global health tribune - january 2014 issue

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AROUND tOwN ONCOLOGY News

OBAMA ON POT:'I don't think it is moredangerousthan alcohol'

Relay For Life of Wellington

Premier Family Health & Wellness brightens Holiday for Local Students

President Barack Obama says he views marijuana as a "badhabit" and "a vice," but no more dangerous than alcohol.

Jonathan Chung, DC

SHINSPLINTS

Arthur Hansen DPM, M.S.

Mike Corvaia.

HealthcareReform andSelectSpecialtyHospital

U.S. SmokingRates Drop toHistoric Lows

A GentleApproach toChronic Pain

Google contact lenscould be option for diabetics

Are supplementsa waste ofmoney?

Fast Food LinkedTo Obesity AndDepression

www.GlobalHealthTribune.com January 2014MEDICAL NEWS

CONTACT USP.O. Box 213424

Royal Palm Beach, FL [email protected]

Deborah LynnAssociate Editor / Account Executive

(312) [email protected]

Jessica GallonStaff Writer / Sales Executive

(561) [email protected]

GRAPHIC DESIGN / PHOTOGRAPHYSergio Aguilar (561) 797-2325

[email protected]

Global Health Tribune is a newspaper published everymonth in Palm Beach County. Copyright 2013, all rightsreserved by SEA Publications, Inc. Contents may not bereproduced without the written consent of the publisher. Thepublisher reserves the right to refuse advertising. Thepublisher does not accept responsibility for advertisementerrors beyond the cost of the advertisement itself. Allsubmitted materials are subject to editing.

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Obama on pot: 'I don't think it ismore dangerous than alcohol'President Barack Obama

says he views marijuanaas a "bad habit" and "avice," but no more

dangerous than alcohol.

“As has been well documented, Ismoked pot as a kid, and I viewit as a bad habit and a vice, notvery different from the cigarettesthat I smoked as a young personup through a big chunk of myadult life," Obama told The NewYorker's David Remnick. "Idon’t think it is more dangerousthan alcohol.”

The president acknowledgedmarijuana is less dangerous thanalcohol “in terms of its impact onthe individual consumer."

"It’s not something I encourage,"Obama continued, "and I’ve toldmy daughters I think it’s a badidea, a waste of time, not veryhealthy.”

Still, he said, "we should not belocking up kids or individualusers for long stretches of jailtime when some of the folks whoare writing those laws haveprobably done the same thing.”

On the legalization ofrecreational marijuana inColorado and Washington,Obama said, “it’s important for itto go forward because it’simportant for society not to havea situation in which a largeportion of people have at one

time or another broken the lawand only a select few getpunished.”

Obama's support of legalizationwas welcomed by pot advocates.

“The first step to improving ournation’s marijuana policy isadmitting that marijuana is lessharmful than alcohol," MasonTvert, director of the MarijuanaPolicy Project, said in astatement.

"Now that he has recognized thatlaws jailing adults for usingmarijuana are inappropriate, it istime to amend for those errorsand adopt a more fact-basedmarijuana policy. n

By Dylan Stableford

Wellington Regional CelebratesThe Life & Legacy of Dr. Martin Luther King, Jr.

Wellington Regional Medical Center hosted its secondannual Dr. Martin Luther King, Jr. Program onMonday, January 20th, 2014 at 11:30 a.m. The publicwas invited to join the hospital and its employees for a

celebration of the life, legacy and teachings of the late Dr. King.

The ceremony included opening remarks by Robbin Lee, CEO ofWellington Regional; an invocation by Ervin Owens of ChristFellowship Church; a video on the Life of Dr. King; a choir featuringWellington Regional employees; a recital of the “I Have a Dream”speech by children from the community; a keynote address by JosephPaul, CFO of Wellington Regional; and a dove and balloon releasesymbolizing the freedom for which Dr. King stood.

“This is an opportunity to celebrate the life and legacy of a greatAmerican hero and to honor the sacrifices of men and women fromgenerations before us who stood for inclusion and equality,” saidJoseph Paul. He added, “Wellington Regional Medical Center haslong recognized the need to uphold and support the diversity of ourwork force, as we are reflective of the diversity of our patients andthe surrounding communities we serve. It is our firm belief that ourdiverse campus enriches us all. The observance of Martin LutherKing Day provides us with the opportunity to recognize and tocelebrate that fact.”

Wellington Regional Medical Center will continue to host its Dr.Martin Luther King, Jr. Program every year on a date close to thenational observance of the holiday on January 20. Many programsat Wellington Regional are open to the public. To learn more aboutthis program and others of interest, please contact the hospital at(561) 798-8500.

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So, you have made thecommitment; the com-mitment to exercise andget yourself in shape.

You decide to start running. Youbought running shoes and are allset to go. Your first run goeswell. You went further than youthought - almost a full mile! Youare so proud of yourself… youcan do this! And you do it everyday for a week. But then, itstarts, a pain and soreness in yourshin. The pain is strong enoughthat you can’t keep running. Youdidn’t bump it against anything;you see no redness, no bruising,and no swelling. What is it?

Stress fractures to the tibia (legbone) can happen after you begina running program. If you runlong distances, the most commoncause of pain in the front of theleg is along and near the ‘shin-bone’ is known as shin splints.

Shin splints can be defined aspain and discomfort in the legfrom repetitive running on hardsurfaces or overuse use of themuscles that bring up the foot.

Aching, throbbing or tendernessalong the inside of the shin ordirectly on the shin are the mostcommon symptoms associatedwith shin splints. The pain is feltwhen the area along the tibia(shin) where muscles attachbecome inflamed. While moreappropriately named periostitis,we will continue with the morecommon term known as shinsplints. Another symptom is painwhen you press on the inflamedarea. Shin splint pain is mostsevere at the start of a run andwill sometimes go away during arun, once the muscles are loos-ened up. On the contrary, a stressfracture of the tibia, shinbone,will hurt all the time.

The shin splints can result fromtired or stiff calf muscles puttingtoo much stress on tendons,which become strained and torn.Overpronation of the foot aggra-vates this problem, as does run-ning on hard surfaces, and run-ning in stiff shoes.

Beginning runners are the mostsusceptible to shin splints formany reasons, but the most com-mon is that they’re using legmuscles that haven’t beenstressed in the same way before.

Another reason beginning run-ners develop shin splints isbecause of poor choices in run-ning shoes or running in some-thing other than running shoes.Those runners who have startedrunning again after long layoffsare also at a higher risk of devel-oping shin splints because theyoften run too far initially onreturn.

Rest is the best treatment, with aslow return to normal activity as

long as the pain is no longer pres-ent. Reducing the inflammationis key and can take from 2-3 daysup to 2-3 weeks. Ice to the areatwo to three times per day, acourse of anti-inflammatory med-ications, and stretching andstrengthening exercises are usefulalong with rest. Some athleteswho develop shin splints haveflat feet (excessive pronation)which exacerbate the strain onthe leg muscles. In such cases,the runner should obtain orthotic

support, in conjunction with thestrengthening and stretchingexercises.

Finally, think about your runningform. Are you leaning forwardtoo much? Are you slouching? Ifyou are doing any of these youmay be putting too much strainon your muscles.

If, after following the above rec-ommendations, the pain contin-ues, it is possible that micro-frac-tures may form in your tibia;these are stress fractures. Youwon't have a sudden break, just agradual increase in pain until itbecomes quite severe. If youhave extreme shin pain, see adoctor for an x-ray.

Shin splints are extremely com-mon among beginning runnerswhose enthusiasm for their newsport has over-stepped the limitsof their legs. Take a look at yourrunning program; you may bedoing too much too soon. n

SHIN SPLINTS

January 2014 www.GlobalHealthTribune.comHEALTHCARE NEWS

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Michael H. Patterson, FACHE,Appointed Chief Operating Officer forWellington Regional Medical Center Wellington, FL – January14, 2013 MichaelPatterson has recentlyjoined WellingtonRegional Medical Centeras Chief Operating Officer.He will be an integral partof Wellington Regional’sleadership team, leadingpatient satisfaction andquality initiatives.

With more than 20 years ofadministrative experience,Patterson brings extensivehealthcare managementand leadership skills toWellington Regional’steam. He has had anextensive career inhealthcare, most recentlyas the Director ofOperations, NorthsideHospital Cherokee inCanton, Georgia and ChiefOperating Officer at PalmsWest Hospital inLoxahatchee.

A Georgia native,Patterson earned dualMaster Degrees inBusiness and HealthcareAdministration at Georgia

State University in Atlanta.He began his career atFlorida Hospital System inOrlando. Throughout hiscareer, he has earned

numerous honors andawards, and has served onvarious community boards.He resides in Palm BeachCounty with his family. n

Brian E. Connor, MSHCA, RRT-NPS, AE-C,C-NPT, Appointed Associate Administratorfor Wellington Regional Medical Center

Wellington, FL – January14, 2013 WellingtonRegional Medical Centerhas recently appointedBrian Connor as AssociateAdministrator. He will bean integral part ofWellington Regional’sleadership team.

Connor brings more than10 years of clinical andadministrative experience,along with strategic visionand tactical execution toWellington Regional’sadministrative team. Mostrecently, he held theposition of AdministrativeDirector at Blake MedicalCenter in Bradenton,Florida. He also was theManager of The Children’sHospital in Greenville,South Carolina; prior tothat, he held clinical andadministrative roles withTenet of South Florida.Connor earned a Master ofScience degree inHealthcare Administrationand a Bachelor of Sciencedegree in Respiratory Carefrom Independence

University in Salt LakeCity, Utah. He also holdsleadership roles incommunity organizations

in Florida and Palm BeachCounty. He resides in PalmBeach County with hisfamily. n

About Wellington Regionalwellington Regional medical Center is a progressive 233 bed acute care facility and medical center that has served Palm Beach County and thesurrounding region since 1986. A thriving community hospital, wellington Regional is proud to offer the advanced technologies of a big-city hospital and thepersonalized care of a hometown provider. For more information about wellington Regional medical Center, please contact the hospital at 561.798.8500.

Brian E. ConnorBrian E. Connor

January 2014www.GlobalHealthTribune.comTECHNOLOGY

Google contact lens couldbe option for diabetics(AP) — Brian Otisgingerly holds what lookslike a typical contact lenson his index finger. Lookcloser. Sandwiched in thislens are two twinklingglitter-specks loaded withtens of thousands ofminiaturized transistors.It's ringed with a hair-thinantenna. Together theseremarkable miniatureelectronics can monitorglucose levels in tears ofdiabetics and thenwirelessly transmit them toa handheld device.

"It doesn't look like much,but it was a crazy amountof work to get everythingso very small," he saidbefore the project wasunveiled Thursday, January17th.

During years of solderinghair-thin wires tominiaturize electronics,Otis burned his fingertipsso often that he can nolonger feel the tiny chipshe made from scratch inGoogle's Silicon Valleyheadquarters, a small priceto pay for what he says isthe smallest wirelessglucose sensor ever made.

Just 35 miles away in the

beach town of Santa Cruz,high school soccer coachand university seniorMichael Vahradian, 21, hashis own set of fingertipcallouses, his frompricking himself up to 10times a day for the past 17years to draw blood for hisglucose meter. Acellphone-sized pump onhis hip that attaches to aflexible tube implanted inhis stomach shoots rapid-acting insulin into his bodyaround the clock.

"I remember at first it wasreally hard to make theneedle sticks a habitbecause it hurt so much,"he said. "And there are stilltimes I don't want to do it— it hurts and it'sinconvenient. When I'mhanging out with friends,heading down to the beachto body-surf or going tolunch, I have to holdeveryone up to take myblood sugar."

The idea that all of thatmonitoring could be goingon passively, through acontact lens, is especiallypromising for the world's382 million diabetics whoneed insulin and keep aclose watch on their bloodsugar.

View galleryThis undatedphoto released by Googleshows acontact …This undated photoreleased by Google showsa contact lens Google istesting to explore tearglucose …The prototype, whichGoogle says will take atleast five years to reachconsumers, is one ofseveral medical devicesbeing designed bycompanies to makeglucose monitoring fordiabetic patients moreconvenient and lessinvasive than traditionalfinger pricks. n

Drinking linked to faster mental decline in men

(AP) — Middle-aged menrisk a faster mental declineas they age if they've beendrinking heavily for years,new research suggests.

The study of about 5,000British civil servants foundthat over a decade, theadded decline was theequivalent of about twoextra years of aging for acombined measure ofmental abilities likereasoning, and about sixyears for memory. Theheavy drinkers' abilitieswere compared to those ofmen who drank moderatelyor abstained.

It's no surprise that heavyalcohol consumption canaffect the brain, but thestudy focuses on an agerange that has receivedmuch less attention fromalcohol researchers thanthe elderly and collegestudents.

The work was publishedonline by the journalNeurology. Researchersfound no such effect inwomen, but the studyincluded too few femaleheavy drinkers to test theeffect of drinking the sameamount as in men, saidSeverine Sabia, a studyauthor from UniversityCollege London. In anemail, she said it was notpossible to identify aspecific minimum level ofconsumption at which therisk begins in men.

Her study used data fromover 20 years. Usingquestionnaires, researcherscalculated the men's averagedaily intake of alcohol forthe decade up to when theywere an average of 56 yearsold. Then, they trackeddecline in mental abilitiesover the following decadefrom tests administeredevery five years.

Accelerated decline wasseen for the heaviest-drinking group, whichincluded 469 men with awide range of alcoholintake. The minimumamount was the equivalentof about 13 ounces of winea day or about 30 ouncesof beer. The maximum wasabout three times that.Men drinking thatminimum amount are notnecessarily at risk foraccelerated mental decline,since the results pertain tothe category overall, saidSara Jo Nixon, a substanceabuse researcher at theUniversity of Florida inGainesville, who did notparticipate in the work.

She also said that the studyshows a link betweendrinking and faster mentaldecline but not proof thatalcohol intake wasresponsible. And she saidthat because of thesensitive mental tests usedin the study, the extradeclines in performancemay be too subtle to makea difference in daily life.Sabia said she believed thedifference wouldeventually be noticeable.Still, Nixon said, the study"does suggest that middle-aged to young-oldindividuals do need to payattention to what theirdrinking habits have been,and are." n

January 2014 www.GlobalHealthTribune.comAROUND TOWN

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January 2014www.GlobalHealthTribune.comAROUND TOWN

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January 2014www.GlobalHealthTribune.comONCOLOGY NEWS

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Graduation Time for the Cancer-Related Fatigue ProgramBy Deborah Lynn

What a marveloustime of year to notonly celebrate theholidays with

family and friends, but to alsocelebrate a new way of life.

For anyone whose life has beenchanged due to cancer, you knowfirst-hand that it not only takes atoll on your mind and body, butthat optimism that once existedhas taken such a beating that ittruly is an uphill battle.

The Cancer-Related FatigueProgram was designed for justthat – boosting your spiritthrough support, motivation,exercise, and learning a healthierway of life. Studies have proventhat there are numerous benefitsto exercising while undergoingyour cancer treatment and thisprogram offers that and so muchmore.

Stephen Sylvester is the directorof the program and along with anincredible team of student-volunteers, Dr. Carisa Pearce ofthe Palm Beach Cancer Institute,and Judy Armstrong from theSouth Florida RadiationOncology Survivorship Clinic –

this program is a completesuccess. It, quite frankly, was alife-altering experience for allthose that participated and onethey surely will never forget.

When you look into the eyes ofeach survivor and student, youimmediately realize that theywere all brought together for areason. Although the students donot receive any type of credit,they still line up to join thisprogram and in doing so, theyhave given from the mostbeautiful place of all – their heart.

As the graduation celebrationwas coming to a close, each

student and survivor offered theirinsight as to what the programmeant to them. As I listened,one thing became abundantlyclear - this program was a gift toeveryone that participated. Notonly did everyone feel loved andaccepted, but one sentiment froma student truly summed it all up,“You changed my life.” n

If you would like informationabout the Cancer-RelatedFatigue Program, pleasecontact Stephen Sylvester [email protected] orJudy Armstrong at the SFROSurvivorship Clinic at 561-775-7748.

Cervical Cancer Screening Found toBenefit Older Women in New Study

The results showed that womenwho did not undergo cervicalcancer screening after age 50were six times more likely to bediagnosed with cervical cancerthan those who had regularscreenings between ages 50 to 64and had no abnormalities.

There were 49 cancers in the firstgroup versus eight cancers in thesecond group per 10,000 womenover 20 years, found the study inthe journal PLoS Medicine.

The rate of cervical cancer was86 per 10,000 over 20 yearsamong women who werescreened regularly between ages50 to 64 and found to haveabnormalities, according to ajournal new release. n

Cervical cancerscreening beyond age50 saves lives and

remains beneficial to womenup to age 69, a new Britishstudy suggests.

Both the U.S. Centers forDisease Control andPrevention and the U.S.Preventive Services TaskForce recommend that cervicalcancer screening end at age 65.In this new study, researchersexamined data from all 1,341women aged 65 to 83 inEngland and Wales who werediagnosed with cervical cancerbetween 2007 and 2012, andcompared them to women inthe same age group who didnot have cervical cancer.

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January 2014 www.GlobalHealthTribune.comHEALTHCARE NEWS

Dear Deborah is a monthly advice column written by Deborah Lynn with a common senseapproach to dating. If you have any questions or comments, please forward them to:

[email protected] as we would love to help.

that he has claimed. I really need to endthis relationship and move on, butalways seem to go back. How can Ibreak this cycle?- How do I move on?

Dear How do I move on: It appears more of an addiction to thisindividual than a relationship. The moreyou find, the more you look for moreand yet, you do nothing. The problem isnot with him as he is who he is, theproblem is with you. You obviouslyhave had all the evidence that you wouldneed to end the relationship, but youcontinue. With everything that youfound and the behavior that he exhibits -the disrespectful behavior, his sontreating you as an employee, hisdishonesty, and his womanizing – youare still there! If experiencing a few years of thesehurtful and demeaning experiences hasnot given you a reason to leave, youprobably won’t unless you feel thestrength within to do so. If I readbetween the lines a bit more, he alsoexhibits traits of an abuser. If youcannot break this cycle yourself, Isuggest that you visit a therapist.Bottom line, this is a toxic relationshipthat you need to get out of… NOW.

DEAR DEBORAH:What would you do if a guy you havebeen communicating with sends you atext message with not only your name inthe body of the text, but anotherwoman’s name as well?- That is NOT my middle name!

Dear That is NOT my middle name: Not to make an excuse for him, but I callmy children other names at times. Sinceyou are communicating with him andyou did not mention that you’ve alreadymet, I would ask him about it and seehow he responds. Since you are not in arelationship, he has every right to seeother people; however he should bemore cognizant of what or to whom he istexting. Give him the benefit of thedoubt this once and if it happens again, Iwould probably address it and move on.

Dear Deborah

DEAR DEBORAH:I have been in a relationship with a manfor over two years now. I’ve discoveredthat he is not who he claims to be. Hehas several businesses, however he is apoor businessman and they seem to failquickly. He claims to own properties,but I have found that he rents them. Heis also not the nicest man and treats mepoorly at times, degrades me, andborrows money from me. This“millionaire” has me pay for things andreimburses me at a later time, although Ihave to fight to get my money back. Onecheck he wrote me even bounced!

He also shares custody of his nine-year-old son. This child is whiny and cannotdo anything on his own. He also insistson sleeping with his father. If I evenapproach the situation with his father, healways sides with his son. He even toldhis son that I work for them!

I have also found some incriminatingevidence on his phone and through alittle searching that he has many“girlfriends” in several states. Yes, I am asnoop. I listen to his voicemail messagesand have found that if I do not attend hisevents in other states, he has one of themmeet him there. This has been confirmedby messages that these other women lefton his phone. There are actually three ofthem that he continues to communicatewith and obviously date. I have tried toend our relationship in the past when Ifound something, but he always comesback and tells me that it will be different.He does not know that I am aware of theother women or that he is not the success

Are supplements a waste of money?By Anita Marlay

Looking for a way to save money?Maybe it’s time to stop spendingmoney on vitamin, mineral andherbal supplements. About 53

percent of American adults take somekind of supplement on a regular basis.This is an increase from 30 percent 20years ago. Americans currently spend $30billion a year on supplements.

Three new studies published in the Annalsof Internal Medicine have failed to proveany benefit associated with takingsupplements. They studied the effect ofsupplements on mortality, cardiovasculardisease, cancer and cognitive decline, andfound no difference in the groups whotook the vitamin supplements and thosethat did not. The conclusion was that thegeneral population who have no clearevidence of a deficiency do not benefitfrom vitamin supplementation.

Our bodies can use only so much vitaminsand minerals. Once we’ve reached thelimit, excess water-soluble vitamins are

simply excreted in our urine. Excess fat-soluble vitamins get stored in our fat, andcan become harmful to us. Too much beta-carotene has been linked to an increasedrisk of lung cancer in smokers. Too muchvitamin E increases the risk of prostatecancer. Too much vitamin A can increasethe risk of osteoporosis and hip fracture.

Vitamin supplements do not make up for a

bad diet. They are not a substitute forfood. Supplements simply cannot replicateall the nutrients and benefits that we getfrom food. Take an orange, for example.Not only are you getting vitamin C, butalso beta-carotene, calcium, fiber,phytochemicals and antioxidants. A pilljust can’t compete with that, no matterhow much you pay for it.

People sometimes turn to herbalsupplements as a means to avoid takingprescription drugs or to improve theirhealth. Half of all Americans take herbalsupplements, and it has become a $5billion a year industry.

Most people believe that herbalsupplements are safe to use because theyare advertised as “natural” or “organic”and are legally sold and readily available.There are an estimated 50,000 adverseeffects reported annually associated with

the use of herbal supplements. Herbalsupplements may contain unlabeled toxicor allergenic ingredients as part of theirfillers. They may interact withprescription drugs you take.

Did you know that herbal supplementmanufacturers are not regulated by anygovernment agency? These supplementsare not FDA approved and are notrequired to go through any testing forquality, truthfulness or accuracy inlabeling. You can’t even be sure you aregetting the dosage that the label says.

There are a few exceptions withsupplement recommendations, namelyfolic acid for women of childbearing age.Calcium, vitamin D and B12 supplementscommonly are recommended because itcan be difficult to get adequate amounts ofthese solely from your diet.

Food is always the best source to meet allof our nutritional needs. Eating a balanceddiet and including a variety of foods isideal. Adding specific foods with hightargeted nutrients can help if you thinkyou may be lacking in certain vitamins.For example, spinach is rich in iron,potassium, vitamins A, C, E and K andmagnesium. Sweet potatoes are anexcellent source of vitamins A, B6, and C,fiber, potassium, and carotene. Salmonand tuna are rich in omega 3 fatty acids.Avocados are very rich in B vitamins,vitamins E and K, as well as healthymonounsaturated fats. Many commonfoods, like cereals, beverages and granolabars are now fortified with vitamins andminerals. n

January 2014www.GlobalHealthTribune.com

Upcoming Medical and Fundraising Events: January 15 – February 15, 2014January 16Cystic FibrosisFoundation “65 RosesReception” will be heldat The Breakers in Palm Beach. The eventbegins at 6:30pm and all ages arewelcome. For additional information,contact Chanda Fuller at 561-683-9965 [email protected].

January 18 Leukemia &LymphomaSociety “Palm Beach Gala” will be held atMar-a-Lago Club in Palm Beach. Theevent begins at 6:30pm and all ages arewelcome. For additional information,contact Nancy Klein at 561-616-8682 [email protected].

January 23Johns HopkinsMedicine Women’sHealth Conference,“A Woman’sJourney” will be held at the Palm BeachCounty Convention Center in West PalmBeach. The event begins at 9:00am. Foradditional information, visit their websiteat www.hopkinsmedicine.org/awomansjourney/palm_beach/.

January 24Carol and HanleyTreatmentCenters Gala willbe held at The Breakers in Palm Beach.Cost for the event is $300.00/Junior,$500.00/Preferred, and $1,000.00 for VIP.For additional information, visit theirwebsite atwww.hanleycenterfoundation.org/gala.

January 25Susan G.Komen Racefor the Cure.CentennialPark indowntownWest PalmBeach. For additional information, visittheir website atwww.komensouthflorida.org.

January 26HolyGroundShelter fortheHomeless“ShowerforShelter”luncheon will be held at the Kravis Centerin West Palm Beach. Tickets are $75.00.Proceeds benefit homeless, pregnant, andparenting teens. For additionalinformation, call 561-355-5040 or visit,www.holygroundpbc.org.

BridesAgainstBreastCancerCharityWeddingGown Sale and Bridal Show will be heldat the Marriott, West Palm Beach. TheVIP Unveiling of the Gowns Reception isheld from 11:00am – 2:00pm. The cost is$45.00 for one bride and a guest withadditional guests costing $30.00. Generaladmission begins at 2:00pm for $7.00.For information, visit their website atwww.bridesagainstbreastcancer.org.

Palm BeachGastroenterologyConsultants, LLC

Call Us Today If You Suffer From Any Of The Following:

At Palm Beach Surgery Center we provide a safe and friendly environment, with a highly qualified and dedicated staff. A variety of procedures such as colonoscopy, endoscopy, gastroplications, ERCP, Liver Biopsy, 24 PH Monitoring/BRAVO can be done at our facility thus avoiding the need for hospitalization.

www.wellingtongastroenterology.com

WELLINGTON1157 South State Road 7Wellington, Florida 33414

561.795.3330

BELLE GLADE1200 South Main Street #102Belle Glade, Florida 33430

561.996.5600

Krishna Tripuraneni M.D., M.B.A.

Digestive Diseases StatsDysphagiaGallstonesGastroesophagealJaundiceLactose IntoleranceLiver DiseaseNervous Stomach

Abdominal PainBleedingChest PainCirrhosis of the LiverColitisConstipationDiarrhea

PancreatisStomach and Duodenal UlcerUlcerative ColitisReflux DiseaseHemochromatosisHemorrhoidsHepatitis

Two Convenient Locations:

Also offeringVenra Clinical Studies, LLCIRRITABLE BOWEL SYNDROME?

Venra Clinical Studies, LLC561-795-3330 ex. 249

[email protected]

We are conducting a clinical researchstudy of an investigational medicine.If you meet the following criteria, youmay be interested in participating in this clinical trial.• Age 18 – 79 inclusive• At least 28 stools over a 7-day period• Moderate to severe Pain in your abdomen associated with:

• relief by defecation,• change in frequency of bowel movements, or• change in appearance of stool.

Participants receive study related care, diagnostic tests, and study medication at no cost. Payment for time and travel to the study centermay be provided

For more information about the research study, please contact:

January 27H.O.W.,HearingtheOvarianCancerWhisper,“Time is of the Essence” Luncheon. Thisevent begins at 11:30am at the FlaglerMuseum Pavilion and all ages arewelcome. Cost is $325.00 per ticket or$150.00 for young guests (under 40). Foradditional information, call 561-837-2285or visit www.ovariancancerpbc.org.

February 1American CancerSociety “MainEvent” will beheld at Mar-a-Lago Club inPalm Beach. Theevent begins at 6:30pm. Call MichelleJaminet at 561-655-3449 for information.

February 2ScrippsResearchInstitute “3rdAnnual ScrippsKids Fun Splashand Dash” willbe held at PGANational Resort and Spa in Palm BeachGardens. The event begins at 9:30am andthe cost is $35.00 per participant, whichincludes a t-shirt and gift. Registrationcloses on January 23. For information,visitwww.facebook.com/ScrippsKidsFunSplashDash.

February 7American Red Cross 57thAnnual International Ballwill be held at The Breakersin Palm Beach. The eventbegins at 7:30pm. Foradditional information, contact JenniferDurrant at 561-650-9105 [email protected].

February 8Cleveland ClinicFlorida Ball,“Somewhere Over the Rainbow” will beheld at Mar-a-Lago in Palm Beach. Theevent begins at 7:30pm and the cost is$500.00/Junior and $1,250.00 for aFearless Lion Patron and it goes up fromthere. Tickets include entry for otherevents as well. Contact the PhilanthropyInstitute at [email protected].

“For the Love of Children”5K Run/Walk and Fun Runfor Kids benefittingChildren’s Home Society ofFlorida. The event will be held at CarlinPark in Jupiter. Registration begins at6:30am. For additional information, visittheir website at www.chs5k.org.

February 14American HeartAssociation 59thAnnual Palm BeachHeart Ball will be held at The Breakers inPalm Beach. The event begins at 7:00pm.For additional information, call 561-697-6607 or [email protected].

January 2014 www.GlobalHealthTribune.comPRACTICE TRENDS

PALM BEACH PRIMARY CARE ASSOCIATES, INC.

3347 State Road 7 Suite 200

Wellington, FL 33449Tel: (561) 795-9087 • Fax: (561) 753-8730

1200 South Main Street Suite 101

Belle Glade FL 33430Tel: (561) 996-7742 • Fax: (561) 753-8730

ACCEPTING NEW PATIENTS

MEDICARE, MEDICAID, BLUE CROSS BLUE SHIELD, UNITED HEALTH CARE, AETNA, CIGNA, CARE PLUS, HEALTH CARE DISTRICT AND MOST MAJOR INSURANCES ACCEPTED

• Diagnosis of Complex Illnesses• Cholesterol Management • Diabetes • Cardiac Care • EKG/24-Hour HeartMonitoring/Spirometry • Hypertension • Geriatric Concerns • Osteoporosis

Monday - Friday from 9:00 am - 5:00 pmSame Day Appointments and 24-Hour Service Available

On staff at Palms West Hospital andWellington Regional Medical Center

Forest Hill Blvd.

Lake Worth Rd.

Palomino Park Stat

e Ro

ad 7

(441

)

Flor

ida’s

Turn

pke

Southern Blvd.

The Mall at Wellington

Green

PALM BEACH PRIMARY CARE

ASSOCIATES

N

Shekhar Sharma M.D.Ebonee Johnson A.R.N.P.

Shekhar V. Sharma, M.D.Board Certified in Internal Medicine

Do You Experience Pyrosis or Heartburn?

One of the mostcommonly askedquestions in mypractice deals with

pyrosis, also known as heartburn.It consists of sensations offullness burning or warmth.

This sensation is located behindthe sternum in the mid-region ofthe chest, or upper abdomen.Common causes includegastroesophageal reflux diseasewhich is often seen in hiatalhernia. In this case, heartburn iscaused by the reflux of stomachacid into the esophagus whichleads to irritation of the lining ofthe esophagus.

Ingestion of certain foods anddrugs as aspirin, antiarthriticmedications, or alcohol may beresponsible.

Infrequently, it may be the resultof aerophagia, the swallowing ofair in excess, which can beattributed to psychologicalfactors. Heartburn may move upand down the chest like a waveor may also radiate when severeto the sides of the chest, neck andangles of the jaw.

What many people fail torecognize is that heartburn maybe an indication of somethingmore serious such as angina,

which is impaired blood supplyto the heart muscle. If leftundiagnosed or untreated, thismay lead to heart attack.

The layman might believe theappropriate treatment forheartburn to be over the counterantacids. However, though thismay correct the problem in somecases, those who have riskfactors for heart disease shouldimmediately consult theirphysician for proper diagnosis. n

When you hear or seeads for fast foodrestaurants that boast

"Good Mood Food" or "HappyMeals", proceed with caution.Studies have linked fast food toweight gain and obesity and evendepression! Research publishedin the Public Health NutritionJournal reports that out of 8,500subjects, those who ate the mostfast food, were 51% more likelyto develop depression comparedto those who rarely at fast food.

The study also indicated themore fast food that wasconsumed, the higher the risk.Furthermore, junk foods likedoughnuts and cakes were alsolinked to the condition.

How does the food you eat affectyour mood? The sugar, salt andfat combinations of fast foodsends a message to our brainsthat these foods are rewarding,therefore safe. This message canbe dangerous and lead to avicious cycle of frequently eatingor overeating these low nutrient,high fat foods. Over time thisleads to weight gain andincreases your risk of chronicdiseases like depression and highblood pressure. Experiment with cutting back oreliminating fast food from yourdiet. Notice the positive changesin your weight, your waistline,and your mood. A better diet canhelp your physical and mentalhealth! n

State of the Art Office Building with Imaging Center

Fast Food Linked ToObesity And Depression

January 2014www.GlobalHealthTribune.comHEALTHCARE NEWS

Healthcare Reform and Select Specialty HospitalBy Mike Corvaia

By this time everyone knowshealthcare is changing,whether you were an

advocate for change or not, it'shappening. How does this affectyou and your loved ones? Whatwill this mean if you're a healthcareprovider? For the purpose of thisshort article, we will only highlighta few of the new changes and howSelect Specialty Hospital might beable to assist you as a patient and ifyou're a healthcare provider, as ourhealthcare laws evolve. Thefollowing excerpt is fromHealthcare.gov:

As of October 2012, Medicare willreward hospitals that provide highquality care for their patientsthrough the new Hospital Value-Based Purchasing Program. Thisprogram marks the beginning of anhistoric change in how Medicarepays health care providers andfacilities—for the first time,hospitals across the country will bepaid for inpatient acute careservices based on care quality, notjust the quantity of the services theyprovide.

Hospital payments account for thelargest share of Medicare spending,and Medicare is the largest singlepayer for hospital services. In2009, more than 7 million Medicarebeneficiaries experienced morethan 12.4 million inpatienthospitalizations. One in sevenMedicare patients will experiencesome “adverse” event such as a

preventable illness or injury whilein the hospital. One in threeMedicare beneficiaries who leavethe hospital today will be back inthe hospital within a month. Everyyear, as many as 98,000 Americansdie from errors in hospital care. Inaddition to adding to the sufferingof patients and their caregivers,these errors lead to significantunnecessary health care spending.Medicare spent an estimated $4.4billion in 2009 to care for patientswho had been harmed in thehospital, and readmissions costMedicare another $26 billion.

Select Specialty Hospital of PalmBeach boasts some of the mostimpressive patient outcomes andstatistics in Palm Beach County. In2011 and 2012, our Central LineBlood Associated Infection Rate,Catheter Associated Urinary TractInfection rate and Vent AssociatedPneumonias (VAP) were all wellunder the national average. We areable to render these impressiveresults through active surveillance,hard wired processes for devicemaintenance, VAP bundles, as wellas central line and Foley catheterprotocols. Most facilities cannotcompete with our positiveoutcomes. Physicians benefit fromsending their patients to Selectbecause of our strong outcomes.Patients, as well as familymembers, consistently haveexceptional experiences with ourhospital. As our healthcare systemevolves, Select Specialty Hospitalmanages to stay ahead ofexpectations by providing the best

care to the patients that are admittedto us.

We have physicians in our hospital24/7 and not just one specialty.Select Specialty has everysubspecialty on staff as well, suchas pulmonary, critical care, traumasurgeons, neurology, ear nose andthroat (ENT), nephrology,psychiatry, pain management,infectious disease, thoracic andcardiovascular surgery, cardiology,gastroenterology, and nephrology toname a few. We have respiratorytherapists on staff 24/7, a full lineof rehab services includingphysical, occupational, and speechtherapy, bedside dialysis, aradiology department including CTscanning, a full service pharmacy,an intensive care unit, a state of theart operating room where weperform tracheostomy placement,skin grafts, wound debridements,and GI procedures, in addition to anumber of other advanced surgicalprocedures. We are a desireddestination for many complexpatients because we are a 60-bedhospital that is able to provide thehighest levels of acute care in avery comforting intimateenvironment. Our patients do notget lost and neither do theirconcerns, especially if they are inneed of additional rehab or othertherapies. The patient comes first atSelect and the best healthcareproviders in Palm Beach Countyknow that Select has the positiveoutcomes to back up our reputation.

My advice to friends, family and

potential patients is to do yourhomework and ask your physician,case manager, caregiver, nurse, andneighbor about their experience orknowledge about a particularfacility your loved one may beadmitted to for care. SelectSpecialty Hospital of Palm Beachhas been labeled the best kept secretin Palm Beach by many healthcareprofessionals and previous/existingpatients for a reason. We providethe best care and deliver the bestoutcomes on patients withoutmisleading family members orother healthcare professionals. Inessence, we are a proven andtrusted healthcare provider in PalmBeach and that's one of the reasonssome of the most respectedphysicians in the county utilize andtrust Select Specialty Hospital.

Choosing the right hospital isperhaps the most crucial decisionyou can make in advancing orcontinuing the health care for youor a loved one. Make the decisionfor yourself, avoid here say frompushy marketing reps, many timesthey have ulterior motives. My ruleof thumb is if someone hassomething negative to say aboutanother facility, I immediatelyquestion their integrity andintentions. I urge you to visit yourhealthcare options personally, speakto the physicians that are providingcare for you or your loved ones, askto speak to the CEO or otherDirector from that hospital andmake the best decision possiblewith as much information you cangather from respected healthcare

professionals. Remember, it's yourchoice as a patient to select yourhealthcare provider.

We look forward to you visiting ourhospital and seeing for yourselfwhat many people consider thefinest institution in Palm Beach. n

Select Specialty Hospital of PalmBeach is located at 3060Melaleuca Lane, Lake Worth,Florida 33461. Our main numberis 561-357-7200 and can be called24 hours a day, answered by alive person.

Mike Corvaia has been inhealthcare administration forover ten years and is currentlythe Director of BusinessDevelopment for selectspecialty hospital in PalmBeach. he holds a Bachelor’sdegree from the University ofFlorida and is completing hismaster’s Degree this year inBusiness Administration, withan emphasis on healthcareAdministration.

Please feel free to send anyhealthcare related questions [email protected]

January 2014 www.GlobalHealthTribune.comAROUND WORLD

Premier Family Health & Wellness brightens Holiday for Local Students

Physicians and staff atPremier Family Health& Wellness, aninnovative Family

Medicine practice located onState Road 7 in Wellington,know the joy of giving. For thethird consecutive year, providers,staff and patients helped raisefunds to brighten the holidays forstudents of the Indian RidgeSchool in West Palm Beach.

The Indian Ridge School, theonly therapeutic school in PalmBeach County, offers academicprogramming for studentselementary through high schoolwho have been identified withemotional/behavioral problems.In addition to academics,educators at Indian Ridgepromote development of socialskills to help students progress topost-secondary education,productive citizenship,employment and independentliving.

On December 19, followingseveral weeks of fundraisingactivities at Premier FamilyHealth, staff members visited theIndian Ridge School topersonally present the gifts—toys, gift cards, and t-shirts—toall 115 students.

In his holiday greeting to thestudents, Dr. Apicella, physicianand CEO of Premier Family

Health stated, “You can doanything you set your mind to;there are no limits. If you displayhard work, dedication, andgratitude, great things will comeyour way.” Stacey Oak, CommunityResource professional at IndianRidge said, “Our students are sofortunate to have the support ofPremier Family Health &Wellness to brighten theirholidays. This not only broughtsmiles to their faces, but helps toteach them the importance ofgiving and caring for others.”From primary care to chronicdisease management, PremierFamily Health provides a fullcontinuum of care offering theconvenience of an urgent carecenter, primary care practice,Regenaissance Wellness Centerand an on-site diagnostic testingcenter and lab, all integratedthrough an electronic medicalrecords system. Patients receivethe highest standard of care fromprofessionals who remain at theforefront of the latest researchfindings on health, wellness andaging. For more information,please call 561-798-3030. n

Americans Eating Better, Cutting Calories: USDAAmerican adults are eatinghealthier diets, makingbetter use of nutrition

information on food labels,consuming more fiber and lesscholesterol, and getting fewercalories from total fat andsaturated fat, a federalgovernment report says. "We have made significantprogress, but our work is notdone," Agriculture SecretaryTom Vilsack said in a U.S.Department of Agriculture newsrelease.

For the report, researchersanalyzed data gathered from

adults who took part in the U.S.National Health and NutritionExamination Survey between2005 and 2010, and found thatoverall daily calorie intake fellby 78 calories per day duringthat time.

Decreases were also seen incalories from total fat (about 3percent) and saturated fat (justunder 6 percent) and cholesterolintake (nearly 8 percent). Overallfiber intake rose by 1.2 grams(7.5 percent) a day, according tothe report released Jan. 16 by theUSDA's Economic ResearchService.

Eating out less accounted for 20percent of the improvement inthe quality of adults' diets.Calories from foods consumedaway from home (such as inrestaurants and fast-food outlets)fell by 127 calories per day. The

average adult ate three fewermeals and 1.5 fewer snacks permonth away from home, thestudy found.

The report also found that peopleare more likely to want and touse nutrition information abouttheir food. When making foodchoices, 42 percent of working-age adults and 57 percent ofolder adults said they used theNutrition Facts panel on foodlabels most or all of the time.And 76 percent of working-ageadults said they would usenutrition information inrestaurants if it was available.

The researchers also uncoveredchanging attitudes about foodand nutrition.

The proportion of working-ageadults who believe they have theability to change their bodyweight rose 3 percent from 2007to 2010.

The report's findings show thepositive effects of efforts since2009 to improve Americans'food choices and diet quality,and their access to science-basednutrition education and advice,according to federal governmentofficials. n

January 2014www.GlobalHealthTribune.com

Dr. Jonathan Chung is a Doctor of

Chiropractic who focuses on

Structural Correction and is

primarily concerned with Structural

Shifts of the spine. He graduated

from the University of Central

Florida with a B.S. in Microbiology

and Molecular Biology. Dr. Chung

then went on and received his

doctorate from Life University's

College of Chiropractic. Dr. Chung

is certified in pediatrics from the

International Chiropractic Pediatric

Association, and is a Structural

Chiropractic Researcher who has

been published in scientific peer-

reviewed journals.

HEALTHCARE NEWS

I know that these peopleexperience quite a toll bothphysically and emotionally.

Perhaps the worst part aboutfibromyalgia is that there is noknown cause or cure. It’sbasically invisible to any bloodtests or MRI studies, and most ofthe drugs available are for paincontrol. People withfibromyalgia may often bedepressed, have anxiety, andhave a sense of isolation becausethey don’t feel that their friendsand family understand theirstruggle. This often compoundedby the fact that their doctors havetold them that the pain ispsychosomatic, or just in theirminds because no tests canreveal an underlying diseaseprocess.

In recent years, fibromyalgia hasbecome one of the mostpublished topics in medicaljournals. As a result, we arestarting to develop anunderstanding of the disease on adeeper level to know that it’scertainly NOT just in thepatient’s mind. Research ispointing to problems within thecentral nervous system and tinyblood vessels in the skin as likelycauses of the deep body-widepain. But what does this mean interms of treatment?

For most people, drugs thattarget the nervous system likeLyrica or Gabapentin are the firstline of treatment and many havehad success. However, somepatients can be sensitive to drugreactions, or their bodies maydevelop a high tolerance for thedosages. In cases like these,many patients start to seek outalternative therapies likeacupuncture, reiki, andhomeopathy.

Traditional chiropractic has alsobeen a source of relief for manypeople seeking help with chronicpain. However, many peoplewith the chronic pain offibromyalgia can feelapprehensive about seeing aDoctor of Chiropractic becausemanipulations can seem toorough for someone who canbarely stand to be touched.

Not All Adjustments areBuilt the SameIn chiropractic, there are dozensof techniques and approaches tocorrecting the spine. Some areheavy handed and require a lot offorce, but others are very gentleand rely more on precision. It’snot to say that one is better thanthe other, but some are justdesigned for specific patientpopulations in mind.

In my office, I attract manypatients with fibromyalgia,

trigeminal neuralgia, and TMJproblems that are Secondary to aStructrual problem in the neckcalled Atlas DisplacementComplex. Most of these peopleare afraid to be touched, andgravitate to a lighter approach.This type of condition requires aprecision type of adjustmentcalled a NUCCA Correction.This type of adjustment is so

light, that most people oftenwonder if I even touched them,and then they start to feel theirbody change. Currently, onlyabout 300 doctors in the countryare trained in this type of care.

This approach is effectivebecause of the spine’s influenceon the central nervous system.When the top of the neck shiftsabnormally and movesimproperly, the nerves firing intothe brainstem become distorted.In this way, the brain is like acomputer that relies on spinal

positioning to operate normally.When there are garbage signalsgoing into the brain, thengarbage signals come out in theform of pain. This phenomenonin fibromyalgia patients creates acondition called centralsensitization. This is the reasonwhy people with fibromyalgiacan feel excruciating pain from alight touch. It’s not that there’s aphysical injury, but the nervoussystem is getting scrambledsignals and is primed toexperience pain.

While most people don’texperience a full cure, I find thatpeople can return to a levelwhere life is livable again. Bybreaking the pain cycle throughthe nervous system, you canimpact the way stress affects thebody and the immune system. Byno means is this a cure all, but itcan be a great catalyst to beingsteered back on the path towardsa normal life. I’ve seennumerous patients who’ve beenable to go from disability toworking or resuming exerciseagain in a matter of months.

One of the greatest joys of doingthis type of work is givingpeople a glimmer of hope. Somany people are convinced thatthey have to live in pain, or havebeen told that the problemthey’re having is all in theirhead. In my office, I’ve helpedhundreds of people recover fromchronic pain with this gentleprocedure. However, it’s not foreveryone. Only people with aproblem in their Atlas canreceive this type of care, andthat requires a detailedStructural ChiropracticExamination to identify theproblem. Sometimes a little bitof hope is all a person needs tostart healing again. n

Breaking the Chronic PainCycle of Fibromyalgia

Chronic pain takes manyshapes and forms, butwe know that it has ahuge social and

economic burden. The Instituteof Medicine reports that roughly116 million, or 30% of thepopulation suffer from painlasting a year or longer. Althoughchronic pain isn’t a lifethreatening issue, it’s certainly aproblem that has a dramaticeffect on the quality ofsomeone’s life. After taking careof hundreds of people withconditions like fibromyalgia,

A Gentle Approach to Chronic Pain

U.S. Smoking Rates Drop to Historic LowsLess than 20 percent of

Americans still smokecigarettes -- a

breakthrough called a"milestone" by federal healthofficials.

Following years of smoking ratesthat had hovered around 20percent, that number finallydropped to 18.1 percent in 2012,statistics from the U.S. Centersfor Disease Control andPrevention show.

"This is a milestone. We haveseen a steady decline in recentyears, and so the stall is nolonger occurring," said report co-author Brian King, anepidemiologist in the CDC'sOffice on Smoking and Health."But the progress is still not asstrong as we would hope."

King said several developmentson the "national level helped togalvanize tobacco efforts, andhelp reduce smoking rates."

"In 2009, the Family SmokingPrevention and Tobacco Control

Act was implemented, whichgave the FDA [U.S. Food andDrug Administration] theauthority to regulate tobacco," hesaid. "Also, in 2009 the federaltax rate for cigarettes increasedfrom 39 cents a pack to $1.01 apack. We know that increasingtobacco prices is the single mosteffective way to reducesmoking."

Another factor might have beenthe "Tips from Former Smokers"advertising campaign, which theCDC launched in 2012, King

said. In the ads, a dozen or so ex-smokers offered harrowingpersonal tales on the devastatinghealth consequences that cancome from years of tobacco use.

One of the most striking adsfeatured a 53-year-old NorthCarolina woman named TerrieHall, who was diagnosed withoral and throat cancer and had tohave her voice box removed.

In her first ad, Hall was shownputting on a wig, inserting falseteeth and using a scarf to hide a

hole in her throat. It was thecampaign's most widely viewedad, and received more than 2.8million views on YouTube.

Hall died in September.

Despite the encoura ging news onsmoking rates, King stressed thatanti-smoking efforts can't stop."There are still disparities insmoking rates acrosspopulations, and there are still42.1 million American adultswho still smoke. We needenhancement of provenstrategies, such as increasedtobacco pricing, smoke-freelaws, hard-hitting mass media inconcert with cessation resourcesto effectively end the tobaccoepidemic," he added.

In addition to a drop in thenumber of adult smokers, thenumber of cigarettes people aresmoking also dropped, Kingsaid. "Among people who smokethe most, those who smoke 30 ormore cigarettes a day, there wasa decline from 12.6 percent to 7percent," he said.

And among people who smokeevery day, the average number ofcigarettes they smoked droppedfrom 16.7 in 2005 to 14.6 in2012. The findings werepublished in the Jan. 17 issue ofthe CDC's Morbidity andMortality Weekly Report.

King noted that smoking ratesremain highest among those withthe least education (41.9 percent)and those below the povertylevel (27.9 percent). The bestway to target those groups is toraise the cost of cigarettes, hesaid.

King is worried that somesmokers are switching fromcigarettes to other tobaccoproducts, like little cigars.

"This is an emerging issue as theintroduction of novel productshas started to proliferate. It isconcerning because, although weare seeing declines among certaingroups, particularly young adults18 to 24, the prevalence of theseother products is increasing," hesaid. n

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WHEN THE SPINE SHIFTS• Arm Pain

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Where a Consultation is a Conversation, not a Commitment

global health tribune - january 2014 issue

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