Read Summer text version

Summer 2007 $2.00 Value

Stephanie Edwards

American Idol Star

Balance

of Smart Living and National Fame

Strikes a

Exercising ­

How Much is Too Much?

Over

Smart Summer

Skin Care

Live Life Smart

1 3 3

Paul P. Hinchey

Over Exercising ­ How Much is Too Much? Clinical Trial Participants Shape the Future of Medical Care Myths and Realities of Clinical Trials Smart Summer Skin Care Starts With Sunscreen Simple Strategies to Stop the Pain of Carpal Tunnel SMART Eating Keeping a Sharp Mind After 65 Are You at Risk for P.A.D.? Ooooh, Ahhhh ­ Experience The Healing Touch of Pregnancy Massage

Word from the President and CEO

A

Balancing proper nutrition and fitness with the daily demands of life is a challenge for many of us. Add fame to the mix, and that challenge can become even harder to surmount. Nineteenyear-old Stephanie Edwards, who recently achieved national attention as an American Idol star, shares her insight on what it takes to "live smart" in the face of considerable stress. While enjoying the summer, it's a great time for a reminder to be sun safe. This issue features an article on keeping you and your family safe from the harmful rays of the sun with tips from our experts. In the article, "Clinical Trial Participants Shape the Future of Medical Care," we take a close look at the benefits, myths and realities of clinical research. In this issue, we also explore advances in the treatment of diabetes and bring to life the importance of looking for the best care at the forefront of technology. Enjoy Smart Living, and please feel free to share your comments with us. We are always looking for stories and topics for future issues that will help you to make the smartest choices for your health.

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In Every Issue

Inside Cover 1

A Word From the President and CEO SMART Reading Ask-A-Magnet Nurse

Back Cover

6

Features

2 4 8

The Reluctant Patient: Improving Men's Health Through Prevention American Idol Star Strikes a Balance of Smart Living and National Fame Continuous Glucose Monitoring May Eliminate `Pincushion' Effect for Diabetics

Pullout Calendar

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Over Exercising ­

How Much is Too Much?

E

xperts say simple, regular exercise keeps the body in better

shape, combats heart attacks, and reduces depression. But does that mean you need to spend hours in the gym everyday? No, definitely not. It's important to guard against over-exercising. Some of the physical dangers that may become an issue for someone exercising too much can be: dehydration, stress fracture and osteoporosis, degenerative arthritis, amenorrea (loss of menstrual cycle) and reproductive problems, and heart problems. How do you know if your exercise habits are unhealthy? Here are some signs: Feeling irritable if you can't exercise, making exercise your highest priority, exercising when injured and planning your life around exercise. For the average individual, healthy exercise is considered to be 20 to 30 minutes of athletic activity (walking, slow jogging, weight training, aerobics, bicycling, etc.) 4 or 5 times per week. The goal of exercise is to keep the body healthy while enjoying a good regime.

US Department of Health and Human Services

Regular exercise keeps the body in

better shape

combats heart attacks and reduces depression

Smart Reading

For dermatology questions: www.aad.org/patient_intro.html (from Dr. Gaughf) The Breast Book by Dr. Susan Love (suggested by Marcia Thompson, Social Worker, Lewis Cancer & Research Pavilion) For Men's Health issues; Dr. Dmitry Levenson suggests WebMD and Men's Health Magazine and the magazine website: menshealth.com

Smart Web

Some general helpful websites: childrenbirth.org healthweb.org americanheart.org

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The Reluctant

Improving Men's Health Through Prevention

Patient:

I

your husband or significant other won't go to the doctor until something hurts, or until you talk him into going. The sooner your man starts getting regular checkups, the better he'll be able to avoid serious health consequences in the future. "When I ask patients why they decided to come in," says Dr. Dmitry Levenson of St. Joseph's/Candler Medical Group--Southside, "the usual response is, `she told me I needed to make an appointment.' "

f you're like most women,

Men who wait until their late 30s or 40s to start seeing a physician regularly often have ingrained habits that can be detrimental to their health, and more difficult to change.

"By the time the older man gets to the office it's a matter of concentrating on lifestyle modification," Dr. Levenson says. "I can discuss things with them and make suggestions but they have to be motivated to make the changes." A better approach, in Dr. Levenson's view, is for men to start having biennial physical exams in their early 30s. At that age, conditions like high cholesterol can already be present. "Men should have their baseline cholesterol checked before age 35," Dr. Levenson says. "If there's a family history of cardiovascular disease, they should start even earlier." According to Dr. Levenson, "Starting after age 40 every man should have an annual physical because every man should have a prostate evaluation," he says.

"The key to

good health

is prevention."

After age 50 colorectal health becomes a focus, Dr. Levenson continues. "Everyone, men and women, should have a colonoscopy at age 50," he says. "Colorectal cancer is the number-two cancer killer, but it's very treatable with early detection." The 50s and 60s are when other health issues start to affect more men. "In men's health, as you get older, the erectile problem becomes an important issue that needs to be addressed. It's a difficult thing for a lot of men to talk about so if they say `someone told me about this,' then it opens the door to discussion." "The key to good health," Dr. Levenson sums up, "is prevention."

2 St. Joseph's/Candler · Summer 2007

The National Cancer Institute's

Myths and

Realities

of Clinical Trials1

Clinical Trial Participants

Shape the Future of Medical Care

"Research is all about change,"says Wanda Kay North, Manager of the Office of Research at St. Joseph's/Candler. "Research allows us to continually look into the future ­ and help shape the therapies that are being developed."

Through a partnership with the H. Lee Moffitt Cancer Center and Research Institute -- one of the largest comprehensive cancer centers in the United States -- St. Joseph's/Candler patients have extensive access to Phase II and Phase III oncology clinical trials. Access to clinical trials has increased greatly in recent years, as St. Joseph's/Candler has increased its emphasis on research and in building relationships ­ like that with Moffitt ­ to give patients access to these important studies. "We are committed to providing patients with access to new anti-cancer agents and supportive pharmaceuticals that may not be otherwise available to patients in our area," North says, pointing out that twelve years ago, the clinical trial initiative started with one staff member (North) and one study. "Now, there are over 120 studies underway, of which about 70 are cancer-related," she says. North points out that there are many benefits of taking part in clinical trials. "Participants in clinical trials can play a more active role in their own health care, gain access to new research treatments before they are widely available, and help others by contributing to medical research," she says. "In some extreme cases, the investigational drug may be the patient's last option, and having access to the trial can literally save a life. And now, in many cases, the patient can do all that without leaving Savannah."

1Myths and Realities Source: The National Cancer Institute: http://www.cancer.gov/clinicaltrials/conducting/informed-consent-guide/page2

Myth: My doctor knows best; he or she can tell me whether or not I should consent to participate. Reality: Your doctor is likely to be a valuable source of advice and information, but only you can make this decision. No one ­ not even medical experts ­ can predict whether a treatment, screening, prevention, or supportive care method under evaluation in a trial will prove successful. The informed consent process is designed to help you weigh all of the information and make the right choice for you or your child. Myth: Once I sign the consent form to participate in a trial, I have to enroll and stay enrolled in the trial. Reality: That's not true. Even after you sign the form, you are free to change your mind and decide not to participate. You also have the right to leave a clinical trial at any time for any reason, without forfeiting access to other treatment. Myth: Medical personnel are busy, so I can't really expect them to keep me informed as the trial progresses or listen to my questions. Reality: The research team has a duty to keep you informed, make sure that you understand the information they provide, and answer your questions. If you ever feel that you are not getting what you need, do not hesitate to speak up. You will be given the name and phone number of a key contact person who can answer your questions throughout the course of the trial. Keep in mind that people like you are making this research possible through their willingness to participate.

3

American Idol Star

Strikes a Balance

of Smart Living and National Fame

S

inging since the age of two, Savannah's own Stephanie Edwards was born to be a star. When she was just 12 years old, she made her debut performance on Showtime at the Apollo. Five years later, she won the title of "Savannah Star." This year, at the age of 19, Edwards earned the distinction as the second youngest female in the Top 24 of American Idol.

Exactly three months after her departure from the American Idol competition, Smart Living sits down with Edwards to find out how she manages to take care of her health while handling the hectic demands of her national celebrity:

Smart Living When you were out in Hollywood, how were you able to balance your diet, your health, looking good and feeling good with all the demands of your schedule?

Stephanie Edwards

It was actually kind of hard because they fed us group meals every day. Everybody was eating dry Subway sandwiches, so I'm sure that was pretty healthy and non-fattening. I kind of stayed away from the free food and candy that you could eat, and I stuck to drinking a lot of water. Especially as a singer, I have to drink a lot of water. And there was always the gym available ­ I tried to go at least 20 minutes a day.

Are you into working out now that you are back home and off the show?

SL

SE

I am. I actually go to a local recreational park every afternoon. I walk and I do little fitness stops around the park, and that's it. I'm trying to stay active.

What kind of tips would you offer people who may not be into going to a gym?

SL

SE

Play sports. Learn track or play basketball. I used to play softball ­ any sport. You don't realize that you're working out but you are ­ so it's a lot easier to do it. And when I go to the park, I normally take a friend or two with me, and we all go work out together. So we're all trying to be healthy and look out for each other.

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St. Joseph's/Candler · Summer 2007

SL

Although you're not on American Idol any more, is your schedule still really hectic?

SE

I do a lot of local performances. It's not as bad as American Idol, and I'm home so that makes it easier for me. I'm still pretty busy, which is why I eat out, so I'm trying to kind of find the time to go home and cook something.

A Day in the Diet

of Stephanie Edwards

How much sleep did you get and how did that affect your ability to function throughout the day?

SL

SE

Normally I got a good bit of sleep. I remember actually that the day after my final performance on American Idol, we had a lot of press and I got in about 12 o'clock at night and got up and had to be dressed at four in the morning. So I got two or three hours of sleep, and then I went and did press all day long, sitting in front of cameras, trying to look vibrant and well rested ­ it actually made me more hyper. I think that if I had to do that the entire time I was there, though, I would have been completely out of it.

SL How often do you eat at fast food restaurants? SE Lately, a lot, but I have to cut down on that. If I do eat fast food, I try

to get the healthiest thing on the menu ­ a salad or a grilled chicken sandwich or something. I think I eat out maybe three or four times a week but I need to cut down because that's too much.

Breakfast

Favorite cereal -Honey Bunches of Oats or Scrambled egg and 1-2 pieces of bacon

For people with busy lifestyles, what are your top three tips for staying healthy and maintaining a well balanced life?

SL

SE

Drink a lot of water. That's the number one, first tip that I still need to work on. I did it more when I was with American Idol ­ that's all they gave us. But being back home, it's kind of hard to stay away from juices and sodas. Try to exercise at least three to four times a week. I try to do it every day if I can because I really want to get toned up and get in shape, so I can't skip any days. Get as much sleep as possible. Even if you're not tired, lie down and go to sleep. You know, [in Hollywood] we would get in at 12 o'clock at night and be so hyper and wired from being up all day singing and meeting all these great groups. Some people would stay up all night and then do it again. And I would always make myself lie down and go to sleep. So make yourself go to sleep so you can get those six to seven hours in there. Aside from figuring out how to balance the physical side of life with her professional life, one look at her official American Idol profile reveals how Edwards manages to stay grounded despite her star status. Citing her mother and father as her personal heroes, Edwards also shares her one ritual prior to each performance: "I pray to God, `If it's your will, let it be done.'"

Lunch

Salad mixed with chicken or leftover salmon or Grilled chicken sandwich at a fast food restaurant

Dinner

Mom's home cooking: Baked chicken Green beans Potatoes and onions Corn bread

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Smart Summer Skin Care

Starts With Sunscreen

I

t's summer, and that means it's sunscreen ­ or

better yet, sun protection ­ season. While a dark tan was once considered a sign of health, now it's seen as just the opposite ­ a sign of overexposure to the sun's damaging rays. Preventing overexposure is easy if you make using a sunscreen a habit, according to Claudia N. Gaughf, M. D., a dermatologist located at St. Joseph's/ Candler. "The best thing to do is to use your sunscreen everyday, just like you do with toothpaste," Dr. Gaughf says. "Apply sunscreen before you leave the house, and re-apply it during the day as sweat and water will cancel the protection of the initial application." Dr. Gaughf recommends sunscreens that combine several active ingredients for more complete skin protection. "Helioplex is a new chemical that is particularly helpful against UV damage and can be found in several products that are now available." All sunscreens, when applied (and reapplied) properly, protect against the UVB rays that cause sunburn, but their effectiveness against UVA rays varies. Both UVA and UVB rays cause other skin damage, such as sagging or wrinkling, and have been linked to skin cancer.

The best thing to do is use your

sunscreen everyday,

just like you do with toothpaste.

For these reasons, Dr. Gaughf recommends physical protection, including hats and sunglasses, in addition to sunscreen. "There is a false sense of security about sunscreen, where people can think that it's all they need. But if you're going to be in the sun for long periods of time, special sun protective clothing, in addition to SPF 50-Plus, is a better way to guard against overexposure." Dr.Gaughf, who is also a mother, uses another tactic that's as easy as reading a clock. "A very effective way to limit exposure is to save swimming and outdoor sports for the beginning and end of the day," she says, "when the sun's rays are less intense. I try to make sure my kids swim before 10 a.m. and after 4 p.m., which really reduces the UV exposure. When my children have to swim at other times, the sun protective clothing is a must."

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St. Joseph's/Candler · Summer 2007

Simple Strategies

to Stop the Pain of Carpal Tunnel

T

in your wrist or fingers might be telling you something, especially if you spend a lot of time performing repetitive motions with your hands and wrists on an assembly line or other hand-intensive work. "We are a society that suffers greatly from repetitive hand and wrist motion injuries," says Tina Jaya, an occupational therapist and certified hand therapist with St. Joseph's/Candler. "It's a problem that can affect anyone. Onset of symptoms can be slow or spontaneous." In other words, one day you may be fine, and the next day you feel tingling and numbness that signals the onset of carpal tunnel syndrome. It is important to consult a physician about these symptoms. Carpal tunnel syndrome results from compression of the median nerve, which runs from the forearm to the hand

hat little tingling feeling

through a narrow opening in the wrist. A variety of causes, including repetitive motion, systemic disorders and trauma can contribute to the compression. As the nerve is compressed, pain, numbness and tingling can spread through the hand, and if untreated, can cause serious permanent damage. The good news, Jaya says, is that early treatment can typically prevent serious problems. "If you catch the symptoms early (numbing and tingling sensation in the thumb and first two and half fingers) you are more likely to resolve the problem with splinting and exercise." Hand therapists can also set up a regimen of stretches and physical therapies to alleviate the pain of carpal tunnel problems. "One of the advantages of our program at St. Joseph's/Candler is that the patient has four locations for therapy from which to choose in the Coastal Empire" Jaya says.

For more information on carpal tunnel and other hand problems, visit the ASHT (American Society of Hand Therapists) website at www.asht.org.

Smart Eating

As advised by the American Heart Association, healthy

snack substitutions go a long way to reduce your fat intake. Listed are some food items that can help you in your smart eating choices.

Instead of

Fried tortilla chips Regular potato or corn chips High-fat cookies and crackers Devil's food cake Ice cream bars Pudding made with whole milk Ice cream Donuts

Enjoy

Baked tortilla chips (reduced sodium) Pretzels or low fat potato chips (reduced sodium) Fat free cookies, crackers or rice cakes Angel food cake Frozen fruit bars Pudding made from fat-free milk Sherbet, ice milk or low-fat frozen yogurt Bagel

7

Keeping a Sharp Mind After 65

S

hould you teach grandma to Google?

Absolutely, says neurologist Julia Mikell, M.D., a neurologist and director for the Center of Rehabilitation at St. Joseph's/Candler. "Learning basic computer skills is just one of the ways older people can exercise their brains." Seniors are getting online in record numbers. According to a December 2006 survey by the Pew Internet & American Life Project, 33 percent of adults 65 and older use the Internet ­ a percentage that has more than doubled since 2000. "We all want to stay mentally sharp as long as possible," said Dr. Mikell. "Recent research tells us that both physical and mental activity play a big role in keeping our brains fit. Anything that reduces the risk of heart disease reduces dementia risk, because of the strong relationship between atherosclerosis and dementia. We're learning more about how much rejuvenation ability the brain has--we call it plasticity. Challenging the brain in new and different ways helps form new connections and neuropathways at any age. So taking college classes, going to museums, doing crossword puzzles, Sudoku, exploring the Web or playing computer brainteaser games are all good ways to do that."

Continuous Glucose Monitoring

May Eliminate `Pincushion' Effect for Diabetics

C

especially the more severe Type 1 (also known as juvenile diabetes), requires such frequent `finger-prick' blood tests that diabetics can feel like a pincushion. The result: many patients don't test as often as they should, increasing the chances of adverse impacts. Now, new technology promises to change that, according to Joseph DeHaven, M.D., a well known local endocrinologist who practices at St. Joseph's/Candler Medical Center. "The real breakthrough now is the Continuous Glucose Monitoring System, which allows the patient to be continuously aware of their glucose levels. This system has the potential to revolutionize diabetes care."

ontrolling diabetes,

and that's especially exciting for Type 1 Diabetics as they are particularly brittle (prone to wide swings in blood sugar levels). If in the middle of the night, their blood sugar gets too high or too low, the system has a warning device that will wake them up so they can take insulin." The continuous glucose monitoring system follows the development of the insulin pump, which also revolutionized life for many diabetics who previously had to inject insulin many times per day. Now, Dr. DeHaven says that work is underway to link the new glucose monitoring system with the pump, to deliver the proper amount of insulin based on the glucose level. "This self-contained unit would act like an artificial pancreas," Dr. DeHaven says, "which is what diabetics need. So, needless to say, it's a very exciting time in endocrinology research."

a true picture of glucose levels

By inserting a sensor into the subcutaneous tissues, using the same procedure as when inserting the needle on the end of the catheter used with insulin pumps, the sensor measures the change in glucose every five minutes. That information is displayed on a monitor, which also stores the results for three or four days. Dr. DeHaven explains that the sensor in the Continuous Glucose Monitoring System provides a true picture of glucose levels. "It averages glucose levels every five minutes

8 St. Joseph's/Candler · Summer 2007

Are You at Risk for P.A.D.?

This test will help you determine whether you may be at a higher than desirable risk for peripheral arterial disease (or P.A.D.). P.A.D. occurs in both men and women and affects an estimated 12 million Americans. P.A.D. is a form of hardening and narrowing of the arteries outside the heart, also known as atherosclerosis. This quiz focuses on the most common type of P.A.D., in which the flow of blood to the legs is restricted. Fill in your points for each risk factor and then total the points to find out if you may be at risk.*

Cigarette Smoking

2 points if you smoke cigarettes

Ooooh, Ahhhh ­

Experience The Healing Touch of a Pregnancy Massage

The soothing, healing power of "touch therapy" has been practiced for centuries. By pressing,

pulling, stretching, and manipulating the body, massage therapists affect the joints and the soft tissues, resulting in better flexibility, pain alleviation, increase vitality, and the pleasurable, relaxing release of tension. While massage therapy can benefit just about anyone, its popularity is on the rise among expectant mothers. "Pregnancy massage is specifically tailored for the expectant mother's needs," says Katie Britt, exercise physiologist and coordinator of the Center for Well Being at St. Joseph's/Candler. Proper positioning and support is paramount to the comfort and safety of the mother and baby. In addition, some massage techniques, like deep tissue work, are not appropriate for pregnant women. "Pre-natal massage, as this form of touch therapy is called, has been found to reduce stress, decrease swelling in the arms and legs, and relieve aches and pains in muscles and joints. It's a popular complementary therapy during pregnancy for back pain, when medicinal options for pain relief are sometimes limited. Massage is not only physically beneficial, but the human touch can be a source of comfort and emotional support throughout pregnancy," Britt explained. St. Joseph's/Candler has a parent-baby massage session that helps parents learn basic massage skills for relaxing the new baby. "Massage helps to promote the health and bonding of parents with their child. For a newborn, message can improve his or her development by improving sleeping patterns and reducing fussiness. Massage also can help to regulate the digestive, respiratory and circulatory systems," Britt said. For mom or baby, nothing quite compares to the nurturing, comforting, loving feeling of a massage. For more information call The Center for Well Being (912) 819-MIND (6463).

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Blood Pressure

2 points if your systolic blood pressure ("top number) is 120 mmHg or higher and/or your diastolic blood pressure ("bottom" number) is 80 mmHg or higher 1 point if you don't know your blood pressure

Cholesterol

2 points if your cholesterol level is 200 mg/dl or higher 1 point if you don't know your cholesterol level

Exercise

2 points if you do not perform moderate or vigorous exercise (such as brisk walking) for at least 30 minutes on at least 3 days each week

Weight

2 points if you are more than 20 pounds over your ideal body weight

Diabetes

4 points if you have diabetes

Coronary Artery Disease and Stroke

4 points if you have a history of coronary heart disease (heart attack, heart bypass surgery, stent, angioplasty, or angina) or stroke

Family History

2 points if a parent, brother, or sister developed P.A.D. or had a heart attack, stroke, heart bypass surgery or an angioplasty before age 55 if male or 65 if female

Symptoms and Signs

5 points if you have muscle discomfort, cramping or pain in your legs when you walk, which is always relieved by rest 2 points if you have any ulcers or sores on your legs or feet that are slow to heal

TOTAL POINTS

If you scored 2 points or more, you could be at a higher than desirable risk for P.A.D. The more points you score, the higher your risk.

*Note: This test is intended only for preliminary screening purposes and is not a substitute for a physical examination by a qualified health care professional.

Live Smart Today

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

September

2 3

FREE Blood Pressure Screening 352-4405 Hatha Yoga 819-MIND (6463) Tai Chi 819-MIND (6463)

Volunteers Are Needed

Become a volunteer at the Heart Hospital to assist families in the waiting room with support and services. Call 819-3393 for information.

1

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Smoke Stoppers 819-6718 Ladies Living Smart Fitness Club 447-6605 Mammograms Rincon (912) 819-6800

5

Moms in Motion 819-MIND (6463) Cancer Support Group 819-3360 Mammograms Pembroke (912) 819-6800

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Rebuilding Your Credit 447-6605 Mammograms Islands (912) 819-6800 Savannah Parkinson Support Group 355-6347 or 238-4666

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FREE Skin Cancer Screening 819-3368 Tai Chi 819-MIND (6463)

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Looking Great to Match the Way You Feel 447-6605 Mammograms Long County (912) 819-6800 Tai Chi 819-MIND (6463)

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Moms in Motion 819-MIND (6463) Cancer Support Group 819-3360 Hatha Yoga 819-MIND (6463)

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Eating Light and Right 447-6605 Mammograms Richmond Hill (912) 819-6800 Pilates® 819-MIND (6463)

14

Leukemia Cup Regatta 352-4334 Mammograms Pembroke (912) 819-6800 Tai Chi 819-MIND (6463)

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FREE Skin Cancer Screening 819-3368 Leukemia Cup Regatta 352-4334

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Leukemia Cup Regatta 352-4334

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FREE Blood Pressure Screening 352-4405 Mammograms Daffin Park (912) 819-6800 Cancer Survivors Walking Group 819-5723

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Current Concepts in Spine Surgery 819-3368 or 800-501-4054 Mammograms Rincon (912) 819-6800 Pilates® 819-MIND (6463)

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Smart Women Expo & Luncheon 819-8683 Cancer Support Group 819-3360 Hatha Yoga 819-MIND (6463)

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Working Women Who Need a Helping Hand 447-6605 Pilates® 819-MIND (6463) Tai Chi 819-MIND (6463)

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FREE Blood Pressure Screening 352-4405 Mammograms The Landings Club (912) 819-6800 Hatha Yoga 819-MIND (6463)

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Mammograms Pooler (912) 819-6800 Pilates® 819-MIND (6463) Tai Chi 819-MIND (6463)

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Mammograms McIntosh County (912) 819-6800 Cancer Support Group 819-3360 Hatha Yoga 819-MIND (6463)

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Lung Cancer Support Group 447-6605 Pilates® 819-MIND (6463) Tai Chi 819-MIND (6463)

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Ronald McDonald Family Room Volunteers Are Needed

Volunteers are needed for the Ronald McDonald Family Room at Candler Hospital. If interested in being a Family Room volunteer, contact Kennette Yow at (912) 356-5520.

New events are added every day. Please visit www.sjchs.org and click "calendars" on the top menu bar to check for other events and additional information.

Live Smart Today

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

August

5 6

Smoke Stoppers 819-6718 Infant and Child CPR/Home Safety 819-3368

1

Mammograms Pembroke (912) 819-6800 Cancer Support Group 819-3360 Moms in Motion 819-MIND (6463)

2

The Right Way to Quit Smoking Part 1 447-6605 Savannah Parkinson Support Group 355-6347 Mammograms Islands (912) 819-6800

3

4

Prenatal Breastfeeding Class 819-3368 or 800-501-4054 Sibling Awareness Class 819-3368

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New Advances in Treatments for Cataracts 819-3368 or 800-501-4054 Mammograms Rincon (912) 819-6800 Pilates® 819-MIND (6463)

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Hatha Yoga 819-MIND (6463) Cancer Support Group 819-3360 Moms in Motion 819-MIND (6463)

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The Right Way to Quit Smoking Part 2 447-6605 Fibromyalgia Support Group 819-6743 FREE Eye Clinic 447-0578

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Tea & Tours of the FREE Blood Pressure Telfair Women's Screening 352-4405 Hospital 819-3368 or FREE Computer 800-501-4054 Classes 447-6605

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FREE Blood Pressure Screening 352-4405 Hatha Yoga 819-MIND (6463) Tai Chi 819-MIND (6463)

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Pilates® 819-MIND (6463) Reflex Sympathetic Dystrophy Support Group 651-4094 Mammograms Savannah (912) 354-9357

15

Cancer Support Group 819-3360 Moms in Motion 819-MIND (6463) Mammograms Pembroke (912) 819-6800

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The Right Way to Quit Smoking Part 3 447-6605 Mammograms Richmond Hill (919) 819-6800

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FREE Skin Cancer Screening 819-3368 Multiple Sclerosis Support Group 653-5878

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FREE Blood Pressure Screening 352-4405 Hatha Yoga 819-MIND (6463) Tai Chi 819-MIND (6463)

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Mammograms Rincon (912) 819-6800 Sickle Cell Anemia Support Group 819-6743 Epilepsy Support Group 233-3537

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Mammograms Garden City (912) 819-6800 Cancer Support Group 819-3360 Moms in Motion 819-MIND (6463)

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Lupus Support Group 447-6605 Lung Cancer Support Group 819-5769 Pilates® 819-MIND (6463)

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The Weekender Childbirth Class 819-3368 or 800-501-4054

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The Weekender Childbirth Class 819-3368 or 800-501-4054

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FREE Blood Pressure Screening 352-4405 Hatha Yoga 819-MIND (6463) Tai Chi 819-MIND (6463) Mammograms Skidaway Island (912) 819-6800

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Huntington Disease Support Group 964-0455 Mammograms Pooler (912) 819-6800

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Hatha Yoga 819-MIND (6463) Cancer Support Group 819-3360 Moms in Motion 819-MIND (6463)

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The Right Way to Quit Smoking Part 4 447-6605 Pilates® 819-MIND (6463)

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Great American Baseball Night

On September 6, the Terrapins take on the Dawgs at 7 p.m. to benefit St. Mary's Community Center. Admission is free to this fun-filled evening with a single canned good item. Call 341-6168.

Interested in Losing Weight?

A weight loss, exercise and nutrition program is offered for adults and youths interested in improving their overall health. The program is free and open to the community. Call 443-9409.

New events are added every day. Please visit www.sjchs.org and click "calendars" on the top menu bar to check for other events and additional information.

Anthony W. Vito, ADN, CNAC, and RNc is the Resource Coordinator and Stroke Education Coordinator for the Institute for Neurosciences and Certified Stroke Unit at St. Joseph's Hospital.

SMART LIVING: What is a Migraine? ANTHONY W. VITO: A migraine headache is a headache caused from a vascular issue or disease process, and not the result of tension or stress. Vascular headaches occur because of abnormal function of the brain's blood vessels or vascular system. SL: What are the symptoms of a migraine? AV: The most common symptoms of migraines include but are not limited to: difficulty with speech, weakness of an arm or leg, tingling of the face or hands, and confusion. Sufferers can see an aura (flashing lights, or temporary vision loss) approximately 10 to 30 minutes before an attack. The pain that is felt with a migraine headache versus a non-migraine tension headache, is pain that is described as blinding. Noise, light and movement make it worse. The pain is also described as being the worst pain ever felt. SL: Are women who are pregnant and suffer from migraines during pregnancy at risk for suffering a stroke? AV: Pregnant women are 19 times more likely to suffer a stroke compared to their non-pregnant counterparts, 5 times more likely to have a heart attack, and 2 times as likely to

have heart disease, blood clots, and other vascular problems. The gestational process changes their bodies and they can become diabetics, and acquire pregnancy induced hypertension. The signs and symptoms of classic and common migraines mimic those of a severe stroke. African-American women are twice as likely and at the highest risk to suffer a stroke pregnant or not. SL: What is the treatment for migraine headaches? AV: Current treatments include: drug therapy, biofeedback training, stress reduction, evaluation of food consumption, regular exercise, using cold packs, pressure applied to the bulging artery found in front of the ear on the painful side of the head. Blood pressure control is crucial. It is important to know your symptoms. If you suspect you're having a stroke call 911 immediately. To learn more, contact the Institute for Neurosciences at: St. Joseph's Hospital (912) 819-4100 Candler Hospital (912) 819-6000

St. Joseph's/Candler is the recipient of the national Magnet Award for Nursing Excellence.

NEXT ISSUE:

Learn all about the National Cancer Institute's recent selection of St. Joseph's/Candler as one of only 14 in the nation as a NCI Community Cancer Center Pilot Program. We'll offer an in-depth look at what this actually means for cancer patients and caregivers, as well as its impact on the future of cancer treatment in America.

Nonprofit Organization U.S. Postage PAID Savannah, GA Permit # 254

©2007 St. Joseph's/Candler. All Rights Reserved.

5353 Reynolds Street Savannah, GA 31405-6013

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