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Dr. Candi Jump and family
Dr. Candi Jump and family 
Photo provided by Emily McGinnis Photography

“I grew up on the Jersey Shore, but probably not the Jersey Shore you are thinking of,” laughs Candi Jump, pediatric gastroenterologist at MUSC Children’s Health. While slightly joking about her New Jersey connections with her persona of calm and casual, anyone who has a child with GI issues knows that she is a very serious and accomplished physician when caring for these children.

Having been at MUSC and in Charleston now for three years, Dr. Jump could not imagine a more perfect setting for her and her family. She always knew she wanted to teach on some level and proudly states, “I come from a family of teachers – my mom, sister, and aunt are all in education, and I knew that my career choice would involve teaching. My role at MUSC Children’s Health has allowed me to do just that.”

“Working at MUSC in pediatric healthcare has given me the opportunity to give back to the next generation of physicians. I can be a mentor, as well as closely involved in academic medicine at the same time. I also love caring for kids and always knew pediatrics would be my path in medical school. Now, as the program director of Pediatric Gastroenterology, Hepatology, and Nutrition Fellowship Program, I have the opportunity ability to fulfill all of my passions.”

When she is not running around after her kids on the beach or treating patients at MUSC, Candi is not afraid to explore all of the adventures Charleston has to offer. One week, it may be Charleston Power Yoga, the next it’s surfing, or maybe checking out the newest “place to be” on James Island with friends. One thing is certain — Candi Jump knows how to soak up the sun and enjoy an active lifestyle in the Lowcountry. When asked how she envisions a perfect Saturday in Charleston she smiles and says, “That’s easy; morning yoga, brunch with the family, and a day on the beach – it doesn’t get much better than that.”

While fun in the sun is important, Candi is very serious about her role as a physician. She completed her residency and chief residency at the University of Connecticut in Hartford. She then went on to complete her training as a fellow in pediatric GI at the world famous, Children’s Hospital of Philadelphia. After training, she opted for a closer-knit academic center in a desirable location. MUSC Children’s Health in Charleston fit the bill, and the rest is history.

Candi and her husband, an avid surfer and surf artist on James Island, love the coastal life of the Lowcountry. The family can often be found hanging beach side at Folly with their two kids, Cooper and Ruby, and their rescue lab, Moose. With two toddlers and a dog in tow, Candi is never sitting still for too long. Her office is filled with images of small kids and the beach, illustrating her life as a mother and wife. As a physician, her life is equally fulfilling as evidenced when she speaks of the children she treats and the other physicians with whom she is privileged to work. 

“What I value most about what I do at MUSC Children’s Health is the impact that our pediatric GI group has in this community. There is such a large need for pediatric GI providers in the state, and I enjoy working with such an accomplished group of physicians who are passionate about what they do.”

Candi Jump is among that group of passionate doctors and we are very glad the beaches of Charleston charmed this incredible physician away from the Jersey Shore.  

by guest blogger Carolina Kosh, PharmD

Caroline Kosh, PharmD

Caroline Kosh, PharmD

Did you know tobacco is the number one preventable cause of death in the United States? Cigarette smoking substantially increases risk of heart attack, stroke, COPD, other respiratory illnesses (asthma, emphysema, chronic bronchitis), and lung cancer. 

Quitting smoking is one of the best things you can do for your health and will help almost every part of your body, including lowering blood pressure, improving cholesterol, improving circulation, and improving your immune system, just to name a few. Many of my patients also loathe the stigma attached to smokers and wish their teeth and breath looked and smelled better.

The good news is that it’s never too late to quit and make a difference for your health. In just 24 hours after your last cigarette, your blood pressure returns to normal. In just two weeks to three months your heart attack risk has started to drop and your lung function begins to improve (goodbye smoker’s cough!). One year after quitting your risk of coronary heart disease is half that of a smoker’s. And the list goes on!

That is why we highly encourage our patients to quit smoking. MUSC Health offers a pharmacist-led smoking cessation program which includes counseling, medications, and support through constant follow-up. Studies have shown that patients are TWICE as likely to quit by having a combination of medications and counseling. We like those odds. That’s why our program includes one-on-one sessions with our pharmacists who will talk with you about your smoking and medical history, discuss past quit attempts, help select the right therapy for you, plan for and set a quit date, and offer support and follow-up during your transition to becoming smokefree. 

We have the capability to measure carbon monoxide levels here in the office, which for many people, is eye-opening and provides motivation to make a permanent change. Many people have been successful through this program. We have a pharmacist available in several different locations who would love to talk with you. If you are ready to change your life for the better, please talk with your MUSC Health primary care provider to be enrolled in our program today. 

With the start of October comes the start of wrestling conditioning before the official season starts. The conditioning helps to get the wrestler ready for the season as well and is a time for an athlete to start cutting weight safely, if needed, to determine a healthy weight class for competition. High school wrestling programs should have a weight management program that includes urine testing with a specific gravity test that does not exceed 1.025, a body fat assessment no lower than 7 percent for males or 12 percent for females, and a monitored weekly weight loss program that does not allow for more than 1.5 percent per week of the alpha weight. Before competing, all wrestlers must go through a weight assessment to determine an alpha weight to include hydration and skin fold testing. The alpha weight will be used to help determine possible weight class as well as used for any weight loss during the season.

The alpha weight, hydration assessment, and skin fold testing are to be tested all at the same time and required to be completed no later than two weeks prior to the district certification deadline, this includes any appeals. This is all prior to the start of any competition with another school for any of the athletes.

A trained assessor will perform the testing protocols on each wrestler and will record results on the proper weight certification forms. There are three parts that are tested:

  1. Hydration Assessment: This is a pass/fail urine test based on the specific gravity levels of less than or equal to 1.025. If greater than 1.025, the test is a failure and can be re-assessed after a 24-hour wait period. Specific gravity determines how hydrated the athlete is at the time of test. This urine test can be judged using a color chart, but to get a better or more accurate reading, the use of a dipstick or specific gravity refractometer or other hydration testing methods is acceptable. If the hydration assessment is passed, the athlete will then weigh in to determine the alpha weight right then with no exercise or delays between the tests. 
  2. Alpha Weight Determination: The wrestler weighs in on a certified scale and that weight is the athlete’s alpha weight for the year. The alpha weight is the weight used to calculate a descent calendar using the 1.5 percent loss per week rule. After the weigh in is performed the athlete will move on to the skin fold testing.
  3. Skin Fold Measurements: Using the proper testing calipers, the skin fold measurements are performed on the bare skin. Each site is tested three times and each measurement recorded accurately. This is to allow an average overall percentage to be determined. Skin fold sites that are tested are the abdominal, tricep, and subscapular areas for males and tricep and subscapular areas for females. All testing is performed on the right side of the body.

Once all testing has finished and all the data collected, it’s then recorded properly in a computer system that will determine a minimum weight class at which the athlete can compete. The weight class is determined by a predicted body weight at 7 percent for males and 12 percent for females including a 2 percent variance made by the system. If the predicted weight including variance is a specific weight class, then that is the athlete’s minimum weight class. But if the athlete's weight is in between weight classes, the higher weight class is determined as the minimum weight class. If the athlete already has a body fat percentage below the allowed 7 percent or 12 percent, then their alpha weight including 2 percent variance is used to determine minimum weight class.

Although there is not much to be done for the testing and protocols, these are very important steps that must be done for the safety of the athlete. Making sure all testing protocols are done properly and accurately is key and can play a big part in the athlete’s season.

Guest Post by:

Kathleen Choate, ATC
Athletic Trainer
MUSC Health Sports Medicine

If you found a loved one in cardiac arrest, what would you do? Sure, you know to call 911, but what do you do until EMS arrives? In these scenarios, every second counts. With every minute of no heart beat and no CPR, the chance of survival plummets. Action on your part greatly increases the chances of survival.

Often times, people who give CPR outside of the hospital do not have a medical background, and are considered laypeople. Laypeople are often teachers, coaches, and childcare providers who obtain CPR certification for their jobs.

In a perfect world, every able-bodied person would know CPR and be mentally prepared to use it. It’s important to know that delaying CPR by even a minute greatly reduces the chance of survival. The sooner you can recognize the need for CPR and start effective compressions, the greater chance the victim has to survive. If your loved one needs help at home, this means that YOU are their greatest chance of survival. This is where we are the least prepared and even unwilling to take the necessary action to save our loved one's life. Unfortunately, individuals are only 15.5 percent likely to give CPR to someone they know. (Casper, MD, Murphy, EMT-P, Weinstein, EMT-P, & Brinsfield, MD, MPH, 2003)

There are many reasons that could account for a layperson's unwillingness to initiate CPR — most of which are emotional or psychological in nature. Some reasons people don't initiate CPR are due to panic, fear of performing CPR incorrectly, fear of causing harm, fear of litigation, and fear of contracting a disease. (Coons & Guy, 2009)

With all this being said, I implore you to do two things. First, get certified in CPR and second, do some soul-searching about what might prevent you from performing CPR. This is especially important if you are alone and the victim is a loved one. Bring these concerns with you to class to discuss with the instructor, and mentally prepare yourself for these worst-case scenarios in advance.

The following are reputable sites where you can search for classes near you:

American Heart Association

American Red Cross

Works Cited:

Casper, MD, K., Murphy, EMT-P, G., Weinstein, EMT-P, C., & Brinsfield, MD, MPH, K. (2003). A Comparison of Cardiopulmonary Resuscitation Rates of Strangers Versus Known Bystanders. Prehospital Emergency Care, 299-302. doi:10.1080/10903120390936455

Coons, S. J., & Guy, M. C. (2009). Performing Bystander CPR for Sudden Cardiac Arrest: Behavioral Intentions Among the General Adult Population in Arizona. Resuscitation, 334-340.

Guest Post by:
Stephanie Davey
Certified Athletic Trainer
MUSC Health Sports Medicine

It is often said that if you want something to last, you must take care of it. For example, regularly changing the oil in your car, you do not want to continue running dirty oil through your engine or it won’t last, the same can be said for your tires, rotate them or they wear out! The body is no different. Athletes, mainly pitchers and quarterbacks, need to take care of their arms, so their arms will take care of them. So why do athletes assume it’s best to not take care of their bodies? Good question, for whatever reason, high school athletes have a bevy of reasons as to why they are not consistent in keeping up with the routine maintenance of their body. Time, lack of knowledge and resources to complete the maintenance, or a lack of accountability are a few of the reasons why athletes do not keep up with their body maintenance.

A lot of time and resources has been spent researching and alerting of the dangers of overthrowing for a baseball player.  However, it seems that many people neglect the arm of a quarterback.  All the hype is on the overuse of arms in baseball players that lead to Tommy John surgery, but there isn’t a lot of talk about overuse of the quarterback arm, which endures large amounts of stress throughout grueling summer camp practices.

In order to limit the excuses or reasons for poor shoulder health of athletes at our high school, we prepare all of our throwers with a routine known as “Thrower’s Ten Exercise Program”. Our baseball program has incorporated this routine into most of their pitchers’ routines, while our football quarterbacks began working through the program during spring practice when shoulder fatigue and tightness became a problem.

The “Thrower’s Ten Exercise Program” is designed to strengthen and stabilize many of the muscles surrounding the shoulder complex, while also serving as a stretching aide to all throwers. The Thrower’s Ten program can be adapted to fit the needs of each athlete in terms of resistance and weight being utilized. We utilize Jaeger Bands, two and a half pound and five pound dumbbells, and Therabands. While the Thrower’s Ten isn’t a new phenomenon in the arm care research, it is an effective time management piece to improving athlete arm care and it is cost effective.

The Thrower’s Ten and other shoulder strengthening plans should be used to help prevent injury and at the direction of someone familiar with arm care. If you or your athlete already have shoulder pain or an injury, it’s best to consult an orthopedic or sports specialized doctor.

What we have noticed at our school is that our throwing athletes have begun to feel better in their shoulders, enhanced their range of motion, increased their arm endurance, and improved their arm strength. Once a routine is established, the athlete needs minimal supervision to ensure the completion of the exercises.

 

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