Fall Health and Wellness 2022

Chris
Sikes
is living out
her mission
to give back
a special publication of
Houston Home
The Journal
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Health &
Wellness
2022
22
NOW WHAT?
Your pregnancy is over and
the baby is born, yet the
journey has just
begun.
8
CHRIS SIKES
With 20 years in public
health, Chris Sikes is living
out her mission to give back.
16
THE NEEDS
OF TEENS
Bridging the gap between
adolescence to adulthood,
teens have specific needs.
26
MAKING
PRETTY PLATES
Premium nutrition is the
key to growing strong
and healthy children.
4

G
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•
•
•
•
PUBLISHER
Cheri Adams
cadams@hhjnews.com
ADVERTISING
Lori Kovarovic, Advertising Manager
lorik@hhjnews.com
Nathan Mathis
nmathis@hhjnews.com
published by
HOUSTON HOME JOURNAL
A division of the Dublin Courier
Herald Publishing Company
1210 Washington Street
P.O. Box 1910
Perry, GA 31069
478-987-1823
www.hhjonline.com
CREATIVE
Kayley Trischan
Angela Barentine
PHOTOGRAPHY
Cover Photo • Kasey Enckler
WRITERS & PHOTOGRAPHY
Will Oliver • Managing Editor
woliver@hhjnews.com
Brieanna Romero
bromero@hhjnews.com
Tyler Meister
tylerm@hhjnews.com
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6

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8

STORY BY WILL OLIVER | PHOTOGRAPHY BY KASEY ENCKLER
‘There are no two days that are exactly alike’
Nurse Manager Chris Sikes
speaks on 20 years in public health
WWhen Chris Sikes was in high school,
she was diagnosed with Osteosarcoma. While
receiving her chemotherapy treatments at Egleston
Children’s Hospital in Atlanta, she became
close with some of the nurses on staff
there.
“Those nurses really poured
their heart and soul into helping
me get better and helping
my family,” Sikes said. “And
also, the outpouring of support
that I got through
my school, through my
friends, through just
random people in the
county, really made me
appreciate everything
that I have, and I just really
wanted to find a way
to give that back. So, giving
back through service
was the best way that I could
think of.”
“I
can’t
imagine
doing anything
other than this; I
absolutely adore public
health, and that is the
only thing that I can
ever see myself
doing.”
Sikes has lived in the county since
she was five years old, so she said it made
sense for her to serve the community she has
grown to love the most. She said in her family
there was a kind of tradition of nursing,
as she remembered learning from and seeing
pictures of her grandmother during her
days a Navy nurse in the 1920s.
Graduating from nursing
school from what is now Georgia
College and State University
in 1995, she worked with
Houston Healthcare for a
couple of years. She ended
up wanting to pursue
something where she could
have longer-term relationships
with patients and
combine aspects of teaching
with nursing, eventually
landing on what has become
her current field of public
health.
Sikes has worked in public
health for two decades and currently
serves as the nurse manager responsible
for clinical services at the Houston County
Health Department. She has served in her
current role for 13 years.
“I found my way to public health, and
I’ve been here for 20 years,” Sikes said. “I
can’t imagine doing anything other than this;
I absolutely adore public health, and that
is the only thing that I can ever see myself
doing.”
9

She said happy and high moments
happen daily for her, adding that one of her
favorite themes that comes along with the job
involves making a patient’s day better.
“The theme that I love the best is to
see a patient that maybe comes in and is in
a bad spot — and sometimes they are — or
maybe they just don’t feel like they have any
answers or don’t know which way to go,”
she said. “They’re able to leave here with a
great, big smile on their face, and they have
resources, or they have gotten the help that
they need.”
Another responsibility of the health
department includes sheltering hurricane
evacuees.
“One of my favorite memories is at
the end of a hurricane response, helping
everybody get loaded back up on their buses
— knowing that we were sending them back,
their homes had been checked and watching
about five buses pull out, waving goodbye,”
she added. “That was always something that I
will think about.”
She elaborated on her role as nurse
manager, saying it is her job
to take information from
higher-ups from the district
and state and localize them
for area public health entities.
She is also in charge of
addressing the health needs
of the community by maintaining
relevant partnerships
with local law enforcement,
local hospitals and Robins
Air Force Base among other
organizations.
Sikes listed out some
aspects of the clinic she was
proud of, saying the efforts
to make them happen was
a team effort through and
through.
One of the largest tasks
for public health personnel is
immunizing children against
vaccine-preventable diseases,
she said. This can involve auditing
immunization records
for daycares as well as public
and private schools in the
county.
These efforts also
involve vaccinating schoolchildren
who want the shot
during flu season.
10

11

12
Children are also welcomed to come to the
health department clinic for wellness physicals and
reproductive health education.
A monkeypox vaccine clinic is available on
Tuesdays from 8 a.m. to noon for pre-registered patients
that have risk factors for developing the viral
disease.
A dental health clinic is available as well as a
mental health clinic in partnership with Mercer University
to provide free family therapy. A nurse practitioner
works part time for treating mild to moderate
mental illnesses.
A prenatal clinic is available at a low cost for
women with insurance complications. First-time
pregnant moms can take advantage of free home visiting
services up until the baby is two years old.
During the pandemic, the health department
utilized a mobile testing option as well as carside
dental assistance to provide antibiotics and keep cases
of dental abscesses out of the hospital emergency
room until adequate service was available.
Looking for a career in public health? Sikes
said, “there are no two days that are exactly alike.”
“What they can expect is
to form relationships with some
patients that may last years — you
may see generations of families
or help generations of families,”
Sikes explained. “In addition to
diversity, they should expect a
really great education through
training.
“I think public health is
one of those places that provide
a lot of training, and it’s really
high quality and it’s really diverse
training. They should expect to
see duties and jobs that they may
not have always thought of as a
nursing position. So, it is definitely
a career to get them to step out
of their comfort zone, but they
will be enriched by a lot of different
experiences.”
She elaborated on how the Houston
County Health Department sets itself apart from
other similar organizations.
“In my heart, I believe that what sets us
aside is that somehow the stars have aligned and
every single person who works in this building, I
have never worked with a better team of people
who are 100% dedicated when they are here and
even outside of work, they are 100% dedicated to
doing what they do,” she said.
The people who work at the department
also live nearby, so they have a vested interest in
the community, Sikes added.
The staff working with Sikes includes
registered nurses, nurse practitioners, a relevant
part-time role, health educators, administrative
staff, a full-time dentist, a full-time dental hygienist
and a dental assistant.
Sikes said she loves to travel as well as
work in the yard during her free time. Her husband,
Jody, is a teacher at Thomson Middle
School. They have two sons, Adam and Brian.
The Sikes also have two dogs, Jedi and Leia.
to
F
k
m
w
c
b
p
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The Needs
.............
NNo ifs, ands or buts, being a teenager is difficult. These recent prepubescents have
a lot going on, venturing into newfound knowledge about themselves, navigating expectations
that may be placed onto them and balancing their current worldview with things
they have learned in the past and the things they know are coming in the future. In all this
newness, the changes to their body, alterations to social expectations and shifts in self-image
— sometimes they need a little help. The Journal spoke with County Nurse Manager
Chris Sikes to get some pointers.
“Children that age are becoming more aware of their bodies, they have a better
understanding of how their bodies work from their childhood experience,” Sikes said.
“They’re learning more in school, they’re learning more about their bodies — they’re finding
out that their bodies are doing these things, and they’re going through periods of rapid
growth and development during that time — physical, social and emotional growth at the
same time. They’re becoming more aware of themselves as a human in all of those
areas. You have to keep in mind all three of those things — mind,
body and spirit — when addressing teen health
because all of those things
play a role.”
16
STORY BY TYLER MEISTER....................

..............
Of Teens
Starting with physical changes, Sikes tells us the physical changes that an adolescent
goes through are mostly obvious: their bones and muscles are expanding, their organ systems
grow, their facial structure changes. Teens begin growing hair in new places, and they
begin experiencing “sexual maturation.”
With all these changes comes a stress that many children might have never faced:
as their body grows and changes, their self-image may change too. They are no longer the
soft-faced, small child they were — they shot up three feet, their features have sharpened to
show a chin and cheek bones, and sometimes they have not quite grown into their limbs.
This is just one of the aspects that can play into a teen’s mental health. As teens grow older,
they gain brand new experiences — autonomy, hormone changes, social pressures, facing
the future, staying ahead in school — all things that add to the pile and can create stress.
The brand-new social aspect of being a teen can compound this. You are talking to more
people, making deeper connections with friends, potentially even getting into romantic
relationships for the first time. Meanwhile you are taking on more
responsibility at home, getting a job and ordering your
own pizza. Quite suddenly, the world has
opened up.
...............PHOTOGRAPHY BY TYLER MEISTER
17

These three
aspects — physical,
emotional and social wellbeing
- are all interconnected,
and all of them require care.
The Houston County Department
of Public Health (DPH)
provides a number of services specific
to teens, some of them even free or
anonymous in some cases.
Three
aspects: physical,
emotional and social well-being...
are all interconnected, and
all of them require care.
Specific to women’s health, the health department provides physical assessments and contraceptives as
well as hygiene products and woman may need.
DPH provides full body and sports physicals as well as STD testing. They also speak with teens about
sexual risk and reproductive factors and can visit schools upon request. They also provide birth control, condoms,
pregnancy testing and counseling.
In collaboration with Mercer University, the health department also offers free family counseling via one of
their students.
DPH also provides dental care, immunizations and a litany of other services available to teens.
Finally, for any teen looking to ask health professionals questions specific to their bodies, advice on
dating, relationships or “risky” behaviors, the Department of Public Health offers a free, anonymous text line
for teens. The free text line number is: (478) 957-7858.
“We do everything we can when a teen comes here to respect their privacy, and to protect their
privacy,” Sikes said. “We make teens a priority - if a teen needs us, we will do everything
in our power to get them in and get them seen at a time that is convenient, that doesn’t
require them to miss school or anything like that. We will make their visits a priority
on holidays and after school, so they can reach us when they need to.”
18

19

Teresa Vickers, N.P.

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So, you’ve had
a baby...
Pediatrician Kimberly Coker
breaks down the ins & outs of
infancy development by using
developmental surveillance.
22

NOW WHAT?
NOW WHAT?
NOW WHAT?
It is a moment new parents spend
nine months of their lives preparing for.
Their baby has arrived, and after they take
them home, they will grow and develop as
time goes on.
What should new parents look out
for? Dr. Kimberly Coker, a pediatrician for
Primary Pediatrics in Bonaire, broke it down.
She explained that as time goes on,
parents should look out for developmental
delays in infancy. She further explained
that pediatricians also look out for delays in
motor development and social development
during check-ups as well.
“In each one of those we do developmental
surveillance,” she explained. “We
ask questions on what is developmentally
accurate for that age.”
What does the typical timeline look
like? Coker explained that also.
Keep in mind as a child grows
and develops, consulting
with a pediatrician will assist
parents in figuring out if their
children are hitting milestones
in a timely manner.
At two months, babies will be
checked for “head lag,” meaning that their
head should not be slumped over when
standing upright.
At four months, babies should be
able to smile when somebody smiles at them
and be able to make eye contact. Also, at four
months, parents are encouraged to place babies
on their stomachs to help them become
stronger in holding up their heads.
At six months, there should be no
more head lag and babies should be able to
roll over and make efforts to sit up and crawl.
Socially, they should be able to smile and
babble.
At nine months, babies should be
able to walk a few steps while holding onto
furniture and continuing to babble.
At 12 months, they should be able
to take steps and talk directly to parents
by saying things like “ma-ma” or “da-da.”
They should also be able to transition out of
breastfeeding.
At each checkup, pediatricians will
also track a baby’s growth by measuring their
height, weight and head circumference.
STORY BY BRIEANNA ROMERO | PHOTOGRAPHY BY BRIEANNA ROMERO
23

24

“If they jump up too high or fall off the growth
curve, then it could be signs of a hormonal problem, or
they’re not taking in enough calories, things like that,”
Coker said. “We also plot their head circumference and
that gives us an idea of how their brain is growing. So,
if their head suddenly grows dramatically compared to
the last visit, it could be a problem with the brain, or if
it stops growing over a couple of visits, that could be a
sign the brain is not growing.”
Dr. Coker explained that developmental delays
could indicate disorders such as autism, but also
assured parents that isolated delays may not be wholly
indicative of autism. A pediatrician can help parents
determine development with their child’s personal
situation.
“As they get older, frequently children with
autism will have some sort of developmental delay,” she
explained. “Often, it’s like, they’re not talking; they’re
not saying any words. We’re getting to 18 months, and
they won’t say ‘ma-ma, da-da’ or anything.”
She also explained that children with autism
might not point to objects as well. She said that checking
in on milestones helps to catch delays early, and if a
child is diagnosed with something like autism, doctors
can intervene earlier and refine the diagnosis as time
goes on.
“Basically, we get them plugged in with different
therapies, so it helps them,” Coker said. “And
the earlier they start with the therapies, the better the
outcome is. They’re able to cope with the world a lot
better.”
To assist in development, Coker advised parents
to talk and interact with their baby by speaking,
singing and reading to them.
“From infancy on, even if they can’t talk, or
you don’t think they can understand you, just having
that human interaction will go a long way towards
furthering their development,” Coker said.
She also encouraged parents to download a
milestone tracker app that can track their child’s development
and bring up concerns to their pediatrician.
A full list of developmental milestones can be
found on the American Academy of Pediatrics’ website:
healthychildren.org/english/ages-stages/baby/Pages/
default.aspx
25

Making P
PLAT
Children grow, and they do it
fast. One day, they are so small you
can carry them with one hand alone,
and the next — 12 years later — it is
likely they could be as tall as you. But
that is what they are supposed to do,
right?
As adults, we go to work, we
create a safe environment, we cultivate
a space where our children can
live and play — and just as importantly
— grow to be adults themselves,
thus embracing the cycle.
26
STORY BY
TYLER MEISTER

Pretty
TES
But for a kid to do that, they
need fuel: the premium stuff, not just
unleaded. While teachers work to
make sure their intellect grows with
English and Mathematics, parents
work to ensure their children grow
to be moral, independent individuals.
They also need food.
As many a parent has said,
good food makes kids grow big
and strong. Fruits, veggies and lean
meats. They are all a part of the plate
that provides the needed nutrition.
PHOTOGRAPHY BY
TYLER MEISTER
27

We spoke with the Houston County
Board of Education’s very own Director of
School Nutrition Meredith Potter for the details.
Potter is a registered dietician and is entering
her 14th year of school nutrition. She said she
has found her home in what she does.
“A healthy diet for kids of any age just
requires balance,” Potter said. “Certainly, that’s
difficult sometimes, to get kids to eat different
foods.
“Introducing food that may not be as
common to the kids, along with food they’re
comfortable with, can increase the chance they’ll
try something new. Also, we’ve found that when
other kids choose something in the lunch line,
their friends are more likely to try something
new, too. Sometimes it’s easier for kids to select
new and different foods at school than it may be
at home, because they have their friends around
them who may be trying it.”
Difficulty aside, Potter cites the USDA’s
MyPlate, calling it “the model for anyone’s diet.”
It includes grains, dairy, proteins, fruits and
vegetables.
“Lean meats — chicken, ham — along
with the fresh green beans we have today, and a
side of fruit, paired with milk and a whole grain
roll,” Potter said. “That would be an example of
something that would be a great option for kids.”
Children, and even adults for that matter,
aiming for a balance among these food groups
will find themselves eating a healthier diet. For
many children, two of their three meals during a
school year come from the school itself.
Potter said they are on the job to serve
30,000 meals a day, and all of them are made to
provide health and nutrition to the children in
their care, offering hot meals, salads and a variety
of fruits and veggies.
28

“Our main job as school nutrition,
and as a part of the educational system, is to
support students,” Potter said. “Our main job
is to make sure breakfast and lunch are an
exciting and enjoyable time of the day. We
want to make sure when kids report to school
in the morning and during the day, they have
the nutrition they need to be ready to learn.”
Incorporating a healthy balance of
these foods is not always easy. Aside from
the time and money it takes to prepare some
things, there is the added challenge that maybe
a child does not want to try a specific food,
or maybe they did try it but did not enjoy it.
Potter suggests getting creative, finding new
recipes via Google or Pinterest and maybe
preparing the food differently next time
around.
“I think that it’s important to know,
if [you] try a different fruit or vegetable and
the child is not receptive to it the first time,
don’t give up, try again,” Potter said. “It’s also
a good point to try preparing it in a different
way. If you try carrots and the child doesn’t
love them, maybe cooked carrots would be a
different option. Some kids are more geared
to like the fresh vegetables, and others are
geared to like the cooked and prepared vegetables.”
Maintaining a healthy balance can be
difficult — but it’s not impossible. For more
information on what foods to look out for,
how to set balance, and even next steps, visit
www.myplate.gov, or download the MyPlate
app via your app store.
29

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