Monthly Archives: September 2016

Pumpkin is the New Black


Jayne VecchioJayne is a graduate of Virginia Tech and is currently a Dietetic Intern through Meredith College, working with REX Nutrition Services and REX Diabetes Education Center.

Pumpkins are nutrition-packed vegetables that seem to be underrated for the majority of the year- until fall rolls around. As you may have noticed, pumpkin is currently taking over grocery stores and coffee shops and the smell of pumpkin spice lingers in the air.  It is high in fiber, low in sugar and fat, and contains many micro-nutrients the body requires to function.

Here are some of the main nutrients pumpkin provides:

  • pile of pumpkinsVitamin A – aids in vision (1 cup mashed pumpkin contains more than 200% RDI)
  • Vitamin C – can help boost immune system
  • Beta carotene – a powerful antioxidant that helps fight disease
  • Fiber – keeps you fuller longer and can aid in weight loss
  • Phytosterols – Can reduce LDL (bad) cholesterol levels
  • Tryptophan – an amino acid that helps calm and relax body

One of my favorite ways to get in the fall spirit is incorporating pumpkin into baking.  Simply adding of a cup of pumpkin puree to recipes is as a more nutritious way to enjoy a sweet treat (in moderation)! Pick up a can of pumpkin (or a pie pumpkin to steam if you prefer the old-fashioned way) at your local grocery store and try this recipe this weekend:

Pumpkin Banana Muffins

pumpkin banana muffinsIngredients:

  • ¼ cup butter
  • 2 ripe bananas
  • 1 cup sugar
  • ¾ cup canned pumpkin
  • 1 egg
  • 1 teaspoon vanilla
  • 1 ½ teaspoon pumpkin spice
  • 1 teaspoon cinnamon
  • 1 ½ cups flour
  • ½ teaspoon salt
  • 1 teaspoon baking soda

Directions

  • Preheat oven to 425° and line a muffin tray with liners.
  • In large bowl microwave butter until melted, about 15-20 seconds, then add the bananas and mash. Add the sugar and pumpkin. Stir well.
  • Stir in the egg and vanilla.
  • Mix in pumpkin spice, cinnamon, flour, salt, and baking soda.
  • Spoon evenly into a muffin tin

Bake for 5 minutes at 425°, then reduce the heat to 350° and bake for 15-16 more minutes. Baking them at the higher temperature at first helps them rise and gives a nice rounded top.  Remove from tin and allow to cool then enjoy!

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Lessons from a Mock Triathlon

Post by Rodney Jenkins, a Group Exercise Instructor at the REX Wellness Center of Garner. He is also a business teacher, a soccer coach and an athletic trainer with the Wake County Public School system.

On September 4,  seventeen determined athletes participated in the Knightdale Wellness Center Mock Triathlon. Over the past few years, we have held this event at our centers to help members prepare for race day.

Participants have an opportunity to participate in the entire swim, bike and run course without the pressures associated with an actual race. We start in the pool with staggered swim starts (every 30 seconds a swimmer begins), we have a transition area and we cycle and run the entire course. New cyclists and runners are partnered with experienced triathletes so we run a very safe event.

However, the Knightdale event was a little different. Instead of being the instructor, I became the student because several members taught me something new about the sport of triathlon. As we started the swim, I asked each person about themselves and this is what I heard:

  • Swimmer #1:“I was recently in the hospital for a month.”
  • Swimmer #2: “Cancer survivor.”
  • Swimmer #3: “I was in a serious automobile accident but I’m back.”
  • Swimmer #4: “I’ve never done this before so I want to see if I can do this. I’m not even registered for the race.”

So what did I learn? The triathlon can be so much more than an athletic event. It can be a reaffirmation that life’s challenges may cause one to stumble but not fall. Thanks all for sharing your stories and I can’t wait to see all of them again on September 19 at the Rex Knightdale Triathlon.

Rodney and fellow participants in the Knightdale Mock Triathlon

Rodney and fellow participants in the Knightdale Mock Triathlon

The REX Wellness Sprint Triathlon- Knightdale is on Sunday, September 18.

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Improving Care for Patients with PAD through Research

pad2016-digital-signage

Peripheral artery disease (PAD) affects an estimated 8 million people in the U.S. However, severity of symptoms can vary widely.

Patients with relatively mild PAD may experience cramping in their limbs during exercise—known as claudication. Patients with the most severe PAD are afflicted with ischemic ulcers and gangrene as cells and tissues that are deprived of oxygen-rich blood begin to die.

Several devices, like stents or balloons, are available to help relieve the blockages that cause PAD. But because most of the data on their use comes from clinical trials aimed at regulatory approval, and because such trials utilize patients with a relatively standardized severity of symptoms, there is often little guidance for clinicians whose patients have milder or more severe PAD.

One UNC REX Healthcare doctor is leading the effort to change that.

George L. Adams, MD, MHS, FACC

George L. Adams, MD, MHS, FACC

George Adams, MD, MHS, Director of Cardiovascular and Peripheral Vascular Research at UNC REX Hospital, is leading a prospective, observational, multicenter study called LIBERTY 360. In February 2016, the study completed enrollment 1,204 patients at 51 sites across the U.S. The enrolled patients had symptoms that ranged from mild to severe (physicians use the Rutherford scale to rate severity) requiring endovascular treatment for an arterial blockage located within the target area beginning slightly above the knee, through the foot.

“In the guidelines currently, you are supposed to manage the symptoms of patients with mild PAD and amputate in the most severe cases,” said Adams. “So the question we’re trying to answer is if we accept all classes of patients, what can we do for them and what is the outcome?”

The study hopes to gather data on the clinical and economic impact of endovascular device interventions – like stents or balloons – by following patients for up to five years. During that time, patient risk scores will be developed as a clinical predictor of outcomes to provide guidance for future interventions.

Initial 30-day results, which Adams recently presented in a late-breaking presentation at the Amputation Prevention Symposium in Chicago, have already suggested a new way of looking at treatment.

The results saw quality of life improvements in patients from across the Rutherford scale. “The take home message is maybe we should be intervening earlier and trying to intervene in more severe cases,” said Adams.

Ideally, intervening with endovascular devices among a wider range of patients will improve outcomes all around, including reducing the number of amputations required in patients with the most severe PAD. But for now more data need to be gathered.

To find out if you are at risk for PAD, please take our free online health risk assessment. To learn more visit rexhealth.com.

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Bee Sting or Back-to-School Bug?

REX Express Care of Raleigh

REX Express Care of Raleigh: 3050 Duraleigh Road

With the beginning of the school year, many families are juggling new schedules. When a family member gets sick or injured, it can throw even the most organized among us for a loop.

Regardless of the ailment, our REX Express Care team is here to help you at our new Raleigh location at 3050 Duraleigh Road.  We’re open seven days a week from 9 a.m. – 8 p.m.

REX Express Care is available to help treat conditions that can come up suddenly and get you or your loved one back into the routine quickly. With five convenient locations throughout the Triangle, we’re close to home, school or work.  Check the estimated wait time for a location near you at rexhealth.com/wait-times.

Lab and X-ray services are also available onsite for your convenience. Our care team provides services and treatments for common conditions, including:

  • burn/wound care
  • cold/flu
  • earaches/ear infections
  • insect bites/stings
  • minor lacerations
  • seasonal allergies
  • skin rash/poison ivy
  • sore throat/strep throat
  • mild asthma
  • sutures
  • sports physicals
  • UTI/painful urination

We are here to help you feel better, faster!

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Getting to Know PAD

Lori Adkins_croppedLori Adkins graduated in 1998 with a BA in Speech Communications from UNC Chapel Hill. After working in the pharmaceutical industry, she returned to school and received an associate in Science in Nursing Degree from  Wake Technical Community College in May 2013.  She is currently pursuing a BSN  from UNC Wilmington.
Over the past three years, Lori has worked with multiple cardiac populations including CHF, CABG, PCI and Arrhythmia  patients.  She enjoys helping her patients understand Cardiac Risk factors. Lori is married and the proud mother of  two beautiful children.

About eight million Americans have Peripheral Artery Disease (PAD), and many people mistake the symptoms for something else. Pain, cramping, and tiredness of the leg, and/or hip muscles that increases with activity and decreases with rest are all signs of PAD. PAD often goes undiagnosed and puts patients at greater risk for heart attack. If left untreated, it can also lead to gangrene and amputation.  If the blockage occurs in a carotid artery, it can cause a stroke.  Managing PAD begins with knowledge. REX Vascular Specialists encourages you to learn all you can about PAD and other cardiovascular disease. Knowing your risk factors and living an active heart-healthy lifestyle may ward off this debilitating disease.

What is PAD?

clogged arteryPeripheral Artery Disease (PAD) is caused by fatty build-up, also known as atherosclerosis, in the inner walls of the arteries.  This build-up causes a blockage and affects normal blood flow.

Where does PAD occur?

Common sites for PAD are the iliac artery (in the lower torso), the femoral artery (in the groin), the popliteal artery (at the knee) and the tibial arteries (at the shin and calf). PAD can also occur in arteries of the kidney and other organs.

What are the symptoms of PAD?

Common symptoms of the early stages of PAD may include cramping, fatigue, heaviness and pain or discomfort in the legs and buttocks during walking or activity. The pain and discomfort usually goes away when activity stops. This is known as “intermittent claudication.”

How is PAD diagnosed?

PAD diagnosis begins with a medical history and physical exam. REX Vascular Specialists offer a comprehensive package of screenings along with a one-on-one results consultation. The comprehensive screening includes blood pressure, body mass index, full cholesterol panel, and ankle brachial indexes.  The ankle-brachial index (ABI) result is used to predict the severity of peripheral arterial disease (PAD).This test is done to screen for peripheral arterial disease of the legs. It is also used to see how well a treatment is working (medical treatment, an exercise program, angioplasty, or surgery).The ABI result can help diagnose peripheral arterial disease (PAD).

Why get screened for PAD?

PAD can affect vital arteries that lead to the kidneys, stomach, arms, legs and feet. If PAD is not treated, it can lead to gangrene and amputation of limbs. If the blockage occurs in the carotid artery, it can lead to a stroke. Most patients with PAD have a higher risk of death from heart attack and stroke.

To find out if you are at risk for PAD, please take our free online health risk assessment. To learn more visit rexhealth.com.

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