COMPLIMENTARY CHARLESTON | DORCHESTER | BERKELEY MARCH/APRIL 2024 MAGAZINE ACTIVE LIFESTYLE FORE! GOLF’S IMPACT ON YOUR BACK THE GAME CHANGER: DANCE YOUR WAY TO HEALTH IMPROVE FLEXIBILITY MIKE LATA & LOCAL CELEBRITY CHEFS COOK LIGHT & LEAN
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MEET YOUR CARE TEAM | MAR. 5TH @ 4 PM Enjoy a unique opportunity as you meet specialists, dietitians, pharmacists, and more. Each member sharing their expertise and insight. Explore the office space, including examination rooms, waiting areas, and any specialized facility amenities. While you mingle and learn, enjoy complimentary snacks—dietitian approved of course! Learn About Preventative Care at our Open House & Ribbon Cutting Event YOURHEALTH.ORG/SUMMERVILLE Connect with a doctor in-person or via telehealth PRIMARY CARE Blood Drive | April 19th @ 1pm-5pm Every drop counts, and your generosity can help ensure a healthy and vibrant community. Local Events RSVP FOR EVENTS ONLINE: 201 Oakbrook Lane, Suite 235 Summerville, SC 29485 1-843-410-8618
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8 | HealthLinksSC.com 16 | FORE! WATCH THAT GOLF SWING For many people, a bad day on the course beats a good day at the office. But the modern golf swing can cause nagging aches and pains that can worsen over time if left untreated. 20 | PHYSICAL THERAPY BOOM For the next 10 years, physical therapists will be at the edge of a rehabilitative boom; they are already feeling the pressure to meet demands for their services. 26 | SUPERSTAR CHEFS’ COOKING TIPS Mike Lata, Lauren Furey and Amethyst Ganaway offer tips for cooking light and lean without losing impressive flavors. 34 | MISINFORMATION AND MENTAL HEALTH Name the day and there is a new trend blowing up social media. Some of the trending information is positive; however, much of the advice, especially about mental health, can cause more harm than good. 39 | BEYOND TREADMILLS AND DUMBBELLS A new breed of fitness classes is reshaping exercise routines and creating a sense of community while sculpting bodies, building stamina and offering lots of joy along the way. 44 | WEARABLES EASE PAIN New advances in wearable health care devices, applications technology and minimally invasive medical treatments are helping people cope with chronic pain. 48 | MIGHTY MAGNESIUM HYPE Magnesium provides many benefits, including regulating mood, lowering stress and promoting relaxation. Yet, close to 65% of Americans have low magnesium levels because of their diet. 52 | ALIGNMENT MATTERS The growing use of cell phones for social media, texting or work purposes has led to a great increase in forward head posture and back woes. There are techniques for maintaining better posture and keeping your back aligned. Issue 13.2 MARCH/APRIL 2024 MAGAZINE FEATURES
HealthLinksSC.com | 9 56 | BREAK OUT THOSE DANCE MOVES No matter the style or the demographics, more people than ever are discovering that dancing is an ideal way to keep young, fit and healthy. 61 | MEDICATIONS AND BONE DENSITY Long-term use of certain medications may contribute to bone mineral loss and osteoporosis. Check out some of the culprits. Then talk to your doctor about measures to build rather than lose bone mineral density. 66 | FLEXIBILITY IS UNDERRATED Stretching and flexibility may be the most overlooked and underrated elements of a healthy lifestyle. A stretch a day helps keep aging at bay. 72 | CCMS: FACING THE FENTANYL REALITY There is a deadly disconnect in the community on realizing just how bad the fentanyl problem really is. Experts confirm that the problem is getting worse, and before it gets better, the community has to wake up and become a part of solutions. 76 | LIQUID GOLD FOR HAIR LOSS The use of platelet-rich plasma, or PRP, for hair restoration gains popularity as more people enjoy the results. PRP not only restores hair, it can also prevent hair loss. 79 | AACHOO! The bad news: Allergy season is here and will last longer in South Carolina than many other states. The good news: There is a burst of new treatments and medications, so doctors have many more paths to ease the hassles. 82 | PET NANNIES TO THE RESCUE “No dogs allowed” is less formidable news now that pet owners have more options for pet care while they are away. Meet the pet nanny. 94 | PEACE AND PLENTY In May, when Peace Roseau graduates from MUSC College of Nursing as a psychiatric mental health nurse practitioner, she will have fewer money woes thanks to a $12,500 award. CONTENTS DIRECTORIES Orthopedic. .........................................................91 Chiropractic.......................................................... 92 Pain Management................................................93 IN EVERY ISSUE Publisher’s Note...................................................12 From the Editor....................................................13 Living Healthy Area Events..................................14 The Lighter Side of Health Care..........................65 There's an App for That.......................................70 Unique Case.........................................................86 Charleston Area Nonprofits.................................88 The Pulse on Charleston Nurses..........................96 SPONSORED MEDICAL CONTENT Stretch and Strengthen to Improve Your Golf Game..........33 BY THE NUMBERS Physical Therapy.................................................................22 Chronic Pain Devices..........................................................47 Malalignment...................................................................... 54 Osteoporosis.......................................................................63
“Help highlight local health & medical charities with bad golf and great times!” -HealthLinks Publisher and Tournament Chair, Cullen Murray-Kemp CHARITY GOLF SERIES CHARITY GOLF SERIES CHARITY GOLF SERIES Introducing the CHARITIES RECEIVING DONATIONS STONO FERRY 3/14/24 DUNES WEST 4/17/24 RIVERTOWN 5/15/24 ALL GOLFERS WILL RECEIVE: • Breakfast and Lunch • On Course Games/Competitions • Tee Gifts Including Golf Shirt and Premium Golf Balls • Exclusive Prizes for Low Net, Low Gross, Longest Drive, and Closest to the Pin • Drink Tickets for Water, Beer, Gatorade, Soda, Tea
"Thank You To Our Early Sponsors!" Players, sponsors, donors and volunteers scan our QR code for additional information and registration. Questions? Email [email protected] Thursday, March 14, 2024 THE LINKS AT STONO FERRY Wednesday, April 17, 2024 DUNES WEST GOLF & RIVER CLUB Wednesday, May 15, 2024 RIVERTOWNE COUNTRY CLUB Giving back to great causes to help create a healthier Charleston!
12 | HealthLinksSC.com Issue 13.2 Publisher CULLEN MURRAY-KEMP [email protected] Managing Editor LISA BRESLIN Associate Editor AMY GESELL Copy Editor MARGARET BLUBAUGH Art Director KIM HALL Webmaster GEORGE CONKLIN Sales Manager MANDY WILLIS [email protected] Writers Senior Media Consultant MARTHA SPILLANE [email protected] Photographer JENN CADY [email protected] Distribution Manager CAROL CASSIDY Administration & Bookkeeping GINGER SOTTILE Distribution U.S. Post Office, Harris Teeter, Publix, CVS, Food Lion, Medical Offices TO ADVERTISE IN HEALTHLINKS, PLEASE CALL 843-732-4110 MEDICAL MARKETING GROUP HealthLinks Magazine reserves the right to refuse advertisements. Acceptance of advertisements does not imply the service or product is recommended or endorsed by HealthLinks Magazine. No part of this publication may be reproduced in any form or by any means, electronic or mechanical, including photocopying, recording or by any information storage and retrieval system, without written permission from Medical Marketing Group, LLC. Medical Marketing Group 4 Carriage Lane, Suite 107, Charleston, S.C. 29407 843-732-4110 • [email protected] MAGAZINE PUBLISHER'S NOTE LISA BRESLIN LINDA ESTERSON AMY GESELL L.C. LEACH III COLIN MCCANDLESS JANET PERRIGO JIM RADA, JR. MOLLY SHERMAN THERESA STRATFORD MICHAEL VYSKOCIL LISA WACK Scan to register for the HealthLinks Charity Golf Series! It’s not often that we have the opportunity to give back to the people and places who lift us up during trying times. But I’m thrilled to share an invitation to join the HealthLinks family on the greens as we host a series of golf tournaments to do just that — support local charities that have supported us and the community. This invitation springs from my own personal gratitude. Of the many memorable moments that my dad and I shared on the golf course during the final years of his life, one in particular sticks out. I had just shot my low round (at the time) of 74 on a fairly forgiving Oak Point Golf Course on Johns Island. My father and I sat on the clubhouse’s back porch sharing lagers, laughs, and a pristine view of the Kiawah River. For a moment, we forgot about the tremors, the mental and physical setbacks, and through a crooked smile my dad told me how proud of me he was. It was a moment of realization for my father that maybe he hadn’t done too terrible of a job with his life’s biggest project, raising his son. Michael Kemp, world-renowned marine biologist/father/husband, passed away in the fall of 2020 from complications of Parkinson’s disease and dementia. After being diagnosed with Parkinson’s in 2017, he and my mother moved to Charleston from their home in Maryland where they spent their lives studying the Chesapeake Bay. During the last three years of my father’s life, the one activity we kept coming back to was golf. While he did not play much, he spent countless hours in the cart analyzing and relearning his son. I was also able to discover so much about my father during those times. What I learned from him has shaped my life ever since. In addition to really discovering each other, I believe that my father found peace on the golf course. It was a place where the horrors of his medical reality somehow dissolved and the biggest problem at hand was watching his son curse the heavens as he sliced another tee ball into the water. Throughout my father’s journey with these diseases, there were a couple of local medical charities and nonprofits that we leaned on for guidance during dark times. Parkinson’s Support Foundation and Respite Care of Charleston to name two, helped give my mother and me peace of mind when we were directionless. Having the opportunity to give back to these and other Charleston-based medical charities by way of the HealthLinks Charity Golf series is a full circle moment for me and would have be a point of pride for my father. I also recognize that my family’s story is not unique and that there are thousands of other people who are struggling with similar situations in our community. My hope is that you will consider sponsoring or playing in one, or all three, of our Charity golf tournaments this spring. Help us raise money to help these great organizations help our fellow community members in need. As the first tee shots are hit at Stono Ferry on March 14, I know my father will be smiling down on us all, and undoubtedly laughing as so many of us slice, hook and shank our way to a great time for a great cause. Cheers to Good Heath, Cullen Murray-Kemp, Publisher Cullen Murray Kemp
HealthLinksSC.com | 13 FROM THE EDITOR... Confession: I am not doing a good job of sticking to my New Year’s resolution to launch a more active lifestyle. I’m still sitting for long stretches of time while I work. I’m not walking 45 minutes a day and I’m not doing the five-minute rub-circle-tap lymphatic flush that enticed me on Instagram in December. There’s comfort in knowing that my lack of staying power is not an anomaly. A Forbes Health/OnePoll survey found that the average New Year’s resolution lasts just 3.74 months. Only 8% of the respondents tend to stick with their goals for one month, while 22% last two to three months and 14% last four months. I also find comfort in knowing that I look forward to a more active lifestyle. I know that my current inertia is not “a thing.” It is “a winter thing” for sure. When the weather warms, I will pull out my kayak and hit calm waters with gorgeous views and some ideal fishing spots. I’ll break out my archery bow and fly a few arrows at a target in my yard and I’ll schedule some hikes with friends and family. While I’ve had successful seasons at the gym throughout my life, gym routines have never made me truly happy or connected me to my being. My gym routine included zoning out to music or people-watching until time ran out on the treadmill. Ugh. This issue of HealthLinks is a comprehensive reminder of all the ways to remain active, fit, connected and happy — ways that can complement gym visits or even replace them. Dance classes, pole dancing classes, Hula-Hoop fitness, trampoline fitness, aerial yoga, stand-up paddleboard yoga and even virtual reality fitness — our workouts can be fun. They should be fun. My husband’s workout fun is golf. He’s an old-school golfer; he walks the 18 holes (sometimes 36 when he is on a trip with friends) and celebratory drinks are part of a hearty lunch or dinner afterward. Trust me, when he is golfing he walks more than 10,000 steps a day. For our dear readers who saw the golfer on the cover — enjoy reporter Colin McCandless’ article about the modern golf swing and its effects on the back. Whether you golf, dance, kayak or strike yoga poses, being active can be part of your lifestyle. I hope this issue of HealthLinks inspires you to explore new paths. The only bad workout is the one that didn’t happen.* To simple pleasures and good health, Lisa Breslin, Managing Editor *Not an original quote, but one that is attributed to “Anonymous” MARCH/APRIL 2024 MAGAZINE PHOTOGRAPHY AND POSING EXPERT VISIT JENNCADY.COM AND SCHEDULE YOUR PHOTOSHOOT TODAY!
14 | HealthLinksSC.com HEALTHY AREA EVENTS l ving MARCH 9 Village Vision 5K Fun Run & Walk Palmetto Islands County Park 444 Needlerush Parkway Mount Pleasant 9 a.m. Proceeds from this fourth annual run help provide an affordable and enriched housing community to individuals with autism and intellectual disabilities. Learn more: bit.ly/2024VillageVisionRun MARCH 16 Shamrock Shuffle Burke High School 244 President St. Charleston 7 a.m. A hometown favorite for over 20 years, this festive run “paints” the historic town of Summerville green while raising funds to support health and wellness. Learn more: summervilleymca.org/the-shamrock-shuffle/ MARCH 13 Fifth Annual MUSC Senior Expo Charleston Area Convention Center 5001 Coliseum Drive North Charleston 9 a.m. All seniors, families, caregivers and service providers are invited to attend this free event to learn about some outstanding resources available in the Lowcountry. The Senior Expo is presented in partnership with Trident Area Agency on Aging. Learn more: medicine.musc.edu/departments/centers/ aging/senior-expo MARCH 23 S.A.F.E. 10th Anniversary Gala Orangeburg County Conference Center 1643 Russell St. Orangeburg Enjoy a night filled with laughter, music, and dancing as we commemorate a decade of success in our mission to promote self-esteem, advocacy, faith and education in the lives of youth. Learn more: thesafeorg.info
HealthLinksSC.com | 15 APRIL 6 Cooper River Bridge Run Arthur Ravenel Jr. Bridge US-17 Bypass North Mount Pleasant 8 a.m. The Cooper River Bridge Run is a world-class competition in a unique setting with unparalleled participant satisfaction. It broadens community cooperation and participation in healthy events throughout the year. Learn more: [email protected] BETWEEN APRIL 16 & APRIL 30 See The World in a Different Way Join the virtual mile, 5K, 10K, 13.1 mile, or 26.2 mile run (or walk) to create awareness for autism. Complete your race in April 2024, and at least 15% of every registration goes to the Organization for Autism Research. Learn more: facebook.com/groups/826439490783073 APRIL 13 Ninth Annual Doughnut Dash 5K South Windermere Center 61 Windermere Blvd. Charleston 7:30 a.m. This community-supported, family-friendly run/walk is held each year in honor of the life and legacy of TyWanza Sanders and is put on by Race 4 Achievement Inc. All funds raised will be donated to the TyWanza Sanders Scholarship Fund, which provides college scholarships for students in Charleston County Schools. Learn more: race4achievement.org/race4wanza/ CHARITY GOLF SERIES MARCH 14, 2024 — THE LINKS AT STONO FERRY To Benefit: Mental Health Heroes and Respite Charleston APRIL 17, 2024 — DUNES WEST To Benefit: Ronald McDonald House, Living Darshan and Parkinsons Support Foundation MAY 15, 2024 — RIVERTOWNE To Benefit: Hoofprints in the Sand, Pet Helpers and My Sister’s House Learn more: charlestonfundraising.com
16 | HealthLinksSC.com A 2019 study published in the Journal of Neurosurgery: Spine cited a potential link between the mechanics of the modern golf swing and golfers developing back injuries, referred to as RTD, or repetitive traumatic discopathy. The authors noted that “among professional and amateur golfers, back disorders remain the most common injury, comprising 55 percent and 35 percent of injuries in these groups, respectively.” Tiger Woods, who has endured multiple back surgeries over his illustrious career, offers the foremost example among professional golfers. A PAIN IN THE BACK: By Colin McCandless MODERN GOLF SWING CAN TAKE A TOLL For most people who play golf recreationally, a bad day on the course nearly always beats a good day at the office. But sometimes even leisure activities can cause us to develop nagging aches and pains that can worsen over time if left untreated, and golf is no exception.
HealthLinksSC.com | 17 Kim Durst, PT, DPT, clinical director of Axis Clinical Therapy, said they see a variety of lower back issues in golfers, and it’s probably the most frequent golf injury they treat. Most of these injuries are the result of a cumulative effect — “a series of microtraumas,” Durst explained. “What we see is that there is just a lot of repetitive, loaded, twisting that’s occurring, really in one part of the spine, and that’s what leads to that microtrauma.” Often it starts with mild back pain and instead of dealing with it, people just play through it. But it can eventually lead to surgeries and injections if left unaddressed. If you begin having pain, especially if it lasts beyond a week, Durst recommended seeing your doctor or a physical therapist. Pete Skirpstas, golf operations manager at the Links at Stono Ferry, said the biggest evolution of anything in terms of the modern golf swing has been the equipment and the troves of data collection that now inform swing techniques. In today’s game, you can better understand the biomechanics of the swing and put the body in different positions based on that data. For example, now you don’t see as much lateral movement on swings, and it’s more of a rotational move, he elaborated.
18 | HealthLinksSC.com “A big thing I’m trying to get golfers to do is understand the more rotation you can create while keeping your spine angle stable will reduce harm to your body and allow the club to remain stable through impact,” related Skirpstas, who has competed in professional golf tournaments since 2015. He works with golfers to create a better posture using the feet, ankles, knees, hips and upper body to develop a more consistent rotation. “So you have better opportunity to maintain consistent pressure throughout the golf swing.” Although his back pain wasn’t caused by his golf swing, Dave Horner did make changes to his swing after experiencing back troubles. Horner, 80, a retired educator from Pittsburgh, moved to Edisto Island in 2012, buying a condo adjacent to The Plantation Course at Edisto. He joined the club and golfed four to five days a week. Horner had no problems physically and exercised regularly to keep his muscles toned. Last year, Horner took a trip to Gettysburg, Pennsylvania, during which he fractured his fifth lumbar vertebra. The injury sidelined him for nearly a year. He started attending physical therapy at Axis and doing stretching routines and asymmetric exercises that help with his core and balance. As Horner worked toward his return, he adjusted his swing based on the technique of late Canadian professional golfer Moe Norman, known for his pinpoint accuracy, an approach that takes all the pressure off your back. “You don’t have to take the club back as far. And you can hit it just as far,” as a modern swing, said Horner. “It’s a repeatable swing.” Thus far, Horner has been able play a few times this year without experiencing any lower back pain. When treating lower back pain, Durst said their team examines the available range of motion in a patient, which entails looking at hip mobility and multiple joints. “We look at what motions create that pain,” she said. “We try to shut down that pain response.” Then they train that tissue to accept the load on a repetitive basis. Durst likes using the analogy of viewing your body as an instrument. It requires maintenance work in between performances to keep it in playing shape. Their assessment aims to find deficits in your body that are causing back pain and give you tools to mitigate the pain and continue doing leisure activities. Stretching is key. Since the golf swing starts in your feet, Skirpstas advises doing hamstring and lower back stretches that activate core areas of your golf swing. There are countless 15-minute YouTube videos that can provide you with the dynamic stretches you need so that you’re not as stiff, causing you to overcompensate and risk injury. Engaging in stretches “15 minutes before rounds or when you wake up is going to prevent a lot of that pain,” asserted Skirpstas. Before playing, Horner does a stretch routine using the golf cart that involves grabbing and holding the bar to stretch his back and quads. Additionally, every day he works his lower back and legs. “Every morning I do stretches when I wake up,” shared Horner. Stretching matters because as you age, your muscles have less elasticity and flexibility, explained Durst. Also, you need to incorporate strength training during the week that includes rotational movements that mimic the swing motion and strengthen your core in a way you’re going to use the muscles. However, first consult your physical therapist or a personal trainer. “And if you do that, and you get your tissues ready to absorb those high amounts of repetitive force, that’s how you’re going to protect yourself and prevent injury,” she counseled. Returning to the instrument analogy, Durst said that as they age, many golfers play the sport as their exercise, when it should be the opposite. “You need to exercise so you can keep playing golf. What you do off the course will make a big difference.” While some people will address golf swing-induced back pain to keep it from progressing, you can be proactive. “There’s so much you can do early to prevent injury,” maintained Durst.
HealthLinksSC.com | 19 1200 Hospital Dr., Mt Pleasant, SC 29464 • 843.375.4000 • www.vhcharleston.com What is a Critical Care Hospital? Critical Care hospitals like Vibra Hospital of Charleston, are uniquely designed to effectively care for medically complex patients. Critical Care hospitals have physicians, nurses and staff who specialize in caring for patients who are critically ill and/or have complicated medical needs like respiratory care. Choosing the right post-acute setting for critically ill patients is crucial for achieving the highest outcomes for these complex patients.
20 | HealthLinksSC.com He was greeted by a woman who introduced herself as Mary McMillan, the hospital’s “Reconstruction Aide,” according to historical accounts provided by the American Physical Therapy Association. She was going to help him readjust to American life as much as possible through something called physical therapy — a term unfamiliar to almost everyone outside of the hospital. With McMillan’s assistance, Fletcher recovered to the point that he was able to swim, climb ladders and even drive a car. PHYSICAL THERAPISTS: RUNNING FAST TO KEEP UP WITH DEMAND By L. C. Leach III World War I veterans undergo an early form of treatment at Walter Reed General Hospital c. 1921. Many of these veterans were cared for by Mary McMillan, the hospital’s ‘Reconstruction Aide’ who created the roots of physical therapy in the United States. Photo courtesy of Walter Reed General Hospital The roots of physical therapy are traced back to the end of World War I, when U.S. Army veteran Robert Fletcher came to Walter Reed General Hospital in Bethesda, Maryland, seeking some form of recovery after having both legs amputated due to shrapnel wounds.
HealthLinksSC.com | 21 Now, more than 100 years later, as the number of senior citizens begins to surpass the number of children in the United States, physical therapists are racing to keep up with a record number of requests for appointments — and they are often being outpaced. “Our profession has progressed astronomically, partly because there are so many more people now who are living longer,” said Dr. David Carter, owner of Apogee Therapy Center, a private business in Greenville and Spartanburg specializing in many forms of physical therapy and recovery. “And understanding what physical therapists can offer, as far as longevity and functioning, raises the demand.” Dr. Carter added that while he treats all kinds of neck, leg, head and other sports injuries for younger age groups, he routinely sees more and more seniors who want to be walking and moving right up to their last step. “The more they live, the more they want to move,” he said. “You don’t want to live to age 90 and be in a wheelchair when you’re 80.” Donna Evans, of Inman, is one of those movers. Since her first physical therapy treatment in 2019 with Dr. Carter, Inman has not only gained relief from two hip replacements
22 | HealthLinksSC.com and a rotator cuff repair, she has also recovered a lot of her strength. “When I first came here ... I had no muscles,” Evans said. “I walked with a cane, I took pain pills, it was terrible. And David fixed me.” Evans also pointed out that while her twice-a-week therapy involves many exercises that people can do on their own, working with a therapist such as Dr. Carter has “pretty much turned my life around.” “Now I can actually deadlift 105 pounds, leg press 390 pounds, and now even work here as an aide,” she said. “And at one time, I could not even get off this (therapy) table.” Evans is only one of many seniors across the United States who are looking to physical therapy for recovery from a myriad of ailments — Parkinson’s disease, pelvic floor weakness, strokes, pain in the joints that connect the jawbone to the skull, and lower back pain. “Across the board, seniors come to us for lower back pain more than any other ailment,” Dr. Carter said. “So far, we have 150 different doctors that refer clients to Apogee.” And these kinds of referrals are only expected to go up. For example, in 2021, the National Institutes of Health in Bethesda, Maryland, estimated that 50 million Americans sought physical therapy for some form of chronic pain. NIH Researcher Laurita M. Hack further reported even then that the number of physical therapists is “10-20% less than the number of patients in need.” The Bureau of Labor Statistics projects physical therapy occupations to grow 15% through 2032, much faster than the average for all occupations. About 13,900 openings for physical therapists are projected each year, on average, over the decade. “And we’re already looking to open a third Apogee office in the upstate,” Dr. Carter said. In the next 10 years, Dr. Carter and other physical therapists are likely to be at the edge of a rehabilitative boom; the U.S. Census Bureau is projecting older adults to outnumber children by the year 2034 for the first time in U.S. history. Understanding what physical therapists can offer, as far as longevity and functioning, raises the demand. “ “ PHYSICAL THERAPY By the Numbers The projected growth rate for physical therapist employment is 18% between 2019 and 2029.* Approximately 80% of physical therapy clients in the United States are aged 18-64 years.* The physical therapy industry in the United States is expected to grow at an annualized rate of 1.9% from 2021-2026.* Telehealth usage in physical therapy practices has increased more than 1,000% since the COVID-19 pandemic.* Approximately 90% of physical therapy patients in the United States are covered by private health insurance or Medicare. ** Out-of-pocket payments for physical therapy services in the United States accounted for approximately 3.8% of payments in 2019. *Source: gitnux.org **Source: gitnux.org
HealthLinksSC.com | 23 If you come to Apogee Therapy Center in Greenville and Spartanburg to recover from a hurt knee, torn ACL or even lower back pain, you will have the option to pay for your treatment through either insurance or out of your own pocket. While the choice might seem a no-brainer at first glance, the option for self-pay is one that more and more therapists and patients are considering for many reasons. “When exploring out-of-pocket costs for patients with private insurances, the variability of plans and benefits within payers can often be confusing for patients,” said Erik Carvalho, clinical services coordinator with Duke University, in a 2023 article for the National institutes of Health. “In an ever-changing health care atmosphere, patients are often unaware of changes in their benefits from year-to-year, particularly for unexpected new onset conditions.” Self-pay, on the other hand, brings about many more options for individual patients and therapists. For example, Dr. David Carter, owner of Apogee Therapy Center in Greenville and Spartanburg, said that cash-only policies give new physical therapy businesses a better chance to succeed in their critical early years. “It’s really hard to do a start-up practice and accept insurance because the credentialing process is very tedious,” he said. “When we first opened in 2016, it took us up to three years to become fully credentialed with all insurances across the board. In the meantime, you need cash flow up front to really get things moving.” He also pointed out that self-pay allows patients more streamlined treatments and recovery times, because therapists have unrestricted latitude in determining personalized, individual treatment plans. “Big insurance-based practices have a ton of overhead, so they have to see a very high volume of people — maybe 5-6 at a time,” he said. “When people come to physical therapy, they want more of 1-on-1 treatment instead of just being a number. Plus, insurances take a long time to pay. I might treat you today and not get reimbursed for six, seven or eight weeks.” Of course, at places like Apogee, besides getting a choice of self-pay or insurance, you also get the same individual 1-on-1 treatment from Dr. Carter and his entire team. “Physical therapy is more than just doing sit-to-stands, leg extensions, or buying a theraband and doing 4-way shoulder strengthening,” he said. “Our therapists are with you for the entire time because for us, it’s all about getting people in and better as quickly as possible.” PHYSICAL THERAPY GROWING SHIFT FROM INSURANCE TO SELF-PAY? By L. C. Leach III Self-pay allows patients more streamlined treatments and recovery times, because therapists have unrestricted latitude in determining personalized, individual treatment plans.
24 | HealthLinksSC.com A NEW YEAR AND A NEW BEGINNINGS FOR CANCER WARRIORS ALALA IS HERE TO HELP YOU THRIVE. Whether it’s an appointment with one of their nationally certified mastectomy fitters for prosthetics or assistance in navigating the array of available products or even meeting the financial challenges patients face, Alala is there. VISIT US Appointments Preferred Monday - Thursday 8:30-5:30 Fridays: 8:30-12:30 N Charleston: Across from Trident Cancer Center 9231 Medical Plaza Drive, Ste D N Charleston, SC 29406 803-569-4373 | WWW.ALALA.INFO | [email protected] Please call us if you should have any additional questions or if you would like us to check your insurance coverage for you. Alala Cancer Society can also help those who are un and/or under insured. HELP US SPREAD THE NEWS!! Private Therapy Services has been Charleston’s leading physical therapy and rehabilitation practice since 2002. Their 1-on-1 treatment approach to physical therapy has yielded tremendous results. No Referral Needed. Insurance Accepted. Call today. PHYSICAL THERAPY | SPORTS MEDICINE PELVIC FLOOR | BALANCE | & MORE askmypt.com | 843-766-2121 Charleston | Mount Pleasant | Summerville From individual coverage to Medicare, our agents have been helping South Carolinians with all their health and life insurance needs for over 60 years. DAYLE Z. GUIDERA, CLU HEALTH INSURANCE SPECIALIST 15 Gamecock Avenue, Charleston, SC 29407 | www.dgilston.com Health Insurance For All Stages Our agents have been helping South Carolinians with all their health insurance needs for over 60 years. 854.444.8023 [email protected]
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26 | HealthLinksSC.com LIGHT AND LEAN LOCAL CHEFS SHARE HEALTHY COOKING TIPS As winter turns to spring, we all want to start this new season fresh, starting with the foods we eat. Charleston’s culinary professionals make extraordinary food for people to enjoy, but when they’re cooking at home, they usually want the same things you do — flavorful, healthy meals. We asked a few to share their strategies and fresh ideas for lighter eating. By Michael Vyskocil
HealthLinksSC.com | 27 CHEF MIKE LATA CO-OWNER AND EXECUTIVE CHEF, FIG AND THE ORDINARY, CHARLESTON Recognized by the James Beard Foundation for his culinary excellence, chef Mike Lata delivers uncompromised freshness in the food created for his establishments FIG and The Ordinary in Charleston. The restaurants reflect Lata’s more than 35-year commitment to a culinary vision of working with local farmers and food producers to source the most wholesome ingredients for cooking locally and with the seasons. Whether cooking at home for his three children or at the restaurants for his guests, Lata relishes spring’s return with young, tender vegetables that star in his dishes. WHAT’S YOUR FAVORITE HEALTHY SPRING INGREDIENT? My favorite thing is honestly the whole season. It’s the beginning of a very prolific time for farmers in the Lowcountry. In the springtime, we see baby carrots, arugula, different lettuces and greens, asparagus, peas, leeks and super sweet onions. Once spring kicks in, everything is young, tender, fresh and herbaceous. WHAT’S YOUR GO-TO HEALTHY MEAL TO PREPARE FOR YOURSELF AND YOUR FAMILY AT HOME? Most of the time, we’ve got short-grain brown rice, sweet potatoes and something deep green like broccolini, spinach or kale. We’ll have a protein, like a piece of fish, chicken or steak. We’ll have the rice cooker with brown rice and steam or sauté a green vegetable on a Sunday and have enough to eat on Tuesday, Wednesday or Thursday. Additionally, we might do one-pot dishes like turkey chili, which is a real win for us. WHAT ARE THE MUST-HAVE STAPLE INGREDIENTS EVERYONE SHOULD HAVE IN A HOME PANTRY? You need to have good salt, good olive oil, a variety of vinegars and oils, and fresh spices. WHAT’S ONE TAKEAWAY YOU WANT PEOPLE TO KNOW ABOUT HEALTHY COOKING? Cooking healthy doesn’t have to be expensive. Try to buy the best ingredients you can that are good for you. LAUREN FUREY CHARLESTON-BASED PRIVATE CHEF Lauren Furey offers personally curated in-home family-style meals based on coastal Italian and coastal Southern cooking. Inspired by Charleston’s diverse food and entertainment scene, Furey applies her culinary artistry honed in the kitchens of local restaurants and her passion for creating memorable dining experiences to her work as a private chef and cooking instructor. WHAT’S YOUR GO-TO HEALTHY INGREDIENT? Olive oil — a little bit goes a long way. I get my olive oil from Olinda Olives and Olive Oil (available in Charleston) and put it in squeeze bottles. Maybe you want to use a little olive oil to sauté something or create a fresh homemade dressing. You can drizzle as much or as little as you’d like. HOW DO YOU MAKE FOOD TASTE GREAT WITHOUT ADDING TOO MUCH FAT? I love to use citrus and herbs, specifically the zest of lemons and oranges. When you chop rosemary, it makes your kitchen and your whole house smell good. When I’m cooking greens, I always like to add a little vinegar. My preference is apple cider vinegar for sweetness. Photo by Erin Turner Photography. Photo by Gately Williams.
28 | HealthLinksSC.com WHAT DO YOU KEEP IN YOUR REFRIGERATOR AND PANTRY FOR HEALTHY COOKING? I try to have ingredients such as chicken that I can simply bake. I’m a fan of local shrimp; you can buy them peeled and deveined at places like Crosby’s Fish & Shrimp Co. I also look for places with fresh vegetables, and I always keep capers, pistachios, whole-wheat pasta and quinoa on hand. WHAT ARE SOME TIPS FOR EATING HEALTHY AT HOME? Think about dishes you can make ahead of time, such as homemade hummus and marinated shrimp in olive oil. Even placing a bowl of clementines on your counter can be good when you’re craving something sweet. AMETHYST GANAWAY FOOD WRITER, CHEF AND CULINARY RESEARCHER A two-time recipient of the Les Dames d’Escoffier Legacy Culinary Award, Amethyst Ganaway raises appreciation and awareness of the culture and foodways of the African diaspora, African Americans and Black Southern cooks. Her recipes have appeared in numerous publications, including Food & Wine and The New York Times. Ganaway serves as the chief recipe developer and content manager for Yolélé, a West African culinary brand led by chef Pierre Thiam. WHEN WORK KEEPS YOU BUSY, HOW DO YOU FIND TIME TO EAT WELL? I make sure to bring or make snacks that can fuel my mind and body while I’m on my feet. I love snacking on peppers, cucumbers, celery and carrots; a fresh, bright green salad for lunch or a fruit bowl. WHAT’S YOUR FAVORITE HEALTHY GO-TO MEAL TO PREPARE FOR YOURSELF? Some of my favorites are usually one-pot, one-pan or one-bowl dishes. I love grain bowls made with ingredients like fonio, an ancient West African grain that’s high in nutrients. I add nutrient-dense ingredients like leafy greens, beans, peas and vegetables with a variety of textures. I also enjoy smoothies for breakfast or oatmeal with apples, strawberries, blueberries and bananas. For dinner, I have seafood or poultry with some sort of rice and sautéed veggies. WHAT STRATEGIES WOULD YOU RECOMMEND FOR COOKING AND EATING HEALTHY AT HOME? I recommend pre-planning your meals and having a variety of ingredients you can get or keep on hand that are easily switchable in the different meals. Maybe you planned to make salmon salad for dinner on Tuesday, but the day gets there and you’d rather have a grain bowl. An easy substitution or addition of either grains or greens can be swapped out. You should shop for your own ingredients and make meals you want to share with others. Handpicking your ingredients and then cooking them can help you have a better connection with the food and your meals. Sharing your meals or ideas for your meals with others can help you learn how to become a better cook — and help boost your mood by sharing with others. Photo by Paul Cheney.
HealthLinksSC.com | 29 On any given day, you’ll find a range of options to fuel your passions, meet new friends and enjoy a lifestyle rich with interesting and exciting educational and engaging programs. Learn more about senior living at SouthBayatMountPleasant.com or schedule a visit at 843.886.1124. A Life Plan Community offered by Liberty Senior Living INDEPENDENT LIVING | ASSISTED LIVING | MEMORY CARE SKILLED NURSING | REHABILITATION 1400 Liberty Midtown Drive Mount Pleasant, SC 29464 © 2023 South Bay at Mount Pleasant STRETCH your body & your experiences
30 | HealthLinksSC.com Adam J. Keefer, M.D., was born and raised in Rochester, New York. Dr. Keefer attended Pennsylvania State University, where he graduated summa cum laude. He went to medical school at the University of Rochester Medical School in New York. Dr. Keefer completed his general surgery residency and vascular surgery fellowship at the University of Rochester Medical School as well. He is board-certified by the American Board of Surgery in Vascular Surgery and is certified to read diagnostic vascular studies by the National Organization of Diagnostic Ultrasound (ARDMS). Dr. Keefer is published and recognized for his research in numerous publications including The Journal of Vascular Surgery. Dr. Hislop is originally from Gaithersburg, Maryland — which is about 25 minutes north of Washington, D.C. He attended college at Virginia Tech followed by medical school at the University of Rochester in Rochester, New York on an Air Force scholarship. Dr. Hislop then completed his general surgery residency and vascular surgery fellowship in Rochester. Later, he joined the Air Force in San Antonio where he spent the next four years, including a deployment to Afghanistan in a position as the chief of blood loss trauma for Operation Enduring Freedom. Blood loss trauma is what drew Dr. Hislop to vascular surgery because he wanted to do something that he knew would help our troops the most. Upon completion of his military commitment in 2016, he moved to Charleston. Dr. Hislop now specializes in complex aortic, venous and peripheral arterial disease. Outside of the office, he enjoys spending time with his wife and two children. He also enjoys being outside and taking in all that the Charleston area has to offer. 843.577.4551 | coastalvvc.com MEET OUR DOCTORS What sets CVVC apart from the rest is our dedication to treating advanced arterial and venous disease while doing absolutely everything possible to keep patients in their own home throughout the process. We have kind and compassionate staff who share the CVVC vision and core values, and we strive to do everything possible to give the highest level of care to the community. ADAM J. KEEFER, M.D. SEAN J. HISLOP, M.D.
HealthLinksSC.com | 31 map d 1327 Ashley River Road, Charleston, SC 29407 Dr. Arthurs is a board-certified vascular surgeon, received his undergraduate degree from United States Military Academy at West Point and his medical degree from the University of Oklahoma before completing his general surgery residency at Madigan Army Medical Center in Washington state. He then completed his vascular surgery fellowship at the Cleveland Clinic Foundation Hospital in Ohio. Dr. Arthurs has been board-certified since 2008. Serving as the chief of vascular surgery at San Antonio Medical Center, Dr. Arthurs directed the busiest vascular service in the Department of Defense. He has published extensively in peer-reviewed articles advancing vascular care through basic science research and clinical trials. He currently serves on multiple industry advisory boards as well as on the date of safety and monitoring boards for national trials. He is nationally recognized for his contributions to vascular care, and remains committed to improving vascular care across South Carolina. Dr. Hochberg is originally from Carroll County, Maryland, which is part of the Baltimore metropolitan area. He attended the University of Maryland for his undergraduate studies. He later completed his general surgery residency at the University of Rochester in 2007. He subsequently completed his fellowship in vascular surgery through the University of Maryland in 2009. He is board-certified in vascular surgery. He is an avid golfer and enjoys trying new foods. Coastal Vascular & Vein Center features board-certified vascular surgeons and varicose vein experts. Our state-of-the-art facilities allow us to diagnose and treat a variety of vascular diseases as well as varicose veins. Featuring the latest technology and a highly trained staff, our endovascular center, vascular labs, and varicose vein treatment rooms are able to provide excellent vascular and varicose vein treatment. 1327 Ashley River Road, Charleston, SC 29407 1229 Nexton Parkway, Summerville, SC 29486 3510 Highway 17 N, Mount Pleasant, SC 29464 302 Medical Park Drive, Walterboro, SC 29488 4835 Highway 17 Bypass S, Murrells Inlet, SC 29576 ZACHARY M. ARTHURS, M.D. KRISTIAN O. HOCHBERG, M.D.
32 | HealthLinksSC.com 1885 Rifle Range Rd., Mt. Pleasant, SC 29464 843.856.4735 | www. LutheranHospice.org ctor that you choose Lutheran Hospice, faith-based ministry providing ate end-of-life care for patients and l faiths and beliefs. ospice patients may receive specialized wherever they live—at no cost. aid, V.A. and other insurance program benefits available Lutheran Hospice is a faith-based, non-profit mission to provide our patients with excellent care physically, emotionally and spiritually. We are proud to provide people with life-limiting illnesses daily hope, while ensuring maximum comfort and quality of life. “ ” Non-Profit, Faith-based Senior Solutions Join our Family Live your lifestyle at the community Charlestonians love. Independent Living Apartments & Patio Homes Assisted Living & Memory Care Short-term Rehab • Long-term Care Ask about Oakside, our new independent living rental apartments! 843.216.2222 or 800.940.7435 1885 Rifle Range Rd. • Mt. Pleasant • FrankeAtSeaside.org
HealthLinksSC.com | 33 “A quick warm-up and a good stretch are some of the simplest ways to prevent injury and most people never do it,” said Dr. Matt Murrin of Chiropractic USA. “If you just warm up properly, you have a higher likelihood of having a better time and a better game. It really is that simple.” He’s not being glib, either. Golfers who choose to warm up before a game tend to save an average of 1.5 strokes per round, so why not spend a few minutes loosening up? Dr. Murrin noted that a warmup doesn’t mean a workout. Investing in a 10-minute stroll or even just five minutes of a jog or high knees can make all the difference in your golf swing. “Just getting the blood flowing throughout the body, sending it around to all those muscles — especially muscles we’er going to use — before we start to swing, brings oxygen and nourishment to the muscles and can help prevent injury,” Dr. Murrin advised. Reminding us that flexibility plays a protective role as well as enhanced performance, Dr. Murrin suggested that you stretch both before and after your visit to the links. Being limber promotes efficient movement, encourages proper body alignment and maintains the right amount of muscle length and balance. “Before you play, stretch areas that allow you to bend forward and back, such as your hamstrings and piriformis muscle and then your erector spinae and obliques for a rotational component,” Dr. Murrin recommended. Bring those stretches home to help mitigate discomfort, too. A scant few minutes of stretching before bed after an active day can prevent soreness. “Stretching just before bed. Take about three minutes, that’s all. We’re not talking about a 45-minute stretching routine, right? Three, four or five minutes of stretching does wonders,” Dr. Murrin advised. “If our muscles are tight when we go to bed, the next morning is when we suffer. We wake up with our backs or hamstrings pulling and it’s hard to get out of bed.” On top of warm muscles and flexibility, strengthening is another useful tool for improving your swing. “Many amateur golfers don’t perform any strengthening exercises,” Murrin warned. Exercises that strengthen the hamstrings, such as deadlifts and Romanian deadlifts, and fortifying the glutes with hip-thrusters are Dr. Murrin’s prescription for long days on the course. “And you’re always going to want a strong core because that repetitive, rotational component can aggravate underlying issues. The slightest, weakest disk can turn into a herniated disk with one wrong swing. Side planks and oblique chops will strengthen your core and help maintain control in your swing.” Dr. Murrin knows that this advice can be hard to follow — especially for golfers with a tee time. “People are out there to have fun, so these exercises might not be a priority, I get it,” he laughed. If you do forget, or if you’ve taken all these preventative measures and still end up with an achy elbow or angry back, Dr. Murrin is standing by to assist. Specializing in chiropractic care for the athlete, Dr. Murrin and Chiropractic USA are available to help you map out your road to better athletic performance, prevent injury and preserve your active way of life. STRETCH AND STRENGTHEN TO IMPROVE YOUR GOLF GAME By Amy Gesell SPONSORED MEDICAL CONTENT To learn more about Chiropractic USA, visit chiropracticusasc.com
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