Be Healthy Jan Feb 2011

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BE
January/February 2011
NOEXCUSES
EXERCISE
Jump start your heart
HYPER OR HYPO? Thyroid woes
Face
Value
Pamper
your face
heart
beats
Tart
Smart
&
The skinny
on grapefruit
2
Valentine’s treats
Guilt-free indulgence
Tips
to stay
TWO
gether
When Hearts Attack
Causes &symptoms
2 January/February 2011 | BEHealthySETX.com
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Legacy of Caring
“home i s whe r e he al i ng be gi ns ”
3415Laurel, Beaumont, TX77707
409-899-9053
800-64-NURSE(800-646-8773)
www.jhsi.com
When it comes to caring for your heart, no other
area hospital is more acclaimed or experienced
than The CHRISTUS Cardiac Care Network.
• We’re the only hospital in Southeast Texas
that is fully accredited as a Cycle III Chest
Pain Center and only one of 22 in Texas.
• Our premier Cardiac Alert Program provides
emergency treatment in an average of 56
minutes, well below the American Heart
Association’s national standard of 90 minutes.
• Our elite nursing staff has been recognized
by the American Board of Nursing Specialties
as strong advocates of specialty nursing
certifcation making us one of only three to
earn this distinction.
• As seen recently in U.S. News & World Report,
we have been nationally recognized by the
American Heart Association/American Stroke
Association’s Get With The Guidelines program
for the Coronary Artery Disease, Heart Failure
and Level II Stroke Programs.
Our unmatched, nationally recognized cardiac
care means your heart is in the right place.
Right here. When and where you need it most.
www. c hr i s t us hos pi t al . or g
That’s where our top-rated
Cardiac Care Network fts in.
Heart problems are never simple.
BE Healthy | January/February 2011 | Volume 1, Issue 6
11
HEALTHY CHOICES
GRAPEFRUIT:
A GREAT FRUIT
Benefts of fruit or juice
By Cheryl Rose
8
GET MOVING
DON’T SKIP
THE ROPE
Add jumping to routine
By Todd Senters
16
FOCUS ON HEALTH
THYROID VOID
Symptoms and treatments
By Cathleen Cole
14
INCREASE
YOUR PEACE
MARITAL HARMONY
Pre-vow workshops assist
By Margaret Battiselli Gardner
Contents
4 January/February 2011 | BEHealthySETX.com
Baptist Hospital’s School of Radiologic Technology, Beaumont, Texas
50 years of Teaching Excellence
A Career In Radiologic Technology offers a promising future.
You can be a vital member of the patient care team.
Career/Degree
opportunities include:
• Nuclear Med
• Rad Therapy
• Mammography
• C.T
• Ultrasound
• MRI
• Associate/Bachelor Track
Accepting Applications
For Brochure and Application
visit our web site: www.mhbh.org
or contact us at
409-212-5724
JRCERT
Accredited
BEHealthySETX.com | January/February 2011 5
6
EDITOR’S LETTER
BE HEART SMART
Cardiovascular disease
women’s No. 1 health threat
By Cheryl Rose
22
EATING RIGHT
AND IT’S GOOD
FOR YOU, TOO!
Treats with health benefts
By Cathleen Cole
18
SPOTLIGHT
SERIOUS AS
A HEART ATTACK
Chest pain and symptoms
By Todd Senters
20
BEAUTY
FACE
FORWARD
What to expect
from a facial
By Margaret Battiselli
Gardner
Dr. Kevin Waddell, FACOG
Dr. Sophia Burns, FACOG
Taking good care of your children starts before they are born...
Thank you for choosing Women’s Center of Beaumont.
www.wcobmt.com • find us on facebook
740 Hospital Dr., Suite 250, • Beaumont, TX
409.212.1000
SCREENING/NT
NOWAVAILABLE!
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BE heart smart
from the editor
6 January/February 2011 | BEHealthySETX.com
O
ne July day last summer, I was waiting
in an ofce in Beaumont hoping to catch
up with a prospective BE Healthy source,
when I got a call from an unknown num-
ber on my cell phone. I recognized the
area code as being from my home state
of North Carolina, so I answered. It turned out to be
one of those calls — the ones you dread, that you hope
won’t come.
It was an unknown doctor telling me that he
was admitting my mother to the hospital and that I needed to make arrangements to
be there in three days, when they would perform bypass surgery on her. Caught by
surprise, since my mother had no previous heart problems, I asked what had hap-
pened. Apparently my mother had a very unusual type of blockage in her main artery,
discovered during a routine test and all concerned were stunned that she hadn’t had a
heart attack already. They didn’t even want to let her go home until the surgery date, it
was that critical.
Mom is recovering fne. We were amazingly blessed to fnd the blockage before a
damaging or even fatal attack. I’m certain that many of you have had a similar experi-
ence with heart disease — either personally or with someone you love. Heart disease
remains the leading cause of death in the United States. The Center for Disease Control
and Prevention reports that approximately every 25 seconds, an American will have a
coronary event, and about one every minute will die from one.
February is American Heart Month, an annual reminder to take care of both our
physical hearts and our metaphysical ones, when Valentine’s Day rolls around on
February 14. To take care of your physical heart, learn the symptoms and risk factors
of heart disease for your gender and consider lifestyle changes to become more heart-
healthy. To take care of your romantic heart, I recommend avoiding the purchase of
household appliances, vacuum cleaners and other practical items for your sweetie on
Valentine’s. Go with the red wine and chocolate option instead as described on page 22.
Live well, laugh often, love much,
P.S. Recently, my family and I moved to the Pacifc Northwest. Launching the inau-
gural year of this re-designed and localized publication has been a great experience.
I’ll miss the terrifc cooperative brain trust I’ve had in writers Cathleen Cole and Todd
Senters, and creative designer Kristen Flores. With this great team and new leadership,
I’m sure BE Healthy will thrive in the New Year!
Cheryl Rose,
Executive Editor
Editorial
Executive Editor
CHERYL ROSE
Contributing Writers
CATHLEEN COLE
MARgARET bATTiSTELLi gARdNER
TOdd SENTERS
Photography
Contributing Photographers
FARRAH CObb
LEE E. STiNSON
Art
Director, Digital Solutions
TEd FiSHER
Manager, Digital Design
FRAN LiNdSAY
Manager, Special Publications
dON gRAY
Graphics Specialist, Digital Design
KRiSTEN FLORES
Contributing Designer
KATiE guidROZ
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BE
o
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o
u
r
c
o
v
e
r
Photography: Lee E. Stinson
Model: Jessica Dubroc
On a crisp winter day, we asked Jessica, a
McNeese State University student studying Health
and Physical Education, to show us her jump rope
skills. Much like Michael Jordan, Jessica tended
to stick her tongue out while jumping! This buff
young lady’s daily exercise regimen includes a mix
of running, biking and yoga. She is also an avid
volleyball player and coach, with a goal to one day
coach high school volleyball.
BEHealthySETX.com | January/February 2011 7
3921 Twin City Hwy
Port Arthur, Texas 77642
(409) 963-0000 Office
(409) 963-3391 Fax
www.gulfcoastcardio.com
Are pacemakers used to treat
heart failure?
The standard pacemakers that have been used for many years pace the right ventri-
cle and often the right atrium; this type of pacemaker would only help congestive
heart failure if it is due to a very slow heart rhythm. Congestive heart failure is commonly
due to weakness of the left ventricle. Placing a lead that paces the left ventricle along with
the right ventricle can help the heart to beat more efficiently. This type of pacemaker has
been shown to help most people who meet certain criteria to have less shortness of breath,
less fatigue, and to be able to be more active.
CARDIOLOGY
Pradip J. Morbia, M.D,
F.A.C.C., F.C.C.P., M.C.P.S.
Gulf Coast Cardiology Group, P.L.L.C.
Q
A
4400 Gulf Ave.
Groves, TX 77619
409-962-5785
How do I know I am choosing the right nurs-
ing or rehabilitation center for my loved one?
There are many resources available online that have rated the nursing
and rehab facilities based on their care and staffing: www.medicare.gov
and www.dads.com. Also, we recommend an onsite visit to the facility. Make
sure you meet the Administrator and the Director of Nurses. Notice the feel of
the facility, is it warm and happy, are the workers saying hello and smiling?
SKILLED NURSING & REHABILITATION
Peggy Larson, LVN
Magnolia Manor Nursing and Rehab
Q
A
3560 Delaware, Suite 1104
Beaumont, TX 77706
OFFICE (409) 347-3621
FAX (409)860-9078
What are the health benefits of regular
exercise?
Regular exercise helps to: 1. Reduce the risk of heart disease and stroke. 2. Im-
prove blood flow and cholesterol levels. 3. Reduce the elevated blood
pressure. 4. Lower the risk of certain cancers. 5. Control weight and prevent obesity. 6.
Reverse declining aerobic fitness. After age 20, the average person experiences a 1%
decline in aerobic fitness each year. 7. Promotes self-confidence, increased energy, and
a general feeling of well-being. Caveat: Always consult your physician before initia-
tion of any kind of exercise program.
INTERNALMEDICINE
Msonthi B. Levine, M.D.
Golden Triangle Internal Medicine
& Geriatrics
Q
A
# 7 Bayoubrandt Drive
Beaumont, Texas 77706
(409) 832-8323
www.veincentersoftexas.com
I have ‘varicose veins’ in my legs.
What can be done to get rid of these?
Varicose veins are enlarged shallow veins usually caused by malfunctioning vein
valves resulting in slow venous return from the legs. Initially you will need to have
an evaluation with ultrasound to find the faulty vein. Several treatment options are now
available; at our office we offer the VNUS Closure procedure for treatment of varicose
veins. This is a minimally invasive procedure that we perform in our office. Over 90%
of patients say they would recommend this procedure, and most of our patients return to
their normal activity the next day! (And it is usually covered by insurance).
VARICOSE VEINS
Dr. Charles Gutierrez
Vein Centers of Texas
Q
A
3070 College St., Ste. 205
Beaumont, Texas 77701
409-832-1225
www.drataya.com
My child has rash. Can I treat over
the telephone?
The answer is yes if the rash is not associated with other symp-
toms. There are issues to be considered such as, sore throat,
headache, fever etc. If any of these symptoms are associated with the
rash, then the doctor should examine and treat the rash.
PEDIATRIC
Raja H. Ataya M.D.,
F.A.A.P., F.R.C.P
Pediatrics and Adolescent Medicine
Q
A
3820 Pointe Parkway
Beaumont, Texas 77401
409-767-8221
What are common causes of
back or neck pain?
Almost everyone will experience back or neck pain at some point in there
lives. Fortunately, most back pain improves with time and/or conservative
treatment. The most common cause of back and neck pain is pulled or
strained muscles. Other more serious, but less common, causes include disc de-
generation, disc herniation, spinal trauma, infection or tumors. If your back pain
does not subside within a few weeks, you should have a spine specialist examine
you to determine the exact cause of your pain.
ORTHOPEDIC SPINE
Richard R.M. Francis, MD,
MBA, FRCS Ed., FRCS Ed.
(Tr & Orth)
Spine Associates
Q
A
www.spineassociatesofbeaumont.com
FOR INFORMATION ON HOW YOU MAY PARTICIPATE AS A PROFESSIONAL ON THIS PAGE. CALL TED BRANNON AT (888) 833-5001
Healthy Advice segments are written by area professionals and are paid features. The Beaumont Enterprise and Brannon & Associates. Inc. are not responsible for the
opinions and suggestions presented herein. Healthy Advice is not intended to substitute for medical advice. Readers should consult their practitioner for specific advice.
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Email your questions to:
readerquestionsmbrannonandassociates.com
Email your questions to:
readerquestionsmbrannonandassociates.com
Do you have questions?
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They jumped so high, high, high
They touched the sky, sky, sky
Miss Mary Mack jump rope rhyme
By Todd Senters
W
hen you think of jumping
rope, perhaps you
envision young girls
laughing and giggling
as they hop to rhymes.
Or maybe you think of
a scene from the movie “Rocky,” as Sly
Stallone trains for a fight. As an activity,
jumping rope appears to date back as far
as 1,600 BC, when Egyptians would use
vines for jumping. Today, jumping rope is
used for strength training, conditioning and
aerobic exercise, and yes, for fun.
A Hop,
Skip
and a
Jump
get moving
8 January/February 2011 | BEHealthySETX.com
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Comfy shoes
and a rope are all
you need to get
started!
BEHealthySETX.com | January/February 2011 9
“We have incorporated jumping rope as an ex-
cellent means of conditioning,” stated Carol John-
son, physical education instructor at All Saints
Episcopal School in Beaumont. “The students
really enjoy it, even if they are not fully aware of
the health benefts.”
Jumping rope engages all the muscles of the
body to burn calories and improve cardiovascular
health, increase overall stamina and strength.
The benefts of jumping rope include increased
exercise tolerance (endurance), decreased resting
heart rate, improved heart function, decreased
blood pressure and increased lung capacity as well
as improved agility and coordination.
The key to aerobic exercise is sustained target
heart rate. According to Dr. Jorge Hernandez, a
Beaumont cardiologist, a person’s maximum heart
rate can be calculated as 220 minus your age. Your
target heart rate for exercise is 85 percent of your
maximum heart rate. “If you perform aerobic
exercise fve times per week you will achieve sig-
nifcant health benefts within a couple of weeks,”
Hernandez said. It is not necessary to perform
aerobic exercise all at one time. You can exercise
twice a day for 15 to 20 minutes and achieve the
same benefts.
For those who may not be physically able to
jump rope, there are alternatives which provide
the same beneft. “Air ropes are a popular option
for those seeking the benefts of jumping rope,”
stated Tony Buagas, ftness supervisor at Christus
Health and Wellness Center. “Air Ropes are jump
rope-like handles weighted to feel as though you
are holding a jump rope. Movement of the handles
is designed to simulate the motion of a jump rope.
Adding air ropes to your workout routine enables
you to reach your target heart rate producing aero-
bic exercise equivalent to jumping rope.” >>
“Adding air ropes to your workout
routine enables you to reach your
target heart rate producing aerobic
exercise equivalent to jumping rope.”
Tony Buagas, ftness supervisor
at Christus Health and Wellness Center
Air ropes are a popular option
for those seeking the benefts
of jumping rope.
10 January/February 2011 | BEHealthySETX.com
Jumping rope became popular
because jump ropes are inexpen-
sive, portable and require little
space to use. A person can jump
rope alone, or partner with other
Cinderella, dressed in yella …
Jump Rope Rhymes:
gameskidsplay.net/jump_rope_ryhmes/
Jump Rope Workouts:
rossboxing.com/thegym/thegym26.htm
people to perform more intricate
maneuvers. “We have used jump
ropes as part of our physical
education curriculum for several
years,” Johnson said. “We are
now going to begin teaching our
students more complex tech-
niques, such as ‘Double Dutch.’
Changing the way we use jump
ropes keeps them excited and
engaged. They continue to learn
how to develop healthy lifestyles
while having fun and developing
friendships.”
Chris Sherman, a Beaumont
physical education instructor
and youth sports coach, believes
jumping rope is an important
tool in training for nearly any
competitive sport. “You are able
to build speed, agility and endur-
ance while developing muscular
tone,” he said. “Professional
athletes incorporate jump rop-
ing in their training routine for
sports such as boxing and martial
arts, track and feld, gymnastics,
ice skating, football, basketball
and many others. The basic skills
you develop are keys to success
at any level of sports.”
Sherman also pointed out that
jumping rope is an intergenera-
tional activity. “Parents and even
grandparents love to show their
jump roping skills from their
youth.”
There are very few people
who haven’t jumped rope at
some point in their life. Whether
for fun, aerobic exercise or en-
jumping
rope
burns up to
1,000
calories
per hour
Katie Covington-Cole demonstrates air ropes.
Hop to it!
Benefts of jumping rope
include:
• Increased endurance
• Decreased resting
heart rate
• Improved heart function
• Decreased blood pressure
• Increased lung capacity
• Improved agility
and coordination
durance training, jumping rope
builds a foundation for a healthy
lifestyle. You may be young or
just young at heart, but if you
pull out a jump rope, chances
are you will fondly recall some of
the jumping rhymes you learned
as a child. It is proof once again
that learning to BE Healthy can
also BE fun. •
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By Cheryl Rose
O
ne benefit of living in Southeast Texas is the
delicious citrus that comes into season starting in
late fall and running through the winter into spring.
Texas grapefruit is shipped all over the country, but
we have the advantage of fresh, regionally grown
fruit in our local markets. >>
Pucker Up!
healthy choices
BEHealthySETX.com | January/February 2011 11
Tart grapefruit
is a winter fruit
with appeal
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12 January/February 2011 | BEHealthySETX.com
The most tang
for the buck
Nutritionally speaking,
grapefruit is packed with
benefcial nutrients. Though
you can get white, pink or red
grapefruit, it doesn’t make a
diference when it comes to
health benefts, explained Car-
olyn Bell, a registered dietitian
with Exygon Health & Fitness.
Ripening determines the color,
and typically the pinker it is,
the sweeter it tastes.
“It’s a great source of vita-
min C and contains antioxi-
dant vitamins which help in
the prevention of cancer and
heart disease,” Bell said. “One
average-sized grapefruit has
approximately 40 milligrams
of vitamin C of the daily adult-
recommended amount of 90
milligrams.”
Grapefruit also contains the
antioxidant lycopene. “You
want antioxidants in your diet
because they can prevent the
free radicals that can cause
disease,” Bell said.
Fiber is another advantage.
To get the full fber beneft,
you should peel and eat the
grapefruit like an orange, in-
cluding the chewy membranes
that can sometimes be bitter.
However, even if you scoop
out sections with a spoon,
you will still get two to three
grams of fber per grapefruit.
Grapefruit is low in calo-
ries, about 60 to 80 calories
per fruit. It also has a low
glycemic index. “The glyce-
mic index is the measure of
the efect of carbohydrates on
your blood sugar levels,” Bell
explained. “If the carbs break
down more slowly into the
bloodstream, you’ll have more
energy for a longer time and
more blood sugar control. It’s
a great choice for people moni-
toring their blood sugar.”
Bell said grapefruit is also
high in water content. “If we
take in more water, than we
tend to retain less water.”
Fat burner?
For many years, grapefruit
has held a reputation as a
weight loss and metabolism
booster. There are special
diets, such as the Grapefruit
Diet and the Hollywood Diet,
based on this premise.
However, it’s probably not
the grapefruit itself that is
responsible for weight loss.
“The fact that it’s low in
calories makes it an excellent
choice on a program to lose
weight,” Bell said.
“But most of the grapefruit
diets are really low-calorie
diets, typically 1,000 calories
a day or less. You’d lose weight
anyway and not necessarily
because of the grapefruit.”
Fruit vs. Juice
“I would recommend the
fresh whole fruit,” Bell said.
“Juice is going to have the
vitamins and antioxidants.
You’ll digest it quickly and you
won’t get the advantage of the
fber.”
Bell said she personally eats
grapefruit as a routine part of
her diet, supplementing with
juice when the fresh fruit isn’t
in season. “The best part is
they are low in calories and
they taste good!” she said.
“I’ll buy a big ol’ bag and juice
them and then freeze the juice
for the hot summer months
when it is so delicious.” •
Grapefruit
Goodness
• Fat free
• Sodium free
• Cholesterol free
• Contains dietary fber
• High in vitamin A
• High in vitamin C
• Contains the antioxidant
lycopene
Common Medicine/Grapefruit Interactions
Type of Medicine Medicine name
Anti-anxiety Buspirone (BuSpar)
Anti-arrhythmia Amiodarone (Cordarone)
Antidepressant Sertraline (Zoloft)
Antihistamine Fexofenadine (Allegra)
Antiretroviral Saquinavir (Invirase),
indinavir (Crixivan)
Antiseizure Carbamazepine (Carbatrol, Tegretol)
Calcium channel blocker Nifedipine (Procardia),
nimodipine (Nimotop), nisoldipine (Sular)
Immunosuppressant Cyclosporine (Neoral, Sandimmune),
tacrolimus (Prograf), sirolimus (Rapamune)
Statin Simvastatin (Zocor), lovastatin (Mevacor),
atorvastatin (Lipitor)
— Mayo Clinic
Medic Alert
Though grapefruit has many advantages nutritionally, people taking
certain kinds of medication should avoid it.
“It’s a unique fruit,” said Greg Hamby, a pharmacist with Kings
Pharmacy. “There are compounds within a grapefruit that slow down
the metabolism in the liver. Grapefruit can inhibit drugs from being
metabolized. If you inhibit those digestive systems, you increase the
toxicity of those drugs.”
Hamby warned that the interaction can occur with the fruit or the
juice. Bad side effects of a grapefruit/medication interaction can
include cramping in the muscles, and actual breakdown of the muscle
tissue itself. If there is a known interaction, Hamby said the patient
information leafet will address it and there will be an auxiliary sticker
label on the medication vial.
Secret Ingredient
Grapefruit contains an organic compound called spermidine that has
been found to reduce the amount of aging in human immune cells.
BEHealthySETX.com | January/February 2011 13
Rio Star Grapefruit & Salmon Salad
Makes: 4 servings
4 (6 oz.) salmon fllets, skinned
1 Texas Rio Star Grapefruit, sectioned with juice reserved
½ cup rice vinegar
¼ cup olive oil
½ tablespoon sugar
½ teaspoon kosher salt
1 cucumber, peeled and thinly sliced
2 cups baby spinach salad mix
2 cups cooked white rice
Pan sear salmon until desired degree of doneness. Transfer
to a plate; let cool.
Add the vinegar, oil, sugar, and salt to reserved grapefruit
juice and stir. Pour all but 1 tablespoon of the vinaigrette
into a large plastic bag. Add the salmon to the bag and
refrigerate for at least 1 hour.
To serve, add the grapefruit segments, cucumber,
and spinach to the reserved vinaigrette in a bowl and toss.
Drain the salmon. Divide rice among 4 individual plates and
top with grapefruit/spinach/cucumber salad and salmon.
— TexaSweet Citrus
Citrus & Kiwifruit Salad
with Pomegranate Seeds & Pistachios
Makes: 6 servings
2 Rio Star Grapefruit, sectioned
4 Texas Oranges, sectioned
3 kiwifruit, peeled and sliced
¼ cup pomegranate seeds (about 1 pomegranate)
2 tablespoons coarsely chopped pistachios
Divide kiwifruit and oranges evenly among 6 serving bowls.
Top evenly with grapefruit and pomegranate seeds.
Sprinkle each serving with 1 teaspoon pistachios. Serve immediately.
The Frustration Of Drop Foot
On Good
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America, the
device has
been referred
to as a “brain
in the box”. The Stealth is
also available exclusively at
LeTourneau Prosthetics.
Beaumont – (409) 832-5005 • Toll-free (800) 609-5005
www.llop.com
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TWOgether in Texas program prepares couples
for a lifetime of understanding
By Margaret Battistelli Gardner
I
f Cupid has shot an arrow into your heart, the
state of Texas would like to help you keep it there.
Looking at a statewide divorce rate of about
50 percent, the state instituted its TWOgether in
Texas program in 2008, offering free, pre-marital
workshops for couples who are heading down the
aisle or thinking about heading down the aisle (or those
who’ve been married for a while, or even singles).
Participants have the $60 state fee for a marriage
license waived and the 72-hour waiting period lifted. But
even those practical-minded folks who just sign up to save
the bucks usually walk away with a whole lot more than
just a discount on their marriage license.
“Many of our couples want us to know they were dreading
taking the class, dreading doing the work, afraid it would be
boring and drag on,” said Rebecca Blanchard, project assis-
tant of Family Services of Southeast Texas Region 5 (which
implements the state-funded program). “But once they got
into it they realized how much fun it was, and many of them
want us to set up a second set of classes so they can take it
further.”
That’s pretty much the case for Jesse and Sharon Thomas
of Port Arthur.
“I was just like ‘OK,’ and as it got closer, I was hoping
[Sharon] would forget about it. But I figured at least we
would save $60,” said Jesse, 27. “But it was a lot more than I
expected it to be. Honestly, it should be mandatory through-
out the state for anybody who wants to get married.”
helping hands
To the Honeymoon
and Beyond!
14 January/February 2011 | BEHealthySETX.com
Content and format vary by location, but every workshop focuses on com-
munication, conflict management, and components to a successful relationship.
“It’s an upbeat, positive experience for couples that gives them a real
opportunity to interact with each other,” said George Iles, project director
of Family Services of Southeast Texas Region 5. “So many people go into a
marriage and they’re infatuated and everything is wonderful. Then once the
honeymoon is over, it’s like ‘Who is this person?’ The program helps you to
really see who you’re attaching yourself to.”
For Jesse and Sharon, it helped spotlight behaviors that, left unchecked,
could easily undermine a relationship. “We did a listener/speaker technique
that taught us to talk and listen to one another instead of one of us talking over
the other or clamming up,” explained Sharon, 31. “I’m a very introverted per-
son, and he’s extroverted. Normally I would clam up into a shell, and he may
talk over me sometimes.”
Jesse agrees: “I learned not to be as boisterous and not talk over her. She
does have something to say and I need to let her speak.”
The couple also learned that it’s important to “make fun, fun” and not let
chores or other concerns derail plans for “couple time.”
TWOgether in Texas workshops are not counseling sessions. Rather,
they’re a way to resolve the issues that inevitably occur in any
relationship and shine a light on others that are
unique to a participating couple.
Jesse and Sharon, for example, were mar-
ried three months before they even marked the
one-year anniversary of their first date and spent
a good part of their courtship apart while Jesse
trained and served with the Army Reserve in Iraq.
While he was away, Sharon was left to make deci-
sions for the two of them. When he came home, they
had to learn how to work as a team.
Sharon says the workshop reinforced her belief that
she and Jesse were “on a right path.” But some couples
take the workshop and decide to delay their weddings
or not get married at all. Since the goal is to keep Texas
couples happily married and whittle away at the divorce
rate, those couples are success stories as well.
A program that helps couples comprehend the true
scope of marriage is especially important today, when so
few young people have a two-parent family to use as an
example.
“When we get married, we use our parents’ relationship
to determine what a marriage is,” Iles said, “whether we
accept the things we saw or we reject them. With the divorce
rate hovering around 50 percent for many years, so many
young people that are getting married haven’t had a lot of
experience with a two-parent family. This program is geared
toward filling in some of those gaps.” •
Because the program has only been around for a little more than two
years, there hasn’t been any follow-up done yet to determine whether
TWOgether in Texas is having any actual effect on Texas divorce rates. But
everyone involved seems to agree that learning how to communicate bet-
ter with the person you’ve committed to spending the rest of your life with
can’t be anything other than a good thing.
“Learning how to live with each other is not impossible; it’s not easy, but
it’s not impossible,” Iles said. “Things get started in [TWOgether in Texas
workshops] that are good for a lifetime.”
Learning
to Live Together
“It’s an upbeat, positive
experience for couples
that gives them a real
opportunity to interact
with each other.”
George Iles, project director
of Family Services
of Southeast Texas Region 5
“It was a lot more than I expected it to
be. Honestly, it should be mandatory
throughout the state for anybody who
wants to get married.”
Jesse Thomas
TWOgether in Texas Dates, times and formats vary
by location. 409.833.2668, servingtexasfamilies.org
BEHealthySETX.com | January/February 2011 15
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Feeling restless or fatigued? Have your thyroid checked
By Cathleen Cole
A
fter having three babies in five years, Jennifer
Byrd was tired. The Beaumont mom thought
her fatigue was due to dealing with a newborn,
a toddler and a preschooler. “I thought it was
just the baby haze,” she said.
She’d lost the weight she’d gained from her
third pregnancy, but gained it back for seemingly no apparent
reason. She was also losing her hair. Finally, she realized her
symptoms were caused by something other than motherhood.
After a visit to her physician, her blood tests indicated she
had thyroid disease — hypothyroidism or an underactive
thyroid gland. (Hyperthyroidism is the term used for an
overactive thyroid gland.)
“It was a relief to have an explanation for not feeling up to
par and foggy a lot of the time and a reason as to why I had been
struggling with losing weight,” Byrd said. She began to feel
better after starting thyroid hormone replacement therapy. “I
wasn’t as tired and my mind was clearer,” she explained. “My
body felt better, too.”
Thyroid Ups and Downs
focus on health
Are you Hyper
or Hypo?
According to the American Association of Clinical Endocrinolo-
gists, 27 million Americans have overactive or underactive
thyroid glands, but more than half remain undiagnosed. More
than eight out of 10 patients with thyroid disease are women
and women are fve to eight times more likely than men to suffer
from hypothyroidism.
16 January/February 2011 | BEHealthySETX.com
Common symptoms
of hypothyroidism:
• fatigue
• weight gain
• hair loss
• dry skin
• constipation
• slower metabolism
• mood swings
Common symptoms
of hyperthyroidism:
• weight loss
• sweating
• increased metabolism
• irritability
• heart palpitations
• thyroid enlargement
• diffculty staying asleep
BEHealthySETX.com | January/February 2011 17
Hashimoto’s Disease
In Hashimoto’s disease, your
immune system attacks your
thyroid gland. The resulting
infammation often leads to
an underactive thyroid gland
(hypothyroidism). Hashimoto’s
disease is the most common
cause of hypothyroidism in the
United States.
Graves’ Disease
Graves’ disease is the most
common form of hyperthy-
roidism, occurring when your
immune system mistakenly
attacks your thyroid gland and
causes it to overproduce the
hormone thyroxine.
Goiter
Goiter is the condition in which
the thyroid gland grows larger
than normal. Although goiters
are usually painless, a large
goiter can cause a cough and
make it diffcult for you to
swallow or breathe. The most
common cause of goiter is a
lack of iodine in the diet. In
the United States, where most
people use iodized salt, goiter
is more often due to the over-
production or underproduction
of thyroid hormones or nodules
that develop in the gland itself.
Source: www.MayoClinic.com
The important
butterfy-shaped
gland
The thyroid is the small,
butterfy-shaped gland situated
below the Adam’s apple in
your throat. It produces hor-
mones that afect your body’s
organs, tissues and cells. If
your thyroid doesn’t work
properly, neither will you.
Common symptoms of hy-
pothyroidism include fatigue,
weight gain, hair loss, dry
skin, constipation, a slower
metabolism and mood swings.
Common symptoms of hy-
perthyroidism include weight
loss, sweating, an increased
metabolism, irritability, heart
palpitations, thyroid enlarge-
ment and difculty staying
asleep. According to the
American Association of Clin-
ical Endocrinologists, if left
untreated, both conditions
can cause numerous health
problems. In extreme cases,
untreated thyroid disease can
cause coma or death.
“You get old quickly,” said
Jose Ortiz, an endocrinologist
with the Endocrine Clinic of
Southeast Texas in Beaumont.
Treatment of either condition
is imperative, Ortiz noted, but
frst you have to be diagnosed.
If you are having symptoms of
thyroid disease, ask your doc-
tor for a thyroid-stimulating
hormone (TSH) blood test.
The hormone causes the thy-
roid gland to make tri-io-
dothyronine (T3) and thyrox-
ine (T4), which help control
your body’s metabolism.
Treatments for
thyroid disease
If you’re diagnosed with
hypothyroidism, you’ll need to
start thyroid hormone replace-
ment therapy. Ortiz recom-
mends using only brand-name
medications, not generic
medications because the U.S.
Food and Drug Administra-
tion allows up to a 20-percent
diference in generics from
the “control” medication. In
other words, every time you
get your generic prescription
flled, it could be diferent
from your last batch, and that
really matters. The doctor also
advises taking your medica-
tion on an empty stomach at
the same time every day. Once
you get your dosage correct
and your hormone levels go
back to normal, you’ll be feel-
ing better soon. But, you’ll
probably always have to take
the medication. “In most
cases, hypothyroidism is a
lifelong condition,” Ortiz said.
If you’re diagnosed with
hyperthyroidism, the treat-
ment varies. You might need
to have surgery to remove part
or all of your thyroid gland.
Another option is radioactive
iodine treatment that destroys
thyroid tissue. After these
treatments, your condition
might switch to hypothyroid-
ism. If that happens, you’ll
have to start taking hormone
replacement medication.
Most primary-care physi-
cians are able to treat patients
with thyroid disease, Ortiz
said. But if you have contin-
ued problems, he suggests
seeking treatment from an
endocrinologist.
It might not be
“baby haze”
Pregnancy is a factor
in many cases of thyroidi-
tis, Ortiz explained. Some
women are diagnosed during
pregnancy. Those who are
diagnosed after having their
babies can have a condition
called postpartum thyroiditis.
The problem might correct
itself once the hormones level
out, but about 25 percent of
women with postpartum thy-
roiditis will develop permanent
hypothyroidism. Ortiz recom-
mends that a woman who had
a pregnancy-related thyroid
problem that corrected itself
still get a TSH blood test once
a year.
Cancer risk
Thyroid cancer is also an is-
sue. “The diagnosis is increas-
ing,” Ortiz said. “There are
about 33,000 new cases every
year in the United States.” •
Jennifer Byrd with son Bryce. Her symptoms were more
than “baby haze.”
“In most cases, hypothyroidism
is a lifelong condition.”
Dr. Jose Ortiz, endocrinologist,
Endocrine Clinic of Southeast Texas
By Todd Senters
T
hrough written and spoken word, music and art, the
heart has symbolized the complexity of the human
condition for centuries. In both the figurative and literal
sense, the heart is emblematic of our state of being. At
once resilient and fragile, the heart is at the center of life.
Nestled between the lungs lies an amazing pump the
size of a medium-sized apple. With orchestrated precision, the heart
of the average person beats more than 100,000 times a day propelling
more than 2,000 gallons of blood through more than 60,000 miles of
blood vessels.
spotlight
Between
the beats
18 January/February 2011 | BEHealthySETX.com
Though strong and powerful, the heart
is not invincible. Just as it supplies needed
oxygen to the body, the heart, too, needs
oxygen in order to continue pumping. “If
blood supply to the heart muscle is inter-
rupted, the muscle tissue becomes weak and
inefective,” said Dr. Ali Osman, an emer-
gency room physician at Baptist Beaumont
Hospital. “If blood supply is interrupted for
more than a few minutes, the muscle tissue
begins to die. This person is sufering a heart
attack.”
Signs of distress
According to Osman, there are four ways
an acute myocardial infarction (acute MI), or
heart attack, can occur. The heart has a set
of coronary arteries, blood vessels that sup-
ply the heart muscle with oxygen, which can
be susceptible to damage.
“If the person has plaque build-up on
the wall of the artery, it can become severe
enough that the vessel is completely closed
of, like a clogged sink drain,” Osman ex-
plained. “A blood clot can form and become
lodged in the artery. Under some circum-
stances (typically with cocaine use) the
muscles in the wall of the artery can spasm,
closing the vessel like a crimped water hose.
It is also possible that the artery can become
torn, by traumatic injury or a weakened ves-
sel wall (aneurysm). Regardless of the cause,
each of these patients would experience the
symptoms of a heart attack.”
Robert Sutton Jr. of Beaumont knows
those symptoms well; he recently sufered
a heart attack and underwent fve vessel
heart bypass surgery. “I felt a tightening
across both sides of my chest and difculty
breathing, which increased in intensity,” he
described. “The same thing happened three
or four days earlier, but the pressure eased
after 20 minutes. This time, the pressure did
not go away, so I called 911.”
There are some common signs that can
indicate you may be having a heart attack,
Osman explained. “Generally, these include
chest pain, pain radiating to the jaw or left
arm, nausea, sweating and fatigue. Women
tend to experience overwhelming fatigue,
nausea and radiating pain (neck and shoul-
ders). Men tend to experience tightness or
crushing chest pain and sweating.”
If in doubt whether the symptoms you
are experiencing may be a heart attack, don’t
hesitate to get help. “Time is muscle!” cau-
tioned Osman. “If there is any chance you
may be having a heart attack, or if you are
with someone who may be sufering a heart
attack, call 911 immediately. In order to have
the best chance to preserve heart muscle
and perhaps save the person’s life, we need
to begin intervention within one hour of the
onset of symptoms.”
While the focus of treatment is on pre-
serving heart muscle, heart disease con-
tinues to be the leading cause of death in
America. “I strongly encourage everyone
to learn basic CPR and learn how to use an
automated defbrillator, which are now com-
mon in public venues,” Osman said. “People
who have a heart attack could go into cardiac
arrest. Early CPR and early defbrillation
are critical steps to intervene and save their
lives.”
Heart-healthy lifestyle
The steps to avoiding or recovering from a
heart attack are as simple as living a healthy
lifestyle. “A change in both lifestyle and
eating habits is absolutely essential,” Sutton
said. “I have been going to cardiac rehab for
over two months and my strength, energy and
endurance are slowly but surely returning. It
is imperative to follow the exercise pattern
that rehab establishes. Don’t quit and don’t
stop short. I can already see vast improve-
ment in my quality of life.”
Sutton continued, “My doctor gave me
some very proftable advice. He said my
bypass surgery will be good for fve years
if I don’t change anything. But if I change
my lifestyle and follow the advice I have
been given, I can expect a long and pleasant
future. I have a grandson I look forward to
holding at every opportunity. I need to make
sure I will be here for him for some time to
come. I fully intend to do just that.” •
Wear Red on February 4!
National Wear Red day promotes awareness of the risks of women’s heart disease, sponsored
by the Department of Health and Human Services and the American Heart Association.
™ The Heart Truth logo is a trademark of HHS.
BEHealthySETX.com | January/February 2011 19
Attack
Stats
425,425
Number of heart
attack deaths in the
United States in 2006
1.25 million
Estimated number
of new and recurrent
hearts attacks that
occur per year in the
United States
34 percent
of people who
experience a heart
attack in a given year
die from it.
10.2 million
Estimated number of
people in the United
States who suffer
from angina (chest
pain)
500,000
Estimated number of
new cases of stable
angina that occur
each year
- American Heart Association
More than just a beauty
treatment, professional
facials offer pampering
and an increased sense
of well-being
By Margaret Battistelli Gardner
A
h, ‘70s advertising. If you’re over the age of 30,
you no doubt remember those commercials where
a woman emerges fresh-faced and glowing after
washing away a thick layer of cold cream with a
splash of cool water. (You probably also have cold
cream hiding under your epidermis from 1975.)
beauty
Facial
relations
20 January/February 2011 | BEHealthySETX.com
Sister (and, increasingly, brother), it’s time
for a change. You might think you have to go it
alone when it comes to skin care, but profes-
sional facials no longer are simply luxuries of
ladies who lunch. They’re mainstream, aford-
able and as accessible as your nearest salon.
But don’t put your face into just anyone’s
hands. Professional estheticians are the way to
go. They’re specially trained and they’re really
into skin – happy, healthy, glowing skin.
“Look for someone who is truly focused on
skin care, on esthetics, someone who is profes-
sionally trained,” said Todd Haymon, director of
the Christus Healthy Living Spa in Beaumont.
“Look for somebody who loves what they do,
who focuses on your comfort and is able to make
professional recommendations for your skin.”
Estheticians should be licensed by the state,
and by all means, make sure the facility and any
tools used in the procedure are clean.
Not sure if the spa you have in mind is a good
ft? Make an appointment for an inexpensive
brow waxing to get a feel for the place. Facials
should feel fairly indulgent, so look for the
overall experience. At spas, expect soothing
music and a serene environment, refreshments,
massage options and a comprehensive menu
of other services, and well-appointed changing
rooms.
No matter what your age, gender or skin
type, a facial should produce immediate results,
according to Katie Craigen, manager and esthe-
tician at Get Away Day Spa in the MCM El-
egante Hotel in Beaumont. Skin’s frmness and
naturally healthy glow will be enhanced. Over
time skin becomes noticeably more hydrated.
Fine lines, wrinkle and other imperfections
become less noticeable. Most pros recommend
facials at least quarterly, if not monthly.
“Most of the time after a basic facial, the
texture is a lot smoother, skin is glowing,
more moisturized and hydrated,” said Craigen.
“Makeup goes on a little easier and smoother,
and you don’t have to use as much because the
buildup of dead skin cells and debris is gone.”
Because of their deep-cleansing qualities,
facials tend to bring everything to the surface,
Craigen warns, so if you have anything lurking
under there you might experience some minor
breakouts after your facial. “Sometimes it gets
worse before it gets better, and people tend to
want to blame the facials,” she said. “But those
breakouts were already going to happen.
Professional, full-service spas and salons
also ofer more intense solutions like micro-
dermabrasion and chemical peels — all of which
can go a long way toward keeping skin healthy
and beautiful for a long time and ofer noninva-
sive alternatives to treatments that straddle the
line between “beauty” and “medical” such as
Botox and Juvederm injections, which are be-
coming increasingly mainstream and easy to get.
“There’s a lot we can do instead of heading
straight to Botox,” Craigen said. “Fruit-based
peels and chemical abrasions that you don’t
need a doctor on staf to do can make a big dif-
ference.”
Clients who’ve never had a facial don’t quite
know what to expect, which is why estheticians
include consultations as part of the frst visit.
Clients often are surprised at the amount of
attention they get, the level of pampering that
comes with a good facial. But the real surprise,
Haymon explained, is when they see the results.
“The facial and the pampering that goes
along with it, it gives you a better attitude,
just in general,” he said. You feel better about
yourself, you’ve made an investment of time and
energy and a commitment to your well being.
That’s what really counts.” •
Not Just For Women
Once thought to be a totally girly treat, facials are becom-
ing more mainstream and attracting both men and younger
clients of either sex. Most spas have special procedures for
men, as well as anti-acne treatments tailored for teens.
Basic facials
include:
• Consultation
• Thorough cleansing
• Skin analysis
• Extraction of blackheads
and whiteheads
• Facial massage
• Application of toners,
protective creams and
healing masks
• Advice on follow-up,
at-home skin care and a
long-term plan of action
for ongoing skin health
and beauty
“Most of the time after a
basic facial, the texture is a
lot smoother, skin is glowing,
more moisturized and hydra-
ted. Makeup goes on a little
easier and smoother, and you
don’t have to use as much
because the buildup of dead
skin cells and debris is gone.”
Katie Craigen,
manager and esthetician,
Get Away Day Spa
What price
beauty?
Expect to pay $35 to $75
for a thorough but basic
50-minute facial at most
places, with prices going up
from there for longer, more
involved treatments such as
vitamin C or collagen anti-
aging treatments, aggressive
acne treatment or deep skin
repair/redness reduction.
BEHealthySETX.com | January/February 2011 21
22 January/February 2011 | BEHealthySETX.com
N
othing says “Valentine’s Day” like a red, heart-
shaped box of chocolates. Add a bottle of wine
to set the romantic mood and you’re good to go.
And don’t let your sweetheart decline the treats
because they’re unhealthy. Turns out, in mod-
eration, they’re good for your heart.
It was good news for wine lovers and chocoholics when sci-
entists released their fndings that red wine and dark chocolate
might actually be good for you.
According to researchers at the Mayo Clinic, the supporting
studies suggest antioxidants in red wine called polyphenols help
protect the lining of blood vessels in your heart. These antioxi-
dants come in two main forms: favonoids and nonfavonoids.
Flavonoids are found in foods including oranges, grape juice,
apples, onions, tea and cocoa. White wine and other types of
alcoholic beverages including beer contain small amounts too, but
red wine has higher levels.
Nonfavonoids are found in red wine and appear to help
prevent arteries from becoming clogged with fatty blockages.
(The studies have mostly involved mice, not humans, the Mayo
Clinic staf noted.) Researchers are focusing on the nonfavonoid
called resveratrol, which might be a key ingredient in red wine
that helps prevent damage to blood vessels, reduces low-density
lipoprotein (LDL) cholesterol – the bad kind – and prevents blood
clots.
The favonoids in dark chocolate have been associated with a
benefcial efect on the cardiovascular system, according to Mayo
Clinic researchers. Dark chocolate also might reduce low-density
lipoprotein (LDL) cholesterol levels. The key ingredient is cocoa,
and the more the better. Eating chocolate that contains at least 60
percent cocoa is your best bet for added health benefts.
The problem is in the portions. Health professionals recom-
mend one glass of red wine a day, not a bottle. The recommended
Give your sweetie healthy treats to show you really care
Healthy Valentine’s Day!
eating right
By Cathleen Cole
amount for dark chocolate is one ounce a day – about one
square from a bar, not a whole bar.
“While red wine and dark chocolate may ofer some health
benefts, we would be wise to weigh the calories provided by
these foods against the potential benefts,” said Amy Shows, a
registered dietitian and professor and chair of the Department
of Family & Consumer Sciences at Lamar University. “Both red
wine and dark chocolate, when given as a gift, will most likely
be packaged in an amount that carries substantial calories.”
For example, she explained, one serving of red wine (5-fuid
ounces) has 125 calories and a dark-chocolate candy bar can
have 220 calories. A better idea might be to give your val-
entine a sweet gift that is based on whole fruit, she advised.
Strawberries dipped in chocolate contain fewer calories than
chocolate candies and also are packed with fber and other
nutrients including vitamin C. The typical chocolate-covered
strawberry has about 45 calories compared to about 100 calo-
ries in a piece of chocolate candy. She also recommended buy-
ing a fruit basket or making your own gift basket with fruits
and other healthful snacks such as low-fat cheese and whole-
grain crackers.
Carolyn Oliver, co-owner of D’Vine Wine of Beaumont, saw
a spike in sales when the news of the possible health benefts
of red wine came out. “I had several customers come in and tell
me that their doctors told them to drink one glass of red wine
a night,” she said. According to Oliver, a cardiologist told her
that the healthiest choice is Pinot Noir and it is better to drink
it with dinner. “It needs to be a part of the meal,” she empha-
sized. Since she started drinking a glass of red with dinner, she
said, her cholesterol levels are lower.
“It’s like everybody wants to try it,” she noted. “Even the
non-wine drinkers can learn to love it.” •
“Make Our Home Your Home”
Assisted Living for the Elderly
Call Martha Kirkpatrick Today to Arrange Your
Personal Tour 1945 Pennsylvania Ave. • Beaumont
409-833-1989
Join Our Volunteers Auxiliary Today!
“Lend a helping hand and make someone smile.”
Around the Clock Staffng
Medication Management
Emergency Call System
Full Calendar of Activities
Respite Care
Home Cooked Meals
Beautiful Landscaped
Grounds
Home like atmosphere
Cable TV and Beauty/
Barber Shop Available
L
i
c
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0
0
0
0
4
1
8
Sabine Oaks has been providing loving care to its residents for more than 60 years.
BEHealthySETX.com | January/February 2011 23
Renaissance Hospital Groves
Changing the Way You Look at Healthcare...
Voted Number 1 in Patient Satisfaction in Southeast Texas according to the U.S. Department of Health and
Human Services Medicare Hospital Compare.
Recipient of Patient Excellent Award from HealthGrades, Inc., from 22 hospitals in Texas. Only hospital in
Southeast Texas to receive this award.
Quality care, Pure and Simple.
5500 39th Street
Groves, TX 77619
(409) 962-5733
Bariatrics • Cardiovascular & Thoracic Surgery
Cath Lab • 24-hour Emergency Room
General Surgery • Imaging
Intensive Care Unit • Orthopedics
Pain Management • Physical Therapy • Plastic Surgery
As many as 20 million young
women, under the age of 55,
silently suffer.
If you lose control at a moment’s notice,
If your bowels control your life,
Call 409.835.9500 today.
BOWEL
CONTROL
DISORDER
B
C
D
Ano-Rectal
Disorders
HELP
Center
“This incision-free surgery provides an
alternative to anal implants, colostomies
and other invasive
surgeries for bowel
control disorder.
Our patients are finally
in control of their
lives.”
Garrett K. Peel, MD, MHS
Colon and Rectal Surgeon
Previty--Clinic for Surgical Care
740 Hospital Drive, Suite 280 Beaumont, Texas 77701
www.prevityclinic.com

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