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Opinion / Guest Column


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  • The importance of movement

    Jul 10, 2025

    by Anthony P. Fiegen, MD Orthopedic medicine is truly a team sport; we have the opportunity to collaborate with nonsurgical professionals, including physical therapists, occupational therapists, athletic trainers, among others, to deliver comprehensive musculoskeletal care. While there are proven surgical options to help our patients where indicated, in many cases, patients are able to achieve pain relief and improved function with nonsurgical treatment options. Much of orthopedic surgical training is appropriately dedicated to the planning and...

  • Why is it?

    Jul 3, 2025

    We live in a quirky, weird, sideways, upside-down world where some things just don‘t make sense – or they make too much sense to be sensible. As humans we often perpetuate the nonsense. We accept things for what they are and go about our business without question. But sometimes I wonder. About small things. Big things. Random things like: Why do cats have to race you up the stairs? They can come out of nowhere just to get one step ahead of you. Sometimes my cats pause to let me nearly catch up before bounding upwards to beat me. Again. Whe...

  • My friend left quite an impression

    Jun 26, 2025

    by Mike Cavin One thing I loved about the lowgrounds back in North Carolina was the wild muscadine grape. Muscadines grew wild in the lowlands, and when they were ripe, I would be in the lowground fighting the squirrels for my share of this native fruit. Muscadines were large, almost black in color, with polka-dotted speckles. When they were ripe, I would grab a vine and yank, and the ripe ones would come sprinkling down to the forest floor. The skin of the muscadine grape is thick compared to store-bought grapes. I used to bite the skin...

  • Oral health is a gateway to general wellness

    Jun 19, 2025

    by Paul Meyer DDS MS For much of modern healthcare, dentistry has existed apart from the broader medical system. Patients commonly have separate providers for medical and dental care, and this division is reflected in insurance models, education, and even cultural perception. Yet biologically, this separation is artificial. The mouth is a central part of the body, and its health is intimately tied to overall well-being. Studies of centenarians—people who live into their 100s—have shown a correlation between good oral health and longevity. Whi...

  • It all starts with a dream

    Jun 19, 2025

    by Bryan Golden Dreams precede everything; all actions and all creations. Truly, everything does start with a dream. Dreaming is not an idle activity. It’s not an escape from reality. Dreams are the foundation of all creativity. The type of dreaming I’m talking about doesn’t just occur while you are sleeping. The thoughts occupy your mind constantly, while you are awake as well as resting. These types of dreams stick in your mind. They become a mental obsession. When your mind is focused on a specific detailed dream, it will lead you towar...

  • Teen Mental Health

    Jun 12, 2025

    by Curstie Konold MPH, CSW-PIP, QMHP The start of summer brings a sense of excitement for many teens. Take a moment to reflect back to your teen years. As we reminisce, we can likely all say that our adolescent years were a unique and informative time of our life. Mental wellbeing habits are often formed during this time as teens strengthen their social and emotional skills, laying a foundation of habits for the rest of their life. Consider what habits you perhaps formed during this time and what supports you had or needed when you were a...

  • High-strung worms

    Jun 5, 2025

    by Mike “Michael” Cavin It was heaven for me to walk into one of those old-timey bait & tackle stores. Even before opening the screen door, one could hear crickets chirping from the box inside. Most folks who fished with a cane pole owned a cricket cage–a wire container with a carrying handle. Crickets were ordered by the dozen, and the clerk funneled them from a screened box into a test-tube-looking contraption, then emptied them into the customer’s cricket cage. There was always that one cricket that clung to the outside of the cage while b...

  • Living with Parkinsons disease

    May 29, 2025

    by Dr. Kelly Evans-Hullinger “I am concerned your symptoms are due to Parkinsons disease,” is something I have said to numerous patients over the years. This is a degenerative neurologic disease which is common enough that most patients have heard of it or even know someone living with it. Most commonly, the patient or their family might have noticed classic symptoms: a tremor, difficulty with movement like walking, or balance problems. Importantly, not all tremor is Parkinsons, though that is typically the biggest concern my patients hav...

  • A possum's point of view

    Apr 24, 2025

    by Mike “Michael” Cavin On a chilly Carolina afternoon, I headed out to deer hunt with my muzzleloader, an old timey-like gun a person pours black powder down the barrel and rams a lead ball down on top of the powder. To fire the gun, a percussion cap is placed onto the port, also known as the nipple, of the firing mechanism. The gun’s hammer is pulled back until it stays cocked. When the trigger is pulled, the hammer strikes the percussion cap, sending a spark into the powder charge, thus making the gun go boom. Seeing as black powder is might...

  • Bring on the new day

    Apr 24, 2025

    by Slim Randles There’s something so satisfying about getting out of bed when the world is still dark and quiet and resting. Making the coffee gives us time to scratch and think. Well, scratch, anyway. Most of that thinking will start after about the third cup of coffee. But it’s a quiet time. A private time. When the world is dark, and there isn’t yet a hint of pink over the eastern mountains, it’s very good. We can relax. No one is expecting anything from us right now. Our guilt can take some time off, and we can listen to music or work a cro...

  • A name by any other name

    Apr 10, 2025

    by Jill Pertler What’s in a name? My daughter, who is expecting a baby, is currently considering this question and it’s a deep one for sure. A name can connote so many things. It can remind you of someone you really like - or really don’t like. It can inadvertently rhyme with a swear word. An easy nickname could be associated with something negative. A name sort of sticks with you and that’s heavy duty stuff. With great power comes great responsibility. We learn our name at an early age. We identify with it. In many ways it becomes us and we...

  • There should be a law against boiled okra!

    Mar 27, 2025

    by Michael “Mike” Cavin Okra. Just say the word a time or two. It’s easy to pronounce, the spelling is unusual, and the taste is pleasing and very different from anything else from a garden or a market. Okra is also a very versatile vegetable; however, the only civilized way to prepare it is through frying or pickling. Please don’t destroy the reputation of this plant by boiling it!!!!! For the life of me, I cannot understand why someone would boil okra or how they could ingest it once they did!!! Who on earth did get that started??? Was it...

  • The opposite of a word-thrill ride

    Mar 27, 2025

    Ready for some fun? I’m not talking about fun in an exciting roller coaster sort of way. That type of fun is always fun, but fun can be all sorts of amusement park rides. Some are like roller coasters - fast, thrilling and take-your-breath-away. But that isn’t the only type of enjoyment to be found at an amusement park. Sometimes happiness is uplifting like the ferris wheel, or well-rounded like a carousel. Sometimes it is unexpected like bumper cars, or refreshing like the flume on a really hot day. And sometimes, fun is simply hur...

  • Don't empower others to upset you

    Mar 13, 2025

    by Bryan Golden You have no control over other people’s actions. But you do have total control over your response. Someone else can’t upset you unless you empower them to. “They make me so mad,” “they make me so upset,” and “they make me so unhappy,” are statements based on the false premise that other people have power over your emotions. Don’t empower others to upset you. Don’t make excuses which justify your becoming upset. Comments such as, “I have every right to be upset,” don’t help you. Anger, bitterness, and resentment, are all self-...

  • Businesses for babies

    Mar 6, 2025

    by Christina Young, Director for the Center for the Prevention of Child Maltreatment When businesses support working parents, they’re not just boosting their bottom line – they’re helping prevent child abuse and neglect. Research shows that workplace policies like flexible scheduling, paid family leave, and childcare assistance significantly reduce major risk factors for child maltreatment by decreasing parental stress and providing essential economic stability. When parents have the flexibility to attend school events, care for sick child...

  • Abnormal electrical signals

    Feb 27, 2025

    by Kelly Evans-Hullinger, MD Atrial fibrillation is probably a diagnosis you have heard of, if not because a friend or family member has it, because it has been mentioned in a public advertisement or pharmaceutical commercial. Atrial fibrillation (or “A-fib”) is the most common cardiac arrhythmia, a condition estimated by the American Heart Association to be present in more than five million Americans. A-fib happens when abnormal electrical signals occurring throughout the cardiac atria (upper chambers of the heart) override the normal intrinsi...

  • Ample reasons to be concerned about your vision

    Feb 20, 2025

    by Debra Johnston, MD Recently, I had a gentleman come for an annual wellness visit. He hadn’t had one for quite some time, and I could tell he was a little uncertain about what to expect. He was patient while we reviewed his family history, and tolerant while we talked about diet and exercise, but he’d had enough when I asked about the last time he’d been to the dentist and the eye doctor. “What is this about?” he asked me, somewhat exasperated. I suppose people don’t usually expect to go to their primary care doctor and have her nag them abou...

  • Never give up

    Feb 6, 2025

    by Bryan Golden Persistence is the foundation of success. Although there are many ways to describe success, there is only one definition of failure – giving up. Whatever your meaning of success, you will only achieve it through persistence. “Nothing in the world can take the place of persistence. Talent will not; nothing is more common than unsuccessful men with talent. Genius will not; unrewarded genius is almost a proverb. Education will not; the world is full of educated derelicts. Persistence and determination alone are omnipotent.” - Cal...

  • Influenza season is here

    Jan 23, 2025

    by Debra Johnston, MD Lately I’ve been reminded of a blockbuster movie from my youth. It contains a scene that even those who never saw the film are likely to recognize. A sleeping family is jolted awake, and from the foot of the bed the young daughter sings “they’re here!” One might wonder why I’m thinking so much about Poltergeist. That quote started ringing in my brain during our last monthly clinic meeting, when our lab director reported on the previous day’s influenza statistics. Nearly 90% of the tests were positive. Respiratory...

  • A new year, a new beginning

    Jan 2, 2025

    by Bryan Golden The New Year is a time of resolutions. It’s a time when people commit to making a change in their life. Losing weight, changing jobs, saving money, making money, a new relationship, getting in shape, going back to school, or giving up smoking, are just some of the goals people set for themselves on January 1st. Although it’s possible for anyone to make a change or a new start, it takes determination, commitment, and persistence. A new goal must be your own. You have to really want it. Without a burning desire, your mot...

  • True holiday spirit

    Dec 26, 2024

    by Bryan Golden Among other things, the holidays are a time of giving and receiving gifts. The question most often asked of people is, “what did you get?” Much less frequently asked is, “what did you give?” Invariably, the inquiries concern material gifts. Purchasing a gift can certainly be thoughtful and a wonderful gesture, especially when it’s backed up by your actions. However, the most valuable presents are those that aren’t sold in stores. When you give your love, your time, help someone in need, aid another in solving a problem or...

  • Get your 'sparkle' back

    Dec 19, 2024

    by Jill Palmquist It’s the end of a long, stressful, contentious year for many of us. We’ve absorbed more than our share of anxiety over the election, over world events, and over the rising prices of…well, everything. And now, here come the holidays barreling toward us like a tinsel-decked locomotive. Ugh. How are we supposed to get in the holiday spirit when all we can muster right now is a half-hearted “bah humbug”? Actually, the stretch between now and New Year’s is a great time to get your sparkle back and end 2024 on a high note. I’m n...

  • What to do with rice

    Dec 12, 2024

    by Jeff Alan If you really love rice like I do, your theme song could be “Rice Is Nice” from the 60s band The Lemon Pipers. When it comes to eating white or brown rice, just having it plain can be boring. There are many things that you can put on it or have with it. I have autism and love to eat rice. In fact, I have a routine where I eat rice for both lunch and dinner. I have tried many things on it and with it. Some of the things I have tried may seem strange. My two favorite beef dishes to have with rice are meatballs and gravy and meatloaf,...

  • Support small businesses

    Dec 5, 2024

    by SBA Regional Administrator Aikta Marcoulier, SBA Regional Administrator and Wyoming District Director Amy Lea The Season of Small Business is an annual U.S. Small Business Administration (SBA) led campaign designed to drive Americans to shop at small businesses throughout the entire holiday season. The pandemic confirmed the essential role that small businesses play in our daily lives. The holiday shopping season is a crucial time for small firms that depend upon the boost in sales earned between Thanksgiving and New Year’s Eve. It sounds cl...

  • Giving thanks

    Nov 28, 2024

    by Joanie Holm, CNP Would you like to sleep better, have a healthier heart and less aches and pains? How about a lower blood pressure, a higher self -esteem and enhanced relationships? Would you believe that the Mayo Clinic and Harvard University, as well as other scientist all say these benefits can be yours with very little effort. And it doesn’t require a change in your diet or excessive exercise! So, what is this magical therapy? GRATITUDE!! Gratitude comes from the Latin word gratia, which means grace, graciousness or gratefulness. P...

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