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Children’s Dental Health Month

Building Healthy Smiles for Life

February is National Children’s Dental Health Month, a time dedicated to raising awareness about the importance of oral health for kids. Good dental habits in childhood set the foundation for a lifetime of healthy smiles. Whether you’re a parent, caregiver, or educator, this is the perfect opportunity to teach kids how to care for their teeth and gums.

Why Children’s Dental Health Matters

Dental health is more than just having a bright smile. Poor oral hygiene can lead to cavities, gum disease, and even impact overall health. According to the CDC, tooth decay is one of the most common chronic childhood diseases—but it’s also one of the most preventable.

Early dental care helps:
✔ Prevent cavities and gum disease
✔ Encourage good eating habits
✔ Support proper speech development
✔ Boost confidence with a healthy smile

Tips for a Healthy Smile

To keep little teeth strong and healthy, follow these important dental habits:

Brush and Floss Daily

Children should brush twice a day with fluoride toothpaste and floss daily to remove plaque buildup. For kids under 6, parents should help with brushing to ensure they reach all areas.

Eat Tooth-Friendly Foods

Encourage a diet rich in fruits, vegetables, dairy, and lean proteins. Avoid sugary snacks and drinks, which can cause cavities.

Visit the Dentist Regularly

A dental checkup every six months is essential to catch problems early and keep teeth in top shape.

Drink Plenty of Water

Fluoridated water strengthens teeth and helps wash away food particles that can lead to decay.

Start Early

Dental care starts as soon as the first tooth appears! Wipe baby gums with a soft cloth and transition to a baby toothbrush once teeth come in.

Let’s commit to making dental care a fun and important part of every child’s daily routine!

Mina Joseph, DO
DRH Children’s Clinic

 

The Heartfelt Benefits of Quitting Smoking

Smoking is one of the leading causes of heart disease, but the good news is that quitting can drastically improve your heart health—starting almost immediately. If you’ve been thinking about giving up cigarettes, here’s how your heart will thank you.

Immediate Benefits: A Heart on the Mend

The moment you put out your last cigarette, your body starts healing. Within just 20 minutes, your heart rate and blood pressure begin to drop. After 12 hours, carbon monoxide levels in your blood return to normal, allowing your heart to receive more oxygen.

Short-Term Wins: Stronger Circulation and Lower Risk

Within a few weeks of quitting, your blood circulation improves, and your heart pumps more efficiently. You’ll notice that simple activities—like walking up the stairs—feel easier because your heart isn’t working as hard to keep up. By the one-year mark, your risk of heart disease drops by 50% compared to when you were smoking.

Long-Term Rewards: A Healthier, Happier Life

Five years after quitting, your arteries and blood vessels widen again, reducing your risk of stroke. By the 10-year mark, your risk of dying from heart disease is nearly the same as that of someone who has never smoked. Quitting adds years to your life and improves your quality of life.

Embrace a Smoke-Free Future

The journey to quitting can be challenging, but the benefits are well worth it. Your heart will grow stronger, your body will heal, and you’ll give yourself the best gift—a healthier future.

If you’re ready to quit, consider joining a smoking cessation program. Kimbra Whaley, Smoking Cessation Specialist at DRH Health is ready to help.  Contact her at kimbra.whaley@drhhealth.org or 580-251-8558

Every day smoke-free is a victory for your heart!

 

Psych Byte: Thinking about Therapy

Happy New Year! New Year’s Day is traditionally ground zero for self-reflection and resolutions. We already know that we can increase our likelihood of success by about 50% in meeting a goal if we just establish one. Most common individual resolutions are superficial in nature and are to start, stop, increase, decrease, or improve something about ourselves, but it’s rarely internal. What if it is this time? What if our greatest need for change that just can’t be ignored anymore is rooted in our own mental health? We find our mental health often neglected indirectly because we usually find it much easier and safer to choose more superficial, feel-good quick resolutions to address than considering some of those deeper, more sensitive, interpersonal, and emotional issues we’ve carried with us for decades. If this is you, and you are ready to make your mental health a priority this year, here are some answers to some common questions most have before they decide to consider therapy for themselves…

What is “therapy?” Therapy is education, support, and assistance for issues, behaviors, behavioral reactions, functioning, psychological disorders, and/or various interventions from a safe, private, impartial setting. It’s a myth to think it’s just for the “crazy,” or “weak.” It’s for everyone, anyone, and for any reason.

What is a therapist? A ‘regular person’ who likes helping others, but is educated in psychology, behaviors, therapeutic approaches, and other areas who entered a helping field. A professional bound by standards of ethics and conduct who cares listens, and provides feedback in a healthy, safe place without drama, taking sides, judgment, shame, or negativity. Some have graduate degrees, some have doctoral degrees. Some are specialists in certain therapeutic approaches, areas of focus, or disorders. Some can prescribe medication and some can’t.

Why seek therapy? Therapy can help with gaining a better understanding of life, themselves, or what they do and why. Others want to address problems with the past, relationships, emotions, behaviors, trauma, making difficult choices, address life changes, or how to promote self-improvement.

Is it worth it? The value of therapy is different for everyone. It doesn’t work for everyone, but it does for most. It’s better to go and find out it’s not helpful than to avoid it and really need it.

Is it safe? All content is confidential and protected by laws and statutes. Therapists are bound by very high ethical and moral statutes and guidelines and can face criminal prosecution, incarceration, license forfeiture, expensive fines, or a combination of repercussions for any violations.

Are there different kinds of therapy? Yes. Some therapists carry specific credentials for certain kinds of therapeutic approaches or areas of focus, but most start by using an approach called CBT (Cognitive Behavior Therapy) which focuses on patterns of behavior, thinking, and developing effective coping skills. Sessions start with a weekly frequency, then may spread out to bi-monthly later depending on areas of focus and approaches used. Session length usually lasts 30-90 minutes but is often scheduled for 60 minutes. Most clients see a therapist 3-6 months on average or until their desired goals are met.

Is therapy expensive? Yes and no. A specialist or a specialized type of therapy may cost more. Private pay therapy is usually more expensive because you’re paying the entire fee instead of a portion called a co-pay, or the part that isn’t covered by your insurance. Some employers have an “Employee Assistance Program” that covers a certain amount of sessions, and not all insurance companies cover mental health counseling. Many agencies have “sliding fee scales” or payment plans available for those with financial limitations who qualify.

How do I know if my therapist is a good one? This varies widely. However, most “good” therapists will share these qualities: They are patient, empathetic, relatable, listen, flexible, genuine, realistic, observant, knowledgeable, participative, ask questions, provide feedback, motivational, challenging, hold you accountable, accept constructive criticism, and committed to your progress. Good therapy shares these qualities: it identifies issues, has specific goals and objectives, is relevant to the client, is realistic, is useful, is challenging, is client-centered, measures progress, provides purpose for the need for change, and rewards progress.

Shawn Roberts, LPC
Duncan Medical Associates

Sleeping Better in 2025!

We spend up to a third of our lives hoping to get the best sleep possible!  Here are some great tips to help you achieve this for 2025!

  • Try one Magnesium tablet, 250 mg or 400 mg tablet, orally, 1 hour prior to bedtime.
  • Sleep in a cool (as low as 65-68 degrees) and dark room.
  • Try sleeping under a “weighted blanket.”
  • Try a vibrating mattress massager, like the ComfortEase Sound Sleep Massager. If this works, consider a bed base with a vibrator built in.
  • Use a “brown noise” music channel for background noise, rather than white noise.
  • Don’t go to bed until you are sleepy.
  • Wear socks to bed! It works for many to decrease night awakenings!
  • Get up at the same time every day, seven days a week to set your body clock. No sleeping in. This disrupts your next night of sleep.
  • Expose your eyes to very bright light as soon as you wake up.
  • No caffeine within 8 hours of bedtime.
  • No alcohol or nicotine within 4 hours of bedtime.
  • No cardio exercise within 2 hours of bedtime.
  • No bright light exposure  within 2 hours of bedtime or when you wake up during the night.
  • No electronics, TV, phone or tablets, within 1 hour of bedtime, or during the night – these activate your brain. Instead read under a dim light, or listen to music, as book or a podcast.
  • Take a long, hot bath an hour before bedtime, then read under a dim light, or listen to music, a podcast, or a book to get sleepy.
  • Consider purchasing a sleep tracker to monitor your sleep times and sleep stages, so you can monitor your improvement.

These are proven lifestyle insomnia helps – try as many as you need.  Happy Sleeping in 2025!

Jeffrey C. Jones, MD
Medical Director, DRH Sleep Institute

Happy Moving in 2025!

Small Steps, Big Impact: Movement Ideas for Everyone!

The New Year is a perfect time to set health goals and boost your energy, mood, and overall well-being. One of the easiest and most effective resolutions is to stay active throughout the year. Whether you’re single, a busy parent, or an older adult, moving more is key for maintaining a healthy lifestyle. Here’s how you can incorporate movement into your day, no matter where you are:

1. At Work – Sitting for long hours at your desk can leave you feeling sluggish, but it’s easy to add movement into your workday:

  • Take mini breaks: Stand up every 30 minutes to stretch your neck, shoulders, back, and legs. You can also take short walks. 
  • Use a standing desk: Alternate between sitting and standing to improve your posture and keep your energy up.
  • Desk stretches: Simple neck rolls or shoulder stretches can relieve tension and improve circulation.
  • Movement breaks: Every 60 minutes, add in mini exercises like squats, push-ups, stretches, planks, tricep dips, or lunges.
  • Park further away: Walk extra steps by parking farther from the entrance.
  • Walking meetings: Suggest walking meetings to get your steps in while staying productive.

2. At Home – Staying active at home doesn’t need to be complicated:

  • Active housework: Gardening, yard work, vacuuming, sweeping, laundry, and washing windows are all great ways to move while you get things done.
  • Play with the kids or pets: Whether it’s a game of catch, riding bikes, playing tag, or chasing your dog around the yard, these activities are both fun and active.
  • Stretch or do yoga: Dedicate just 10-15 minutes each morning or evening to stretching or yoga to keep your muscles flexible and reduce stiffness.

3. On the Go – Even when you’re out and about, staying active is easy:

  • Take the stairs: Skip the elevator and climb the stairs when you can.
  • Walk or bike: Instead of driving short distances, walk or bike for a healthy and eco-friendly option.
  • Explore outdoor activities: Go hiking, discover new trails, visit new towns, or try water sports to stay active and enjoy the great outdoors.

4. For Families and Older Adults – Being active is important for everyone, and it’s even better when done together as a family:

  • Family walks: Take a daily walk with the family after dinner or on weekend mornings. Build activity into your routine to bond with your kids while staying active.
  • Games & sports: Enjoy fun family activities like soccer, basketball, football, biking, swimming, hiking, or tag.
  • Simple exercises for older adults: Try seated chair exercises, chair yoga, water aerobics, Tai Chi, or walking programs like “Walking with Ease.” These can improve flexibility, balance, and strength.

Why Movement Matters

Incorporating movement throughout the day helps you and your family maintain a healthy weight, improve cardiovascular health, and boost your mental well-being. It’s not about making big changes—it’s about making small, consistent changes to add in movement into your daily life. Starting may be the hardest part, but once you begin, the momentum will keep you going!

Start small, stay consistent, and remember, every step counts toward a healthier, happier you!

Happy Moving in 2025!

Zinnia Kamal, PT, DPT, PCS
Board Certified Clinical Specialist in Pediatric Physical Therapy

 

Diabetes Self-Management Training

You may have heard the phrase, Diabetes Self-Management Training, and wondered what that was referring to. Diabetes Self-Management Training, DSMT for short, describes Diabetes Education programs that focus on training persons with Diabetes with the skill set to make daily decisions that manage blood sugar. This education aims to prevent, delay, or lessen the severity of severe diabetes complications by self-care and self-management. Each individual responds to food, activity, stress, and other factors individually. These programs recognize the need to personalize education and goals to meet that person with Diabetes where they are in their journey with Diabetes. You are in the driver’s seat! You see your provider, educator, and other healthcare providers for a few hours each year. All the rest of the time, you make all the decisions. What you eat, staying on schedule with your medications, and how much time you exercise are all under your control. These classes are structured to help you develop behaviors to meet your goals and promote quality of life.

Seven behaviors are focused on during training.

  • Healthy Eating
  • Being Active
  • Taking Medications as Prescribed
  • Monitoring your blood sugar levels
  • Reducing risks to lower the chances of diabetes-related complications
  • Healthy coping with Diabetes and emotional well-being
  • Problem-solving to find solutions and take action

The Diabetes Self-Management Training program at DRH Health is certified through the American Diabetes Association. Joy Galloway, MS, RD, LD, CDCES staff the outpatient program. She is our Quality Coordinator and is a Certified Diabetes Care and Education Specialist. Rachel Loyd, RN, is our inpatient diabetes educator, working with patients who are admitted to DRH Health with self-management of their diabetes care.

There are four specific times when a referral for Diabetes Self-Management is recommended:

  • At initial diagnosis of any type of Diabetes
  • Annually to review status and/or progress or when not meeting treatment targets
  • When complicating factors develop
  • When transitions in life and care occur

Contact your provider for a referral for outpatient services. They can then send that referral to our scheduling department, which will contact you to make an appointment. Medicare, Medicaid, and most commercial insurance plans cover Outpatient Diabetes Education Services. Self-pay options are available as well.

We have other opportunities to help develop your diabetes self-management skills:

  • DRH Person with Diabetes Support Group:  We meet once a month on the first Thursday at 6:00. There is no charge for this meeting.   This is an excellent opportunity to have questions answered about Diabetes Self-Management and to interact with those following a similar journey with Diabetes. For more information, call our Diabetes Education number at 580-251-8461
  • DRH Garden Fresh Program:  This program is designed to promote improvement in A1C values through education and an increased intake of fresh fruits and vegetables. Qualified individuals (with Diabetes) are placed on a program to receive fresh produce every week. Quarterly A1C testing and diabetes education are provided at our Garden Fresh meetings at the Think Ability Garden Hub or our DRH outpatient facilities. To see if you qualify, contact your healthcare provider.
  • Diabetes Technology Focus: Various new technology is now available to help ease Diabetes Self-Management. We provide training on using a continuous glucose monitor to its fullest potential, employing various apps to simplify keeping track of blood glucose readings, medications, and meals consumed, and also with Omnipod Insulin Pumps. Medicare has now approved the use of Omnipod 5 in type 2 diabetes. The benefits of more consistent insulin dosing and saying goodbye to multiple daily injections are very attractive to many. Contact us for more information on how you might benefit from a CGM, insulin delivery devices, or various Diabetes Management technologies.

Joy Galloway, MS, RD, LD, CDCES
Diabetes Educator

Diabetes Management

I often get asked, “Why does the same meal affect my blood sugar differently each time?” The answer to that question is multifaceted. Food, of course, significantly affects blood sugar after a meal or snack. However, other things “at play” impact your post-meal results. The American Diabetes Association’s post-meal blood sugar goal is no more than 180. The College of Endocrinologist’s goal is tighter at 140. I always recommend that you establish a baseline for your average post-meal response. Then, identify the foods and combinations that increase blood sugar readings. Once you identify those meals, food items, or snacks, you can work on portion control, frequency of consuming those foods, what other foods are combined with your “trigger” foods, and eliminating certain foods from your diet. If you want to move from average control (under 180) to tighter control (140 or less), how you reshape your diet and lifestyle contributors can get you there!

Insulin made by your body or injected opens the door to your cells to allow sugar to enter and be used for energy. How well your cells respond to insulin is often one of the answers to why your blood sugar readings differ from meal to meal. Insulin resistance means your cells do not respond to insulin, keep your blood sugar circulating, and are not used for energy. Your degree of insulin resistance changes throughout the day. Here are some factors at play with post-meal readings that affect your degree of insulin resistance.

  • Stress:  Stress plays a significant role in blood sugar. Did you know your liver stores sugar? When you are stressed, your body produces adrenaline that causes your liver to dump sugar. On a stressful day, you can have mealtime sugar and dumped liver sugar, affecting your post-meal reading. This makes a meal with which you usually have good results seem ineffective, making you feel that “nothing works.”  Those higher results were the combination of two sugar sources.
  • Inactivity:   Changes in activity level can have a fairly rapid result on your post-meal readings. Just skipping routine exercise for 2-3 days can have an impact. Daily exercise improves how fast you can pull sugar into your cells, using it as energy.
  • Lack of Sleep:  Consistently sleeping less than 7-8 hours a night or tossing and turning can significantly impact your sugar levels during the day. Hormone production during sleep helps regulate blood sugar. Poor sleep quality can make you start the day with higher fasting blood sugar, affecting your blood sugar all day.
  • Weight Gain: Just gaining 5-10 pounds can affect your post-meal readings. A meal that once resulted in post-meal readings within the goal could now be less effective.
  • Portion Control: Larger portions of food that usually work well in your diet can be easily overlooked when figuring out what caused your blood sugar to go higher than expected.
  • Skipping Meals:  For many people with diabetes, skipping meals can lead to a higher post-meal reading after the next meal. While you may not feel hungry, your body still needs energy to work with. Your liver will be signaled to dump sugar out to cover your energy needs. You could go into your next meal with a higher blood sugar due to liver dumping, causing your post-meal reading of a trusted meal to be higher.

 

So, if you are seeing meals or snacks that used to be your go-to combinations that worked well with your blood sugar results start to change, think about the “affecters” listed above. It could be that it is not just the food you eat that is changing your testing results.

Joy Galloway, MS, RD, LD, CDCES
Diabetes Educator

Find Your Voice with Loud Crowd

Find Your Voice with Loud Crowd: A Life-Changing Program for People Living with Parkinson’s Disease

Loud Crowd, a support group led by Lillian Phillips, M.S. CCC-SLP, is designed to enhance the quality of life for individuals affected by Parkinson’s Disease (PD). This group aims to increase ‘Quality of Life’ in those affected by PD through the teaching of vocal techniques and compensatory strategies needed to “use your voice” in a clear, yet assertive, intentional and self-aware manner.

Loud Crowd is about so much more than voice exercises. It’s a chance to find fellowship with others who understand the unique challenges of Parkinson’s Disease. “Our differences are overshadowed by our shared experience, ” says Phillips.

What Loud Crowd Offers:

  • Free education and guidance from a local Speech-Language Pathologist on voice, articulation, cognition, and swallowing.
  • Exposure to the SPEAKOUT! Program, designed to enhance and maintain vocal volume, manipulation, and clarity.
  • A supportive community of individuals who are living with Parkinson’s, prepared to celebrate your victories and support you in your times of need.
  • Newfound communicative confidence
  • Fellowship and fun, with an educational focus and maybe even a snack!


Loud Crowd welcomes individuals of all ages, genders, ethnicities, and PD severity levels. Participants often find solace in the program’s message: “I am living with Parkinson’s, but Parkinson’s is not living life for me.”

Join Loud Crowd every Tuesday at 4 PM in the DRH Health Foundation board room, located at 2465 Whisenant, Suite 300 in Duncan, OK. For more information or to sign up, contact Lillian Phillips at lillian.phillips@drhhealth.org

 

November is Hospice and Palliative Care Month

November is National Hospice and Palliative Care Month, and hospices nationwide are raising awareness about the highest-quality care for people coping with life-limiting illnesses. Reports indicate that approximately 1.4 million people living with a life-limiting illness receive hospice care in the United States every year.

When providing hospice care, medical treatment is integrated with the emotional and spiritual support families require when dealing with a severe or terminal illness. Hospice professionals aim to control end-of-life disease symptoms and enable patients to choose where they spend their remaining time, such as in their homes. Moreover, caregivers and families are supported and educated through hospice care. Counseling and bereavement services are also available to help support caregivers and family members (including children) with their loved one’s impending death.

Talking about hospice care and deciding to seek hospice care can be challenging. It is a hard conversation to have. However, hospice’s benefits, care, and support can make it worth discussing. Here are a few suggestions to start the conversation:

Going to hospice doesn’t mean you are giving up.

Many people believe going to hospice care means waiting for the end. Hospice is another form of care that focuses on reducing pain and discomfort while improving quality of life.

Having an initial conversation is very important.

Starting the hospice conversation is another way of exploring treatment options that are best for your loved one’s medical situation.

Determine the individual needs.

Someone living with a chronic condition may be at different stages regarding the care they want. Some may want to continue to pursue a cure, while others are not interested in that avenue. Knowing your loved one’s wishes regarding the next step in their care is essential for making an informed decision.

Ask the right questions.

Hospice care is a discussion no one wants to have, as talking about death is difficult. However, openly starting the conversation may surprise you with how comfortable loved ones can be with the topic.

Melissa Hurst, MD
Medical Director
Chisholm Trail Hospice

 

 

Inspiring Hope thru Art

The DRH Health Foundation, Chisholm Trail Arts Council, and Cancer Centers of Southwest Oklahoma—Duncan Campus offer a six-week art program for cancer patients and guests. The program focuses on providing a supportive and creative environment where participants can explore various art forms, express their emotions, and find a sense of community.

Every week, local artists, including Lou Baggett and Josh Conway, share their talents with participants through a diverse range of mediums—oil paints, chalk, pottery, and watercolors. This variety of art forms fosters creativity and offers a supportive space for participants.

“The program offers therapeutic benefits and a chance to connect with others going through similar experiences,” said Cyndi Crook, Executive Director of DRH Health Foundation. “And it is a fun and relaxing evening for everyone.”

The first class was held in 2018 and has been held every year except for 2020 and 2021. “The involvement of professional artists ensures that participants receive instruction and encouragement during the sessions,” shared Darcy Reeves, Executive Director of Chisholm Trail Arts Council. “We have even displayed the art at the CTAC Gallery for the participants and their families to enjoy.”

An art background is not required to participate in the classes. A sense of curiosity and a willingness to try new things is good. It’s not about whether you’re a trained artist or not.

The Inspiring Hope through Art program is free to cancer patients receiving treatment at the Taylor Le Norman/McCasland Cancer Center thanks to the generosity of our artists and donors to the DRH Health Foundation.