Transcript
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BE
July/August 20
TOPDOCS
Are dentacavitie
contagious
Whe
allergie
& asthm
attac
4
Meet SoutheastTexas best
SPECIALREPORT
SPECIALREPO
RTSPE
CIALREPORTSPEC
IAL
REPORT
SPECIALREPORT
SP
ECIALR
EPORT
Shouldyou beeating
gluten-free
?
self tannersto avoidOompa-Loompaskin
How tpreven
unsightl
leg veinTherap
for wome on
pinkcouc
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THE TEAM LEADER
WHO MADE A PROMISE
TO STAND UP TO A DISEASE
SO HER GRANDCHILDRENWONT HAVE TO.
BE A PART OF THE MOVEMENT
TO RECLAIM THE FUTURE.
START A TEAM. JOIN A TEAM.
alz.org/walk800.272.3900
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BE Healthy | July/August 2011 | Volume 2, Issue 3
6THERAPY
PINK COUCH
COUNSELING
New therapist puts women rst
By Cathleen Cole
8MEDICAL GUIDE
FANTASTIC MDs
Meet the winners of the annual
Readers Choice awards
By Margaret Battistelli Gardner
Contents Era Executive Editor
DAVID CONSTANTINE
Contributing WritersCATHLEEN COLE
MARGARET BATTISTELLI GARDCHERyL ROSE
PrapContributing Photographers
SILVIA C. MCCLAINLEE E. STINSON
ArDirector, Advertising Operation
TED FISHER
Manager, Advertising OperationFRAN LINDSAy
Graphic DesignROSA CLARK
KRISTEN FLORESGEORGINA MONDSHINE
Title DesignKATIE GuIDROZ
AverTo advertise in BE Healthy
409.880.0700
Cac UBE Healthy
380 Main StreetBeamont, TX 77701
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to disPlAy thE mAgAzinEAT yOuR BuSINESS LOCATION
pLEASE CALL 409.838.2829
sUbmissionsTO SuBMIT AN EVENT, ORGANIZATOR pERSON FOR CONSIDERATIO
IN AN upCOMING ISSuE, SuBMIT uSpS AT ADDRESS ABOVE.
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BILL OFFILL
Coright 2011The Beamont Enterrise
Visit s online atBEHealthSETX.com
Be art of keeingSotheast Texas greeReccle this magazine
BE
12SPOTLIGHT
GOING
GLUTEN-FREE
Recognizing and living
with gluten intolerance
By Cheryl Rose
18GET MOVING
EXERCISE AND
VARICOSE VEINS
One prevents the other
By Margaret Battistelli Gardner
5REALLY?
Are dental cavities contagious?
Are chemicals
in sunscreens toxic?
By Anahad OConnor
17
10FOCUS ON HEALTH
ASTHMA AND
ALLERGIES
What to do when
allergens attack
By Cathleen Cole
BEAUTY
SELF TANNERS
Sun damage fears spuradvances in formulas
By Melissa Magsaysay
on
the
cover
Photography:Silvia C. McClain
AllergistDr.WilliamFawcett, left,aCardiologistDr. Paris Bransfordwgood sportsas they discoveredmelingwashard workwhile shootthis months cover.Trust us docs,have the harder job.
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The ClaimDental Cavities CanBe Contagious.
The Facts
Everyone knows you can catch a coldr the u. But can you catch a cavity?
Researchers have found that not onlys it possible, but it occurs all the time.
While candy and sugar get all the
lame, cavities are caused primarily byacteria that cling to teeth and feast onarticles of food from your last meal. Onef the byproducts they create is acid,
which destroys teeth.
Just as a cold virus can be passedom one person to the next, so can
hese cavity-causing bacteria. One of the
most common is Streptococcus mutans.Infants and children are particularlyvulnerable to it, and studies have shownthat most pick it up from their caregivers for example, when a mother tastes achilds food to make sure its not too hot,
said Dr. Margaret Mitchell, a cosmeticdentist in Chicago.
A number of studies have also shownthat transmission can occur betweencouples, too. Dr. Mitchell has seen it inher own practice.
In one instance, a patient in her 40swho had never had a cavity suddenlydeveloped two cavities and was startingto get some gum disease, she said. Shelearned the woman had started dating aman who hadnt been to a dentist in 18years and had gum disease.
To reduce the risk, Dr. Mitchell recom-mends frequent ossing and brushing,and chewing sugar-free gum, which pro-motes saliva and washes away plaqueand bacteria.
The Bottom Line
Cavities can be transmittedfrom one person to another.
By Anahad OConnorREALLY?
The ClaimA Sunscreen Chemi-cal Can Have ToxicSide Effects
The Facts
Sunscreen is supposed to protect skin.But some people suspect that a chemicalin sunscreen, absorbed through the skin,may be even more hazardous than thesuns rays.
The concerns stem from a small bodyof research indicating that oxybenzone,which blocks ultraviolet light, may mimicthe effects of estrogen in the body andpromote the growth of cancer cells. Onestudy found that rats eating high dosesof the chemical experienced side effectslike abnormal uterine growth.
But in March, researchers at Memo-
rial Sloan-KetteringCancer Center in Newpublished an indepenreport examining all thevidence on the subjeand concluded that thalarming ndings fromearly animal studies ron unrealistic dosagesIn rat study, for instanthe animals were fedlevels of oxybenzone twould never be achie
in humans through noexposure to sunscree
The researchers alsreviewed the data on oxybenzone teon humans. Men and women do seeto absorb small levels through normsunscreen use, but there was no evdence that it set off hormonal changNor did the researchers nd evidenctoxicity. While the idea of a compounsunscreen being absorbed through tskin may sound alarming, the reportauthors pointed out that this commooccurs with skin care products.
For those who have reservations,some sunscreens are now made witoxybenzone, though they may not ofthe same ultraviolet protection.
The Bottom Line
Exposure to oxybenzone,through normal sunscreen uis safe, studies nd.
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Broaddus, a licensed professional
ounselor, opened her Pink Couch practice
n April. Last year, she moved with her
amily to Beaumont from Pearland where
he had a practice for four years. But a
women-only practice is new to her. Thats
what the practice in Pearland morphed
nto, she said. Women gravitated
oward me. The counselors specialties
nclude depression, anxiety, eatingdisorders, obsessive-compulsive disorder,
buse, relationship issues and personal
development.
When should a woman seek help from
therapist? There are some obvious red
flags including frequently crying, feeling
nxious, being unable to perform regular
asks and duties and feeling unnoticed
nd unheard. The top three problems
her clients need help with are figuring
ut priorities, anxiety and depressive
symptoms and relationship issues.
The superwoman complex, Broaddus
explained, is detrimental. Many women
struggle to be the perfect wife, mother
and daughter while working at a full-time
job, keeping the house spotless and the
refrigerator full so she can come home after
a hard days work to cook a delicious three-
course meal. It might work, but usually
not for long. The therapist feels thesesuperwomen do a disservice to themselves
and other women who look up to them as
role models. Broaddus knows because she
tried to be perfect and portray that to other
women.
A few years ago, after a stressful
morning caring for her sick toddler and her
infant, she made a trip to her pediatrician.
In the waiting room, she worked hard at
keeping both children happy, even though
she was exhausted. After the appointment,
she was taking her children back to the
when a pregnant woman approached he
in the parking lot. Youre my hero, the
woman said. I watched you in the wait
room with your kids. Youre the perfect
mom. She asked Broaddus if motherho
was as wonderful as she thought it was
going to be. Broaddus was going to tell t
woman the truth, that it was often reall
frustrating and hard. Instead she repliedYes, its the most beautiful thing Ive e
done. She said goodbye, put her childr
safely in the car, got behind the wheel a
cried. She feels she misled the pregnant
woman. One day shed have a rotten day
and feel guilty because she wasnt the
perfect mother dealing with a squalling
sick child. Thats one of the reasons I
decided to work with women, Broaddu
said.
If youre feeling depressed, Broaddus
focus on health
Whether suffering frodepression, abuse or
superwoman complex, JenBroaddus new clinic puts th
female psyche r
Jenny Broaddus believes
women have a uniqueexperience in our currentsociety and therefore havespecific needs in therapy.Often dealing with unrealist
expectations from parents, spouses andchildren, many women struggle to conttheir own lives. Counseling is used tohelp women find healthier ways to gaincontrol and rid themselves of guilt.
By Cathleen C
Pink CouchCounseling
pho
tographybySILVIAC.MCCLAIN
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Depressive disorders afict almost 10
percent of the United States population,with two to three times more females thanmales affected.
Prior to age 13, approximately equalnumbers of girls and boys experiencedepression, but more females than malesover age 13 become depressed.
The rate of synthesis of serotonin and levelof serotonin in the blood are signicantlyhigher in men than women. Serotonin isa chemical required in the brain for moodmaintenance, and these differences mayhelp explain why depression is morecommon in women than in men.
Girls tendencies to become more
dissatised than boys with their bodyshapes and physical appearances atpuberty may be linked to higher rates ofdepression.
Both depression and panic disorder rates,which are also two-fold higher in womenthan men, may be tied to childhoodexperiences of abuse.Although boysare more likely to be physically abusedthan girls, girls are sexually abused moreoften and tend to have more negativepsychological reactions to all forms ofabuse.
Depression: Men vs. Women
ecommends lifestyle and diet
hanges. Do what you can
now, she said. Its the rst
rder of business. Get back
nto your hobbies or start a new
ne. Reconnect with your faith.
Eat well and start an exercise
plan.
In her therapy sessions,
Broaddus doesnt do most of
he talking. I dont give a lotf advice, she explained. I
hallenge clients thoughts
nd actions. She presents
lternative ways of looking at
situation. What about this?
Have you thought about this?
The solutions have to be their
decisions, not hers.
In the rst session, lots of
lients want the counselor
o tell them what to do, and
he explains that is not her
ob. She asks them to tell her
bout themselves. Why did
hey come to her for help?
Everyone usually cries the
rst session, she said. They
eel very vulnerable. She asks
hem about their childhood
nd family history. I denitely
want to look into that, she
aid.
Her technique is to reect
back on what the client tells
her, talking about the feelings
nd challenging thoughts and
deas. She never asks, How
does that make you feel? That
question often leads to one-
word answers such as rotten,
horrible or humiliated. Instead
he asks, What was that
like for you? That question
usually garners a more detailed
response. Another technique
she uses is silence. The client
will ll in the void.
She has a strict condential-
ity policy. If she sees a client in
public, she wont approach her.
It lets the client be in control.
Condentiality is very impor-
tant, she said. She also wonttell the client much about her
personal life. The relationship
remains professional coun-
selor and client, not friend to
friend.
What does the therapist
do when she needs therapy?
She sees a counselor when
she needs to. Counseling is a
positive experience, even for a
counselor, she noted. To relax,
she exercises, renishes fur-niture, reads and spends time
with her husband and three
daughters.
Do people expect her to be
perfectly well-adjusted and
rational all the time?
Yes and no, she said, add-
ing that its important for cli-
ents to see her as a real person.
On her website, there are
numerous sayings and quota-
tions about women and hap-piness. Her favorite quote
is by Nathaniel Hawthorne:
Happiness is like a buttery
which, when pursued, is always
beyond our grasp, but, if you
will sit down quietly, may alight
upon you.
Source: Society for Womens Health Research
Heart health should be important to
everyone regardless of their medical
history. However, every year, about
785,000 Americans have their rst
heart attack.*
Local physicians are conducting aresearch study of the investigational u
se
of a medication in its ability to reduce
your risk of future heart attacks and othe
cardiovascular events such as a stroke.
You may qualify to participate if you
have had at least one heart attack.
Participants may continue their current
medications throughout the study. All
study-related care and study medicationwill be provided at no cost.
Southeast Texas ClinicalResearch Center
2693 North StreetBeaumont, Texas 77702
409-839-4003
* CDC.gov Volunteer For The Future
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BetOncootDr. Robert Birdwell
Texas Oncology
690 North 14th St., Beaumont
(409) 899-7180
www.texasoncology.com
Professional Philosophy: If I had to guess
why I have patient loyalty, I would say its be-
ause my patients always come rst. I respect
heir wishes and input. They are treated like
eople and not an illness. I always discussll options with my patients not just my
pinion and preferences. Its also very impor-
ant to stay current, especially in oncology
ecause the eld is always changing.
BestMedical Advice: I always advise
n overall healthy lifestyle. Work on
maintaining a healthy body weight with a
ensible diet consisting of plenty of fresh
ruits and vegetables.
BetPodattFoot CaeDr. Neil Burrell
3560 Delaware, Ste. 301,
Beaumont
(409) 899-1538
www.podiatryassociatestx.com
ProfessionalPhilosophy: I was always
raised to treat others how you want to
be treated. I enjoy meeting and visiting
people, and above all, helping them. I love
what I do. Its my work, my hobby, my
life. My patients see that. Im blessed to
do what I do. Im from Beaumont, and its
good to take care of people that are family,
friends and neighbors. My sta and I are
happy to do what we do, and that makes
patients comfortable here.
BestMedical Advice: Do not abuse
your body; everything in moderation. If
you smoke, quit. Many of my patients are
diabetics, which wreaks havoc on the feet.
A healthy lifestyle can correct that.
BetAetDr. William Fawcett
2965 Harrison Ave., Ste. 315,
Beaumont
(409) 892-7090
ProfessionalPhilosophy: Im an old
uy, and I just like to treat patients like
heyre part of my family. Most of myelationships with patients are long term.
bond to them, and I think they bond to
ur practice. Im not in a big rush; I take
my time with patients. I dont like to see
people treated like theyre in a mill or like
heyre objects.
BestMedical Advice: The rst thing is
o really distinguish if its an allergy or if
ts something else. We see many patients
who think they have allergies, and they re-
lly dont. If it is an allergic condition, and
ts a simple allergy, the best treatment
s no treatment just try to avoid what-
ver it is thats causing it. But if its more
dvanced, or if avoiding the cause (like a
pet or hobby) isnt an option, then we can
help them deal with it with medication or
ther options.
Bet Ea,
Noe, &
ThoatDr. Ray Fontenot
Southeast Texas Ear, Nose & Throat
700 Hospital Dr., Ste. 300,
Beaumont
(409) 212-8111
www.setent.netProfessionalPhilosophy: You have
to treat patients with respect, and that
means quite a few things. Take the time to
sit and listen to their concerns and truly
understand why theyre there. Then try
to explain whats going on with them with
their diagnosis and what it means in a way
that they truly understand. It just comes
down to listening to them and being clear
on how we explain whats going on. And
we always make sure people feel welcome
to call us if they have any questions, espe-
cially after their visit. We have an open-
door policy.
BestMedical Advice: [Specically for
ear, nose and throat health], the biggest
thing is to not smoke. Avoid tobacco use
altogether. And the best overall medicaladvice I can give anyone is to always have
good communication with your physician.
Bet
PedatcanDr. Raja Ataya
3070 College St., Ste. 205,
Beaumont
(409) 832-1225
ProfessionalPhilosoph
By nature I love people. I nd relief in
helping them. Im doing something I lo
with my life, and that gives me peace o
mind. My patients are like family to m
and I give them full access to me, 24 ho
a day. Most of my patients have my cel
phone number, and it makes me happy
to give them an open window. I prepar
myself to deal with critical cases, and m
patients and I bear the burden of dic
diagnoses together.
BestMedical Advice: Always let you
child feel free to express themselves an
what they are feeling. Many parents tr
to answer for their children, especiallythey think that they know whats wron
We can get more accurate information
by hearing directly from the child. Also
give your child the opportunity to live
healthy environment. Oer healthy foo
show them the benet of exercise.
BEsT DErmATOlOgisT
Dr. Edward Collins
BEsT CHirOPrACTOr
Dr. Phillip Leblanc
BEsT DENTisT
Dr. Alan Coleman
BEsT DOCTOrDr. Suresh Indupalli
BEsT PsYCHiATrisTDr. George Groves
BEsT PsYCHOlOgisTDr. Donald Trahan
BEsT OB gYN
Dr. Christopher Dowdy
BEsT OPTOmETrisT
Dr. Brian Blount
BEsT OPTHAmOlOgisDr. Richard Levacy
OTHEr WiNNErs
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For asthma and allergy suffe
ers, hot, dry summertime offea breath of fresh a
By Cathleen C
Steady, hot summers are usually good
or asthmatics, he said, adding that they
re good for allergy suerers too. Singhs
patients havent been complaining verymuch this season. Summer has been
pretty quiet, he said, noting the drought
might be a factor in lessening pollen and
mold. Excessive heat by itself is not a trig-
er for asthma, he said. Cold is more of a
rigger for asthma symptoms.
WHAT ARE ALLERGIES?
Allergies tend to hit you right in the
nose. Acting as a filter, the nose and
inuses trap particulate matter, and the
lear secretion helps with cleaning and
humidifying the sinuses. When your noses clogged because of allergies, you breathe
hrough your mouth, which dries your
mouth and sinuses out and makes the
ecretions thick.
Asthma is a disease of the lungs in
which the airways become blocked or nar-
owed causing breathing diculty. If you
have shortness of breath when exercis-
ng, a nighttime cough or wheezing that
wakes you up at night, you might have
sthma. You dont have to wheeze to have
asthma, Singh said. When you finally
hear a wheeze its late in the game, so
dont wait for the wheeze. You need to
be treated early, he said.
SOME TREATMENTS
Singh recommends saline nasal spray
to help open up the sinuses and keep them
moist and prevent clogging from thicken-
ing secretions. Over-the-counter medica-
tions that work well include the antihista-
mines Allegra and Zyrtec. Another OTC
medicine that might help, especially for
sinus headaches, is Afrin nasal spray, a
decongestant. But the doctor warned that
Afrin should not be used for more than
two days at a time. Between the salineand the antihistamines, you can take care
of a lot of allergy symptoms, Singh said.
If OTC meds arent cutting it, you might
want to try a prescription steroid nasal
spray such as Nasacort or a prescription
antihistamine nasal spray such as Astelin.
Many times, allergy symptoms can be
handled by your primary-care physician.
But if your allergy problems are chronic,
Singh recommends you see a specialist.
And that is definitely the case with asthma.
Treatment for asthma includes bron
al dilators such as Albuterol and Xopen
used to prevent or relieve the wheezing
diculty breathing and chest tightnesscaused by asthma. These are reliever
rescue medicines that are used as nee
ed. Controller medicines, such as Singu
and Advair, are used daily as maintenan
medicines to control asthma and preven
asthma attacks. These medicines work
reducing swelling and mucus productio
in the airways. As a result, the airways
are less sensitive and less likely to reac
asthma triggers, which include allergie
exercise, weather changes, strong smel
and air pollution. Allergy shots, which
help build immunity to allergens, are a
a common treatment for people with al
gies that trigger asthma attacks.
A newer option for some asthmat-
ics is Xolair, a drug used to decrease th
number of asthma attacks in people wi
allergic asthma whose symptoms are no
controlled with inhaled steroids. Patien
12 years and older are given an injectio
the medicine every two to four weeks.
Its summertime, and theliving is easy. Breathing iseasy too for many peoplewho suffer from asthmaand seasonal allergies.Summer usually offers a
respite from breathing problems,according to Dr. Ranjit Singh ofthe Allergy and Asthma Clinic inBeaumont and Port Arthur.
allergies
Take a DeepBreath
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Recognizing anliving wi
gluten intoleranc
What Gives wit
Gluten Free?
focus on health
By Cheryl R
With a family history of autoimmunedisorders, Cobb was immediately con-
erned and went home to purge her pantry
nd refrigerator of gluten-containing prod-
ucts. A month later her doctor re-ran the
blood test and her results were normal.
I didnt realize how bad I felt until I felt
ood, Cobb said.
Gluten Intolerance: From Celiac to Sensitivity
Gluten is the general name for proteins
ound in wheat, barley, rye and other
rains. There is growing medical research
nd anecdotal experiences showing a wide
variety of negative reactions to gluten in
he diet. At the extreme end, there is celiac
disease, an autoimmune disease where
uerers can tolerate no gluten at all. The
disease damages the small intestine and
prevents proper absorption of nutrients.
The only treatment for celiac disease is
ood eating a completely gluten-free diet.
The typical undiagnosed celiac patient
s very thin, unable to gain weight and
ften has anemia. True celiac disease is
still somewhat rare, with one in 133 adultshaving the diagnosis.
However, according to recent research
by the scientists at the University of
Maryland School of Medicines Center
for Celiac Research, as many as 18 million
Americans may have symptoms of gluten
sensitivity.
In a study released in March, the
organization announced the first scientific
evidence proving that gluten sensitivity
is dierent from celiac disease at the
molecular level, demonstrating that there
is a spectrum of gluten-related disorders.
There are many terms and degrees
related to gluten reactions celiac disease
or celiac sprue, gluten intolerance, gluten
sensitivity, wheat allergy. Whatever
you call it, it can give you a variety of
uncomfortable symptoms.
Could You Be Gluten Sensitive?
With a variety of symptoms occurring in
varying degrees, how can you know if you
are gluten-sensitive?
For patients suspected of havingceliac disease, Dr. Joseph W. Holland
Jr. of Southeast Texas Gastroenterology
Associates explained that a blood test c
show antibodies for gluten and a biopsy
the small intestine will show the degree
damage.
Gluten sensitivity is dierent. There
can be a wide divergence in reaction an
degree. There really is not a widely-
accepted test other than experimenting
with elimination to tell if someone is
gluten-sensitive, Holland said.
Feeling Bad
About two weeks after Cobb remove
gluten from her diet, she woke up feelin
great. I realized I didnt need coee ju
get out of bed, she said. About a mont
later, I didnt need a Coke in the afterno
In fact, I hadnt even thought about it.
Cobb said the biggest benefit she has
received from removing gluten is a good
nights sleep and relief from nagging
fatigue.
F
ollowing amiscarriage lafall, Farrah Coof Beaumontunderwent abattery of test
looking for any indicationsof the cause. The resultsshowed an elevated degreeof inflammation in her bodythat could be indicative ofan impending autoimmunedisorder. Her gynecologistsuggested removing glutenfrom her diet.
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She also discovered that a hand lotion
he had used every night contains wheat
erm and explained why her ngers were
wollen in the morning.
James Garlock of Beaumont was in
his late 30s when he began to experience
he dramatic gastrointestinal distress
ssociated with celiac disease. His mother
had been diagnosed with celiac disease a
ew years prior after many years of notknowing what was wrong. As soon as
Garlock showed symptoms, he dropped
luten from his diet. I cannot have wheat
t all, he said. If I accidentally have
omething with gluten or get some through
ross-contamination, I will know within
our hours of the exposure and within 12
hours I am sick.
Could You Be Gluten Sensitive?
With a variety of symptoms occurring
n varying degrees, how can you know if
you are gluten-sensitive?
For patients suspected of having
eliac disease, Dr. Joseph W. Holland
r. of Southeast Texas Gastroenterology
Associates explained that a blood test can
how antibodies for gluten and a biopsy of
he small intestine will show the degree of
damage.
Gluten sensitivity is dierent. There
an be a wide divergence in reaction and
degree. There really is not a widely-
ccepted test other than experimenting
with elimination to tell if someone isluten-sensitive, Holland said.
limination Challenges
Mary Ellen Vivrett, a registered
dietitian and clinical nutrition manager
t Baptist Beaumont Hospital, said for
he elimination trial to be meaningful,
dherence to the guidelines for an
xtended period of time is necessary. You
would need to clean out your diet entirely
f wheat products and you would want to
avoid any cross-
contamination,
she explained.
Use preparation
precautions such as
dierent utensils,
no double dipping
with utensils,
dierent cutting
boards. Strictly
go with enriched,
gluten-free
products and stick
with it for several
months. Then try a wheat product and see
if you react to it.
Could You Beneft From Going Gluten-Free?
Both Holland and Vivrett conrm that
while they arent seeing more diagnosed
cases in their practices, they are getting
many more casual questions about gluten
sensitivity.
Up until the last few years, a lot ofdoctors didnt pay much attention to gluten
issues. It was considered rare, Holland
said. I dont know that its more common
than it used to be, but more physicians and
more people are cognizant about it. We
are in the infancy of this diagnosis. The
problem in the literature right now is that
people grab on to things and we have to be
very careful about whether this is really
benecial.
Media coverage, celebrity advocates
such as Elizabeth Hasselbeck of The
View and the explosion of gluten-freeproduct marketing are all contributing to
a growing public interest in a gluten-free
diet as a healthier lifestyle choice.
I do think there is a spectrum of gluten
sensitivities, Holland said. You can
put anyone with any GI disease (Crohns
disease, for example) on a gluten-free diet
and they tend to get better. The problem
is its such a dicult diet to maintain for
most patients. Those that suer the most
are willing to try anything and Im willing
to prescribe it.Vivrett notes that following any strict
diet makes people pay closer attention to
food and as a result, they tend to eat better.
Gluten-free restrictions mean giving up
many high-fat junk foods and push the
dieter to eat more sh, fruit, vegetables
and dairy naturally good food choices.
With any food trend, unless you really
have the disease, its not going to be a long-
term lifestyle change. Its just going to be
the latest thing to try.
Cautions
Vivrett cautions that a gluten-free di
can have some negative consequences.
There are deciencies that can result b
missing vitamins in the food, particular
B vitamins, iron and ber, she said. So
gluten-free products are enriched to ma
up for these deciencies and some are n
so she encourages her patients with cel
disease to seek out the enriched version
Many gluten-free products have a l
of added fat and sugar to improve the ta
and make them more appealing, especi
in bakery items, Vivrett warned. Peo
who follow a gluten-free diet tend to ga
weight since they are getting more calo
Also, a gluten-free diet reduces the amo
of good bacteria in the gut.
All or Nothing
For those tempted to experiment wi
removing gluten from their diets, its im
portant to know that giving up bread bu
still drinking beer wont work.If you have gluten sensitivity, a
little bit less wont do it, said Thomas
Campbell, a Beaumont-based chiroprac
and nutritionist. Introducing any gluten
the bodys chemistry will cause unwan
reactions that can take six to eight mon
to completely clear from the body, he
explained.
Cobb and her husband, Tom, have
decided they are done with gluten. I
a lifestyle; you cant just have a little glu
this weekend, Cobb emphasized. Its
a diet, its not Adkins. Its changing theway you look at food. If something mak
you sick, you cant have it anymore. >
phg
raphybyLeee.
StinSon
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Gluten-free is a
new buzz word
in our industry,
said DeborahBando, the
executive chef and owner
of Bandos restaurants and
catering. We prepare so
many requests for gluten-free
foods, we are contemplating
printing it directly on our
menus.
Bando said the increase in
gluten-free requests as been
noticeable since 2009.
Since we do not use
processed foods, except forrozen French fries, we can
accommodate these requests
airly easily. Most places cant
because they use so much
processed foods, she said.
Asking a server at one of
Bandos restaurants for a
gluten-free option will open a
dialogue of questions back and
forth. We tell the wait stathat when someone wants to
order a gluten-free meal, to
get a manager or a chef unless
it is a regular customer who
always orders. We will ask if
they have celiac disease and
we verbally tell them what we
can do. We explain that since
all of our food is made from
scratch, our kitchen knows
what goes in each dish and
can adjust
if needed.
The Eating Out Gamble
Generally, eating out for
someone avoiding gluten can
be perilous. Even restaurants
that oer gluten-free menu
items can be at risk for cross-
contamination.
They have to take their
chances, said Mary Ellen
Vivrett, a registered dietitianand clinical nutrition
manager at Baptist Beaumont
Hospital Restaurants are not
our home kitchens and they
arent going to be as safe in
the food preparation.
James Garlock, who has
celiac disease, said he doesnt
eat out very often, but when
he does, he tries to ask
questions and eat simply.
Questions he might ask
include: Is the meat cookedon a grill where you also grill
bread? Do you put breaded
products in the same fry oil
with non-breaded products?
Are hamburger patties made
on site or pre-prepared? >>
Where to ealocally withgluten-freeoptionsThe following is not acomprehensive list, but will givepeople avoiding gluten a goodstarting place.
Bandos and Bandos at the Plaz
Beaumont Country Club
Bryans 797
Carinos Italian Grill
Carrabbas Italian Grill
Chilis
Goodfellas
Jasons Deli
Katharine & Co.
Olive Garden
Outback Steakhouse
Pei Wei
Smoothie King
Carrot Salad with Limeand Cilantro
Carrot Salad with Lime
and Cilantro
Makes: 6 servingsngredients
nstructionsPlace carrots in a bowl. Using a stand blender, immersion blender orwhisk, mix lime juice, zest, chopped cilantro and salt and
epper together and slowly blend in oil.Pour dressing over carrots and serve garnished with cilantro sprigs.
1 bag (10 ounces) shreddedcarrots1 tablespoon fresh lime juiceZest of 1/2 lime1/4 cup nely chopped freshcilantro
Additional cilantro sprigs forgarnish
2 tablespoons extra-virgin olive oil 1/2 teaspoon salt 1 teaspoon pepper
Gluten-Free: A Top Food Trend for 2011Identied as one of the top-10 trends in food by the National Restaurant Association,
local businesses nd ways to respond to customer demand for gluten-free options
3480 Fannin St. Bm
833-7538
78 Years of
Personal,
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Service.
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Pharmacies, Inc.
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Call Martha Kirkpatrick Today to Arrange Your
Personal Tour 1945 Pennsylvania Ave. Beaumont
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Sabine Oaks has been providing loving care to its residents for more than 60 y
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T
he deleterious effects of
self-tanning products
streaky brown or Oompa-
Loompa orange skin have
faded considerably over the
past couple years, due in
arge part to advances in formulations and
delivery methods that make a DIY tan easier
o acquire. These advances, coupled with a
stronger awareness of sun damage and the
potential harmful effects of UV lights in
anning beds, have inspired more of us to
slather on the bronze, rather than run the
risk of skin cancer or premature aging.
Here are some of our favorite self tannersguaranteed to leave you Snooki-less.
Josie Maran Argan selftanning cream
$32 for 4 uid ounces
For anyone who has skin allergies or just prefers natural
cosmetics, this product is free of parabens and infused
with organic Argan oil, which is said to be hydrating
and to protect the skin against pollutants and environ-
mental toxins. Our tester said the product delivered a
natural looking nish to her skin and turned her usuallypale legs to a warm honey-brown color that came on
gradually after she applied the cream three times over
three days.
It goes on just like my daily lotion and didnt turn my
hands brown at all, our tester said of the white cream
that doesnt smell good or bad, it just smells like noth-
ing.
One drawback to this gradual and natural self-tanner
the small (4-ounce) tube doesnt last long if youre plan-
ing to tan your entire body. Our tester used about half
the bottle during her three applications in order to build
up to her desired shade.
St. Tropez Bronzing Mousse$30 for 4 uid ounces
This aloe-infused, brown foam goes on easily and soaks
right into the skin before it has a chance to streak or sta
Our tester said the lightly perfumed scent isnt cloying,
but after putting it all over her body, the smell did start tbecome stronger.
Color-wise, this product seems to be for someone who
going for brown, a look-at-me-I just-came-back-from-th
Bahamas-brown. Our testers medium skin tone took to
product immediately and turned about two shades dark
with just one application.
Clarins Instant Smooth Self Tanning$32.50 for 1 uid ounce
In the one-ounce jar, Clarins self-tanner has the color and consistency o
processed peanut butter, but our tester (the only male in the group) said
spread easily over his skin and body hair. Our tester noted that the instru
tions on the packaging made clear (in several places) that it does not co
a sunscreen and therefore it should be applied only after a daily skin-ca
regimen that includes one.
Its considered a progressive self-tanner, meaning that it should be ap
daily until the desired shade is achieved. The rst daily application was
barely noticeable compared with the non-bronzed forearm; the second d
dose started to show a darker shade; and a decidedly bronze glow waspresent after the third application by which time nearly a third of the o
ounce jar was gone.
The color did transfer slightly to a long-sleeve shirt, and since the product
intended for the face and neckline area, our tester suggests not wearing a
expensive or favorite garment until youre sure the color can be laundered
Rodial Brazilian Tan$49 for 6.8 uid ounces
Our tester, who has a light to medium complexion, appl
the spray with the help of her sister, because as she put
You just cant get all the areas by yourself; you denite
need a friends help.
But she did like the color (It looked like a real tan), sm
faint and sweet caramel scent), and consistency (a light
that was neither sticky or greasy) of the spray and said i
dried within 30 minutes without staining her clothing.
The result was a streak-free tan that left the testers skin
feeling smooth and even in color.
She does suggest that this product needs to be applied
an outdoor, well-ventilated area because the spray w
has 360 degree airbrush technology does tend to get
surrounding furniture and linger in the air a bit.
beautself tanne
4 great tanswithout the
sun damageBy Melissa Magsaysay
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Keeping your legs moving and blood pumpingcan help head off varicose veins
G
reat, heres one morereason to get off your buttand get active. Firing up themuscles in your legs keepsthe blood pumping throughthem and can help
stave off the onset of unsightlyvaricose veins that can leave yourcalves looking like a bas reliefrendering of the Rocky Mountains.And being that its summer inSoutheast Texas, prevention mightbe a better way to go thantrying to hide the problemwith long pants.
beauty
Flow with It
By Margaret Battistelli Gard
8 July/August 2011 | BEHealthySETX.com
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As you may know all too well, varicose
veins are those gnarly protrusions that
ppear most often on the legs, ankles
nd feet. According to information from
he Previty Clinic for Surgical Care in
Beaumont, theyre caused by a condition
known as venous insuciency or venous
eux, in which blood circulating through
he lower limbs pools up in distended
veins rather than returning to the heart
or oxidation and recirculation.
Though varicose veins and theirmore subtle cousins, spider veins are
enetic, there are simple steps you can
ake (in this case, literally) to help slow
down their progression. Chief among
hem are maintaining an ideal weight/
body mass, and keeping your legs mov-
ng. Its especially a concern if your job
r lifestyle has you sitting or standing for
ong periods of time.
Robbie Barnes, a registered nurse at
Vein Centers of Texas in Beaumont, sug-
ests taking a stroll or otherwise moving
your legs to keep the blood owing for veo ten minutes every hour and a half or so
that you nd yourself stationary.
Sitting and standing are almost exactly
the same, he said. If youre not pump-
ing your muscles, bloods pooling in your
veins. The best thing is walking. It helps
pump the muscles and empty the veins.
Elevating your legs helps too.
Medical-grade compression stock-
ings are also a good option for those who
routinely nd their mobility limited (folks
such as cashiers or phone-based custom-
er-service reps, for instance), Barnes said.Those made specically for venous insuf-
ciency are tightest at the ankle, which
helps push blood back up the leg.
However, whether because of genetics
or lifestyle, varicose veins are inevitable
for some people. Luckily, there are a
number of treatment options available,
and they have become much more sophis-
ticated in recent years.
Previously, the best option was vein
stripping, a procedure that involves actu-
ally removing the compromised veins. Its
falling out of favor because of its highlyinvasive nature and long recovery time.
Newer procedures at practices like Prev
and Vein Centers of Texas are much les
harrowing and can be performed witho
hospitalization or general anesthesia, i
about an hour, and produce quick relie
with minimal discomfort and little to n
recovery time.
Chief among them are radiofrequen
endovenous ablation, which involves
inserting a catheter and heating the ve
from the inside to close it down, which
diverts blood to healthy veins.For spider veins, patients can opt fo
sclerotherapy, which according to infor
mation from Previty, involves injecting
agent into the vein that shrinks it im-
mediately and causes it to dissolve ove
period of weeks as it is naturally absorb
by the body.
In most cases, patients health insur
ance will pay for corrective vein treat-
ments. However, Barnes warned, the
disease would have to have progressed
beyond the strictly cosmetic level befo
most plans will cover treatment.
A lot more people have bad veins than you would think. Or than theyeven think. Walk through the mall and take a look at peoples legs. Yousee the redness or dark skin on the lower legs. Thats bad veins.
Robbie Barnes, Vein Centers of Texas
Most people dont realize thatvaricose veins are a geneticproblem (though lifestyle, weight
and age also play a part).
Basically its a mechanical system,said Robbie Barnes, a registered nurseat Vein Centers of Texas in Beaumont.The veins get big, not allowing thevalves to work the way that they should.These valves are a one-way system,so as the vein gets bigger, the valvesspread apart and they dont function.Blood falls down the leg instead of goingup the leg, and this causes pressure thatcan ultimately lead to an ulceration thatbreaks through the skin.
A telltale sign of varicose veins is a
bronze, red or brown discoloration on
the lower portion of the leg.
And were not talking about suntan
from wearing capris, Barnes said.
Most people think thats from diabetes,but its caused by blood getting outside
the vessel and getting trapped up into
the skin.
Left untreated, the progressive
disease can lead to ulceration, a
stubborn wound.
Sometimes [ulceration is] caused
by trauma. The skin is already damaged
and then on top of it they get a wound
that wont heal, Barnes explained.
Weve had patients who have had these
things for 15 or 20 years before theymade it in. And then in some people,they just occur spontaneously. They justswell up until the skin breaks, and it
wont heal.But before patients see obvious
things like ulceration or even skindiscoloration of the lower leg, thereare other signs that can indicate aproblem with the veins.Among those:leg swelling, heaviness, fatigue, itching,burning and pain, as well as restlesslegs and cramping.
Once any of these symptoms beginto interfere with your lifestyle or dailyroutine, its time to see a doctor, Barneswarned.
Varicose Veins Primer
Before
Afterphotography
byXXXXXXXXXX
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6830 Phelan Blvd.
Beaumont, Texas 77706
409-860-9600
Im concerned about having x-rays
taken. Are they really necessary?
Yes, x-rays are used to check for cavities in between tewhere we cannot see. They are also used to detect b
loss, abscesses and any abnormalities in your bone so we catch problems at an early stage. Dental x-rays carry suclow dose of radiation that the benefits outweigh the risks.
GENERAL DENTISTRY
Michael R. Olson, DDS
West End Dental Group
Q
A
Will I see the same nurse each visit?
Each patient and family is assigned a case-managing nurse who is respon-sible for developing and coordinating the plan of care to meet the patient
and familys individual needs. The patient and family will see the case-managing
nurse regularly as she makes scheduled visits to provide care and to monitor
symptoms. Occasionally another nurse covering after-hours may see the patient,
or for urgent needs when the case-manager is not on duty. The nurses and team
members keep each other informed of patient changes and family needs as they
occur.
HOSPICE
Dr. Keith Stout, MD
of Beaumont
Q
A
2450 N. Major Drive Beaumont, Texas 77713409-840-5640
Hospice Physician Certified in Hospice and Palliative Medicine byThe American Board of Internal Medicine
3820 Pointe Parkway
Beaumont, Texas 77401
409-767-8221
What is Failed Back SurgerySyndrome (FBSS)?
Most patients who undergo spine surgery improve. However, whensurgery fails to decrease the pain, it could possibly be a condition kn
as failed back surgery syndrome, or FBSS. Because we are a specialized spractice, some patients are referred to us because their previous surgery fato relieve their pain. The pain may be a result of various factors and needs examined to determine whether the pain is due to FBSS or is a result of aproblem.
ORTHOPEDIC SPINE
Richard R.M. Francis, MD,MBA, FRCS Ed., FRCS Ed.
(Tr & Orth)
Spine Associates
QA
www.spineassociatesofbeaumont.com
4400 Gulf Ave.
Groves, TX 77619
409-962-5785
Will licensed nurses be taking care of
my loved one at the nursing and reha-
bilitation center? How many nurses will there be per patient?
Yes, all nurses LVN and RN are licensed nurses andare giving care 24 hours a day. Our nursing facil-
ity well exceeds the state requirements of patient nurseratio.
SKILLED NURSING & REHABILITATION
Peggy Larson, LVN
Magnolia Manor Nursing and Rehab
Q
A
3070 College St., Ste. 205
Beaumont, Texas 77701
409-832-1225
www.drataya.com
My child has recurrent throat infections. W
is the right time to remove the tonsils?
Removal of the tonsils is recommended in the following condition Several episodes of strep tonsillitis and recurrent infections that
fear with growth, development and school activities. Frequent sleep obstructive apneas. Halitosis (bad smell from the mouth.) Difficulty to swallow.
PEDIATRIC
Raja H.Ataya M.D.,
F.A.A.P., F.R.C.P
Pediatrics and Adolescent Medicine
Q
A
3921 Twin City Hwy
Port Arthur, Texas 77642
(409) 963-0000 Office
(409) 963-3391 Fax
www.gulfcoastcardio.com
Does diabetes affect the heart?
Diabetes can affect both large and small vessels of the heart circulation.
Two reasons diabetics are likely to develop arteriosclerosis (blocked arter-es) in the heart are: insulin levels can lead to hypertension and higher cholesterol,
and elevated sorbitol levels and blood sugar can promote plaque formation andthickening of the artery walls. Symptoms of coronary artery disease in diabeticsmay be absent due to diabetic neuropathy (nerve damage). Cardiac evaluation andmonitoring through EKGs, stress tests and good blood glucose control helps inearly detection and prevention of major cardiac events.
CARDIOLOGY
DiaA. Abochamh M.D.,
F.A.C.C.
Gulf Coast Cardiology Group, P.L.L.C.
Q
A
Email your questions to:readerquestions@brannonandassociates.comEmail your questions to:readerquestions@brannonandassociates.com
Do you have questions?Do you need answers?Do you have questions?Do you need answers?
HEALTHYADVICEHEALTHYADVICEFrom th
e ProsFrom the Pros
FOR INFORMATION ON HOW YOU MAY PARTICIPATE AS A PROFESSIONAL ON THIS PAGE, CALL TED BRANNON AT (888) 833-50
Healthy Advice segments are written by area professionals and are paid features. The Beaumont Enterprise and Brannon & Associates, Inc. are not responsible foropinions and suggestions presented herein. Healthy Advice is not intended to substitute for medical advice. Readers should consult their practitioner for specific adv
How has Healthy Advice from the Pros helped you? Email your comments to: readerquestions@brannonandassociates.c
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BE Healthy calendar
July 15
toke Wise Semina
p.m., Baptist Hospital, Beaumont
July 16
wogethe Maiage Wokshop:30 a.m., Wesley Student Center,amar University, 4590 Cheek St.,
www.servingfamilies.org,09-835-8461
July 18
eaumont 55+ LuncheonAlga Wiess Auditorium, Baptist
Hospital, 3555 Stagg Dr., Beaumont]
July 19
exual Health and Integity Classesvery Tuesday at 12:30 p.m., Hope
Womens Resource Clinic, 1155 I-10,
09-898-4005
ositive Paentingvery Tuesday at 4:30 p.m., Familyervices of SE Texas, 3550 Fannin,
09-833-2668
July 21-23
iabetes Education Classes9 a.m. to noon, Baptist Hospital,
eaumont.
July 20
ood News About Bad Knees/Hips
emina
1:30 a.m. to 1 p.m., CHRISTUS St.lizabeth, 6 Main Dining Room andHRISTUS St. Mary Outpatiententer, Port Arthur. Free. Register at
hristushospital.org
r call 866-683-3627
nge Management fo Womenvery Wednesday at 2 p.m., Familyervices of SE Texas, 3550 Fannin,09-833-2668
July 21
Nutition ClassEvery Thursday at 3:30 p.m., HopeWomens Resource Clinic, 1155 I-10,409-898-4005
Paenting ClassEvery Thursday at 5 p.m., Hope Womens
Resource Clinic, 1155 I-10, 409-898-4005
July 23
Twogethe Maiage Wokshop8:30 a.m., Lamar State College PortArthur, 1520 Proctor St., StudentCenter 4th oor, Room 422, www.
servingfamilies.org, 409-983-4291
July 25-27
Diabetes Lifestyle Education5 p.m., Christus Outpatient Pavilion,
755 N. 11th St., Suite P1058
July 26
I Can Cope Cance Education AndSuppot Goup5:30 to 6:30 p.m., CHRISTUSOutpatient Pavillion, 755. N. 11th St,Beaumont. Contact 800-227-2345.Free sessions held on the last Tuesday
of each month.
July 28
Good News About Bad Knees/HipsSemina11:30 a.m. to 1 p.m., CHRISTUS St. MaryOutpatient Center, 3701 Hwy. 73 at 9th
Ave. Free. Register at christushospital.org or call 866-683-3627
July 29
Hospice Habo Voluntee Taining ClassLast Friday of every month at 10 a.m.,2450 N Major Dr., Call 409-840-5640
July 30Adult, Child And Infant CPr And FistAid Class9 a.m., American Red Cross, 3260Eastex Freeway. Call 409-832-1644
August 2
Adult CPr Couse6 p.m., American Red Cross, 3260Eastex Freeway. Call 409-832-1644
August 4
Fist Aid Couse6 p.m., American Red Cross, 3260
Eastex Freeway. Call 409-832-1644
August 11
Infant/Child CPr Class6 p.m., American Red Cross, 3260
Eastex Freeway. Call 409-832-1644
August 13
Twogethe Maiage WokshopOrange, 8:30 a.m., Lamar Orange,506 Green Ave., Orange WilsonBuilding, #125, www.servingfamilies.org, 409-833-2668
Good Samaritan Anger Management Class8:30 a.m., City of OrangeNeighborhood Facility, 303 8th St.409-727-6400
CPr fo the Pofessional rescue Couse9 a.m., American Red Cross, 3260
Eastex Freeway. Call 409-832-1644
August 16
Oange 55+Baptist Hospital Orange, 608Strickland Dr.
August 17Minimally Invasive Sugey Sem11:30 a.m. to 1 p.m., CHRISTUS SElizabeth, 2830 Calder. Free. Regat christushospital.org
or call 866-683-3627
August 18-20
Diabetes Education Classes1 to 4 p.m., Baptist Hospital,Beaumont
August 19Stoke Wise Semina
4 p.m., Baptist Hospital
August 20
Twogethe Maiage Wokshop8:30 a.m., Wesley Student CenterLamar University, 4590 Cheek St
www.servingfamilies.org,409-835-8461
August 30
I Can Cope Cance Education AnSuppot Goup5:30 to 6:30 p.m., CHRISTUSOutpatient Pavillion, 755. N. 11th
Beaumont. Contact 800-227-2345
september 1-3
Diabetes Education Classes9 a.m. to noon, Baptist Hospital,Beaumont
Event submissions
Do you have a health related event you would like included on our next calendar? Email the details, including dates, times, location, contact phone, web address an
a brief description, to dconstantine@hearstnp.com. Information should arrive at least 45 days in advance of the event.
S W I M M I N G T H E A
E L I D O A Y B
S A L I N E A D O P T S
A E M O O
M E M O R Y G I N G E R
E O A F A T L B
B U I L D M T Y P E
P I T S A L E M C D
A C H E N A T U R A L
P W M Z E E E B
A N A T O M Y S A M B A
Y S J X L I O N
A P H R O D I S I A C D
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F I G H T
CANCERWhen youre treated at Texas Oncology, you can be sure youre getting world-renowned cancer care right
here in Southeast Texas. Our physicians provide compassionate patient care, offer the latest treatment
innovations and share one goal: to be the best at what they do. With more than 100 locations and 300
oncologists throughout the state, every Texan can receive recognized cancer care close to home.
S. Usama Akhtar, M.D. Robert R. Birdwell, M.D., F.A.C.P.
Srinivas Kodali, M.D. Scott A. McKenney, M.D., F.A.C.P. Sumalatha Patibandla, M.D.
Jay R. Schachner, M.D.
Henry O. Williams, M.D.
1-888-864-I CAN (4226) www.TexasOncology.com
MAMIE MCFADDIN WARD
CANCER CENTER
690 North 14th Street
Beaumont, TX 77702
409-899-7180
BEAUMONT BAPTIST
3070 College Street, Suite 301Beaumont, TX 77701
409-813-1686
JASPER
2014 S. Wheeler, Suite 170Jasper, TX 75951
409-899-7180
YEARS
CELEBRATING
top related