by Dr. C.V Ramana

Metabolic syndrome is a combination of risk factors that increase the likelihood of developing heart disease, diabetes, and stroke. These risk factors include high blood pressure, high blood sugar levels, excess body fat (particularly around the waist), high triglyceride levels and low levels of good cholesterol. Having only one of these risk factors does not mean that you have metabolic syndrome, however, having one will increase the possibly of developing cardiovascular disease. Having three or more will likely result in a diagnosis of metabolic syndrome. The two critical risk factors for diagnosing metabolic syndrome is excess central body fat and insulin resistance.
The American Heart Association reports that approximately 25 percent of the American population has metabolic syndrome. To diagnose metabolic syndrome your primary care provider will perform tests to look for signs of the disorder. These tests may include a baseline blood pressure measurement, waist circumference measurement, a fasting lipid panel, and a fasting glucose level. Complications of metabolic syndrome include hardening of the arteries, peripheral artery disease, cardiovascular disease, diabetes, heart attack, kidney disease and stroke.
If you think you are at risk for metabolic syndrome, see your primary care provider for an examination and screening. Metabolic syndrome is treatable and the poor outcomes related to living with the disorder for many years are avoidable. Your primary care provider can provide support and encouragement for decreasing your overall body fat by making lifestyle changes. He or she can prescribe medications to reduce high blood pressure, high blood sugar and even high cholesterol. Preventing poor outcomes from metabolic syndrome is certainly possible. Establishing a primary care provider and having regular check ups is the first step in taking control of your health and leading a healthier lifestyle.
You are also welcome to call our Vascular Center to schedule a prompt and free consultation. You can contact us at 405-608-8884. We are a specialized center staffed with highly experienced professionals, including a Vascular/Interventional physician, dedicated to treating vascular disease on an outpatient basis using the latest proven technology to combat this epidemic.
Dr. C.V Ramana is a vascular and interventional radiologist with more than 20 years of practice experience. He has expertise in all areas of vascular and interventional radiology. Dr. Ramana has a Ph.D from Yale University and MD from CWRU in Cleveland, Ohio where he subsequently completed his fellowship in Vascular and Interventional Radiology at the Cleveland Clinic.
Visit Naadi Health at 1 NW 64th Street in Oklahoma City or call (405)-608-8884. www.naadihealthcare.com

An experimental brain cancer compound developed at the Oklahoma Medical Research Foundation is being used in a new study that could considerably extend the lives of glioblastoma patients.
In a study at the University of Oklahoma’s Stephenson Cancer Center, the OMRF compound OKN-007 is being combined with Temodar, the current standard-of-care medication for glioblastoma. Researchers hope to learn if it can enhance Temodar’s effectiveness for a longer period of time.
Glioblastoma is an aggressive form of brain cancer with no cure. Even with surgery and chemotherapy, patients typically live only 12-18 months after diagnosis. Only 1 in 20 glioblastoma patients will live five years.
Temodar has been proven to work, but in most cases, patients tend to become resistant to the drug after approximately three months.
In combination, OKN-007 allows Temodar to remain effective for longer with less resistance, thus extending treatment well beyond the three-month window, perhaps indefinitely, said OMRF Vice President of Technology Ventures Manu Nair.
“Several additional months of treatment with Temodar can dramatically prolong the lives of patients and keep them from enduring other grueling treatments that can compromise their immune systems,” said Nair.
OKN-007 had been in trials to determine safety and efficacy since 2013. The compound was developed by OMRF scientists Rheal Towner, Ph.D., and Robert Floyd, Ph.D., as a novel therapeutic that dramatically decreased cell proliferation (spread) and angiogenesis (formation of new blood vessels), and it turned on the process of removing damaged cells so they can’t become cancerous.
“OKN-007 has been promising, but until now, it was only used in very late-stage cancer where patients are out of other options,” said Nair. “By combining it with Temodar, it offers a longer, more effective treatment regimen.”
The new study is led by James Battiste, M.D., Ph.D., medical director of the Comprehensive Brain Tumor Program at the Stephenson Cancer Center.
An estimated 12,000 Americans are diagnosed with glioblastoma each year, according to the American Brain Tumor Foundation. The standard treatment regimen involves surgery to remove as much of the tumor as possible, followed by radiation and chemotherapy. Still, the tumor almost always grows back.
“By combining Temodar and OKN-007 following initial surgery to have the brain tumor removed, we see potential for these patients to added benefit from an existing drug already proven to work, but for a much longer period of time,” said Nair.

The trauma center at OU Medicine has been re-verified as a Level 1 Trauma Center by the American College of Surgeons.
In 2001, the Trauma One Center, at both OU Medical Center and The Children’s Hospital, was designated as Oklahoma’s only Level 1 Trauma Center, the highest national ranking a trauma center can receive. The verification process by the American College of Surgeons validates that trauma centers have all resources necessary for any type of trauma care.
“Earning verification from the American College of Surgeons is gratifying because it reflects the commitment and hard work that our healthcare professionals deliver day in and day out,” said OU Medical Center President Kris Gose. “The process validates that we have all resources in place to provide optimal trauma care at any time.”
As a Level 1 Trauma Center, Trauma One offers comprehensive care that can handle the most critical emergencies. Trauma One provides 24-hour coverage by general surgeons, and quick availability of care in specialties such as orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine, plastic surgery, oral and maxillofacial surgery and more.
Operating rooms and trauma surgeons are available 365 days a year, and the air ambulance Medi Flight can be dispatched in minutes to airlift patients to Trauma One. A multidisciplinary team of physicians, nurses, specialists and other health care professionals are always on site, using advanced technology to treat the most severe and critical injuries. Level 1 Trauma Centers provide total care for every aspect of injury, from prevention through rehabilitation.
In addition to serving people across Oklahoma, Trauma One, because of its location in the geographic center of the state, is ideally positioned for regional access as well. An injured person’s best chance for survival is when treatment occurs within an hour of the event. Paramedics, ambulance systems and other hospitals across the state play key roles in transporting patients to Trauma One within an hour.
“The Trauma One Center has been able to save countless lives in its nearly 20-year existence,” said Roxie Albrecht, M.D., medical director of Trauma One. “As part of a tertiary care center, it is important that we participate in continuous assessment of our program. Our aim is to always provide the highest level of care to people when they need it the most.”
The verification of Trauma One was conducted by the Verification Review Committee, a subcommittee of the Committee on Trauma of the American College of Surgeons. Verified trauma centers must meet the essential criteria that ensure trauma care capability and institutional performance, as outlined by the American College of Surgeons’ Committee on Trauma in its manual Resources for Optimal Care of the Injured Patient. There are five categories of verification in the program. In addition to submitting documentation, Trauma One had an on-site review by a team of experienced site reviewers.
Level 1 Trauma Centers like OU’s Trauma One also provide public education and prevention information to people across the state. OU’s primary areas of advocacy are: ATV Ride Safe Oklahoma, which provides classes to increase awareness of ATV safety guidelines; Stop the Bleed, a course that teaches how to save someone’s life by controlling bleeding; and concussion education for coaches, game officials, athletes and parents about the nature of concussion and head injury.

Quite a bit to a Senior

Story by Darl DeVault

Central Oklahoma’s fastest growing recreational sport, pickleball, has everything going for it—universal design and appeal with senior-led visionary organizers. It is being widely embraced by seniors for its great health outcomes.
Pickleball is a recreational paddle sport for all ages and skill levels that is growing rapidly, providing more venues even now as winter weather sets in. The sport’s growth comes from its universal appeal wherein even grandparents who welcome the opportunity to try new fitness outlets can play with their grandkids to stay active.
Senior leaders have guided the Greater Oklahoma City Pickleball (GOPB) Club to average 32 percent growth for the last four years, after beginning in 2009 with several players. Currently, 750 members play and socialize at 18 venues around the metro area.
Brad Merritt, 63, president of the GOPB Club, says that pickleball is a draw for people of all ages and skill levels. “A major attraction of this sport is that strategy, placement and patience are greater assets than strength, size and speed,” Merritt said last week. “Older players and those with a less athletic background can really enjoy the game, while some play at a more competitive level.”
Merritt, as outgoing president after two years, is displaying that visionary zeal for the sport by beginning important negotiations with the city Edmond. Improved court availability could take place in the metro area once the newly built Edmond Tennis Center opens in early summer of 2020.
He and other club leaders seek to take advantage of that project, built by the City of Edmond and the Edmond Public Schools.
Merritt began talks two weeks ago to request that Edmonds’ previous facility, the Kickingbird Tennis Center, become a full-time pickleball venue.
The group is excited about this opportunity to have a full time pickleball facility locally.
As one of larger pickleball clubs in America, the GOPB Club has fostered pickleball as a way of life for its best players. Several professional players and impressive national title holders serve as role models to players of every age and talent level. They are traveling the globe to bring home gold, silver, and bronze medals from state and national tournaments and world cups.
The sports’ odd name is murky. Some say it is based on a dog named ‘Pickles’ who chased the ball as the three dads invented a game that young and old could play together 55 years ago. Joel Pritchard, Bill Bell, and Barney McCallum played the first games with solid wood paddles and a whiffle ball. They played near Seattle on a badminton court with the net lowered just past tennis height.
Played as singles and doubles, players only need the ability to move to get started in pickleball. The game is played on either indoor or outdoor courts that are usually scaled down tennis courts. There is serving, volleying and running in short bursts. There is sweating, bending, and stretching. Doubles games often brings spouses and children onto the same court.
Little is required to play, as only comfortable clothes and court shoes are needed to get started. The club furnishes paddles for beginners to use and will provide any partners needed. The club is full of friendly and helpful pickleball players always eager to welcome the curious to the court.
Club members offer lessons for beginners and help players develop their game through round robins, shootouts, leagues and novice-only tournaments. Better players attend tournaments in neighboring cities and states that happen all year long.
Each year, the club’s volunteers provide a free demonstration court for the full run of the Oklahoma State Fair, attracting many new players. The State Games of Oklahoma will host almost 500 players from across the nation here in Oklahoma City this month. Whether someone is just looking for a way to exercise or want to be challenged at a competitive level, there is a place in the pickleball community through this club’s activities.
You can get involved in the sport quickly by going to the national associations’ web site, www.places2play, and put in your zip code. That search brings up those venues in your local area along with times of play and contact information.
Through this club’s efforts and those of others there are places to play every day throughout Oklahoma with indoor and outdoor courts. They invite your interest at www.greaterokcpickleballclub.wildapricot.org
“It’s an exciting time for the sport and the local club with a new board assuming leadership roles this January,” said Merritt. “We expect a lot of new faces in the new year and the GOPB Club invites you to join them on the courts.”

Ensemble performs woman composer Libby Larsen with Mozart, Weber, Schoenberg

Guest pianist Stephen Buck joins the Brightmusic Chamber Ensemble in this season’s third concert, “Rustic Gardens,” Tuesday, January 21, 7:30 p.m at St. Paul’s Cathedral. Brightmusic continues the season featuring female composers with “Barn Dances” by Grammy Award winner Libby Larsen, in addition to works by Weber, Mozart, and Schoenberg. Buck serves on the academic faculty of State University of New York (SUNY) Purchase Conservatory of Music and champions new music.
Cowboy dances inspired American Libby Larsen (b. 1950) to write “Barn Dances” for flute, clarinet, and piano. Larsen named each movement for a dance step “to take a flight of fancy in each movement and to create the musical equivalent of a calendar drawing.” The second movement, Divide the Ring, pays homage to country singer Gene Autry.
“Rustic Gardens” continues with the Quintet for Clarinet and Strings in B-flat major (Op. 34) by German composer Carl Maria von Weber (1786-1826) and the Quartet No. 1 for Flute and Strings in D major (K. 285) by Wolfgang Amadeus Mozart (1756-1791). Weber had his friend, clarinet virtuoso Heinrich Baermann, in mind, with rich technical and melodic passages for the soloist. Mozart likewise wrote his quartet for Dutch surgeon and flutist Ferdinand Dejean. The quartet charms with clear form and texture.
In contrast is the harmonically complex Chamber Symphony No. 1 by Austrian Arnold Schoenberg (1874-1951). The piece marks the end of his conventional (post-Romantic) period and anticipates his evolution to a twelve-tone technique, giving equal emphasis to all notes.
Musicians appearing in this concert are: Stephen Buck (piano), Gregory Lee and Katrin Stamatis (violin), Mark Neumann (viola), Jonathan Ruck (cello), Parthena Owens, (flute), and Chad Burrow (clarinet).
Admission is $20 at the door and free for children, active-duty military, and students with ID.
Brightmusic Chamber Ensemble, Oklahoma City’s own chamber ensemble, presents fine classical chamber music in acoustically-rich St. Paul’s Cathedral at NW 7th and Robinson near downtown Oklahoma City. Free parking is available south of the cathedral. For more information about the ensemble and upcoming concerts, visit www.brightmusic.org

This Christmas, Claire Phillips is leaving the bright lights of Hollywood for a road trip back to her native Oklahoma. The young actress is on her way to spend the holidays with family and friends, and hopefully watch the Oklahoma City Thunder play on New Year’s Eve.
Phillips graduated from Oklahoma City University in 2013 with a degree in Theatre Performance and Music. She headed for the West Coast and landed some lucrative roles in shows like ABC’s “Speechless,” “Fresh off the Boat,” and HBO’s “Togetherness.”
But shortly after moving to Los Angeles, life threw her a curve ball.
“When I was 24, I was diagnosed with breast cancer,” Phillips said. “Luckily it had not spread throughout my body yet. It was aggressive though, and the doctors moved very quickly.”
Phillips said she had no family history, so her diagnosis came as quite a shock.
“Honestly, I had a three-week scare leading up to my diagnosis, and deep down I knew I had cancer,” she said. “Once they started doing the tests, I had this gut feeling something was wrong. So, by the time they told me the results of my biopsy I had already accepted it in a way. I didn’t cry, I was just numb. Two of my best friends held my hand and my parents were on speaker phone when they told me, then I went straight into fight mode.”
She leaned on the resources of the American Cancer Society, and through her doctors at UCLA, Phillips began her journey attacking cancer.
“The American Cancer Society has always been an amazing resource for fighters to help take a small amount of the stress away during their battle,” she said. “Whether it’s a free wig, a ride to treatment, the 24-hour hotline, the research—the American Cancer Society is a valuable partner to have on your side.”
Phillips chose a team of doctors at UCLA, then had a double mastectomy with full reconstruction, followed by chemotherapy.
Today, besides her work on TV and film, she is an advocate for ACS and cancer patients everywhere.
“I was so excited to hear about the beginning phase of Oklahoma’s Hope Lodge,” Phillips said. “Providing those who have limited funds a place to stay free of charge when traveling for treatment will be such an impactful way to give back where it is needed. I was lucky enough to live in a major metropolitan city with some of the best doctors in the country when I was diagnosed, and I didn’t have to travel far from home. But I know that is not always the case for all fighters. I am very happy Oklahoma is providing Hope Lodge as another resource to those who are battling cancer.”
Last October, Phillips passed the five-year mark, and says she feels great.
“My doctors are still staying diligent in my check-ups, scans and bloodwork,” she said. “And we are keeping an eye on my little sister and my mother.
“Life is good,” she added. “I live in Los Angeles with my wonderful boyfriend and new puppy, I have great family, friends and doctors, as well as resources like the American Cancer Society I rely on. So, this Christmas, there’s much to celebrate!”

http://www.cremation-okc.com/

Linda Rakett and her fellow Blue Star Mothers of Chapter 6 love supporting the military and veterans. Rakett is a volunteer with Blue Star Mothers through RSVP of Central Oklahoma. The national organization, made up of mothers who have children serving in the military or who have served and have been honorably discharged, started in 1942 during World War II.
“Our mission is to serve and help active duty military and veterans,” said Rakett, who became a Blue Star Mother when her son joined the Army right out of high school in 2003. “We send deployment boxes to the ones serving around the world, and we try to help the veterans who are at the Veterans Administration hospital or VA Centers.”
During the Christmas season, Linda and the other mothers contact nursing homes in the area and find out how many veterans are residents. They prepare gift bags that contain socks, candy, tissues, personal greeting cards, and snacks for each veteran to share with them for Christmas. They also participate in the Marines Toys for Tots drive, help out at the Military Welcome Center at Will Rogers World Airport, and participate in Veterans Day parades.
“We do whatever we can do to help,” Rakett said. “We love helping our military and our veterans.”
To learn more about Blue Star Mothers and volunteering with RSVP of Central Oklahoma, call Laura McPheeters at 405-605-3110 or email lmcpheeters@rsvpokc.org.
Since 1973, RSVP of Central Oklahoma has helped senior adults continue to live with purpose and meaning by connecting them with rewarding community volunteer opportunities, including RSVP’s Provide-A-Ride Senior Transportation Program. RSVP is a partner of Senior Corps and the United Way of Central Oklahoma. To learn more about becoming a volunteer, call Laura McPheeters at 405.605.3110 or visit rsvpokc.org. You can also follow RSVP on Facebook at facebook.com/RSVPokc.

By MC1 Jeffrey Hanshaw, SurgeMain Public Affairs

Assistant Secretary of the Navy for Manpower and Reserve Affairs Greg Slavonic visited Pearl Harbor Dec. 7, to speak personally with shipyard workers at an all-hands call and make public remarks at the USS Oklahoma Memorial on the anniversary of the World War II bombing.
Slavonic’s visit is in the wake of the deaths of two Pearl Harbor Naval Shipyard & Intermediate Maintenance Facility workers Dec. 5.
“The Pearl Harbor Naval Shipyard proved its tremendous spirit and resilience in the second World War when it responded to the tragic bombing,” Slavonic said. “In a mighty and skillful effort, USS Oklahoma was righted and refloated. Sadly, tragedy is upon us again—and we are here to remember the fallen from the past and from the recent present.”
Slavonic is responsible for the overall supervision and oversight of manpower and reserve component affairs of the department of the Navy including the development of programs and policy related to active, reserve, retired military personnel, their family members, and the civilian workforce; the tracking of the contractor workforce, and, the oversight of human resources systems within the department.
With the recent deaths fresh in everyone’s mind, Secretary Slavonic addressed a crowd of USS Oklahoma family members, World War II veterans and others, speaking on how the heroes of Pearl Harbor, both past and present, have always showed great resolve in the face of trials. “It’s hard to imagine what that day was like,” he said, referring to the attack on Pearl Harbor, an event that thrust the United States into World War II.
A retired U.S. Navy rear admiral and Oklahoma native, Slavonic enlisted as a signalman, eventually entered the Navy Reserve, and then retired after serving 34 years. He acknowledged the presence of another Sailor and World War II veteran in attendance at the ceremony: Signalman 2nd Class Burke Waldron. “I met a young man who is 96 years young and we have something in common,” Slavonic said, denoting their shared rating of signalman. “It was the bright spot of a difficult day.”
The memorial he stood before contains the names of those lost on the USS Oklahoma with each Sailor and Marine who perished represented by a marble pillar. Slavonic served on the committee that led the effort to build the memorial. He went on to describe how it is a visual representation of Sailors manning the rails, referring to how the erect marble pillars mirror sailors lining the deck of a ship to salute and render honors. “The greatest generation is recognized by this memorial,” he said, gesturing to the pillars.
“The men and women today, in uniform and out,” he said in closing, “embody the proud heritage and fighting spirit of the crew of Oklahoma and those who were determined to make her stand upright again. Their legacy lives on, their story will not die.”

By Joshua Vascil, OU Medicine

When it comes to healthy and effective exercise habits, the amount of time and effort you can put in to the workouts is the key. However, an OU Medicine internal medicine provider says there are some helpful options for those who don’t have much time to work out.
According to the Journal of the American Medical Association, adults should spend 150 to 300 minutes per week of moderate-intensity, or 75 to 150 minutes a week of vigorous-intensity aerobic physical activity. The Journal also recommends adults perform muscle-strengthening activities that involve all major muscle groups two or more days a week.
Joanne Skaggs, M.D., OU Medicine internal medicine physician, says time does matter when it comes to your workout habits, however, if you don’t have much time, she recommends High Intensity Interval Training or HIIT work-outs or simply limiting idle time throughout the day.
“Weight-bearing exercise is key for metabolism and losing weight just as much as aerobic physical activity is,” Skaggs said. “You always want to do a combination.”
Maintaining a routine to ensure that you get the most out of your exercise habits is important, Skaggs said. She recommends marking time for exercise on a calendar. “It forces it to become part of your schedule so that it’s harder to ignore, or at least there is some guilt. Group fitness is also a good way to motivate and become socially engaged in your community.”
For those who can’t find time or can’t make it to a fitness facility or gym regularly, Skaggs suggests trying to limit idle time by incorporating some of these activities in your day:
· Move more
· Sit less
· Park at the back of the parking lot
· Take the stairs when you can
· Incorporate physical activity into family time
· Look for fitness videos online, even if it’s only a 10 minute workout
“I always recommend the rule of 3’s,” Skaggs said. “Three minutes for three days in a row. Increase by three minutes every three days until you are able to reach 30 minutes. It’s much more doable this way.”
Skaggs warns that it’s always important everyone knows their limits and not push too hard, to avoid injury. “Do not go out and try and lift excessively or over exert yourself. Know your body. Do what you can, gradually pushing yourself to maintain a steady, healthy exercise pattern. And, you need to realize that physical fitness and health takes time. You’re not going to lose 50 pounds overnight.”
Before starting a new exercise and fitness regimen, it is important to check with your doctor.
OU Medicine has primary care physicians available at many locations across the Oklahoma City metro. For more information, go to: https://www.oumedicine.com/oumedicine/primary-care