COMPLIMENTARY CHARLESTON | DORCHESTER | BERKELEY SEPTEMBER/OCTOBER 2024 MAGAZINE BYE BYE BREAST CANCER DOGS PAWS INTIMACY ARE YOU A “PEOPLE PLEASER”? TO LIFT IT’S NEVER TOO LATE SENIOR WORKFORCE: THE REVOLUTION SENIOR HEALTH ISSUE
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8 | HealthLinksSC.com 14 | OVER 60? YOU’RE HIRED! The U.S. population keeps aging, and seniors are soon going to be the largest age group in the nation. Good news: an older workforce is proving to be an answer to labor shortages, high turnover rates and short-term company loyalty. 19 | NEVER TOO LATE TO LIFT As we get older, the stability of our bones and joints starts to reduce. Weight training helps bolster bone strength and muscle mass. 23 | FARM TO FORK: FALL HARVEST FEASTS Come September, everyone’s ready for cool season cooking. In South Carolina, root vegetables fit the bill. Farmer John Warren, owner of Spade & Clover Gardens, shares his techniques for cultivating and cooking with root crops. 28 | LEAVING BREAST CANCER BEHIND Stories about women who conquer cancer and enjoy a fulfilling, long life afterwards are far too few. Here is one story with a happy ending. 40 | THE GIFT OF GIVING TO YOUNG CANCER PATIENTS A toy that sparks imagination? A book that transports the reader to another world? Finding the perfect gift that meets the unique needs and desires of young cancer patients can be a challenging, yet profoundly rewarding experience. 41 | RACING THOUGHTS AT NIGHT Sweet dreams? At least in theory, that’s most people’s goal. But for an increasing number of people, the mind can’t find its own off switch and their thoughts run wild, keeping sleep at bay. 48 | WOULD SENIORS WELCOME ROBOTIC CARE? Social robots have been hailed as the solution to the crisis in senior care. Manufacturers promise companionship and stimulation, especially for those with dementia; however, local folks question the benefits and even the need. Issue 13.5 SEPT/OCT 2024 MAGAZINE FEATURES
HealthLinksSC.com | 9 58 | THE ANATOMY OF A PEOPLE PLEASER The constant need to please people, to say yes to all favors asked- to the point that your own health is jeopardized - may be linked to a mental health concern. Read about the anatomy of chronic pleasers. 66 | GENERATIONAL TRAUMA People who develop generational trauma may not even realize that something that happened to their parents or grandparents might be the cause of their problem. Untreated, generational trauma can lead to medical issues like increased risk of heart disease and stroke. 68 | CCMS: LIFE AND SPORTS BALANCE Dr. Alexei DeCastro, a family and sports medicine physician, father and team physician, weighs in on the pros and cons of children participating in sports year-round. 72 | PAWS THE MOMENT Some dogs do their best to pause romantic moments between their owners. Whether it’s the owners’ attempts to distract their dogs, or the dog’s attempt to distract their owner, fun and frustration abound. CONTENTS DIRECTORIES Senior Care..........................................................78 Senior Living........................................................79 IN EVERY ISSUE Publisher’s Note...................................................10 From the Editor....................................................11 Living Healthy Area Events.................................. 12 There's an App for That.......................................32 The Lighter Side of Health Care. ......................... 64 What Doctors Wish We Knew..............................70 Unique Case.........................................................74 Charleston Area Nonprofits................................. 76 The Pulse on Charleston Nurses..........................80 SPONSORED MEDICAL CONTENT A Vital Partner in Recovering from Breast Cancer-Related Surgeries............................................................................. 30 Stronger Together – The Family Legacy of Charleston Oncology............................................................................ 34 Helping Seniors Get the Rest They Need........................... 39 “BG” Residents Offer Rave Reviews...................................44 Customizing Compassionate Home Health Care. .............. 47 Navigating Support and Resources with Respite Care of Charleston........................................................................... 51 The Club For Those Experiencing Memory Loss................53 Franke at Seaside Always Looking Forward........................55 In a New Era of Treatment, the Alzheimer's Association Offers Help and Hope..................................... 57 New Locations Bring Expert Care Closer............................62 BY THE NUMBERS Aging and Workforce..........................................................17 Sleep Deprivation...............................................................43
10 | HealthLinksSC.com Issue 13.5 Publisher CULLEN MURRAY-KEMP [email protected] Managing Editor LISA BRESLIN Associate Editor AMY GESELL Copy Editor COLIN MCCANDLESS Art Director KIM HALL Webmaster GEORGE CONKLIN Sales Manager MANDY WILLIS [email protected] Writers Photographer JENN CADY [email protected] Distribution Manager CAROL CASSIDY Administration & Bookkeeping SETH KIMBLE 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 AMY GESELL L.C. LEACH III COLIN MCCANDLESS JIM RADA, JR. THERESA STRATFORD ANNE TOOLE MICHAEL VYSKOCIL LISA WACK Why Uncertainty May Not Be a Bad Thing… Many of us face this same challenge of stress in not knowing what the future will bring. Each day we fret over daily activities like taking our kids to soccer practice or battling the Charleston commuter traffic. Sometimes we agonize over concerns that seem larger than life: our personal and family health, the looming presidential election or hurricane season. There’s uncertainty in every facet of life, and when something new or unknown comes around, that uncertainty compounds. We know change is the one thing in life that’s inevitable; yet we rarely fearlessly welcome it. Lately, I’ve been challenging myself to embrace uncertainty – to see it as a potential positive. I remind myself that because of uncertainty – at one point – some of HealthLinks’ biggest successes were on the other side. Over the last year, HealthLinks launched its own marketing agency— HealthLinks Media. Uncertainty came first, trust me. Soon we will complete and publish an inaugural magazine for the South Carolina Medical Association (SCMA) that will offer features and resources for new, seasoned and future SCMA members. Has there been uncertainty, especially during the planning phases? Absolutely. But never for long. When there is a shared goal, a sincere sense of purpose and collaboration of talents, it is easier to push through uncertainty. When we open our minds to uncertainty as a potential positive, we begin to see inspiration everywhere. Still thrilled by the Olympics, I recall the immense uncertainty that Simone Biles had to work through before earning a record number of gold medals. I am certainly not Simone Biles. Heck, I don’t even place at my community golf club championship. Yet, what all of us do have is power over our minds and the innate ability to alter our perception of the unknown and see opportunity – even future success – in the uncertain. Because of your trust, HealthLinks Magazine and HealthLinks Media will continue to grow. We will find it easier to welcome uncertainties because you have helped us prove that uncertainty often yields success. Thank you. As the seasons shift and the new school year begins, embrace uncertainty. Encourage your children to also. Cheers to Good Heath, Cullen Murray-Kemp, Publisher Cullen Murray Kemp
HealthLinksSC.com | 11 FROM THE EDITOR... It is either impossible, or it takes eons, to break down stereotypes so that the truths about a person can rise. But with the current increase in older adults rejoining the workforce, the stereotypical chains that hold senior citizens back are breaking every day. Amen to that. I’m so done with television, billboard and print portrayals of retirees. From “Help! I’ve fallen and I can’t get up!” to ads that link the aged to forgetfulness, fatigue and dependence—seriously?! Research and personal observation confirm that older adults are bolstering the feeble workforce that is filled with job-hopping, hard work-averse generations. Based on 2023 findings by Pew Research Center, a think tank based in Washington, D.C., older adults are projected to account for 57 percent of labor force growth through 2032. Another truth that confirms both the rise and the need for age-over-youth in the workforce: A study by the Bureau of Labor Statistics found that, among workers aged 55 and over, 44 percent expect to work until they retire. In contrast, only 18 percent of workers aged 25 to 34 expect to do so. In this issue of HealthLinks, reporter Clark Leach explores the senior workforce revolution. His articles debunk stereotypes and confirm that with aging comes experience-based wisdom, a keen sense of purpose and dependability. The truths behind age-based stereotypes are that older employees are idealistic, optimistic and driven. They are excellent mentors and they focus on consensus building. The list of attributes rolls on. Ideally, folks who have worked long and hard should have choices—choices that include a fulfilling, full retirement or purposeful employment, part or full-time. For any age-based stereotype that is shattered, I’m thankful. Thank you, dear reader, for welcoming HealthLinks to your reading list. In addition to the articles about the senior workforce, you’ll find reporter Amy Gesell’s inspiring story about a fearless cancer survivor and an article about chronic people pleasers. You’ll learn more about how trauma affects generations and the causes and cures for overthinking at night. I hope that you enjoy this issue as much as our team enjoyed creating it. To simple pleasures and good health, Lisa Breslin “The longer I live, the more beautiful life becomes.” – Frank Lloyd Wright SEPTEMBER/OCTOBER 2024 MAGAZINE PHOTOGRAPHY AND POSING EXPERT VISIT JENNCADY.COM AND SCHEDULE YOUR PHOTOSHOOT TODAY!
12 | HealthLinksSC.com HEALTHY AREA EVENTS l ving SEPT. 7 Mobile Health Clinic 200 Success St. North Charleston 8 a.m. The mobile health unit will be offering onsite clinics and free routine labs until 3 p.m. for Medicaid, uninsured and unfunded patients. Free onsite medications – plus, for every lab sign-up, get a free mixed bag of groceries. Open to individuals 15+. Please bring an identification card, if possible, as well as any medications you are currently taking. Learn more: [email protected]. SEPT. 17 Medicare Basics 1404 Sam Rittenberg Blvd., #6 Charleston 4 p.m. Join us at CenterWell Senior Primary Care for a fun and informative event all about Medicare basics. Turning 65 can be confusing, but this event will help break down the Medicare process for you. Learn about what Medicare covers, how to enroll and important deadlines to keep in mind. Learn more: centerwellprimarycare.com/en.html SEPT. 7 Fascia Release Gage Hall 4 Archdale St. Charleston 9 a.m. Learn fun facts about fascia, the latest connective tissue science, and how it all relates to our mind, emotions and spirit. Participants will use movement, breath and tools to roll out and release restricted areas of fascia. Catered lunch is provided, and there will be a social gathering afterward. Limited to 18. Learn more: allevents.in/charleston/soft-body-wise-self-fascinating-fascia-slide-and-glide-workshop/10000910016883997
HealthLinksSC.com | 13 SEPT. 18 Medical Mingle Taco Boy 217 Huger St. Charleston 6 p.m. All Charleston area physicians are invited to join CCMS at Taco Boy (downtown Charleston) on Wednesday, Sept. 18, from 6-7:30 p.m. Physicians, residents, fellows and students are welcome. Learn more: charlestonmedicalsociety.org SEPT. 27 Annual Diabetes Symposium Lowcountry Conference Center 406 Sigma Drive Summerville 8:30 a.m. The South Carolina Office of Rural Health’s 28th Annual Diabetes Symposium will be offered both in person and virtually. Participants will learn practical tips and strategies for delivering great diabetes care. Attendees can also receive six continuing education hours. Learn more: healthiersc.org/events-upcoming/ 28th-annual-diabetes-symposium OCT. 3 New Moon Sound Bath 720 Magnolia Road, #21 Charleston 7 p.m. Enjoy an evening surrounded by crystal energy, reiki and a new moon healing sound bath. Practitioners will also offer guided meditation. Dress warmly and comfortably; bring a yoga mat and water. Learn more: allevents.in/charleston/200026774589903 OCT. 15 Medical Mingle Mark your calendars for the October Medical Mingle on Wednesday, Oct.15 from 6-7:30 p.m. (location TBD). Learn more: charlestonmedicalsociety.org OCT. 28 Macaulay Open House 177 Ashely Ave. Charleston 11 a.m. The Waring Historical Library will host an open house at the Macaulay Museum of Dental History. Discover the history of dentistry in South Carolina from the late 19th century through the 1960s. From tooth worms to old tooth drills, you’ll see something new. Learn more: [email protected] or call 843-792-2288. OCT. 20-24 Healthcare Symposium Francis Marion Hotel 387 King St. Charleston The 2024 Det Norske Veritas Healthcare Symposium provides attendees with information on current and emerging health care issues, the latest thinking, innovative solutions to new and recurring issues and the opportunity to network with other health care executives from around the United States. Learn more: dnvhealthcare.com
14 | HealthLinksSC.com When Geri Morris was forced to retire in 1998 from the Greenville Housing Authority, she was at the top of her game in every facet: pay, responsibility, performance and work ethic – often putting in 12-hour days and loving every minute of it. Her only crime was that she had reached the age of 79, and someone in the GHA decided that she should retire after 31 years – even though pushing her out the door was illegal. “She didn’t realize the power she had to fight the injustice, so she didn’t,” said her son, Henry J. Morris. “But I often wonder what would happen in the same circumstances now, since age discrimination in the workforce has become harder to cover.” And it’s going to get a lot harder. With the U.S. population continuing to age, seniors are soon going to be the largest age group in the nation; as a result, employers not only will have to find a way to keep many of them around to handle essential jobs – such as accounting, insurance, medicine, law, media, education, hospitality and tourism – they will also likely find that an older workforce is the ready-made answer to labor shortages, high turnover and the closest they can get to long-term job loyalty. “The increasing need for older workers in the United States is primarily the result of two factors: the general aging of the U.S. population and a nationwide labor shortage A SENIOR DOMINATED WORKFORCE IS ON THE HORIZON By L. C. Leach III
HealthLinksSC.com | 15 that emerged in the aftermath of the 2020 pandemic,” said Professor Joseph Von Nessen, research economist with the University of South Carolina’s Darla Moore School of Business in Columbia. “And although there are several major contributing factors that have helped create this labor shortage, the biggest is the retirement of the baby boomers.” This wave of retirees, coupled with fewer younger workers to replace them, has left significant gaps in many professional areas – with much of the same expected before too long. For example, the first baby boomers – born from 1946 to 1964 – qualified for retirement benefits in 2008. Since then, more than 30 million of them have retired – with Investor’s Business Daily projecting another 4.4 million to retire in 2024 alone. Researchers with AARP International estimate that 10,000 people in the United States now turn 65 every day. And the Census Bureau is projecting older adults to outnumber children by the year 2034 for the first time in U.S. history. The questions now: Are most retirees through the next decade simply going to be living out their growing life expectancy in some form of senior living facility? Or are they going to continue to be vital parts of the workforce? Von Nessen, for one, is betting on the latter.
16 | HealthLinksSC.com “The U.S. Bureau of Labor Statistics specifically projects that between 2022 and 2032, the number of people in the labor force over the age of 55 will increase by 2.7 million – or 7.1 percent,” he said. “By contrast, the number of people in the traditional ‘prime working age group’ of 25 to 54 is only expected to increase by 5.2 percent over the same time period. Thus, older Americans will become a bigger part of the U.S. workforce.” Dwayne Bell is one indication of this new direction. After more than 50 years in the construction and engineering business, Bell moved from the Upstate to the Lowcountry in 2021, intending to retire. Instead, he realized that he needed a new challenge. He started his own consulting business, Bell-Consults LLC, on Daniel Island, serving as an owners’ representative and helping his clients save money and avoid nerve-racking delays and conflicts on residential and commercial projects in the Southeast. “There’s nothing else I’d rather do than what I’ve always done,” said Bell, who turns 75 in October. “And at this point, I’m not sure I’ll ever retire in the conventional sense.” He’s far from being an exception – especially considering job tenure, age discrimination laws and a workforce that continues to age. Based on 2023 findings by Pew Research Center, a think tank based in Washington, D.C., older adults are projected to account for 57 percent of labor force growth through 2032. In the report, senior economist Richard Fry concluded that part of the reason is that “employment among men ages 25 to 54 has been sinking for decades. Workers ages 75 and older are the fastest-growing age group in the workforce, more than quadrupling in size since 1964.” Von Nessen noted that this older population is already either outpacing, or on the verge of outpacing, every younger group in the nation – even Generation Alpha, the first to be born entirely in the first quarter of the 21st century, who won’t begin seeing the workforce until the early 2030s. “From 2000 to 2022, for example, the number of residents over the age of 55 in South Carolina increased nearly three times faster than the number of residents between 20 and 54,” he said. “An aging population means that the average age of the workforce will also likely increase over time. And to the extent that companies have to rely on older workers to help mitigate their labor shortages, this may help white-collar industries more than blue-collar industries.” So don’t be surprised if part of your next workforce includes people from your last workforce. “In the 50 years prior to the COVID pandemic, South Carolina’s average unemployment rate across all economic expansions was 6 percent – whereas this past summer, it was at roughly 3 percent,” Von Nessen said. “This means our labor market is far stronger today than what would have been considered normal for economic expansion before 2020. A strong labor market coupled with an aging population implies that the size of the senior workforce is likely to continue to grow in the coming years in ways we didn’t expect even just a short time ago.”
HealthLinksSC.com | 17 AGING & WORKFORCE By the Numbers Older adults are projected to account for 57% of the U.S. labor force growth through 2032. — Pew Research Center Participation in the U.S. labor force by those 65 and older is expected to rise to 21.7% in 2024 – compared with approximately 11% in 1994. — American Association of Retired Persons The number of U.S. seniors in 2000: More than 35 MILLION. — U.S. Census Bureau Every day in the United States, 10,000 people turn 65. — American Association of Retired Persons The number of U.S. seniors in early 2024: 62 MILLION and counting. — Pew Research The number of Americans age 65 and older projected by 2050: 88 MILLION – an increase of 150% from 2000. — American Association of Retired Persons Technology, genetic engineering, healthier lifestyles and an increasing number of people who want to stay young and active are all playing huge roles in redefining age as well has how older people influence the U.S. workforce. Consider the following residents and celebrities who are already senior workforce influencers: TERRI HAACK, ISLE OF PALMS. Serving in the hospitality industry since 1978, Haack was lured back to Wild Dunes Resort this past May to take over operations as managing director. Haack’s talent and vitality suggest that she might be in her new position another 46 years. GLENN MEADOWS, SULLIVAN’S ISLAND. Meadows was named chief of police this past February at age 62. The promotion came after 43 years in law enforcement. “This is where I intend to be until my next, and final retirement,” Meadows said – which could be a long time coming. HOWARD HOGUE, MONCKS CORNER. Despite two heart surgeries in 2023, the 73-year-old Hogue reached the lofty goal of picking up 1 million litter items this past April – all since 2018 – more than all the other members of the Isle of Palms Cleanup Crew combined. “Now I’m working on my second million,” Hogue said. TRICIA MORE. Holding two part-time jobs at 30 hours a week, the active 61-year-old splits her time between being a pro shop attendant at Dunes West Golf & River Club and in her own senior care business – “because keeping active and energetic is important to me,” she said. More provides services that range from comfort, companionship and transportation to assistance with daily medical, spiritual, physical and mental needs. “Even though I do this only part-time, I am a certified nursing assistant, trained for Alzheimer’s and other dementia-related patients,” she explained. “I have found that seniors often prefer me to younger caregivers because my age and life experiences are more in line with theirs.” JERRY GLANVILLE. In 2024, 30 years after his last game as head coach of the Atlanta Falcons, Glanville became defensive coordinator for NCAA Division II school Northwestern Oklahoma State University – at age 82. BILLY JOEL AND OTHERS. After first appearing on Billboard’s Top 200 in 1974, Joel’s album “Piano Man” returned in June 2024 for two weeks – which isn’t all that unusual. In the past 10 years, younger generations have consistently kept the charts dotted with original recordings by a host of ageless rock bands such as Fleetwood Mac, Journey, AC/DC, The Rolling Stones and the Eagles. The trend is only going to increase. WORKFORCE INFLUENCERS: LOCAL SENIORS AND CELEBRITIES By L. C. Leach III
18 | HealthLinksSC.com www.smocsc.com | 843.473.4331 SUFFERING FROM ARTHRITIS? WE’RE HERE TO HELP! At Sports Medicine & Orthopaedic Centers, we offer state-of-the art regenerative medicine options for common arthritis problems. Living in pain will be a thing of the past. GET YOUR LIFESTYLE BACK! REGENERATIVE MEDICINE At Sports Medicine & Orthopaedic Centers our team will assess if regenerative medicine is the answer for your orthopaedic injury or arthritis. We offer a variety of nonsurgical options to promote healing of common orthopaedic ailments: • Focused shockwave therapy • Bone marrow aspirate (BMAC) • Platelet rich plasma (PRP) • Lipoaspirate concentration injection • Other biologics such as hyaluronic acid injections If our providers determine surgery is the answer, our dedicated team is the only practice in town offering state-of-the-art nutritional support to maximize recovery and promote wound healing. 1230 Hospital Drive, Mount Pleasant, SC 29464 Drs. Blake Ohlson and Shane Woolf have joined to form the only privately owned independent orthopaedic medical practice in Mount Pleasant. Come see us for a consultation or visit our website today. We are a full-service orthopaedic practice that offers both surgical and nonsurgical options for all ages.
HealthLinksSC.com | 19 By L. C. Leach III SENIORS AND WEIGHTS: NEVER TOO LATE TO LIFT
20 | HealthLinksSC.com In the early 1980s, Upstate South Carolina resident Louie Lewis was visiting his parents in Taylors when his 68-year-old father stood up, stretched and moaned, “Oh, my aching body.” “And I said, ‘Well, dad, maybe you should take up a good weight training program,’” Lewis recalled. “And he sort of gave me the evil eye because he knew I was trying to be funny. But since I’m almost the same age now as he was then, I’m at the point of taking my own advice.” This is not without good reason, because as seniors are soon projected to constitute the nation’s largest age group, fitness experts are strongly recommending some form of weight training for seniors of any age to preserve youth, activeness, strong bones and an overall healthy mental outlook. “Our musculoskeletal system dictates how our bodies function in every way,” 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. “So if you have a strong musculoskeletal system, you’re going to have a strong cardiovascular system as well because you’re working those muscles to get them strong.” Carter pointed out that while weight training for older adults often gets overlooked as a regular way to keep bones and muscles strong and in tone, their use is just as important as when people are in their teens. “As we get older, the stability of our bones and joints starts to reduce,” he said. “And after the age of 40, we start to lose about 1 percent of muscle mass each year, which really adds up as you get into your 60s and 70s.” It’s an attitude shared by many of Carter’s colleagues, such as Casey Powers, DPT, with Ascent Total Performance in Columbia. If you go to Powers for physical therapy, not only will he treat you the same as a high schooler looking to get stronger, but he will also probably not be influenced by your age at all. “I have utilized weight training with clients up to age 92 so far,” he said. “I don’t believe there is an age where we should stop resistance training.” He echoed Carter in approaching strength as a key component of functional capacity, especially if you are a senior. “The biggest misconception is that weight training is too intense for older adults,” Powers said. “But as long as exercise techniques are good and a person can safely perform them, continuing to perform relatively intense exercise is beneficial for anyone. In fact, if we continue to underdose our older adults when it comes to exercise, we are actually doing them a disservice. The key is meeting a client where they are, maintaining a safe environment and progressively pushing strength and endurance from that point.” So what can you expect if you get senior weight training through someone like Carter or Powers, or even just manage a workout routine on your own? Numerous benefits, which are likely to be more important and top of mind after passing age 55. These benefits include: • Recharging Metabolism. Resistance training increases your energy use during exercise, and both the muscle recovery and rebuilding period, up to three days after each workout. • Reducing Fat. While it’s normal for most people to accumulate fat or extra weight as they age, basic weight training can hold extra waistline inches in check for a long time. • Resisting Diabetes. In a 2019 study, researchers with the Mayo Clinic determined that having a moderate amount of muscle strength can lower your risk of developing type 2 diabetes by 32 percent. • Increasing Bone Density. ‘Stressing your bones’ might sound like something to avoid, but properly applied in weight training, this kind of stress can help increase both muscle mass and bone mass. And both are critical to keeping your musculoskeletal system strong and resistant to injury. • Enhancing Mental Health. Similar to wanting to look your best in your younger years, weight training in your older years can not only give you the same sense of confidence it also doesn’t require a major time commitment. “People sometimes think they have to spend three hours at the gym to gain some sort of strength,” Carter said. “But 10 minutes of squats, push-ups or anything you can do physically to increase your heart rate is going to make a difference. The awesome thing about the body is that if you work a muscle, it’s going to adapt. And every single patient who has come to me for any kind of physical therapy has either wanted or needed some form of weight training.”
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22 | HealthLinksSC.com 843.406.6251 - www.bishopgadsden.org Gadsden Glen is located on James Island, within Bishop Gadsden The award-winning Gadsden Glen Center for Health and Rehab opened to the Charleston Community in 2022 to restore strength and spirit, providing a healing experience unlike any other in the Southeast. With costs in line with the area, Medicare and insurance coverage allows you to select Gadsden Glen for your short-term post-acute rehabilitation, setting you on a course of improved health and wellness. OPEN to the Community
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24 | HealthLinksSC.com FOOD FOR FALL HARVEST FEASTS ROOT VEGETABLES STAR IN AUTUMNAL SIDES AND STEWS By Michael Vyskocil Come September, everyone’s ready for cool season cooking. In South Carolina, root vegetables fit the bill. You can’t beat veggies like carrots and sweet potatoes to add earthiness and substance to comfort food fit for everyday cooking or special celebrations. Let the following recipes be your guide to coaxing the best flavor from beneath the peel of these root crops. ROASTED PUMPKIN, PEARS AND POTATOES WITH GOAT CHEESE Makes 4 to 6 servings • 1 medium (about 2 pounds) pie pumpkin or 2-pound butternut squash, halved, seeded and cut into 8 wedges • 1 pound small white potatoes, halved lengthwise • 4 tablespoons extra virgin olive oil • 1/2 teaspoon coarse kosher salt • 1/4 teaspoon freshly ground black pepper • 6 cloves garlic, peeled • 3 medium pears, cored and cut into wedges • 4 sprigs fresh thyme • 2 tablespoons aged balsamic vinegar • 2 ounces aged goat cheese, such as Bucheron • 1/4 cup coarsely chopped toasted walnuts Photo by LUMI Marketing & Creative/Eric Forberger
HealthLinksSC.com | 25 1. Preheat oven to 325 degrees F. In a large (15-by-10by-2-inch) roasting pan, toss the pumpkin or butternut squash wedges and potatoes with 2 tablespoons of the olive oil and the salt and pepper. Spread vegetables in pan. Roast, uncovered, for about 40 minutes, stirring vegetables once halfway through the cooking time. 2. Toss the garlic cloves with 1 tablespoon olive oil. Scatter garlic over vegetables in pan. Roast for 10 minutes more. 3. Toss the pears with the remaining 1 tablespoon olive oil and the fresh thyme. Add pears to pan. Roast 15 minutes more. 4. Drizzle vegetables and pears with the balsamic vinegar; toss to coat evenly. Transfer roasted vegetables and pears to an ovenproof platter. Sprinkle cheese over the top. Place platter in oven and bake for 2 minutes to warm the cheese slightly. Sprinkle with walnuts; serve immediately. PORK, CARROT AND CABBAGE STEW Makes 4 servings • 2 tablespoons vegetable oil • 1 pound pork tenderloin, cut into 2-inch cubes • 4 tablespoons all-purpose flour • Coarse salt and freshly ground black pepper, to taste • 1 medium onion, chopped • 2 1/2 cups homemade chicken stock or commercially prepared low-sodium chicken broth • 2 1/2 cups water • 1/2 pound green cabbage, shredded (about 2 cups) • 3 large carrots, peeled and cut into 1-inch chunks • 2 tart green apples, such as Granny Smith, unpeeled and cut into 1-inch chunks • 3 tablespoons finely chopped fresh parsley 1. In a large saucepan or Dutch oven, heat 1 tablespoon oil over medium-high heat. Coat the pork tenderloin with 2 tablespoons flour, 1 teaspoon salt and 1/2 teaspoon pepper. Add the pork to the pan and brown, turning occasionally, about 8 to 9 minutes. Transfer meat to a plate. 2. Reduce heat to medium-low. Add the remaining tablespoon of oil and onion. Cook until the onion softens and becomes translucent, about 5 minutes. Add the remaining 2 tablespoons flour. Stir in chicken stock or broth, water, cabbage and carrots. Season to taste with salt. Bring mixture to a boil; reduce the heat. Simmer for about 20 minutes. Add the apples; continue cooking, covered, for 12 minutes. 3. Add the reserved pork and any accumulated meat juices to the Dutch oven before serving. Simmer the stew until the meat is heated through, about 3 to 4 minutes. Ladle stew into serving bowls, garnish with parsley and serve. Photo by Michael Vyskocil
26 | HealthLinksSC.com Warren shares his techniques for cultivating and cooking with root crops below. Q: What are your favorite root crops to grow? A: I love growing root crops of all kinds. If I had to pick a favorite, it would probably be taro, which I know is not a common vegetable here in the Lowcountry, but it’s a beautiful plant with large, tropical leaves and delicious corms and tubers that can be eaten using a variety of preparations. I anticipate this crop to come into vogue in the near future. As far as more traditional root crops go, I have a reverence for sweet potatoes. They’re easy to grow. You can eat the greens — vital in midsummer when greens are in short supply — and they’re highly nutritious. They’re inexpensive to grow, and they’re one of the most productive yielding plants out there. I love them all, but Okinawan sweet potatoes are my favorite. Of the ones I grow, I like the Murasaki purple skin, white flesh variety. Q: How do you incorporate these vegetables into your seasonal cooking? A: For taro, I typically roast and eat it similarly to sweet potatoes. Peel it first! I don’t add a lot to it. I’ve made poi — mashed raw taro that is sometimes fermented to make it last — before, and I would like to do a workshop on that process one day. I’ll eat sweet potatoes in roasted root medleys, but I’ll also cut them in half and bake them to have on hand. I’ll eat them that way — cold on the go for breakfast or lunch. I prefer a traditional orange sweet potato for this. Q: What are your tips for growing root crops in the Lowcountry? A: Most root crops do amazing in the Lowcountry with the exception of salsify, yucca and parsnips. One reason they do well is that we have soils that are high in phosphorus, which root crops need. They also like sandy soils that they can easily penetrate to reach for nutrients and water deeper in the soil. People tend to overwater traditional root crops, which, when the seeds are first planted is okay, but you want them to have periods where the root is searching for nutrients and is slightly stressed. That signals the plant to fill out the root with what nutrients are available. You also want to go a little higher on the application of nitrogen and heavier on the potassium. Micronutrients and compost are always recommended. The watering rule does not apply to taro, ginger, turmeric or galangal [a spice native to Southern Asia]. Water away, and once those are a foot tall, I recommend regular light applications of nitrogen until temps start dropping, then I recommend more phosphorus. Photo by Lydia Hadley FOCUS ON A FARMER: JOHN WARREN FALL BOUNTY IN THE LOWCOUNTRY Located on Johns Island, Spade & Clover Gardens (spadeandclovergardens.com) is dedicated to cultivating sustainable produce. Owner John Warren grows familiar vegetables such as cucumbers, kale and tomatoes in addition to ginger, galangal and turmeric using sustainable agricultural principles. Spade & Clover Gardens began in 2013 through the Dirt Works Incubator Program supported by Lowcountry Local First. Today, the farm supplies the freshest produce to restaurants and farmers markets in the Charleston area. Photo by Lydia Hadley
HealthLinksSC.com | 27 48 Folly Rd Blvd., Charleston, SC 29407 843-769-2100 | perrydermatology.com YOUR TRUSTED SKIN AND DERMATOLOGY SPECIALISTS Board-certified dermatologists providing medical, surgical and cosmetic dermatology Whether you have a concerning mole, stubborn acne or a persistent rash, we are here for you. Our goal is to provide you with the highest quality skin care, delivered with compassion and competence. 48 Folly Road Blvd Charleston, SC 29407 843-769-2100 www.PerryDermatology.com Your Trusted Skin and Dermatology Specialists Whether you have a concerning mole, stubborn acne, or a persistent rash, we are here for you. Our goal is to provide you with the highest quality skin care, delivered with compassion and competence. Board-certified dermatologists providing medical, surgical, and cosmetic dermatology PROUDLY SERVING CHARLESTON, SC, & THE LOWCOUNTRY Convenient Locations: WEST ASHLEY 2073 Charlie Hall Blvd. Charleston, SC 29414 SUMMERVILLE 300 Callen Blvd., Suite 220 Summerville, SC 29486 MONCKS CORNER 2061 Highway 52 Moncks Corner, SC 29461 MT. PLEASANT 1250 Wire Gross Dr. Mt. Pleasant, SC 29466 HEALTH SPECIALISTS & ENDOSCOPY CENTER 843.571.0643 www.palmettodigestive.com At Palmetto GI, our focus is on YOU! Combining state-of-the-art technology and gentle, proactive care, Palmetto GI is committed to providing you with the best possible treatment for your digestive and liver health. Dr. Schnell, Dr. Suarez, Dr. Feussner, Dr. Robbins, Dr. Litchfield, Dr. Sagatelian
28 | HealthLinksSC.com Each October, HealthLinks highlights courageous breast cancer patients. Over the years, we’ve shared laughter, tears, successes and losses. This issue showcases Charleston resident Cindy Booth Hines, who is well past the anxiety-inducing “five-year mark.” She is a reminder to the newly diagnosed that while cancer is a road filled with uncertainty, there are those who thrive. On the other side of diagnosis and treatment, survivors like Hines successfully put their cancer experience squarely in the rearview mirror. CINDY BOOTH HINES “I consider Aug. 4, 2009, my re-birthday,” said Hines during a recent interview. In 2009, at 46, Hines missed her annual exam by a scant six months and wasn’t particularly concerned. With no history of breast cancer in her family nor any symptoms, scheduling simply slipped the mind of the busy mom of two “tweens.” When Hines did make it to her appointment, she was shocked to discover that she had a growth deep in her left breast that warranted an MRI-guided biopsy. It was scheduled for Aug. 3, but there was a complication. “August third happened to be the same day that I was scheduled to take my husband, Sam, and our son, Jeb, to the airport,” Hines said. She remembered the conundrum of deciding whether to tell her family about the looming possibility of a serious health issue before seeing them off for their longplanned trip to South Africa. Hines did what most mothers and wives in her position would do. She kept quiet. “Look, at that point, there was nothing definitive. If I’d told them, they would’ve insisted on staying home. I didn’t want that,” Hines said. Immediately after waving bon voyage to “the boys,” Hines and her daughter, Liz, went directly to her biopsy; one of Hines’ many supportive friends met them in the lobby. The next day, Aug. 4, she received her test results via phone while driving the same route she was driving during our interview—up I-95 to Virginia to visit her parents. “Invasive Ductal Carcinoma, ER+ PR+ HER2-,” Hines recalled. Pulling over, she phoned her parents. They drove to meet her, and all returned to Charleston together to await Sam and Jeb’s return. As with many - though sadly, not all cancer diagnoses, there is a litany of choices to make. Who do you tell? When should you tell? Surgery? Chemo? Radiation? All three? None? In Hines’ case, she was given the option of a trial that included chemo, but after learning that her growth was small, that her cancer wasn’t genetic, that the growth rate was roughly 3 percent and she was given clear margins with no lymph node involvement after surgery, she eschewed chemo and chose radiation alone. FAITH, FRIENDSHIP AND HARMONIES By Amy Gesell “FEARLESS” LIFE ACCOUNT FROM LOCAL BREAST CANCER SURVIVOR
HealthLinksSC.com | 29 “As the mother of two young kids and the teacher of first graders, I just didn’t want to deal with or explain the hair loss. I didn’t want them worrying over it,” Hines said. “I knew other people who’d managed that successfully, but I didn’t want it on my plate.” Throughout radiation, Hines continued to show up for her students each day, supported by colleagues who would take over her classroom at 3:45 p.m. so that she could zip down to her treatment. For Hines, the early days of her journey were marked with a blur of calm and concern. “I think that because I had a 12-year-old daughter and a 14-year-old son to worry about, I remained pretty evenkeeled,” she said. “I worried about my husband, too.” Worrying about others before themselves is a pattern often repeated in Fearless stories. Hines leaned into her faith as well. “Psalm 121 was on repeat in my mind,” said Hines. “I lift my eyes to the hills – where does my help come from…” “Oh! And so was Miley Cyrus’ ‘The Climb,’” Hines laughed. “You have to remember, I was the mother of youngsters, so, you know, we were listening to that kind of music at the time.” “Both Psalm 121 and ‘The Climb’ helped me look beyond my current situation and into the future. I knew I was being supported by the Lord, who was watching over me, protecting me and giving me what I needed to stay strong,” continued Hines. “It’s funny. My son was with some friends last Friday night when one of them started playing that song on her guitar. Jeb said, ‘I got real quiet, remembering that was your song, the song that kept you going through your cancer treatment,’ and it made my heart swell,” Hines quietly said. She humbly stated that she didn’t really have any advice for newly diagnosed patients other than recognizing that they were in a tough place and, unless they were in crisis mode, to not allow cancer to dictate their lives. “Someone older than me said that they’d kept their sense of humor about it, that I couldn’t afford to let it dictate my life,” Hines said. “And that I had to just keep living.” It’s advice Hines took to heart. Traveling, attending Taylor Swift concerts with her daughter and basking in the happy glow of her family and her faith, Hines just kept and still keeps on living. Not long after our interview concluded, I received a text from Hines. “The Climb” started to play right after we hung up. She wasn’t kidding. “Keep on moving, keep climbing. Keep the faith baby. It’s all about the climb. Keep your faith.” Son Jeb, Cindy, husband Sam, and daughter Liz. Cindy and husband Sam on ground, daughter Liz popping out of the top of the sunroof.
30 | HealthLinksSC.com By Amy Gesell A VITAL PARTNER IN RECOVERING FROM BREAST CANCER-RELATED SURGERIES Dr. Christopher Michaelis, DO After undergoing breast reconstruction following a mastectomy, women can experience a high rate of complications, with one in three women developing postoperative issues and one in five requiring additional surgery. In 5 percent of cases, the reconstruction totally fails. These numbers really drive home the point that making decisions about reconstructive breast surgery is no walk in the park and definitely comes with its fair share of risks. Charleston Wound Care is passionate about helping patients mitigate the risks associated with healing from breast cancer-related surgeries. Proper wound care is crucial for the recovery process following post-cancer treatment breast reconstruction. Following your surgeon’s guidelines on wound care can significantly reduce the risk of complications and promote optimal healing, but it’s a task that can be overwhelming. Managing drainage tubes and monitoring fluid output during the initial recovery phase, which typically lasts the first few weeks, is essential. This period often involves discomfort, tightness and limited mobility, making diligent wound care even more important. “Cancer patients will often have several complicating factors that contribute to poor wound healing,” said Dr. Christopher Michaelis of Charleston Wound Care. “These issues can include anything from possible chemotherapy, radiation, poor nutrition and tissue loss. Once these wounds occur, it can be very challenging to heal.” Patients are often inundated with information and choices to make after they’ve received a cancer diagnosis. Charleston Wound Care has support systems in place to assist patients through the very important process of healing by providing the specialized care needed to heal these challenging wounds, sometimes even starting before the surgery occurs. “One of the best ways to ensure success in healing is to prepare your overall nutrition and skin health prior to cancer treatment,” Dr. Michaelis said. “This can prevent breakdown of the skin and also promote healing if a wound does occur.” “We are focused on the care and healing of our patients’ post-surgical wounds. It’s our sole purpose to provide the care, guidance and support patients need.” Our goal is to heal patients quickly to prevent complications and get them back to their normal lives.
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