AN ANTON MEDIA GROUP SPECIAL
HealthyLiving OCTOBER 14 - 20, 2015
Breast Cancer Awareness Month Recent detection advances & Steps to take to detect its early stages
INSIDE
Allergy Season Isn’t Over Yet Understanding Shingles
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Little Heroes On The Breast Cancer Front BY LYN DOBRIN
about a fundraiser she had heard about in which people took ordinary bras and turned them into works of art to be sold to raise money for breast cancer charities. Dale knew that the New York Statewide Breast Cancer Hotline was housed just a couple of buildings from her office at the Adelphi School of Social Work; several years previously, one of her students had designed the logo for the program. Dale presented the idea to Hillary Rutter, the director of the breast cancer program, and the next year was the first “Creative Cups,” with 247 original works of art auctioned in March. It was a great success as both a fundraising event and an art exhibition. Every other March, with Dale at the helm, there has been a Creative Cups, with new bras and hundreds of participants, raising thousands of dollars for the program. Creative Cups has become something that is now part of who Dale is and what she does in the world. Like Lisa Wolf with her Breast Cancer Benefit Ride and Hike, Dale, too, would say she didn’t think she had the energy to do it again but then, each year, there she is devoting countless volunteer hours making sure Creative Cups would succeed. This year, the auction raised $70,000. “This has been an incredible
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Very few of us will have the opportunity to be a hero—that person who runs into a burning building to save a life. But we all can be little heroes by practicing acts of help and compassion on a smaller scale that go a long way in making life less difficult for others. In my 35 years as the public relations consultant to the Adelphi NY Statewide Breast Cancer Hotline & Support Program I have met many people I think of as little heroes. Here are three women I admire for all that they do. None has had breast cancer but each has been motivated to go way beyond writing a check.
Lisa Linares Wolf
If you’ve ever been to in Connetquot River State Park Preserve in October you might have seen lots of horses decked out in pink—all participating in the Breast Cancer Benefit Ride and Hike. “Horse owners from all over Long Island and even upstate New York and New Jersey come to this event,” said organizer Lisa Linares Wolf of Islip Terrace, a member of the horse club New York Natural Equestrians. It started six years ago when Lisa’s childhood and closest friend Trish, who had been diagnosed with Stage 4 metastatic breast cancer, heard about a breast cancer/horse riding event in New Hampshire. She suggested that Lisa bring her horse Colby up there and participate. “Why don’t I do something similar here,” countered Lisa, “and give it to whatever charity you want.” Lisa said that although she didn’t know anything about running such an event, she persevered and that first year raised $8,000. In total the Breast Cancer Benefit Ride and Hike (yes, you can walk the trail if you don’t have a horse) has raised $55,000. All the money—from entrance fees, raffles and contributions—benefits the Adelphi Program. Trish chose Adelphi because of all the support the hotline volunteers had given to her as she coped with her breast cancer. Every year, when the event is over, the exhausted Lisa declares she’s not going to do it again and have her life taken up with all the planning and her house overrun with gift baskets. But she knows those are just words and this is something she is compelled to continue, not just for Trish but for her sense of herself. “I would feel so disappointed in myself if I didn’t do this,” she said. In 2013 when her father passed away, people suggested that Lisa take the year off. “He would kick me right in the ass if
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Lisa Linares Wolf and Cody I used his death as an excuse. He was so proud of this event.” Lisa feels good about the money raised going to the program that provides emotional support. Supporting local charities such as this is just as important as supporting big research, she said. “We must have research and treatment options- we should advocate for that. In the meantime we need to help the patients that are struggling now.” This year the equestrian event was held on Oct. 10.
Dale Flashner
In 2008 two of Dale Flashner’s friends were diagnosed with breast cancer and each had a double mastectomy. This was a first for the Adelphi art professor who up until then didn’t know anyone who had gone through breast cancer. “It was scary and it was personal,” she said, “and I wanted to do something.” The opportunity came that same year when a former student told her
Dale Flashner with her most recent Creative Cup
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HEROES from page 3C journey,” said Dale, “one that I couldn’t have imagined. As long as people want to do this, I will be a part of it.” The next Creative Cups will be in March of 2017.
Susan Shulman
Cousins Susan Shulman of Westbury and Joan Beder of Old Westbury like to joke that although Joan was the one diagnosed with breast cancer, it was Susan who became the activist. Susan is the volunteer administrator in the communications department of LI2Day, a charity that raises money primarily through a fundraising walk held every June. In 2005. Susan and Joan participated in the walk. She and Joan joined with staff and volunteers from the Adelphi Breast Cancer Program who were doing the walk and formed the Adelphi Team. But Susan wanted to do more than walk once a year. She approached Ginny Salerno, the founder of the walk (and another little hero), asking if she could use some help. Yes, she was told. The person handling communication with the walkers had gone back to school and Susan was asked to handle the job until they found someone else. That was six years ago. Her job is to answer
Joan Beder, left, and Susan Shulman at the LI2Day Walk especially appealing is that all the work together for the same goal. emails and calls about the walk money raised stays on Long Island Doing the walk she has met the and to respond to people who have and that most of the beneficiary people who LI2Day has helped. “It’s heard about LI2Day and need help. organizations are involved in helping our friends, our neighbors She refers those callers to one of the helping breast cancer patients. and our families,” she said, “As an 18 beneficiary organizations, all on individual I couldn’t do the kind Long Island, that she thinks can best Research is important she said, but “we have people who need help of help but with all of us working handle their concerns. yesterday.” together, we can make a difference.” LI2Day has raised nearly $6 Susan said that LI2Day has The next LI2Day walk is million for breast cancer programs enabled a whole lot of strangers to scheduled for June 11, 2016. on Long Island. What Susan finds
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Fighting Fatty Liver Disease
BY DAVID BERNSTEIN
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Fatty liver disease is the most common liver disease in the United States, affecting more than 60 million Americans. Its prevalence is on the rise and it is estimated that more than 20 percent of Hispanics and 10 percent of African Americans have this condition. Fatty liver disease affects adults as well as children. Simply put, fatty liver is a condition whereby fat gets deposited into the liver. There is a spectrum of fatty liver disease which includes just fat, fat and inflammation, fat and fibrosis and cirrhosis. There are many causes of fatty liver including alcohol use, obesity, diabetes, and the use of certain medications such as corticosteroids or amiodarone. Fatty liver is a generic term for many conditions which affect the liver. Fatty liver associated with alcohol use is termed alcoholic liver disease and will not be discussed in this article. Fatty liver which is not associated with alcohol use in which inflammation or scarring is
Dr. David Bernstein present within the liver is called non-alcoholic steatohepatitis or NASH. Steatohepatitis can progress to cirrhosis, liver failure and liver cancer and physicians are seeing a greater number of patients with fatty liver disease progress to these complications. Although the percentage of people with NASH who progress to cirrhosis is low, large numbers of people develop
advanced disease because the overall number of people with this condition is so high. Interestingly, patients with fatty liver can develop liver cancer without developing cirrhosis and these patients should be screened yearly with an abdominal ultrasound. Fatty liver is predicted to be the leading indication for liver transplantation in the next decade. The diagnosis of fatty liver is usually suggested on an abdominal sonogram or CAT scan. Liver tests may be normal or abnormal. A liver biopsy is required to determine the extent of fatty infiltration and to see if inflammation or scarring is present. Transient elastography is still under investigation for this condition. The most commonly prescribed therapy for NASH is diet, exercise and weight loss. Although this regimen makes overall good sense, studies have not shown that weight loss alone changes the course of fatty liver. Many people with fatty liver are placed on ursodeoxycholic acid to normalize the liver enzymes. Although this therapy is widely used,
the jury is still out regarding its effectiveness. Vitamin E has been used in the treatment of NASH with some success. There are many new therapies for fatty liver in development and several of these are available in clinical trials. For patients with non-alcoholic fatty liver, risk factors such as weight gain, poor glucose control and hyperlipidemia should be addressed with weight reduction and adequate glucose and lipid control. Since there is no strong evidence to support any one treatment strategy, physicians should carefully discuss the risks and benefits of proposed unproven therapies with their patient. The best treatment of fatty liver is prevention. Once fatty liver is present, diet and exercise are critical to prevent longterm complication. David Bernstein, MD is chief of gastroenterology, hepatology and nutrition at North Shore University Hospital and LIJ Medical Center. He is currently the professor of clinical medicine at the Albert Einstein College of Medicine.
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ARTHRITIS AND THE THREE BIG MYTHS
So it’s time to clear a few of them up. Myth #1: You Have Arthritis, And There Is Nothing You Can Do About It. Learn To Live With It And Take Some Advil. Fact: Over the past 20 years, there have been more advancements in the treatment of most forms of arthritis than for any other medical illness. There are more than 120 forms of arthritis, and each form needs its own specific diagnosis and therapy. Each individual’s diagnosis will rely on the skill of your physician to take a complete medical history, perform a comprehensive physical exam (not just the joints), and
order appropriate x-rays and diagnostic tests, which might include, among other diagnostic tools, an MRI, diagnostic ultrasound, or DEXA scan (for osteoporosis) and specific laboratory tests.
Most importantly, rheumatologists now have medications and knowledge of dietary treatments to affect the outcome of arthritis. We have symptom-modifying drugs and treatments, which are able to improve the pain of arthritis, lessen discomfort and improve function. We also have disease-modifying drugs, which can actually reverse the arthritis and heal the joint damage caused by arthritis. Myth #2: You’re Old, So What Did You Expect? Everybody Gets Arthritis When They Get Old. Fact: All forms of arthritis are medical illnesses and are no more a part of the normal aging process than are cancer or heart disease. Would anyone say, “You’re old, so you have cancer. What did you expect?” Of course not. Arthritis is a treatable illness, and if caught early, may
even be reversible. No patient should accept the “getting old” explanation of arthritis. In fact, half of all of my patients are under the age of 45. Arthritis affects one out of every seven people in this country. There are hundreds of thousands of children under the age of 18 in this country who suffer from arthritis. It is not just a disease of the elderly.
Myth #3: When You Tell Your Doctor Your Knee (Hip, Shoulder, Hand, Etc.) Hurts, Your Next Stop Will Be To An Orthopedist’s Office. Fact: Orthopedists are surgeons. Unless you’re looking to have surgery or a joint replaced, you should see a rheumatologist. All forms of arthritis are medical illnesses. Medical treatment, not surgery, should always be your first line of defense. If you had a heart attack, you would see a cardiologist, not a heart transplant surgeon. Orthopedists do wonderful things to help patients, but they should be your final stop, not your first, when you have joint pain. Don’t allow your doctor to send you to the orthope-
dist for your first evaluation when something hurts.
It is time to forget the myths and get down to the facts: Most forms of arthritis can be treated. Arthritis should be treated early. Arthritis should be treated by a rheumatologist. Dr. Richard Blau is a board-certified rheumatologist. He is the Founder and Medical Director of the Arthritis Institute of Long Island, located in Hicksville, NY. He specializes in the diagnosis and the non-surgical treatment of illnesses that cause significant muscle or joint pain. He treats over 200 types of illnesses that affect the joints and muscles, such as rheumatoid arthritis, osteoarthritis, gout, lupus, and tendinitis. He is the author of many self-help articles, and along with renowned health writer E. A. Tremblay, co-authored the best-selling arthritis self-help book, Too Young to Feel Old – The Arthritis Doctor’s 28-day Formula for Pain-Free Living.
Call Dr. Richard Blau at 516-932-7777 to Schedule a Consultation The Arthritis Institute of Long Island • 120 Bethpage Road, Hicksville, NY 11801 Tel: 516.932.7777 • www.arthritisinstitute.com
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In the 25 years that I have been a practicing rheumatologist (arthritis specialist), I have seen many changes and major advancements in my ability to diagnose and treat patients with arthritis. Unfortunately what hasn’t changed in all that time are the myths and misconceptions both patients and physicians have about arthritis and its treatment.
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How To Co-Parent With A Narcissist BY JEREMY SKOW
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Divorce is never easy on children. If you are co-parenting with a narcissist your stressful situation is even harder. They are egotistical, vain, conceited and self-centered. Their extraordinary lack of empathy for others, coupled with fantasies about their uniqueness, brilliance, and entitlement may create an urgent need for them to win or be considered right. Narcissists will lie, manipulate and use anyone, including their children, to get what they want. The unfortunate truth is, when one side tries to win in divorce, it’s typically the children who lose. Since this is likely beyond them, the added burden falls on us. Narcissists thrive on the drama they create because it provides them with narcissistic supply. It keeps them in the spotlight, and they will take any supply they can get, even if it’s negative. Your job therefore is to reduce conflict. The person is attention seeking. Behavioral psychology teaches us that if you want a behavior to stop you ignore it. When he/she notices that you are not engaging they may intensify their behavior, but you mustn’t waiver. In
time you hope that person will realize that you will not supply what is needed, they’ll move on to other sources and leave you in peace. You will not be able to co-parent with a narcissist because he/she has no concept of teamwork or cooperation. Start by minimizing contact with him. Narcissists love to engage in psychological battles. Ignore emails that are just ranting, attention seeking, or expressions of self-aggrandizement. The hidden agenda is to keep you entrenched in the relationship, even years after the relationship has ended. You should establish and maintain boundaries. These will define what is acceptable to you and may include respecting your property, space or time. The person will not like the boundaries you set, where you draw the line and even the fact that you drew a line. They may rant or tantrum at first but, if you maintain your boundaries firmly, they will succumb. If they can make you angry or lose control of yourself by yelling, crying or pleading they will feel like they have won. If they get this behavioral reward, they will continue to act in ways that make you overly emotional. Remain as unemotional as possible. It is the best way to interact with a narcissist. This
tends to be very difficult which is why minimizing contact is typically the best way to help you maintain control of yourself. Narcissists generally do not have strong emotional connections to their children. As a result of both this and the fact that they don’t put their children’s needs before their own, your kids can feel emotionally neglected. Make sure that you compensate for this by reassuring your children that they are good people and that they are loved. It is important that your children see at least one healthy parent. A healthy role model will help them not only survive, but thrive. You need to show them that although they may not be able to control their unhealthy parent’s behavior, they are able to control their own. Better they learn about proper emotional regulation and healthy coping skills from you. Age-appropriate, straight-shooting communication can be highly effective in these situations. Avoid speaking poorly about your ex- to your children. They are not equipped to deal with this psychological weight, no matter how mature they may seem. They want to think highly of both parents. If we are in any way causing our children to feel that their other parent
does not love them, does not love them enough or that they Jeremy have to Skow choose a parent to side with, we are hurting them. Everyone makes mistakes and it is natural for us to want to admit to and apologize for them. However, admission of mistakes will be used as ammunition by a narcissist. Mistakes can be blown out of proportion and used as evidence that you are the crazy, unhealthy, unstable parent. If you make a mistake, move on from it as matter-of-factly as possible. No one deserves to grow up with a selfish, self-absorbed parent, but there are worse plights. Try to avoid feeling sorry for your children. Showing pity only perpetuates a victim mentality, and will keep them from moving forward and seeking healthy relationships of their own. Jeremy Skow maintains a private practice in Great Neck. Visit www. mentalhealthcounselingny.com or call 516-322-9133 for more information.
Keep An Eye On Your Vision BY ANNE STEINER, MD
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With people spending so much time on their phone, computer and tablet screens, there are a few eye disorders that are becoming more common. The National Eye Institute (NEI), part of the National Institutes of Health, estimates that about 38 million Americans suffer from these common but potentially serious eye conditions. Luckily, if caught early, these disorders are generally treatable. Here’s what you need to know about four common eye conditions:
Dry Eye Syndrome Eyes need a robust tear film to cover their surface and keep them moist. When there is not enough of a tear coating, the cornea gets dry, causing dry eye syndrome. Symptoms include: • Foreign body sensation. You feel like something is poking your eye or you have a grain of sand in it • Fluctuations in vision • Light sensitivity • Inflammation and redness on
the conjunctiva, or white part of the eye You are more susceptible to dry eye syndrome as you age and also if you have any of the following conditions: • Rheumatoid arthritis • Sjögren’s syndrome, an immune system disorder • Bone marrow/stem cell transplantation recipient • Rosacea, a skin disease Treatment includes supplementing tears using preservative-free drops, ointments or gels. These can be overthe-counter or prescription strength, depending on the extent of your condition. Steroids can help reduce inflammation, as well.
Cataracts
When you’re born, the lens in your eye is crystal clear. As you get older, proteins accumulate in the lens. These changes are normal but can become a problem if they affect your vision. Some people may experience blurred vision or notice that colors seem less vibrant. Others may be bothered by glare or halos, or have trouble driving
at night. The treatment for cataracts is outpatient surgery under local anesthesia.
Glaucoma
Your eyes constantly make and drain fluid to maintain a certain pressure level. High pressure damages the optic nerve, which connects the eye to the brain. This condition, called glaucoma, can significantly affect your vision. Glaucoma is a silent condition and most people don’t even realize they have it. This makes it critical to have a regular eye pressure check with every exam. Risk factors for glaucoma include: • Increasing age • Use of steroid medications • Having a family history of glaucoma Treatment involves lowering the pressure in your eye, which slows or halts the progression of the disease with drops, lasers or surgery.
Macular Degeneration
Macular degeneration is a condition that results in damage to your
macula, the most sensitive part of your retina. The retina is the tissue in the back of your eye that transmits images to your brain. With a damaged macula you can experience difficulty seeing, including distorted vision and blind spots. Eye exams should include an evaluation of the health of your retina. Treatment for macular degeneration aims to slow the progression of the disease through vitamin supplements, medication and laser treatments. To set your sights high, make sure to pay attention to bothersome symptoms, and see your doctor regularly. Everyone should have a yearly eye exam beginning at age 40—sooner, if you have an underlying eye condition or have a family history of eye conditions. For questions related to women’s health, call the Katz Institute for Women’s Health Resource Center at 855-850-5494. Anne Steiner, MD is the director of the ocular surface center of ophthalmology at Long Island Jewish Medical Center.
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”
Things are looking up.
NUMC has changed for the better. So I’m feeling better. Sweeping, hospital-wide improvements are enhancing the health care options for all of Nassau County.
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Yes, the differences are astounding — across many segments of the hospital — structural, technological and clinical enhancements that have elevated NUMC to world-class stature. Our vision of bringing a greater level of health care to central Nassau has clearly taken shape, and our commitment to upgrading the quality of care is ongoing. • Physical Medicine and Rehabilitation Unit • Emergency and Level One Trauma Center • Hypertension, Diabetes and Vascular Care Center • Cardiac Care Center Including State-of-the-Art Cardiac Catheterization Lab ET: STROKE HONOR ROLL TARG
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516.572.0123 • www.numc.edu Victor F. Politi, MD, FACP, FACEP, President/CEO • Michael B. Mirotznik, Esq. Chairman, Board of Directors 17287_NUMC_NewGirl_Anton_8.75x11.25.indd 1
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Busy Month For The Breast Cancer Hotline BY LYN DOBRIN
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October is Breast Cancer Awareness Month. It is also a time to draw attention to the help that is available to people with breast cancer and also a time when local businesses and organizations help the effort by conducting fundraising events. Here are a few of the fundraising activities taking place during the month to benefit the Adelphi NY Statewide Breast Cancer Hotline and Support Program.
Now to Saturday, Oct. 31 Brighton Jewelry launches its Power of Pink campaign at their Roosevelt Field and Walt Whitman Mall stores from 10 a.m. to 9:30 p.m. The stores are offering three special bracelets; $10 goes to the breast cancer program.
Now to Saturday, Oct. 31 Fortunoff Fine Jewelers has a collection of pink items that includes pieces in rose gold and natural pink freshwater pearls. Twenty percent
Elongated mother of pearl oval pendant, 18 karat rose gold
Pink sapphire and diamond heart, 14 karat white gold
Mini hoops with diamonds, 14 karat rose gold
of proceeds will be donated to the Adelphi program and a national breast cancer organization. Fortunoff is located at 1504 Old Country Rd., Westbury.
from stage and screen and clients will vote for their favorite. There will be gifts, giveaways and refreshments and each client will receive a client appreciation certificate, entitling them to 10 percent off on all services and products. Ten percent of gross sales during that day will benefit the Adelphi Breast Cancer Program.
Babylon is raffling a basket of hair products, valued at $150. Tickets are $5. The salon is located at 957 Little Neck Rd., West Babylon; 631-321-7250. All proceeds support the hotline program, now celebrating its 35th anniversary. The program provides information and emotional support to New Yorkers coping with breast cancer. Call the hotline at 800-877-8077.
Saturday, Oct. 31 A Halloween fundraiser is taking place at Leonard’s Hair Design in Rockville Center (126 N. Long Beach Rd.). The staff will transform themselves into their favorite characters
All through October Sir John’s Haircutters in West
Where will you be when the next storm hits?
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Open HOuse sunday, October 18th 2:00-4:00 pm
Introductory visit of independent living Call or drop by 631-675-5550
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From Pioneers To New Physicians Last spring, the inaugural class of Hofstra North Shore-LIJ School of Medicine, a group of 30 students who helped pioneer a new approach to medical education, graduated at Hofstra University’s John Cranford Adams Playhouse. “This is an historic day,” said Hofstra University President Stuart Rabinowitz. “Four years ago, this gifted group of young men and women began a ground-breaking journey at a new medical school with a unique curriculum that challenges convention. Today, they graduate not just as doctors, but as innovators and leaders who will transform their profession for decades to come.” Established in 2008, the School of Medicine is the first allopathic medical school to open in New York State in more than 40 years. The institution has 2,200 faculty and approximately 280 students, a roster that is expected to grow to 400 by 2016. The school’s innovative curriculum combines basic science with clinical experience from the first day of a student’s training, focusing on patient interaction, interdisciplinary teamwork and community service. Among the innovations is training
of all first-year medical students as emergency medical technicians who ride with North Shore-LIJ Health System ambulance crews. “Every graduating class is special, but a medical school’s charter class is truly distinctive,” added Lawrence G. Smith, MD, MACP, founding dean of the School of Medicine. “These students are confident self-starters whose participation helped us to shape and refine the cutting-edge curriculum that would make the School of Medicine a leading center for medical education in the 21st century.” The graduation of the charter class is the crowning achievement in a year of milestones for the School of Medicine, including opening a new state-of-the-art facility, earning full accreditation from the Liaison Committee on Medical Education (LCME), and participation in its first Match Day, which saw 100 percent of the graduating class placed in residencies at some of the most prestigious institutions in the nation. “This was the culmination of many hopes and dreams, struggles and success—for our medical students, their families, for Hofstra University and
the North Shore-LIJ Health System,” said Michael J. Dowling, president and CEO of the North Shore-LIJ Health System. “We are beaming with pride for the first graduates of the first new allopathic medical school in New York state in more than 40 years.” Following their commencement, the newly minted physicians will start their post-graduate work at elite institutions across the country, including North Shore-LIJ hospitals. “I think we all realized the potential risks and benefits of being at a new medical school, and some of us were more apprehensive than others,” said Daniel Ohngemach, a member of the charter class who will train for a year in internal medicine before beginning a residency in radiology at North Shore-LIJ Health System. “But I knew
that if I stayed true to myself, I would graduate a well-trained physician.” AJ Blood, a fellow graduate and past president of student government, agreed. “I looked at the track record of these institutions [North Shore-LIJ and Hofstra University] and the leadership brought in to begin the School of Medicine, and I saw an amazing opportunity,” said Blood, who is heading to Duke University to train in internal medicine. “I knew that far from a risk, I was being offered a chance to get in at the ground floor of the ‘Google’ of medical schools.” Said Samantha Ruff, who is looking forward to training in surgery at North Shore-LIJ: “The faculty and staff are incredibly supportive and engaged in the students’ development. Throughout my four years, there was never a shortage of faculty ready and willing to support me and my career.” The commencement ceremony also included the bestowing of the Branson Sparks Humanism Award. Sparks, who completed his first year with the charter class, died in 2013. —Submitted by Hofstra North Shore-LIJ School of Medicine
A whole new direction in breast imaging
NUMC’s Breast Imaging Center is designated as a Radiology Breast Center of Excellence NUMC’s 3D Tomosynthesis Mammography System uses the power of multi-dimensional imaging to help our board-certified radiologists identify abnormal breast structures. This revolutionary technology, together with MRI digital mammography, breast sonography, ultrasound and stereotatic biopsies, offers the best chance of early detection and treatment of potential breast cancers. Call NUMC’s Breast Imaging Center for more information on low-cost/no-cost mammography screening supported through the NYS Department of Health Cancer Screening Program. For more information, call 516.572.3300 For screening appointments, call 516.572.6635
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Tel. 516.572.0123 • www.numc.edu
Victor F. Politi MD, FACP, FACEP President/CEO • Michael B. Mirotznik, Esq. Chairman, Board of Directors 17369_NUMC_BreastCancer_Anton_8.75x5.5.indd 1
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Steps To Optimal Health And Happiness BY MELODY POURMORADI
specialsections@antonmediagroup.com
By taking an active role in our health and making conscious choices about how we nourish ourselves, we have the unique opportunity to set ourselves up for optimal health, while counteracting or coexisting with health challenges that may come our way. While there are certainly no guarantees that we won’t be touched by illness or disease at some point in our lives, there are certain variables in the health equation that we personally do have the capacity to reshape. • You are not your genes. Our lifestyle choices can significantly alter the way that the genes that we were born with are expressed. At the core of epigenetics is the concept that we have the capacity to activate disease-preventing genes and deactivate the genes that can potentially promote chronic disease. The awareness that our health is encompassed by so much more than solely our genetic code empowers us to make modifications to our lifestyle that will promote positive and lasting change. This concept is the first step in claiming our power and owning what an important role our will and actions
play in our overall health journey. • Choose to forgive. With forgiveness comes peace. Choosing to hold on to any form of anger stemming from a person who inflicted pain on us or from a negative experience in our lives only creates unsurmountable amounts of suffering that multiply over time. This anger, when unresolved, manifests in our bodies, causing a state of disease, essentially, a lack of ease in our body and mind. Pain is inevitable for all of us, suffering however is optional. Let go of the need to relive that painful experience in your life over and over again. Forgive the person you feel wronged you in some way. Most importantly, release yourself for any blame you might be holding on to from past events. Forgiveness is one of the biggest gifts you will ever give yourself. It will free up your energy and your consciousness and put you in a superior physical and emotional state. • Release all toxins. Make a decision to clear out toxicity of all forms from your life. When possible, clear out all processed foods and drinks from your
diet. If a food is not in its most natural form or as close to its natural form as possible, pass on it. Instead choose life-affirming whole foods such as fruits, vegetables, legumes, nuts, seeds and grains. The nourishment each of us derives from food is highly individual so it is very important to learn what foods make us feel good and incorporate them into our daily routine. Releasing the toxicity from our lives also includes limiting contact with people who drain us or cause us harm in any way. Our relationships and social interactions play such a big role in our lives so it is very important to surround ourselves with people who elevate us, support us, and share our core values. • Challenge your perceptions. Changing the way that we see things is key in our physical and emotional growth. We so often get stuck in our old limiting beliefs that we inhibit ourselves from creating and acting on positive change. The next time you find yourself thinking a self-defeating thought, challenge that thought by asking if it is actually a fact or if you are just choosing to see things in a certain way. Try to look at your perceptions from an outsider’s point of view. Observe how you may be holding yourself back from your own
evolution as a happy and healthy person. Become aware of your perceptions and know that each time you shift the way you interpret something you are opening yourself up to new opportunities and a healthier overall outlook. • Practice your passions. Stay close to whatever brings you joy by taking part in activities that make you feel your best. Read books that enlighten you. Engage in exercise that stimulates you. Eat foods that will cleanse you. Surround yourself with people that light you up from the inside. Staying aligned with your passions will keep you grounded, filled with life, and always in anticipation of fresh new experiences and opportunities for growth. • Find as many opportunities as possible to follow your bliss. It is never too late to become an active participant in optimizing your health. By reorganizing your lifestyle and learning how to lovingly nourish your body and your mind, you will be on your own unique path to creating and maintaining the highest level of health available to you. Melody Pourmoradi is a women’s wellness coach at Life Evolutions Coaching. Visit www.lifeevolutionscoaching.com to learn more.
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440 Northern Boulevard Great Neck, New York 11021
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HEALTHY LIVING • OCTOBER 14 - 20, 2015
Brain Scans Can Predict Response To Drug Treatment Investigators at The Feinstein Institute for Medical Research have discovered that brain scans can be used to predict patients’ response to anti-psychotic drug treatment. The findings are published online in the latest issue of The American Journal of Psychiatry. Psychotic disorders, such as schizophrenia and bipolar disorder, are characterized by delusions, hallucinations, and disorganized thoughts and behavior. They are estimated to occur in up to 3 percent of the population and are a leading cause for disability worldwide. Psychotic episodes are currently treated with anti-psychotic drugs, but this treatment is given without guidance from lab tests or brain scans, such as functional magnetic resonance imaging or functional MRI (fMRI). Doctors often use “trial-and-error” when choosing treatment for psychotic disorders, without knowing if patients will respond well. This lack of knowledge places a large burden on not only patients and their families, but also health care professionals and health care systems.
Led by Anil Malhotra, MD, director of psychiatry research at Zucker Hillside Hospital and an investigator at the Feinstein Institute, and Todd Lencz, PhD, associate investigator at the Zucker Hillside Hospital and the Feinstein Institute, researchers used fMRI scans obtained before treatment to predict ultimate response to medications in patients suffering from their first episode of schizophrenia. Connectivity patterns of a region of the brain called the striatum, which tends to be atypical in patients suffering from psychotic disorders, were used to create an index. This index significantly predicted if psychotic symptoms were decreased in the studies’ patients. What’s even more significant is that the researchers applied this index to confirm their results in a separate group of patients with more chronic illness—those who were hospitalized for psychotic symptoms. They found that treatment outcome could be predicted in the replication group as well. “This study is the first to report a predictive fMRI-derived measure validated in an independent study
group of patients treated with anti-psychotics,” said Deepak Sarpal, MD, a lead author of the study. “The results we found from this study open the door for contemporary ‘precision medicine’ approaches to psychiatry, and more specifically, the use of fMRI scans as important players in the treatment of psychiatric disorders.” —Submitted by Zucker Hillside Hospital
Breast Cancer Awareness Day The SASS Foundation for Medical Research, Inc. will present its 21st annual Breast Cancer Awareness Day, moderated by Dr. Francis Arena, on Saturday, Oct. 24, at The Long
Island Marriott in Uniondale. All are invited to attend this free day of education. Visit www. sassfoundation.org to register or call the SASS Foundation at 516-365-7277.
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Nutrition-Packed Super Snacks BY SHERI ARBITALJACOBY
sarbitaljacoby@antonmediagroup.com
As the excitement of the new school year is beginning to wane, the realities of homework and the challenges of finding new and healthy snacks for school lunches and after-school nourishment have become a reality. We scoured the supermarket shelves to find nutritious snacks that contain natural, wholesome ingredients and make the grade in providing protein for energy, but are also suitable for most dietary needs. Many are organic, non-GMO, gluten, dairy and nut free, vegan and kosher. We’ve found snacks to suit all tastes from sweet to salty to spicy.
Crunchy Blue Diamond Natural Almond Nut-Thins Nut & Rice Cracker Snacks are tasty, lightly salty and crunchy round crackers that are kosher and wheat and gluten free. The Smokehouse variety is more flavorful and the square Multi-Seeds variety is reminiscent of a Japanese cracker, but is made of healthier ingredients, such as sorghum flour, millet, flax seeds, quinoa seeds, black sesame seed and amaranth seeds. Lundberg Rice Chips with Sea Salt are made with organic whole grains, are wheat free, gluten free and nonGMO. They are crisp and crunchy, and have an addictive salty flavor, yet each serving has just 110 mg of salt. The Fiesta Lime has a citrusy bite, the Smoky Maple has a delicious smokiness blended with a hint of sweetness and the bold Wasabi and even bolder Sriracha flavors truly live up to their names. Mary’s Gone Crackers hearty Super Seed Crackers, are organic, gluten free, non-GMO, whole grain, soy free and vegan—and have a delicious nutty taste. They’re made from organic whole-grain brown rice and quinoa, pumpkin, sunflower, flax, sesame and poppy seeds and seasonings. For even more flavor, try the Herb and Hot ’n Spicy Jalapeño Crackers. Rhythm Superfoods Kale Chips are made from organic, nonGMO ingredients, such as kale and other
vegetables, sunflower seeds, tahini and spices, are gluten free and vegan, and are available in tasty flavors like Texas BBQ, Zesty Nacho, Kool Ranch, Bombay Curry, Mango Habanero, Pineapple Coconut, Honey Mustard and Original. For olive-loving kids, Gaea Olive Snack comes in a perfect resealable grab-and-go pouch filled with 2.3 ounces of pitted green olives marinated with lemon and oregano and contains just 67 calories.
Nutty Kind offers a variety of nutritious snacks including granola clusters and different shapes and types of bars filled with healthful ingredients. Kind Plus Almond Cashew with Flax + Omega-3 bar is all natural, non-GMO, and gluten, sodium and dairy free. It’s made from whole nuts and looks like real food, not processed unrecognizable ingredients. Our tester said that it’s a great balance of sweetness and nuttiness and was one of the tastiest, crunchy bars he’s ever had. The Nuts & Spices Madagascar Vanilla Almond and Fruit & Nut Nut Delight, also packed with vitamins and protein, were absolutely delicious. Kind Healthy Grains are small granola bars filled with super grains, such as oats, sorghum, millet, amaranth, quinoa and buckwheat, and are available in Dark Chocolate with Sea Salt, Oats & Honey with Toasted Coconut and Peanut Butter Dark Chocolate.
Freeland Foods Go Raw Junk-Free Food offers an extensive selection of bite-size snacks, nut mixes and bars made from real food ingredients and are organic, non-GMO, vegan, gluten free and a good source of iron and fiber. The bite-size Sprouted Flax Snax in Spicy Fiesta is a delicious nutty and crunchy blend of flax, sunflower and sesame seeds with a little kick—and is also available in pouches of seed mix. Carrington Farms Ready-to-Eat Organic Flax Chia Packs contain more than 3,000 mg of Omega 3s, are organic and add a great, nutty flavor when sprinkled on yogurt or cereal.
Sweet Each serving of Annie’s Homegrown Cookie Bites have four grams of whole grains, plus they’re made from organic, nonGMO ingredients without artificial flavors, synthetic color or preservatives. These bite-size Chocolate Chip, Oatmeal and Lemon Drop Cookies come in a resealable bag. Kind Healthy Grains Peanut Butter Whole Grain Clusters are delicious plain or over cereal and yogurt. Just a half cup is packed with 10 grams of protein. Plus, it’s gluten free, non-GMO and made with five super grains—oats, millet, quinoa, amaranth and buckwheat. The Cinnamon Oat Clusters are deliciously cinnamony and crunchy. Freeland Foods Go Raw Junk-Free Food Sweet Spirulina Sprouted Bites only contain sprouted sesame seeds, bananas, coconut, dates and spirulina. For a slightly sweeter flavor, the Sweet Crunch Sprouted Cookies are simply made from coconut, sprouted sesame seeds and dates, and the Choco Chunk Coconut Crisps only contain coconut, coconut nectar, cacao and Celtic sea salt. Annie’s Homegrown Berry Patch Organic Bunny Fruit Snacks are a mixture of strawberry, cherry and raspberry gummies. Certified organic, these vegan and gluten-free bunny-shaped fruit snacks are made with real fruit juice, contain 100 percent of the daily requirement for Vitamin C and come in convenient single-serving pouches. Crispy Green Crispy Fruit is all natural, nut free, gluten free, dairy free, vegan, non-GMO and kosher freeze-dried fruit with no added sugar. Packed with fresh flavor, the delicious, convenient and crunchy single-serving fruit pouches contain 35 to 55 calories, no fat and about a third to a full cup of Banana, Pineapple, Tangerine, Mango, Cantaloupe, Apple or Asian Pear. Clif Kid Zbar in Chocolate Brownie is organic, kosher and contains eight
grams of whole grains, 12 vitamins and minerals, plus a rich chocolate taste. Healthy Valley Organic Blueberry Cobbler Multigrain Cereal Bars are organic, kosher, low fat, contain fiber and vitamins, offer a yummy fruit flavor—and are manufactured for the nearby Hain Celestial Group in Lake Success. Viki’s Granola is made with all-natural, glutenfree and non-GMO ingredients, doesn’t contain preservatives, sodium, trans fat, dairy or added sugar, comes in convenient 1.5 ounce pouches, is kosher, comes in Original, Blueberry Almond and Maple Cranberry—and is manufactured locally in Bethpage. Daily Greens Half Pint Vegetable & Fruit Smoothie in flavors such as Green Thing Fruit & Greens Smoothie; Peel Out Chocolate, Banana & Strawberry; and Berry Tasty Mixed Berry Smoothie are organic, non-GMO, vegan, gluten free, made from cold pressed fruits and veggies, have a great flavor and are loaded with vitamins. OK, so maybe this isn’t a superfood, but imagine your favorite colorful chocolate candies minus the artificial ingredients, flavors and colors. Little Secrets Premium Chocolate Candies in Dark Chocolate Peanut Butter, Milk Chocolate Smooth & Creamy, Dark Chocolate Rich & Creamy and Dark Chocolate Raspberry are naturally tinted using beet juice, beta carotene and spirulina extract, contain between 40 and 64 percent cocoa, and Fair Trade Certified ingredients. Indulging never felt so right. Of course, many of these natural and organic snacks are available at specialty markets, such as Whole Foods and Fairway, but as retailers have expanded their healthy selections, many can be found at mainstream groceries, drugstores and even mass merchandisers like Target. Check each company’s website for nearby locations.
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Understanding Shingles I recently called a friend to wish her a Happy Birthday for her 57th, expecting her to be in a great mood. Instead she was crying out in pain. “I think I have shingles.” Ask anyone who has gone through it and her description is perhaps the most accurate. “What initially felt like slight to mild irritation of the skin as though my bathing suit had some scratchy material grew into a feeling that I was being stabbed with a fistful of l00 long skinny knives on my entire breast and deep inside, almost non-stop and extremely painful. The skin on my chest was so painful and overly sensitive to anything at all that I could not wear a shirt with any fabric touching it. I had to wear a button down and leave it half open all the time. It lasted 4-5 weeks. I still have regular pain in my breast, stabbing but greatly reduced in severity from its worst and I still see pink marks on my breast.” As the baby boomers age, we will see more cases of shingles. Shingles is a viral infection that affects 1 million people each year in this country. Shingles is caused by the varicella-zoster virus which is the same virus that causes chicken pox in children. After you have had chicken pox the virus lays dormant in the nerve tissue near your brain and spinal cord and can reactivate years later.
The Heart Of The Community
DR. CYNTHIA PAULIS People most at risk for this are women over the age of 50 and the risk increases with age. It is estimated that more than half of people age 80 and over will develop shingles. Also at risk for shingles are people who have diseases that weaken your immune system such as those with HIV/AIDS and cancer. Anyone undergoing radiation or chemo is at risk for shingles because it lowers your immune system and may trigger a shingles response. Certain medication such as prolonged use of steroids can also trigger shingles. Shingles is not a life threatening disease and is self-limiting but early treatment can shorten the infection and chance of complications later, and vaccines can help reduce the chance of getting shingles, although that is not 100 percent guaranteed. Shingles usually affects one side of
your body following the nerve root and will cause pain, burning, numbness and tingling along with sensitivity to touch. Later, a red rash begins after the pain, and fluid-filled blisters emerge that break open and crust over followed by itching. For those of us old enough to remember chicken pox, good times, right? Fortunately children now have a vaccine to prevent chicken pox. The question most people ask is, “Am I contagious?” and the answer is “yes.” A person can pass the varicella zoster virus to anyone who isn’t immune to chicken pox, anyone who has a weak immune system, newborns and pregnant women. The means of transference of the virus occurs by direct contact with open sores of the shingles rash. Once infected, the person will, however, develop chicken pox, not shingles. Until the shingles blisters scab over completely you are contagious and should avoid physical contact with other people. If you think you have shingles seek medical treatment immediately; even though there is no cure for it, prompt treatment with antiviral drugs will accelerate the healing process and greatly reduce any complications. Complications can include post-herpetic neuralgia which is pain that lasts long after the shingles blisters have resolved,
vision loss when the shingles occurs near the eye, encephalitis, facial paralysis, hearing and balance problems and skin infections caused by blisters that aren’t cared for properly. The drugs used to treat shingles are safe, have been on the market for a while but are very expensive and oftentimes the insurance companies will not pay for them. The medications include Acyclovir (Zovirax), Valacyclovir (Valtrex) and Famciclovir (Famvir). If you have the active blisters, cool wet compress may help relieve the itching and pain. For severe pain, narcotics such as codeine will help along with lidocaine cream. Shingles fortunately occurs usually once but it is possible to get it two or three more times so you may want to consider getting the FDA-approved varicella-zoster vaccine Zostavax if you are older than 50 as a preventative measure. When I asked my friend if she would consider getting a shingles shot this was her response, “With hindsight 20/20 I would take a shingles shot, in fact I would probably take a gunshot in order to have avoided the unbearable pain, stress, and life turned upside down by this affliction of biblical proportions.”
DO YOU HAVE ACTINIC KERATOSES (SUN SPOTS)? A clinical study to evaluate a topical treatment for Actinic Keratoses (sun spots) on the scalp, face and chest is currently being conducted.
Watch Dr. Jacono’s tV shoW
Facing Trauma on
Actinic Keratoses are a common skin problem caused by sun exposure. People with sun damaged skin may have Actinic Keratoses and therefore could be eligible for entry into this clinical study.
reaD Dr. Jacono’s Book
The Face of the Future
ANDREW A. JACONO, MD, FACS Facial Plastic & Reconstructive Surgeon Fellowship Trained/Dual Board Certified
Eligible participants must be: - 18 years of age - have between 5-20 Actinic Keratoses (sun spots) on the scalp, face or chest - willing to come to Research Centre for 11 study visits over a 14-month period
A Less-Invasive Approach to Enhance Your Beauty and Reverse Facial Aging Available at Barnes & Noble and Amazon.com
Plastic surgery seminars
Minimally Invasive
Trust Your Face to a Specialist
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If you are interested in taking part or hearing more, please call
Facial Plastic Surgery & Non-Surgical Treatments Date: Wednesday, October 21 Time: 5:00 p.m. - 6:00 p.m. RSVP: (516) 773-4646
440 Northern Boulevard Great Neck, New York 11021
990 Fifth Avenue New York, New York 10075
(516) 773-4646
(212) 570-2500 w w w . n e w y o r k f a c i a l p l a s t i c s u r g e r y. c o m
140898
There is no cost to participate in this clinical study and reasonable travel expenses will be reimbursed.
516-365-5652
Look Natural, Not Plastic:
HEALTHY LIVING • OCTOBER 14 - 20, 2015
OCTOBER ISN’T JUST ABOUT HALLOWEEN
Here’s something scary... Approximately 85% of breast cancers occur in women who have N O family history.
Using 3D Mammography systems, Zwanger-Pesiri is able to detect 41% more invasive breast cancers than traditional mammographies.
Don’t forget to get your annual mammogram.
Early detection is the best protection.
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