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Health Medical g guide uiide
2016 • Complimentary Copy • Southern Chester County Edition
Cindy Chambers, LPN and James B. Carty, Jr., MD pictured in Jennersville Regional Hospital Operating Room
Carty Eye See pages 4 & 5 for additional information
Choices in Cataract Surgery www.cartyeye.com
2016 MEDICAL GUIDE • 3
Patient choices in cataract surgery offered by Dr. Carty
CARTY EYE
1
The choice of the type of cataract surgery.
Manual surgery is performed in about 95 percent of the procedures in the United States, and laserassisted cataract surgery with the Lens-x is performed in about 5 percent of the procedures. In manual cataract surgery, the surgeon makes incisions and removes the old lens using traditional surgical instruments and blades. In laser-assisted cataract surgery, the Lens-x laser makes all required corneal incisions, breaks apart the old, cloudy lens, and creates a perfectly sized “capsulotomy� which helps deliver excellent lens centration. The first laser-assisted femtosecond laser in Pennsylvania arrived in October 2011 at the Wills Eye Main Line Surgery Center.
2
The choice of the type of lens implant.
Patients have a choice of three types of lenses with their cataract surgery: the standard (monofocal) lens, the toric lens, or the multifocal lens. The standard lens implant (monofocal) corrects for the power, but not for the astigmatism, of the eye. The toric lens corrects some of the pre-existing astigmatism, improving the distance uncorrected vision, with glasses needed for reading. The multifocal lens implant helps the eye to see near, as well as see at distance, with less dependency on glasses.
3
The choice of using the ORA.
The ORA aids in trying to obtain the best possible vision at a distance without glasses by giving an on-demand analysis of your eye -- something not possible with traditional manual cataract surgery. During the operation, the ORA takes measurements of your eye and makes any necessary adjustments to refine your visual outcome.
4
The choice of using the Endo-cyclophoto-coagulation, or I-Stent.
5
The choice of facility for cataract surgery: Jennersville Regional Hospital or Wills Eye Mainline Surgery Center.
Endo-cyclo-photo-coagulation involves using a miniature endoscopic camera placed inside the eye to view the area that produces the aqueous fluid inside the eye. This area is then directly treated with the laser to decrease the production of fluid and lowers the pressure in the eye. About 20 percent of all patients having cataract surgery have glaucoma, so for them the Endo-cyclophoto-coagulation, or the I-Stent, is performed at the same time as the cataract procedure to help treat the glaucoma.
All patients are given a choice by Dr. Carty whether they want to be operated on at Jennersville Regional Hospital or at Wills Eye Mainline Surgery Center. Jennersville provides an overall excellent experience in cataract surgery. The nurses in the pre-op and post-op and operating room are extremely competent and convey a warm, friendly atmosphere to all patients. The Jennersville Regional Hospital Department of Anesthesia routinely provides excellent comfort to the patient during surgery. The hospital has the latest and best cataract microscope, the Zeiss Lumera, all three style lens implants, and the I-Stent for glaucoma. The hospital is convenient for patients in the West Grove and Oxford areas. Wills Eye Mainline Surgery Center also has all three style lens implants, the latest and best microscope for cataract surgery, the Zeiss Lumera, as well as the latest phacoemulsification machine model, the "Centurion," and also has the Lens- X, the ORA, the Endo-cyclo-photocoagulation laser and I-Stent for glaucoma. US News and
Dr. Carty is a specialist in cataract surgery techniques, having performed more than 20,000 ophthalmologic surgical procedures in his career.
Dr. David Densmore
Dr. Dawn Trybulski
Dr. Hugo Linares
World Report ranks The Wills Eye network No. 2 in the United States in ophthalmology, with John Hopkins Wilmer Eye Institute No. 3 and Harvard's Massachusetts Eye and Ear Infirmary as No. 4. The Wills Eye network of eight surgery centers is the highest volume eye surgical network in the United States. For a patient who does not mind wearing glasses much of the time, Jennersville Regional Hospital provides a warm environment for creating that surgical outcome. For a patient who would like more surgical options, Wills Eye Mainline Surgery Center is available. Dr. Carty is a specialist in cataract surgery techniques, having performed more than 20,000 ophthalmologic surgical procedures in his career. He is the busiest cataract surgeon in the history of the Jennersville Regional Hospital as well as Bryn Mawr Hospital, and has been a "Top Doctor" in Philadelphia Magazine as well as Mainline Today. Hugo Linares, D.O., is a retina specialist and vitreoretinal surgeon at Carty Eye Associates who provides laser and surgical eye care for diseases of the retina, including diabetic retinopathy, retinal vascular disease such as retinal vein occlusion and retinal artery occlusion, age-related macular degeneration (AMD), retinal detachment, retinal holes, retinal tears, macular hole, macular pucker and epiretinal membranes. Dr. Linares performs intraviteal injections with Lucentis, Eylea and Avastin to treat macular degeneration, diabetic retinopathy as well as other retinal disorders. In the Jennersville office, Dr. David Densmore and Dr. Dawn Trybulski provide total eye care services, including glasses and contact lenses, for Carty Eye Associates, which accepts all major insurance plans. The practice is located in Suite 211 of the Southern Chester County Medical Building in Jennersville. The phone number is 610-869-0200. The Main Line Office is located at Suite 100, 830 Old Lancaster Road, Bryn Mawr, Pa. The phone number is 610-527-0990.
Dr. James B. Carty
Jennersville • 610-869-0200 • Suite 211 • SCC Medical Office Building
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Athletic Club .................................................................18 Cabinetry .................................................................15,51 Dentistry ..................................................................21,25 Dermatology .................................................................46 Education......................................................................31 Eye Care...................................... Cover,4,5,11,29,32,49 Family Dentistry .............................................16,17,25,37 Health ...........................................................................45 Home Medical Equipment ............................................43 Home Medical Services ..................................................2 Hospital.........................................................2,3,26,27,52 Independent and Personal Care ..................................19 Internal Medicine ..........................................................23 Kitchens & Baths ..........................................................47 Medical Facility .............................................................52 Massage .......................................................................40 Mobility Specialists .......................................................35 Move Managers ............................................................38 Obstetrics and Gynecology ..........................................39 Orthodontics ...................................................................7 Retirement Community ................................................8,9 Self Storage ..................................................................33 Senior Advisors ............................................................13 Senior Living .................................................................22 Water Treatment Solutions ...........................................10 Wellness Center ...........................................................42 Wound Care .................................................................41 2016 HEALTH & MEDICAL GUIDE is published annually by the Chester County Press, P.O. Box 150, Kelton PA 19346. For more information please call 610-869-5553.
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2016 MEDICAL GUIDE • 11
Diet and Tooth Decay The foods you eat and the beverages you drink play a major role in the overall health of your teeth and gums. Everything from the form of the food to the frequency quency of which you eat certain foods can make a big difference. n choosing foods, provided by the Here are some other factors to consider when he overall level of your oral health: American Dental Association, that can determine the n of the foods you eat and the order the nutritional makeup of the food; the combination in which you eat them; and medical conditions you may have, such as gastrointestinal k of cavities and weaken teeth. reflux and eating disorders, which can increase risk SOURCES OF ADDED SUGAR Everyone knows sugar is bad for your teeth. You should limit added sugars in your diet by reading food labels. The top sources of added sugar in the diet are as follows, according to the Centers for Disease Control and Prevention: Soft drinks, energy drinks, sports drinks Grain-based desserts (cakes, pies) Fruit drinks Dairy-based desserts (ice cream) Candy Ready-to-eat cereals Sugars and honey Tea (sweetened) Yeast breads All other foods
35.7% 12.9% 10.5% 6.5% 6.1% 3.8% 3.5% 3.5% 2.1% 15.4%
mel, Foods such as lollipops, mints, taffy, caramel, cookies, cakes and muffins are the enemies of your ut the teeth. Not only do they offer no nutritional value, but type of sugars in them can adhere to your teeth. uth feed off According to the CDC, the bacteria in your mouth ay. these sugars and release acids, causing teeth to decay. ime to If sugary foods are a large part of your diet, it’s time rethink what you’re putting into your body. Start by m cutting back slowly and eventually eliminating them as you train yourself to opt for healthier snackss instead. This is a process, but one you can execute if you stay committed to dental care excellence. 12 • 2016 MEDICAL GUIDE
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Keeping the Stress Away With the big game or test coming up, now is the perfect time to speak with your child about dealing with stress. All children can experience stress at times. How you address and recognize the things they may be dealing with can make the difference in helping them cope. WHAT IS STRESS? Stress is a condition that can present symptoms of physical or emotional tension. It can be positive or negative and can impact different people in different ways. Children may be dealing with stress without really knowing what is causing it. That’s where parents, siblings, family members and teachers come into the picture. Be on the lookout for these common reactions to stress, compiled by the Centers for Disease Control and Prevention (CDC): •Disbelief, shock, and numbness; •Feeling sad, frustrated, and helpless; •Fear and anxiety about the future; • Feeling guilty; •Anger, tension, and irritability; •Difficulty concentrating and making decisions; •Crying; •Reduced interest in usual activities; •Wanting to be alone; •Loss of appetite; 14 • 2016 MEDICAL GUIDE
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•Sleeping too much or too little; •Nightmares or bad memories; •Recurring thoughts of an event; •Headaches, back pains, and stomach problems; •Increased heart rate, difficulty breathing; and •Smoking or use of alcohol or drugs. WAYS TO COPE Communication can be the key to children dealing with stress. Encourage them to share their feelings with you, friends, teachers, doctors or a pastor.
Open communication lines can make children feel supported in their feelings and help them realize that there are ways to deal with stress. The CDC offers these tips — and recommends adults following the same guidelines: •Eat healthy, well-balanced meals and find time for regular exercise. If you can find friends or family members to exercise with, you can get social benefits out of it, as well. •Avoid drugs and alcohol because of their long-term impact on stress and the additional problems they can
create. •Take a break if your stress is caused by a national or local event. Don’t become obsessed with the news coverage. Talk about the issues with friends and family members instead and find ways you can help. •Seek professional help from a psychiatrist or physician. The CDC offers these numbers as resources: Disaster Distress Helpline: (800) 985-5990; National Suicide Prevention Lifeline: (800) 273-TALK; Youth Mental Health Line: (888) 568-1112; Child-Help USA: (800) 422-4453.
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Stay Hydrated Everyone knows the importance of staying hydrated. For seniors, it is vitally important. Water helps keep your temperature normal, lubricates your joints and helps you get rid of waste through perspiration and urination. Not drinking enough water can lead to dehydration, a major issue that can lead to falls or even more serious issues for seniors. We have a harder time retaining water as we age. In fact, seniors have 10 percent less fluid in their bodies compared to younger adults, according to the Centers for Disease Control and
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Prevention. That’s why staying ahead of dehydration can be so important. According to the Centers for Disease Control and Prevention, here are the most common symptoms of dehydration: •Confusion; •Rapid heart rate; •Decreased urine output; •Irritability;
•Dry skin; •Constipation; and •Dizziness. DEHYDRATIONRELATED ISSUES Dehydration is a major issue because it can be brought on more commonly in people already suffering from other health issues. Influenza, digestive problems and high
blood sugar can all cause dehydration. Senior populations are more susceptible to these issues, underscoring the importance of practicing regular hydration. GET MORE WATER Especially during the hot summer months, it is vital to keep water nearby at all times. Even if you’re not outside for the majority of the day, be sure to include as much water as possible in your diet, even if you’re not thirsty. Here are some ideas from the
CDC on how to incorporate more water into your daily intake: •Freeze some freezer-safe water bottles and take one with you for ice-cold water all day long; •Choose water instead of sugar-sweetened beverages; •Choose water when eating out to help you save money and calories; and •Identify and incorporate water-rich foods into your diet, such as broth soups, celery, tomatoes or melons. Courtesy Photo
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Choosing an eye doctor
Everyone needs a trusted eye doctor for everyday healthcare and injuries that arise. Choosing the eye doctor who is right for you is an important decision for your overall well being. 20 â&#x20AC;˘ 2016 MEDICAL GUIDE
Before you start asking your friends and family members for referrals, the first step is understanding the difference between optometrists and ophthalmologists. WHAT IS AN OPTOMETRIST? Optometrists examine eyes for both vision and health problems. They also correct vision issues by prescribing eyeglasses and contact lenses, or by providing care and therapy. Optometrists also can prescribe medications to treat certain eye problems and diseases. You
state’s board of optometry — which you can find online — will detail the scope of the medical care eye doctors can give, as it varies by state. WHAT IS AN OPHTHALMOLOGIST? An ophthalmologist is a medical doctor trained to perform eye exams, diagnose and treat disease, prescribe medications and perform eye surgery. They, like optometrists, also write prescriptions for eyeglasses and contact lenses. According to the American Academy of Ophthalmology,
ophthalmologists generally complete four years of college, four years of medical school, one year of internship, and a minimum of three years of hospital-based residency in ophthalmology. CHOOSING YOUR DOCTOR So how do you know if you need to seek out the services of an optometrist or ophthalmologist? That depends on the issue you are dealing with. If your eyes are healthy and don’t require specialized treatment, your local optometrist will fit your needs.
Most optometrists can medically treat common eye problems, including dry eyes and eye infections, as well as chronic diseases such as glaucoma. Ophthalmologists specialize in providing the entire scope of treatment options, including eye surgery. If you already have a serious medical eye problem such as glaucoma or macular degeneration, you may require medical or surgical eye care by a specially trained ophthalmologist. Speak with the eye doctors in your area to find the right fit for your particular situation.
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2016 MEDICAL GUIDE • 21
Benefits of Reading How do you like to pass the time? Recent research shows that reading may be your best bet for improving your cognition, memory and overall health. Take a seat and flip open your favorite book, magazine or newspaper. Your body and mind will thank you. MEMORY BENEFITS A recent study of 294 seniors published in Neurology magazine uncovered slower rates of memory decline for people who engaged in mentally simulating activities such as reading.
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The study found that later-inlife reading can reduce the rate of memory loss by about 32 percent. Why the connection between reading and memory health? Experts say that reading exercises your memory, which helps boost your short-term recall of everyday events. BETTER DECISIONMAKING Reading also can improve the
analytical abilities in seniors, which can lead to better decision-making processes in stressful situations. The last thing you want to happen when facing a problem is to be unable to come up with an effective solution. Regular reading can strengthen the cognitive functioning that goes into identifying, analyzing and translating situational needs into solutions.
ALZHEIMER’S AND DEMENTIA In an article published by USA Today, the Alzheimer’s Association reported that brain-challenging activities build a reserve of neuronal connections. This can lengthen the time it takes for Alzheimer’s to emerge. A recent study from the Rush University Aging and Memory Project found that more frequent mental activities, including reading, help preserve brain structures important to cognition in late life.
BETTER SLEEP The Mayo Clinic states that creating a bedtime ritual, such as reading, signals the body that sleep is near. Sleep experts recommend reading a book before bed instead of watching TV or looking at electronic devices. These activities have been proven to either keep people awake longer or disrupt sleep patterns. So the next time you lay your head down to rest, opt for a new book instead of the remote control or your mobile device.
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Post-Pregnancy Weight Loss
You’ve put in a long nine months and watched your body expand. You’ve been poked and prodded, weighed and measured — all for the benefit of the newest member of your family. But it’s all worth it once your little bundle of joy makes his or her arrival in to the world. 24 • 2016 MEDICAL GUIDE
When it’s time to focus on you again, it can be difficult getting started. Your body can naturally
lose about 10 to 12 pounds during the labor experience. But what about the remaining
weight you picked up to support the development and growth of your baby? This weight —
specifically the last 10 pounds — can be a thorn in your side for months to come. Fortunately, with some smart eating and exercise decisions, you can be on your way to your pre-pregnancy weight in no time. The most important thing to consider is your physician’s advice on returning to regular exercise and dieting. Follow medical recommendations at all times to let your body heal correctly after childbirth. KITCHEN AND GROCERY STORE STRATEGIES Exercise will be crucially
important to your weight-loss goals, but you may not be cleared to work out for a few weeks after labor. Get a head start by devoting your diet to healthy options in the kitchen and grocery store. Even if you work out daily, what you eat plays a huge role in whether or not your body will burn enough fat to help you reach your objectives. Commit yourself to spending some time in the kitchen, between spending time with your new baby, of course. If people offer to bring you lunch or dinners, ask them politely to make them as healthy
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as possible. Send your significant other to the grocery store for some fresh produce and meats. Experts recommend spending the majority of your shopping time on the perimeter of grocery stores — where the produce and frozen vegetables are usually located. More time here and less time in the middle of the store where sugary snacks and sodas live can be a key to choosing healthy foods for your diet. AVOID PROCESSED FOODS Foods in their natural form
will be your best bet for fueling your body with healthful options. These include meats, vegetables, eggs and fruits that haven’t been processed to make them last longer on the shelves of your grocery store. Use these fresh ingredients to challenge yourself in the kitchen. Learn new recipes. Incorporate new fruits and vegetables into your diet. The more variety you give yourself, the more likely you will be to stick to healthy options, helping your body shed weight and gain more energy for exercising.
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Nearsightedness Myopia, commonly referred to as nearsightedness, is a vision condition in which you can clearly see objects near to you but struggle to see objects farther away because of blurred vision. This issue often worsens during childhood and adolescence due to a variety of factors. The Mayo Clinic defines the following as the most common symptoms of nearsightedness: •Blurry vision when looking at distant objects; •The need to squint or partially close the eyelids to see clearly; •Headaches caused by eyestrain; •Difficulty seeing while driving a vehicle, especially at night (night myopia); •Needing to sit closer to the television, movie screen or the front of the classroom; •Seeming to be unaware of distant objects; •Excessive blinking; and •Frequent rubbing of eyes. Nearly 30 percent of Americans suffer from myopia, according to the National Eye Institute. Scientists agree that some combination of genetic risks and childhood activities are playing a role in the number of myopia suffers, which only looks to increase in the coming years. BENEFITS OF PLAYING OUTSIDE A Chinese study published 28 • 2016 MEDICAL GUIDE
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in September 2015 in the Journal of the American Medical Association reported that encouraging children to spend more time outdoors may be a simple and costeffective way to improve their vision as well as general health. The study, conducted by the Zhongshan Ophthalmic
Center in Guangzhou, found 12 schools willing to take part in the experiment that required half of them to assign their first-graders to an extra period of outside recess. The three-year-long experiment uncovered a 9.1 percent difference in the incidence rate of myopia. Researchers found that a
combination of factors led to the variance, including exposure to sunlight, forcing the eye to focus on objects of varying distances and routine exercise. If you or your child have some form of nearsightedness, speak with your eye doctor about forming the best plan for you and your family.
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Working from Home Technology has catalyzed an explosion of work-from-home opportunities for today’s workers. From freelance professionals running their own businesses to workers performing outsourced tasks, more people than ever before are working from the comfort of their own homes. While not having to leave the house is a convenience in many ways, it also can present challenges to maintaining a healthy diet and exercise routine. The key is to create and follow a routine, just as you would if you were leaving your home for the office. WATCH YOUR DIET From-home working means you’re literally steps away from the chips, cookies and soda in the pantry. Avoid these sugary, non-nutritious snacks at all costs. Choose a room as far away from your kitchen or pantry as possible to avoid temptations, and spend the majority of your workday there. Challenge yourself to indulge in vegetables and fruits, especially at snack time. The vitamins and nutrients in these healthy options will give you the energy you need to pull off that big project or put in extra hours for a busy week. And they are much more beneficial to your diet than sugary sodas or caffeine-loaded coffee. 30 • 2016 MEDICAL GUIDE
STICK TO SCHEDULED BREAKS Take breaks consistently around the same time every day. Build in a couple of short breaks a couple of hours before and after your lunch, and choose healthy snack options while you’re away from the computer. Re-energize your body with a walk around the yard, some push-ups or sit-ups. Or simply head outside for some fresh air. Check the mail or let the dog out for a couple of minutes — anything to help you mentally and physically get away from work. MAKE TIME FOR EXERCISE It can be difficult to find time for your body while you’re working from home. You have to make it a priority. People who exercise regularly feel more energy and can stay mentally sharp for longer than people who don’t. These benefits will help you get more work done and feel energized to put in long, strong workdays. Set alarms on your phone for a certain time in the morning and afternoon each day. When your alarm goes off, spend the
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next 15 minutes exercising. Work out with free weights or sweat to a dance video. Take a jog or a walk around
the neighborhood. These 30 minutes of exercise per day can make a positive impact on how you feel and work.
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The Power of Flossing Brushing twice a day is recommended by all of the major dental organizations, but if you’re not flossing, you are missing out on an opportunity to optimize your oral healthcare. The American Dental Association urges people to floss at least once a day to help remove plaque from the areas between the teeth where the toothbrush simply cannot reach. Flossing is important because it helps prevent gum disease and cavities. And according to the ADA, it doesn’t matter if you floss before or after brushing — as long as you’re doing it. A 2015 poll by MouthHealthy.
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org found that 53 percent of its readers said they brush before, while 47 percent said after. The key is finding the time to floss. Bring some floss with you to work to take care of it during your lunch break. Wake up a few minutes early or stay awake a few minutes later to give your teeth some extra attention. With just a little effort, you can make a big difference in the present and future health of your teeth.
DON’T FORGET THE KIDS As an adult, it’s up to us to be great role models. Proper dental care is a behavior we can easily pass on to our children by teaching them the importance of taking care of their mouths. You should be flossing your child’s teeth as soon as you see two teeth touching. The ADA recommends parents flossing their children’s teeth until they are about 10 years old.
By this age, children have the dexterity to effectively floss by themselves. Encourage your children to floss by reassuring them that the experience is not a painful one. Flossing should be done in a firm yet gentle manner. If you’re feeling pain while you’re flossing, you’re not doing it correctly. HOW TO FLOSS The ADA has found that only about half of Americans floss their teeth. Considering the ease of flossing, this number should be much higher. The process is
simple and straightforward, as these tips from the ADA point out: •Break off about 18 inches of floss and wind it around the middle fingers of each hand. •Guide the floss between your teeth using a gentle rubbing motion. •When the floss reaches the gum line, curve it into a C shape against one tooth; gently slide it into the space between the gum and the tooth. •Bring the floss back toward the contact point between the teeth and move the floss up or down
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the other side. •Hold the floss tightly against
the tooth; gently rub the side of the tooth, moving the floss away
from the gum with up-and-down motions.
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3 Briar Drive, West Grove, PA 19390 2016 MEDICAL GUIDE • 33
Common Eye Problems Sustaining an eye injury can be a scary experience, especially if blurring or vision obstruction occurs. Knowing what to do for different injuries can make the difference between a full recovery and lasting repercussions. One plan of action is consistent across all types of eye injuries: Do not touch, rub or apply pressure to the eye, as you can cause further damage. Avoid applying ointment or medication to the eye before having it looked at by an ophthalmologist, who specializes in the anatomy, physiology and diseases of the eye. The American Academy of Ophthalmology offers a full range of tips for addressing and dealing with specific eye injuries. Of course, consult with your physician before taking any action yourself. Here are some of the most common eye injuries and steps you can take to avoid causing further harm to yourself. CUT TO THE EYE If you suffer from a laceration to your eye, gently place a shield over it. If you don’t have a shield, use the bottom of a paper cup taped to the bones surrounding the eye until you get medical attention. Remember to never rinse with water or try to remove an object stuck in your eye. Also avoid using aspirin or anti-inflammatory drugs that can thin the blood and increase bleeding. 34 • 2016 MEDICAL GUIDE
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FOREIGN MATERIALS If you get a particle or foreign material in your eye, the main thing to avoid is rubbing your eye. Especially if you’re not sure what the material is, you could cause
scratching or a laceration of the eyeball. Instead, lift the upper eyelid over the lashes of your lower lid or try blinking several times. Your natural tears should be able to flush out
the foreign object without you having to touch your eye. Eye injuries are serious. If you feel a pain that is out of the ordinary or notice any visual disturbances after an injury, go the emergency room.
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2016 MEDICAL GUIDE • 35
Volunteer for Your Health Helping others is one of the best ways to help ourselves in terms of mental and physical health. It gives us feelings of satisfaction to donate time and money to our favorite causes. There is the camaraderie of working with others toward a common goal, the feeling of commitment toward an important cause and the positive relationships that come from volunteer work -— all enough reason to sign up today with an organization making a difference in your community. The Corporation for National and Community Service reports the following five benefits to volunteering: •Solving problems; •Strengthening communities; •Improving lives; •Connecting to others; and •Transforming our own lives. BENEFIT YOUR HEALTH The CNCS performs annual research on the state of volunteering in America and recently issued “The Health Benefits of Volunteering: A Review of Recent Research.” The study’s findings report a strong correlation between volunteering and health, stating that those who volunteer have lower mortality rates, greater functional ability and lower rates of depression later in life than those who do not volunteer. 36 • 2016 MEDICAL GUIDE
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The volunteering sweet spot seems to be about 100 hours per year, according to the CNCS, as volunteers in this range are most likely to exhibit positive health outcomes. Age group comparisons also show that older volunteers are the most likely to receive greater benefits from volunteering.
START SLOWLY You want volunteering to remain an enjoyable experience, so try not to take away too much of your family or work time in doing so. Know how much free time you have during the week and carve out some time for volunteering. The last thing you want to
do is experience burnout that leaves you stressed out and overtired. Especially if you’re trying to fit volunteering into a packed schedule of full-time work, kids and extracurricular activities, it’s best to start slow with volunteering and gradually invest more time as you can.
Technology Devices If you’ve ever been in a potentially dangerous situation with no friends or family members around, you understand the importance of being able to signal or call for help. A number of medical alert products on the market today make that necessity a reality, giving you the flexibility of calling for help both inside and outside the home. If you’re looking into different personal emergency response systems, opt for one that includes a wearable SOS pendent button — usually a necklace or wristband — and a base station that connects to
T L
the home phone line. The convenience of simply pushing a button instead of dialing a phone number is vital, especially in life-anddeath situations. HOW THEY WORK Personal emergency response systems work as a 911-like process that involves calling for help and having the necessary professionals
dispatched to your home. At the press of a button, you can talk to a trained operator about the situation, your health status and strategies for staying safe until help arrives. One question to ask the manufacturer of your new device is how far away from home it will be functional. Some are limited only in and around the home. But many
are equipped to function many miles away from your home. Check with your salesperson to discuss various options that may be right for you. OPTIONS Maybe you’re interested in a simple system that works both in and outside the home. Some options include necklace pendants that allow you to speak and listen directly through them. Tracking capabilities look to become even more advanced
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Coordinating and Managing Moves Since 1984! If you’re planning a local or long distance move, across town or across the country, then do what smart senior citizens and other residents have done for years and call TLC Moving Services, LLC at 610-268-3243. These professionals will pack your items with the utmost care, arrange to have them moved by a reliable moving company, then unpack them and place them in your new home where you desire. If you are downsizing, they can help you arrange a sale of your goods or assist you in donating to the charity of your choice. Once out of your old home, they can clean-up and make repairs so the house is ready for the new owners, or to be put on the market. If moving is in your plans, then your first move is to call TLC Moving Services, LLC. Put these professionals to work for you and call Caen Stroud at 610-268-3243.
CaenStroud@msn.com 38 • 2016 MEDICAL GUIDE
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in the coming years, relying on GPS technology to enable companies’ response systems to keep accurate tabs on your location. Other options include fall-safe features that automatically summon help if a fall is detected. Shop around for options that make the most sense for your daily lifestyle and comfort with wearable pieces. Finding one that works for you can make a big difference in your feeling of overall safety and security.
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Delivering at JENNERSVILLE REGIONAL HOSPITAL and CHESTER COUNTY HOSPITAL
• George K. Henry, MD, PhD, FACOG • Semuteh D. Rogers, MD • Amber Evans, MSN, CNM • Ashley Woodruff, MSN, CNM
Delivering The Best Whether you are pregnant or in search of high quality women's health care, our physicians & nurse midwives are committed to delivering you the best.
1011 West Baltimore Pike, Suite 208, West Grove, PA 19390 • 610-869-2220
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Mon & Thurs 8am-7:30pm; Tues & Wed 8:30am-4:30pm; Fri 8am-1pm
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www.womenscenterobgyn.com 2016 MEDICAL GUIDE • 39
Pick a Personal Trainer Hiring a personal trainer can be a worthwhile investment. A knowledgeable, motivational trainer can get you in shape and teach you safe ways of working out that can benefit you for the rest of your life. There are many factors to consider when trying to find the perfect personal trainer for your specific goals. Personality type, rates and credentials are all important in helping you work with the right trainer. Consider asking the three questions below to prospective personal trainers, along with any others you find pertinent to your search process.
40 • 2016 MEDICAL GUIDE
ARE YOU CERTIFIED? The National Commission for Certifying Agencies has decades of experience accrediting health and training professionals, so asking if yours is credentialed should be a critical part of your decision. NCCA-certified trainers are knowledgeable and skilled to provide you with a safe and effective workout. Don’t be
afraid to ask to see a copy of a personal trainer’s certification to ensure that it is current. You also cam call a certification agency to verify a trainer’s status. In addition to a certification, a college degree in exercise science or a related field is an added bonus. More credentials should show you the trainer is committed to improving his expertise.
HOW EXPERIENCED ARE YOU? How many years of experience a personal trainer has working with clients is important to know. Does he or she have a background in the particular area you’re looking to jump into? If you have a medical condition, you should ask if the trainer has experience working with similar issues and how he or she would help you either overcome or compensate for the issue. These types of questions will give you a sense of how qualified a trainer is to help you reach your individual goals.
CAN I HAVE SOME REFERENCES? A trainer can tell you all about her abilities and credentials, but hearing from past and present clients can make or break your decision. Ask the personal trainer for names, phone numbers and even testimonials of other clients. Once the trainer checks with his clients for approval, give these connections a call to ask about the professionalism and personality of your prospective trainer. Also inquire about Courtesy Photo punctuality, skill level and results. By doing your homework, you can ensure that youâ&#x20AC;&#x2122;re making the right investment with your time and money.
2016 MEDICAL GUIDE â&#x20AC;˘ 41
42 • 2016 MEDICAL GUIDE
Kozik’s Home Medical Equipment Your local source for your home medical needs. Servicing Kennett Square and the surrounding area since 2007. Outstanding service • Knowledgable staff • Competitive pricing
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Kozik’s Home Medical Equipment 305 W. State Street, Kennett Square, PA • 610-444-2240 • 484-321-1354 In home or office hearing evaluations, repairs and fittings available 7 days a week.
Call 484-321-1342 *Studies conducted at University of Northern Colorado (2014) and Oldenburg Horzentrum (2013) showed that Speech Reception Thresholds (SRT) in cocktail-party situations improved up to 2.9 dB for wearers with mild to moderate hearing loss using binax with Narrow Directionality, compared to people with normal hearing. This corresponds to over 25% improvement in speech understanding. Hearing instruments help many people hear better, but cannot solve every hearing problem or restore normal hearing. Features vary by technology. ©2014 Siemens Heating Instruments, Inc. All rights reserved. 10/14 D-7315C-14
2016 MEDICAL GUIDE • 43
Senior Nutrition Nutrition is important to all age groups, especially to the elderly. Seniors need specific nutritional regimens to stay in optimal health. As people age, their diets generally need to change. Physicians recommend balance in the diet of seniors that include a variety of fruits, vegetables, proteins and whole grains to maintain and improve overall health. According to the American Dietetic Association, in addition to eating a healthful variety of foods, there are specific things a caregiver can incorporate into their loved one’s diet to boost health. ADD THE RIGHT NUTRIENTS Some of the most important nutrients to incorporate into your diet are Omega 3 fatty acids. These inflammationreducing nutrients have been proven to help prevent heart disease, cancer and arthritis. So where do you find them? They are in flaxseed and flaxseed oil, walnuts, canola oil and different types of fish. Physicians recommend eating foods rich in Omega 3 fatty acids at least twice a week. There also are supplements on the market that may be beneficial. As always, check with your physician for the best plan of action. 44 • 2016 MEDICAL GUIDE
BOOST CALCIUM It’s no secret that as people age, calcium becomes a critical necessity of their diets. Calcium helps preserve bone health and lower blood pressure — two health benefits specifically important to senior citizens. The World Health Organization recommends that adults over the age of 50 get at least 1,200 milligrams per day of calcium. This amount is equal to about 4 cups of fortified orange juice, dairy milk, or fortified nondairy milks such as almond or soy, says the WHO. LIMIT SODIUM Many seniors suffer from hypertension, also known as high blood pressure. Overcoming this condition requires a reduction of sodium in the diet. This can’t be achieved solely by reducing the amount of table salt added to food. Processed and restaurant foods are typically extremely high in sodium, and should be only a small part of a senior’s diet. Instead, opt for fresh fruits and vegetables, unsalted nuts and grains to help meet dietary needs without the risks of added salt.
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2016 MEDICAL GUIDE • 45
WEBSTER DERMATOLOGY PA Cynthia Webster, MD Guy F. Webster, MD, PhD Lorraine Grimes, CFNP Medical and Surgical Treatment of Skin Cancer and Diseases of the Skin Board Certified, University-Affiliated Dermatologists Cosmetic Dermatology, Botox, Laser/IPL, Leg Veins Participating with Medicare, Blue Cross, Coventry, United Healthcare, Aetna, Christiana Quality Partners and Tri-Care
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Indoor Air Quality As Americans, we are taking huge steps toward improving the world around us. We are working in our communities to improve our roads, parks and wildlife. We are shopping local, eating healthy and conserving water to make a positive impact on the world around us. We also are shifting our focus on health to the inside of our homes. Smart interior design can make a world of difference on our everyday health and wellness. Where we shop for our products, what types of materials we use and how we clean our homes all play a role. CONSIDER THE FACTS Some of research on our indoor air quality is alarming. Consider these facts from the Environmental Protection Agency: • Indoor air pollution is among the top five environmental dangers; • The quality of indoor air can be up to 100 times more polluted than the worst outside air; and • Allergies, asthma, lung cancer and heart problems have all been linked to poor indoor air quality.
DESIGN WITH VOCS IN MIND Volatile organic compounds (VOCs) are present in furniture components such as adhesives, finishes and sealers. They also are emitted from various flooring and cleaning materials — and we take them into our bodies without even noticing. When choosing your materials for a new home or a remodeling project, it’s up to you to choose low- or no-VOC options. More companies have turned their attention to eliminating VOCs from their products, so be sure to conduct some research before settling on home materials. Inquire about VOC levels within your fabrics, bedding, upholstered furniture and case goods. The more work you put in on the front end, the healthier you can make the indoor air for you and your family.
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ADD HOUSEPLANTS Houseplants offer multiple benefits for both indoor air quality and overall health. According to recent NASA research, plants are able to effectively remove environmental airborne toxins, helping reduce stress, increase work performance and reduce symptoms of ill health.
The NASA study concluded that in an 1,800-square-foot house, occupants should incorporate 15 to 18 houseplants in 6- to 8-inch diameter containers to improve air quality. Not only are indoor plants soothing, calming and healthful, they are beautiful elements that can help enhance your homeâ&#x20AC;&#x2122;s interior design. 2016 MEDICAL GUIDE â&#x20AC;˘ 47
Overcome Your Fear
According to the American Dental Association, an estimated 40 million Americans avoid the dentist because of fear and anxiety. 48 â&#x20AC;˘ 2016 MEDICAL GUIDE
If you fall into this category, you can probably relate to your friends and neighbors who feel this way as their dentist appointment approaches on the calendar. Why are people so fearful of dental visits? Many people associate pain or uncertainty when thinking about their dental experiences. It doesn’t have to be this way. Your dental professionals are there to ensure your comfort and wellbeing. Instead of treating a trip to the dentist as an inconvenience, think of it as the most effective way of making sure your teeth are as healthy as possible. If you let fear overtake your mental connection with the dentist, you may put off critical appointments or procedures. Doing so is a surefire way of opening the door for future dental health issues. TALK ABOUT YOUR FEARS Studies have proven that the most important factor in overcoming dental anxiety is good relationship with your dental professional and his or her staff. If you trust your dentist, you are more likely to feel at ease in the dentist’s chair. Open the lines of communication with your dentist to share how you’re feeling. Be honest and frank by explaining why you are anxious. Dentists are trained in easing patient fears and
delivering outstanding bedside manner. If you feel like your dentist is lacking in any of these areas, it’s time to search for a new dentist. WHAT TO DO AT THE DENTIST There are also things you can do when the time comes to walk through your dentist’s doors. Follow these tips from Delta Dental: • Focus on breathing regularly, deeply and slowly during dental procedures. This will help facilitate the flow of oxygen throughout your body and decrease any feelings of panic. • Ask your dentist if you’re allowed to wear earbuds to listen to your favorite band or podcast during your visit. Doing so can serve as a welcome distraction from any sounds of the dentist’s office that make you feel uncomfortable. • Avoid caffeine before a dental appointment. Instead, eat high-protein foods that produce a calming effect. • Try to choose a time for your dental visit when you’re not under a time crunch. This means avoiding tight windows such as lunch breaks or before work. • If you are looking for a dentist, ask friends and relatives for their experiences and recommendations. A good review from a trusted source can start you off on the right foot. 2016 MEDICAL GUIDE • 49
Volunteer as a Tax Aide Have you been looking for ways to get more involved with your community? The AARP offers the nation’s largest volunteer-run tax preparation and assistance service for people just like you. AARP Foundation Tax-Aide is looking for volunteers to help community members file their 2015 taxes. AARP FOUNDATION BACKGROUND The Tax-Aide foundation started in 1968 with just four volunteers, according to the AARP. The organization now involves more than 35,000 volunteers and serves 2.6 million taxpayers annually at more than 5,000 sites nationwide. Tax aide is available free to taxpayers with low to moderate income, with special attention given to those 60 and older. Through a base of trained volunteers, the foundation has helped individuals in every state and the District of Columbia.
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WHAT WILL YOU DO? Volunteers work with taxpayers in a variety of functions. If you’re good with numbers, you my actually be preparing taxpayer returns. Other volunteers can serve in greeting or administrative support roles.
Volunteers also need managers. You can take an active role in recruiting, on-boarding, coordinating and leading volunteer efforts to help grow the foundation. The AARP also has a large demand for bilingual speakers. Dedicated translators who can assist volunteers and tax clients are welcome. No matter your skill set, you can make a difference with the AARP Foundation TaxAide. THE BENEFITS If you decide to join the AARP tax initiative, you’ll be helping people in your own community with a free tax service. AARP reports that four out of five people who turn to the foundation are 60 and older with low household incomes. By helping these community members with free tax preparation services, you can help free up more money for simple, essential items such as groceries and medicines. Join today by visiting the AARP website at aarp.org and meet your volunteering goals.
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THE CURE IS WITHIN REACH AND NOW CLOSER TO YOU THAN EVER BEFORE. Introducing the Abramson Cancer Center at Chester County Hospital For years, cancer patients and their families have trusted Chester County Hospital for care. Now, as part of Penn Medicineâ&#x20AC;&#x2122;s Abramson Cancer Center, a world leader in cancer treatment and research, we can offer even more advanced therapies and expertise, right here at home. Together weâ&#x20AC;&#x2122;re bringing the cure within reach.
701 East Marshall Street West Chester, Pennsylvania 19380 610.431.5000