SUMMER 2013

How legendary actor MORGAN FREEMAN stays young

at heart—and you can too

MightyMorgan

COULD YOU HAVE DEMENTIA? MEMORY CENTER IS HERE TO HELPpage 8

BMH Offers Faster Treatment for Major Heart Attacks

MANAGE YOUR HEALTH WITH THE CLICK OF A MOUSE

Expanded LifeFit Wellness Center Makes Exercising Easy

• The spa-like atmosphere, cotton gowns and soft Mammo-Pads® make your visit comfortable and less stressful.

• Onsite radiologists review images while you wait so that you can leave knowing your results.

• Board-certified surgeons are onsite to provide same-day consultations, enabling you to go from screening to diagnosisin one place, in one visit, for your added convenience.

• Breast Care Coordinators are available to guide your care,offering information and support every step of the way.

Why do more women choose theBeaufort Memorial Women’s Imaging Center?

Beaufort Memorial’s Women’s Imaging Centerwas designed to address women’s breast health issues, from screening to diagnosis … on your time schedule, and in the comfort of a relaxing , serene environment.

OUR SERVICES INCLUDE

SCreenIng MaMMograMS________________________________________DIagnoStIC MaMMograMS________________________________________

BreaSt ultraSounD________________________________________StereotaCtIC BreaSt BIopSy________________________________________

Dexa Bone SCanS________________________________________ultraSounD BreaSt BIopSy

SaMe-Day reSultS Spa-lIke SettIng CoorDInateD Care

Take a sTep fOr YOUr healTh TOdaY. Call 843-522-5015 TO sChedUle YOUr annUal mammOgram.Beaufort Medical Plaza, 989 riBaut road, Suite 110 • Beaufort, Sc 29902

BlufftoN Medical SerViceS, 11 arleY WaY, Suite 102 • BlufftoN, Sc 29910

CONTENTSC

OV

ER P

HO

TO

BY

CO

RBI

S

52DEPARTMENTS2 Opening Thoughts

Things are heating up at BMH, just in time for summer.

3 Managing Your Health Introducing the new way to access your health information—MyBMH Patient Portal.

46 Virtual Health Sun-smart apps, subject-specific social media, serious insights about cereal and much more!

49 Foundation The tremendous ways Olive Warrenfeltz has given back to her community.

54 Out of the White Coat A window into the lives of our doctors ... out of the white coat.

FEATURES 4 Matters of the Heart

Patients suffering deadly heart attacks receive emergency cardiac interven-tions at BMH.

6 One Singular Sensation New robotic technology allows sur-geons to remove a gallbladder from a single, 1-inch incision.

8 Meeting of the Minds The new Memory Center offers ser-vices to patients with dementia and their caregivers.

10 The Ultimate Back-to-School Checklist This timeline will help you get your child prepped for the new year.

14 Join the Movement Strengthen all your major joints with these easy at-home exercises.

18 Stroke Stories Stroke can happen to anyone. Learn from these four inspiring stories.

22 5 Steps to Better Bone Health A guide to help you dodge osteoarthritis.

25 Gut Instinct The source of your tummy troubles can be tricky to pinpoint. We help you identify yours.

34 Prostate Playbook Read how survivors have tackled pros-tate cancer—and how you can decide which treatment is best for you.

38 The Main Ingredient Five simple yet tasty recipes for people with diabetes (or without).

44 Looking Ahead Advance directives can save your family stress should illness strike.

50 Valentine Ball The “Night in the Garden” was a beautiful evening bringing together old friends and new acquaintances benefiting the LifeFit Wellness Center.

56 BMH Foundation TributesBeaufort Memorial gratefully acknowl-edges tribute gifts and their donors.

MORGAN FREEMANAt 75, the legendary actor just keeps getting better with age. Learn how he eats well, keeps his mind sharp, and has an A-plus attitude to polish the performance of his life.

28

SPECIALFit for LifeThe newly expanded LifeFit Wellness Center offers preventive services to keep you healthy.

1S U M M E R 2 0 1 3

H ere in South Carolina, and all around the nation, elected offi cials are grappling with the trans-formations taking place as a result of health-care reform legislation. And, while these heated

debates often seem and feel out of our control, there is something we can do to shape our own health future: Get engaged!

I am very excited about some of the changes under way at our hospital, because they will allow you—and everyone in our community—to get engaged in your own health.

A new patient portal will be launched soon, allowing you and your family members to access your personal health information online, view test results and make better decisions about how you take care of yourself. Read the full story about this exciting new tool on the next page.

Our new and expanded LifeFit Wellness Center is now open and available to help you maintain an active lifestyle—a cornerstone of good health. The medically supervised fi tness and wellness center is the only one of its kind in our area, and features a number of classes, specialized programs and personal training to keep you on the right track.

Our growing network of primary care physicians in Beaufort and Bluffton is avail-able to help you establish a relationship with someone who can continually monitor your health, and provide the advice and guidance you need to stay on your feet, enjoy-ing your life. Meet two of our internal medicine specialists—out of the white coat—on pages 54 and 55. Their new Lady’s Island Internal Medicine practice will be open soon.

Finally, we are forever grateful to those who have made a lasting impact on our community. One such person is Olive Warrenfeltz, a philanthropic supporter of the BMH Foundation. Olive’s inspiring story of compassion and goodwill can be found on page 49.

As the president and CEO of Beaufort Memorial Hospital, I take our mission todeliver superior healthcare services and to improve the health of our community very seriously. Many of the programs and services mentioned here are underwritten by funds from generous people who donate to the BMH Foundation each year, and I am encouraged that we share an interest in supporting programs that build a healthier community.

I am also proud that we can offer you access to education and tools you can use to take charge of your health, and do your part to Live Well.

Richard K. ToomeyPresident & CEO

Do You Want to Stay Healthy? Get engaged!Summertime is right around the corner and the thermometer isn’t the only thing that is heating up in the Lowcountry

OPENING THOUGHTS

BEAUFORT MEMORIAL HOSPITAL

President & CEO

Richard K. Toomey, DHA, FACHE

The BMH Board of Trustees

Gerald “Jerry” Schulze, Chair

Terry Murray, Vice Chair

David Tedder, Secretary/Treasurer

Andrea Allen, MS, LMSW

Kathleen Cooper

David House

Terry Murray

Faith Polkey, MD

James Simmons, MD

Patricia Thompson, MD

Ex-officio members

J. Chadwick Tober, MD, Chief of Staff

Bill Nettles, Chairman, BMH Foundation

Bill McBride, Beaufort County Council representative

BMH Editorial

Courtney McDermott, Director, Marketing & Communications

PRODUCTIONEditorial

Executive VP/Chief Creative Officer: Beth Tomkiw

Editor-in-Chief: Shelley Flannery

Editors: Erin Feeney, Matt Morgan, Ellen Olson, Tom Weede

Copy Editor: C.J. Hutchinson

Design

Managing Art Director: Adele Mulford

Art Directors: Rod Karmenzind, Kay Morrow, Pamela Norman

Production

Senior Production Manager: Laura Marlowe

Special Projects Coordinator: Jenny Babich

Imaging Specialist: Dane Nordine

Production Technology Specialists: Julie Chan, Sonia Washington

Circulation

VP/Business Intelligence Group: Patrick Kehoe

Postal Affairs & Logistics Director: Joseph Abeyta

CLIENT SERVICES Executive VP/Sales: Chad Rose, 888-626-8779

VP/Client Services & Strategy: Andrea Parsons

Account Managers: Carey Ballard, Gerry Kubek, Kirsten Markson,

Barbara Mohr, Paul Peterson, Ryan Smeets

ADMINISTRATION Vim & Vigor Founder: J. Barry Johnson

Chairman: Preston V. McMurry Jr.

Chief Executive Officer: Matthew J. Petersen

Chief Operating Officer: Fred Petrovsky

Chief Financial Officer: Clarke Rea

Beaufort Memorial Hospital955 Ribaut Road

Beaufort, SC 29902843-522-5200

843-522-5585 – Doctor Referral Service

Living Well, a subtitle of Vim & Vigor,TM Summer 2013, Volume 29, Number 2, is published quarterly by McMurry/TMG, LLC, 1010 E. Missouri Ave., Phoenix, AZ 85014, 602-395-5850. Vim & VigorTM is published for the purpose of dis-seminating health-related information for the well-being of the general public and its subscribers. The information contained in Vim & VigorTM is not intended for the purpose of diagnosing or prescribing. Please consult your physician before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines. Vim & VigorTM does not accept adver-tising promoting the consumption of alcohol or tobacco. Copyright © 2013 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,TM 1010 E. Missouri Ave., Phoenix, AZ 85014.

2 S U M M E R 2 0 1 3

B eaufort Memorial Hospital patients will soon be able to manage their health as eas-ily as they manage their bank accounts.

A new online program called MyBMH will allow patients secure access to their health infor-mation from any computer, tablet or smartphone. With just a click of the mouse or tap of the finger, patients will be able to view test results, request renewal of their prescriptions, update their allergies, review discharge summaries and pay their medi-cal bills.

“The purpose of the program is to empower patients as participants in their care,” says Cheryl Hirleman, Beaufort Memorial’s director of informa-tion systems. “Along with their health records, they’ll be able to get information on managing chronic health issues like diabetes and high blood pressure.”

Portal PerksThe patient portal, scheduled to go online this sum-mer, is open to anyone who has been treated at the hospital or is seeing a BMH physician. Similar to other protected websites, patients will need a secure username and password to gain access to their health information.

“You’ll be able to check your medical records from anywhere,” Hirleman says. “If you’re traveling

and get sick, you can go online and get a list of all your prescriptions.”

The new program is a spinoff of the federal gov-ernment’s push to create a nationwide network of electronic medical records. Having patients’ health-care history readily accessible to all who treat them improves safety and quality of care.

ConvenienCe FaCtorsMyBMH takes it a step further by providing patients with a comprehensive view of their own health infor-mation and convenient, self-service tools that can help them manage their medical issues. Participants will be able to track their blood pressure and glucose levels and check test results on their own rather than wait for a call from their physician.

The free online service also will allow patients to email their healthcare provider with questions or medical problems. Community health events, patient education and classes also will be posted on the site.

Signing up for the program is easy. You only need to provide some basic information like your name, date of birth and email address.

“With MyBMH, patients can be in charge of their own health,” Hirleman says. “When patients partici-pate in their care, the result is improved outcomes.”

Managing Your HealthAccess to your health information is just a click away with MyBMH Patient Portal

Technology

Take Charge of Your Health

Beaufort Memorial patients will be offered the opportunity to sign up for the MyBMH

Patient Portal at registration, during their hospital stay or when they see their BMH physician. They also will be able to sign up

for the patient portal at www.bmhsc.org.

to

ol

3S u M M e r 2 0 1 3

When it comes to treating heart attacks, minutes matter.

Time is especially critical for patients suffering an ST elevation myocardial infarction, or STEMI—the deadliest type of heart attack.

This spring, Beaufort Memorial Hospital received state approval to perform emergency cardiac interventions on STEMI patients, helping ensure better outcomes with more timely delivery of treatment.

“It’s a tremendous benefit to the community,” says BMH Cardiologist Dr. Stuart Smalheiser, chairman of the hospital committee charged with developing the STEMI program. “It will save lives.”

Time is muscleIn a major heart attack, clots form in the coronary arter-ies, depriving the heart of sufficient oxygen. To increase the patient’s chance of survival and limit the amount of heart muscle that is permanently damaged, the clotted artery needs to be opened as quickly as possible.

Percutaneous coronary intervention (PCI) is the pre-ferred emergency procedure for opening the occluded arteries. A catheter with a balloon at its tip is inserted into the blocked artery and then inflated to push away the clot and restore blood flow to the heart. After the balloon opens the occluded artery, a stent is placed in the area of the clot to stabilize the blocked artery and prevent it from closing again.

Guidelines established by the American College of Cardiology and the American Heart Association set a door-to-balloon time goal of 90 minutes. Research has shown that shaving even a few minutes off the time it takes for patients to receive treatment can improve outcomes.

“Time is muscle,” says Cardiologist Dr. David Harshman, co-chairman of the hospital’s STEMI pro-gram. “The muscle we save today will save lives five or 10 years from now. You have a much better long-term life expectancy if there’s less damage to your heart.”

A FAsTer AlTernATiveHistorically, STEMI patients brought into Beaufort Memorial’s ER were given clot-busting medication and airlifted to hospitals in Charleston or Savannah approved to perform emergency PCIs.

BMH earns state approval to perform emergency cardiac interventions on patients suffering from heart attacks

Qu

iZ

How’s Your Ticker?Every year, about 935,000 Americans have a heart attack. Are you at risk? Take our free online evaluation designed

to help assess your potential risk for heart disease. Go to www.bmhsc.org and click on the “Take

Assessments” tab in the HealthAware box.

James Harvey was treated for two severe clots in his arteries last October.

MattersHeartof the

4 S u m m E r 2 0 1 3

“In outlying areas of the county like Dataw and Fripp Island, it can be hard to get them transported to an approved provider within the 90-minute window,” says Daniel Mock, Beaufort Memorial’s senior director of car-diovascular and imaging services. “Twenty minutes on the road is valuable time.”

Recognizing the need for a faster alternative, BMH began taking the necessary steps to establish a STEMI program. An affi liate of Duke Medicine, the hospital collaborated with the prestigious Duke Heart Network to meet the criteria required by the South Carolina Department of Health and Environmental Control (DHEC) to provide emergency interventions.

“There’s no question, as soon as the coronary artery occludes, the clock starts ticking,” says Dr. Harry Phillips, chief medical offi cer of Duke Network Services and associate director of the Duke Heart Center. “As the clock ticks, more and more damage occurs. That’s why this is such an important service to the region.”

BMH treats an average of 50 STEMI cases each year. In the two years prior to obtaining state certifi cation, two of the hospital’s cardiologists—Dr. Smalheiser and Dr. Thomas Schultz—have performed fi ve emergency PCIs on patients not stable enough to transport.

“They were diffi cult decisions to make,” says Dr. Smalheiser, who treated four of the fi ve STEMI patients. “I didn’t think we could get them to another hospital in time, so I did the procedure here, emergently, to save their lives.”

BETTER CARE AT HOMEJames Harvey, a farmer from Sheldon, S.C., had two severe clots in his arteries when he was delivered by ambulance to Beaufort Memorial’s ER last October.

“It felt like I had 10 elephants walking on my chest,” the 62-year-old says. “When they asked me how bad the pain was on a scale of one to 10, I said 20.”

Harvey was taken to the cath lab where Dr. Smalheiser had assembled a team to perform an emergency PCI. After clearing the clot, Dr. Smalheiser put two stents in the area of the artery that had been blocked.

“It was like turning a light switch on and off,” Harvey recalls. “The pain was gone almost instantly.”

Beaufort Memorial’s interventional cardiologists will continue to do their diagnostic catheterizations at Beaufort Memorial’s Cochrane Heart Center and perform their non-emergency PCIs at a state-approved tertiary hospital.

With DHEC’s approval, every emergency STEMI case can be treated right here at home by one of the three car-diologists participating in the program—Drs. Smalheiser, Schultz and Harshman.

“Establishing a STEMI program was a hospital-wide project that involved virtually every department from the ER to the ICU,” Mock says. “We’ve had to purchase additional equipment for the cath lab and provide special training for our staff. And we’re prepared to provide car-diac services 24/7.”

Duke heart specialists will be conducting regular assessments of the STEMI program to ensure BMH con-tinues to meet the highest standards of care.

“The STEMI program is one of the most positive things you can do for patients,” says Dr. Phillips, one of the Duke cardiologists participating in the quality oversight evalu-ations. “We expect Beaufort Memorial’s program to be very successful.”

Cardiovascular disease is the No. 1 killer of both men and

women, yet most people think this only involves their

hearts. Vascular disease involves the entire circulatory

system—not just the heart—and, if not detected, can

cause a stroke. BMH offers a complete vascular screen-

ing package for only $60 by appointment in Beaufort

and at our Bluffton facility.

The low-cost screening includes:

• Carotid artery scan

• Abdominal aortic aneurysm scan

• Ankle-brachial index scan

If you are over 50 and have any of the following risk

factors, you should be screened:

• High blood pressure

• Diabetes

• High cholesterol

• Obesity

• Smoking

• Family history of vascular disease

Call 843-522-5635 to make an appointment, and let the

scheduler know whether you would like to be screened

in Beaufort or in Bluffton.

A SCREENING PACKAGECOULD SAVE YOUR LIFE

5S U M M E R 2 0 1 3

After undergoing gallbladder surgery, Jenny Brown has nothing to show for it. And she couldn’t be happier.

Using revolutionary robotic technol-ogy, her surgeon was able to remove the pear-shaped organ from her abdomen through a single incision less than 1 inch in length.

“I was surprised at how good it looks,” the 59-year-old Beaufort resident says. “You can’t see the scar. It’s hidden in my belly button.”

Her surgeon, Dr. Stephen Sisco, is one of two phy-sicians at Beaufort Memorial Hospital now offering the cutting-edge single-site surgery.

“It has exceeded my expectations,” says Dr. Sisco, who has performed the procedure numerous times since operating on Brown last October. “The cos-metic results are pretty amazing.”

Comparing SCarSFor months, Brown had been experiencing pain in her belly caused by gallstones—hard, pebble-like deposits that form inside the gallbladder.

“The pain would get so bad, it would radiate to my back,” says Brown, whose daily exercise rou-tine includes walking her dog and riding a recum-bent bike. “All I could do is sit and not move until it was over.”

Her doctor told her she would need a laparoscopic cholecystectomy. The procedure requires four small incisions in the abdomen to accommodate the various surgical instruments used to remove the gallbladder.

Dr. Sisco offered her another option. He could use FDA-approved instrumentation recently created for the da Vinci robotic surgical system to remove her gallbladder with just one small cut in her umbilicus.

“I wanted to try it,” Brown says. “I had a scar from having a hysterectomy when I was 37 and that was enough.”

She went in for the surgery at 6 a.m. and was out by 2:30 p.m. Her stomach was a little sore, but she didn’t need any pain medication. And the belly ache that she had been having three or four times a week was gone.

When she returned to her job as a dental assis-tant, she compared scars with a friend who had her gallbladder removed with the traditional laparo-scopic surgery.

“She has four small scars,” Brown says. “Mine is hardly visible. You really have to look to see it.”

EnhanCEd TEChniquESThe single-site technology became available 18 months ago with the development of the new, more advanced da Vinci Si. The robotic system enhanced surgical precision, control and stability, making it possible for general surgeons to perform more com-plex procedures.

“The articulation and rotation of the instrument arms was increased to 360 degrees so you can reach angles that you can’t with standard laparoscopic instruments,” says Dr. Deanna Mansker, who also has been trained to perform the single-site surgery. “It has a greater range of motion than my own hand.”

The new da Vinci Si also features 3-D HD visu-alization with 10 times the magnification of the operative field.

“Five years ago, no one would have thought about taking out a gallbladder with the da Vinci,” Dr. Sisco says. “As instrumentation gets better, we may be able to apply the technology to other procedures.”

With new robotic technology, BMH surgeons can now remove a patient’s gallbladder from a single, 1-inch incision in the belly button

SingularSenSation

one

6 S u m m e r 2 0 1 3

on

lin

e

Learn MoreTo find out more about all of the

available minimally invasive surgical options at Beaufort Memorial,

visit www.bmhsc.org.

With the pain from the gallstones gone, Jenny Brown is back to her daily routine of walking her dog.

Da Vinci Single Site SurgeryBeaufort Memorial is the

first hospital in the region

to offer the robotic single-

site surgical approach

to gallbladder surgery

using the da Vinci surgical

system. The less invasive

approach requires one

small incision in the navel

and results in minimal or

no visible scarring.

If you’re interested

in learning more about

the da Vinci robot, visit

www.bmhsc.org.

Deanna Mansker, MD, board-certified general surgeonBeaufort Memorial Surgical Specialists843-524-8171

Stephen Sisco, MD, board-certified general surgeonBeaufort Memorial Surgical Specialists843-524-8171

7S u M M e r 2 0 1 3

Forget where you put the car keys? You’re probably just having a perfectly normal forgetful moment.

Forget where you are or what year it is? You could be suffering from dementia—a progressive, degener-

ative disorder that affects memory, language, attention, emo-tions and problem-solving capabilities.

About 3.4 million Americans, or 13.9 percent of the popu-lation age 71 and older, have some form of dementia. The most common type is Alzheimer’s.

“We may not be able to reverse memory loss,” says Beaufort Memorial Hospital Neurologist and Medical Director of the new program Dr. Paul Mazzeo, “but there are things we can do to keep people as functional as possible for as long as possible.”

To help patients find the care they need, BMH created the Memory Center, a diagnostic and resource center for people with dementia and their caregivers.

Managing the SyMptoMSWhile forgetfulness may be a part of the natural aging pro-cess, memory problems that interfere with daily life are not. Early signs of dementia can include difficulty communicating,

inability to learn or remember new information, inappropri-ate or odd behavior, repetition, disorientation and confusion or progressive lack of attention to basic grooming and hygiene.

Some medical conditions can cause symptoms of dementia and are treatable, so the first step is to determine the underly-ing cause of the symptoms. Patients who come into the center will undergo a comprehensive neurological examination that may include blood work, advanced imaging with CT or MRI, and cognitive testing.

If you are diagnosed with dementia, the treatment plan could include recommendations for dietary changes, activi-ties, medications, exercise and rehabilitative therapies.

Occupational therapy, for instance, may help a patient with dementia improve failing skills through compensation or adaptation.

“The therapist can assess executive functions like balanc-ing a checkbook or driving a car to determine what element of the task is giving the patient trouble,” says BMH Senior Director Laurie Martin. “In many cases, they are able to make recommendations for changes that will allow patients to function with their disability and maintain independence.”

USing preScription reMedieSMedication also may be recommended to help lessen symp-toms and manage mood problems.

“Medications and supplements work better if you catch the symptoms early,” says Dr. Mazzeo, who is board-certified in behavioral neurology and neuropsychiatry. “We may be able to slow the decline.”

Following the medical assessment, BMH Social Worker Peggy Hitchcox will step in to help patients navigate the maze of agencies and dementia care programs to get the assistance they need.

“Dementia is like any other chronic disease,” Hitchcox says. “If you get the proper support, it becomes much easier to manage the condition.”

New BMH Memory Center serves as a resource for the treatment of dementia

Meeting of the Minds

Are You Safe Behind the Wheel?not sure if you’re up to driving anymore?

Let a licensed occupational therapist assess

your driving-related skills. the one-on-one evaluation covers

vision and cognitive functions, including judgment, atten-

tion, problem solving and way finding.

the therapist will also conduct an assessment of your phys-

ical capabilities such as muscle strength, range of motion and

reaction time. the exam does not include driving on the road.

cost of the test is $225 and is generally not covered by

Medicare. For more information, call 843-522-5593.

Getting HelpThe Memory Center sees patients Tuesdays by

appointment only at Beaufort Memorial’s Bluffton Medical Services in Westbury Park. Call

843-707-8833 to make an appointment.

ca

LL

8 S u M M e r 2 0 1 3

Walking for 30 minutes a day can help reduce your riskfor heart disease and diabetes. What are you waiting for?

Step by Step

Living with

ULTIMA TETHEBack-to-School

Checklist BY CHEYENNE HART

PHO

TO

BY G

ETT

Y IM

AG

ES

10 S U M M E R 2 0 1 3

Study up on how to prepare

your child for a healthy

school year

3+ Months BeforeAssignment: schedule a physical for your child.

This is the most important task, so don’t procrastinate. “It can take anywhere from two to three weeks to two to

three months to get a physical scheduled,” Devore says. “Over the summer especially, physicians get very busy doing sports physicals.” So schedule your child’s checkup today.

And if you’re planning an out-of-state move, check your new state’s requirements. “Some states require that the phys-ical must be done by a doctor within the same state as the school,” Devore says. “You don’t want to get caught off guard by having a physical just before you move and then learning that you’ll need another one.”

During the appointment, ask about your child’s immuniza-tion record and make sure he or she is up to date.

“There has been a trend lately for some parents to opt out of immunizations for their children. And because of it, we’re seeing a resurgence of diseases like measles and whooping cough that are dangerous—even deadly—to children,” Devore says. “Immunizations are the No. 1 best way to protect a child from diseases. They save lives.” Understand that deciding against vaccinating your children affects not only them but also children they come into contact with.

“There are many situations where a child can’t get vac-cinated for medical reasons. They may be too young to have completed a full series or allergic to an ingredient,” she says. These children rely on those around them to be vaccinated.

If you’re still unsure, Devore recommends “talking to a well-informed pediatrician or family practitioner who under-stands the benefits and risks to help you decide.”

+ extrA credit: It’s OK to get your child’s physical done early, Devore says. Most schools just require it be completed within 12 months prior to the first day.

1 Month BeforeAssignment: schedule other necessary

screenings.In addition to a yearly physical, don’t forget about the

other checkups your child should have. Is he or she due for a dentist appointment? How about an eye exam? Summers are the best time to schedule these visits, and doing so at least four weeks out from the first day of school means you’ll have time to get an appointment and go back for any follow-ups.

“There are differences among schools as to whether or not they conduct hearing, scoliosis, vision and dental screenings,”

A teIt usually happens In July. That’s when, just between the two of us, you start daydreaming of your kids going back to school. It’s OK, you can admit it. Parents everywhere do the same thing.

But before you go wishing away the warmer months and the school buses start running again, you need to make sure your child is ready to go back to school—the healthy way.

“Learning and health go hand in hand. They’re the two most impor-tant aspects of a child’s life,” says Cynthia DiLaura Devore, MD, chair of the Council on School Health for the American Academy of Pediatrics. “You can’t have one without the other.”

So how do you prepare your child for a healthy year ahead?

“A lot of things that a child needs are actually mandated,” Devore says. “It’s important to know what schools require before enrolling your child, so check with your state health depart-ment or contact the school district.”

Of course, keeping your child healthy and ready to learn goes well beyond state-mandated checkups. Follow this timeline to ensure your little one is pre-pared for the first day.

S U M M E R 2 0 1 3 11

3 Weeks BeforeAssignment: Establish a route to school. Whether children will be walking, biking or riding

the bus to school, it’s a good idea to make sure they know the way. Travel the route with your child until he or she feels comfortable doing it solo. Don’t forget to try it out during the times and days your child actually will be en route.

Review safety protocols like looking both ways before crossing the street, avoiding strangers and always wearing a helmet when riding a bike. And make sure your child knows what to do in the event of danger.

+ ExtrA crEdit: If your family doesn’t have an emergency plan, now’s the time to put one in place. Get started by going to ready.gov/family-plan and downloading the family emer-gency plan form today.

2 Weeks BeforeAssignment: Shop for supplies. No doubt you’ve already received a laundry list

of school supplies your child will need for the year. Tempted as you may be to beat the crowds and pick up the

items on your lunch hour, resist the urge. Taking children along and allowing them to pick out the supplies helps create a sense of ownership and excitement about the school year.

And all that back-to-school loot has got to go in something, right? Let your child choose a backpack, but make sure it’s not overly large. When filling it, keep in mind that, according to the American Academy of Pediatrics, kids should never carry more than 10 to 20 percent of their body weight on their backs.

+ ExtrA crEdit: Help your child pack a backpack with necessary items only. Not only do mobile devices, games and toys create distractions in the classroom, but they also add weight.

Devore says. “Some schools offer these services within the school; others do not.” It’s best to check with your child’s school, then schedule supplemental screenings accordingly.

+ ExtrA crEdit: If your child has been away at summer camp or has spent time in the woods this summer, check for lice. “Head lice can be on the body for six to eight weeks before the child becomes sensitive to the saliva and it’s noticed with itching,” Devore says. So check your child. “And remind children of the importance of not sharing personal items like combs.”

S U M M E R 2 0 1 312

Children should never

carry more than 10 to

20 percent of their body

weight in their backpacks.

Encourage your child to

swap books from his or her

locker between classes and

bring home only the books

needed for homework

that night.

1 Week BeforeAssignment: Establish a bedtime routine.“Children have full schedules, going from one activ-

ity to the next. Many American children do not get ade-quate sleep, especially into adolescence and high school,”

Devore says. “It’s essential that parents really focus and edu-cate the child on the importance of getting plenty of sleep.”

The best way to ensure adequate sleep is to establish a bed-time routine. Have your child start winding down (i.e., turn off the TV and put away toys) and start getting ready for bed at least 30 minutes beforehand. Put your child to bed at about the same time each night, even on weekends.

+ ExtrA crEdit: Know how much sleep your child needs. While everyone is different, most 5- to 12-year-olds need between 10 and 11 hours of sleep each night, according to the National Sleep Foundation. Teenagers require an aver-age of nine hours and 15 minutes.

The Weekend BeforeAssignment: Shop for healthful lunch options.Sending your child to school with a packed lunch

is the best way to ensure a healthy option is at the lunch table. Of course, there’s no telling what will be traded for junk food. That’s why it’s also important to talk to your child about nutrition and healthy eating.

Make sure you pack a well-balanced lunch that includes whole grains, lean protein, low-fat dairy and a serving of fruit or vegetables. Let your child help pack the lunch (again, that ownership thing). It increases the chances that he or she will eat it.

+ ExtrA crEdit: Make family dinners a priority, at least a few nights a week. Enjoying a home-cooked meal (feel free to take shortcuts with convenience items like frozen vegetables and rotisserie chicken) reinforces the importance of healthful eating and allows you to connect as a family.

Pho

to

by

Su

Per

Sto

ck

S U M M E R 2 0 1 3 13

Check Off the CheckupNow’s the time to schedule your teenager’s annual

physical and get at least one back-to-school task off

your to-do list.

Starting this school year, the South Carolina

Department of Health and Environmental Control is

requiring a Tdap vaccination for all seventh-graders in

the state. This vaccine protects against three serious

diseases: tetanus, diphtheria and pertussis (whooping

cough). Preteens should get their Tdap at age 11 or 12. If

your teenager did not get a Tdap shot as a preteen, he or

she should get one before the start of school.

At age 16, students should also get a meningitis

booster even if they received the vaccine at age 13, 14

or 15.

Drs. Roger Ulrich and Jonathan Hutchings of Bluffton

Primary Care offer physicals for children 14 and older.

To make an appointment, call 843-706-8690. Be sure

to call at least three weeks before you want to schedule

your child’s visit.

qU

Iz

Is Your College Student Up to Date on Immunizations?Graduating from high school doesn’t mean tossing the baby book. Adults need immunizations, too. Take this assessment to determine which vaccinations your student needs before heading off to college: www2a.cdc.gov/nip/adultimmsched .

BY ALLISON THOMAS

Exercises that strengthen joints,

fi ght pain and prevent injury

S U M M E R 2 0 1 314

When a part of your body hurts, your fi rst instinct is to baby the affected area. But when it comes to joint pain, that kind of thinking is so fi ve years ago. In fact, the key to easing joint pain is movement and exercise.

“It’s counterintuitive to some people, but exercise is actually a good pain reliever,” says Patience White, MD, vice president of public health at the Arthritis Foundation.

Beyond staying in motion through everyday activities and exercise such as walking, to keep your joints in shape (and pain-free), White recommends a two-pronged approach that includes range-of-motion (stretching and fl ex-ibility) exercises and strength training to fortify the muscles that surround and protect your joints. A great way to achieve both is by performing exer-cises that prepare your joints for the work they need to do in daily life—like the wax-on, wax-off moves you rocked yesterday.

“When you do exercises, you want to do functional motions that simu-late or re-create these activities so your joints can deal with these day-to-day stresses,” says Taizoon Baxamusa, MD, a spokesman for the American Academy of Orthopaedic Surgeons.

Not sure where to start? We’ll show you a few helpful maintenance tech-niques to stretch and strengthen the parts of your body that joint pain most likely will affect.

JOINTHE

ILLUST

RA

TIO

NS BY

ART

HU

R MO

UN

T

S U M M E R 2 0 1 3 15

While biceps, triceps and deltoids are the upper-arm muscles most people focus on, “they don’t address the deep muscles such as the rotator cuff or, more importantly, the back muscles, which are the scapular [shoulder blade] stabi-lizing muscles,” Baxamusa says. He recommends a by-the-letter approach to strengthen the muscles around these joints—and relieve joint pain.

The phrase “a pain in the neck” didn’t become popular by acci-dent. And though it’s used to refer to more than just physical pain, your neck is one joint where tension usually surfaces.

“We live stressful lives and the muscles around your neck can get very tight,” White says. She recommends the range-of-motion stretches below, which incorporate warm water to increase muscle relaxation.

Try This: Lying on your chest on a mat or an exercise ball, bring your arms in front of you in the “Superman” position, gradually lifting them up to form the letter “I” and hold for a few seconds. Then slowly lower them down and out to the side to form a “Y,” as if you’re doing the “YMCA” dance. Finally, bring your arms down and straight out to the shape of a “T.” Concentrate on lifting with your shoulders, not your back, and repeat this I-Y-T pattern two to four times.

Shoulders

Neck

Try This: Standing in your shower with water hitting the back of your neck, try to put your chin to your chest. Then look all the way up until the water hits your forehead (if you look far up enough it should, White says). Then look to your left, with the goal of putting your chin on that shoulder, repeating with your right shoulder. Finally, try put-ting your ear to your shoulder without raising your shoulder.

S U M M E R 2 0 1 316

Hip pain is commonly caused by tightness in the band of con-nective tissue on the outside of your hip (known as the iliotibial band), Baxamusa says. To get relief, he suggests moves that also help adjacent body parts and joints.

“Basically, when you’re exercising the hip, you want to perform compound exercises that go across multiple joints rather than just isolating the hip joint, such as your core, hip and knee through squats or lunges,” he says. Here’s an easy but effective one that also stretches your lower back.

Because of their complexity and heavy use, and as the largest joints in the body, knees are among the most common sources of pain. Yet when you think about strengthening your knees, working on your hamstrings probably isn’t the first thing that comes to mind. But they’re a muscle group that shouldn’t be overlooked. “Everyone focuses on knee exten-sions or exercises for the quadriceps [front thigh muscles],” Baxamusa says. “That’s great, but you want to maintain balance in your knee and your leg, so you also want to make sure that you focus on the back of them—your hamstrings—as well.”

Knees

Try This: Sit with your left leg crossed over your right, and then twist your upper body to the left. Repeat with your right leg, turning your torso to the right.

Try This: Perform hamstring curls by hold-ing the back of a chair for balance, shifting your weight to one leg and lifting the other, bringing that heel toward your buttocks. Hold this posi-tion for a few seconds, ensuring that you don’t lock the knee of your supporting leg or raise your heel past a 90-degree angle. Then lower your leg slowly, repeat and switch sides.

Hipsillu

str

at

ion

s by a

rth

ur m

ou

nt

S U M M E R 2 0 1 3 17

Offi ce workers and others who sit most of the day frequently experience joint pain in their lower back, which can be caused by inactivity as well as poor posture, White says. Besides sitting up straight and ensuring your shoulders don’t slump forward, White suggests these two moves to strengthen chest muscles that protect your back and help ward off joint pain. (PS: Your neck and shoulder muscles will thank you, too!)

LowerBack

TRY THIS: Standing or sitting in a low-back chair, start with your palms face forward with your upper arms parallel to the fl oor. Keep your shoulders relaxed (but don’t roll forward) and pull your elbows back, pushing your shoulder blades together. Hold this position for three counts, then relax and repeat.

AND THIS: Standing in a door frame with your feet shoulder-width apart, bend your knees slightly and your arms at a 90-degree angle at the elbow, with palms out against the door frame. Now, lean forward to stretch your pectoral (chest) muscles.

Rehab Your Way to a New YouBeaufort Memorial’s multi-

disciplinary Outpatient

Rehabilitation team can help

patients with a wide range of

medical issues, from arthritis

and osteoporosis to sprains

and strains. The program’s full

range of services includes physi-

cal, occupational and speech

therapy, balance and vestibular

rehabilitation and pre- and post-

surgical rehab.

Patients facing surgery to

replace a worn-out joint can

benefit from therapy before

their operation to get them

stronger and more flexible, help-

ing ensure a better outcome.

Recovery is typically faster

and easier for patients who

are active.

Postsurgical rehabilitation is

even more important. Doctors

generally start patients on

physical therapy while they are

still recovering in the hospital.

They receive at-home therapy

until they are able to get to an

outpatient facility.

By having their outpatient

therapy at BMH, patients

receive a continuum of care

with access to services from a

dietitian, a social worker and a

personal trainer at the LifeFit

Wellness Center.

For more information on

Beaufort Memorial’s Outpatient

Rehabilitation Services, visit

www.bmhsc.org or call

843-522-5593.

qu

iz

In Need of Joint Replacement

Surgery?Take our interactive JointAware Risk Assessment and find out if you’re at

risk. Go to www.bmhsc.org/healthaware.

BY COLLEEN RINGER

S U M M E R 2 0 1 318

If there’s one thing the following stroke sur-

vivors would tell you, it’s this: A stroke can happen to anyone. Period. A stroke doesn’t

discriminate based on age, where you live or

whether you’re on your honeymoon (just ask

John Kawie). In fact, a new study found that the stroke

rate has almost doubled for adults younger than 55,

a group that includes these four survivors.

That’s why it’s so important to know the warning

signs of a stroke, says Emil Matarese, MD, a clini-

cal neurologist and a spokesman for the American

Heart Association/American Stroke Association.

And the following survivors have made it their mis-

sion to spread the word through their stories.

StoriesStroke

How four unlikely stroke victims beat harrowing odds to

survive—and thrive

OPE

NIN

G P

HO

TO

BY

TH

INK

STO

CK

S U M M E R 2 0 1 3 19

The ComedianJohn Kawie was 47. He had just gotten married, and his stand-up comedy was getting noticed. A TV commercial here and Comedy Central spot there—things were fall-ing into place. He and his new wife, Marilyn Manno, were kicking off their honey moon by attending

a friend’s out-of-town wed-ding. “The next morning, I get

up and I have this headache,” Kawie says. “It was like a truck ran over

my brain, and the left side of my face was numb.” Things got worse when they met friends for break-fast. “I don’t know what I was speaking, but it wasn’t English. It was like a combination of Arabic and Vulcan,” Kawie quips.

Kawie was having a stroke. The reason? A dis-sected carotid artery. One of the arteries responsible for carrying blood to the brain from the heart had torn, resulting in a buildup of blood and a clot that blocked the blood fl ow. “It’s like having a heart attack, but it’s your brain,” says Kawie, adding that he had none of the traditional stroke risk factors. “I’ve never been overweight, never had high blood pressure. The doctors were scratching their heads, too.”

Early in his recovery, Kawie learned that the last-ing effects of a stroke were more than physical. They were mental, too. “I realized I couldn’t isolate myself,” he says. “When you isolate yourself, it’s like a fl ower with no sun—you wither away.” So Kawie became a regular at a coffee shop near his apartment, bring-ing his notebooks with him so he could jot down his thoughts and new jokes for his group therapy ses-sions. “Although I hated going to group therapy, they allowed me to tell a joke before each meeting. I would work on it all week. It turned my head around about the stroke. Now anything negative that happened to me because of the stroke became fodder.”

Kawie has taken his ability to joke about his stroke even further. He has released a DVD of his one-man show called Brain Freeze, in which he shares the humor he was able to fi nd on the road to recovery. “I walk with a limp and my left arm is curled, but I’m blessed,” he says.

* REMEMBER: A dissected carotid artery can happen spontaneously, for no medical reason, or as a result of trauma, such as a sudden injury to the neck (e.g., whiplash). “Many times people think the slurred speech and dizziness could be a concussion,” Matarese says. “We have to remember that this sud-den neurological defi cit could be an artery dissect-ing.” There are a number of different tests a doctor can use to determine whether you’ve had a stroke, including MRI and a CT scan.

The TeenagerBailey Carlson had never seen her dad cry—until she had a stroke at age 16. She was in theater class when she got dizzy and the right side of her body went numb. She couldn’t stand up. “I don’t remember the next two weeks of my life,” she says. “They thought it was stress or drugs. It was fi nally diagnosed as a stroke.”

Because of the damage caused, Carlson had to undergo speech, physical and occupational therapy. She also had aphasia. “Basically I was saying the wrong word but thinking I was saying the right thing. One time I asked my mom to hand me my cellphone, but I said, ‘Can you hand me my fi nger pills?’ ” Therapy helped her regain her language skills—she’s actually a faster reader now than before—but she wishes she had taken things more seriously. “I didn’t do my exercises and treated it as nothing had happened,” she says. “Now I still have a hitch in my step, and my hand is still tight. It’s better to have two years of wearing leg and arm braces than to spend your whole life walking with a hitch and having people stare at you.”

Still, Carlson has come a long way. Ten days after she got out of the hospital, she went back to school. She now attends college, where she is major-ing in chemistry in hopes of shaping the future of (what else?) stroke medication. Carlson also serves as a Faces of Stroke ambas-sador for the National Stroke Association.

20

* REMEMBER: Stroke survivors, no matter their age, can improve with therapy, Matarese says, even years after a stroke. That holds true for those with aphasia, too.

The MotherLenice Hogan survived not just one stroke, but three. Her fi rst two went undiagnosed, and her third, which hit when she was just 39, left her unable to use her left leg. She had diffi culty recalling words and lost the ability to experience sexual pleasure. “It had a huge impact on my life,” she says. “But seven years later, I’m getting ready to run my fourth marathon. You wouldn’t know looking at me that I had a stroke, but I know.”

Hogan looks back on the two years after her diag-nosis with a hint of regret. She now realizes she was in a stage of grief—denial. “Grief doesn’t just hap-pen to those who’ve suffered the loss of a loved one; there are many reasons. I didn’t want to say the word stroke. I wish someone, including myself, had recognized that this is a thing that can cause depres-sion, anxiety and fear.”

The mother of three boys, she willed herself to move from victim to survivor. “My boys have been a huge motivation for me, and so has wanting to be the kind of mom I want to be for them. They keep me laughing, smiling and young.”

Hogan’s oldest son, Caleb, had a saying as she went through recovery. “He would tell me, ‘Mom, pain is just weakness leaving your body.’ They were very strong words of wisdom.”

Unfortunately, nothing can be done about the cause of Hogan’s stroke: a malformed blood vessel. So she relies on a daily prayer and a baby aspirin. She also has changed her lifestyle and doesn’t sweat the small stuff. “I know that in the fl ip of a switch, life can be gone and done. I’m more compassionate now. I live life to a deeper, fuller degree than before.” That includes spending time with her boys swimming and riding personal watercraft.

“Good health is a privilege,” Hogan says. “It’s our responsibility to care for our bodies as best we can.”

* REMEMBER: It’s not unusual for anxiety and depression to surface after a stroke survivor has fi n-ished therapy. “They return home to a new normal, and they’re trying to adapt to everyday activities that used to be easier,” Matarese says. If you notice signs of depression in a loved one, validate the person’s feelings and encourage him or her to seek help.

The Professional Basketball PlayerIt happened New Year’s Day when Juaquin Hawkins was 34. He was playing professional basketball in Australia, and he and his teammates were preparing to leave their hotel for a fl ight. As he went to brush his teeth, it started. A tingly feeling in his arm and fi ngertips. Then a headache, nausea and fi nally complete numbness in his right arm. “When I was about 10 or 11, I remember seeing a commer-cial about what people go through when having a stroke,” Hawkins says. “But I thought, ‘That can’t be happening to me. I’m an athlete. I’m healthy. It can’t be happening.’ ”

By the time team doctors and coaches saw Hawkins, his symptoms had subsided, leading them to think he was just dehydrated. They told him he could go to the hospital when they

S U M M E R 2 0 1 3 21

got to the next city—a two-hour fl ight away. At the hospital, he was given fl uids and sent on his way. But when he awoke the next morning still nauseated, stuttering and unable to hear out of his right ear, he knew something was really wrong. “I fi nally got an MRI, and the doctor diagnosed me with a stroke. He also said I had bleeding in the brain,” he says. “I knew it was bad when I was told my basketball career was probably over.”

Hawkins spent the next year and a half working to prove them wrong. He got help from speech and physical therapists and his wife, who is a schoolteacher. She helped him relearn the alphabet as she was teaching their three daughters their ABCs. “I didn’t know the difference between a circle and a triangle, and my memory was affected,” he says. “I had to relearn the basics, to talk without stuttering. I didn’t feel like I was going to get better.”

But he did get better. Two years after his stroke, he won a championship with the Los Angeles Lightning in the International Basketball League. Nowadays, when he’s not shooting hoops, he hosts youth bas-ketball camps through his foundation, Hawk Hoops, and makes sure the kids walk away knowing a thing or two about stroke prevention. His upcoming book, The Stroke of Grace, and his role as an ambassador for

the American Stroke Association are just two more ways he’s trying to help others learn from his experience.

* REMEMBER: “A stroke is a condition that can affect anyone at any age—babies, children, even infants who haven’t been born,” Matarese says. Spot a stroke by memorizing the acronym FAST: F is for face. Is one side drooping? A is for arm weakness. S is for speech diffi culty. T is for time. If you experience one or all of these symptoms, it’s time to get help—even if, like Hawkins, the symptoms subside.

Strike Against StrokeKevin Wiley has always taken his high blood pressure seriously. His mother died of a

heart attack when she was only 30 years old and two of his uncles suffered the same

fate in their 40s and 50s.

But in the fall of 2008, Wiley quit taking his blood pressure medication. Five months

later, he had a stroke.

“I didn’t like how the medication made me feel, so I switched to homeopathic sup-

plements,” says the 49-year-old father of four. “In hindsight, that was a mistake.”

The stroke left him paralyzed on the right side of his body. He had trouble swallow-

ing and couldn’t speak clearly.

After almost a year of occupational, speech and physical therapy, Wiley was able

to get back to his normal routine—shopping, cooking and serving as pastor of Second

Pilgrim Baptist Church in Beaufort.

To read more stroke survivor stories, visit www.bmhsc.org.

Stroke Survivors

Support Group

Join survivors and their caregivers at the Keyserling Cancer Center the second Wednesday of the month. For more information, call

Stroke Coordinator Sheri O’Brien at

843-522-5873.

EVENT

555STEPS

S U M M E R 2 0 1 322

to Better Bone Health

Dodge osteoporosis with these simple recommendations BY LORI K. BAKER

C an you imagine not wanting to move for fear of breaking a bone?

Dana Kurland can. To look at her today as she nears 50, you’d assume

she had always led an active life. But 20 years ago she couldn’t even

get out of bed without risking a fractured rib. By the time Kurland

turned 30, she had osteoporosis, a disease that makes bones fragile

and more likely to break. It could happen in a fl ash: a hearty sneeze or a tight hug

and—snap!—a bone could break. “I had 13 different fractured bones in two years. It

was the most horrible pain,” Kurland says. But she didn’t give up. She tapped her

knowledge as a pharmacist to fi nd the right medication, calcium supplements and

exercise program to rebuild her bones. Today, her bone density is near normal.

It’s unusual for women to develop osteoporosis as early as Kurland. She had two

strikes against her: Osteoporosis runs in her family, and she has a petite frame. Still,

her story reveals why you should have bone health on your mind—whether you’re

20, 40 or 60. To prevent osteoporosis or reverse its ravages, follow these fi ve simple

steps recommended by the National Osteoporosis Foundation (NOF):

TALK to your doctorTo learn more about osteoporosis, speak with your primary care physician, rec-ommends Felicia Cosman, MD, clinical director of the NOF. Good questions to ask include: Am I at risk for osteoporosis based on my medical history, lifestyle and family

background? Am I taking medication that puts me at higher risk for developing osteoporosis? How do I best prevent (or treat) osteoporosis?

KICK the sticks—and the three-martini dinner“Any dose of cigarette smoke is too much,

and that includes secondhand smoke,” Cosman says. “The good news is, if you stop smoking, within fi ve years your risk can

return to baseline,” as if you never smoked. And while studies suggest a glass or two of red

wine per day may have health benefi ts, tipping the bottle more puts you at increased risk for osteopo-rosis. “Excessive alcohol drinking is a major cause of osteoporosis,” Cosman says. “It reduces physical activity, impairs nutrition and has toxic effects on the bone cells.”

S U M M E R 2 0 1 3 23

STEP on it While physical fi tness makes your muscles bigger and stronger, it also makes your bones stronger and denser. The NOF recom-mends two types of exercises: weight-bearing impact exercise and resistance/strengthening exercise.

If you don’t suffer from low bone mass, osteoporosis or frailty, you can choose high-impact, weight-bearing exercises (dancing,

hiking, jogging, jumping rope, stair climbing or tennis). Otherwise, choose low-impact exercises (elliptical training, swimming or walk-ing), which are gentler on the joints. The NOF recommends that you do weight-bearing exercises for 30 minutes most days of the week. Those 30 minutes can be broken into smaller chunks of time through-out the day, such as three 10-minute workouts. The NOF also recom-mends resistance/strengthening exercises (using weights, resistance bands or your body’s weight) two or three times per week.

TAKE your vitaminsYou know how important calcium is to building strong bones. But vitamin D is equally important, as it helps your body absorb calcium and maintain bone density. And yet, “almost

everyone is vitamin D-defi cient,” Cosman says. What’s the problem? Unless you enjoy vitamin D-fortifi ed dairy

and fi sh, it’s hard to get the recommended amount. Even soaking up the sunshine vitamin outdoors can be tricky. Where you live,

the season, time of day, level of air pollution, color of your skin and your age all affect your skin’s ability to produce vitamin D from sun-light. The solution? Cosman recommends a vitamin D3 supplement.

Getting adequate calcium is simpler. Just keep in mind Cosman’s rule of thumb: Every serving of calcium-rich food in your diet (milk, cheese or yogurt) counts as 300 milligrams. Using this for-mula, you might discover you get enough calcium already or that you need a supplement.

SEE if your bones pass the testThe only way to diagnose osteoporosis and determine your risk for fracture is a bone mineral density test, which uses special X-rays to measure how many grams of calcium and other bone

minerals—known as bone mineral content—are packed into a segment of bone. The higher your mineral content, the denser your bones. And the denser your bones, the stronger they generally are and the less likely they are to break.

“I personally believe all women should be tested at the time of menopause,” Cosman says. “Men should have the test by age 70 if they have no risk factors for osteoporosis.” If you have a family his-tory of osteoporosis or a personal history of adulthood fractures, ask your doctor about being screened earlier. If you have osteoporosis, your doctor may recommend one of several medications that can treat the condition.

S U M M E R 2 0 1 324

Eat Your CalciumEveryone knows that dairy products are

high in calcium. But here are some other

foods that contribute to bone health:

Black Beans

Amount: 1 cup = 46 milligrams calcium

Tip: An excellent meat substitute, a serv-

ing of black beans contains 15.2 grams of

protein. So add to salads, soups and other

hearty dishes instead of beef.

ForTiFied orange juice

Amount: 1 cup = 300 mg calcium

Tip: Replace that second or third cup

of morning java with a refreshing (and

healthier) serving of OJ.

ToFu

Amount: 1 cup = 40 mg calcium

Tip: Tofu takes on the flavor of whatever

it’s added to; mix it into lasagna for a sur-

prising treat.

oysTers

Amount: 3 ounces = 80 mg calcium

Tip: Fans of this popular shellfish insist

upon eating servings raw. But beginners can

ease into the experience by ordering baked,

broiled or stewed varieties—all healthy and

safe alternatives.

almonds

Amount: 1 ounce = 75 mg calcium

Tip: Keep a handful of this heart-healthy

snack in a plastic bag in your purse or office.

CA

LL

How Strong Are Your Bones?

Bone density testing is offered at the Women’s Imaging Center in Beaufort

and Bluffton Medical Services in Westbury Park. To make an appoint-

ment, call 843-522-5015.

GutGutS U M M E R 2 0 1 3 25

InstinctN owhere in the body is the neigh-

borhood more crowded than the abdomen. Multiple organ sys-tems exist side by side, which

makes identifying the cause of abdominal pain challenging.

“The location of your abdominal pain can often help narrow things down,” says Sarah Cartwright, MD, a member of the American Academy of Family Physicians. Physicians think of the abdomen in four sections, or quadrants—upper, lower, right and left. Where you hurt helps identify the culprit.

The more you can tell your doctor about your symptoms, the easier the problem will be to diagnose. Note what worsens or improves your pain. Pain that comes on in relation to something else is often a clue. Pain associated with eating, urination, bowel movements, intercourse or menstru-ation can identify the organ system where the pain originates.

Read on for an abdominal pain profi le.

BY TERESA CALDWELL BOARD

Abdominal aches can be serious, so be sure to pay attention to symptoms

12

3

910

6

75

8 4

PHO

TO

BY

GET

TY

IMA

GES

TummyTroubles? Meet the usual suspects—and digest your options

IF YOU THEN YOU OTHERHAVE... PLUS... MAY HAVE... SYMPTOMS

Right lower quadrant pain

Sudden or worsening pain, which usually begins near belly button and moves to right

Appendicitis

Left lower quadrant pain

You are older than 55 Diverticulitis

Loss of appetite; nausea or vomiting; low-grade fever; abdominal swelling; inability to pass gas

Lower belly bloating and cramping; nausea or vomiting; fever; chills; change in bowel habits

Right upper quadrant pain

Pain occurs after you eat and spreads to back or right shoulder

Gallstones Nausea or vomiting; clay-colored stools; yellowing of skin and whites of eyes

Left upper quadrant pain

Burning pain (especially when stomach is empty) made worse by spicy foods and stress

Ulcer Mild nausea; pain that awakens you at night; possible blood in vomit or stools; weight loss

Sudden, sharp, stabbing pain in lower abdomen

Pain that radiates into back, side and groin

Kidney stones Pink (blood-tinged) urine; burning during urination, and increased frequency; nausea or vomiting; fever; chills

Dull, aching pain in lower abdomen or lower back (women)

Heavy, painful menstrual periods

Uterine fibroids Long menstrual periods and bleeding between periods; lower abdominal fullness or pressure; frequent or difficult urination; pain during intercourse; infertility or miscarriages

Chronic pelvic pain (women)

Pain that worsens just before and during menstrual periods

Endometriosis Heavy periods with painful cramping; lower back pain; pain during intercourse, urination or bowel movements; bleeding between periods; infertility

Pain on one side of lower abdo-men (women)

Abdominal pressure or bloating (most common in premenopausal women)

Ovarian cyst Pain with bowel movements or intercourse; dull ache in lower back; sudden, severe pain, with possible nausea and vomiting (see a doctor—this may indicate a large cyst twisting the ovary or rupturing)

Intermittent lower abdomi-nal pain and cramping

Accompanied by diarrhea or constipation; worsened by stress

Irritable bowel syndrome (IBS)

Abdominal bloating; pain that starts after eat-ing and may be relieved by a bowel movement

Painful cramp-ing in the lower abdomen

Persistent diarrhea, or blood or pus in stools

Crohn’s disease or ulcerative colitis

Fever; weight loss; pain with bowel movements; fatigue; loss of appetite

1

2

3

4

5

6

7

8

9

10

S U M M E R 2 0 1 326

Surgery to remove appendix

Antibiotics, short-term liquid diet, and, once recovered, a gradual increase in dietary fiber to prevent recurrence

Medication to dissolve gallstones; possible gallbladder removal surgery

Medication to block stomach acid or antibiotics to treat bacteria that cause ulcers

Pain medication and increased water intake until stone passes—with possible surgery if stone doesn’t pass on its own

Hormone medications for symptom relief; endometrial ablation to destroy the uterine lining; embolization to inhibit uterine blood flow and shrink fibroids; surgery to remove fibroids or entire uterus

Pain-relieving medication; hormone medication to prevent the disease from worsening; surgery to remove endometrial growths or the uterus and ovaries

TREATMENT

May resolve without treatment; birth control pills may prevent recurrence; in certain cases, surgery to remove (and possibly biopsy) the cyst or ovary

Avoiding symptom-triggering items, such as caffeine or dairy products and high-fat meals; symptom-specific medication; stress management

Small, frequent food and water intake; moderate dietary fat and fiber; medication to relieve inflammation and suppress autoimmune activity; possible surgery

PHO

TO

GR

APH

BY

TH

INK

STO

CK

S U M M E R 2 0 1 3 27

Take Care of Your Tummy TroublesLove spicy food but hate the heartburn that comes with

it? Beaufort Memorial Center for Digestive Diseases

can help.

Gastroenterologists Dr. Kevin Kearney and Dr. Joel

Ingegno specialize in disorders of the digestive system,

from irritable bowel syndrome and ulcerative colitis

to GERD (gastroesophageal reflux disease) and that

pesky heartburn.

Abdominal pain, acid reflux and blood in your stool

could be signs that your digestive system isn’t work-

ing properly. Using the latest tests and technology, the

center’s team of experts can diagnosis and treat a wide

range of conditions that affect the esophagus, stomach,

intestines, liver, colon, pancreas and gallbladder.

Drs. Kearney and Ingegno see patients at both Port

Royal Center, 1716 Ribaut Road, and Bluffton Medical

Services in Westbury Park, Bluffton. Call 843-522-7890

to make an appointment.

on

LIn

E

Find Out Online What May Be Ailing You

Go to www.familydoctor.org for guidance from online flowcharts by the American Academy

of Family Physicians. Search for “abdominal pain” and choose the short-term or long-term abdominal

pain flowchart from the search results.

MI H

TYMORGAN

PHO

TO

BY C

OR

BIS

S U M M E R 2 0 1 328

He’s played every role

from a prison inmate

to God, but Morgan

Freeman relishes

his o� -screen role

of keeping his golden

years golden

BY STEPHANIE PATERIK

In the movie The Sum of All Fears,

Morgan Freeman helps Ben Affl eck stop

a nuclear bomb. So when Affl eck’s real-

life fear came true last year—turning,

gulp, 40—he knew whom to talk to.

“Boy, you’re just coming into your prime!’ ”

Freeman assured his younger colleague, accord-

ing to Total Film.

Freeman knows great things come with

age. The native Tennessean reached super-

stardom in his 50s, when he played the

world’s most patient chauffeur in Driving

Miss Daisy. He went on to portray God, the

AN

S U M M E R 2 0 1 330

RETIREMENT?That’s a foreign word for me.

I am always desperately

searching for new roles same

way I did as a 25-year-old

whippersnapper. Whoever

quits is already done—

that’s the way I see it.”

president and Nelson Mandela, and win an Oscar for Million Dollar Baby.

With soulful eyes and a signature voice, equal parts gravel and gravitas, Freeman

has built a career by playing wise, grandfatherly characters. And it’s not just an act. By following a smart plan to stay youthful well into his golden years, the 75-year-old actor is still in his prime.

“Retirement? That’s a foreign word for me. I am always desperately searching for new roles same way I did as a 25-year-old whippersnap-per,” he told a German TV station. “Whoever quits is already done—that’s the way I see it. I need a reason to get up in the morning.”

So, what’s your reason? Yes, that milestone birthday down the road might feel like a ticking time bomb. But Freeman proves you don’t need to fear your next birthday. Follow his action plan for getting better with age by eating smart, exercising your mind and body, getting screened for illnesses, and—the big one—embracing a positive attitude.

there, according to a recent study in the New England Journal of Medicine.

Morgan fights the trend by eating healthy snacks throughout the day and skipping big meals late at night. He knows that if you want to feel like a 20-year-old, you can’t eat like one.

“I only eat [a big meal] once a day—that has to be enough,” he told the German TV station. “In the evenings there are some grapes and nuts at the most.”

Follow Freeman’s lead and reach for fruits, veggies, nuts, whole grains and lean proteins, says Moreno. Stay away from citrus, like oranges, lemons and grapefruits, because acidity and sugar are tough on your pancreas. Also, get your grains before 3 p.m., and drink a lot of water to help digest them.

Many older adults, like Freeman, eat less because of a change in acid production in the stomach, Moreno adds.

“People will tell you, yeah, as they get older they’re not as hungry or they feel a little nau-seous,” he says. “The answer to that is eating less and smaller meals, moving away from three meals a day and more like five to six.”ph

ot

o b

y c

or

bis

A C T I O N :

1 Burn Fat, Build Muscle

A lot of actors fluctuate in size from movie to movie, but not Freeman. He has maintained a trim physique throughout his career—and that’s no accident. “I exercise religiously,” he told USA Today.

He learned the importance of working out as an Air Force recruit after high school. Then he studied dance in California and New York. That physical ability helped land him a role as Easy Reader, a bell-bottomed singer and dancer on the children’s TV show The Electric Company.

“I love Morgan Freeman. The guy never ages,” says Mike Moreno, MD, a family physician and author of The 17 Day Plan to Stop Aging.

Staying active in your later years is key to appearing ageless, Moreno says. It counters the inevitable muscle loss that happens after 50. And it oxygenates your organs.

“As we age, our organs also age in their ability to function,” he explains. “Just as a car needs dif-ferent belts and air vents as it ages, the body is the same. You have to maximize the function of those organs by being active. That means the more you move, the more circulation you have, the better oxygen you get to these tissues or organs, the better they’re going to perform.”

Ramp up your metabolism by mixing car-dio and strength training. And if you aren’t an avid exerciser like Freeman, begin by walking five minutes twice a day. Gradually, work up to 30 minutes a day in small intervals or one long walk, Moreno suggests.

A C T I O N :

2 change Your eating haBits

Did you know typical adults pack on an extra pound every year? That really adds up over time!

Consider that the average woman and man weigh 156 and 188 pounds, respectively, in their 20s, and 172 and 199 pounds in their 50s, accord-ing to the National Center for Health Statistics.

The biggest culprit is excessive snacking—an extra handful of chips here, a sugary soda refill

Morgan Freeman replaces big meals with small, healthy

snacks throughout the day. This smart strategy keeps

you trim and calms your stomach as you age, says

Mike Moreno, MD, author of The 17 Day Plan to Stop Aging. These

five snacks will keep you feeling young and satisfied:

• Red grapes are one of Freeman’s favorite bedtime snacks. The

antioxidant resveratrol is an anti-inflammatory known to lengthen

the life of lab animals.

• Nuts like almonds and walnuts are essential to Freeman’s diet.

They’re packed with healthy fats, vitamins and protein, filling him

up between meals.

• Tomatoes contain lycopene, an antioxidant that keeps skin

looking youthful and might combat cancer and heart disease.

• Whole grains are digested more slowly than processed grains,

which curbs high blood sugar and diabetes.

• Broccoli may not have been your favorite as a kid, but it’s

your best friend now! Folate and calcium benefit your bones, eyes

and brain.

Morgan’s Minimeals

S U M M E R 2 0 1 3 31

PHO

TO

BY C

OR

BIS

A C T I O N :

3 EXERCISE YOUR MIND

Like all organs in the body, the brain loses its functionality over time. This is especially true for people who fi nish raising kids and retire from careers, Moreno says.

“Baby boomers are approaching retirement, the kids are out of the house, and the laundry list goes down,” he says. “Enjoying that is not a bad thing, but we need to fi ll that void with some-thing that is going to be benefi cial to us.”

Freeman stays sharp by taking on new movie roles. He also sails his boat in the Caribbean and trains quarter horses in Mississippi—activities that exercise the mind. He even attended fl ight school at age 66.

“I don’t worry about [aging] but I work hard at preventing it,” he told USA Today. “I try to keep my mind active. I’m a solitaire and puzzle addict.”

Moreno says Freeman’s strategy is “exactly right.” The doctor gave this same advice to his own mother, who needed more mental

stimulation after crocheting one too many tissue boxes to pass the time.

“My mom is 86. She was a teacher for 50 years, raised seven kids and then boom—she had all this free time,” Moreno says. “She started to decline in that manner.”

If Sudoku isn’t your thing, try writing your name with your nondominant hand. Use a stop-watch to ramp up your game.

“Time it to see your progress. When you start to get better at anything, it’s really encouraging for anyone,” Moreno says. “It doesn’t have to be elaborate; it just has to get you to think.”

A C T I O N :

4SCHEDULE YOUR SCREEN TIME

When Freeman was born in 1937, modern-day cancer screenings didn’t exist. The colonoscopy, for example, wasn’t developed until the 1960s.

Older adults can appreciate how far medi-cine has come. And Freeman reminds us to take advantage of it. The actor appeared in a public service announcement with Diane Keaton and Benjamin Bratt, encouraging men and women to get screened for colon cancer.

“Has anyone ever said, ‘You are the picture of health’? You look healthy and you feel fi ne, but that may not be the full picture,” Freeman says in the spot. “Colorectal cancer is the No. 2 cancer killer.”

Additionally, African-Americans are more likely to die from colon cancer than the general population. But so many cancers are treatable when caught early, and you can lengthen your

S U M M E R 2 0 1 332

M ike Moreno, MD, likes to kid his patients that there are

two perfect exercises for older adults: swimming and

walking on the moon.

“One is easier to do than the other,” jokes Moreno, a New York

Times best-selling author and physician.

As you age, it’s important to exercise without impacting your

joints. A zero-gravity situation would be ideal, of course, but swim-

ming comes close.

“We want range of motion minus impact on joints,” Moreno

explains. “Swimming is the best exercise in the world. It gives you

cardio, range of motion—you move your neck, back, toes, ankles.

Walking would be my No. 2.”

When you walk, go with friends, and change up your route for

maximum mental and physical stimulation.

“Walking with a group of people is so beneficial on so many levels,”

he says. “It exercises your mind, body, social skills. There are so many

benefits to a 30-minute walk, I could write a book on that.”

The Age-Proof Exercise

ON

LIN

E

Workout Suggestions at

Your FingertipsExtend your healthy, active years with

tips from the National Institute on Aging. Visit the Go4Life campaign

online for tips on bringing exercise into your daily routine. Find your starting

point, get workout suggestions and track your activity

at go4life.nia.nih.gov.

Feature HeadFEATURE BYLINEFeature deck

DREAMScome true—mine do.”

S U M M E R 2 0 1 3 33

a beaming smile on the TV program Inside the Actor’s Studio.

And he wants to make something clear: He’s not done dreaming.

“I’m getting a lot of end-of-the-career awards, that lifetime achievement stuff. I’m beginning to feel like I’m being told, ‘OK, time to hang up your cleats and sit down,’ ” Morgan told his USA Todayinterviewer. “Once you start getting them, it’s like … ‘What is this lifetime achievement? Have I done it already? There’s no more achieving for you’?

“You have to get up when they give these things to you and say, ‘Now, wait a minute; I don’t consider myself done yet.’ ”

life by getting screened, Moreno says.Be sure to visit your doctor at least once a year.

Physicians can recommend when to get colon, prostate, breast and cervical cancer screenings, as well as cholesterol and blood pressure checks.

“If you miss something, a year can be the dif-ference between life and death,” Moreno warns. “I tell people to make it their birthday so they never forget.”

A C T I O N :

5 STAY POSITIVE

Freeman’s success is built on a simple idea: There’s no such thing as “can’t.”

The way he sees it, he’s far from over the hill. He’s still climbing the mountain, reaching new levels of fulfi llment as he goes. That kind of atti-tude is the No. 1 secret to aging well, Moreno says.

“Being positive and understanding you’re doing the best you can is absolutely critical,” he adds.

Freeman treasures his success. “Dreams come true—mine do,” he told James Lipton with

Pr state

Playbook

Of course, the word cure is a bit taboo because it’s tough to say that a cancer is ever truly cured. But living cancer-free for an extended time earns you the right to use cure. Almost 100 percent of men diagnosed with prostate cancer in the early stages will be disease-free after fi ve years, according to the Prostate Cancer Foundation. To put this into perspective, in the 1970s only 67 percent of men could say the same thing after fi ve years.

After a diagnosis of any cancer, you face a series of choices, one of which is deciding on your treatment plan. It’s a personal decision that requires weigh-ing all your options, talking to your doctors and ultimately deciding what’s best for you and your lifestyle.

Following are the stories of two men who received a prostate diagnosis and the different routes of treatment they chose.

BY AMANDA KIPPERT

There are many ways to treat prostate cancer—how do you choose? Two men who

faced a diagnosis share their stories

More than 2 million U.S. men are living with

prostate cancer, with a new case diagnosed about

every two minutes. That may seem grim, but

there is a bright side. Thanks to screenings that detect the

cancer early, the cure rate is high for this disease that mostly

affects men older than 40.

Playbook

S U M M E R 2 0 1 3 35

OPE

NIN

G P

HO

TO

BY

GET

TY

IMA

GES

; WH

IST

LE B

Y T

HIN

KST

OC

K

Rick’s StoryTreaTmenT of choice: radiation therapy

Rick Otey faced his prostate cancer diagnosis at age 55 with no fear and just one matter-of-fact question: What now? He was optimistic, immediately jumping online and scouring prostate cancer discussion boards to see what others with a similar diagnosis were doing. “I thought I’d heard that prostate cancer was the one you wanted to get because it’s the most treatable,” he says.

Treatment for prostate cancer comes in many forms: radiation, chemotherapy, surgery to remove the entire prostate gland or some of the tissue, hormone therapy, immunotherapy and active surveillance, known as watchful waiting. Otey opted for radiation therapy, which uses high-energy rays to kill cancer cells.

There are two main types of radiation therapy: brachy-therapy and external beam radiation. Brachytherapy delivers radiation from inside the body via “seeds” that are implanted under the skin with a needle. External beam radiation delivers rays of radiation from a machine outside the body. Both methods are effective, according to the American Cancer Society.

Today, radiation therapy can be delivered more directly to the site of the tumor, thereby causing less dam-age to surrounding healthy cells. That was important to Otey, as it meant eradicating his cancer without effects on his bladder and rectum. A runner who’s been married for 38 years, Otey has four kids and seven grandkids. He kept busy and wanted to stay that way. “So, to me, it came down to what [treatment] was going to give me the best quality of life.”

Otey opted for a type of external beam radiation called proton therapy. It is a newer treatment that is thought by some to cause less damage to nearby healthy cells than other types of external beam therapy. But it is still a rela-tively new approach, and its long-term cancer-control capabilities have yet to be proved, says Durado Brooks, MD, an American Cancer Society spokesman.

The resulTs: Otey underwent 44 proton therapy treatments, which were painless and lasted only a few seconds each. He experienced no significant side effects. “I ran four to six miles every day of my treatment.” The radiation destroyed the cancer slowly, as it’s meant to do, and within three years, he saw his prostate-specific antigen, or PSA, score drop from a 5.0 to a 1.0. Today, at age 63, his PSA is at a 0.6, a likely indicator that his cancer is in remission.

“I look at myself as cured,” says Otey, who still makes sure to get his PSA test every year. So far, so good. “I can’t

say I’m glad I got cancer, but the fact that I got cancer and treated it effectively with no side effects has opened up a whole new world for me to help people.”

Joel’s StoryTreaTmenTs of choice: radical prostatectomy and

hormone deprivation therapy

Joel Nowak, 61, always suspected that he and pros-tate cancer would meet. His father, grandfather, uncle and cousin had prostate cancer, and Nowak was vigilant about monitoring his PSA level. At age 50, he got his diag-nosis and decided on radical prostatectomy, or the surgi-cal removal of his entire prostate gland. In retrospect, he says, he wishes he would have been more educated about his choices.

“I can’t remember my urologist offering me lots of options other than surgery. Some doctors are good about sharing alternatives and some aren’t.”

Brooks estimates 40 to 45 percent of men diagnosed with prostate cancer choose to take the prostatectomy route, while 35 percent choose radiation.

Nowak opted for a laparoscopic surgery because he had heard the recovery would be quicker. He was in the hospital for three days but was able to get up and

S U M M E R 2 0 1 336

pho

to

by

su

per

sto

ck

walk around the day after his operation. But, he says, he felt exhausted for weeks and didn’t head back to work for nearly a month. Later, he would have problems with inconti-nence and erectile dysfunction. Those are the most common side effects of a prostatectomy, says Brooks. On the upside, Nowak’s PSA score was nonexistent. The cancer seemed to be gone—at least for five years.

The resulTs: At age 55, Nowak’s cancer returned. At nearly the same time, he was also handed a devastating renal cancer diagnosis. “That was difficult,” he says. “There was a moment of the world coming to the end, so to speak.” But the married father of two wasn’t ready to throw in the towel. After consulting with several oncologists, it was determined that the renal cancer was a more direct threat to his life. Doctors removed one of his kidneys.

Afterward, he started hormone deprivation therapy for the prostate cancer. By depriving the body of testosterone, the chemical that stimulates the prostate cancer’s growth, the hope is to slow the cancer’s progression, Brooks explains. The side effects, however, are similar to menopause symptoms: hot flashes, fatigue and tenderness in the chest. It’s also a temporary treatment, as cancers are smart and, says Brooks, learn to be hormone insensitive, or resistant to the treatment. “At some point, it will stop working, and I’ll move on to the next treatment,” Nowak says.

S U M M E R 2 0 1 3 37

CA

LL

Cancer Care, Close to Home

Beaufort Memorial’s Duke-affiliated cancer center offers tissue-sparing radiation therapy for the

treatment of prostate cancer. To learn more, call843-522-7925 or visit www.bmhsc.org.

Two More Treatments to ConsiderWhen it comes to prostate cancer treatment

options, there are more than a few to consider.

That’s why it’s wise to consult with all three types of

prostate cancer specialists—a urologist, a radiation

oncologist and a medical oncologist—says Durado

Brooks, MD, an American Cancer Society spokes-

man. Beyond proton therapy, prostatectomy and

hormone deprivation therapy, consider these two,

as well.

• Observational treatment. “It means you

do not do any initial invasive treatment,” explains

Brooks, who estimates that less than 10 percent of

patients choose this route. He understands why.

“It’s contrary to most people’s thoughts and gut

reactions to cancer.” The benefits? With a slow-to-

spread cancer like prostate cancer, treating it pre-

emptively may cause more harm than not, he says.

Avoid common treatment side effects like inconti-

nence and impotence by simply holding off. “Many

[prostate cancers] will grow so slowly that many

men die with prostate cancer rather than from it,”

Brooks says.

• Brachytherapy. Otherwise known as seed

implantation, this form of radiation treatment

involves permanently implanting radioactive seeds

in the prostate through needles (while you’re under

anesthesia, of course). Over time, the radiotherapy

destroys the cancer cells. Recovery is short—most

men are out of the hospital the same day—and the

seeds have been shown to have fewer side effects

than other options. This option appeals to men

with early stage prostate cancer who don’t want

to undergo daily radiation sessions.

S U M M E R 2 0 1 338

TheMain IngredientDiabetes-friendly meals don’t have to be boring.

The trick is to use nonstarchy vegetables as the base for satisfying and lower calorie meals

BY BEV BENNETT

If you’ve been advised to cut back on salt, use fresh citrus juice to bring zesty fl avor to your cooking. Lime juice along with jalapeño chili peppers and cilantro wake up this pork and vegetable mix.

INGREDIENTS 10 oz. fat-trimmed pork tenderloin

1 garlic clove, smashed

1 lime, halved 1/4 tsp. pepper, divided

Cooking spray

1 large red bell pepper, cut into thin rings

1 large zucchini, sliced 1/4-inch thick

1 medium red onion, thinly sliced

1 c. grape tomatoes

1 Tbsp. minced fresh jalapeño peppers 1/2 tsp. salt

1 Tbsp. minced fresh cilantro

DIRECTIONSRub pork with garlic; brush with juice of lime half. Sprinkle on 1/8 teaspoon pepper.

Set aside 30 minutes.

Spray large roasting pan with cooking spray. Place vegetables in pan. Add pork

down the center. Spray pork and vegetables with cooking spray. Roast in preheated

400-degree oven 15 minutes. Remove; turn pork over. Return to oven and roast

15 minutes longer, or until pork is cooked through.

Cut pork into 1-inch chunks. Place in large serving bowl. Add vegetables, juice

from remaining lime half, pepper, salt and cilantro. Stir.

Nutritional

information

per serving:

130 calories;

0.6 g saturated fat;

2.12 g total fat;

17.5 g protein;

10 g carbohydrates;

49 mg cholesterol;

342 mg sodium;

2.75 g dietary fiber.

Makes 4

(11/2-cup)

servings.

Pork Tenderloin and Garden Vegetables

S U M M E R 2 0 1 3 39

 Do you think of your diabetes nutri-

tion regimen as constant deprivation?

If so, you’re in for a hearty surprise.

You can fi ll up with delicious and

satisfying foods that also enhance your health.

Nutrient-rich choices may help alleviate insulin

resistance and reduce your need for medications.

Your diet also may lower your risk for complications

from diabetes, including high blood pressure and

heart disease.

PHO

TO

S BY

MA

RK

LIP

CZ

YN

SKI

S U M M E R 2 0 1 340

Savory Skillet DinnerThe brown rice in this skillet chicken dish gives it a slight nutty fl avor and may help control your blood glucose levels.

INGREDIENTSCooking spray

1 medium onion, chopped

4 small boneless, skinless chicken thighs,

chopped in bite-size pieces

1 medium garlic clove, minced

1 c. reduced-sodium chicken broth

4 c. coarsely chopped kale (tough

stems removed)

2 medium tomatoes, diced

2 tsp. fresh lemon juice 1/2 tsp. dried crushed oregano 1/4 tsp. salt 1/4 tsp. pepper1/8 tsp. dried crushed thyme 1/8 tsp. crushed red pepper flakes

11/3 c. cooked brown rice

DIRECTIONSSpray large nonstick skillet with cooking spray. Add onion. Cook over medium heat

7 minutes. Add chicken and garlic. Brown chicken.

Stir in broth. Add kale, tomatoes, lemon juice, oregano, salt, pepper, thyme and

red pepper flakes. Cover. Reduce heat to low; cook 20 minutes or until kale is tender.

Serve over brown rice, 1/3 cup per serving.

Makes 4

(11/2-cup)

servings.

Nutritional

information

per serving:

223 calories;

0.92 g saturated fat;

4.3 g total fat;

19.75 g protein;

27 g carbohydrates;

321 mg sodium;

3.5 g dietary fiber.

S U M M E R 2 0 1 3 41

Kale, Bean and Sausage SoupIncrease your intake of plant foods, includ-ing dark green kale and garbanzo beans, and you may reduce your risk of heart disease, a concern when you have type 2 diabetes.

INGREDIENTSCooking spray

1 small onion, chopped

1 small carrot, peeled, sliced 1/2-inch thick

1 (3-oz.) sweet Italian chicken sausage link,

sliced 1/4-inch thick

3 c. reduced-sodium chicken broth

4 c. coarsely chopped kale (tough

stems removed)

1 (15-oz.) can no-salt-added garbanzo

beans, drained 1/2 tsp. ground cumin 1/8 tsp. pepper

DIRECTIONSSpray large pot with cooking spray. Add onion

and carrot. Cook 5 minutes over medium heat

stirring occasionally. Add sausage; cook 1 min-

ute. Stir in 1 cup broth. Add remaining broth,

kale, beans, cumin and pepper. Bring to boil.

Reduce heat to low, cover; simmer 45 minutes.

Makes 4 (11/2-cup) servings.

Nutritional information per serving: 192 calories;

0.7 g saturated fat; 3.6 g total fat; 14 g protein; 27.5 g

carbohydrates; 17.5 mg cholesterol; 575 mg sodium;

7 g dietary fiber.

PHO

TO

S BY

MA

RK

LIP

CZ

YN

SKI

S U M M E R 2 0 1 342

Shrimp, Arugula and Strawberry SaladThe rich fl avor and satisfying crunch of walnuts make them an appealing top-ping to salads. In addition, including walnuts in your recipes may help reduce fasting insulin levels.

INGREDIENTS 41/2 c. baby arugula, divided

2 c. sliced fresh strawberries

12 oz. large shrimp, cooked, peeled 1/2 c. reduced-fat buttermilk

2 Tbsp. fresh chopped chives 1/2 tsp. balsamic vinegar1/4 tsp. salt 1/4 tsp. pepper 1/4 c. coarsely chopped walnuts

DIRECTIONSCombine 4 cups arugula, strawberries

and shrimp in large salad bowl. Combine

remaining 1/2 cup arugula, buttermilk,

chives, vinegar, salt and pepper in blender

container. Puree. Pour over salad; toss.

Sprinkle on walnuts.

Makes 4 (11/2-cup) servings.

Nutritional information per serving: 152 calo-

ries; 0.7 g saturated fat; 4 g total fat; 19 g protein;

10.3 g carbohydrates; 151 mg cholesterol; 363 mg

sodium; 2.35 grams dietary fiber.

S U M M E R 2 0 1 3 43

Chicken, Spinach and Blueberry SaladLuscious, sweet blueberries, along with other berries, are rich in antioxidants that may reduce your risk of heart disease. Pair berries with spinach for a nutri-tion-packed salad.

INGREDIENTS4 c. fresh baby spinach

8 oz. cooked, diced chicken breast

1 c. fresh blueberries

5 Tbsp. fat-free plain yogurt

5 Tbsp. reduced-fat buttermilk

3/8 tsp. curry powder 1/4 tsp. pepper 1/8 tsp. salt

2 Tbsp. coarsely chopped pecans

DIRECTIONSPlace spinach in large salad bowl. Add chicken and blueberries. Combine yogurt,

buttermilk, curry powder, pepper and salt. Pour over salad; toss. Sprinkle on pecans.

Makes 4 (11/4-cup) servings.

Nutritional information per serving: 155 calories; 0.84 g satu-

rated fat; 4.5 g total fat; 19.5 g protein; 9 g carbohydrates; 45 mg

cholesterol; 150 mg sodium; 2 g dietary fiber.

PHO

TO

S BY

MA

RK

LIP

CZ

YN

SKI

Take ControlBeaufort Memorial’s

Diabetes Care Center can

help you control your

diabetes and live a long,

active life. The center’s

team of specialists includes

registered nurses, certi-

fied diabetes educators,

registered dietitians and an

exercise physiologist.

Working together with

your doctor, these diabetes

specialists will develop a

personalized treatment

plan that encompasses

meal planning, exercise and

medications to help you

maintain an ideal blood

glucose level.

Certified by the

American Diabetes

Association, the center

offers specialized pro-

grams for adults and

women with gestational

diabetes. For more infor-

mation on the program,

call 843-522-5635 or visit

www.bmhsc.org and

click on the LifeFit tab.

qu

iz

Think You May Have Diabetes?

More than 6 million people in the U.S. are unaware they have type 2 diabetes. To see if you are at risk, go to

www.bmhsc.org/healthaware and take our online DiabetesAware assessment today.

AheadAhead

W hat would happen if you were too ill or

injured to speak for yourself? Do you want

to be on machines that would extend your

life? For how long? These are uncomfortable questions we’d

just rather not discuss. While it may be unsettling to think

about death, making decisions about end-of-life care and

sharing your desires are critical.

Advance directives are documents that let you consider

your values about life and death and share your wishes.

Unfortunately, only about 20 to 30 percent of Americans

report having an advance directive, says Kathy Black, PhD,

MSW, an advance care planning expert and the author of

journal articles on end-of-life care.

An advance directive

communicates your end-of-life

wishes when you can’t

BY STEPHANIE R. CONNER

LookingPH

OT

O BY

TH

INK

STO

CK

S U M M E R 2 0 1 344

“The biggest problem is not having [advance directives] in place,” she says. “What that does is it forces providers to fi gure out what you would have wanted. It causes stress between providers and your family mem-bers. And it causes stress among your family members.”

To ensure you and your family are prepared, start with a living will and healthcare power of attorney.

LIVING WILLA living will outlines your wishes for medical care at the end of life

if you are unable to make decisions for yourself. This document asks you to consider what types of life-extending care you might want, such as a ventila-tor to breathe for you or a feeding tube.

Some people will want doctors to do everything they can; others will not. The decision is yours. “You can say, ‘I don’t want to live like this,’ ” Black says.

HEALTHCARE POWER OF ATTORNEYPerhaps the more important document, Black says, is the health-

care power of attorney (or healthcare proxy), which allows you to appoint someone you trust to make medical decisions for you should you be unable to. While a living will provides important direction, gray areas arise, and a person empowered to make decisions on your behalf can weigh the options based on what you would have wanted.

Choose someone who is willing to take on this important responsibil-ity and—ideally—a person who doesn’t travel frequently and who lives nearby, Black says.

Jennifer FitzPatrick, MSW, a licensed certifi ed social worker-clinical who is an expert on caregiving and aging and a consultant for the Alzheimer’s Association, advises choosing someone who will advocate for your values rather than their own.

“It doesn’t necessarily have to be the family member you’re closest with,” she notes, adding that your healthcare agent should be someone who can stand up to criticism from doctors and other family members.

“Sometimes you’re under scrutiny when you’re holding up somebody else’s wishes,” adds FitzPatrick, author of the coming book Your 24/7 Older Parent. Once you’ve made your decision, be sure to share your choice with your family as well.

“Have a conversation,” she adds. “And say, ‘I chose this person for my healthcare agent, and here’s why.’ ” This will help your family be support-ive of your proxy’s actions if the time comes.

GETTING STARTEDNo matter your age or health status, take the time now to think

about what you want. Once you’ve completed your advance directives, have a conversation with your partner, parents, children and other loved ones—even if they don’t want to talk about it at fi rst.

“We live in a very death-averse society,” Black says. “We need to be a lot more comfortable facing this inevitability in life. … And you need to have your say.”

S U M M E R 2 0 1 3 45

Fighting Depressionin SeniorsAs we get older, we are more inclined to give

thought to advance directives and end-of-

life care, particularly if we are facing health

problems or have lost those close to us.

These life changes and losses can also lead

to depression.

While fatigue and waning energy levels are

common among seniors, don’t neglect signs

of depression, such as changes in:

• Sleep patterns

• Eating behaviors

• Physical activity

• Social activity

“It is important to know that depression

is not a normal part of aging,” says BMH

Psychiatrist Dr. Mary Wynn Hill, medical

director of Beaufort Memorial’s Mental

Health Unit. “Effective treatments are avail-

able and can improve quality of life, even in

those with other health problems. It is never

too late to get help.”

If you or a loved one needs help with

depression, call Beaufort Memorial’s Mental

Health Services Hotline at 843-522-5269.

BMH also offers an Acute Mental Health Unit

for urgent care. It features a 14-bed inpatient

unit with nursing, medical and psychiatric

care 24 hours a day.

ON

LIN

E

Get Started with Advance

DirectivesYou’ll find forms in both English and

Spanish for a Healthcare Power of Attorney and South Carolina Living

Will on the BMH website. Go to www.bmhsc.org and click on

the Health Resources tab at the top of the page to find these down-

loadable forms. Questions? Call 843-522-5171 .

VIRTUAL HEALTHBY CAREY ROSSI

S U M M E R 2 0 1 346

Move over, Six Million Dollar Man. Health, wellness and technol-ogy are coming together as never before.

During the next fi ve years, the number of wearable sports and fi tness devices is expected to grow to 169.5 million, according to the Consumer Electronics Association (CEA).

Meanwhile, in a CEA survey, more than one-third of consum-ers expressed interest in sending health data—such as weight, vital signs and fi tness program progress—to their doctor using a wireless device. The most popular downloaded mobile health and fi tness applications were fi tness trackers (51 percent), apps that measure workouts (36 percent) and customized music for exercise (32 percent), the survey found.

Cereal is the perennial pantry staple.Whether you reach for a box morning, noon or night,

it can be either a healthful hookup or a sweet treat.

Now, you can read all about it at Cereal Eats

(seriouseats.com/cereal_eats/). On this blog hosted

by Serious Eats, Leandra Palermo noshes about the

right and the wrong way to pour milk (and how much)

on Weetabix, how she overcame snobbery about

Fiber One’s Nutty Clusters & Almonds to become a

true believer, and why we should venture into other

countries’ cereal aisles. As her blog says, this is

“cereous stuff.”

Breaking DOWNBreakfast

GET YOUR FITNESS ON: Literally

I f you use social media to monitor health news, the options can be overwhelming—Twitter, Facebook, Pinterest, Tumblr, Google+, Instagram—and by the time you are done reading this snippet, another network is sure to launch.

You can monitor what cyberspace is chattering about on health top-ics, such as fi tness, diet and nutrition, as well as not-so-healthy topics (hello, food trucks!), at Sulia.com. By choosing a channel to follow, you can keep up with the tweets, photos and blog posts on that subject from around the Net. Consider it your one-stop, shared-information fi x.

SULIASWEET SOCIAL SIGHTINGS OF

CER

EAL

PHO

TO

BY

GLO

W IM

AG

ES; P

HO

TO

S A

ND

ILLU

STR

AT

ION

BY

TH

INK

STO

CK

S U M M E R 2 0 1 3 47

ELECTRONIC RECORDS MAYImprove HealthcareA new study by Weill Cornell Medical College researchers, published in the Journal of General Internal Medicine, found that the 56 percent of physicians who used electronic health records provided signifi cantly better quality of care in four areas (in screenings for hemoglobin A1c, breast cancer, chlamydia and colon cancer) than physicians using paper records. Why?

Researchers concluded that the electronic health records make information, such as reminding them of clinical tests, more accessible. In addition, real-time medical decision-making support allows patients and providers to communi-cate regularly and securely.

QU

IZ

Don’t Wait Until You’re Sick

Find out if you have a major health risk. Visit our “HealthAware” early detection center

and take one of five online health risk assess-ments. You’ll find the seven-minute interactive

assessments at www.bmhsc.org.

• Ultraviolet by roboCat (Available for iPhone,

iPad and iPod Touch; free) This UV Index predictor

shows you the sunburn risk for any location you

choose. Besides giving you the numbered rating,

Ultraviolet tells you what to do. For instance, a

UV Index of 11+ is defined as extreme and the app

suggests to avoid going outside. It offers tips for pro-

tection in case you don’t or can’t heed the warning.

• UMSkinCheCk by UniverSity of MiChigan

(Available for iPhone and iPad; free) That questionable

mole on your left arm now has a tracker. UMSkinCheck

allows you to photograph and monitor those lesions

that secretly scare you. In addition, it reminds you

to do self-exams and walks you through how to do

them, and it serves up a tool to help you survey your

entire body.

SMartphone: Skin Cancer Sleuth?

AMERICA’S ORTHOPAEDIC SURGEONS,IN PARTNERSHIP WITH AUTOMAKERS,

URGE ALL DRIVERS TO KEEP THEIRMOST SOPHISTICATED SAFETY FEATURES

ENGAGED AT ALL TIMES: EYES ON THE ROADAND HANDS ON THE WHEEL. JOIN THE EFFORT TO STOP DISTRACTED DRIVING

AT DECIDETODRIVE.ORG

AMERICA’S ORTHOPAEDIC SURGEONS,

News from the Foundation

What’s in a name? That’s not just a rhe-torical question when it comes to Olive Warrenfeltz. Her name is unique but

also very familiar at the Beaufort Memorial Hospital Foundation. Olive is in a league of her own as a phil-anthropic supporter of the Foundation, not necessar-ily because of the amount of her gifts, but for their frequency and the reason behind them.

Olive Warrenfeltz has given an impressive 66 gifts (and counting … ) to the Foundation, and each one is a special tribute to Olive’s family, friends or caregivers.

After growing up in the 1930s and, according to Olive, “learning to live with and appreciate what you have and how important it is to give back and help others,” she and her beloved husband, Jack, moved their family from New York to South Carolina.

“My Jack passed away two days before Christmas 14 years ago,” Olive recalls carefully, “and we received such wonderful care and support from the hospital staff. I wanted to do something special in his memory and also to thank Beaufort Memorial. Giving a gift to the Foundation was the perfect solution.”

Since then, Olive has celebrated the lives of friends and loved ones another 65 times through tribute gifts to the BMH Foundation. Sometimes it is in memory of a friend who’s passed away; sometimes it is in honor of a family member celebrating a birthday or overcoming an illness; and every spring, she hon-ors a caregiver who is very close to her heart, her

Olive’s StoryA tribute to loved ones, a lasting impact on the community

own daughter, who is a longtime nurse right here in Beaufort.

“Flowers are pretty and nice to give, but I like to give something that lasts,” Olive likes to say. “These gifts to the hospital go on to make a difference to many people.” And she’s right. Tribute gifts help build the hospital’s Endowment Fund, which provides a per-petual stream of revenue that the hospital counts on each year to deliver quality healthcare to all of us.

So, what’s in the name Olive Warrenfeltz? Compassion, goodwill and a heart of gold for recog-nizing those she loves while touching the lives of so many others.

Olive Warrenfeltz, pictured here with daughter Colleen Bible, RN, likes to celebrate her loved ones by giving a gift that lasts and makes a difference to the people in our community.

on

lin

e

Honor a CaregiverA gift to the Honor a Caregiver program is a great way to show gratitude for the care

you received from someone at BMH. To learn more, please visit

www.honoracaregiver.org.

49S u M M e r 2 0 1 3

WHAT A BEAUTIFUL “NIGHT IN THE GARDEN” we enjoyed with you! As usual, all our

generous dinner party hosts set the perfect tone with their gracious serving and hospitality.

What fun to reconnect with old friends and make new acquaintances while enjoying our meals

in special settings. These dinner parties are indeed the signature feature of the Valentine Ball

and a fabulous way to bring together our growing community.

We took special pleasure in greeting each and every one of you as you made your way

into our “garden” where the live music of 17 South rejuvenated our energy and kept so many

dancing throughout the evening. We felt transported by the lush decorations and the myriad

of trips and opportunities presented at the silent auction. We indulged in the guilty pleasures

of delectable desserts … as one should when celebrating with their special Valentine!

We felt privileged to co-chair such a wonderful event for such an important cause, and were

honored that dozens of old and new friends came forward to make the evening possible. The

outstanding organization, hard work and generosity of our committee chairs and their amazing

teams, as well as the many dinner hosts, auction contributors, sponsors and volunteers, meant

a lot to us personally, and to the leadership and staff of Beaufort Memorial Hospital.

Proceeds of this year’s Ball are providing funds for the expanded facility and equipment

needed by our growing LifeFit Wellness Center. This program will soon move into a new

facility, where more and more community members can take advantage of top-of-the-line

fi tness and wellness services. There will also be more health education, screenings, disease

management and rehab services offered by LifeFit, all with the goal of nurturing each of us

who need to improve or maintain a healthy lifestyle.

We extend a heartfelt “thank you” to all our guests and volunteers. Each of you helped make

this 24th Valentine Ball a resounding success. We hope the memories are as grand for you as

they are for us.

2013 Valentine Ball Co-Chairs

Valentine Ball co-chairs George and Mary Lee Grove, Linda Hawes, MD, and Rick Toomey.

V A L E N T I N E B A L L

50 S U M M E R 2 0 1 3

DINNER PARTY HOSTSThe BMH Foundation proudly recognizes those who have hosted five or more dinner parties for the Valentine Ball since 1990.*5+ years **10+ years

Mr. and Mrs. William AbbottMr. and Mrs. Robert W.

Achurch, III*Mr. and Mrs. Thomas

AndrykovitzMr. and Mrs. William L. BallMr. and Mrs. William P. BallDr. and Mrs. Luke BaxleyMr. and Mrs. Andrew J. BeallMr. and Mrs. Theodore BeckerDr. and Mrs. Eric Bartley BilligDr. and Mrs. N. Douglas

Bittner**Mrs. Margery Boyle*Mr. and Mrs. Richard F.

BradburyMr. and Mrs. H. Grady BrownMr. and Mrs. Norman L.

CampbellDr. and Mrs. Bradford S.

Collins*Ms. Julia CornerMr. and Mrs. Robert Lef

Cullen*Mr. and Mrs. William W. ElliottMr. and Mrs. Michael A.

EppolitoMs. Carole FaheyDr. and Mrs. Joseph H. Floyd**Ms. Martha FosterMr. and Mrs. Michael

FrederickMr. and Mrs. Perry H. GesellMr. and Mrs. Laurence M.

GordonMr. Hugh Gouldthorpe and

Mrs. Nelle PenderDr. and Mrs. Eugene W.

Grace**Dr. and Mrs. John William

Gray, III**Mr. and Mrs. Paul GreearMr. and Mrs. Owen HandMr. and Mrs. Patrick HarrisMr. William B. Harvey, III**Mr. and Mrs. Wayne H. HeathMr. Ashley Hefner and Dr.

Katherine HefnerMr. and Mrs. Kenneth HirschMr. and Mrs. David A. HomykMr. and Mrs. Gary Horn

Mr. John W. HortonDr. Andrea Hucks and Dr.

Daniel RipleyMajor and Mrs. J. Scott

HuebelMr. and Mrs. Dana JohnsrudeMr. and Mrs. Paul R. Kern, Jr.Dr. and Mrs. Steve Kessel*Mr. William D. KeyserlingMr. and Mrs. Anderson M.

Kinghorn*Colonel and Mrs. William E.

Krebs(ret)Mr. and Mrs. Norris Laffitte*Mr. and Mrs. Gary LangMr. and Mrs. Arthur F. Levin*Mr. and Mrs. Jack LibaireMrs. Carol Lucas*Mr. and Mrs. Charles B.

MacloskieMr. and Mrs. Jan M.

Malinowski**Mr. Raul MartinMr. Steve Mazur and Mrs.

Cindy GuldinMr. and Mrs. Belton McCartyMr. and Mrs. Joseph

McDermottMr. Michael McFeeMr. and Mrs. Pat F. McGarity*Mr. and Mrs. Daniel S. MockMr. and Mrs. Bruce MorganMs. Alice Beddingfield Moss**Mr. and Mrs. E. Whilden

Nettles, III*Mr. and Mrs. Richard Parks*Mr. and Mrs. Richard Pingree*Jeffrey Stephens and Mary

Fran QuindlenDr. and Mrs. Evan C. Reese, Jr.Dr. and Mrs. Marc T. Reichel*Mr. and Mrs. Wayne

Reynolds*Mr. Edward Ricks and Mrs.

Gae MoffitMrs. Edie Rodgers*Mr. and Mrs. Ronald L.

RossettiMr. and Mrs. C. Alan RunyanMr. and Mrs. Gerald SchulzeDr. Charles Shissias and Dr.

Marlo SmithDr. and Mrs. Mark S. SiegelDr. and Mrs. G. Heath

Simmons*Dr. and Mrs. Stephen R. SiscoMr. and Mrs. Gregory A.

Sprecher*Dr. and Mrs. Trenton K. Statler

Mr. and Mrs. Jay TaylorDr. and Mrs. J. Chadwick

ToberDr. and Mrs. Samuel Clark

TraskMr. and Mrs. Jim TuckerMs. Kathleen Tupper*Mr. and Mrs. Karl D. Twenge*Mr. Victor M. VarnerMr. and Mrs. Jonathan G.

Verity*Ms. Victoria VerityDr. and Mrs. Mike WaggonerMr. and Mrs. Charles Webb,

III**Mr. and Mrs. Harry WechslerMr. and Mrs. Jeffrey L. WhiteDr. Eileen Williams and Mr.

Jack BeaucaireMrs. Emily C. WinburnMr. and Mrs. Tommy WinburnMr. and Mrs. Garrett Wreden

PREMIER SPONSORSAuction Booklet SponsorDuke University Medical

Center and Health System

Program SponsorLowCountry Anesthesia, PA

Invitation SponsorCharleston Pathology, PA

Venue SponsorCoastal Banking Company

Save the Date SponsorMcCulloch England Architects

Auction Display SponsorIn Compass Health, Inc.

Ticket SponsorKBR Building Group

Band SponsorRodgers

BackdropCigna

Beverage SponsorMoore & Van Allen, PLLC

Floral SponsorCoastal OB/GYN

Dessert SponsorHargray Communications

Group

Garden Gate SponsorRoper St. Francis Healthcare

Coat Check SponsorDr. Majd Chahin

Plant SponsorGreen Goods Nursery

Water Fountain SponsorAflac

PRESENTING SPONSORSAscendientCenturyLinkHowell, Gibson & Hughes, PAPalmetto State BankParker HannifinPublix Super Markets

Charities, Inc.Sodexo Health Care Services

SWEETHEARTSBalfour Beatty ConstructionMr. and Mrs. Andrew J. BeallMr. and Mrs. J. Frank BellDr. and Mrs. N. Douglas

BittnerMr. and Mrs. William

BonnevilleMr. and Mrs. Tobias BuckMr. and Mrs. Robert Lef

CullenMr. and Mrs. J. Jefferson DaviseGROUPMr. and Mrs. Roger FarahMr. and Mrs. Thomas R.

GarrettMr. and Mrs. George GroveMr. William B. Harvey, IIIHerman Miller HealthcareMr. and Mrs. Kenneth HirschMr. and Mrs. David C. HouseMr. and Mrs. Herbert JarvisDr. and Mrs. H. Kevin JonesMr. and Mrs. T. Michael LongMr. and Mrs. W. Wallace

McDowell, Jr.Mr. and Mrs. Stephen M. MixMr. and Mrs. Boulton D. MohrNeace LukensDr. and Mrs. H. Timberlake

PearceMr. and Mrs. Richard Pingree

Ms. Jane Quinn and Mr. Jeff McCarthy

Resourceone Medical Billing, LLC

SCANA/SCE&GMr. and Mrs. Al SpainDr. and Mrs. David TaubTHA GroupThe Surgery Center of

BeaufortMr. and Mrs. Landon K.

Thorne, IIIDr. and Mrs. J. Chadwick

ToberRick Toomey and Linda

Hawes, MDTrident Construction

CompanyUniversity of South Carolina

BeaufortMr. and Mrs. George S. WardMr. and Mrs. John W. WebsterMr. and Mrs. Jeffrey L. WhiteMrs. Emily C. WinburnMr. and Mrs. Allan S.

Winneker

SPONSORSAdvanced Mold TechnologiesCoastal Neurology, PAMr. and Mrs. Guy MillerMr. and Mrs. John C.

TroutmanMr. and Mrs. Kenneth Zeimetz

PATRONSMr. and Mrs. Thomas

AndrykovitzMr. Michael AyrerDr. and Mrs. Kenneth BrownDr. and Mrs. Gerald

CummingsEMCMr. and Mrs. William EvansMr. and Mrs. John H. FergusonMr. and Mrs. Marc W. Fisher,

Jr.Mr. and Mrs. Lewis A. HauserMr. and Mrs. Bill HimmelsbachMr. and Mrs. David LevittMr. and Mrs. John LordMr. and Mrs. Paul A.

MannheimMcMurry MarketingMr. and Mrs. John F. MegrueMr. and Mrs. Jason MeyerMs. Alice Beddingfield MossMrs. Ann Munger

Mr. and Mrs. Arthur J. Namerow

Mr. and Mrs. Norman NicholsMr. and Mrs. R. Scott NickelNovus ArchitectsMr. and Mrs. G. William

PaddockMr. and Mrs. John B. ParichyMr. and Mrs. Thomas RobsonDr. and Mrs. Stuart SmalheiserMr. and Mrs. Thomas WilliamsYMCA of Beaufort CountyMr. and Mrs. David Yoder

COMMITTEE MEMBERS*Denotes Committee Chair

Auction Booklet Mrs. Kristin Bendle

Auction CommitteeAmy Geier *Mary Lohr *Allison CoppageLisa KindwallLynne Morgan

Auction DisplayAngie Twenge

DecorationsCaroline HauserRuth Anne Lawson

Dinner PartyLaura BeallLouise GibsonKatherine HefnerTy Reichel

DessertsRyan ChristianCynthia Davis

Graphic DesignGinger Wareham

InvitationsCindy Guldin

Kick-Off PartyMelissa BlileyEvy Trask

ValetAngela and Dan Durbin

V A L E N T I N E B A L L

51S U M M E R 2 0 1 3

LifeFit Wellness Center—Beaufort’s only medi-cally supervised exercise facility—just got even better.

The full-service fitness center was relocated to a brand-new building across from Beaufort Memorial Hospital’s main campus and expanded to meet the growing demand for preventive health services in the community.

Located on the ground floor of the four-story Beaufort Memorial Medical & Administrative Center, the wellness facility now occupies 17,000 square feet. Before its major makeover, LifeFit operated out of 10,000 square feet in Beaufort Medical Plaza.

“With 1,400 members, we were as full as we could be in the former quarters,” says LifeFit Senior Director Mark Senn. “And we were adding 20 to 30 members a month.”

Room to moveMany of the classes held in the facility’s 700-square-foot group exercise room were packed to capacity. In the new building, the exercise room is nearly twice as big, allow-ing more members to participate in classes like Pilates, yoga, body sculpting, boot camp, Zumba and tai chi.

With the additional space, LifeFit also was able to add spin classes to its group exercise offerings. In addition to the 12 stationary bicycles used for the classes, two spin cycles with video capability are available on the main exercise floor.

The cycles and other exercise equipment were pur-chased with funds raised by Beaufort Memorial Hospital Foundation’s 2013 Valentine Ball. Members now have the option of working out on a wide range of equip-ment, including treadmills, elliptical trainers, NuSteps, rowing machines and resistance machines, along with free weights.

The newly expanded LifeFit Wellness Center now offers more preventive services to keep you healthy and happy

LifeFit member Ed Duryea enjoys using the elliptical at the new facility.

Leigh Shipper gets help with a post-workout stretch from trainer Kim Yawn.

forFitLiFe

52 S u m m e r 2 0 1 3

But it’s not the classes or the exercise equipment that sets LifeFit apart from other fitness clubs. It’s the individualized health services provided by its medi-cal professionals.

Action PlAnUpon joining LifeFit, new members meet with a wellness coach to evaluate their health status. The clinically based fitness assessment includes a review of their medical his-tory, cholesterol and blood pressure.

Following the evaluation, the case manager develops a therapeutic action plan with specific recommenda-tions for cardiovascular and resistance training as well as lifestyle changes. He or she follows up with regular assessments to ensure members are making progress and achieving their goals. The progress reports are shared with each member’s primary care physician as part of continuum of care.

“Our job is to help people stay healthy and reduce their risk for chronic disease,” Senn says. “That can involve everything from nutrition and exercise to smoking cessa-tion and stress management.”

Studies have shown 60 to 70 percent of South Carolina’s population has two or more risk factors for cardiovascular disease. In the Lowcountry, there is also a high incidence of diabetes. It is the seventh leading cause of death in Beaufort County.

AdditionAl AdvAntAgesAs part of its comprehensive wellness services, LifeFit offers a number of programs designed to help those diag-nosed with chronic disease live fuller lives, and help the broader community avoid or lessen its risk of falling victim to these debilitating illnesses.

LifeFit’s CHiP offers the Mobile Wellness Unit, a 40-foot van equipped to provide monthly health screenings to residents throughout Beaufort and Jasper counties. To make a date with CHiP, call 843-522-5568 .

Services include:

• A diabetes care center

• Asthma management program

• Cardiac and pulmonary rehabilitation

• Support groups

• Vascular therapy services with specially priced $30 cardiovascular screenings

• Personal training

• Massage therapyIn addition, LifeFit’s Community Health Improvement

Program (CHiP) provides cancer education, prenatal classes, community health fairs, a health-related lecture series, and a summer day camp for children with asthma.

One of its most popular programs is the LifeFit Mobile Wellness Unit, a 40-foot van that travels throughout Bluffton and Jasper counties offering free or low-cost health screenings to residents.

Blood sugar tests for diabetes and blood pressure test-ing for hypertension are provided at no charge. Lipid pro-file cholesterol tests, prostate blood work and hemoglobin A1c tests cost a nominal $10 each. A nurse practitioner is also available to perform free physical breast exams, skin cancer screenings and digital rectal exams.

Along with monthly visits to 14 regularly scheduled screening sites, CHiP participates in special events at churches, health fairs and military events.

“It’s been a very successful program,” says Cynthia Coburn-Smith, manager of the LifeFit Community Health Improvement Program. “Last year, the mobile unit served 4,800 people in Beaufort and Jasper counties.”

Join LifeFit Today!You don’t have to sign a long-term contract to

join lifeFit Wellness center. the membership

fee is drafted each month from your checking

account. if you decide to cancel, you just need to

give us 30 days’ notice.

to sign up or learn more about lifeFit services,

call 843-522-5635 or email kyawn@bmhsc.org.

cA

ll

Get into Shape The personal trainers at the LifeFit Wellness Center

are dedicated to helping you achieve your fitness goals. Contact Hollie Smith at 843-522-5635 to

schedule your sessions.

53S u m m e r 2 0 1 3

PHILIP CUSUMANO, MDDr. Philip Cusumano doesn’t need an excuse to play golf—just a hard week at the offi ce. An afternoon on the fairway is his favorite remedy for relieving stress.

“It’s meditative for me,” the Beaufort Memorial internist says. “I don’t think about my problems. I’m concentrating on getting the ball on the green.”

Reducing tension is part of Dr. Cusumano’s for-mula for staying healthy and living longer. He also makes a conscious effort to eat well, exercise regularly and get enough sleep.

“I don’t always get the recommended fi ve servings of fruits and vegetables a day,” Dr. Cusumano says. “And it’s a struggle sometimes to get to the gym. But whatever you can do is better than doing nothing.”

While he may skimp on one of the fi ve food groups, Dr. Cusumano never skips breakfast—one of his hard-and-fast rules to good health. His typical morning menu includes instant oatmeal or multigrain cereal topped with blueberries, walnuts and yogurt.

“If you miss breakfast and delay eating lunch, you end up overeating at dinner,” Dr. Cusumano says. “You don’t have to go through a lot of trouble to have a decent breakfast. A cup of OJ and toast with peanut but-ter, low-fat cheese, egg whites or some other kind of protein will do.”

Knowing what he puts in his body is as important as getting his three squares a day.

“I’m always reading labels,” Dr. Cusumano says. “I don’t eat anything with trans fat in it, and I try to limit my saturated fat to 5 to 10 grams.”

For exercise, he hits the gym a few times a week, dividing his time between weight machines and the elliptical trainer. “Aerobics helps you blow off steam in a constructive way. “When I’m fi nished, I get in

the whirlpool and stretch. It’s my favorite part of exercising.”

Golf, tennis and walking the dog round out his heart-healthy activities.

“You don’t have to spend thousands of dollars on a fancy club,” Dr. Cusumano says. “Just get a dog. It will lower your real age by two or three years.”

Dr. Philip Cusumano is a board-certifi ed internist with Beaufort Memorial Lady’s Island Internal Medicine. Before moving to the Lowcountry in 2011, he practiced at Cleveland Clinic for 14 years. He can be reached at 843-522-7240.

Sweating It OutIn the pool or on the fairway, two Lady’s Island internists fi nd exercise is the best cure for stress

OUT OF THE WHITE COAT

Philip Cusumano, MD

54 S U M M E R 2 0 1 3

When I feel stressed, I’ll go out to Hunting Island and ride the trails. It’s such a beautiful place. Sometimes I just sit and watch the waves roll in. It’s very relaxing.”

A father of three, Dr. Dalbow has passed along his active lifestyle to his children. His 20-year-old daughter is a competitive fi gure skater, his 16-year-old daughter a dancer, and his 15-year-old son plays high school baseball.

Dr. Dalbow credits his own father with foster-ing his other passion—science. As a young boy, he would tag along to work with his dad, a can-cer research scientist at the University of Pittsburgh.

“My father was a man who always tried to help people,” Dr. Dalbow says. “That’s probably the greatest feeling you get out of being a physician.”

Dr. Randy Dalbow is a board-certifi ed internist with Beaufort Memorial Lady’s Island Internal Medicine. He practiced in Pittsburgh for 20 years before moving to the Lowcountry in 2012. He can be reached at 843-522-7240.

RANDY DALBOW, MDAs an internist, Dr. Randy Dalbow knows pre-vention is the best medicine. So three or four days a week before heading to work, he hits the pool and swims 30 laps to ward off stress and keep his blood pressure in check.

“It’s something I feel like I have to do to keep sane,” Dr. Dalbow says. “I fi nd my mind works better when I get regular exercise.”

A competitive swimmer in high school, Dalbow gets in his aquatic workout at the YMCA, swim-ming about half a mile on any given morning.

“It’s a better aerobic exercise than working out on the machines,” he says. “But for me, the big benefi t is mental. If I skip a week, it’s my brain that tells me it’s time to get back to the gym.”

On weekends, Dr. Dalbow trades in his bath-ing suit for his bike, cycling around town as part of his cross-training regimen. He used to pedal 4,000 to 5,000 miles annually in his younger years living in Pittsburgh, but climbing the area’s steep hills was hurting his knees.

“Here the roads are fl at, so I’ve started to ride again,” he says. “I like mountain biking, too.

Randy Dalbow, MD

55S U M M E R 2 0 1 3

The BMH Foundation gratefully acknowledges the following tribute gifts received December 8, 2012, to February 26, 2013. To make a tribute gift, please call 843-522-5774 or go to www.bmhsc.org and click on Donate Now.

TRIBUTESIN HONOR OFMs. Rosemary Blanken

Mr. and Mrs. Morton Rollnik

BMH Nursing DirectorsMr. and Mrs. Lowell Carroll

BMH Rehab UnitMr. and Mrs. Harry J. Chakides, Jr.

BMH StaffMr. and Mrs. Larry H. GoldmanMs. Tooka HelmsMs. Ginnie Kozak

Mrs. Grace BuckMr. and Mrs. Tobias Buck

Mr. Wayne BuckMr. and Mrs. Tobias Buck

Dr. “Skeet” Burris and FamilyMr. and Mrs. Daniel Mock

Mrs. Karen CarrollMr. and Mrs. James A. FoulgerMs. Alice B. Moss

Dr. Bradford S. CollinsMr. and Mrs. Norris Laffi tte

Mrs. Joy CorleyMr. and Mrs. Jim A. Cato

Mr. Robert E. CramerMs. Laura Cothran

Mr. John E. CrimmelMr. and Mrs. A. Clyde Crimmel

Dr. Philip CusumanoMr. and Mrs. Phillip Hodges, Jr.

Dr. Mark DeanMr. and Mrs. William Stetson

Mr. Sam C. Derrick, Jr.Mr. and Mrs. Lowell CarrollMr. and Mrs. James A. FoulgerMs. Alice B. Moss

Mrs. Carol J. DeStefanoMr. John J. DeStefano

Mrs. Patricia M. FoulgerMs. Alice B. Moss

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

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

Mr. David A. HomykMr. and Mrs. Lowell CarrollMr. and Mrs. James A. FoulgerMs. Alice B. Moss

Dr. Steve KesselMr. and Mrs. Larry H. GoldmanMs. Tooka Helms

Dr. James F. McNabMr. and Mrs. Morton Rollnik

Mrs. Ann MecherleMr. and Mrs. Lowell CarrollMr. and Mrs. James A. FoulgerMs. Alice B. Moss

Ms. Katrina MiddletonMr. Alberto Hernandez-Gutierrez

Mr. Marion MoodyMr. and Mrs. J. Steven Phifer

Ms. Alice B. MossMr. and Mrs. Lowell CarrollMr. and Mrs. James A. Foulger

Ms. Darby D. PalmerMr. and Mrs. Phillip Hodges, Jr.

Mr. and Mrs. Richard PingreeMrs. Felder Evans

Mr. Edward RicksMr. and Mrs. Lowell CarrollMr. and Mrs. James A. FoulgerMs. Alice B. Moss

Dr. Ralph SalzerMr. and Mrs. William Stetson

Dr. Thomas W. SchultzMrs. Joan Suda

Dr. J. Chadwick ToberMr. and Mrs. Lowell CarrollMr. and Mrs. James A. Foulger

Rick Toomey and Linda HawesMr. and Mrs. Lowell CarrollMr. and Mrs. James A. FoulgerMr. and Mrs. Stephen M. MixMs. Alice B. MossMr. and Mrs. J. Steven Phifer

Mr. Jeffrey L. WhiteMr. and Mrs. Lowell CarrollMr. and Mrs. James A. FoulgerMs. Alice B. Moss

IN MEMORY OFMr. Robert Banfi eld

Hook and Ladder Lawn Care

Mr. Thomas H. BaxterMrs. Carol L. Baxter

Ms. Helen CookMr. and Mrs. Ramond P. Mecherle, Jr.

Ms. Ellie CushmanMrs. Olive Warrenfeltz

Mr. Dwight GarrettMr. and Mrs. C. A. Allen

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

Mr. James H. GentryMr. and Mrs. Robert Bible

Mr. Joseph J. Glawson, Jr.Mrs. Alice Glawson

Mrs. Milbrey GnannMr. and Mrs. Norman E. GreenMr. and Mrs. W. Henry JacksonMs. Nonie P. JohnsonDr. and Mrs. William L. Spearman

Mr. Robert C. GundersonMr. Christopher Gunderson

Mrs. Katherine P. HowleMr. John C. Howle

Mr. Albert IncorvaiaMrs. Olive Warrenfeltz

Mr. Jack KeenerMr. and Mrs. C. A. Allen

Dr. B. Herbert KeyserlingMr. and Mrs. Richard G. Pollitzer, Jr.

Mrs. Harriet S. KeyserlingThe Honorable William Campbell and Ms. Susan Hilfer

Mr. Howard LachenauerMr. Robert Lachenauer

Mrs. Margaret LachenauerMr. Robert Lachenauer

Mr. Robert B. McKayMrs. Dorothy McKay

Mrs. Barbara C. MorrowMr. Arthur Morrow

Mrs. Diane F. PhillipsMr. and Mrs. Arthur F. Levin

Mr. Edwin W. PikeMr. and Mrs. James W. Pike

Mr. William E. RaberMr. and Mrs. Billy W. Mixon

Ms. Julia RandelMr. and Mrs. Ramond P. Mecherle, Jr.

Dr. Louis J. RoempkeMr. Thomas Smyth

Mr. J. Scott StoweMr. and Mrs. Ladson F. HowellMr. and Mrs. Ramond P. Mecherle, Jr.

Mr. Tom Van EttenMr. and Mrs. David L. Carney

Mr. Don WadasMr. and Mrs. Ramond P. Mecherle, Jr.

Mrs. Evalena WebbMrs. Olive Warrenfeltz

Mr. James WilliamsonMr. John R. Perrill

Mrs. Terese G. WoodMr. Richard Wood and Mrs. Deborah

Garnick

Where does your family tree lead?It’s about more than tracing your roots. Children of parents with heart disease are more likely to develop the condition themselves. Talk to your parents about their health histories—and talk to your doctor about starting screenings earlier.

Living with

www.bmhsc.orgwww.facebook.com/BeaufortMemorial www.twitter/BeaufortMem

- Jenny BrownBeaufort, SC

Why is da Vinci single incision gallbladder surgery better?

Jenny Brown can tell you. When facing a highly invasive option, she looked

to Beaufort Memorial for a better answer. She found a surgeon trained in

next-generation da Vinci Si robotic technology who could remove the gall-

bladder through a one-inch incision in her belly button, as opposed to four

traditional incisions. With virtually no scar and a quick recovery, Jenny is

back on her feet–and in step

with her best friend.