situation. “I know this must be hard for you.”

3stay flexiBle If your friend has to cancel a visit, don’t make her feel guilty. Expect the unexpected when a friend is going through treatment.

3Branch out Every con-versation doesn’t have to center on illness. Ask about your friend’s golf game or whether she saw the latest episode of Downton Abbey. People going through treatment need to take a break from it every once in a while.

3resist the urge to share Sure, your mother or step-cousin Lulu may have had cancer. But everyone’s experience is different, and even the most well-intentioned anecdotes can make the

other person question her own choices.

3Make an offer she can’t refuse Instead of ask-ing how you can help, tell her what you’ll do. “I’ll take Maddy to dance class today” or “I’m dropping off a frozen casserole tonight.” Don’t give her the opportunity to say no.

3Just do it! Don’t let the idea of perfection stop you. Whatever you do—whether emailing a kitten video or mak-ing dinner—will be appreciated.

There’s also a role for email friends, whether they’re former work colleagues or people you know primarily through Facebook. They may be the perfect ear for times when you need to talk (or type) things through.

spread the word. Anyone diagnosed with a serious illness will do a lot of research on the topic. Don’t hesitate to share your findings with your family and friends. They may dig even deeper.

When Roberts told her good friends Sawyer and GMA medical correspondent Richard Besser, MD, about her diagnosis, the trio began calling specialists. “We were like a little tiger team, the three of us,” Besser told Parade. “People won-dered, why is Diane in Rich’s office with the door closed?” Besser and Roberts interviewed doctors together; he checked out the medical angle while she sought an emotional comfort level.

avoid emotional vampires. Even well-intentioned friends may head down the wrong path while trying to be supportive. It grates when someone compares his or her medical situation to yours. It’s up to you to step in and say, “I know diabetes has been difficult for you, but today I’d really appreciate it if we could focus on me.” If that’s not possible, it’s OK to step away.

surround yourself with people with whom you can be genuine. When you’re unhappy, disappointed, angry or confused about your disease, you should be free to express your feel-ings. “Don’t be afraid to let people know that you’re tired or anxious or in pain,” Chabner Thompson says. “If you’re grumpy, they won’t blame you, they’ll blame the illness.”

For Roberts, making it through her ordeal has left her with nothing but grat-itude toward her siblings, her friends, her medical team and her fans.

Last year, a fan tweeted this question to Robin: “What comforted you most?”

Robin tweeted back, “Faith, family and friends.” ■

FALL 2014 13

Take CareBattling cancer can take a toll on your mind and body. While you’re going through treatment, be good to yourself. BMH Women’s Imaging Center Nurse Navigator Amy Hane offers these suggestions:

• Join a support group. “No one knows better what you’re going through than someone who has walked in your shoes,” Hane says. “Don’t feel guilty that you’re taking time away from your family or work. Consider it part of your treatment.”

• Indulge yourself. If you feel like ice cream before dinner, go for it. It’s impor-tant to eat what you can when you can.

• Take a stroll. “You might think exercising would induce fatigue, but it actually com-bats it,” Hane says. “I recom-mend walking for 30 minutes four days a week.”

• Rest when needed. Your body is working hard to heal itself. And power naps can boost your energy.

website

Be a Bone Marrow MatchTo learn more about bone marrow donation and to sign up to be a donor, visit www.bethematch.org/ support-the-cause/donate-bone-marrow today.

Love

eAT,PLAY,

How to help your partner (and you)

stay healthy, happy and strong

by stephanie r. conner

THE BIG STORY

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Lighten Up The good news, says Jim White, a registered dietitian nutrition-ist and an Academy of Nutrition and Dietetics spokesman, is that most fast-food restaurants offer more healthy options than ever before. For example, many have light menus with items under 500 calories. Some chains are using healthier cooking oils, and others are going beyond french fries for sides by also offering whole fruits and vegetables.

Perhaps most important, large chain restaurants are required to publish their nutritional infor-mation. This way, you can make an informed decision about what you’re putting in your mouth.

“If it’s not visible, ask the place to see the nutrition facts,” White says.

A juicy Big Mac with fries. Nachos Supreme. 3 Cheese Stuffed Crust Pizza. Yep, those menu

items are right up his alley. You know, man food. But while it may make him happy at dinnertime, fast food

sure isn’t doing his waistline any favors. And if he has a chronic illness like diabetes or heart disease, it’s causing even more harm. That’s because a lot of fast-food options are loaded with calories, fat, salt and sugar.

Fast Food For date Night

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Do All the NumbersWhen you’re looking at nutri-tional values, a lot of numbers matter, White says.

“Pay attention to the big picture—not just the calories,” he says. “Look at protein, fat and cholesterol. … And sugar is one of the big things that people need to watch. I always advise looking for less than 10 grams of sugar unless it’s fruit or dairy.”

Fast food in particular, he says, is laden with fat. If you concentrate on foods with 5 grams of fat or less (and preferably less than 3 grams of saturated fat), you may cut out a lot of menu items, but you’ll eat a healthier dinner.

While most of us could stand to cut back on salt, it’s especially important for people who have high blood pressure, White says. Whether you eat at a sit-down restaurant or visit the drive-thru, sodium counts probably will be high, which is one reason dining out should be the exception rather than the rule. When you are out, focus on foods that have less sodium (such as whole fruits and vegetables), and don’t add salt to your meal.

Suss Out That saladAs you’re cruising out for a quick dinner, don’t fall into the trap of assuming a salad is the healthiest option.

“Some of these salads can be over 1,000 calories,” White says. Extra, and avoidable, calo-ries and fat lurk in add-ons like cheese, bacon bits and crou-tons. Creamy salad dressings can also pack a caloric punch.

White recommends oil and vin-egar or a vegetable-based salad dressing, such as one that uses avocado as its base, instead of fatty dressings like ranch or blue cheese.

Another way to up the nutri-tional value of your fast-food picks, White says, is to choose whole-grain breads over white bread (there’s more fiber and vitamins) or sweet potatoes over white potatoes.

Fast-Food FavesWhen you’re deciding where to snag that Friday evening meal, consider establishments offer-ing healthy choices that also satisfy that fast-food urge.

Chipotle lets you choose grilled chicken, beans and brown rice for your meal (skip the sour cream and cheese!).

Chick-fil-A offers grilled chicken options in wraps, salads and sandwiches.

Subway (which recently removed a controversial chemi-cal from its bread) has several sandwiches with under 6 grams of fat, and you can add all the vegetable toppings that can fit.

“Nothing is better than eat-ing a fresh meal made at home,” White says. “But people are busy and have to stop at these places from time to time.”

Fast food might not be ideal, but it’s a part of life.

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KicK the canIf you want to see calo-ries add up in a hurry, add a soda to your meal. A 12-ounce cola will tack on 140 calories—and 39 grams of sugar and zero nutrients!

Pair your meal with water or unsweetened iced tea or coffee instead, says Jim White, a regis-tered dietitian nutrition-ist and an Academy of Nutrition and Dietetics spokesman. Another good option, he says, is skim milk.

If you crave some- thing fruity, check the nutritional information on juices. Eating the actual fruit is always better than drinking the juice, White says, and the juices offered at most fast-food joints are processed, high-sugar, high-calorie drinks with little nutri-tional value. Unless you find low-sugar or fresh-squeezed options, skip them.

website

Trading DownTo learn some easy—and tasty—ways to reduce the fat, sugar and salt in your diet and pack in extra nutrients, check out the health article “4 Simple Swaps” at www.bmhsc.org/lessfat.

10 Simple StepS to a Happier Heart

Undertaking major lifestyle changes to improve your heart health—quitting your

job, losing 40 pounds—can seem daunting, if not impossible. But these 10 baby steps are easy to embrace and share, so both you and your partner can make your hearts a little happier.

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1 Plant a Petunia. According to Nieca Goldberg, MD, a spokeswoman for the American

Heart Association’s Go Red campaign, “Gardening is considered a moderate aerobic activity. Raking leaves is even considered a more vigorous activity.” Riding on a lawn mower? Not so much.

2 Phone a friend. Friendships and social support can help reduce stress and improve heart

health. Having someone to talk to is great; even better is having someone join you for a healthy meal or a sweat session. Health-conscious friends can be great motivators.

3 Veg out. On your plate, that is. To simplify healthy eating, Goldberg says, always start your

meal by filling half your plate with fresh vegetables. This helps you load up on vitamins and nutrients as well as heart-healthy (and cancer-fighting) antioxidants.

4Shake uP your dreSSing. Goldberg, author of The Women’s Healthy Heart Program, says she

always makes her own salad dressing, using olive oil, vinegar, Dijon mustard and pepper. It’s a great way to add flavor without too many fatty calories.

5 hug harley. Owning a pet, especially a dog, helps your heart stay healthy for several reasons. A dog can

motivate you to be more active and take walks; snuggling a pet can help lower stress; and the likelihood of high blood pressure, high cholesterol and obesity all tend to be lower in pet owners.

6 SiP a Syrah. The antioxidants in red wine have heart-health value, as long as you don’t drink

more than one glass of red wine daily for women and two for men. If you’re not a drinker, this is not an incentive to start. “You could also drink grape juice,” Goldberg says. “The [grape] skin has the antioxidant benefit.”

7 Pare your to-do liSt. This, according to Goldberg, is one simple way to reduce stress and

improve your heart health. Cut out tasks that aren’t essential or enjoyable.

8 hit the Sack. “The reason we’re concerned about sleep,” Goldberg says, “is that if you

lack enough sleep, there is an increase in stress hormones, which is associated with higher blood pressure.” Aim for seven to nine hours of shut-eye a night.

9 uPgrade your grainS. White flour and processed grains aren’t doing your heart

any favors. Look for whole grains instead, Goldberg says. “Quinoa is a better option than spaghetti,” she advises. Quinoa, steel-cut oatmeal, whole-wheat pasta and brown rice are superior to white bread, pasta and rice.

10chomP dark choco-late. Though experts say more research is needed

to confirm their true benefits, cocoa flavanols have been shown to help lower blood pressure and reduce the risk of heart disease. Look for chocolate with at least 65 percent cocoa and try to avoid processed milk chocolate candy, which is full of sugar and fat and is low on flava-nols. “A small amount of dark chocolate is better than a lot of milk chocolate,” Goldberg says.

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Walk aWay your WorriesFall’s cool weather makes it a perfect time to get off the couch and get walk-ing. Along with the physi-cal benefits, exercising helps reduce stress.

“You want to start off slowly so your body can adjust to the physi-cal activity,” says Hollie Fersner, an exercise physi-ologist at BMH’s LifeFit Wellness Center. “If you build up your stamina and endurance over time, your heart doesn’t have to work as hard.”

To keep things inter-esting, try walking some of the Lowcountry’s many beautiful trails, like Hunting Island State Park’s 1.4-mile Lagoon Access Recreation Trail and Spanish Moss Trail’s 3.3-mile paved pathway in the heart of northern Beaufort County.

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Kick the HabitIf nicotine patches and gum haven’t cured you of your cigarette habit, enroll in Freedom from Smoking, a seven-week smoking cessation program developed by the American Lung Association. For information on the next session, contact Dixie Slichter at 843-522-5570.

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Three LiTTLe Words:

Get Your ScreeninG

It’s no secret that men are likelier than women to engage in risky behaviors. And one of the riskiest is skipping health screenings.

In fact, a recent survey showed that three times more women than men had seen a doctor in the previous year. And that’s not all: About a quarter of men said that if they had health concerns, they would wait as long as possible before seeing a doctor. Good thing that fella of yours has a partner.

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According to Steven Jonas, MD, an expert in preventive medicine and co-author of Help Your Man Get Healthy: An Essential Guide for Every Caring Woman, the key to motivating your partner to improve his health, from eating better to scheduling appoint-

ments, is taking things one step at a time. “The goal is never perfection,” he says. “We can never be perfect. We can always get better.”

Jonas advises that you focus on providing support, and lay off the guilt. “Guilt trips on people do not work,” he says. “They automatically set up negative interactions.”

Instead, help your partner recognize the benefits of health screenings. For example, detecting disease early increases his chances of living a long, healthy life—and that means more time for family, friends, hobbies and work he enjoys. Here are three key screenings men need and simple things you can say to get your man into that waiting room.

Blood Pressure The American Heart Association recom-mends blood pressure tests at least every two years starting at age 20. If your partner is seeing his primary care physician every year or so, this mea-surement is a routine part of the exam.

Benefits: High blood pressure has no obvious outward signs, so testing is key. Left uncontrolled, it can lead to heart disease, heart attack, stroke, kidney damage and more. Get him GoinG: It’s easy, painless and gives him a chance to show off his biceps.

CholesterolIt’s recommended that people 20 and older have a cholesterol test at least every five years. If your man has high cholesterol or other risk factors for heart disease, his doc-tor may recommend more frequent testing. Benefits: Testing is essential because a

high cholesterol level, a major risk for heart disease, typically doesn’t come with noticeable symptoms.Get him GoinG: Cholesterol testing is an efficiency expert’s dream: The blood test takes little time and can screen for diabetes and other conditions as well. As long as everything checks out OK, he won’t have to go back for a few years.

Colonoscopy This screening for colon cancer is rec-ommended every 10 years starting at age 50. During the pro-cedure, which takes 20 to 60 minutes, a small tube is inserted into the rectum. The tube contains a light and a camera, allow-ing the doctor to view the colon.

Benefits: A colonos-copy can find growths, called polyps, on your colon before they become cancer. The doctor can remove them during the pro-cedure, saving you from cancer treatment down the road.Get him GoinG: Aside from the SAT, it’s the test you’ll take least frequently over a lifetime; done under sedation, you won’t feel or remem-ber a thing. You can schedule his-and-hers screenings for the same day if that makes your partner more at ease. If he’s still opposed to a test, let him know that other screenings are available. ■

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Word to the Guys Enough with the male-bashing. While women are statistically better at getting regular screenings than men, nobody’s per-fect. If your partner hasn’t had a mammogram, a Pap test or a heart-health screening recently, help motivate her to schedule a doctor’s appointment.

“Partnership is very important,” says Steven Jonas, MD, an expert in preventive medicine and co-author of Help Your Man Get Healthy: An Essential Guide for Every Caring Woman. From cooking healthy meals to exercising together, you’re a team.

If child care is a concern, offer to take a day off from work to watch the kids. Or, if she’s apprehensive, go with her and sit in the waiting room. Find out what she needs to feel better about going to the doctor, and offer to step in.

APPOINTMENTS

Don’t Delay Another DayBeaufort Memorial Obstetrics & Gynecology Specialists, located in Suite 210 of the Beaufort Medical Plaza, offers two key screenings for women—clinical breast exams and the Pap test used to detect cancer of the cervix. To make an appointment, call 843-522-7820.

Walking into a gym, which can

be intimidating at any age, is doubly

tough when you’re older. But walking

into your living room? Piece of cake. Try these

easy exercises—your bones will

thank you. BY JODI HELMER

EXERCISESEASY4 2X

WEEK

F or longtime AARP members, the idea of starting a weight-lifting program might sound alarming. What if you fall? What if you hurt yourself? But, in fact, strength

training can prevent both those situations. Lifting weights helps build muscle strength, prevent fractures, improve balance and maintain bone density while reducing symptoms of arthritis, diabetes, osteoporosis and depression.

Jacque Ratliff , an exercise physiologist and a spokes-woman for the American Council on Exercise, rec-ognizes that the idea of hitting the weight room may intimidate some older adults. She suggests working with a personal trainer or joining group exercise classes for seniors that incorporate strength training. (Call your local Y, community center, or parks and recre-ation department to see what low- or no-cost classes are available.)

To build confi dence and stamina before picking up the weights, Ratliff has created an in-home strength-training program incorporating four simple exercises that you can try twice a week to start. Ready? Let’s go!

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STRONGSENIOR

1 Chest Press This exercise helps firm the shoulders and chest,

increasing upper-body strength that is essential for carrying groceries or picking up grandchildren. Working these muscles also helps in an emergency, like getting back up after a fall. You will need a lightweight resistance band, a stretchy elastic band that makes your muscles work harder. Individual resis-tance bands, available at sporting goods stores and online, are usually under $10.

WHAT YOU NEED: ChaIR, RESISTaNCE BaND

1 Sit on a chair with a resis-tance band stretched across the back of the chair and one handle in each hand. (The band should be taut; adjust your grip as necessary.)

2 Hold the handles with palms facing downward and elbows flexed at 90 degrees.

3 Exhale, straighten the arms and press both hands forward to meet each other in front of the chest.

4 In a slow, controlled movement, return to the starting point.

5 Do one to three sets of four to eight repetitions.

2 steP-uPs This move works the glutes,

quadriceps, hamstrings and calves to help with balance, which makes navigating uneven surfaces easier. For additional support, use a handrail. If your home doesn’t have a staircase, use a low, sturdy platform like an aerobic stepper.

WHAT YOU NEED: STaIRS

1 Stand at the bottom of a staircase and place your hands on your hips and your right foot on the first step (don’t let the heels or toes hang off).

2 Keeping your bent knee in line with your foot, push through the ball of your right foot, until you’re standing squarely on the first step, legs next to each other.

3 Repeat on the left side.

4 Do one to three sets of four to eight repetitions.

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3 Trunk roTaTions

This simple exercise works the oblique muscles (side abdominals) and trunk stabilizers, which improve posture and core strength and can help reduce chronic backache. To increase the intensity (and work your triceps), hold a 3- to 5-pound weight in each hand.

WHAT YOU NEED: CHAIR

1 In a seated position, with your back straight, bring your fists together in front of your chest, with arms at shoulder height and elbows pointed to each side.

2 Rotate from your waist to the left side, pointing your left elbow toward the back

of the room while keeping your knees facing forward.

3 Return to starting position and rotate from your waist to the right side.

4 Do one to three sets of four to eight repetitions.

Body WeighT squaTThis move uses body weight to build muscles in the glutes (rear), quadriceps (front of thighs), hamstrings and calves while improv-ing balance and core strength. If you have balance issues, keep one hand on the back of a chair.

WHAT YOU NEED: notHIng

1 Stand with your feet shoulder-width apart, toes pointed outward slightly.

2 Hold your arms in front, slightly bent, to help with balance.

3 While keeping your back straight and chest high, squat as if you were trying to sit on a chair placed a foot behind you.

4 Once you’ve reached a com-fortable level while keeping your heels on the ground, stand back up—keep your weight on your heels and don’t lean forward.

5 Do one to three sets of four to eight repetitions. ■

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A Touch of clAssWant to work out with a group but worry you won’t be able to keep up? Try one of the morning fitness classes at Beaufort Memorial’s LifeFit Wellness Center. The selection of lower-intensity, lower-impact sessions includes a weight training/cardio combo, tai chi and chair yoga.

“Using a chair allows individuals with mobility issues to get the benefits of yoga without having to get on the floor,” says LifeFit Wellness Services Manager Kimberly Yawn.

For more information, visit www.bmhsc.org.

APPOINTMENTS

Ready to Roll?LifeFit Wellness Center’s personal trainers can get you started on an exercise pro-gram designed to fit your health needs. To schedule a session, call 843-522-5635 or email hsmith@bmhsc.org.

GirlWe can’t explain why last year’s skinny jeans are suddenly lame, but when it comes to your teenage daughter’s health concerns, here’s some insight By AlissA M. EdwArds

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“T here are a million rules for being a girl. There are a million things you have to do to get

through each day. High school has things that can trip you up, ruin you, people say one thing and mean another, and you have to know all the rules, you have to know what you can and can’t do.”

In The Unwritten Rule, Elizabeth Scott captures the angst of high school. In addition to dealing with the pressure of grades and sports and the confusion of a digital social scene, teenage girls also cope with the hormonal ups and downs of a changing body.

“Many teenagers don’t feel comfortable talking to their parents about some of the more embarrassing aspects of being a teen, like puberty, sexuality and bullying,” says Cara Natterson, MD, a pediatrician and the author of The Care and Keeping of You 2: The Body Book for Older Girls.

We gathered questions from a group of teenagers and asked Natterson for her advice. Read on to learn what questions the teen in your life might have, then use this article to start a conversation. >

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Q “My friend has lost a lot of weight. She steals her mom’s diet pills and throws her lunch away at school. Should I say

something to her? She seems to be a lot happier than when she was heavy.” —Jennifer, age 17 “This is bigger than a friend giving another friend advice,” Natterson says. “Your friend may be struggling with an eating disorder, and you don’t have the expertise to help her in the way she really needs—and that’s an extreme burden for you.”

While some people who are anorexic report feeling a temporary high that results from having control over their body, eating disorders are ultimately accompanied by depression, fatigue and a host of health problems. In extreme cases, an eating disorder can lead to death. Natterson reaffirms, “This could be a serious medical issue, and it’s really important to share your concerns with a trusted adult, like a parent [yours or hers], a guidance counselor or a teacher at school.”

Q “Most of my friends have gotten their period, but I still haven’t. And I still fit into a training bra. Is there something wrong with

me?”—Sara, age 13 “Absolutely not! The average age for get-ting your period is 12 to 13, but it’s com-pletely normal to get it as early as 9 or as late as 16,” Natterson says. “There’s no ‘normal’ age to begin developing or to start your period. It’s a really broad range.

“You’re probably just a late bloomer; give it time. But if you are concerned because you feel like you are way behind your friends in terms of your development, ask your mother to make an appointment with your doctor.”

These six questions cover some of the topics that trouble teens the most. Remember, you don’t have to have all the answers. An open mind and the willingness to talk are your best tools.

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website

Say No to CyberbullyingTweets, texts and emails have made it easy for bul-lies to inflict emotional pain on their victims. For tips on protecting your teen from online attacks, read the short health article “Stop Cyberbullying” on Beaufort Memorial’s website. Go to www.bmhsc.org/stopit.

Gardasil is the brand name of a vaccine that protects against four types of the sexually transmit-ted human papillomavirus (HPV), including two that cause about 75 percent of cervical cancer cases. The Centers for Disease Control and Prevention recom-mends Gardasil vaccinations for girls and boys before they become sexually active. So why wouldn’t you OK it for your child?

Media reports about the vac-cine’s occasional side effects, such as headache and nausea, may give you pause. BMH pediatrician Karen Keane, DO, of Sea Island Pediatrics says there’s nothing to fear. “The side effects from Gardasil are no more or less than

what you have with any other vac-cine,” she says.

The CDC recommends the vac-cination for girls and boys at age 11 or 12 so immunity can be devel-oped. (And if you feel your child is the appropriate age, this may be a good time to open the discus-sion about sexual activity you’ve been avoiding.)

“It’s a really good vaccine,” says Keane, who has inoculated all three of her children. “For girls, it potentially reduces the risk of cervical and other genital cancers later in life. For boys, it reduces their risk of rectal, anal and oral cancers.”

The hPV Vaccine:

Should Your child GeT iT?

says. “Whether you realize it or not, your friend is asking for help and needs you to do the right thing—and that means telling a parent [yours or hers] or a guid-ance counselor who can give her the help she really needs.

“She won’t be in trouble for needing help, but she could be in serious trouble if she doesn’t get the help she needs.”

Q “Sometimes I smoke a cigarette when I go to a party. I just smoke one or two—I really don’t like it. That can’t

hurt me, right?” —Kayla, age 14 “Even smoking a little is unhealthy, but the more serious problem is that cigarettes are addictive—once you start, it’s very hard to kick the habit,” Natterson says. Think of it this way: Nobody addicted to nicotine started by smoking an entire pack. “Respect your body and treat it well by choosing not to smoke—ever.” ■

Q “I don’t go to parties because I don’t drink, but I’m tired of missing out. What should I do?” —Kelly, age 17

At the risk of sounding like a parent, start by congratulating yourself on making a smart choice. “When it seems as though everyone around you is par-taking, choosing to steer clear of alco-hol isn’t easy. But as a teenager, your brain is not fully developed. Adding alcohol to the mix can result in really poor judgments,” Natterson says.

“That said, you can also attend par-ties and not drink. One smart tactic would be to offer to be the designated driver, which can help keep your friends safe, too.”

Q “I have a friend who cuts her-self. I don’t want to get her in trouble, but I don’t want her to hurt herself either. What

should I do?” —Diana, age 15 “You may feel like you can handle this on your own, but you can’t,” Natterson

Q “I get pimples on my back and I’m embarrassed to wear any-thing that shows them, which is really tough in summer. I don’t

even want to go to the beach this year.” —Megan, age 15 According to Natterson, “Acne can be embarrassing, but most teens have it someplace. Shower daily and wash the affected area with a gentle soap or cleanser.” (Buy a brush with a long handle specifically meant for the job.) “Don’t try to scratch them off, because when you pick, they can scar.

“If the pimples feel really out of con-trol, talk to your pediatrician as well. He or she can suggest other treatments that can help, including prescription medications, creams and cleansers. And it helps to know that acne usually gets better with age.”

Teens: Then & nowthe challenges facing today’s teens sure look different from those their parents coped with 30 years ago. here, we compare common problems of the mid-1980s with those today.

PartyingBack in the day: troublemaking

teens raided their parents’ liquor cabinet.now: today’s risk-taking kids comb

medicine cabinets for everything from antianxiety medications to prescription pain pills and bring them to “pharm parties.”

what to do: besides talking with your teen about the danger of prescription drugs, lock medicines in a secure place. keep a medicine inventory chart, and dispose of unused pills and liquids safely.

BullyingBack in the day: hand-passed

notes and being shoved into a locker were school-day hazards.

now: In addition to the face-to-face drama, bullying happens electronically through social media. It’s estimated that more than half of adolescents and teens have been bullied online—yet only one in 10 will tell a parent, according to bullyingstatistics.org.

what to do: Most kids won’t ask you for help, but if you think something is wrong—for instance, your child keeps avoiding the bus or becomes upset when reading text messages—start a conversation.

PornograPhyBack in the day: Exposure to sex

was mostly limited to MtV videos and stolen copies of Playboy passed around on the bus.

now: technology gives kids access to pornography like never before. sexting—sending sexually explicit text messages and photographs—starts as early as middle school.

what to do: Again, an honest conversation is your best weapon. keep computers in family areas, monitor which sites your kids visit, and if your browser allows, set parental controls.

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WANT MORE HEALTHY IDEAS? Check out our winter issue, focusing on food and nutrition.

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10 THE QUICK LIST

2 Teens navigate a world that comes with

eating disorders, self-cutting and drinking. Be aware and listen.

1 Nagging won’t get your partner to the doctor. Promising to meet up

for lunch afterward might.

Have a friend who’s sick? Stop by for cof-fee. Companionship helps in recovering from serious illness.

4If your mother has a straight-back chair and a staircase, she can start building muscle.

10 Tell your Type A spouse that a cho-lesterol test is the

world’s most effi cient way to spend 10 minutes.

A large fast-food cheeseburger and small fries contain three-quarters of the recommended daily calories for a moderately active adult woman and 135 percent of rec-ommended daily saturated fat.

8 Think twice before hiring a gardener. Yard work such as raking leaves counts as exercise.

The perfect date-night dinner: tons of veggies, a glass of red wine and dark chocolate.

3 Family pets are good for your heart. Adopt a dog.

6 Be strict about bedtime. Insuffi cient

sleep increases stress hormones.

TAKEAWAYS FOR YOUR FAMILY

Sandra Baggette in her art studio.

At the Women’s ImagIng Center, keeping patients informed and expediting diagnostic testing help reduce the anxiety that comes with an abnormal mammogram

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family history of breast cancer, she has made sure to get a screening mammo-gram every year.

It had always come back clear until about 15 years ago, when the X-ray revealed a possible abnormality.

“I had to go in for two mammograms and saw the doctor twice before I found out it was nothing,” Baggette says. She waited a week to get the results.

Same-Day ResultsLast summer, she had another cancer scare.

The professional artist and master gardener had put off her yearly screen-ing to prepare her yard for the Beaufort Garden Club’s “Garden-a-Day” tour.

“I was working really hard on the garden and didn’t make my annual mammogram in the spring when I normally do it,” she says. “But I knew enough not to slough it off for too long.”

In July, she made an appointment for the screening at Beaufort Memorial Hospital’s Women’s Imaging Center.

“I wasn’t worried about it,” Baggette recalls. “I expected it to be fine.”

At the Women’s Imaging Center, an on-site radiologist reviews every X-ray as soon as it is taken, enabling the mammography facility to offer same-day results.

Once the screening is completed, patients are asked to stay in their gown in a private waiting room while the radiologist checks their digital images. Baggette was casually reading a maga-zine when mammographer Melissa

a biopsy and ultimately a complete hysterectomy, in large part because of inconclusive biopsy results.

“There was no choice,” she says. “At that time [it was 1978] you just did it.”

It wasn’t till six anxiety-filled weeks after the surgery that Baggette learned no abnormalities had been found in her other organs.

“I am truly thankful for the advances in medicine today,” she says.

The experience taught her to be her own advocate and keep up with preven-tive healthcare. Although she has no

M ost women would be rattled by a suspicious finding on their rou-tine mammogram. Not

Sandra Baggette.“I have learned to just deal with what

I have to deal with,” says Baggette, a 73-year-old Port Royal resident. “It’s important to address the problem.”

The mother of four and wife of a retired Marine colonel has enjoyed the challenge of 21 moves over the course of her husband’s 30 years in the military.

But at age 38, she faced one of the most difficult times in her life. The day before she was getting ready to move the family from Virginia to California, Baggette learned she had a gynecologic dysplasia, an abnormal growth of pre-cancerous cells.

On the heels of the October move came appointment delays, the holidays,

The speed of the process, from the initial mammogram to diagnosis, went a long way toward reducing her anxiety. “I didn’t have time to imagine the worst,” she says.

Diagnosing DiseaseYou’ve had your biopsy, and now there’s nothing left to do but wait and worry until the doctor calls you with the results. To ease patients’ angst, Beaufort Memorial pathologists have made it a top priority to deliver a diagnosis as quickly as possible.

“We’re very sensitive to the timeliness of the process,” says BMH pathologist Brad Collins, MD. “It’s much easier on the patient from an emotional standpoint if we move things along quickly.”

Results typically are available within 24 hours of the biopsy. If there is any uncertainty about the diagnosis, the pathologist will seek a sec-ond opinion from a colleague. This is necessary in only a small number of cases.

“The pathology report is what drives the rest of the process,” Collins says. “It lays the road map for staging and treatment if the result is cancer, so ensuring the accuracy of those reports is critical.”

As part of its affiliation with Duke, BMH regularly submits a sam-pling of cases to the prestigious university medical center’s pathology department to be analyzed for accuracy. Since the evaluation process began eight years ago, the hospital’s pathology services have been so highly rated that the frequency of the reviews has been cut from monthly to quarterly.

FALL 201434

“It was unnerving,” Baggette says, “but the technician was fantastic. She held my hand and rubbed my back and told me everything the doctor was doing. It was very comforting to have her there explaining what was going on.”

Pearce received the results a day later. Because it was a Friday, he asked Brown to call Baggette immediately so she wouldn’t have to go through the week-end worrying about the outcome. The biopsy was negative. He met with her the following Tuesday to go over the findings in more detail.

“It was as nice an experience as it can be,” Baggette says. “It’s unpleasant, but necessary for your health.”

The speed of the process, from the initial mammogram to diagnosis, went a long way toward reducing her anxi-ety. “I didn’t have time to imagine the worst,” she says.

She was equally impressed by the pro-fessionalism and compassion of the staff.

“Everyone at the Women’s Imaging Center, from nurses walking down the hall to the receptionist, made a point to stop and ask me if I was all right,” Baggette says. “It makes you feel better to be among people who empathize with what you’re going through and really care about your well-being.” n

determine the nature of the abnormal-ity,” Baggette says. “If it was cancer, I felt like they had found it early and it could be treated successfully.”

Crisis AvertedBaggette was examined by BMH general surgeon Tim Pearce, MD, and two days later was scheduled for the biopsy.

During the procedure, the patient lies facedown on a special table with an opening for the breast to be examined. The doctor raises the table and the biopsy is performed from underneath.

Taylor asked her to return to the exam room to get additional views of one area of her left breast.

“She didn’t make me feel apprehen-sive,” Baggette says. “I thought it was going to be like the other time and there would be nothing to it.”

But when the technician returned with the results, she told Baggette they had found something suspicious on the X-ray and she would need to see BMH Nurse Navigator Jackie Brown.

“Jackie told me they needed to perform a stereotactic core biopsy to

APPOINTMENTS

Ready, Set, Dial!Due for your annual mam-mogram? Call 843-522-5015 to make an appointment at the Women’s Imaging Center in Beaufort or Bluffton Medical Services in Westbury Park. You’ll get your results the same day at both locations.

Baggette is grateful for the staff at the Women’s Imaging Center.

FALL 2014 35

Robot-assisted

laparoscopic surgery offers early-stage prostate cancer patient long-term results

Beatingthe Odds

FALL 201436

H ugh Davis never gave much thought to his prostate. The walnut-shaped gland—known to wreak havoc on

the lives of men 40 and older—hadn’t caused him any trouble.

But when two of his siblings began developing prostate issues, he decided not to take any chances. Every six months without fail, Davis went to his urologist for a PSA screening, a simple blood test used to look for signs of prostate cancer in men.

“My brothers’ prostate issues made me more diligent about getting checked,” Davis says. “I started to get tested regularly just to be sure.”

Davis was in his mid-40s when he began having the twice-a-year screen-ings. It was all good until the spring of 2013, when his PSA level came back higher than normal. A biopsy confirmed he had cancer.

“I knew there was a slight chance I could develop cancer because of my family history,” the 69-year-old retired Beaufort attorney says. “But I had no symptoms. It was a shock to hear the words.”

The Surgical OptionIn its early stage, prostate cancer is usually asymptomatic. According to the American Cancer Society, it’s most often discovered during rou-tine screenings.

APPOINTMENTS

Michael Staley, MD, and John Adams, MD, see patients at Coastal Carolina Urology Group, 1055 Ribaut Road. Staley also offers appointments at Beaufort Memorial Bluffton Medical Services. Call 843-524-7607 to schedule a visit.

Davis had more tests, including an MRI and a bone scan, to determine whether cancer cells had spread to other parts of his body. The results showed the cancer was confined to the prostate.

His urologist, John Adams, MD, offered Davis three treatment options—surgery, radiation or cryotherapy, which involves freezing and killing the cancer cells. All three treatments can cause impotence or urinary problems, or both.

“To me, impotence was not as high a priority,” Davis says. “I was most con-cerned with the possibility of recurrence.”

Prostate surgery, also known as a radical prostatectomy, is frequently used to treat localized prostate cancer, particularly for men with a life expec-tancy of more than 10 years. Surgically removing the entire prostate eradicates the cancer and reduces the chances it will come back.

But Davis was reluctant to have open surgery—the traditional approach to prostatectomy. In this operation, the surgeon removes the prostate and some of the tissue around it through a single long incision in the pubic area.

“A friend had it done several years ago, and I recall him being in extreme pain,” Davis says. “I didn’t want to go through that.”

Cutting-Edge TreatmentAdams recommended Davis meet with fellow BMH urologist Michael Staley, MD, the only physician in Beaufort County performing

robot-assisted laparoscopic prostate cancer surgery.

“Robotic surgery appealed to me because it offered the best chance of getting rid of the cancer totally with minimal side effects,” Davis says. “If it hadn’t been available, I probably would have gone with radiation therapy or the freezing treatment.”

Because Davis was in good health and in his 60s, he was a candidate for the procedure.

“In terms of cancer outcomes and the risk of incontinence and impotence, both open and robotic-assisted surger-ies are comparable,” Staley says. “Where laparoscopic surgery really shines is in the recovery—it’s faster and easier.”

Using the advanced da Vinci Si Surgical System, the prostate can be removed through several small incisions in the abdomen, resulting in less blood loss and postoperative pain. Patients are discharged from the hospital the day after surgery and need a catheter for one week. In comparison, open surgery requires a two- to three-day hospital stay and two to three weeks with a catheter. Men can return to their regular activi-ties in 10 days, compared with four to six weeks with the open approach.

Davis chose to have the surgery last fall. Since then, his PSA levels have been undetectable, indicating the prostate cancer is gone.

“I feel I made the right decision,” he says. “Now that it’s behind me, I don’t have to worry anymore.” n

To TesT or NoT To TesTDespite the ongoing controversy over the benefits of routine PSA screenings, pros-tate cancer continues to be the second most common cause of cancer deaths in men in the United States. One man in six will get prostate cancer during his lifetime, and not all prostate cancers behave in the same way.

Most urologists still recommend PSA testing for patients 55 to 69, especially African-American men, who are nearly 1.6 times more likely to be diagnosed with prostate cancer than Caucasian men and 2.4 times more likely to die from the disease.

FALL 2014 37

The unexpected and fright-ening diagnosis of breast cancer: something almost

every woman fears. For Elly Levin, this unforgettable day in her life came in 2007. A kind and mild-mannered person on the outside, Elly gathered her internal forces, assumed her dignified posture, curtsied and joined the dance of the breast cancer patients.

Today, she looks back on that time not only as life changing, but also as a positive experience for which she will forever be

grateful. She remembers the caring and peaceful environment of the Beaufort Memorial Keyserling Cancer Center, and recalls by name the many doctors, nurses, technicians and volunteers who were always reassuring and efficient.

“Every person I encountered was remarkable,” says Elly. “Everyone was respectful and gave me great confi-dence and hope.”

Elly’s treatments were successful and her recovery from breast cancer has been smooth. And, she says, the impact

of her experience stays with her every day in a good way. Facing her own mortality helped her come to better appreciate what is good in life, includ-ing good health. She feels grateful for the care she received at the Keyserling Cancer Center and for the friendships she made with other cancer patients along the way. Her interest in health—and in being part of a network that supports healthcare here in our com-munity—began to make more sense than ever before.

Taking noThing for granTedElly and Arthur Levin’s story of a special gift

Foundation-Building

A Charitable Gift Annuity, like the one the Levins invested in, supports the BMH Foundation and also gives them added income.

FALL 201438

Soon after Elly’s diagnosis, and unaware of it, the Beaufort Memorial Hospital Foundation invited her hus-band, Arthur, to join its board of trustees. Arthur recalls that while he had been a modest supporter of the Foundation, the invitation—and his wife’s circumstances—increased the Beaufort native’s awareness of “the incredible strides” Beaufort Memorial had made in his lifetime.

“Also,” he says, “I saw strong, car-ing leadership at the top of Beaufort Memorial, and I knew this was the time for me to commit.”

Arthur currently serves on the BMH Foundation board as secretary and a

BMH Foundation CGa RatesAge Rate 5-YR

Deferred Rate10-Yr

Deferred Rate15-Yr

Deferred Rate

55 4.00 4.69 5.51 6.46

60 4.40 5.16 6.06 7.11

65 4.70 5.52 6.47 7.59

70 5.10 5.98 7.02

75 5.80 6.81

80 6.80

85 7.80

90+ 9.00

These single-life rates are estimates based on hypothetical assumptions. Different rates for two-life CGA.

How a CGa witH tHe BMH Foundation woRks1. YOU GIVE $5,000 or more.

2. YOU RECEIVE FIXED-AMOUNT PAYMENTS beginning now or later, for as long as you live, plus an immediate tax deduction. Current rates range from 4 to 9 percent, depending on your age.

3. YOUR GIFT KEEPS GIVING as the remainder is invested in the BMHF Endowment, benefiting Beaufort Memorial Hospital for generations to come.

3Charitable Gifts Annuities are simple to establish.Call Alice Moss at 843-522-5722 or email amoss@bmhsc.org.

“We saw it as a great way to make a gift and

still generate income for ourselves if and when we need it.”

—Arthur Levin

committee chair. When the Foundation’s planned giving offerings were expanded, Arthur took particular note of the Charitable Gift Annuity, a type of gift he had knowledge of through his work in the financial services field.

After discussing how they could dem-onstrate their commitment to Beaufort

Memorial with a special gift, Arthur and Elly decided on the Charitable Gift Annuity (CGA).

“We saw it as a great way to make a gift and still generate income for ourselves if and when we need it,” says Arthur.

Still very active in his career, Arthur chose a Deferred CGA, which delays the income scheduled to come to him, but increases what that amount will be.

Meanwhile, Elly is receiving quarterly checks.

“I want to enjoy this extra income now,” she says happily. “After all, life is short! But more importantly, it has felt good to give back. I honestly feel blessed to have our hospital and the Keyserling Cancer Center right here in Beaufort.” ■

FALL 2014 39

As an advocate for our hospital, the Beaufort Memorial Hospital Foundation reaches out to neighborhoods and com-munities throughout Beaufort County. Thanks to BMH Foundation supporters eager to help spread the word about the hospital’s good works, we have had growing success in this endeavor.

Events have been held at Callawassie, Dataw, Fripp, Habersham, Oldfield, Spring Island and Beaufort’s Old Point, all with the goal of making friends and sharing information about the excellent services and programs available right here at our community’s only not-for-profit hospital. Services covered include cardiology, women’s health, emergency care, cancer care and wellness.

Whether held in a community center or in our hosts’ living rooms, these out-reach events are helping newcomers to the Lowcountry and others learn about their healthcare options and about the unique partnership Beaufort Memorial has developed with the communities it serves.

For example, the Keyserling Cancer Center first opened its doors in 2006

largely thanks to the generous gifts of hundreds of community supporters. Without them, the center as we know it today quite literally would not exist. Since the center’s opening, the Dataw and Fripp communities have each orga-nized their own fundraiser tournaments generating more than $275,000 for, and raising awareness of, our cancer services. Other “grass-roots” walks and fundraisers by other communities and organizations have added to the resources available to help keep our cancer program strong and accessible to everyone as well.

Guests at these outreach events have the opportunity to talk with hospital leaders and learn about the enhance-ments to hospital programs and services the BMH Foundation makes possible through its annual support. They hear about the Foundation’s commitment to the hospital’s future through a growing endowment. They see how the commu-nity’s involvement makes the community healthier and ensures top-notch health-care services for them and their families.

As the hospital’s services continue to expand throughout the Lowcountry, the friendships we are making along the way are continuing to deepen and grow. It is through these friendships that the part-nership between Beaufort Memorial and the community is strengthened. n

Friends Making Friends

BMH Foundation supporters spread the good word about the hospital’s excellence

Foundation-Building

Gynecologist Pat Thompson, MD, shares her knowledge of new surgical technologies in use at BMH.

Since the center’s opening, the Dataw and Fripp communities have each organized their own fundraiser tournaments generating more than $275,000 for, and raising awareness of, our cancer services.

FALL 201440

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THIS JUST INGood-for-you news, cues and reviews

Good News, Bad News in people older than 50, colon can-cer rates have dropped 30 percent in the last decade, according to a recent report in the journal CA. While the decrease is attributed primarily to increased screenings, the same report finds that 30 percent of the population age 50 to 75 still hasn’t been screened. if you’re in the latter group, put down this magazine, pick up your phone, and call your doctor to discuss which test is right for you.

Top FiTness Trends (Zumba? noT so much)A study from the American College of Sports Medicine indicates that the year’s big trends in fitness are tried-and-true workouts that produce results. The top two:

1HigH-inTenSiTy inTervAl TrAining. On a stationary bike, for example, that means alternating one minute of intense uphill pedaling with two minutes of easy cruising.

2BOdy-weigHT TrAining. Pushups, squats, lunges and planks are four exercises that don’t require a lick of equip-ment and can be done almost anywhere.

ANd To dUSk We SHAll ReTURNFor many people in the U.S., the end of daylight saving time nov. 2 means the start of a dark eve-ning commute. Pedestrians and schoolchildren need to be extra vigilant: Stay on sidewalks, cross at traffic lights and don’t text while walking.

App

Managing Meds Making life a little easier, rxmindMe is a prescription app (free in iTunes) that sends a nudge when it’s time to take a pill and even prompts you to reorder.

FALL 2014 41

APP

Pocket Eye Test The Vision Test app measures your vision acuity anytime, anyplace—fail a test and it’s time to see your eye doctor. Free for iPhone and iPad.

CATvs.

DOGSPONGING UP THE STING

CATTHIS JUST INGOOD-FOR-YOU NEWS, CUES AND REVIEWS

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FALL 201442

ANSWER: A DOGAlthough cat and dog owners both have healthier reactions to stress than nonowners, people with dogs signifi cantly increase their recreational walking and are better able to meet recom-mended levels of physical activity, the American Heart Association says in a scientifi c statement.

Imagine (just briefl y) being bitten by a poisonous snake. You receive a dose of a “nanosponge” vaccine, which absorbs the venom in your bloodstream and saves your life. A venom- and toxin-fi ghting nanosponge has produced results in mice, and may one day be used to neutralize bacterial infections such as MRSA and E. coli in humans, envision researchers at the University of California, San Diego. Just don’t look for nanosponges next to a kitchen sink. The particles are smaller than a red blood cell.

Which pet is more likely to lower your risk for heart disease?

What kitchen sponges do for spills, nanosponges may do to battle toxins in blood.

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HELP YOUR HEART: 12 MINUTES A DAYIf you typically fi nd yourself sporting a bigger belly after the holidays, start logging at least 80 minutes a week of aerobic exercise or resistance training. Even if you don’t lose many pounds, you’re likely to lose visceral fat, which lies in the abdominal cavity under your belly muscles and surrounds vital organs. The more belly fat you have, the greater your risk for developing type 2 diabetes and heart disease. Stick with that exercise level, and you’ll keep from regaining belly fat up to a year later, a University of Alabama at Birmingham study suggests.

Food allergies among children

younger than 18 increased

50% from 1997 to 2011.

The frequency with which

someone in the U.S. goes to

an emergency room because of

a food allergy.

ALARMING ALLERGIES

50%

MINUTES3

FALL 2014 43

TRUE OR FALSEAntibacterial cleansers are your best weapon against fl u.FALSE Besides getting a fl u shot and keeping your hands away from your face, becoming friendly with good old soap and water is the best way to stay healthy this season. There’s no proof that antibacterial cleansers are more eff ective at preventing illness than washing with soap and water, the U.S. Food and Drug Administration says. And some research suggests that long-term exposure to certain active ingredients in antibacterial products (triclosan in liquid soaps and triclocarban in bar soaps) may cause bacterial resistance or hor-monal eff ects.

The number of foods that

account for 90% of

all reactions. They are milk, eggs, peanuts, tree nuts, soy,

wheat, fi sh and shellfi sh.

Sources: Centers for Disease Control and Prevention; Food Allergy Research & Education

8

Protein Bars: Buyer BewareThey’ve become the go-to food to throw in your backpack or purse when you don’t have time to scramble eggs in the morning or stop for lunch. Protein bars are a good fill-in for the occasional skipped meal. But choose wisely, says BMH registered dietitian Kim Edwards. Go with a protein bar containing about 10 grams of protein, less than 15 grams of sugar and less than 4 grams of fat.

“If you’re replacing a meal, pick a bar with no more than 350 calo-ries,” Edwards says. “If it’s serving as a snack, it should be less than 200 calories.”

Take a TesT

Health QuizAre you at risk for developing cardiovas-cular disease, diabetes or cancer? Go to www.bmhsc.org and click “Health Resources” to take our health assessment.

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THE TRUTH BY JO OSTGARDEN

If you’ve Googled “flu shot problems,” or have spent any time on social media during flu

season, you likely have run across rumors about the influenza vaccine. some raise eyebrows—others raise fears.

For insight, we went right to the source—the centers for Disease control and prevention. experts at the cDc track, collect, compile and analyze influenza activity year-round. Michael Jhung, MD, an influenza division spokesman, helps separate fact from fiction:

Do I need a new shot every year? Will it make me sick? Can I ask for the

nasal spray instead? Get informed. Then get your flu shot.

Flu ShotSthe truth about

A flu shot can save you a lot of discomfort. Not to mention tissues.

FALL 201444

True or false:I already had the flu, so I’m protected against it for the rest of the year.

False. “You may develop immunity against the strain that infected you,” Jhung explains, “but that’s no guarantee that you’ll have immunity against other flu strains circulating.” Also, keep in mind that the flu shot’s immune protec-tion declines over time. That’s why an annual vaccination is needed to get the best protection.

True or false:Flu shots make you sick.

False. Some people experience short-term side effects like stuffy nose, low-grade fever, aches or fatigue, but it may be your body beginning to build antibodies against the flu. Another possibility, Jhung says, is that you were already coming down with a cold or the flu when you got your shot—more likely if you waited well into the season to get vaccinated.

True or false: The flu can be deadly.

True. Make no mistake, Jhung says, influenza can be a serious disease, partic-ularly among the young, the old and people with chronic conditions such as asthma, heart disease or diabetes. It also can lead to serious complications or death, even among otherwise healthy children and adults. More than 200,000 people are hospitalized for flu-related concerns annually.

True or false:Flu shots are a roll of the dice. There’s no way the drug com-panies can predict whether a vaccine will work for everyone.

False. Researchers track flu viruses around the globe year-round to deter-mine the most effective combination of each vaccine for each coming flu season. “No one vaccine is right for everyone,” Jhung says. “Discuss it with your doctor. Many factors play into the issue, includ-ing your age, gender and health [pre-existing conditions]. The important thing, however, is to get your flu shot.”

True or false: I’m 52. I hate needles, but my doctor says I can’t get the nasal mist vaccine because I’m too old.

True. Some vaccines are intended for specific age and health risk groups. Trivalent (protecting against three viruses) and quadrivalent (protecting against four) nasal mists are currently approved only for those ages 2 through 49, Jhung explains. Ask your doctor about a new, less invasive “needle vac-cine that only enters the skin, rather than the muscle.” ■

FALL 2014 45

Is It a Cold or the Flu?If you have a cough and a stuffed-up or runny nose, chances are you have a cold. Flu symptoms are much more severe and can include fever, body aches, exhaustion and a dry cough that is often intense.

“With the flu, you have a quick onset of symptoms,” says BMH Infection Prevention Coordinator Bev Yoder. “It’s best to see a phy-sician right away to get you started on an antiviral medication like Tamiflu.”

You could be con-tagious from five to 10 days, so be sure to wash your hands often and cough into your sleeve to keep from spreading the virus.

Your best chance at avoiding the misery is a flu shot. Yoder recommends getting vaccinated in early to mid-October.

tool

Know Before You Go Check this nationwide flu activity map for an update before you travel: http://1.usa.gov/1bfLoSv.

HEALTHY BUYS BY ALISSA M. EDWARDS

PLANET PINKWearing a ribbon pin that supports breast cancer research is a fi ne

gesture, but this October, why not step it up and splurge on rose-colored gear that makes a real statement?

HEALTHY BUYS HEALTHY BUYS BY ALISSA M. EDWARDSBY ALISSA M. EDWARDS

FALL 201446

NEST FRAGRANCES PASSION CANDLE (8 OZ.) $28Where: nestfragrances.com and department stores and specialty stores nationwideWhat: A swoon-worthy rose-and-sandalwood scent for romancing your homeWhy: 10 percent of proceeds goes to the Breast Cancer Research Foundation

SAGE GRACE FLY ROD $495Where: sagefl yfi sh.com and outdoor retailers nationwide What: Responsive and comfortable-to-cast fi shing gear in iridescent pinkWhy: $50 from each pur-chase goes to Casting for Recovery, a nonprofi t orga-nization “dedicated to giv-ing women powerful tools to overcome the challenges of breast cancer”

APOLLO TOOLS 4-PIECE GARDEN TOOL KIT $50Where: apollotools.comWhat: Practical and pretty gardening tools in a sturdy pink caseWhy: 75 cents from each pur-chase goes to the Breast Cancer Research Foundation Cancer Association

FALL 2014 47

ESTÉE LAUDER LIMITED EDITION EVELYN LAUDER DREAM COMPACT PLEASURES SOLID PERFUME $50 Where: esteelauder.com and Estée Lauder retailers nationwideWhat: Long-lasting fragrance in a peppy, portable caseWhy: 100 percent of proceeds goes to the Breast Cancer Research Fund

PURE MADNESS 9-PIECE TRUFFLE COLLECTION $27Where: puremadnesschocolate.comWhat: Decadent layers of fl avor enrobed in silky chocolate Why: $1 from every box of truffl es purchased during October will go to the National Breast Cancer Foundation

ASICS GT-1000 3 PR RUNNING SHOES $100Where: asicsamerica.com or fi tness retailers nationwideWhat: Sneaks with gel-cushioning, a sleek design and pink ribbon lacesWhy: $2 from every pair sold goes to Right Action for Women, actress Christina Applegate’s charity

CUISINART POWERSELECT 7-SPEED ELECTRONIC HAND MIXER $60Where: amazon.com and home retailers nationwideWhat: A must-have kitchen tool in baby pink Why: Cuisinart donates $32,500 each year to the Breast Cancer Research Foundation

HEALTHY BUYSHEALTHY BUYSHEALTHY BUYS

FALL 201448

GAIAM PINK RIBBON II YOGA MAT $22Where: amazon.comWhat: A pretty, portable, nonslip yoga mat in berry pinkWhy: $1 from each purchase goes to the Breast Cancer Research Foundation

UNDER ARMOUR WOMEN’S POWER IN PINK RACE V-NECK $30Where: underarmour.com/powerinpink and fi t-ness retailers nationwideWhat: A slim, athletic cut with a customizable message Why: Under Armour contributes a minimum of $500,000 each yearto organizations that support breast health

TWEEZERMAN PRECISION IN PINK SLANT TWEEZER $22Where: tweezerman.com and Tweezerman retailers nationwideWhat: Superior tweezers in fresh pink with a bit of blingWhy: $1 from each purchase goes to Susan G. Komen for the Cure and other breast cancer charities

AVON BREAST CANCER CRUSADE WATCH $20Where: avon.com or through Avon representativesWhat: A sporty, stylish and durable timepiece with a pop of hot pinkWhy: 100 percent of proceeds goes to the Avon Foundation Breast Cancer Crusade

Fergie, global ambassador for the Avon Foundation for Women, shows how to work a watch.

FALL 2014 49

ERIN CONDREN PINK RIBBON CONFETTI FOLDED GREETING CARD SET $28Where: erincondren.comWhat: A personalized and stylish way to keep in touchWhy: 50 percent of purchase price goes to The Hopeful Cure

SHE BY SO.CAP.USA PINK HAIR FOR HOPE PINK HAIR EXTENSIONS $10Where: Participating salons nationwideWhat: Give your do a pop of pink without the commitmentWhy: All proceeds are donated to breast cancer charities

PHILOSOPHY SHOWER FOR THE CURE SHAMPOO, BATH AND SHOWER GEL (16 OZ.) $20Where: philosophy.com and Philosophy retailers nationwideWhat: Famous creamy bath goodies in a delicate, feminine scentWhy: All proceeds go to the Women’s Cancer Research Fund

Foundation FundingThanks to generous gifts from the community, Beaufort Memorial Hospital Foundation has provided more than $1 million in funding for the Women’s Imaging Center. Technology for all of the facil-ity’s screening and diagnostic services, including digital mammography, ultrasound and stereotactic biopsy, was paid for using Foundation grants.

The Foundation also covered the cost of the center’s “healing arts” furnishings and décor, designed to calm patients and relieve their stress, as well as comfort packages given to breast cancer surgical patients.

Most recently, Foundation funding enabled the center to offer tomosynthesis—cutting-edge, three-dimensional mammography—used to find cancers early, when they are most treatable.

“The community’s caring touch is all over the Women’s Imaging Center,” says Foundation Executive Director Alice Moss.

GIVING

How to HelpYour gift to the BMH Foundation helps strengthen hospital services and improve community health. To donate, visit www.bmhsc.org and click on “Make a Gift.”

QUIZ by Jodi Helmer

Freak Out Or Chill Out?

Test your health symptom smarts with these five scenarios

If you’ve gone online to research symptoms like headaches, fatigue or stomach pains, you’re

not alone. A survey by the Pew Research Center found that 72 percent of Internet users have looked up health information online. You’re probably part of another sig-nificant group, as well: consumers who have a hard time distinguishing whether symp-toms are common health hitches or signs of serious medical conditions.

Is falling asleep at your desk a

sign of a rough night’s sleep,

or is something more serious

at stake?

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Q After a restless sleep, you strug-gled to get out of bed this morning and find it hard to stay

awake during the a.m. meeting. During the afternoon commute, you dream about skipping dinner, crawling under the covers and calling it an early night.is it: fatigue or hypersomnia?

Fatigue. Fatigue is a feeling of exhaus-tion, common after a poor night of sleep, that disappears when you get enough rest. Hypersomnia is excessive day-time sleepiness and chronic prolonged nighttime sleeping (14 to 18 hours in a 24-hour period). To combat fatigue, follow a regular sleep schedule. If you’re exhausted for more than two weeks, it’s time to call the doctor.

Q You’re eight months pregnant and experiencing stomach cramps that cause you to double over in

pain. Your stomach feels hard as a rock. is it: labor or gas?

Labor. It can be hard to distinguish contractions from gas, according to Filer. Both can cause intense cramps and appear or disappear in waves. Contractions tend to cause pressure and hardening of the abdomen. If attempts to pass gas do not relieve the cramps, call your doctor or head to the hospital. “In this case, it’s better to err on the side of caution,” Filer notes.

In this quiz, Wanda Filer, MD, a member of the board of directors for the American Academy of Family Physicians, highlights five common health conditions with similar symptoms and offers suggestions for how to react.

Q You have red patches on your nose and cheeks that get worse after spending time in the sun.

You avoided acne breakouts as a teen. Is it possible that, at age 50, your fair complexion is pimple-prone?is it: acne or rosacea?

rosacea. Stress can cause both acne and rosacea flare-ups. But adult-onset acne tends to produce the same embar-rassing pimples that plague teenagers. Rosacea, a chronic skin condition that usually affects adults older than 30, causes redness on the nose and cheeks. The cause isn’t known. Book an appoint-ment with a dermatologist to talk about treatment options.

Q At the supermarket, you felt light-headed in the cereal aisle. You felt better after sitting down for a few

minutes and drinking a bottle of water.is it: vertigo or dizziness?

Dizziness. Vertigo tends to cause the sensation that the room is spinning. Dizziness causes a feeling of lightheaded-ness. Vertigo is often genetic or related to medical issues like ear infections. Dehydration and anemia are common causes of dizziness. If you feel better after a small meal or a bottle of water, dizziness was the most likely cause of your lightheadedness. Regardless of the cause, Filer notes, “if you lose conscious-ness, see a doctor immediately.”

Q After raking leaves all afternoon, your lower back is throbbing. The spasms are intense, but sitting

in certain positions provides some relief.is it: sciatica or a pulled muscle?

a puLLeD muscLe. Both sciatica and pulled (or strained) muscles can cause intense back pain. But pain that is tied to a specific activity and can be relieved, at least temporarily, by finding a com-fortable position is more likely to be muscle-related. Sciatica, pain caused by a pinched nerve, tends to start around the buttock and extend through the leg. Filer recommends over-the-counter pain medication and ice or heat to treat pulled muscles and sciatica. Both take time to heal; if the pain persists for more than several weeks, call your doctor. ■

app

get Health Help on Your phoneDownload the iTriage app to find answers to ques-tions about common symp-toms, and the locations of nearby medical facilities. The free app also includes average wait times for local emergency rooms and urgent care services and phone numbers for health hotlines.

FALL 2014 51

AT A GLANCE BY JO OSTGARDEN

Whipped cream

1–5 DAYS

Pumpkin, nut and fruit

pies

2–4 DAYS

Stuffi ng/dressing

3–4 DAYS

Turkey, ham and roast beef

3–4 DAYS

If prepared with an ultrapasteurized cream, whipped cream will last up to a month. If not, use within 1–5 days of the sell date on the original carton or container.

Cut turkey, ham and roast beef from the bone before storing. If a lot is left over, divvy it into small portions and place each in a shallow container. Store in the refrigerator 3–4 days.

Bacteria can multiply quickly in moist desserts, especially

those that contain dairy prod-ucts. Your eyes and nose are

reliable instruments to tell whether your pie has gone

bad. Cover, refrigerate and eat within 2–4 days.

Don’t put stuffi ng inside the turkey until immediately before you cook it,

Pitts says. As soon as the turkey is fi nished cooking, transfer the stuff -

ing to a bowl. Better yet, cook the dressing separately. Store in an

airtight container in the fridge and eat within 3–4 days.

1 day 2 days 3 days 4 days

FESTIVE FACTS

A TALE OF LEFTOVERS Contaminated food causes an estimated 48 million illnesses and 3,000 deaths each year in the U.S. Learn how to store your holiday leftovers

Your crew has pushed back from the table with that

glazed, food-coma look. Some people waddle to the living room as a few helpful souls join you in the kitchen, consolidating leftovers.

What happens next makes a huge diff erence in whether you end up with an uninvited guest, say, one that goes by the name of salmonella or E. coli.

Dana Pitts, the lead spokeswoman for the Centers for Disease Control and Prevention’s Division of Foodborne, Waterborne and Environmental Diseases, explains that harmful bacteria multiply in the “danger zone” between 40 and 140 degrees. That’s why food safety experts have devised a “two-hour rule” to remind you to get food into the fridge as quickly as possible.

That danger zone is a reason Pitts is a fan of thermometers. Buy one to make sure the refrigerator temp is 40 degrees or lower. Use another to check that cooked food reaches 140 degrees. �

HOW LONG WILL IT LAST?

FALL 201452

Mashed potatoes

3–5 DAYS

Sweet potatoes

6–7 DAYS

Deviled eggs

3–5 DAYS

Cranberry sauce

3–5 DAYS Celery

1–2 WEEKS

Carrots

2–3 WEEKS

Refrigerate in an airtight container for 3–5 days. (Note: Cranberry sauce will retain its flavor for 10–12 months if frozen in an airtight container. Yep, this year’s cranberry sauce, properly stored, could reappear on next year’s holiday table.)

Whole hard-boiled eggs will last a week, refrigerated; deviled eggs, 3–5 days. Cover deviled eggs with plastic wrap or place in a shallow airtight container.

Eat refrigerated sweet potato leftovers within 7 days. Sliced and mashed sweet potatoes freeze well in airtight contain-ers, but sprinkle fi rst with lemon juice to prevent discoloration.

Tightly wrap sliced carrots in plastic wrap or place in an airtight glass container. Store for 2–3 weeks.

Tightly wrap sliced celery in plastic wrap or place in an airtight glass con-tainer. Store for 1–2 weeks.

Store mashed potatoes in a shallow airtight container (glass is best) to retain fl a-vors for 3–5 days. If it devel-ops a weird smell or a slimy look, dump it.

6 days 7 days 2 weeks 3 weeks5 days

FALL 2014 53

IN THE MARKET

3 ways to cook

Butternut SquaSh

What’s not to love about a vegetable that combines the words “butter” and “nut”? Particularly when it’s packed with anti-inflammatory nutrients found in vitamin A (a cup of cooked

squash has nearly 500 percent of the recommended daily allowance), as well as fiber, potassium and magnesium. It’s also figure-friendly: One cup has only 63 calories and zero fat. And unlike the days of yore, when prep-ping one of these babies involved serious knife work, you can find cubed bags of the saffron-colored goodness in many produce sections and freezer cases. Experiment with these three basic preparations all season:

1Purée It: Sauté cubes of

butternut squash in olive oil with diced onions—and maybe a chopped apple—for a nutty-sweet flavor. Add chicken stock and simmer, then use an immersion blender to turn it into soup.

No need to research a recipe for every dish; sometimes all it takes is basic know-how. These three preparations for butternut squash are quick, healthy and hard to resist.

2roaSt It: This may be

the easiest vegetable dish ever. Toss cubes with olive oil, sprinkle with salt and pepper, and bake on a cookie sheet at 400 degrees for 30 to 40 minutes, or until the edges are caramelized.

3 MaSh It: Follow the

“roast it” directions but remove from oven before the edges brown. Pour the cubes into a bowl with a bit of orange juice and use a hand mixer to whip into a mashed potato consistency. ■

mAIn

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ETTy/ JOh

n E. KElly; SEcO

nd

Ary PhO

TOS by Th

InKSTO

cK

FALL 201454

squash sosi can’t find cubed butternut. Help! if your market doesn’t carry cubed butternut squash, here’s a prep tip: using a large knife, cut it in half through the “waist,” then cut a piece off the top and bottom so it stands flat on a cut-ting board. use a sharp knife to shave off the rind. then cut it in half vertically and scoop out seeds with a spoon.

How long will it last?when stored properly—out of direct light and temperature extremes—a butternut squash can last in the pantry for up to three months.

wHat do i do witH tHe seeds?don’t trash them! wash the seeds and toss with a little salt. place them on a cookie sheet and roast them in an oven on low (275 degrees) for 20 minutes. You’ve got a snack packed with protein and heart-healthy fat.

app

find a farm Search for local farmers markets and get fresh harvest updates from the free Farmstand app, available through iTunes.

FALL 2014 55

HEALTH BY THE NUMBERS BY LESLIE PEPPER

IT’S BACK-TO-SCHOOL TIME.

READY FOR A LITTLE MATH?

Children 5 to 12 years old need 10

to 11 hours of sleep every night.

A 12-ounce soft drink contains about 10 teaspoons of sugar and 150 calories. Drinking a can of soda daily increases a child’s risk of obesity by 60%.

Teens who stay up later than 11:30 on school

nights tend to have lower grade-point averages and to be more vulnerable to emotional problems than

teens with earlier bedtimes.

The safest transportation for going to school and back home? A school bus. During school travel hours, 58% percent of student fatalities occur when kids drive themselves, 23% when an adult is driving, and 1% on a school bus.

0% 10 20 30 40 50 60 70

56% of 8-year-olds drink soft drinks daily.If children ride a bike to school,

make sure they wear a helmet. A helmet reduces the risk of

head injury by up to 85%.

Sources: National Sleep Foundation; UC Berkeley Teen Sleep Study; American Academy of Pediatrics; Journal of Child Nutrition & Management; USDA; CDC; U.S. Department of Transportation

85%

Backpacks should never weigh more than 20% of your child’s body weight.

FALL 201456

TIMING TIPS: GETTING BACK ON SCHEDULEGetting enough sleep is crucial for success at school, but after a summer of lazy mornings, it can be hard for kids to adjust to an early wakeup. Here’s advice from Jodi Mindell, PhD, author of Take Charge of Your Child’s Sleep: The All-in-One Resource for Solving Sleep Problems in Kids and Teens.

3Get everyone on a schedule about two weeks before school starts. “This isn’t the time to take a [big] family trip,” Mindell says.

3Create a relaxing bedtime routine. Try doing a crossword puzzle together or reading a chapter in your child’s favorite book.

3Make your child’s bedroom a peace-ful environment. Remove the electronics (that includes TV, iPad and cellphone).

And keep the temperature low. Mindell says 68 to 72 degrees is good, but cooler is better.

3 If your child has picked up the habit of drinking caff einated beverages over the summer, now’s the time to wean him or her.

3Expect your child to be tired, so plan for early bedtimes during the fi rst few week-ends after school starts.

TOOL

Get Organized on VaccinationsAll you need is your child’s birth date and vaccination history to automatically create a personalized vaccina-tion schedule with the Catch-Up Immunization Scheduler, at vacscheduler.org.

The BMH Foundation gratefully acknowledges the following tribute gifts received Feb. 20, 2014, to May 15, 2014. To make a tribute gift, please call 843-522-5774 or go to www.bmhsc.org and click on “Make a Gift.”

TRIBUTESIN HONOR OFDr. John B. Adams, II

Mr. and Mrs. John B. CurcioBeaufort Eye Clinic

Mr. Roy R. MarrDr. William Bestermann

Ms. Patricia DowlingMrs. Colleen Bible

Mrs. Olive WarrenfeltzMs. Rosemary Blanken

Mr. and Mrs. Judson P. Hodges, Jr.BMH Second Floor Team

Gy. Sgt. and Mrs. Gerald G. Cable (USMC, Ret.)

BMH Third Floor TeamMr. Dennis L. FraleyMr. and Mrs. David B. SummerallMs. Susan Caroline SummerallMr. Timothy A. Summerall

BMH Emergency Department Staff Mr. and Mrs. George MetzgerMr. and Mrs. Orville W. Penniston (USN, Ret.)

BMH Foundation Staff Mr. and Mrs. Patrick Noel Cunningham

BMH Joint Replacement CenterMr. and Mrs. Allan Fall

BMH Marketing & Communications Staff Mr. and Mrs. Patrick Noel Cunningham

BMH Staff Mr. Roy R. Marr

Mr. Raymond A. BrownMr. and Mrs. Frank Vasata, Jr.

Dr. A.G. BurrisMs. Madeleine T. Dempsey

Dr. Karen M. CarrollMr. and Mrs. Patrick Noel Cunningham

Dr. John M. CrisologoMr. and Mrs. Thomas F. MaherMr. Leon C. Sell

Mr. and Mrs. Jack R. CunninghamMr. and Mrs. Patrick Noel Cunningham

Dr. Kurt M. GamblaMr. and Mrs. Robert CarrDr. and Mrs. James A. Danigelis

Ms. Alice GastonMr. Howard A. Green, Jr.

Ms. Estella Brown GastonMr. Howard A. Green, Jr.

Ms. Ashley HendrixMr. and Mrs. Judson P. Hodges, Jr.

Ms. Christy HooverMr. and Mrs. Robert Wiederhorn

Dr. Steven R. KesselMr. and Mrs. William BoppMr. and Mrs. Roger F. CarlsonMr. and Mrs. Harry William GorgasMr. and Mrs. Stanley Walker MerrillMrs. Albert Sedlacek

Keyserling Cancer CenterMr. and Mrs. Marvin H. Dukes, Jr.

Dr. Henry Lucius Laffi tte, Jr.Mrs. Paula W. McCutcheon

Ms. Amy LuceMrs. Joan Grimes

Dr. Deanna ManskerMr. and Mrs. Graham R. Wood

Dr. James F. McNabMr. and Mrs. Judson P. Hodges, Jr.

Ms. Christina OliverMr. and Mrs. Judson P. Hodges, Jr.

Dr. Holton Timberlake PearceMr. and Mrs. Earl Dietz

Dr. Louis PlzakMr. and Mrs. William W. Bonneville

Dr. John R. Satterfi eldMrs. Dorothy Zinser

Chef Eric SayersMr. and Mrs. Michael D. Wolf

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Mrs. Mary StuttsFather Carl E. Bauer, Jr.

Dr. J. Chadwick ToberMr. and Mrs. Harold J. Ericksen

Mr. R. E. ToomeyRick Toomey and Linda Hawes

Dr. Richard K. ToomeyMr. and Mrs. Patrick Noel Cunningham

IN MEMORY OFMr. Ronald Bailey

Low Country Anesthesia, P.A.Low Country Anesthesia CRNAs

Mr. Charles Reedy BetsillMr. and Mrs. James A. McHale

Mr. William F. CochraneMrs. Lois B. Cochrane

Mr. Nils DahlMr. and Mrs. Robert B. AndersonMr. and Mrs. Charles AsselinMr. and Mrs. Albert C. BakerLt. Gen. and Mrs. John L. Ballantyne (Ret.)Mr. and Mrs. Charles BerginMr. and Mrs. Louis W. BevierMr. and Mrs. Calvin A. Campbell, Jr.Dataw Island Golf AssociationMr. Thomas V. FischerMr. and Mrs. Monte HuebschMr. and Mrs. Theodore M. Mitchell, Jr.Mr. and Mrs. Alan A. MosesMs. Nancy D. MyersBill and Lynn PetersonMs. Sara PisaniMr. and Mrs. Alan L. SchusterMrs. Magdelaine SmithMr. Lawrence H. SpechtMs. Aisha TatorMs. Alison TylerMr. and Mrs. Bruce A. Wager

Ms. Doris GastonMr. Howard A. Green, Jr.

Ms. Eliza GastonMr. Howard A. Green, Jr.

Mrs. Emily Brown GastonMr. Howard A. Green, Jr.

Mr. and Mrs. Robert C. GundersonMr. Christopher Gunderson

Lily Anne HarringtonMr. and Mrs. Patrick Noel Cunningham

Mrs. Stuart JonesMr. and Mrs. Richard W. Nalwasky

Mr. John PoeMs. Gee Beddingfi eld AmundsonMr. Edgar T. Beddingfi eld, IIIMs. Alice Beddingfi eld Moss

Mr. Charles R. SchallerMr. and Mrs. Jacques S. Theriot

Ms. L. Carolyn SummerallMs. Cynthia BurkoMs. Patricia DowlingPorter’s Group, LLCMs. Annmarie SagleMr. and Mrs. David B. Summerall

Mr. Stanley E. WaskiewiczMr. and Mrs. Brian E. Flewelling

Mr. Frederick M. ZinserMrs. Dorothy Zinser

Suzanne Larson believes each step is part of a larger journey that shapes our minds and spirits. When joint pain made it diffi cult for her to experience life to its fullest, Suzanne turned to the Joint Replacement Center for anterior hip surgery. A smaller incision and tissue-sparing surgical technique offered Suzanne a quick recovery. Her regained mobility has given her the ability to continue exploring, adventuring and living well, one step at a time.

In all directions