Livingston - East Texas News

Health, Mind
&Body
Supplement To Polk
County Enterprise,
March 27, 2016
Get your copy in print and also online at:
www.EastTexasNews.com or www.PolkEnterprise.com
Childhood vaccinations
are issued to help prevent
children from getting sick
by building their immunity
to diseases that were once
prolific. But in the wake
of confusing information
regarding the safety of
vaccinations, particularly the
concern that some may be
linked to the onset of autism,
more and more parents are
opting out of having their
children vaccinated Ñ
sometimes with unfortunate
consequences.
Many diseases that
are effectively prevented
by simple vaccines have
cropped up once more.
This can be attributed to
children simply not getting
fully vaccinated. Nearly
80 percent of parents are
uncomfortable about having
their children vaccinated,
according to a survey
analyzed by researchers
at the CDC. Pain from the
needle itself and uncertainty
about the safety of vaccines
is leading many parents
to forego shots or delay
certain vaccinations until
their children are older. It
is estimated that roughly
8 percent of American
children are now not getting
regular vaccinations or doing
alternate schedules, and 2
percent are not getting shots
at all.
Some parents would
like to have their children
vaccinated but have
postponed routine visits
due to unemployment and
subsequent loss of health
insurance. Some areas have
even fell victim to budget
cuts that have led to shortages
of necessary vaccines.
In 2008, the Centers
for Disease Control and
Prevention issued an alert
regarding Haemophilus
influenza type b, commonly
referred to as Hib. Five
children in Minnesota
contracted the disease, three
of whom who were not
vaccinated.
The CDC also reported
that there were 17 outbreaks
and 222 cases of measles
reported in 2011. A disease
that was
essentially
wiped out
in North
America
is
now
showing
up again
and the
numbers
are rising.
Dr. Jason
Bowling,
an infectious
disease
specialist, said that in 2011
the United States had the
highest number of measles
cases of any country in the
last 15 years. Although it is
likely that most of the cases
were contracted outside
of the country, kids who
havenÕ t been vaccinated are
highly susceptible to measles
onset as a result, potentially
leading to a greater number
of outbreaks in the United
States and Canada.
also make that choice because
itÕ s easier for them to see on their
tablets than on the television.
In such instances, ask why they
prefer tablets to television. When
kids watch TV, ask them to move
further away from the television.
If they complain moving back
makes it hard to see, book an
appointment with an eye doctor.
• Eye rubbing: Many kids, and
even adults, rub their eyes when
they are feeling fatigued. But
kids who seem to rub their eyes
frequently and at times of the day
when they should not be tired may
be experiencing vision troubles
and feeling frustrated that they
cannot see very well.
• Eye activity: Some kids
begin to close one eye when
reading, watching television or
attempting to read signs. That
may be indicative of a refractive
vision disorder, in which the eye
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who rely on their vision to
perform their schoolwork. Parents
who learn to recognize the
various warning signs of vision
troubles can nip problems in the
bud before they have too great an
impact on youngsters.
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struggles to focus, or
refract, light correctly
on the retina. Such
problems can often
be corrected with
eyeglasses or contact
lenses, but some
refractive disorders
may require surgery.
• Squinting: Kids
who squint a lot may
be finding it difficult
to focus on words on
a chalkboard or even
television programs.
Squinting may also
be brought on by a
corneal abrasion.
Parents who notice
their youngsters are squinting
should consult the childÕ s eye
doctor to determine the cause of
the problem.
Vision problems can be
especially harmful to children,
O
problems may be most noticeable
when kids are reading. As
youngsters learn to read, they
might use their fingers to keep
their place while they figure
out the pronunciation of certain
words. But kids eventually grow
out of that habit. Kids who are
still doing so long after they have
learned to read may be having
trouble seeing words on the page.
In addition, kids who pull their
reading materials very close to
their eyes may be struggling to
see the words.
• Viewing habits: Peculiar
viewing habits may also be
indicative of poor vision. Kids
who sit too close to the television
may be struggling to see whatÕ s
on as opposed to just being
overexcited to see their favorite
shows. Kids who prefer to watch
programs on tablets they can hold
as opposed to televisions may
C
Adults know when they are
beginning to experience trouble
with their vision. In such
instances, men and women will
book appointments with their
eye doctors to determine whatÕ s
causing their problems. But
whether itÕ s a fear or eyeglasses
or simply feeling their symptoms
are normal, kids might be hesitant
to tell their parents about any
vision problems theyÕ re having.
As a result, parents must learn to
recognize certain warning signs
that indicate their children are
experiencing vision problems.
Vision problems in youngsters
can be especially problematic, as
many of the lessons kids learn in
school still begin on a chalkboard.
The following are some potential
indicators that kids might be
dealing with vision problems that
require medical attention.
• Reading habits: Vision
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Dyslexia affects as many as 17
percent of school children in the
United States, making it the most
commonly identified learning issue
according to the Yale Center for
Dyslexia and Creativity. In Canada,
between 15 and 20 percent of the
population has dyslexia, says The
Reading Clinic in Ontario. In spite
of its prevalence, dyslexia is still
widely misunderstood.
sequence of things. Some people
with dyslexia may have trouble
seeing and hearing similarities and
differences in letters and words.
Many children with dyslexia read
below the expectations for their
age.
Dyslexia warning signs
Parents who are concerned about
dyslexia can recognize some early
warning signs, including:
What is dyslexia?
• delayed speech;
The Mayo Clinic notes that
• difficulty learning and
dyslexia is marked by difficulty
remembering names of letters;
reading due to problems identifying
• reading or writing
speech sounds and learning how
showing repetitions, additions,
they relate to letters and words.
transpositions, omissions,
Dyslexia is more than just seeing
substitutions, and reversals in
letters or words backwards, as
letters, numbers and/or words;
it also may be characterized by
• complaints of feeling or seeing
difficulty comprehending rapid
movement in words while reading
instructions and remembering the
or writing;
• reading and rereading with little
comprehension; and
• difficulty putting things into
words.
is typically
larger in the
dominant
hemisphere
(the left
What causes dyslexia?
side of the
Doctors and researchers have
brain for
yet to identify a single cause of
right-handed
dyslexia, but genes and brain
people) than
differences do play a role. Dyslexia in the lessoften runs in families, and certain
dominant
genes are associated with reading
side.
and language processing issues.
However if a child has dyslexia,
Many people with dyslexia
the planum temporale is probably
have above-average intelligence,
about the same size on both the left
but other differences in the brain
and right sides of the brain.
may be apparent through scans.
Schools and parents can do
According to the organization
much to help children with
Understood, an organization aiming dyslexia succeed in the classroom.
to help parents of children with
Accommodations in class,
learning disabilities, the planum
such as extra time on tests or
temporale area of the brain plays a word-prediction or dictation
role in understanding language. It
software, can help immensely.
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Children also may benefit from
smaller group instruction, as well
as a multisensory approach to link
listening, speaking, reading, and
writing.
In addition to these steps, adults
can boost confidence in children
with dyslexia. Enabling kids to
explore hobbies and experience
successes both in and out of the
classroom can help youngsters
improve their self-esteem.
Aches and pains are a
widely accepted side effect
of aging. Over time, bones
can become more brittle and
cushioning tissues between
joints can deteriorate. But
while arthritis and pain
are often associated with
the elderly, young people,
including children, can
experience arthritis as well.
According to the Arthritis
Foundation,
juvenile
arthritis, or JA, comes in
many forms and affects
nearly 300,000 children. JA
is an umbrella term used to
classify a variety of diseases
affecting the joints and
musculoskeletal systems
in children. Juvenile lupus,
juvenile idiopathic arthritis
(also known as juvenile
rheumatoid arthritis),
juvenile dermatomyositis,
and Kawasaki disease are
just a few of the conditions
that fall under the JA
umbrella.
Unlike adults, who may
develop arthritis from years
of wear and tear
on the body,
kids with JA
can often trace
their condition to
genetics. JA also
is an autoimmune
disease in which
the
bodyÕ s
natural immune
system ends up
attacking its own
cells by mistake
when something
goes awry. With
arthritis, that
attack can result in pain,
inflammation and fever.
Juvenile arthritis can
cause persistent joint pain,
swelling and stiffness.
The Mayo Clinic says
that some children with
arthritis also develop
serious complications,
such as growth problems
or eye inflammation, and
JA may affect the skin and
gastrointestinal tract.
Arthritis is typically a
lifelong condition. Although
flare-ups may last a few
days or weeks, those with
arthritis can usually expect
their symptoms to persist
throughout their lives. This
can be especially challenging
for children who are not
mature enough to understand
their condition. Furthermore,
JA can be easily overlooked
by doctors who are not used
to seeing young patients with
arthritis. Parents who learn
to recognize the symptoms
See ARTHRITIS page 23
Kenneth Laurora,
Internal Medicine
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400 Bypass Lane
Suite 111
(Next to Eastex Telephone)
Livingston, Texas
936-327-1020
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Across the country, more than
50 million people are living
with doctor-diagnosed arthritis.
So says the Arthritis Foundation,
which projects that figure will
rise to 67 million by the year
2030.
Simply put, arthritis is a
significant problem, one that
can not only affect a personÕ s
quality of life, but also his or
her pocketbook, as the Arthritis
Foundation notes that wokingage men and women (those
between the ages of 18 and 64)
who contend with arthritis are
less likely to be employed than
people of the same age who do
not have arthritis. Arthritis is not
only bad for employees, but also
for employers, as it accounts
for $156 billion annually in lost
wages and medical expenses.
Exercise may be the last thing
on many arthritis sufferersÕ
minds, but exercise can play a
vital role in reducing the often
painful symptoms associated
with arthritis. Among its other
benefits, exercise can strengthen
the muscles around arthritic
joints and help men and women
maintain bone strength. In
addition, the Mayo Clinic notes
that lack of exercise can make
joints feel more painful and
stiff, as a sedentary lifestyle will
ultimately contribute to putting
more stress on joints.
Upon being diagnosed with
arthritis, patients should speak
with their physicians about
the best way to use exercise
to combat and relieve their
symptoms. Some patients may
require physical therapy, while
others might be able to work
with their physicians to develop
an exercise regimen that can
help reduce the severity of their
symptoms and any pain that
accompanies those symptoms.
The following are some types
of exercises that figure to play a
strong role in managing arthritis
and improving quality of life.
• Aerobic exercises:
Low-impact
aerobic
exercises, such as walking
and swimming, can
help arthritis sufferers
alleviate their symptoms
and improve their overall
health. Arthritis sufferers
who have not exercised in
awhile because of their pain
may have gained weight
as a result, and aerobic
exercise is a great way
to shed extra pounds. Losing
excess weight is a great way
to make physical activity less
taxing on your joints as well.
• Range-of-motion: Range-ofmotion exercises are typically
simple and donÕ t take much time,
but when done correctly, such
exercises can be very effective at
relieving the stiffness associated
with arthritis. A physician or
physical therapist might advise
you to do range-of-motion
exercises each day, and you
may even need to do them a few
Aerobic exercise, including walking, can help alleviate the pain associated with arthritis. Pictured (left to right) Elena Rodriguez, Corey
Grant, Micah Harrison and Tammy Long
times each day. Adhere to this ultimately reducing symptoms of
advice, continuing to perform pain. Speak with your physician
the exercises as long as your or physical therapist about
doctor or physical therapists appropriate strength-training
deems them necessary.
activities and the importance
• Strength training: As previously of rest. If you experience any
noted, arthritis sufferers may feel pain during strength-training
as though lifting weights will sessions, stop immediately and
only exacerbate their existing report the pain to your physician.
symptoms. But strength training More information about
will strengthen the muscles managing arthritis can be found
around the joints, providing at www.arthritis.org.
more support for those joints and
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The technological advancements made in the
21st century have undoubtedly made life easier in many ways, but this
golden age of gadgets has
not come without some
negative side effects.
Thanks to the near-constant availability of the
Internet and devices like
smartphones and tablets,
many men and women
find it difficult to maintain
their focus throughout the
day. But while such distractions are never too
far away, there are some
ways to stay focused and
productive.
• Get more exercise.
Studies have shown that
exercise and improved
mental focus are linked.
In a 2013 analysis of 19
studies involving more
than 500 children, teenagers and young adults,
researchers found that
exercise sessions between
10 and 40 minutes immediately boosted concentration and mental focus.
That improvement might
be a result of exercise increasing blood flow to the
brain. Men and women
who find themselves
struggling to focus at
work after lunchtime may
benefit from incorporating
some exercise, whether
itÕ s a brief walk or a more
strenuous workout, into
their midday routines.
• Perform breathing exercises. Nervousness is an
oft-overlooked cause of
loss of focus. When nervous, breath can become
shallow and restricted,
which can have a negative
impact on the flow of oxygen to your brain, making
it more difficult to concentrate. Professional ath-
letes have long espoused
to the virtues of breathing
exercises as a means to
calming their nerves, and
professionals can follow
suit. Some simple breathing exercises can help
busy professionals multitask more effectively by
helping them concentrate
on the tasks at hand and
overcome the distraction
of having so much to do
at one time.
• Stay hydrated. A recent study published in
the Journal of Nutrition
found that dehydration
caused loss of focus and
a sense of fatigue among
women. While the loss of
focus was considered insubstantial and the study
only examined women,
remaining
hydrated
throughout the day may
See MENTAL FOCUS page 23
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Daily exercise is a great
way to stay healthy well into
your golden years. When
coupled with a healthy diet,
a workout regimen becomes
even more effective.
For those adamant about
working out but unsure of how
to maximize their workouts,
the answer might just lie in
your daily diet. Fitness fans
who learn how to make their
diets work for them often find
their workouts become even
more effective, improving
both how they feel and how
they look. The following are
a few tricks of the trade for
men and women who want
to make their diets work for
them.
DonÕ t discard breakfast.
Many men and women
prefer to workout in the
morning, when temperatures
might be more amenable
to a morning jog or gyms
might be less crowded than
during peak hours. However,
morning exercise enthusiasts
should know that a healthy
breakfast before working out
can provide them with more
energy, leading to a more
effective workout.
Men and women who donÕ t
eat before their morning
workouts are bound to
feel more sluggish, as the
majority of the energy from
the previous nightÕ s dinner
has already been used up.
A light breakfast of whole-
grain cereal or bread paired
with low-fat milk an hour
before working out can
provide the added boost your
body needs and make your
morning exercise routine
that much more effective.
Fruit, including bananas or
a few apple slices, can also
do the trick. Just try to avoid
working out on an empty
stomach and give yourself
enough time between eating
and working out for the added
energy boost to take effect.
DonÕ t overdo it. A small
meal prior to working out is
generally the best way to go.
You can workout after a large
meal, but youÕ ll need to give
yourself more time between
eating and exercising, ideally
several hours. If you like to
workout after a long day at
the office, eat a light snack,
ideally an hour before you
expect to begin your workout,
so your blood sugar wonÕ t be
too low. In addition, a light
snack before a workout might
provide some extra energy
that will come in handy when
you hit that treadmill or start
lifting those weights.
Choose the right snacks.
A snack before working is
alright, just make sure itÕ s the
right snack. A bag of potato
chips, for example, is not an
ideal preworkout snack, as
it might produce an adverse
effect, making you feel
sluggish as you prepare to
exercise. Fresh fruit, energy
bars or drinks, granola bars
or even a fruit smoothie will
quell your hunger and help
you maintain proper blood
sugar levels.
Find something to eat after
you exercise. Eating after you
exercise is also important.
After working out, eating a
meal with carbohydrates will
promote muscle growth and
recovery, restoring your fuel
supplies that were lost during
your workout. This will come
in handy tomorrow when you
want to work out again.
Eating protein after a
workout is also important.
Doing so is beneficial when
trying to build muscle, and
protein also promotes muscle
repair. Many fitness experts
feel the meal after a workout
is the most important meal of
the day, but just be sure yours
contains both carbohydrates
and protein.
Don’t forget fluids. Fluids
are part of your diet as
well, and theyÕ re especially
important when exercising.
Whether your typical exercise
routine is vigorous or not, you
are going to lose fluids when
working out, sometimes a
large amount of fluids. The
American College of Sports
Medicine recommends
men and women emphasize
drinking fluids, ideally water,
See EXCERISE page 11
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neurotransmitters known
as endorphins, which
trigger positive feelings in
the body. Those positive
feelings can be addictive,
but itÕ s important that
beginners do not go too
hard too quickly when
beginning a new exercise
Pictured (left to right) Cesar Rodriguez, Timothy Shaffer, Julie Wilson, regimen. Gradually build
Ray Luna, Ann Winston
up your exercise tolerance,
exercising two or three
days per week and taking
The right combination of diet that intimidation factor can
a
day
off
between workouts when
and exercise is one of the keys be as simple as working out
you
start.
As your body becomes
to a long and healthy life. While with a friend or working with
more
acclimated
to exercise, you
many people find adapting to a personal trainer, each of
can
start
to
workout
more and
a healthier diet challenging, whom can offer the support and
with
more
intensity.
that challenge often pales in guidance beginners need when
comparison to the intimidation reacclimating themselves to more • Stretch after working out.
felt when working out for the first active lifestyles. In addition to Stretching can improve flexibility,
time in years.
the buddy system, beginners can and that may decrease your risk
Exercising after an extended employ the following strategies of future injury. In addition,
period of inactivity may to make their return to exercise improved flexibility may improve
your exercise performance by
intimidate people who choose to go as smoothly as possible.
workout at gyms, where fellow • Gradually build up your improving your range of motion
gym members may appear to be exercise tolerance. When you and helping your muscles work
in tip-top shape. Overcoming exercise, your body releases more effectively. Muscles
contract during a workout, and
stretching after workouts can
help reset those muscles to their
natural position. Include both
static stretching and foam rolling
in your post-workout stretching
routine.
• Find a routine that works
for you. Many men and women
feel they must sign up for a gym
membership upon resolving to
adopt a more active lifestyle.
While gyms afford you the
opportunity to strength train
and get in your cardiovascular
exercise, theyÕ re not for
everyone. The best approach
and the one thatÕ s likely to be
most successful over the long
haul is to find an exercise routine
that engages you and that you
find enjoyable. If the gym is
not for you, try to find a routine
that still includes both strength
training and cardiovascular
exercise. Strength training can
make your body more durable,
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Disease (COPD)
• Diabetes
• Smoking Cessation
and cardiovascular exercise can
reduce your risk for various
health problems, including heart
disease.
• Track your progress. One
way to stay motivated is to keep
track of your progress. If youÕ re
working out but not monitoring
your results, you may not feel
like youÕ re getting anywhere.
Keep a workout diary, tracking
both your successes and failures,
so you can see whatÕ s working
and whatÕ s not. The longer you
stay committed to your workout
routine, the greater the likelihood
that you will be tracking more
successes than failures, and
those successes can provide the
motivation to keep you going on
those inevitable days when you
want to skip workouts.
Returning to exercise after an
extended period of inactivity
can be quite the challenge, but
itÕ s nothing motivated men and
women cannot overcome.
Prescription medications
Smoking cessation
Weight management services
Patient case management
Patient education on ways to
manage these chronic
illnesses
• Gas assistance to and from
the healthcare provider or
pharmacy
• Coordination with healthcare
provider for flu and/or
pneumonia immunizations
FIND OUT IF YOU QUALIFY
FOR HELP
CALL
HEALTHY
POLK COUNTY
today: at
936-646-7290
Many of the assistance resources are
available to you the day you call by a simple
screening over the phone.
IF YOU DON’T CALL
WE CAN’T HELP
STOP NEEDLESS
SUFFERING, TODAY!
HEALTHY POLK COUNTY is a program made possible by a grant to the Polk County
Potentially Preventable Hospitalizations Initiative.
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TEXAS VEIN &
LEG PAIN CENTER
Do You Experience...
shrivel up and no longer
pose a problem.
• Larger veins may
require phlebectomy or
ablation. Phlebectomy
involves removal of the
vein through small cuts.
Ablation uses intense
heat to treat the vein.
Varicose veins are
often a side effect of
getting older. As a
person ages, he or she
may lose elasticity in
the veins, causing them
to stretch. Those with
a family history of
varicose veins may be
more susceptible. Being
overweight or standing
and sitting for long
periods of time also can
lead to varicose veins.
Exercising, eating
a high-fiber diet and
changing sitting or
standing positions
regularly can help.
If varicose veins are
unsightly or prove
painful, speak with
a doctor about the
treatment
options
available to you.
• Leg Ulcers, Sores, Skin Changes
• Leg Heaviness, Tiredness
• Restless Legs or Night Cramps
• Burning or Itching
• Varicose or Spider Veins
Severe Stages
bumpy veins crisscrossing the legs. For
others, the affected
veins can cause aching
pains and discomfort.
Some varicose veins
may indicate a larger
risk of other circulatory
problems, advises The
Mayo Clinic.
Varicose veins often
can be alleviated with
self-care methods.
Others may require
some more invasive
therapies.
• Elevating the legs
and feet can relieve
pressure on veins in
the legs. This may help
alleviate some of the
swelling.
•
Compression
stockings can ease the
pain of varicose veins
and prevent them from
getting worse.
• Sclerotherapy, or
the injection of saline
into the varicose vein,
can harden the vein and
make it disappear. Laser
treatments also may
make varicose veins
• Leg Pain, Achiness
Early Stages
The circulatory
system is quite
remarkable, pumping
oxygenated blood
throughout the body
to keep cells alive
and organs operating
properly. According
to The Franklin
InstituteÕ s human heart
data, if every capillary,
artery and vein were
laid out in a straight
line, the average adult
has 100,000 miles
worth of blood vessels.
Although the vessels
in all areas of the
body work hard, those
in the legs and feet are
susceptible to a lot of
pressure, as walking
increases the stress put
on these vessels. In
turn, varicose veins are
common in the lower
limbs.
Veins can become
varicose when one-way
valves in the veins do
not function properly.
The valves are designed
to keep blood flowing
back up to the heart.
If the valves weaken
or fail, blood can pool
in the veins, causing
them to bulge or appear
misshapen. The Society
of
I n t e r v e n t i o nal
Radiology says varicose
veins affect one out
of two people age 50
and older and 15 to 25
percent of all adults.
Varicose veins are not
often a health risk, but
they can sometimes be
troublesome. Severe
cases may be a cosmetic
issue, with gnarled and
Vein Disease is a progressive condition.
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400 Bypass Lane, #110 • Livingston, Texas 77351
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before, during and after their
workouts. ItÕ s important to
stay hydrated throughout the
day, but itÕ s very important
to begin a workout with
adequate fluids in your body
and to replenish those fluids
during and after your workout
as well. Water is adequate for
those whose workouts are 60
minutes or less, but choose a
sports drink if you workout
for more than an hour at a
time. The sports drink will
help you maintain your
electrolyte balance and give
you more energy as youÕ re
working.
Diet and exercise make
great bedfellows, and men
and women can use their diets
to make their workouts that
much more effective.
Syed A. Raza,
MD, FACC
Call today for your
free SCreeNING
936-252-1147
Nearly everyone has dealt with
a life-changing event that brings
about feelings of sadness. But
some people struggle to enjoy
normally happy situations. When
these feelings do not go away on
their own, they may indicate the
presence of depression.
Major depression is one of the
worldÕ s most common mental disorders. The World Health Organization offers that major depression also carries the heaviest burden of disability among mental
and behavioral disorders. People
often do not realize theyÕ re suffering from a depressive episode,
and as a result, many never seek
or receive the care they need.
According to Ò The Diagnostic
and Statistical Manual of Mental
Disorders,Ó major depression is
characterized by depressed mood,
loss of interest or pleasure and at
least four other symptoms. These
may include problems with self-
image, sleep, energy, ability to
function, and changes in appetite.
The National Institute of Mental Health says that, as of 2013,
an estimated 15.7 million adults
aged 18 or older in the United
States had at least one major depressive episode in the past year.
Depression is far-reaching and
more common than one may
imagine. Oftentimes, however,
people delay seeking treatment
because of embarrassment or the
stigma that surrounds a mental illness diagnosis.
The NIMH indicates that
women are 70 percent more
likely than men to experience
depression during the course of
their lifetimes, largely due to hormones. Elevated rates of depression among women also may be
due to the fact that they tend to be
more vocal and proactive in seeking help.
According to Gail Lovallo,
LCSW, owner of Peaceful Living Counseling Services, LLC,
depression can be linked to any
number of factors. Depression
may result from a particularly
traumatic episode in oneÕ s life
and often accompanies post-traumatic stress disorder. Individuals
can become depressed when diagnosed with a disease. Women
may experience post-partum depression after childbirth. A considerable percentage of people
experience depression when seasons change, and that could be
caused by the reduction of exposure to natural sunlight when fall
gives way to winter. Seasonal affective disorder, or SAD, is often
more common the farther north
one lives.
Depression can affect oneÕ s
home and work life. In the journal Depression and Anxiety, a
study analyzed depression statistics from the Canadian National
Population Health
Survey and found
that major depression doubled a
personÕ s chance of
becoming divorced
or separated. Others may face job
loss thanks to lack
of productivity or
missed days.
While depression is common, it also is highly
treatable. Various therapies exist
to mitigate symptoms and restore
people to more well-rounded
lifestyles. Counseling and medication are two of the more common treatments for depression.
According to Psych Central, the
InternetÕ s largest and oldest independent mental health social
network, 60 to 70 percent of depressed patients who are given an
antidepressant recover from their
depression in three to six weeks,
provided that the medication
dosage is correct and the patient
continues to take the medicine as
directed.
Depression can be a devastating illness that seemingly comes
out of the blue. However, itÕ s important for people to realize that
depression is common and treatment methods are quite effective.
Consult with a primary care doctor or a mental health professional
if you believe you are experiencing depression.
William E. Watson
— ThErapEuTic OpTOMETriST —
1110 West Church St. (Near The Bypass)
Livingston, TX.
936/327-3821
• Personalized Professional Eyecare for the entire family
• Contact lens available:
- Soft Lenses
- Tinted Lenses
- Gas Permeable Lenses
- Disposable Lenses
- Lenses for the hard to fit patients such as those who
have astigmatism and those who wear bifocal lenses
• Designer Eyewear
• Lenses for Eyewear
- thinner lenses for those who are extremely nearsighted
or farsighted
- photochromatic lenses in plastic as well as glass
- scratch-resistent lenses
- solid or gradient tints in a variety of colors
- impact-resistant lenses
- sports lenses
- special multifocal lenses for work or sport
- computer lenses
• Medicare, Medicaid, VSP, Davis Vision, Blue Cross and
other third party vision plans accepted
• Major credit cards accepted
Monday-Friday 8:00 AM to 5:00 PM
By Appointment
209 Denham Street
Brock Street Apartments
Livingston,
Texas 77351
Marsh Drive Duplexes
936-327-3153
Chickadee Street Duplexes
936-327-0969
Timbers Apartments
French Quarters Apartments
Pine Street Duplexes
Meece Fourplex Calhoun Townhomes
Plus - Houses
Escapees CARE, Inc.
155 Care Center Dr.
Livingston, Tx 77351
936-327-4256
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Hours: 7:30am - 5:30pm • Monday - Friday except holidays
You may bring your loved one any day that you need,
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www.escapeescare.org
High cholesterol levels have
long been directly linked to heart
disease. But as more research
into cholesterol and its relation to
heart disease is conducted, some
doctors are shifting their views
on the relationship between the
two.
Statistics from the American
Heart Association indicate that
75 million Americans currently
suffer from heart disease. And
even though one-quarter of the
population takes cholesterollowering medication and have
reduced the fat content of their
diets, the AHA estimates that
more Americans will die of heart
disease than ever before.
More revelations are coming
to the forefront regarding
cholesterol and heart disease.
New research has shown that
statin drugs are ineffective
at reducing mortality rates in
most populations. Furthermore,
according to the Framingham
Heart Study, which is the longestrunning and most comprehensive
study on heart disease to
date, it was demonstrated that
cholesterol intake in the diet had
no correlation with heart disease.
The study found that men and
women with above average
cholesterol levels had nearly
identical rates of heart disease
compared to those with below
average cholesterol rates.
Another potential eye opener is
that, in addition to cholesterol not
affecting heart disease risk, eating
high-cholesterol foods does
not elevate blood-cholesterol
levels as doctors once thought.
Ancel Keys, who is considered
the Ò fatherÓ of the theory that
cholesterol contributes to heart
disease, now says that thereÕ s no
connection between cholesterol
in food and cholesterol in the
blood.
If not cholesterol levels and
the foods one eats, what, then
is responsible for heart
disease? Many medical
professionals
and
researchers now believe
the primary causes of heart
disease are inflammation
and oxidative stress.
According to Dr.
Dwight Lundell, a
heart surgeon and
author of the book,
Ò The Great Cholesterol
Lie,” foods like refined sugars
and vegetable oils used to
preserve processed foods may
lead to the inflammation that
ultimately causes heart disease.
Inflammation is the bodyÕ s
immune response to a foreign
invader. Foods high in sugar
and saturated fat can exacerbate
inflammation. Bacteria and other
unwanted substances in the body
also contribute to inflammation.
To combat inflammation,
people can adopt a healthy eating
style. Fatty fish, whole grains,
Memorial Clinics
leafy greens, fiber, and nuts can
help reduce inflammation.
Exercise also can reduce
inflammation.
Research
from Mark Hamer, PhD, an
epidemiologist at University
College London, found that,
regardless of BMI or weight,
study participants who completed
2.5 hours of moderate exercise
each week Ñ about 20 minutes
a day Ñ lowered their markers
of inflammation by at least 12
percent.
When a person exercises,
muscle tissue releases a protein
molecule called cytokine, which
likely prompts an inflammation
drop. Just about any type of
workout that raises heart rate
is effective in helping with
inflammation.
The public may have been
misinformed about just how vital
it is to reduce cholesterol levels.
Contrary to popular belief, high
cholesterol may not have the
same connection to heart disease
as doctors once thought. In fact,
inflammation may be the bigger
component in heart disease risk.
Livingston
physicaL therapy
Now Accepting New Patients
305 west mill
serving the AreA since 1983
Adeola Atilade, M.D.
Board Certified in Obstetrics
& Gynecology
(936) 327-5686
936-327-4084
Robert Hallett, M.D.
Mary Garnepudi, M.D.
Sandra Hutchison, M.D. Analiza Justo, M.D.
Board Certified in
Board Certified in Obstetrics
Obstetrics & Gynecology Board Certified in Cardiovascular
& Gynecology
Family Medicine
(936) 327-5686 Disease & Interventional Cardiology
(936) 327-7799
(936) 327-5686
(936) 327-7799
David Ladden, M.D.
Jennifer Kalmer, M.D.
Board Certified in Physical Board Certified in Cardiothoracic
& Vascular Surgery
Medicine & Rehabilitation
(936) 631-6777
(936) 631-6792
Jairo Libreros, M.D.
Board Certified in
Internal Medicine
(936) 327-7799
Raoul Perez, M.D.
Family Medicine
(936) 328-3293
LIVINGSTON 403 Ogletree Dr. | Located inside Memorial Medical Arts Pavilion
David Le, M.D.
Dusty Peterson, FNP-C
Board Certified in Family Medicine
Family Nurse Practitioner
(936) 653-8851
(936) 653-8851
COLDSPRING 21 Alpine St. | Coldspring | (936) 653-8851
ESCAPEES CLINIC 6900 N Hwy 146 | Livingston | (936) 328-8277
MEMORIAL CLINICS | Accepts Medicare, Medicaid & most major insurance | Visit us online at MemorialClinics.com
Bea eLLis,
stAte licensed
physicAl therApist
dan eLLis,
business
MAnAger
Office Hours:
8 Am - 4:30 Pm
By Appointment
• PEDIATRICS
•ORTHOPEDICS
• NEUROLOGICAL
DISORDERS
• CARDIAC
REHABILITATION
•STROkE
REHABILITATION
• ARTHRITIS
• WORkCONDITIONING
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•WOUNDCARE
HWY 190
sears
West mill st.
We Accept MedicAre AssignMent
B
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T
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U
s
i
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s
s
5
9
The ability to offer reliable,
relevant and accessible patient
information to health professionals
is a goal of the healthcare industry.
Paper medical files have long been
the standard, but electronic medical
health records, or EHRs, may help
to change the way patientsÕ health
information is shared.
Thanks to managed healthcare
systems, people are switching
doctors more so than in the past.
Many patients switch doctors
because of ever-changing health
insurance plans. Perhaps a doctor is
no longer part of an in-plan list, or
the patient has been forced to switch
insurance plans due to costs or
changes made at work and the new
plan is not accepted at a particular
practice.
There are other reasons that
patients choose to switch doctors,
including problems with a particular
practice, wait times to see a
physician, lack of confidence in
the doctor, a doctorÕ s poor bedside
manner, or feelings of being rushed.
Patients are also increasingly
turning to online reviews of medical
doctors and asking for personal
referrals so they can track down
diligent physicians.
The trouble with frequently
switching doctors or having to be
referred to many different specialists
is that individualsÕ entire medical
records often do not make the move.
It is often up to the patient to request
existing medical records from past
doctors and then hope they are sent
over. EHRs may help change the
way records are shared.
As with any new technology, there
are different pros and cons to EHRs.
Advantages
One of the main advantages to
EHRs is accessibility. ItÕ s much
easier to send a digital file from
one office to another rather than a
large folder of paperwork. It also
cuts down on the time required to
transfer files.
Accuracy is another advantage.
According to Peter Holden and
Company, a healthcare insurance
firm in Georgia, it is estimated
that one in seven patients has been
hospitalized unnecessarily when
their medical records were not
available for review. Doctors with
access to electronic records are more
readily aware of a patientÕ s medical
history and therefore more likely to
make a more accurate diagnosis.
When stored electronically,
medical records are also readily
available to patients themselves.
This helps men and women take a
more active roll in their health. Far
too often medical records are viewed
as something for doctorsÕ eyes only,
and patients may feel uneasy about
asking for copies of test results or
notes for fear of upsetting their
doctors. However, health records are
also the property of the patient, and
no one should feel uncomfortable
about reviewing their information
or requesting another opinion.
Other advantages to EHRs are
theyÕ re more environmentally
responsible and take up much less
“Gentle, compassionate care for the Whole Family”
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space than traditional files. EHRs
can be stored on secured computer
servers instead of crowding up
doctorsÕ offices or file rooms,
making it easier to store them longterm.
Doctors may find that
EHRs reduce errors, including
misinterpretation of handwriting or
missed information from condensing
records. Some EHR systems are
designed to assist with collecting
and disseminating information to
assist the medical professional in
decision making. While it will not
replace a doctorÕ s knowledge, this
service can be an asset in making
diagnoses.
Disadvantages
One of the key disadvantages
to EHRs is compromised privacy.
Easier access to medical records,
and by a growing number of people
in the health field, potentially puts
personal information in the hands
of dishonest people. ItÕ s much
easier for sensitive material to be
leaked or altered to someoneÕ s
advantage. With so many people
capable of accessing the records,
there may be no way to monitor
how the information is accessed or
if alterations are made to the data.
ThereÕ s also no guarantee that
medical information wonÕ t be
hacked. Although records should
be stored and uploaded through
secured sites, inventive people are
constantly finding ways around
security systems.
Cost is a major disadvantage to
EHRs. There are some healthcare
offices that simply cannot afford to
switch over their records system to
something electronic. Furthermore,
EHRs require a compatible system
across the board. If one doctor is
using Type A system and the other is
using Type B system, there may be
issues of incompatibility and errors.
EHR technology is still in its
infancy, but many physicians are
starting to convert to or investigate
the possibility of going digital.
A healthy mouth is good for
more than just a pretty smile.
Oral health can affect the entire body, making dental care
more than just a cosmetic concern.
Many people know that poor
oral hygiene can lead to gum
disease, tooth decay and even
lost teeth. But are you aware
that failing to brush or visit the
dentist regularly also can lead
to more serious health issues?
According to Colgate, recent
research suggests that there
may be an association between
oral infections, particularly
gum disease, and cardiovascular disease and preterm birth.
Gum disease also may make
diabetes more difficult to control, since infections may
cause insulin resistance and
disrupt blood sugar.
Your mouth also can serve as
an infection source elsewhere
in the body. Bacteria from your
mouth can enter the bloodstream through infection sites
in the gums. If your immune
system is healthy, there should
not be any adverse effects.
However, if your immune
system is compromised, these
bacteria can flow to other areas
of the body where they can
cause infection. An example
of this is oral bacteria sticking
to the lining of diseased heart
valves.
Other links have been found
between oral health and overall health. In 2010, researchers from New York University
who reviewed 20 years of data
on the association concluded
that there is a link between
gum inflammation and AlzheimerÕ s disease. Researchers in the UK also found a
correlation. Analysis showed
that a bacterium called Ò Porphyromonas gingivalisÓ was
present in brains of those with
AlzheimerÕ s disease but not in
the samples from the brains of
people who did not have AlzheimerÕ s. The P. gingivalis
bacterium is usually associated
with chronic gum disease and
not dementia.
Researchers also have found
a possible link between gum
disease and pancreatic cancer. Harvard researchers found
that men with a history of gum
disease had a 64 percent increased risk of pancreatic cancer compared with men who
had never had gum disease,
based on studies of men from
1986 through 2007.
While oral health issues may
lead to other conditions over
time, symptoms also may be
indicative of underlying conditions of which a person is
unaware. Inflammation of gum
tissue may be a warning sign
of diabetes. Oral problems,
such as lesions in the mouth,
may indicate the presence of
HIV/AIDS. Dentists may be
the first people to diagnose
illnesses patients donÕ t even
know they have.
An important step in main-
taining good
overall health
is to include
dental care in
your list of
preventative
measures.
Visit the dentist for biannual cleanings or as determined by
the doctor. Do
not ignore any
abnormalities
in the mouth.
Maintain
good oral hygiene at home
by brushing
twice a day
and flossing at
least once per
day. Mouthwashes and
tems of the body seem to be
rinses also
may help keep teeth and gums linked. Taking care of your
teeth promotes overall health.
healthy.
Oral health and other sys-
Bodywork
Massage Therapy
MT005221
936-327-8965
By Appointment Only
Gift Certificates Available
Kids often lament daily dental
care. Mom and Dad might insist
kids brush their teeth each morning
and before bed, but that doesnÕ t
mean kids enjoy these daily dental
rituals.
While it’s notoriously difficult
to get kids to take dental care
seriously, many adults also
approach dental care with
something less than an enthusiastic
effort. Dental hygiene routines or
visits to the dentist might not be
welcomed with open arms, but their
importance, especially with regards
to preventing periodontal disease,
is paramount. To understand that
connection better, it can help to
get a firmer grasp on periodontal
disease, its potentially negative
consequences and how to prevent
it.
What is periodontal disease?
Periodontal disease is commonly
referred to as gum disease. An
infection of the tissues that
surround and support the teeth,
periodontal disease is a major
cause of adult tooth loss. According
to the American Dental Association,
periodontal disease is often
painless, and many adults may have
it without even knowing it.
What causes periodontal
disease?
Periodontal disease is caused by a
sticky film of bacteria that forms on
the teeth. This film is called plaque,
and the bacteria that forms creates
toxins that can damage the gums.
Are there signs of periodontal
disease?
There are signs that indicate the
presence of periodontal disease,
and anyone who notices these signs
should see a dentist immediately.
Indicators of periodontal disease
include:
• gums that bleed when you brush
your teeth
• red, swollen or tender gums
• persistent bad breath
• pus between the teeth and gums
• gums that have pulled away
from the teeth
• loose teeth
Can periodontal disease be
prevented?
As harmful as periodontal disease
can be, men and women should
know it can be prevented. Taking
good care of your teeth and making
those dental appointments, no
matter how much you might fear
the dentistÕ s chair, are great ways to
prevent periodontal disease.
Keeping gums and teeth healthy
requires a daily commitment, but
that commitment is easy to make.
The following
are a few
daily routines
that
can
help prevent
periodontal
disease.
•
Brush
twice per day.
Brushing twice
daily removes
plaque and
reduces the risk for damaged
gums. When brushing, the ADA
recommends a soft-bristled
toothbrush and toothpastes that
contain fluoride, which strengthen
the teeth and help prevent decay.
• Clean between the teeth every
day. Floss or interdental cleaners
remove bacteria from those areas
a toothbrush just canÕ t reach, such
as between the teeth. Flossing is
important, as the ADA notes that
early periodontal disease can be
reversed by daily brushing and
flossing.
• Don’t skip dental visits. Fear of
the dentistÕ s chair is not uncommon.
Be it kids or adults, many people
harbor a fear of going to the
dentist, no matter how irrational
that fear might be. But skipping
dental visits is a recipe for disaster.
When detected early, periodontal
SeeDENTAL page 17
Woodrome medical Pa
ACCEPTING NEW PATIENTS AND WALK INS IN ALL LOCATIONS
robert G. Woodrome, m.d.
Splendora
alicia Scoggins, NP
Woodville
Bruce marx, Pa-c
onalaska
laconia Bacon, NP
Shepherd
andrew Gulbis, m.d.
livingston
Krishawna Thompson, NP
livingston
Sick Visits • Wellness Visits (Adult & Children) • PAP/Gyn • PhySiCAlS Dot/School occupational
iV therapy • nebulizer • Ultrasound • Abi /Pft • nerve Conduction Study • Bone Density • Quest / labcorp
Minor Surgeries • toenail Removal • treatment For Skin Cancer • Warts & Skin tags
Skin Care • Cosmetics • Aesthetics • Removal of All your lumps And Bumps
Accept Most insurances At All Clinics
Family First Health Clinic Family Health Clinic Onalaska Family Clinic Dogwood Family Clinic Family First Health Clinic of Splendora
16 N Liberty
14181 US Hwy 190 West
613 West Bluff
13817 US Hwy 59
1930 US Hwy 190 West
Splendora, Texas 77372
Livingston, Texas 77351 Shepherd, Texas 77371 Onalaska, Texas 77360 Woodville, Texas 75979
(936) 646-7541
(936) 628-1694
(409) 331-1000
(936) 689-6901
(936) 327-9944
Headaches are a common
occurrence and may result from a
host of factors, including changing
weather, stress and fatigue.
Headaches may be classified as
tension headaches or symptomatic
of sinus congestion. Migraine
headaches are a type of headache
that can affect vision and may be
accompanied by other symptoms,
such as sensitivity to light and
sound.
Although headaches can be
painful, they often are harmless.
Once a headache subsides, a
person can resume normal activity.
However, some headaches are
indicative of a more serious
condition and warrant further
investigation. Should a headache fit
the following criteria, it may be time
to visit a doctor promptly.
• Extreme pain: If the headache
comes on very suddenly and is
characterized by extreme pain, it
may be a sign of an aneurysm. This
occurs when a blood vessel in the
brain tears and cuts off blood supply
to a part of the brain. Aneurysms
are treatable if medical attention is
promptly sought.
• Head injury: Headache following
sports injuries or head trauma should
be checked by physicians. Injuries
can cause brain swelling and buildup
of fluid inside of the skull.
• Neurological issues: If the
headache is accompanied by
neurological issues, such as slurred
speech, problems moving your
limbs, changes in vision, confusion,
or memory loss, see a doctor.
• First-time headache for older
adult: Headaches in adulthood
following a lifelong pattern of
headaches may be nothing to worry
about. However, if you are 50 or
older and suddenly are experiencing
acute headaches, it may be a sign of
something serious.
• Headache and stiff neck:
Bacterial and viral forms of
meningitis can cause a headache
along with a stiff neck and, in
some instances, vomiting. If these
symptoms all coincide, you should
be tested.
• Headache type changes: If
symptoms of recent headaches are
unlike past symptoms, it may be wise
to talk to a doctor about the changes.
Changes can include increased
frequency, different pain locations
or any other new symptoms.
Headaches are often innocuous,
but in some instances, they may be
signs of something serious. Visit
a doctor to rule out more serious
implications of headaches.
disease is rather easily reversed.
But the longer men and women
go between dental visits, the
more time periodontal disease
has to advance, and serious
damage can result. When gum
disease has progressed to an
advanced stage, this is known
as periodontitis. At this point
gums can be seriously damaged,
possibly resulting in loose teeth
or tooth loss. So no matter how
much you might fear the dentistÕ s
chair, those trips are necessary.
Periodontal disease often
goes unnoticed, placing great
Heartfelt Cardiac Care
As one of the area’s leading cardiac care centers, we’re dedicated to using
the most advanced technologies and treatment plans to detect, treat and
manage heart disease. But we also recognize the importance of delivering
this care with a heartfelt, compassionate touch. We treat our patients like
family by giving them top-of-the-line medical attention and one-on-one
support, because exceptional care is at the heart of what we do.
“We pride ourselves in prevention, early detection and management of heart diseases,
as well as risk factor control of hypertension and cholesterol.”
NOW ACCEPTING NEW PATIENTS AT OUR
LIVINGSTON LOCATION 936-252-1147
TEXAS CARDIOLOGY ASSOCIATES
OF HOUSTON & LIVINGSTON
DIAGNOSIS • INTERVENTION • VEIN CARE
400 Bypass Lane, #110
Livingston
www.tcahouston.com
Call today
936-252-1147
DR. SYED A. RAZA
M.D., F.A.C.C
• Internal Medicine
• Cardiovascular Disease
• Interventional Cardiology
• Chest Symptoms
• Shortness of Breath
• Coronary Artery Disease
• Heart Failure/Stroke
• Palpitations
• Leg Pain & Vein
Problems
• Nuclear Cardiology
• Comprehensive
Echocardiography
• Cardiac Computed
Tomography
emphasis on the individual to
be proactive and take care of his
or her teeth while visiting the
dentist at least twice annually.
More information on periodontal
disease can be found at www.
ada.org.
Allergy triggers are all around,
and the rates of those people
affected by various allergies seems
to be growing. Worldwide, the rise
in prevalence of allergic diseases
has continued in the industrialized
world for more than 50 years,
according to the American Academy
of Allergy, Asthma & Immunology.
Sensitization to foreign proteins in
oneÕ s environment is present in up to
40 percent of the worldÕ s population,
continues AAAAI.
An allergy is defined as an
overreaction of the human immune
system to a foreign protein (allergen)
that is eaten, inhaled, touched, or
injected into the body. Allergies can
cause such reactions as stuffy or
runny noses, itchy eyes, coughing/
sneezing, rashes, and hives. More
severe reactions can include
difficulty breathing, a lowering of
blood pressure and asthma attacks.
Allergic reactions occur when the
bodyÕ s immune system attacks an
often harmless substance like animal
dander, food or pollen. Medication
can help reduce the severity of such
reactions, but some allergy sufferers
find allergic reactions inconvenient
nuisances even with medication.
Understanding what triggers
allergic reactions may help some
people avoid them or make them
easier to handle. The following are
some of the more common allergy
triggers and how men and women
suffering from allergies can avoid
them.
Millions of visits to physician
offices result in a primary diagnosis
of allergic rhinitis, or hay fever Ñ
one of the most common allergy
manifestations. The CDC says 17.6
million Americans were diagnosed
with hay fever in the past 12 months.
Allergic rhinitis is a common
condition that creates symptoms
similar to a cold. Unlike a cold,
which is caused by a virus, allergic
rhinitis is an allergic response to
any number of triggers. Usually
hay fever can be brought on by any
number of allergens and sometimes
it can be difficult to narrow down the
exact cause. However, here are some
of the more common allergens.
• Pollen: Of all things that can
cause an allergy, those resulting
from pollen tend to be the most
prolific. Pollen can be released from
trees, grasses, weeds, and flowers
throughout much of the year. While
the main goal of pollen is to fertilize
other plants, pollen that is inhaled
can cause allergic reactions. ItÕ s the trouble, but usually proteins include Alternaria, Aspergillus,
one of the more difficult allergens found in a petÕ s shed skin, saliva Cladosporium, and Penicillium.
to avoid since pollen is virtually and urine that can cause problems. Preventing the environment needed
everywhere.
Keep in mind that there are no truly for mold to grow can reduce allergic
• Dust: Dust is an accumulation hypoallergenic breeds, and length reactions. This primarily means
of microscopic particles that become of hair or fur will not eliminate airing out homes to keep them dry.
trapped in a home. A large portion allergies. An allergist may be able to
Allergies can occur all year long
of dust is comprised of dust mites. suggest a course of treatment.
and be bothersome. Working with
WebMD says about 20 million
• Mold: Tiny fungi with spores an allergist and avoiding the most
Americans are allergic to dust mites that float through the air, mold is yet common triggers can help people
and their waste. Dust mites feed on another common allergen. The most feel more comfortable.
skin from pets and humans. They common allergy-causing molds
tend to spike in
numbers during
warmer weather
or if indoor
temperatures are
S. Katari, M.D.
kept at 75 F or
Same Day Appointment For Sick Visits
higher. Cleaning
• Accepting New Patients •
using a HEPA
filter vacuum
Medicaid, Chips, BC/BS
can keep dust at
Most Major Insurances Accepted
a minimum. Air
Complete Health Care for Children
S. Katari,
purifiers also may
Kumari
0 to 18 years Including
Weeratunge,
be able to help.
M.D. F.A.A.P. D.C.H.
Immunizations, Texas Health Steps
M.D.
•
Animal
Board
and Sports Physicals
Board
dander: Millions
Certified
Certified
of pet owners
Pediatrician
Pediatrician
have an allergy
to their animals,
24 Hour Answering Service/Walk-ins Welcome/Se Habla Español
says AAAAI. ItÕ s
Mon. - Fri. 8 AM - 5 PM / Sat. 9 AM - 12 PM
not the fur of the
animal that causes
POLK CHILDREN’S CLINIC
Fondren Orthopedic Group L.L.P.
• Fracture Care
• Sports Medicine
• Joint Replacement
• Carpal Tunnel Syndrom
• In-House MRI and X-Ray
• Reconstruction Spine Surgery
• Shoulder Reconstruction
• Arthroscopic Surgery
• Physical Therapy &
Rehabilitation
Dr. Ken Korthauer
Dr. Jay Muscat
Leading the way in
Orthopedic Excellence
• Team Physicians and sponsors of yearly school physicials,
donating all proceeds of physicals back to the Athletic
Departemtns of each school (Kingwood, Kingwood Park,
Huffman and Splendora)
• Associated with Texas Orthapedic Hospital in the
Medical Center
Dr. Scott Stanislaw
Dr. David Wimberley
Dr. Razvan Scobercea
601 Rockmead Drive, Kingwood, TX 77339 • 18411 W. Lake Houston Pkwy, Ste. 550, Humble, TX 77346
9522 N. Sam Houston Pkwy, Ste. 2350, Humble, TX 77396 • 281-359-5115 • www.fondren.com
Dr. Scott Stephens
Health Center
Of Southeast Texas
A Federally Qualified Health Center
(Nonprofit Organization)
The human heart and the miles of blood
vessels that snake through the body are a
wonder to behold. Made up of three independent
components, the cardiovascular system
functions best when these three components,
which include the heart, lungs and portal
vessels, work cohesively.
Each day 2,000 gallons of blood travel
through the blood vessels to provide oxygenated
blood to the body and remove waste materials,
including carbon dioxide. ThatÕ s a lot of
traveling. In fact, according to LiveScience, if
you were to lay out all of the arteries, capillaries
and veins in one adult from end-to-end, they
would stretch roughly 60,000 miles, which
means that our blood vessels could wrap around
the Earth 2.5 times.
The human cardiovascular system is nothing
short of fascinating, and the following are
some even more remarkable facts about this
wonder of nature, courtesy of Mercola, PBS,
CPR Certified medical training group, and
LiveScience.
• The heart beats around 2.5 billion times in
the average personÕ s lifetime.
• Red blood cells have to move in a singlefile line to fit through the miniscule capillaries
in the body.
• When the body is at rest, it takes about six
seconds for the blood to go from the heart to the
lungs and back.
• A woman’s heart typically beats faster than
a manÕ s heart, at a rate of 78 times per minute
(mensÕ hearts beat 70 times per minute).
• The corneas in a person’s eyes are the only
bodily cells that do not receive a blood supply.
• The thumping sound of the heart is made by
the four valves of the heart closing.
• If a heart has an adequate supply of oxygen,
it can beat even when separated from the body,
thanks to its own electrical impulse.
• Ancient Egyptians believed the heart, rather
than the brain, was the source of emotion,
wisdom and memory.
• Unlike other cells, red blood cells do
not contain nuclei so they have room to
carry oxygen. However, this absence is why
they cannot divide or synthesize new cell
components.
• Healthy bone marrow will constantly
manufacture new red blood cells.
• Within a tiny droplet of blood, there are
about 5 million red blood cells.
• The right ventricle is responsible for
moving blood to the lungs, where it will receive
fresh oxygen and nutrients. The left atrium and
left ventricle receive this oxygenated blood
back from the lungs.
Because we are an FQHC, the Medicare deductable will be waived and co-pay may be discounted if you qualify.
Practice Services
• Family Care
• Adult well-care & Physical exams
• Women’s Health
• School Physicals
• Minor Emergencies
• Chronic Disease Management.
• We manage Diabetes, blood
pressure, & cholesterol.
• Contraception Implants
• Diagnostic Testing
• Vision & Hearing Exams.
• Smoking Cessationa
• Patient Education Classes
Payments Accepted
• DOT & Employee Physicals
• Individual Psychotherapy
Children 4yrs and older,
Adolescents, and Adults
• Family Counseling
• Depression and Anxiety
Management
• Anger Management
• Substance Abuse Individual
Counseling for 12yrs and older
• Chemical Dependency Education
• We use Electronic Health
Records to help us provide high
quality care.
• All major insurances
• Medicaid & Medicare
• Cash, checks, credit cards
• We also offer various health
assistance programs.
• Income based sliding scale
payments
• Low cost Breast & Cervical
Cancer screenings
(For those who qualify)
• No or low cost children’s
vaccines.
4 Locations:
Livingston
Central Location Cleveland
Shepherd
Liberty
204 West Park Drive, Suite 200
307 N. William Barnett
11 Woodland Park Drive 1202 N. Travis Street
Livingston, Texas 77351
Cleveland, TX 77327
Shepherd, Texas 77371 Liberty, Texas 77575
Phone: 936-327-4660
Phone: 281-592-2224
Phone: 936-628-1100 Phone: 936-334-1185
Fax: 936-327-4661
Fax: 281-592-2225
Fax: 936-628-1188
Fax: 936-391-3000
We appreciate the opportunity to serve you. Feel free to call or stop in any time you need us.
livingston
sleep CliniC
Abraham F. Cheriyan, MD • Sushil George, MD
Do You Have:
Fatigue? Sleepiness
During the Day? Snore?
Interrupted Sleep?
Gasping, Choking or
Breathlessness During
Sleep?
Call For an appointment
(936) 328-7959
210 W. Park Dr. - Ste. 108 • Livingston
(936) 639-1110 Lufkin
Imagine a
healthier
community.
Polk County is home to CHI St. Luke’s Health
Memorial Livingston, a state-of-the-art facility
where patients have access to 24/7 critical
care, diagnostic services and much more. The
conveniently located hospital is situated just of
Highway 59 south. The 66-bed hospital provides
almost 60,000 patient services each year, with
half of those services being offered in the Level 4
Trauma-designated Emergency Department.
OUR SERVICES
Emergency
Surgery
Intensive Care
Orthopedics
Rehabilitation
Express Lab
Sleep Center
Homecare
Women’s Services
Imaging
Memorial Livingston
1717 Hwy. 59 Bypass | Livingston
936-329-8700
chistlukeshealthmemorial.org
Few people devote much thought
to their kidneys unless their doctor
advises them they are having kidney
troubles. But kidneys perform essential
functions in the human body, filtering
water and waste out of blood and urine
while also helping to control blood
pressure. When operating correctly,
kidneys can go a long way toward
ensuring a healthy life. But when
kidneys are compromised, the results
can be very harmful to human health.
Kidney disease is no small cause
for concern, as the National Institute
of Diabetes and Digestive and Kidney
Diseases notes that more than 20
million Americans may have kidney
disease, with millions more being
at risk. Kidney disease may be even
more problematic in Canada, where
the Kidney Foundation of Canada
reports that one in 10 Canadians has
kidney disease.
Though family history is one risk
factor for kidney disease, itÕ s not just
genetics that put people at risk. People
with diabetes, high blood pressure
and/or cardiovascular disease are also
at risk of developing kidney disease,
which develops gradually and does
not often produce physical symptoms
until it has reached an advanced
stage. Because people may not detect
symptoms of kidney disease until it
reaches an advanced stage, the NIDDK
recommends people schedule routine
blood tests to check their glomerular
filtration rate, or GFR, which checks
to see how well kidneys are filtering.
The NIDDK also notes the importance
of routine urine tests, which check
for protein in urine. The presence of
the protein albumin in urine indicates
kidney damage.
In addition to routine screenings,
people can take the following steps to
maintain healthy kidneys so they can
live long, healthy and active lives.
• Maintain a healthy blood pressure.
A healthy blood pressure can delay or
prevent the onset of kidney disease.
The American Heart Association
advises that a normal healthy blood
pressure is a systolic number (the top
number) less than 120 and a diastolic
number (the bottom number) less than
80. The systolic number measures
the pressure in the arteries when the
heart beats, while the diastolic number
measures the pressure in the arteries
between heartbeats. Have your blood
pressure measured by your physician
on each visit (and no less than once per
year), and speak with him or her about
ways to lower your blood pressure if it
is high or if your blood pressure falls
in the prehypertension range (120-139
over 80-89), which means you are at
risk of developing high blood pressure.
• Reduce sodium consumption. One
simple way to protect your kidneys is
to consume less than 2,300 milligrams
of sodium each day. Though sodium
serves some essential functions in
the body, helping it to regulate blood
pressure among other things, people
with kidney disease cannot eliminate
excess sodium and fluid from their
bodies. The resulting buildup in the
tissues and bloodstream can contribute
to high blood pressure.
• Limit alcohol intake. The NIDDK
advises that limiting alcohol intake
can help to keep kidneys healthy and
operating at full strength. Alcohol
impacts the body in various ways, and
kidneys are not immune to the effects
of alcohol. Alcohol can cause changes
in the kidneys that compromise their
ability to filter blood. Alcohol also
can affect the ability of
kidneys to maintain the
right amount of water in
the body. ThatÕ s because
alcohol consumed in
excess dehydrates the
body, making it harder
for cells and organs,
including the kidneys, to
function normally. Speak
with your physician
about your alcohol
consumption and what
is considered healthy
for someone in your
situation.
• Consume a kidneyfriendly diet. The
right diet also can
help people maintain
healthy kidneys. A diet
that includes kidneyMaintaining a healthy blood pressure
friendly foods can prevent is one way for men and women to
the buildup of waste in the promote long-term kidney health.
kidneys while also helping
people maintain healthy
few kidney-friendly foods.
blood pressures. The National Kidney
Healthy kidneys can contribute to
Foundation notes that foods such long, healthy lives. Learn more about
as apples, blueberries, fish high in the kidneys at www.kidney.org.
omega-3 fatty acids, and kale are just a
MASSAGE CENTER OF LIVINGSTON
Visual Eyes Optical
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Complete Pair Glasses • Frames & Lenses • Single Vision $25
Lined Bifocals $60 • Progressive No Lines $100
CAROLYN A. TILLISON
Massage Therapy • Therapeutic
Relaxation • Reflexology
Facial & Scalp Massage
19 YEARS EXPERIENCE
By Appointment
936-327-3872
www.txtooth.com
10% Seniors Discount Over 62
LIC#MP014505
Clestel Riffe ABOC/Owner
Dr. Allen Chin
Experience Matters
Over 34 years of experience in Eyecare
Services
a Family Eyecare
a Contact Lens Evaluations and Fitting
a Free LASIK Evaluations
a Treatment of Eye Infections
936-327-9747 • 936-328-5990 Dr.
Mon - Fri 8:30 - 5 • Sat 9 - 1
Appointments Available Wednesday
117 South Point Dr. • Suite 200 • Livingston
One & two bedrooms, walk-in closets, full-size washers and dryers, private balcony or patio, sparkling swimming pool and Wi-Fi at pool area.
936-327-2585
1025 W. Church • Livingston • pinehills-apts.com
Come the end of the holiday
season, many people resolve to
rest, recharge and get back to
healthy eating habits.
Time magazine reports that
losing weight and getting fit are
the most popular New YearÕ s
resolutions, but also the ones
that people are most likely to
abandon after a short time. That
may be because New YearÕ s
dieters are too often choosing
diets that are impractical and
not conducive to long-term
success. Some may stop eating
certain foods or ingredients
entirely, while others look
to diets that require a level
of commitment beyond busy
adultsÕ capabilities.
Many fad diets target fat and
carbohydrates, but dieters may
not know that fat and carbs
are necessary for a healthy
metabolism. According to Dr.
Walter Willett of the Harvard
School of Public Health, lowfat diets donÕ t work for many
people. In fact, dozens of
studies have found that lowfat diets are no more healthy
than moderate- or high-fat diets
and may, in fact, be worse.
Foods that are low in fat may
be full of ingredients that can
be detrimental when eaten in
high amounts. Processed lowfat foods can be made to taste
better with copious amounts
of salt or sugar. Some lowfat foods are actually high in
simple carbohydrates, which
can cause spikes in blood sugar
and increase bad fats called
triglycerides in the blood.
Simple carbohydrates are
generally those that break down
fast and do not provide much
value beyond the initial energy
burst. Although some simple
carbs, such as fructose and
lactose, can be beneficial and
are generally found in healthy
foods, itÕ s best to avoid simple
carbs.
Eating healthy doesnÕ t
mean avoiding
carbohydrates and
fats altogether.
The key is to find
good fats and
carbs that provide
a host of benefits.
Good fats, such as
monounsaturated
f
a
t
s
,
p o l y u n s at u rat ed
fats, and omega-3
fatty acids, help
to manage mood,
maintain mental
a c u i t y,
fight
fatigue, and control
weight. Good fats
are largely found
in olives, nuts,
legumes, soy, and fatty fish.
Keep total fat intake to 20 to 30
percent of your calories.
Good carbs are complex
carbohydrates.
TheyÕ re
starches that take a longer
time to metabolize in your
digestive system. Good carbs
will raise blood sugar, but
they will keep it at a stable
level for an extended period of
time. Complex carbs usually
contain a lot of fiber, which
can help keep a person feeling
full for long periods of time.
Plus, they help keep digestion
moving smoothly to help you
When you
put your health first,
you are putting
your family first.
avoid constipation. Fibrous
vegetables, fruits, whole grains,
and beans are high in fiber and
are good carbohydrate choices.
Some foods contain both good
carbs and good fats.
Eating healthy means finding
a balance that includes the right
fats and carbohydrates.
936-327-3101
1008 W. Church - Livingston
Anita Kuruvilla, M.D.
Board Certified in Internal Medicine
Dr. Anita Kuruvilla specializes in internal medicine and women’s
health. Let her take care of you, so you can take care of them. She
has a special interest in heart disease, hypertension, diabetes, high
cholesterol, osteoporosis and emphysema in men and women.
A COMPLETE MENU OF
DELICIOUS FOOD
& BEVERAGE CHOICES:
Greg & Vicky Poynter
Owner/Operators- Livingston
• SERVING BREAKFAST
•
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7AM - ALL DAY!
MEAL DEALS
WACKY PACK KIDS MEALS
FOUNTAIN FAVORITES
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FOUNTAIN
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3 p.m. - 5 p.m.
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400 W. Church Street • Livingston • (936) 327-2655
Walk-ins welcome. Medicare, Medicaid & most private insurance accepted.
IT’S
THE FUN PLACE TO BE! IT’S WHERE FRIENDS MEET!
of JA may be able to identify
the condition before their
childrenÕ s doctors, and that
early detection can help
kids better cope with the
discomfort and pain caused by
their condition.
• Stiffness: Children with JA
may be particularly stiff in the
morning.
• Pain: Kids who complain
of pain right after waking
up rather than after a day
of physical activity may be
exhibiting signs of JA. Pain
may dissipate as children
begin moving.
• Swelling: Redness and
swelling around the joints is
an indication of inflammation.
This swelling may come and
go or persist for several days.
• Fever: Sudden fevers not
linked to any respiratory or
stomach ailments may be
indicators of JA.
• Fatigue: JA can cause
children to be more tired
than
usual.
Fatigue also can
affect eating
and sleeping
patterns.
If
a
pediatrician
suspects JA,
he or she likely
will recommend
a visit to a
pediatric
rheumatologist,
who will then take a complete
health history to determine
the type of symptoms present
and the length of time those
symptoms have been present.
Laboratory work, x-rays and
other imaging tests will rule
out other conditions, but no
test can definitively say if a
child is or is not suffering
from JA.
There is no cure for arthritis.
The goal of treatment is to
reduce pain and inflammation
and improve quality of life. A
combination of medications,
physical therapy and healthy
eating are usually prescribed to
ease symptoms. Medications
may be anti-inflammatory
drugs as well as biologics,
which put the disease into
remission and prevent the
bodyÕ s immune system from
attacking the body further.
Several different treatment
plans may be tried until the
right combination is found.
Weight management and
healthy eating can help a
child with JA prevent further
joint damage as he or she
ages. Physical activity,
including low-impact
exercises that take the
stress off of knees or
hips, also are good for the and children. More
joints and can improve information is available at
www.arthritis.org.
strength and flexibility.
Arthritis is a condition
that affects both adults
make it easier to focus
on work and other tasks
throughout the day.
• Get adequate sleep.
One of the best ways to
improve focus during
the day is to make sure
youÕ re getting enough
sleep at night. Sleep
deprivation produces a
host of negative consequences, not the least
of which is its impact
on cognitive func-
tioning. Research has
shown that sleep deprivation compromises
alertness and concentration, making it more
difficult to focus at
work and tackle tasks
that require deep analysis and thought. In addition, a survey from
the National Sleep
Foundation found that
sleep-deprived men
and women are less
likely to exercise and
eat healthy diets, each
of which can boost
mental acuity.
Focusing in today’s
atmosphere of constant distractions can
be difficult, but men
and women can overcome diversions by
employing a handful
of successful strategies
aimed at improving
concentration.
Have you been suffering with sleeplessness, chronic pain,
headaches or mobility restrictions?
Come in to see if a customized bodywork session can offer some relief!
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936-239-5363
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301 W. Park Drive
Livingston, TX 77360
936-328-5021
Redbud Rehab Center
Providing Inpatient and Outpatient Physical, Occupational and Speech Therapy In Patient Wound Care through Physical Therapy.
We provide excellent therapy services with outstanding outcomes. Our in house therapist are highly qualified and committed to
providing quality care in a caring and professional manner.
The Bradford is a 5 star rated community by Texas
Department of Aging and Disability Services. Rated #1 In Polk County
Myrel – PT, Ram- DOR/OT, Malia- PTA, Koa- Therapy Dog, Annie-SLP, Tracy- COTA
Where We Are Committed To EXCELLENCE!
Brenda Battaglia, Executive Director
24/7 Admissions/ Referrals Call 936-933-5241 Referrals Fax Line 1-866-638-7745