• An Anton Community Newspapers Special Supplement •
HEALTHY LIVING APRIL 30 - MAY 6, 2014
Drug May Thwart Epilepsy BY ANTON NEWS STAFF
editorial@antonnews.com
Dr. Alon Friedman studying brain charts
“Today, if someone comes to the emergency room with traumatic brain injury, they have a 10 to 50 percent chance of developing epilepsy, and epilepsy from brain injuries tends to be unresponsive to drugs in many patients,” said Dr. Alon Friedman, neuroscientist and professor at Ben-Gurion University of the Negev (BGU). However, now there’s new hope to prevent the onset of epilepsy following a brain injury or stroke. A team of researchers from Israel’s BGU led by Friedman, a professor of physiology and neurobiology and a member of the university’s Zlotowski Center for Neuroscience, found that the drug losartan (Cozaar) prevented a majority of cases of post-traumatic epilepsy in a rodent model of the disease. If independent experiments now underway confirm this finding, human clinical trials could start within a few years. Approximately 10 to 20 percent of all epilepsy cases are caused by severe head trauma.
see EPILEPSY on page 2B
Green Wellness Offers Pain Relief BY ANTON NEWS STAFF
editorial@antonnews.com
Acupuncture and Oriental medicine is a complete medical protocol focused on correcting imbalances of energy in the body. Techniques used can stimulate nerves, muscles and connective tissue. This stimulation appears to boost the activity of your body’s natural painkillers and increase blood flow. The World Health Organization David G. Hanley (WHO) has compiled a list of symptoms, syndromes, disease processes, pathologies, traumas and conditions that have definitely been proven as effectively treated by Acupuncture. The diseases or disorders for which Acupuncture has been
tested in controlled clinical trials are: • low back pain • neck pain • sciatica • knee pain • tennis elbow • headache • depression • periarthritis of the shoulder • sprains • facial pain • rheumatoid arthritis • dental pain • tempromandibular (TMJ) • induction of labor • correction of malposition of fetus • morning sickness • nausea and vomiting • postoperative pain • stroke • essential hypertension • primary hypotension • renal and biliary colic • leucopenia • adverse reactions to radiation or
chemotherapy • allergic rhinitis • primary dysmenorrhea • peptic ulcer • acute and chronic gastritis Green Wellness Acupuncture is located within Safie Salon and Day SPA at 519 Central Ave. in Massapequa. David G. Hanley, MSTOM, L.Ac, Dipl. OM is a licensed acupuncturist and board certified herbalist. Hanley is NCCAOM certified as a Diplomate of Oriental Medicine. These credentials are complimented by holding licenses as a physical therapist assistant, massage therapist and board certified in Therapeutic Massage and Bodywork. Being in the health care field for over 15 years, David has additional certifications through the American Council on exercise as a personal trainer and lifestyle and weight management consultant. Green Wellness Acupunture accepts most insurances, including no-fault insurance.
Get Your Baby’s Sleep On Track Child Sleep Expert Amy Lage, graduate of the Family Sleep Institute and Founder of Well Rested Baby, became a child sleep consultant after having trouble getting her infant daughter to sleep. After researching for tips and advice and coming across conflicting information, she was still at a loss for what to do. After nine months, she finally hired a sleep consultant and within two days her “terrible sleeper” was suddenly an incredible sleeper. “It turns out that all along she (like all babies) had this ability, we just had not taught her,” she said. “So what’s the secret? Introducing the WRB Cheat Sheet, 5 Simple Rules to get your baby’s sleep on track.” • Unfortunately, as I learned babies are not fashion accessories that we should just expect to fit into our social calendar. The sooner you can come to terms with this the better. Life would be much easier if we could tote our kids anywhere, at anytime and expect that they will get the sleep they need, but unfortunately that’s not the case. Babies and toddlers will achieve their very best sleep in their bassinet, crib, or bed, and it should be your goal for them to do the majority of their sleeping in this consistent location. Yes, very little babies have the amazing ability to sleep through anything, but once they reach about two months old they start to become social beings and have a much harder time blocking out what’s going on around them. Sleeping at home in their own darkened room will make sure there are no distractions. Also, babies and toddlers have better quality, more restorative sleep when they are sleeping in a stationary location like their own bed. Vibrations or motion during sleep (think strollers and car seats) force the brain into a lighter sleep state and reduce the restorative power of the nap. It’s similar in comparison to the sleep that you get on an airplane: ok, but not really restful. A nap on-the-go here and there is fine, but most naps should
see SLEEP on page 2B
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HEALTHY LIVING - ANTON COMMUNITY NEWSPAPERS - APRIL 30 - MAY 6, 2014
EPILEPSY from page 1B “This is the first-ever approach in which epilepsy development is stopped, as opposed to using common drugs that try to prevent seizures once epilepsy develops,” said Friedman. “Those drugs are administered for many years, have limited success and involve many side effects, so we are excited about the new approach.” The experiment showed that administration of losartan, a drug typically used to control high blood pressure, for three weeks at the time of injury was enough to prevent most cases of epilepsy in normal lab rats in the following months. Friedman has been investigating the effects of trauma on the brain for two decades. His main interest is in the blood-brain barrier, which normally protects the brain from potentially damaging chemicals or
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bacteria in the blood and prevents brain chemicals from leaking into the bloodstream. He discovered that epilepsy develops after brain injury due to a breach in the blood-brain barrier. According to Friedman, the barrier may remain open for only a few weeks after injury, so the drug should be given only to those patients who need it, and for a limited period. “In addition, since breakdown of the blood-brain barrier may also be associated with other complications, including bleeding and changes in cognitive functions, we are expecting that our approach will prevent complications other than epilepsy,” he said. To learn more about the pioneering research and academic programs at Ben-Gurion University of the Negev, contact Kevin Leopold at newyork@ aabgu.org or call 646-452-3703.
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be taken in your child’s bed. This does make you a bit of a slave to your house but ask anyone who has kids — that first year flies by. Before you know it you will be out and about and personally, I would rather stay in and have a well-rested child than be out with a cranky, overtired baby. • Naptime should follow your baby’s biological clock. We all have internal clocks called circadian rhythms that make us feel drowsy at certain times. It is easiest at these times to fall asleep and get our most restorative sleep. These times change as your child grows older. If you can base your child’s nap schedule so that they sleep in sync with these rhythms they will be able to achieve their best sleep. While it is sometimes daunting to follow a schedule, it will provide you the confidence to know exactly when your child will need to sleep and that he is getting the sleep that he needs. • Bedtime should be early enough to ensure that your child goes to bed before they become overtired. A child who is overtired has a harder time falling asleep and staying asleep. This is because when we get overtired we release the stress hormones cortisol, adrenaline and noradrenaline. This is a primitive fight or flight response, which is intended to keep us going. While this was probably helpful to cavemen, it is not when it kicks in for your baby and he gets a “second wind”. When this response occurs on a regular basis these hormones actually build up in your baby’s system and then cause him to wake-up in the middle of the night or early in the morning. Although it sounds counterintuitive, an early bedtime will not cause your child to wake earlier in the morning. In fact, early bedtimes help children to
sleep later as they are better able to self soothe and consolidate sleep without the presence of these hormones. In short, an early bedtime allows babies to achieve longer s tretches of better quality sleep. As an added bonus, it provides more time for you to unwind and have “you” time in the evening. What parent doesn’t need that? • Babies and toddlers crave routine in their daily schedules as it helps them know what to expect. They follow patterns and your cues, so if you create a consistent soothing routine before sleep times then they will know to expect sleep to come next. Your soothing routine does not need to be anything complicated — maybe a book and a nice soothing song — but it needs to be consistent and should always end with your child going into bed sleepy, but awake. • If your child relies on you to be with them until they are fast asleep, how will they know how to put themselves back to sleep when a sleep cycle ends during nap time or when they wake at night? Self-soothing is a skill that every child must learn to be an independent sleeper. Once your child is on the correct schedule and is falling asleep before he becomes overtired, self-soothing will come much more easily. There are lots of methods for teaching your child to self-soothe. Some methods involve more tears but work very quickly and some have little or no tears but take a bit longer. They all accomplish the same end goal — teaching your child to fall asleep on their own. This is one of the best skills you can teach a child as it enables them to become well rested, independent and better able to handle the opportunities and challenges each day presents. Amy Lage is a Family Sleep Institute certified Child Sleep Consultant — Submitted by Family Sleep Institute
HEALTHY LIVING - ANTON COMMUNITY NEWSPAPERS - APRIL 30 - MAY 6, 2014
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Everything You’ve Always Wanted To Ask Your Doctor You know the drill — there’s an appointment with your doctor coming up and you have a list of questions you need answered. But, somehow, when the visit comes around, those questions weren’t addressed and you return home as puzzled as when you left. Today, healthcare providers are busier than ever before. There are so many tasks that need to be completed for each patient encounter and so little time to do them, that the most important one — answering patients’ questions — may not be accomplished at all, leaving patients uneasy and unsatisfied. What can be done to improve this situation? According to cardiologist Stacey Rosen M.D., Vice President of Women’s Health, The Katz Institute for Women’s Health at North ShoreLIJ Health System, the key to a satisfying appointment experience lies in communication. “It’s important for physicians to take the time to understand and carefully answer patients’ questions during the visit but equally important for patients to prepare for that visit,” she said. In order to make the most of their visit, patients should prepare their questions in advance to help ensure that whatever their concern, it will be heard and answered. Some important
PENNY STERN, M.D. questions to ask your physician include: What are the conditions I am being treated for? What are my treatment options? What are the benefits of each option? What are the side effects? Will I need any diagnostic tests? What is the test for? What will the results tell me? What will the medicine you are prescribing do? How do I take it? Are there any side effects? What is the likely course of this condition? What is the long-term outlook with and without treatment? If my symptoms worsen, what should I do on my own? When should I contact you? Do I need to change my daily routine? Patients sometimes feel the time
pressures that now characterize the routine office visit and they often don’t want to be perceived as bothering the doctor or, they may think that if the doctor didn’t mention their particular question, it probably isn’t very important and so the patient remains silent. The burden should not be placed solely on the patient. If the health care professional always asks for questions, this technique alone can help empower the patient to speak up and voice his or her concerns. Optimizing health and wellness relies on a “50-50 partnership” between the patient and doctor. “Health literacy” refers to the ability to obtain, process and understand health information in order to make better healthcare decisions. Better communication has been shown to result in better health outcomes. Patients who communicate better with their doctors have better outcomes with many chronic conditions including high blood pressure, diabetes and asthma, and have fewer preventable hospitalizations and emergency room visits. Also, better communication actually results in deceased health costs as the result of fewer unnecessary or duplicate tests, procedures and doctors visits.
Dr. Donald Cegala of Ohio State University’s Departments of Communication and Family Medicine has developed a successful tool called the PACE sheet for patients seeking to enhance the quality of their visits to the doctor. On the PACE sheet, which can be downloaded from the Internet at www.heart.org/visits. Patients are directed to follow a number of suggestions such as always bringing a complete list of medications with them to visits and remembering to ask for copies. of test results and the explanations of those results. There is also space for the patient to fill in the answers to seven simple requests for information to help guide and focus the time with the physician. When patients use tools like the PACE sheet, or simply prepare their own lists of questions and concerns, the office visit is much more satisfying for the patient and much more helpful for the providers. Penny Stern, M.D., is the Director of Preventive Medicine in the Department of Population Health at North-Shore LIJ Health System. Contact The Katz Institute for Women’s Health Resource Center at 855-850-5494 or womenshealth@nshs. edu.
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HEALTHY LIVING - ANTON COMMUNITY NEWSPAPERS - APRIL 30 - MAY 6, 2014
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Overcoming Mental Illness: LI Native Shares His Story
A charitable gift annuity (CGA) with American Associates, Ben-Gurion University of the Negev offers you high fixed-rate income for life and amazing tax benefits. It also supports exceptional education for Israel’s young people, and forges pioneering research in medicine, renewable energies, water resource management, desert agriculture, and more.
BY ANTON NEWS STAFF
editorial@antonnews.com
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Hakeem Rahim, Ed.M, M.A., a 32-year-old Harvard graduate and Long Island native, has been speaking openly about his 14-year journey with bipolar disorder. Last month, because of his determination to break the stigma attached to mental illness and his passionate advocacy for Americans living with illnesses of the brain, a sub-committee of the U.S. Congress decided it was time to listen. Rahim joined a panel of professionals including doctors, lawyers and judges on which he served as the only “consumer” — giving voice to the silent millions who are never afforded the opportunity to speak directly with government officials. The goal of the committee was to extract information that would help reform the delivery of mental health services in this country. During his presentation, Rahim, the founder of Live Breathe, LLC, recounted his experience with mental illness… beginning with the first panic attack he suffered in 1998 during his freshman year at Harvard and the uncontrollable terror he felt. During the spring of 1999, Rahim stated that he roamed the streets of his native Hempstead “possessed with a prophetic delusion that I had to share with everyone I met.” In the spring of 2000, Rahim suffered his second manic episode. This included a complete break from reality, otherwise known as psychosis. “I had visions of Jesus and heard cars talk,” he recalled. At that time, he was
hospitalized, and his long struggle to triumph over his illness began. Determined to recover, Rahim learned to integrate the diagnosis of bipolar disorder into his life. Armed with the proper medications and treatment plan, he has embraced physical and mental health awareness, advocacy and education. Aside from his work with Live Breathe, LLC, which focuses on educational consulting and mental health advocacy, Rahim also serves as the NAMI Queens/Nassau Let’s Talk Mental Illness presenter. For his work as a mental health educator and advocate, he was selected as a 2013 Honoree by NYS Office of Mental Health for the “What’s Great in Our State” Award. To date, he has spoken to well over 4,000 high school and middle school students on such topics as bullying, peer pressure, facing fears, and other mental health concerns. “I am so much more than my diagnosis … much more than a label,” Rahim said. “It is my hope that speaking out for compassionate and equitable care for every person living with a mental illness will help break the stigma that persists in this country to this day and will allow every American to be treated with dignity and respect.” Along with his speaking engagements, Rahim is also an accomplished poet and spoken word artist. To learn more about him, go to: hakeemrahim. com
HEALTHY LIVING - ANTON COMMUNITY NEWSPAPERS - APRIL 30 - MAY 6, 2014
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Good Bye Polar Vortex, Hello Polar Pollen Allergies Just when you thought you were safe from the word “Polar Vortex”, now as we head into spring comes a new term “Polar Pollen” allergy season. I recently visited with Philip Perlman M.D., Director, Department of Otolaryngology at St. Francis Hospital in Roslyn to discuss what is in store for those among us who are allergy sufferers. “Every year we try to figure out when is the allergy season going to hit. This year we had a cold, wet winter, they are calling it Polar Pollen Allergy season. Basically it means that allergy season, which starts in March, may start later than usual. When it hits it’s going to be more extensive than it has been because of the amount of moisture in the ground.” According to Perlman, the moisture causes several problems. “If there is a lot of moisture around during the winter months, people find that there is a lot more mold in their homes, and if they have mold allergies that is going to hit them during the winter time,” he said. “Then there is a lot of water outside in the grass and the trees that can produce more molds. The water situation will make for a more vigorous springtime with more blossoms, grass, trees, and pollen will be heavier.” With more people hibernating indoors there are more people suffering
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The Local Doctor
DR. CYNTHIA PAULIS, M.D. from sinus and respiratory tract infections. Perlman has some recommendations people can take to alleviate allergy suffering. “Right now to gear up for allergy season, people who have known allergies already should be rinsing their nasal cavities with saline washes and flushes, neti pots,” he added. “They should start taking allergy medications and not wait for the first signs because then they get behind chasing the symptoms rather than preventing them from happening.” Perlman explained what neti pots do and how to be used correctly. “Neti pots are a water container and people flush their nasal cavities by tipping it over,” he said. “It washes away all of the allergies and impurities we breathe in everyday and it will make a clearer nasal passage. It is also good
for people with sinus infections because it helps wash away the bacterial infection. It is used with distilled water made with the appropriate amount of salt. Don’t use tap water because that can cause infections.” Perlman further went on to elaborate on the pros and cons of over the counter medications, which can be helpful but also very dangerous. “People who have blood pressure issues should not be taking decongestants randomly because that can increase your blood pressure,” he added. “For example pseudoephedrine and products with a D after it, that means it is a decongestant so they should be very careful. There are mucolytic products such as Mucinex, which is excellent for liquefying the mucus and to Help drain the sinuses. This is safe for people with high blood pressure if it is just plain Mucinex and not Mucinex- D. Other products that can be dangerous are for people if they use it too much are the Afrin and Neo-synephrine products because these can be addicting and can cause septal perforation. If you are not sure if you are an allergy sufferer one of the first things Perlman recommends is to see your allergy doctor. There are both blood and skin tests available.
The blood test is an immuno cap, which is a simple blood test, sent to a lab and you will get a panel of 25-30 different allergens that are regional to your particular area. It will also give you an IGE level, which will show you how allergic you are. Another test is a skin test where your skin is pricked and exposed to an extract of certain allergens. After a certain length of time your skin is evaluated to see its reaction to the allergen. Some people may need to get weekly injections instead of using over the counter meds if they are reacting to certain allergens. These shots, which can go over years, are used to shut off the immune system to certain allergens by slowly introducing these allergens into your body so you have set up a defense for these allergens. Once you find out what you are allergic to there are things you can do to minimize your allergic exposure. Household airborne allergy symptoms caused by dust mites or pet dander may improve by reducing your exposure to them. Get rid of carpets and replace them with hardwood floors. Vacuum with a HEPA filter and wash bedding frequently. If you are someone who has a severe allergic reaction it is a good idea to wear a medical bracelet and carry an EpiPen.
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HEALTHY LIVING - ANTON COMMUNITY NEWSPAPERS - APRIL 30 - MAY 6, 2014
The North Shore-LIJ Lenox Hill hospital
Recognition For Epilepsy Centers
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BY ANTON NEWS STAFF
prestigious NAEC recognition,” said Raj K. Narayan, M.D., senior vice president of the North Shore-LIJ Health Three epilepsy programs within the System’s neuroscience service line. “It North Shore-LIJ Health System have is a testament to our health system’s been recognized as Level 4 Epilepsy dedicated, multidisciplinary team of Centers by the National Association specialized epilepsy doctors, nurses, of Epilepsy Centers (NAEC) – the monitoring technologists, pharmaorganization’s highest rating. Level cists, and social workers. Over the past 4 designations were given to the few years, we have become one of the following programs: North Shore-LIJ’s largest epilepsy centers in the region Comprehensive Epilepsy Care Center and in the country.” at North Shore University Hospital The Comprehensive Pediatric in Manhasset, The Comprehensive Epilepsy Center at Cohen Children’s Pediatric Epilepsy Center at Cohen provides comprehensive care for Children’s Medical Center in New children diagnosed with epilepsy and Hyde Park and The Comprehensive Epilepsy Center at Lenox Hill Hospital. childhood seizures. Cohen specialists are all board-certified pediatric neuLevel 4 epilepsy centers have the rologists and neurosurgeons focused professional expertise and facilities to on the most effective treatments, provide the highest level of medical and surgical evaluation and treatment offering state-of-the-science epilepsy management and better quality of life for patients with complex epilepsy. According to the NAEC guidelines, a for pediatric patients. “The NAEC’s designation as a Level Level 4 Epilepsy Center should provide 4 epilepsy center provides well-dethe most complex forms of intensive neuro monitoring, as well as extensive served recognition of the outstanding care provided by Cohen’s divisions medical, neuropsychological, and of pediatric neurology and pediatric psychological treatment. Level 4 neurosurgery,” said Andrew Steele, centers also offer complete facilities M.D., medical director of the chilfor the evaluation of epilepsy surgery, dren’s hospital. including intracranial electrodes, For more information about North and provide a broad range of surgical Shore-LIJ’s Comprehensive Epilepsy procedures for epilepsy. Care Center call 516-325-7060 or go to “We are honored that our epineurocni.com. lepsy programs have received this editorial@antonnews.com
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HEALTHY LIVING - ANTON COMMUNITY NEWSPAPERS - APRIL 30 - MAY 6, 2014
Are You Eating Mindlessly? BY DEBBIE LAZINKSY
Editorial@antonnews.com Many of our daily activities are habits that we perform without thinking about them. In many cases, that’s a good thing. Can you imagine having to think about the process of putting one foot in front of the other to walk across the room? Once we learned how to walk, we practiced it every day and now, for most of us, we don’t spend a second thinking about walking. It’s just what we do. Like walking, eating is a habit that we learned at a very early age, and also like walking, it is a habit that we engage in mindlessly. Unfortunately, mindless eating has been proven to contribute to weight gain and is a habit that dieters have been trying to break through all sorts of methods. The reasoning was: if we can get people to understand their bad habits, they would exchange them for better ones. Sounds great, but in reality, this is very difficult to do. It has been proven that we eat more from larger bowls and dishes without noticing. In fact, people who eat from large plates on average consume 53 percent more calories per meal than those who eat from smaller plates.
While this may represent only an average of 250 calories per meal, this can add up to 17 lbs. by the end of the year. This is a mindless behavior, and stems from the fact that we evaluate the volume of food and the likelihood that it will be satisfying based on the size of the plate. The bigger the plate, the bigger the portion you will serve yourself.
The same is true with pouring a beverage. The same volume of liquid appears to be larger in a tall skinny glass than it does in a short fat one. Try it yourself. You will find what has been proven in a lab; even bartenders, who are experienced at estimating volume in a glass, will pour more into a short fat glass. So, instead of trying to remember to measure your foods and drinks, why
not buy smaller plates and some tall skinny glasses? Then you can let your instincts be your guide and you will mindlessly be consuming fewer calories. Your eyes will be satisfied with less food and so will your stomach. Here is a tip for parents: Kids do the same thing as adults when looking at their food and evaluating whether this will satisfy them. But kids need less food, so to serve them on adult-sized plates forces them to judge their kid-sized portion on a grown up-plate. The bottom line is that it is easier to change your environment (plate and glass size) than it is to change your habits. I used this tip during my own 185lb. weight loss, which I accomplished naturally, without the use of drugs or surgery. I learned how to find easy little changes that I could live with, and in the process created an entire new and healthy lifestyle. Making a commitment to small changes that become healthy habits is the best way to achieve and maintain a healthy weight. Debbie Lazinsky is an American Council on Exercise-certified personal trainer and health coach based on Long Island. Her website is debslifechange.com.
Women’s Wellness Join us… 3 Understand your diet habits and develop an eating plan to meet your nutritional needs 3 Navigate through some of the best (and free) nutrition apps – from calorie trackers, recipe finders and grocery list planners 3 Enjoy healthy food choices and refreshments with friends $20 admission fee. Registration is required. Online: kiwh.northshorelij.com (search under events) Phone: 1-855-850-KIWH (5494)
We look forward to seeing you there!
Healthy Eating in the Digital Age: There’s an App for That! Wednesday, June 11, 2014 7:00 – 9:00pm Long Island Marriott 101 James Doolittle Blvd. Uniondale, NY
Attendees will be entered into a raffle for a chance to win a gift basket.
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Presenter: Sotiria Everett, RD Registered Dietitian, The Katz Institute for Women’s Health
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File name: 17940a KIWH Women’s Wellness April Publication: Anton Size: 8.75”w x 5.5”h Insertion Date: 4-30-2014
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