may 2014

inNew Hip

No TimeOutpatient replacement helps fisherman glide to recovery

a Glutes

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You want your doctor to know everything about health care. And

everything about medicine. But most importantly, you want a

doctor who knows you. The region’s best physicians have joined

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that is transforming personalized care in our community. With BMG

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Steven Todd Overby, MD J. Michelle Allmon, MD Jay Smith, MD Alisha Conway, MD Collins Rainey, MD

May 2014 4 A New Hip in No Time

8 Cut it Out

12 The Minutes that Matter Most

17 The Age of Arthritis

24 How Alternative and Complementary Therapies can Assist Surgery

departments 11 Outfitter: Fit to Flatter

14 Work it Out: Great Glutes

18 Racing Calendar

20 #memfit: Mark Horrocks

21 First Class: Hoop Dance

25 Confessions of a Mid-South Mom

26 Food Clues: The Power of Protein

27 Good Food cover storyA New Hip in No Time

8

14

2027

4

Good Health Memphis magazine is a healthy lifestyle publication from The Commercial Appeal. Good Health is published monthly, with distribution in the paper as well as in area medical practices and other strategic rack locations. All rights reserved. Reproduction in whole or part without written permission is prohibited. Copyright 2014.

For more information on advertising in Good Health magazine, contact Sara Patterson Shirley at 901-529-6513 or e-mail patterson@commercialappeal.com.

495 Union Avenue, Memphis, TN 38103

EditorSara P. Shirleypatterson@commercialappeal.com

Contributors

May is such a wonderful month to be in Memphis, and I can’t believe it’s already upon us. I’m excited to spend as much time in the sun as possible and to be able to buy more fresh produce at my neighborhood farmer’s market. How do you enjoy the warmer Memphis months? What are your favorite outdoor fitness activities? Let us know at facebook.com/goodhealthmemphis.

This issue, we shined a spotlight on several Mid-South surgery stories. Our cover model, professional fisherman Jason Lambert, talked with us about the hip replacement he received one morning, in an outpatient setting, at Campbell Clinic. We also talked to locals about their weight loss surgery experiences and interviewed a surgeon with the new acute care surgery group at Baptist Memorial Hospital-Memphis.

On the fitness side, nutrition columnist Leslie Schilling explained the power of protein on page 26. Personal trainer Liz McEwan shared moves to help tone and tighten your tush (pg. 14) and the team tried a “Hoop Dance” class (p. 21). Don’t forget to flip through to the end for two yummy, heart-healthy recipes.

I welcome and enjoy your feedback. Please send your thoughts to patterson@commercialappeal.com.

Happy Reading!

from theeditor

Sara P. ShirleyGood Health Editor

Erinn FiggBrandon DillNathan Berry

Jason TerrellLeslie SchillingKatrina Farber

Amy MillsPatricia Landers

memphis

On the morning of January 13, professional bass angler entered

Campbell Clinic’s surgery center in Germantown to have his hip replaced. By 4 p.m. that afternoon, he sat on the couch at his home near Pickwick Lake to begin the road to recovery.

In three short weeks, Lambert returned to the front of his boat to fish in his first tournament of the season—this time, without a hint of the severe hip pain that had plagued him for years.

At age 35, Lambert was diagnosed with avascular necrosis, a degenerative condition that stripped his hip joint of the cartilage needed to provide cushion and mobility. Avascular necrosis and osteoarthritis are clinically treated in similar ways. In the two years following his diagnosis, his ability to perform even the most basic physical tasks like walking or sitting were made possible only by a steady intake of anti-inflammatory medications. The debilitating pain took its toll on both his quality of life and his livelihood, leaving him with no option but to seek joint replacement.

“Like many patients, Jason was surprised to learn during our initial consultation that he might be able to bear weight on the new joint the day of surgery, following the procedure,” said Dr. Patrick Toy of Campbell Clinic, who performed

Lambert’s surgery.

The anterior hip replacement

procedure Lambert underwent accessed

his joint through an incision at the front

of the hip, bypassing the conventional

method of cutting through muscle tissue

in the buttocks and thereby reducing

recovery time and minimizing costs

related to inpatient hospital care. To

date, Campbell Clinic’s physicians have

performed more than 70 total hip and

partial knee replacement procedures in its

outpatient surgery center.Historically, patients undergoing total

or partial joint replacement could expect to spend multiple days in the hospital, at a minimum, but orthopaedic advances have resulted in a number of patients requiring less time in a health care facility following surgery. In some cases, that means a single day or as little as a few hours in an outpatient facility or only a few hours.

“We find that for recovery, there’s no place like home,” said Dr. Anthony Mascioli, who specializes in outpatient partial knee replacement surgery as well as other orthopaedic procedures at Campbell Clinic. “Patients can typically be more mobile, maintain better control of pain medications, and generally take better ownership of their care and rehabilitation in this setting.”

For Lambert, home also provided a positive outlook on his recovery.

“From the moment I stood on my own two feet within a couple hours of my surgery, the hip pain was gone,” Lambert said. “And, after a two-hour drive home, I felt confident in my recovery knowing that I could sleep in my own bed that night and not lay in a hospital bed for several days.”

Dr. Toy cites the momentum Lambert felt as crucial in the days following surgery for any patient.

“How a patient feels about his or

Story by Jamie Elkington

Campbell Clinic helps fisherman glide to recovery with same-day surgery

A New Hipin No Time

From the moment I stood on my own two feet within a couple hours of my surgery, the hip pain was gone– Jason Lambert

her procedure affects how he or she

approaches recovery and gets back to

everyday activities,” Dr. Toy said. “Our

minds influence how we feel, and it is my

experience that patients feel like they’re

further ahead when their surgery is

performed in an outpatient setting.”

Careful consideration is taken to

determine a patient’s candidacy for

outpatient joint replacement surgery. The

ideal candidate must be in good physical

condition prior to surgery. Preventing

factors such as severe respiratory or heart

issues, obesity, uncontrolled diabetes

or other medical issues that cannot be

managed appropriately in an outpatient

setting can inhibit one’s eligibility.

“It’s important to note that we

determine a patient’s health by his or

her physical make-up and not age,” said

Dr. Mascioli. “We may see a 90-year-old

patient who could physiologically have

the body of a 50-year-old and vice versa.

A patient’s overall physical condition

and stability is what matters most when

considering outpatient surgery.”

In 2014, Campbell Clinic is on track

to broaden its scope of outpatient joint

replacement surgery to include total knee

replacement, having already performed

successful surgeries of this type. This

spring, the clinic will also open its second

surgery center near its midtown location

Campbell Clinic helps fisherman glide to recovery with same-day surgery

Jason Lambert, a professional bass fisherman and Campbell Clinic patient. Photo by Jason R. Terrell

UNIVERSITY DENTAL FACULTY PRACTICE875 Union Ave. C 303 • Memphis, TN, 38163

We Practice What We Teach

Hours: Monday- Friday8AM - 12PM • 1PM - 5PM

Call for an appointment 901.448.6476www.uthsc.edu/dentistry/UDP/

New patients of all ages are welcomed andmost dental insurances are accepted.

University Dental Faculty Practice

Now more than ever a visit to the dentist is driven by high esthetic expectations regarding oursmile, without forgetting proper function of the stomatognathic system. The introduction

of dental implants has offered a tremendous improvement in the treatment options available fororal rehabilitation with optimal esthetic results. Technological and scientific advances in computedtomography, surgical techniques and bioengineering can help us restore a smile and the ability tochew in a predictable way that was not available in the past, while avoiding removable prostheses. Inour University Dental Faculty Practice our providers help our patients to improve their oral health andsocial life by restoring a beautiful and healthy smile, with advanced techniques in bone regenerationand gingival plastic surgery. We are committed to offering state-of-the-art comprehensive dental careand achieve optimal esthetics and restored function.

Dr. Karydis is an assistant Professor in the Department of Periodontology at the University ofTennessee Health Science Center College of Dentistry. He received advanced training in

Periodontics and Implant Dentistry at the University of California San Francisco where he also receivedhis MS and PhD in Oral and Craniofacial Sciences.

in the heart of Memphis’ medical district this spring.

“The public perception of outpatient surgeries is beginning to change, and in 10 years, people may view outpatient joint replacement the way they do other minimally invasive procedures today. Performing procedures in a lower-cost setting will be attractive for many,” said Dr. Toy.

Controlling costs nationwide, while improving the patient experience, is also vital.

“We never sacrifice safety or quality care in our facilities,” Dr. Mascioli said. “Our top priority is what’s best for the patient. With the changing landscape of health care and the sweeping reforms that are taking place, patients and providers alike will undertake increased responsibility to improve outcomes while keeping costs down. Outpatient surgery will continue to help drive cost savings for consumers of health care.”

Campbell Clinic, founded in 1909, operates

four clinics and two outpatient surgery centers

in the Mid-South. For more information, call

901.759.3100 or visit www.campbellclinic.com.

UNIVERSITY DENTAL FACULTY PRACTICE875 Union Ave. C 303 • Memphis, TN, 38163

We Practice What We Teach

Hours: Monday- Friday8AM - 12PM • 1PM - 5PM

Call for an appointment 901.448.6476www.uthsc.edu/dentistry/UDP/

New patients of all ages are welcomed andmost dental insurances are accepted.

University Dental Faculty Practice

Now more than ever a visit to the dentist is driven by high esthetic expectations regarding oursmile, without forgetting proper function of the stomatognathic system. The introduction

of dental implants has offered a tremendous improvement in the treatment options available fororal rehabilitation with optimal esthetic results. Technological and scientific advances in computedtomography, surgical techniques and bioengineering can help us restore a smile and the ability tochew in a predictable way that was not available in the past, while avoiding removable prostheses. Inour University Dental Faculty Practice our providers help our patients to improve their oral health andsocial life by restoring a beautiful and healthy smile, with advanced techniques in bone regenerationand gingival plastic surgery. We are committed to offering state-of-the-art comprehensive dental careand achieve optimal esthetics and restored function.

Dr. Karydis is an assistant Professor in the Department of Periodontology at the University ofTennessee Health Science Center College of Dentistry. He received advanced training in

Periodontics and Implant Dentistry at the University of California San Francisco where he also receivedhis MS and PhD in Oral and Craniofacial Sciences.

In struggle against obesity, many choose weight loss surgery as best option

In the gym, on the streets or at the salad bar, it’s common to meet people

on a mission to lose those 10 to 15 extra

pounds. But for more than one-third

of Americans, fighting the battle of the

bulge can equate to fighting the battle

of a lifetime. When that war against

the epidemic of obesity begins, many

Americans choose bariatric surgery as

their weapon of choice.

According to the Centers for Disease

Control and Prevention, about 78 million

or 34.9 percent of U.S. adults suffer from

obesity, which is categorized as having a

Body Mass Index (BMI) of 30 or more. Closer to home, a 2013 Gallup-Healthways report showed that Tennessee had the seventh highest obesity rate in the nation last year, with 29.6 percent of the state’s residents weighing in as obese.

When most people hear the word “obese,” they immediately think “large,” or worse, “fat,” but the issue extends far beyond appearance. More than 40 diseases, known as comorbidities, are linked to obesity, including Type 2 diabetes, heart disease, stroke and several kinds of cancer.

In 2006, Julia Mills of Cordova, then 51, learned about comorbidities firsthand when she was diagnosed with Type 2 diabetes related to excess weight.

“Over the years, I had tried all sorts of different things to lose weight, but diabetes was the kicker for me in the decision to have surgery,” she said.

While 99 percent of weight-loss surgery patients choose one of three American Society for Metabolic and Bariatric Surgery (ASMBS)-approved surgeries — an adjustable gastric band, a sleeve gastrectomy or a gastric bypass — the remaining one percent, including Mills, opt for an alternative method. After much research, Mills chose to have a patented procedure called a mini gastric bypass at an out-of-state clinic and was extremely satisfied with the results.

Story by Erinn Figg

St. Francis Center for Surgical Weight Loss patients model during a fashion show celebrating the center’s 10th anniversary. (Photo courtesy of St. Francis Center for Surgical Weight Loss)

Cut itOut

Body Mass Index (BMI) of 30 or more. Closer to home, a 2013 Gallup-Healthways report showed that Tennessee had the seventh highest obesity rate in the nation last year, with 29.6 percent of the state’s residents weighing in as obese.

When most people hear the word “obese,” they immediately think “large,” or worse, “fat,” but the issue extends far beyond appearance. More than 40 diseases, known as comorbidities, are linked to obesity, including Type 2 diabetes, heart disease, stroke and several kinds of cancer.

In 2006, Julia Mills of Cordova, then 51, learned about comorbidities firsthand when she was diagnosed with Type 2 diabetes related to excess weight.

“Over the years, I had tried all sorts of different things to lose weight, but diabetes was the kicker for me in the decision to have surgery,” she said.

While 99 percent of weight-loss surgery patients choose one of three American Society for Metabolic and Bariatric Surgery (ASMBS)-approved surgeries — an adjustable gastric band, a sleeve gastrectomy or a gastric bypass — the remaining one percent, including Mills, opt for an alternative method. After much research, Mills chose to have a patented procedure called a mini gastric bypass at an out-of-state clinic and was extremely satisfied with the results.

“Two weeks after surgery, my blood

sugar was normal and it’s been normal

ever since,” said Mills, who lost 75 pounds

and has kept it off after having the surgery

in 2008.

In March, new results from a three-

year study spearheaded by the Cleveland

Clinic’s Bariatric and Metabolic Institute

showed that either gastric bypass surgery

or sleeve gastrectomy did more to

improve the symptoms of diabetes, high

blood pressure and high cholesterol in

overweight and obese participants than

intensive treatment with drugs alone. In

addition, study participants who had one

of the two surgeries lost more weight, had

better kidney function and saw greater

improvements in quality of life than those

who did not have surgery.

Dr. George Woodman of Baptist

Weight Loss Center at Baptist Memorial

Health Care is on a mission to educate

area primary care physicians on the

importance of recognizing and referring

weight loss surgery candidates before

comorbid conditions occur.

According to the most recent

statistics from ASMBS, in 2010 there were

150,000 to 160,000 bariatric surgeries,

which reflected just one percent of the

population eligible for them. In most areas,

to qualify for bariatric surgery, patients

must either have a BMI of 40 or greater or

have a BMI of 35 and at least two obesity-

related comorbidities. (A BMI calculator is

available online at asmbs.org/calculate-

your-bmi.) Many insurance plans cover at

least some bariatric surgery costs.

“About half the people primary care

doctors see every day are candidates

for surgery,” Woodman said. “We would

much rather see somebody when

they’re younger and before they’ve

developed the comorbid conditions that

come with obesity. Why wait to develop

diabetes? Why wait to develop high blood

pressure? Why wait until you need a knee

replacement? Let’s start seeing these

patients earlier.”

Bronwyn Morgan, 43, a principal

scientist at Merck Consumer Care in

Memphis, is one such patient who saw

comorbid complications on her horizon

and decided to prevent them.

“I had gotten to where I was

considered morbidly obese,” she said. “I

couldn’t do some of the things I wanted to

do with my kids. I was lucky I didn’t have

any serious comorbidities like high blood

pressure or diabetes, but they were a real

possibility in my future.”

Bronwyn Morgan, modeling her favorite skirt that no longer fits after her gastric bypass (Photo courtesy of Bronwyn Morgan)

Types of Bariatric Surgery ProceduresThere are three primary types of bariatric surgery procedures approved by the American Society for Metabolic and Bariatric Surgery.

Adjustable Gastric Band: An inflatable band is placed around the upper portion of the stomach, creating a small stomach pouch above the band, reducing the amount of food the stomach can hold and creating a feeling of fullness. Induces excess weight loss of 40 to 50 percent.

Sleeve Gastrectomy: More than 80 percent of the stomach is removed, leaving a tubular pouch that holds a smaller volume of food. Causes favorable changes in gut hormones that suppress hunger and improve satiety. Induces excess weight loss of 50 percent or greater.

Gastric Bypass: Stomach is reduced to the size of a walnut and attached to the middle of the small intestine. Restricts the amount of food that can be consumed; produces favorable changes in gut hormones that reduce appetite. Induces excess weight loss of 60 to 80 percent.

Source: American Society for Metabolic and Bariatric Surgery (asmbs.org/obesity-and-surgery-learning-center)

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Morgan had weight-loss surgery at St. Francis Center for Surgical Weight Loss last June. She had planned on getting an adjustable gastric band, but after attending one of the center’s free educational seminars, she decided to get gastric bypass surgery instead.

“In our seminars, we teach that in order to see long-term success with any weight-loss surgery, you have to change your mind and your whole life,” said Leslie Albers, the center’s bariatric program manager. “What we do is not a magic bullet. Some people think this surgery is all they’re going to need, but that’s not the case. What our doctors say is the surgery is a tool to get you where you need to be. It’s kind of like a shovel and you’re still going to have to dig a little bit. Our patients are required to go through two education classes about nutrition and post-operation lifestyle changes.”

Since her surgery, Morgan has lost 120 pounds. She pays attention to what she eats and exercises, something she couldn’t do comfortably before her surgery.

“There are so many things I can do now,” she said. “Little things you never think of, like having the seatbelt in my car fit me better. Or I can pop down on the floor and play a game with my kids without being uncomfortable. I can ride horses again. It makes all the difference in the world.”

For more information:Baptist Weight Loss Center at Baptist Memorial Health Care, 226-5673 baptistonline.org/services/baptist-weight-loss-center

St. Francis Center for Surgical Weight Loss 881-0600, memphisweightlosssurgery.com

American Society for Metabolic and Bariatric Surgery for more information on procedures, statistics, frequently asked questions and more, asmbs.org/obesity-and-surgery-learning-center

Online BMI calculator asmbs.org/calculate-your-bmi

Shorter legs?String bikini bottoms will make your legs look longer than bottoms with more fabric.

Naga denim string bikini

$194shoplesnouvelles.com

901.260.9640 | 1314 Peabody Avenue | Memphis, TN 38104 • TheSpaMidtown.com

• FDA Approved• Non-Invasive • Fat Melting • Body Contouring • Skin Tightening • Wrinkle Reducing• Remarkable results within 4-5 treatments

Buy 1 Area, Get 1 Area FREEEqual or lesser value. Offer valid for a limited time only.

You deserve to look as good as you feel! Get a Mommy Makeover without surgery, needles, or downtime.

EXILIS – Best in Class BEST

BODYSHAPINGAWARD

Cozycot Women’s Choice 2012 Award

BEST SKIN

TIGHTENINGAWARD

National Aesthetics Conference 2012

Available in Memphis exclusively at

outfittershape up in style

Swimsuit shopping can be in-credibly stressful, especially

if you aren’t sure what looks best on your body. Instead of spending

hours in the dressing room trying on dozens of styles, go shopping with an idea of the best fit for your body. This way, you can use the time saved to

find a cute new pair of sandals or the perfect cover-up to wear to a summer pool party. Here are a few tips to get you started.

Finding the best swimsuit for your body typeFit to Flatter

Smaller chest?Tops that have ruffles or fringe can add a touch of extra flare to boost your upper-body proportions. Tie-in-front tops will also add va-va-voom.

Bikini Lab fringe Ferdinandtop, $40Bottoms, $36buckle.com

Morgan had weight-loss surgery at St. Francis Center for Surgical Weight Loss last June. She had planned on getting an adjustable gastric band, but after attending one of the center’s free educational seminars, she decided to get gastric bypass surgery instead.

“In our seminars, we teach that in order to see long-term success with any weight-loss surgery, you have to change your mind and your whole life,” said Leslie Albers, the center’s bariatric program manager. “What we do is not a magic bullet. Some people think this surgery is all they’re going to need, but that’s not the case. What our doctors say is the surgery is a tool to get you where you need to be. It’s kind of like a shovel and you’re still going to have to dig a little bit. Our patients are required to go through two education classes about nutrition and post-operation lifestyle changes.”

Since her surgery, Morgan has lost 120 pounds. She pays attention to what she eats and exercises, something she couldn’t do comfortably before her surgery.

“There are so many things I can do now,” she said. “Little things you never think of, like having the seatbelt in my car fit me better. Or I can pop down on the floor and play a game with my kids without being uncomfortable. I can ride horses again. It makes all the difference in the world.”

Boxier figure?Swimwear with cut outs will add the curves for you.

Agent Provocateur Mazzy cutout swimsuit

$345net-a-porter.com

Fuller figure?A fitted swimsuit with intelligent ruching will mask trouble spots.

Melissa Odabash Mexico ruched halterneck swimsuit

$108theoutnet.com

Bigger backside?You want coverage, but you also don’t want to swim in granny panties. Boy shorts might be your best option.

Nautical neon halter, $20 fold over boy shorts, $20delias.com

The Minutes that Matter MostStory by Sara P. Shirley

In an emergency medical situation, every second counts. Survival rates for

emergency room patients suffering from

stroke, heart attack or traumatic injury

depend on the number of minutes taken

to assess, diagnose and treat.

When a patient enters an emergency

room in need of surgery, long wait times

can be deadly. But not all hospitals

have surgeons immediately available to

begin operating after the need becomes

apparent.

In 2011, in an eloquently written

essay in the New England Journal of

Medicine, Dr. John Maas shared the story

of a 69-year-old woman who entered

an emergency room with an irregular

heartbeat. Due to a lack of available

inpatient beds, the woman was kept on a

stretcher, in the emergency department,

overnight. The next day, which was a

Friday, a cardiologist told the woman her

surgery couldn’t be performed because

her admission had been delayed, and the

surgery was rescheduled for Monday.

The patient, who was Dr. Maas’

mother, suffered from a massive stroke

and died over the weekend.

Dr. Maas noted in his article that

his mother’s experience was anything

but uncommon. And given the increase

in emergency room patients and the

shortage of doctors, he predicted that the

problems would only get worse in coming

years.

Fortunately, many hospitals have

Dr. David Ford, Baptist Medical Group-Metro General Surgery

We’re always hereto help,

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recently implemented new practices to ensure the availability of surgeons in emergency situations.

In Memphis, a group of acute care surgeons affiliated with Baptist Memorial Hospital-Memphis are leading the way.

Dr. David Ford, of Baptist Medical Group- Metro-General Surgery, calls his practice’s dedication to acute care surgery a “win-win” for hospitals, doctors and patients.

“A surgical hospitalist—or an acute care surgeon—is primarily hospital based,” Ford explained.

In this setting, the surgeons win because they don’t have to regularly cancel elective surgeries or tear away from their clinics to rush over to the emergency room, Ford said.

Patients win because faster surgical times yield better outcomes, and hospitals win because they are able to free up the beds once occupied by others waiting for

surgery, Ford continued. Instead of going to the emergency

room and waiting for a surgeon, the four surgeons with BMG-Metro now wait for you.

“As things have gotten busier, hospitals have come to the understanding that you have got to have emergency room coverage,” Ford said. “The tides of medicine are changing, and what we’re doing at Baptist has become a model for other hospitals because this has worked so well.”

Shante Stallion experienced the difference firsthand when her teenaged daughter, Shatara, began complaining of abdominal cramps on a Friday night. The pain worsened over the weekend, and Shatara was referred to the emergency room at Baptist Memorial Hospital-Memphis.

Tests showed an abnormality with Shatara’s appendix on Sunday and she

was admitted to the hospital for further examination.

“(The surgeon) came in Monday morning and wanted to look in and see if it was the appendix,” Shante Stallion recalled. “He looked, and then he took it out. We were out of the hospital in no time.”

On Tuesday, Shatara was back at home.

“When we found out it was her appendix, I was thinking ‘let’s get it out before it ruptures, so she can get well,’” Shante Stallion recalled. “They performed the procedure laparoscopically and it took maybe an hour –if that long. It was really quick.”

Shatara, a senior at Frayser High School, recovered without issue and was able to return to school on Friday, less than a week after the surgery.

“It all happened very quickly,” Shante Stallion said.

GReAT GluTeS

work it out | step-by-step moves for a healthy body

Want to tone, strengthen

and tighten that tush in

time for swimsuit season? Here

are six moves you can perform

at home to help you achieve

your best-looking backside. Do

these exercises at least three

times a week to achieve the

best results. Personal trainer Liz

McEwan, of Fundamental Fitness,

recommends performing two sets

of 12 for each of these toning and

strengthening exercises.

PHOTOS ByJASOn TErrELL

Meet the trainer:Liz McEwan, 46, is a personal trainer at Fundamental Fitness studio in East Memphis and proud mother of three boys.

Side kicks (use resistance band or tubing)

• Hold bands at hip level

• Lift leg sideways and return

• Once finished, switch legs and repeat

Clams• Lie on your side

• Keep your hips level and abdominals tight

• While keeping your feet together, lift and lower your knee

• Once finished, switch sides and repeat

Wall Slides• Lie on your side against the

wall

• Straighten your top leg and point your toe slightly up

• Slide food up and down

• Once finished, switch sides and repeat

Bridging• Lie on back and place feet

on a chair or bench

• Dig your heels into the platform

• Tighten buttocks and lift hips

Advanced Bridges• Progress to a single leg as able

Campbell Clinic Orthopaedicsis my team’s MVP.My team includes three boys, and a husband who still thinks he’s 18.I rely on Campbell Clinic to treat breaks, sprains, and all sorts of pains.

Campbell Clinic’s team features more than 40 of the world’s bestorthopaedic specialists, so good they actually wrote the book onorthopaedic care.

That’s why I picked the world’s best for my team.

Collierville Germantown Medical Center Southaven | CampbellClinic.com

OFFICIAL SPORTS MEDICINE PROVIDER

©2013 Campbell Clinic P.C. All rights reserved. Campbell Clinic is a registered trademark of Campbell Clinic P.C.

Step Ups• Stand slightly

away from the step

• Place foot on step

• Step up while squeezing buttocks, making sure that your knee doesn’t go past your front toe

Balance and Reach

• Slightly bend knee

• Alternate arms, reaching forward

Campbell Clinic Orthopaedicsis my team’s MVP.My team includes three boys, and a husband who still thinks he’s 18.I rely on Campbell Clinic to treat breaks, sprains, and all sorts of pains.

Campbell Clinic’s team features more than 40 of the world’s bestorthopaedic specialists, so good they actually wrote the book onorthopaedic care.

That’s why I picked the world’s best for my team.

Collierville Germantown Medical Center Southaven | CampbellClinic.com

OFFICIAL SPORTS MEDICINE PROVIDER

©2013 Campbell Clinic P.C. All rights reserved. Campbell Clinic is a registered trademark of Campbell Clinic P.C.

Bradyn Lorimer, 4, is the face of arthritis.

Last February, while the Lorimer

family was at church, Bradyn’s mother

Michelle noticed her daughter limping.

Some six weeks later, after multiple

visits to different hospitals and specialists,

the Millington family received an official

diagnosis.

Bradyn, who was three years old at

the time, had Juvenile Idiopathic Arthritis,

or JIA.

“There have been many mornings

where (Bradyn) has been unable to stand,

let alone walk,” the Lorimer family shared

in a media statement. “Long baths and

medicine each day provide some relief.”

Bradyn’s story is one of many that

will be shared during the Memphis Walk to Cure Arthritis on June 7. Bradyn has been named the 2014 Junior Honoree.

Arthritis is a crippling disease that impacts more than 50 million adults and 300,000 children – or approximately 22 percent of the United States population. In Tennessee, 1.5 million adults and nearly 6,000 children have some form of arthritis. The disease costs the U.S. economy $128 billion dollars a year, and is a more frequent cause of activity limitation than

heart disease, cancer or diabetes. Funds raised through the Memphis

Walk to Cure Arthritis will go toward programs, research and advocacy initiatives to help people today while finding a cure for tomorrow.

To learn more and register for the Memphis Walk to Cure Arthritis, visit www.memphiswalktocurearthritis.kintera.org or contact Michelle Dooner at 322-1517. To learn more about the fight to cure arthritis, visit www.arthritiswalk.org.

The Age of ArthritisMillington child to be honored during 2014 Walk to Cure Arthritis

Bradyn lorimer, 4, has been named the Junior Honoree of this year’s Walk to Cure Arthritis

Photos from the 2013 Walk to Cure Arthritis, provided courtesy

of Michelle Dooner.

Story by Sara P. Shirley

5/3 NAACP Youth Council 5k Fund RunAudubon Park

naacpmemphis.org/events

5/3 Mid-South Mud Run ChallengeMillington

misdsouthmudrun.com

5/3 Maria Montessori School Canoe and Kayak RaceHarbor Town Marina

racesonline.com

5/4 Oak Hall Run for St. JudeRegalia Center at Poplar and Ridgeway

oakhallrunforstjude.racesonline.com

5/10 Junior League of Memphis 5k for kidsThe Community Resource center (at Highland and Central)

juniorleagueofmemphis5k.racesonline.com

5/10 Four-legged 4k Run/WalkShelby Farms Outback

fourlegged4k.racesonline.com

5/16 Rylee’s Run 5kMike Rose Soccer Complex

memphissoccer.com/league/ribs

5/16 Running of the Rams 5kOak Elementary School, Bartlett

runningoftherams.racesonline.com

5/16 Memphis in May 10kHarrah’s Resort Tunica

mim10k.racesonline.com

5/17 Relay for Life 5k Run/Fun WalkAycock Park, Millington

racesonline.com

5/17 Memphis in May Sprint TriathlonHarrah’s Resort Tunica

mimsprint.racesonline.com

5/18 Memphis in May TriathlonHarrah’s Resort Tunica

mimtri.racesonline.com

May racing calendar

Editor’s NoteAre you participating in any of these runs? Send us a picture and tell us about your experience. E-mail the editor at patterson@commercialappeal.com.

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5/18 BSA Run for Scouting 5kShelby Farms Park

scoutbasebsa.org

5/22 Zoom Through the ZooMemphis Zoo

racesonline.com

5/24 Magnolia Fest 5kLatimer Lakes Park; Horn Lake, Miss.

hornlakechamber.chambermaster.com/events

5/25 Fight for Derek 5kOverton Park

racesonline.com

5/26 3rd Annual Overton Park Memorial 3 Mile RunOverton Park

racesonline.com

5/30 Catch A Cop Memorial 6kDowntown Memphis

mpacgivesback.org/catch-a-cop-6k

5/31 Advance Memphis 5kRidgeway Loop

racesonline.com

5/31 Eye Opener 5k Run/WalkHouston High School

eyeopener5k.racesonline.com

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more oftenSmile

SportS Running and Soccer

Support My wife and kids.  My 13-year-old daughter started running cross country at ECS.  She’s a 10-year cancer survivor and has overcome many obstacles in her life.  I love to run with her, even though she now out paces me! 

Why I run My father died from heart disease five years ago. At that time, I began seeing a cardiologist regularly and started an exercise routine that involved running and swimming. I lost 40 pounds that year and ran more than I ever had before. Last May, my mother passed away from pancreatic cancer. With significant disease in my family, it’s vitally important to me that I model a healthy and stress-free life for my three kids. Additionally, I enjoy a greater level of focus when I run!

role Model There are many!   Selfless pastors, hospice nurses, culture changers and creative artists are among them.

BrAggIng rIghtS I really don’t have any fitness bragging rights.  But if I had to brag…it would be on our LUVMUD/LUVGLO team. Together we have inspired more than 7,000 people in Memphis and beyond to run 3.1 miles - many for the first time.  Every year

we hear a similar story “I was intimidated

by regular races, then I heard about

LUVMUD.  I could wear a costume, do

fun obstacles and get covered in mud.  I

started training, lost weight and I ran my

first 5K ever.”  We’re deeply blessed by

stories like this, and, most importantly, our

events have raised more than $250,000

over the past four years to support the

work of Habitat for Hope.

poWer Song  U2 Beautiful Day

FItneSS goAlS I long to hike

the Appalachian Trail with my wife.    Not

all at once, but in segments over the rest

of our lives. 

FAvorIte geAr I love my

Brooks Cascadia running shoes - mainly

because they are neon green. Truth be

told, I prefer my steadfast Chacos (and ran

LUVMUD in them last year).

noBody knoWS  I prefer going

barefoot all the time.

FIt tIp  Good shoes, hydrate, and

stretch.  Not that I follow these… except

for the good shoes part.

guIlty pleASure Knob Creek

single barrel bourbon, sugar and bitters, or

anything with chocolate and pea

Mark HorrocksCo-Founder of Habitat for Hopeevent Director for luVMuD, luVGlO and luVWIG 5K festivals

#memfithealthy peer

pressure

36

Next Up luvglo 5k on 4/26/14 in the Broad Ave Arts district.  this a new location for us and we are incredibly excited! luvWIg is up next on 6/8/14 at the Memphis Israel Festival - watch for details on this wig and costume street race. luvMud 5k lands in the fall on September 28 & 29 (location tBA)

Hoop Dance

we hear a similar story “I was intimidated

by regular races, then I heard about

LUVMUD.  I could wear a costume, do

fun obstacles and get covered in mud.  I

started training, lost weight and I ran my

first 5K ever.”  We’re deeply blessed by

stories like this, and, most importantly, our

events have raised more than $250,000

over the past four years to support the

work of Habitat for Hope.

poWer Song  U2 Beautiful Day

FItneSS goAlS I long to hike

the Appalachian Trail with my wife.    Not

all at once, but in segments over the rest

of our lives. 

FAvorIte geAr I love my

Brooks Cascadia running shoes - mainly

because they are neon green. Truth be

told, I prefer my steadfast Chacos (and ran

LUVMUD in them last year).

noBody knoWS  I prefer going

barefoot all the time.

FIt tIp  Good shoes, hydrate, and

stretch.  Not that I follow these… except

for the good shoes part.

guIlty pleASure Knob Creek

single barrel bourbon, sugar and bitters, or

anything with chocolate and pea

Co-Founder of Habitat for Hopeevent Director for luVMuD, luVGlO and luVWIG 5K festivals

first classfind new ways

to get fitHoop Dance

Hoop dance instructor and Co-Motion studio co-owner Adriene Holland shows her skill with an leD hoop during a class.

Looking for a well-rounded exercise experience? Join the revolution. Hula

Hoops, the circular toys trademarked and made famous by Wham-O sixty years ago, are making a comeback in the adult fitness scene.

A few months ago, local hoop enthusiasts Adriene Holland and Chloe O’Hearn opened the doors to Co-Motion studio in Crosstown, where they offer a variety of hoop dancing classes.

The team at Good Health stopped by on a recent Wednesday night to try the first class of a five-week beginner’s hoop dance series. Handcrafted hoops are provided to participants to use during the class and no experience is necessary. Holland also sells hoops at the studio and takes custom orders to fit her clients’ needs. To learn more about the studio and the variety of classes offered, visit www.comotionmemphis.com.

Good Health editor Sara P. Shirley and team member Patricia Landers had never tried a hoop dance class before.

Here’s what happened:

SARA: I want to start with a little backstory. Six years ago, I wrote a story for the business section of The Commercial Appeal about a group of young entrepreneurs who were starting a small business selling hand-made hoops. When I heard that one of the hoopers I had interviewed so long ago (Adriene Holland) had opened a fitness studio in Crosstown, I couldn’t wait to try a class and see first-hand how far she’d come. Holland’s signature hand-made hoops greet visitors of the studio, and the open space was well suited

for the dance class. Patricia and I began by grabbing different hoops off the wall and trying them on for size.

PATRiCiA: Not too long ago, my sister ordered an exercise hoop and accompanying DVD from a catalogue and gave them to me. I also have a neighbor who said she lost 100 pounds using a hula hoop as her main form of exercise. My neighbor taught herself but said it took her about three months to learn. I hadn’t been able to master hooping on my own yet, so I thought the class would be fun to try.

SARA: The class was composed of women of all ages, shapes and experience levels. We started by placing the hoops around our waists. Then we attempted to make them rotate. Some in the class were able to begin hooping right away, and others weren’t, but everyone just went at their own pace. Adriene’s teaching style was relaxed and encouraging.

PATRiCiA: We learned how to twirl the hoops over our heads and I enjoyed that the most. It was a great exercise for toning the arms, and I also just like the way that it looks. It’s very graceful.

SARA: Since this was the first class of

a five-week series, we started with two basic moves and then worked on combining them. We hooped on our hips, and then with our hands, and then we worked on picking the hoop up mid-spin and taking it over our heads. I accidentally sent my hoop sailing into the wall many, many times while trying to nail this trick.

PATRiCiA: Everyone’s hoops started flying around the studio by the end.

SARA: This kind of exercise tests your coordination. I could hoop pretty easily if I spun to the left, but when I tried to go the other way, it was as if I’d lost all control of my body. So much of hooping is about rhythm, balance and coordination. It’s a great brain game.

SARA: I could tell that my heart rate was elevated throughout the class, but I was so focused on learning the new tricks that it didn’t feel at all like a traditional workout experience. And as beginners, we had more starts and stops than the more intermediate hoopers, who can move continuously for longer periods of time.

Hoop dance beginner Rebecca Terrell rotates a hula hoop above her head. Behind her, (left to right) Sara P. Shirley and Julie Hutchens attempt the same trick.

Co-Motion studio offers a variety of hoop dance exercise classes. Here, instructor Adriene Holland moves to the beat using an leD hoop.

Hooping beginners try to spin to the beat during a hoop dance class at Co-Motion studio in Crosstown Memphis.

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PATRiCiA: I really enjoyed the music. Adriene played Talking Heads, and that was awesome. Toward the end of the class, Adriene turned off the lights and brought out a few LED hoops to play with.

SARA: By the end of the class, we looked like we were at a rave. It’s not called hoop “dance” for no reason.

PATRiCiA: The hour flew by. Every time my hoop fell down, I just picked it up and tried again. It felt more like a fun activity than an exercise class, but I was sweating by the end.

SARA: I couldn’t leave without buying a hoop. I’ve been in my backyard trying different moves since taking the class.

PATRiCiA: I’m a kid at heart, and I think that’s why I enjoyed the class so much. I’m going to go back and see if I get better.

Hooping beginner Julie Hutchens picked up the basic motions very quickly during her first class and showed her progress at the end using an leD hoop.

The hoops at Co-Motion are handmade and come in a variety of weights and sizes. you can buy a hand-crafted hoop at the studio or have one custom-made to fit your needs. Hoops are provided free of charge for class participants to use during the hour-long dance sessions.

Surgical operations, no matter how small, have a significant impact on us

physically and mentally. The prospect of surgery can create stress related to jobs and family, and anxiety about our health. The operations often cause physical trauma to the body.

The use of complementary and alternative therapies to assist before and after surgeries is being recommended more frequently now by medical professionals. Every year, new research adds to our accumulated knowledge of how wellness therapies are useful and cost effective ways to provide us with more efficient care. Acupuncture, massage therapy and manual lymph drainage are increasingly popular options to assist patients before and after surgery.

Acupuncture is a modality that has proven to be extremely effective care when used pre- and postoperatively. The stress of a looming operation will often “get to us,” causing us to have cluttered thoughts when we lay down. Acupuncture can help improve sleep during a time when we are more likely to be short on rest. Proper amounts of sleep prior to any major procedure can actually help the procedure go more smoothly. Acupuncture can also improve the immune system. Keep in mind that the slightest hint of a “bug” just before an operation can cause it to be rescheduled.

Post-surgery, acupuncture can help

decrease recovery time, decrease pain

and lessen the need for pain medications.

This can, in turn, decrease the side

effects of some pain medications, which

include nausea, vomiting, and itching.

Acupuncture can also decrease scarring of

the surgical area.

Massage therapy is another growing option for patients before and after surgery. Massage is widely known to help decrease stress. Stress prior to surgery can contribute to other illnesses which, again, can cause a delay in surgery. Decreasing stress prior to surgery can also assist in promoting a more fluid procedure, allowing for shorter surgery times.

After surgery, massage helps reduce rehabilitation time by increasing the body’s ability to repair itself by improving blood flow to bring oxygen and nutrients to the area of injury. Studies have also shown that post-surgery massage reduces a person’s pain and anxiety. In addition, massage helps to relax the muscle tension that normally exists after a procedure when the body tightens up to “guard” the area of trauma.

Manual lymph drainage, a specialized manual therapy (massage) technique, can also reduce swelling, edema, and inflammation after a surgical procedure, including the pain and discomfort associated with swelling caused by excess fluid trapped in the body’s tissues.

Alternative and complementary therapies are used to improve the overall health and experience of the patient. When deciding to use one or more of these therapies, you should always discuss your options with your doctor or surgeon.

How alternative and complementary therapies can assist you during surgery

Katrina Farber is a licensed and Board Certified Massage Therapist and Oncology Massage Therapist. She owns Saille Healing Path, llC, an Integrative Wellness Center in Cordova that offers a multi-disciplinary approach to evidence-based, natural healthcare options.

Www.SailleHealingPath.com

Every day, I peruse the Internet looking at news, entertainment and whatever

else may capture my attention at that moment. Like many moms on the web, I couldn’t help but puzzle over a recent E! interview with Gwyneth Paltrow that went viral. When discussing the struggles she has faced balancing her film career and family life, Gwyneth made the mistake of comparing her experiences to those of us non-celebrity working moms. Here’s the quote that got her in trouble:

“I think it’s different when you have an office job, because it is routine and, you know, you can do all the stuff in the morning and then you come home in the evening. When you’re shooting a movie, they’re like, ‘We need you to go to Wisconsin for two weeks,’ and then you work 14 hours a day and that part is very difficult. I think to have a regular job and be a mom is not as, or course there are challenges, but it’s not like being on set.”

She’s right. My work life is nothing like being on set. What I won’t concede is that her difficulties are foreign to the rest of us. I know that being away from your kids is tough. I know that missing field trips and class parties makes you feel like a subpar mom. I know this because I, too, have missed time with my children that I will never get back. I have sat with them as they talked about memories that I didn’t get to share. I have also traveled for my “office job” and missed my daughter losing her first tooth and my son’s first ride on his bike. So I get it.

Here’s the point I think Gwyneth is missing.

A lot of us work out of necessity. What mom runs around on a Monday morning getting the kids fed, clothed, cleaned and off to school, and then breathes a sigh of relief because it’s time for her to head to the office?

Of course, we have no idea what a 14-hour workday looks like, right? Us “office job” moms get off work at exactly 5 p.m. every day with a barrel of energy! We never bring work home with us! That would be crazy talk!

I also have a hard time understanding the “normal” or “average” working mom Gwyneth was referring to. Who is normal? Is it the “office job” mom who comes home to a special needs child? Do her challenges end once she leaves her cubicle for the day?

What about the single mother who works two jobs just to provide for her family? This woman, one of the most determined in my mind, misses virtually everything in her children’s lives just so that, with faith and luck, she will give her children their best chance at life. It is her love and her obligation that keeps her working.

Now, to be fair, I don’t think Gwyneth’s statements were meant to be demeaning. She’s probably never had an actual office job. She doesn’t even need to work at this point. She has made millions and will make more through endorsements alone. I doubt she has had to worry about cleaning her house or cutting her yard. I doubt she has ever had to worry about what school her child will go to or how to get the bills paid.

Her statements reek of ignorance, not malice. I am sure she faces her own challenges. But don’t we all?

I’d like to offer Gwyneth Paltrow a deal. I will offer up my home and time and switch places with her for six months. We can swap homes, careers, and lives. We take our families with us. I’m sure Gwyneth would enjoy some time out of the limelight. She can

practice balancing a checkbook with her “office job” pay and show the rest of us how easy it is to be present for our families while working full time. I’ll take a stab at living in a mansion and having staff to cook my meals, do my hair and makeup and keep my engagements in order. Sounds like a fair trade, right?

Confessions of a Mid-South Mom

by Amy Mills

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food clueshonest nutrition

advice

Stress impacts all of us. How you deal with that stress can ultimately

make or break your health. You may be experiencing a physical stressor like a muscle or bone injury or even getting ready for a surgical procedure. Even if you’re not feeling physical stress, that doesn’t mean you’re immune. You may be facing emotional stressors like job issues, financial worries or depression. The bottom line is that regardless of its origin, stress is cumulative, and it can manifest itself physically.

No matter where your stress comes from, fueling your body in healthful way can help. So often we allow our busy (stressful) lives to trump getting to the grocery store, cooking, exercising or spending our hard-earned cash on high-quality foods. By taking the time and effort to feed your body well, you can improve your overall wellbeing and your ability to fight physical and emotional stress.

Let’s focus on adding protein-rich foods to your diet. When you have times of physical stress like injury or a surgery, your overall protein needs to increase due to muscle tissue damage, the need for muscle tissue repair and recovery. During the acute stages of injury, our protein needs can increase dramatically. Depending on the amount of damage sustained and healing that may need

to occur, your protein needs can almost double. So, if you’re in an acute stage of injury, surgery, or healing it’s important to focus on this key ingredient.

Believe it or not, your protein intake can impact your emotional stress as well. Studies suggest that increased protein at meals leads to increased satiety. When

we’re more satisfied physically, we’re less likely to use food for comfort or emotional reasons. I don’t know about you, but most everyone I encounter (including myself from time to time) uses food for things other than fuel. Planning a satisfying diet with protein-rich meals may be your next step in stress management.

Try protein-rich foods like eggs, cheese or Greek yogurt to pump up your

breakfast. Add leftover meats to salads or sandwiches for a satisfying lunch. Throw a couple cheese sticks or almonds into your afternoon snack for staying power until dinner. And, last but not least, plan your meals ahead so you’ll have time to prepare a tasty evening meal. Some of our favorite dinner-time protein sources include flat-iron steak, grilled chicken, baked salmon and pork tenderloin. What are your favorite protein sources? Write them down now and include them in your plan for a lower-stress week.

Don’t let stress get the best of youPower through with protein

It’s not the load that breaks you down – it’s the way you carry it.– Lou Holtz

Leslie Schilling is a Memphis-based, nationally recognized nutrition expert, media spokesperson and speaker. She owns Schilling Nutrition Therapy, LLC, a nutrition counseling practice in East Memphis. You can keep up with nutrition news by following @NutritionLeslie on Twitter or Facebook.

About the author

Heart-Healthy Hummus

good foodwholesome recipesand nutrition tips

FroM the AMerICAn

heArt ASSoCIAtIon

All recipes copyright © 2013 American Heart Association. This recipe is brought to you by the American Heart Association’s Simple Cooking with Heart ® Program. For more simple, quick and affordable recipes, visit heart.org/simplecooking.

American/Mediterranean

4 servings About $3.81 per serving

2 15-ounce cans low-sodium garbanzo beans (chickpeas), drained and rinsed

½ cup lemon juice

2 teaspoons garlic minced from jar

1 tablespoon extra-virgin olive oil

¼ teaspoon paprika

½ teaspoon dried parsley

Directions1. Place all ingredients in a blender or

food processor and blend until smooth.

2. Serve with veggie slices or sticks as a dip.

Calories 126Total Fat 2.5 gSaturated Fat 0.0 gTrans Fat 0.0 gPolyunsaturated Fat  0.0 gMonounsaturated Fat 1.0 gCholesterol  0 mgSodium 25 mgCarbohydrates 20 gDietary Fiber 4 gAdded Sugars 0 gProtein  6 gPotassium 226 mgCalcium 44 mg

Per serving

Dietary Exchanges: 1 1/2 starch, 3 vegetable, 2 1/2 lean meat

2 cups cooked brown rice

Cooking spray

2 small boneless, skinless chicken breast halves(6 oz each), visible fat removed, cut into bite-sized pieces (or 18 pre-cooked shrimp, tails removed)

½ medium head green cabbage

4 medium carrots, peeledNOTE: you can save time by buying pre-shredded cabbage and carrots in a bag, but it will probably be a little more expensive.

2 teaspoons vegetable or extra virgin olive oil

2 tablespoons low-sodium soy sauce

1 tablespoon reduced-fat peanut butter (try to find one with ‘no sugar added’)

1/2 teaspoon fresh grated ginger (optional)

2 tablespoons chopped unsalted unoiled peanuts

Directions1. Cook rice to package directions.

2. While rice cooks, spray a skillet or wok with cooking spray. Cook chicken on medium-high heat for 5 minutes, stirring occasionally until no longer pink. Remove chicken and set aside.

3. Chop cabbage into thin strips (like slaw) and use peeler to shred carrots. Add to skillet and toss with oil. Cook on medium-high heat 4 minutes, stirring frequently, until vegetables are limp but crunchy. Add chicken (or shrimp) to vegetables.

4. Stir in soy sauce and honey (and ginger, optional) and heat through, about 2 minutes.

5. Spoon rice and chicken on to plate and sprinkle with peanuts.

Recipe copyright © 2011 American Heart Association. This recipe is brought to you by the American Heart Association’s Simple Cooking with Heart Program. For more simple, quick and affordable recipes, visit heart.org/simplecooking.

Simple Chicken (or Shrimp) Stir Fry

Branch Out:Go Vegetarian and substitute the chicken with Tofu. Use 12-14 ounces of low-fat, extra-firm tofu, drained and cut in to 1/2 inch cubes. Skip step #2 above and add tofu to skillet with cabbage and carrots.

Per serving

Calories 349Total Fat 9.5 gSaturated Fat 1.5 gTrans Fat 0.0 gPolyunsaturated Fat 2.0 gMonounsaturated Fat 4.5 g

Cholesterol 54 mgSodium 411 mgCarbohydrates 41 gFiber 8 gSugars 9 gProtein 25 g

4 servings About $1.07 per serving

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Which activity generally burns more calories per hour?Playing golf or shooting basketballs?

True or False:Gardening (general, light to medium effort) burns more calories than light weight lifting.

Answers: 1. They both burn, on average, the same amount of calories. 2. True