Volume 4, Issue 2: Summer 2011

A magazine for senior adults distributed by Cookeville Regional Medical Center

‘Anti-Aging’ProductsCookevilleRegionalTake Part in a Historic Study to Help Fight Cancer

Help for Chronic PainDitch the Dairy to Lose Weight?

Single-Incision Gallbladder Surgery

Bernie Mattingly, Chief Executive OfficerMelahn Finley, Director, Marketing & Public Relations

SEASONS© is published quarterly as a service of CookevilleRegional Medical Center by

WDStone & Associates(931) 525-6020www.wdstone.com

Disclaimer: This publication in no way seeks to diagnose ortreat illness, or to serve as a substitute for professional medicalcare. Please see your physician if you have a health problem.

Information: Call 931-525-6020 for permission to reprint anyportion of this magazine, to correct your address, to let usknow that you are receiving more than one copy, or to haveyour name removed from our mailing list.

Volume 4, Issue 2© 2011 Cookeville Regional Medical Center

All rights reserved.

ALL ABOUT LIFE 4Today’s Gifts Can Help Tomorrow’s Patients

SMART SENSE 4Avoid Fraudulent ‘Anti-Aging’ Products

NEW AT COOKEVILLE REGIONAL 5Teleneurology Services Now Available at CRMCHospital physicians have 24/7 access to experts worldwide.

CRMC OFFERS SINGLE-INCISION 6GALLBLADDER SURGERYWhat’s better than three tiny incisions? One!

PATIENT PROFILE 7Brenda Davis-BryantGallbladder Patient"You can't even tell I had a surgery there."”

WHEN PAIN WON’T GO AWAY 10There are many forms of help available for chronic pain.

ACTIVE AFTER 50 11Bonnie GreenStaying active is her secret to feeling great at 80.

Club 50 Plus at Cookeville Regional was developed for adults age 50 andbeyond to encourage healthy lifestyles. Members enjoy preventive health screenings, educational programs, referral services, activities, discounts and more! For more information or to learn how you can join Club 50 Plus, call 931-783-2660 or visit www.crmchealth.org/club50plus.php.

Unless otherwise noted, Club 50 Plus Events are held from 12 to 1 p.m. in theEducation Center at Cookeville Regional.

May 6 — "Club 50 Plus & CRMC Auxiliary Health Fair"Members of the Club 50 Plus and the CRMC Auxiliary are invited to partici-pate in this health fair from 7 to 10 a.m. in the CRMC Education Center. Freescreenings are offered as well as screenings that will be available for a nominalfee. For more information or to register, call 931-783-2660 or visit the CRMCwebsite at www.crmchealth.org/healthfair.php.

June 16 — "Common Health Concerns"Dr. Crystal Martin, a family practitioner, will talk about a variety of health con-cerns, including topics the audience would like to discuss.

July 22 — "The 50/50 Rule for Families"Kim Driver of Home Instead Care will deliver this informative presentation.Registration is required. Contact Karen Bailey at 931-783-2660.

2

Calendarof events

2

Cookeville Regional welcomes you to these fun and educational health screen-ings and events that give you an opportunity to ask questions about healthissues. All events are held in the Education Center unless otherwise indicated.

CRMC SEASONS© Summer 2011

Table of Contents

Nephrologist FreedomIkedionwu, M.D., JoinsCookeville RegionalNephrologist FreedomIkedionwu, M.D., hasjoined the staff atCookeville RegionalMedical Center and

will be joining the Physician Associates ofCookeville Regional with fellow nephrologistLee Ray Crowe, M.D., in his office at 128North Whitney in Cookeville.

Ikedionwu is board certified and re-certified in both internal medicine and nephrology. He received his medical degree in 1985 fromthe University of Ilorin in Nigeria. He did hisinternship at Meharry Medical College and his internal medicine residency at SUNYDownstate/Kings County Hospital inBrooklyn, New York. He received his nephrolo-gy fellowship training at Harvard Medical

School (Brigham and Women’s Hospital, Beth Israel/Deaconess Hospital) in Boston,Massachusetts. As part of his fellowship pro-gram, Ikedionwu received special training indiabetic kidney diseases at Joslin DiabeticCenter, Boston.

Upon completing his fellowship training in1994, he established an internal medicine andnephrology private practice in Lawton, Okla.,where he practiced for more than 16 years priorto coming to Cookeville. Nephrology involvesthe diagnosis and treatment of diseases andconditions of the kidneys. Ikedionwu has spe-cial interest and training in managing hyperten-sion and kidney diseases related to diabetes.

He and his wife have five children, and his hobbies include playing golf and Scrabble. He is now accepting new patients. To make anappointment, call his office at (931) 783-5848.

Family Practice Doctor and NursePractitioner Now Accepting New PatientsFamily practice physician Crystal Martin, M.D.,and family nurse practitioner Michael Rawdonhave recently joined Dr. Amy Hix of ThePhysician Associates of Cookeville Regional,located at 128 North Whitney Avenue inCookeville, and are accepting new patients.

Martin received her medical degree fromAmerican University of the Caribbean School ofMedicine and completed her residency in familypractice at The University of Kentucky, EastKentucky Family Medicine Residency Programin Hazard, Ky. Rawdon received his master ofscience degree in nursing from VanderbiltUniversity and graduated with honors.

To schedule an appointment with Martin orRawdon, call (931) 646-4641.

Cookeville Regional Medical Center...is dedicated to improving the health and well-being of all

residents in the communities we serve.

Women’s Wednesday . . .luncheons are enjoyable and informative.

Time: Noon to 1 p.m.Place: Room 3, Education CenterLunch: Catered meal $6, or bring your own.RSVP: By Monday prior to luncheon.

(931) 783-2628

One Medical Center Blvd. • Cookeville, TN 38501931-528-2541 • www.crmchealth.org

DEPARTMENTS:Active After 50 11All About Life 4Calendar of Events 2Club 50 Plus News 3Crossword Puzzle 11Crossword Solution 9Healthy Eating 8

Fitness After 50 9From Our Kitchen to Yours 8New at Cookeville Regional 5New Physicians 3Smart Sense 4Women’s Wednesday 3

3CRMC SEASONS© Summer 2011

Physician NEWS The latest updates on Cookeville Regional’s physicians and staff.

Blood Donation DaysCookeville Regional’s blood drives are conducted through Blood Assurance.(?)• June 28, 29• Aug. 24, 25 • Oct. 19, 20 • Dec.14, 15 CRMC Algood/Baxter rooms, located near the cafeteria. All times 8 a.m. to 1 p.m.

Fairfield Glade Health FairWhen: Wednesday, May 18, 7 to 11 a.m.Where: Uplands Retirement Community, Pleasant Hill, Tennessee.

Prostate Cancer Screening$15 PSA testing and free DRE examsWhen: Wednesday, June 15, 5 to 7 p.m.Where: Upper Cumberland Urology Associates, 320 North Oak Ave., CookevilleRSVP: (931) 783-2587

9th Annual CRMC Golf ClassicWhen: Thursday, August 11, and Friday, August 12 Where: Cookeville Golf ClubCelebrity guest: Phil Fulmer, former Tennessee Vols coachFor more information about a sponsorship or team: Debbie Baker, (931) 783-2786.Proceeds benefit the CRMC Foundation, including the Caring Hands Fund, theCancer Care Fund and the Save-A-Life Mammogram Project.

SLEEP Support Group MeetingWhen: Thursday, July 28, 6 to 8 p.m.Where: CRMC Education CenterSpeaker: Dr. John AverittTopic: Sleep Hygiene and PAP Therapy for the ClaustrophobicSupported by: Pro Air Respiratory, SpartaHosted by: The Sleep Lab at Cookeville RegionalWho should attend? Those who have Sleep Apnea, their family members and friendsand anyone who is interested in learning more about sleep apnea.For more information: Christopher Clinton, (931) 783-5883

For information about future events, phone The Community Wellness Center at Cookeville Regional at 931-783-2587.

For more events, see page 3.

May 11 — Fashioning Your First ImpressionWithin the first few seconds of meeting you, the average personforms approximately 10 opinions about you. What kind of firstimpressions are you making? Believe it or not, the accessories thatyou choose can make a difference in how people perceive you. Comeand learn about the latest spring and summer fashions and how tocustomize them to fit your own style from Jenny Crockett, accessoryconsultant with Premier Designs Jewelry.

June 8 — What You Need to Know About Colon CancerWith the exception of skin cancer, colorectal cancer is the third mostcommon cancer found in men and women in the United States.Thanks to early detection, it can be found early. Join Joyce BremerM.D. of Gastroenterology Consultants, The Physician Associates ofCookeville Regional, to learn about the methods of screening as well aswho should be screened, and when.

July 13 — Discover the Treasures of the Upper CumberlandDid you know there are 11 waterfalls in the Upper Cumberland? Doyou know how many state parks there are? Learn all about the specialdestinations, attractions, and events in the Upper Cumberland with thehelp of Ruth Dyal, executive director of the Upper CumberlandTourism Association.

For more information about future events, phone The CommunityWellness Center at Cookeville Regional at 931-646-2587.

4 CRMC SEASONS© Summer 2011

Avoid Fraudulent ‘Anti-Aging’ Products

Teleneurology Services Now Available at Cookeville RegionalHospital physicians have 24/7 access to experts worldwide.

Cookeville Regional Medical Center is now providing advancedteleneurology services to help diagnose stroke or other neurologi-cal conditions via telemedicine.

With the use of a secure video link provided by Specialists OnCall (SOC), the nation’s leading private teleneurology company,board-certified, fellowship-trained neurologists from around thenation with advanced training in stroke diagnosis will now beable to evaluate the condition of a patient at Cookeville Regionaland coordinate care with CRMC's Emergency Department andinpatient physician staff 24/7. This important new service willhelp provide fast intervention when time matters most, as is thecase with stroke and other neurologic emergencies.

N E W A T

There's an old adage that says, “The best time to plant a tree is 20 yearsago; the second best time is now.” That's especially true of gifts made toThe Foundation at CRMC. When you give, you're helping to providenew technology and services as well as peace of mind and comfort topatients and families throughout the Upper Cumberland.

And you can give without even feeling it now through a bequest orother estate instrument. There are many different ways to give...

Planned giving serves as a viable alternative for individuals who areunable to donate a large sum of money during their lifetime as a resultof family or other financial obligations. While the benefits of an out-right gift can be derived immediately, a planned gift is a charitable con-tribution that is realized by the hospital in the future, usuallyupon the death of the donor.

Gary J. Curto, executive director for the CRMCFoundation, says donors who select this optionare making an impact on the hospital foryears to come.

“Outright gifts are the lifeblood of the hospital, since they help pay forthe day-to-day costs of operating the institution,” he says. “However,planned gifts are vital to the long-term success of the hospital, sincethey are usually larger gifts that we know we can count on in thefuture.”

Best of all, you can designate how your gift is used. It can go to help thehospital with new facilities and equipment; to the endowment fund, alarge fund which generates interest to help provide ongoing support tothe hospital; or to one of many hospital and patient assistance pro-grams that assist patients who need help with expenses not covered byinsurance or other patient resources.

Just think of how many people might be able to sit in the shade tomor-row when you decide to plant a tree today. To discover all the possibili-ties, call (931) 783-2003.

5CRMC SEASONS© Summer 2011

Today’s Gifts Can Help Tomorrow’s Patients

¢

The Women’s Center of Cookeville Regional has been designated a Breast ImagingCenter of Excellence by the American College of Radiology (ACR) and is the onlybreast imaging center in the Upper Cumberland to achieve this status.

By awarding facilities the status of a Breast Imaging Center of Excellence, the ACRrecognizes breast imaging centers that have earned accreditation in all of the college’svoluntary breast-imaging accreditation programs and modules, in addition to themandatory Mammography Accreditation Program.

• If it sounds too good to be true, it probably is. Watch out for"secret formulas" or "breakthroughs."

• Don't be afraid to ask questions about the product. Find out exact-ly what it should and should not do for you.

• Research a product thoroughly before buying it. Call the BetterBusiness Bureau to find out if other people have complained aboutthe product.

• Be wary of products that claim to cure a wide variety of illnesses— particularly serious ones — that don't appear to be related.

• Be aware that testimonials and/or celebrity endorsements areoften misleading.

• Be very careful of products that are marketed as having no sideeffects.

• Question products that are advertised as making visits to a physi-cian unnecessary.

Always consult your doctor before taking any dietary or nutritionalsupplement.

Source:http://www.fbi.gov/scams-safety/fraud/seniors/seniors

All About Life

• Cash• Securities• Personal property• Real estate

• Retirement distributions• Life insurance benefits• Percentage of assets

SMART SENSE

The Cancer Center at Cookeville Regional will soon be assisting the localAmerican Cancer Society with a new research study designed to deter-mine the link between who gets cancer and who does not.

At this year’s Putnam County Relay for Life, Cookeville Regional staffwill be on hand to enroll people in the Cancer Prevention Study – 3(CPS – 3). Eligible participants are men and women between the ages of30 and 65 years who have not had cancer (does not include basal or squa-mous cell skin cancer).

Participants will fill out an initial questionnaire as well as get a waistmeasurement and a blood draw (for genetic testing). Participants mustalso be willing to commit to a long-term commitment to the study whichinvolves completing follow-up questionnaires that will be sent to theirhomes every few years for the next 20 or so years.

To enroll in the study and help in the fight against cancer, plan to attendthe Putnam County Relay for Life on Friday, May 6, 2011, at the PutnamCounty Fairgrounds. Enrollment will take place between the hours of 6to 10 p.m.

Take Part in a Historic Study to Help Fight Cancer

Women’s Center Designated Breast Imaging Center of Excellence

6 7

Single-Incision Gallbladder Surgery

Brenda Davis-Bryant, RN, is a nurse at CRMC. When Dr. KevinPurgiel came on board offering single-incision surgery, she made

a point to talk to him about her gallbladder, which had been givingher trouble for some time. During their consultation, they deter-mined that she was a good candidate for single-incision surgery.

"It was truly just a 1-day recovery," said Davis-Bryant. "I had my sur-gery on the day before Thanksgiving and was back to work the nextMonday."

Davis-Bryant's job in pre-surgical testing at Cookeville Regionalinvolves seeing Dr. Purgiel's patients prior to surgery.

"He will send patients down to see me who are having their gall blad-ders out, and I'll show them my scar, and they'll be like, 'Really?'"said Davis-Bryant. "My incision was less than an inch, right aroundthe belly button. And now, you can't even tell I had a surgery there."–

CRMC Offers Single-Incision Gallbladder SurgeryWhat’s better than threetiny incisions? One!

CRMC SEASONS© Summer 2011CRMC SEASONS© Summer 2011

Dr. Kevin Purgiel

Patient ProfileCookeville Regional is proud to offer single-incision gallbladder sur-gery. This new type of surgery is performed by Dr. Kevin Purgiel, a

general surgeon who joined the Cookeville Regional staff last year.

With traditional laparoscopic surgery, three or four incisions are made toallow the surgeon to insert "ports," or strawlike devices, into the abdominalcavity. These ports create passageways for the doctor tiny instruments —usually a grasper, a laser and a camera. While the ports are traditionallyplaced far apart to allow the surgeon more room to work, with single-inci-sion surgery, all three ports are placed through one small incision in the bellybutton.

Purgiel is mostly self-taught in the technique, and he has received furthertraining at Duke University and Cleveland Clinic. He has also just complet-ed training to use the da Vinci surgical robot in his practice.

"Not everybody qualifies for single-incision surgery in terms of body configura-tion, but some people do, so I like to be able to offer it," said Purgiel. "You have tothink about patient safety first. That's why I try not to ever promise, because Inever want to tell them they'll definitely have a single-incision surgery and thennot be able to do it. But I always try."

Purgiel says that the pain of single-incision surgery is probably comparable tothat of traditional laparoscopic surgery because more manipulation takesplace through the single incision than through multiple incisions. So withsingle-incision surgery, the patient is trading off a bit more soreness in onespot for some soreness in three or four spots.

But cosmetically, the single-incision approach wins hands down.

"Everything above the belly button gets noticed a lot more than anything belowthe belly button, and with regular four-port or three-port gallbladder surgery,you end up putting a port right in the middle of the chest, underneath the ribs,which is very noticeable," said Purgiel.

Beyond gallbladder surgery, Purgiel also offers traditional laparoscopic sur-gery for hernia, stomach grafts, bowel resections, breast biopsies, mastec-tomies, hemorrhoids, skin lesions and more. While these surgeries are notyet offered in single-incision form, Purgiel makes them as minimally invasiveas possible by using what he calls the "no new incision" approach.

"If you come to me and already have some incisions, like scars from previous sur-geries, I'll try to re-use those scars so that you don't get new scars," he said. "I doeverything I can to make every incision look as beautiful as possible and be asminimally invasive as possible."

“I do everything I can to make everyincision look as beautiful as possible...”

Brenda Davis-BryantCookeville, TennesseeDiagnosis: Gallbladder failurePhysicians: Dr. Kevin PurgielTreatment: Single-incision gallbladder removal

Brenda Davis-Bryant, RN

Substantial health benefits occur with a moderateamount of activity (e.g., at least 30 minutes of

brisk walking) on five or more days of the week.Additional health benefits can be gained throughlonger periods of physical activity or more vigorousactivity. Brief episodes of physical activity, such as 10 minutes at a time, can be beneficial if repeated.Sedentary persons can begin with brief episodes andgradually increase the duration or intensity of activity.

Older persons can benefit further from activitiesaimed at building or maintaining muscle strengthand balance.

Everyday physical activities can accomplish some of the same goals as exercise. There are numerous activi-ties older adults can choose from that, when performeddaily, can provide long-term health benefits. Walking,gardening and yard work are popular. Housework,dancing, golf and shuffleboard are also recommended.

8 9Crossword Solution

See puzzle on page 10.

EatingHealthy F I T N E S SAfter 50

CRMC SEASONS© Summer 2011CRMC SEASONS© Summer 2011

Recommended Levels of PhysicalActivity for Older AdultsEven everyday activities can count toward fitness goals.

Directions:In a large skillet, cook spinach in hot oil until wilted. In a medium bowl,combine cooked spinach, dried cherries, wild rice, 3⁄4 teaspoon sage, pecans,3⁄4 teaspoon salt and 1⁄4 teaspoon pepper and set aside.

Preheat oven to 325 degrees. Trim excess fat from pork. To pinwheel the porkloin, start cutting lengthwise 1⁄2 inch under the fat cap on the roast. Whilecutting, gently rotate the roast until completely cut.

Sprinkle cut surface of meat with 1⁄2 teaspoon salt, 1⁄2 teaspoon pepper and 1⁄4teaspoon sage. Spread spinach mixture over cut side. Roll the loin tightlyto resemble the initial roast. Tie securely with twine.

Place in roasting pan and cook for 90-120 minutes. Remove from oven andbrush apricot jam and water mixture over top of roast.

Ingredients:3 ounces fresh spinach,

coarsely chopped3⁄4 cup cooked wild rice3⁄4 tsp. salt1 Tbsp. olive oil3⁄4 tsp. dried sage, crushed1⁄4 tsp. ground black pepper1⁄2 cup chopped, dried, tart cherries1/3 cup chopped pecans1 3 1/2-lb. boneless pork center

loin roast1⁄4 tsp. dried sage, ground

Meat seasoning:1⁄2 tsp. salt1⁄2 tsp. ground black pepper1⁄4 tsp. dried sage, ground

Topping:1⁄4 cup apricot jam3 Tbsp. water

FromOur Kitchen

YourstoJim Rose, CRMC chef

Nutrition Information:Calories 330, carbohydrate 23gm, total fat 12 gm, cholesterol75 mg., sodium 315 mg, fiber 2gm, protein 28 gm

Stuffed Pork Loin (Makes 12 (4 oz.) servings.)

Should You Ditch the Dairy to Lose Weight?Don’t be too quick to drop this nutritional powerhouse from your diet.Dairy products have many nutrients your body needs. They have protein to build muscles and help organswork properly, and calcium to strengthen bones. Most varieties of milk and some yogurts are fortified withvitamin D to help your body use calcium.

Sources: http://win.niddk.nih.gov/publications/myths.htm. 1/16/06http://www.webmd.com/diet/news/20040416/dairy-foods-fat-weight-losshttp://www.jacn.org/cgi/content/abstract/24/suppl_6/537Shttp://www.ajcn.org/content/early/2010/09/01/ajcn.2010.29355.abstract

For those who are watching their weight, itis important to know that low-fat and non-fat milk, yogurt and cheese are just as nutri-tious as whole-milk dairy products but arelower in fat and calories.

The Dietary Guidelines for Americans rec-ommend that people aged 9 to 18 and overage 50 have three servings of milk, yogurtand cheese a day. Adults aged 19 to 49 needtwo servings a day, even when trying to loseweight. A serving is equal to 1 cup of milkor yogurt, 1? ounces of natural cheese suchas cheddar, or 2 ounces of processed cheesesuch as American. If you are trying to loseweight, choose low-fat or nonfat dairyproducts including milk, yogurt, cheese andice cream.

If you cannot digest lactose (the sugarfound in dairy products), choose low-lac-tose or lactose-free dairy products, or otherfoods and beverages that offer calcium andvitamin D (listed below).

Calcium: fortified fruit juices, soy-basedbeverages, or tofu made with calcium sul-fate; canned salmon; dark leafy greens likecollards or kale

Vitamin D: fortified fruit juices, soy-basedbeverages, or cereal (getting some sunlighton your skin also gives you a small amountof vitamin D)

Before starting any new physical activity program, older adults should consultwith their physicians. When starting any physical activity, it is important to start slowly and with something that is enjoyable. Start with 5- to 10-minuteintervals and gradually increase the duration and intensity of the activity to thedesired amount.

Sources: http://www.nia.nih.gov/HealthInformation/Publications/ExerciseGuide/http://www.nlm.nih.gov/medlineplus/exerciseforseniors.htmlhttp://www.ahrq.gov/ppip/activity.htm

Treating Chronic PainA wide variety of medications and treatments are available for chronicpain. Chronic pain is treatable, but in many cases, it cannot be cured.Treatment focuses on finding a cause (if possible); reducing pain; improv-ing physical and mental well-being; and helping people return to active,productive lives.

To be effective, pain treatment needs to be tailored to each individual.What works for one person may not work for another. Treatment forchronic pain may include one or more of the following:

• Prescription or non-prescription medications• Physical, occupational and aquatic therapy• Relaxation training• Support and counseling from trained professionals• Treating health problems that may contribute to the pain• Lifestyle changes• Alternative or complementary therapies such as acupuncture, guided

imagery, massage and meditation

These treatments may not be enough to manage certain types of pain. Ifthese treatments do not reduce pain, the following treatments may be used:

Injection TherapyCertain medications can reduce swelling, irritation, muscle spasms andnerve activity that cause pain.

Electrical StimulationTranscutaneous electrical nerve stimulation (TENS) is commonly used toreduce pain. With TENS, a small battery-operated device stimulates nervefibers through the skin. This procedure is not painful and does not requireneedles or medication.

SurgeryWhen other treatments have failed, surgery may be recommended. Surgeryon certain nerves can provide relief.

Pain Treatment CentersYour doctor may refer you to a pain treatment center or pain managementcenter. These centers utilize a team of pain management specialists to carefor people with chronic pain.

If you are in pain, don’t give up. Contact your doctor for recommenda-tions of an appropriate course of treatment.

Sources:National Institute of Neurological Disorders and Stroke. Available online athttp://www.ninds.nih.gov/disorders/chronic_pain/chronic_pain.htm, and http://www.ninds.nih.gov/disorders/chronic_pain/detail_chronic_pain.htm

American Academy of Family Physicians. Available online athttp://familydoctor.org/551.xml#2

11See solution on page 9.

Across1. Canada's first province,

alphabetically8. Members of the French

secular clergy13. Vitamin D helps your body

absorb this mineral14. Inclined15. Embodiment16. Affect17. Ashcroft's predecessor18. Tanned hide20. Spots on a radar screen22. Anger23. Bank offering, for short24. Hawkeye26. Bother27. Seniors can benefit from activities

that build this

30. CRMC offers ____-incision gallbladder surgery

33. Victorian, for one34. Begin36. "___ not!"37. "___ alive!"38. Relating to dukedom42. Furthest44. Brood45. Hotel employee46. A coin's front49. "Gladiator" setting50. This type of giving through

the CRMC Foundation offerslong-term benefits

51. Ancient Persian ruler or Billy Ray52. "The Waltz King"

Down 1. Biting2. Mike holder3. Buckwheat pancakes4. Occurring in an abnormal place,

i.e., a pregnancy5. "Flying Down to ___"6. "Cats" favorite Rum ___ Tugger7. ___ Island, Fla.8. Pond buildup9. ___ greens10. "Swimming," of old11. Relating to the intestines12. A place for memories and junk19. Artist Max21. Costa del ___25. Adam and Mae27. Emergency evacuation of the sick

or wounded

28. Related to the body's liquid waste29. One who sells horse

accoutrements31. 'Twould, contracted differently32. Opposite of phenomena, to Kant35. Bars37. Bits39. Horn-shaped anatomical part40. Church recesses41. City on the Aire43. Children's ___47. Short order, for short48. Alt. spelling

Crossword

CRMC SEASONS© Summer 2011CRMC SEASONS© Summer 2011

More than 50 million Americans suffer from chronic or persistent pain.Chronic pain is pain (ranging from mild to very bothersome) that goes onand on — for months or even years. It differs from acute pain, which istemporary and related to a specific injury (such as a cut or burn).

With chronic pain, there may have been an initial injury, such as a sprainedback or serious infection (from which you have recovered), or there may bean ongoing cause of pain like arthritis or cancer. Some people suffer chron-ic pain in the absence of any past injury or evidence of any disease.

Bonnie Green of Cookeville does most of her own landscaping and gar-dening. She plans to do her own mowing this year, as well, although she

has had to stop cleaning the gutters because getting up on top of the housewas worrying her son. She also walks two miles a day, works out three times aweek, volunteers at the hospital, visits the nursing home and is active in herchurch in Sparta.

And she's 80!

Where does she get all that energy? Mrs. Green says that her secret to staying sosupple and active in her senior years has been staying active. She has been in amoderate exercise program for at least 45 years and has been a serious hiker formost of her adult life.

Long accustomed to 10- and 12-mile hikes, she now does mostly three- or four-mile hikes, as well as a daily two-mile walk around her neighborhood since herhip replacement surgery in 2008. And three days a week, she does water aero-bics and works out on the exercise machines at Tennessee Tech's Fitness Center,where she's a member of the Senior Fitness Program.

"I try to do something every day that gets me moving, if it's nothing more than walkmy two miles," said Mrs. Green.

She has volunteered at the hospital for almost five years now, working in theCancer Center's chemotherapy infusion unit for four hours every Monday.

"I feel like I have found my place," she said. "I bring people warm blankets and mag-azines and snacks, and if they're scared, I'll sit down and talk to them to try to gettheir minds on something else. To me, it's very rewarding."

Asked what her advice to other seniors would be, she advocates staying activeand "trashing your TV."

"It's so easy to do what I call 'sit, soak and sour.' That's what happens when you'renot active — you rust out," said Mrs. Green. "But if you'll get up and move, thoughyou may not feel like it, once you do, you'll feel so much better."

Are you over 50 and active? Tell us all about it! If you would like to share what you do to stay active, why, and how it has helped you and/or others, we just might feature you in an upcoming edition of Seasons©. Please e-mail your information tomfinley@crmchealth.org. or write CRMC Marketing Department, 1 Medical Center Blvd., Cookeville, TN 38501.

Active After 50

“I feel like I havefound my place”

10

Bonnie GreenWhen Pain Won’t Go AwayThere are many forms of help available for chronic pain.

One Medical Center Blvd.Cookeville, TN 38501931-528-2541 www.crmchealth.org

PRSRT STDU.S. Postage

PAIDPermit No. 94Cookeville, TN

State-of-the-Heart Care

According to the American College ofCardiology, the gold standard for stopping a

heart attack is 90 minutes. But merely meeting thenational standard was not good enough for the doctors at Cookeville Regional — they wanted toexceed it by as much as possible. As a result of theircontinuing efforts, they are now stopping heartattacks in an average of 56 minutes, which beats thenational standard by 34 minutes! That's why ourHeart and Vascular Center was just ranked #1 in Tennessee for Coronary InterventionalProcedures for 2011 by HealthGrades®, and it's whyyou can trust your heart to Cookeville Regional.

931-528-2541Physician Referral: 931-783-2571or Toll-free: 877-377-2762www.crmchealth.org

♥ Ranked #1 in Tennessee for Coronary Interventional Procedures in 2011♥ Recipient of the HealthGrades Coronary Intervention Excellence Award™ in 2011♥ Ranked Among the Top 10% in the Nation for Coronary Interventional Procedures in 2011♥ Ranked Among the Top 5 in Tennessee for Overall Cardiac Services in 2011 (Ranked 3 in 2011)♥ Ranked Among the Top 5 in Tennessee for Cardiology Services in 2011 (Ranked 2 in 2011)♥ Five-Star Rated for Coronary Interventional Procedures in 2011♥ Five-Star Rated for Treatment of Heart Attack in 2011(HealthGrades® 2011 Ratings)

Nationwide and Statewide Awards