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[ Your guide to Healthy Living from Georgia Regents Medical Center ]
Summer 2013 | gru.edu/health
today
Cancer
center opens
Genetics
Clinic
Reducing teen
pregnancies
The pill cam: Who
may need it and why?
Internationally
renowned
spine center
Scan this code
with a QR code
reader to visit
our website!
INSIDE THIS ISSUE
What’s new and
noteworthy at
Georgia Regents
Medical Center?
As part of an academic health center, we are
continuously upgrading our services, technology
and outreach. Here are a few of our latest initiatives,
achievements and honors.
PAGE 3
Tips for a safe and healthy summer
PAGEs 4–5
Cancer Prevention
GRU Cancer Center opens
Genetic Center
Music therapy playing at
Cancer Center
PAGE 6
Heart-Healthy Living
Chronic inflammation
and heart disease
PAGE 7
GRU Cancer Center
commemorates 500th bone
marrow transplant
Georgia Regents nurse
named CSRA Nurse of
the Year
When people across the Southeast need
bone marrow transplants, they often depend
on Georgia Regents University (GRU) Cancer
Center’s Leukemia and Lymphoma Clinics. The
center is the only facility in our community, and
one of only a few in the Southeast, offering this
lifesaving therapy.
To commemorate its 500th bone marrow
transplant, the staff sponsored a reception
recognizing patients, families, physicians and
other caregivers involved in the bone marrow
transplant program. The event was held in the
Cancer Center on July 8.
Speakers included the first patient to receive
a bone marrow transplant at the center, the
500th transplant patient and Anand Jillella, MD, a
medical oncologist who heads the Bone Marrow
and Stem Cell Transplant Program.
The Leukemia and Lymphoma Clinics deliver
multidisciplinary, holistic care and access to
clinical trials not available anywhere else in our
area. Patients are cared for in a dedicated 12-bed
inpatient bone marrow transplant unit. To learn
more, visit gru.edu/cancer.
Georgia Regents University (GRU)
and Health System takes great
pride in staffing and educating
nurses, the keystone of the
American health care system.
We were recognized for our
achievements in nursing when
Saundra “Sandy” Turner, EdD,
RN, GRU College of Nursing
Assistant Dean for Community
Partnerships, was named Central
Savannah River Area (CSRA) Nurse
of the Year by the CSRA Chapter
of the Georgia Nurses Association.
Dr. Turner received the honor at
the 14th annual Spirit of Nursing
Showcase and banquet on May 3
at First Baptist Church in Augusta.
The event is an annual prelude
to National Nurses Week, which
begins on May 6 and ends on
May 12, the birthday of Florence
Nightingale, the founder of
modern nursing.
Focus on Women
Reducing teen pregnancies
PAGE 8
Neuroscience
World-class spine care
PAGE 9
Digestive Health
The pill cam: Who may
need it and why?
PAGES 10–11
Family Health
Common eye symptoms
Understanding acne
PAGE 12
In the News
Meet a child champ
The material in Your Health Today is not intended for
diagnosing or prescribing. Consult your physician before
undertaking any form of medical treatment.
For more information, please call 800-736-CARE (2273) or
visit our website at gru.edu/health.
[ 2 ]
gru.edu/health
Copyright © 2013 Georgia Regents Health System
Images on any of these pages may be from one or more of these sources: © 2013 Thinkstock and © 2013 istockphoto.com.
now hear this! prevent
swimmer,s ear
ear is a painful infection in the outer ear canal and is often caused by
[ S] wimmer’s
water that remains in children’s ears after swimming. To prevent swimmer’s ear:
• Give your child wear earplugs for swimming.
• Dry your child’s ears with a towel or a hair dryer on a low setting after swimming.
• Use eardrops based on isopropyl alcohol, or use a 1-to-1 mixture of isopropyl alcohol
and white vinegar, unless your child has ear tubes.
• Don’t use cotton swabs in your child’s ears.
Common
(sun) sense
can occur very quickly, and they increase the risk of skin cancer. To protect
[ S] unburns
your family, avoid the sun between 10 a.m. and 3 p.m., and when outside seek
shade when possible. Wear sunscreen with a sun protection factor of 30 or higher and
apply it generously. Wearing hats, protective clothing and sunglasses when outdoors will
also help block out the sun’s rays. Keep babies younger than 6 months of age out of direct
sunlight. Stay away from tanning beds and be aware of sun-sensitizing medications.
Tips for a safe
and healthy summer
Sunburn:
When to see a doctor?
your doctor if you experience a sunburn with blistering that covers a large
[ S] eeportion
of your body or is accompanied by a high fever, extreme pain, headache,
confusion, nausea or chills. If your sunburn does not respond to home care within a few
days, call your doctor. Blisters can increase the risk of infection, so seek medical care if you
notice increasing pain, tenderness or swelling. Yellow drainage or red streaks leading away
from an open blister should receive medical attention right away.
grillin’
guidelines
cooking is a rite of summer, but understanding food-safety guidelines
[ O] utdoor
is important to keep the party going. When grilling, use a meat thermometer
to make sure that you cook meat and poultry thoroughly. This includes ground beef.
Avoid cross-contamination by putting cooked meat on a fresh plate instead of back
on the plate that held the raw meat. Always make sure to wash hands, work surfaces
and utensils with hot, soapy water right after they come into contact with raw meat
or poultry. Keep cold foods cold and hot foods hot. And when you’re done, refrigerate
leftovers promptly.
gru.edu/health
[ 3 ]
cancer prevention
Easing
family fears
[I]
• have a rare cancer or unusual
tumor
• have two or more primary cancer
diagnoses
“We begin by discovering familial
patterns through a detailed history,”
says Mallory Hire, MS, CGC, genetic
f you have a family history
of cancer, you may think you
have a genetic link to the disease.
In truth, only about five to
10 percent of all cancers have a
hereditary link. But patients with
those genes may be five times more
likely to develop cancer.
To serve these patients, Georgia
Regents University (GRU) Cancer
Center has opened the area’s first
The caring professionals
at our dedicated
Genetics Clinic help patients
discover—or rule out—a
family link to cancer. This can
provide peace of mind and
allow families to take active
steps to reduce their risks
for cancer.”
– Dr. Samir N. Khleif, director
of the GRU Cancer Center
and testing, if necessary, and take
steps to reduce their risk.
Genetic counseling:
The first step
You and your family may benefit
from genetic counseling if you:
Genetic testing
Depending on those patterns, genetic
testing may be an option. The simple
blood or saliva tests determine if
patients have a genetic mutation that
increases their risk of cancer.
“We then counsel patients and
families with hereditary genetic
mutations, and help provide
dedicated Genetics Clinic. It allows
patients to access genetic counseling
counselor at the GRU Cancer Center.
• have family members diagnosed
with cancer at age 50 or younger
• have multiple close family
preventive and supportive services,”
says Hire.
For example, women born with the
members with the same type of
BRCA1 or BRCA2 gene mutation are
cancer or related cancers
at increased risk of early breast or
ovarian cancers as well as increased
risk of colon and skin cancer.
“We help these family members
review their options, which include
more frequent screenings, drug
therapies or even surgery,” says
Hire. “Our role is not to make
decisions for families, but to give
families the information they
need to make informed
decisions.”
Call today!
To schedule an appointment or to
learn more, call 706-721-1314.
[ 4 ]
gru.edu/health
A dose of music
GRU Cancer Center offers music therapy
[M]
usic has long been
considered a healing
art. The ancient Greeks believed
it could mend body and spirit.
Native Americans chanted during
healing rituals, and the Veterans
Administration used it to treat
patients suffering from “shell
shock” in World War II.
Scientific evidence now suggests
that music can indeed promote
healing, help relieve pain and foster
well-being, giving birth to a specialty
called music therapy.
patients and their families as well
as other local musicians, will
as three group sessions each week.
perform weekly in the lobby of the
and other integrative therapies
“People really come alive in these
Cancer Center.
as part of our holistic approach to
sessions,” he says. “Music just seems
care,” says Samir N. Khleif, MD,
to open doors for cancer patients and
hopes to launch a formal music
director of the Georgia Regents
let them connect with their feelings
therapy program where students will
University (GRU) Cancer Center.
and express themselves.”
work closely with cancer patients.
“We believe in the power of music
And, by fall 2014, the university
“In addition, we’re working with the
Montgomery also works with
“The partnership between the
Summerville campus to make these
patients in the infusion center,
liberal arts and health care at the
disciplines available to the people
helping them overcome pain, anxiety
University will also allow researchers
we serve.”
and discomfort during chemotherapy.
to examine the role of music in
controlling pain and other cancer
Medical music
The music therapy program is
Partnering with GRU’s
music department
led by Stephen Montgomery, a
The program demonstrates how
board-certified music therapist.
collaborations between the medical
Montgomery uses both musical and
and Summerville campuses can
psychological skills to help patients
benefit patients, students and
deal with the stress, fear and pain
the community.
of cancer.
He offers one-on-one consults with
Students and faculty from the
GRU Music Department, as well
symptoms,” says Dr. Khleif.
Let music
help heal you
To learn more about music
therapy at the GRU Cancer
Center, contact Stephen
Montgomery at 706-721-0550 or
[email protected].
gru.edu/health
[ 5 ]
Heart-Healthy living
Chronic
inflammation and
•E
at a healthy diet rich in fruits
and vegetables. Eliminate trans
fats and reduce saturated fats
found in red meats, butter and
heart disease
other products.
• Exercise regularly.
•R
educe stress and get plenty of
sleep.
• Lose weight, if needed.
Is there a connection?
[I]
•D
on’t smoke and avoid
secondhand smoke.
Use of certain medications,
f you suffer a cut or burn,
sedentary, tend to have higher levels of
particularly statins, may help to
your immune system responds
inflammation. “If you’re overweight,
prevent heart attack or stroke in
with inflammation to protect the
particularly in the midsection, you’re
patients with elevated inflammatory
area from bacteria. While the
at increased risk of having high blood
markers, even when cholesterol levels
resulting swelling and redness may
pressure, insulin resistance or high
are normal.
be unattractive, this is an example
triglycerides that are caused in part by
of good inflammation because it
inflammation,” Dr. Litwin says.
contributes to healing.
But chronic inflammation in the
“Good health habits can reduce
inflammation and possibly lower your
risk for heart disease and stroke,”
Take heart!
body may cause tissue damage rather
Fortunately, the following lifestyle
than promoting healing. A growing
changes can help reduce or prevent
body of evidence indicates that
chronic inflammation:
Dr. Litwin says.
inflammation may be a contributing
factor to heart disease.
How does inflammation
affect the heart?
“Chronic inflammation may contribute
to the formation of plaque in the
walls of blood vessels. Perhaps more
importantly, inflamed plaques are
more likely to become unstable and
to become the site of clot formation.
This is the situation that most
Practice risk reduction
commonly leads to a heart attack or
Many first heart attacks and strokes are fatal, so it’s important to know your risks. At
Georgia Regents Heart & Cardiovascular Services, specialists in interventional cardiology,
coronary artery disease, congestive heart failure, electrophysiology, cardiac imaging and
open-heart surgery work as a team to diagnose and treat the full range of cardiovascular
diseases.
To schedule an appointment, call 706-721-2426.
stroke,” says Sheldon Litwin, MD, a
cardiologist at Georgia Regents Heart
& Cardiovascular Services.
People with poor health habits,
especially those who are obese or
[ 6 ]
gru.edu/health
focus on women
teen health clinic
Reducing teen pregnancies
[T]
een pregnancies can
derail young lives, affect
We Are Change consists of
The clinic is held in the Women’s
11 youth-serving organizations and five
Center on the 5th floor of the Georgia
subsequent generations and take a
clinical partners in the county. They’re
Regents Medical Office Building
social and economic toll.
working together to implement
at 1447 Harper Street. Walk-ins
The good news is that U.S. teen
“evidence-based” programs proven
are welcome.
pregnancies have declined in recent
to reduce teen pregnancies, some of
years. The bad news? Rates remain
which go beyond teaching abstinence.
high across the South, and they’re
“We offer teen-friendly, confidential
services such as education, STD
screenings and treatments and birth
particularly high in Richmond
A Teen Health Clinic
control counseling and services at
County.
Georgia Regents Women’s Center
reduced fees,” says Dr. Latif, the
is sponsoring a Teen Health Clinic
clinic’s director. “Birth control
twice as high in Richmond County
“Teen pregnancies are almost
three days a week from 3 to 5 p.m., so
options include everything from
as they are nationally,” says Erin
teens can access the care they need.
abstinence to pills to the longer-lasting
Latif, MD, an Ob/Gyn at Georgia
contraceptives recommended by the
Regents Women’s Center.
American College of Obstetricians and
A coalition to protect teens
The Centers for Disease Control and
Prevention is funding a campaign
called “We Are Change” to reduce the
county’s rates by 10 percent by 2015.
This program is administered by the
Georgia Campaign for Adolescent
Power and Potential, which works to
improve the health and well-being of
Georgia’s youth.
Teen pregnancies by
the numbers
In 2010, the teen pregnancy rate was:
• 34.2 per 1,000 in the United States
• 37.7 per 1,000 in Georgia
• 66.5 per 1,000 in Richmond County
Know your options
To schedule an appointment at the
clinic, call 706-721-1567.
Gynecologists (ACOG),” she says.
New recommendations
The ACOG now recommends that
physicians point teens seeking birth
control toward intrauterine devices
(IUDs) or hormonal implants. “These
have proven to be more effective at
preventing teen pregnancies since
they don’t have to be taken daily,”
says Dr. Latif.
gru.edu/health
[ 7 ]
neuroscience
Get back in action
At our world-renowned spine center
[B]
Comprehensive care
and therapy
The team offers both traditional and
minimally invasive spine surgery as
well as:
ack problems can turn
in both neurosurgery and orthopaedic
your life upside down,
surgery and directs the Spine Center.
causing pain and disrupting your
“This includes revision surgeries
normal activities.
for patients who had a poor surgical
The staff at Georgia Regents Spine
Center can get to the bottom of your
outcome elsewhere.”
The center’s neurosurgeons work
• spinal embolization to stop the
flow of blood to tumors
• Gamma Knife surgery to treat
tumors or lesions with radiation
• spinal stimulators/drug pumps to
relieve pain
• physical and occupational therapy
problem and deliver medical and
closely with general neurologists,
surgical care for virtually every type of
something that is not always the case,
spinal problem.
to help in the diagnosis of unusual
Specialized neuroimaging
neurological conditions and identify
Neuroimaging is performed by
A nationally recognized
referral center
nonsurgical treatment options first.
a highly trained team following
“Many people don’t realize that we
serve as a national and international
Treating virtually every
spinal condition
referral center for highly complex
Dr. Choudhri and his colleagues treat:
cases that are extremely difficult to
diagnose and treat,” says Haroon
Choudhri, MD, a spine surgeon who is
board-certified and fellowship trained
strict protocols and using the most
• c ervical, thoracic and lumbar disc
disease
advanced imaging equipment on
the market.
“This ensures exceptionally clear,
high-quality CT scans and MRIs
for more accurate diagnoses,”
• s pinal and spinal cord tumors
• c ongenital defects
• scoliosis
• spinal infections
• herniated disks
• f ractures and spinal
Dr. Choudhri says.
A weekly spine conference
A weekly spine conference lets
neurosurgeons discuss in-house cases
and review complex spinal cases,
injuries
which have been referred from as far
• degenerative spinal
away as Kuwait. “These conferences
diseases such as cervical and
give us invaluable experience that
lumbar stenosis
we pass on to other patients,” says
“We also have a dedicated
Dr. Choudhri.
neuroanesthesiologist. This
allows us to perform more
sophisticated procedures,
including revision surgeries,”
Dr. Choudhri says.
[ 8 ]
gru.edu/health
Don’t live in pain
To schedule an appointment,
call 706-723-0115 or visit
gru.edu/spine.
digestive health
Capsule
endoscopy
A camera in a pill
[W]
hen brenda williford
of Garfield, Ga.,
awoke with stomach pain and
gastrointestinal bleeding one Sunday
morning, she and her husband
headed for Georgia Regents Medical
Center. “I had a very good previous
experience there, and never want to
go anywhere else,” Brenda says.
After emergency care, Brenda’s
physician began a series of tests to
discover the cause of her bleeding.
When none of the traditional
tests identified the problem,
Sherman Chamberlain, MD, a
Digestive problems?
The Georgia Regents Digestive Health Center staffs the largest team of gastroenterologists
and hepatologists in the area, offers the widest range of tests and treatments and serves
as a national referral center. It also operates specialty clinics for:
• motility disorders
• GERD/heartburn
pelvic
floor
disorders
•
• irritable bowel syndrome
• lactose and fructose intolerance
• gastroparesis
• dysphagia (difficulty swallowing)
• constipation
To schedule an appointment, call 706-721-9522 or to learn more visit
gru.edu/digestivehealth.
gastroenterologist at Georgia Regents
Digestive Health Center, suggested
tract. The images were transmitted
A diagnostic marvel
capsule endoscopy.
to a small wearable recorder for
In addition to obscure GI bleeding,
Dr. Chamberlain’s review. The pill
the pill cam can be used to diagnose:
The diagnostic procedure uses the
“pill cam,” a vitamin-sized pill that
contains a tiny wireless video camera.
itself is not retrieved.
“The pill cam is the gold standard
The test allows physicians to view
for diagnosing disorders of the small
the inside of the small intestines, an
intestine, when traditional GI work-
area that can’t easily be reached with
ups fail to find the problem,” says
conventional endoscopy.
Dr. Chamberlain.
The images showed that Brenda’s
• inflammatory bowel disease
• tumors in the small intestine that
may be difficult to find
• complications of celiac disease, or
gluten intolerance
• polyps, especially in people
who have inherited polyposis
An accurate diagnosis
bleeding was caused by small bowel
Brenda swallowed the pill, and the
diverticulosis. Brenda had surgery to
camera took thousands of pictures
remove that area of the bowel, and she
everyone involved was just great,”
as it traveled through her digestive
has experienced no further bleeding.
Brenda says.
syndromes
“The test was very easy and
gru.edu/health
[ 9 ]
Family health
or detachment that requires care,”
Dr. Nussbaum says.
Halos and glare
Halos are bright circles that appear
around a light, such as oncoming
headlights. Glare is light that enters
your eyes and interferes with your
vision. Both can be uncomfortable
and temporarily impair your vision.
Common eye
problems
Floaters, glare, halos and twitching
[M]
Halos and glare can be signs of
cataracts, diabetes or a deficiency
of vitamin A or zinc. And they may
occur after LASIK surgery or sunlight
exposure. If halos and glare are
ongoing, Dr. Nussbaum suggests you
see an ophthalmologist.
Twitching
Many people also experience
occasional involuntary twitching of
ost people experience
Dr. Nussbaum recommends you see
occasional problems with
an ophthalmologist if you experience:
the eyelid.
Common causes include alcohol or
their eyes, but it can be difficult to
• more floaters than usual
caffeine, bright lights, irritation of the
know when to see a physician for
• a sudden onset of new floaters
• flashes of light
• a loss of peripheral vision
eye, lack of sleep, smoking and stress.
“These could indicate a retinal tear
see your physician if:
these problems.
Julian Nussbaum, MD, an
ophthalmologist at Georgia Regents
Floaters
You may have noticed black or gray
specks, strings or spots that drift
across your eyes. Known as floaters,
most are caused by age-related
changes that happen within the
gel-like vitreous inside your eyes.
Microscopic fibers in the vitreous
clump together, creating tiny
shadows on the retina.
Most floaters are harmless, but
[ 10 ]
gru.edu/health
own within a few days or weeks. But
• the twitching continues longer
Medical Center, shares some
information.
Eye twitching usually subsides on its
Take care of
your eyes
Georgia Regents Eye Care Associates
cares for:
• cornea and external diseases
• glaucoma
• neuro-ophthalmology
• retina and vitreous problems
To make an appointment with
Georgia Regents Eye Care Associates
today, call 706-721-2020 for downtown
or 706-651-1291 for the Washington
Road office.
than a few weeks
• your eyelid closes completely with
each twitch, or it’s difficult to
open your eye
• twitching happens in other parts
of the face
• your eye is red, swollen or has a
discharge
• your eyelids droop
Many eye diseases can be treated if
caught early. Protect your vision and
eye health through regular dilated
eye exams.
Understanding acne
Prevention, home care and treatments
[A]
cne is annoying at best.
At worst, it can cause
emotional pain and scarring.
Luckily, there are effective
• premenstrual women
• pregnant women
• p eople who use
certain medications,
treatments for acne. “And the
including
sooner they’re used, the lower
corticosteroids,
the risk of psychological distress
androgens or lithium
and lasting physical damage,”
“Despite popular
says Janis Coffin, DO, medical
belief, acne isn’t caused
director at Georgia Regents Family
by greasy foods and
Medicine Center.
chocolate or dirty skin,”
Dr. Coffin says. In fact, studies show
What causes acne?
that dairy products and carbohydrate-
Acne erupts when hair follicles
rich foods like bread may trigger acne.
• not picking or squeezing
are clogged with oil, dead skin and
possibly bacteria. It may appear
Home care may be enough
blemishes. This may cause
under the skin as blackheads or as
Light or moderate cases of acne can
scarring.
slightly raised, skin-colored bumps
often be controlled by home care,
called whiteheads.
such as:
Most common on the face, neck,
• g entle washing with a mild
When to see a doctor
“If your acne persists, becomes
chest, back and shoulders, acne can
cleanser. Don’t over wash or
inflamed or is particularly
be amazingly persistent and very
scrub the skin, and avoid facial
distressing, see a dermatologist,”
slow to heal. And, as soon as one spot
scrubs, astringents and masks
Dr. Coffin says. He or she may
clears up, another often erupts.
that may irritate the skin.
recommend:
• u sing over-the-counter acne
• over-the-counter or prescription
Who is at risk?
lotions designed to dry excess oil
medications, including antibiotics,
The condition is often provoked or
and promote peeling of the skin
medicines containing Retin-A or
aggravated by hormonal changes
and most often occurs in:
• teenagers
• a voiding oily, greasy irritants
in cosmetics and sunscreens.
Look for products that
are labeled “water-based”
Keep your skin
healthy
To schedule an appointment
with a dermatologist, call
706-721-CARE (2273).
oral contraceptives
• laser or light therapy, to reach
the deeper layers of skin
• cosmetic procedures, such
on “noncomedogenic.”
as chemical peels and
Noncomedogenic products
microdermabrasion
do not clog pores.
• k eeping hair, hands and objects
off your face.
Your dermatologist may also
be able to perform procedures to
diminish the scars left by acne.
gru.edu/health
[ 11 ]
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Augusta, GA 30912
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Permit No. 115
Connect to Georgia Regents Medical Center
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In the news
Children’s Miracle Network names
Emma Taylor a 2013 ‘champ’
[S]
ix-year-old emma taylor
needed for treatment, recovery and
medical challenges she faces, made
was officially named the
the care of children,” says Catherine
her the perfect choice for the 2013
champion her caregivers at Children’s
Stewart, CMN development officer.
CMN Hospitals Georgia Champion.
Hospital of Georgia have long known
Since 2010, when she was first
Emma and her parents, Jeremy
her to be.
Emma was chosen as the 2013
admitted to the Children’s Hospital
and Nikki Taylor, will accompany
of Georgia, Emma has fought a rare
champions from other states on
Children’s Miracle Network (CMN)
condition known as mitochondrial
an official ambassador trip to
Hospitals Georgia Champion. As such,
disease with grace, charm and humor.
Washington, DC, and Orlando, Fla.,
she will serve as a fundraising and
Because of the disease, Emma’s
awareness ambassador for Children’s
cells cannot efficiently turn sugar
Hospital of Georgia and other
and oxygen into energy. She is unable
hospitals in the CMN.
to walk or even stand on her own,
CMN Hospitals raises funds for
has lost her fine motor skills and has
170 children’s hospitals across North
seizures. Unfortunately, the disease
America. Every year, they identify a
is progressive and there is not yet
child with a remarkable medical
a cure for it.
story from each state to serve as
that state’s champion.
Emma was a natural choice for
But that doesn’t stop
Emma’s infectious laugh, high
spirits and delightful singing,
Georgia. “Emma illustrates the
often inventing lyrics as she
impact Children’s Hospital of Georgia
goes along.
has on children and families, and
demonstrates why donations are
Her oversized personality,
combined with the unique
this fall.