Prostate cancer...silent_ but treatable

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					                                                                                               An organization of Jackson physicians
                                                                                                         who represent 24 medical specialties
                                                                                                          and practice in independent clinics

                                                                                                                   A quarterly newsletter

   Prostate cancer...silent, but treatable
                                                                                                                                Fall 2010

                                 eople can rely too heavily on symptoms to tell            spread. This reinforces the need for men to get annual

                         P       them they have a medical problem. When it                 prostate cancer screenings, said Dr. Lawrence. A basic
                                 comes to diseases like prostate cancer, where 90 screening includes a blood test to check for prostate-
                                                        percent of patients do not         specific antigen (PSA) values and a digital rectal exam.
                                                        show any symptoms, wait-               When to start screening is a matter of debate, said
                                                        ing for signs of trouble can Dr. Lawrence, who recommends most patients have
                                                        lead to a late diagnosis           their first screening around age 45. For African Ameri-
                                                        that could cost you your           can males or patients who have a family history of the
                                                        life.                              disease, Dr. Lawrence starts screening at age 40.
                                                            Prostate cancer is one of          Even though prostate cancer is one of the leading
                                                        the top three causes of can- causes of cancer deaths, it is very treatable in most peo-
                                                        cer death in men. “This            ple, said Dr. Lawrence. In fact, he added, the overall
                                                        year, some 200,000 new             five-year survival rate for prostate cancer patients in this
                                                        cases will be diagnosed and country approaches 100 percent.
                                                        more than 30,000 men                   Prostate cancer usually is diagnosed as either a slow-
                                                        will die from it,” said Dr.        acting form of the cancer or an aggressive form of the
                                                        Peter Lawrence, a board-           cancer, he explained. Two thirds of the men diagnosed
                                                        certified urologist at Jack-       with prostate cancer will have the slow-growing form.
                                                        son Urological Associates.         “Depending on their age, these patients are more likely
                         Dr. Peter Lawrence uses        “Hardly a day goes by that         to die with prostate cancer rather than from prostate
                         robotic equipment at           I don’t see at least one pa-       cancer,” said Dr. Lawrence.
In this issue …          Jackson-Madison County tient who is living with                       The other third will have an aggressive form of the
                         General Hospital to per-       prostate cancer.”                  disease. Without treatment, these patients are much
   Pain, numbness,       form a minimally inva-             The prostate, part of the more likely to die from their cancer.
tingling, could be       sive, robotic prostatectomy. male reproductive system,                Your age, health and the aggressiveness of the
nerve problem: Pg 2                                     supplies nourishment to            prostate cancer contribute to the decision of what kind,
                         sperm cells. As men get older, their chances of develop-          if any, treatment is warranted, Dr. Lawrence said.
  Gout: New              ing prostate cancer increase. Family history, ethnicity               “With some patients, who have the slow-acting
treatments for           and where you live also can affect                                                       form of the cancer, we recommend
                         your risk of getting prostate cancer. Prostate cancer symptoms no treatment, but keep an eye on
age-old disease: Pg 3         “African American males are 60                                                      the cancer by watching their PSA
                                                                        alk to your doctor if you experi-
  Customized knee
                         percent more likely to develop
                         prostate cancer. Having a family
                                                                   T    ence any of the following symp-
                                                                    toms, which could indicate the
                                                                                                                  levels and giving them a rectal
                                                                                                                  exam every six months. However, a
surgery gets better      member who has prostate cancer                                                           low-risk tumor in a 50 year old is
results:          Pg 5   doubles your chances of develop-           presence of prostate cancer or sev-           much different than a low-risk
                         ing the disease,” said Dr. Lawrence. eral other diseases …                               tumor in a 75 year old.”
  Cardiovascular         “If you live in the United States             Difficulty starting urination or                The most common treatments
Clinic opens in          you have a 17 percent lifetime risk.          holding back urine                         for prostate cancer are surgery and
new building: Pg 5       On the other hand, if you live in            Weak or interrupted urine flow              radiation, but both have risks that
                         rural China, you have a two per-              Painful or burning urination               include urinary incontinence, erec-
                         cent chance. This is one reason               Difficulty having an erection              tile dysfunction and the develop-
                         why some feel that diet and                   Painful ejaculation                        ment of recurrent disease, he said.
members:         Pg 6    lifestyle, along with genetics, play a                                                   “The challenge is determining the
                                                                       Blood in urine or semen
                         role in developing the disease.”                                                         balance between a patient’s benefit
   Skin cancer on             Since prostate cancer is typi-           Frequent pain or stiffness in the          from treatment and the effects on a
rise; Dermatology        cally a silent disease, most men              lower back, hips or upper thighs           patient’s quality of life.”
Clinic opens: Pg 7-8     show no symptoms until the dis-             (Source: Prostate Cancer Foundation,
                         ease has advanced and possibly                                               Continued on Page 4…
 Pain, numbness, tingling could be nerve problem
    Nerves use electric signals to send instructions throughout body
                                  hat weakness in your wrist, that pain in your            EMGs and nerve conduction tests are used to

                         T        shoulder or the numbness and tingling you are
                                  feeling in your toes could be a nerve problem.
                                           “Your body’s nerves are like cables that
                                                                                       evaluate a variety of conditions, including carpal tun-
                                                                                       nel syndrome in the wrist, ulnar nerve (funny bone
                                                                                       nerve) impingement, pinched nerve in the neck
                                        pass electric current as they send electric    (radiculopathy), tendinitis, neuropathy and nerve dis-
                                         signals from one part of your body to         ease injuries.
                                         another,” said Ron Bingham, M.D.,                 After Dr. Bingham conducts and interprets the
                                            founder of EMG Clinics of Ten-             test, he sends the results back to your referring
                                                       nessee. A board-certified       provider, who then discusses with you the proper way
                                                           physiatrist, he special-    to treat the problem.
                                                              izes in physical medi-       Dr. Bingham and his staff specialize in EMGs and
                                                                 cine and              nerve conduction studies. He has seen the importance
                                                                   rehabilitation.     of having your EMG performed and interpreted by a
                                                                         “Unex-        qualified specialist, such as a physiatrist or neurolo-
Dr. Ron Bingham                                                        plained pain,   gist.
specializes in                                                          weakness, or       “EMGs and nerve conduction studies are excellent
EMG studies.                                                            numbness       diagnostic tools when performed correctly by skilled
                                                                       could be a      physicians and technicians who devote much of their
                                                                     nerve or muscle   practice to this specialty,” he said. “A test done poorly
                                                                   problem,” said      can lead to unnecessary surgery or delay important
                                                                Dr. Bingham. “If       treatment.”
                                                              your provider sus-           He added that for excellent and reliable results, it
                                                               pects that you may      is essential that physicians and patients insist that…
                                                               have a nerve or mus-           The provider physician has specialized EMG
                                                               cle condition, he or    training and is on the premises. The physician should
                                                                she could likely       be either a physiatrist or a neurologist.
                                                                 order an EMG                 The technicians are appropriately trained.
                                                                 (electromyography)           Hand-held units are not used.
                                                                and a nerve conduc-        “Diagnostic testing is like all other areas of medi-
                                                                tion study.”           cine,” Dr. Bingham said. “It is growing, and the tech-
                              When a doctor orders an EMG from another spe-            nology is advancing quickly. Finding someone who
“EMGs and                cialist, he or she is ordering a complete nerve and           stays up with these changes is important.”
nerve conduction         muscle test, which includes the nerve conduction
                         study. A physician should perform the EMG, said Dr.               (Visit for the policy statement from
studies are excel-       Bingham. The nerve conduction study can be per-                     the American Association of Neuromuscular
lent diagnostic          formed by a qualified nurse or technician, but should                     and Electrodiagnostic Medicine.)
                         be interpreted by a physician, he said.
tools when per-               Basically, Dr. Bingham says, the EMG test meas-                r. Ron Bingham, who founded EMG clinics of
formed correctly
by skilled physi-
                         ures the time it takes for a small electric current to go
                         across a measured portion of the nerve. He uses spe-
                         cial equipment to stimulate the nerve and test the
                                                                                        D    Tennessee in 1989, practices with Dr. Miles

cians and techni-                                                                       Johnson. Both physicians are members of the Ameri-
                         nerve’s electric current.
cians… A test                 “The test we perform is sort of like one that an          can Association of Neuromuscular and Electrodiag-
                         electrician would do, except we test the wires in arms
done poorly can          and legs to tell which ones are not working. Each
                                                                                        nostic Medicine. With the main office in Jackson,
lead to unneces-         nerve is a cable, some filaments go to muscles, some           they also have satellite clinics in Selmer, Savannah,
sary surgery or          go to skin. With an EMG machine, we can do two
                                                                                        Parsons, Lexington, Union City, Dyersburg, Bartlett,
                         things: electrically stimulate the nerve to see how fast
delay important          electric impulses go from point A to B. Then we                Southaven (Mississippi) and Fulton (Kentucky).
treatment.”              measure that rate in thousandths of a second; if it is
                                                                                           For more information, visit or call
                         too slow, the nerve is sick.”
Ron Bingham, M.D.             Some people worry that the test is painful, he said.      800.224.1807.
                         It’s a bit uncomfortable, but not painful.

Gout: New treatments for an age-old disease
          out — long recognized as a source

                                                                        By Jacob Aelion, M.D., Nimesh Dayal, M.D.,
          of human misery — is the most                                            and Satish Odhav, M.D.
          common inflammatory arthritis
in the United States.                                                            sition and gouty inflammation.
     The number of people with gout                                                    Misconceptions about gout are
has increased over the past few                                                   quite common to this day. People usu-
decades. The estimated total                                                          ally associate the condition only with
gout population in this country                                                             acute flares, but in reality, gout
is more than seven million —                                                                  is a chronic, progressive dis-
about the same number of                                                                        ease, and disease progression
people who have activity-                                                                         continues even in the ab-
limiting back pain. In con-                                                                         sence of acute flares. An-
trast, the number of people                                                                         other misconception is
affected by rheumatoid                                                                             that gout affects only the
arthritis and fibromyalgia is Dr. Jacob Aelion and Dr. Satish Odhav, who practice at                 joints. Uric acid
two and five million re-                                                                             crystals, however,
                                 the Arthritis Clinic of Jackson, are involved in several clin- can deposit in soft
spectively.                      ical trials, including those involving gout. Dr. Nimesh
     Until recently, however, Dayal is joining the Arthritis Clinic later this year. For             tissues other than
gout management has                                                                                  joint lining and
                                 more information or an appointment, call 664.0002 or                cause a variety of
lagged behind the rising         866.564.0011.
tide. Fortunately, we now                                                                            medical problems
have a better understanding of the disease and new               ranging from the skin to the kidneys.
medications for its treatment and prevention.                        To understand gout, we must first understand
     The condition has been considered a source of mis-          uric acid, one of the “waste products” that the body
ery throughout human history. The word gout can be               excretes through the kidneys.
traced to the Latin guta (a drop), which has its origin in           An elevated blood uric acid level or hyper-
the belief that the disease was caused by a poisonous            uricemia is a necessary precursor to gout. (In physi-
chemical falling drop by drop into the joint.                    ologic terms it is defined as a serum uric acid level
     Egyptians first identified the disease in 2640 B.C.,        in excess of 6.8 mg/dL at a temperature of 37C.)
and, indeed, evidence of gouty arthritis was found in                Above this level, urate crystals may begin to form
the great toe of an Egyptian mummy. The distinctive              and precipitate in joints and soft tissues. Lower temper-
clinical features of the disease were described by Hip-          atures decrease the solubility of uric acid, which may ex-
pocrates in the fifth century B.C. In the first century          plain the peripheral distribution of gouty arthritis and
A.D., Celsus recognized that gouty arthritis often af-           why, for example, the disease affects the big toe more
flicted the rich and powerful.                                   commonly than it does the shoulder.
     King Henry VIII of England was rumored to have                  Besides low temperature, other physical factors af-         Acute gout flares, from top,
made several misguided personal and matters of state             fecting urate crystal formation are low pH (acidity),           on the ear, foot, hands and
decisions when afflicted by acute gouty flares. It was           trauma or exercise and dehydration. Hyperuricemia can           knees can be painful and
only in the mid 18th century that the British physician          be due to overproduction of uric acid (about 10% of             immobilizing.
Alfred Garrod demonstrated an increased amount of                patients) or renal under excretion (about 90% of pa-
                                                                 tients). Sometimes it can be due to both. An elevated
                                                                                                     Continued on Page 4 …
uric acid in the blood of gouty patients and went on to

                                                 The famous — and gout
delineate the cause and effect relationship of urate depo-

                                                 T   hroughout history, gout has struck many famous people. One well known
                                                     sufferer, King Henry VIII, at left, was notorious for making rash decisions dur-
                                                 ing gout flareups.
                                                      Others in history who had gout include Mongolian emperor Kublai Khan;
                                                 Nostradamus, a French prophesier; poets John Milton and Alfred Lord Tennyson;
                                                 Sir Issac Newton, English physicist and mathematician; English writers Henry
                                                 Fiedling and Samuel Johnson; Pablo Neruda, a Nobel Prize winning writer; King
                                                 George IV; John Hancock, whose signature is famous on the Declaration of Inde-
                                                 pendence; President Thomas Jefferson; British Prime Minister Benjamin Disraeli;
                                                 and even Benjamin Franklin, an inventor and U.S. Ambassador.
                                                      Roman poet Ennius even attributed his success to gout, writing “I only write
                                                 poetry when I suffer from gout.”
   Prostate cancer…silent, but treatable
                                 Continued from Page 1 …

     r. Peter Lawrence
                                    His preferred method of surgery is a robotic prosta-     the tumor; high-intensity focused ultrasound (HIFU);
     practices at Jack-         tectomy. It is minimally invasive, uses a laparoscope and    and hormonal injections, which reduce testosterone lev-
son Urological Associ-          small incisions to remove the prostate and requires a        els and hold the cancer at bay.
                                general anesthesia. The patient typically stays in the           “When making the decision on whether and how to
ates with Dr. David                                                                          treat prostate cancer, I start with a long conversation
                                hospital overnight and goes home the next day. This is
Burleson, Dr. John Car-         compared to traditional surgery, which requires a larger     with the patient on the pros, the cons, the risks and the
raher, Dr. Ray Howard,          incision to remove the prostate and often results in a       benefits of each treatment,” said Dr. Lawrence. “We
                                longer hospital stay and longer recovery.                    want to make sure that any treatment provides more
Dr. Don McKnight and                                                                         benefit than harm.”
                                    Other treatments include cryotherapy, which freezes
Dr. Scott Yarbro. The
clinic is located at            Factors affecting your risk for prostate cancer
                              rostate cancer is the most common            Race: African-American men are      lead to prostate cancer.
28 Medical Center
Drive. For an ap-
                          P   non-skin cancer in America, affect-
                          ing one in six men. Several major fac-
                                                                    60% more likely to develop prostate
                                                                    cancer compared with Caucasian men
                                                                                                                      Where you live: For men in the
                                                                                                               United States, the risk of developing
pointment, call           tors influence your risk; some of them,   and are nearly 2.5 times as likely to      prostate cancer is 17%. For men who
731-427-9971 or           unfortunately, cannot be changed.         die from the disease. Conversely, Asian    live in rural China, it’s 2%. However,
                                 Age: The older you are, the        men who live in Asia have the lowest       when Chinese men move to the west-
800-748-9855              more likely you are to be diagnosed       risk.                                      ern culture, their risk increases sub-
                          with prostate cancer. Although only               Family history/genetics: A         stantially. Men who live in cities north
                          one in 10,000 men under age 40 will       man with a father or brother who de-       of 40 degrees latitude (north of
                          be diagnosed, the rate shoots up to       veloped prostate cancer is twice as        Columbus, Ohio, and Provo, Utah, for
                          one in 38 for ages 40 to 59, and one      likely to develop the disease. This risk   example) have the highest risk for
                          in 15 for ages 60 to 69. The average      is further increased if the cancer was     dying from prostate cancer of any
                          age at diagnosis of prostate cancer in    diagnosed in family members younger        men in the United States. This effect
                          the United States is 69 years. After      than age 55 or if it affected three or     appears to be mediated by inadequate
                          that age, the chance of developing        more family members. In addition,          sunlight during three months of the
                          prostate cancer becomes more com-         some genes increase mutational rates       year, which reduces vitamin D levels.
                          mon than any other cancer in men or       while others may predispose a man to         (Source; Prostate Cancer Foundation,

Gout: New treatments for an age-old disease
                          women.                                    infection or viral infections that can          

Continued from Page 3...           blood uric acid level can remain silent for several       agents, including nonsteroidal anti-inflammatory drugs,
                                 years before triggering health problems.                    colchicine and corticosteroids. Treatment is tailored to
                                  The typical gout patient is an elderly male or post-       the individual patient. For chronic management, the

T     reating pa-
      tients with
gout is simple if
                              menopausal female with other medical problems, such
                              as hypertension, cardiovascular disease, chronic kidney
                              disease, diabetes and hypercholesterolemia. They tend
                              to be obese, have a diet rich in meat and seafood, have
                                                                                             physician should start urate-lowering therapy to achieve
                                                                                             a serum uric acid level of less than 6 mg/dL. This ther-
                                                                                             apy usually starts two weeks after the acute event has re-
                                                                                             solved because initiation of urate-lowering therapy may
                              high alcohol intake and are frequent consumers of high-        result in a “mobilization” flare, which occurs when urate
both the physi-               fructose corn syrup. They commonly use medications             moves from tissue deposits. For the same reason, anti-
cian and the pa-              such as thiazide diuretics, low dose aspirin and nicotinic     inflammatory prophylaxis is recommended for several
                              acid that negatively impact the renal handling of uric         months after starting such therapy.
tient have a good             acid.                                                              Between 1965 and early 2009 not a single new drug
grasp of what                     Treating patients with gout is simple if both the          was approved for gout. Now treatment is poised for a
                              physician and the patient have a good grasp of what            transformation with new drugs on the market and oth-
causes the disease            causes the disease and a good line of communication. If        ers in clinical development.
and a good line               the patient has an acute flare of gout, treatment should           The new therapeutic options are for all stages of the
                              be eliminated to stop the acute painful attack first.          disease. One of them, Febuxostat (Uloric) has been
of communica-                 Once that is done, treatment should concentrate on             available for clinical use since 2009. Others, in phase
tion.                         preventing future flares and, in those patients with long-     two or three clinical trials, include Rilonacept and
                              standing disease, preventing and reversing the complica-       Canakinimab for resolving acute attacks by neutralizing
                              tions of chronic urate deposition in joints, kidneys or        IL-1; Pegloticase, a pegylated uricase that enzymatically
                              other involved sites.                                          breaks down uric acid; and RDEA594, which increases
                             4 Acute flares are resolved with anti-inflammatory              renal excretion of uric acid.
Customized knee surgery gets better results
        new technologically-advanced surgical proce-        tient-Matched technology also assists the

A       dure is customizing knee replacement surgery
        for each individual patient. The result is a knee
implant that works more naturally for the patient and
                                                            surgeon in choosing the correct implant
                                                            size that matches the dimensions of the
                                                            patient’s knee and helps the surgeon ac-
may last longer.                                            curately place the knee implant.
    “Visionaire Patient-Matched technology is a re-             When possible, the orthopedic sur-
markable system that uses your                              geons at West Tennessee Bone & Joint
MRI and x-ray images to de-                                 Clinic use minimally-invasive surgical
sign and build surgical instru-                             techniques with the Visionaire instru-
ments customized for your                                   ments, which helps patients return to
unique knee anatomy,” said                                  their active lifestyles faster.
Dr. Kelly Pucek, who is one of                                  Minimally-invasive surgery leaves a
several physicians at West Ten-                             smaller scar, and patients may experi-
nessee Bone & Joint Clinic,                                 ence less pain during recovery than they
P.C., who have been trained to                              would with a standard surgical approach
do the patient-customized,                                  to total knee replacement. The Vision-
knee replacement surgery.            Dr. Kelly Pucek        aire system also eliminates multiple steps
    “Every person’s knee joint has subtle differences in    from the surgery, reducing the patient’s
shape and contour,” he explained, “but traditional          time under anesthesia.
surgical instruments that are used to place knee im-            Any surgery has potential risks, the
plants are one-size-fits-all.” Traditionally, an orthope-   physicians said, and recovery depends
dic surgeon spends time during the procedure                on factors like activity level, weight and
adapting to the patient’s knee “terrain” in order to        age.
achieve the proper placement of the implant. “Mis-              “Still,” said Dr. Hutchison, “the new
alignment is the leading cause of early implant failure,    patient-customized technology is an im-
and it also can cause pain and                              portant advance in knee replacement surgery.
instability,” said Dr. Pucek.                               If you need the surgery, ask your doctor
    With the Visionaire tech-                               which implant is right for you.”
nology, explained Dr. Jason
Hutchison, who also practices                                   The physicians practicing at the West
at West Tennessee Bone &                                    Tennessee Bone & Joint Clinic are Dr. Low-
Joint, the orthopedic surgeon                               ell Stonecipher, Dr. Mike Cobb, Dr. David
comes to the operating room                                 Johnson, Dr. Kelly Pucek, Dr. Harold
equipped with instruments en-                               Antwine III, Dr. David Pearce, Dr. Jason
gineered exclusively for the pa-                            Hutchison, Dr. Adam Smith, Dr. Doug Haltom and               The Smith & Nephew
                                     Dr. Jason Hutchison                                                                 implants used in tan-
tient’s knee by Smith &                                     Dr. John Everett.
Nephew, an innovator in orthopedic implants.                    The clinic is at 24 Physicians Drive. For more in-       dem with Visionaire in-
    The computer-guided precision of Visionaire Pa-         formation, call 888-661-9825 or visit         struments are made
                                                                                                                         with an exclusive tech-
                                                                                                                         nology to custom fit to a

Cardiovascular Clinic moves to new building                                                                              patient’s knee.

    or patients of Dr. Adey Agbetoyin, find-      and easier parking for patients and staff.
F   ing the Cardiovascular Clinic of West
Tennessee has gotten a bit easier. In June,
                                                      The new clinic has the same phone
                                                  number, 731-256-1819, and the same
the clinic opened its new office at 2968 N.       hours of operation, 8 a.m. to 5 p.m. Mon-
Highland Ave., right                              day through Friday. The Cardiovascular
next to North Side                                Clinic of West Tennessee accepts most
High School.                                      major insurance products.
    The newly con-                                    Dr. Agbetoyin is board certified in cardi-
structed building is                              ology, specializing in diagnosing and treat-
more convenient for                               ing heart and vascular conditions. His clinic
patients to find, pro-                            provides state-of-the-art care in cardiovascu-
vides more space for                              lar consultation, nuclear cardiology, inter-
equipment and offers                              ventional cardiology, peripheral and
more exam rooms, a                                vascular medicine, and pacemaker and de-
larger waiting room      Dr. Adey Agbetoyin       fibrillator implantation.
Jackson has some really great doctors.
                         We are proud to call them members.
Allergy                              General Surgery                     Nephrology                         Pediatrics
Allergy & Asthma Care: 660-0138      Jackson Surgical: 664-7395          West TN Kidney Clinics: 668-4337   Child Care Clinic: 664-8080
 • Alan DeJarnatt, M.D.               • Daniel Day, M.D.                  • Susan Alex, M.D.                 • Kay Joglekar, M.D.
                                      • Dean Currie, M.D.                 • Ram Chary, M.D.                 Children’s Clinic: 423-1500
Anesthesiology                        • David Laird, M.D.                 • Shirish “Joe” Joglekar, M.D.     • Todd Blake, M.D.
Professional Anesthesia: 424-1408     • David Villarreal, M.D.            • R. Mulay, M.D.                   • Bruce Maley, M.D.
 • Ben Anderson, M.D.                Madison Surgical Clinic: 660-6101    • Murty Narapareddy, M.D.          • Amelia Self, M.D.
 • Charles Freeman, D.O.              • Thomas Edwards, M.D.                                                 • David Self, M.D.
 • Lauri Anne Gorbet, M.D.
                                                                         Neurology                           • Theresa Smith, M.D.
                                                                         Greystone Medical: 661-0131
 • Timothy Hutchison, M.D.           Gynecology/Obstetrics
 • Michael Lam, M.D.                 Jackson OB/GYN: 427-9601
                                                                          • Marcus DeSio, M.D.              Physical Medicine/Rehab
                                                                                                            EMG Clinics of TN: 664-0899
 • Michael Martindale, M.D.           • Clarence Gooch, M.D.             Ophthalmology                       • Ron Bingham, M.D.
 • Charles Poole, M.D.               Jackson Reg. Women: 668-4455        Eye Clinic: 424-2414                • Miles Johnson, M.D.
 • Todd Seabrook, M.D.                • Sandra Boxell, M.D.               • Mark Bateman, M.D.              EMG Specialty Clinics: 668-9899
                                      • Keith Micetich, M.D.              • Hilary Grissom, M.D.             • Remy Valdivia, M.D.
Cardiology                            • Lane Williams, M.D.               • Bruce Herron, M.D.              West TN Rehab Group: 664-7744
Adv Cardiovascular: 215-1281         Woman’s Clinic: 422-4642             • Sean Neel, M.D.                  • Davidson Curwen, M.D.
 • Alexander Alperovich, M.D.         • Brad Adkins, M.D.                 • Jason Sullivan, M.D.
Apex Cardiology: 423-8200             • Madhav Boyapati, M.D.             • Art Woods, M.D.                 Plastic Surgery
 • Henry Lui, M.D.                    • Michael Epps, M.D. (GYN ONLY)    Hughes Eye Center: 664-1994        Plastic Surgery Clinic: 668-2490
Cardiovascular Clinic: 256-1819       • Paul Gray, M.D.                   • David Underwood, M.D.            • Marshall Yellen, M.D.
 • Adey Agbetoyin, M.D.               • Andrea Harper, M.D.
Mid-South Heart Center: 423-8383      • Molly Rheney, M.D.               Orthopedic Surgery                 Podiatry
 • Louis Cunningham, M.D.             • Ryan Roy, M.D.                   Sports/Orthopedics: 427-7888       East Wood Clinic, Paris: 642-2025
 • Tommy Miller III, M.D.             • David Soll, M.D.                  • John Masterson, M.D.             • David Long, D.P.M.
Skyline Cardiovascular: 410-6777                                          • Keith Nord, M.D.                Podiatry Clinic: 427-5581
 • Ronald Weiner, D.O.               Hematology/Oncology                  • Timothy Sweo, M.D.               • Terry Holt, D.P.M.
                                     Cancer Care Center: 668-1668         • Bradford Wright, M.D.
Dermatology                                                               • David Yakin, M.D.               Pulmonology/Critical Care
                                      • Brian Walker, D.O.                                                  Mid-South Lung Center: 422-4241
Medical Specialty Clinic: 424-1001                                       West TN Bone & Joint: 661-9825
                                      • Archie Wright, D.O.                                                  • Ravis Curry, M.D.
 • Mac Jones, M.D.                                                        • Harold Antwine III, M.D.
                                     Hematology/Oncology: 234-2425
 • Patrick Teer, M.D.                                                     • Michael Cobb, M.D.              Rheumatology
                                      • Omar Ahmad, M.D.                  • John Everett, M.D.              Arthritis Clinic: 664-0002
                                     Oncology/Hematology: 541-9561
Family Practice                                                           • Doug Haltom, M.D.                • Jacob Aelion, M.D.
Northside Medical Clinic: 668-2800    • Clyde Smith, M.D.                 • Jason Hutchison, M.D.            • Satish Odhav, M.D.
 • Timothy Hayden, M.D.                                                   • David Johnson, M.D.
 • Elizabeth Londino, M.D.           Internal Medicine                    • David Pearce, M.D.              Urgent Care
Kenneth Warren, M.D.: 664-0103       Eze Clinic: 661-0067                 • Kelly Pucek, M.D.               Physicians Quality Care: 984-8400
Wellness/Family Care: 256-0526        • Gift Eze, M.D.                    • Adam Smith, M.D.                 • Jimmy Hoppers, M.D.
 • Erika Creech, M.D.                Goodwin & Associates: 668-9791       • Lowell Stonecipher, M.D.         • Melanie Hoppers, M.D.
                                      • Stephen Goodwin, M.D.
                                                                         Otolaryngology                     Urology
Gastroenterology                     Medical Clinic: 424-8922
                                                                         West TN ENT Clinic: 424-3682       Jackson Urological: 427-9971
Medical Specialty Clinic: 424-1001    • Robert Dunnebacke, M.D.                                              • David Burleson, M.D.
                                                                          • Karl Studtmann, M.D.
 • Charles Hertz, M.D.                • Kevin Gray, M.D.                                                     • John Carraher, M.D.
                                                                          • Keith Wainscott, M.D.
 • Robert Hollis, M.D.                • Conrado Sioson Jr., M.D.                                             • Raymond Howard, M.D.
 • Michael Ibach, M.D.               Ultimate Health: 265-1997           Pain Medicine                       • Peter Lawrence, M.D.
 • Daniel Kayal, D.O.                 • Samuel Bada, M.D.                Pain Consultants: 660-5116          • Donald McKnight, M.D.
 • Ami Naik, M.D.                    John Woods, M.D.: 664-7949           • Frank Jordan, M.D.               • Scott Yarbro, M.D.

              West Tennessee Physicians’ Alliance:
Physicians open Dermatology Clinic of Jackson
           ac Jones, M.D., and Patrick Teer, M.D.,             let light therapies (including EX-

M          have opened their own clinic, Dermatology
           Clinic of Jackson.
    The board-certified physicians have been practic-
                                                               TRAC laser) and the most up-
                                                               to-date biologic injections.
                                                               Cosmetic procedures include
ing dermatology in Jackson at Medical Specialty                sclerotherapy, Botox, Restylane
Clinic for a combined 30 years. Their new clinic will          and Juvederm injections and
continue to be in the Medical Specialty building at 27         products including RevaleSkin,
Medical Center Drive, which is off Skyline Drive.              Teamine complex and Latisse.
    Dr. Jones and Dr. Teer have a general dermatology          They market a small group of
practice with an emphasis on diagnosis and treatment           skin products.
of skin cancer. They diagnose and treat all diseases of             A graduate of Harvard Uni-
the skin, including acne, warts, moles, hives, rashes,         versity, Dr. Jones received his
psoriasis and fungal infections, and disorders of the          medical degree from the Univer-
hair and nails. Their patients range from babies to            sity of Tennessee Center for the
seniors.                                                       Health Sciences in Memphis. Both his internship and
    They also offer every available treatment for psori-                     residency in dermatology also were in
asis, including topical agents, oral therapies, ultravio-                         Memphis. Dr. Jones is board certi-
                                                                                  fied in dermatology.
                                                                                               A Jackson native, Dr.
                                                                                         Patrick Teer also is a medical
                                                                                          graduate of the University of
                                                                                           Tennessee in Memphis. He
                                                                                            spent three years in an in-
                                                                                            ternal medicine residency at
                                                                                          UT and an additional year as
                                                                                       chief resident. He then had three
                                                                                      years of residency in dermatology
                                                                                     at the University of Oklahoma.
                                                                                     Dr. Teer is board certified in inter-
                                                                                    nal medicine and in dermatology.
                                                                                       For more information or an ap-
                                                                                   pointment, call 731-422-7999 or

Formerly a part of Medical Specialty Clinic, Dr. Patrick Teer, second from        visit                               person
left; Dr. Mac Jones, far right; and their staff welcome patients to the new
Dermatology Clinic of Jackson.                                                                                                         with fair
                                                                                                                                 skin requires
Skin cancer on rise, but treatable if caught early                                                                               only two to
    …From Back Cover
                                                                                                                                 five minutes of
                                                              cerns about your daily intake of vitamin D, have your
bones,” said Dr. Jones. “But most people receive              regular physician draw your vitamin D level and then               mid-day expo-
enough incidental sun exposure from their daily activ-        consider taking supplements, if necessary.”                        sure to get his
ities to meet their vitamin D requirements. Tanning               Sunlight or tanning beds are no better sources of
bed salons and others that advocate intentional ultra-        vitamin D than food or supplements.
                                                                                                                                 or her daily
violet exposure as the preferred means of obtaining vi-           “The only thing for which they are better is in-               dose of vita-
tamin D are misleading the public.”                           creasing your risk for developing skin cancer and                  min D. After
    For example, he explained, a person with fair skin        causing premature aging of your skin,” said Dr. Jones.
requires only two to five minutes of mid-day exposure         “Don’t be mislead about the real dangers of sun and                this amount,
to get his or her daily dose of vitamin D. After this         tanning-bed exposure.”                                             any additional
amount, any additional vitamin D your body pro-
duces will not be utilized.                                      Mac Jones, M.D., practices with Patrick Teer,
                                                                                                                                 vitamin D
    If you are concerned about getting enough vita-           M.D., at the Dermatology Clinic of Jackson, 27                     your body pro-
min D, the safest way to obtain this is through a             Medical Specialty Drive. Both are board-certified der-             duces will not
healthy, balanced diet that includes vitamin D-forti-         matologists specializing in skin conditions.
fied foods, such as milk, or through oral vitamin D              To schedule an appointment, call the clinic at                  be utilized.
supplements, said Dr Jones. “If you have any con-             731-422-7999 or visit                              Mac Jones, M.D.

                                                                                                                Prsrt Std
                                                                                                              U.S. Postage
                                                                                                             Cedar Grove, TN
   P.O. Box 3367                                                                                               Permit #5
 Jackson, TN 38303

Address Service Requested

Alliance physicians
 meet all of your
  family medical

Skin cancer on rise, but treatable if caught early
                                   or 25 years, Dermatologist Mac             The most common skin cancers are basal cell car-

                            F      Jones, M.D., has been treating
                                   skin cancer — and he has
                            watched the prevalence of skin cancer
                                                                          cinoma and squamous cell carcinoma. About 98 per-
                                                                          cent of all skin cancers can be surgically removed in
                                                                          the office, said Dr. Jones. “With a one centimeter
                            rise, especially in younger patients.         margin around what you see clinically, you have bet-
                                 “There is not a day that goes by         ter than a 90 percent chance of not needing more
                               that I do not see a patient with skin      specialized surgery.”
                                        cancer and in all different           When medically appropriate, Jones refers ad-
                                             stages,” said Dr. Jones, a   vanced cases to a specialist, such as a plastic surgeon
                                                board-certified der-      or an oncology surgeon. Mohs surgery, a microscopic
                                                  matologist with the     surgery that removes skin cancer with minimum
                                                   Dermatology            damage to surrounding skin and a high cure rate, is
                                                     Clinic of Jack-      needed in only a small percentage of skin cancer pa-
                                                      son. “Although      tients, he said.
                                                       the majority of        The demon causing skin cancer is ultraviolet radi-
                                                       patients are in    ation that comes from the sun and artificial sources,
                                                       their 30s and      such as tanning beds.
                                                      older, one re-          In fact, Dr. Jones attributes some of the increase
                                                     cent summer we       in skin cancers, especially those among younger pa-
                                                  had two teenagers       tients, to the use of tanning beds. And some people
                                               with melanoma, the         are believing the misguided message that increased
                                           deadliest form of skin         levels of ultraviolet radiation will offer additional
                                         cancer.”                         health benefits, such as getting one’s daily dose of vi-
                                                                          tamin D.
                                        Dr. Mac Jones sees skin can-
                                                                              “It’s true that vitamin D is critical to healthy
                                        cer daily in his clinic.
                                                                                                          Continued on Page 7…

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