BE Healthy July/August 2011

8/6/2019 BE Healthy July/August 2011

1/24

BE

July/August 20

TOPDOCS

Are dentacavitie

contagious

Whe

allergie

& asthm

attac

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Meet SoutheastTexas best

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REPORT

SPECIALREPORT

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ECIALR

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Shouldyou beeating

gluten-free

?

self tannersto avoidOompa-Loompaskin

How tpreven

unsightl

leg veinTherap

for wome on

pinkcouc


2/24

July/August 2011 | BEHealthySETX.com

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


3/24


4/24

Jl/Agst 2011 | BEHealthSETX.com

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

409.880.0700

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.

A dv f hear newpaPublisher

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.


5/24BEHealthySETX.com | July/August 201

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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July/August 2011 | BEHealthySETX.com

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



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


8/24



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


10/24

0 July/August 2011 | BEHealthySETX.com

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


11/24


12/24


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.



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


14/24



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

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833-7538

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Sabine Oaks has been providing loving care to its residents for more than 60 y


16/24



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


18/24

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




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


20/24


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


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


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:[email protected] your questions to:[email protected]

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: [email protected]


21/24


22/24

2 J/A 2011 | BEHeahsEtX.com

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


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


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 [email protected]. 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


23/24


24/24

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

BE Healthy July/August 2011

Documents