Hea thyLiving AN ANTON MEDIA GROUP SPECIAL
NOVEMBER 11 - 17, 2015
Keep The Kids Moving Indoor/outdoor activities the whole family will love INSIDE
• Dentistry and Diabetes • Medicare Enrollment
Agewell is a Proud Sponsor of
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HEALTHY LIVING • NOVEMBER 11 - 17, 2015
I SEE THE EXPRESSIONS
ON THE FACES OF AMSTERDAM RESIDENTS.
I SEE HOW HAPPY THEY ARE.
“It’s easy to be passionate about what I do.” As President and CEO of Amsterdam Continuing Care Health System, Inc. for more than 27 years, Jim Davis is at the very heart of The Amsterdam at Harborside retirement community. “It’s an extraordinary place to live on the North Shore of Nassau County, offering warm social connections with Residents and Staff, on-site activities and cultural performances second to none. As we celebrate our first 5 years as the only true life care community in Nassau County, I invite you to experience our carefree lifestyle. See the faces of Amsterdam Residents who are free to live life their way and really enjoy their retirement.”
Find out how life care provides for future health care when you need it. Call 516.939.8145 to schedule a personal tour.
Jim Davis President and CEO of Amsterdam Continuing Care Health System, Inc. 300 E. Overlook | Port Washington, NY 11050
Operated by Amsterdam House Continuing Care Retirement Community Inc., a not-for-profit organization.
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AmsterdamLifeCare.com
HEALTHY LIVING • NOVEMBER 11 - 17, 2015
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Diabetes Concerns? Try Your Dentist For Answers Would you go to your dentist to get tested for diabetes? Since November is American Diabetes Month, a recent study suggests that maybe you should. Dr. Saleh Aldasouqi, chairman of Michigan State University’s division of endocrinology, and Dr. Susan Maples, one of the top eight innovators in U.S. dentistry, an author and longtime voice for the connection between oral and systemic health, have been recognized by the American Association of Clinical Endocrinology for their study “Diabetes Detection in The Dental Office.” Why the dental office? Diabetes spells bad news for your body and your mouth because of the two-way relationship between gum disease and high blood sugar. Plus, Type 2 Diabetes is a national epidemic and getting worse all the time. “We tested 500 random dental patients with no history of diabetes and found that 20 percent of them had diabetes or pre-diabetes,” Maples said. “Since 28 percent of patients with diabetes and 93 percent with pre-diabetes don’t even know it, and because of the connection between gum disease and blood sugar control, you can expect diabetes detection in the dental office to become the norm in the near future.”
For American Diabetes Month, the two physicians recommend: Get screened for diabetes Take Aldasouqi’s and Maples’ risk assessment test at www.selfscreen.net. If your score places you at moderate or high risk, get a diagnostic blood test. Diabetes can take years off your life and cause kidney failure, blindness, limb amputation and increases your risk of heart disease and stroke by up to four times compared to non-diabetics. It’s also important to note that this assessment doesn’t make patients feel uncomfortable because it doesn’t ask about body weight or BMI. Treat periodontal disease If you have diabetes or pre-diabetes, get gum disease treated immediately. Gum disease plays a role in gaining blood sugar control for the diabetic and unstable diabetes usually results in more severe and rapidly progressing bone loss around your teeth. Eat a low-sugar, high-fiber diet If you have diabetes or pre-diabetes, your diet is critical to controlling your blood sugar, lipids and weight. Focus on lean protein, whole grains, fruits, vegetables and low-fat milk. Increase
Exercise can immediately reduce high blood sugar levels. Over time it can help you lose weight and increase insulin sensitivity, and both may halt the progression of diabetes. your fiber to reduce insulin spikes and restrict the intake of refined carbs and sweets, including all sweetened beverages. Exercise Exercise can immediately reduce high blood sugar levels. Over time it can help you lose weight and increase insulin sensitivity, and both may halt the progression of diabetes. Lose weight You can be thin and diabetic, but if you are overweight and you lose weight, you may halt the progression of diabetes. One study showed that losing
seven to 10 percent of body weight and exercising five times a week for 30 minutes reduced the incidence of type 2 diabetes by 58 percent over three years, compared to a control group that didn’t make lifestyle changes. Work with your doctors If you have diabetes, know your blood sugar numbers. Due to the strong association between uncontrolled blood sugar and periodontal disease, you need to work closely with both your dentist and physician to manage diabetes. —Submitted by SerbinMedia
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HEALTHY LIVING • NOVEMBER 11 - 17, 2015
Activities For The Mind And Body BY JOE SCOTCHIE
JSCOTCHIE@ANTONMEDIAGROUP.COM
Summer is over, but young people are going to be as restless as ever. As the action moves indoors in the winter months, there are countless places all over Nassau County where parents can find fun activities for their children, those that both exercise their minds and bodies and keep them away from the television and computer screens as well. The most obvious places would be the YMCA in Glen Cove and the Sid Jacobson JCC in East Hills. Both facilities have swimming pool hours for young people, basketball courts and exercise rooms. Young girls like dance lessons and one of the most venerable studios on Long Island is the Hannah Kroner School of Dance in Albertson. There is also Dance Dimensions in Hicksville and the Music Institute of Long Island in Manhasset. Hannah Kroner’s offerings include dance lessons in ballet, hip hop, jazz and tap. As a county that marks its birth to before the founding of the United States, museums have always played a major role in Nassau County’s cultural life. The Nassau County Museum of Art in Roslyn Harbor, the Cradle of Aviation Museum in Garden City, Garvies Point Museum of Glen Cove and Coe Hall House Museum have activities and exhibits for young people. And don’t forget Sagamore Hill, the home of Theodore Roosevelt, located in Oyster Bay. The Cradle of Aviation remains a place of real significance. Roosevelt Field was where Charles Lindbergh took off for his famous 1927 flight across the Atlantic. Among the museum’s camp workshops is Living In Space, in which youngsters can learn and experience what life is like in
space, right down to the diet and a space suit for them to wear. Garvies Point has activities that put a young person’s energy to good uses. One annual event is part of the International Coastal Cleanup day, where Long Island youngsters can put on their old clothes, sneakers and boots, while helping to rid Long Island coastal areas of trash and other debris. Garvies Point is also steeped in history. The annual Native American Feast—held this year on Saturday, Nov. 21, and Sunday, Nov. 22, from 10 a.m. to 4 p.m.—takes local youngsters back to more self-sufficient times. Activities include cooking at the fire, tool making, pottery making, dugout canoes, walking nature trails, face painting and fire making. The Coe Hall House meanwhile, has an excellent lecture series, “Sherri’s Traveling Classroom.” The series is a walk through American history and geography. Recent lectures have included “Hiking to the Golden Gate Bridge,” “Norman Rockwell: America’s Illustrator,” “Churchill Downs and the Kentucky Derby Museum,” “The Ronald Reagan Presidential Library and Museum,” “Frank Lloyd Wright Historic District and the Rookery,” “New York City’s Most Haunted Neighborhood,”
Children’s Activities:
A Checklist Fun Classes • Active Kidz Long Island 200 Robbins Ln., Jericho 516-621-6600 • Dance Dimensions 2 Heitz Pl. Hicksville 516-938-5299 • FasTracKids 1615 Hillside Ave., New Hyde Park 516-320-6047 • Hannah Kroner School of Dance 1180 Willis Ave., Albertson 516-484-5430 • Unlimited Sports Action 30 Beechwood Ave., Port Washington 516-767-7675 • The Jumping Gym 300 Hempstead Tpke., W. Hempstead 516-506-7281 Museums • Coe Hall House Museum 1395 Planting Fields Rd., Oyster Bay 516-922-9200 • Old Bethpage Village Restoration Round Swamp Rd. Old Bethpage 516-572-8400 • Cradle of Aviation Museum Charles Lindbergh Blvd., Garden City 516-572-4111 • Sagamore Hill 12 Sagamore Hill Dr., Oyster Bay 516-922-4788 • Garvies Point Museum 50 Barry Dr., Glen Cove 516-571-8010 • Science Museum of Long Island 1526 N. Plandome Rd., Plandome 516-627-9400 “George Washington: America’s First Spymaster,” “Infinity at NASA Stennis Space Center,” “Wright Brothers National Memorial,” “America’s First Amusement Park: Coney Island,” “The Birthplace of Gone With The Wind,” ‘Exploring the Life and Times of Abraham Lincoln” and “Thirty Reasons to Vacation in Riverhead.” From activities of the mind to more playful exercises, there are both ActiveKidz in East Hills and Be The Best Sport in Port Washington, the latter designed for children with special needs. ActiveKidz includes rock climbing, laser tag and an inflatable fun zone. For the fall and winter, Be The Best Sport has classes in basketball, rowing, karate, track and field and tennis.
Party Places in Nassau • ActiveKidz 210 Forest Dr., East Hills 516-621-6600 • Be The Best Sport 30 Beechwood Ave., Suite B, Port Washington 516-453-0990 • Long Island Children’s Museum 11 Davis Ave. Garden City 516-224-5800 • BounceU 101 Carolyn Blvd., Farmingdale 631-777-5867 • Frozen Ropes 645 Stewart Ave. Garden City 516-794-7673 • Fun Craft 497 North Broadway, Jericho 516-933-1785
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HEALTHY LIVING • NOVEMBER 11 - 17, 2015
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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
• Neurosurgery/Stroke Center • Multiplace Hyperbaric Chamber • Primary Care Center
life is why™
Stroke Center
• Maternity and Newborn Center • Oncology Center • Orthopedic and Spine Center • Burn Center
HONOR ROLL TARGET: HF
life is why™
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Heart Center
516.572.0123 • www.numc.edu Victor F. Politi, MD, FACP, FACEP, President/CEO • Michael B. Mirotznik, Esq. Chairman, Board of Directors 17287_NUMC_New_AD Anton_8.75x11.25_master.indd 1
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HEALTHY LIVING • NOVEMBER 11 - 17, 2015
Medicare Enrollment: Five Easy Steps A new plan may: • Cost less • Cover your drugs • Let you go to the providers you want, like your doctor or pharmacy
Routines help keep us focused, organized and even healthy. However, if your health routine doesn’t include preparing for Medicare’s Open Enrollment, now’s the time to kick start a new healthy habit. If you have a Medicare health or prescription drug plan, open enrollment runs through Dec. 7 and is the time you can make changes to your plan. Even if you’re happy with your current coverage, you might find something that’s a better fit for your budget or your health needs. If you miss an open enrollment deadline, you’ll most likely have to wait a full year before you can make changes to your plan. Here are five important things every Medicare beneficiary can do to get in the Medicare Open Enrollment routine: • Review your plan notice. Be sure to read any notices from your Medicare plan about changes for next year, especially your “Annual Notice of Change” letter. Look at your plan’s information to make sure your drugs are still covered and your doctors are still in network. • Think about what matters most to you. Medicare health and drug
plans change each year and so can your health needs. Do you need a new primary care doctor? Does your network include the specialist you want for an upcoming surgery? Is your new medication covered by your current plan? Does another plan offer the same value at a lower cost? Take stock of your health status and determine if you need to make a change. • Find out if you qualify for help paying for your Medicare. Learn about programs in your state to help with the costs of Medicare premiums, your
Medicare Part A (hospital insurance) and Medicare Part B (medical insurance) deductibles, coinsurance and copayments and Medicare prescription drug coverage costs. You can do this by visiting www.medicare.gov or making an appointment with a local State Health Insurance Assistance Program (SHIP) counselor. • Shop for plans that meet your needs and fit your budget. Use Medicare’s plan finder tool at www. medicare.gov/find-a-plan to see what other plans are offered in your area.
If you find that your current coverage still meets your needs, then you’re done. Remember, during open enrollment, you can decide to stay in original Medicare or join a Medicare Advantage Plan. If you’re already in an advantage plan, you can switch back to original Medicare. • Check your plan’s star rating before you enroll. The Medicare Plan Finder has been updated with the 2016 Star Ratings for Medicare health and prescription drug plans. Plans are given an overall quality rating on a 1 to 5 star scale, with 1 star representing poor performance and 5 stars representing excellent performance. Use the Star Ratings to compare the quality of health and drug plans being offered. For more information, call 800-MEDICARE (800-633-4227), and say “agent.” —Submitted by the Department of Health And Human Services
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HEALTHY LIVING • NOVEMBER 11 - 17, 2015
THE SPECIALIST
Living With Primary Biliary Cirrhosis Primary biliary cirrhosis (PBC) is a common condition that primarily affects the small bile ducts within the liver. For uncertain reasons, it is particularly common on Long Island. Its name, however, primary biliary cirrhosis, often brings concern and fear to the newly diagnosed as most people with PBC do not have cirrhosis. Cirrhosis is the last stage of the disease and most people with PBC never develop cirrhosis. Because of this, there is a worldwide push to change the name of the disease to Primary Biliary Cholangitis, reflecting the fact that PBC affects the small bile ducts and is a cause of cholangitis. Primary biliary cholangitis (PBC) is a condition whose cause remains elusive, that affects the small bile ducts located within the liver. These small bile ducts connect to a series of progressively larger ducts which facilitate the transport of bile out of the liver. As the damage caused in PBC is to the small bile ducts, one could logically conclude that PBC is a disease of the biliary tree not of the liver. It is important to understand that the ducts which are affected are so small that
damage to these bile ducts leads to damage of the liver cells and therefore, PBC is not primarily a disease of the biliary tree but one of the liver. In PBC, a slowly progressive inflammatory process destroys the bile ducts within the liver and can lead to cirrhosis. More than 90 percent of people with PBC are women. Most people with PBC do not have any symptoms and feel fine. There are, however, certain symptoms such as fatigue, itching, joint pains, night blindness, jaundice and skin discolorations which are common. It is important to note that several diseases are associated with PBC. The prevalence of thyroid disease in PBC is quite high. In fact, the diagnosis of hypothyroidism frequently predates the diagnosis of PBC. Other diseases associated with PBC include scleroderma, arthritis, iritis, liver cancer, breast cancer and lung disease. Due to its lack of symptoms, PBC may go unrecognized for years. The most common abnormality leading to the diagnosis of PBC is an isolated elevated liver enzyme test called alkaline phosphatase. This test is then followed up with an anti-mitochondrial antibody
test that is positive in more than 95 percent of affected people. A positive AMA in the right clinical setting conforms the disease. A liver biopsy is then needed to determine the disease stage. Untreated, PBC is a progressive disease and most people will over time progress to more advanced liver disease. The only drug that is approved for use in PBC is ursodeoxycholic acid (URSO). This medication works by both altering the bile acid concentrations within the liver and modulating the immunologic injury seen in PBC. Treatment with this drug is lifelong. Twenty years ago, PBC was one of the most common indications for liver transplantation. With the widespread use of URSO, the course of the disease has changed and liver transplantation is now uncommon as a treatment for PBC, unless patients are first diagnosed at a late stage of disease. Other medications that have been used in PBC but have not been shown to improve prognosis include colchicine, methotrexate, cyclosporine and corticosteroids. Although most people respond to URSO, there still remain a few patients who are refractory to this
Dr. David Bernstein medication. Recently, new medications are being tested in clinical trials for those URSO refractory patients and preliminary results are promising. PBC is a common disease, which frequently goes unrecognized. The key to successful treatment is early diagnosis. Appropriate patients should be screened for the disease. This condition is truly an example of successful disease management and medical adaptation, with the new designation, primary biliary cholangitis, more reflective of the actual condition and far less fearsome than the old, outdated name. 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.
Women’s Wellness Event Getting a Good Night’s Sleep
Register with a friend to receive $5 off each with promo code KIWH.
Wednesday, November 18, 2015 7pm – 9pm
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Did you know…
Healthy food choices and refreshments will be served. Attendees will be entered into a raffle for a chance to win a gift basket.
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$20 admission fee. Registration is required. Online: KIWH.NorthShoreLIJ.com (search under events) Phone: 1-855-850-KIWH (5494)
Facial Plastic & Reconstructive Surgeon Fellowship Trained/Dual Board Certified
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Sleep occupies one-third of our lives and is important for our physical and mental well-being. There are more than 88 known sleep disorders that can impact your health and quality of life.
HEALTHY LIVING • NOVEMBER 11 - 17, 2015
South Nassau presents: TRUTH IN MEDICINE
Does dyeing your hair increase the risk of cancer? Find the answer at wherequalitymatters.org.
SOUTH NASSAU’S ONCOLOGY EXPERTS HAVE THE ANSWERS. For more than 87 years, South Nassau Communities Hospital has consistently earned national recognition for health care excellence. So when life happens, take comfort in knowing that you have a dedicated team of expert physicians and quality medical services always within reach.
One Healthy Way at Merrick Road in Oceanside. Call 877-SOUTH-NASSAU or visit wherequalitymatters.org. 142969
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