a special publication of ay magazine

GOOD
2009
GUIDE TO

HEALTH
The Future of Healthcare
Top Health Threats
Centers Work to Ensure Long Healthy Life
Genetic Testing: A Valuable Tool
Find the Diet for You
Checkup Chart

aymag.com

The Future of Healthcare
Reform in the United States
By Russell D. Harrington, president, CEO, Baptist Health
The issue of healthcare reform is producing a myriad of proposals,
which ultimately will result in legislation. This new law will dramatically
change our current system of healthcare delivery.
The big problem is simple: too many Americans are without health
insurance, and the number continues to grow. Currently, more than 46
million Americans exist without health insurance coverage.
During the last 12 months, the percentage of people who had health
insurance provided by their employer decreased by more than 3 percent
— impacting more than six million people. This is the economic and
societal backdrop that is pushing the political and policy agenda for near
universal coverage.
The key policy focuses that need to be addressed are:
Delivery — how do people gain access to affordable coverage?
Coverage — what level of benefits should be made available to the Trimming $175 billion from the Medicare Advantage plans.
general population?
Financing — how are these benefits to be paid and sustained for treatment rather than per-visit charge.
the long-term?
While no one can accurately predict the future legislative outcome,
it is perhaps enlightening to review some of the recent comments made
by Pres. Obama regarding this critical subject. Some of these comments
include the following:
“Healthcare reform is not a luxury. It is a necessity.”
“Soaring healthcare costs are unsustainable for families, for
businesses, and for governments — federal, state, and locals.”
“If we don’t initiate serious reform, one-fifth of our economy is
projected to be tied up in our healthcare system within 10 years.”
“This window between now and the August recess is going to be
the make or break period for this important issue. I would like to have
healthcare reform legislation on my desk by Oct. 1, 2009.”
“We have got to reform the underlying system to include promoting
the best medical practices; creating new incentives for reimbursement;
getting everyone to work on prevention and wellness to help drive down
cost.”
“We simply cannot put more people into a broken system that
doesn’t work.”
So what does Pres. Obama want to see included in healthcare
2009 GUIDE TO GOOD HEALTH
reform? Again, from his own words:
“All Americans to have health insurance coverage.”
“The development of an optional government-run insurance plan to
compete with private, commercial health plans.”
“Healthcare costs must be reduced.”
“The payment mechanisms/incentives should be changed so that
hospitals and doctors are rewarded for the quality of care they provide
rather than the quantity of patients they see.”
“Americans will have freedom to keep whatever doctor and health
plan they have today or they can choose another.”
“There must be a major focus on prevention and wellness.”
“A national electronic health record is essential.”
Perhaps the most critical question of all is how will this reformed
healthcare delivery system be funded? Again, ideas, which come from
Pres. Obama, include:
Savings resulting in improvements in the health system, such as
better technology and prevention efforts.
Allowing the former Bush Administration’s tax cuts to expire for
people earning more than $250,000 a year.
Limiting deductions for charitable contributions, mortgages, and
medical expenses.
Saving $38 million by paying doctors according to the outcome of
Placing a limit on hospital readmissions.
Requiring all individuals to enroll in a health insurance plan.
Requiring businesses to provide health insurance for their employees.
Taxing high-income workers on their employer-provided health
insurance.
Additional savings in the amount of $300 billion from the Medicare
and Medicaid programs will help pay for reforms.
Pres. Obama believes a federal government public insurance plan is
needed to keep the private sector honest. In theory, this public plan, with
fewer administrative costs and no need to make a profit, could provide
an affordable option, especially for people without insurance. Critics of
this plan to institute a federal-run public insurance plan believe that if
the public plan sets premiums and provider reimbursements low, then
this undercutting could destroy the private commercial health insurance
market. Many believe this type of government-run insurance program
will be a big step toward a national single payor system.
Healthcare providers state that it is very important that cuts in
reimbursement for hospitals and physicians not become the primary
financing mechanism for national healthcare reform. 
aymag.com
 TOP HEALTH THREATS
FOR MEN AND WOMEN
WOMEN
1. HEART DISEASE Many people may be surprised to find heart disease affects
more women than cancer. The Mayo Clinic estimates that while women develop heart
disease later in life than men nearly 350,000 women in the United States die from
heart disease annually.
2. CANCER This category actually includes three types of cancer: lung, breast and
colorectal. According to the American Cancer Society, more than 71,000 women
will die of lung cancer this year. Not surprisingly, the majority of the deaths are linked
to cigarette smoking. “Breast cancer is second-leading cause of cancer death in
U.S. Women”; 192,370 new cases of invasive breast cancer are expected to occur
among women in the United States during 2009. Colorectal disease is often thought
of as a men’s disease; however, 70,763 women were diagnosed with colorectal
cancer in 2003. When colorectal cancer is found early and treated, the 5-year relative
survival rate is 90 percent.
3. STROKES cause nearly 160,000 deaths in the United States each year and
are one of the leading causes of disability; yet nearly 80 percent of all strokes are
preventable. Smoking and uncontrolled high blood pressure are two risk factors for
stroke.
4. CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) This disease kills
more than 60,000 American women each year … as many as 24 million Americans
may be affected by COPD. To minimize your risk, don’t smoke and minimize your
exposure to air pollution.
5. ALZHEIMER’S DISEASE Researchers are working diligently to find a cure for this
disease, which is more prevalent in women than men — probably because the risk of
Alzheimer’s increases with age and women live longer. Warning signs include: memory
changes; changes in planning or problem solving skills; difficulty completing familiar
tasks; confusion about time or place; and changes in mood and personality.
6. DIABETES Type 2 diabetes is the most common form of this disease, which af-
fects 20.8 million Americans, and generally affects persons older than 40.
7. ACCIDENTS Traffic-related accidents and falls — about 8,300 U.S. women die
from falls each year — account for a number of accidental deaths among women.
8. PNEUMONIA AND INFLUENZA Together, pneumonia and influenza kill more
than 36,000 women yearly. To protect against influenza, it is important to get an an-
nual vaccine, especially if you have a weakened immune system or chronic illness.
9. KIDNEY DISEASE Kidney failure is often due to complications of diabetes and
high blood pressure. To reduce the risk of kidney disease, it is important to control
one’s weight and eat a healthy diet.
10. BLOOD POISONING Blood poisoning, also known as septicemia, is a life-
threatening infection developed by the presence of bacteria or toxins in the blood. It
most commonly occurs due to infections in the lungs, urinary tract, abdomen or pelvis.
It is most often not preventable, but there are steps one can take to protect oneself
including: washing your hands often; staying current on vaccinations; promptly treating
infections; changing tampons every six to eight hours; and urinating after sex.
Sources: Centers for Disease Control, cdc.gov; Mayo Clinic, mayoclinic.com; National Stroke Association, stroke.org; Susan G.
Komen for the Cure, komen.org; and Alzheimer’s Association, alzh.org.
2009 GUIDE TO GOOD HEALTH
MEN
1. HEART DISEASE According to the Centers for Disease Control (CDC), between
70 and 89 percent of sudden cardiac events occur in men. Though heart disease is
the leading cause of death for both men and women, men often develop heart dis-
ease earlier than women. Some actions you can take to lower your risk of developing
heart disease include: don’t smoke; eat healthy; exercise; maintain a healthy weight;
drink in moderation; and manage stress.
2. CANCER The CDC reported that more than 280,000 men died of cancer in
2003. Lung cancer, due to cigarette smoking, is the leading cause of cancer deaths
in men. The second and third most common cancers were prostate and colorectal.
In 2004, 189,075 men were diagnosed with prostate cancer — 29,002 of those
cases were fatal.
3. UNINTENTIONAL INJURIES This category includes “motor vehicle crashes,”
including car accidents and motorcycle accidents, poisoning, falls — for example,
from building and roofs — and drowning. Tips for lowering the risk of death due to
unintentional injuries includes: follow the speed limit; wear a seatbelt; don’t drive under
the influence or while tired; use carbon monoxide detectors; and place non-slip mats
in the bathtub.
4. STROKE Although stroke affects equal proportions of men and women, men have
better chances of surviving than women. Nearly $57 billion was spent directly and
indirectly on strokes in 2005 according to the American Heart Association (AHA).
5. CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) is “strongly as-
sociated with lung cancer,” and includes conditions, such as emphysema and chronic
bronchitis. The main cause of COPD is smoking.
6. DIABETES The AHA estimates that one-third of men who suffer from the most
common form of diabetes, type 2, are unaware they have it. Many will remain so until
they develop a complication, such as impotence or loss of sensation in their limbs.
Other more serious complications resulting from type 2 diabetes can include heart
disease, blindness, nerve damage and kidney damage.
7. INFLUENZA AND PNEUMONIA These lung infections, according to the Mayo
Clinic, are especially life threatening to those whose lungs are already damaged or
who have a weak immune system. One preventative measure is to have a flu shot
annually.
8. SUICIDE Men commit suicide four times as often as women. Depression among
men is underdiagnosed mainly because men are less likely to seek treatment. Risk
factors to be aware of include: drug and alcohol abuse; divorce; unemployment;
mental illness; and debilitating physical conditions.
9. KIDNEY DISEASE Kidney failure is often a complication of diabetes and high
blood pressure; controlling one’s weight and developing and maintaining a healthy diet
are just two steps one can take toward preventing these.
10. ALZHEIMER’S DISEASE According to the Mayo Clinic, about 4.5 million older
Americans, male and female, are living with Alzheimer’s disease. In 2003, more than
18,000 men died of Alzheimer’s, which usually develops in people age 65 or older.
There is no way to prevent the disease; however, maintaining physical and mental
fitness can reduce the effects.
Sources: Centers for Disease Control, cdc.gov and Mayo Clinic, mayoclinic.com.
 ADVERTORIAL

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Call 219-7489 today to schedule your Keep the Beat Screening.

aymag.com
 AGING GRACEFULLY
More Americans are living longer, and As Americans get older, the healthcare of Arkansas for Medical Sciences (UAMS)
system is stepping up to the plate to not only where he worked to help create the Reynolds
the medical community is working to lengthen our life spans, but to make our lives as Institute on Aging.
fulfilling and enjoyable as possible. According “I left a secure career at age 65 to take
help individuals maintain their physical to the U.S. Census Bureau, “in 2030, when on an incredible challenge,” Lipschitz said.
and mental well-being thus achieve all of the baby boomers will be 65 and older, “My goal in life is to help revolutionize the
nearly one in five U.S. residents is expected to healthcare system. During the next 15 years,
and maintain a quality of life previous be 65 and older. What’s more, this age group is the population over age 85 will increase 300
percent. It will be harder to get into an assisted
generations did not know. projected to increase to 88.5 million in 2050,
more than doubling the number in 2008 living facility than Harvard University. The
(38.7 million). The 85 and older population is healthcare system as it is now will collapse in
expected to more than triple, from 5.4 million crisis. I want to revise the approach to the way
By Amy Bowers • Photographs Courtesy of UAMS to 19 million between 2008 and 2050.” health care is delivered.”
and St. Vincent Health System
Many facilities in Lipschitz’s method focuses primarily on
Rendering of the new Donald W. Arkansas are prepar- preventative measures and education for
Reynolds Institute on Aging. ing for these boom- seniors and their caretakers. He takes a radical
ers, who are quickly approach to helping seniors feel younger, thus
approaching retire- not only increasing their lives, but the quality
ment age, with pro- of their lives.
grams geared towards The program at the Longevity Center is
enhancing the aging two fold. First, it aims to evaluate the lifestyles
process. St. Vincent of those 50 and older with the ReCenter
Health System wel- Program, which is a comprehensive evaluation,
comed Dr. David Lip- including a complete physical; nutritional
schitz to their team counseling; stress assessment; a customized
as the director of the exercise plan; a 12-week educational program;
Longevity Center in and primary care for basic medical needs. “This
July 2008. He accept- program is designed to prevent dependency,
ed the opportunity af- which is the No. 1 health threat for seniors. It
ter a 30-year long ca- is just a fact that as we get older our risk for
reer at the University dependency increases, and we never want to

2009 GUIDE TO GOOD HEALTH

be dependent on anyone,” Lipschitz said.
Lipschitz, who is also an author and weekly
columnist for the Arkansas Democrat-Gazette,
has created what he calls the “Passion Plan,”
a series of 10 steps to increase your quality of
life. Tips from the “Passion Plan” include: seek
peace; embrace your faith; exercise; and be an
empowered consumer of heathcare, which
Lipschitz believes to be the most important.
“The healthcare system business is based on
the bottom line. Costs are exploding because
doctors are doing unnecessary procedures. It is
important to ask why you need the operation
and what the side effects are.”
The other purpose to the Longevity
Center is to offer patients 65 and older
complete, trustworthy healthcare that is
“affordable, accessible and rational,” according
to Lipschitz. “The healthcare system now
moves patients from specialist to specialist —
we are going to do it all.”
The Center’s specialized staff includes
geriatric physicians; social workers;
neuropsychologists; a stress management
counselor; a dietitian; an exercise physiologist
and more.
The Donald W. Reynolds Institute on
Aging at UAMS received a generous gift of
$33.4 million last month, the second largest
gift ever awarded to UAMS. The majority
of the funds, $30.4 million, will go to the
construction of four additional floors to the
current one-level Institute and a pedestrian
walkway to connect the facility to the
Jackson T. Stephens Spine and Neurosciences
Institute. The remaining funds will be given
to the Arkansas Aging Initiative, an extension
of the Institute on Aging that oversees eight
Centers on Aging across Arkansas to fund
the replication of the home caregiver training
model that was developed at the Schmieding
Senior Health Center, a Center on Aging in
Springdale, Arkansas.
“We are so excited to have received such
a huge gift from the Donald W. Reynolds
Foundation; it shows an enormous vote of
confidence from them to us. We have been
so thankful for their support over the last 10
years,” said Dr. Jeanne Wei, director of the
xxxxxxxxxx
Drs. Wei, director of the Donald W. Reynolds Institute on Aging at UAMS, and Lipschitz, director of
the Longevity Center at St. Vincent Health System.
Reynolds Institute on Aging; she succeeded confident and less likely to fall.”
Lipschitz. The Institute also has a comprehensive
“The addition to the Institute includes one memory center to help ensure the mental
and a half floors for educational purposes, health of those 50 and older.
half of a floor for the building’s ventilation “One must exercise their muscles to stay
equipment and two floors for research to strong, the same is
come up with new and better treatments. true of the brain. For more information on
The $3 million going to the Arkansas Aging We help people St Vincent’s Longevity
Initiative will aim to replicate the caregiver and their fami- Center log onto
training program started by a donation by lies by evaluat- stvincenthealth.com;
Lawrence Schmeiding [for the creation of the ing their mental for more information
Schmeiding Center] to help teach people in state and helping on the Donald W.
the community to learn to do things like move to treat them and Reynolds Institute on
a person from a wheelchair to the bed.” keep them in good Aging at UAMS, log onto
The Institute on Aging currently offers mental health for uamshealth.com.
seniors comprehensive healthcare. Their as long as pos-
well-trained staff includes: geriatric nurse sible.”
practitioners; pharmacists; social workers; In that same regard, the Institute also
geriatric psychologists; neurologists; neural offers a mobility assessment program to help
psychologists; endocrinologists; cardiologists; seniors maintain their drivers’ licenses. A
and more all under one roof. special drivers’ evaluation program is used to
“We are improving the care for older help seniors maintain their driving skills and
Arkansans,” Wei said. “We have a really reflexes.
wonderful rehab program. Anyone 50 and “We really offer a sort of one-stop shopping
older can come in and sign up to workout here. for seniors’ medical needs. If they are healthy,
We have exercise physiologists and trainers to we are perfectly happy to help them stay that
help. Everybody who walks in gets to use the way; and if they are not, we are here to help,”
equipment and walks out a lot stronger, more Wei said. 
aymag.com
 Family history can determine
many things, including a
predisposition for cancer.
BY JON PARHAM
Jennifer Pickus’ grandmother died in her
mid 30s from colon cancer. Jennifer’s father
is in his 60s and has had colon cancer three
times. The first time was in his 30s. Her dad’s
brother had colon cancer twice. Her dad’s
sister had colon, uterine and breast cancer. “It
was clear there was something in our family,”
said the former Little Rock resident.
“For some cancers — especially colon,
breast, ovarian or uterine — a family history
can be one of the best indicators of its
occurrence,” said Kent McKelvey, M.D.,
director of cancer genetics services in the
Winthrop P. Rockefeller Cancer Institute
at the University of Arkansas for Medical
Sciences. “About 25 percent of the roughly
150,000 new colon cancer patients diagnosed
each year will have a family history of the
disease,” he said, adding that geneticists will
be able to find a mutation in about a third of
2009 GUIDE TO GOOD HEALTH
KNOWLEDGE
IS POWER
patients who have a family history of cancer.
“In our family is our genetic history. They
determine the DNA code that is passed
on,” McKelvey said. “In addition, a family is
usually together in the same environment —
eating the same things, living in the same area
— so environmental exposures are important
as well.”
DNA is the chemical code in our cells that
contains the genetic information responsible
for the development and operation of an
organism. It is a blueprint passed on from
generation to generation. But amid all the
information passed on in our DNA can be a
defect or mutation that may predispose to a
disease.
Examining this code can help determine
if one has a higher risk for developing cancer.
McKelvey cautioned that one only inherits
an increased risk of cancer — not the disease
itself. Not all people who inherit the genetic
defect for a cancer in their genes will develop
cancer, he said.
For example, the National Cancer Institute
(NCI) noted that women with a specific
breast cancer susceptibility gene have an 80
percent chance of developing breast cancer by
the age of 65. The risk is high but not absolute
and family members who test negative for the
genetic mutation are not exempt from breast
cancer risk, according to the NCI, since over
time, they can acquire breast cancer-associated
genetic changes at the same rate as the general
population.
“Knowledge is power and through cancer
genetics we can provide a patient with choices
for making a more informed decision about
preventive health care,” McKelvey said. “What
we do in cancer genetics is prevention, since it
is much better medicine to prevent a disease
from developing in the first place.”
GETTING TESTED
Pickus, 38, took the first step when she
was in her 20s. Knowing her family history,
she sought genetics consultation and learned
about the genetic syndrome that can cause
inherited colon cancer. She, her father and two
siblings eventually underwent genetic testing
by giving a blood sample.
Using a blood sample, geneticists analyze
specific genes tied to cancer syndromes for
defects or mutations. There are more than 30
defined cancer syndromes that increase the
risk of developing specific cancers. Hundreds
of genes are involved, so the physician also
needs a complete patient and family history
before blood is drawn for the test.
The genetic test does not return a “yes” or
“no” answer on whether a person will develop
cancer — only that the cancer syndrome is or
is not present. Sometimes, McKelvey said, the
test results can be inconclusive.
If a cancer syndrome is present, then
the patient can consider preventive steps.
Increased cancer screenings, such as an
annual colonoscopy or mammogram, could
catch cancer cells in development or in a pre-
cancerous state, allowing surgeons the chance
to remove them.
In some cases, women with a genetic
predisposition for breast cancer have opted
to have their breasts removed. Those with a
predisposition for uterine or ovarian cancer
may choose to have a hysterectomy and
oophorectomy (removal of the ovaries).
Jennifer Pickus’ test turned out positive.
She now has an annual colonoscopy and upper
endoscopy exam. Since she is finished having
children, she said she is planning to have a
hysterectomy and oophorectomy. She said she
will encourage her two young children to be
tested for the syndrome when they are older.
Her two siblings also tested positive for the
syndrome while two cousins tested negative,
she said.
“Every time you find a case of a genetic
mutation, there are usually other family
members with it as well. The implications can
be dramatic for a family,” McKelvey said.
In the case of colon cancer, McKelvey
said, if one member of a family has a genetic
mutation, there is a 50/50 chance that a first-
degree relative — that is a parent, sibling or
child — also will have the mutation.
If the test is negative, then the person can
be considered to be of “population risk” —
that is at no more risk of developing cancer
than the rest of the population. That can bring
peace of mind, McKelvey said.
WHO SHOULD GET TESTED?
McKelvey recommends consultation for:
• Those with a family history of cancer,
particularly if the history occurs in multiple
generations or has a young age of onset.
• Those with a family history of an unusual
type of cancer or an unusual pattern of cancers,
such as colon and uterine cancer in the same
family or person.
McKelvey said some may think genetic
testing is too complicated. While the outcome
may not be a simple yes or no, he said, the test
result can offer valuable information.
He noted concerns about insurance
coverage may deter some from being tested.
It is against federal law for an insurer to
discriminate in coverage based on a genetic
predisposition to disease, he said, and a more
comprehensive non-discrimination law has
passed the House and is now being debated
in the Senate.
“Genetic testing isn’t something to be
afraid of,” McKelvey said. “It’s just another
tool in our arsenal to prevent cancer that we
didn’t have 10 years ago.”
Pickus is glad she was tested. The result was
scary at first, she said, but she used McKelvey’s
refrain: “Knowledge is power. Now I know for
sure, and I can do the things I need to do to
watch out,” she said. “I wanted to have that
information rather than having to wonder
about it year after year.”
This article first appeared in Seek, the
quarterly magazine of the UAMS Winthrop
P. Rockefeller Cancer Institute. 
aymag.com
 LOW CAL
LOWDOWN
Many fad diets come and go, but a few have stood the test
of time. Get the facts about these popular diets to find the
right one to fit your own lifestyle, whether you prefer the
support of a group, or just want to live and eat healthier.
BY AMY BOWERS AND ANGELA E. THOMAS

no “average” cost. The Diet Center’s programs with food, build an active lifestyle and develop
THE DIET CENTER
8

DIETCENTER.COM
For 36 years, The Diet Center has provided
one-on-one counseling and customized diets
to its customers. Plan participants may weigh
in daily, several times a week or weekly. Their
counselors are trained professionals who meet
individually with clients to determine which
have helped clients who want to lose 10
pounds and those who wish to lose more than
200 pounds, emphasizing life changes and a
change in how their clients view food. There
are four Diet Centers in Arkansas and about
100 nationally.
JENNY CRAIG
8
a balanced approach to living.”
The company provides a food/body/mind
approach, expecting a one- to two-pound or
one percent of the client’s body weight weekly.
They offer two programs in Arkansas: 20
Pounds for $20 (plus food), their advertised
special, and the Premium Program, $359,
for unlimited weight loss and maintenance;

of the Center’s three diets best fits their
lifestyle.
Kristen Herring, a degreed nutritionist, is
director of The Diet Center, 5901 R St., Little
Rock, Arkansas.
“Our programs are based on healthy
eating,” Herring said. “We concentrate on
behavior modification, education and meeting
JENNYCRAIG.COM
Jenny Craig was founded in 1983 and has
more than 700 centers worldwide. Registered
dieticians and “an expert Medical Advisory
Board developed their program,” and each
client receives a personalized program with
one-on-one counseling. The Jenny Craig
it includes the benefits of the advertised
special. New clients’ height, weight, activity
level and age are taken into consideration, and
counselors calculate a healthy weight range
and BMI and generate a recommended daily
caloric level.
WEIGHT WATCHERS
8

our clients’ nutritional needs with immediate program offers Jenny’s Cuisine, which WEIGHTWATCHERS.COM
results.” The educational aspect includes includes more than 80 entrees and snacks,
and emphasizes exercise and lifestyle changes. Weight Watchers was founded in 1969 by
portion control and stressing the importance
Clients supplement their Jenny food with Jean Nidetch, a New Yorker, who recruited
of exercise and water.
fresh fruits, vegetables, whole grains, reduced- her friends to join her as she tackled her own
The initial consultation, which is free,
fat dairy and healthy fats. weight-loss challenge. The company’s goal,
includes health and nutrition assessments, a
According to Gail Manginelli who works according to Lori Lewis, president of Weight
free body composition analysis and counseling
in the corporate office. “[Our clients are Watchers of Greater Arkansas, is to teach
to pick a program; because each client is
taught] how to create a healthy relationship people how to eat forever.
different and the plans are specialized, there is

2009 GUIDE TO GOOD HEALTH

 “Our plan is based on good nutrition and
eating everything. Once a client reaches his/
her weight-loss goal, they then have a six-
week maintenance plan,” Lewis said. Behavior
modification, such as changing patterns, as
well as exercise is key to the plan. “No food is
excluded. Our plan is based on the [USDA]
Food Pyramid. We believe that if you don’t
feel hungry and you don’t feel deprived, you’ll
stick to the plan.”
Weight Watchers offers weekly meetings
during which members weigh-in privately and
participate in group sessions. “Our members
are inspired by others in the meetings. That’s
part of the magic,” Lewis said.
The cost to join is $39 and $12 per week
— lower if you prepay — and members do
not sign a contract. Once Weight Watchers
members go through the maintenance phase,
he or she simply comes in monthly for weigh-
ins and becomes a lifetime member — for free.
Weight Watchers has about 200 locations
in Arkansas; many groups meet in hospitals,
community centers, etc. You may also join
online and use their mobile applications to
track points and get ideas and pointers.
THE ATKINS DIET
8
ATKINS.COM
This diet is set up in four phases. During
the first phase, which is two weeks, dieters
eat from the base of the food pyramid —
proteins, leafy greens, vegetables — no
carbohydrates, which according to the Web
site, helps your body burn fat as a primary fuel
source. This phase is designed to jumpstart
your metabolism; participants often see big
results in these initial two weeks. Atkins Diet
plan participants then move onto the second
phase until they are within 10 pounds of their
weight-loss goal. This portion of the diet
includes the introduction of 5 net carb grams
per week; phase one included 20 grams of
carbs per day. This is comprised of additional
vegetables, berries, nuts and seeds. Participants
track their carbs, an online component can
help with this, and adjust them as needed to
6
GREAT FOODS
8
FOR HEALTHY MEN
FOR PROSTATE HEALTH: BRAZIL NUTS
These nuts are rich in selenium, which may help reduce the risk of developing prostate
cancer. One Brazil nut has about 100 micrograms of selenium; 400 mcg could be toxic,
so just one or two mixed with other nuts is the right amount.
FOR HEART HEALTH: SARDINES
Sardines are one of the best sources for heart-healthy omega-3 fatty
acids. They are eco-friendly, packed with protein and low in saturated fat.
Choose a no-salt-added, bones-in brand — for the added calcium.
FOR MOOD: EDAMAME
Fiber-rich carbohydrates, such as oats and edamame, help prevent mood fluctuations
by keeping your blood sugar levels steady. These pods also have protein and omega-3
fatty acids, which have been shown to help combat depression. You can find edamame at
Japanese restaurants or frozen at your local grocers.
FOR SEX DRIVE: SESAME SEEDS
This food is inexpensive and rich in amino acid arginine, which is involved in synthesizing
nitric oxide, a compound that enhances blood flow through the arteries and other various
male body parts. Toast sesame seeds for a nutty taste and add them to salads, cooked
grains or cereal. You can also enjoy them in hummus, which is made with tahini, a sesame
seed paste.
FOR MEMORY: BLUEBERRIES
Much of blueberries’ power lies in the “blue.” The color is caused by flavonoids that
protect the brain’s memory-carrying cells, neurons, from the negative effects of oxidation
and inflammation. Fresh or frozen, alone or with plain yogurt or topping a cereal, these
berries are fantastic.
FOR ENERGY: LENTILS
Lentils are also rich in fiber and protein, and they provide a good source of energy, iron,
which helps red blood cells carry oxygen, and several B vitamins that are essential to
energy production.
FROM PARADE MAGAZINE BY JOY BAUER
aymag.com
 ensure their continued weight loss.
Phase Three is the pre-maintenance

7
phase. Once participants have established
the number of net carb grams he/she can

HABITS FOR A
8

eat without losing or gaining weight (your

ACE, Atkins Carbohydrate Equilibrium) —

LONGER LIFE at the ideal weight — they enter this phase.

Acceptable foods include lean proteins, fruits,
like bananas, peaches and strawberries, and
whole grains and high fiber cereals.
REST UP. Getting the right amount of sleep is important to health and lifespan. A
Once you remain at your goal weight for a
2002 study, of more than 1 million people, found seven hours of sleep each night
month, you begin lifetime maintenance, which
produced optimal longevity.
is phase four, during which you eat according
to your ACE. For more information, read Dr.
EAT UP. A study of 20,000 Brits eating at least five servings
Atkins New Diet Revolution.
of fruit and vegetables daily; drinking alcohol moderately;
exercising; and not smoking were habits associated with a
THE SOUTH BEACH DIET

8
potential 14 extra years of life.
SOUTHBEACHDIET.COM
MAKE FRIENDS. Having a network of close pals may be more important than family.
A 10-year study in Australia found that people with a large social network were 22
The South Beach Diet has three phases;
percent less likely to die during the following decade than those who report having
the first is two weeks long. Dieters eat normal-
fewer friends.
sized helpings of meat (chicken, beef ) and
seafood as well as vegetables, eggs, cheese
USE IT, DON’T LOSE IT. Your mind and body will wither unless you use them, so
and nuts. You’ll eat three meals and two
exercise both. There’s no use in living to 100, if you can’t remember names or
snacks daily. This phase is designed to help
take care of yourself. Keep your brain engaged, and get your body moving. In one
participants get rid of cravings for sugar and
Harvard University study, vigorous exercise extended lifespan and reduced risk of
refined starches.
death.
The second phase is designed for steady
weight loss; participants add to their diet
MIND YOUR MIDDLE. Maintaining a healthy weight and trim waistline may be
whole-grains breads, brown rice, whole-wheat
key to longevity. A recent study by the National Institute of Health found that waist
pasta, fruits and additional vegetables.
circumference was a strong predictor of mortality. Measurements of more than 44
Once dieters reach their goal, they begin
inches for men, 41 for women were associated with 25 percent higher mortality
the maintenance plan, which includes every
rates.
kind of food and a few indulgences. South
Beach, like Atkins, has books and online
GET FRESH AIR. The New England Journal of Medicine found that a reduction
guidance. South Beach dieters can track their
in air pollution in cities between 1978 and 2001 was estimated to increase the
weight, plan meals, keep a journal, connect
lifespan of city-dwellers by five to 10 months, depending on the amount of pollution
with a buddy and get recipes online.
reduction.
8

MAKE IT A FAMILY THING. In a study of centenarians in the United States, people A CHANGE OF LIFE
who had a 100-year old sibling lived longer than others born the same year. Women
with centenarian siblings were 8 times as likely to be centenarians, men were 17 It seems vegetarianism is becoming more
times as likely. popular these days. There are many reasons
one may choose this lifestyle. Some chose
FROM PARADE MAGAZINE BY DR. MARK LIPONIS
to rid their diet of meat for ethical reasons,
while others just want to eat healthier. There
are four main categories for vegetarianism

2009 GUIDE TO GOOD HEALTH

including: total vegan, which is a diet of no
meat or animal products including eggs,
milk and cheese; lacto-ovo vegetarian, which
includes a diet of no meat but includes eggs;
lacto-vegetarian, which includes a diet of no
meat but includes milk; and a semi-vegetarian,
which excludes red meat only.
There are many health benefits to eating
a vegetarian diet, in addition to a lower fat
intake. “There are a few things a vegetarian
diet can help with, such as to lower blood
pressure, decrease incidences in some types
of cancer, lower risk for type 2 diabetes, lower
cholesterol levels, and a reduced risk of heart
disease,” Stacy Freeman, registered dietician,
said.
When one considers eliminating meat
from one’s diet, it is essential to be informed.
There will be holes in your diet that will
need to be supplemented in order to stay
balanced and healthy. “A vegetarian diet has
to be planned correctly. It is important to see
a dietician first, especially if you are planning
to go total vegan,” Freeman said. “These diets
take special planning because protein, calcium,
iron, vitamin D and B12 may be difficult to
get. It’s not that a vegetarian diet can’t meet all
your nutritional needs, but it just takes more
conscious planning to be sure you get those
nutrients.”
Freeman recommends the following to
keep up with these nutrients: iron fortified
cereals are a good source for iron; to get
protein, try nuts, soy, legumes and peanut
butter — these are sometimes referred to as
“meat substitutes”; and take supplements for
B12.
“Some go on this diet to lose weight
and to just be more health-conscious, and
studies have shown that vegetarians generally
have a lower body mass index (BMI) and
their weight is usually better. These diets are
great from a health standpoint, but it is so
important to ensure that you are still getting
those important nutrients.”
For more information, log onto eatright.
org. You can also find information at
mayoclinic.com; search for “vegetarian.” 

aymag.com
 HEALTH DIRECTORY
HOSPITALS Baptist Health Medical Center HealthPark Hospital North Metro Medical Center
3333 Springhill Drive 1636 Higden Ferry Road 1400 W. Braden St., N.W.
Arkansas Children’s Hospital North Little Rock, AR 72116 Hot Springs, AR 71913 P.O. Box 159
1 Children’s Way (501) 202-3000 (501) 520-2000 Jacksonville, AR 72076-0159
Little Rock, AR 72202-3591 baptist-health.com healthparkhospital.com (501) 985-7000
(501) 364-1100 or northmetromed.com
TDD (501) 364-1184 Baptist Health Medical Center Jefferson Regional
archildrens.org 1703 N. Buerkle Medical Center Northwest Medical Center —
Stuttgart, AR 72160 1600 W. 40th Ave. Bentonville
Baptist Health Medical Center (870) 673-3511 Pine Bluff, AR 71603 3000 Medical Center Pkwy.
3050 Twin Rivers Drive baptist-health.com (870) 541-7100 Bentonville, AR 72712
Arkadelphia, AR 71923 jrmc.org (479) 553-1000
(870) 245-2622 Baxter Regional Medical Center northwesthealth.com
baptist-health.com 624 Hospital Drive Levi Hospital
Mountain Home, AR 72653 300 Prospect Ave. Northwest Medical Center —
Baptist Health Medical Center (870) 508-1100 Hot Springs, AR 71901 Springdale
1800 Bypass Road baxterregional.org (501) 624-1281 609 W. Maple Ave.
Heber Springs, AR 72543 levihospital.com Springdale, AR 72764
(501) 887-3000 Conway Regional Health (479) 751-5711
baptist-health.com System Mercy Health System of northwesthealth.com
2302 College Ave. Northwest Arkansas
Baptist Health Medical Center Conway, AR 72034 2710 Rife Medical Lane St. Anthony’s Medical Center
9601 Interstate 630, Exit 7 (501) 329-3831 or Rogers, AR 72758 4 Hospital Drive
Little Rock, AR 72205 (800) 245-3314 (479) 338-8000 Morrilton, AR 72110
(888) BAPTIST (227-8478) conwayregional.org mercy4u.com (501) 977-2300
baptist-health.com stanthonysmorrilton.com
National Park Medical Center
1910 Malvern Ave. St. Bernards Health Care
Hot Springs, AR 71901 225 E. Jackson Ave.
(501) 321-1000 Jonesboro, AR 72401
CALCULATE YOUR LIFE EXPECTANCY  nationalparkmedical.com (870) 972-4100
Dr Thomas Perls, founder and director, the New sbrmc.com
England Centenarian Study, has created the Living NEA Baptist Memorial Center
to 100 Life Expectancy Calculator. The study,
3024 Stadium Blvd. St. Edward Mercy
Jonesboro, AR 72401 Medical Center
according to MetLife Mature Market Research, is
(870) 972-7000 7301 Rogers Ave.
the world’s largest study of individuals 100 years
baptistonline.org P.O. Box 17000
and older and their families. There are more than
Fort Smith, AR 72917-7000
40,000 centenarians in the United States — 85 North Arkansas Regional (479) 314-6000
percent of them are women. To read the study, log Medical Center stedwardmercy.com
onto bumc.bu.edu/centenarian; to take the quiz, 620 N. Main St.
log onto livingto100.com. Harrison, AR 72601 St. John’s Hospital — Berryville
(870) 414-4000 214 Carter St.
narmc.com Berryville, AR 72616

2009 GUIDE TO GOOD HEALTH

(870) 423-3355 or (800) 827-
3355
stjohnsberryville.com
St. Joseph’s Mercy Health
Center
300 Werner St.
Hot Springs, AR 71913
(501) 622-1000
saintjosephs.com
St. Mary’s Regional Medical
Center
1808 W. Main St.
Russellville, AR 72801
(479) 968-2841
saintmarysregional.com
St. Vincent Doctors Hospital
6101 St. Vincent Circle
Little Rock, AR 72205
(501) 552-6000
stvincenthealth.com/doctors
St. Vincent Health System
2 St. Vincent Circle
Little Rock, AR 72205
(501) 552-3000
stvincenthealth.com/svimc
Saline Memorial Hospital
1 Medical Park Drive
Benton, AR 72015
(501) 776-6000
salinememorial.org
Skaggs Community
Health Center
251 Skaggs Road
Branson, MO 65616
(417) 335-7000
skaggs.net
Sparks Health System
1001 Towson Ave.
Fort Smith, AR 72901
(479) 441-4000
sparks.org
UAMS Medical Center
4301 W. Markham St.
Little Rock, AR 72205
(501) 686-7000
uams.edu/medcenter
Washington Regional Medical
Center
3215 N. North Hills Blvd.
Fayetteville, AR 72703
(479) 713-1000
wregional.org
White County Medical Center
3214 E. Race Ave.
Searcy, AR 72143
(501) 268-6121
wcmc.com
• Convienent to these locations:
White River Medical Center St. Vincent, UAMS, CARTI & New Outlook
1710 Harrison St. • Spacious rooms and suites complete
Batesville, AR 72501 with Kitchenettes
(870) 262-1200 • Nonsmoking and handicap rooms
wrmc.om • Courtesy transportation
• Furnished aparments available by the
Willow Creek Women’s Hospital month for extended stays
4301 Greathouse Springs Road
Johnson, AR 72741 301 South University Ave.
Little Rock, AR 72205 • I-630, Exit 5A
(479) 684-3000
(501) 664-6800 • (501) 663-7043
northwesthealth.com
SPECIALTY HOSPITALS
Arkansas Heart Hospital
1701 S. Shackleford Road
Little Rock, AR 72211
(501) 219-7000
arheart.com
Arkansas Surgical Hospital
5201 Northshore Drive
North Little Rock, AR 72118
(501) 748-8000
arksurgicalhospital.com
Physicians’ Specialty Hospital
3873 N. Parkview Drive
Fayetteville, AR 72703
(479) 571-7070
pshfay.com
This list is not inclusive of all hospitals and
specialty hospitals in the region. Please
consult your medical professional for
recommendations.
5001 Central Ave, Ste. G/H
Hot Springs, AR 71913
501.525.9510
www.travelingwithstyle.net
Summer Hours: Mon-Sat 11-5:30
aymag.com
 St. Bernards Healthcare has
planned an afternoon of fashion,
food and fundraising for their
annual Runway to the Cure.
For more information on St.
Bernards’ Runway to the
Cure, log onto stbernards-
foundation.org. VIP tickets
are $30; regular tickets are
$25 and can be purchased
on the hospitals’ Web site.
2009 GUIDE TO GOOD HEALTH
Finding a Cure
with Fashion BY AMY BOWERS • PHOTOGRAPHY BY JENNIFER FREEMAN
Mark your calendars for the St. Bernards
Healthcare’s Runway to the Cure on July 24.
Runway to the Cure is a fundraiser for the
Arkansas Affiliate of Susan G. Komen for
the Cure that celebrates the lives of women
who have battled breast cancer. This luncheon
and fashion show is upping the ante this year
with more seating, great raffle items and much
more.
“We are totally revamping our look this
year,” said Alicia Storey, Imaging Services
representative for St. Bernards. “Last year, we
maxed out at 250 seats, and this year we have
rearranged the staging to more of a runway
style to allow seating for 400.” Audience
members can expect a great, emotionally-
charged show accompanied by heavy hors
d’oeuvres and raffle items, including a Race for
the Cure package: tickets to the pasta party;
a gas card; a night’s stay at a hotel in Little
Rock; as well as the unveiling of the Pink
Warriors new team race shirt.
“We are so excited about this year’s
Runway to the Cure and know it will be a
great time for everyone involved and their
families,” Storey said.
Dr. Charlott Jones, Mary Lee Wierzba
and Natalie Teague are three of the beautiful
and vibrant survivor models participating in
the 2009 Runway to the Cure. Dr. Charlott
Jones enjoyed a very fulfilling 57-year career
in teaching. She began teaching at the age
of 20 and retired five years ago. She taught
elementary school, high school and college
and was a museum director. She was born in
Jonesboro, Ark., where she currently lives, but
has lived throughout Arkansas and Texas.
She experienced her bout with breast
cancer when she was about 40 years old, after
a routine mammogram came back negative.
“I felt a pinging sensation in my breast, but it
didn’t hurt,” Jones said. She decided to get a
second opinion and visited a different doctor
who recommended that the troublesome cyst
in Jones’ breast be biopsied.
“My breasts were full of cysts, which is
normal for many women,” Jones said. She had
a feeling that the results were not good, and
her theory was confirmed when the biopsy
came back positive as being malignant.
“My doctor decided to operate and remove
both breasts. Since my breasts were full of
cysts there was no way of telling which of
them might also be malignant. I remember
being in the hospital after the surgery, and
feeling like they were pulling off the whole
front end of my body.”
After the surgery, Jones’ physicians tested
the rest of the breast tissue and discovered that
the initial cyst that was biopsied was the only
one that was cancerous.
“I didn’t resent it,” Jones said. “I was sad
that I lost a part of my body, but I knew that
they had to do it. I didn’t have chemo or
radiation, so I was lucky in that respect, and
I have never had a recurrence. It’s been an
interesting life, and I can’t complain.”
Mary Lee Wierzba’s family received a
double shock when she discovered she had
breast cancer in March 1996. After a routine
mammogram screening followed by a biopsy
of a suspicious lump, she was diagnosed
with breast cancer only six months after her
youngest sister Janice Rucks was diagnosed.
Her family was alarmed, as there was no
family history of the disease.
“I underwent a lumpectomy followed
by 15 months of chemo and seven months
of radiation. I felt like I walked through the
whole thing in a daze. I’d watched my sister
go though it all so I knew what to expect, but
it really didn’t totally hit me until the doctor
said 15 months of chemo … that was just
shocking,” Wierzba said.
One good thing that came out of the
diagnosis is the strengthened bond between
the two sisters. Wierzba said they have never
been closer. “No one can understand what
it’s like to go through breast cancer except a
person who has been through it.”
Wierzba had a great support system
through her illness. “I think it really scared my
daughters and my husband initially, though he
never said it did. Then their response was ‘OK,
now what do we do to get though this.’ They
all stayed so strong through the whole ordeal.
My family and friends were all so supportive;
they were really there for me.”
Wierzba, who finished her last treatments
in August 2007, and her sister are doing well
— both are healthy and have experienced no
recurrences.
Natalie Teague received her diagnosis
quite by accident in October 2007, at the
young age of 37. She had gone to see her
doctor for a physical when he asked if she
would like to have another mammogram to
be safe since there had been a mix-up on her
most recent one, and the results were unclear.
“I just decided ‘let’s go ahead a do it.’ Just for
peace of mind,” Teague said.
The results came back that Teague, who
had no family history of breast cancer, was
in stage one of invasive breast cancer, and her
doctors decided that it must be treated very
aggressively with a lumpectomy followed by
six months of chemo and 31 treatments of
radiation.
Teague’s primary concern through her
battle with breast cancer was her 3-year-old
son. “I was very worried about how he would
react to all of the side effects of cancer. Luckily,
I didn’t have many of the adverse side effects
from the chemo except feeling very lethargic.
I knew that when my hair began to fall out he
would notice.”
Teague had very long hair and decided
when the time came to get a very short pixie
cut. “When I came back from getting my hair
cut, he looked at me and said ‘hi, Mom’ and
didn’t even notice it. That was a big thing for
me. When I had to wear a wig, and we would
be out in windy weather he would say, ‘let me
hold your hair on for you, Mommy.’ It never
really bothered him.”
Teague didn’t allow cancer to interrupt her
life. She had a great support system through
her friends, family and colleagues. She is now
finished with her treatments, but continues to
go in for regular checkups.
“This has definitely made me look at life
from a different perspective,” She said. “I guess
this just has to happen to some people in order
to make them realize what is important and to (left to right) Mary Lee Wierzba, Natalie
Teague and Charlott Jones will each walk
not take life for granted.”
the runway escorted by family members
HOW TO GET THE LOOK: as friends and supporters cheer them on
On Wierzba: White linen jacket, $100, at Runway to the Cure.
by Jones New York; white Capri pant, $25,
by Alex Marie; blouse, $70, by Ralph Lauren;
chandelier earrings, $18, by Catherine Stein;
bracelet, $48, by Dillard’s Collection; provided
by Dillard’s.
On Teague: Sleeveless lime green mina
dress, $159, by Antonio Melani; gold “pearl”
beaded necklace, $68, by Dillard’s Collection;
provided by Dillard’s.
On Jones: Orange and fuchsia multi-
colored skirt, $108, by Nygard; sunflower shell,
$59, by Jones New York; turquoise Santa Ana
jacket, $119, by Jones New York; provided by
Dillard’s. 
aymag.com
A Unique Approach to cosmetic surgery
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the highest level of safety, discretion, and care.
Cosmetic surgery involves a lifetime of personal
attention. I largely focus on the prevention of
aging and, when time, the restoration of beauty
and form in a natural manner. Your decision
to have surgery is an important one and
should be tailored to your individual goals
and needs. From the initial consult to the last
postoperative visit and beyond, I want you to
feel comfortable and informed with the details of
each process.

Other times, we desire to restore a natural figure

to that which has been removed. Reconstructive
surgery continually develops to address these
defects. This restorative process is equally
important to our team in that we understand
the emotions and trials patients endure. Our
focus is to make the body whole again in the
most delicate ways.”

“It is important that we, the patient and I,

develop a plan that best fits that person’s
natural figure, expectations, lifestyle,
and budget. I believe in fundamental
procedures that offer the most lasting
outcomes and never forget the fact that we
are partners in this venture.”

Michael Spann, M.D. “My fifteen years of intense undergraduate, medical school, and surgical
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Now at two locations!
2009 GUIDE TO GOOD HEALTH
 SOURCE: MEN’S HEALTH NETWORK, WASHINGTON, D.C.

WOMEN’S HEALTH CHECKLIST

20-39

40-49

20-39

40-49
CHECKUPS AND SCREENINGS WHEN CHECKUPS AND SCREENINGS WHEN

50+

50+
PHYSICAL EXAM: Review overall health Every 3 years 3 HEMOCCULT: Screens the stool for microscopic Every year 3 3
status, perform a thorough physical exam Every 2 years 3 amounts of blood that can be the first indication
and discuss health related topics. Every year 3 of polyps or colon cancer.
BLOOD PRESSURE: High blood pressure Every year 3 3 3 COLORECTAL HEALTH: A flexible scope exam- Every 3-4 years 3 3
(Hypertension) has no symptoms, but can ines the rectum, sigmoid and descending colon
cause permanent damage to body organs. for cancer at its earliest and treatable stages. It
also detects polyps, which are benign growths
TB SKIN TEST: Should be done on occa- Every 5 years 3 3 3 that can progress to cancer if not found early.
sion of exposure or suggestive symptoms
at direction of physician. Some occupa- CHEST X-RAY: Should be considered in smok- Discuss with a 3 3
tions may require more frequent testing for ers over the age of 45. The usefulness of this physician
public health indications. test on a yearly basis is debatable due to poor
cure rates of lung cancer.
BLOOD TESTS & URINALYSIS: Screens Every 3 years 3
for various illnesses and diseases (such Every 2 years 3 SELF-EXAMS: Breast: To find abnormal lumps Monthly by self 3 3 3
as cholesterol, diabetes, kidney or thyroid Every year 3 in their earliest stages. Skin: To look for signs of
dysfunction) before symptoms occur. changing moles, freckles, or early skin cancer.
Oral: To look for signs of cancerous lesions in
EKG: Electrocardiogram screens for heart Baseline Age 30 the mouth.
abnormalities. Every 4 years 3
Every 3 years 3 BONE HEALTH: Bone mineral density test. postmenopausal 3
Should be considered in all postmenopausal
TETANUS BOOSTER: Prevents lockjaw. Every 10 years 3 3 3 females. Discuss with your physician.
RECTAL EXAM: Screens for hemorrhoids, Every year 3 3 3 ESTROGEN: Peri-menopausal women should Discuss with a 3
lower rectal problems, and colon cancer.
consider screening for FSH (follicle stimulating physician
BREAST HEALTH: Clinical exam by health Every 1-2 years 3 hormone) and LH (leutenizing hormone) to
provider. Mammography: X-ray of breast. Every year 3 3 3 determine supplemental estrogen therapy need.
REPRODUCTIVE HEALTH: PAP test / Every 1-3 years Age 18 3 3 SEXUALLY TRANSMITTED DISEASES (STDs): Under physician 3 Discuss
Pelvic exam. After 3 consecutive normal Sexually active adults who consider themselves supervision
tests. Discuss with your
at risk for STDs should be screened for syphilis,
physician.
chlamydia and other STDs.

MEN’S HEALTH CHECKLIST

20-39

40-49

20-39

40-49
CHECKUPS AND SCREENINGS WHEN CHECKUPS AND SCREENINGS WHEN
50+

50+
PHYSICAL EXAM: Review overall health Every 3 years 3 HEMOCCULT: Screens the stool for microscopic Every year 3 3
status, perform a thorough physical exam Every 2 years 3 amounts of blood that can be the first indication of
and discuss health related topics. Every year 3 polyps or colon cancer.
BLOOD PRESSURE: High blood pressure Every year 3 3 3 COLORECTAL HEALTH: A flexible scope examines Every 3-4 years 3
(Hypertension) has no symptoms, but can the rectum, sigmoid and descending colon for cancer
cause permanent damage to body organs. at its earliest and treatable stages. It also detects
polyps, which are benign growths that can progress
TB SKIN TEST: Should be done on occa- Every 5 years 3 3 3 to cancer if not found early.
sion of exposure or suggestive symptoms
at direction of physician. Some occupa- CHEST X-RAY: Should be considered in smokers Discuss with a 3 3
tions may require more frequent testing for over the age of 45. The usefulness of this test on a physician
public health indications. yearly basis is debatable due to poor cure rates of
lung cancer.
BLOOD TESTS & URINALYSIS: Screens Every 3 years 3
for various illnesses and diseases (such Every 2 years 3 SELF-EXAMS: Testicle: To find lumps in their earliest Monthly by self 3 3 3
as cholesterol, diabetes, kidney or thyroid Every year 3 stages. Skin: To look for signs of changing moles,
dysfunction) before symptoms occur. freckles, or early skin cancer. Oral: To look for signs
of cancerous lesions in the mouth. Breast: To find
EKG: Electrocardiogram screens for heart Baseline Age 30 abnormal lumps in their earliest stages.
abnormalities. Every 4 years 3
Every 3 years 3 BONE HEALTH: Bone mineral density test. Testing is Discuss with a Age 60
best done under the supervision of your physician. physician
TETANUS BOOSTER: Prevents lockjaw. Every 10 years 3 3 3
TESTOSTERONE SCREENING: Low testosterone Discuss with a 3 3
RECTAL EXAM: Screens for hemorrhoids, Every year 3 3 3 symptoms include low sex drive, erectile dysfunc- physician
lower rectal problems, colon and prostate
tion, fatigue and depression. Initial screening for
cancer.
symptoms with a questionnaire followed by a simple
PSA BLOOD TEST: Prostate Specific An- Every year X 3 blood test.
tigen is produced by the prostate. Levels
SEXUALLY TRANSMITTED DISEASES (STDs): Under physician 3 Discuss
rise when there is an abnormality such
Sexually active adults who consider themselves at supervision
as an infection, enlargement or cancer.
risk for STDs should be screened for syphilis, chla-
Testing should be done in collaboration
mydia and other STDs.
with your physician.
*African-American men and men with a family history of prostate cancer may wish to begin prostate screening at age 40 or earlier. aymag.com
 ADVERTORIAL

ARKANSAS HEALTH
CARE ASSOCIATION
QUESTION: What are some signs of a high-quality nursing home or long term care facility?
ANSWER: Finding just the right care for your loved one can seem intimidating. It is an
important decision, after all, and you want to make sure your loved one receives the very best
care. While many factors can affect your decision, here are a few positive signs to look for during
your search:
Resident-Staff Interaction: When you visit a nursing home or long term care facility, observe
how staff members interact with and respond to residents. In an excellent facility, you will notice that staff members treat
residents with dignity, respect and genuine concern. They respond promptly to resident needs, and develop positive relation-
ships with residents and their family members.
You should also see evidence that residents enjoy a range of entertainment options, community involvement and planned
outings. Residents should be encouraged to pursue hobbies and try new activities. Find out what leisure and wellness op-
portunities are available for residents, and ask what measures are taken to ensure that residents of all abilities can participate.
Unique Considerations: Every resident has an individual set of physical, emotional, psychological and social needs. Con-
sequently, a nursing home or long term care facility that is perfect for one person may not be the right choice for another. Are
there specific medical concerns to consider? How close is it to your home, or to other family members and friends? Determine
what factors are most important for your loved one, and then evaluate whether or not a facility will meet those needs.
There are many excellent nursing homes and long term care facilities to choose from in Arkansas. In fact, Arkansas has
emerged in recent years as an industry leader, offering improved care and a strong foundation of facility cooperation. One of
these facilities is right for you and your loved one. With some advance preparation, thoughtful questions and facility observa-
tion, you will make the right choice. 

2009 GUIDE TO GOOD HEALTH

 ADVERTORIAL

NORTHWEST HEALTH
SUN SAFETY FOR SENIORS: A PRACTICAL GUIDE FOR
MAKING THE MOST OF SUMMER’S OUTDOOR ACTIVITIES
As the weather warms up, people begin to head outdoors to enjoy the sunshine, outdoor activities and occasions that
bring family and friends together. Along with these summertime activities come the mixed blessings of heat. Older adults
are particularly vulnerable in hot weather to heat exhaustion or worse.
After all, seniors, like everyone else, want to continue living life to the fullest, no matter the time of year. And the
warming weather is a prime opportunity to encourage seniors to enjoy the summer months, while reminding them of the
unique issues heat poses to people as they age.
A heat emergency occurs when the heat-regulating mechanism in the body is not working correctly. The results of this
malfunctioning can include high fever, collapse, convulsions, coma, and even death.
What are the signs and symptoms? Symptoms can vary depending upon whether the condition is mild or severe. Early
symptoms include:
• Extreme sweating • Increased thirst • Nausea • Muscle cramps • Fatigue & weakness • Light-headedness & dizziness.
But by following some common-sense tips, seniors can more fully enjoy the summer weather and avoid overexposure to
the sun and heat.
How to avoid a heat emergency? To prevent heatstroke, here are some guidelines:
• Consume plenty of water and sports drinks to keep the body hydrated, replace lost energy and maintain a normal body temperature • Limit drinks that
contain alcohol or caffeine, such as tea, coffee and soda, as caffeine can promote dehydration • Take frequent rest breaks • Wear light-colored and loose-
fitting clothing • Schedule outdoor activities during the morning and evening hours • Protect your body from the sun with sunglasses, a hat or an umbrella.
With knowledge and intervention, heatstroke and its dangerous effects can be avoided altogether.
Equipping older adults with information about risk factors and symptoms that can affect their quality of life is a big part of the mission of Northwest
Health System’s Senior Circle Program. We want to prevent these issues from happening before they occur, so you can enjoy the summer and beat the heat!
For more information about Senior Circle, call (479) 553-4306. 

aymag.com
2009 GUIDE TO GOOD HEALTH
 ADVERTORIAL

ARKANSAS CARDIOLOGY
WHY DO MY LEGS HURT?
PERIPHERAL ARTERY DISEASE – DIAGNOSIS AND TREATMENT
Randy Minton, M.D., F.A.C.C.
Clinical Cardiology, Coronary and Peripheral Interventional Cardiology

Pain in the legs is a common complaint for patients and can be from skin, muscle, nerve or
bone. Muscle pain with walking, relieved with rest, is known as claudication, and often is the
result of poor blood flow. Peripheral artery disease (PAD) or peripheral vascular disease (PVD)
is generally the cause and can be diagnosed in the clinic. PAD is “clogged plumbing” and
the symptoms occur downstream from the blockage. All arteries can be affected, and with
PAD, there is a 60% chance of heart blockage; 30% chance the patient will have enough heart
blockage to need coronary bypass surgery.
The first step is the history and physical exam with the primary physician. The simple
question ‘Do your legs hurt with walking?’ will often lead to testing, the ankle-brachial index (ABI). This test uses a blood
pressure cuff and a hand held ultrasound device to measure the blood pressure in the arm and the ankles. With no blockage,
all pressures are equal. If either or both of the ankle pressures are below 90% of the arm pressure, significant blockage may
be present and further testing is indicated. Pictures of the arteries are then obtained as an outpatient, commonly with a CT
or MR scan, requiring only an IV in the arm. Some cases may require imaging in a hospital with a catheter inserted directly
into the artery at the groin. Once found, the blockage can be treated.
Treatment of PAD starts with control of blood pressure, blood sugar and cholesterol. Total cholesterol should be below
150 and LDL (bad cholesterol) below 70. Daily aspirin will help reduce heart attack and stroke risk. Nonsmoking is an
absolute for the best outcome. Exercise, can be very effective in relieving symptoms by growing “bypasses” around blockages.
The patient should walk daily to the point of cramping in muscles, then rest. Once cramping resolves, resume walking.
Gradually, circulation develops around the blockage, and the walking distance lengthens. These vessels will generally
maintain their flow longer than the options below; however, they may take several months and many miles to develop. One
medication, Pletal, can improve the pain by making the red blood cells more “slippery” allowing them to pass more easily
through small arteries
Procedural options for PAD should be pursued when symptoms limit daily activity or evidence of tissue damage is
present. Surgical or catheter approaches are used and each has its indications and limitations.
Surgical bypass grafts route blood flow around the blockages of PAD, and typically are for occluded or severely diseased
arteries. This may involve artificial grafts placed in the abdomen from the aorta to the iliac arteries in the pelvis. In the
legs, the patient’s vein is used from the groin to just above or below the knee, although the longer the graft and the smaller
the artery, the more likely the graft will close with time. These operations require general anesthesia and 2 to 5 days in the
hospital. Several weeks of recovery is required before resuming all normal activities and all medical and exercise treatments
above should be applied.
Catheter options for endovascular treatment are generally preferred by patients, as they are typically outpatient procedures,
without general anesthesia, and have a shorter recovery time. The catheter is the size of a coffee straw and the incision is
covered with a Band-Aid after the procedure. Balloon angioplasty dilates the blockage and restores normal flow. Spring-
like tubes, known as stents, may be placed inside to keep the artery open. Laser atherectomy uses light to vaporize blockage,
especially occlusions. Directional atherectomy removes blockage with a small cutter and packs the plaque in the catheter to
be removed from the artery, usually without the need of angioplasty or stents. Most patients treated with catheters are
discharged the day of the procedure and resume normal activity the following day. The blood thinner Plavix is prescribed for
3 to 6 months until healing within the artery is complete, and the same medical and exercise treatments are recommended.
Treatment for PAD is underused by patients and physicians often due to the fact that the right questions aren’t asked of, or
by, the physicians. Maintaining the use of the legs leads to better overall health and improves heart function with decreased
time in the hospital. Start with daily exercise and if symptomatic talk to your physician or seek out a specialist who treats
peripheral artery disease. The sooner the problem is found, the better and more complete will be the treatment. 
aymag.com
 ADVERTORIAL

CARELINK
CARELINK SUPPORTS FAMILY CAREGIVERS
Family caregivers provide the overwhelming majority of long-term care services in the
United States—approximately 80 percent. Many say that the experience of caring for a loved
one is rewarding. It is also challenging. But family members don’t have to face the challenges
alone; CareLink can help.
CareLink’s mission is to connect older people and their families with resources to meet
the opportunities and challenges of aging. The private nonprofit agency serves Faulkner,
Lonoke, Monroe, Prairie, Pulaski and Saline counties, providing family caregivers with the
resources and support they need to maintain their own lives while caring for older loved ones.
The long-term stress of caring for a family member can create serious health problems;
respite is crucial for family caregivers to continue caring for their loved ones. CareLink can
help not only with providing respite but also with other services to help care for older family members.
Those who are just stepping into this new role may find the challenges overwhelming. A call to CareLink is the best
way to begin this journey. Information and Assistance operators are trained to answer just about any question there
is about aging services, including those provided by other agencies. CareLink can send a packet of resources geared
specifically to family caregivers or arrange a time for a staff member to make a home visit to discuss options.
More information about CareLink is available at www.care-link.org. Information and Assistance can be reached at
501-372-5300 or 800-482-6359 (voice or TDD). 

2009 GUIDE TO GOOD HEALTH

 ADVERTORIAL

ARKANSAS FOUNDATION
FOR MEDICAL CARE
We hear a lot about the importance of investments when it comes to making sure our
later years are financially secure. But it’s just as important to invest in your health. You
may not like the idea of seeing a doctor when you’re not sick, but taking care of yourself
now increases the chances that you’ll have more active and healthy years to come.
Here’s a list of steps you can take to prevent future health problems:
• Eat a healthy diet and exercise regularly. Talk to your doctor about how to get the
nutrition you need and about what kind of exercise is best for your body.
• Get a flu shot every fall, and a pneumonia vaccine at least once after age 65. Older
people are most at risk for complications from influenza.
• If you’re a woman over age 40, have a mammogram and clinical breast exam every year.
Breast cancer survival rates are as high as 95 percent when the disease is detected early.
• If you’re a woman age 65 or older, have regular screenings for osteoporosis. Screening should start earlier for
women with risk factors (including family history or menopause before age 45).
• If you’re a man over age 50, talk to your doctor about prostate cancer screening. While medical experts disagree
about the benefits, Medicare covers the two most common prostate cancer screening tests once every 12 months.
• Have regular screenings for colon cancer beginning at age 50. Colon cancer is easily treated if it’s found early. There
are several tests that can detect cancerous and pre-cancerous abnormalities in the large intestine, so talk to your
doctor about which one is best for you.
• Talk to your doctor about additional screening tests for high cholesterol, diabetes, high blood pressure, heart
disease, glaucoma and other health conditions.
Remember, your health is in your hands. Make it a priority every day. 

aymag.com
2009 GUIDE TO GOOD HEALTH
 ADVERTORIAL

CONVACARE MANAGEMENT
Located in Searcy, ConvaCare Management provides administrative services to 15
nursing and rehab centers throughout the state of Arkansas. These homes are embracing
the concept coined as culture change. This shift in focus is a new way of thinking. The
basic concepts of culture change deinstitutionalizes a nursing home setting, and creates
an environment that is more home like and person centered.
Chenal Heights Nursing and Rehab opened its doors in March 2008. This is the
first newly constructed culture change building in our state. “It brings all who are
involved in the care-staff, family, and the elders- to a new way of working together”
said Administrator Viki Vinson. The 55,000 square foot center was built in a wagon
wheel style. Contrary to many design styles that have the nurses’ station in the middle,
Chenal Heights Nursing and Rehab enclosed the stations on each of the four halls. This helps in minimizing
the clinical look and feel, while also aiding in noise reduction. This home has also installed a wireless call light
system. The system reduces noise by using staff pagers, rather than the traditional means of alerting the nurses’
station with loud buzzing. This home was the second in the state to install this technology resulting in state
regulations having to be rewritten to allow it. As part of the call light system, 40 cameras that can be viewed
from the nurses’ stations are in place throughout the home to assist in monitoring the elders and their needs.
Wander guard devices are also utilized via forms such as watches or pendants.
Chenal Heights Nursing and Rehab also houses an on-site rehabilitation department. With over 3000
square feet, the therapy gym boasts innovative equipment and the services of physical, occupational, and speech
therapies. These services are available as appropriate for those needing a short rehabilitative stay, as well as
those who may require extended care.
In Searcy, a replacement facility for Byrd Haven Nursing Home is well underway. Completion of this new
home is planned for late summer. Using the same design and thought concepts, this home will focus on the
benefits of culture change. Like the Chenal Heights home the new Byrd Haven will feature a putting green,
salon, movie screen and spacious living areas. Each hallway in these homes functions as mini-communities.
The dining rooms on each hall have a full size refrigerator, stove, sink, microwave, and steam tables. Staff can
serve meals directly from this kitchen area, making meal service more traditional. Family style dining such as
this creates an atmosphere that is more relaxed and social. Each dining room opens out onto a patio where
individuals are welcome to enjoy the courtyards.
“Though this is a different look for a long term nursing facility, we still provide skilled services such as
trach, wound, and feeding tube care. IV and bariatric care are also available”, said Missy Stroud, Director of
Operations for ConvaCare Management. Stroud said there is a lot to learn and there is not yet a blueprint for
nursing homes employing the culture change concept. She said training via outlets such as Eden Alternative,
a non-profit founded in 1991 by Dr. William Thomas, a geriatrician and Harvard educated person, created a
foundation for the venture.
The concept is finding its way into the other homes services are provided to by the company. Being
admitted to a long term care facility and having to leave your home is very difficult. The slogan for ConvaCare
Management is “Family Caring for Families”, something each home is encouraged to live by. 

aymag.com
2009 GUIDE TO GOOD HEALTH
 ADVERTORIAL

BAPTIST HEALTH
At first glance, James Edmondson, 43, of West Memphis, is your typical guy. He’s a busy
father of three who enjoys doing a little fishing with his 22-year-old son, taking summer
evening walks with his daughters who are 12 and 9, and finding time for yard work or a trip
to the grocery store.  It’s not until you take a second glance at this six foot, four inch man
with a lean athletic build that you notice the holster device that he is always wearing around
his shoulders and waist. The device is an “artificial heart” that is keeping Edmondson alive
while he waits for a heart transplant.
 Four years ago, Edmondson, who always considered himself fairly healthy, was working
two jobs as a driver for both FedEx and the company Pro Drivers. It was while he was on
his route that those familiar with the active young man started to notice that he didn’t seem
like his usual self.
 While taking the stairs he started experiencing shortness of breath and was more fatigued
than usual. He thought he just needed to get a little more sleep in between the two jobs,
but he also began having trouble sleeping. He would feel as if he couldn’t breath or was
“drowning” when he would try and lay down.
 Late one night, Edmondson decided it was time for a visit to the ER. After running James Edmondson
several tests and no diagnosis, doctors at his local hospital suggested that it might be pneumonia and that he should
get some rest. Instead of getting better, his symptoms continued to worsen. His condition became so severe that a
cardiologist was consulted and that’s when he learned that he had congestive heart failure.
 He was put on several medications and told that his condition would need to be monitored. The medication helped,
but his heart continued to deteriorate. Edmondson and his mother, who had been with him throughout the ordeal,
learned of the transplant program at BAPTIST HEALTH Heart Center. They knew that was where they needed to
go for help.
 It seemed that there was no hope until he began visiting with Drs. Steve Hutchinson,  John Ransom, and Derlis
Martino, physicians who are a part of the Heart Transplant team. They felt the West Memphis resident was a perfect
candidate for a piece of technology that would help pump his blood, in place of his own heart, the HeartMate II Left
Ventricular Assist Device (LVAD).
 According to the American Heart Association, more than five million Americans are living with heart failure, with
about 550,000 new cases diagnosed every year. People with heart failure often have shortness of breath and fatigue. Years
of living with blocked arteries or high blood pressure can leave the heart too weak to pump enough blood to the body.
As symptoms worsen, advanced heart failure develops.
Some patients with advanced heart failure, like Edmondson, are candidates for a heart transplant, which can
dramatically improve survival and quality of life. Unfortunately, donor hearts are not always available. In fact, a patient
may wait years before a suitable donor heart is found. While waiting, the condition of the heart may continue to worsen.
For advanced heart failure patients the challenges of daily activities can outweigh the pleasures of life.
On September 29, 2008 Drs. Ransom and Martino surgically implanted the LVAD in James and after a brief hospital
stay, he was able to return to daily life with restored blood flow and more energy.
 “I can’t say enough about the doctors and nurses at BAPTIST HEALTH.   I was
feeling pretty hopeless before I learned about the LVAD. Now I’m back to doing just
about everything I was before I got sick. Thanks to God and BAPTIST HEALTH,
I’m here today.” said Edmondson.
 BAPTIST HEALTH Heart Center’s Transplant program is the only medical
center available in the state of Arkansas to perform adult VADs and heart transplants. 
For more information on the transplant program at BAPTIST HEALTH Heart
Kristie Reed, VAD Coordinator; Center, call BAPTIST HEALTH HealthLine at B-A-P-T-I-S-T (227-8478). 
Derles Martino, Cardiothoracic  A final note, James Edmondson received a new heart on May 31, 2009. He is
Surgeon & John Ransom, Surgical back at home in West Memphis and is expected to make a full recovery. 
Director of Heart Transplant and
Mechanical Circulatory Device Program

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2009 GUIDE TO GOOD HEALTH

 ADVERTORIAL

ST. JOSEPH’S MERCY

With 18 medical clinics in Hot Springs and surrounding communities. St. Joseph’s has
served the healthcare needs of Hot Springs and its surrounding communities since 1888.
As the second oldest healthcare institution in Arkansas, St. Joseph’s is second to none in the
region for its scope of services and high caliber of physicians and nurses.
St. Joseph’s Mercy Health System – a large-company Gold Award recipient each of the last
three years – became only the third business in the state to be presented with the prestigious
Ambassador Award.
The Mercy Heart Center is dedicated exclusively to the detection, treatment and preven-
tion of heart disease. The Center includes an outpatient heart and vascular clinic with an area
for vascular screenings and comprehensive cardiac rehabilitation program. Our nationally cer-
tified cardiac rehabilitation program was voted “Best Cardiac Rehab” in the state by the American Association of Cardiac and
Pulmonary Rehabilitation.
St. Joseph’s Mercy Health Center is also home to the new Mercy Cancer Center. This center offers comprehensive cancer
services all in one convenient location. St. Joseph’s Mercy Cancer Center offers the latest technological advances and is the only
Center of its kind in South Central Arkansas. St. Joseph’s team of cancer specialists, nurses and therapists are there every step of
the way during cancer treatment.­
The Women’s Center of Excellence is the first in South Central Arkansas to offer the revolutionary imaging technology of
the Selenia digital mammography system. In addition to digital mammography, the Breast Center offers stereotactic biopsy, bone
density, and ultrasound testing.  In addition, we have a highly professional staff made up of caring doctors, nurses, technicians
and the area’s only on-staff certified lactation consultant. Together, they share one goal when it comes to maternal care - the well-
being of you, your newborn, and your family.
The Mercy Diabetes and Wound Center has become the Hot Springs area’s answer to full-service, proactive diabetes care.
Our caring, experienced staff of dietitians, diabetes educators and nurses will help you learn to control your diabetes with educa-
tion on eating healthy, exercising and taking your medicines the right way. 

aymag.com
2009 GUIDE TO GOOD HEALTH