HealthLinks Upstate Sept-Dec 2023

COMPLIMENTARY ABBEVILLE | ANDERSON | CHEROKEE | GREENVILLE | GREENWOOD | LAURENS | PICKENS | OCONEE | UNION | SPARTANBURG UPSTATE LIVE LONGER MUSIC, MEMORY & MENTAL HEALTH SEPT-DEC 2023 ORAL HEALTH REVOLUTION DENTAL SPAS AND DIGITAL ADVANCES WITH LAUGHTER KEEPING AGING PETS SPRIGHTLY

Making a difference, one family at a time. PruittHealth Hospice and Palliative Care offers a family-focused approach to care that creates an extra layer of support and consideration of alternative treatment options. Our caregivers are dedicated to providing compassionate care and comfort to our patients and their loved ones. PruittHealth delivers hospice and palliative care 24 hours a day, 7 days a week tailored to each patient’s individual needs. Contact us today and learn about the PruittHealth difference. The PruittHealth Organization complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Anderson • 864-226-1219 License # HPC-0102 Greenville • 864-962-6699 License # HPC-0102 PruittHealth.com

These include: • Same-day appointment access • 24/7 access to your care team • Urgent care • Sports and Work Physicals • Discounted lab work • Office visits • EKG • X-rays • Flu shots • Sick visits • Chronic disease management • Virtual visits ASK ABOUT OUR EMPLOYER PARTNERSHIP PROGRAMS SPARTANBURG | CAYCE | GREENVILLE | DRAYTON MILLS | MOUNT PLEASANT 864.252.4808 | WWW.PALMETTOPROACTIVE.COM Direct primary care for you and your family. GET WELL. STAY WELL. LIVE PROACTIVE. Accessible & Affordable Healthcare Starts Here. PALMETTO PROACTIVE HEALTHCARE is a Direct Primary Care (DPC) family medicine practice that reunites the physician and patient in a proactive partnership. We dedicate our efforts to your care while keeping the cost of care affordable and known to our patients. With our PROACTIVE PATIENT PROGRAM (P3), you will have access to the care you need to get well and stay well for only 1of 5 Smart Money Moves $70 PER MONTH. No co-pays. No surprise bills. 1208 Ella Street Anderson, SC 29621 864-965-9150 www.directaccess.md 118 S. Pendleton Street, Suite A Easley, SC 29640 864-306-4599 www.veritymedicine.com You can also contact these other physician owned and operated direct primary care clinics in the Upstate. Established 2010 1068 North Church Street Greenville, SC 29601 864-702-2365 embermodernmedicine.com

RMI.LIVE | (877) 573-3737 EMPOWERING YOU TO BE YOUR BEST DR. KENNETH ORBECK, D.O., FAARM, ABAARM SEASONS CAN IMPACT THE FOLLOWING: Cortisol Digestion Fatigue In ammation Melatonin Menopause Menstrual Cycle Mood Change Sleep Sex Drive Stress Response Thyroid Function Vitamin D Weight Contact us today and schedule a free consultation with Dr. Orbeck to learn more about how RMI can help you be your best. The fluctuation of hormone levels plays a major role in how we feel throughout the year. Hormonal imbalances can be brought on by a number of factors, including lifestyle choices and experiences. The Carolinas' Leader in Integrative-Regenerative Medicine Dr. Orbeck dedicates his practice to helping men and women find relief from hormonal imbalances such as menopause, andropause (the male menopause), adrenal fatigue and thyroid disorders by using a personal functional approach to wellness; combining customized nutrition and fitness regimens with bioidentical hormonal therapy. Dr. Orbeck examines the interaction between each person’s genetic, environmental, and lifestyle factors for an individualized and customized treatment plan for each patient. SEASONAL AFFECTS ON YOUR HORMONES

THE TRUSTED CHOICE When my dad suffered a stroke, it was my turn to help him with important decisions, like making the right choice in rehabilitation. I asked the medical professionals that treated him who they trusted for the best care and outcomes. They said Encompass Health, the nation’s largest system of rehabilitation hospitals. There, they created a rehabilitation program specifically designed for his needs using advanced technology and innovative treatments. And he was cared for by a highly trained, experienced staff that showed professionalism and compassion throughout his recovery. Now I know why they are the trusted choice of medical professionals. // encompasshealth.com/greenvillerehab ©2021:Encompass Health Corporation:MyTurn

4 | HealthLinksSC.com ISSUE 6.3 SEPT-DEC 2023 UPSTATE 12 | DENTAL SPAS EASE ANXIETY Rather than the whirring of drills, the natural sound of flowing water greets patients who opt for a spa approach to dental health. 16 | LESSONS LEARNED Compare lessons taught in dental schools now to those back in the ’60s, and discover the wonder of medical advances. 18 | MUSIC FOSTERS GOOD HEALTH Because we are rhythmic human beings, music can be a valuable tool to maintain or regain our physical and emotional health. 22 | HEALING SOUND Therapeutic sound therapy has an enthusiastic following in South Carolina. 24 | THE EYES DON’T HAVE IT Health professionals warn that use of computers, cellphones and other electronic devices has increased digital eye strain to pandemic heights. 26 | EXERCISE. READ. GET A DOG. Several wise retirees in the area recently offered advice to folks who remain forever curious about how people who live to record-setting ages make it happen. 30 | (DON’T) BITE YOUR TONGUE The bliss of a good night’s sleep eludes people who suffer from an experience that can signal other undetected problems: tongue biting. FEATURES

HealthLinksSC.com | 5 CONTENTS 44 | BETTER HEALTH – A LAUGHING MATTER Research suggests that laughter started as a survival tool in animals as a way to communicate that the group was safe from harm. Now doctors know that laughter heals. 51 | TIME CHANGE CHALLENGES It seems everyone is affected by the time changes – even our pets. 58 | SENIOR DOGS NEED SPECIAL CARE As pets age, their needs change. Preventive health care and more frequent medical checks become important to their overall quality of life. DIRECTORIES Senior Health..............................................................62 Oral Health..................................................................63 IN EVERY ISSUE Publisher’s Note............................................................ 6 From the Editor.............................................................7 Living Healthy Area Events........................................... 8 The Lighter Side of Health Care.................................50 Upstate Area Nonprofits............................................. 52 Unique Case................................................................54 There's an App for That.............................................. 56 Faces & Places. ........................................................... 60 The Pulse on Charleston Nurses.................................64 SPONSORED MEDICAL CONTENT The Willows of Easley: Not Just Another Pet-Friendly Senior Community.............................................................. 33 RMI – Empowering You to be Your Best............................. 34 Seawright Funeral Home and Crematory. .......................... 35 Excel Rehab & Sports Aces Patients-First Mission.............. 36 The Insurance Source: Say Goodbye To Insurance Stress.............................................................. 38 Legacy Reserve: Senior Independence for Better Living........................................................................ 41 Equine Therapy Offers 'Magical’ Way Out Of Substance Abuse. ............................................................... 43 Restoration Senior Living: On the Move in the Upstate.....46 Kempton of Greenville: Keeping the Feeling of Home......49 BY THE NUMBERS Laughter.............................................................................. 45

6 | HealthLinksSC.com I enjoy big projects. I enjoy the arduous chipping away – each day making slow, steady progress. I enjoy poking my head up from the trenches every so often to see a project evolve over time. Most of all, I enjoy the sense of satisfaction from a project well done. Nearly two years ago, we decided it was time take on the renovation of HealthLinks’ website – a project that would prove to be greater and more challenging than any other since the inception of HealthLinks magazine. The HealthLinks team, including key project stakeholders – graphic designers Kim Hall and Lynn Gottleib, webmaster George Conklin and project leader Jonathan Shanin – worked with web developers from three different countries to create a robust, user-friendly website full of information and imagination. It’s a website that meets your needs better. HealthLinksSC.com enables users to seamlessly explore thousands of local health articles and connect with quality providers throughout the Lowcountry and beyond. Through HealthLinksSC.com, our HealthLinks community has more efficient, direct access to medical information and health providers, empowering us to prioritize our personal health. Ultimately, HealthLinksSC.com will offer users the autonomy to hold the reins tighter as we navigate our own personal health and well-being. With that well-informed control, we believe that you will have healthier, happier and more productive lives. Dive in and enjoy what HealthLinksSC.com has to offer. Let us know about your experience. As with all new ventures, tweaks are inevitable. Your feedback will help us with those improvements. As a new school year begins and we bid farewell to the summer, I want to thank you for your trust and appreciation for HealthLinks. You continue to help us grow, to launch new projects and provide invaluable information. Halford Edward Luccock, a prominent American Methodist minister and professor, once stated, “No one can whistle a symphony. It takes a whole orchestra to play it.” Our good health and well-being are a symphony; it takes a whole orchestra of health care professionals, community members and publications/websites like HealthLinksSC.com to ensure that symphony is just right. Cheers to Good Better Heath, Cullen Murray-Kemp, Publisher Cullen Murray Kemp UPSTATE Publisher CULLEN MURRAY-KEMP [email protected] Managing Editor LISA BRESLIN Assistant Editor AMY GESELL Copy Editor BRIAN SHERMAN Art Director KIM HALL Webmaster GEORGE CONKLIN Sales Manager MANDY WILLIS [email protected] Photography Partner CARIN SCATES carinscates.com Writers Media Consultant BRANDON CLARK [email protected] Distribution Manager Latrale Gunther – [email protected] Distribution: C&R Marketing Administration & Bookkeeping GINGER SOTTILE Distribution U.S. Post Office, Harris Teeter, Ingles, CVS, Food Lion, Medical Offices TO ADVERTISE IN HEALTHLINKS UPSTATE PLEASE CALL 864-612-7694 MEDICAL MARKETING GROUP HealthLinks Upstate reserves the right to refuse advertisements. Acceptance of advertisements does not imply the service or product is recommended or endorsed by HealthLinks Upstate. 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] Issue 6.3 SEPT-DEC 2023 LISA BRESLIN HANNAH BROOKS AMY CONNOR BILL FARLEY AMY GESELL CATHERINE KAUFFMAN L.C. LEACH III KAREN LISZEWSKI RILEY MATHEWS COLIN MCCANDLESS JANET PERRIGO MOLLY SHERMAN THERESA STRATFORD LISA WACK PUBLISHER'S NOTE Scan to discover our other HealthLinks platforms!

HealthLinksSC.com | 7 FROM THE EDITOR There has never been a shortage of advice about how to live longer, and, when philosophers, health gurus and even the lucky few who live to be 100 years or older share their wisdom, everyone is eager to listen. Roman philosopher Lucretius once noted, “Time is present: He uses it. Time is to come: He anticipates it. This combination of all times into one gives him a long life.” Jeanne Calment, a French woman, earned the honor of being the world’s oldest person on record when she lived to age 122. Calment talked about her life with Jean-Marie Robine, an expert demographer who studies the links between health and longevity, according to a “Make It” story in February 2023 on CNBC.com. Robine concluded that there were three reasons Calment lived for so long: She was wealthy, which enabled her to have a strong education and avoid having to work; she never smoked cigarettes until later in life; and she had a great social life. Bonita Gibson, a Michigan resident who lived until she was 112, once told a reporter that her secret to longevity was to avoid junk food and try to exercise. Also “no smoking or drinking. Cut out all the good stuff, actually,” she told CBS News Detroit. HealthLinks reporter Lisa Wack spoke to several wise retirees in the area who offered advice to folks who remain forever curious about how people live longer. My favorite piece of advice in the article came from an 83-year-old Keowee Kee resident who said, “Exercise. Read. Get a dog.” In addition to offering tips for living longer, this issue of HealthLinks Upstate takes you into the current oral health revolution. Dental offices now boast of spa-like treatments that include warm blankets, mood music and chair massages. Digital dentistry opens paths to more accurate and efficient treatments. Reporter Clark Leach’s article about what dentists were taught in the 1960s compared to what they learn now confirms that dentists better understand the link between dental health and overall health. As a result, they share this correlation with their patients, and more people’s dental health routines reach beyond what Clark identifies as the “dental trinity” of brushing, flossing and gargling. Throughout this issue, you’ll find some good laughs and discover unsung heroes in the community, too. I hope that you enjoy the magazine as much as the HealthLinks Upstate team enjoyed creating it. To simple pleasures and good health, Lisa Breslin, Managing Editor SEPT-DEC 2023 UPSTATE HIGH-QUALITY, BEAUTIFUL PHOTOGRAPHY See through a different lens!

8 | HealthLinksSC.com HEALTHY AREA EVENTS l ving SEPTEMBER 9 Brushy Creek Guided Hike Conestee Nature Preserve 415 Churchill Circle, Greenville 9 a.m. Join one of Conestee Nature Preserve's naturalists for a guided hike to explore areas along the Reedy River and Brushy Creek, as well as focused habitat restoration spaces. Learn more: conesteepreserve.org/events SEPTEMBER 7 Healthy Aging Research on Fall Prevention and the Importance of Voice Feed & Seed Co. 701 Easley Bridge Road, Suite 6010, Greenville 2 p.m. Presenters Hannah Benge, ClinScD, CCC-SLP, and Stephen Chen, Ph.D., will discuss the latest healthy aging research on fall prevention and the importance of voice. Learn more: bonsecours.com/locations/community-services/ greenville/st-francis-lifewise SEPTEMBER 9 Hub City Health Fair Barnet Park 248 E. St. John St., Spartanburg 10 a.m. The Hub City Health Fair will feature a kid zone, healthy food trucks, cornhole tournaments, powerlifting and local vendors promoting their businesses. Learn more: facebook.com/events/591086799799179 SEPTEMBER 6 The Path to Better Bone Health Gibbs Cancer Center & Research Institute - Pelham 2759 Highway 14, Greer 12 p.m. Learn who is at risk for osteoporosis, the importance of nutrition for bone health and about exercises you can start right away to build stronger bones. Learn more: spartanburgregional.com/events/path-better-bone-health

HealthLinksSC.com | 9 SEPTEMBER 30 Walk to End Alzheimer’s Fluor Field 945 S. Main St., Greenville 8 a.m. Join the Alzheimer’s Association for a two-mile walk raising funds to further the organization’s care, support and research efforts. Learn more: act.alz.org/site/TR/ Walk2023/SC-SouthCarolina OCTOBER 10 Ninth Annual Pearls & Pumps Greenville Convention Center 1 Exposition Drive, Greenville 4 p.m. Join Bon Secours St. Francis for an inspirational program, a fashion show featuring breast cancer survivors, shopping and dinner. All money raised will benefit the Pearlie Harris Center for Breast Health. Learn more: stfrancisfoundation. ejoinme.org/2023pearlspumps 12P-4P MARKET ON MILL INMAN’S SHOP LOCAL VENDORS,ENJOY A FREE KIDS ZONE W/LOTS OF ENTERTAINMEN, & CHECK OUT ALL THE DELICIOUS FOOD TRUCKS! MILL STREET DOWNTOWN INMAN, SC SEPT 17 2023 OCT 15 2023 MAR 17 2024 NOV 19 2023 APR 21 2024 MAY 19 2024 Sponsored by: Vendor Information please only contact: [email protected]

10 | HealthLinksSC.com DECEMBER 1 Hearts and Hands Gala Greenville Convention Center 6 p.m. Immerse yourself in a quaint Christmas market reminiscent of those nestled in small towns in Germany – twinkling lights, the sounds of classic string music and warm glühwein. A formal dinner of German cuisine and live entertainment follow. The 22nd Annual Hearts and Hands Gala will help the children and families of Ronald McDonald House Charities of the Carolinas. Learn more: [email protected] OCTOBER 22 Third Annual Hampton-Pinckney PorchFest Hampton-Pinckney Historic District, Greenville 1:30 p.m. This free, family-friendly community event features the music of 20+ performers on porches throughout the historic Hampton-Pinckney neighborhood. Learn more: hpporchfest.org NOVEMBER 18 Zoom Through rhe Zoo Greenville’s 5K Loop 8 a.m. Say hello to the animals as you loop through the Greenville Zoo. The race also includes a kids’ fun run. Learn more: runsignup.com/Race/SC/ Greenville/zoomthroughthezoo OCTOBER 22 Making Strides Against Breast Cancer Walk Fluor Field 945 S. Main St., Greenville 12:30 p.m. Join the fight against breast cancer at the American Cancer Society’s Making Strides Against Breast Cancer Walk, a celebration of courage and hope and a movement uniting communities to end breast cancer as we know it. Learn more: facebook.com/stridesgreenville DECEMBER 8 Holiday Benefit Brunch Huguenot mill and Loft Greenville 11 a.m. The annual A Child's Haven Holiday Benefit Brunch provides participants and sponsors the opportunity to support the unique, focused mission of A Child's Haven and be part of exciting new initiatives. This festive, holiday event will offer attendees the chance to gather with other engaged community members over a delicious brunch catered by Table 301 and learn more about the significant impact ACH makes in our community. Join us! Learn more: achildshaven.org/HolidayBenefitBrunch NOVEMBER 28 Girls on the Run Fall 2023 Celebratory 5K USC Upstate • 300 N. Campus Blvd., Spartanburg 9 a.m. Each season comes to an end with a celebratory 5K. This closing event gives program participants of all abilities a tangible sense of accomplishment. Crossing the finish line instills confidence through completion and is a joyful moment program participants always remember! Learn more: gotrupstatesc.

HealthLinksSC.com | 11 www.healthlinkspodcast.com DECEMBER 2ND PARADE IS AT 5:30 WITH FESTIVAL TO FOLLOW Carriage rides, food, tree lighting ceremony, bounces and mechanical rides. For more details, go to www.cityofinman.org

12 | HealthLinksSC.com CHANGING LIVES ONE (CALM) SMILE AT A TIME HOW A SPA APPROACH HELPS EASE DENTAL ANXIETY Comfort isn’t a word that usually comes to mind when thinking about a visit to the dentist. A study published by the National Institutes of Health found that dental anxiety affects an estimated 36% of people in the United States, with 12% of those suffering from extreme dental fear. For many, dental anxiety means delayed or missed appointments. And about 3% of people experiencing severe anxiety may stop going to the dentist altogether. “Going to the dentist completely stresses me out. My stomach is in knots, my jaw clenched and I’m so scared of the work that needs to be done,” said (sometimes) dental patient Jennifer Gross. But what if your dental office featured a spa atmosphere? At Sculpt Dental Spa in downtown Charleston, Client Experience Coordinator Nick Aime’s role is to ensure every patient’s experience is one of ultimate comfort. “I’ll never forget the first patient I met with dental anxiety. She had to be dragged through the front door by her boyfriend,” said Aime. “We want to do everything we can to cater to our patients and ensure they have an enjoyable experience.” Aime presents patients with a menu of comfort items for their appointment, including a scented neck pillow, champagne, lip balm and moisturizing paraffin hand treatment. Patients can enjoy a chair massage to calm them before their appointment and watch a Netflix movie under a cozy blanket during treatment. Opened in 2022 by Dr. Suzie Dubrinski, Sculpt Dental Spa specializes in cosmetic dentistry and smile makeovers with cutting-edge, modern dentistry. Patients can even get Botox while in the office. “I wanted to create a space where clients would feel pampered like a VIP, somewhere they would look forward to coming and enjoy spending time,” said Dr. Dubrinski. By Amy Connor

HealthLinksSC.com | 13 “Dentistry can be an intimate procedure,” said Sculpt Dental Spa Treatment Coordinator and New Patient Liaison Olivia Brazier, DA. “Dr. Suzie has cultivated a calming environment that is built on team members who are passionate about what we are doing – patients understand that we are here for them.” “I’ve always had crippling dental anxiety. I was physically shaking at my first appointment with Dr. Suzie. I think I even cried at one point,” said Sculpt Dental Spa patient Tita Curtin. “I’m so grateful to Sculpt for helping me start to move through my fear.” “We are delighted when our clients recognize that we are different. We get excited when we can shift a patient’s opinion about their smile from something they are embarrassed about to something they love and are so excited to show off,” said Dr. Dubrinski. In the Upstate, walk into downtown Greenville’s Waterstone Dentistry, and you’ll notice the office looks more like a home than a dental practice. The natural sound of flowing A study published by the National Institutes of Health found that dental anxiety affects an estimated 36% of people in the United States, with 12% of those suffering from extreme dental fear. “ “

14 | HealthLinksSC.com water greets you from a large waterfall feature in the waiting room, where comfortable, overstuffed chairs gather around a gently flickering fireplace. It’s the kind of place you might settle in on a lazy afternoon to read a good book – not where you expect to wait to get a filling replaced. Dr. Beatriz Dennis knew she wanted to offer patient-centered service in a comfortable and relaxed environment after working in a fast-paced practice with high anxiety and high stress. “I knew if I felt that much stress and anxiety working there, I could imagine how a patient would feel,” she shared. In 2008, she opened Waterstone Dentistry to “create a patient-centered, positive dental experience for each patient from the moment they arrive at the office until the moment they leave.” It’s a warm, artfully designed environment featuring state-ofthe-art dental equipment where Dr. Dennis and her staff take their time with each patient. Natural light pours into treatment rooms through oversized windows. Patients can relax under the comfort of a warm blanket and watch TV or listen to music with noise-canceling headphones. Seeing patients transform from covering their mouth when they speak to smiling with confidence is what Dr. Dennis loves most. “Patients appreciate the amount of time we spend with them and appreciate the friendship that we’ve formed with them because everything is more patient-centered,” said Dr. Dennis. The dental spa approach is about more than massages and soft music. It’s about trust. “One of the most rewarding things is when you work with someone who has such severe dental anxiety that they can’t open their mouth. They are just so upset at the way they’ve let their teeth get because they have such a fear. And then you help them, and they are so appreciative,” shared Dr. Dennis. Brazier agreed: “I’ve met people who felt almost hopeless. When you finally create that bond of trust, it’s life-changing for the patient. For anyone who’s had to hold back your smile, to wipe that away and smile again, it’s life-changing.” Aime added that he wants patients to know that “You are in a safe space. We are here to help make your smile what you want it to be.”

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16 | HealthLinksSC.com If you compare dentistry in 2023 to what it was in 1963, you might be surprised to find how much has changed and how much has stayed the same. While dentists far and wide will tell you that your best bet to keeping your teeth is the same kind of proper daily oral care your grandfather knew, their methods for helping you maintain what’s in your mouth have vastly improved in the past 60 years. “A huge focus of dental school currently is in better understanding the link between dental health and overall health,” said Dr. Ivy White, a partner with her dad, Dr. Eddie White, at Sewee Dental Care in Mount Pleasant. “We understand the health implications of dental issues so much better now, and it’s so important to educate people on this and get them invested in their health.” For instance, when Dr. Eddie White was growing up, any tooth concerns – such as plaque, calculus, notching, wisdom teeth, crowns and possible cavities – would have been treated by his dentist as isolated matters. Now, both he and his daughter approach every dental issue with an eye to how the condition of patients’ teeth affect their overall well-being. “People are interested in keeping their teeth until 100 years old,” Dr. Eddie White said. “And we are here to help them achieve this, through focusing on how their overall health affects the health and stability of their teeth and gums.” Part of that link lies both in new and time-honored advancements, such as: FROM BRUSH AND FLOSS TO DIGITAL DENTISTRY LESSONS LEARNED IN DENTAL SCHOOL By L. C. Leach III

HealthLinksSC.com | 17 DIGITAL DENTISTRY. Both dentists said that so far, digital dentistry is the biggest technical advancement of the 21st century. It’s something Ivy learned in school; in the 1980s, it wasn’t part of her dad’s training. What makes digital dentistry special is the use of computer-based or digital components to enhance patient care. For example, suppose you needed the services of Dr. Eddie White in 1986, right after he graduated from the Medical University of South Carolina. He might have put a gooey substance in an impression tray and had you bite down until it hardened. Then he would have send the mold to a dental technician to create whatever device you needed to repair, replace or better align your teeth. “The entire process was time-consuming and very uncomfortable for the patient, despite my efforts to make it as pleasant as possible,” Dr. Eddie White said. On the other hand, if you see him or his daughter now for the same issue, they will use intraoral scanning to make a 3D digital image of your mouth to enhance analysis and treatment. “Which is much faster with no patient discomfort,” Dr. Eddie White said. “We are able to integrate different imaging and deliver care based on more information, which is better both for patient understanding and for our decision-making.” POWER BRUSHING. Electric toothbrushes have been around since 1960, when Squibb marketed the first American model, Broxodent, which rotated side to side. Today’s models rotate fully and are similar to the device dentists use for regular cleanings. Dr. Lisa Creaven, dentist and founder of Made By Dentists, a company that produces professional oral care products, said the advantage of power brushes is that their rotation “essentially forces the toothpaste in more difficult-to-reach areas, which is where cavities start.” BRUSHING, FLOSSING AND GARGLING. While this dental trinity has been around seemingly forever, it is oddly the one area that is still as troublesome as at any time in the past. “People still struggle with brushing their teeth effectively,” Dr. Ivy White said. “Regular dental visits are important, but keeping your teeth clean at home is absolutely the most important.” Her dad added that while the entire Sewee Dental Care team focuses on putting patients before teeth, he and his daughter try to see them as two parts of a connected whole. “It’s a person, not a tooth, you’re working on and trying to help,” Dr. Eddie White said. “But you have to brush your teeth and floss – and people still have a hard time figuring that out. All of the dentistry in the world won’t last if patients don’t understand how to keep everything clean.”

18 | HealthLinksSC.com “Music allows for better blood flow, and it can help lower stress by decreasing our bodies’ cortisol response, the hormone that is released when we are under stress."

HealthLinksSC.com | 19 MUSIC AND MENTAL HEALTH When Janelle Mitchell enters the room of one of her adolescent patients who was recently diagnosed with cancer, she doesn’t bring a stethoscope or bandages. Instead, she might be carrying a guitar or the lyrics to the patient’s favorite song. Mitchell is a music therapist at Prisma Health. “Music therapy is not just playing or performing music. It’s a neurologically based science that can help patients as they learn to cope with a new diagnosis or recent surgery,” Mitchell explained. “We might play or listen to music as a way to help a young patient relax and to help us build rapport. Or a patient might tell us how the lyrics in a favorite song speak to them as we learn about what they are feeling.” A professional music therapist holds a bachelor’s degree or higher in music therapy with a curriculum focusing on musical foundations, clinical foundations and music therapy principles. Therapists also must be skilled and proficient on several instruments to effectively provide music therapy services. Their training emphasizes that music can act as a medium for processing emotions, trauma and grief or as a regulating or calming agent. Dr. Frank Clark is a psychiatrist at Prisma Health and a clinical associate professor at the School of Medicine Greenville. He highlights the connection between music and health in his practice and in the community. By Lisa Wack

20 | HealthLinksSC.com “Music allows for better blood flow, and it can help lower stress by decreasing our bodies’ cortisol response, the hormone that is released when we are under stress,” said Dr. Clark. “Music is one part of a holistic approach to medicine. We know that physical, creative, spiritual and emotional fitness work together to improve our quality of life.” Dr. Clark spearheaded the Healing Harmonies program about 10 years ago at the South Carolina Philharmonic while serving on its board. The program brings South Carolina Philharmonic musicians to area health care facilities for interactive music performances enjoyed by patients, staff and visitors. Robin Hallyburton, deputy & development director of the South Carolina Philharmonic, has seen moments of joy from the musicians who give of their time and talent and from audience members.. “Some of the performances are interactive, where the musicians invite audience members to conduct, or they may invite participation by handing out instruments,” Hallyburton explained. “We’re there for staff members, too, giving them a chance to relax and enjoy.” For Roper St. Francis Healthcare, the connection between music and mental health flowed naturally from its ongoing commitment to recognizing mental health as a community health pillar. Its Music for the Mind initiative celebrates the power of music and its positive impact on mental health. According to Kathy Smith, vice president and chief marketing and digital officer at Roper St. Francis, partnering with community organizations extends the reach of its programs. “The Roper St. Francis Concert Series at Credit One Stadium allows us to use our trusted voice to give people information about mental health and empower them to give or seek help if needed,” said Smith. “The concerts are an opportunity to build an awareness of what they are feeling, or a neighbor may be feeling, and connect the community to available resources. When people come together at the concerts, there is a joy to the music and the human connection. It can be powerful to reach people when they may not expect to be reached.” There also is a curated Music for the Mind playlist that people can play on their favorite music app. “The idea was to draw attention to the program and amplify the music playing even if they can’t attend the concert,” Smith added. As a music therapist, Alison Hughey founded Carolina Music Therapy in Spartanburg to help people connect and heal through music. “While music can sometimes be therapeutic on its own, music therapy dives deeper into the use of evidence- and music-based approaches to address individualized clinical goals,” Hughey said. Hughey likes to add a degree of playfulness to her at-home therapy ideas. She may suggest that clients keep a kazoo in their car – a “carzoo,” as Hughey calls it. That way, whenever the moment strikes, they have a way to explore their feelings through a musical outlet. “Playing a kazoo encourages players to extend their exhale while also stimulating the vagus nerve; both these actions can boost a sense of safety and calm,” she said. Dr. Clark knows that music is healthy for our physical and emotional health. “We are rhythmic human beings, and music can be one valuable tool to use when treating patients,” he said. “Why not be creative in fostering health through music?" SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH If you or someone you know is experiencing a mental health crisis, contact the Department of Mental Health’s Mobile Crisis Team, toll-free, 24/7, at 833-364-2274 CRISIS TEXT LINE If you would rather text than talk on the phone, you can text 741741 to reach the Crisis Text Line. More information is available at crisistextline.org. SOUTH CAROLINA 211 2-1-1 is a free referral and information help line that connects people to a wide range of health and human services, 24 hours a day, seven days a week. To contact 2-1-1 in any state, including South Carolina, simply dial the numbers 2-11 from any phone. “An art lesson is about the final product; art therapy is about the process. When words are not accessible, people can find space for healing in the arts.” - Michelle Robinson, Arts in Healing program coordinator MUSC’s Arts in Healing program includes both music and art therapy as outlets for expression to enhance the healing process. Music is one part of a holistic approach to medicine. We know that physical, creative, spiritual and emotional fitness work together to improve our quality of life. “ “ MENTAL HEALTH RESOURCES

HealthLinksSC.com | 21 We help patients with scoliosis and spine deformities, limb and foot deformities, hip disorders, fractures, and bone and joint infections. David Lazarus, MD Michael Beckish, MD Christopher Bray, MD Pediatric Orthopedic Surgery BOUTIQUE CLOTHING AND GIFT SHOP Rustic Jem a Boutique 21 Mill St., Inman, SC BRING THIS AD FOR 10% OFF Rustic Jem is a small boutique located in the heart of downtown Inman, South Carolina. When shopping at Rustic Jem you'll experince a true small-town, family friendly feel. In addition to the various trendy items we carry, we also have several unique local vendors that have items perfect for you and your family! Come and see us!

22 | HealthLinksSC.com COULD SOUND THERAPY BE RIGHT FOR YOU? Ancient holistic approaches to healing the body and mind have always existed, quietly closeted under the nebulous label of alternative medicine. Sound – or vibration therapy – dates back to earliest recorded times. Jubal, the “father of those that play the harp and flute,” is identified in the opening chapters of the biblical Genesis account. By Janet E. Perrigo SHENITA SANDERS

HealthLinksSC.com | 23 Ancient Egyptians, and later the Greeks, valued the powerful relationship between music, the body and the human soul. In fact, the Greek philosopher Pythagoras was known to prescribe music as a medicine. Native American tribes and other indigenous groups also have a rich history of attaching sounds and music to healing rituals, but it was not until the late 1800s that American doctors began to believe music could improve a body’s blood flow and a mind’s thought progression. Today, therapeutic sound therapy has an enthusiastic following in the United States and across South Carolina, but is there any real science to support this unusual approach to healing mind, body and soul? Although little supervisory regulation exists, the studies are somewhat limited and they tend to cite each other, cell neurobiology may offer some support. “Everything in the universe has a vibrational frequency. We’re hard-wired to have the sound be part of us. In the brain, all our neurons fire at different frequencies based on the data we receive from different frequencies,” explained Dr. Mark Menolascino, medical director of the Meno Clinic Center for Functional Medicine in Wilson, Wyoming. “Those vibrations interact with every cell in your body.” “Sound therapy can be a mechanism to move the body into a more relaxed parasympathetic state and away from the stressful ‘fight or flight’ mode caused by anxiety or chronic pain. This process allows the body to relax as it decreases its cortisol output and increases its antibody production for better immunity, lowered blood pressure, improved breathing and reduced bone and muscle aches and pains,” he further explained. Meet two enthusiastic South Carolina practitioners who are passionate about sound therapy and its healing potential: • Originally from Tennessee, Shenita Sanders was working as a marriage and family counselor when she first experienced vibration therapy. A compassionate person by nature, she found listening to families and individuals on a daily basis to be emotionally tiring and stressful. It only took one 45-minute session of sound therapy to feel that accumulated stress and anxiety roll away. Sanders was immediately hooked. Fifteen years later, she is certified as a master sound therapist and operates her own business, Future Focused Coaching and Wellness in Greenville. Sanders offers both individual and group sessions and also teaches her clients how to purchase their own instruments and use sound therapy at home. “Not only am I personally convinced in the healing nature of sound therapy, but the constant feedback from my clients keeps me going,” she explained. Learn more: iamfuturefocused.com • In 2015, Beth Donovan was also introduced to the powerful restorative effects of sound therapy through her own personal healing journey, which came at a retreat in the Sedona desert. “While nine different healers were present, two instruments – a steel drum and a didgeridoo – totally transformed my mental and physical health,” she offered. “I came out of the healing session, and the whole world was instantly brighter.” In 2017, Donovan became certified through the Vibrational Sound Association, and, since then, she has added other certifications in related fields. “I use all these wellness tools to maintain balance in my life. Meditation, journaling, sound healing, reiki, diet, exercise and nature are my go-to medicines,” she added. Donovan offers healing help to others from her Bluffton, South Carolina, location: “Finding alternative medicines to assist you in your overall wellness is one of the best moves you can make for yourself.” Donovan may be contacted through her business, Sol Balance LLC, by phone or text at 734-231-7766 or at solbalance.net. Could sound therapy help you? Without more scientific data, Dr. Menolascino is cautiously optimistic. “As a relatively inexpensive, noninvasive treatment, it probably can’t hurt you,” he suggested. “Anything that puts the brain in a calmer state will promote better healing, whether you have a broken leg, cancer or multiple sclerosis – as long as you are not doing it in place of other proven treatments.” BETH DONOVAN

24 | HealthLinksSC.com DIGITAL EYE STRAIN: A VOLCANO WAITING TO BLOW? By L. C. Leach III Although his official position is security/customer service with Prisma Health in Greenville, Harold Moore spends seven to eight hours every day in front of a computer screen summarizing reports, creating spreadsheets and bar graphs for internal use and submitting daily work orders. And every day he wonders when he is going to need new glasses. “In my three years in this job, I’ve had to get three new pairs due to my vision regularly needing new lens prescriptions,” Moore said. “Doctors have told me I have cataracts and severe astigmatism and that the constant glare of the computer screen could exacerbate my condition.” Moore’s condition, known as digital eye strain, currently affects 2 out of every 3 Americans. And across the globe, health professionals are warning that as use of computers, cellphones and other electronic devices continues to increase, digital eye strain is not only a major health concern, it is now in the position – depending on more scientific data – of becoming a silent pandemic for millions of people worldwide. “Digital device usage has increased substantially in recent years across all age groups,” said Dr. Amy Sheppard, senior lecturer at Aston University’s School of Optometry in Birmingham, England. “Extensive daily use for both social and professional purposes is now normal.” She added that DES, also known as computer vision syndrome, encompasses a range of ocular and visual symptoms and that its prevalence may be “50% or more among computer users.” Such evidence is not yet fully documented. Dr. Michael Chiang, an ophthalmologist and director of the National Institutes of Health National Eye Institute since 2020, said that while too much screen time could be the cause of DES, the matter needs further research. “There’s not really a whole lot of firm medical evidence that screen time causes nearsightedness or eye problems,” Dr. Chiang said. “On the other hand, there is some speculative evidence that the more time you spend reading up close and the less time you spend outside, the more kids’ eyes tend to become nearsighted.”

HealthLinksSC.com | 25 The American Academy of Ophthalmology further reports: “There is no scientific evidence that the light coming from computer screens is damaging to the eyes.” However, the American Optometric Association is viewing DES from the standpoint that screen time in any form has always contributed to eyestrain and that the incidence of DES is going to rise as screen time increases. Currently, American workers average seven hours a day in electronic screen time. And with more people working from home and attending classes, webinars and consultations online, Dr. Sheppard and others believe that electronic and digital gadgets are the “sole contributor” of DES and computer vision syndrome. “CVS was reported to be 54.6% in call center operators in Sao Paulo, Brazil,” said Mario Ferreira Júnior in a 2023 AOA report on computer vision syndrome. “Studies have shown positive correlation between symptom score reported and the number of hours in front of the computer.” Regardless of which camp science ultimately favors, each side offers comparable solutions and preventives, which include: • For every 20 minutes of screen time, take a 20-second break to view something 20 feet away. • Wear contact lenses properly. • Schedule regular eye exams, and check for both nearsightedness and farsightedness. • Take medications as prescribed by your ophthalmologist. • Have surgery when necessary. “Four of my five kids wear glasses,” said Greenville resident Frankie Felder. “But right now, I’m not really concerned that computer screen time will make their conditions worse.” And she could be right – DES is the newest but not the only reason to do something about tired, aching eyes. For example, eyestrain in ancient Egypt often meant a dose of turtle bile in both eyes. In ancient Greece, people used cabbage juice for relief, while during World War II, U.S. production shift workers were advised to wear Tillyer lenses to protect against that exhaustive, nerve-racking “4 o’clock eye fatigue.” All of this happened far before screen time was an issue. Your best bet? Know your own eyes and seek professional relief. “Although DES affects a huge number of individuals, its precise physiological basis remains unclear,” Dr. Sheppard said. “To provide optimum patient care related to the condition, it is essential that eye-care practitioners are well-informed regarding DES and the growing evidence base in this field.” There is some speculative evidence that the more time you spend reading up close and the less time you spend outside, the more kids’ eyes tend to become nearsighted. “ “

26 | HealthLinksSC.com When Karen Bostick, 70, neared retirement last year, she made a commitment to herself. She would follow the advice of her 89-year-old mother-in-law. “She told me that I must have a plan. I need to get back to focusing on myself, and I can’t just let it happen,” Bostick said. “I have to make it happen.” Recently, Bostick and several wise retirees in the area offered some words of advice to folks who remain forever curious about how people who live to record-setting ages. Sheldon “Shelly” Revkin, 80, of Mount Pleasant, lives by a seemingly simple yet insightful motto: “I believe in moving.” He and his wife, Madeline, stay busy with a variety of activities, but Shelly believes that their volunteer commitments produce some of the biggest benefits: “Volunteering is giving back, but you also get a lot out of the experience socially and mentally.” Madeline agreed: “When I volunteer, my mind is active, and I learn new things all the time.” One of the first things Bostick did was join the Lowcountry Senior Center on James Island. She quickly discovered that jumping into activities that gave her a sense of purpose opened what felt like doors to youth. “I haven’t felt this fit and alive in decades,” she said. Bon Secours St. Francis Health System in Greenville offers activities for residents through its LifeWise program, which is based on the philosophy that keeping active and having social

HealthLinksSC.com | 27 support is crucial to healthy aging. The focus is on lifelong learning through activities as diverse as gardening, heart health strategies and fall prevention. LifeWise Coordinator Susan Cannon believes one of the hardest challenges facing seniors is that they want to be positive. “They don’t want to focus on what they can’t do but rather on all that they can do,” Cannon explained. “LifeWise gives them the opportunity to find something to do, make it fun and then do it.” LifeWise member Larry Long, 80, offered advice about what has worked for him: “Keep setting goals, and don’t be afraid to set tough goals.” Long’s challenging physical fitness routine keeps him on track with his healthy living goals. “I’m in way better shape now than I was when I was in my 60s because I am not scared to try and push myself,” he said, also attributing his healthy lifestyle to his philanthropic work. “It’s important to do something meaningful, something that is both fun and helps people.” At the Lowcountry Senior Center, Bostick realized how much she valued being with others. “I never had time to cultivate friendships,” she said. “Now I have a group of people to spend time with who have similar interests. It’s wonderful motivation to get out of the house and connect with others.” WORDS FROM THE WISE: EXERCISE. READ. READ. GET A DOG. By Lisa Wack

28 | HealthLinksSC.com Elizabeth Bernat, director of senior services with Roper St. Francis Healthcare, which manages the Center, agreed that seniors benefit from more than just class instruction. “The Center gives our members a place to go, a purpose and a place to meet and engage with other people,” she noted. At 74, Bob Brennan found just that type of encouraging community at the Lowcountry Senior Center while taking part in the many classes offered in fitness and the arts and attending free lectures such as a recent discussion on international affairs. He’s noticed members are motivated to continue coming because they have a built-in support system. “If a member misses a class, others will notice and look out for them the next time,” Brennan explained. “As we get older, people face many challenges and will feel a great sense of relief by being with someone else who has been in the same place.” He encouraged more men to see the benefits of exploring new activities and to take advantage of local opportunities such as those at the Senior Center. Experts agree that whether it’s taking a class, setting fitness goals, volunteering or simply walking your dog each morning, a sense of purpose and of belonging can lead you to embrace a healthy living outlook. EXERCISE, READ AND GET A DOG A group of neighbors in Keowee Key, a community located in Salem, South Carolina, in the Blue Ridge Mountains, recently gathered to discuss their advice for staying healthy and engaged as they age. Here are their words of wisdom: "I think routine workouts and being physically active takes care of the physical aspects. Working puzzles, reading and good conversation help the mental aspects." – Bill, 85. "Good genes. Good diet, staying active mentally and physically." – Dave, 85 "Keeping your mind busy and a positive attitude" – Gerry, 86, who plays golf four times a week “A sense of belonging in a community that you feel is an extended family.” – Julie, 80 “Exercising, reading and a dog.” – Jim, 83 “Volunteer and stay empathetic to those less fortunate – definitely time to give back. It keeps a good prospective on life.” – Gretchen, 80

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