be healthy november-december 2011

8/3/2019 BE Healthy November-December 2011

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November/Decemb

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How to choose

a personal trainer

Sick?How to walk-and not wa

Ways to avoid theholiday weight gain

When hearing aidsarent enough

KillerSHOES:

The lows ofhigh heels

Is yourcell phone

making you sick?

HIREME

(and save your marriag

TIPS TO

stop snoring


2/20

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Call 409-899-8523 to register for Prepared Childbirth Classes.

Modern, family-friendly delivery rooms

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State-of-the-art electronic health record system

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Say hello to our renovated Center for New Life. e

renovation provides a more comfortable and inviting

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new level of technology in fetal monitoring.

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3/20BEHealthySETX.com | November/December 201


4/20

EraExecutive Editor

DAVID CONSTANTINE

Contributing WritersCATHLEEN COLE

MArgArET bATTISTELLI gArDCHErYL rOSE

Medical AdviserDr. gArrETT K. PEEL

PrapContributing Photographer

SILVIA C. MCCLAIN

ArDirector, Advertising Operation

TED FISHEr

Manager, Advertising OperationFrAN LINDSAY

Manager, Special PublicationsDON grAY

Graphic Design

rOSA CLArKKrISTEN FLOrESgEOrgINA MONDSHINE

AverTo advetise in BE Healthy

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380 Main Steetbeamont, TX 77701

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AT YOur buSINESS LOCATIONPLEASE CALL 409.838.2829

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BE Healthy | November/December 2011 | Volume 2, Issue 5

8MEDICAL ADVICEQUICK CLINICS

Convenient care

for inconvenient sickness

By Cheryl Rose

6HEALTHY LIVINGSNORING

What to do when a punch

in the shoulder fails

By Margaret Battistelli Gardner

15EATING RIGHTHOLIDAY DIETS

Tips to stay trim

during the holidays

By Cathleen Cole

17BEAUTY

HIGH HEELS

If you think those 5-inch Pradaspikes are expensive, wait till you

see your podiatrists bill.

By Cathleen Cole

10 INNOVATIONS:

The latest

technologies right

here in SE Texas

5 Peeld to the News

19 Crossft puzzle

Contents

12GETMOVING

PERSONALTRAINERS

Hiring a trainer bridges

the gap between

knowing and doing

By Cheryl Rose

Noveme/Deceme 2011 | bE HealthySETX.com

Photography by Silvia C. McClain

Originally from Buna, Caleb Marshall is a former Marine who now works

as a full-time personal trainer in Beaumont while studying at Lamar

University to become a licensed dietitian.

on the cover


5/20

Heres the POOP on cell phones!Can cell phones cause food poisoning symptoms? Yes. Consider this: A

ew study found that 92-percent of cell phones have the bacteria known asE.Coli, which is commonly found in human feces. This common bacteria

auses food poisoning symptoms and can be deadly. The bacteria can

survive on hands and surfaces for hours. Researchers from the LondonSchool of Hygiene & Tropical Medicine found most all phones had largamounts of bacteria growth, even among those who were surveyed asfrequent hand washers. Perhaps some people are forgetting to wash

Sanitizers for all!

PeelDtoMedicalNEWS

eating righ

Mammograms Are Working, But Only for the Wealthy?A recent study found that fewer wealthy women are dying from breast

ancer. Poorer women, however, are seeing a slower and later decline inheir risk of dying from breast cancer. This is likely because poorer womano not get access to a mammogram and the life-saving health care system.

The study reported, in 2008, 51.4% of poor women aged

40 and older had a screening mammogram. By contrast, 72.8% ofwealthier women had a mammogram in the past two years. These aresome of the ndings from the American Cancer Societys Breast CanceFacts & Figures 2011-2012 report.To nd out if you qualify for free mammograms, call Julie RogersGift of LifeProgram at (409)860-3369 or (877)720-GIFT(4438).

Study Reports, Older Women Want More S-E-X!According to a recent government-funded Womens Health Initiative study,many women continue to remain sexually active after menopause. Most

ay they are satised with their sex lives, but want more! Researchersound older women, particularly if they are married or have a regularartner, have excellent libido. Among women who reported being

issatised with their sex lives, 57% said they wanted to have more sex,

while only 8% said they would have preferred to have less. Most stopphaving sex because their partner was in poor health. The study is a newanalysis of health information collected on more than 27,000 womenages 50 to 79, who took part in the study.The nding that older women have satised sex lives, is surprising tomany. Obviously, for many older women, their sexual appetite remains

A Drink A Day, May Help Keep Disease Away?Researchers recently reported that women who drink a beer or small glass

f wine each day were 20-percent more likely to be disease-free at age0 than nondrinkers. These women were less likely to develop chroniciseases like diabetes, cancer and heart disease, as compared to those

who were nondrinkers or those who consumed four or more drinks at one

time. In the study, researchers looked at the eects of drinking alcoholmidlife on the risk of diseases commonly associated with aging in a groof 13,894 women enrolled in the study. After considering other inuenlike smoking, researchers found women who drank light or moderateamounts of alcohol were less likely to develop chronic diseases as they

aged. Salud!Cheers!

Each edition, BE Healthy Medical Ad

Dr. Garrett K. Peel will cut through the prev

months medical and health news and bring

the most relevant and interesting tidb

help you make informed decis

BEHealthySETX.com | November/December 2011


6/20

Snoring can keep your

partner awake. But when it

escalates to apnea, it can

also keep you from having

optimum health

By Margaret Battistelli Gardner

When Dr. Jeremy Roebucktalks about cures for snoringhe mentions somethingcalled the Pillar Procedure.However, its hard not to

hear instead the pillow procedure andenvision a doctor writing a prescriptiongiving some long-suffering wife license tohold one over her noisy husbands face untiltheir bedroom is finally quiet.

But rest assured, Roebuck isnt advocating that tempting

as it might be. Instead, the Pillar Procedure is a minimally

invasive technique where a doctor inserts tiny implants into

the soft palate of the patients mouth to stien it up and stop

the vibrations that cause snoring.

If that seems severe to silence a simple snore, ask the bedpartner of a chronic snorer. He or she probably wouldnt

think so.

But more importantly, consider this: Some statistics say

more than 12 million people in the United States suer from

obstructive sleep apnea (75 percent of whom are undiagnosed

meaning that a physical block in their air passages makes

them stop breathing for 10 to 20 seconds at a time repeatedly

throughout the night. Thats when the stakes get higher.

Snoring is really just noisy breathing. It can be a nuisance

but its not going to cause you significant trouble and theres

no medical reason to treat it, said Roebuck, of Southeast

SnoozeControl

focus on health

November/December 2011 | BE HealthySETX.com


7/20

Sleep apnea can be cured 100 percent of the time.Its a very serious problem that can be very easily treated.

Dennis Keene, president, Sleep Labs of Texas

Texas EarNose andThroat

n Beaumont. But if youre

noring and you have episodes

where youhave to catch your

breathwhile youre sleeping,

hat should be addressed.

Left untreated, sleep ap-

nea can domuchmore than

ust leaveyou feeling sluggish

hroughout the day. Over time,

he chronic lack of oxygen to

he body can strain the heart,

which has toworkharder to

keep the bodyoxygenated, and

ead to seriousmedical concerns

uch as stroke,heart disease,

irregular heartbeat, highblood

pressure, acid reux, obesity,

diabetes, kidney problems and

thyroid issues, as well as depres-

sion, irritability andothermood

changes.

When were conscious, the

oxygen in our blood is about at

98 percent, explained Dr. Kevin

DiLeo, a dentist inOrange. If

wewere tohold our noses until

we turnedblue in the face, it

would drop to about 95 percent.

But for peoplewith sleep apnea,

the levels can drop into the 80s,

70s oreven60s.The body has

to compensate byworkinghard-

er, and overve or 10years, tis-

sues start to break down. There

are projections that say sleep

apneawill overtake smoking as

the number one cause for heart

disease.Treatments

If you (or your bed partner)

thinkyou havea problem,

the place to start iswithyour

primary-care physicianor your

dentist. He or she most likely

will recommend a sleep spe-

cialist anda sleep study, where

you spend a night or two being

monitored at a sleep center.

Once youhavea diagnosis

of sleep apnea, there are a fewways to go. The most common

treatment is a CPAP (Continu-

ous PositiveAirowPressure)

device, a mask-like machine that

provides a constant stream of air

to keep your breathing passages

openwhileyou sleep.

DennisKeene, president of

Sleep Labs of Texas inBeau-

mont, said CPAP technology is

consistently being improvedand

the newestmodels are comfort-able and so quiet you cant

even tell its on.

As a dentist, DiLeo has h

considerable success in treat

ing apneawith SomnoDent

mouthpieces thatpatientsw

at night tomove their jaws f

wardand openup the airway

Patients adjust thedevices rlarly until theynd the setti

that brings optimal relief.Th

alsoneed to follow up each

morningwith what DiLeo ca

a chewtoy to reset their b

back to normal during the d

There also are surgeries t

can be done, depending on t

origin of the problem. Roebu

explained that septoplasty c

straighten thenasal septum,

and uvulopalatopharyngopla(or UPPP) removes tissue in

throat to open things up.

Finally, in somnoplasty (a

laser procedure thatRoebuc

said has fallen out of favor),

doctors use radio-frequency

energy to shrink tissues that

causing the problem, includ

the turbinates, the soft palat

the uvula or the tongue.

Keene said with the succe

ofCPAPand other devices, sgeries should be considered

last resort.

When Its More Than Just A Snore

Many people with sleep apnea dont know they have it. And

they dont nd out until their bed partners realize their mates

seem to be gasping for air throughout the night. (Thats

because they are.)

Aside from that, the biggest indictor of sleep apnea is feeling

exhausted during the day, no matter how much sleep you get

at night. Sleep studies have shown that apnea suffers can

awake (often without realizing it) up to 75 times an hour.

Symptoms that could indicate sleep apnea include teeth

grinding; gasping during sleep; waking up with a dry mouth,

sore throat or headaches; frequent nighttime awakenings;

forgetfulness and difculty concentrating; and moodiness,irritability, or depression.

First Steps Toward

Silencing the SnoreOK, so you snore. Before heading to a doctor or sleep specialist, trythese common-sense steps:

Get off your back: Side sleepers are less likely to sound the nighttim

trumpet. If you just cant break the back-sleeping habit, one age-oldremedy is to sew a tennis ball into the back of your PJs. When youroll onto your back, the discomfort will nudge you back to your side ostomach.

Lose some weight: As little as 10 pounds can reduce the excesspressure on the air passages, making it less likely that the vibrations shake and wake the house.

Strip: Nasal strip, that is. Readily available nasal strips might help ifthe problem stems from an obstruction in the nose. (But beware: Mosnoring comes from vibrations caused by air uttering around the palor other tissue. Nasal strips allow more air to ow through; youll bebreathing better, but the snoring could get worse.)

Quit smoking: Come on, did you really think this wouldnt be a facto



8/20

Former nurse and motherDeana Sutherland is a fan ofher standby medical clinic.With a hectic scheduleand three kids randomlyhaving sudden and painfulsymptoms, she dependson the clinic. You call thedoctors office and they say,We have an appointment

n Thursday at 4 p.m. when youre sayingGreat, but my daughter has strep throatnd its at 2 p.m. on Tuesday, she said.

Though her children have a primary careoctor, Sutherland often chooses to use theonvenience clinic, because, well, its convenient.I can walk in when it works for my schedule,

ts clean and I have never waited more than 15minutes, she said. Young and healthy, neither

utherland nor her husband have a primaryhysician, so on the odd occasion either needs

medical attention, they visit the same clinic.

Once derisively called doc in the boxes asf D -grade medical student grads were runninghem, convenience medical clinics have grownnto vital community resources.

These clinics are safe, reliable places toreceive acute medical care in times of need,and people should utilize them more, said Dr.Msonthi Levine, an internist and medical directorfor Baptist Convenience Care Clinic. For mostpeople who have a physician, they can call inand if its a simple issue, the physician will calla prescription out for them. However, if theydont have a regular physician, the ER is a naturalchoice. Thats why education about these clinicsis important. Patients dont have to rush to theER they can go at their convenience.

The goal of medical clinics is to ll a gap anddetour non-emergency health problems awayfrom the hospital. The purpose of our Minor

Care is to extend the mission of the hospital andthe best way to serve patients is to provide aplace other than our ER department that can con-veniently assist them, said William Klamfoth,the regional director of outpatient operations forChristus Health. Clinics are a great resource forpatients because they dont need a referral, mostinsurance companies cover these types of visits,and they can get the treatment they need in areasonable amount of time, he said.

Clinics arent intended to replace primary carephysicians or to supervise chronic health problems.We are there for patients after hours, but we dontoer primary care services, said Gidget Wilson,

Area medical clinics offer extended hours to treat minor health woes

Convenient Carefor Inconvenient Sickness

quick clinics

By Cheryl Rose

Whats in

a name?Maybe not much when i

comes to medical clinics

Just like any other busi-

ness, clinics can choose

any name they think will

be attractive for market-ing purposes. There is

no regulation or ofcial

designation that delineat

an acute care from a min

care from an urgent care

The name generally does

not tell you what services

are provided.

November/December 2011 | BE HealthySETX.com


9/20

All Clinics are NotCreated EquallyThough all clinics share the common purpose of offering

medical treatment in a convenient location with extended

ours, they can be very different from each other in sev-

eral ways:

COSTS: Whether you are paying cash or using health

nsurance, the fee or co-pay can vary widely. In three

ocal examples, each clinic billed insurance at a different

ate primary care, urgent care or emergency room care.

Depending on your insurance, your co-pay could be more

han double at one clinic versus another. Also, if you dont

ave insurance and are paying cash, some clinics offer

discounted rates. Some will bundle lab tests with the

onsultation fee, some have separate charges.

HOURS: Local clinics are generally open earlier and

ater than the average physicians ofce, including week-

ends and most holidays. However, each clinic has specic

ours and may have some days they are closed. Several

linics open at 7 a.m., but the Beaumont location of Chris-us Minor Care is open the latest, until 11 p.m.

SERVICES: All local clinics are prepared for common

problems such as colds, u, a variety of infections, school

physicals and more. However, only some clinics have

X-ray equipment and lab services. Some are adjacent to

a pharmacy for convenience in lling prescriptions, others

are not.

STAFFING: All local clinics utilize nurse practitioners

and physician assistants, but some also have physicians

on staff.

Key differences between

ER and a clinic Cost: Typically, an ER visit is billed at a higher rate

than a clinic visit, but not in all cases.

Payment: Clinics work on a cash basis. You pay

before you have service, whether its the examination

fee or your insurance co-pay. Payment is either by cash,

debit or credit. Hospitals send bills after treatment.

Wait time: Generally, clinics see patients much

more quickly than ERs. Patients are seen on a rst-

come, rst-serve basis rather than triaged by severity as

an ER would be required to do with ambulances arriving

and life-threatening emergencies.


oce manager at Doctors Ex-press in Beaumont. We are notoering ongoing service and wedenitely refer back to primarycare physicians.

Levine said that some physi-

cians may feel clinics are compe-tition, but that personally, he isglad his patients have the option.I think that if a patient has aprimary care physician, he or sheshould always go to that physicianrst because of the relationship,he said, adding that the physi-

cians familiarity with a patien

history aids in diagnosis and i

vital in monitoring chronic co

tions. However, Levine acknow

edges that doctors can only se

so many patients in a work da

Clinics arent taking business

away from me, he said. Physi

cant be in all places there is

much work. There are not eno

doctors to go around and mid-

els are lling a gap, and for the

part, they do a fabulous job. >>

Rebecca Blackwell sorts through patient paperwork at theBaptist Convenient Care Clinic in HEB on Dowlen Road.

www.drwilgers.com

KENNETH D. WILGERM.D. P.A.

3282 College St., Beaumont

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Certied American Board oFamily Practice

Full Service Medical Clinic

Treating Adults and Childre

Same Day Appointments

Available

Medical Weight Loss

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Treatments

Lab & Xray Available onSite


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When can I go to a clinic?Generally, you should consider a clinic when an acute but

non-urgent problem arises outside of your doctors nor-

mal ofce hours. Some local clinics offer more advanced

services than others. People with chronic health problems

(diabetes, high blood pressure) or unusual conditions that

require a specialist should visit their primary care provider

whenever possible. Some examples:

When you should go to theEmErgEncy

room:

Severe or blunt trauma

Head injury

Chest pains/heart attack

Stroke

Loss of or decreased level of

consciousness

MiscarriageRectal bleeding

Severe shortness of breath

Fast heart rate

When you can try aclinic:

Colds, u, fevers

Minor infections such as upper

respiratory, sinus, ear,

urinary tract, bladder

Headaches

Lacerations, cuts

School physicals

Asthma and allergy are-ups

Bug bites

Skin irritations and rashes

Sprains, bumps/bruises

Strep

Croup

Hearing loss is a common problem with more than 30 million people suffer-

rs in the United States alone. Some hearing losses are correctable with medicine

r surgeries. Hearing aids can help the majority of people with mild-to-moderate

earing loss. Current hearing aids offer comfortable t with advanced featuresor reducing background noise while amplifying speech sounds. There are many

dvanced hearing aids that are available to help a wide variety of hearing losses.

Sometimes, however, hearing aids are not enough. Hearing aids work by

mplifying sounds.With hearing aids, no matter how loud you make a sound, when

key part of the ear is not working the way it should, it can still sound unclear and

istorted. When a person has a hearing loss that is so severe that a hearing aid is

ot helpful, we recommend a cochlear implant.A cochlear implant can be an effec-

ve long-term solution for individuals with severe-to-profound hearing loss.

A cochlear implant is an electronic device that is surgically implanted and

works by directly stimulating functioning nerve bers in the inner ear. Unlike

earing aids, cochlear implants do not amplify sound, but instead are designed

o mimic natural hearing. Cochlear implants convert sound waves to electrical

mpulses and transmit them to the inner ear, providing people with severe-to-

profound hearing loss the ability to hear sounds and potentially better unde

stand speech without reading lips. The cochlear implant has become wide

recognized as an established treatment for profound hearing loss.

A cochlear implant consists of two parts: the surgically implanted electro

and an external speech processor. The surgery is performed in the hospital aoutpatient procedure. During the surgery, a thin wire is inserted into the coc

(or inner ear). This wire and the attached microchip are implanted under the

skin leaving only a very small scar behind the ear. After surgery, there is usu

no signicant pain.A few weeks after surgery, the external speech processo

is attached and activated by our audiologist. After implantation, the patient w

require practice and patience in learning to hear again.

Age is not a factor in determining cochlear implant candidacy. Children a

young as 12 months and seniors well beyond 80 years old can be candidate

for a cochlear implant. Cochlear implants are covered by both Medicare and

Medicaid. Most insurance plans cover the implant, as well.

Dr. Roebuck is an otolaryngologist with Southeast Texas Ear, Nose, &

Throat, LLP. He is a native of Southeast Texas and specializes in diseases o

the ear and their treatments.

SE Texas Medical Innovations

By Dr. Jeremy Roebuck

Mid-levels is a term fornurse practitioners and physi-cian assistants, who typically staconvenience clinics, though somealso have doctors on site. Klamfothsaid that many of the Christus clinicpatients just dont have primarycare physicians, a comment echoed

by several other clinics.A high percentage of patients at

area clinics are children. Klamfothreports that at Christus MinorCare, one-third of the patients areunder 10 years old. Sixty percentare under 40 years old. Wilsonconcurs that about 40 percent ofthe patients at Doctors Express arechildren and that they generallyserve a younger population.

The various clinics in SouthTexas vary widely in pricing, sting and services oered. How cyou know which clinic works foyour problem? Nederland residStephanie Flory followed up afriends post on Facebook abouconvenience clinic when her so

hurt his knee on a Sunday. Shecalled the recommended clinicand was assured they could haninjuries and take X-rays if needFlory said the visit was satisfy-ing, and they were out in about45 minutes. These clinics arethe perfect place for when its nquite enough for the ER, but ydont want to wait for the docto

squeeze you in.

0 November/December 2011 | BE HealthySETX.com

Patients exit the Christus MinorCare Center - St. ElizabethDowlen Road.

Did you know that Beaumont has some of the most innovative surgical and medical treatments availableanywhere? The medical community of Southeast Texas is comprised of highly trained, skillful physiciansavailable to make a difference in your care. Each edition, with the help of Medical Adviser Dr. Garrett Peel,we will introduce you to some of these innovative procedures.

chlea iplats


11/20BEHealthySETX.com | November/December 2011

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12/20

7 days without exercise

makes one weak

When

it GetsPersonal

focus on health

By Cheryl Rose


Caleb

Mars

hall

Are you determined to

make progress on your

weight and tness

goals?Have you

plateaued with

your workouts?

Has the doctor

said, Get some

exercise beforeyou come back?

Do you want to get

started with tness

but intimidated by the

equipment?


13/20

Iam so passionate aboutthe benets of trainingbecause I truly believemany people do knowthe right things todo, but hiring a trainer

can bridge the gap betweenknowing and doing, said

Tanya Hansen, a Beaumont-based personal trainer.

Hiring a personal trainer can help beginnersearn correct fundamentals and safety, assisthose with medical issues or limitations nd

tness options and push the already t to a newevel of endurance. Trainers should prepareustomized workouts for each client after ahorough assessment.

When selecting a trainer, you should askbout the following basic facts and then decide

whether the trainers style, personality andxperience jive with your needs.

Personal Training Certications:Currently, there is no standardization or

regulation of personal training certication.Though there is a move afoot to create somenational standards, at this time, customershave to wade through a variety of organiza-tional acronyms that all sound procient butmay be meaningless. A key dierence is theprerequisites for the course including previousstudy and degrees.

OtherQualications:Trainers should also have CPR and rst aidtraining. Many trainers are certied in severalspecialties or in nutrition. Particularly with

medical issues, a trainers experience withrehab, physical therapy or previous clientswith similar limitations can be relevant. Sincenutrition is a vital part of any exercise plan,asking about the trainers nutrition quali-cations can be as important as their tnesscertications.

CostsandGymAliations:In Southeast Texas, costs range from $40 to$60 an hour to work with a personal trainer.Most oer package deals where the cost persession goes down with a greater quantity ofpurchased sessions. Some trainers work as in-dependent businesses, others work as employ-ees of specic gyms. This can aect cost, and

will aect where the training takes place.

Age: 37Years as a trainer: 7Aliation: Christus Health&Wellness Center

Degrees/Certications: B.S. in Applied Psychol-ogy, National Exercise Training Association Cer-tied Personal Trainer (NETA) and Aerobics

& Fitness Association of America CertiedGroup Fitness Instructor (AFAA)

Tanya Hansen grew up on a farm inMinnesota. Her father and uncle

were her rst tness role models,two teachers who got up every

morning to work out. Afterreceiving her degree from Be-midji State University, Hansenworked in tness clubs around

the country until settling in

Beaumont 11 years ago. She is a wifeand a mom with two kids, a son and a daughter.

Whats your training philosophy?What I do is functional training - movementsand workouts that translate into everyday life.How many times are you going to do a bicepcurl in everyday life? But you pick up a child,lift groceries from the car. I will never have youjust working your bicep any more. I train every

muscle group in balance. My passion is to makepeople feel well, healthy and strong.

How do I choosea trainer?Ask for an initial consultation. Talk about specgoal-setting and whats going to stand in your w

Interview trainers and let them sell themselvesYou want to be encouraged, motivated, and feethat your trainer has a genuine interest in whatyoure trying to attain. If you dont have rapporthen youre never going to be 100 percent satis

Training costs seem likea lot to spend onmyself.I look at the money we spend on going out to eaor on our hair when the most lasting and important things in our lives are wellness and tnessIf hiring a trainer is something youve thoughtabout, but you think, Im going to walk at homget a little endurance built up rst no, just dit. Too many of us say, Tomorrow Im going to

this and tomorrow never comes. If you start tounderstand what it feels like to feel healthy agatheres not a price tag for that.

How do trainingsessions t into my lifestyI dont care if you hire me three or ve days aweek; if you arent making the changes outsideof those hours, youre not going to get the bestresults. I can make your heart stronger, make ylungs work more eciently, but if you think thahour you spend with me gives you free rein to dwhatever you want for the other 23 hours, thatnot going to show the changes you want.

photogrphybysilviamcclain

Tanya Hansen


Whenworking witha personaltrainer:

DO Respect your trainers time. Tel

your trainer as soon as possiblyou cannot make a session.

Tell your trainer if you feel any por discomfort outside of normaexercise parameters.

Take before and after pictureEven if you are the only person sees them, they will help with mvation as you progress.

Ask questions.

Make sure your trainer is awareof any medications you are takas well as any past injuries you have.

Be honest with your trainer abodetails necessary for success,particularly about nutrition. Sounutrition is absolutely essentialmeeting tness goals.

DONT Talk on your phone or text durin

your session if it can be avoide

Waste time visiting or chatting.

Be late. You are paying for thesession, so get all you can out


14/20

Age: 43Years as a trainer: 15Aliation: Christus Health & Wellness CenterDegrees/Certications: B.A. in Applied Arts &Sciences, B.S. in Health Education, NSCA Certied

Strength & Conditioning Specialist (CSCS), AEACertied Aquatic Fitness Instructor

Brendon Legendre grew up in Beaumont lov-ing baseball. He attended Angelina College

and Tarleton State University on baseballscholarships, earning an associate of

science degree along the way. When hisbaseball career ended, he returned to

Beaumont to nish his dual degreesfrom Lamar University. A single dadwith one daughter, Legendre worksfull-time as a rehabilitation coor-dinator for Beaumont Spinal Careas well as working as a personaltrainer.

How do you approach training?Safety is always my number-one pri-

ority. I know each individuals goal inorder to devise an exercise program to meet

their needs and desires. I like to incorporate a vari-ety of exercises to challenge clients. I believe

in working the core and working the

inside out. I believe in compound exercises wheyou use multiple muscle groups incorporated inone exercise to promote endurance, strength anboost metabolism.

How canI be successful with training?Have some goals, have a commitment that yeaIm gonna do this with no excuses. Dont let anthing get in the way. I nd that the most succesful clients are the ones committed to the exerciprogram and also the nutrition regime.

What if I havean injury or physical limitatIts important to be honest and thorough whenproviding health history. This allows the traineto design an exercise routine taking into considation any physical limitations. The client shoulinquire into the trainers education and experiein working with clients with similar issues.

How should I assess mytrainer?

You should be comfortable with the trainer, ablask any kind of question. You want to be motivwith a positive attitude and you want someone is accessible. You want to feel like youre beingchallenged and making progress. Are you losininches or pounds or making progress toward thgoal you have for yourself?

Brendon Legendre

Age: 26Years as a trainer: 2Aliation: Independent, Terrys FitnessDegrees/Certications: Studying for a

egree in dietetics, American Muscle andFitness Personal Trainer

Originally from Buna, Caleb Marshall joinedthe Marine Corps after high school. Heserved four years, mostly in Okinawa, Japan,but also served a tour in Iraq. He settled inBeaumont after his hitch and began work-ing in the personal tness eld. Currentlysingle, he is studying at Lamar University tobecome a licensed dietitian and working full-time as a personal trainer.

What should I do beforehiring a trainer?Its good to have a specic goal, such asa date or timeframe you want to meet, ormaybe a goal weight or a doctors recommen-

dation. You can also say, I want to look goodin a bathing suit or in this dress. A specicgoal is better than just saying I want to getin shape. Dont worry about your tnesslevel, just come as you are.

What should I look for in a trainer?He or she needs to look and act the part.You really want a trainer you can mesh with someone knowledgeable about your lifeand goals, someone to help you avoid injuryand motivate you. The gender or age of yourtrainer is a personal preference.

What if Im working towards an athlegoal/competition?You want to seek out someone who ismore astute than you are someone a littstronger, faster, more specialized. Ask ifthe trainer has experience in that particusport, if he or she is training other athletin that sport and if he or she has any speccertications related to that sport.

How often doI need to work withatrainer?When I ask the clients goals, we talk abohow long it will take. I dont like to do

anything less than three months. Gettingrid of your old habits and getting into a nswing will take a bit of time. Three montis also enough time to see a big dierenceIf you see a dierence, you are more apt tcontinue because youll be in the routineand have renewed motivation. I try to sticwith three times a week. Someone tryingbuild muscle wouldnt want to train ve da week, but for losing weight, training mofrequently is OK. Cardio work between s

sions is a denite must.

Caleb Marshall



15/20

T

hey start comingat Thanksgivingand continuethrough New

Years Day thedelicious dishes

and pastries of the holidays.But if you dont watch whatyou eat starting in November,youll be stung yourself like

the holiday turkeyinto your party

finery come NewYears Eve.

Have a plan

How can we indulge during the

holidays without packing on the

pounds? According to Amy Shows, a

registered dietitian and professor of

nutrition at Lamar University, in orderto enjoy holiday treats without adding

pounds or guilt, we need to enter the

holiday season with a realistic mind-set.

Its unrealistic to think of losing weight

during this period, so instead focus on

maintaining your current weight.

Thinking ahead, having a plan and

then sticking with the plan is half the

battle, Shows said. This plan can

allow us to enjoy holiday treats while

maintaining current weight. And dont

let your exercise routine take a holiday,

she advised. Aim for at least 30 minu

of exercise a day.

Whats the plan? Basically, focus

friends and family rather than food.

But dont deprive yourself of all the

treats. Instead, allow yourself to splua little. Enjoy your favorites in sma

amounts and try to cut back in other

ways, Shows said.

Pre-party strategy

Dont go to a holiday gathering

on an empty stomach. If you arrive

famished, you are more likely to

overeat, Shows noted. Take the edg

o of hunger by eating a small, low-

snack before the party such as a piec

fruit or some low-fat yogurt. >>

eating right

Seasons EatingsTips to stay trim for the holida

Trim the Tree and the Fat Go for the skinless roasted turkey instead of roast beef or ham.

Skip the potatoes and gravy, and try a wild-rice dish.

Try a fruit dessert such as a parfait or a trie.

Practice portion control: Enjoy a few holiday treats, not dozens.

By Cathleen C


focus on health


16/20

The right choices

Food choices and food portions can

make a dierence. Shows recommendsoing lean. Limiting the high-fat foods

will definitely help us with the goal of

maintaining our current weight, she

aid. Turkey breast is a lean choice, and

ranberry sauce is a great option to eat

with turkey and stung instead of gravy.

Casseroles that require creamy soups

an be made with the lower-fat options

o avoid the extra calories and keep the

flavor. Consider baked sweet potatoes

ather than mashed potatoes with butter

nd gravy or candied yam casseroles,

which can be loaded with fat and sugar.Leonel Ducharme, executive chef at

Holiday Inn Hotel & Suites in Beaumont,

grees. Definitely go with the roasted

urkey and skip the skin, he advised.

nstead of potatoes and gravy, try a

wild-rice dish with nuts and berries.

Cranberries are in season and add tang

o your recipes. Or enjoy vegetable

asseroles such as a broccoli-and-rice

asserole light on the cheese. The

biggest thing is reducing the fats,

Ducharme said.The calorie savings made with these

healthier choices add up. For example,

ounces of eggnog have about 250

alories and 14 grams of fat, while the

ame amount of apple cider has only 90

alories and no fat. If you really want

he eggnog, decide ahead of time that

you will have only one serving, or better

yet, go for a lower-fat version, Shows

explained. A slice of pecan pie

has about 400 calories compared to about

200 in a piece of pumpkin pie.

Watching portion sizes is important.

Decide ahead of time that you will not

cover your entire plate with food, Shows

said. And if the pre-cut portions are too

big, such as a piece of pie, cut it in half.

Its easier to put a smaller portion on

your plate than to get a larger portion and

leave half of it on your plate.

Slow down

According to Shows, it takes about 20

minutes to get the message that we are

full. When we eat too fast, we can pack

away a lot of food in 20 minutes, perhaps

more than we intended, she said. Sadly,

we dont get the message that we are

getting full. We get the message we are

stued overfull which is really too

late. So, slow down in your eating togive your brain time to send the signal,

your body time to receive the signal and

then pay attention to the signal.

I think the take-home point is to

enjoy your favorite holiday foods by

taking smaller portions, eating slower

and savoring the delicious taste of

wonderful seasonal foods, Shows said.

Try something healthy, deliciousand fun this holiday season.One of my favorites is a vegeta

wreath, said Amy Shows, aregistered dietitian and professoof nutrition at Lamar University.

Cover a Styrofoam wreath withparsley sprigs or a green, leafyvegetable. Next, place colorfulvegetables cherry tomatoes,cucumbers, carrot roses, radish

roses on toothpicks, attach thto the wreath, and place a low-fdip in the center.

Another colorful snack the dietit

likes is a tray of red and greenapple slices, which looks great a Christmas tree-shaped tray. S

at the bottom with a row of redapples and then alternate the grand red rows. At the top, placelemon cut in a star shape. Be suto soak the apples in orange or

lemon juice to prevent them fromturning brown and to add a nicecitrus avor.

Leonel Ducharme, executive chat Holiday Inn Hotel & Suites in

Beaumont, has some healthierdessert options. Make a parfait layering yogurt, fresh fruit and g

nola in a tall glass. Or make a bger trie in a pretty serving bowlayering sponge cake, custard afruit and topping it with homemwhipped cream light on the sug

It will cut down on the caloriesand its a beautiful presentationwell, the chef said.

Choose apple cider instead of eggn

Dr. Amy Shows, professor atLamar University


Healthyoliday

dishes

photographybySCOTTESLINGER


17/20

Medically unsound

According to the American Podiatric

Medical Association, women inict more

punishment on their feet in part from

mproper footwear including high-heelshoes generally dened as pumps with

heels of more than two inches. High-

heel shoes are medically unsound and

cause postural and safety problems, the

association notes.

High heels shift the force of your

footsteps so that the most pressure ends up

on the ball of the foot and on the bones at

he base of the toes. As a result, high-heel

shoes can lead to foot pain, toe deformities

and shortened Achilles tendons. High

heels can also contribute to knee and back

problems, shortened calf muscles and anawkward gait.

Wearing high heels can lead to callus

formation and pain in the ball of the foot,

corns on the toes and ankle instability,

according to Debra Lusk, a doctor of

podiatric medicine at Podiatry Associates of

Southeast Texas in Beaumont. The doctor

advises women to be especially careful of

he surfaces they walk on when wearing

high heels because its much easier to slip

or stumble. And beware stilettos. Narrow

heels are more easily caught in cracks orspaces that can send a woman tumbling,

she warned.

If your shoes are becoming a pain, its

ime to change your style. Warning signs

nclude pain in the toes or foot as well as

general leg fatigue. And if those killer high

heels are turning on you, its really time to

rethink your footwear choices. Foot and

ankle fractures and sprains are the most

common high-heel related injuries that Lusk

reats in her practice.

Slaves to

fashion

Women are

more likely to

see a podiatristthan men because

of their passion for

high fashion. Women in

general are more likely to seek

podiatric care than men because our

culture emphasizes youth and beauty,

and nothing makes a woman feel older

or more unattractive than having to wear

orthopedic shoes, Lusk said.

Laura Woodside, an administrative

assistant for Goodwill Industries in

Beaumont, wears high heels to work

because she thinks it is a more professional

style than ats. She wears stilettos, but

sticks to the 2-inchers because she says her

4-inch heels are too hard to walk in and not

very comfortable. I believe its important

to buy comfortable and yet stylish shoes if

at all possible, she said. Stylish high heels

make me feel like I look better than if I were

to just wear ats.

A step in the right direction

To relieve the abusive eects of high

heels, the American Podiatric Medical

Association suggests women limit the timethey wear them, alternating with good

quality sneakers or ats for part of the

day. The association also recommends that

women vary the height of their high heels,

opting for lower heels and keeping the

higher ones in the closet most days.

So what can women wear safely when

they need a dressy shoe? The association

notes there are comfortable and attractive

walking pumps also called comfort or

performance pumps that blend fashion

considerations

and comfort.

These pumps

oer athletic shoe-

derived construction,

reinforced heels and wider toe room. Lu

recommends Easy Spirit, Naturalizer, Co

Haan and Taryn Rose. In her opinion, th

overall construction including the attent

to padding and seam placement as well a

choice of materials including soft leatheruppers makes these brands exceptional.

Women may pay more for them, but I l

to think of them as an investment in the

feet, she said.

The doctor wears high heels on speci

occasions, but usually in the 2-inch rang

And what does she wear to work? Ah, I

to work in sneakers because I wear scrub

she said.

Steps to Take for Happy FeetIf you wear high heels, especially really h

heels, follow these steps to

keep your tootsies happy and healthy:

Avoid spikes and go for a thicker heel

offers more stability.

Vary your heel height dont wear you

4-inchers every day.

Dont wear high heels all day long. Giv

your feet a break in walking shoes or

Buy quality shoes that t well and offe

support, padding and comfort.

Sleek, sexy, height-inducing high heels aremust-haves for many womens wardrobes.

But sorry, girls. If you think 4-inch designer

stilettos are expensive, wait until you see

your podiatrists bill.

KILLER ShoesThe lows of high heels

By Cathleen Cole



18/208 November/December 2011 | BE HealthySETX.com

6830 Phelan Blvd.

Beaumont, Texas 77706

409-860-9600I have small children. What should I b

doing to take care of their teeth?Childrens primary teeth begin to erupt around six months after b

By the age of three, all twenty primary teeth should be present. Par

should start cleaning their childs teeth as soon as the teeth appear by usi

child-sized soft bristle toothbrush with a pea-sized dot of childrens fluo

toothpaste. Make sure your child does not swallow the toothpaste. B

your child for regular dental checkups. Remember that healthy eating ha

lead to healthy teeth.

GENERAL DENTISTRY

Michael R. Olson, DDS

West End Dental Group

QA

What happens if a patient in a hospice

program gets better?

If improvement in the patients condition occurs and the disease

seems to be in remission, the patient can be discharged from

hospice. The patient can return to aggressive therapy or go on about

their daily life. At a later time, if a discharged patients condition de-

clines and the physician feels that their condition is now in a terminal

phase, the patient can be re-admitted to the hospice program.

HOSPICE

Dr. Keith Stout, MD

of Beaumont

Q

A

2450 N. Major Drive Beaumont, Texas 77713409-840-5640

Hospice Physician Certified in Hospice and Palliative Medicine byThe American Board of Internal Medicine

3820 Pointe Parkway


409-767-8221

Should I be concerned abouta small curve in my spine?

An appointment is recommended to examine any abnorcurve in the spine. Curves that measure less than 20 degrees

usually no cause for concern unless there are signs of further progsion. However, in growing children and adolescents, mild curvatucan rapidly worsen, so continued observation by a physician is vimportant.

ORTHOPEDIC SPINE

Richard R.M. Francis, MD,MBA, FRCS Ed., FRCS Ed.

(Tr & Orth)

Spine Associates

QA

www.spineassociatesofbeaumont.com

4400 Gulf Ave.

Groves, TX 77619

409-962-5785

My mother is in Skilled nurs-

ing at a Nursing RehabilitationFacility, how many days will Medicare Pay for?

Medicare pays 20 days at 100%, day 21-100 there is a co-

insurance that needs to be paid at 138.50/day, and going up

in 2011. Medicare Supplements usually cover this co-insurance at

80-100% of it. The patient needs to require skilled nursing care to be

eligible for the full 100 days.

SKILLED NURSING & REHABILITATION

Peggy Larson, LVN

Magnolia Manor Nursing and Rehab

QA

3070 College St., Ste. 205


409-832-1225

www.drataya.com

What can you do for an infant who is

having teething pain?

Teething does not require medications. It is a normbenign. Many children have no apparent difficulti

Treatment of symptoms includes oral analgesics such topical xylocaine viscus, Oragel apply to the gum, Tynol, or ice rings apply to the gum.

PEDIATRIC

Raja H. Ataya M.D.,

F.A.A.P., F.R.C.P

Pediatrics and Adolescent Medicine

Q

A

3921 Twin City Hwy

Port Arthur, Texas 77642

(409) 963-0000 Office

(409) 963-3391 Fax

www.gulfcoastcardio.com

How can I improve my HDL (good cholesterol)

without taking medications?

There are several ways to increase your HDL cholesterol. Fats that are

monounsaturated can improve your HDL as well as reduce triglyceridesand bad cholesterol (LDL). These include olive oils and other vegetable oils, nuts,

and avocados. Some foods such as peanuts, green peas, sunflower seeds and corn

can also raise HDL. Other important strategies to raise HDL include a regular

exercise program, alcohol in moderation, and the cessation of smoking. Calcium

supplements have also been shown to increase HDL levels.

CARDIOLOGY

Nabeel Abdullah M.D.,

F.A.C.C.

Gulf Coast Cardiology Group, P.L.L.C.

Q

A

Email your questions to:[email protected] your questions to:[email protected]

Do you have questions?Do you need answers?Do you have questions?Do you need answers?

HEALTHYADVICEHEALTHYADVICE

From the Pros

From the Pros

FOR INFORMATION ON HOW YOU MAY PARTICIPATE AS A PROFESSIONAL ON THIS PAGE, CALL TED BRANNON AT (888) 833-50

Healthy Advice segments are written by area professionals and are paid features. The Beaumont Enterprise and Brannon & Associates, Inc. are not responsible foropinions and suggestions presented herein. Healthy Advice is not intended to substitute for medical advice. Readers should consult their practitioner for specific adv

How has Healthy Advice from the Pros helped you? Email your comments to: [email protected]


19/20

Across

1.Rocket vegetable used in salads

6.Dentists concern

9.Natural energy source

10.Natural anti-fungal remedy used in

skin care (3 words)

11.Computer

12.Evil warrior in The Lord of the

Rings

13.Herb used in stews

14.Acne breakouts

17.___ leaves used in the kitchen

18.Sometimes scrambled

20.Gland behind the stomach

21.Diagnostic procedure consisting of

recording the activity of the heart

electronically24.Nurse, for short

25.Over the moon

26.Given a tranquillizer

29. Location

30.Toenail services

31.Thanksgiving serving

Down

1.Main channels to the heart

2.Habitual practice

3.Slang word for intestine

4.Not ready to eat yet

5. Type of bandage

6.Main constituents of

vegetable oil and animal fats

7. Former partner

8. Strange sounds from the

body that are difcult to stop

11.Media handler

12.Therapy relating to

manipulating the skeleton

and muscles

15.Business degree

16. Cooking vessel

19.Grabbed hold of

20.Hurtful sensation

22.Out of the wet

23.Crack, of a lip

26. Elton John or Paul McCartn

27.French summer

28. ____ sum

29.His in Spanish

CrossworBy Myles M

See solution on page 4


What can I do to eat healthy during theholidays?

A healthy diet is an important weapon in the fight against disease. Making a few

easy substitutions to traditional holiday meals can boost nutritional value and

help you and your loved ones reduce cancer risk. When planning holiday menus, select

foods that represent a rainbow of colors, like dark, leafy greens, and seasonal fruits and

vegetables. Review favorite holiday recipes and substitute butter or lard with healthy

oils, and serve whole grain bread, which contains fiber, folic acid, and iron. Also, limit

sugary drinks, like eggnog, and serve sparkling cider for toasting.

HEMATOLOGY-ONCOLOGY

JaySchachner, M.D.,FACP

QA

Mamie McFaddin Ward Cancer Center690 North 14th Street, 3rd floor

Beaumont, TX 77702 409-899-7180

Beaumont College Street3070 College Street, Suite 301

Beaumont, TX 77701 409-813-1686www.TexasOncology.com

# 7 Bayoubrandt Drive


(409) 832-8323

www.veincentersoftexas.com

What factors contribute to the develop-ment of spider veins or varicose veins?

There are many factors that contribute to increased spideror varicose veins. These include prolonged standing or sit-

ting, obesity, number of pregnancies, and heredity. Fortunatelywe offer several treatment options in our clinic to address theseconditions, and most are covered by insurance, Medicare andMedicaid!

VARICOSE VEINS

Dr. Charles Gutierrez

Vein Centers of Texas

QA

3560 Delaware, Suite 1104

Beaumont, TX 77706

OFFICE (409) 347-3621

FAX (409)860-9078I heard recently about a nutritional treatment forarthritis that has been effective. Can you tell me

more about it?

Youre referring to glucosamine and chondroitin sulfate. Glucosamine is amodified sugar found in the body and is a building block for two major compo-

nents of cartilage. Chondroitin sulfate blocks the enzymes that can destroy cartilage.While these nutritional supplements are receiving a lot of attention as a cure for arthri-is, scientific testing has been limited, to date. More testing is still needed, but arthritisufferers might consider a 1-2 month trial of these supplements. A regimen of weight

control, exercise, and sensible low-fat eating also can help.

INTERNAL MEDICINE

Msonthi B. Levine, M.D.

Golden Triangle Internal Medicine

& Geriatrics

Q

A

Emailyour questions to:

[email protected]

Do you have questions?

Do you need answers?

From the Pros

FOR INFORMATION ON HOW YOU MAY PARTICIPATE AS A PROFESSIONAL ON THIS PAGE, CALL TED BRANNON AT (888) 833-5001

ealthy Advice segments are written by area professionals and a re paid features. The Beaumont Enterprise and Brannon & Associa tes, Inc. are not responsible for thepinions and suggestions presented herein. Healthy Advice is no t intended to substitute for medical advice. Readers should consult their practitioner for specific advice.

ow has Healthy Advice from the Pros helped you? Email your comments to: [email protected]


20/20

F I G H T

PROSTATEC A N C E R

When I was diagnosed with prostate cancer, I considered all of my options. Then I chose to partner with Texas Oncology.

Theyre part of the largest network of cancer specialists, researchers and treatment centers in the country. And theyveplayed a pivotal role in testing 24 of the last 30 new cancer drugs approved by the FDA. I trust their expertiseand

since theyre right here in my hometown, I have my friends and family here to support my fight. I feel confident knowing

Texas Oncology is on my side.

1-888-864-I CAN (4226) www.TexasOncology.com

HOW TEXANS FIGHT CANCER.

YEARS

CELEBRATING

MAMIE MCFADDIN WARD

CANCER CENTER

690 North 14th Street

Beaumont, TX 77702

409-899-7180

BEAUMONT COLLEGE STREET

3070 College Street, Suite 301

Beaumont, TX 77701

409-813-1686

JASPER

2014 S. Wheeler, Suite 170

Jasper, TX 75951

409-899-7180

S. Usama Akhtar, M.D. Robert R. Birdwell, M.D., F.A.C.P.

Srinivas Kodali, M.D. Scott A. McKenney, M.D., F.A.C.P. Sumalatha Patibandla, M.D.

Jay R. Schachner, M.D. Henry O. Williams, M.D.

be healthy november-december 2011

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