Transitions , January 2017 ...transitionsnewsmagazine.com/wp-content/uploads/JanTrans17.pdf · Transitions, January 2017 PAGE 2 Stay Fit in Your Senior Years You may not be as nimble

As you get older, staying active ismore important than ever. Researchshows that regular exercise canward off “silent strokes,” preventfalls, manage incontinence, andeven improve your memory. Onestudy, funded by the NationalInstitute on Aging and conductedby researchers at four universities,found that moderate aerobic exer-cise increased the size of the hip-pocampus (a part of the brain thatplays a role in memory) andimproved spatial memory.

You may wonder, though, if youcan keep up the same pace you oncedid. Can you still ride a bike, runsome laps, and play a round of ten-nis? The answer can be yes, if youmake the appropriate adjustmentsto your fitness routine.

Staying fit comes down to youand what you’re comfortable with,says Carol Ewing Garber, PhD, asso-ciate professor of movement sci-ences at Columbia University and aregistered clinical exercise physiolo-gist who researches the role of exer-cise in senior health.

“In general, seniors should con-tinue to do what they’ve alwaysenjoyed doing,” Ewing Garber says.“Really, the caveat is that there mayneed to be some modifications. If itfeels comfortable to you, there’s noreason to change. But if you start tofeel insecure, it might be time for achange.”Adapting Your Fitness Activities

Senior health experts say that asedentary lifestyle can rob seniors ofmuch of their health and enjoymentof life. Still, many older adultsmight be concerned about the safetyof activities like bicycling, jogging,swimming, dancing, or tennis. Thefollowing health tips can help easethose concerns:

• Pay attention to your body.“Exercise at a level where you feellike you’re working a bit, but itshouldn’t feel extremely hard,”Ewing Garber says.

• Pay attention to your surround-

ings. “The hard part as people aregetting older is they don’t noticethat they don’t see as well, react asquickly, or have the same balance,”says Ewing Garber.

• Warm up and cool down beforeexercise. It’s important that seniorswarm up to help prepare the bodyfor the workout to come, and theyshould also bring down their heartrate during a cool-down phase atthe end of an exercise session.

• Drink plenty of fluids. Don’tforget your fluids — even when youmay not feel thirsty. Staying hydrat-ed is always important, but espe-cially on hot days.

• Watch out for the weather.Seniors can be more vulnerable thanothers to extreme cold or heat. Besure to dress appropriately, andmove inside to exercise when theweather isn’t cooperating.

• Use the proper equipment.Wear a helmet when bicycling andcomfortable shoes when running,for example. The right equipmentcan keep you safe and preventinjury.

• Be prepared to change activi-ties if you need to. Runners maydevelop knee problems and have toswitch to another sport, warns

TT rr aa nn ss ii tt ii oo nn ss , J a n u a r y 2 0 1 7 w w w. t r a n s i t i o n s n e w s m a g a z i n e . c o m PA G E 2

Stay Fit in Your Senior YearsYou may not be as nimble as you once were, but that shouldn’t stop you from working

out and maintaining your health and fitness as you get older.By Dennis Thompson, Jr.

Medically Reviewed by Pat F. Bass, III, MD, MPH

A whole yearhas flown bysince I startedpublishing thisfine magazine. Iknow it has beensaid that theolder you get thefaster time goes,but this past yearis practically ablur. I am thekind of personthat likes toreflect on thingsand since I dothat anyway Ithought I’d sharesome of myreflections withyou:

My goal forthe business wasto grow theadvertising base& distributionoutlets for allthree publica-tions: SouthCarolina WomanMagazine,TransitionsNEWS Magazine

& Parent NEWS. We’ve have done both!! We not only maintained our core,loyal clients but have added a bunch more that weren’t even aware we exist-ed. We added several high-traffic rack locations giving readers more access tothe publications and streamlined most of our distribution channels.

I believe in giving back to my community and am always thinking of ideasto do just that. So this past year we sponsored several fundraisers like theAlzheimer’s WALK, Relay for Life & Bold & Beautiful Foundation. We alsoparticipated in a community event a month to support the organizations &give the publications & our clients more exposure. Yes, we are exhausted! Butevery minute has been worth it. In fact, I want to do more in 2017.

Then there’s the networking; and we networked like no one’s business! Wejoined the Myrtle Beach Chamber of Commerce & Little River Chamber andbecame active members. We were monthly figures at many networkinggroups like Coastal Power Women, Carolina Forest Meetup, WSBA/WomenSmall Business Association, Palmetto Guild, & the Costco Networking Group.We even started a Women’s Networking Group called SCWN (South CarolinaWomen Network.). We meet the 4th Thursday of every month at the BeachCove Resort.

Finally, it was always my intention to incorporate events or Expo’s into mybusiness. Quite often I have clients express an interest in participating in anevent at which they can meet women consumers since that is who they sell to,so we hosted the South Carolina Women EXPO in November. It was a bunchof hard work, but it came together beautifully. We have lots of great testimoni-als from both the participants & the women who attended. Visit our websiteto hear all about it. In fact, we’re at it again. In April we will be hosting theMyrtle Beach Senior EXPO. See page 28 for details).

In looking back over the year, I think we did an awful lot of good thingsand definitely want to continue on that path. I want to continue to establishmore readers through additional distribution channels and of course, increaseour content to include any business in Horry County that wants to reach thewomen consumer. If you have a referral for us please email me and we willgive them a call.

Happy New Year, Terri Petry


Monthly publication, distributed free throughoutthe Horry, Marion, Georgetown, Counties.Copyright 2017, all rights reserved by CardinalPublishing, LLC. Reproduction or use withoutwriten permission is prohibited. All editorial sub-missions become the property of CardinalPublishing, LLC. and cannot be returned. Thecontents of all submissions are for informationand entertainment purposes only. This publica-tion accepts no responsibility for the conse-quences of any actions taken from written orimplied information within the contents of thispublication. All material is copyrighted byCardinal Publishing, LLC. and cannot be copiedin whole or part without the written consent ofthe publisher.

We reserve the right to refuse any editorial thatis submitted to this publication.

PO Box 1145Conway, SC 29528

Phone/Fax (843) 369-1556E-Mail [email protected]

A Product ofCardinal Publishing, LLC

Owned/Published byTerri Petry

News MagazineTTrraannssiittiioonnss

Editorial/CompositionCindy Sudowski

For AdvertisingCall 843-369-1556

Gale Mulcahy843-450-3376

[email protected]

Lisa [email protected]

843-369-1556

Contributing Writers

Dr Jeffrey Horowitz

Dr Mark Schecker

Dr Timothy Cornnell

Dr James Turek

Diane DeVaughn Stokes

Kim Hurley

Kim Fowler

Deirdre W Edmonds

Margaret A Wadsworth

Patrick Munro

Jennifer Reed

Kayla Bracey

Star Sade

Jill Phelan

Carole Bowdre

Dennis Thompson, Jr

The paper that focuses on individual’s passing from one stage to the next ...

Publisher’s NOTE:Ewing Garber, acknowledging “that can be pretty traumatic for some peo-ple.” But if you can find something else you like quickly, you won’t loseyour fitness level.Best Exercises for Senior Health

To stay fit in your senior years, focus on these three types of exercises:• Flexibility exercises. “The very easiest exercises are stretching and flex-

ing, and they tend to become more important as people get older,” EwingGarber says. “[Seniors] tend to have range of motion problems in theirjoints. These exercises maintain the ability to get around and enjoy yourlife.” Practices such as yoga or Pilates can improve flexibility; many gymsalso offer stretching exercise programs designed for seniors. Try to stretchevery single day. If you have problems with balance, be sure to do yourstretching while sitting or lying down.

• Strength exercises. “The next easiest may be strength exercises,” EwingGarber says. “Strong muscles are very important to daily living, whetheryou’re getting out of a chair or carrying groceries. Strength training canreduce the rate at which your bones become weaker. If you have a littlemore muscle around the bone and you fall, it could help prevent a frac-ture.” Try to perform strength exercises on all of your major muscle groupsat least twice a week for 30-minute sessions, but don’t exercise the samesets of muscles on back-to-back days. Start with lighter weights, and thenmove up as you gain in strength. And be sure to pay attention to your formto avoid injury. Especially when starting out, have an instructor spot you.

• Aerobic exercises. Getting your heart rate up can benefit your entirebody and make it easier for you to walk or perform just about any every-day activity. You should try to perform at least 30 minutes of moderate-intensity exercise nearly every day of the week. “The main concern wouldbe if individuals have problems with balance,” Ewing Garber says. “Forexample, they might want to switch to a treadmill versus walking outside.”This modification can make the exercise safer.

Getting older shouldn’t mean surrendering to a sedentary lifestyle.Staying fit should remain a part of your daily routine.

Gale & Terri enjoying a moment with Santa at Bold & Beautiful Gala


How many timeshave you promisedyour self this pastyear that you weregoing to lose theweight? How manytimes have you letyourself down?Each time that hap-pens it makes it

harder to, first of all believe that you can actuallydo it and second it makes it harder on the body.The only way to lose weight and get healthy is tomake it your life until it becomes your life! Ichallenge you to call Metabolic Medical Center

and start the New Year off right.Make You a better You! Now is the time and

Metabolic Medical Center is the Place!Here are some things you can do to prepare

yourself for a positive change in your health.1. Take all the unhealthy food out your house!

Donate it to the shelter…2. Get in the mindset… Look at fitness maga-

zines, Google and read weight loss testimonies.3. Start exercising… Even if its just a little..

that’s OK!!! Just Do it! Every day! In your home,office, or gym- buy yourself some new work outclothes or new tennis shoes… it helps!

4. Start drinking Water Lots of Water…. All thetime!

5. Make sure you understand that this isYOUR journey… No one can say Yes to yourhealth But you..

6. Let the past go! You are a winner and arereading this article because you care about your-self and want to change.. Now is the time!

7. Set your goals! Get the dress you want inthe size you want to be !

8. Never GIVE up! NEVER!!!! Make a list of allyour accomplishments in life…and believe inyourself that you will also accomplish yourhealth and weight loss goals

Its Not easy But it is Worth it…Come join us at Metabolic Medical Center and

Make YOUR Health Great Again!

843-357-2851

Make Your Health Great Again

“2017 - The best year You have ever seen”By Star Sade

Metabolic Medical Center


www.mmcdiet.com4017 Hwy. 17 Bypass • Murrells Inlet, Myrtle Beach 843.357.2851

YOU CAN DO IT!• Lose Weight and Keep it Off

(proven results for 15 years)• Gain Energy

(regain youthful energy)• Reduce Health Care Costs

(lower chance of diabetes, highblood pressure and heart disease)

WE OFFER• Support and Guidance

(you’re never in this alone)• Affordable Programs

(something for all budgets)• Physician’s Speciality Care

(weight loss is all we do)

MetabolicMedical CenterLook Great. Feel Great.

Let's do this together!

The Lakes at Litchfield is a non-discriminating provider of services and an equal opportunity employer

US 17 South, Entrance to Litchfield Country ClubIn Pawleys Island, SC

800-684-7866 • www.lakes-litchfield.com

For Appointment And Gate Access Call

Carroll Painter 843-235-3777

A Unique Retirement Community

True Retirement LivingTrue Retirement LivingTrue Retirement LivingTrue Retirement Livingwith complete continuum of care within a gated community

According to the Centers for Disease Control and Prevention (CDC), by 2030, one inevery five Americans will be over the age of 65. Whatever your age now, it’s wise to pre-pare yourself mentally and physically for growing older. Adults today, the CDC adds, arelooking not only to extend their lives, but to enjoy a healthier, more active lifestyle wellinto their later years.

Here are a few simple tips to incorporate into your daily routine to ensure healthy aging:1. Tailor your diet to include lots of organic fruits and vegetables, as well as healthy fats

such as omega-3s, and limiting your intake of processed foods and added sugar.2. Exercise three to four times a week, including a mix of moderate-intensity activity like

brisk walking or water aerobics, along with vigorous-intensity activities such as playingtennis or hiking. Adding strengthening activities that work all major muscle groups isimportant to consider as well.

3. Work with your health care provider to introduce a foundational supplement regimeninto your daily routine. Nutritional supplements contribute to adequate intake of vitamins,minerals and other beneficial compounds such as antioxidants, resveratrol and other phy-tonutrients to keep your cells healthy. In addition to multivitamins, other top supplementsthat are considered beneficial for healthy aging include:

• Omega-3 fatty acids such as fish oil that help to balance inflammation and supportjoints, as well as cardiac and cognitive function

• A multistrain probiotic to support healthy gut bacteria, leading to improved digestionand strengthened immunity

• Co-enzyme Q10, an antioxidant beneficialfor cellular repair and increased energy.

Healthy aging is not just exclusive for theolder generations. Now, people across all gen-erations are making long-term lifestyle changesto feel good from the inside out. Different agegroups, however, have different needs.

The 30s: Whether focused on getting thatnext promotion or raising a family or both,many people in their 30s find the demands ofdaily life require all hours of the day.Nutritional supplements, especially probioticsand those that boost energy and immunity, pro-vide support for their fast-paced lifestyles.

The 40s: People in their 40s know thatsmart decisions today pay off later. In what isthe peak career decade for many, 40-some-things want to stay sharp to make the most ofeach day, but have developed an appreciation for simplicity. For them, supplementationoften includes fish oil and plant-based proteins.

The 50s: Today’s 50s are not slowing down. They’re all about vibrancy and continuedgrowth. However, as the natural effects of aging begin to take their course, hormone levelsoften diminish, so it’s important to regulate levels of sex, thyroid and adrenal hormones tofeel and function your best. Also, supporting musculoskeletal system health can helpenhance mobility and joint function.

The 60s and 70s: People in their 60s and 70s know that aging is about getting the mostlife out of their years. During these decades, nutritional supplements can support healthyvision, cognition, and digestive health.Expert Advice

“Aging is a beautiful, healthy process,” explains Registered Dietitian and Director ofProduct Development and Education at Douglas Laboratories, Kristi Belohlavek. “With theright nutrition regimen, people can look and feel their best, no matter how many candlesthey’re adding to their birthday cake. With a balanced diet, exercise and proper supplemen-tation, busy bees can stay mobile and active later in life, despite changes in muscle functionand decreases in bone density.” Many of the top-quality supplements that can protect yourhealth come from Douglas Laboratories, a nutritional supplement company dedicated tohelping people lead healthier, active lifestyles well into their later years.

It is recommended to consult with your health care practitioner before introducing anynew changes to your current nutritional supplement routine. For more information, visitwww.douglaslabs.com/healthyaging. (NAPA)

Top Tips To Live AHealthier, More ActiveLifestyle Well Into Your

Later Years

Although death brings finality tolife here on earth, it also startsanother chapter sometimes harshlyreferred to as “post-death” matters.Post-death matters are all thosethings that must be handled anddealt with after a person dies to tieup the loose ends and close outtheir mortal chapter of what theyleft behind here on earth.

Some post-death matters must bedealt with immediately after a per-son dies. These include notificationto family and friends of the per-son’s death, planning the funeral,wake or life celebration, makingarrangements for burial, cremationor other disposition of the person’sremains, and maybe writing theirobituary. Very soon after theseimmediate “post-death” matters are

handled and com-pleted, the familyusually begins tothink about whatmust be done withthe property andassets that thedeceased personleft behind.Whether its realestate, stocks andbonds, personaleffects such as jew-elry or an automo-bile, or life insur-ance or an IRA, thedeceased person’s property andassets, like their own bodilyremains, must be properly disposedof after their death.

Often people will leave written

instructions con-cerning how theywant their prop-erty and assets tobe disposed ofafter their death.These writteninstructions aremost often setforth in a LastWill andTestament. A per-son may also,however, leavewritten instruc-tions directing

the disposition of his property andassets other than by a Last Will andTestament. These instructions maybe in the form of a written contractdesignating someone as the benefi-

ciary of their life insurance pro-ceeds, annuity contract or IRA.Other written instructions may beon file with a bank, financial institu-tion or brokerage firm designatingtheir financial account as a right ofsurvivorship account with anotherperson or possibly as a “payable ondeath” account so that the accountbalance will be payable to anotherperson at the account holder’sdeath.

In the majority of cases, thesepost-death instructions left behindby a person other than by their LastWill and Testament can be followedand given effect without outsideinterference and without involve-ment of the local probate court.Generally, the person designated bythe deceased person to receive the


An Easy Way To Avoid Probate, If YouKnow What You’re Doing

By Deirdre W. Edmonds, Attorney at Law

We're pleased to offer the following services atCoastal Veterinary Services, Inc.

• Appointments• Emergency & Urgent Care

Types of Pets Seen• Dogs• Cats• Rabbits• Pocket Pets• Reptiles• Birds• Small Farm Animals

Discounts: Coastal Veterinary Services, Inc. offers discountedservices to senior citizens and local area rescue groups. Pre-approval is required to qualify for the rescue group discounts,please call us for more information.

Call today: 843-492-5718coastalveterinaryservices.com


• Wills, Trusts & Powers of Attorney• Probate, Guardianships &

Conservatorships• Trust and Estate Litigation• Elder Law• Special Needs Trusts• Disability Planning

Law Office of Deirdre W. Edmonds, PA

Estate Planning, Probate & Elder Law Attorney

Former Horry County Probate Judge, for 12 years. Licensed attorney for over 28 years.

Member, National Academy of Elder Law Attorneys (NAELA) for more than 20 years.

1500 Highway 17 N, The Courtyard Suite 213Surfside Beach, SC 29575

843-232-0654www.dedmondslaw.com

property by these types of designations can gain access to the property withrelative ease. That is to say, the person designated as the beneficiary of thelife insurance policy, annuity contract or IRA merely completes the necessarypaperwork and provides the necessary documentation to the insurance orannuity company or financial institution, and he or she can generally receivethe insurance proceeds, annuity payments or IRA.

The same is usually true for jointly titled financial accounts. The survivingjoint account owner on the checking or savings account can obtain the fundsremaining in the account at the death of the other joint account owner bymerely presenting a death certificate and proper identification to the bank orfinancial institution. Or, an automobile, mobile home, or camper titled joint-ly in two (or more) persons names with an “or” designation can be simplyretitled into the surviving owner’s name by the surviving joint ownerthrough the local office of the Department of Motor Vehicles (or, in the caseof a boat, with the Department of Natural Resources).

In most cases, no other person or family member need be involved toeffectuate the transfer of these assets and property left behind by a personafter his or her death. These types of property and assets that pass to anoth-er upon the deceased person’s death other than by the person’s Last Willand Testament are usually referred to as “non-probate” assets and property.They do not have to be “probated” through the probate court in order forthe person who is entitled to them to be able to obtain them, and they aregenerally not subject to probate administration. There are some caveats tosimply relying upon beneficiary designations and jointly titled property toavoid probate, but if you can plan around them and understand the limita-tions of these types of death transfers, there is a great opportunity to easethe “post-death” burdens you leave behind for your family to handle afteryou’re gone.

The same cannot necessarily always be said, however, when a personleaves written instructions disposing of his property by way of a Last Willand Testament. In order for a person’s instructions set forth in their Last Willand Testament to be given effect and carried out, the Last Will andTestament must be “probated” by the probate court and the property andassets must go through that often dreaded post-death process known as“probate administration”. Probate administration can be simple or compli-cated, formal or informal, quick or lengthy, and it is often dependent uponthe type or amount of property that a deceased person left behind as well asthe people they left behind. (The information provided in this article is for infor-mational purposes only and is of a general nature. The information should not beconstrued as legal advice. If you have any questions about the subject matter of thisarticle or related matters, you should consult with a professional advisor for advice.Deirdre W. Edmonds is the former Horry County Probate Judge and is the owner ofThe Law Office of Deirdre W. Edmonds, PA, located at 1500 Highway 17 North,The Courtyard, Suite 213, Surfside Beach, SC 29575. The Law Office of DeirdreW. Edmonds, PA focuses on estate planning, probate administration, probate andtrust litigation, disability planning and elder law. Contact Deirdre W. Edmonds viaTelephone: (843) 232-0654; Website: www.dedmondslaw.com; and Email: [email protected])

Happy New Year

Vicki Berg - General Manager11746 Hwy 17 Bypass Suite B • Murrells Inlet, SC

843.357.977724/7 Days a Week

[email protected]

� Companionship

� Medication Reminders

� Meal Preparation

� Light Housekeeping

� Transportation

� Personal Care

Did you know that adults need vac-cines too? According to the Centers forDisease Control and Prevention (CDC),

many adults in the US are not aware ofvaccines recommended for them—andthat means they are not taking advantage

of the best protection available against anumber of serious diseases.

According to the 2014 National HealthInterview Survey (NHIS):

• Only about 1 out of 5 adults 19 yearsand older had received a Tdap vaccine toprovide protection from tetanus, diphthe-ria and pertussis (whooping cough).

• Only about 1 out of 5 adults 19-64years old with certain high-risk conditionshad received a pneumococcal vaccination.

• Only about 1 out of every 4 adults 60years and older had received a shinglesvaccination. Vaccines are an important step in protect-ing adults against serious, sometimesdeadly diseases. Even if you were vacci-nated at a younger age, the protectionfrom some vaccines can wear off or theviruses or bacteria that the vaccines pro-tect against change so your resistance isnot as strong. CDC recommends that all adults get thefollowing vaccines:

• Influenza vaccine every year to pro-tect against seasonal flu

• Td vaccine every 10 years to protectagainst tetanus

• Tdap vaccine once instead of Td vac-cine to protect against tetanus and diph-theria plus pertussis (whooping cough)and during each pregnancy for women

• Other vaccines you may need as anadult are determined by factors such asage, lifestyle, job, health condition, andpast vaccines. Vaccines you need mayinclude those that protect against: shin-gles, human papillomavirus (which cancause certain cancers), pneumococcal dis-

ease, meningococcal disease, hepatitis Aand B, chickenpox (varicella), measles,mumps, and rubella.

Adults with chronic conditions aremore likely to develop complications,including long-term illness, hospitaliza-tion, and even death, from certain vac-cine-preventable diseases. Talk with yourdoctor to make sure you are up to date onthe vaccines recommended for you. Newly Renovated LRMC-Myrtle BeachNow Open

LRMC – Myrtle Beach is Little RiverMedical Center’s newly renovated med-ical office located at 7724 Kings Highwayin Myrtle Beach. The refurbished build-ing is located next door to the site whereLRMC has been providing primary care.It occupies 5,500 square feet and includes9 exam rooms, classroom, and newoffices for medical and behavioral healthproviders. A comfortable front lobby, ele-vator and adjacent space for support staffallows for increased convenience andcomfort for patients.

LRMC first moved to the KingsHighway location in 2002. Pharmacy anddental services were soon added at thislocation. The growing need for servicessoon required LRMC to lease space nextdoor—calling it The Annex. In March of2016, LRMC – Carolina Forest opened.Pharmacy and dental services were relo-cated to this new 3-story facility. Whilerenovations were underway, LRMCproviders continued to see patients in theAnnex. Now that newly renovatedLRMC – Myrtle Beach is open, LRMCwill return to its original office and willno longer provide medical services at theAnnex.

The renovated office creates morespace for LRMC providers. One geriatri-cian will be relocating to this site fromLRMC – Little River. They will be join-ing family physician Bill O’Connor, MDand Barbara Tackett, NP. A new adultmedicine specialist is scheduled to jointhe team later in 2017. LRMC – MyrtleBeach will specialize in adult medicineand focus on providing care for patients50+. In addition to adult care, behavioralhealth and ancillary support services willbe available.

LRMC has multiple locations through-out Horry County – Little River,

Holmestown Road, Loris, Carolina Forestand Kings Highway. LRMC continues to

grow in order to improve health careaccess for residents of Horry County.LRMC – Myrtle Beach is located at

7724 N. Kings Highway. LRMC providescare for everyone – those without insur-ance pay on a sliding scale. They also

accept Medicaid, Medicareand private insurance.

To learn more about Little RiverMedical Center, visit www.lrmcenter.com

or call 843.663.8090. To schedule an appointment, please dial843.663.8000 and press 1 for a schedul-

ing representative.


Staying Current WithYour Vaccines

Submitted by Little River Medical Center

Comprehensive DentalCare For Everyone!

®

NEW! Dental Sleep Medicine includesTreatment of Sleep Apnea & Snoring

Call 235-7580 Today!

Dying is a nat-ural event. We allknow that we areborn and we willdie. The thing wedo not know iswhen, how orwhy we will die.Some will livelong productivelives and die dueto the aging of thebody, while oth-ers will go prema-turely which

sometimes seems so unfair. Many of us viewdying strictly as a medical event, but no matterwhat your religious beliefs may be; dying is aspiritual event also. The spiritual aspect of dyingcan be a great source of comfort to those facingdeath and to his or her loved ones.

Our years no matter how many we are grant-ed are filled with thousands of distractions but,we all know that death awaits us as the naturalend to the precious gift of life. Most of us do lit-tle to prepare for the emotionally, psychological-ly and spiritually of our own deaths.

For those who have time to prepare, the daythey receive word of facing a terminal illness,they enter a world of the unknown. To learn thatwe will die soon forces us to confront ourdoubts, our fears, our attachments and our ownpowerlessness.

Once diagnosed with a terminal illness, one isforced to find the courage to face death’s mys-tery. The challenge is to find the inner strength tosupport us in living, while we are dying, ratherthan dying while we are still alive. The daysremaining develop a new meaning and a newsense of urgency.

For most people facing end of life, at first, allwill be chaos. They twist, turn, become anxious,attempting to come to terms with the end of life.With an intensity and magnitude unimaginablebeforehand, we will reexamine what we thoughtour life was about and who we thought our-selves to be. Dying itself softens us, opens us. Inthe course of living with a terminal illness, ourinner experience begins to change in nature. Asour grasp on life loosens, we may experience amore forgiving nature, a deepening love and anoverall gratitude for the blessings and experience

of life.Dying reveals itself as a process of spiritual

transformation. As we near death, it seems as ifour mind begins to empty and our hearts open.

We will discover not only is dying a medicalevent, it is a spiritual event, as well. Those thatare dying seem to turn inward, toward the innerpeace avoiding all distractions on the surface.

Through my experiences working in the funer-al industry and working with hospice over theyears, during the dying process, many peopleexpress to their loved ones or their caregivers,they have found their own spiritual groundingduring the process and cannot express the mag-nitude of comfort and peace.

Myrtle Beach Funeral Home is located at 4505Highway 17 Bypass South, Myrtle Beach, SC (onthe frontage road at the entrance to MarketCommon). We are a full service funeral homeoffering premier service at the area’s most afford-able prices. We invite you to visit our website toview our services, our staff, our facility and endof life and bereavement resources.


The Spi r i tua l Aspects Of Dy ing

By Carole H. BowdreCorporate Vice President,

Myrtle Beach Funeral Home, Myrtle Beach, SC

With all oftheadvances indentistrywe haveseen in thepastdecade, it issurprisingthat oneprocedure

has remained relatively unchanged.Ask most people what they don’tlike about the dentist and theanswer would most likely revolvearound “the shot”. While somepatients complain about the actual“pinch”, many simply do not likethe feeling of being numb across alarge portion of their face, or havingto return to a job where they must

communicate with others. Recently,several products have emerged thatshould improve the anesthesia expe-rience for many patients.

Numbing just the tooth or teeththat needs to be worked on has tra-ditionally been a difficult task. Onlower teeth, the main nerve thatgives feeling to the teeth is embed-ded deep within the lower jaw bone,one of the most dense bones in thebody. The traditional nerve blockgiven to numb lower teeth has to bedeposited on the nerve before itgoes into the jaw, therefore thewhole jaw on that side along withthe tongue gets and stays numblong after the appointment is over.On the upper teeth, the bone is notas dense so we are able to depositanesthetic directly over the toothand have it get numb for a shorterduration. Sometimes though, thenerve that gives muscle movementto the side of the face also absorbsthe anesthetic, giving people the“droopy face feeling”.

While not the first anesthesiadelivery system to address theseissues, the STA (Single ToothAnesthesia) system is allowing den-tists to work on single teeth in theupper and lower jaw. It works byallowing anesthetic to be deliveredat a comfortable rate through theligament space surrounding thetooth. Tooth numbness is almostimmediate, shortening the waitingtime, and the rest of the face is

spared. This same system is alsomaking injections on the hard palatemuch more tolerable when neces-sary. There will always be occasionswhen the entire side has to benumbed with a nerve block, particu-larly if multiple teeth are beingworked on. In the instance of one ortwo teeth being worked on the STAsystem seems to be quite effective.

On the opposite end of theappointment, dentists are nowarmed with inject able anestheticreversal agents such as Oraversethat decrease the duration of thelocal anesthetic injected. Not every-one is eligible medically for thisinjection, but for those who are, theduration of the anesthesia can bereduced by as much as eighty-fiveminutes. This is ideal for patientswho must return to work as well asyoung children to prevent themfrom biting their cheeks after dentalprocedures. Sometimes however, asis the case with surgery, it is prefer-able to keep the area numb to pre-vent discomfort.

With the addition of these twotools as standard equipment,Dentistry is answering the public’sdemand for more comfort and con-venience. Ask your dentist if eitherof these options are right for you. Dr Horowitz is a 1991 graduate of TheMedical University of South Carolina,College of Dental Medicine and com-

pleted a general practice residency at theMountainside Hospital In Montclair,N.J. He is a Fellow of the Academy of

General Dentistry as well as a memberof the American Academy of CosmeticDentistry, the American Orthodontic

Society, The American DentalAssociation, The Dental Organization

for Conscious Sedation, and TheAmerican Academy of Dental SleepMedicine. He is the founder of, andpractices at the Carolina Center forCosmetic and Restorative Dentistry

at 1515 9th Ave., Conway, S.C. He can be contacted at (843) 248-3843

or via the practice website.

www.carolinacosmeticdental.com

TT rr aa nn ss ii tt ii oo nn ss , J a n u a r y 2 0 1 7 w w w. t r a n s i t i o n s n e w s m a g a z i n e . c o m PA G E 1 0

Getting Numb At The Dentist Is Becoming Easier

By Jeffrey W Horowitz, DMD, FAGD

Karl S. Hubach, MD, RVT4545 Hwy. 17 Bypass Suite A • Murrells Inlet, SC

843-652-5344 (LEGG)www.inletveinspecialists.com

DEMONSTRATING HIS COMMITMENTto the treatment of venous disease,

Dr. Karl Hubach is the only physician inour area Board Certified in Phlebology

and one of only 248 in the country.• Specializing in treatment of Varicose & Spider Veins.

• Most services are covered by insurance.• All evaluations and treatments are done by

Dr. Hubach in the comfort of the office.• Also offering skin care treatment for rosacea, acne, age spots,

spider veins, sun damage, and fine wrinkles.

NEW BOARDCERTIFICATION

Answer Crossword

The holidays have come and gone, how did youhear last year?

This time of year can be an eye opening expe-rience for those who have been struggling withtheir hearing. You may have noticed that youdidn’t hear some of the things that you remem-ber hearing last year. You might have evenmissed some things you didn’t even realize youwere missing, such as a conversation over a holi-day meal or gift exchange, or even a questionfrom a grandchild.

Hearing loss is something that many timesgets put “on the back burner”. There’s this pay-ment to make first or this other thing to take careof first, but the truth is, that your hearing shouldbe a priority. Along with eye and dental exams,your hearing should be checked annually. Oftentimes, hearing is left unchecked and thereforehearing loss is left unaddressed for many years.

Starting with a look inside your ears to checkfor wax, we will be able to see if maybe it’s just abuild up of wax inside your ear canals that maybe causing you to miss some things. For somefolks, that’s all it is!

If you feel that you are asking others to repeatmore often than you used to, or if you are turn-ing the tv up a little louder than you did before, ahearing evaluation may be just what you need.

So many people say that they hear but do notunderstand words, or that they hear fine in quietbut not in groups or at restaurants.

If any of these things sound familiar to you, itmight be time to get your hearing checked. At ournew office in North Myrtle Beach, we offer FREEcomprehensive hearing evaluations using state ofthe art equipment to complete both speech and

tone testing. We also offer FREE demonstrations ofthe latest hearing aid technology.

Starting the year off with a hearing evaluationshould be part of your New Year’s Resolution!Please take the time to make your hearing a pri-

ority this year! Don’t let it go another yearuntreated.

Call us today at 843-272-1486 or for moreinformation, visit our website at: www.hearing-bydesignnmb.com. Like us on Facebook!

Start The New Year Off RightWith Better Hearing

Jennifer Reed & Kayla Bracey,Owner Hearing by Design


Another year is starting. Howmany times have youthought to yourself, ‘where

did the year go?’ They just seem tofly by without any real plan or pur-pose. We have excitement at thebeginning of the year about thepromise and opportunity this NewYear might bring. However, wedon’t make it a point to take advan-tage of those opportunities or‘direct’ our year the way we want itto go. What if you could decidewhat the year was going to bringand then it did? Well, you can! Living an intentional life has manybenefits:

• You will find it easier to makedecisions because you will have apurpose, and you will know whichdirection you are headed.

• You will be happier because you

will feel more in control of your life. • You will realize more of your

potential, because you will accom-plish more.

• You will be less fearful andmore confident over time, becauseyou will have to get out of yourcomfort zone. Then, you willbecome more comfortable being

uncomfortable.• You become clearer and more

focused because you take on whatgets you closer to your goals insteadof “busy work”. You know how suc-cess is defined.

• You will have more time doingwhat is important to you and whatfulfills you.

• You will start living a life full ofexcitement with fewer regrets.

• You will become a stronger per-son and discover strengths younever knew you had.

• You will let go of negative ener-gy and inspire people around you.Follow these tips to live a moreintentional life this year:

• What do you want this year tobring? Fast forward to Decemberand imagine what your life willlook like if you really take advan-tage of every day. What would youlike to happen? What would youlook like? Which parts of your lifewill improve—health, finances,career, family…? Get specific.

• Once you have created thisimage in your mind, write it down.Write down everything that willchange. Write down how you willfeel; how you will look, and whatyou will see around you. Now askyourself WHY you want thesechanges in your life. Dig deep.

• Stay away from making resolu-tions. Resolutions usually don’thave a high level of intentionbehind them, so we don’t keepthem. Many times we don’t have adeep-rooted reason behind our reso-lutions.

• Keep a daily journal and writein it every night. Record yourprogress, struggles and blessingsfrom the day.

• When you go to bed at night,ask yourself, ‘what did I do today tomove closer to my goals? Make surethat you have accomplished at leastone thing, no matter how small.Consistency is key.

• Remember that being busydoesn’t mean that you are beingintentional. Just because you are

busy doesn’t always mean you aregetting closer to your goals. Makesure you are doing the right things.

• Use the word “yes” very slowlyand selectively. Only take on whatyou know is important for you tomove forward.

• Ask yourself ‘why’ a lot. Whenyou set a goal; when you make adecision; when you set your priori-ties. Make sure you are clear aboutwhy you are doing this.

• Use your subconscious mind toyour advantage. Keep remindingyourself what the end product willbe. Keep your vision at the top ofyour mind with a vision board. Tellyourself everyday why you deservethis and why it is so important toyou. Believe that you will succeed.

• Keep taking action! No matterwhat. Even if you hit a roadblock.

• Remember that it isn’t supposedto be easy, and you have to be com-mitted. Keep your mindset in check.How bad do you want this? Don’tget pulled in the wrong direction byoutside forces, such as friends, fami-ly, co-workers—stay strong.

• Figure out what you need tolearn as well as what you need tostop doing. You might need todevelop some skills and take certaincourses. You may have to stop somehabits that aren’t serving you, likesitting on the couch at the end ofyour day watching TV every night.An example of being intentionalwould be to record your favoriteshows and pick a night that youhave some extra time and watchthem. Don’t be a slave to the TVschedule.

Intentional living creates meaningand purpose in your life. Living anintentional life will make you feelempowered and stronger than youhave ever felt. You will be chal-lenged, but you will also beequipped to handle it. Have faith inyourself and know that you canhave the life you want. So, live, dream, do, and enjoy!

Kim Fowler, founder of Fowler LifeCoaching (www.fowlercoaching.com),coaches those who are ready to make bigchanges in their lives. She has been cer-tified by the International Associationof Coaches. She holds her Master’s ofBusiness Administration from GeorgeMason University, and lives in SurfsideBeach with her husband, Rich, and theirfive cats.


Call for information (843) 248-38431515 9th Ave., Conway

www.carolinacosmeticdental.com

No Dental Insurance?No Problem !!!The Advanced Dental Plan

No Annual Limits! No Exclusions!Offered exclusively at...

Dr. Jeffrey Horowitz Dr. Cara Coleman

Enroll this month for January Give-Aways

MMaakkee 22001177 IInntteennttiioonnaallBy Kim Fowler, Fowler Coaching


ALL DINNER$36.95 $24.95

STARTING SUNDAY

JANUARY 1ST - JANUARY 29TH

OPENING AT 12 NOON - SUNDAYS ONLY

What is theBellafill®Difference?

Immediatecorrection.Natural look.Lastingimprove-ment.Bellafilloffers a newlevel of fillerrejuvenation.In addition

to immediately adding volume to smoothaway facial wrinkles, also known as smilelines, Bellafill helps your skin re-create itsown firm structure for beautiful, youngerlooking skin and lasting results. Also,Bellafill has just received FDA approvalfor the improvement of Acne Scars.

Bellafill’s microsphere-enhanced colla-gen support works to correct wrinkles forlong lasting results. Temporary wrinkle

fillers have always been known as just that,temporary. The body eventually absorbsthem thus forcing patients to receive fre-quent repeat injections to maintain theresults they love. Bellafill’s microspheres,which the body does not absorb, creates thelong lasting results that you have beensearching for.

Bellafill injections provide the supportyour skin needs for long lasting results thatlook and feel completely natural. Theresults are economical and extremely con-venient because it requires fewer injections,thus saving you time and money. Whystruggle with the hassles of frequent repeatinjections when the solution is clear? Don’trent your filler, own it—Bellafill!

Say goodbye to the injectable wrinklefillers of the past and hello to the ease ofBellafill.

Bellafill injections provide you with along lasting solution that will only improveover several months and without a doubtstand the test of time. This safe, minimally

invasive, treatment is done using a simplein-office procedure. You will not onlynotice immediate results but you can con-tinue with your normal daily activity with-out any down time. How do Bellafill Injections help combataging?

Gravity, sun and environmental damage,and volume loss are all factors affecting ourappearance as we age. These factors allplay a major role in the appearance of fineor deep lines in our face during the agingprocess.

There are two types of injectables thatare available for diminishing the appear-ance of lines and wrinkles, neurotoxins anddermal fillers. Toxins reduce the appear-ance of wrinkles by temporarily paralyzingthe muscles that are contracting to form thewrinkle in that area. Over time, thedecreased contracting of the muscle reducesthe appearance of the fine or deep lines.

create smoother more supple lookingskin. Dermal fillers are used to combat thesigns of aging by delivering volume, whichplumps up the skin, thus smoothing out thewrinkle or fold, and since they do not para-lyze any muscles the results are always nat-ural looking.Why should I choose Bellafill?Understanding Dermal Fillers

When creating dermal fillers there areseveral types of materials used such as col-lagen with polymethylmethacrylate(PMMA), calcium hydroxylapatite,hyaluronic acid (HA), and poly-L-lacticacid (PLLA). With the exception ofPMMA, over time all of these fillers willcompletely degrade and will be absorbedinto your body.

PMMA microspheres do not degrade andare not absorbed. This allows for long last-ing wrinkle correction. Bellafill uses thesemicrospheres to aid in collagen productionthus creating the natural volume andsmoothness of younger looking skin. What should I expect with a BellafillFiller treatment?

The Bellafill Injection treatment is asafe, in-office procedure that only takes afew minutes. Before receiving a treatmentpatients come in for a collagen skin test andare advised to make an appointment in fourweeks for treatment. This is done to gaugesensitivity to the treatment. If no reaction tothe skin test occurs, treatment with Bellafillmay be administered that day. Manypatients receive more than one treatment toreach the level of correction that they arelooking for. A follow-up appointment ismade four to six weeks later. At this visityou and your doctor will decide if you

would like further treatments to enhanceyour results.

Along with Bellafill’s collagen support-ing microspheres, it also contains a numb-ing medication, lidocaine, to lessen anypossible discomfort from the treatment.Many patients report that Bellafill cannotbe felt after treatment. Patients see immedi-ate results in wrinkle correction or areas ofacne scarring, and can return to normaldaily activities immediately following theprocedure. Is a Bellafill Injection safe?

Yes, Bellafill filler has been proven as asafe and effective dermal filler. The U.S.FDA approved it in October of 2006 afterthorough clinical testing. Until now,Bellafill has been marketed and sold underthe name of Artefill, primarily for wrinklesdue to aging. Since its release in Februaryof 2007, more than 25,000 patients haveundergone treatment using Bellafill. Patientsatisfaction is high and most people arecandidates for treatment. However, anyonewho has a positive reaction to the Bellafillskin test or has a history of severe allergies,hypersensitivity, or anaphylaxis, and thoseprone to thick scar formation are highlyadvised against receiving treatment.Patients with skin outbreaks, includingcysts, pimples, rashes, hives, or infectionnear the injection site are also advised topostpone treatment until they have cleared.Speak to your doctor about any and all con-cerns regarding treatment.

As with any injectable wrinkle filler,patients may experience mild swelling andredness at the injection site. Although theseside effects are common among dermalfillers they are typically temporary. Rarely,mild bruising that generally disappears inthree to seven days can also occur. Other,less common, side effects include rashand/or itching more than 48 hours follow-ing treatment; persistent swelling or red-ness, and increased sensitivity at some orall injection sites. Extremely rare but poten-tial side effects of all dermal fillers alsoinclude lumps and granulomas, both ofwhich can be treated by your physician. For more information regarding Bellafill

Of course, we’ll be glad to answer yourBellafill questions, so don’t hesitate to call

DermaVogue at (843) 357-2444 for ourGarden City location or

(843) 272-4071. You can also find us online at

www.dermavogue.net. We offer free in office consultations.


M e d i c a l S k i n R e j u v e n a t i o n

THANK YOU FOR LETTING US SERVE YOU FOR 15 YEARS!!

Why use bellafill as your wrinkle and volume filler? Bellafill is distinctive and shows immediate results.

Over time, the biocompatible microspheres in bellafill develop a “matrix” to support your own collagen and

strengthen the layers that support your skin.

Call for your free consultation 843-357-2444 • www.dermavogue.net

Why rent your filler when you can own it?843-357-2444

The 5+ Year wrinkle f i l ler

Before Bellafill After Bellafill

Bellafill®

Youthful looks that lastSubmitted by DermaVogue

Dr. James E. Turek, Medical Director


Pioneer and National Leader in Laser Pain ReliefCuraLase has a 90% success rate in relieving pain.

We resolve the pain by targeting the source, not the symptoms.

Fibromyalgia • Back Pain • Knee Pain • Hip PainSciatica • Cervical (Neck) Pain

Migraine Headaches • NeuropathyOther Painful Conditions

My back pain was so bad that I just couldn’t take it anymore, and Iknew too many people who were worse after back surgery. I was

treated at CuraLase, and now my pain is gone! —Chris

Monday, January 2, 5:00 PM at Olive Garden, 1405 North Kings Highway, Myrtle Beach

Monday, January 9, 5:00 PM at Ryan’s, 3607 Highway 17 South, North Myrtle Beach

Monday, January 16, 5:00 PMat Hanser House, 14360 Ocean Highway, Pawleys Island

Monday, January 23, 5:00 PM at Golden Corral, 10600 Kings Road (end of Hwy 22), Myrtle Beach

Monday, January 30, 5:00 PMat Ryan’s, 3607 Highway 17 South, North Myrtle Beach

Call 843.294.5273 to RSVP for Seminar5046 Hwy 17 Bypass South, Suite 200

Myrtle Beach, SC 29588

Call day or night 4505 Highway 17 Bypass S.

Myrtle Beach, SC 29577

843.293.4505Affordable Funeral and

Cremation Services

Known for Excellence • Trusted for Value

Direct Cremation $695

Traditional Burial Packages Starting at $3395

Price Match Guaranteed

Full Service Funeral HomePrearrangement - Prearrangement - Transfers

Shipping Services - Veteran's Services

All Inclusive PackagesLocally Owned and Operated

Warmest greetings and best wishes for the New Year from the Staff of

Myrtle Beach Funeral Home

FUNERAL HOME & CREMATORY

CHICKEN ENCHILADA PASTA

2-3 chicken breasts, cooked & shredded{or shredded rotisserie chicken…I usedthe breasts}2 tbsp. olive oil2 garlic cloves, minced1 medium onion, diced1 red pepper, diced1 {4 oz.} can diced green chiles1/2 tsp. salt2 tsp. chili powder1 tsp. cumin2 {10 oz.} cans green chili enchiladasauce2/3 cups red enchilada sauce2 cups shredded cheese {you can usecolby or monterrey jack}1 cup sour creamPenne pasta

Optional toppingsAvocadoGreen OnionsBlack OlivesTomatoesSour CreamCook chicken, drain, and shred {or shredyour rotisserie}. Meanwhile boil pastaaccording to package and chop the veggies. Heat the olive oil in a deep skillet and

cook onions for about 3-5 minutes. Add garlic & red pepper and cook for

another 3-5 minutes. Add cooked chicken, green chiles,cumin, chili powder, salt, & enchiladasauces. Let sauce simmer for about 8-10minutes.

Add cheese and stir until the cheese ismelted and heated through. Now toss inthe sour cream, but whatever you do, DONOT bring to a boil! Cook on low heator the sour cream will curdle. Stir untilsour cream is well mixed and heatedthrough.

Drain pasta & return to pot. Pour sauceover pasta and mix well. Serve and gar-nish with avocado, tomato, green onion,and a dollop of sour cream.


Professional Rehabilitation Services, Inc.The Outpatient Physical Therapy Specialists

Serving thecommunitysince 2004

Call for a FREE 15 minute consultation

Are You Suffering fromPain or an Injury?Don’t let pain or injury

compromise your competitiveedge.We offer a full range of

physical therapy and rehabilitation services to

get you back on track.

We specialize in treating, Sports-related injuries, Orthopedic injuries,Neurological problems, Balance problems,Back & neck pain, Joint-related disorders,

Repetitive strain injuries,Post-surgical recovery, Golf injuries

Myrtle Beach1301 48th Ave N, Suite D

(Intersection of Hwy. 17 Bypass & 48th Ave., N)Myrtle Beach, SC 29577

(843) 839-1300

Surfside Beach3076 Dick Pond Road (Hwy 544)

Myrtle Beach, SC 29588(843) 831-0163

Murrells Inlet4731 Hwy. 17 Bypass

Murrells Inlet, SC 29576(843) 314-3224

Pawleys Island38 Business Center Dr.

Pawleys Island, SC 29585(843) 235-0200

NEW LITTLE RIVER LOCATION NOW OPEN

Located within the SC Pain & Spine Specialists building across from Thomas Supply

Conway2676 Church St Unit D-2

(US-501)Conway, SC 29526

(843) 733-3031

Little River111 Pavilion Drive

Suite 20Little River, SC 29566

(843) 281-4222

NEW

NOW OFFERING DRY NEEDLING FOR PAIN BY CREDENTIAL PROFESSIONALS

WWW.PRSREHABSERVICES.COM

Chronic back pain?Sciatica? KneeArthritis? PlantarFasciitis? Do any ofthese diagnoses soundlike something you or aloved one have beendealing with and youcan’t seem to find aremedy? You don’twant or are not a candi-

date for surgery, you are tired of taking anti-inflammatories and muscle relaxers, exercise mayor may not have helped and you just want to getback to doing life’s simple tasks. You may be agood candidate for utilizing dry needling as partof your individualized physical therapy treat-ment plan at one of our 6 area locations, includ-ing our brand new office in Little River!

The first question we usually get when wemention dry needling in our physical therapyclinics is: what is it? Dry needling is the use ofvery fine (significantly smaller than the needlesyour physician uses for injections or your annualflu shot) filament needles that are inserted intosymptomatic areas in taut bands of muscle (i.e.trigger points), tendons, ligaments, musculo-tendinous and teno-osseous junctions, and bone.When someone experiences a injury, the internalrehabilitation begins with inflammation and endswith remodeling of the soft tissue. It is duringthat cycle where swelling, tissue contracture,scarring, and decreased flow of nutrients in thearea can result in palpable tenderness, long termpain and radiating symptoms can occur. The nee-dles create tiny lesions in the tissue in order tojump start your body’s natural process of heal-ing, by releasing molecular components and

stimulating your nervous system. This culmi-nates in a anti-inflammatory reaction anddecreased levels of perceived pain at the sourceof problem as well as the surrounding tissuesthat pain may have referred to.

This question is usually followed up by: Is itthe same as acupuncture? The answer is no.While we do use the same needles, the concept,approach, technique and clinical application arevery different. Dry needling is based on the

Kick Chronic Pain to the Curb, Try Dry Needling! Available At all PRS

By Jill Phelan PT, DPT


physical therapist’s vast understanding of human anatomy and physiologyas well as the mechanisms and structures involved in various neuromuscu-loskeletal diagnoses and dysfunctions. This means the application and useof the needles is geared to known areas of involvement, such as the meet-ing of a tendon approaching a bone. Acupuncture is a field based on wholebody systems and the flow of energy along specific meridians or channelswith it’s foundations in ancient Chinese medicine.

Dry Needling has been reinforced by a growing number of studies andmedical research. Brain imaging in patients has shown increased stimula-tion of the brains descending inhibitory systems in charge of pain regula-tion (less perceived discomfort!) as well as decreasing involvement of areasof the brain associated with emotions involved with pain such as anxietyand depression. Various studies have also found decreased rates of disabil-ity due following dry needling in numerous diagnostic groups. Other prosof dry needling include: no side effects in regards to medication, no inva-sive surgery, and symptoms can be improved in as quickly as one session!

Dry needling is another tool in our tool box as licensed physical thera-pists to help a mutlitude of musculoskeletal and neuromuscular conditionsthat people suffer with daily and it may be appropriate for you or someoneyou known in conjunction with our therapist’s knowledge of therapeuticexercise, manual soft tissue/joint mobility techniques and other pain man-agement approaches.

So if you or someone you know would like to know more about physical therapyoptions, such as dry needling, for a variety of conditions, seek the consultation of aphysical therapist at one of our six locations (all of which offer dry needling) or seeyour physician for a referral to one of our facilities. Our newest location in LittleRiver, is now accepting patients! For further information on this or other relatedtopics you can contact Richard A. Owens, PT, MS, OCS, Cert. SHT, CWcHP,Cert DN (Surfside) (843) 831-0163, Richard DeFalco, DPT, OCS, CSCS,CWcHP, Cert. DN (Myrtle Beach) (843) 839-1300, Jared Bridges, DPT (LittleRiver) (843) 281-4222 and (Murrells Inlet) (843) 314-3224, Jill Phelan, DPT,Cert. DN (Conway) (843) 733-3031 and (Murrells Inlet) or Brian P. Kinmartin, PT, DPT, MTC,OCS, STC, CWcHP, Cert. DN (Pawley’s Island) (843) 235-0200 or visit our website at www.prsrehabservices.com where you canlearn more about the company and even download a referral form for your physi-cian to fill out. You can also call and schedule a free 15-minute consultation!

Horry County Council on Aging, Inc.Administrative Office2213 North Main StreetPost Office Box 1693Conway, South Carolina 29526(843) 248-55231-800-922-6283Fax :(843) 248-6361E-mail : [email protected]://www.hccoa.org

Local Agency on Aging:Waccamaw Area Agency :Williamsburg & Georgetown, SC 29440Phone-(843) 546-4231Fax-(843) [email protected]

Regional Ombudsman (843) 745-1706 or toll free 1-800-864-6446

Georgetown County Council on Aging Georgetown Senior Center 2104 Lincoln St. Georgetown, SC 29440Phone-(843) 546-8539Fax-(843) 546-2613 [email protected]

WillamsburgVital Aging of Williamsburg CountyP.O. Box 450 Kingstree, SC 29556Phone-(843) 354-5496Fax-(843) 354-3107

Healthcare National Groups Alzheimer’sAssociation Information on treatment and causes919 N. Michigan Ave. Suite 1000 Chicago, IL 60611 1-800-272-3900 www.alz.org

The Medicare Rights Center 1460 Broadway, 17th FloorNew York, NY 10036 Phone: (212) 869-3850 or 1-800-MEDICAR www.medicarerights.org National MedicareHotline Answers individual questions with respectto 1-800-Medicare eligibility and coverage. TTYfor hearing and speech impaired 1-800-820-1202 State Groups.

Alzheimer’s AssociationProvides information and support r Alzheimer’spatients and families.Columbia, SC, 29202 1-800-636-3346

Department of Health & Human Services1801 Main Street, Columbia, SC 29202DHHS and DSS work together to administer SouthCarolina Medicaid Program Medicaid. As a result,some of the Medicaid offices are co-located atDSS and DHHS. The best thing to do is call 1-888-549-0820 and ask them where you shouldapply for Medicaid. If you call this number, theycan also send you an application in the mail.A person applying as a Supplemental SecurityIncome recipient should apply at their local SocialSecurity administration office.

James F. Byrnes Center Center specializing ingeriatric care and for Geriatric Medicine research.ACS Silvercard Hotline Silvercard is a programthat offers seniors prescription drug insurancebenefits e-mail: [email protected] ifthey are over 65, have no other prescription druginsurance, and meet income eligibility require-ments. Hotline provides program benefits and eli-gibility information.2100 Bull Street P.O. Box 119 Columbia, S.C. 29202 (803) 898-1807, (877) 239-5277 S.C. Dept. of Health and Inspect hospitals andnursing homes; Environmental Control respond to citizen com-plaints about Bureau of Certification long termcare facilities. 2600 Bull St. Columbia, SC 29201(803) 545-4300 S.C. Health Care Association Trade of 176Laurelhurst Ave. Columbia, SC 29210 S.C.’sassociation that represents 90% long term carefacilities and nursing homes. Provide informationto consumers about health care services andquality care.(803) 772-7511 Horry1511-A 9th Ave. Conway, SC 29526 (843) 248-1500Conway Annex 1804 Main St Conway, SC 29526(843) 248-1500Lorris Office 3811 Walnut St Loris, SC 29569(843) 756-4027

Long term care resources: Area Office 9-Conway Georgetown, Horry Community LongTerm Care Marion, Williamsburg P.O. Box 2150914 Norman St. Conway, SC 29526 (843) 248-7249

Helpful Internet Websites These sites providegeneral information and are good starting pointsfor finding more specific information.Medicare Rights Center: www.medicarerights.orgGeneral information and educational materialsabout Medicare choices, coverage, and rights Medicare: www.medicare.gov - generalMedicare information - Medicare publications;cost and quality information about HMOs; costinformation about Medigap plansNational Aging Information Center:www.aoa.dhhs.gov - information on Medicareand Social Security – publicationsConsumer Health and Human ServicesInformation: www.healthfinder.gov - informationabout resources for particular health concerns –general information about health insuranceNational Committee to Preserve SocialSecurity and Medicare: www.ncpssm.org – Medicare education and advocacy organiza-tion BenefitsCheckUp:www.benefitscheckup.org - Locates programs forpeople (ages 55 and over) to pay for costs of pre-scription drugs, health care, utilities, and otheressential items or services.Senior Resource: www.seniorresource.com -Provides housing options and information onretirement, finances, insurance and care.

Sponsored by

www.grandstrandhappening.comSouth Carolina Elder Resource Guide

Compiled by the South Carolina Centers for Equal Justice & South Carolina Appleseed Legal Justice Center

More than30% of catswill get kid-ney disease atsome point intheir lives. Itis most com-monly seen incats older thanage 7. As theyget older, thelikelihood

they will develop kidney diseaseincreases. By the time they reach theage of 15, close to half of our cats willhave some form of kidney disease.

Kidney disease is 3 times more com-mon in cats than dogs.

Like all mammals, cats have twokidneys located in the abdomen. Eachkidney contains hundreds of thousandsof tiny filtration units called nephrons.Waste-laden blood enters the kidneys,reaches these nephrons, and is then fil-tered through microscopically minutestructures called glomeruli. Thecleansed blood then circulates back tothe heart for yet another voyagethrough the body. The remaining fluid,containing the waste products, is passedalong as urine from the kidneys to thebladder through thin tubes called

ureters, and is eventually excreted.The kidneys complicated filtering sys-tem performs a wide variety of impor-tant roles such as:• Removing toxins from the blood• Maintaining water balance• Maintaining salt balance (and otherelectrolytes like potassium) • Maintaining the acid balance of thebody• Maintaining normal blood pressure• Producing hormones

Blood is constantly filtered throughthe kidneys to remove the toxic wasteproducts of the body’s metabolism.Urine is produced in this process. The kidneys also concentrate the urineby returning water to the body, prevent-ing dehydration.

Unfortunately, feline kidneys are sus-ceptible to a wide range of conditionsthat may diminish kidney function.When the kidneys and their complexfiltering system breaks down, toxicwaste products can start to accumulatein the bloodstream. If a proper balanceof waste, minerals, and electrolytes(such as sodium and potassium) is notmaintained, severe complications mayaffect other organs.

There are two main categories ofkidney disease: Acute Kidney failure(or injury) or Chronic Kidney Disease.Acute kidney injury is an emergency.This severe condition will have a rela-tively sudden onset. This could be theresult of the ingestion of substances thatare toxic to the kidneys such as anti-freeze, pesticides, plants or a commonhousehold drug such as Advil. The clin-ical signs such as vomiting, loss ofappetite and lethargy will becomeapparent quickly. If treated immediate-ly, damage to the kidneys is potentiallyreversible. Cats with this condition arehospitalized and treated aggressively.Intravenous solution infusions areadministered without delay in order tocorrect fluid and electrolyte imbalancesin the blood.

In contrast to acute kidney failure,chronic kidney disease (CKD) is a dis-ease that has been present for a longtime. This incurable condition has agradual onset (months to years). CPKoccurs when there is long-standing,irreversible damage to the kidneys thatimpairs their ability to function andremove waste products from the blood.

In most cases, the exact cause ofCKD is unknown, although there are afew recognized causes such as the riskfor the disease may be inherited. Breedssuch as Persians, Himalayans, andBritish Shorthairs are more geneticallypredisposed to this condition. Theydevelop polycystic kidney disease(PKD) where normal kidney tissue is

gradually replaced with fluid filledcysts. Lymphoma, bacterial infectionof the kidneys (pyelonephritis), birthdefects, obstruction of the urinary tract,and inflammation to the glomeruli(individual units within the kidneys thatfilter the blood) can all lead to CKD.

Because CKD is a common diseasein cats, it is important to get yearly ortwice yearly exams and routine screen-ings for all mature and older cats. Inmost cases the symptoms will be subtleand mild. They gradually get worseover a long period of time. Many of thesigns are vague and non-specific –some arise from the accumulation oftoxins in the blood while others mayarise as complications from the bodytrying to adapt to the disease. The mostcommon signs are: weight loss, poorappetite, lethargy, increased thirst andincreased urination. The increased pro-duction of urine occurs because catsbegin to lose the ability to concentratetheir urine, and they begin to drinkmore water to compensate for this.Other signs may include, a dull coat,high blood pressure, vomiting, bad-smelling breath, weakness and anemia.

A diagnosis of CKD is usually madeby the collection of a blood sample anda urine sample at the same time foranalysis. Two substances in the blood –urea and creatinine – are commonlyanalyzed, as these are by-products ofmetabolism that are normally excretedby the kidneys. In CKD the blood con-centration of these two products willincrease. However, as some other con-ditions can also cause elevation of thesesubstances, a urine sample is usuallyanalyzed at the same time. Typicallywith CKD, there will increased ureaand creatinine concentrations as well aspoorly concentrated urine. The urine‘specific gravity’ is measured to assessits concentration, as most cats withCKD are not able to concentrate theirurine. Blood tests may also show anyimportant complications that havedeveloped as a result of CKD such ashypokalaemia (low blood potassium),anemia, and hyperphosphataemia (highblood phosphate). As high blood pres-sure) is a relatively common complica-tion of CKD, your vet will also want tomeasure your cat’s blood pressure.Sometimes other investigations such asX-rays, ultrasound or even biopsiesmay be indicated depending on individ-ual circumstances.

Cats with CKD receive symptomaticand supportive treatment. Treatment isaimed at supporting kidney functionand minimizing the complications ofthe disease. This typically involves sup-port for adequate hydration with sup-plemental fluids and nutritional support


with the use of palatable therapeutic diets and medica-tions to help stimulate appetite and control nausea.Other cats might also be treated for secondary anemia,receive supplements for low potassium, or be treatedwith medications to help reduce blood phosphorus.

It has been shown that restriction of some nutrientsand supplementation with others can definitely helpcats with CKD. The most critical nutritional modifica-tion is phosphorus restriction. If blood phosphateconcentrations remain high despite being on a lowphosphate diet, further treatment with drugs known as‘phosphate binders’ to reduce the amount of phos-phate absorbed from the intestine may be indicated.

Reducing protein is probably the best known nutri-tional modification, but also the most controversial.No evidence exists demonstrating that high-proteindiets harm the kidneys. However, problems arisingfrom CKD can cause certain toxins to build up in thebloodstream. Reducing dietary protein can reduce theeffects of these toxins. For cats with CKD consuminga high-protein food such as one of the grain free/ lowcarbohydrate diets, simply reducing protein by feed-ing an adult cat food with the minimum AAFCOrequirements of protein may be a initial step beforemoving to a kidney diet.

There are currently more than a dozen commercialdry and canned diet options for cats with kidney dis-ease. Cats tend to be notoriously picky about switch-ing foods which makes transitioning to a kidney dietchallenging. However, the potential to double their

survival time is a powerful motivator for cat owners.Try many different brands of kidney diets and transi-tion slowly if possible. Be sure to use all help avail-able, such as palatability enhancers like PurinaFortiFlora, fish oil, low-sodium broths or even somehuman nutritional products like Ensure.

Other aspects of the diet may also have an impor-tant role to play in helping manage cats with CKD.These include the addition of anti-oxidants to try toprotect the kidneys against further damage, essentialfatty acids to help maintain blood flow through thekidneys and reduce inflammation, added potassium toprevent hypokalaemia (low blood potassium), andadded bicarbonate (or similar) to help prevent acidosis(a build up of acid in the body which can also occurin CKD).

Despite therapy, CKD cannot be reversed and inmost cases will progress over time. This will eventu-ally lead to the need for euthanasia. However, the rate

of progression of kidney disease varies considerablybetween individuals and appropriate support and treat-ment can both increase the quality of life of affectedcats and also potentially slow down the progression ofthe disease. This means monitoring progression ofkidney disease is important. Regular blood and urinetests are necessary to identify complications of thedisease. Successful treatment depends on a strongpartnership between care givers and veterinarians, andis aided by early diagnosis and diligent patient moni-toring.

Please schedule an appointment for your seniorkitty today! Early detection of kidney disease can addyears to your cat’s life, not to mention the quality ofthat life.

Kim Hurley, Owner of Cat’s Meow Veterinary, 4720 Hwy. 17 Bypass Unit B

Myrtle Beach, SC 29588 843-839-1999


GGeett

YYoouurr

MMaammmmooggrraamm

EEvveerryy YYeeaarr

AAss

RReeccoommmmeennddeedd

FFoorr

YYoouurr AAggee!!


If your New Year’s resolutions include losingweight this year and you suffer from allergies then youmay be doing yourself a huge favor. A growing bodyof evidence now links the increasing prevalence ofboth allergies and asthma with obesity. Therefore beingoverweight and especially obese is now well recog-nized as a risk factor for the development of allergyand asthma in both children and adults. Furthermoreobese children and adults have higher rates of co-exis-tent obstructive sleep apnea and gastro-esophagealreflux, which can contribute to even poorer asthmacontrol leading to more adverse outcomes.

The exact mechanisms that explain the association of how obesity affectsallergy and asthma risk and severity are not entirely clear, but it is known thatobesity has a number of physiologic effects on the body and the lungs in par-ticular. More and more evidence suggests that obesity leads to increases insystemic inflammation that can weaken the body’s defenses. This is felt toincrease the risk of the metabolic syndrome that includes high blood pressure,high blood lipid levels, insulin resistance and elevated blood sugar increasingthe chances of developing cardiovascular disease, cancer and diabetes. In astudy published in the Journal of Allergy and Clinical Immunology (JACI) in 2007it was shown that overweight and obese adolescents aged 12-17 with evidenceof insulin resistance and metabolic syndrome had lower levels of lung func-tion in those with and without asthma. Obesity correlates with lower pul-monary function and the ability of the lungs to function properly in adults aswell. Another study from JACI has shown that overweight asthmatic childrenare more susceptible to the effects of indoor pollutants and that inner cityyouths are particularly sensitive and vulnerable to these effects.

For a specialist in the treatment of asthma and allergies this information isparticularly troubling. Given current trends the numbers of children andadults with asthma can only be expected to escalate. Even more disconcertingis that they will become extremely more difficult to treat. It is now clear thatoverweight and obese asthmatics experience the most severe episodes leadingto more urgent medical visits including Emergency Room visits and hospital-izations. In my practice this is already slowly becoming a reality with individ-uals becoming more and more reliant on an increasingly complex regimens ofmore and more potent medications. Children are being burdened with thepotential of a lifetime of incapacitating symptoms, reduced activity levels andthe consequences of poorly controlled and severe asthma.

However, fortunately the news is not all bad. Just as increasing weight,waist size and BMI have been associated with an increasing risk of asthmaand asthma severity it has also been shown conversely that weight reductioncan improve lung function with a corresponding lowering of asthma risk andseverity. It’s clear that allergy/asthma specialists must now include in theirinstructions to patients to not only stay faithful to their prescribed treatmentregimen in order to keep their symptoms under control, but to also do what-ever they can to lose weight.

Dr. Schecker, a Board Certified Allergist, is the founder of Coastal Carolina Allergy& Asthma Associates. He is a Certified Take Shape For Life Health Coach, a COPE

Certified Health Coach, the co-founder of the Myrtle Beach Marathon and the founderof Camp Airwaves (a camp for children with asthma).

Dr. Schecker has been recognized as the “Allergist of the Year”

by the Myrtle Beach Herald (2005-2015).

Obesity and Allergies:A Challenge

for the New YearBy Mark Schecker, M.D.

Coastal Carolina Allergy and Asthma Associates

DONNA HENDERSONSENIOR LIVING PLACEMENT

& CONSULTANTS, INC.D & R Consultants, Inc

My ServicesI provide a variety of services, at no cost toseniors or their families, that allow me to act asyour advocate from start to finish. Theseinclude:

If you have an aging loved one where living alone is no longer an option,CALL ME before beginning your search, my services are FREE to you.

843-655-6144

• Meeting with you for a consultation and assessment.

• Assisting in the coordination of necessary documentation and attorney, veterans benefits and power of attorney resources.

• Setting up and accompanying your family on tours of potential facilities.

• Evaluating your needs and interests to offer appropriate placement options.

I’m sure that over the holiday season many folkswished you Merry Christmas or Happy Hanukah andtagged it with “May you have great health and happinessin the new year!” Well, Happy New Year, friends! Hard tobelieve it’s 2017 when it seems like yesterday we cele-brated the new centennial!

But there are so many folks who live with pain day inand day out, and their lives are not happy. I spoke on thephone with a man named Billy from Roanoke, Virginiawho said Christmas 2015 was the worst in his life, butChristmas 2016 was the best. Here is his story.

Several years ago Billy developed a condition calledtrigeminal neuralgia. He had never heard of it before, butit robbed him of his life as he formerly knew it. He couldnot do anything or go anywhere with this sharp excruciat-

ing pain going through his face. Billy said, “It was like a lightning bolt.”His doctor diagnosed the disease and treated him with radiation. That worked for a

while, but then the pain came back with a vengeance. The doctor refused to allow anymore radiation and prescribed six pills a day to ease the pain and anxiety.

That all led to last Christmas when all his family came to town and all Billy could dowas lie in the bed with debilitating pain. He said that was one of his saddest days, notbeing able to enjoy his family, some of whom came in from California to see him.

Then his sister-in-law told him about the CuraLase website and told him to read aboutthe many folks who had flown into Myrtle Beach for treatment. It sounded good to him,offering hope for the future.

Billy signed up and said that after three days he started feeling better, even found timeto enjoy the wonderful offerings of the area. He finished the three-week protocol andheaded back to Roanoke as a new man. His son offered to help pay for the three weeks

he had to stay in Myrtle Beach to be treated, because he was anxious to have his dadback in his life again.

And that is where we find Billy today. He is treasuring life pain-free and plans tospend the rest of his days loving his children and grandchildren. He had a joyousChristmas last month, and everyone in Roanoke is thrilled with the “new Billy.”

CuraLase Laser Therapy is located off Bypass 17 South right next to the South StrandMedical Center in the adjacent office complex, but you can meet the staff of CuraLase atvarious free dinner seminars held all over the community. At these events you will learnhow the laser works, see it demonstrated and have an opportunity to sign up for a com-plimentary visit with the CuraLase physician. So, if you are in pain, here is the list ofJanuary seminars:

Monday, January 2, 5:00 PM at Olive Garden, 1405 North Kings Highway, Myrtle Beach


Monday, January 16, 5:00 PM at Hanser House, 14360 Ocean Highway, Pawleys Island

Monday, January 23, 5:00 PM at Golden Corral, 10600 Kings Road (end of Hwy 22), Myrtle Beach


Just call CuraLase and RSVP at 843-294-5273 so they know you are coming andknow how to plan for dinner. You can even bring someone with you.

So if you are not having a happy new year because pain has got you down and in aslump, CuraLase is for you!Get happy again with CuraLase!

Diane DeVaughn Stokes, President of Stages Video Productions

Host and Producer of TV show “Inside Out” on HTC Channel 4 and “Diane At Six” on EASY Radio,

Author of “Floating On Air” A Broadcasting Love Affair”


Get HappyBy Diane DeVaughn Stokes


The WadsworthLaw Firm, LLC

3691 Palmetto Pointe Blvd, Ste.101 • Myrtle Beach, SC 29588843.798.1761

www.mwadsworthlaw.com

I have found Margaret to be not only a consummate professional, but also a caring and empathetic counselor and adviser. Legal matters can be dauntingand confusing; Margaret explained each detail in informative non-attorney language that we were able to understand. Our questions were answered andour fears put to rest by Margaret's personable, confident, and professionaldemeanor. A great attorney who has represented us more than once. P and K

Ms. Margaret Wadsworth is the kind of lawyer that "bad" lawyers hate! She isextremely sensitive to your needs and situation, goes over and above her call ofduty in representing you. Very quick to return calls/e-mails and keeping you wellinformed of any movement about your case. I'd call her a 'friend" who maintainsthe highest professional working relationship. MB

Margaret A. WadsworthLicensed in MA & SC

Wills, Living Wills, Trusts, Probate, Powers of Attorney,

Medicaid Planning, Aid & Attendance,

Long Term Care Planning,Guardianship/Conservatorship,

Asset Protection

PROTECTING YOUR FAMILY

Like most of you reading this publication you have worked a lifetime and areeither hoping to retire in comfort or you are completely in retirement and livingoff the fruits of your labor.

My question to you is simple. What started off small is now a sizeable IRA or401k balance, in any case it is all you have, so WHY would you risk losing alarge portion of your account if and when this Bull market stops and the Bearreturns?

I see hundreds of new clients from my seminars and radio and it is shockingto me how many of them are “sitting ducks” for when the market corrects -standing to lose 30-40% of their portfolio, just like in past corrections such as theDot-Com bubble and of course the Great Recession of 2007 and onward. Shameon the broker or banker that has close to 100% of a retiree’s money exposed tofull on Market Risk! This is not suitable and can only result in pain for the client(not the broker)

Perhaps your IRAis in the Bank in aCertificate ofDisappointment!Really, earning lessthan 1% on yourfunds is no way toRetire Right!

The early days ofthe Trump transitionmay prove to bevolatile, so………..

Yes, the time torollover to SAFETYand PERFOR-MANCE is before the perfect financial storm arrives....Imagine protecting your retirement accounts from loss in a fee-free environ-ment, allowing you to profit when the market goes up but take NO LOSSESwhen the market goes down or WAY DOWN as in the case of a crash!

Additionally, when you become our client you will have an expert team offinancial professionals to meet with regarding issues on your will or trust, taxa-tion, mortgage and much more!

Your financial security is dependent on your attitudes and beliefs aboutmoney and your willingness to take your financial future into your own hands.

We can help you overcome financial roadblocks. We are NorthStar Financial.The Right Company that facilitates The Right Plan. Resulting, in becoming The

Right Person.Consider setting a new direction in your life and contact

NorthStar Financial at (843)-448-7305 or go towww.northstarnavigator.com

to secure a confident Retirement future tomorrow.You will be thankful you did!

Patrick Munro, NorthStar Financial Advisors.

22001177 iiss HHeerree SSeeccuurree YYoouurrFFuuttuurree NNooww!!


Irritablebowel syn-drome (IBS)refers to a dis-order thatinvolvesabdominalpain andcramping, aswell aschanges in

bowel movements. It is not thesame as inflammatory bowel dis-ease (IBD), which includes Crohn’sdisease and ulcerative colitis.

Irritable bowel syndrome may bea lifelong condition. In some cases,symptoms are disabling and reducethe ability to work, travel, functionnormally and attend social events.Symptoms can often be improvedor relieved through treatment. IBSdoes not cause permanent harm tothe intestines, and it does not leadto a serious disease, such as cancer.

What are the causes of IBS?There are many possible causes ofIBS. For example, there may be aproblem with muscles in the intes-tine, or the intestine may be moresensitive to stretching or move-ment. There is no problem with thestructure of the intestine.

It is not clear why patients devel-op IBS, but in some instances, itoccurs after an intestinal infection.This is called post-infectious IBS.There may also be other triggers.

Stress can worsen IBS. The colonis connected to the brain throughnerves of the autonomic nervoussystem. These nerves become moreactive during times of stress, andcan cause the intestines to squeezeor contract more. People with IBSmay have a colon that is over-responsive to these nerves.

IBS can occur at any age, but itoften begins in adolescence or earlyadulthood. It is more common inwomen. About 1 in 6 people in theU.S. have symptoms of IBS. It is themost common intestinal complaintfor which patients are referred to agastroenterologist.

Symptoms range from mild tosevere. Most people have mildsymptoms. Symptoms vary from

person to person.Abdominal pain, fullness, gas,

and bloating that have been presentfor at least 6 months are the mainsymptoms of IBS. The pain andother symptoms will often:

• Occur after meals• Come and go• Be reduced or go away after a

bowel movementPeople with IBS may switchbetween constipation and diarrhea,or mostly have one or the other.

• People with diarrhea willhave frequent, loose, waterystools. They will often have anurgent need to have a bowelmovement, which is difficult tocontrol.

• Those with constipation willhave difficulty passing stool, aswell as less frequent bowelmovements. They will often needto strain and will feel crampingwith a bowel movement. Often,they do not eliminate any stool,or only a small amount.

For some people, the symptomsmay get worse for a few weeks or amonth, and then decrease for awhile. For other people, symptomsare present most of the time andmay even slowly increase.

People with IBS may also losetheir appetite.

How is the Diagnosis made?Most of the time, your doctor candiagnose IBS based on your symp-toms, with few or no tests. Eating alactose-free diet for 2 weeks mayhelp the doctor evaluate for a possi-ble lactase deficiency.

There is no test to diagnose IBS,but tests may be done to rule outother problems:

• Blood tests to see if you havea low blood count (anemia)

• Stool cultures to rule out aninfection

Some patients will have sigmoi-doscopy or colonoscopy. Duringthese tests, a hollow tube is insert-ed through the anus. The doctorcan see through this tube. You mayneed these tests if:

• Symptoms began later in life(over age 50)

• You have symptoms such as

weight loss or bloody stools• You have abnormal blood

tests (such as a low blood count)Other disorders that can cause sim-ilar symptoms include:

• Celiac disease• Colon cancer (although can-

cer rarely causes typical IBSsymptoms, unless symptomssuch as weight loss, blood in thestools or abnormal blood testsare present)

• Crohn’s disease or ulcerativecolitis

How is IBS treated? The goal oftreatment is to relieve symptoms.Lifestyle changes can be helpful insome cases of IBS. For example,regular exercise and improvedsleep habits may reduce anxietyand help relieve bowel symptoms.Dietary changes can be helpful.However, no specific diet can berecommended for IBS in general,because the condition differs fromone person to another. The follow-ing changes may help:

• Avoid foods and drinks thatstimulate the intestines (such ascaffeine, tea, carbonated bever-age, wheat, rye, barley, choco-late, milk products, fried fattyfoods, raisins, chocolate, beans,cabbage, cauliflower, broccoli,brussel sprouts, onions and alco-hol)

• Avoid large meals, eat slowly

• Reduce stress and exercise• Increase dietary fiber, drink

enough water six (6oz) to eight(8oz.) glasses a day

Talk with your doctor before tak-ing over-the-counter medications.

• Fiber supplements can makesymptoms worse

• Laxatives taken for constipa-tion can become habit forming

No one medication will work foreveryone. Medications your doctormight try include:

• Anticholinergic medications(dicyclomine, propantheline,belladonna, and hyoscyamine)taken about a half-hour beforeeating to control colon musclespasms

• Loperamide to treat diarrhea• Low doses of tricyclic antide-

pressants to help relieve intestin-al pain

• Lubiprostone for constipationsymptoms

• Medications that relax mus-cles in the intestines

Counseling may help in cases ofsevere anxiety or depression

What can I expect (prognosis)with IBS? Irritable bowel syndromemay be a lifelong condition. Forsome people, symptoms are dis-abling and reduce the ability towork, travel, and attend socialevents. Symptoms can often beimproved or relieved through treat-ment. IBS does not cause perma-nent harm to the intestines, and itdoes not lead to a serious disease,such as cancer.

If you have symptoms of irrita-ble bowel syndrome or if younotice a persistent change in yourbowel habits, please contact ouroffice, Cardiology GastroenterologyAssociates of Myrtle Beach for anappointment. We have four board-certified Gastroenterologists: Dr.Gary Vukov, Dr. Timothy Cornnell,Dr. Andrew Pearson and Dr. KathleenRaynor. We are located at 945 82ndParkway, Suite 3A, Myrtle Beach, SC29575. Our telephone number is 843-449-3381. Our surgical proceduresare performed at Strand GIEndoscopy, Inc., 945 82nd Parkway,Ste 2, Myrtle Beach, SC 29575.

Irritable Bowel SyndromeBy Timothy Cornnell,

MD, FASGE, AGAF

Sweaters and scarves aren’t the onlyways to brace yourself against blusteryweather. There’s no time like winter toputter in the kitchen, where the cozy heatfrom the stove and the aromas of mouth-watering dishes can warm you from theinside out.

Rich, hearty stews and creamycasseroles are perfect for winter dinners,but when you’re craving something otherthan traditional comfort food, there areplenty of other options that will chaseaway the chill, such as a glass of PinotNoir.

These three dishes feature commonproteins – chicken, beef and fish – inpreparations that make it easy to reimag-ine your winter weather menu. Find morerecipes and ideas for warming up thiswinter at culinary.net.

Fruit Juice and Fish Fillets

The temperatures may be falling, but youcan still fire up the grill and fill up yourplate with a tasty recipe like this GrilledCitrus Rosemary Catfish, which com-bines sweet juices for a citrus sauce thatcoats grilled catfish. Find more main dishrecipes including catfish atuscatfish.com.Grilled Citrus Rosemary CatfishRecipe courtesy of The Catfish InstituteServings: 4Citrus Sauce:1 lime, juice and zest only1 lemon, zest only1 orange, zest only6 ounces pineapple juice1/2 cup brown sugar1 tablespoon fresh rosemary,

chopped1/4 teaspoon saltCatfish:4 U.S. farm-raised catfish fillets2 lemons

salt, to tastefreshly ground black pepper,

to tasteHeat grill.

To make citrus sauce: In smallsaucepan, combine all sauce ingredients.Bring to boil; reduce heat and simmer 5minutes.

To make catfish: Place catfish in shal-low dish and squeeze 1/2 fresh lemonover each fillet. Sprinkle with salt andpepper. Let rest 5 minutes.

Grill catfish fillets, skin-side-up, 3-4minutes. Flip over and grill 2-3 moreminutes.

Transfer catfish to serving plates andspoon warmed citrus sauce over fillets.

A Cold-Weather SolutionWhile it can be a challenge, there are

several ways to pair food and wineappropriately during winter, despite bitterweather. A warm, comforting dish, likeRoasted Chicken with Salsa Verde fromJames Beard award-winning chefJonathan Waxman, combines well withrosé during the cold season. One reason-ably priced wine that matches chickenwell is Angeline California Rosé of PinotNoir. The crisp flavors of light red fruitscombine with the herbs accompanyingthe chicken. It’ll also complement themany other flavors of winter, when anarray of dishes hit the table and challengehosts to find the right wine to serve.

For more wines that work well in win-tertime, visit angelinewinery.com.

Chicken and Salsa Verde

Recipe courtesy of chef Jonathan WaxmanChicken:1 fresh free-range organic chicken(4 pounds) sea salt, to taste freshlyground black pepper, to taste1/4 cup extra-virgin olive oil1 lemonSalsa Verde:1/4 cup capers in salt4 anchovy filets3 cloves garlic1/2 cup chopped fresh parsley1/2 cup chopped arugula1/2 cup chopped fresh basil1/2 cup chopped fresh cilantro1/4 cup chopped tarragon1/4 cup chopped fresh chives1/4 cup chopped fresh sage1 cup extra-virgin olive oil1/4 teaspoon sea salt

To make chicken: Heat oven to 450 F.Wash chicken in hot water. Dry with

paper towels.Using kitchen shears, cut out back-

bone of chicken and remove any fat (thiscan be added to chicken stock). Usingheavy chef’s knife, cut out breastbone.Season halves with sea salt and blackpepper.

Place chicken halves, skin side up, ontwo sizzle platters and dab with olive oil.Cut lemon in half and place 1 half, cutside down, next to chicken on each plat-ter.

Roast chicken 35 minutes, bastingevery 10 minutes. When done, removechicken to platter and pour off excess fat.Cut each breast in half and cut the thighfrom the leg. Serve with salsa verde(recipe below) and garnish with roastedlemon.

To make salsa verde: Soak capers incold water 1 hour then drain.

Soak anchovies in cold water 15 min-utes then pat dry and remove bones.

Using mortar and pestle, smash capers,anchovies and garlic, until smooth, thentransfer to large bowl.

Add all herbs and olive oil.Season with sea salt. Pair each serving with Angeline


WinterWeather

WWAARRMM--UUPP


843-347-4909www.hillcrestcemetery.com

1000 Hwy 544Between Conway and

Myrtle Beach

Pre-Construction

Pricing

Maple Garden

Mausoleum

Up to $500 Off

January Special Extra 10% Off(Limited Time Offer)

Cemetery

California Rosé of Pinot Noir.Whole and Hearty

A hearty meat-and-potatoes meal is asure way to warm up on a cold winternight. This heart-healthy, one-dish mealis made with lean top round beef, lots ofvegetables and a spicy herb mixture. Findmore healthy main dish ideas athealth.gov.

Black Skillet Beef withGreens and Red Potatoes

Recipe courtesy of the USDA1 pound top round beef1 tablespoon paprika1 1/2 teaspoons oregano1/2 teaspoon chili powder1/4 teaspoon garlic powder1/4 teaspoon black pepper

1/8 teaspoon red pepper1/8 teaspoon dry mustard

nonstick spray 8 red-skinned potatoes, halved3 cups onion, finely chopped2 cups beef broth2 large garlic cloves, minced2 large carrots, peeled and cut

into 2 1/2-inch strips2 bunches (1/2 pound each) mus-tard, kale or turnip greens, stemsremoved, coarsely torn

Partially freeze beef. Thinly sliceacross grain into strips 1/8-inch thick and3 inches wide. Trim away visible fat.

Combine paprika, oregano, chili pow-der, garlic powder, black pepper, red pep-per and dry mustard. Coat strips of meatwith spice mixture.

Spray large, heavy skillet with non-stick spray. Heat pan over high heat.

Add meat; cook, stirring constantly, 5minutes.

Add potatoes, onion, broth and garlic.Cook over medium heat, covered, 20minutes.

Stir in carrots; lay greens over top andcook, covered, until carrots are tender,about 15 minutes.

Serve in large serving bowl withcrusty bread for dunking.

(fish photo and beef stew photo) Photocourtesy of Getty Images

JJaannuuaarryy SSppeecciiaallpprriivvaattee vviissiioonn bbooaarrdd sseessssiioonn

ffoorr oonnllyy $$2255..

As an Elder Law attorney, I care greatly for my clientsand like to see things go smoothly for them. Clients whounderstand the need to plan early are more likely to finda smooth path into the transitions that happen as we age.

While typical estate planning includes planning forincapacity during one’s lifetime as well as distribution ofone’s assets upon their passing, Elder Law attorneys havean added focus of planning with long-term care in mind.Not everyone, however, who considers themselves anElder Law attorney is knowledgeable about long-termcare. It is very important when selecting an Elder Law

attorney to ask if they are knowledgeable about Medicaid and Veteran’s pensionbenefits.

Often a traditional estate plan will have the same documents that an ElderLaw attorney puts in place, like a Trust and a Durable Power of Attorney.However, the provisions within the documents vary significantly depending onthe focus of the attorney drafting them. Because one focus of the Elder Law attor-ney is to help clients plan for the possibility of needing long-term care while pro-tecting the home and other assets, my planning documents often include anirrevocable trust designed specifically for this purpose. Other documents, like theDurable Power of Attorney, will include enhanced powers that allow the agent toengage in Medicaid and/or Veterans pension planning.

Including enhanced provisions in planning documents enables those agents topursue additional planning strategies if and when the time comes for the seniorto utilize long-term care. When the time comes for Medicaid planning or VA pen-sion planning, it is imperative for the trustee and/or the agent to have theauthority to take specific actions on behalf of the elderly person, like the authori-ty to establish and fund an irrevocable trust, file a Medicaid application or pre-pare a VA pension application. The grant of authority must be clearly statedwithin the documents yet these powers are not normally found in general estate-planning documents.

Having clients in my office long before they are in need of long-term careallows me to successfully and efficiently assist clients when they need it. Toooften I see clients whose existing powers of attorney are inadequate for long-termcare planning, who believed they could not protect any of their assets fromMedicaid, or who made financial decisions that make it harder for them to quali-fy for Medicaid without losing assets.

If you have any clients or know of anyone who would benefit from the assis-tance of an Elder Law Attorney, please do not hesitate to contact me. I am alsoavailable to speak at staff trainings or any educational programs that can helpelders understand how to prepare for long-term care issues before a crisis strikes.It’s my goal to have more happy clients and fewer who come in and cry becauseit’s too late to protect their assets from Medicaid.

If we can assist you, please give the Wadsworth Law Firm a call. Margaret A. Wadsworth

The Wadsworth Law Firm3691 Palmetto Pointe Boulevard, Suite 101

Myrtle Beach, SC 29588House calls up and down the Grand Strand

843.798.1761www.mwadsworthlaw.com

Content provided by ElderCounsel, Excellence in Elder Law and Special Needs

You can read articles by Margaret Wadsworth on Veterans Benefits athttp://www.nolo.com/legal-encyclopedia/veterans-disability-benefits


Solution on page 10TTrraannssiitt iioonnss

Across1. Grind to a halt5. Ready for a fight9. Aired ''I Love Lucy''14. Legal prefix15. Oceanic threat16. Opposite of pencil in17. ''Abdul Abulbul ___'' (old tune)18. Word with Lambeau or quantum19. Useless20. Horse racing23. Bruce Wayne's home, e.g.24. Gave false hopes25. Word with down, up or back28. Actress Garr30. Bloodsucking fly32. It's fit for a pig35. Strip searcher's paradise?38. ''Good-bye, old chap!''39. Wendy Wasserstein play

(with ''The'')43. Certain field workers44. Raconteur's inventory45. Trevino of the links46. ''Finally!''49. Bioelectric swimmers51. Hallucination cause52. Carved pole emblem55. Major blood vessel59. Routinely61. Dromedary64. Hospital division65. Rorschach mark66. Toodle-oo67. 1940s slugger Johnny68. It hangs around the roof69. Hardware purchases70. Quilting events71. One whose work is constantl

changing?Down

1. Sudden convulsion2. NFL city3. Giant hunter, in mythology4. Mimic5. Fledgling flier's goal6. Before takeoff7. Pat-___8. Quick9. Rules10. Some sea birds11. ''Diff'rent Strokes'' actress Charlotte12. Krait kin13. Cyberhead's place21. Italian fountain22. Part of a famous soliloquy25. Stable part26. Compact first name?27. Taunt29. Button on a camcorder31. And so on, for short32. Place to run aground33. College student's armload34. Ramp sign36. Parseghian of coaching37. Observe with dignity40. Gene's ID41. Word in the society pages42. It has five pillars47. Seismograph part48. Day-care visitor50. Turned on the tears53. A small Tom54. Start of a counting rhyme56. Baton-passing race57. Treasure-___58. Late-blooming flower59. Swiss chard, e.g.60. Shoshonean people61. Truck's passenger area62. Without further ___63. 1/1000 inch

How an Elder LawAttorney Can Help You

Plan for Long-Term CareBy Margaret A. Wadsworth, Esq.


5913 North Kings Hwy.Myrtle Beach, SC 29577

Call to schedule appointment

843-492-4832Hear from other satisfied users at www.hearinghealthcare.net

Risk Free 30 Day • Complimentary Lyric Screening

D & R Consultants is owned and operated by Donna Henderson. Donnahas over ten years of experience working with the senior community. Shetruly believes that everyone deserves to be safe, healthy and happy, in sodoing she ensures that all of her clients have the opportunity to choose acommunity they can call home. Through her company she takes the frustra-tion and confusion out of finding appropriate placement while saving youtime and money through the process. Her many services are FREE and per-sonalized to each individual family and resident. Some of her services are:

• Meeting with you for a consultation and assessment • Evaluating your needs and interests to offer appropriate placement

options• Setting up and accompanying your family on tours of potential facilities • Assisting in the coordination of necessary documentation, finding the

right attorney, veterans benefits and power of attorney resourcesDonna is originally from Pennsylvania. She has vacationed in the Myrtle

Beach area for many years and finally decided to call it home. After a suc-cessful career in insurance, sales, and finance, Donna found that her passionwas in helping others and decided to make a career of guiding other familiesthrough the process of finding senior care for their loved ones.

Before moving to Myrtle Beach, Donna worked in an Assisted LivingFacility for 8 years as the Director of Sales & Marketing, working with fami-lies and residents, assisting them with the transition from home to the com-munity. Married for over 20 years, Donna and her husband raised 5 childrenand now have 4 grandchildren to spoil.

If you have an aging loved one where living alone is no longer an option,call her before beginning your search.Phone: 843-655-6144Email: [email protected]: www.donna-henderson.comFB: Senior Living Placement & Consulting

Donna HendersonD&R Consultants, Inc.

Senior Living Placement & ConsultingLet Our Experience Guide You

Serving Horry, Georgetown & Williamsburg Countieswww.TidelandsHospice.Org888-922-3410 • 843-546-3410

The area’s first and only Hospice House caring for people with terminal illnesses and their families.

Our non-profit organization helps the whole patient: Emotionally, Physically, Socially & Spiritually

It’s about living your life


Law Office of Deirdre W. Edmonds, PA

Estate Planning, Probate & Elder Law Attorney

Air Comfort Heating & Cooling

"Your All Weather Friend"

Thank You Sponsors

FFrreeee AAddmmiissssiioonnAAsskkiinngg ffoorr DDoonnaattiioonnss ooff FFoooodd,, TTrreeaattss,,

PPeett AAcccceessssoorriieess ffoorr LLooccaall AAnniimmaall RReessccuueess

Transitions News Magazineproudly present the

Myrtle Beach

Senior Expowww.MyrtleBeachSeniorEXPO.com

A Day For You!Saturday, April 1, 2017

9:00AM - 3PMBarefoot Conference Center

(cross drawbridge after Alligator Adventures)

Register at www.whoscoming.com/SeniorEXPO

Air Comfort Heating & CoolingServices *Arbonne InternationalBack to 30 Rejuvenation Spa*Bath FittersBe Well Food & Juice BarBloomingail’sBNC BankBrainCoreCoastal Veterinary ServicesD & R Consultants, Inc.Damsel in DefenseDollar + Concept

Elko Spas, Billiards & PoolsEnergy Electric, LLCFleet Feet of Myrtle BeachFord’s Fuel & PropaneFreedom Boat ClubGoldfinch Winslow, LLCHats GaloreHearing by DesignHome Care HelpersJuice PlusJust Because IYO TearoomKim Fowler Life CoachingLaw Offices of Deirdre Edmonds*

Lu La RoeMarlisa’s Wig ShopMary Kay Cosmetics Nerium InternationalNew York Life InsuranceNorthstar Financial AdvisorsPampered ChefSouthlantic Water SystemsThe PracticeTitle Boxing ClubTouch Med-SpaWilson Senior CareWMBF NEWS*

Vendors(Confirmed at print date)

• Shopping, pampering, makeover, hand-on demonstrations, health screenings & more

• Food Concessions Available• Live Entertainment

• Door prizes and give-a-ways• Educational Seminars• Goodie Bags for 1st 1,000 Guests• And Much More

Documents

Transitions , January 2017 ...transitionsnewsmagazine.com/wp-content/uploads/JanTrans17.pdf · Transitions, January 2017 PAGE 2 Stay Fit in Your Senior Years You may not be as nimble