Living WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellLiving WellBEAUFORTMEMORIAL.ORGSUMMER 2016

PLUS Steve Carell is enjoying big-screen success—and a new hip

MovingGet�ways to reap the��benefi ts of exercise34

KNEE REPLACEMENT PUTS BOATER BACK ON BOARD

Healthy Numbers Didn’t Reveal Blocked Arteries

STAY SAFE WITH OUR SUMMER SURVIVAL GUIDE

MEET A DOCTOR-NURSE PRACTITIONER COUPLE … OUT OF THE WHITE COAT. See page 6.

Your time trumps downtime.

For our new da Vinci® Single-Site hysterectomy and gall bladder surgeries, surgeons employ state-of-the-art technology to remove tissue through a single, almost invisible incision in the bellybutton. This technique allows for a short, nearly painless recovery. And there’s nothing greater than your time on your terms.

beaufortmemorial.org

Beaufort Memorial Hospital is the only medical facility in the area to offer these unique procedures, with several surgeons trained in them:

HysterectomyChristopher Benson, M.D.Gregory Miller, M.D.Patricia Thompson, M.D.Claude Tolbert Jr. M.D.Glenn Werner, M.D.

Gall BladderPerry Burrus, M.D.Deanna Mansker, M.D.Stephen Sisco, M.D.

ContentsSUMMER 2016

54 The Right Turn After moving to Oldfi eld, Laura

Beall found exactly what she needed in a new community: top-notch cancer care and great friends.

FEATURES9 Work It

Most of us don’t get the exercise we need,

gym membership or not.

10 Too Hip to QuitSitcom-star-turned-dramatic-

powerhouse Steve Carell represents a new type of joint replacement patient: active and well under 65.

14 Bodies in MotionSneaky ways to get more exercise

into your daily life. Step one: Stand up!

22 Your Injury-Prevention Playbook

You don’t have to be a pro athlete to get hurt. Here’s how to protect yourself while getting fi t.

28 The Science of Weight LossWhat is meta-

bolism, anyway? Tips on using science to promote weight loss.

49 Carefree Cruisin’ Boater Kathy

McMahon is back on the water after a knee replacement at the Beaufort Memorial Joint Replacement Center.

52 Hidden Heart HazardsLeonard Allen,

74, felt fi ne and thought he was healthy. He was totally unaware his arteries were blocked, leaving him at high risk for stroke.

Exercise doesn’t just prevent future disease. It can improve your overall health, starting right now. PAGE 14

COVER PHOTO BY STEVE GRANITZ/CONTRIBUTOR; INSET PHOTO OF STEVE CARELL BY CBS PHOTO ARCHIVE/CONTRIBUTOR

THE BIG STORY

SUMMER 2016 1

IN EVERY ISSUE 2 Opening Thoughts 3 Introductions 4 Collected Wisdom 6 Out of the White Coat 32 The Quick List 33 This Just In 38 The Truth About

Old Wives’ Tales 40 How To: Quit Smoking 42 Quiz: Freak Out or

Chill Out? 44 At a Glance: Portion

Control 46 In the Market: Blueberries 48 Health by the Numbers:

Sleep 56 Foundation News

8 Ask the ExpertPhysician assistant Buck Harvey explains the critical role of vitamin D in the body.

Peanut butter for baby?PAGE 34

Opening ThOughTs

Springtime has given us much to be thankful for today and even more to look forward to in the future.

We recently celebrated two major milestones with the 25th anniversary of Harrison Peeples Health Care Center and the 10th anniversary of the Beaufort Memorial Keyserling Cancer Center.

Besides celebrating 25 years of primary care for the Hampton County community, we’ve made Ob-Gyn services available to area residents with the additions at Harrison Peeples of a physician and a nurse practitioner who have access to maternal fetal medicine specialists through the Medical University of South Carolina’s telemedicine program.

Celebrating the Keyserling Cancer Center means celebrating our commu-nity’s enormous philanthropic support for the center and, most important, the many cancer survivors who for the past decade could receive much-needed care close to home. With our recent affiliation with the MUSC Hollings Cancer Center, patients soon will have another reason to celebrate: continued access to National Cancer Institute-designated clinical trials in Beaufort.

This spring we received approval from the state to move forward with plans for a $6 million renovation and expansion of our Collins Birthing Center; con-struction is scheduled to begin later this year.

We’ve also expanded Ob-Gyn services at our Beaufort Memorial Bluffton Medical Services location in Westbury Park with three board-certified physicians now providing care to women of all ages.

Finally, all nine of our primary care providers at Lowcountry Medical Group Primary Care are accepting new patients. They’re ready to help you live well, so no more excuses about getting that annual physical!

As you can see, we have much to celebrate, and so do you. Now take a look inside for helpful tips on how to become and stay active—and the benefits of doing so.

In good health,

Rick ToomeyPresident & CEOBeaufort Memorial Hospital

Marking Milestones and growth

Living Well, a subtitle of Vim & Vigor™, Summer 2016, Volume 32, Number 2, is published quarterly by MANIFEST LLC, 4110 N. Scottsdale Road, Suite 315, Scottsdale, AZ 85251, 602-395-5850. Vim & Vigor™ is published for the purpose of disseminating health-related information for the well-being of the general public and its subscribers. The information contained in Vim & Vigor™ is not intended for the purpose of diagnosing or prescribing. Please consult your physician before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines. Vim & Vigor™ does not accept advertising promoting the consumption of alcohol or tobacco. Copyright © 2016 by MANIFEST LLC. All rights reserved. Subscriptions in U.S.: $4 for one year (4 issues). Single copies: $2.95. For subscriptions, write: Circulation Manager, Vim & Vigor™, 4110 N. Scottsdale Road, Suite 315, Scottsdale, AZ 85251.

Beaufort MeMorial Hospital

president & CeoRichard K. Toomey, DHA, FACHE

BMH Board of trustees Terry Murray, ChairWilliam “Bill” Himmelsbach, Vice ChairDavid Tedder, Secretary/TreasurerAndrea Allen, MS, LMSWKathleen CooperMark Dean, MD David HouseFaith Polkey, MDJames Simmons, MD

ex-offiCio MeMBersNorman Bettle, MD, Chief of StaffHugh Gouldthorpe, Foundation ChairmanBill McBride, Beaufort County Council Representative

BMH editorialCourtney McDermott, Director, Marketing & CommunicationsSallie Stone, Editor and Marketing & Communications Content

ManagerPaul Nurnberg, Photographer

produCtionEditorialeditor-in-CHief: Meredith Heagney senior editor: Matt Morgan Copy editor: C.J. Hutchinson

dEsignCHief art direCtor: Tami Rodgersart direCtors: Cameron Anhalt, Molly Meisenzahlsenior art direCtor: Erica BrooksassoCiate art direCtor: Audrey Hall

Productionsenior produCtion Manager: Laura MarloweproduCtion Manager: Jenny BabichdireCtor of preMedia: Dane NordineproduCtion teCHnology speCialists: Julie Chan,

Sonia Fitzgerald

circulationsenior direCtor, logistiCs: Tracey Lenzpostal affairs & logistiCs Manager: Janet Bracco

Client serviCesClient strategy and serviCes Managers: Mark Kats,

Katie Murphy

adMinistration CHief exeCutive offiCer: Jason Benedictsvp, Business developMent – HealtHCare:

Gregg Radzely, 212-574-4380CHief Content offiCer: Beth Tomkiw exeCutive art direCtor: Adele Mulford

Beaufort Memorial Hospital955 Ribaut Road

Beaufort, SC 29902843-522-5200

843-522-5585 – Doctor Referral Service

For address changes or to be removed from the mailing list, please visit mcmurrytmg.com/circulation.

SUMMER 20162

INTRODUCTIONS

New MeMbers of Your TeaM BMH welcomes new doctors and nurse practitioners

Kathryn Jones, FNP-BCKathryn Jones, an advanced oncology certified nurse prac-titioner for 13 years at the former Sea Island Cancer Center,

is now part of Beaufort Memorial Medical Oncology. Before joining Majd Chahin, MD, at Sea Island Cancer Center, Jones was on the Beaufort Memorial nursing staff, serving two years in the Emergency Department and two years on the hospital’s third floor.

Dan Smith, DO Beaufort Memorial Lowcountry Medical Group has added another board-certified family medicine special-ist to its staff. Dan

Smith, DO, a graduate of Oklahoma State University’s College of Osteopathic Medicine, brings more than 14 years of experience to the multispecialty practice. Smith has served as an ER and urgent care physician, ICU hospi-talist and hospice care medical direc-tor. Most recently he practiced at Pain Management Associates in Okatie.

Suzanne Wolf, MSN, CRNPLongtime Parris Island nurse prac-titioner Suzanne Wolf specializes in gynecology and sees patients with Patricia

Thompson, MD, at Beaufort Memorial Obstetrics & Gynecology Specialists. For 18 years, she served as primary care manager for active-duty military per-sonnel stationed at the Marine Corps Recruit Depot. Prior to becoming a nurse practitioner, Wolf spent 20 years as a U.S. Air Force Nurse Corps officer. ■

Susanne Baisch, FNP-BCAdvanced oncol-ogy nurse prac-titioner Susanne Baisch, formerly with Majd Chahin, MD, at Sea Island

Cancer Center, has joined the medical oncologist at his new practice, Beaufort Memorial Medical Oncology. During her 17-year career as a healthcare provider, Baisch worked as both a nurse and a nurse practitioner at Beaufort Memorial Hospital and several Lowcountry medi-cal practices before joining Chahin’s practice in 2014.

Patricia Thompson, MDPatricia Thompson, MD, a board-certified Ob-Gyn in the Lowcountry for 20 years, comes to Beaufort Memorial

Obstetrics & Gynecology Specialists from Gynecology Associates of Beaufort, which she founded. Thompson, who specializes in gynecologic care and sur-gery (no longer delivering babies), sees patients in both Port Royal and Bluffton. She is the hospital’s chief medical infor-mation officer.

Majd Chahin, MDMajd Chahin, MD, of Beaufort Memorial Medical Oncology, is now a mem-ber of Beaufort Memorial Physician Partners. A board-

certified hematology/oncology spe-cialist, he provides medical oncology services at Beaufort Memorial Keyserling Cancer Center and is the medical direc-tor of Beaufort Memorial Hospital’s oncology program.

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Nothing ruins summer fun like a bad sunburn or a case of poison ivy. But you can deal with these and other common summer a� ictions and

get back to the beach or campground. Read on to learn how.

SAVE YOUR SKINWhether you’re on a boat, at the beach or just hanging out in the sun, it doesn’t take long for your skin to burn if you’re not properly protected.

“One blistering sunburn in childhood or ado-lescence more than doubles a person’s chance of developing melanoma in his or her lifetime,” says Vickie Reynolds, a nurse practitioner at Beaufort

Memorial Harrison Peeples Health Care Center in Hampton County. “Still, a Skin Cancer Foundation poll found 52 percent of respondents admitted getting sunburned at least once a year.”

To prevent ultraviolet radiation from damaging your skin, Reynolds recommends applying sunscreen with SPF 30 or higher 30 minutes before you go outside and every couple of hours during your exposure to the sun.

If you do get sunburned, time is the only cure. But Reynolds suggests these remedies to temporarily ease the pain:

3Lie in a cool bath or apply a cool compress directly to the skin. 3Take a pain reliever, such as Tylenol. 3Use a topical moisturizer such as aloe vera gel with lidocaine.For people with a severe sunburn whose skin has blistered, Reynolds

may prescribe an antibiotic cream, such as Silvadene.

WEBSITE

Look Before You Travel Before you take off on an overseas vacation, check the Centers for Disease Control and Prevention Travelers’ Health webpage at cdc.gov/travel. It off ers information on the latest outbreaks around the world as well as at home.

THE BUZZ ON ZIKA

Mosquitoes: They’re summer’s biggest menace. And now the Aedes member of the mos-quito family is responsible for an outbreak of Zika, a virus that can be transmitted from a pregnant woman to her

fetus and has been linked to a serious birth defect called microcephaly.

The CDC recommends that expectant mothers delay travel to countries, mostly in the Caribbean and Latin America, where the outbreak is growing. Pregnant women should also avoid sexual contact with anyone who has traveled to those countries.

“Even if we’re not worried about the spread of Zika in the U.S., women should still avoid mos-quito bites because they carry other diseases,” says Beaufort Memorial Obstetrics & Gynecology Specialists nurse-midwife Janna Jones Kersh. “Wear long-sleeved shirts and pants out-side and avoid going outdoors during the times of day when mosquitoes are most active.”

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SUMMER STATS

85 Percent of the

population allergic to poison ivy

Sources: American Academy of Dermatology,

Centers for Disease Control and Prevention, The Washington Post, U.S. Geological Survey, U.S. National Library

of Medicine

1,500Cases of malaria diagnosed in the

United States each year

15Amount of minutes it can take to get

a sunburn

Up to

60Percent of the

body of an adult that is made up of water, which

protects organs and lubricates joints

58 Number of deaths

caused by bee stings each year

WEBSITE

Water WorksJust a 2 percent drop in your body’s water supply can cause dehydration symptoms. Go to bit.ly/1O7cKdA to learn why water is so important to your health.

OUCH! SOMETHING BIT ME! You’re not the only one who enjoys the warm temps of summer. At this time of year, insects get active—and they don’t take kindly to people invading their turf. The good news: While most bug bites are itchy and uncomfortable, they’re usually harmless.

But some bites and stings, like those from fi re ants, wasps, hornets and bees, can cause intense pain and even allergic reactions.

“A cool compress or indirect ice on the aff ected area will relieve the swelling,” says nurse practitioner Erin Scott of Beaufort Memorial Lowcountry Medical Group. “To alleviate the itching, soak the aff ected area in an oatmeal bath and apply cortisone cream.” An oral antihistamine can help, too.

And if you develop a blister, don’t break it, Scott says. That could lead to infection, as can scratching the bite.

“The bite will get better on its own in about a week,” Scott says. “But if you notice an increase in redness or foul-smelling drainage, go see a healthcare provider.”

THE HEAT IS ONIt’s normal to work up a sweat when you’re play-ing outside in the summer sun. But if you get so hot your body tempera-ture rises to 104 degrees, you could suff er heatstroke, a life-threatening condition that requires emergency treatment, says Paul Schaefer, a phy-sician assistant at Beaufort Memorial Primary Care.

“To avoid getting overheated, stay out of the sun in the late afternoon, which is the hottest time of the day,” Schaefer says. “If you do go outside, stay in the shade. Wear a wide-brimmed hat and loose clothing and drink plenty of water.”

Along with a high body temperature, look out for these other symptoms of heatstroke: altered mental state or behavior, nausea, vomiting, a racing heart rate and fl ushed skin.

STOP SCRATCHING! It lurks in woods and backyard gardens, hiding among vegetation like an inno-cent weed. But poison ivy can cause an allergic reaction that will leave you with a maddeningly itchy, red, blistering rash.

Oil on the plant—easily identifi ed by the shiny green, pointed leaves that

hang from its stem in groups of three—causes the rash. The rash is not contagious, but further contact with the oil, even by means of your clothes, can cause it to spread.

If you come into contact with poison ivy, take off aff ected clothes and wash the skin as soon as possible to remove the oil, says Pauline Phillips, a nurse practitioner at Beaufort Memorial Lowcountry Medical Group.

“Ice or a cold compress will help alleviate the itch,” she says. “You can also try a hydrocortisone cream and an antihistamine like Claritin or Benadryl.”

If the allergic reaction is severe, your healthcare provider may prescribe an oral steroid.

“As itchy as you may be, avoid scratching your skin,” Phillips says. “It can make you itch even more.”

SUMMER 2016 5

Out Of the White COat

Stuart Smalheiser, MD

After five years as a cardiol-ogist at Beaufort Memorial Hospital, Stuart Smalheiser,

MD, is used to getting up in the middle of the night to respond to emergencies.

But the occasional ER dispatch never prepared him for the demands of fatherhood.

“I feel like I’ve been on call every night,” says Smalheiser, describing the first few months after his son, Sidney, was born last summer.

He has shared the taxing parental duties with his wife, Veronica, a nurse practitioner at Beaufort Memorial

Lowcountry Medical Group, where he also practices (read more about Veronica on the next page).

“It’s a 50-50 division of labor,” the cardiologist says. “We split every-thing, including night feedings and diaper changes.”

The couple have been working as a team since they met eight years ago at the University of Florida Health Science Center in Jacksonville. Stuart was com-pleting his cardiology fellowship; Veronica was a nurse in the coronary care unit.

“Neither of us was looking for some-one in the medical field,” he says. “She was the first nurse I dated, and I was the first doctor she dated.”

Heart-to-Heart, at Home and at tHe HospitalCardiologist and nurse practitioner thrive as a family with new son

The two healthcare professionals mar-ried in 2010 and tried for years to have a baby. They had all but given up hope when Veronica became pregnant.

“It was a real blessing,” Smalheiser says. “It’s been so exciting watching him grow and develop a personality.”

Now that Sidney is a little older, Smalheiser is finding more time to enjoy some of his prebaby hobbies, like golf.

“I try to practice what I preach, so I work out five days a week,” he says. “If I’m playing golf, I walk the course. At home, I’ll jump on the treadmill or lift weights.”

He also hopes to start traveling again.“Veronica and I have been all over the

Caribbean,” he says. “At some point, we’d like to go to Europe.”

Now that they have Sidney, they’ll have a travel buddy, Smalheiser adds. “We got him a passport.”

CALL

Stuart Smalheiser, MD, is board-certified in internal medi-cine, cardiovascular medicine, nuclear cardiology and interven-tional cardiology. He practices at Beaufort Memorial Lowcountry Medical Group and can be reached at 843-770-0404.

SUMMER 20166

Crystal even accompanied Smalheiser to Augusta last fall to babysit Sidney while she attended a cardiology conference.

While they may be as tight as twins, the two sisters are not above a little friendly competition. For months, they’ve been trying to outdo each other in a race to rack up the most steps on their Fitbit activity trackers.

“My average is about 8,000 steps a day,” Smalheiser says. “If I go on a short walk, I’ll take the baby in a backpack car-rier. For longer distances, I’ll push him in the stroller.”

Most days, they walk with Stuart, who also works at Lowcountry Medical Group.

Of Sidney, Smalheiser says, “We’re so happy to have him. He’s everything to us, plus some.”

Since their son was born, the couple have limited their travels to a few nearby destinations. But Sidney has done so well on the trips, Smalheiser is hoping to take him to Paris, where she has wanted to go for years.

“I love cooking French dishes,” says Smalheiser, a big fan of famed American chef and author Julia Child. “I want to see the city and try new French foods.” �

CALL

Veronica Smalheiser, a board-certifi ed adult, adult-gerontology and cardio-vascular nurse practitioner, practices at Beaufort Memorial Lowcountry Medical Group. She can be reached at 843-770-0404.

Veronica Smalheiser

From the time they were kids, Veronica Smalheiser and her sister, Crystal, have

been best friends. Just 13 months apart, the siblings are so close that when Smalheiser and her husband, cardiolo-gist Stuart Smalheiser, MD, left her hometown of Jacksonville fi ve years ago to work at Beaufort Memorial Hospital, her younger sister soon followed.

“I was feeling lonely and convinced her to move to Beaufort to get her nurs-ing degree at USCB,” says Smalheiser, a nurse practitioner at Beaufort Memorial Lowcountry Medical Group.

These days, Crystal is helping her sis-ter with more than just the occasional bout of homesickness. She’s taking care of Smalheiser’s new son.

“She comes to my house every morn-ing to stay with Sidney and works as a nurse in the cath lab as needed,” Smalheiser says. “It’s been great.”

Stuart and Veronica Smalheiser enjoy time with their son, Sidney.

SUMMER 2016 7

Ask the expert

Q Why do you need vitamin D? Vitamin D helps the body absorb calcium, which is needed to build

bones and keep them strong and healthy. It’s essential in regulating normal blood levels of calcium and phosphorus.

Q How much vitamin D do you need?Healthy adults need 600 IU

(that’s international units, the standard of measurement found on the label); 800 IU if they’re older than 70.

Q What are the sources of vitamin D?The primary source is the sun.

You should get five to 10 minutes of sun exposure a day to produce sufficient vitamin D. But your body can’t absorb the needed UV rays if you’re wear-ing sunscreen.

Vitamin D also is found in fatty fish, like salmon, tuna and sardines, and foods fortified with vitamin D, includ-ing some milk, orange juice, cereal and yogurt. Because there are a limited

Buck Harvey, certified physician assistant

number of foods that contain vitamin D and sun exposure can increase the risk of skin cancer, you might choose to take supplements.

To date, there is no solid data that taking vitamin D supplements is going to improve your health. Your best bet is to eat a variety of healthy foods and get outside and do a little exercise.

Q Should I be screened to determine if I have a vita-min D deficiency?

In otherwise healthy adults, no criteria exist for routine screening. There are some medical conditions and medica-tions that can cause vitamin D defi-ciency. Gastric bypass surgery, kidney and liver diseases, and medications including prednisone and certain types of cholesterol-lowering drugs can have an effect on vitamin D absorption. People with dark skin also produce less vitamin D than those with fair skin. If you have any risk factors, your doctor may want to check your levels. n

Your DailY Dose of Vitamin D Long known to be essential for bone health, vitamin D may offer other health benefits as well, including improvement in immune function and reduction of inflammation. But studies have shown an increasing number of Americans are deficient in the so-called “sunshine vitamin.” Certified physician assistant Buck Harvey answers our questions.

APPOINTMENTS

More Questions?Certified physician assistant Buck Harvey sees patients at Beaufort Memorial Harrison Peeples Health Care Center in Hampton County. He can be reached at 803-943-5228.

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You don’t have to be a marathoner or able to do a headstand in yoga. Get healthy with exercise, your way.

Issue

TheGet Moving

Sources: health.gov, fitness.gov, CDC, ihrsa.org, runningusa.org

150 minutes of moder-ate aerobic physical activity—or 75 min-

utes of vigorous activity—plus at least two days of strength training is recommended for adults each week.

79% of American adults do not meet these guidelines.

1 in 3 American children is physically active each day.

<5% of adults participate in 30 minutes of physical activity each day.

54.1 million Americans (about 17 percent) belong to a health club or gym.

28,000 running events were held in the U.S. in 2014, includ-ing marathons, half-marathons and more manageable 5Ks.

Most of us need more activity than we get WORK IT!

We’ve heard it a million times: Exercise, combined with a nutritious diet, is key to good health. Read on to learn how to be more active, avoid injury and lose weight.

Getting started is as easy as standing up.

SUMMER 2016 9

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to Quit

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Steve Carell underwent joint replacement surgery at age 51 and came out laughing—and kickingBY MEREDITH HEAGNEY

Younger joint replacement patients, like Steve Carell, can look forward to decades of mobility.

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Take a look at Steve Carell’s résumé over the past few years and you’d never know the comic-turned-Academy Award nominee struggled with a deteriorating hip

joint, requiring a total joint replacement in 2013. After wrapping his iconic portrayal of buff oon

boss Michael Scott on The Offi ce, Carell contin-ued his eclectic career full-speed, moving from comedy-drama (Seeking a Friend for the End of the World) to animated fi lm (Despicable Me, Despicable Me 2 and Minions) to dark drama, earning an Oscar nomination for his role as eccentric heir and convicted killer John du Pont in Foxcatcher. More recently, he played a caustic hedge-fund manager in The Big Short, about a group of men who bet on the collapse of the housing market and got rich.

Carell is like many other Americans who undergo joint replacement: He’s middle-aged (he’ll turn 54 in August), active and in good general health. Joint replacement was once considered a surgery for overweight or unhealthy seniors, but younger patients increasingly are choosing it to avoid pain and immobility.

About a year after his surgery, Carell told David Letterman he had made the right choice.

“I was walking with a limp. It was not good,” he said of his condition before the replacement. Now, “I love it. I’m so happy with my hip.” And then he swung his right leg up, kicking and bending to show off his range of motion.

Not Just for Retirees Anymore The number of joint replacement surgeries done each year has gone up as the patients have got-ten younger. In 2000, the Agency for Healthcare

Research and Quality reported that 160,282 patients were discharged from hospitals after total hip replacement. Thirty-one percent of those patients were ages 45 to 64. By 2012, discharges for hip replace-ments were at 320,420, with 42 percent represented by the 45- to 64-year-olds.

Total knee replacements have followed the same trend. Of the 631,264 dis-charges in 2012, 42 percent were middle-aged, up 11 per-centage points from 2000.

The culprit is usually osteoarthritis, the wear-ing down of protective cartilage to the point where bone rubs bone. Sometimes replacements are needed to correct damage from other bone and joint conditions or traumatic injuries.

It’s common for athletes, both professional and amateur, to have wear and tear on their joints. Carell told Letterman that his problems resulted from playing hockey.

“At least that’s what I say, because it sounds kind of macho,” Carell joked. >

“I was walking with a limp. It was not good,” Carell told David Letterman. Now, “I love it. I’m so happy with my hip.” And then he swung his right leg up, kicking and bending to show o� his range of motion.

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Orthopedic surgeons and physical therapists say they’ve seen the youth-ful uptick firsthand in their practices, especially among the active.

“The needlepoint has shifted a bit younger,” says Eric Robertson, a physi-cal therapist and a spokesman for the American Physical Therapy Association who specializes in musculoskeletal rehabilitation. He adds that while the old way of thinking was to wait as long as possible to replace a faulty joint, the new attitude is becoming, “Let’s replace this sooner and avoid the suffering and the debility and the reduction in over-all health status that would come from trying to prolong it.”

Replacements can be performed earlier because the technology in arti-ficial joints has improved, says Brett Levine, MD, an orthopedic surgeon and a spokesman for the American Academy of Orthopaedic Surgeons.

“We think the longevity (of the joints) is going to be a little bit better than in the past,” Levine says. “In the past, you’d never operate on certain people because you’d get them to wait as long as possible. Now we’re thinking the implant might last 20 to 30 years.”

That means a joint replacement patient like Carell might not even need revision

surgery, a process in which some or all of the artificial parts of the joint are replaced. Hips may last 20 to 25 years, while a replaced knee, a less stable joint, usually makes it 15 to 20 years.

The typical replaced hip is made up of four parts, Levine explains: a metal stem with a ball on its end that fits into a cup, which has a liner. Younger patients, like Carell, often receive a ball made of ceramic, which is likely to last longer (Carell bragged to Letterman that his “will last forever”). Older patients may use cheaper metallic options. Replacement knees are gener-ally made of the same materials.

While hips and knees are the most common replacements, other joints, such as shoulders, ankles and elbows, also may be switched out for artificial versions.

When Is the Right Time? Despite the broader use of joint replacement surgeries in patients under 60, it’s not a decision to be made lightly, Levine says.

“We still suggest people try to stretch it out some,” he says. “I always tell patients who come in, if they say they can’t play the last two holes of golf and they want a hip replacement, that’s not quite hip-replacement material.”

Injections of corticosteroids, which serve as an anti-inflammatory agent, can sometimes put off the need for surgery for years, Levine notes. His concern grows when a patient’s pain becomes bad enough to limit daily activities and hobbies.

Then, quality of life decreases and weight often increases.

“You’re trying to remain sedentary to avoid the pain,” he says.

7 THINGS YOU

(PROBABLY) DIDN’T KNOW ABOUT STEVE CARELL 1 He owns Marshfield

Hills General Store in his native Massachusetts.

2 His wife of 21 years, actress Nancy Walls (above), played his love interest Carol on The Office.

3 In college at Denison University, his radio name was “Sapphire Steve Carell.”

4 His first film appearance was in the 1991 John Hughes movie Curly Sue.

5 His first regular TV job was on The Dana Carvey Show in 1996.

6 The chest-waxing he endures in The 40-Year-Old Virgin was real.

7 Carell and Stephen Colbert voiced The Ambiguously Gay Duo animated short on Saturday Night Live.

SUMMER 201612

Carell said his doctor told him to wait on surgery until he started to limp, which he did.

Levine requires X-rays that show substantial arthri-tis and assurance from patients that they’re mentally ready for the surgery and rehabilitation. For his patient Kim Sturonas, 56, that second part was the toughest.

Sturonas was 50 when she learned that her left hip no longer had cartilage and that the discomfort was caused by bone-on-bone friction. Sturonas, a for-mer college athlete who played in an indoor soccer league, couldn’t believe it. In fact, after she heard the news, she cried the whole way home.

“I’m thinking, I’ve done every-thing right. I’ve been active. I haven’t lived a sedentary life. And here I am, at 50 years old, and I need a hip replacement.”

It took Sturonas years to come to terms with it. Finally, she couldn’t take it anymore. She had gone from jogging 2 to 4 miles daily to having trouble tak-ing a short walk with the dog.

She had her left hip replaced in June 2014. Then her right hip began to fail; in June 2015, she had that one replaced as well. It was the right move, she says. “I should’ve gotten this done a lot earlier.”

Rehabilitation and Recovery Younger patients tend to recover quickly from surgery, says Levine, who tells his patients to take it easy for six weeks, outside of their physical therapy exer-cises. That’s about how long it takes the bone to start growing into the implant. But it can be difficult to get patients to obey his orders, Levine says.

“Some of them look at me like I’m crazy. They’ve got their basketball jer-sey on, and they’re going to play their weekend game and I’m like, ‘Where are you going?’ ”

The length of recovery depends on a patient’s overall health, Robertson says. Some people bounce back in as little as two to three months. Physical therapists teach patients exercises that strengthen the muscle around the new joint and help them under-stand its range of motion—critical to preventing dislocation.

The joints wear down faster, poten-tially requiring revision surgery, if the patient engages in high-impact activi-ties like running, Robertson says. He recommends staying in shape with cycling, swimming and walking.

Sturonas completed 10 weeks of physical therapy after her most recent surgery. She was thrilled by how quickly she could do things she hadn’t done for years, such as swing her leg over the top of a bicycle seat.

Those “eureka” moments are common, Robertson says.

“When people stand up after a joint replacement for the first time, there’s always this moment … the joint isn’t sore,” he says. “That aching deep pain they had from the arthritis is gone.”

And they have a lot of life left to live—whether they spend it starring in movies or just taking long walks with the family dog. n

SUMMER 2016 13

Why a Revision Might be needed

Today’s replacement joints are more impressive than ever, and they’ll last a long time. But they may not last forever, especially in younger patients, says Beaufort Memorial orthopaedic sur-

geon Leland Stoddard, MD.The younger the patient, the more likely a “revision” surgery will be needed to replace

some or all of the joint. The American Academy of Orthopaedic Surgeons cites these common reasons for a revision surgery:

Implant loosenIng. For the joint to work properly, the implant has to stay attached to the bone. Over time, it can loosen, causing pain and necessitating a

second surgery.

InstabIlIty. Joint implants typically are designed to work with your existing ligaments. But if the surrounding ligaments become damaged,

it can lead to an unstable joint. Bracing and physical therapy are com-monly attempted first, but if they fail, surgery might be needed.

InfectIon. A possible complication with surgery, an infection can appear years after the procedure and cause a painful or

stiff joint.

CALL

on your feetBeaufort Memorial offers three locations for adult outpatient rehab, along with pediatric rehab clin-ics in Beaufort and Bluffton. To schedule an appointment, call 843-522-5593.

THE BIG STORYPH

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Although thousands of years have passed since our ancestors hunted

game and gathered wild plants, our bodies are still programmed to be on the move. So when you plop a hunter-gatherer on the couch for a nightly TV marathon or in an office chair to work hours at a stretch, the resulting health issues shouldn’t surprise you. Read on to learn how you can get active and reclaim your health. BY CONNIE MIDEY

BODIES INMOTION

SUMMER 201614

SUMMER 2016 15

EXERCISE LIFESTYLE

When life gets in the way of going to the

gym, you can still exercise—

just sneak it into to your

daily routine

WHAT’S YOUR EXERCISE LIFESTYLE?

You can improve your health without changing your whole life.

“You don’t have to do a lot,” says Michele Stanten, author of Walk Off Weight. “Start with a little bit of activity and just do it consistently to build the habit.”

Consider these ideas for adding activity into your life.

Make quality time with your kids

active. It’s good for everybody.

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SUMMER 201616

FOR THE BUSY PARENT• Skip the drive-thru lanes. Stanten shuns the lanes at banks, stores and restaurants, parks her car and walks inside to conduct her transactions.• Explore your ’hood. Registered nurse Basia Belza, PhD, lead author of Mall Walking, a guide from the Centers for Disease Control and Prevention, squeezes in short walks in her neighborhood.• Play catch or hopscotch with your kids for 10 minutes. “Doing things together gets you and the kids out and active, and you’re being a good role model,” says Stanten, who is a mother of two and also an American Council on Exercise (ACE) board member and ACE-certifi ed fi tness instructor.• Build your active time around your kids’ programs. “Volunteer to help with their teams,” she suggests. “Or when you drop them off at the fi eld or music lessons or Boy Scout meetings, use that opportunity to take care of yourself with a walk.”• Walk the talk. “When you’re walk-ing, particularly with a teenager, and want to discuss diffi cult subjects, it’s a little easier when you’re not eye-to-eye,” Stanten says.• Lose the guilt about me-time. “If we don’t take care of ourselves fi rst,” she says, “we don’t do the best job of taking care of others. If you exercise and are more active, you’re going to be stronger, less stressed, less likely to lose your temper, whether at work or at home.”

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FOR THE TRAVELER• Walk before you fl y. “You know you’re going to be cooped up,” Stanten says, so walk in the terminal while waiting for your plane.• Walk at your destination. “Walking is one of the best ways to explore,” she says. “You get a completely diff erent experi-ence when you’re on foot. You see things you don’t see when you’re whizzing by, and you’re interacting with people.”• Look for active opportunities. Rent a kayak, canoe or bike. Take a hike in the mountains, Stanten suggests, “or mix a walk in with lying on the beach reading a book.”• Go prepared. Pack workout clothes and shoes. Take a resistance band for strengthening exercises. “An elastic band is a great piece of equipment to take,” she says. “It’s fl at, fl ex-ible, weighs nothing and takes up no space.”

FOR THE RETIREE• Walk at a mall. “It really makes sense,” says Belza, whose guide is based on researchers’ visits to malls in fi ve states and interviews with people who walk at them. “A mall is indoors. It’s climate-controlled, has fl at surfaces and allows people to use the bathrooms and water fountains. There’s transpor-tation and usually some security, so people feel safe.” • But then think outside the mall. Commune with nature at zoos or botan-ical gardens. And take advantage of early open times to minimize walkway traffi c.• Make a walking date with a friend. “It’s harder to cancel when someone’s counting on you,” Belza says.• Join a group. Retirees tell Stanten that being engaged with others is impor-tant to them. “We’re seeing more and

more research that our health is better if we have those con-nections in our lives,” she says. Free or reduced-rate exercise

classes, yoga, hiking groups and Zumba lessons fi ll a need for people who have lost partners or friends

or miss their jobs. Check with parks departments, churches, fi tness

stores, libraries and hospitals for activities. �

SUMMER 2016 17

exercise you can do, nowYour most direct avenue to good health is a simple walk. We’ve known hoofing it is good for you at least since ancient Greek physician Hippocrates said of walking that it is “man’s best medicine.”

Meghan Deagan, BMH senior wellness coach, says it’s an exercise most anyone can do.

“You don’t need any equipment and you can do it anywhere,” she says. “If you want more of a challenge, you can increase the intensity by walking farther, faster or up a hill.”

While the average speed of most walkers is 2 to 3 miles per hour, the focus should be on how you feel.

“You want to be a little bit out of breath,” Deagan says. “You should be able to hold a conversation, but you shouldn’t be able to sing an opera.”

APPOINTMENTS

Healthy Kids Campaign Concerned about your child’s weight and health? Beaufort Memorial is offering free nutrition and exercise coun-seling for kids from ages 2 to 18 as part of its Healthy Kids Campaign. Call 843-522-5635 to learn more.

EXERCISE FOR HEALTH

Exercise is a vital part of the prescription for recovering from

health crises and preventing future damage

YOUR RX-ERCISE

Exercise isn’t just essential for good health and weight loss.

It’s also a powerful tool in the body’s efforts to prevent, recover from and delay diseases such as arthritis, cancer and even Alzheimer’s. Read on to learn how activity heals.

How’s this for natural medicine? Exercise can heal

your body.

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CANCER AND HEART DISEASE“It’s fairly well established that peo-ple who exercise have a lower risk of colorectal cancer and breast cancer,” says epidemiologist I-Min Lee, MD, a co-author of Exercise: A Program You Can Live With.

That’s why cancer treatment pro-grams have begun incorporating exer-cise. They’re following the lead of cardiac rehabilitation programs, which have shown that physically active heart patients are more likely to recover well.

Lee and her colleagues in 2014 reported that male cancer survivors who exercised had lower rates of death. The minimum recommended 150 minutes a week of moderate-intensity activity was sufficient to lower mortality rates.

ARTHRITISJust as exercising can prevent arthritis by keeping muscles strong and excess pounds from overloading joints, exer-cising after a diagnosis of arthritis can limit aches and pains and improve movement, says sports medicine spe-cialist Bashir Zikria, MD, a member of the American Academy of Orthopaedic Surgeons (AAOS).

“One of the strongest recommen-dations the American Academy of Orthopaedic Surgeons has for nonop-erative management of arthritis is a physical therapy program of supervised exercises,” Zikria says.

Continue to watch your weight, he advises, and when you’re ready to exer-cise on your own, start with low-impact activities such as swimming, walking and bicycling, which are great for joints.

You can increase your workout time gradually as you make exercise a part of your daily routine, preferably in morn-ing sessions before your day gets busy.

PREGNANCY-RELATED BACK PAINYour baby’s birth doesn’t guarantee an end to the lower-back pain you might have experienced during pregnancy, orthopedic surgeon Zbigniew Gugala, MD, says in a 2015 literature review pub-lished in the AAOS journal. For about half of pregnant women with lower-back pain, the pain continues after delivery.

“As ligaments—which connect bones to each other—stretch and the uterus expands as the baby grows, they put excessive stress on the spine and pelvis,” Gugala says. “This can lead to low-back pain, pelvic-girdle pain or both.”

Talk with your obstetrician about an exercise regimen that makes sense for your fitness level, incorporating flexibility, stretching and muscle-strengthening exercises such as water workouts, aerobics and yoga.

OSTEOPOROSISExercise strengthens the musculoskeletal system and improves balance, making us less vulnerable to osteoporosis and the chance of fall-related fractures, Lee says.

Plus, some studies have blamed inac-tivity for much of the bone deterioration seen as people age.

So, it follows that “resting” your bones after a diagnosis of osteoporosis

is not the answer. The AAOS and the National Osteoporosis Foundation note that bone is living tissue rebuilding itself all the time.

Talk with your doctor about the benefits of low-impact, weight-bearing exercises such as walking.

ALZHEIMER’S DISEASE“We know that physical activity improves blood flow to the brain,” Lee says, “and we believe that helps with cognitive function.”

Exercise also reduces the body’s mis-directed inflammation, a risk factor associated with Alzheimer’s disease and other health conditions, she says.

Some preliminary reports have found that even in Alzheimer’s early stages, people who did regular aerobic exercise showed modest improvements. n

SUMMER 2016 19

What Can ExErCisE Do?Exercise has been shown to provide more benefits than just weight loss.

“Regular exercise can lower your blood pressure, raise your ‘good’ cho-lesterol and help prevent osteoporosis,” says Kim Yawn, assistant director of Beaufort Memorial LifeFit Wellness Services. “It also can lower your blood glucose by improving the processing of insulin and glucose.”

And that’s just for starters. Having a strong musculoskeletal system will improve your balance, reducing your risk of falls.

“As we age, regular exercise becomes especially important in preventing and managing diseases,” Yawn says. “It can help you maintain your independence and quality of life.”

What’s more, physical activity reduces inflammation, a common fea-ture of many diseases, including diabe-tes, cancer and Alzheimer’s.

“Exercise truly is the best medicine,” Yawn says.

GO TO ...

Get Fit for LifeLifeFit Wellness Center, Beaufort’s only medically supervised exercise facility, offers cardio and resistance machines, free weights and group classes. Learn more at beaufortmemorial.org or call 843-522-5635.

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“Sit still” is a childhood

lesson you may have learned too well for

your own good

STAND UP TO SITTING

Glued to our chairs, we lose two hours of life for every hour we sit,

warns endocrinologist James Levine, MD, PhD, author of Get Up! Why Your Chair Is Killing You and What You Can Do About It.

“Why would you expect something you do for half an hour a day at the gym to be enough?” Levine asks. “We know that gym-going alone does not actually offset the harm of sitting.”

Standing desk? Walking meet-ings? Look for ways to leave that chair.

SUMMER 201620

THE HARMSA sedentary lifestyle has been linked to a growing list of ills, such as heart disease.

Epidemiologist Charles Matthews, PhD, a National Cancer Institute inves-tigator, cites evidence that people who aren’t physically active have a higher risk for cancers of the colon, breast (espe-cially after menopause) and endome-trium, which is the lining of the uterus and the most common starting point for uterine cancer.

Research is ongoing for other cancers, he says. Matthews stands as he talks, a practice that has become second nature.

“There are intriguing suggestions that exercise after prostate cancer may pre-vent a recurrence,” he says. “And a lot of recent research into the relationships between exercise and cognitive decline is saying that regular exercise early in life and at midlife can prevent or delay dementia later on.”

No wonder health professionals view what they’ve dubbed “sitting disease” with alarm as they observe an increas-ingly chair-tethered society.

Using digital activity monitors, Matthews and his research team esti-mated in a 2008 study that Americans ages 6 through 75 spent on average 55 percent, or 7.7 hours, of their waking day sedentary.

“And that was before our tablets and phones got so interesting,” he says.

TV is another lure. Matthews and col-leagues found in a 2012 study that watch-ing TV seven or more hours a day was associated with higher risk of death—even among those who exercised more than an hour a day—compared with those who watched TV less than one hour a day.

In his book, Levine lists potential consequences of sedentariness from A (arthritis) to Z (zest, lack thereof).

Using diabetes as an example, he explains that after a meal, blood sugar rises, and the body reacts by making more insulin to push the sugar into the thigh, buttocks and trunk muscles—what he calls the stand-and-walk muscles.

If you continue sitting, he says, “you don’t use that sugar from your meal.” The unused fuel ends up as fat and could lead to type 2 diabetes.

Being sedentary also weakens muscles and bones, elevates blood pressure and contributes to depression. Moving can prevent such problems.

“That’s why some people call activity the silver bullet,” Matthews says. “There are relatively few adverse side effects to exercising.”

WHAT TO DOTo reduce the harms of sitting, consider the following.• Exercise regularly. “You get the most bang for your buck,” Matthews says. “Even a modest amount of exer-cise or leisure-time activity provides huge benefits.”• Reduce sitting time by an hour a day. He suggests keeping a diary to identify potential activity times, then marking them on the calendar.

• Combine walking with other commitments. Make it your practice that you need an excuse to sit down, not the opposite, Levine suggests. He invites colleagues and students to join in walking meetings, sometimes at a nearby mountain trail or shopping mall.• Get up after dinner. Walk 15 min-utes at 1 mph after meals to cut blood sugar peaks in half, Levine says. But even two minutes will help.• Set a timer. Program a reminder to stand and move every 30 minutes or so.• Walk to a colleague’s desk. Don’t call, email or IM your message—say it. • Pace while on the phone. • Create a movement-friendly office space at home or work. This might include an elevated surface for your computer keyboard, a telephone headset, a treadmill desk or a fitness ball instead of a chair. n

SUMMER 2016 21

Get the KinKs OutIf your job keeps you at your desk all day, you can negate the ill effects it has on your body by doing stretches every hour, says physical therapist Diane Haigler, manager of Beaufort Memorial Outpatient Adult Comprehensive Rehabilitation Services.

She suggests these stretches:• Upper trap stretch. Tilt ear to

one shoulder and apply gentle pres-sure to your head.

• Scapular retraction. Pinch shoul-der blades together.

• Piriformis stretch. Cross one leg over the other leg so your ankle is at your knee. Bend the knee you are standing on as if you are going to sit in a chair.

• Hip flexor stretch. Stand in a lunge position, transferring weight onto your front leg to feel the stretch in the hip muscle of your back leg.

Each stretch should be held for 30 seconds and repeated once. And remember not to bounce.

website

Straight-Up AdviceWhen you find yourself slouch-ing at your desk, give your back a break and work on your pos-ture. Go to bit.ly/1SPQ7m9 to learn a few simple exercises you can do to set it straight.

ILLUSTRATIO

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Whether you’re an

avid athlete or a

weekend warrior,

here’s what’s most

likely to ail you

and how you can

protect yourself

from head to toe

YOUR INJURY-PREVENTION

PLAYBOOK

BY CHEYENNE HART

SUMMER 201622

I’ll admit it, I spent the fi rst 30 years of my life doing everything I could to avoid run-ning. I was that kid in school who walked the mile in gym class because my ankle hurt

or my knee hurt or my head hurt—whatever body part I hadn’t used as an excuse in a while.

Then at 31 I decided to make a career change to law enforcement, and that meant I had to start running. And because I’d never had formal—or informal—training before, one day I just started running.

A few months later I had my fi rst sports-injury diagnosis: stress fractures. That’s also when I learned that training in any type of sport without proper conditioning can cause all kinds of set-backs—and a great deal of pain.

Who’s at Risk?So, who needs to worry about sports injuries? “Anybody who does sports,” says Matt Gammons, MD, a sports medicine physician and vice presi-dent of the American Medical Society for Sports Medicine. “The biggest risk factor for sports injury is doing sports.”

Of course, not all athletes get injured. As far as amateurs go, “weekend warriors tend to be a bit more prone to injury because they’re participat-ing at a moderate or higher level on a sporadic basis,” says Nancy Yen Shipley, MD, an ortho-pedic surgeon specializing in sports medicine and a spokeswoman for the American Academy of Orthopaedic Surgeons (AAOS). “Even if you can’t participate in your sport every day, it’s best to do something active for at least 30 minutes in order to stay conditioned.”

Staying conditioned can help you prevent sev-eral types of injuries. Here are the most common sports injuries from head to toe and what you can do to avoid them. >

SUMMER 2016 23

HEADMore than 300,000 concussions are diagnosed each year, many of them from sports, according to the American Association of Neurological Surgeons.

A concussion is a temporary loss of normal brain function after a blow to the head. And while football tends to be the poster child for the injury, one study by McGill University in Montreal found that soccer play-ers suffer just as many concussions per year as football players do. Any sport that involves contact or a risk of falling increases chances for concussion.

WHAT YOU CAN DO: Aside from choosing a non-contact sport, proper gear is the next line of defense in concussion prevention. Helmets should be worn during baseball, cycling, football, skateboarding, inline skat-

ing and skiing. Headgear is recommended for mar-tial arts and wrestling, pole vaulting and soccer.

Once you’ve had one concussion, you are four to six times more likely to have a second one. So recovering fully before returning to play and

easing back into a sport after a concussion are essential to preventing further injury.

SHOULDERSThe shoulder is a complex joint with four muscles and their tendons. While sprains, strains and ten-dinitis can affect the shoulder, more than half of doctor visits because of shoulder pain involve the rotator cuff.

“The rotator cuff is made up of the muscles and tendons that surround the shoulder ball to keep it stable in the socket,” Gammons says. “Rotator cuff impingement occurs when the mus-cles get fatigued, and they allow the ball to ride up and pinch the soft tissue.” A rotator cuff tear occurs when a tendon pulls away from the bone.

Shoulder injuries are most common in over-head-motion sports, such as golf, pitching in baseball and softball, swimming, tennis, volley-ball and weightlifting.

WHAT YOU CAN DO: “There’s always going to be some level of degeneration that’s going to occur,” Shipley says. “But working within a functional range of motion and revisiting with a coach or trainer every so often to ensure you’re maintaining proper form can be helpful.”

And don’t underestimate the importance of warming up. “It’s important for any activity

but particularly for activities that involve the shoulder,” Gammons says. “Try some light rows to warm up the muscles in the upper back and shoulder blades,

which help stabilize the shoulder joint.” He also recommends keeping the

shoulder muscles strong through regular strength training.

SUMMER 201624

ELBOWSLateral epicondylitis, aka tennis elbow, is caused by inflammation in the tendons that join the forearm muscles on the outside of the elbow. It’s a painful overuse injury common in athletes of sports that require gripping and swinging, such as tennis and golf, but also affects pitchers, too.

The majority of people who develop tennis elbow do so between ages 30 and 50, according to the AAOS.

WHAT YOU CAN DO: Don’t overlook smaller muscle groups when strength training, Gammons advises. “The muscles in the forearm are the ones that help you lift, so you have to make sure the strength is there,” he says. “You may be able to curl, say, 50 pounds with your bicep, but your stabilizing muscles may only be able to do 30 pounds.” He sug-gests strengthening those muscles with wrist curls.

If you end up with pain in the forearm or elbow, see your doctor sooner than later.

“Listen to your body,” Shipley says. “You can head off tennis elbow by seeing a doctor early. There are lots of options for managing the condition.” >

SUMMER 2016 25

When Should YouStretch?It’s common to see someone stretching before heading out for a run. But research is mixed on whether stretching before a workout improves performance.

“You’re better off warming up your muscles with light aerobic exercise that mimics the move-ments of the activity you’re about to perform,” says Beaufort Memorial orthopaedic surgeon Edward Blocker, MD. “Gradually increase the range of motion of the movements over a 10-minute period. The warm-up will raise your heart rate and increase the blood flow to your muscles, enabling them to work more effi-ciently. It also can improve your reaction times by activating the nerve signals to your muscles.”

website

Stretching No-NosWhen it comes to stretch-ing, first do no harm. Go to bit.ly/1ohbOxT to learn four common stretching mistakes to avoid and tips for fixing them. And then check out other Health Resources for your daily life from Beaufort Memorial.

A CAUTION ON CROSSFITCrossFit has gained in popular-ity since its inception in the early 2000s, but is the high-intensity strength and condi-tioning program safe?

A small survey published in the Journal of Strength & Conditioning Research found that more than 73 percent of CrossFit respondents had suff ered an injury related to the workout. That rate, the journal notes, is on par with injury rates among Olympic weightlifting, powerlifting and gymnastics athletes.

“The thing about CrossFit is that it involves a lot of complex ballistic movements,” says Matt Gammons, MD, a sports medi-cine physician and vice presi-dent of the American Medical Society for Sports Medicine. “It takes a long time—years—to train people to do those move-ments accurately. It’s not that CrossFit is inherently bad, but for the average person who’s never done any training like that before, it’s a lot to ask of your muscles.”

KNEESThe knee is the largest joint in the body and yet one of the most easily injured. Knee injuries are common in runners as well as in sports that require jumping and twisting, such as basketball, soccer, tennis, volley-ball and skiing.

“We tend to see fewer catastrophic knee injuries—ACL tears and dislocations—in older populations, but we do see plenty of sprains and strains,” Shipley says. “As we age, we lose muscle mass and may not be as strong as we were in our younger days. And if you’re not as strong, you’ll be more prone to knee injury.”

WHAT YOU CAN DO: Proper form and strength training are essential to preventing knee problems as you age. But don’t think squats and lunges alone will do the trick.

“The best way to prevent knee pain is actually to keep the mus-cles around the hip very strong,” Gammons says. “It’s the muscles on the back side of the hip that help stabilize your femur [thighbone] during activity. If they’re not strong, it will create a rotation of the femur that puts stress on the knee.”

SUMMER 201626

ANKLESNearly half of sports injuries are ankle sprains—when your ankle stretches on the outside and your foot comes up under-neath you—according to the American College of Sports Medicine. Ankle sprains are common in activities that require running and pivoting, such as basketball, soccer and ten-nis. Trail running and hiking also pose risk.

WHAT YOU CAN DO: Shipley recommends proper conditioning but also stresses the importance of appropriate footwear. “The right shoe for an activity will help provide stability and ankle support,” she says. �

SHINSInfl ammation that causes pain in the muscles, tendons and bone tissue around the tibia (shinbone) is called shin splints, which often aff ect runners and dancers. But stress fractures, or tiny cracks in the shinbone, cause similar symptoms, so it’s important to get an offi cial diagnosis.

WHAT YOU CAN DO: Both shin splints and stress fractures are overuse injuries. The key to prevent-

ing them is measured increase in activity. If your goal is to run a 5K, start by walk-

ing a mile. Then jog a short comfortable distance. From there, increase your speed or your distance by no more than

10 percent per week.

SUMMER 2016 27

What science tells us about successful weight loss BY JENNIFER RICHARDS

CUT THE

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CUT THE CALORIES

No matter how many jumping jacks you do, it’s hard to burn

a lot of calories with exercise. Diet is key.

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If weight loss were easy, we’d be able to drop two dress sizes by the weekend—just like magazine headlines prom-ise. And the latest workout video would zap fat in no time.

But for most people, the way to lose unwanted pounds isn’t found in fads and gimmicks; it’s rooted in science. And understanding that science could be the key to realizing your weight-loss goals.

DIET MATTERS MostHere’s the most clear-cut fi nding about weight loss that is often misunderstood, or perhaps, ignored: Diet is more impor-tant to weight loss than exercise. Put simply, you’re not going to jog or Zumba

those cupcakes away. “In a general sense, we know

that to lose weight, you need a structured diet. You need a way of clamping your intake,” says Holly

Wyatt, MD, an endocrinologist and the co-author of the weight-loss book

State of Slim. “I think there are multiple diets that will do that, but usually, it’s very hard to lose weight with exercise alone. Diet’s in the front seat driving the car in weight loss.”

It’s a concept that is as much math as it is science.

Most of your calorie burn isn’t through exercise. Based on your age, gender and weight, your body requires a certain number of calories just to main-tain its basic functions throughout the day. For a 45-year-old, 5-foot-5 woman who weighs 150 pounds, the body would need 1,400 calories even if she did noth-ing but lay in bed all day.

To lose weight, the body must burn more calories than it takes in. If you eat a 500-calorie cheeseburger, 350-calorie fries and a 300-calorie slice of pie for lunch, you have consumed 1,150 calories at just one meal.

Now, consider this: Jogging for 30 min-utes burns just under 300 calories—that’s

the pie. You can see there’s a good chance you’ll take in more calories that day than you’ll burn.

A 30-minute workout every day is good for your body (and mind), and will help increase how quickly you can burn calories. But it’s not going to make much of a dent in a calorie-packed day. That’s why the best way to meet calorie goals, experts say, is to avoid consuming extra calories in the fi rst place. >

SUMMER 2016 29

CUT SIMPLE CARBS

Choose whole-grain bread and other complex carbohydrates,

and enjoy in moderation.

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MAKING QUALITY Food Choices It’s not just the number of calories you take in that matters. Science shows that the source of those calories is key as well.

When choosing which types of calories to consume, go with complex carbohydrates, which are fi ber-fi lled, and lean proteins, says Marjorie Nolan Cohn, a registered dietitian nutritionist and a spokeswoman for the Academy

of Nutrition and Dietetics. And pass on the sugar.

“Our bodies have to work harder to handle fi ber than it does simple sugars and simple carbs, like candy and white bread,” Nolan Cohn says.

Fiber can’t be digested, she explains, so the digestive tract spends a great deal of energy moving fi ber through the body, breaking it down and extracting its calo-ries and nutrients.

The body expends more calories to break down animal-based protein, too, she says.

“Protein makes you feel more full,” she notes. “Part of why people are more full with eating pro-tein than other food groups is because it takes longer to digest. Your body has to work harder to break it down, fi nd the amino acids and extract them. It’s there a little bit longer.”

THE TRUTH About FatThere was a time when dieters rejoiced in fi nding that their favorite food now had a “fat-free” version. But science has us questioning our fat-phobic ways with a more nuanced view.

In fact, there’s room in your diet for fat. Unsaturated fats—such as those found in avocados, olive oil and many nuts and seeds—can have a positive eff ect on your heart health. Eaten in moderation, these fats are perfectly healthy and likely not contributors to excess weight.

Experts generally advise against going overboard with saturated fat—the kind that comes from animal sources.

SUMMER 201630

CUT TRANS FATS

Stick to healthy, unsaturated fats, found in avocados,

olive oil and nuts.

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But you don’t have to live on chicken breasts alone. The occasional rib-eye is just fi ne. Nolan Cohn even points out that grass-fed organic beef contains saturated fat as well as some healthy omega-3 fatty acids.

But the science is clear on one fat to ban: trans fats. These fats can occur naturally (they’re made in the guts of some animals and can be found in milk and meat products), but there’s also the artifi cial variety, whereby hydrogen is added to liquid vegetable oils to make them more solid.

“Trans fats, we know and have proven without a shadow of a doubt, contribute to hardening of the arter-ies and atherosclerosis,” Nolan Cohn explains, noting that part of the rea-son for this is the biochemical nature of these fats. They’re more rigid than other types of fat.

On food labels, watch out for “par-tially hydrogenated oils,” the main trans

fat source in our diets. In three years, the word ban will apply literally: The U.S. Food and Drug Administration has declared partially hydrogenated oils as unsafe because of their link to coronary artery disease. Manufacturers of processed foods have to phase out the substance.

Getting STARTED “When we talk about why people are overweight or why people are obese, there are so many pathways,” Wyatt says. “We want a simple answer.”

But science can be complex, and the path to health can be fraught with obsta-cles. Fortunately, when we step back and look at the science, we have exactly what we need: a good road map. �

SUMMER 2016 31

Muscle upAre you eating right but not shed-ding pounds as quickly as you would like? It may be time to put a little muscle into it.

For healthy, sustainable weight loss, you need to increase your lean muscle mass and decrease your body fat, says Ricca Callis, wellness coach at Beaufort Memorial LifeFit Wellness Center.

“Strength training will increase lean muscle mass and boost metabolism, increasing the body’s fat-burning potential,” says Callis, who helped develop LifeFit’s Total Body Makeover program.

A well-balanced nutrition plan will fuel the body’s muscles as you build them.

“I recommend you put your food to work for you,” Callis says. “A healthy combination will include lean proteins, heart-healthy fats and nutrient-dense carbohydrates like kale or other leafy green veg-etables. It will make all the differ-ence in your results.”

TOOL

Body MakeoverMore than just a weight-loss program, Beaufort Memorial’s new 12-week Total Body Makeover is designed to help you make and maintain lifestyle changes to improve your overall health. Call the LifeFit Wellness Center at 843-522-5635 or visit beaufortmemorial.org.

THE QUICK LIST

WANT MORE HEALTHY IDEAS? Check out our fall issue, full of tips for keeping your family healthy.

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1 Look for opportunities to exercise in your daily life. Park the car and go inside the bank instead of using the drive-thru, choose a last-row space in the grocery store lot or ask your kid to play catch.

If you’re facing cancer or another chronic illness, talk to your doctor about how regular exercise might aid your recovery and well-being.

4 Starting a jogging program or training for a race? Increase mileage slowly to

avoid shin splints, and make sure you have supportive shoes.

10 No, you can’t pig out just because you worked out.

Experts agree that while exercise is important for health, diet is the biggest factor in weight loss.

2 If achy joints keep you from walking comfort-ably, talk to your doctor. A range of treatments

and lifestyle changes can help.

Take the risk of concus-sions seriously, for yourself and your children: Once you’ve had one concus-sion, you’re four to six times more likely to have a second one.

8 When you strength-train, focus on often-neglected muscle groups (think forearms) along with the obvi-ous ones (biceps) to ward off injury.

7 Exercise for your brain: Physical

activity improves blood fl ow to the brain, which helps cognitive function.

6 If you’ve had a hip or knee

replacement, keep exercising. But stick to low-impact activities like swimming.

5Sitting at work all day? Plan to stand up every 30 minutes.

THINGS TO REMEMBER FOR AN ACTIVE LIFE

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SHAKE IT OFFWhile we’ve long been warned about the link between excess salt and high blood pressure, a recent study shows that a diet high in both sodium and potassium may worsen chronic kidney disease.

An estimated 26 million people in the United States have chronic kidney disease, which ups the risk for heart disease, kidney failure and premature death.

The next time the urge to salt your food strikes, shake it off . And check nutrition labels for sodium content. The U.S. Food and Drug Administration recommends a daily limit of 2,400 milligrams (about 1 teaspoon) of sodium per day, and the American Heart Association urges we aim for 1,500 milligrams.

SUMMER 2016 33

THIS JUST INGOOD-FOR-YOU NEWS, CUES AND REVIEWS

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ANSWER: TEA IS HEALTHIER, BUT ONLY IF UNSWEETENED. (Come now. You didn’t think you could get by with sweet tea, did you?) Popular store-bought lemonades and sweetened teas pack 22 to 28 grams of sugar into every modest 8-ounce serving. That’s like heaping fi ve to seven teaspoons of sugar into your glass. And if your thirst is supersized? Might as well cue the insulin explosion.

If you can’t imagine summer without lemonade, here’s a sweet thought: Make your own lemonade (to control sugar) and mix it with unsweetened tea to create an Arnold Palmer. Though there’s debate about the correct mixology, the drink’s famous namesake golfer prefers a 65/35 tea-to-lemonade ratio.

LEMONADE ICED TEA:

Which summertime drink is healthier?

A NEW TAKE ON PEANUTSIf your infant is at high risk for peanut allergy, a new recommen-dation suggests that introducing peanut products before age 1 may lower risk for allergy by 80 percent. That’s right. Give your little peanut some peanut butter—under a doctor’s supervision, of course.

The recommendation was issued by the American Academy of Pediatrics and other medical groups in light of research show-ing that high-risk infants who ate peanut products developed peanut allergies at a rate of 3 percent, compared with 17 percent for high-risk children who did not eat food or snacks with peanuts in them until they were 5 years old.

Peanuts should be crushed or smooth and should be introduced to high-allergy-risk infants (deter-mined by a skin test) with the help of their doctor.

SUMMER 201634

HOLD THE HEAT

618

From 1999 to 2010 there were 7,415

heat-related deaths—an

average of 618 per year—in the United States.

A body temperature

above 103 is a sign of heatstroke.

So is hot, red, dry or moist

skin, rapid and strong pulse, or

unconsciousness. Call 911

immediately.

103

About 68 percent

of those who died

were males.

68

WEBSITE

Shape Up Your SleepEase your children into the back-to-school routine with sleep tips from the National Sleep Foundation. Visit sleepfoundation.org and search “back to school sleep tips.”

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TRUE OR FALSE A “base tan” protects skin from getting sunburned.

FALSE. A tan is a sign of skin damage. That golden-brown pre-vacay tan you’re sporting is your body’s response to injury from ultraviolet rays.

A far smarter, and safer, way to prevent sunburn—and skin cancer—is to follow these tips from the Centers for Disease Control and Prevention:• Use broad-spectrum SPF 15 or higher sunscreen.

(No skimping. Many women report slathering their faces but not the rest of the body.)

• Seek shade before you need relief from the sun.• Wear a brimmed hat.• Wear clothing with tightly woven fabric.

ADVANTAGE, PARENTS If you’re the bedtime bad-die, forcing your kids to dock smartphones and tablets in a room other than their bedroom, research has your back. The bright light emitted by these devices may suppress the sleep hormone melatonin, according to results from a small study.

Researchers found that late-night light exposure caused lower levels of melatonin in boys and girls ages 9 to 15. With their child’s sleep rhythms already aff ected by puberty, parents would be wise to ban smart-phones and other screens from the bedroom.

OVERTIME DOESN’T PAYWorkaholics may be doing more than working their fi ngers to the bone. They might be upping their risk for heart attack and stroke.

Examining studies involving more than a half-million adults from several countries, researchers found that people who worked more than 55 hours per week were 13 percent more likely to develop heart disease and 33 percent more likely to have a stroke than those who worked 35 to 40 hours per week.

The message? If you can’t curb hours, curb your risks by building more physical activity into your life, eating healthy foods and limiting your alcohol intake.

SUMMER 2016 35

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WORKOUTS THAT WORK: CYCLINGWith broad appeal across age groups, cycling helps improve health from head to toe. Here’s how:3THE MIND: Cycling can improve well-being, self-confidence and tolerance to stress.3THE HEART: Studies show that youths who ride their bikes have better cardiorespiratory fitness, and adult commuter cyclers improve their heart health, too.3THE WAISTLINE: Europeans in cycling- and walking-based countries have much lower obesity rates than car-dependent Americans.3THE CELLS: A review of 16 cycling-specific studies showed that middle-age and elderly cyclers are less likely to have cancer or die from cancer.3THE KNEES AND FEET: Cycling gets your heart rate up without your body taking a pounding. This benefits people with plantar fasciitis and other painful foot conditions or arthritis in their knees.

SUMMER 201636

Bone Up You can take action to keep your bones strong. Beaufort Memorial Ob-Gyn Gregory Miller, MD, makes these suggestions:

• Eat a healthy, balanced diet that includes plenty of fruits and veggies.

• If you don’t consume 1,200 milligrams of calcium in your diet, take a supplement with 500 to 1,000 milligrams.

• Take a vitamin D supplement with 800 IU (international units) every day.

• Exercise for an hour four or five days a week. “It doesn’t have to be high-intensity exercise,” Miller says. “Do whatever you enjoy, whether it’s swimming, cycling, jog-ging or playing tennis.”

• Don’t drink heavily or smoke. Both accelerate bone loss.

Miller also suggests women have a bone density screening between the ages of 50 and 55.

website

Recognize Your Risk FactorsIf you’re likely to develop bone loss, it’s important to be screened before you have symptoms. Go to bit.ly/1LpYz3n to learn the risk factors.

�ANGINA,� rooted in the Latin word for “of the chest,” is simply the medical term for chest pain. It may feel like pressure, squeezing or even indigestion. Angina is triggered when the heart does not get enough blood. Any pain in the chest should be checked out by a doctor.

JARGON WATCH

WHAT ARE THE ODDSof getting pregnant

through the years?

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Father Time aff ects would-be mothers, lowering chances of

fertility as women age. In each monthly ovulation

cycle, approximately, a woman:

In her 20s has a 33 PERCENT chance of getting pregnant

In her 30s has a 15 PERCENT chance

In her 40s has a 5 PERCENT chance

SISTER ENVYIf you’ve long been jealous of your younger, thinner sis-ter, research suggests that’s actually a thing. Firstborn girls are 29 percent more likely to be overweight and 40 percent more likely to be obese in adulthood than their younger sisters. Firstborns also have a tendency to be more insulin-resistant and have higher blood pressure than their little sis.

The association is in line with earlier research that found that fi rstborn men weighed more and were taller.

Researchers can’t explain for sure why the phenomenon occurs.

SUMMER 2016 37

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Just because Grandma said you shouldn’t doesn’t mean

you can’t ...

They’re passed down from generation to generation—warnings about how sitting too close to the TV will

make you blind, eating sandwich crusts will make your hair curly and, yes, what happens to gum if you swallow it. Sorry, but we’re here to burst your bubble.

With the help of Wanda Filer, MD, president of the American Academy of Family Physicians, we take a look at the science behind five old wives’ tales that somehow persist.

TRUE OR FALSE:You have to wait an hour after eating to go swimming.

FALSE. This one is so specific, it must be true! It’s not. “It’s clear that vigorous exercise after a large meal may upset your stomach, but you’re not going to drown,” Filer says. The most important rule to follow before you go swimming: Slather on the sunscreen.

THE TRUTH ABOUT

OLD WIVES’ TALESYou’ve heard them before—and you may even believe a couple of them—but it’s time to retire these five health myths

SUMMER 201638

TRUE OR FALSE:If you swallow gum, it will stay in your stomach for seven years.

FALSE. While gum can’t be digested like other food, that doesn’t mean it will just hang around in there for years. Your stomach moves nondigestible items (bubblegum, sunflower seeds) through your digestive system at a normal speed until they pass in your stool. So, swal-lowing the occasional piece of spearmint isn’t hazardous to your health.

TRUE OR FALSE:Eating spicy foods causes ulcers.

FALSE. If you have ulcers, spicy foods can worsen your symptoms, so it’s easy to see why they get the blame. The same goes for stress, as well as smoking and alcohol, which can cause flare-ups. But bacteria are actually the most com-mon cause of these sores in the lining of your stomach. Taking antacids can offer relief, but they’re not a cure. Your doctor can prescribe medication to treat your specific type of ulcer.

TRUE OR FALSE:Keep cracking your knuckles and you’ll end up with arthritis.

FALSE. Current research says there’s no cause-and-effect relationship between the two. “Someone who gets arthritis might have had a habit of crack-ing their knuckles, so that gets blamed. But did one really lead to the other? There’s no evidence there,” Filer says. So what can cause arthritis? Right now, researchers aren’t entirely sure but are investigating how genetics and certain lifestyle factors come into play. There are, however, proven ways to reduce your risk, including maintaining a healthy body weight and protecting your joints from injuries.

TRUE OR FALSE:Vitamin C prevents colds.

FALSE. “I hear this one all the time, and an awful lot of study has been put into it,” Filer says. The conclusion: There’s some evidence—not strong, but it exists—that vitamin C may decrease the severity of a cold’s symptoms, but it won’t keep you from catching it in the first place. Your best bet for beating the bug? Washing your hands (use soap and warm water for 20 seconds) and avoid-ing people who are sick. n

TRUE STORY Not every old wives’ tale you hear is wrong. Here are three to heed.

1 Don’t give honey to kids younger than 1. “There are

some honeys available that have botulism spores in them that can create a real health problem for babies,” says Wanda Filer, MD, president of the American Academy of Family Physicians. The illness is treatable, and signs to watch for include constipa-tion, breathing issues, decreased movement and activity, and trouble swallowing.

2 Pregnant women should avoid certain cheeses.

Soft imported cheeses are off the menu for moms-to-be because there’s a chance they contain listeria, which can cause miscarriage. Those to avoid include Brie, Camembert, Roquefort, feta, Gorgonzola and Mexican-style cheeses (such as queso blanco and queso fresco). Soft nonimported varieties made with pasteurized milk are safe.

3 Licking the batter off the spoon can make you

sick. Kids and adults alike should steer clear of this temptation, which can expose you to nasty bacteria, including E. coli.

WEBSITE

A Source You Can TrustNeed to fact-check a health issue? Looking for the latest on a specific medical condition? Start your search at nlm.nih.gov/medlineplus, which covers every health topic under the sun—and not an old wives’ tale in sight.

SUMMER 2016 39

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You can extinguish the habit—and revive your health.

Make a plan. Each person must devise his or her own strategy for quitting, Blatt says. The

most successful attempts combine one of the many medications on the market (gum, patches, nasal spray, lozenges, inhalers and pills) with a behavioral program, like the American Lung Association’s Freedom From Smoking. In a group setting or online, smokers get help developing quit plans and coping methods.

The federal government offers resources at smokefree.gov, including a smartphone app and tips for dealing with depression.

If you’re thinking about going cold turkey, think twice: That method has just a 3 percent to 5 percent success rate.

No one needs to tell you that smoking is bad for you. You know it. Everybody knows it.

And still, so many of us—nearly 18 percent of American adults—continue the habit. That’s because nicotine addiction is powerful and has physical, mental and social components, says Bill Blatt, director of tobacco programs for the American Lung Association.

Even so, he offers this bit of encouragement: “Every single smoker can quit.” Here’s how.

HOW TO

QUIT SMOKINGIt’s not easy, but it’s the most important thing you can do for your health

SUMMER 201640

Focus on short-term survival.

It can be overwhelming to think about never having a cigarette again, so it’s best to take it one day at a time.

“Don’t think about quitting smoking for the next 50 years,” Blatt says. “Think about quitting for the next 24 hours.”

The first two to three weeks will be the hardest, and withdrawal symptoms like irritability and headaches are likely.

“It’s a rough time,” Blatt acknowl-edges. “But that rough time means your body is healing itself.”

Avoid temptation. When you quit, you’ll want

to stay out of situations where you used to smoke and avoid exposure to all-too-tempting secondhand smoke. For example: No matter how much you like your smoking buddies at work, don’t join them on breaks after you quit. Instead, Blatt recommends grabbing a friend and going for a walk. Try to exit the building through a different door than you used for your smoke breaks—anything to disrupt your mental patterns.

Reward yourself. Blatt recommends quitters design, and then sign, a con-

tract with themselves. No tobacco for a day or a week or a month, and then you get some reward. It might be as small as a new song on iTunes or giving yourself a pass on cleaning the house this weekend.

The average smoker spends about $1,200 a year on cigarettes, according to American Lung Association calculations. Why not keep track of that saved cash and spend it on something fun?

Learn from setbacks— and move on.

You decide to quit smoking. But then, a few days in you have a cigarette. Don’t assume all is lost. Just think about what went wrong: Were you stressed? In a tempting situation?

Then throw out your cigarettes and carry on.

“Recognize it takes most people sev-eral attempts before they’re able to quit for good,” Blatt says. “Just keep going.”

Six months without smoking generally means you’ve made it, Blatt says. But even then you don’t want to smoke the occasional cigarette, or take a drag on a

friend’s. That could easily lead back to a full-time habit.

“Celebrate that things taste better, that you can walk up and down stairs without stopping,” Blatt says. “Don’t be lulled into thinking, ‘Oh, I’ll just have one.’ ” n

SUMMER 2016 41

What about Weight gain?It’s perhaps the most dreaded side effect of quitting smoking: putting on pounds.

“Nicotine is an appetite suppres-sant, so when you quit, your appetite increases,” says BMH registered dieti-tian Jenny Craft. “Your sense of smell and taste also improves, leaving you craving more food.”

Exercise can help curb your crav-ings and reduce withdrawal symptoms, Craft says. (And with your improved

lung health, you might enjoy it more.)To satisfy the hand-to-mouth ritual of smoking, try chewing sugar-free gum.

As you develop your quit plan, think about your diet. Rather than junk food, choose more healthful options like fruits, vegetables and fat-free snacks.

It’s not inevitable that you’ll gain weight when you quit—many people don’t. But even if you do, a few extra pounds are much better for you than smoking.

CLASS

Kick the HabitImprove your chances of quitting for good by signing up for the American Lung Association’s Freedom From Smoking program offered by Beaufort Memorial LifeFit Wellness Services. Call 843-522-5570 to learn more.

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Skin: You never know what you’ll

find in the mirror.

Blemishes, blotches and bug bites are common skin issues. But unless you’re an expert, it’s not always easy to tell one condition from another.

Even then, it can take detective work, says Adam Friedman, MD, a researcher and a member of the American Academy of Dermatology.

Here are some clues to help you identify what’s up on—or under—your skin.

FREAK OUT OR CHILL OUT?You know your own skin like the back of your hand. But see how smart you are when something unexpected shows up

SUMMER 201642

Q You didn’t see anything on your neck but, boy, did it start to itch! After giving it a good scratching,

you now have a rash that’s dry, flaky and cracked. IS IT: Eczema or scabies?

ECZEMA. “We call eczema the itch that rashes,” Friedman says, because the itching starts before the rash appears. Eczema is a chronic condition that can appear anywhere on the skin and can be managed with the right kinds of soap and moisturizers. Scabies is inflammation caused by a mite, and the rash comes before the itch. It’s also contagious, which eczema is not.

Q What started as a rash on your arm progressed to swollen blisters that itch like crazy.

IS IT: Shingles or poison ivy?

POISON IVY. Poison ivy doesn’t start itching until the blisters show up. If it were shingles—which is caused by the same virus that causes chickenpox—you’d have pain and burning before the blisters appeared and would probably feel under the weather, Friedman says. Also, look at the pattern of the blisters. Poison ivy will only appear where you had contact with the plant (or maybe a pet that got into it) and only on exposed skin. Shingles can appear anywhere but usually affect the right or left torso, and the rash is roughly a stripe.

Q You have a bunch of bug bites on your lower legs and can’t figure out where you got them.

You haven’t been outside much except to walk your dog.IS IT: Bed bugs or fleas?

FLEAS. The bites can look similar, so your biggest clue is where they appear. “Flea bites almost always cluster on the lower legs, while bed bugs tend to be in a linear pattern because the bugs feed on you, then take a little walk and feed some more,” Friedman says. Owning a pet increases your risk of fleas, which are easier to get rid of than bed bugs. But don’t despair: Both can be eradicated from your home with diligent disinfection.

Q You’ve had a few moles since you were a kid. But unlike those, which are round, you’ve found

one with jagged edges. IS IT: Melanoma or a mole?

POSSIBLY MELANOMA. Don’t wait to have it checked out. Moles can change size and color over time, Friedman says, but watch out for the “ABCDE” signs of melanoma or other skin cancers. That’s: asymmetry, bor-der, color, diameter and evolution, as in, the mole is changing in shape, size, color or in some other way. (Learn more in “Look Out for Yourself,” at right.) Have a doctor look at any new or changing moles or skin growths as soon as possible, and keep that SPF on whenever you leave home.

Q All of a sudden you have pimples popping up all over. They come and go pretty quickly, but it’s

embarrassing because they’re hard to hide in your summer clothes.IS IT: Acne or heat rash?

HEAT RASH. “Acne and heat rash can be easily confused because they can look very similar and often show up in the same areas, like the back or chest,” Friedman says. But heat rash tends to be short-lived and only happens during hot weather. Acne, on the other hand, can happen anytime—and at any age. Keeping cool or using a topical treatment will usually banish heat rash. n

WEBSITE

Look Out for YourselfThe American Cancer Society’s Skin Cancer page has easy-to-understand explanations of the many types of skin cancer. Read up, and then take a sun-safety quiz to test your smarts. Visit cancer.org/cancer/skincancer.

SUMMER 2016 43

AT A GLANCE BY ELLEN RANTA OLSON

We’ve all been there: Face to face with a full bag of crispy, crunchy potato chips, we turn

to the nutrition information to see what kind of damage we might do. Then there’s that sigh of relief when we read that one serving is only 150 calories. It’s here, in this pivotal moment, when most of us run into trouble and wildly guess at what that one serving looks like.

More often than not, we are very, very wrong.

“The biggest mistake people tend to make when it comes to portion sizes is that they overestimate what a serving size is,” says Nancy Farrell, a registered dietitian nutritionist and a spokeswoman for the Academy of Nutrition and Dietetics. “Comprehension increases when we learn through diff erent mediums—written, verbal, visual, tactile.”

Because you can’t always carry a scale and a measuring cup with you, use these visual benchmarks to help you know when enough is enough. (That one serving of chips that’s 150 calories? It’s 13 to 16 chips.)

Sources: Academy of Nutrition and Dietetics, American Heart Association, National Institutes of Health, WebMD

PORTION CONTROLGet a handle on what exactly makes a serving

PACK OF DENTAL FLOSS1 ounce of chocolate

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TOOL

Build a Better PlateCreate a personalized food plan for free with MyPlate’s Daily Food Plan. Visit supertracker.usda.gov/createprofi le.aspx to get started.

TOOL

Build a Better PlateCreate a personalized food plan for free with MyPlate’s Daily Food Plan. Visit supertracker.usda.gov/createprofi le.aspxto get started.TENNIS BALL

½ cup cooked rice or other grains

THREE DICE1½ ounces of cheese

CD 1 pancake

A GOLF BALL 1 ounce or 2 tablespoons of peanut butter

A COMPUTER MOUSE1 baked potato

SUMMER 2016 45

IN THE MARKET BY KARA NEWMAN

Those plump little blueberries, readily available at farmers

markets and grocery stores, aren’t just beautiful and flavorful. They also pack a powerful antioxidant boost.

“Blueberries are one of the foods with the highest antioxidant capacities,” says Sara Haas, a reg-istered and licensed dietitian nutri-tionist, a chef and a spokeswoman for the Academy of Nutrition and Dietetics. That means those little berries can help repair and main-tain body tissues, such as aiding in healing after a scratch.

Another benefit: Blueberries are low in calories and high in fiber. “They’re only 80 calories a cup,” Haas notes, “but the fiber makes you feel full; it satiates you if you’re reaching for a snack.”

And then there’s this: They may help combat cancer, heart dis-ease and diabetes and promote healthy aging.

Try these three ways to prepare these seasonal berries.

1 MAKE A SMOOTHIEHaas adds 1/2 cup frozen blueberries to a

blender along with 1 cup each of almond milk and baby spinach, 1 tablespoon flaxseed, and chunks of peach and banana. Pulse until com-bined, then add 1/2 cup low-fat Greek yogurt and 1/4 cup ice and puree until smooth. Add a tablespoon of honey if you choose.

3 MIX INTO MUFFINSStir 1 cup wild blueberries or 11/2 cups

regular (cultivated) blueberries (fresh or frozen) plus 2 tablespoons chopped crystallized ginger into your favorite whole-wheat muffin mix.

THREE WAYS TO PREPARE

BLUEBERRIESGet a mighty antioxidant boost in a variety of refreshing ways

2 JAM IT Three types of berries mean a spreadable

jam with more fruit and less sugar than most commercial versions. In a saucepan, combine 1 tablespoon honey and juice of 1/2 an orange (zest the orange half, too, and set it aside). Bring to a boil over medium heat, then stir in 1/2 cup each fresh blueberries and raspberries and 1 cup strawberries, hulled and quartered. Simmer, uncovered, stirring occasionally, for about 40 minutes. Allow to cool, then stir in orange zest. Makes about 1/3 cup jam.

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APP

Bust Out the BlueberriesWant to know when blueberries—or other fresh produce—are in season? Check out the app Harvest, available for $1.99 in the App Store.

This summer—peak blueberry season—keep an eye out for two types of berries.

1 Cultivated, or “highbush,” blueberries. These are the type found in most grocery aisles. The plants grow as tall as 6 to 8 feet and produce larger fruits that taste less intense.

2 Wild, or “lowbush,” blue-berries. These can be spotted in some Northern states as well as Canada—and increasingly, in the frozen sections of grocery stores. The plants tend to be shorter and produce smaller, sweeter berries that sport a slightly deeper blue hue.

Who knew antioxidants

could be so sweet?

PICK YOUR BERRIES

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HEALTH BY THE NUMBERS BY CRAIG OUTHIERICO

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40 MILLION Number of Americans who have long-term sleep disorders, such as insomnia, sleep apnea and restless legs syndrome

SLEEP SMARTS

Sources: National Institute of Neurological Disorders and Stroke, WebMD, National Highway Traffi c Safety Administration, Centers for Disease Control and Prevention

Optimal daily sleep for the average adult.

(Depending on the individual, the range of healthy sleep can

vary between six and nine hours.)

3 Number of phases in a sleep cycle

4–5 Number of sleep cycles

per night that healthy

sleepers enjoy

2.5%Conservative estimate of fatal crashes caused

by sleep-deprived drivers

<6 Research has found

that consistently getting less than six

hours of sleep a night increases risk of

heart disease.

90 TO 110

MINUTES The length of a healthy sleep cycle

7 HOURS

SUMMER 201648

Seven hours of sleep a night? Talk about a dream come true!

With our increasingly busy schedules and the constant stimulation that comes with our electronic devices, we’re more sleep-deprived than ever. “It’s the most common complaint I get from patients,” says family medicine specialist Clark Trask, MD, of Beaufort Memorial Coastal Care MD.

Without the right amount of sleep, we place ourselves at risk for accidents, lower productivity, health conditions and even excess body fat.

“People are looking for a pill that will put them out,” Trask says. “But there are better tools to help you get restful sleep.”

If sleep eludes you, Trask suggests working on your sleep hygiene by follow-ing these steps:

3Don’t use your computer, TV, cell-phone or any other blue-light-emitting electronic device at least an hour before you go to bed.

3Keep a consistent bedtime and wake-up time.

3At the end of the day, spend an hour or two calming your brain down. Read, take a hot shower or simply sit and relax.

3Make sure your bedroom is condu-cive to sleep. Get rid of ambient light, including alarm clocks that display the time and cellphones that light up with an incoming message.

Are You resting eAsY? QUIZ

Are You Sleep Savvy? Find out how much you know about Americans’ sleep hab-its and best practices for getting some rest. Take Beaufort Memorial Hospital’s quiz on sleep stats—it’s short!—at bit.ly/1mDnav5.

Since her knee surgery last fall at the Beaufort Memorial Joint Replacement Center, Kathy McMahon is enjoying boating again—without pain or a cane

I t was “a trip of a lifetime” more than fi ve years in the making. In 2011, Kathy McMahon and her husband, Mike, set sail on a 7,000-mile journey that would

take them on a circumnavigation of the east-ern United States via the Atlantic Intracoastal Waterway, the Great Lakes and inland rivers.

They planned to spend three years com-pleting this so-called “Great Loop.” Then, partway through their nautical adventure,

CRUISIN’CAREFREE Kathy McMahon loves

being on the water.

SUMMER 2016 49

McMahon began having trouble with her left knee.

“My knees had been hurting for a couple of years,” the now 71-year-old recalls. “But after a year on the boat, the pain in my left knee had gotten much worse. I had to get a cane to get around. My husband got tired of hear-ing me complain, so we went back home to San Antonio so I could have knee replacement surgery.” The McMahons left their boat in Kentucky and went back to Texas, where she had the sur-gery in October 2012.

After the surgery, the McMahons moved to Dataw Island, their favorite port of call among the many they visited during their inland odyssey. They were enjoying life in their new home and

“I think I recovered faster than some people do because I’ve always been active. It’s a lengthy process and it’s not easy, but it’s really worth it.” - Kathy McMahon

planning another cruise (they had ulti-mately completed their “Great Loop,” in three legs) when McMahon’s right knee started acting up last summer.

A regular at the gym, McMahon was finding it difficult to do some of the movements in her aerobics classes. It was becoming a struggle to work in her garden, run errands and keep up with her daily activities.

“When your knee hurts, it’s hard to walk,” she says.

Finding BMH Several friends recommended that McMahon make an appointment with Beaufort Memorial orthopaedic surgeon Kevin Jones, MD, an expert in minimally invasive total knee and

hip replacement surgery. An MRI showed the shock-absorbing carti-lage in her knee had worn down to virtually nothing.

“If you don’t have any cartilage in the joint, you get bone rubbing on bone,” Jones says. “The pain can be pretty severe.”

Osteoarthritis, sometimes called wear-and-tear arthritis, is one of the most frequent causes of physical disabil-ity among older people. About the time people reach their mid-60s, the pain may require medical attention.

Most physicians will start by pre-scribing anti-inflammatory medication. The next course of action is cortisone injections or viscosupplementation, a kind of lubricant that is injected directly into the knee.

“When the pain begins limiting even simple activities, such as climbing stairs, shopping or gardening, it may be time to consider total knee replacement surgery,” Jones says.

McMahon didn’t hesitate.“We had scheduled a river barge

cruise in Germany for November,” she says. “I wanted to get it done before I went. I didn’t want to have any prob-lems walking.”

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Cutting-EdgE OrthOpaEdiC CarETo ensure the best results, Jones performed the surgery using an inno-vative technology that allowed him to custom-fit McMahon’s prosthesis to her particular anatomy. The personalized knee replacement system uses three-dimensional MRI images of the knee to create an individualized positioning guide the surgeon can use to place and align the implant more precisely.

“The computer determines the optimal alignment,” Jones says. “You get a better range of motion, and the knee will last longer because it’s balanced better so there’s less wear on the implant.”

McMahon’s right knee replacement was performed Sept. 16, 2015, at Beaufort Memorial, whose Joint Replacement Center has been awarded The Joint Commission’s Gold Seal of Approval for knee and hip replacement.

At the state-of-the-art facility, patients are attended by a dedicated team of highly trained professionals specializing in orthopaedic care. They enjoy ameni-ties more like what you’d find in a hotel than a hospital. They “check in” to their rooms, dress in their own clothing and participate in fun activities designed to get them moving.

website

Help for Aching Joints To learn more about the Joint Replacement Center, visit beaufortmemorial.org. For an appointment with orthopaedic surgeon Kevin Jones, MD, call 843-524-3015.

Based on a wellness model, the innovative program encourages quicker healing and shorter hospital stays. Studies have shown that making the recovery process fun motivates patients to work harder, resulting in better outcomes.

McMahon spent just two nights in the hospital compared with five nights with her first surgery.

“The scar was smaller, too,” she says. “It’s really minimal. Dr. Jones is very good.”

BaCk On thE WatErMcMahon began her road to recovery the afternoon of her surgery. Not long after being brought to her room, a physical therapist helped her get out of bed and walk the corridor. The next day, she began occupational therapy and group physical therapy, designed to inspire patients with a little friendly competition.

Before she was discharged, Beaufort Memorial’s care coordinator arranged for two weeks of in-home physical therapy.

“By the time I got home, I was walk-ing pretty well,” McMahon says. “When the physical therapist came to the house the first day, she didn’t realize I was the patient.”

The in-home therapy was followed by three more weeks of treatment at one of Beaufort Memorial’s outpatient rehabilitation centers.

“I think I recovered faster than some people do because I’ve always been active,” McMahon says. “It’s a lengthy process and it’s not easy, but it’s really worth it.”

The septuagenarian did so well on the river barge cruise with her new knee that she and her husband are planning to take their 26-foot powerboat down to Florida this summer and cruise St. Johns River.

“We love boating,” she says. “My husband is interested in fishing and crabbing. I just like cruising around.” n

staying upright If you’re 65 or older, odds are one in three that you’ll take a fall in the next 12 months. According to the Centers for Disease Control and Prevention (CDC), 2.5 million older people are treated in emergency departments each year for injuries from falls.

The CDC recommends you take these steps to keep yourself upright:

3Talk to your doctor or pharmacist to see if any of the medications you take could make you dizzy or sleepy.

3Try tai chi, an exercise that can strengthen your legs and improve your balance.

3Have your eyes checked annually. If you wear bifocals or progressive lenses, you may want to get a pair of glasses with only your distance prescription for outdoor activities.

3Get rid of things in your house you can trip over, like small area rugs.

3Add grab bars inside and outside your tub or shower and next to the toilet.

3Put railings on both sides of stairs.3Make sure the inside of your house

is well-lit. 3 If you go boating, wear slip-resistant

or nonskid shoes.

PHO

TO b

y TH

Inks

TOCk

SUMMER 2016 51

Leonard Allen thought he was the picture of health—until BMH physicians discovered his carotid arteries were severely blocked. After undergoing surgery, he’s back on the move

Leonard Allen thought he was

Hidden HeartHAZARDS

T hey say numbers never lie. Leonard Allen would beg to diff er. At age 73, the 5-foot-9-inch Harbor Island resident weighed in at a healthy 160 pounds. His total cholesterol was 114—far below the rec-

ommended level of less than 200. He kept his blood pressure and blood sugar in check and walked 3 miles every day to stay fi t.

“You wouldn’t have fl agged him right off the bat,” says Beaufort Memorial vascular surgeon Chad Tober, MD. “By all accounts, he was a healthy man.”

But no matter the numbers, Allen was a walking time bomb. His left carotid artery was 90 percent blocked, his right, 70 percent.

“It was very likely he was going to have a massive stroke,” Tober says.

Allen’s quick reaction to a mild stroke symptom last November and the diligence of Beaufort Memorial Hospital physicians and staff may have saved his life.

“I am so grateful for everything they did for me,” Allen, now 74, says of the doctors who took care of him at BMH. “I have never been treated so well medically, professionally and personally.”

Leonard Allen wasted no time after surgery returning to the volunteer activities he enjoys, such as keeping local roadways free of trash.

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The Importance of Vascular Screening Had Allen undergone a simple vascular screening, the buildup of plaque might have been detected before it became a serious health threat.

“It just goes to show that you can be in great shape and still have issues,” Tober says. “That’s why I recommend getting a vascular screening somewhere between the ages of 65 and 70 to catch problems early.”

The screening involves several painless ultrasound tests used to find dangerous conditions, such as aortic aneurysms, leg artery blockages and carotid disease that can lead to stroke.

Because Allen had not developed any warning symptoms, he never suspected he had vascular disease. Fortunately, when he began experiencing a vague tingling feeling in his fingers, he was quick to act.

“If you have any symptoms, don’t put it off,” Tober says. “It should be addressed right away.”

Living the Life Since retiring from the insurance busi-ness 15 years ago, Allen has made the most of his leisure time. He volunteers

MUSC HealtH teleStroke offerS BMH 24-Hour consultationsTo improve outcomes for stroke patients, Beaufort Memorial is taking advantage of an innovative telehealth program that allows its Emergency Department physi-cians to consult with stroke experts at Medical University of South Carolina on a moment’s notice.

Within 15 minutes of getting a call, an MUSC Health neurologist can virtually examine a patient and review brain imaging studies via a telemedicine cart equipped with an oversized computer screen and remotely adjustable video camera.

Most strokes are caused by a blood clot to the brain. If blood flow is blocked for longer than a few seconds, brain cells can die, causing lasting disabilities.

Last summer, Emergency Department physicians began using the MUSC Health Telestroke network for patients suffering even mild strokes.

“If we know a patient has had a TIA (transient ischemic attack),” says Sheri O’Brien, BMH stroke coordinator, “we can get him or her on blood-thinning medication and recommend lifestyle changes that could prevent another stroke.”

APPOINTMENTS

Get Screened!Beaufort Memorial Hospital offers a $60 vascular screening package that includes carotid artery, abdominal aortic aneu-rysm and ankle-brachial index scans. To make an appointment, call 843-522-5635.

with the League of Older Americans, hits the fairway with friends and enjoys traveling with his wife, Betty.

For more than 20 years, he has made it part of his daily routine to take a long, brisk walk. Seven years ago, when he was diagnosed with type 2 diabetes, he stepped up his fitness plan.

“The doctor told me I needed to exer-cise more, so I started walking an hour every day on St. Helena Sound beach,” Allen says. “I didn’t have any other health issues. I felt great.”

Then one night last fall, his left shoulder began to ache. When he woke up the next morning with tingling fin-gers, he decided to go to a walk-in clinic. The physician couldn’t find any-thing wrong with him but urged him to have ER doctors at Beaufort Memorial Hospital take a second look.

“The Emergency Department phy-sicians had a high level of suspicion something was wrong because of the tingling in his fingers,” Tober says.

“They thought he might have had a ministroke, or TIA (transient isch-emic attack).”

Clearing the Blockage After running a number of tests, ER staff called in Tober for a consultation. The vascular surgeon told Allen his carotid arteries—the blood vessels that carry oxygen-rich blood to the head, brain and face—were severely blocked.

“He was direct and honest and explained in detail how he would clear the blockage,” Allen says. “I never had any fear.”

To reduce the risk of complications, Tober operated on the most damaged artery first, then waited two weeks to perform the procedure on the second one. Each time, Allen was discharged from the hospital after just one day.

“Everyone in the hospital was so helpful and accommodating,” Allen says. “The whole experience was much better than I would have expected.” n

SUMMER 2016 53

Right tuRn Oldfield resident diagnosed with cancer finds the best of friends and the best of care in her new community

S hortly after she and her husband, Andy, moved to Oldfield five years ago, Laura Beall was diagnosed with breast cancer. Devastating as that was, the couple quickly discovered they had landed in a

community that was second to none—with a community hospital to match. Beall needed only to “turn right” out of the Oldfield entrance to head toward Beaufort Memorial, where she embarked on a treatment course surrounded by brand-new friends who supported her every step of the way.

theLaura Beall, right, was touched when her friends in the Oldfield Women’s Golf Association raised money for Beaufort Memorial cancer services.

SUMMER 201654

“I found help and hope at the Beaufort Memorial Keyserling Cancer Center,” she recalls. “My physician and care team’s dedication to excellence was evident, and I experienced genuine respect, compassion and kindness every step of the way. Healing and hope are the driving goals of everyone there.”

Beall’s friends at Oldfield also made a tremendous difference, mobilizing themselves to drive her to and from the center daily for seven weeks of radiation therapy.

Those same friends rallied together last fall as members of the Oldfield Women’s Golf Association and orga-nized their first-ever golf tournament in support of Beaufort Memorial breast cancer services. Beall was thrilled to see the hard work of so many pay off in a successful event, and felt great appre-ciation that the proceeds were going to support such a worthy cause.

“It was a dream come true,” she says. “These amazing women are committed to supporting cancer care, and we all know what a tremendous asset we have in Beaufort Memorial Hospital.”

Now cancer-free and as active as ever, Beall sees a bright future not only for herself, but also for Beaufort Memorial and the community it serves. Even during her short time living in the Lowcountry, she has seen the Bluffton community grow by leaps and bounds. And as a member of the

BMH Foundation Board, she has seen Beaufort Memorial expand its services just as quickly to address the needs of this growing population.

She is passionate about what comes next: two new 3-D mammography machines to meet increasing demand and a new linear accelerator machine to ensure that Beaufort Memorial’s cancer program will continue to offer the most advanced radiation therapies.

But Beall recognizes that these vital pieces of equipment come with hefty

price tags and that community phi-lanthropy is key to helping our local not-for-profit hospital keep pace. She is committed to doing all she can to help, as evidenced by her and Andy’s annual leadership giving and membership in the Foundation’s Kate Gleason Society. Beall also helps by spreading the word about the wonderful experiences she has had at Beaufort Memorial.

As she is fond of saying to her Oldfield friends in search of the very best in healthcare, “Just turn right!” n

“My physician and care team’s dedication to excellence was evident, and I experienced genuine respect, compassion and kindness

every step of the way.” - Laura Beall

websIte

Cancer CareLearn more about Beaufort Memorial’s cancer services at beaufortmemorial.org. Click on “Medical Services” and then choose “Cancer Care” to find support.

Laura Beall, right, on the course with friend Linda Bernier.

SUMMER 2016 55

With community support, Beaufort Memorial continues to move forward, always

striving for the highest quality of care and the best medical technology. The BMH Foundation’s 2016 fundraising priorities support several crucial hospital initiatives:

• Upgrading the heart catheterization lab. The ability to intervene in the critical early minutes of a heart attack requires con-tinued signifi cant investment, and it makes a world of diff erence in patient recoveries.

• Upgrading/expanding cancer services. As the science of cancer treat-ment progresses, the Keyserling Cancer Center must keep pace, and the acquisition of a new linear accelerator machine for radiation will help it do just that.

• Expanding 3-D mammography. The Beaufort Memorial Women’s Imaging Center was the fi rst facility in the Lowcountry to

FOUNDATION-BUILDING

LET’S TEAM UP!Beaufort Memorial Hospital continues to o� er superior care because of your support

off er this superior technology. Two addi-tional units are needed to meet the growing demand.

• Compassionate care services. Transitional care, childhood obesity treat-ment and a spectrum of compassion-ate care services (pharmaceutical and transportation assistance, asthma camp scholarships and assistance for pediatric rehabilitation patients) are new imperatives in need of support.

• Purchasing a new mobile wellness unit. The Community Health Improvement Program (CHiP) mobile wellness unit pro-vides free physicals, breast and prostate exams, skin cancer screenings, and blood pressure and sugar tests.

• Increasing the endowment. This per-petual fund supplements patient revenue to ensure our community hospital’s mission will be carried out today and in the future.

IN APPRECIATION:SUMNER PINGREE, JR.September 11, 1928 – December 9, 2015

We at Beaufort Memorial Hospital and the BMH Foundation mourn the passing of one of our most treasured supporters. Sumner Pingree was a longtime friend and loyal donor, having served on both the Beaufort Memorial Hospital and the BMH Foundation boards of trustees. He was a member of the Foundation’s highest giving society, the Founder’s Society, in recognition of his leadership gift of $1 million to kick off the Foundation’s fi rst $10 million campaign.

The Pingree Circle was formed to honor donors who support the Foundation’s Endowment Fund at a substantial level. And in 2008, Sumner was the fi rst person to be named trustee emeritus by the BMH Foundation Board.

“From the very beginning, Sumner had a conviction and a vision for what the Foundation could accomplish,” says Foundation Executive Director Alice Moss. “He was central to the development of philanthropic sup-port for Beaufort Memorial Hospital and the growth of the Foundation’s Endowment Fund. He will be sorely missed by all who knew him.”

SUMMER 201656

The BMH Foundation gratefully acknowledges the following tribute gifts received December 1, 2015, to January 31, 2016. To make a tribute gift, please call 843-522-5774 or visit the BMH Foundation page at beaufortmemorial.org.

TRIBUTESIN HONOR OFDr. John B. Adams II and Staff

Mr. and Mrs. Morton Rollnik

Mrs. Laura BeallMr. and Mrs. Charles Patterson

BMH Staff Ms. Ginnie Kozak

Ms. Jenae BrownMr. and Mrs. Joel D. Holden

Coastal Carolina Urology Group, LLCMr. and Mrs. Morton Rollnik

Mrs. Patricia CookeMr. and Mrs. Joel D. Holden

Mrs. Patricia A. FoulgerDr. and Mrs. Kurt M. Gambla

Ms. Kimberly B. GigliottiMr. and Mrs. Joel D. Holden

Mr. Hugh GouldthorpeMs. Lolita T. Watson

Dr. Glenn GwozdzMr. and Mrs. Joel D. Holden

Dr. David HarshmanMr. and Mrs. Joel D. Holden

Dr. Linda HawesMr. and Mrs. Joel D. Holden

Dr. Steven R. KesselMr. and Mrs. Ronald Mark

Ms. Lisa McLendonMr. and Mrs. Joel D. Holden

Mrs. Ann MecherleMs. Alice B. Moss

Mr. Marion MoodyMr. and Mrs. J. Steven Phifer

Ms. Elaine PadgettDr. and Mrs. E. Perry Burrus III

Ms. Keri-Ann PhillipsMr. and Mrs. Joel D. Holden

Dr. Daniel RipleyMr. and Mrs. Robert W. Sheehan

Dr. Jorge RoselloMr. and Mrs. Joel D. Holden

Dr. Marshall S. ShookMr. and Mrs. Charles H. Grisham

Dr. Claude TolbertDr. and Mrs. Stuart Smalheiser

Rick ToomeyMr. and Mrs. J. Steven Phifer

IN MEMORY OFMs. Katherine Bond

Mr. Gary Bond

Ms. Virginia Ann CarverMs. Anne W. Carver

Mr. Donald L. CarverMs. Anne W. Carver

Mrs. Barbara N. ClarkMrs. Diane Frank

Mr. William F. CochraneMrs. Lois B. CochraneMr. and Mrs. Arthur F. Levin

Dr. Earnest S. CollinsMr. and Mrs. Ross M. Sanders, Jr.

Dr. J. Bernard CredleMrs. Paul Trask

Ms. Amy CullisonCaptain Chester D. Cullison

Ms. Mimi CullisonCaptain Chester D. Cullison

Mr. Marvin H. Dukes, Jr.Mrs. Paul Trask

Mr. August H. GorseMrs. Katrina Gorse

Dr. B. Herbert KeyserlingMr. and Mrs. Arthur F. Levin

Mr. Julian LevinMrs. Paul Trask

Mr. Sumner PingreeMr. and Mrs. Arthur L. BaronBeaufort AcademyMr. and Mrs. Russell L. JeterMr. and Mrs. William C. LortzDr. and Mrs. Thomas MillerMr. and Mrs. Stephen M. MixMr. F.S. MoseleyMs. Alice B. MossMr. and Mrs. John R. PerrillMr. and Mrs. Michael D. SzucsMr. and Mrs. Stuart TenneyRick Toomey and Linda HawesNed and Mary TupperMr. and Mrs. Jonathan G. VerityMs. Heather E. Winch

Ms. Candice R. RhoadesMs. Pamela HaddockMr. and Mrs. Matthew J. HurttMr. Richard McElhaneyMr. and Mrs. Wayne Newton

Mrs. Mary SmithClinton B. Campbell and Karen M. PelusoRev. and Mrs. Jack F. Nietert

Mr. Steve StevensMrs. Olive Warrenfeltz

Ms. Alice W. TurchickMr. and Mrs. Richard W. ShelfordMrs. Barbara W. Titus

Mrs. Charmian WebbMrs. Paul Trask

Suzanne Larson believes each step is part of a larger journey that shapes our minds and spirits. When joint pain made it diffi cult for her to experience life to its fullest, Suzanne turned to the Joint Replacement Center for anterior hip surgery. A smaller incision and tissue-sparing surgical technique offered Suzanne a quick recovery. Her regained mobility has given her the ability to continue exploring, adventuring and living well, one step at a time.

In all directions