Men's Health - Memorial.org

[ m e m o r i a l h e a l t h c a r e s y s t e m ] I N S P I R ETake Time for a Tune-UpWhy do men die younger than women? Some reasons may be that they tendto smoke and consume alcohol more than women, engage in riskier behaviorat work and play, and are more reluctant to seek medical help.men are about twice as likely to die in car accidents aswomen, men account for 92 percent of workplace deaths, andone in four dies from heart disease. More concern for safetyprecautions and taking time for check-ups could changethese statistics.“Men can be stubborn, especially when it comes to their health,” saysBill Moore Smith, M.D., board-certified family practice physician withMemorial Health Partners. “Men are more likely to wait until they have serioussymptoms before going to the doctor. Early diagnosis and treatmentcan prevent problems from developing into full-fledged chronic diseases.”What to Gauge“A few important screenings and periodic physician check-ups can help improveanyone’s health,” Dr. Smith says.*High cholesterol—The American Heart Association recommendseveryone have a lipoprotein profile every five years beginning at age 20to measure and monitor all aspects of cholesterol.*High blood pressure—Beginning at age 20, haveyour blood pressure checked at least every two years.*Colorectal cancer—If you are notin a high risk category (see page 17), have ascreening for colorectal cancer at age 50and every five to 10 years thereafter.** Depression—Depression,*Diabetes—Most people over 45are tested for diabetes at routinephysicals. If you have elevatedcholesterol or blood pressure,or a family history of diabetes,ask your physician about earlierscreenings.anxiety, stress, and mood disorderscan strike anyone. See page 8 for specificsymptoms of depression and speakwith your physician if you feel youare depressed.Prostate cancer—Talk with yourphysician about when to have a baseline prostatespecificantigen test and digital rectal exam and when to beginannual screenings. For more information, see page 16.To find a primary care physician, visit www.memorial.org and select“Find a Physician” or call (423) 495-CARE (2273) for a physician referral.Bill Moore Smith, M.D.3

I N S P I R E [ s p r i n g 1 0 ]When your spouse’s snoring“varies from very loud to verysoft or when he stops breathingfor at least 10 seconds at atime, this may be a sign ofobstructive sleep apnea. Sleepapnea affects not only qualityof life but also increases therisk for a number of conditions,including cardiovasculardisease, depression, diabetes,and stroke. ”—Vincent Viscomi, M.D., pulmonologistand medical director of Memorial’sRegional Sleep CenterIs It MoreThan a Snore?More than half of all men snore, which can be a source offrustration and embarrassment. But snoring may be morethan a nuisance—it may indicate a serious health condition.rodney Elliott, a pharmacycoordinator at Memorial Hospital, wasa chronic snorer for years, but he didn’trealize it was robbing him of sleepevery night.“During the day, I would fall asleepwhenever I sat still; it was totallyinvoluntary, and I wasn’t even aware I wasdoing it,” Mr. Elliott says. “My wife Crystalwas always waking me up.”After falling asleep behind the wheelone day and driving into a tree, he ended upin the Emergency Department at Memorialand was told he couldn’t drive until he hada sleep study.If you haveproblems withsnoring or sleepinessduring the day, callMemorial’s Regional SleepCenter at (423) 495-REST(7378) to discuss your sleepsituation. Sleep studiesare covered by mostinsurance plans.“Rodney’s snoringwas caused byobstructivesleep apnea,”says VincentViscomi, M.D., pulmonologist and medicaldirector of Memorial’s Regional SleepCenter. “Blocked airways woke him upnearly 200 times a night, and he wasn’tgetting the rest he needed.”Mr. Elliott spent another night at theSleep Center to try a device that providedcontinuous positive air pressure (CPAP),and it made an amazing difference.“I was euphoric,” he says. “I hadn’t feltthat kind of energy for years.”That was 17 years ago, and today he doesn’tgo to sleep without his CPAP device.“I found the nasal pillows that fit intothe nostrils and are connected to the CPAPmachine to be much more comfortablethan the mask that fits over your nose andmouth,” Mr. Elliott says. “I wear themevery night, never snore, and am wideawake during the day.”4

[ m e m o r i a l h e a l t h c a r e s y s t e m ] I N S P I R ESolvingthe Weight ProblemObesity among American men has doubledin only 25 years. In almost all age groups,men struggle with weight issues, and thehealth implications are serious.bob Payne, music critic for Chattanoogan.com, had been overweightfor years. Though he tried many diets, the weight always came back.At age 57, he found himself facing serious health problems complicatedby his weight—high blood pressure, sleep apnea, and diabetes.At Memorial Health Care System’s Weight Management Center, helearned he met the requirements for gastric banding surgery.Mr. Payne’s Story: In His Own WordsMy journey began at 367 pounds and size 54 pants, which even at 6'1"was way too big. Dr. Walter Rose* performed the surgery to make mystomach smaller by banding it on February 29, 2008. It was relativelyeasy for me. I entered the operating room at Memorial Hospital at10 a.m., was out by 11 a.m., and home by noon.The program at Memorial’s Weight Management Center gave mecounseling, nutritional information, and support. I learned to eat a lotless than I used to—only about half a cup at each meal, but it fills me up.Lapbanders are instructed to eat lean protein first, then vegetables andfruits, and only then maybe a little starchy food. No liquid with meals,but I drink lots of water between meals. My wife Pat and I also beganworking out at the YMCA.That summer, Pat—my greatest supporter—was diagnosed withbreast cancer. We were scared, not knowing what the future held. AgainDr. Rose and Memorial had the best possible resources to get her on theroad to health right beside me.Today, I weigh 270 pounds and wear size 42 pants. I no longer need bloodpressure and cholesterol medicine, and I’m not bothered by sleep apnea.*board-certified general surgeonBob and Pat Payne love Pink!,Memorial’s event to honorbreast cancer survivors andsupport the MaryEllen LocherBreast Center.For information about programsand services at Memorial,including weight managementand oncology, visitwww.memorial.org.Belly Fat:An Unhealthy EpidemicMen are much more likely than women to end up with fat around the middle—the type that is linked to heart disease, stroke, diabetes, sleep apnea, and otherserious health problems.“This is an epidemic,” says Robert K. Berglund, M.D., cardiologist at the Chattanooga HeartInstitute. “Men with a belly girth more than 40 inches should be aware of other indicators such aselevated triglycerides, blood sugar, and blood pressure, as well as low HDL or ‘good’ cholesterol.”5

I N S P I R E [ s p r i n g 1 0 ]» Warmer weather invites you outdoors to fire up the barbecue grill. Grillingis one of the most flavorful ways to cook, and making it healthy and great tastingis easier than you think! You can lighten up the fare without compromising flavor.Safe Grilling StrategiesBuilding a BetterKeepgrilland gratesclean.Keep rawmeats chilledand separatedfrom cookedfoods.Keep cookingtemperaturebelow 325° F.Bar the char—cook meat until donebut notblackened.****marinate! Create thin sauceswithMarinate,citrus juices, broths, vinegars, fresh herbsand spices (such as garlic, rosemary, basil, mint,cilantro, and oregano), and olive or canola oil.Try pork tenderloin instead of ribs.the steak for grilled fish—salmon,tuna,Swapshrimp, scallops, tilapia, or trout. Use cedarplanks to add a smoky flavor. Find planks in thegrilling section of most stores.up that patty. Mix lean ground beef withleanLightenground turkey or textured soy protein.I n g r e d i e n t sMojo Grilling SauceDiscardleftovermarinade.¼ cupfresh orange juice¼ cupfresh lime juice3 tablespoons finely chopped fresh oregano3 tablespoons olive oil2 tablespoons finely chopped fresh parsley1 teaspoon ground cumin1 teaspoon minced garlic½ teaspoon coarsely ground black pepper¾ teaspoon Kosher saltDIRECTIONS: Whisk all ingredients in a small bowl. Forkabobs, marinate meat chunks two to four hours or overnight.Skewer with vegetable chunks and grill uncovered overmedium, ash-covered coals, turning occasionally.****Go “skinless” with poultry.“green.” Almost any vegetable or fruitcanGrillbe grilled. Favorites include asparagus, cornon-the-cob,peppers, cherry tomatoes, onions,mushrooms, eggplant, squash, potatoes, peaches,pineapple, mangoes, nectarines, and bananas.Skewer anything! Creating colorful kabobshelps control meat portions, increases veggie andfruit consumption, and reduces cooking time.Select lean beef—threeto four ounces instead ofeight-plus ounces.Want more healthy recipes for thegrill? Visit www.memorial.org, select“inspire,” and then choose “blog.”Avoidgrill flare-ups bychoosing leancuts of meat andtrimming fat.6Nutrition Facts Serving size: 1 tablespoon26 2.5 g 53 mgCalories Fat Sodium

[ m e m o r i a l h e a l t h c a r e s y s t e m ] I N S P I R Edodgingd i a b e t e sIf your bloodsugar level falls toolow (determined by yourphysician) during physicalactivity, the National DiabetesClearinghouse suggestsstabilizing it by drinking 4 ouncesof fruit juice or 8 ounces of milkor eating 5 pieces of hardcandy or 1 tablespoonof sugar or honey.Type 2 diabetes can sneak up on you without symptoms.That’s why physician check-ups are so important. Earlydiagnosis and lifestyle changes can help you preventserious complications.larry Akens, manager of Compliance and Emergency Preparedness for theTennessee Valley Authority, was surprised by the results of routine blood workperformed at his 2009 physical.John Laramore, M.D., internal medicine specialist with Memorial Health Partners,ordered an A1C test and found that Mr. Akens’ blood sugar level over the previous threemonths had averaged 162 mg/dL, as indicated by an A1c level of 7.3 percent. Normal A1cis between 4 and 6 percent. Mr. Akens had pre-diabetes.Back to SchoolDr. Laramore directed Mr. Akens to the Diabetes Education Class at Memorial HealthCare System’s Diabetes and Nutrition Center.“This diagnosis was a wake-up call,” says Mr. Akens. “No one in my family haddiabetes, and I needed to know more about it. The classes were very educational. Theyempowered me—I feel like I have more control.”Always active with gardening, lawn work, woodworking, and remodeling, Mr. Akensnow also puts exercising at TVA’s facility or walking the greenway in Collegedale on hiscalendar. He is also careful to limit carbohydrates and fat in the food he eats.“With simple changes, I lost 20 pounds in less than four months,” Mr. Akens says.“My blood sugar fell into the normal range, my triglycerides went down, and I haven’thad to take any medication for diabetes or cholesterol since.”For information about Memorial’s Diabetes and Nutrition Center, visit www.memorial.organd search keyword “diabetes.”Larry AkensThe Exercise PrescriptionRegular exercise is important forcontrolling diabetes, as it helps lowerblood sugar by using glucose. Someonewith diabetes, however, must takespecial care during exercise to ensurethat his or her blood sugar level doesnot drop excessively,* causing weakness,confusion, irritability, and hunger.“Checking your blood glucose levelbefore and after exercise will help yougauge the impact of exercise on yourblood sugar and help your physicianadjust your medication accordingly,”says David Huffman, M.D., boardcertifiedendocrinologist with UniversityDiabetes and Endocrine Consultants.“If you exercise longer than an hour, youmay need to check your blood sugarat intervals and have glucose tabletsor food on hand to help you maintain ahealthy level during a workout.”* Optimal blood sugar ranges are individualizedto each person and can be determined byyour physician.7

[ m e m o r i a l h e a l t h c a r e s y s t e m ] I N S P I R EBe Careful!Your healthis a giftto your family.PatrickMcDougal, M.D.Ways to ReduceRisk of InjuryAccidents happen to both men and women, but injury isthe third-leading cause of death among men, and manyof those injuries could be prevented.“although psychologists argue about the cause, evidence is strong thatmen tend to be more aggressive and take more risks than women,” says PatrickMcDougal, M.D., emergency medicine physician at Memorial Hospital. “Men tendto engage in more high-risk behaviors such as riding motorcycles and off-roadvehicles, skydiving, and participating in contact sports.“We see a large number of injuries from men overexerting on weekendsafter being sedentary all week—joint dislocations of the shoulder and patella fromsports such as football, soccer, and lacrosse. Wrist, ankle, and knee injuries arealso common. We often see tennis and golf elbow, where incorrect technique andoveruse lead to injury.”What Can Be Done?Seatbelt laws, more awareness of the dangers of drunk driving, helmet requirements,and better engineering in lawnmowers have helped to decrease injury anddeaths from accidents in recent years.But men need to take the initiative to take better care of themselves. Remember,your health is a gift to yourself and your family.For more information about preventing accidental injury, visit www.memorial.org andsearch keyword “accidents.”Accidents occur most often because people are ina hurry, take shortcuts, and do things they knoware unsafe.1. Buckle up and stay calm. Aggressivedriving adds stress to your life and onlybuys you a few minutes at most.2. Work safely. The most dangerous jobs aregenerally worked by men. Take workplacesafety seriously.3. Drink responsibly. Excessive alcoholconsumption, smoking, and the use ofillegal drugs contribute significantly to riskfor accidental death as well as long-termhealth problems.4. Avoid weekend warrior syndrome.“Maintain fitness with 30 minutes ofexercise every day,” says Patrick McDougal,M.D., emergency medicine physician. “Thenyou will be ready for sports.”5. Be careful around home. “Falls fromladders are common,” Dr. McDougal says.“Be sure the ladder is set up correctly on aflat, even surface.”9

I N S P I R E [ S p r i n g 1 0 ]Celebrates Five YearsCo-chair AlexisBogo welcomedPink! guests.Dr. Tim and Erika Ballardchat with Maury Nicely(left) at Pink! 2010.Physicians SupportMemorial Foundation“Physicians are very much involved inMemorial’s Foundation,” says MarkAnderson, M.D., an infectious diseasespecialist recruited by Memorialto bring his specialty services toChattanooga 14 years ago.“Memorial is a wonderful health caresystem, and as physicians, we wantto do everything we can to be surefunding is available to advance themission, technology, and programsto serve our patients. We want tohelp Memorial remain the best, whichis difficult to do if you don’t havegood funding.”Dr. Anderson personally gives financialsupport to the Foundation andserves on the Board and the PhysicianAdvisory Committee.“The Board assists with fundraisingefforts and is involved in planning anddecision-making,” says Dr. Anderson.“Physicians have valuable insightsinto advancements that could benefitMemorial and our patients.”“Memorial is where we work everyday,” adds Tim Ballard, M.D., anorthopedic surgeon who is also adonor and Foundation Board member.“It is important that we do what wecan to be sure it is the best possibleplace for our patients.”Helping Patients Give Back“Our patients often tell us of theirgreat experience or how much theyappreciate the care provided for aloved one,” Dr. Ballard says. “Becausewe are aware of all the Foundation isdoing, we can explain to them howthey can give in honor of that person.This is a great way to say ‘thank you.’We can help facilitate that withthe Foundation.”“We also make physicians aware ofthe many opportunities open to themto support the hospital and become agreater part of the mission,”Dr. Anderson says. “They can helpexpand the capabilities of Memorialthemselves and be a crucial line to theirpatients who want to give back andensure that others receive the samequality care they did.”For more information on how you canbe part of Memorial’s mission, visitwww.memorial.org/foundation.Dawn and JodyShea dancing to“Party on the Moon.”Marc and HollyHarwell werecommittee chairs.with celestial orbs and circles reflecting everchangingcolors, shimmery silver tables and chairs,and fountains of light in sheer draperies behind a60-foot-long bar, nearly 800 people celebrated Pink!oblivious of Chattanooga’s snowy conditions. Generoussponsors and hundreds of community volunteershelped the Memorial Health Care System Foundationraise nearly $300,000 to expand the lifesavingprograms of the MaryEllen Locher Breast Center toMemorial Ooltewah, which is scheduled to open inthe summer. New this year was an online auction thatraised nearly $20,000 before the Pink! event.1 0

[ m e m o r i a l h e a l t h c a r e s y s t e m ] I N S P I R E2010 Pink!SponsorsPresenting SponsorChattemEntertainment SponsorChattanooga Times Free PressPink Diamond SponsorsBrewer MediaNews Channel 9Pink Sapphire SponsorsBlueCross BlueShield of TennesseeComcastLeitner, Williams, Dooley & NapolitanM & M Industries, Inc.Village Volkswagen of ChattanoogaPink Pearl SponsorsSodexo Health CareSunny 92.3 WDEFPink Quartz SponsorsAnesthesiologists Associated, P.C.Dr. and Mrs. David BartoDHW ArchitectsMr. and Mrs. Mitchel EverhartFairway Outdoor AdvertisingHusch Blackwell Sanders LLPMiller & Martin PLLCSchaerer Contracting Co., Inc.SunTrustVolkswagen Group of AmericaPink Ribbon SponsorsAdman ElectricAT&TChattanooga Coca-Cola/Dr. Pepper Bottling Co.EMJ CorporationFirst TennesseeLexus of ChattanoogaDr. and Mrs. DeWayne B. McCamishMountain View Ford Lincoln MercuryNational Print GroupRadiation Oncology Specialists, PLLCSpears, Moore, Rebman & WilliamsUniversity of Tennessee at ChattanoogaVincit GroupTwo Exceptional PeopleMemorial Health Care System is proud to honor JoanH. Frierson and Richard Lynn, M.D., as the recipients ofthe 10th annual Humanitarian Awards, for sharing theirexceptional talents with Memorial and the community.Joan Frierson“Memorial has always been our family’shospital,” says Mrs. Frierson. “When mymother had a heart attack more than 20years ago, we took her to Memorial, andthat’s when I saw the true beauty of themission integrated with patient care.“Memorial is more than a hospital;it’s a spiritual place that wrapped us incompassion and understanding in mymother’s last days. Her caregivers werelike family, helping each of us throughthis difficult experience.”When asked to serve on the Board afew years later, Mrs. Frierson found iteasy to say “yes.” During two terms ofservice on the Board (from 1993 to 1999and 2003 to the present), Mrs. Friersonhas twice served as Board chair, guidingthe hospital through important changesin leadership and visionary decisions.“She shares valuable insights witheloquence and grace,” says Leo Brown,who has served with her. “She empowersand inspires all of us to do our best.”Richard Lynn, M.D.Dr. Lynn is an interventionalradiologist of extraordinary skill whocame to Chattanooga and Memorial in1987 and has dedicated his life sincethen to furthering Memorial’s missionof excellence. More than a dozencolleagues and physicians confirmedDr. Lynn’s nomination for this honor.“Dr. Lynn has exceptional skilland has performed thousands ofprocedures with compassion andconcern for patients,” physicians say.“He has tirelessly spent many nightsand weekends involved in complicatedinterventional procedures that,honestly, no one else in Chattanoogawas qualified to do.“He has served selflessly on myriadMemorial committees and is alwaysavailable to physicians and patients.He exemplifies an emphasis on humandignity, generosity, and self-sacrifice—Dr. Lynn is a valued asset at Memorialand in the community.”Richard Lynn, M.D., and Joan Frierson accepttheir awards from Jim Hobson, Memorialpresident and CEO.11f O U N D A T I O N

I N S P I R E [ S p r i n g 1 0 ]Protectingthe Heartof Your FamilyAre your genes making you more likely to developheart disease? Knowing your genetic risk canhelp you focus on reducing your overall risk andprotecting your family.joe and Joey Horton, father/son accountantswith Horton Bookkeeping & Tax inChattanooga, have been working togethersince 1976. Joey [age 53] and Joe [80] share anenjoyment of work, exercising, and spendingtime with family, but they have something elsein common that has changed their lives:heart disease.Joe Horton was preparing tax documentsfor a client in 1983 when he felt a burningsensation in his chest.“Physicians spent about a monthtrying to regulate my heart, and then didan arteriogram,” Joe says. “They foundsignificant blockage, and I had quadruplebypass surgery at Memorial Hospital.Although I had a mild heart attack duringsurgery, I was fortunate not to suffer anypermanent heart damage.”The Family Connection DiscoveredFollowing his operation, Joe did someinformal family research. He rememberedthat his father suffered a heart attack anddied at age 72.“I asked relatives about my grandfather’sdeath, and the answer was the same—heartattack,” Joe says. “The hereditary factor waspretty evident.”Like Father, Like SonKnowing the family history, Joey tried tomaintain a lifestyle that would reduce hisrisk of heart disease.“I didn’t smoke, was never overweight,ate what I thought was a healthy diet, andwas fairly active,” says Joey. “I thought I wastaking appropriate preventive action.”Joey was 45 when he began experiencingfeelings of sluggishness when exercising, buthe didn’t associate it with his heart. He firstfelt chest pains while on vacation in Floridathat year.“I knew something was wrong, but I hoped itwas a pulled muscle or something minor,” Joeysays. “I didn’t mention anything to my familyabout the pain until we returned home. ThenI went to see my primary care physician, whoreferred me to a cardiologist.”When an electrocardiogram and stresstests revealed irregularities, an angiogramwas scheduled for the following week. Joeydidn’t make it to that appointment.“That weekend I began having severechest pains and ended up in the EmergencyDepartment at Memorial,” says Joey. “Anarteriogram was performed, followed bytriple bypass surgery with Dr. James Zellner.It’s a sobering thing when you think you arein good shape, but your doctor says you havea chronic disease.”Staying HealthyJoe and Joey both visit their cardiologistsregularly and participate in cardiacrehabilitation programs at Memorial. Joeattends a morning class at Memorial NorthPark Hospital, and Joey goes to Memorial’sprogram in the Chattanooga Heart Instituteright after work.“Having a set time and place toexercise with other people with similarhealth issues has been a positiveexperience,” Joe says. “The nursesand exercise physiologists check ourblood pressure and heart rateregularly and encourage us to haveannual treadmill tests. They arecontinually teaching andanswering questions tohelp us.”1 2

[ m e m o r i a l h e a l t h c a r e s y s t e m ] I N S P I R ELooking to the FutureJoey’s younger brother, Terry Horton [50] anaccountant with the family company, knowshe needs to take heart health seriously. He says,“I have regular stress tests and screenings,exercise, eat a heart-healthy diet, and takesupplements and medication to reduce myrisk factors.”Joey’s sons—Joseph Horton, a ministerin Winchester, Tenn., and Patrick Horton,a student at Tennessee Tech University inCookeville, Tenn. —are now in their 20s. Theyhave begun receiving regular lipid cholesterolprofiles, and they are aware of the potentialeffects of their family history.“They exercise much morethan I did at their age and areon a path to better preventivehealth at a much earlier age,”says Joey. “Knowledgeis power.”Several genes have been associated withheart disease, stroke, and high bloodpressure. While the impact of each gene isnot fully understood, research suggests ifa first-degree relative (parent or sibling)developed heart disease before age 60 anda second-degree relative (grandparent)developed the disease by the same age, youare almost 10 times more likely to developheart disease early in life than someone whohas no family history of heart disease.Joe Horton (far left), Joey Horton (middle), and Joseph Horton(right) have an inherited tendency for heart disease and arevigilant about taking steps to reduce other risk factors.ComprehensiveHeart Care at Memorial*13Memorial’s Regional Heart Center offers a team of cardiacspecialists who have trained at some of the most renownedmedical programs in the country. For more than 50 years, we havebeen the leading provider of cardiac care in the Chattanoogaarea, bringing you advanced heart care to get you back to the lifeyou love—and the people you inspire by living it.For more information about Memorial’s Regional Heart Center,visit www.memorial.org and select “Regional Heart Center.”

I N S P I R E [ Ss p r i n g 1 0 ]Rick Honeycutt,a major leaguepitcher for 21 yearsand the currentpitching coach forthe Los AngelesDodgers, knowsabout sportsinjuries. He wasrecently remindedhow easily an injurycan happen.Anon theMoundborn in Chattanooga in 1954, Rick Honeycutt grew up dreamingof playing for the New York Yankees. He played Dixie Youth Baseballin Fort Oglethorpe and led the Lakeview High School baseball teamto two state championship titles. After graduation, he attended theUniversity of Tennessee on a baseball scholarship, was an All-SEC andAll-American player, and married his high school sweetheart Debbie.His professional career began in June 1976, and his first majorleague game was in Yankee Stadium as the starting pitcher for theSeattle Mariners in August 1977.The left-hander went on to play for the Oakland Athletics, TexasRangers, St. Louis Cardinals, and Los Angeles Dodgers, winninga World Series with Oakland in 1989. His 797 career major leagueappearances put him in the top 50 of all time. He might have pitchedlonger except for elbow surgery.After his playing career ended in 1997, the Honeycutts moved back tothe Chattanooga area and now live at Heartland Ranch in north Georgia.In 2002, Mr. Honeycutt joined the Los Angeles Dodgers pitching staff.One of his most serious injuries came while pitching atbatting practice in December 2008—Mr. Honeycutt could feelhis muscle tear.Brett Sanders, M.D., orthopedic surgeon with the ChattanoogaCenter for Sports Medicine, performed surgery on Mr. Honeycutt’sarm to reattach the bicep—the first step in his treatment andrecovery process. Mr. Honeycutt then spent weeks in physicalrehabilitation and couldn’t lift anything for eight to 10 weeks.“Therapy is vitally important to regaining range of motion andstrength,” Mr. Honeycutt says.Memorial Health CareSystem has the orthopedicexcellence to get you back in thegame. Visit www.memorial.organd click on “Orthopedic Center.”BrettSanders,M.D.1 4Know the RiskAnyone who participates in sports needs to be aware of the risk of injury.Conditioning, regular exercise, and good technique can lessen the risk, andstretching and warming up before strenuous activity is good practice. Weekend warriorsare most vulnerable to injury.“People who only occasionally participate in athletic activities should expect some soreness or tenderness followingphysical exertion,” says Brett Sanders, M.D., orthopedic surgeon with the Chattanooga Center for Sports Medicine.“R.I.C.E. [rest, ice, compression, and elevation] is a good approach to self-treatment, but obvious swelling andlimited motion are clues an injury should be checked out by a doctor.”

[ m e m o r i a l h e a l t h c a r e s y s t e m ] I N S P I R ESurvivingRetirementMany people long for retirement—having thefreedom to plan your days as you wish. Butadjusting to more time together with a limitedincome can be a challenge for couples whohave created independent schedules and gainedidentity through work.dale Eubanks, a meteorologist with the National Weather Service, and hiswife Puggy, a secretary with the Federal Aviation Administration, talked aboutretirement for several years before taking that step in 1993.“We began living on what we knew we would have as our retired income andmaking changes to be able to live within our means,” Mr. Eubanks says.“We agreed on most of the things we wanted to do—travel, more exercise,and some volunteer work, and Puggy thought she could enjoy attending morebaseball games, which is a passion of mine.”Now ages 71 and 66, Mr. and Mrs. Eubanks are very comfortable withretired life and the directions they have been led.“Dale had open heart surgery in 1995, a frightening experience,”Mrs. Eubanks says. “We were living in South Florida at the time, andvolunteers who had successfully gone through heart surgery visited usin the hospital. They answered many questions and were so encouraging,we decided that was the volunteer work we wanted to do.”When the Eubanks moved to Chattanooga a few years ago, they initiatedthe cardiac visitation program at Memorial Hospital.They also downsized to a townhome, which relieved them of the stressof lawn care and maintenance.“Our days are full and structured,” Mr. Eubanks says. “We spend a lotof time reading newspapers from around the country and use the Internetto keep up with friends and current events. We walk about four mileson the Riverwalk five days a week and attend nearly all Lookoutshome games.”For more information on planning a successful retirement, visitwww.memorial.org and search keyword “retirement.”Avoid Money Woes“Financial planning for retirement ideally shouldbegin as early as age 30 or 40,” says financialconsultant Mike Webb. “Retirement meansyou will not be working full-time and bringingin a paycheck each month. But you will still bespending money and may want to travel or takeup new hobbies. By making careful investmentsearly, you can supplement your Social Security andretirement benefits to enjoy your retirement. It’snever too late or too early to seek advice from afinancial counselor.”[ By the Numbers ] Experts recommend thatpeople in their 20s save at least 10 to 15 percent oftheir income, 30-somethings save at least 15 to 25percent of their income, and people age 40 andabove save at least 25 to 35 percent of their income.When you retire, you should ideally be able toreplace 75 percent of your pre-retirement incomewith a combination of Social Security benefits,savings, and/or apension plan.What’sthe CardiacVisitation Program?Mr. and Mrs.Eubanks lookforward tothe start ofthe Lookoutsbaseballseason inChattanooga.Facing open heart surgery can befrightening for patients and their families.Volunteers who have gone through thisprocedure are available at Memorial Hospitalto visit with patients and their families beforeor after surgery. For more information, callVolunteer Services at (423) 495-8610.

[ m e m o r i a l h e a l t h c a r e s y s t e m ] I N S P I R EPain in the Belly—Is It Serious?Abdominal pain can be a sign of many medicalconditions, including appendicitis, irritable bowelsyndrome, pancreatic or kidney stones, or evenheart disease. Any unexplained pain that does notgo away should be evaluated by a physician.when severe pain struck his lower abdomen,Charles Solomon [age 36] sought help and was treatedfor diverticulitis, a condition in which pouches form inthe wall of the colon and become inflamed. Medicationprovided relief, but Mr. Solomon began having pain againa few months later.A computed tomography scan revealed a fistula, which isan abnormal connection between an organ and anotherstructure inside the body. Mr. Solomon’s colon had attachedto his bladder. General surgeon Roger Land, M.D., andurologist Thomas Caldwell, M.D., worked together in surgeryat Memorial North Park Hospital to remove a foot-longsection of colon and repair the bladder.“A fistula can form from injury or inflammation, and itcan’t really be prevented,” Dr. Land says. “That’s why it’simportant to have abdominal pain checked out.”Mr. Solomon is taking steps to prevent diverticulitisand other digestive problems by eating a lowfat, highfiberdiet and drinking 60 or more ounces of watera day. He says, “Don’t ever ignore abdominal pain.”For information aboutMemorial’s GastrointestinalCenter of Excellence, visitwww.memorial.org and searchkeyword “digestive health.”Charles SolomonColorectal Cancer Is BeatableDuring a colonoscopy, a gastroenterologist can detect andremove the polyps that cause colon and rectal cancer. Most menand women should have their first colonoscopy at age 50 andevery five to 10 years thereafter. African Americans and thosewho have a family history of colon cancer are at higher risk andneed to begin at age 45 or before. If you are concerned aboutyour genetic risk, talk to your physician or a gastroenterologist.Preventing Kidney StonesSevere abdominal pain is often the first sign of kidney stones,a prevalent problem affecting nearly 1.3 million people in theUnited States each year. Eighty percent of people with kidneystones are men.“Kidney stones are a common problem in this area,” saysThomas Caldwell, M.D., urologist with Memorial Health CareSystem. “People whose diets are high in animal protein andsodium and low in fiber and fluids are at higher risk.”17

[ m e m o r i a l h e a l t h c a r e s y s t e m ] I N S P I R EWhat THESE Physicians Do FOR EXERCISE*Joe Minton [54], M.D.,emergencymedicine physician“Physicians know that exercisehas a major impact onhealth. Most of us take that toheart and do it for ourselvesand for our families. I have asporadic schedule, but I tryto do something active everyday—work in the yard, jog,and mountain or road bike.My wife and I do triathlonstogether, and we’ve done someadventure races. Having anevent to train for is a goodincentive. I also have 22- and23-year-old sons who participateat a high level in kayakingand skiing, and trying to keepup with them really keepsme motivated.”*William Blalock [49], *Chad C. Smalley [35],M.D., FACC, cardiologist M.D., orthopedic surgeon“I played a lot of basketball and “I really enjoy the outdoorstennis growing up and started and try to exercise outsiderunning while in college as a as often as possible—hiking,way to decompress in the afternoon.I still run and go by the surfing, climbing, running,biking, wakeboarding,YMCA for a workout a couple skiing, or swimming. Oftendays a week. I keep a gym bag I’ll pick an event to trainwith me all the time. At home, for—a triathlon, a race, or aI jump rope and do push-ups, mountain peak summit. Butsit-ups, and squats. Exercise mostly, I’m out there for fun.just makes me feel better. My Exercise needs to be fun.”wife is a big runner, too. Shedid a half-marathonin Memphis“Don’t belittle yourselfrecently andif you can’t go out and run abikes andmarathon. Fitness is not a matter ofwalks withfriends or competing with anyone else. It’s a matterwith me of making yourself better—and yourand ourfamily. Take a walk after dinner.daughtersThe Wii Fit ® or Wii Sports ®in some ofprograms provide excellentthe wonderfulplaces in —William Blalock, M.D.exercise and are fun.”Chattanooga.”**Marshall Horton [55],M.D., gastroenterologist“I’ve been active all my lifeand have been exercisingmore rigorously for the past20 years or so—running,biking, and swimming.I know how important it isto my health, and even if Idon’t feel like getting on thetreadmill at 9 p.m. after a longday at work, I do it anyway.About three years ago, Istarted documentingmy activity just for fun. Eachyear in that time, I have runaround 800 miles, biked about2,500 miles, swum 60 miles,and put in another 40 hoursof stationary exercise.If you have not been exercising regularly, you should start slow and set realistic goals.The important thing is to begin to incorporate activity into everyday living. To finda physician to help you determine what type of physical activity is appropriate for you,visit www.memorial.org and select “Find a Physician” or call (423) 495-CARE (2273)for a physician referral.*“People are shortchangingthemselves if they don’t exercisein some way. Their bodies are certainto deteriorate; they will have poor healthand a shorter lifespan. Everyone needsto attempt 30 minutes or more of vigorousexercise five or more days a week.Brisk walking is a good start.”—Joe Minton, M.D.Get Active in ChattanoogaSpringtime in Chattanooga is a wonderful time for outdoor activities. The Scenic City is fullof opportunities for hiking, biking, and recreation. Just minutes from home you can find trailswhere the whole family can walk, run, ride bikes, or rollerblade. Explore the Tennessee Riverwalk,area greenways, the bridges, parks in downtown Chattanooga, and trails on Signal Mountain.For information about so me popular parks and trails,visit www.memorial.org, select “inspire,” and then choose “blog.”1 9

I N S P I R E [ S p r i n g 1 0 ]HeadlineNEWSShe Expoto FeatureJillian Michaelsmemorial will again be a sponsorfor She: An Expo for Women on July 10 and11 at the Chattanooga Convention Center.The Expo focuses on screenings, products,and speakers to encourage women to aimfor better health and fitness. An estimated10,000 women attended each day of the2009 event.“We are especially pleased to be able tobring Jillian Michaels to Chattanooga forthis year’s event,” says Memorial CEO JimHobson. “She has inspired millions astrainer and life coach for the NBC seriesThe Biggest Loser.”Ms. Michaels has also written several fitnessbooks and published exercise DVDs.For more information on She: An Expofor Women, visit www.memorial.org, select“inspire,” and then choose “blog.”inspire WinsInternational Awardmemorial’s communitymagazine inspire was selected asa 2009 Silver International DaveyAward winner from more than4,000 entries. The Davey Awardshonor the finest creative workfrom small firms, agencies, andcompanies worldwide.“This award is a testament to thehard work of Editor Joyce Dick,” saysLisa McCluskey, vice president ofMarketing and Communications atMemorial. “Joyce infuses each issuewith stories of hope and healing.She has brought life and vitality toa simple concept of helping peoplelive well.”inspire is mailed to 168,000households in the Chattanoogaregion as a benefit to residents. If youwould like to receive it on a regularbasis, visit www.memorial.org,click on “inspire,” and then select“inspire magazine.”Memorial’s 2009 CommunityBenefit Report Now Onlineproviding charity care, addressing the health needs of the poor and uninsured,and creating a healthy community are important to the mission of Memorial HealthCare System. In fiscal year 2009, Memorial provided more than $21 million andpartnered with dozens of agencies to improve access to health care, provide healtheducation and early detection screenings, and offer health services to thosein need. A report of some of the programs and people served can be viewed atwww.memorial.org. Search keyword “community benefit.”Memorial to Offer Premier Cancer-Fighting Technologymemorial Health Care Systemis acquiring the Novalis Tx ,a revolutionary new treatment optionfor cancer: image-guided radiosurgery,a less invasive treatment.“Memorial’s team chose thispremier cancer-fighting tool aftera thorough review of availableoptions,” says David W. Rice, M.D.,radiation oncologist at Memorial.“Patient safety, comfort, andtreatment effectiveness were ourprimary concerns.”With the Novalis Tx radiosurgeryplatform, Memorial can offer stateof-the-art,non-invasive treatmentfor a wide range of malignanciesand other potentially debilitatingconditions without harming nearbyhealthy tissue.“Novalis Tx is a versatile,proven, and precise way ofdelivering stereotactic treatmentwith reduced treatment times,”Dr. Rice says. “Memorialcontinues to lead the way inhelping patients wage their fightagainst cancer.”Delivery of the equipment isexpected this summer.www.memorial.org2 0

[ m e m o r i a l h e a l t h c a r e s y s t e m ] I N S P I R EofeventsCardiac Exercise Class for WomenWomen whose physicians are concerned about their riskfactors for heart disease may be referred to a special cardiacexercise class at Memorial’s Cardio-Pulmonary RehabilitationCenter for a minimal cost. Women pay $35 a month, andthey can bring another woman for an additional $12. Theyattend two days a week for an hour of guidance by an exercisephysiologist, one-on-one coaching, cardiac exercise, andstrength training. For more information, contact Allan Lewisat (423) 495-7764.GRIEF SUPPORT GROUPAn ongoing grief support group meets the secondWednesday of each month from 11:30 a.m. to 12:30 p.m.at Memorial North Park Center for Cancer Support.88Call (423) 495-7778.FOOD AND FITNESS FOR CANCER SURVIVORSCancer patients who have finished cancer treatment willlearn about the importance of a lowfat diet high in fruitsand vegetables combined with regular exercise. Classesare held monthly.88Tuesdays, May 4 and August 17 at 4 p.m.Memorial Hospital Center for Cancer Support88Thursdays, May 20 and August 26 at 10 a.m.Memorial North Park Center for Cancer Support88Call (423) 495-7778 for class informationor individual consultation.FREEDOM FROM SMOKINGIt is vital for your health to stop smoking, andwe will support you every step of the way.88Classes are offered regularly.88Call (423) 495-7778 to pre-register.FREE MASSAGE THERAPY FOR CANCER PATIENTSTo promote healing and reduce stress, free massagetherapy is available by appointment for cancer patientscurrently undergoing treatment.88Tuesdays, 9 a.m.–noonMemorial North Park Center for Cancer Support88Wednesdays, 10 a.m.–noonMemorial Hospital Center for Cancer Support88Thursdays, 10 a.m.–2 p.m.Memorial Hospital Center for Cancer Support88Call (423) 495-7778 for details.m a y | j u n e | j u l y 2 0 1 0WEIGHT LOSS:Is gastric bypass Roux-en-Yor gastric banding surgery an option for you?Attend these FREE informative seminars to learnmore about weight-loss options. These seminarsprovide information about all procedures andare geared specifically toward individuals who areat least 100 pounds overweight. 6–7:30 p.m.,Memorial Hospital Community Rooms.Call (423) 495-2245 for reservations.Tuesdays, May 4, May 11, June 8, and July 13Wednesdays, June 2 and July 7Memorial’s Mobile Mammography Vanwill be available for annual mammogram screeningsat the following locations. Call (423) 495-4040 to schedule.St. Joseph Clinic in Dalton Saturday, May 1, 10 a.m.–2 p.m.McMinn County Health Department Thursday, May 13, 9 a.m.–4 p.m.North Georgia Healthcare in Ringgold Saturday, May 15, 10 a.m.–3 p.m.Decatur, TN Piggly Wiggly Thursday, June 3, 9 a.m.–4 p.m.Marion County Health Department Tuesday, June 22, 8 a.m.–4 p.m.Bradley County Health Department Monday, July 12, 9 a.m.–4 p.m.Memorial West Side Clinic Wednesday, July 28, 9:30 a.m.–noonMemorial North Shore Clinic Wednesday, July 28, 1:30–3:30 p.m.2 1

I N S P I R E [ s p r i n g 1 0 ]Memorial’s Experts Answer Your Questions[Question] My husband doesn’t seemto be as concerned about his feetas I am. What are some of the mostimportant things he should knowabout foot care?Aaron Solomon, D.P.M.Podiatrist[answer] When it comes to foot care, men and women face many of the sameproblems. All of us run the risk of developing troublesome and irritating footconditions if we don’t take some preventive measures.1. Antifungal lotion, powder, or spray. Regular use of theseproducts will help prevent athlete’s foot and toenail fungus, which thrive in damp, darkenvironments. Wash feet daily and dry thoroughly, especially between the toes. Wearbreathable shoes and cotton socks and change them often to help keep your feet dry.2. Proper toenail care. Painful ingrown toenails may be avoided by clippingnails straight across and level with the top of the toe.3. Shoes that fit. For men or women, footwear that fits correctly is vital to foot andoverall health. Corns or calluses or calcium growths called spurs are caused by frictionand pressure from shoes that do not fit.Not all foot conditions can be prevented. Hammertoes are caused by a shorteningof the tendons; warts are skin growths caused by viruses; and bunionstend to run in families.If you or your husband develop painful or unsightly footproblems, your physician can help. To find a physician, visitwww.memorial.org and select “Find a Physician” or call(423) 495-CARE (2273) for a physician referral.To submit aquestion, e-mailbrian_lazenby@memorial.orgor mail question toinspire magazine,Memorial Health Care System,2525 de Sales Avenue,Chattanooga,TN 37404.2 2

[ m e m o r i a l h e a l t h c a r e s y s t e m ] I N S P I R E[Question]I frequently haveheadaches, andmy wife thinks theycould be causedby my sinuses.What causes sinusproblems, and whatcan be done?[Question]I wake up four or sonights of the weekwith heartburn.Over-the-counterantacids only giveme temporaryrelief. Do I need tosee a physician?Q U E S T I O N S & a n s w e r sJack E. Greer, M.D.Ear, Nose, and Throat SpecialistJames Manton, M.D.Gastroenterologist[answer] Sinus problems are just one of the many possiblecauses of headaches. Typical sinus headaches usually beginbehind or under the eyes or in the forehead region and areworsened by bending over or straining.Sinus problems can be caused by the anatomy of the sinuses,allergies, or exposure to airborne irritants such as pollution,cigarette smoke, perfume, and chemicals, to name a few.Allergy testing can be performed by an ear, nose, and throator allergy specialist to help identify and possibly avoid someof these irritants.Most sinus headaches can be relieved with over-the-countermedications such as antihistamines, decongestants, andanalgesics. If you are unsuccessful in relieving your headacheswith OTC medications, you may need to visit your doctor formore treatment. If prescription medications are ineffective,surgery may be necessary.Surgery for Sinus ProblemsWe now have new techniques and technology that can makeyour surgery more successful and safer and speed yourrecovery. One new technique is called balloon sinuplasty. Thisinvolves using a balloon catheter to dilate the sinus openingswithout making an incision, resulting in decreased postoperativehealing time and pain. We also use a device thattracks our instruments using GPS technology and allows usto be safer in more complex sinus surgeries.Allergy season got you sneezing? To learn moreabout symptoms and treatments of allergies, visitwww.memorial.org and search keyword “allergies.”[answer] Heartburn is a very common symptom associatedwith gastroesophageal reflux disease (GERD). Heartburnthat occurs two or more times per week is considered GERD.Regurgitation of acid fluid especially after lying down or bendingover, difficulty swallowing, pain with swallowing, belching,hiccups, nausea, and vomiting may also be seen with GERD.Lifestyle modifications play an integral part of the initialmanagement of GERD, especially in patients with mild symptoms.❋ Avoidance of tight-fitting clothes, weight loss, restrictionof alcohol and smoking, not lying down for at least threehours after eating, and dietary modifications can all behelpful in controlling GERD symptoms.❋ Citric juices, caffeine, coffee, fatty or fried foods,tomatoes, onions, chocolate, and peppermint cancause reflux symptoms.❋ Elevating the head of your bed can alleviatenighttime symptoms.Medications available over the counter are useful for mild andinfrequent heartburn symptoms. Antacids are commonly used,and over-the-counter H2 blockers may also be helpful. Someproton pump inhibitors are also available over the counter.These medications may be used for a few weeks, but if symptomspersist or recur see your physician for a comprehensive analysisof your symptoms, diagnosis, and treatment plan.The Gastrointestinal Centers of Excellence at Memorial Hospitaland Memorial North Park Hospital offer patients extensivescreening, diagnostic, and treatment options. For more information,call (423) 495-CARE (2273).2 3

Nonprofit Org.U.S. PostagePAIDChattanooga, TNPermit No. 2562525 de Sales Avenue Chattanooga, Tennessee 37404Postmaster, pleasedo not forward.Ootewah Medical Office Ad_Inspire:True North Ad 4/12/10 10:20 AM Page 1Coming In June To OoltewahMemorial Ooltewah Medical Office Plaza and Imaging CenterMemorial is excited toopen a new facility inOoltewah to serve thecitizens of the community.We are pleased to offerdiagnostic imagingcapabilities such as CT,MRI, Ultrasound, andDigital Mammography.Memorial FamilyMedicine physicians willbe accepting new patientsand are able to provideyour family withexceptional medical care.Especially for WomenSatellite facilities of the MaryEllen Locher Breast Center and Memorial’s Women’s Centerwill welcome women for their annual mammograms, bone density screenings, andgynecological exams.Services at the Center—• State-of-the-Science Imaging• Memorial Family Medicine• Memorial Women’s Center• MaryEllen Locher Imaging CenterFor more information, please call (423) 495-CARE (2273)or visit www.memorial.org.