Seasons Winter 2013 - Cookeville Regional Medical Center

A magazine for senior adults distributed by Cookeville Regional Medical Center
The Diabetes Center
Volume 6, Issue 4: Winter 2013
Reducing Salt in
Your Holiday Ham
Abdominal Fat
Death Risk for Women
Aspirin + Ibuprofen
Use Caution
Cookeville
REGIONAL
New ICU Visitation Policy
TA B L E O F C O N T E N T S
Calendar of events
Cookeville Regional welcomes you to these fun and educational health screenings and events that
give you an opportunity to ask questions about health issues. All events are held in the Education
Center unless otherwise indicated.
LOOK GOOD FEEL BETTER
What: A program sponsored by the American Cancer Society and other agencies that
focuses on appearance-related changes due
to cancer treatment
When: Wednesday, February 26, at 1 p.m.
Where: The CRMC Cancer Center
For more information: American Cancer
Society, (800) 227-2345
CIRCLE OF HOPE
What: A support group for patients who
are diagnosed with any type of cancer, and
their families
When: The first Wednesday of each month
at 10 a.m.
Where: The CRMC Cancer Center
For more information or to sign up:
(931) 783-2026
FREE MAMMOGRAM DAYS FOR
UNINSURED WOMEN
When: Saturdays, January 11 and February 8
Where: CRMC Women’s Center
For information or to make an appointment:
(931) 783-2628
PROSTATE CANCER SUPPORT
GROUP
What: A support group for men who have
experienced prostate cancer
When: The second Wednesday of each
month at 10 a.m.
Where: The CRMC Cancer Center
For more information or to sign up:
(931) 783-2026
COMMUNITY HEALTH FAIR
When: Saturday, January 11, 7 to 10 a.m.
Where: The CRMC Education Center
Cost: Free and low-cost screenings
For information or to register online:
(931) 783-2030 or www.crmchealth.org/
healthfair
A WOMAN’S HEART
What: A fun fund-raiser with information
about how to reduce your chances of
developing heart disease
When: Thursday, February 13, 5 to 8 p.m.
Where: Leslie Town Centre
Keynote Speaker: Cardiologist Mariano
Battaglia, M.D. of Tennessee Heart
Features: A performance by singer/
songwriter Thea Tippin, a fashion show by
Beauty Queens Boutique, hors d’oeuvres,
wine and other beverages.
Cost: $35 per person
Tickets: Call (931) 783-2003
WEIGHT-LOSS SURGERY SEMINARS
When: The second Wednesday of each month
from 6 to 7 p.m.
Where: The CRMC Education Center
To reserve seats or for more information:
(931) 783-2587
BREAST CANCER SUPPORT GROUP
What: An emotional and educational support
group for women with breast cancer
When: The last Tuesday of each month from
11:30 a.m. to 12:30 p.m.
Where: Education Room 3 in The CRMC
Education Center
For more information or to sign up:
(931) 783-2026
ABC OUTREACH AT YMCA
What: After Breast Cancer (ABC) provides
comprehensive nutrition, exercise and wellness services free of charge to breast cancer
patients and survivors. During the 16-week
program, participants receive full access to the
Y, a custom wellness plan designed by a Pink
Ribbon Certified personal trainer, nutrition
counseling from a registered dietitian and
encouragement and support from caring
staff members as well as fellow breast cancer
patients and survivors.
To register: Contact Jenny Thacker,
(931) 528-1133, [email protected].
CANCER TRANSITIONS
What: A LIVESTRONG-supported program
that offers support, education and empowerment to people with cancer in the transitional
period after treatment is over
When: Six-week programs take place each
spring and fall.
Where: Cookeville Regional Medical Center
Baxter/Algood Conference Rooms
For more information or to sign up:
(931) 783-2026
CLIMB CHILDREN’S SUPPORT
GROUP
What: A supportive network for children
who have had a family member diagnosed
with cancer
When: Six-week programs take place each
spring and fall.
Where: Cancer Center lobby
For more information or to sign up:
(931) 783-2026
For more information about future events, phone The Community Wellness Center at
Cookeville Regional at (931) 783-2030.
2
CRMC Seasons© Winter 2013
Cookeville Regional Medical Center
...is dedicated to improving the health
and well-being of all residents in the
communities we serve.
JANUARY 21 — Join us as rheumatologist Sangeetha Pabolu, M.D., discusses
joint and rheumatic disorders along with current treatments that are available.
ALL ABOUT LIFE
Take Five for a Healthy Holiday
5
SMART SENSE
Use Caution When Taking Both Aspirin and Ibuprofen
5
NEW AT COOKEVILLE REGIONAL
CRMC Announces New ICU Visitation Policy
Two visitors at a time allowed during visiting hours.
5
DIABETES CENTER OFFERS
6-7
ONE-STOP CONVENIENCE
for Patients Wanting to Manage or Avoid Diabetes
PATIENT PROFILE
6-7
Janey Bassett and Jerry Gaw
Learning to manage different types of diabetes
FEBRUARY 18 — Listen as physical therapist Gina R. Galvez-Filoteo from the
CRMC Outpatient Rehabilitation Center discusses current therapies available for
the treatment of incontinence and pelvic floor rehabilitation.
ALL ABOUT ADVANCE DIRECTIVES
10
Make sure your wishes regarding end-of-life care are granted.
Unless otherwise noted, Club 50 Plus events are held from 12 to 1 p.m. in the
Education Center at Cookeville Regional. Lunch will be offered for $6. Registration
is required. Contact Lisa Eldridge at 931-783-2660.
ACTIVE AFTER 50
11
Sally Crain-Jager
This lifelong painter now focused on art’s healing properties.
Club 50 Plus at Cookeville Regional was developed for adults age 50 and beyond to encourage
healthy lifestyles. Members enjoy preventive health screenings, educational programs, referral
services, activities, discounts and more! For more information or to learn how you can join Club
50 Plus, call 931-783-2660 or visit www.crmchealth.org/club-50-plus/about.
Women’s
w e d n e s d a y
...Luncheons are enjoyable and informative.
Time: Noon to 1 p.m.
Place: Room 3, Education Center
Lunch: C
atered meal $6, or bring your own
RSVP: By Monday prior to luncheon
(931) 783-2030
JANUARY 8 — Get Healthy & Stay Healthy … You CAN DO IT!
Six years ago, Tony Phillips, certified personal trainer with Personal Training Studio,
decided to change his lifestyle for the better. Come and hear his amazing journey to a
240-lb. weight loss.
FEBRUARY 12 — Do More. Be More.
Please join Jenny Thacker, ACE-certified personal trainer, group fitness instructor and After
Breast Cancer coordinator for the Putnam County YMCA, to learn more about physical
fitness in your life and how the Y can help you and your family to “do more and be more.”
MARCH 12 — Healthy vs. Unhealthy Relationships
Jennifer Montgomery, Outreach Advocate, Genesis House
Learn ways to identify some of the healthy and unhealthy characteristics of a relationship.
Recognizing what qualifies as abuse is key to ending interpersonal violence.
DEPARTMENTS:
Active After 50
11
All About Life 5
Calendar of Events 2
Club 50 Plus News 3
Crossword Puzzle 8
Crossword Solution10
Fitness After 50
9
From Our Kitchen to Yours
Healthy Eating New at Cookeville Regional
Physician News
Smart Sense
Women’s Wednesday
8
8
5
4
5
3
Paul Korth, Chief Executive Officer
Melahn Finley, Director, Marketing & Public Relations
Hannah Davis, Marketing/Public Relations Coordinator
Seasons© is published quarterly as a service of Cookeville Regional
Medical Center by:
WDStone & Associates
(931) 525-6020
www.wdstone.com
Disclaimer: This publication in no way seeks to diagnose or treat
illness, or to serve as a substitute for professional medical care.
Please see your physician if you have a health problem.
Information: Call 931-525-6020 for permission to reprint any
portion of this magazine, to correct your address, to let us know
that you are receiving more than one copy, or to have your
name removed from our mailing list.
Volume 6, Issue 4
© 2013 Cookeville Regional Medical Center
All rights reserved.
One Medical Center Blvd. • Cookeville, TN 38501
931-528-2541 • www.crmchealth.org
CRMC Seasons© Winter 2013
3
Physician NEWS The latest updates on Cookeville Regional’s physicians and staff.
Two Hospitalists Join Cookeville
Regional Staff
New Rheumatologist Joins
Cookeville Regional
Felicia Scales, D.O., and Rebekah Sprouse, M.D.,
have joined the staff at Cookeville Regional Medical Center as new members of the hospitalist team.
They will be specializing in and focusing solely on
taking care of patients in the hospital.
Cookeville Regional Medical Center proudly
welcomes rheumatologist Sangeetha Pabolu, M.D.,
to its medical staff. She has joined Cookeville Regional Medical Group and is located in the CRMC
Professional Office Building at 145 West Fourth
Street, Suite 201 in Cookeville.
Dr. Scales received her medical degree from the
Philadelphia College of Osteopathic Medicine in
Suwanee, Ga., in 2010. She completed a residency in internal medicine this
year at the University Hospitals-Richmond Medical Center in Richmond
Heights, Ohio.
Dr. Scales
Dr. Sprouse received her medical degree from the
University of North Carolina School of Medicine
in Chapel Hill, N.C., in 2010. She completed a
residency in family practice this year at the Duke
Southern Regional Area Health Education Center
in Fayetteville, N.C.
Dr. Pabolu
Dr. Pabolu received her medical degree from
Kurnool Medical College in India in 2003. She completed her residency in
internal medicine at the Texas Tech University Health Sciences Center in
2011 and a fellowship in rheumatology at the Indiana University School of
Medicine this year. She is board certified in internal medicine.
Dr. Pabolu is now seeing patients with joint and rheumatic disorders. To
make an appointment with Dr. Pabolu, call Cookeville Regional Medical
Group at (931) 783-5848.
New Obstetrician/Gynecologist Joins
Cookeville Regional
Both are pleased to be in Cookeville and serving the
patients at Cookeville Regional Medical Center.
Cookeville Regional Medical Center proudly
welcomes obstetrician/gynecologist Jose Rivero,
M.D., to its medical staff. Dr. Rivero is relocating
his practice from Tullahoma to Cookeville and will
be practicing in the Larco Building at 406 North
Whitney, Suite 4.
Dr. Sprouse
New Pulmonology and Critical
Care Specialist Joins Cookeville
Regional
Cookeville Regional Medical Center proudly welcomes pulmonary and critical care specialist Ndubuisi Okafor, M.D. He has joined other pulmonary
and critical care specialists Bernadette Hee, M.D.,
David Henson, M.D., Hima Kona, M.D., and Vijay
Rupan, M.D., in the Cookeville Regional Medical
Dr. Okafor
Group located in the CRMC Professional Office
Building at 145 West Fourth Street, Suite 102.
Dr. Rivero
Dr. Rivero received his medical degree from Meharry Medical College in Nashville in 1993. He then performed his obstetrics
and gynecology residency at the University of Miami. Board certified in
obstetrics and gynecology, Dr. Rivero has a special interest in pelvic reconstructive surgery, urinary incontinence and robotic surgery.
Dr. Rivero is now accepting new patients. To make an appointment, contact his office at (931) 400-0231.
Dr. Hunter Stenzel Now
Accepting Patients at Cookeville
Regional Medical Group
Dr. Okafor recently completed a fellowship in critical care medicine at the
Orlando Regional Medical Center after completing a pulmonary medicine fellowship at the Cleveland Clinic Florida in 2012. He performed a
residency in internal medicine at Meharry Medical College after receiving
his medical degree from Nnamdi Azikiwe University College of Medicine
in Nnewi, Nigeria.
To schedule an appointment with Dr. Okafor, call the Cookeville Regional
Medical Group at (931) 783-2143.
Dr. Stenzel
Hunter Stenzel, D.O., has joined the staff at
Cookeville Regional Medical Group with other
primary care physicians at the 128 North Whitney
Avenue location in Cookeville. He is now accepting
new patients.
Dr. Stenzel is board certified in family practice. He
received his medical degree from the Ohio University College of Osteopathic Medicine in 2005 and performed his residency in family practice at
Doctors Hospital in Columbus, Ohio.
4
CRMC Seasons© Winter 2013
Prior to coming to Cookeville, Dr. Stenzel practiced in Ohio for the past
five years. He is pleased to be in the Upper Cumberland region and looks
forward to serving the medical needs of our community. To make an appointment with Dr. Stenzel, please contact Cookeville Regional Medical
Group at (931) 783-5848.
Life
a l l
a b o u t
Take Five for a Healthy Holiday
In five minutes (or less) you can help ensure
the health and safety of yourself and others
this holiday season.
• Wash hands often for 20 seconds.
• Bundle up for warmth.
• Make an appointment to get a flu shot
if you haven’t gotten one already.
• Eat a light, healthy snack before you go
to parties to help curb your hunger and
decrease your visits to the buffet table.
• Fasten seat belts.
• Don’t drink and drive, and don’t let
others drink and drive.
N E W
AT
S M A R T
CRMC Announces New ICU Visitation Policy
Use Caution When Taking
Both Aspirin and Ibuprofen
Two visitors at a time allowed during visiting hours.
T
he visitation policy for patients in the Intensive Care Unit (ICU)
has recently changed to allow staff to provide the best care possible
for patients at CRMC.
One support person of the patient’s choice will be allowed to remain with
the patient 24 hours a day to provide emotional and social support. Two
additional visitors may visit during the posted visiting hours. Children under the age of 12 are not permitted to visit the patient’s room. Additional
visitors may remain in the ICU waiting room.
All visitors to the patient’s room will check in at the nurses’ station and
receive a visitor badge that is to be worn during the visit to the patient.
As always, visitation may be revised at the nurses’ discretion and may need to
be adjusted based on patient condition and/or extenuating circumstances.
Visiting hours are 5 a.m. - 6 a.m., 10 a.m. - 6 p.m. and 8 p.m. -10 p.m.
S E N S E
T
aking ibuprofen (such as Advil®) for pain relief and aspirin at the
same time may interfere with the benefits of aspirin taken for the
heart. According the U.S. Food and Drug Administration (FDA), ibuprofen can interfere with the antiplatelet effect of low-dose aspirin (81
mg per day), which may make aspirin less effective when used for cardio
protection and stroke prevention.
According to the FDA, it is okay to use ibuprofen and aspirin together.
However, it is important to contact your health care professional for
more information on the timing of when to take these two medicines
so that both can be effective.
CRMC Seasons© Winter 2013
5
Diabetes Center O ffers One-Stop Convenience
F O R P A T I E N T S WA N T I N G T O M A N A G E O R A V O I D D I A B E T E S
T
he Diabetes Center at Cookeville
Regional Medical Center offers an
outpatient program that is available by
physician referral. The goal of the program is to provide participants and their
families training in the self-management
of diabetes.
Dr. Kasturi
The program utilizes a team approach,
which is developed and individualized
for participants in collaboration with
their physician, a diabetes educator and
a registered dietitian.
In addition to one-on-one counseling, the program includes a six-week
course that covers all facets of diabetes management, from nutrition,
PATIENT PROFILE:
PATIENT PROFILE:
Cookeville, Tennessee
Cookeville, Tennessee
JANEY BASSETT
Diagnosis: Combination Type 1/Type 2 diabetes
Treatment: Education at The Diabetes Center
at Cookeville Regional, plus insulin shots, oral
medications, diet and exercise
Most insurance plans cover the services the center offers, and the staff
works with patients to obtain physician referrals and to connect those who
are uninsured or underinsured with resources to help.
For more information, call The Diabetes Center staff at (931) 520-7747.
Diagnosis: Type 2 diabetes
Treatment: Education at The
Diabetes Center at Cookeville
Regional, plus diet and exercise
Janey Bassett, left, talks with Pam Hayes, a diabetic nurse educator at The Diabetes Center at Cookeville Regional.
aney Bassett of Cookeville was incredibly busy as an elementary school
teacher and mother of three when she started having problems that continued to worsen over the course of several months.
“I felt like I was walking through mud all the time, and I was so thirsty, I was
drinking all the time,” said Bassett.
She wrote it off to being too busy until she developed one symptom she
couldn’t ignore.
“One day while I was teaching, I got to where I couldn’t see, and I kept trying to
clear my eyes,” said Bassett.
When the situation continued and worsened, she booked an exam with her
optometrist, who told her that her eyes showed signs of diabetes. Bassett then
visited her family physician, who prescribed medications to help, and she began walking and watching her diet. Although she lost 30 pounds on her new
regimen, she still couldn’t seem to lower her blood sugar.
CRMC Seasons© Winter 2013
“When you see a doctor, they may not have time to go over all of the aspects of
diabetes,” said Dr. Rohini Kasturi, the diabetic endocrinologist whose practice
is located at the center. “That’s why it’s really important for patients to follow
up with this type of education.”
JERRY GAW
J
6
medication and exercise to stress management, monitoring blood sugar
patterns, managing insulin shots and pumps, and recognizing and treating
acute complications. The Diabetes Center also hosts a free diabetic support
group every other month, with the next meeting scheduled for 5 p.m. on
Thursday, January 9.
“Then they tested me and found out I needed to be on insulin because I wasn’t
making any at all,” said Bassett.
That’s when Bassett’s cousin, a nurse at Cookeville Regional, recommended
she talk to Pam Hayes, a diabetic nurse educator at The Diabetes Center, so
Bassett made an appointment.
Hayes showed Bassett how to determine how much insulin she needed and
how to give herself injections. Together, they got Bassett’s blood sugar under
control, and her vision and energy soon returned to normal.
That was 18 years ago. Bassett has led a very active lifestyle ever since, even
traveling the world, and she’s been happy to discover that a diabetic lifestyle is
all about choices, not deprivation.
“People need to know there are
different ways to treat diabetes.”
“People need to know there are different ways to treat diabetes, and it can be
individualized,” said Bassett. “But the sooner you take care of it, the better. I was
just lucky that I got to Pam when I did.”
Jerry Gaw reviews the packet of information
he received during diabetes education classes
at The Diabetes Center.
J
erry Gaw of Cookeville says he tried for years to ignore the possibility
that he might develop diabetes, even though several of his family members were diabetic.
When his doctor began reporting elevated blood sugar levels during his last few
annual exams, Gaw began watching his diet and lost nearly 27 pounds to try to
get the situation under control. But when his reading came back even higher this
year, Gaw knew it was time to seek help. That’s when a diabetic family member
recommended The Diabetes Center at Cookeville Regional.
“He told me, ‘I thought I had to starve myself, but I found out I can eat just about
anything I want if I manage it in the right way,’” said Gaw. “So I went, thinking
it might help me to avoid becoming diabetic.”
“There’s no reason not to come here
and learn how to help yourself.”
On his first visit, he met with nurse diabetes educator Pam Hayes, who tested
him and informed him that he was, in fact, already diabetic. So Gaw met with
the center’s registered dietitian, Lora Simpson, and enrolled in ‘the center’s’
six-week educational program, which he completed this past September, to
learn how to properly manage the condition.
“It was well and good before to want to do the right things, but I really was not
educated about what choices to make,” said Gaw.
Now he’s making more informed food choices, is exercising, and is planning to
participate in the support group meetings the center offers year-round.
“There’s no reason not to come here and learn how to help yourself,” said Gaw. “It’s
something to meet head-on and deal with, and I’ve got the tools to do that now.”
CRMC Seasons© Winter 2013
7
Healthy
to Yours
After 50
Pork Medallions with Apples
EXCESS FAT
EAT I N G
Our Kitchen
Reducing Salt in
Your Holiday Ham
Jim Rose, CRMC chef
C
ountry hams can be soaked 4 to
12 hours or longer in the refrigerator to reduce the salt content before
cooking. They can then be cooked by
boiling or baking; follow the cooking
instructions that came with the ham.
Ingredients:
Pork tenderloin (about 2 pounds)
½ cup water
¼ tsp. salt
1/8 tsp. ground pepper
2 medium Rome or Gala apples, rinsed
and cored, but not peeled
2 tbsp. dark, seedless raisins
2 tsp. walnuts, broken into coarse pieces
½ tsp. cinnamon
Cooking spray
Nutrition Information (per serving):
Calories 250, Total fat 9 g, Saturated fat 3 g,
Cholesterol 80 mg, Sodium 200 mg, Total
fiber 3 g, Protein 26 g, Carbohydrates 15 g,
Potassium 513 mg.
Crossword Look for the solution to the puzzle on page 10.
8
CRMC Seasons© Winter 2013
F I TNESS
From
Across
1. D
esigned to assist
the disabled
9. Bandy words
13. Stain
14. W
ord before and
after “against”
15. Art ___
16. White wine aperitif
17. “My bad!”
18. Dumps
20. Gentle pace
22. Nancy, in Nancy
24. Discouraging words
25. “Say it ain’t __!”
26. Like pigs’ feet
30. Alpine sight
31. Crown
32. “Flying Down to ___”
33. Anniversary, e.g.
34. Caught
35. Separates
37. “Tender __ the Night”
38. Caribbean, e.g.
39. Blazer, e.g.
40. Firm
Directions:
1. Preheat oven broiler on high
(rack should be 3 inches from heat source).
2. Cover broiler pan with aluminum foil for easy cleanup.
Spray foil with cooking spray. Set aside.
3. Cut 8 slices (pork medallions), each 1½ inches thick.
Place pork medallions on the foil-covered broiler pan.
Sprinkle with salt and pepper.
4. Heat ½ cup water to boiling in a medium nonstick
pan. Slice cored apples (top to bottom) in ¼-inch wide
pieces. Add apples, raisins, walnuts and cinnamon
to boiling water. Reduce heat to medium. Cover.
Simmer, stirring occasionally, until apples are soft
and can be easily pierced with a fork. Set aside until
pork is cooked.
5. Broil pork tenderloins for 5 to 10 minutes per side
(to a minimum internal temperature of 160 ° F).
6. Serve by placing 2 pork medallions on a plate and
top with one-fourth of the apple mixture.
43. B
eethoven’s “Choral”
Symphony
47. Bite
48. “Hee ___”
50. ___ bean
51. “ Empedocles on ___”
(Matthew Arnold poem)
52. A look-alike in biology
54. Back
55. Point bearers
Down
1. Annexes
2. O
ne way to control
diabetes
3. Fungal spore sacs
4. Suns’ spot
5. “ __ infinity, and
beyond!”
6. Publicity, slangily
7. Cancel
8. Incorrect
9. H
ow insulin is
administered
10. “D”
11. Highly pertinent
12. Makes new again
19. “My boy”
21. Pan, e.g.
23. S trolling Mexican
musicians
26. Medieval for scholar
27. Forsaker of the faith
28. Abbr. after a name
29. “___ the season ...”
30. _ __ Tuesday
(Mardi Gras)
33. N
umber by which a
dividend is divided
35. Animal house
36. Mother Teresa, for one
38. C
ommon term for
glucose
41. “ ___ and the King
of Siam”
42. Door fastener
44. “Cheers” regular
45. 1 or 2, for diabetics
46. C
hemistry Nobelist
Otto
49. Anguish
53. ___ Kettle
AROUND THE WAIST
MAY INCREASE
DEATH RISK FOR
WOMEN
W
omen who carry excess fat around their waists were at greater risk of
dying early from cancer or heart disease than women with smaller
waistlines, even if they were of normal weight, report researchers from
Harvard and the National Institutes of Health.
There is increasing evidence that excess abdominal fat is a risk factor for
long-term conditions like diabetes and heart disease. However, the relationship between abdominal obesity and risk of death has not been widely
studied. The current study is one of the largest, most comprehensive investigations of abdominal obesity and women’s risk of premature death.
THE STUDY
Researchers followed more than 44,000 women over the course of 16 years
to track their medical history and lifestyle. The majority of the women who
took part in the study were white; therefore, the researchers do not know if
their findings pertain to other groups of women or to men.
The researchers discovered that women with greater waist circumferences
were more likely to die prematurely, particularly from heart disease, when
compared with women who had smaller waists. For example, women with
a waist size equal to or greater than 35 inches were approximately twice as
likely to die of heart disease as were women with a waist size less than 28
inches, regardless of their body mass index. Similarly, women with a waist
size equal to or greater than 35 inches also were twice as likely to die of
cancer as were women with a waist size less than 28 inches.
Women who had a greater waist circumference and were also obese
were at the greatest risk of premature death. Researchers determined if
a woman was overweight by calculating her body mass index (BMI), a
measure of a person’s weight in relation to height. BMI is used to estimate the proportion of a person’s weight that derives from body fat. A
BMI between 18.5 and 24.9 is considered healthy. A BMI of 30.0-39.9 is
regarded as overweight.
All of the women included in the study were registered nurses. At the
beginning of the study, the women were asked to measure their waists and
hips. Every two years, the women completed questionnaires about their
health, providing information about their age, activity level, smoking
status, diet, blood pressure and cholesterol levels.
Greater waist circumference is a sign of collecting excess fat around one’s
midsection, called abdominal obesity. According to the “Clinical Guidelines
on the Identification, Evaluation and Treatment of Overweight and Obesity
in Adults,” published by NHLBI in cooperation with NIDDK, a healthy
waist limit for women is 35 inches and, for men, 40 inches. Waist circumference is determined by measuring around the waist at the navel line.
Maintaining a healthy waist size
is an important goal.
This study confirms the importance of maintaining a healthy weight to
prevent chronic diseases and premature death. It also shows that maintaining a healthy waist size is an important goal.
The researchers examined the cause of death for all women who died over
the course of the study. In total, 3,507 deaths occurred — of these, 1,748
were due to cancer and 751 were due to heart disease.
Source: National Institutes of Health,
http://www.nih.gov/news/health/apr2008/niddk-07.htm
CRMC Seasons© Winter 2013
9
A C T I V E
After 50
All About
Advance Directives
SALLY CRAIN-JAGER
MAKE SURE YOUR WISHES REGARDING
END-OF-LIFE CARE ARE GRANTED.
I
f you become unable to make health care decisions due to coma or other
medical condition, will you receive the medical treatment you desire?
You can make sure that your wishes about medical treatment are granted
with a document called a health care advance directive.
THERE ARE TWO TYPES OF ADVANCE DIRECTIVES.
Living Will
A living will is a document that expresses your wishes about the
kind of medical care you want (or don’t want) when you become
seriously ill and are unable to make your own decisions.
Durable Power of Attorney for Health Care
A durable power of attorney for health care is a document that appoints another person (a health care agent) to make medical decisions
if you become unable to make those decisions yourself. With this
document you can define who will make treatment decisions for you
and how much, or how little, authority you want the person to have.
WHICH TYPE OF ADVANCE DIRECTIVE SHOULD YOU HAVE?
To ensure that your treatment wishes are honored, it is best to have a living
will and a durable power of attorney for health care. Each offers something
unique. Appointing someone to make medical decisions offers flexibility in
decision making, as this individual can respond to unanticipated situations
that may arise. A living will helps your health care agent know that he or
she is truly following your wishes. If your health care agent becomes unable
or unwilling to serve in this capacity, the living will is needed to make sure
that your treatment wishes are honored.
HOW DO I CREATE AN ADVANCE DIRECTIVE?
The process for creating an advance directive varies in each state. Most
states have special forms and specific witnessing requirements. State-specific forms may be obtained from Cookeville Regional Medical Center or the
following organizations:
• State of Tennessee at
http://health.state.tn.us/AdvanceDirectives/index.htm#Forms.
• Caring Connection at www.caringinfo.org.
Forms are free of charge.
• Attorney offices, hospice or long-term care facilities.
Once you have completed the advance directive, give a copy to your physician, health care agent, and close family members. Keep the original in a
safe, easily accessible location. If, at any time, you change your mind about
your health care wishes, put those changes in writing and provide a copy to
anyone who received the original advance directive form.
10
CRMC Seasons© Winter 2013
Sources:
American Bar Association: www.americanbar.org/groups/law_aging/resources/
consumer_s_toolkit_for_health_care_advance_planning.html
American Medical Association: www.ama-assn.org//ama/pub/physicianresources/medical-ethics/about-ethics-group/ethics-resource-center/end-oflife-care/advance-care-directives.page
National Hospice and Palliative Care Organization: www.caringinfo.org/
Crossword Solution See puzzle on page 8.
Professor’s Passion for Sharing Art
ONLY GROWS AFTER RETIREMENT
A
lthough Sally Crain-Jager retired in 2001 after teaching art for 34
years at Tennessee Tech, she’s done anything but retire from art.
“I’ve never stopped painting,” said Sally. “There have been periods of time
when I haven’t been as involved, but if I’m not painting, I begin to get kind
of an itch that I can’t quite scratch, and painting seems to satisfy that.”
She creates works in acrylic and encaustic, an ancient Egyptian medium
in which pigment is added to melted beeswax and applied to a canvas,
and she occasionally teaches art appreciation and drawing at Nashville
State and at Tech.
But what she’s most passionate about is Art for Healing, a new project
through which people can purchase art to donate or artists can donate their
own art for display at Cookeville Regional. Sally is the project’s acquisition
committee chair, and so far, the group has secured 16 works to display.
“In addition to promoting healing and well-being for patients at Cookeville
Regional, Art for Healing honors our local and regional artists,” said Sally.
“The artists in this community are not just Sunday-afternoon hobbyists; there
are some wonderful artists in this community who show nationally.”
Besides the fact that it’s based on a cause that’s near and dear to her heart,
Art for Healing has brought a new sense of excitement to Sally’s life for
another reason, too.
“Cookeville is a very, very special place to me, and this is my community
payback,” said Sally. “I’ve never been good at volunteering because I’ve always
been up to my eyeballs in children and painting and school teaching, but I
thought, ‘This is something I can do!’”
For more information about Art for Healing, call The CRMC Foundation
at (931) 783-2003.
Are you over 50 and active? Tell us all about it! If you would like to share what
you do to stay active, why, and how it has helped you and/or others, we just might
feature you in an upcoming edition of Seasons©. Please email your information
to [email protected] or write CRMC Marketing Department, 1 Medical
Center Blvd., Cookeville, TN 38501.
CRMC Seasons© Winter 2013
11
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They just made me
feel like I was
number one.
C
ookeville retiree Johnny Howard was spreading gravel at his home when he started having chest
pains that radiated up to both jaws. He thought it was the angina he’d grown used to, but when
walking up stairs made him break into a drenching sweat, he knew something was wrong.
His cardiologist, Dr. Stacy Brewington, immediately sent him to Cookeville Regional. An arteriogram showed he had a blockage, so Dr. Timothy Powell performed bypass surgery, and the team at
Cookeville Regional’s Cardiac and Pulmonary Rehabilitation Center helped Howard get back on
track. Now, he feels great.
“I don’t know how I could have had a better pair of heart specialists treating me,” said Howard.
“When you come in here, they show a concern for you as a patient, and the expertise level they have
is just great.”
It’s that combination of caring and expertise that has helped Cookeville Regional achieve recognition
from Healthgrades® as one of America’s 100 Best Hospitals for Cardiac Care™ (2013); ranking among
the Top 5% in the Nation for Overall Cardiac Services (2013); and the title of
#1 in Tennessee for Overall Cardiac Services (2012-2013). While that level
of recognition is a huge honor, what really makes it all worthwhile for us
are stories like this from our patients.
Johnny Howard
Cookeville, TN
CRMC– Putting First Things First