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HealthyLiving FEBRUARY 14 - 20, 2018
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HEALTHY LIVING • FEBRUARY 14 - 20, 2018
Living With Heart Failure Did you know that heart disease is the leading cause of death for both men and women in the United States? That’s why February has been deemed Heart Health Month, providing an opportunity for us to spread awareness about strategies to prevent and manage heart disease. Making heart-healthy choices and booking regular check-ups with your physician can help save you from this silent killer. Congestive heart failure (CHF) is a condition in which the heart’s function as a pump is inadequate to meet the body’s needs. Diagnosis of CHF is made on a careful examination from your doctor. Diet and lifestyle modifications are a very important part of the CHF treatment plan. These healthy eating strategies are even useful for those looking to avoid heart disease and improve their overall cardiac health.
Limit Sodium To 1,500-2,000 Milligrams Daily
CHOOSING HEALTH
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Stefani Pappas
Consult your physician before making any of the changes listed above.
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with salt, make sure that salt is one of the last ingredients on the list because ingredients are listed in order of quantity.
Cutting down on sodium is one of the most important parts of heart failure nutrition therapy. Sodium is found in large amounts in processed and prepared foods. If you are eating three meals per day, limit your sodium intake to 500 milligrams per meal and try to snack on low-sodium items throughout the day. Aim for no more than 1,500-2,000 milligrams of sodium per day.
Experiment With Salt-Free Seasonings Get that salt-shaker off of the dinner table and opt for some salt-free/low-sodium seasoning options. Mrs. Dash or Trader Joe’s 21 Seasoning Salute are popular salt-free alternatives. Get creative with fresh spices and herbs for a flavorful boost to your meal. If you are buying a seasoning
Be Careful When Dining Out Although eating at restaurants can be a convenient solution, it’s difficult to control what ingredients are going into your food. Communicate to your server that you are on a low-sodium diet and ask for some hearthealthy suggestions. Try ordering items that are grilled, baked or broiled. Avoid heavy sauces, creamy dressings, and soups that are typically very high in sodium.
the meat and remove the skin on chicken before consuming. Decrease your consumption of red meat and choose a fatty-fish such as salmon instead. Focus on fresh fruits, vegetables, and whole grains for added fiber and health benefits. Changing food habits takes time and patience. If you stick to a low-sodium diet, your taste buds will start to adjust in about three weeks. Consult your physician before making any of the changes listed above.
Stefani Pappas, MS, RDN, CDN, CPT, is a Clinical Dietitian Nutritionist at St. Cut Out Added Fats Francis Hospital. She also proA diet that is high in vides private and group nusaturated fat and cholesterol trition counseling at her office can lead to more cardiac in Great Neck, NY. Visit her problems. Try to minimize website www.StefHealthTips. excess fats such as fatty cuts of com for more information or meat and fried/greasy foods. call 516-225-1745 to schedule Always trim the visible fat off an appointment.
FREE LEGAL & FINANCIAL PLANNING CONFERENCE Your Financial Future Matters Saturday, March 24th I 8:30 am - 1:30 pm Plainview Holiday Inn I 215 Sunnyside Blvd. I Plainview
Topics: Advance Directives, Medicaid, Asset Protection, Accessing Services in the Home, Nursing Home Care, Guardianship Actions, Financial Planning Issues and more.
Call 800.272.3900 This program is supported in part by a grant from the New York State Department of Health
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Free on-site respite care provided by Access Home Care and Home Companion Services. Activities provided by Creative Caregiving Solutions, Inc. Space is limited and registration is required.
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HEALTHY LIVING • FEBRUARY 14 - 20, 2018
Initiating the conversation with an elderly loved one can feel daunting and is why Right at Home, a global leader in in-home care and assistance, has developed RightConversationsSM for effective communication between you and your aging family members. A practical approach in the family caregiving process, RightConversations offers tips and tools for discussing your relative’s preferences and possibilities for extra assistance to continue a lifestyle they enjoy. “At Right at Home, we understand the challenge of talking through health, finances and other personal issues with aging loved ones,” said Gregg Balbera, president of Right at Home Nassau Suffolk. “RightConversations helps families be proactive in what to discuss with seniors and how to phrase questions. RightConversations is a complimentary resource that reduces family caregiver stress and builds rapport between elders and their concerned family members.” Balbera summarizes the 10 tips listed in the RightConversations guide, which will help foster strong family dynamics to ensure the safety and comfort of older relatives:
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Gather accurate, relevant information to help you assess signs of your senior’s changing needs. Note if your senior can no longer perform certain tasks. Accompany your elder to doctor appointments to get a firsthand report.
Initiating The Conversation With Seniors
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ou hesitate to talk with your aging loved ones about their care needs and future plans, but they are showing signs of needing more help. Mom keeps forgetting to take her medications. Dad is unsteady on his feet. How much longer can they live safely on their own? How do you and the rest of the family start a positive dialogue with your parents about home care?
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Determine the level of concern warranted by observing signs that your loved one needs additional support. Are bills being paid? What about spoiled food in the home? Consider using the RightConversations Family Action Planner, which tracks delegated tasks for family members and service providers. Review the facts and avoid personal biases so your loved one does not feel judged or pressured into what you want. Limit your assumptions about your senior’s well-being and stick to factual observations.
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Involve siblings from the beginning in conversations with your older parent or relative. This may mean putting aside personal challenges with a brother or sister to seek the interests of your parent. Plan the conversation to keep your thoughts organized. Practicing key points and open-ended questions for your time together will cultivate trust and productive conversation. Create a positive conversation by listening with intent to understand rather than to respond. The goal is not to give advice but to express love and
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concern for your aging loved one. Be aware of differences in communication styles among siblings and other family members. Understand why your loved one may withhold information or resist sharing emotional vulnerability. While you are focused on protecting your parent’s home environment, they may be afraid of losing their independence or being abandoned in a care facility. Do not make your loved one feel ambushed by a “you” versus “us” approach. Take time to acknowledge each other’s perspectives and focus on partnering rather than acting in opposition. Be prepared for what to do if your loved one says “no” to suggestions for personal assistance and home care. Take a step back and give your senior time to think through your words and concerns and offer positive language. While it can be disconcerting to see older loved ones show signs of needing more assistance with daily activities, many seniors are actually relieved their families notice and care. Exploring caregiving concerns and options together makes for shared decision making and meaningful relationships well beyond the initial conversation. —Submitted by Right At Home
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HEALTHY LIVING • FEBRUARY 14 - 20, 2018
BOOKS
Health Books To Love
Editor’s picks for books that are good for your body, mind and heart BY JENNIFER FAUCI
T
JFAUCI@ANTONMEDIAGROUP.COM
wo months into the new year, many of us are trying to keep those resolutions to eat healthier and exercise more. It’s also imperative to include mental health in that round up. You’ll love this list of books that not only provide helpful tips to better your nutrition and overall physical appearance, they will get your brain working into a fascinating read about science and health. Dirty Genes: A Breakthrough Program to Treat the Root Cause of Illness and Optimize Your Health (2018) By Ben Lynch, N.D. Sometimes, you really can blame your health on genetics. Dr. Ben Lynch suffered for years from unexplainable health issues until he discovered the root of his problems: “dirty” genes. He determined that genes can be “born dirty or merely
act dirty,” in response to your diet, lifestyle or environment, leading to lifelong, sometimes life threatening health problems such as cardiovascular disease, autoimmune disorders, depression, obesity, cancer and diabetes. The book is based on Lynch’s own experience, helping thousands of clients to identify and optimize both types of dirty genes by cleaning them up with healthy eating, good sleep, stress relief and other natural means. A good book for those who have tried
every method of weight loss and want a deeper understanding of their bodies. Available for $15 on Amazon.
The Haywire Heart (2017) By Christopher J. Case, Dr. John Mandrola and Lennard Zinn The first book to examine heart conditions in athletes, the authors discuss how, in fact, too much
exercise can kill you. A read for anyone who competes in endurance sports (cycling, triathlon, running races and cross-country skiing), The Haywire Heart presents the evidence that going too hard or too long can damage your heart forever. The book details what to look out for and how to protect your heart so you can enjoy your sport for years to come. From warning signs and symptoms to risks and recovery, all is detailed within this extensive research by leading cardiac electrophysiologist and masters athlete Dr. John Mandrola, who explains why many doctors misdiagnose heart conditions in athletes. Available for $17 on Amazon.
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HEALTHY LIVING • FEBRUARY 14 - 20, 2018
The Plant-Based Solution: America’s Healthy Heart Doc’s Plan to Power Your Health (2017) By Joel K. Kahn, M.D. Want to incorporate more greens into your diet? Cleaning up your health from the inside out, cardiologist Dr. Joel Kahn shows how everyone can introduce a whole-foods, plant-based diet into their lives. Kahn has proof that heart disease, adult diabetes, obesity, osteoporosis and autoimmune disease have all been prevented or improved with a plantbased diet. With decades of experience, Kahn brings together a wealth
of scientific research and in-depth case studies that share why plants might hold the key to better aging, simple tips to start your transition into veganism, inspirational stories, a 21-day meal plan with more than 60 delicious, easy recipes and much more. The perfect book to restart your body from the inside out. Available for $16 on Amazon.
negative, doubtful thoughts. A great read for those who need to toughen up. Available for $17 on Amazon.
The Brave Athlete: Calm the F*ck Down and Rise to the Occasion (2017) By Simon Marshall and Paterson Lesley
Even though it was published in 2009, as someone who suffers frequent and excessive migraines (about 20 times a month), I can’t wait to give this book a read. Migraines steal hours, weeks and moments from your life and if they go misdiagnosed, it’s a
The name of this book alone is enough to solicit interest in the reader. The Brave Athlete from Dr. Simon Marshall and Lesley Paterson will help athletes take control of their brains so they can focus on training harder, running faster and getting more enjoyment out of their sport. Marshall, a sport psychology expert and Paterson, a three-time world champion triathlete and coach, make the perfect team. This book challenges the thoughts and feelings that swirl through athletes’ minds like “I don’t think I can,” “I don’t cope well with injury,” “I don’t like leaving my comfort zone,” and other
A Brain Wider Than the Sky: A Migraine Diary (2009) By Andrew Levy
recipe for ultimate misery. When the author was struck with debilitating migraines that kept him bedridden, he made every attempt to track the onset pain and made changes to his lifestyle, he even conducted extensive research on how personalities throughout history like Alexander Pope, Elvis and Virginia Woolf dealt with their migraines. This book is a memoir that explores the true pain that migraine-sufferers experience. Available for $14 on Amazon.
HEALTH BRIEF Support Group Meeting The Brain Tumor Center at Neurological Surgery, P.C. will host a support group meeting for brain tumor patients, family members and caregivers where they will be able to share feelings, concerns, experiences, ways to cope and more. Tina Sapienza, L.M.S.W., O.S.W-C will facilitate the meeting on Thursday. Feb. 15, from 4 to 5:45 p.m. at Neurological Surgery, P.C., located at 1991 Marcus Ave., Suite 108 in Lake Success. Light refreshments will be served. A reservation is required as seating is limited. Call Richard Van Allen at 516-442-2250 ext. 110 or email rvanallen@ nspc.com to reserve your seat.
FREE GIFT BAG FOR ALL ATTENDEES PLUS FANTASTIC DOOR PRIZES
Join us at our informational brunch featuring our guest speaker New York Body Contouring Specialist Dr. Shain Cuber to learn about the latest innovations in non-surgical, minimally invasive, and surgical procedures for the body that will have you looking and feeling young again.
Dr. Cuber will also discuss his approach to surgical body contouring procedures including: Liposuction, Tummy Tuck, Breast Augmentation, Breast Lift, Body Contouring and Brazilian Butt Lifts.
Andrew A. Jacono, MD, FACS, is a fellowship trained, dual board certified Facial Plastic and Reconstructive Surgeon. He is section Head of Facial Plastic and Reconstructive Surgery at North Shore University Hospital at Manhasset. He can be reached at his 440 Northern Blvd., Great Neck office at (516) 773-4646 or at his 630 Park Avenue, Manhattan office at (212) 570-2500. To learn more, visit us at www.jspamedicalspa.com or www.newyorkfacialplasticsurgery.com.
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Shain Cuber, M.D., is a board certified Plastic Surgeon through the American Board of Plastic Surgery and a member of the American Society of Plastic Surgeons. He will be discussing body slimming procedures such as CoolSculpting the non-invasive fat-reduction procedure, Thermitight the latest in non-surgical body tightening, minimally invasive liposuction techniques and the newest innovations in Non-Surgical Vaginal Rejuvenation to help restore confidence and intimacy.
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ANDREW A. JACONO, MD, FACS Facial Plastic & Reconstructive Surgeon Fellowship Trained / Dual Board Certified
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HEALTHY LIVING • FEBRUARY 14 - 20, 2018
Hospice and Palliative Care
What to know about alleviating pain and improving quality of life
S
aying goodbye to a loved one is never easy. It is in those final months and weeks of a person’s life where family members want to make them as comfortable as possible, knowing that when they are no longer suffering from the pain of an illness, they are finally at peace. Part of hospice services include palliative care, the medical specialty of alleviating pain and improving the quality of life of the seriously ill. According to Right at Home, which provides home care, senior care and home health care services, hospice care begins after health treatment for an illness has stopped and the patient is considered terminal. Palliative care can begin as soon as a patient is diagnosed with a serious illness and can continue while the individual pursues a cure. Statistics show that hospice providers alone care for more than 1.6 million Americans and their families annually. While hospice does involve caring for the terminally ill, hospice care is more than seeing someone through their final days. An integrated team of healthcare professionals and
trained volunteers work together to manage pain, control symptoms, and bolster emotional and spiritual needs. Hospice teams ensure patients and their loved ones find support, respect and dignity along the difficult path of a life-limiting illness. Interdisciplinary palliative care teams are typically comprised of doctors, nurses, social workers, chaplains, and physical and occupational therapists who assist with the pain of cancer, kidney failure, chronic obstructive pulmonary disease, congestive heart failure and other chronic diseases or disorders. As for cost, most Medicaid, Medicare and private health insurance plans cover palliative and hospice services. Hospice care covered by Medicare requires that a person receive a prognosis of living six months or less, but there is not a six-month limit on hospice care services. A patient with a doctor’s certification of terminal illness may receive hospice support for as long as necessary. At the Parker Jewish Institute, a hospice and palliative care seminar was recently held for health care professionals called “Hospice into the
Future.” The informative seminar for hospital and skilled nursing facility staff, health care service providers and clinical professionals, focused on the current state of hospice and palliative care. The seminar was given by Carla Braveman, BSN, RN, M.Ed, CHCE, president and CEO of Hospice and Palliative Care Association of New York State (HPCANYS), who gave a brief history of hospice care, noting that the modern hospice movement began in England in 1967 by founder Dame Cecile Saunders, a nurse who became a social worker and then a physician. Also discussed were the latest issues of concern to HPCANYS. What is the future role of hospice with the new payment model? How will palliative care evolve? “People in Washington, D.C. are now actually talking about a Palliative Care Benefit,” said Braveman. “A Palliative Care Benefit is not a Palliative Care doctor seeing patients, it is a hospice-like situation where the patient doesn’t have six months or less to live, but is based on a longer trajectory of an illness and whether they want curative treatment or comfort care.”
The Community/ Inpatient Hospice at Parker provides comfort, relief, and peace of mind to individuals with advanced or life-limiting illness and their families. Parker’s is an intimate and unique program that provides personalized care to ensure a patient’s comfort, enhance quality of life, preserve one’s dignity and respect individual choices. For more information on palliative and hospice care, contact Right at Home at 516-719-5999 or visit www. rightathomeli.com. For more information about the Parker Jewish Institute, contact Lina Scacco at 718-289-2212 or email lscacco@parkerinstitute.org. —Jennifer Fauci, with additional information courtesy of Parker Jewish Institute for Health Care and Rehabilitation and Right At Home
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HEALTHY LIVING • FEBRUARY 14 - 20, 2018
Not All Jaundice Comes From The Liver Pancreatic cancer is one of the most common gastrointestinal cancers, one of the most difficult to diagnose at an early stage, and is generally associated with a poor long time prognosis. There are no screening tests for pancreatic cancer and most people find out they have this disease when they develop what is termed “painless jaundice.” Other common symptoms include vague abdominal pain, back pain, fatigue and weight loss. Most people with this condition, however, have no symptoms until jaundice develops. When someone first comes to medical attention with painless jaundice, the working diagnosis should be pancreatic cancer until proven otherwise. Making the diagnosis is simple and requires a CT scan or MRI of the abdomen. Most people with pancreatic cancer are found at initial diagnosis to have end stage, inoperable disease. Why is pancreatic cancer so difficult to diagnosis at an
THE SPECIALIST
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David Bernstein, MD
When someone first comes to medical attention with painless jaundice, the working diagnosis should be pancreatic cancer until proven otherwise.
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early stage? The pancreas is a medium sized organ that is situated deep in the middle of the abdomen. It consists of three parts: the head, body and tail. Most pancreatic cancers are located in the head, a structure that the bile ducts, which drain the liver and gallbladder, run through. When the tumor becomes large enough to obstruct the bile ducts, jaundice occurs. By this time, most tumors have already spread into adjacent structures such as the lymph nodes or the blood vessels. When this happens, surgery will not help as the disease has already spread beyond the pancreas. When cancer arises in the body or tail of the pancreas, there is no jaundice to alert anyone that a cancer is present so this type of cancer almost universally comes to medical attention at a very late stage in the disease and these cancers have an even worse prognosis than those found in the pancreatic head. There are no blood tests to screen
for pancreatic cancer and routine screening with either ultrasound or CT scan is not recommended, as routine imaging has not been shown to be cost-effective. This is a huge dilemma as the incidence of pancreatic cancer appears to be rising. Pancreatic cancer is diagnosed in about 37,000 Americans each year while an estimated 34,000 Americans die each year of this disease. Only two out of 10 people diagnosed with pancreatic cancer will live more than one year after diagnosis and less than four percent of people diagnosed with pancreatic cancer will be alive five years after the diagnosis is made. Risk factors for pancreatic cancer include smoking, male sex, age over 60, diabetes, diets high in red meat and low in fruits and vegetables, being overweight, being AfricanAmerican, having H. Pylori infection and having a family history of pancreatic cancer. The only curative treatment
for pancreatic cancer is surgery although people who are eligible for a curative operation are few and far between. Aside from curative surgery, patients with pancreatic cancer can be treated with palliative surgery, chemotherapy, radiation therapy or endoscopic stenting. The good news is that chemotherapies are getting better and new immunotherapies are prolonging life with fewer side effects than older treatments. Much research is needed to develop better diagnostic tools to diagnose pancreatic cancers earlier and to develop more effective therapies. There is no way to prevent pancreatic cancer but some people have speculated that watching one’s diet, eliminating smoking and avoiding second hand smoke, and exercising may help reduce the risk of acquiring this disease. There can be no harm in trying to reduce one’s potential risk factors for this deadly disease.
INSPIRING WOMEN™
A FREE COMMUNITY HEALTH EDUCATION PROGRAM
THE MIND-BODY CONNECTION HEALTHY BODY & MIND = HAPPY & HEALTHY HEART WůĞĂƐĞ ũŽŝŶ ƵƐ ĂƐ ǁĞ ůĞĂƌŶ ĂďŽƵƚ ƚŚĞ ůĂƚĞƐƚ ƉƌĞǀĞŶƟŽŶ Θ ƚƌĞĂƚŵĞŶƚ ŐƵŝĚĞůŝŶĞƐ͕ ƚŚĞ ƌĞůĂƟŽŶƐŚŝƉ ďĞƚǁĞĞŶ ƚŚĞ ŵŝŶĚ ĂŶĚ ŚĞĂƌƚ ŚĞĂůƚŚ͕ ůŝĨĞƐƚLJůĞ ĨĂĐƚŽƌƐ ŝŶŇƵĞŶĐŝŶŐ Ă ǁŽŵĂŶ͛Ɛ ŵĞŶƚĂů ǁĞůůͲďĞŝŶŐ͕ ĂŶĚ ĞīĞĐͲ ƟǀĞůLJ ŵĂŶĂŐŝŶŐ ƐƚƌĞƐƐ͘ Carole Filangieri, PhD Barbara J. George, EdD :ƵƐƟŶĞ >ĂĐŚŵĂŶŶ͕ D DĂƌLJ ZnjĞƐnjƵƚ͕ > ^t
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please contact facilitators Jaclyn or Debbie at 908�208�6059 or e�mail jd
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516-466-3001 516-466-3001
www.graceplaza.com
www.graceplaza.com
Weofwelcome you to take a personalized tour of our We welcome you to take a personalized tour our Facility!
181688CK 180175
15 St. Paul’s Place Great Neck, NY 11021
Great Neck, NY 11021
15 St. Paul’s Place
www.graceplaza.com 516 -466 -3001 Great Neck, NY 11021
516-466-30
8B
HEALTHY LIVING • FEBRUARY 14 - 20, 2018
“A year ago I couldn’t think about practicing yoga. Now after minimally invasive brain surgery, my pain and dizziness are gone. I found my inner focus again... THANKS TO NSPC.”
Beth’s road to recovery began with a call to Neurological Surgery, P.C. (NSPC) and a same-day appointment with a member of NSPC’s team of world-renowned brain and spine surgeons. She received a personalized treatment plan that ensured the best possible outcome. Beth’s journey ended with minimally invasive surgery that restored her normal life, including peaceful meditation.
Make the right call.
A Proudly Independent Private Practice. Seven Convenient Long Island Locations. 181689M