Spotlight On Health

health
Spotlight On
Fall 2015
How to
Find Time
for Exercise
page 10
What Can
Hospice
Do for You?
page 17
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Spotlight on Health
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Spotlight on Health
check out
whats inside
5 Maintain a Safe & Healthy
Pregnancy
7 Protein-heavy Diets
8 Finding Better Quality of
Life Through Palliative Care
9 Get Relief From Sunburn
10 How to Find Time for

Exercise
14 Aging = Aching
16 Healthy ways to

handle stress
17 What Can Hospice

Do for You?
19 Nip the Nail Biting Habit
21 Oral Health Impacts
Overall Health
22 How to Adjust to a
Healthier Diet
Spotlight on Health
Spotlight on Health
Maintain a Safe & Healthy Pregnancy

may schedule blood screenings and
estimate due dates. They also will go
over nutrition and care guidelines,
which will usually include a regimen of
prenatal vitamins.
housands of
women will become
pregnant this year for
the first time. Pregnancy
can trigger thoughts of
the future and making
plans for when the baby
arrives. It also can be a
time to take inventory of
personal health to make
changes that will benefit
expecting mothers and
the children growing
within them. Prioritizing
overall health is a great
way to increase your
chances of a safe and
healthy pregnancy.
Visit an obstetrician
or midwife as soon
as possible. Once the
pregnancy test comes
out positive, make an
appointment with your
doctor to discuss the
course of the pregnancy
and what can be done
from the start. Doctors
Discuss age and risk factors with

the doctor. The Centers for Disease
Control and Prevention point out that
there has been a societal shift in the
age at which most women become
pregnant, with many waiting until later
in life to start their families. Whereas
ages 20-24 used to be the peak time
for pregnancy, many women in North
America now become pregnant for the
first time between the ages 25 and 29,
while many more wait until their 30s.
Waiting longer to become pregnant for
the first time may increase a womans
risk for certain conditions during
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pregnancy. Your doctor can

answer any questions you
may have and let you know
about additional testing that
may be necessary.
Dont overeat. Eating
right is one of the best things
you can do for yourself and
the baby. Anything you put
in your body can affect the
baby, so prioritize a healthy
diet. Contrary to popular
belief, you do not need to eat
for two. During the first few
months, you may not have
much of an appetite. The
fetus does not require many
additional nutrients until the
end of the pregnancy. Only
then will an increase of 200
calories or so be adequate.
Speak with your physician
about what constitutes
healthy and unhealthy weight
gain during pregnancy.
Spotlight on Health
Choose healthy foods.

Avoid under cooked foods
and soft cheeses that may
harbor bacteria. Some
seafood, such as tuna or
shark, may contain high
levels of mercury. Lean
meats, fruits, vegetables,
fiber, and dairy products can
fuel your body and keep the
baby growing.
Continue to exercise.
Unless there are
complications during
your pregnancy, you likely
can continue to exercise.
However, dont overdo it
with exercise, and call your
doctor if you experience any
adverse side effects during or
after exercise sessions.
Avoid drugs, tobacco
and alcohol. Smoking, taking
drugs or drinking during
pregnancy can cause serious

health problems for the baby.
Miscarriage, premature birth,
low birth weight, and SIDS
are just a few of the potential
side effects of drinking
alcohol, smoking tobacco or
taking drugs while pregnant,
advises Baby Center. Avoid
these behaviors and always
check with a doctor before
taking any over-the-counter
or herbal remedies as well.
Get educated. Pick up
a book from a reputable
doctor or author so that you
can better understand your
pregnancy. It can save you
stressful moments and keep
your pregnancy on a healthy
track.
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Spotlight on Health
Did you know?

Protein-heavy diets became wildly popular in recent years, but many
nutrition experts advise that men and women on high-protein diets avoid
overdoing it when it comes to loading up on protein and reducing intake
of carbohydrates. People on high-protein/low-carbohydrate diets may see
their metabolisms change into a state of ketosis, which happens when
the body goes from burning carbohydrates for fuel to burning its own fat.
Burning fat is a goal for many people when they adopt high-protein/lowcarbohydrate diets. When fat is broken down, tiny bits of carbon known
as ketones are released into the bloodstream as energy sources. This
process produces weight loss by suppressing appetite and increasing the
loss of water weight that stems from the increased elimination of fluids
through urine that occurs during ketosis. However, a high-protein/lowcarbohydrate diet is not without its disadvantages. According to WebMD,
the body produces ammonia as it breaks down protein. The long-term
risks of high levels of ammonia in the body are unknown. In addition, men
and women on high-protein diets excrete more calcium in their urine
than people on more typical diets, and excessive calcium loss may lead
to osteoporosis as men and women age. Finally, men and women who
avoid carbohydrates may not be eating sufficient amounts of fruits and
vegetables, which are great sources of vitamins, fiber and antioxidants.
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Spotlight on Health
Finding Better Quality of Life

Through Palliative Care
f you think you already know

what palliative care can provide,
expect to be surprised:
What exactly does

palliative care mean?
The word palliative comes from

Latin and means to soothe or to
relieve. The idea behind palliative
care is to give patients better
quality of life by relieving them of
pain and suffering.
Is palliative care the

same as hospice?
Palliative care has traditionally been

associated with end-of-life care
and a six-month life expectancy.
But, in recent years, its use and
scope have widened dramatically.
Nowadays, palliative care serves
patients with curable illnesses
assisting them on the journey to
recovery and helps patients with
chronic illnesses as well, allowing
them to enjoy life even in the face
of long-term health conditions.
How is palliative care

different from palliative
medicine?
Palliative care typically involves

a patients final months of illness
while palliative medicine is more
closely tied to treatments for
both short-term recuperation and

ongoing illness. Palliative medicine,
in effect, is the mature version
of palliative care, serving a more
diverse cross-section of patients
and assisting them with all the
nuances of symptom management
and complex medical decisions.
How is Life Transitions

connected to palliative
medicine?
Life Transitions is a mobile medical

practice whose care is based on the
principles of palliative medicine. It
treats patients wherever they call
home, coming to them rather than
requiring them to make an oftendifficult trip to a doctors office.
Who should be considered

for palliative medicine?
Life Transitions palliative medicine

practice is an excellent option
for people who have trouble
dealing with physical exertion.
Its especially useful for managing
needs related to heart problems,
pneumonia, chronic obstructive
pulmonary disease (COPD), and
other acute medical issues.
What should I expect when

I contact Life Transitions?
After you call Life Transitions, an
initial meeting is set up, and a nurse

practitioner visits you at home to
gather information and determine
the potential benefits of a medical
regimen. If treatment is advised, a
program of care is begun to best
meet patient needs. In addition, Life
Transitions services are coordinated
with the patients primary doctor.
Theyre designed to enhance
overall care, not replace an existing
medical relationship.
How do I pay for

Life Transitions?
Payment for Life Transitions

services is covered by Medicare
and Medicaid. Private insurance
companies also support this type
of care, although copays and
deductibles do apply. The Life
Transitions staff can help you
navigate your particular options.
How do I learn more?
To get more details or to

recommend yourself or someone
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828.464.9459 or visit
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Spotlight on Health
Get Relief From Sunburn
unburn is something nearly

everyone will experience at
least once in their lifetimes.
Though men, women and children
should look to prevent sunburn
entirely, sometimes sunburns occur,
making those exposed to too much
sun uncomfortable and possibly
even dealing with considerable
pain.
Sunburn is marked by red, sensitive
skin that can be hot to the touch.
Inflammation and blistering may
occur. The Skin Cancer Foundation
says that while sunburn may seem
like a temporary irritation, it can
cause long-lasting damage to the
skin. Treating sunburn may require
several different approaches.
Get out of the sun the moment
you first feel irritation. Your skin
may not be red, but irritation may

be the first indication that you are
being burned by the sun.
Take cool baths or showers to

relieve the pain and heat in the
skin. Cool, damp towels also can do
the trick.
Use a moisturizing lotion with
aloe vera. Avoid moisturizers with
petroleum, as they will lock in heat.
The American Academy of
Dermatology notes that sunburn
may lead to dehydration. Drink
plenty of water to keep your body
well hydrated.
Blisters may occur if sunburn is
particularly bad. Do not succumb
to the temptation of popping the
blisters, as doing so may result in
an infection.
Take a dose of ibuprofen to

reduce swelling and counteract
the pain. Ibuprofen also may help
prevent some long-term damage.
If a blistering burn covers more
than 20 percent of the body, seek
medical attention. In addition,
visit your physician if a sunburn is
accompanied by fever and chills.
Keep sunburn covered up with
tightly woven clothing to aid in
healing.
Sunburn can be painful and
increase your risk for skin cancer,
so prevention and treatment should
be taken seriously.
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10
Spotlight on Health
How to
Find Time for
exercise
exercise helps people control their
weight while promoting bone, muscle
and joint health.
While the benefits of regular exercise
are substantial, finding the time for
daily exercise is not always so easy. The
following are a handful of strategies
men and women can employ as they
attempt to make more time in their days
to exercise.
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Reexamine your free time. Few

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of free time. But reexamining the ways
you are spending your free time may
help you uncover some moments for
daily exercise. The Council on Fitness,
Sports & Nutrition notes that adults
According to the Presidents Council
between the ages of 18 and 64 need at
on Fitness, Sports & Nutrition, regular
least two and a half hours each week
physical activity can prevent chronic
of moderate-intensity aerobic activity.
diseases like heart disease, cancer and
stroke, which are the three leading causes While that may seem like a lot, its only
slightly more than 20 minutes per day.
of health-related death in the United
It helps to supplement such aerobic
States. In addition, men and women who
are not physically active are at greater risk activity with some strength-training
activities at least two days per week.
for developing type 2 diabetes. Regular
iet and exercise are essential
components of a healthy lifestyle.
While even the busiest men and
women can find ways to eat healthy,
finding time to exercise can be more
difficult.
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Spotlight on Health
Try waking up 20 to 30 minutes

earlier each day, using that time
to hit the treadmill or jog around
the neighborhood. You likely wont
be affected by waking up earlier,
and you wont need to alter your
existing schedule for the rest of
the day, either. If mornings arent
your thing, make better use of your
lunch hour, going for a jog or visiting
your companys exercise facilities if
that option is available to you.
Work while you exercise.
Technology has made it easier
than ever before to stay connected
to the office even when you are
nowhere near your desk. Men and
women who cant seem to find
time to exercise often cite the
demands of their job as the primary
reason behind their inactivity, but
those same individuals can use the
technology at their disposal, be it
smartphones that allow them keep
track of work emails or tablets
that make it possible to connect

remotely to office servers, to work
while they exercise. Bring your
smartphone or tablet with you
when you work out on the elliptical
or jog on the treadmill.
Reduce your sedentary time.
A 2008 study from Australian
researchers found that people who
regularly break up their sedentary
time, including the hours they sit
behind their desk at the office, with
movement had healthier waist
circumferences, body mass indexes
and triglycerides than those who
did not. While hourly breaks to
walk around the office might not
seem like exercise, such breaks can
benefit your long-term health.
Get creative. Many people
associate daily exercise with private
gyms, and while gyms can serve
as excellent motivators and great
places to get full-body workouts,
time involved in driving to and from

the gym can make it difficult to
commit to gym memberships. But
you dont need a gym membership
to live a healthy lifestyle. When
possible, take the stairs instead of
an elevator and park further away
from your office door so you get a
small cardiovascular workout on
your way into and out of the office.
Rather than retiring to the couch
after dinner, walk or bike around
your neighborhood. Such simple
gestures may seem insignificant,
but the more creative ways you
find to exercise each day, the more
beneficial such efforts become.
While there is no way to create
more time in the day, men and
women can employ several
strategies to make more time for
daily exercise.
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12
Life is complicated.
Healthcare doesnt have to be.
Spotlight on Health
Audiology
Family
Medicine
Megan Mathis-Webb, AuD

Kathryn Curtis, AuD
Mooresville
704.664.9638
Timothy A. Barker, MD
Edward S. Campbell, MD
Heather C. Kompanik, MD
Bruce L. Seaton, DO
Veronica Machaj, PA-C
Sherard Spangler, PA-C
Mooresville
704.664.7328
David Richardson, AuD

Statesville
704.873.5224
Bariatric
Surgery
Gary T. Robinson, MD, FACS
Statesville
704.838.8200
Cardiology
Keith A. Gatlin, MD, FACC
Ray I. Georgeson, MD, FACC
Gary K. DeWeese, MD, FACC
Statesville
704.873.7850
160+ Physicians &

Providers, 32 Specialties,
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Gary K. DeWeese, MD, FACC

Mooresville
704.235.1829
Dermatology
Stephen B. Scheibner, MD, FAAD
Erika K. Hill, MD, FAAD
Adina, Kulcsar, PA-C
Gretchen Heggerick, PA-C
Statesville
704.838.8210
Naomi Simon, MD
Scott Paviol, MD
Kristin Prochaska, PA
Mooresville
704.235.1827
Steven F. Wolfe, MD
Jennifer Bender, PA
Mooresville
704.663.2085
Perry L. Bartelt, MD
Dana Felts, PA-C
Statesville
704.878.6592
Daniel Bellingham, MD
Gary P. Butts, PA-C
Sharon Setzer, RN, FNP-CS
Statesville
704.871.1155
Tara L. Frankhouse, DO
Statesville
704.838.8237
Tiana Losinski, MD
Mooresville
704.360.4801
James W. McNabb, MD
Karen Carson, ANP
Mooresville
704.663.5056
General
Surgery
James C. Foxworthy, MD
Gary T. Robinson, MD
Statesville
704.838.8220
Stephen P. Rosser, MD
Statesville
704.872.6008
General Surgery Hospital Surgicalist

Bruce Harris, MD
Mark Hrko, DO
Paul Swaney, MD
Infectious
Diseases
Mahendra Narendran, MD
Statesville
704.873.1021
Internal
Medicine
Emmett Montgomery, MD
Rebecca Montgomery, MD
Mooresville
704.664.4000
Melissa R. Champe-Seagle, MD
Amy Alexander, PA-C
Mocksville
336.751.2121
Alisa C. Nance, MD
Lana Simmons, FNP-C
Mooresville
704.235.0300
James S. Foushee, MD
Fred Marks, MD
Tania Acevedo, MD
Teresa B. Campbell, FNP-C
Tanya Maxwell, RN, FNP-C
Statesville
704.873.1036
Amrish C. Patel, MD
Amanda Honeychuck, ARNP
Amber Price, PA-C
Meena Ego Osuala, PA-C
Troutman
704.528.9903
Gastroenterology
Endocrinology
Harry Demetri, DO
Amy E. McLaurin, MD
Theresa Faires, NP
Wanda Rushton, RN, FNP-C
Statesville
704.838.8256
Robert W. Reindollar, MD
Vivek Trivedi, MD
Tanya Williams, PA-C
Statesville - 704.978.1144
Carl A. Foulks, Jr., MD

Angela Kellermeyer, PA-C
Mooresville - 704.878.2021
Neil M. Kassman, MD
Leann Barnett, PA-C
Joseph A. Petrozza, MD
Nicole M. Eaton, PA-C
John C. Gatlin, MD
LuAnne V. Gatlin, MD
Andora McMillan, NP
Mooresville
704.660.5520
Jesus O. Gonzalez, MD
Mocksville
336.751.3446
Roger A. Hatharasinghe, MD
Joseph E. Moran, MD
Mahendra Narendran, MD
John C. Nicholson, MD
Christy Georgeson, FNP
Mary Kay Hansen, FNP
Kera Mondez, FNP
Melody L. Moore, RN, FNP
Statesville
704.873.1021
Spotlight on Health
Harlan M. Hicks, MD
Jennifer Brooks, NP
Statesville
704.838.8238
Rajkumar Joshi, MD
Statesville
704.883.8262
Anita Misra, MD
Kimberly Stout, NP
Statesville
704.838.8249
Manish G. Patel, MD
Julie Abney, PA-C
Amy K. Bolling, FNP-BC
Mooresville
704.658.1001
Henry C. Walters, Jr., MD
Statesville
704.872.6343
William A. Andy White, MD
Statesville
704.872.4544
Neurology
Andrew J. Braunstein, DO
Ryan Conrad, MD
Craig D. DuBois, MD
Douglas Jeffery, MD
Huntersville - 704.766.9050
Dharmen S. Shah, MD
Nutrition
Services
Gloria Bartelt, MPH, RD, LDN
Statesville
704-878-6592
Obstertrics
& Gynecology
Phillip R. Goodson, MD
Walter V. Meadors, Jr., MD
Statesville
704.872.5201
James T. Al-Hussaini, MD
Laura J. Arigo, MD
Katie P. Collins, DO
M. Grant Miller, MD
James D. Wilson, MD
Melissa Poole, CNM
Lauren Crosslin, CNM
Erica Ehland, CNM
Mooresville
704.663.1282
Ronel R. Enrique, MD
Sherma Morton, MD
Roshnara Singh, MD
Mary Torres, MD
Pamela L. Monroe, RNC-WHNP
Marilyn Overcash, RNC-GONP
Statesville
704.873.7250
Pediatrics
Occupational
Medicine
Robert R. Kimball, MD
Statesville
704.878.9309
Frederick U. Vorwald, MD
Mooresville
704.660.9111
Orthopaedic
Spine Surgery
Keith Meetze, MD
Thomas Warren, MD
Herb Wettreich, MD
Fred New, Jr., NP
Mooresville
704.664.9638
Susan R. Rene Benson, MD

Walter C. Gessler, MD
Elizabeth W. Rashley, MD, FAAP
Julie Hope Schopps, MD
Kristen Stoner, MD
Anna Norris, NP
Gail L. Roberts, FNP-BC
Statesville
704.838.8245
Jon Hutchinson, MD
Statesville
704.978.1096
Piedmont HealthCare
Express Care
Alex Seldomridge, III, MD

Statesville
704.873.3250
Frederick U. Vorwald, MD
Lori Sumner, PA-C
Ayanna Galloway, PA-C
Mooresville
704.660.9111
Orthopaedic
Surgery
Physiatry Interventional Spine Care
Scott Brandon, MD
Byron E. Dunaway, MD
Jeffrey R. Kuhlman, MD
Colby L. Fagin, MD
Daniel L. Cowan, PA-C
Jonathan Garrett, PA-C
Kim Lafreniere, PA-C
S. Dawn Repass, FNP-BC
Harsh Govil, MD, MPH

Thienkim Walters, PA-C
Otolaryngology
(Ears, Nose & Throat)
Alan E. Deddens, MD
Steven J. Landau, MD
Angelia Natili, MD
Statesville
704.873.5224
704.873.4277
www.PiedmontHealthCare.com
Rheumatology
Sean M. Fahey, MD
Dijana Christianson, DO
Mooresville
704.658.1001
Duncan A. McCall, MD
Janice Clayton, FNP-C
Statesville
704.873.7850
Urgent
Care
Robert R. Kimball, MD
Trevor Craig, MD
Frank J. Spence, Jr., MD
Kelly S. Boone, MSN, FNP
Carol LaTorre, NP
Burgo Gill, III, PA-C
Jennifer King, FNP
Statesville
704.924.9111
Urology
Tink A. Johnson, III, MD, FACS
Statesville
704.838.8250
Kush Patel, MD
Michael Schlesinger, MD
Statesville
704.873.1777
Weight
Management
Jacqueline Zinn, MD
Melissa R. Champe-Seagle, MD
Mocksville
336.751.2121
Pulmonary Medicine
Manish Patel, MD
Amy Bolling, FNP-BC
Mooresville
704.658.1001
Ahmed I. Elnaggar, MD
Enrique Ordaz, MD
Jos Perez, MD
Lisa K. Mathis, NP
Kristin Himes, PA-C
13
14
Aging = Aching
Spotlight on Health
he challenge of modern day Vein Care is

overcoming years of dogma regarding the
importance of Vein Care and misconceptions
that Vein Health is not important or that Vein Stripping
is still the main treatment modality for significant
vein disease. Vein disease affects more people than
peripheral arterial disease and heart disease combined,
and does have the potential for serious complications.
Modern day treatments are office based and allow
return to usual activities the same or next day. Because
of these misconceptions, and because vein disease is
a slowly progressing problem, patients and providers
alike often do not appreciate that leg pain or swelling
or itching is more than simply just part of growing old.
The paradigm of fist attributing symptoms to aging
needs to be turned on its head, and treatable causes
looked for and excluded. We need to remember that
Aging=Aching.
In a similar fashion, active persons with leg symptoms
should not first assume that their symptoms are

necessarily just muscle soreness, especially if such
symptoms persist over time. Athletes and otherwise
fit individuals can have vein disease with symptoms
and conditions that can impact performance. In
addition, it is frequently not recognized that significant
vein disease can occur in the absence of visible vein
problems. Many people with significant symptoms do
not have visible varicose or spider veins.
If you are experiencing symptoms such as heaviness,
aching, swelling, throbbing, itching or even restless
legs or leg wounds that wont heal, you could have a
vein problem. Seek out a professional who has special
interest and training in the evaluation and treatment of
vein disease. You can find such professionals through
the following resources: The American Board of Venous
and Lymphatic Medicine, at ABVLM.org; the American
College of Phlebology at Phlebology.org, and the
American Venous Forum, at veinforum.org
Many people with

significant symptoms do
not have visible varicose
or spider veins.
Drs. Steve Folstad and Todd Hansen
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15
16
Spotlight on Health
Healthy ways to handle stress

Stress affects people of
all ages. How men and
women handle stress
can impact both their
immediate and longterm health, as stress
has been linked to a
host of problems and
ailments, including sleep
dysfunction and heart
disease. Many people
cope with stress in
unhealthy ways, which
may only exacerbate the
effects of stress on the
body. Certain methods of
handling stress may work
for some people but not
others, but the following
are a few healthy ways to
combat stress.
1. Limit alcohol and caffeine consumption.
Many adults turn to alcohol at the end of a stressful day, but the Centers for Disease
Control and Prevention note that relying on alcohol to cope with stress may only
create more problems down the road, and those problems will only increase your
stress levels.
2. Rely on a support network.
Coworkers, family and friends have stressful days, too, and such confidantes can
help you handle stress in healthy ways.
3. Get daily exercise.
When the body is physically active, the brain secretes endorphins, which are
neurotransmitters that make you feel good. Regular exercise also helps you get a
fuller, deeper sleep, which can be disrupted by stress.
4. Eat a healthy diet.
Diet also can affect how your body handles stress. Certain foods can tame stress.
For example, oatmeal can boost levels of a calming chemical known as serotonin in
your brain. That calming effect can make it easier to cope with stress. Omega-3 fatty
acids, which are found in fish such as salmon and tuna, may help prevent surges in
stress hormones while also protecting against heart disease and depression, two
serious conditions that studies have linked to elevated stress levels.
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17
What Can Hospice Do for You?
For example, if a person often

relies on the hospital and
requires immediate medical
attention, admittance to the
hospice house is a helpful
solution. Typically, such visits
are aimed at controlling
specific symptoms and are
short-term in nature. When
the patients needs have been
managed, the person is able
to leave the hospice house
and return back home or to a
facility.
ospice is, most simply,

a set of services
designed to help people
challenged by advanced
illness. Hospice care seeks to
provide support to patients
wherever they choose to call
home, whether thats their
own residence, the home of
a family member, an assisted
living facility, a nursing home,
or a hospice house.
Ideally, every patient would
remain comfortably at home
during the course of their
illness, but thats not always
possible. When specialized
medical care becomes
necessary, hospice houses
are a great resource for both
patient and family.
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Patients can also arrange

stays at the hospice house in
response to caregiver needs.
This type of visit is called
respite care. For example, if a
family has planned a vacation
Comprehensive
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or needs to attend a special event

that the patient isnt up for, the
patient can stay at the hospice
house for five days of private care.
These pre-planned visits can also
help caregivers take a break from
constant responsibilities and find a
chance to rest.
In a basic way, hospice houses
are akin to hospitals in that they
offer round-the-clock medical
care. Typically, when a hospice
patient experiences a sudden
crisis, he visits a hospital for relief;
however, hospice houses are also
equipped to handle these events
and can minimize the anxiety that
sometimes accompanies ER visits
along with exposure to viruses and
contagions.
Plus, as illnesses advance, care at
a hospice house may be preferable
to that at a hospital and offer
increased intimacy. At hospice
Spotlight on Health
houses, for example, patients

always have private rooms. They
can count on seeing a doctor
every day. A nurse attends to 6
or 7 patients rather than dozens.
Families are invited to be with
patients throughout the day and
night. And clinical staff are well
versed in disease progression
and end-of-life care, meaning that
theyre a great source of specialized
information and comfort.
In general, hospice care provides a
number of tangible and intangible
benefits that most people
arent aware of, mainly because
theyre trying to take in so much
information when a loved one is ill.
Its to the familys advantage to ask
questions about what is available or
would be helpful so that they can
tap into the support they need.
and payments, obtaining hospital

beds and other equipment, or
utilizing the services of clinical or
counseling staff, support is just a
request away.
No one person needs to tackle the
demands of advanced illness when
theyre trying to provide care and
compassion to a loved one.
Thanks to the opportunities that
hospice offers, no one has to. Help
is always at hand.
Content provided by Catawba
Regional Hospice
Whether that involves

understanding insurance policies
Erika K. Hill, MD, FAAD

Dermatology
EDUCATION
Dr. Hill sees patients of all ages for the evaluation and treatment of
conditions/diseases affecting the hair, skin and nails.
Undergraduate - University of Pittsburgh, Pittsburgh, PA
Graduate - University of Pittsburgh School of Medicine, Pittsburgh, PA
Internship/Residency in Family Medicine - Riverside Regional Medical
Center, Newport News, VA
Residency in Dermatology - University of Alabama at Birmingham, AL
Military Service - US Air Force, 2001 - 2014
Accepting New Patients
Erika K. Hill, MD
Dermatology
152 Sherlock Drive

704.838.8210
www.PiedmontHealthCare.com
Spotlight on Health
19
Nip the
nail biting habit
for your health
ail biting, also known as onychophagia, is a common

habit that affects people of all ages. Biting your nails
usually stems from stress or forms as a nervous habit.
Most research says that children and teenagers make up the
greatest number of regular nail biters.
On the surface nail biting may seem like a trivial thing in
terms of affecting your health. Although it can seem like biting
your nails does nothing more than make the hands look less
attractive, there are actually other dangers to repeated nail
biting that people prone to the habit should consider.
Firstly, biting your nails can be an unsanitary behavior. The
fingers can pick up all measures of contaminants, and the
nails can be an ideal location for bacteria to thrive since
nails are more difficult to keep clean than the surface of the
Lisa Monson, MA, LPC, NCC

125 Commerce Park Road, Suite 102
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Counseling available for adults, adolescents and couples experiencing
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hands. According to the American

Academy of Dermatology, bacteria
like E. coli can live beneath the tips
of your nails. When you bite your
nails, those bacteria end up in your
gastrointestinal system and can
lead to infection. The nails also can
harbor fecal matter and many other
unsavory microscopic particles, even
parasites. Biting your nails gives
these tiny invaders easy access to
your body.
Nail biting also may lead to infections
on the fingers around the nail bed.
The infection, called paronychia,
causes redness, swelling and pain
around the nail. Microorganisms can
get into the skin through tiny tears
and abrasions that occur while biting
the nails and cuticles, says The Mayo
Clinic. If the infection damages the
nail bed, you can end up affecting
nail growth.
Spotlight on Health
Should you have warts on your

hands or fingers, they easily can be
transferred to your lips and mouth
through nail biting.
Nail biting also can cause problems
to your teeth. Prolonged nail biting
may affect how the teeth form in
children. It can interfere with dental
occlusion, or the manner in which
the upper and lower teeth come
together to bite. Eventually teeth can
shift out of position. The Academy
of General Dentistry estimates that
nail biting can result in thousands of
dollars of extra dental work.
While biting your nails may seem
like a harmless habit, it actually can
affect personal health in a number
of ways. Explore the different ways
to keep from biting your nails to
improve the health of your fingers,
your teeth and the rest of your body.
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Spotlight on Health
Oral Health Impacts

Overall Health
healthy mouth is
good for more than
just a pretty smile.
Oral health can affect the
entire body, making dental
care more than just a
cosmetic concern.
Many people know that
poor oral hygiene can
lead to gum disease,
tooth decay and even lost
teeth. But are you aware
that failing to brush or
visit the dentist regularly
also can lead to more
serious health issues?
According to Colgate,
recent research suggests
that there may be an
association between oral
infections, particularly
gum disease, and
cardiovascular disease
and preterm birth. Gum
disease also may make
diabetes more difficult to
control, since infections
may cause insulin
resistance and disrupt
blood sugar.
Your mouth also can
serve as an infection
source elsewhere in the
body. Bacteria from your
mouth can enter the
bloodstream through
infection sites in the
gums. If your immune
system is healthy, there
should not be any adverse
effects. However, if
your immune system
is compromised, these
bacteria can flow to other
areas of the body where
they can cause infection.
An example of this is oral
bacteria sticking to the
lining of diseased heart
valves.
Other links have been
found between oral health
and overall health. In
2010, researchers from
New York University who
reviewed 20 years of
data on the association
concluded that there
is a link between gum
inflammation and
Alzheimers disease.
Researchers in the UK
also found a correlation.
Analysis showed that
a bacterium called
Porphyromonas
gingivalis was present
in brains of those with
Alzheimers disease but
not in the samples from
the brains of people who
did not have Alzheimers.
The P. gingivalis bacterium
is usually associated with
chronic gum disease and
not dementia.
Researchers also have
found a possible link
between gum disease
and pancreatic cancer.
Harvard researchers
found that men with
a history of gum
disease had a 64
percent increased risk

of pancreatic cancer
compared with men
who had never had gum
disease, based on studies
of men from 1986 through
2007.
While oral health issues
may lead to other
conditions over time,
symptoms also may be
indicative of underlying
conditions of which
a person is unaware.
Inflammation of gum
tissue may be a warning
sign of diabetes. Oral
problems, such as lesions
in the mouth, may
indicate the presence
of HIV/AIDS. Dentists
may be the first people
to diagnose illnesses
patients dont even know
they have.
21
An important step in
maintaining good overall
health is to include
dental care in your list of
preventative measures.
Visit the dentist for
biannual cleanings or
as determined by the
doctor. Do not ignore
any abnormalities in the
mouth. Maintain good
oral hygiene at home by
brushing twice a day and
flossing at least once per
day. Mouthwashes and
rinses also may help keep
teeth and gums healthy.
Oral health and other
systems of the body seem
to be linked. Taking care
of your teeth promotes
overall health.
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22
LIFETRANSITIONS
treating the person, not just an illness
We help
manage
chronic
How to adjust to a
healthier diet
hange often requires an adjustment period. Men

and women who switch jobs may need a few
weeks before they feel fully comfortable in a new
office, while students changing schools may also need
some time to adapt to their new surroundings.
illnesses
that limit
daily
activities.
An adjustment period is also common when people

decide to adopt healthier diets. Diet is often habitforming, and men and women will need some time to
adjust as they kick some bad dietary habits in favor of
healthier fare. The following are some simple ways to
make that adjustment period a little easier to swallow.
Go slowly. Some people are capable of going cold
turkey when adjusting to a new diet, while others
must take a more gradual approach. Unless a health
condition that requires immediate change is driving
your dietary changes, take things slowly so your body
acclimates to its new diet over time. Such an approach
may make your efforts more successful over the long
haul than making more sudden, drastic changes. For
example, suddenly cutting your daily calorie intake in
half may force you into old, unhealthy habits when
hunger pangs inevitably arise. But gradually reducing
your caloric intake over time may make it easier for
your body to adjust, decreasing the likelihood that you
will relapse into bad habits.
Explain your motivation to loved ones. Adults,
especially married men and women and parents,
may find adjusting to a new diet especially difficult
unless their spouses and/or families are making
similar adjustments. If you are the only member of
your household who will be adjusting to a new diet,
Life Transitions cares for patients with

heart disease, COPD, pneumonia, and
other acute medical issues.
Call for a consultation today.
828-464-9459
YourLifeTransitions.org
Spotlight on Health
explain your efforts and

motivation to your loved
ones. Such an explanation
will make them less
likely to bring unhealthy
foods into your home. In
addition, your loved ones
can prove an invaluable
source of support as you
make this big adjustment
in your life.
Embrace positive
results, even if they are
initially underwhelming.
Just because you have
adopted a new diet does
not mean you will see
immediate results. Fad
diets meant to last just a
few weeks may produce
immediate results, but
such results likely will
not withstand the test of
time, and you may even
gain weight when you
revert to some of your old
eating habits. The right
diet will produce longlasting results, but you
must allow for some time
before such diets lead to
significant weight loss. In
the meantime, place more
emphasis on how you feel
than the figure that shows

up on your bathroom
scale each morning. Upon
adopting a healthier diet,
you will start to notice
how much better you feel
than you felt when eating
a diet filled with fatty,
unhealthy foods. Remind
yourself of this extra
hop in your step as you
continue on the path to a
healthier lifestyle.
Dont give up. Your
adjustment period will
require some discipline,
and there may be
moments when you
backslide into bad habits.
If that happens, dont
allow it to derail all of
the progress you have
made since switching
to a healthier diet. Just
accept that you had a
setback and resolve to
do your best to avoid
having another one. The
sooner you get back on a
healthier track, the better
you will feel.
- Metro Creative
Connection
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Spotlight on Health
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Peter Miller, MD, PhD

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