November/December

2011
Howto choose
a personal trainer
Sick?
How to walk-in
and not wait
Ways to avoid the
holiday weight gain
When hearing aids
arent enough
Killer
SHOES:
The lows of
high heels
Is your
cell phone
making you sick?
HIRE ME
(and save your marriage)
TIPS TO
stop snoring
CHRISTUS Hospital St. Elizabeth has delivered thousands of babies through the decades.
Join us as we deliver a higher standard of prenatal care unmatched in Southeast Texas.
Call 409-899-8523 to register for Prepared Childbirth Classes.
(;3(&7 *5($7 7+, 1*6
Modern, family-friendly delivery rooms
Renovated waiting area and cofee bar
New nurses station for improved workfow and patient care
State-of-the-art electronic health record system
Only Level IIIA Neonatal ICU in Southeast Texas
Say hello to our renovated Center for New Life. Te
renovation provides a more comfortable and inviting
environment for parents and babies, while debuting a
new level of technology in fetal monitoring.
www.christushospital.org/new-life
BEHealthySETX.com | November/December 2011 3
Editorial
Executive Editor
DAVID CONSTANTINE
Contributing Writers
CATHLEEN COLE
MArgArET bATTISTELLI gArDNEr
CHErYL rOSE
Medical Adviser
Dr. gArrETT K. PEEL
Photography
Contributing Photographer
SILVIA C. MCCLAIN
Art
Director, Advertising Operations
TED FISHEr
Manager, Advertising Operations
FrAN LINDSAY
Manager, Special Publications
DON grAY
Graphic Design
rOSA CLArK
KrISTEN FLOrES
gEOrgINA MONDSHINE
Advertising
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BE Healthy | November/December 2011 | Volume 2, Issue 5
8
MEDICAL ADVICE
QUICK CLINICS
Convenient care
for inconvenient sickness
By Cheryl Rose
6
HEALTHY LIVING
SNORING
What to do when a punch
in the shoulder fails
By Margaret Battistelli Gardner
15
EATING RIGHT
HOLIDAY DIETS
Tips to stay trim
during the holidays
By Cathleen Cole
17
BEAUTY
HIGH HEELS
If you think those 5-inch Prada
spikes are expensive, wait till you
see your podiatrists bill.
By Cathleen Cole
10 INNOVATIONS:
The latest
technologies right
here in SE Texas
5 Peeld to the News
19 Crossft puzzle
Contents
12
GET MOVING
PERSONAL
TRAINERS
Hiring a trainer bridges
the gap between
knowing and doing
By Cheryl Rose
4 November/December 2011 | bE HealthySETX.com
Photography by Silvia C. McClain
Originally from Buna, Caleb Marshall is a former Marine who now works
as a full-time personal trainer in Beaumont while studying at Lamar
University to become a licensed dietitian.
on the cover
Heres the POOP on cell phones!
Can cell phones cause food poisoning symptoms? Yes. Consider this: A
new study found that 92-percent of cell phones have the bacteria known as
E.Coli, which is commonly found in human feces. This common bacteria
causes food poisoning symptoms and can be deadly. The bacteria can
survive on hands and surfaces for hours. Researchers from the London
School of Hygiene & Tropical Medicine found most all phones had large
amounts of bacteria growth, even among those who were surveyed as
frequent hand washers. Perhaps some people are forgetting to wash up.
Sanitizers for all!
PeelDto
MedicalNEWS
eating right
Mammograms Are Working, But Only for the Wealthy?
A recent study found that fewer wealthy women are dying from breast
cancer. Poorer women, however, are seeing a slower and later decline in
their risk of dying from breast cancer. This is likely because poorer woman
do not get access to a mammogram and the life-saving health care system.
The study reported, in 2008, 51.4% of poor women aged
40 and older had a screening mammogram. By contrast, 72.8% of
wealthier women had a mammogram in the past two years. These are
some of the fndings from the American Cancer Societys Breast Cancer
Facts & Figures 2011-2012 report.
To fnd out if you qualify for free mammograms, call Julie Rogers
Gift of Life Program at (409)860-3369 or (877)720-GIFT(4438).
Study Reports, Older Women Want More S-E-X!
According to a recent government-funded Womens Health Initiative study,
many women continue to remain sexually active after menopause. Most
say they are satisfed with their sex lives, but want more! Researchers
found older women, particularly if they are married or have a regular
partner, have excellent libido. Among women who reported being
dissatisfed with their sex lives, 57% said they wanted to have more sex,
while only 8% said they would have preferred to have less. Most stopped
having sex because their partner was in poor health. The study is a new
analysis of health information collected on more than 27,000 women
ages 50 to 79, who took part in the study.
The fnding that older women have satisfed sex lives, is surprising to
many. Obviously, for many older women, their sexual appetite remains.
A Drink A Day, May Help Keep Disease Away?
Researchers recently reported that women who drink a beer or small glass
of wine each day were 20-percent more likely to be disease-free at age
70 than nondrinkers. These women were less likely to develop chronic
diseases like diabetes, cancer and heart disease, as compared to those
who were nondrinkers or those who consumed four or more drinks at one
time. In the study, researchers looked at the efects of drinking alcohol at
midlife on the risk of diseases commonly associated with aging in a group
of 13,894 women enrolled in the study. After considering other infuences,
like smoking, researchers found women who drank light or moderate
amounts of alcohol were less likely to develop chronic diseases as they
aged. Salud! Cheers!
Each edition, BE Healthy Medical Adviser
Dr. Garrett K. Peel will cut through the previous
months medical and health news and bring you
the most relevant and interesting tidbits to
help you make informed decisions.
BEHealthySETX.com | November/December 2011 5
Snoring can keep your
partner awake. But when it
escalates to apnea, it can
also keep you from having
optimum health
By Margaret Battistelli Gardner
W
hen Dr. Jeremy Roebuck
talks about cures for snoring,
he mentions something
called the Pillar Procedure.
However, its hard not to
hear instead the pillowprocedure and
envision a doctor writing a prescription
giving some long-suffering wife license to
hold one over her noisy husbands face until
their bedroomis finally quiet.
But rest assured, Roebuck isnt advocating that tempting
as it might be. Instead, the Pillar Procedure is a minimally
invasive technique where a doctor inserts tiny implants into
the soft palate of the patients mouth to stifen it up and stop
the vibrations that cause snoring.
If that seems severe to silence a simple snore, ask the bed
partner of a chronic snorer. He or she probably wouldnt
think so.
But more importantly, consider this: Some statistics say
more than 12 million people in the United States sufer from
obstructive sleep apnea (75 percent of whom are undiagnosed)
meaning that a physical block in their air passages makes
them stop breathing for 10 to 20 seconds at a time repeatedly
throughout the night. Thats when the stakes get higher.
Snoring is really just noisy breathing. It can be a nuisance,
but its not going to cause you signicant trouble and theres
no medical reason to treat it, said Roebuck, of Southeast
Snooze
Control
focus on health
6 November/December 2011 | BE HealthySETX.com
Sleep apnea can be cured 100 percent of the time.
Its a very serious problem that can be very easily treated.
Dennis Keene, president, Sleep Labs of Texas
Texas Ear Nose and Throat
in Beaumont. But if youre
snoring and you have episodes
where you have to catch your
breath while youre sleeping,
that should be addressed.
Left untreated, sleep ap-
nea can do much more than
just leave you feeling sluggish
throughout the day. Over time,
the chronic lack of oxygen to
the body can strain the heart,
which has to work harder to
keep the body oxygenated, and
lead to serious medical concerns
such as stroke, heart disease,
irregular heartbeat, high blood
pressure, acid refux, obesity,
diabetes, kidney problems and
thyroid issues, as well as depres-
sion, irritability and other mood
changes.
When were conscious, the
oxygen in our blood is about at
98 percent, explained Dr. Kevin
DiLeo, a dentist in Orange. If
we were to hold our noses until
we turned blue in the face, it
would drop to about 95 percent.
But for people with sleep apnea,
the levels can drop into the 80s,
70s or even 60s. The body has
to compensate by working hard-
er, and over fve or 10 years, tis-
sues start to break down. There
are projections that say sleep
apnea will overtake smoking as
the number one cause for heart
disease.
Treatments
If you (or your bed partner)
think you have a problem,
the place to start is with your
primary-care physician or your
dentist. He or she most likely
will recommend a sleep spe-
cialist and a sleep study, where
you spend a night or two being
monitored at a sleep center.
Once you have a diagnosis
of sleep apnea, there are a few
ways to go. The most common
treatment is a CPAP (Continu-
ous Positive AirfowPressure)
device, a mask-like machine that
provides a constant streamof air
to keep your breathing passages
open while you sleep.
Dennis Keene, president of
Sleep Labs of Texas in Beau-
mont, said CPAP technology is
consistently being improved and
the newest models are comfort-
able and so quiet you cant
even tell its on.
As a dentist, DiLeo has had
considerable success in treat-
ing apnea with SomnoDent
mouthpieces that patients wear
at night to move their jaws for-
ward and open up the airways.
Patients adjust the devices regu-
larly until they fnd the setting
that brings optimal relief. They
also need to followup each
morning with what DiLeo calls
a chewtoy to reset their bite
back to normal during the day.
There also are surgeries that
can be done, depending on the
origin of the problem. Roebuck
explained that septoplasty can
straighten the nasal septum,
and uvulopalatopharyngoplasty
(or UPPP) removes tissue in the
throat to open things up.
Finally, in somnoplasty (a
laser procedure that Roebuck
said has fallen out of favor),
doctors use radio-frequency
energy to shrink tissues that are
causing the problem, including
the turbinates, the soft palate,
the uvula or the tongue.
Keene said with the success
of CPAP and other devices, sur-
geries should be considered as a
last resort.
When Its More Than Just A Snore
Many people with sleep apnea dont know they have it. And
they dont fnd out until their bed partners realize their mates
seem to be gasping for air throughout the night. (Thats
because they are.)
Aside from that, the biggest indictor of sleep apnea is feeling
exhausted during the day, no matter how much sleep you get
at night. Sleep studies have shown that apnea suffers can
awake (often without realizing it) up to 75 times an hour.
Symptoms that could indicate sleep apnea include teeth
grinding; gasping during sleep; waking up with a dry mouth,
sore throat or headaches; frequent nighttime awakenings;
forgetfulness and diffculty concentrating; and moodiness,
irritability, or depression.
First Steps Toward
Silencing the Snore
OK, so you snore. Before heading to a doctor or sleep specialist, try
these common-sense steps:
Get off your back: Side sleepers are less likely to sound the nighttime
trumpet. If you just cant break the back-sleeping habit, one age-old
remedy is to sew a tennis ball into the back of your PJs. When you
roll onto your back, the discomfort will nudge you back to your side or
stomach.
Lose some weight: As little as 10 pounds can reduce the excess
pressure on the air passages, making it less likely that the vibrations will
shake and wake the house.
Strip: Nasal strip, that is. Readily available nasal strips might help if
the problem stems from an obstruction in the nose. (But beware: Most
snoring comes from vibrations caused by air futtering around the palate
or other tissue. Nasal strips allow more air to fow through; youll be
breathing better, but the snoring could get worse.)
Quit smoking: Come on, did you really think this wouldnt be a factor?
BEHealthySETX.com | November/December 2011 7
F
ormer nurse and mother
Deana Sutherland is a fan of
her standby medical clinic.
With a hectic schedule
and three kids randomly
having sudden and painful
symptoms, she depends
on the clinic. You call the
doctors office and they say,
We have an appointment
on Thursday at 4 p.m. when youre saying
Great, but my daughter has strep throat
and its at 2 p.m. on Tuesday, she said.
Though her children have a primary care
doctor, Sutherland often chooses to use the
convenience clinic, because, well, its convenient.
I can walk in when it works for my schedule,
its clean and I have never waited more than 15
minutes, she said. Young and healthy, neither
Sutherland nor her husband have a primary
physician, so on the odd occasion either needs
medical attention, they visit the same clinic.
Once derisively called doc in the boxes as
if D-grade medical student grads were running
them, convenience medical clinics have grown
into vital community resources.
These clinics are safe, reliable places to
receive acute medical care in times of need,
and people should utilize them more, said Dr.
Msonthi Levine, an internist and medical director
for Baptist Convenience Care Clinic. For most
people who have a physician, they can call in
and if its a simple issue, the physician will call
a prescription out for them. However, if they
dont have a regular physician, the ER is a natural
choice. Thats why education about these clinics
is important. Patients dont have to rush to the
ER they can go at their convenience.
The goal of medical clinics is to fll a gap and
detour non-emergency health problems away
from the hospital. The purpose of our Minor
Care is to extend the mission of the hospital and
the best way to serve patients is to provide a
place other than our ER department that can con-
veniently assist them, said William Klamfoth,
the regional director of outpatient operations for
Christus Health. Clinics are a great resource for
patients because they dont need a referral, most
insurance companies cover these types of visits,
and they can get the treatment they need in a
reasonable amount of time, he said.
Clinics arent intended to replace primary care
physicians or to supervise chronic health problems.
We are there for patients after hours, but we dont
ofer primary care services, said Gidget Wilson,
Area medical clinics offer extended hours to treat minor health woes
Convenient Care
for Inconvenient Sickness
quick clinics
By Cheryl Rose
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Whats in
a name?
Maybe not much when it
comes to medical clinics
Just like any other busi-
ness, clinics can choose
any name they think will
be attractive for market-
ing purposes. There is
no regulation or offcial
designation that delineates
an acute care from a minor
care from an urgent care.
The name generally does
not tell you what services
are provided.
8 November/December 2011 | BE HealthySETX.com
All Clinics are Not
Created Equally
Though all clinics share the common purpose of offering
medical treatment in a convenient location with extended
hours, they can be very different from each other in sev-
eral ways:
COSTS: Whether you are paying cash or using health
insurance, the fee or co-pay can vary widely. In three
local examples, each clinic billed insurance at a different
rate primary care, urgent care or emergency room care.
Depending on your insurance, your co-pay could be more
than double at one clinic versus another. Also, if you dont
have insurance and are paying cash, some clinics offer
discounted rates. Some will bundle lab tests with the
consultation fee, some have separate charges.
HOURS: Local clinics are generally open earlier and
later than the average physicians offce, including week-
ends and most holidays. However, each clinic has specifc
hours and may have some days they are closed. Several
clinics open at 7 a.m., but the Beaumont location of Chris-
tus Minor Care is open the latest, until 11 p.m.
SERVICES: All local clinics are prepared for common
problems such as colds, fu, a variety of infections, school
physicals and more. However, only some clinics have
X-ray equipment and lab services. Some are adjacent to
a pharmacy for convenience in flling prescriptions, others
are not.
STAFFING: All local clinics utilize nurse practitioners
and physician assistants, but some also have physicians
on staff.
Key differences between
ER and a clinic
Cost: Typically, an ER visit is billed at a higher rate
than a clinic visit, but not in all cases.
Payment: Clinics work on a cash basis. You pay
before you have service, whether its the examination
fee or your insurance co-pay. Payment is either by cash,
debit or credit. Hospitals send bills after treatment.
Wait time: Generally, clinics see patients much
more quickly than ERs. Patients are seen on a frst-
come, frst-serve basis rather than triaged by severity as
an ER would be required to do with ambulances arriving
and life-threatening emergencies.
BEHealthySETX.com | November/December 2011 9
ofce manager at Doctors Ex-
press in Beaumont. We are not
ofering ongoing service and we
defnitely refer back to primary
care physicians.
Levine said that some physi-
cians may feel clinics are compe-
tition, but that personally, he is
glad his patients have the option.
I think that if a patient has a
primary care physician, he or she
should always go to that physician
frst because of the relationship,
he said, adding that the physi-
cians familiarity with a patients
history aids in diagnosis and is
vital in monitoring chronic condi-
tions. However, Levine acknowl-
edges that doctors can only see
so many patients in a work day.
Clinics arent taking business
away from me, he said. Physicians
cant be in all places there is so
much work. There are not enough
doctors to go around and mid-lev-
els are flling a gap, and for the most
part, they do a fabulous job. >>
Rebecca Blackwell sorts through patient paperwork at the
Baptist Convenient Care Clinic in HEB on Dowlen Road.
www.drwilgers.com
KENNETH D. WILGERS
M.D. P.A.
3282 College St., Beaumont
(409) 832-8600
Melissa Evans
RN, MSN, FNP
Certifed American Board of
Family Practice
Full Service Medical Clinic
Treating Adults and Children
Same Day Appointments
Available
Medical Weight Loss
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Treatments
Lab & Xray Available on
Site
When can I go to a clinic?
Generally, you should consider a clinic when an acute but
non-urgent problem arises outside of your doctors nor-
mal offce hours. Some local clinics offer more advanced
services than others. People with chronic health problems
(diabetes, high blood pressure) or unusual conditions that
require a specialist should visit their primary care provider
whenever possible. Some examples:
When you should go to the
EmErgEncy
room:
Severe or blunt trauma
Head injury
Chest pains/heart attack
Stroke
Loss of or decreased level of
consciousness
Miscarriage
Rectal bleeding
Severe shortness of breath
Fast heart rate
When you can try a
clinic:
Colds, fu, fevers
Minor infections such as upper
respiratory, sinus, ear,
urinary tract, bladder
Headaches
Lacerations, cuts
School physicals
Asthma and allergy fare-ups
Bug bites
Skin irritations and rashes
Sprains, bumps/bruises
Strep
Croup
Hearing loss is a common problem with more than 30 million people suffer-
ers in the United States alone. Some hearing losses are correctable with medicine
or surgeries. Hearing aids can help the majority of people with mild-to-moderate
hearing loss. Current hearing aids offer comfortable ft with advanced features
for reducing background noise while amplifying speech sounds. There are many
advanced hearing aids that are available to help a wide variety of hearing losses.
Sometimes, however, hearing aids are not enough. Hearing aids work by
amplifying sounds. With hearing aids, no matter how loud you make a sound, when
a key part of the ear is not working the way it should, it can still sound unclear and
distorted. When a person has a hearing loss that is so severe that a hearing aid is
not helpful, we recommend a cochlear implant. A cochlear implant can be an effec-
tive long-term solution for individuals with severe-to-profound hearing loss.
A cochlear implant is an electronic device that is surgically implanted and
works by directly stimulating functioning nerve fbers in the inner ear. Unlike
hearing aids, cochlear implants do not amplify sound, but instead are designed
to mimic natural hearing. Cochlear implants convert sound waves to electrical
impulses and transmit them to the inner ear, providing people with severe-to-
profound hearing loss the ability to hear sounds and potentially better under-
stand speech without reading lips. The cochlear implant has become widely
recognized as an established treatment for profound hearing loss.
A cochlear implant consists of two parts: the surgically implanted electrode,
and an external speech processor. The surgery is performed in the hospital as an
outpatient procedure. During the surgery, a thin wire is inserted into the cochlea
(or inner ear). This wire and the attached microchip are implanted under the
skin leaving only a very small scar behind the ear. After surgery, there is usually
no signifcant pain. A few weeks after surgery, the external speech processor
is attached and activated by our audiologist. After implantation, the patient will
require practice and patience in learning to hear again.
Age is not a factor in determining cochlear implant candidacy. Children as
young as 12 months and seniors well beyond 80 years old can be candidates
for a cochlear implant. Cochlear implants are covered by both Medicare and
Medicaid. Most insurance plans cover the implant, as well.
Dr. Roebuck is an otolaryngologist with Southeast Texas Ear, Nose, &
Throat, LLP. He is a native of Southeast Texas and specializes in diseases of
the ear and their treatments.
SE Texas Medical Innovations
By Dr. Jeremy Roebuck
Mid-levels is a term for
nurse practitioners and physi-
cian assistants, who typically staf
convenience clinics, though some
also have doctors on site. Klamfoth
said that many of the Christus clinic
patients just dont have primary
care physicians, a comment echoed
by several other clinics.
A high percentage of patients at
area clinics are children. Klamfoth
reports that at Christus Minor
Care, one-third of the patients are
under 10 years old. Sixty percent
are under 40 years old. Wilson
concurs that about 40 percent of
the patients at Doctors Express are
children and that they generally
serve a younger population.
The various clinics in Southeast
Texas vary widely in pricing, staf-
ing and services ofered. How can
you know which clinic works for
your problem? Nederland resident
Stephanie Flory followed up a
friends post on Facebook about a
convenience clinic when her son
hurt his knee on a Sunday. She
called the recommended clinic
and was assured they could handle
injuries and take X-rays if needed.
Flory said the visit was satisfy-
ing, and they were out in about
45 minutes. These clinics are
the perfect place for when its not
quite enough for the ER, but you
dont want to wait for the doctor to
squeeze you in.
10 November/December 2011 | BE HealthySETX.com
Patients exit the Christus MinorCare Center - St. Elizabeth on
Dowlen Road.
Did you know that Beaumont has some of the most innovative surgical and medical treatments available
anywhere? The medical community of Southeast Texas is comprised of highly trained, skillful physicians
available to make a difference in your care. Each edition, with the help of Medical Adviser Dr. Garrett Peel,
we will introduce you to some of these innovative procedures.
cochlear implants
BEHealthySETX.com | November/December 2011 11
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The Mission of Anayat House, Inc. is to provide affordable
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to outpatients or to friends and family members of patients
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12 November/December 2011 | BE HealthySETX.com
C
a
l
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b
M
a
r
s
h
a
l
l
Are you determined to
make progress on your
weight and ftness
goals?
Have you
plateaued with
your workouts?
Has the doctor
said, Get some
exercise before
you come back?
Do you want to get
started with ftness
but intimidated by the
equipment?
I
am so passionate about
the benefts of training
because I truly believe
many people do know
the right things to
do, but hiring a trainer
can bridge the gap between
knowing and doing, said
Tanya Hansen, a Beaumont-
based personal trainer.
Hiring a personal trainer can help beginners
learn correct fundamentals and safety, assist
those with medical issues or limitations fnd
ftness options and push the already ft to a new
level of endurance. Trainers should prepare
customized workouts for each client after a
thorough assessment.
When selecting a trainer, you should ask
about the following basic facts and then decide
whether the trainers style, personality and
experience jive with your needs.
Personal Training Certifcations:
Currently, there is no standardization or
regulation of personal training certifcation.
Though there is a move afoot to create some
national standards, at this time, customers
have to wade through a variety of organiza-
tional acronyms that all sound profcient but
may be meaningless. A key diference is the
prerequisites for the course including previous
study and degrees.
Other Qualifcations:
Trainers should also have CPR and frst aid
training. Many trainers are certifed in several
specialties or in nutrition. Particularly with
medical issues, a trainers experience with
rehab, physical therapy or previous clients
with similar limitations can be relevant. Since
nutrition is a vital part of any exercise plan,
asking about the trainers nutrition qualif-
cations can be as important as their ftness
certifcations.
Costs and GymAfliations:
In Southeast Texas, costs range from $40 to
$60 an hour to work with a personal trainer.
Most ofer package deals where the cost per
session goes down with a greater quantity of
purchased sessions. Some trainers work as in-
dependent businesses, others work as employ-
ees of specifc gyms. This can afect cost, and
will afect where the training takes place.
Age: 37
Years as a trainer: 7
Afliation: Christus Health &Wellness Center
Degrees/Certifcations: B.S. in Applied Psychol-
ogy, National Exercise Training Association Cer-
tifed Personal Trainer (NETA) and Aerobics
& Fitness Association of America Certifed
Group Fitness Instructor (AFAA)
Tanya Hansen grew up on a farm in
Minnesota. Her father and uncle
were her frst ftness role models,
two teachers who got up every
morning to work out. After
receiving her degree from Be-
midji State University, Hansen
worked in ftness clubs around
the country until settling in
Beaumont 11 years ago. She is a wife
and a mom with two kids, a son and a daughter.
Whats your training philosophy?
What I do is functional training - movements
and workouts that translate into everyday life.
How many times are you going to do a bicep
curl in everyday life? But you pick up a child,
lift groceries from the car. I will never have you
just working your bicep any more. I train every
muscle group in balance. My passion is to make
people feel well, healthy and strong.
Howdo I choose a trainer?
Ask for an initial consultation. Talk about specifc
goal-setting and whats going to stand in your way.
Interview trainers and let them sell themselves.
You want to be encouraged, motivated, and feel
that your trainer has a genuine interest in what
youre trying to attain. If you dont have rapport,
then youre never going to be 100 percent satisfed.
Training costs seemlike a lot to spend on
myself.
I look at the money we spend on going out to eat
or on our hair when the most lasting and impor-
tant things in our lives are wellness and ftness.
If hiring a trainer is something youve thought
about, but you think, Im going to walk at home,
get a little endurance built up frst no, just do
it. Too many of us say, Tomorrow Im going to do
this and tomorrow never comes. If you start to
understand what it feels like to feel healthy again
theres not a price tag for that.
Howdo training sessions ft into my lifestyle?
I dont care if you hire me three or fve days a
week; if you arent making the changes outside
of those hours, youre not going to get the best
results. I can make your heart stronger, make your
lungs work more efciently, but if you think that
hour you spend with me gives you free rein to do
whatever you want for the other 23 hours, that is
not going to show the changes you want.
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BEHealthySETX.com | November/December 2011 13
When
working with
a personal
trainer:
DO
Respect your trainers time. Tell
your trainer as soon as possible if
you cannot make a session.
Tell your trainer if you feel any pain
or discomfort outside of normal
exercise parameters.
Take before and after pictures.
Even if you are the only person who
sees them, they will help with moti-
vation as you progress.
Ask questions.
Make sure your trainer is aware
of any medications you are taking
as well as any past injuries you may
have.
Be honest with your trainer about
details necessary for success,
particularly about nutrition. Sound
nutrition is absolutely essential to
meeting ftness goals.
DONT
Talk on your phone or text during
your session if it can be avoided.
Waste time visiting or chatting.
Be late. You are paying for the
session, so get all you can out of it.

Age: 43
Years as a trainer: 15
Afliation: Christus Health &Wellness Center
Degrees/Certifcations: B.A. in Applied Arts &
Sciences, B.S. in Health Education, NSCA Certifed
Strength & Conditioning Specialist (CSCS), AEA
Certifed Aquatic Fitness Instructor
Brendon Legendre grew up in Beaumont lov-
ing baseball. He attended Angelina College
and Tarleton State University on baseball
scholarships, earning an associate of
science degree along the way. When his
baseball career ended, he returned to
Beaumont to fnish his dual degrees
from Lamar University. A single dad
with one daughter, Legendre works
full-time as a rehabilitation coor-
dinator for Beaumont Spinal Care
as well as working as a personal
trainer.
Howdo you approach training?
Safety is always my number-one pri-
ority. I know each individuals goal in
order to devise an exercise program to meet
their needs and desires. I like to incorporate a vari-
ety of exercises to challenge clients. I believe
in working the core and working the
inside out. I believe in compound exercises where
you use multiple muscle groups incorporated in to
one exercise to promote endurance, strength and
boost metabolism.
Howcan I be successful with training?
Have some goals, have a commitment that yeah,
Im gonna do this with no excuses. Dont let any-
thing get in the way. I fnd that the most success-
ful clients are the ones committed to the exercise
program and also the nutrition regime.
What if I have an injury or physical limitation?
Its important to be honest and thorough when
providing health history. This allows the trainer
to design an exercise routine taking into consider-
ation any physical limitations. The client should
inquire into the trainers education and experience
in working with clients with similar issues.
Howshould I assess my trainer?
You should be comfortable with the trainer, able to
ask any kind of question. You want to be motivated
with a positive attitude and you want someone who
is accessible. You want to feel like youre being
challenged and making progress. Are you losing
inches or pounds or making progress toward the
goal you have for yourself?
Brendon Legendre
Age: 26
Years as a trainer: 2
Afliation: Independent, Terrys Fitness
Degrees/Certifcations: Studying for a
degree in dietetics, American Muscle and
Fitness Personal Trainer
Originally from Buna, Caleb Marshall joined
the Marine Corps after high school. He
served four years, mostly in Okinawa, Japan,
but also served a tour in Iraq. He settled in
Beaumont after his hitch and began work-
ing in the personal ftness feld. Currently
single, he is studying at Lamar University to
become a licensed dietitian and working full-
time as a personal trainer.
What should I do before hiring a trainer?
Its good to have a specifc goal, such as
a date or timeframe you want to meet, or
maybe a goal weight or a doctors recommen-
dation. You can also say, I want to look good
in a bathing suit or in this dress. A specifc
goal is better than just saying I want to get
in shape. Dont worry about your ftness
level, just come as you are.
What should I look for in a trainer?
He or she needs to look and act the part.
You really want a trainer you can mesh with
someone knowledgeable about your life
and goals, someone to help you avoid injury
and motivate you. The gender or age of your
trainer is a personal preference.
What if Imworking towards an athletic
goal/competition?
You want to seek out someone who is
more astute than you are someone a little
stronger, faster, more specialized. Ask if
the trainer has experience in that particular
sport, if he or she is training other athletes
in that sport and if he or she has any special
certifcations related to that sport.
Howoften do I need to work with a
trainer?
When I ask the clients goals, we talk about
how long it will take. I dont like to do
anything less than three months. Getting
rid of your old habits and getting into a new
swing will take a bit of time. Three months
is also enough time to see a big diference.
If you see a diference, you are more apt to
continue because youll be in the routine
and have renewed motivation. I try to stick
with three times a week. Someone trying to
build muscle wouldnt want to train fve days
a week, but for losing weight, training more
frequently is OK. Cardio work between ses-
sions is a defnite must.
Caleb Marshall
14 November/December 2011 | BE HealthySETX.com
T
hey start coming
at Thanksgiving
and continue
through New
Years Day the
delicious dishes
and pastries of the holidays.
But if you dont watch what
you eat starting in November,
youll be stufng yourself like
the holiday turkey
into your party
nery come New
Years Eve.
Have a plan
How can we indulge during the
holidays without packing on the
pounds? According to Amy Shows, a
registered dietitian and professor of
nutrition at Lamar University, in order
to enjoy holiday treats without adding
pounds or guilt, we need to enter the
holiday season with a realistic mind-set.
Its unrealistic to think of losing weight
during this period, so instead focus on
maintaining your current weight.
Thinking ahead, having a plan and
then sticking with the plan is half the
battle, Shows said. This plan can
allow us to enjoy holiday treats while
maintaining current weight. And dont
let your exercise routine take a holiday,
she advised. Aim for at least 30 minutes
of exercise a day.
Whats the plan? Basically, focus on
friends and family rather than food.
But dont deprive yourself of all the
treats. Instead, allow yourself to splurge
a little. Enjoy your favorites in small
amounts and try to cut back in other
ways, Shows said.
Pre-party strategy
Dont go to a holiday gathering
on an empty stomach. If you arrive
famished, you are more likely to
overeat, Shows noted. Take the edge
of of hunger by eating a small, low-fat
snack before the party such as a piece of
fruit or some low-fat yogurt. >>
eating right
Seasons Eatings
Tips to stay trim for the holidays
Trim the Tree and the Fat
Go for the skinless roasted turkey instead of roast beef or ham.
Skip the potatoes and gravy, and try a wild-rice dish.
Try a fruit dessert such as a parfait or a trife.
Practice portion control: Enjoy a few holiday treats, not dozens.
By Cathleen Cole
BEHealthySETX.com | November/December 2011 15
focus on health
The right choices
Food choices and food portions can
make a diference. Shows recommends
going lean. Limiting the high-fat foods
will denitely help us with the goal of
maintaining our current weight, she
said. Turkey breast is a lean choice, and
cranberry sauce is a great option to eat
with turkey and stufng instead of gravy.
Casseroles that require creamy soups
can be made with the lower-fat options
to avoid the extra calories and keep the
avor. Consider baked sweet potatoes
rather than mashed potatoes with butter
and gravy or candied yam casseroles,
which can be loaded with fat and sugar.
Leonel Ducharme, executive chef at
Holiday Inn Hotel & Suites in Beaumont,
agrees. Denitely go with the roasted
turkey and skip the skin, he advised.
Instead of potatoes and gravy, try a
wild-rice dish with nuts and berries.
Cranberries are in season and add tang
to your recipes. Or enjoy vegetable
casseroles such as a broccoli-and-rice
casserole light on the cheese. The
biggest thing is reducing the fats,
Ducharme said.
The calorie savings made with these
healthier choices add up. For example,
6 ounces of eggnog have about 250
calories and 14 grams of fat, while the
same amount of apple cider has only 90
calories and no fat. If you really want
the eggnog, decide ahead of time that
you will have only one serving, or better
yet, go for a lower-fat version, Shows
explained. A slice of pecan pie
has about 400 calories compared to about
200 in a piece of pumpkin pie.
Watching portion sizes is important.
Decide ahead of time that you will not
cover your entire plate with food, Shows
said. And if the pre-cut portions are too
big, such as a piece of pie, cut it in half.
Its easier to put a smaller portion on
your plate than to get a larger portion and
leave half of it on your plate.
Slow down
According to Shows, it takes about 20
minutes to get the message that we are
full. When we eat too fast, we can pack
away a lot of food in 20 minutes, perhaps
more than we intended, she said. Sadly,
we dont get the message that we are
getting full. We get the message we are
stufed overfull which is really too
late. So, slow down in your eating to
give your brain time to send the signal,
your body time to receive the signal and
then pay attention to the signal.
I think the take-home point is to
enjoy your favorite holiday foods by
taking smaller portions, eating slower
and savoring the delicious taste of
wonderful seasonal foods, Shows said.
Try something healthy, delicious
and fun this holiday season.
One of my favorites is a vegetable
wreath, said Amy Shows, a
registered dietitian and professor
of nutrition at Lamar University.
Cover a Styrofoam wreath with
parsley sprigs or a green, leafy
vegetable. Next, place colorful
vegetables cherry tomatoes,
cucumbers, carrot roses, radish
roses on toothpicks, attach them
to the wreath, and place a low-fat
dip in the center.
Another colorful snack the dietitian
likes is a tray of red and green
apple slices, which looks great on
a Christmas tree-shaped tray. Start
at the bottom with a row of red
apples and then alternate the green
and red rows. At the top, place a
lemon cut in a star shape. Be sure
to soak the apples in orange or
lemon juice to prevent them from
turning brown and to add a nice
citrus favor.
Leonel Ducharme, executive chef
at Holiday Inn Hotel & Suites in
Beaumont, has some healthier
dessert options. Make a parfait by
layering yogurt, fresh fruit and gra-
nola in a tall glass. Or make a big-
ger trife in a pretty serving bowl by
layering sponge cake, custard and
fruit and topping it with homemade
whipped cream light on the sugar.
It will cut down on the calories
and its a beautiful presentation as
well, the chef said.
Choose apple cider instead of eggnog
Dr. Amy Shows, professor at
Lamar University
16 November/December 2011 | BE HealthySETX.com
H
ealthy
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dishes
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Medically unsound
According to the American Podiatric
Medical Association, women infict more
punishment on their feet in part from
improper footwear including high-heel
shoes generally defned as pumps with
heels of more than two inches. High-
heel shoes are medically unsound and
cause postural and safety problems, the
association notes.
High heels shift the force of your
footsteps so that the most pressure ends up
on the ball of the foot and on the bones at
the base of the toes. As a result, high-heel
shoes can lead to foot pain, toe deformities
and shortened Achilles tendons. High
heels can also contribute to knee and back
problems, shortened calf muscles and an
awkward gait.
Wearing high heels can lead to callus
formation and pain in the ball of the foot,
corns on the toes and ankle instability,
according to Debra Lusk, a doctor of
podiatric medicine at Podiatry Associates of
Southeast Texas in Beaumont. The doctor
advises women to be especially careful of
the surfaces they walk on when wearing
high heels because its much easier to slip
or stumble. And beware stilettos. Narrow
heels are more easily caught in cracks or
spaces that can send a woman tumbling,
she warned.
If your shoes are becoming a pain, its
time to change your style. Warning signs
include pain in the toes or foot as well as
general leg fatigue. And if those killer high
heels are turning on you, its really time to
rethink your footwear choices. Foot and
ankle fractures and sprains are the most
common high-heel related injuries that Lusk
treats in her practice.
Slaves to
fashion
Women are
more likely to
see a podiatrist
than men because
of their passion for
high fashion. Women in
general are more likely to seek
podiatric care than men because our
culture emphasizes youth and beauty,
and nothing makes a woman feel older
or more unattractive than having to wear
orthopedic shoes, Lusk said.
Laura Woodside, an administrative
assistant for Goodwill Industries in
Beaumont, wears high heels to work
because she thinks it is a more professional
style than fats. She wears stilettos, but
sticks to the 2-inchers because she says her
4-inch heels are too hard to walk in and not
very comfortable. I believe its important
to buy comfortable and yet stylish shoes if
at all possible, she said. Stylish high heels
make me feel like I look better than if I were
to just wear fats.
A step in the right direction
To relieve the abusive efects of high
heels, the American Podiatric Medical
Association suggests women limit the time
they wear them, alternating with good
quality sneakers or fats for part of the
day. The association also recommends that
women vary the height of their high heels,
opting for lower heels and keeping the
higher ones in the closet most days.
So what can women wear safely when
they need a dressy shoe? The association
notes there are comfortable and attractive
walking pumps also called comfort or
performance pumps that blend fashion
considerations
and comfort.
These pumps
ofer athletic shoe-
derived construction,
reinforced heels and wider toe room. Lusk
recommends Easy Spirit, Naturalizer, Cole
Haan and Taryn Rose. In her opinion, the
overall construction including the attention
to padding and seamplacement as well as
choice of materials including soft leather
uppers makes these brands exceptional.
Women may pay more for them, but I like
to think of themas an investment in their
feet, she said.
The doctor wears high heels on special
occasions, but usually in the 2-inch range.
And what does she wear to work? Ah, I get
to work in sneakers because I wear scrubs,
she said.
Steps to Take for Happy Feet
If you wear high heels, especially really high
heels, follow these steps to
keep your tootsies happy and healthy:
Avoid spikes and go for a thicker heel that
offers more stability.
Vary your heel height dont wear your
4-inchers every day.
Dont wear high heels all day long. Give
your feet a break in walking shoes or fats.
Buy quality shoes that ft well and offer
support, padding and comfort.
S
leek, sexy, height-inducing high heels are
must-haves for many womens wardrobes.
But sorry, girls. If you think 4-inch designer
stilettos are expensive, wait until you see
your podiatrists bill.
KILLERShoes
The lows of high heels
By Cathleen Cole
BEHealthySETX.com | November/December 2011 17
18 November/December 2011 | BE HealthySETX.com
6830 Phelan Blvd.
Beaumont, Texas 77706
409-860-9600
I have small children. What should I be
doing to take care of their teeth?
Childrens primary teeth begin to erupt around six months after birth.
By the age of three, all twenty primary teeth should be present. Parents
should start cleaning their childs teeth as soon as the teeth appear by using a
child-sized soft bristle toothbrush with a pea-sized dot of childrens uoride
toothpaste. Make sure your child does not swallow the toothpaste. Bring
your child for regular dental checkups. Remember that healthy eating habits
lead to healthy teeth.
GENERALDENTISTRY
Michael R. Olson, DDS
West End Dental Group
Q
A
What happens if a patient in a hospice
program gets better?
If improvement in the patients condition occurs and the disease
seems to be in remission, the patient can be discharged from
hospice. The patient can return to aggressive therapy or go on about
their daily life. At a later time, if a discharged patients condition de-
clines and the physician feels that their condition is now in a terminal
phase, the patient can be re-admitted to the hospice program.
HOSPICE
Dr. Keith Stout, MD
of Beaumont
Q
A
2450 N. Major Drive Beaumont, Texas 77713
409-840-5640
Hospice Physician Certied in Hospice and Palliative Medicine by
The American Board of Internal Medicine
3820 Pointe Parkway
Beaumont, Texas 77401
409-767-8221
Should I be concerned about
a small curve in my spine?
An appointment is recommended to examine any abnormal
curve in the spine. Curves that measure less than 20 degrees are
usually no cause for concern unless there are signs of further progres-
sion. However, in growing children and adolescents, mild curvatures
can rapidly worsen, so continued observation by a physician is very
important.
ORTHOPEDIC SPINE
Richard R.M. Francis, MD,
MBA, FRCS Ed., FRCS Ed.
(Tr & Orth)
Spine Associates
Q
A
www.spineassociatesofbeaumont.com
4400 Gulf Ave.
Groves, TX 77619
409-962-5785
My mother is in Skilled nurs-
ing at a Nursing Rehabilitation
Facility, how many days will Medicare Pay for?
Medicare pays 20 days at 100%, day 21-100 there is a co-
insurance that needs to be paid at 138.50/day, and going up
in 2011. Medicare Supplements usually cover this co-insurance at
80-100% of it. The patient needs to require skilled nursing care to be
eligible for the full 100 days.
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
What can you do for an infant who is
having teething pain?
Teething does not require medications. It is a normal
benign. Many children have no apparent difculties.
Treatment of symptoms includes oral analgesics such as,
topical xylocaine viscus, Oragel apply to the gum, Tyle-
nol, or ice rings apply to the gum.
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 Ofce
(409) 963-3391 Fax
www.gulfcoastcardio.com
How can I improve my HDL(good cholesterol)
without taking medications?
There are several ways to increase your HDL cholesterol. Fats that are
monounsaturated can improve your HDL as well as reduce triglycerides
and bad cholesterol (LDL). These include olive oils and other vegetable oils, nuts,
and avocados. Some foods such as peanuts, green peas, sunower seeds and corn
can also raise HDL. Other important strategies to raise HDL include a regular
exercise program, alcohol in moderation, and the cessation of smoking. Calcium
supplements have also been shown to increase HDL levels.
CARDIOLOGY
Nabeel Abdullah M.D.,
F.A.C.C.
Gulf Coast Cardiology Group, P.L.L.C.
Q
A
Email your questions to:
readerquestions@brannonandassociates.com
Email your questions to:
readerquestions@brannonandassociates.com
Do you have questions?
Do you need answers?
Do you have questions?
Do you need answers?
HEALTHYADVICE
HEALTHYADVICE
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FOR INFORMATION ON HOW YOU MAY PARTICIPATE AS A PROFESSIONAL ON THIS PAGE, CALL TED BRANNON AT (888) 833-5001
Healthy Advice segments are written by area professionals and are paid features. The Beaumont Enterprise and Brannon & Associates, Inc. are not responsible for the
opinions and suggestions presented herein. Healthy Advice is not intended to substitute for medical advice. Readers should consult their practitioner for specific advice.
How has Healthy Advice from the Pros helped you? Email your comments to: readerquestions@brannonandassociates.com
Across
1. Rocket vegetable used in salads
6. Dentists concern
9. Natural energy source
10. Natural anti-fungal remedy used in
skin care (3 words)
11. Computer
12. Evil warrior in The Lord of the
Rings
13. Herb used in stews
14. Acne breakouts
17. ___ leaves used in the kitchen
18. Sometimes scrambled
20. Gland behind the stomach
21. Diagnostic procedure consisting of
recording the activity of the heart
electronically
24. Nurse, for short
25. Over the moon
26. Given a tranquillizer
29. Location
30. Toenail services
31. Thanksgiving serving
Down
1. Main channels to the heart
2. Habitual practice
3. Slang word for intestine
4. Not ready to eat yet
5. Type of bandage
6. Main constituents of
vegetable oil and animal fats
7. Former partner
8. Strange sounds from the
body that are diffcult to stop
11. Media handler
12. Therapy relating to
manipulating the skeleton
and muscles
15. Business degree
16. Cooking vessel
19. Grabbed hold of
20. Hurtful sensation
22. Out of the wet
23. Crack, of a lip
26. Elton John or Paul McCartney
27. French summer
28. ____ sum
29. His in Spanish
Crossword
By Myles Mellor
See solution on page 4.
BEHealthySETX.com | November/December 2011 19
What can I do to eat healthy during the
holidays?
Ahealthy diet is an important weapon in the ght against disease. Making a few
easy substitutions to traditional holiday meals can boost nutritional value and
help you and your loved ones reduce cancer risk. When planning holiday menus, select
foods that represent a rainbow of colors, like dark, leafy greens, and seasonal fruits and
vegetables. Review favorite holiday recipes and substitute butter or lard with healthy
oils, and serve whole grain bread, which contains ber, folic acid, and iron. Also, limit
sugary drinks, like eggnog, and serve sparkling cider for toasting.
HEMATOLOGY-ONCOLOGY
JaySchachner, M.D., FACP
Q
A
Mamie McFaddin Ward Cancer Center
690 North 14th Street, 3rd oor
Beaumont, TX 77702 409-899-7180
Beaumont College Street
3070 College Street, Suite 301
Beaumont, TX 77701 409-813-1686
www.TexasOncology.com
# 7 Bayoubrandt Drive
Beaumont, Texas 77706
(409) 832-8323
www.veincentersoftexas.com
What factors contribute to the develop-
ment of spider veins or varicose veins?
There are many factors that contribute to increased spider
or varicose veins. These include prolonged standing or sit-
ting, obesity, number of pregnancies, and heredity. Fortunately
we offer several treatment options in our clinic to address these
conditions, and most are covered by insurance, Medicare and
Medicaid!
VARICOSE VEINS
Dr. Charles Gutierrez
Vein Centers of Texas
Q
A
3560 Delaware, Suite 1104
Beaumont, TX 77706
OFFICE (409) 347-3621
FAX (409)860-9078
I heard recently about a nutritional treatment for
arthritis that has been effective. Can you tell me
more about it?
Youre referring to glucosamine and chondroitin sulfate. Glucosamine is a
modied sugar found in the body and is a building block for two major compo-
nents of cartilage. Chondroitin sulfate blocks the enzymes that can destroy cartilage.
While these nutritional supplements are receiving a lot of attention as a cure for arthri-
tis, scientic testing has been limited, to date. More testing is still needed, but arthritis
sufferers might consider a 1-2 month trial of these supplements. A regimen of weight
control, exercise, and sensible low-fat eating also can help.
INTERNALMEDICINE
Msonthi B. Levine, M.D.
Golden Triangle Internal Medicine
& Geriatrics
Q
A
Email your questions to:
readerquestions@brannonandassociates.com
Do you have questions?
Doyouneedanswers?
F
r
o
m
t
h
e
P
r
o
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F I G H T
PROSTATE
CANCE R
When I was diagnosed with prostate cancer, I considered all of my options. Then I chose to partner with Texas Oncology.
Theyre part of the largest network of cancer specialists, researchers and treatment centers in the country. And theyve
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Texas Oncology is on my side.
1-888-864-I CAN (4226) www.TexasOncology.com
HOW TEXANS FIGHT CANCER.
YEARS
CELEBRATING
MAMIE MCFADDIN WARD
CANCER CENTER
690 North 14th Street
Beaumont, TX 77702
409-899-7180
BEAUMONT COLLEGE STREET
3070 College Street, Suite 301
Beaumont, TX 77701
409-813-1686
JASPER
2014 S. Wheeler, Suite 170
Jasper, TX 75951
409-899-7180
S. Usama Akhtar, M.D. Robert R. Birdwell, M.D., F.A.C.P.
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Jay R. Schachner, M.D. Henry O. Williams, M.D.