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A state-of-the-art medical facility for all your primary, specialty and urgent care needs. The Nassau University Medical Center (NUMC) Primary Care Center is proud to connect patients with the most convenient and comprehensive access to health care, all in one location. Discover everything you need to achieve optimal health and wellness, with amenities ranging from same-day appointments, to scheduled visits, to after-hours access and more. Our private office model features three key divisions:
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HEALTHY LIVING • NOVEMBER 9 - 15, 2016
Share Your Story During Diabetes Month Campaign The American Diabetes Association’s new “This Is Diabetes” campaign encourages story sharing to empower people with diabetes and their loved ones, and to raise the level of urgency about the need to address diabetes Every 23 seconds, someone in the United States is diagnosed with diabetes. It’s estimated that one in 11 Americans has the disease—more than 29 million people—and another 86 million have prediabetes and are at risk for developing type 2 diabetes. The numbers alone are staggering, and the people affected by the disease include those who have diabetes and their friends, family, caregivers and communities. American Diabetes Month, observed by the American Diabetes Association every November, is a time to focus the nation’s attention on the many people who are affected by diabetes and to raise the urgency about the need to address diabetes. To help spark a national conversation, the association is asking people to share their stories about what it truly means to live with diabetes with a new campaign, This Is Diabetes. Throughout November, the association encourages everyone to speak up and spread the word about what diabetes is really like. The social media campaign asks them to declare, “This Is Diabetes,” to help educate others, break down stereotypes, correct myths and misunderstandings, and create a
sense of urgency about the disease. “Too often, diabetes goes unnoticed in our society, but it’s a health care crisis that needs and deserves all of our attention,” said Kevin L. Hagan, CEO of the American Diabetes Association. “Through this year’s theme, This Is Diabetes, we want to bring more attention to this disease that affects our family members, friends, neighbors and colleagues and show how important it is to take urgent action to address diabetes and its devastating complications.”
By encouraging the use of the campaign, #ThisIsDiabetes, the association will create an online gallery to amplify the voices of the diabetes community. Participating in this year’s campaign is easy. A free, downloadable sign is available on the campaign website—diabetes.org/adm—to help people share their diabetes stories. Participants simply fill in the blank on the sign, take a picture or video and post it to their social media platforms
using #ThisIsDiabetes. Stories can also be submitted directly through the American Diabetes Month website. By collecting and featuring these stories prominently on the site and its social media channels, the association hopes to highlight how people all around us are grappling, often silently, with diabetes—and inspire more people to speak up. The association’s key campaign components include the personal images and stories of people impacted by diabetes. These personal testimonials are combined with personal stories from seven members of Team Tackle, a group of current and former professional football players from across the country who are working with the association to raise awareness about diabetes. The featured Team Tackle members include Sam Acho (Chicago), Lorenzo Alexander (Buffalo), Duane Brown (Houston), Matthew Hatchette (former player), Dont’a Hightower (New England), Rashad Jennings (New York) and Aaron Murray (Philadelphia). The collection of video stories will be shared throughout the month on the campaign website and on social media. The national campaign also employs posters, print ads, social media messages, graphics and local awareness events. For more information, visit www.diabetes.org or call the American Diabetes Association at 800-342-2383. Michelle Kirkwood writes for the American Diabetes Association.
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18 HEALTHY LIVING • NOVEMBER 9 - 15, 2016
How To Eat Like A Dietitian On Thanksgiving
Thanksgiving is a time of expressing gratitude and reuniting with our loved ones. Like any holiday, Thanksgiving tends to be a very food-focused CHOOSING occasion. However, you don’t have HEALTH to be a dietitian to eat sensibly on Thanksgiving! There are a few basic Stefani Pappas strategies and tips to consider before CPT, CWMS and during your Thanksgiving meal. Practicing moderation this time of year can leave you with a greater appreciaDivide Your Plate tion of the holiday and an overall better Aim to fill up half of your plate with experience with your family and friends. a variety of fresh vegetables and salad. This plant-based mindset is important Prep With Vegetables during any holiday or special occasion. When cooking Thanksgiving dinner, Keeping half of your plate green helps it can be easy to start taste-testing cut calories and adds balance to your everything. Once you start nibbling, meal. Have your guests bring vegeall of those mindless calories can table-based dishes, or offer to bring add up. Before you start to prepare one if you are going to someone else’s Thanksgiving dinner, set aside a plate of home. Cruciferous vegetables, such as raw chopped vegetables to munch on Brussels sprouts, broccoli and cauliinstead. You can dip this in a portioned flower, pair beautifully with the rest of controlled container of hummus or Thanksgiving dinner. Divide the other Greek yogurt-based dip. This simple half of your plate with turkey, and then strategy will help you stay nourished pick a starch of your choice. and satiated on fewer calories. Some of Choose Your Favorite Foods my favorite raw vegetables include red There are certain foods on bell peppers, sugar snap peas, carrots Thanksgiving that only come around and jicama sticks.
INTRODUCING
once a year. Browse the table to pick out your absolute must-have items. Portion out one plate with these favorite foods and savor every bite! If you feel obligated by a family member to put a certain homemade dish on your plate, don’t feel pressured to eat the whole thing. Take a bite, and then move on to those foods that you have been craving all year!
Get Moving
Since Thanksgiving involves a diverse abundance of food, it is quite beneficial to create a calorie deficit. Exercising can help keep your weight in check and allow for some wiggle-room when it comes to your favorite foods. Sign up for a Turkey Trot walk/run race, which generally takes place early in the morning on Thanksgiving Day. Turkey Trots are an interactive way to spend time with your family and friends, and also make the day less food-focused.
Engage In Conversation
Thanksgiving is about spending time with one another and appreciating all that you have. This time is
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extremely valuable with your friends and family. Make conversation with those at the dinner table. Conversing during your meal can naturally help slow down your eating and can provide more time for your body to digest your meal gradually.
Eat Mindfully
Thanksgiving full… food coma… painfully stuffed; it’s almost become customary to get uncomfortably full on Thanksgiving Day. Prioritize placing intention on mindfulness when you are eating. You should enjoy your food, but try to tune in to your hunger and satiety signals in the weeks leading up to Thanksgiving. On that day, make at least some effort to be mindful and listen to your cravings and hunger cues. Stefani Pappas, RDN, CPT, is a clinical dietitian at St. Francis Hospital. She is a personal trainer, fitness instructor and contributing writer for Elite Daily. Visit her website www.StefHealthTips.com for more information and to schedule an appointment.
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19 HEALTHY LIVING • NOVEMBER 9 - 15, 2016
Maintain An Active Lifestyle through Fall Prevention BY LORI GINSBERG specialsections@antonmediagroup.com
It’s that time of year when leaves and temperatures begin to drop. While the fall season is a wonderful time of year, there is nothing pleasant about experiencing an unexpected fall. Among older women, falls are the leading cause of unintentional injuries, hospital admissions for trauma and injury deaths (source: CDC). They can also dramatically impact a woman’s quality of life and independence. The good news is there are many ways you can help reduce your risk of falling.
Around The House
The majority of serious falls happen at home. In fact, according to the National Safety Council, more than 20,400 people die each year from falls at home and the majority are over the age of 65. What can you do to make your home or the home of a loved one safer?
• Use night-lights in the bedroom and bathroom. • Install grab bars in the shower and around the toilet. • Use non-skid mats in the bath and shower. • Ensure lighting is sufficient at the top and bottom of stairways. • Remove throw rugs. • Keep rooms free of clutter, such as small furniture, electrical cords, boxes and pet gear. • Wipe up spills. • Make sure floors are level and carpets are secured to the floor. • Light outdoor walkways and keep them free of ice.
Your Health
An ounce of prevention is worth a pound of cure. This old adage certainly holds true when it comes to preventing falls. There are many ways to keep yourself healthy to reduce your chance of falling. • Keep your bones strong with a calcium and vitamin D-rich diet. • Get your eyes checked regularly. • Stay hydrated and keep blood sugar in check to avoid fainting
and confusion. • Exercise regularly with a focus on core strength and balance. • Manage blood pressure. •A void sudden changes in posture. When going from lying down to sitting, sitting to standing, or standing from bending over, pause after the change in posture to let your body adjust before you move again. • Speak to your pharmacist about potential risks of falling while taking certain medications.
Daily Habits
Often it’s a simple error in judgment that can lead to a serious fall. The following are some of the most common risky habits to avoid: • Avoid backless shoes and slippers— especially flip-flops. • Use a grip device on your shoes and a cane with an ice pick tip during snowy/icy conditions. • If you must use a step stool, make sure it is steady and has a high bar to hold on to. • Invest in pet-obedience for your dogs to minimize behaviors
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associated with falls (pushing or pulling). • Use handrails while walking up and down stairs. It’s also important to focus on how you walk. Many women as they age tend to look down and shuffle when they walk. However, this hinders the ability to look forward to prevent a fall. All women are encouraged to stand up straight and walk heel first then toe. This will prevent feet catching on carpets, rugs and stairs, and will greatly minimize the chance of a fall. At various local community sites, including libraries, senior centers, churches and synagogues, Northwell Health offers the Stepping On fall prevention program. The program is designed to empower older adults to reduce their risk of falls. The class is open to anyone who has had a fall in the past year, is fearful of falling, or who just wants useful strategies for avoiding falls. Lori Ginsberg RN, MA, is the coordinator of public health initiatives at the Center for Equity of Care with Northwell Health.
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Prevention In Liver Disease
Liver disease has many causes. All chronic liver diseases can progress to cirrhosis. Some liver diseases are preventable while many are not. Unfortunately, many of the causes of liver disease are not preventable, as they are caused by hereditary or autoimmune factors. There are factors which can be modified to prevent progression of any liver disease. Alcohol is known to cause liver disease. Excessive alcohol intake over a long period of time can lead to the development of fatty liver, cirrhosis, liver failure and even cancer. In people
THE SPECIALIST David Bernstein, MD
with liver disease of any cause, alcohol is even more dangerous. Small amounts of alcohol taken on a daily or weekly basis can lead to more rapid disease progression. People with hepatitis
C, hepatitis B, fatty liver or any other type of chronic liver disease who drink alcohol are at a greater risk of disease progression than those who minimize or abstain from alcohol use. What constitutes alcohol intake? I am often surprised when people tell me that they do not drink alcohol but only drink beer and wine. It is a common misconception that hard liquor such as whiskey and vodka are the only alcohols that are dangerous to a person with liver disease. Beer and wine are alcoholic beverages. To prevent liver disease progression, alcohol intake must be
Katz Institute for Women’s Health
Join our Women’s Wellness event: Diabetes - Don’t Let Sweetness Be Your Weakness Almost all cases of type 2 diabetes can be prevented or delayed by living a healthy lifestyle. Yet nearly 30 million adults have the disease and an additional 86 million suffer from prediabetes. Let us show you how to take control of your health. Join the Katz Institute for Women’s Health at our Women’s Wellness event to: – Learn about the causes, signs and symptoms of diabetes – Discuss the risk factors for diabetes and the steps you can take to prevent it – Understand the various treatments for diabetes – Learn about nutrition principles, participate in meal planning and sample tasty diabetic-friendly recipes Speakers: Alyson Myers, MD Medical Director, Inpatient Diabetes North Shore University Hospital Marissa Licata, MS, RD, CDN Registered Dietitian Katz Institute for Women’s Health
Women’s Wellness Don’t Let Sweetness Be Your Weakness Join us: Wednesday, November 16 7pm – 9pm Long Island Marriott 101 James Doolittle Boulevard Uniondale, NY 11553 Healthy refreshments and a light dinner will be served. All attendees will be entered into a raffle to win a gift basket!
Admission: $20 Registration required. Online: Northwell.edu/kiwh (listed under events) Phone: (855) 850-KIWH (5494)
Register with a friend. Each of you will get $5 off. Use promo code: KIWH Presenting sponsor
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minimized or eliminated in those with liver disease, especially in women who are at greater risk of disease progression with even small amounts of alcohol ingestion. Cigarette smoking has also been associated with the development of increased fibrosis of the liver. People with liver disease who smoke are more likely to progress to cirrhosis. Liver disease now joins heart, lung and cerebrovascular diseases as being adversely affected by cigarette smoking. To take this to the next level, we still do not know the effect of secondhand smoke on liver disease progression, although it likely may lead to increased scarring. Just being around people who smoke may be detrimental to one’s liver health. To prevent liver disease progression, it is important to stop smoking. The use of marijuana has been associated with greater amounts of liver scarring and disease progression. For similar reasons as with cigarette smoking, people with liver disease should avoid the use of marijuana, whether inhaled or ingested. Diet is perhaps the most important factor that can be modified to prevent liver disease progression. Weight gain and obesity are independent risk factors for the development of liver disease. Any liver disease will be worsened by weight gain and poor dietary choices. More than 60 million Americans have fatty liver disease and many others with all forms of liver disease have fat deposition in the liver. This fat may lead to inflammation, fibrosis and cirrhosis. A good heart-healthy diet, low in fat and high in fruits and vegetables, is best for the liver. Avoidance of high carbohydrate desserts and avoidance of alcohol will lead to a healthier liver. Exercise is critical to mobilize fat and burn calories. In people with chronic liver disease, medical intervention can also prevent acute worsening of disease. Vaccination is the key to this. Vaccines are currently available to prevent hepatitis A and B. All children are currently vaccinated against hepatitis B. The current recommendation is that all people with any type of liver disease be tested for immunity to hepatitis A and B. While we cannot always control being affected by chronic liver disease, simple modifications in diet and exercise coupled with avoidance of cigarettes, marijuana and alcohol may slow disease progression and prevent the development of cirrhosis and liver cancer. These modifications are not only good for the liver, but may also lead to an overall improvement in general health. David Bernstein, MD, is chief of gastroenterology, hepatology and nutrition at Northwell Health.
21 HEALTHY LIVING • NOVEMBER 9 - 15, 2016
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Seafield Services Announces Manhasset Treatment Facility Seafield Services, leading provider of addiction treatment services headquartered in Westhampton Beach, has announced the opening of an outpatient treatment center in Manhasset, offering comprehensive services to those affected by alcohol and drug use disorders. An open house and a ribbon cutting took place at the facility, 585 Plandome Rd., on Sept. 28. “Seafield is excited about joining the Manhasset community and bringing more than 31 years of experience as a substance abuse treatment provider,” said Seafield Chief Executive Officer Mark Epley. “The local organizations and government officials have been tremendously welcoming, reinforcing the community’s commitment to combating addiction.” Under the leadership of Executive Director Kieran (Dwyer) Gallogly, MHA, CASAC, Seafield Manhasset offers a variety of intensive addiction treatment services including: individual counseling, group counseling, psychiatric evaluations, relapse prevention groups, and a special focus on family consultations, including individual family sessions and family interventions. As with all Seafield facilities, the Manhasset location is licensed by the New York State Office of Alcoholism and Substance Abuse Services (OASAS) and accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). This is Seafield’s sixth outpatient location on Long Island. Visit www.seafieldcenter.com for more information.
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Women’s Wellness Event The Katz Institute for Women’s Health at Northwell Health invites you to a women’s wellness event, Diabetes: Don’t Let Sweetness Be Your Weakness on Wednesday, Nov. 16, at 7 p.m. at the LI Marriott, 101 James Doolittle Blvd., Uniondale. Learn about the causes, signs and symptoms as well as risk factors for diabetes and steps you can take to prevent it. To register, visit Northwell.edu/KIWH (listed under events). For more information, call 855-850-5494.
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