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AN ANTON MEDIA GROUP SPECIAL
HealthyLiving DECEMBER 11 - 17, 2019
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Expert Tips For Avoiding The Flu
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HEALTH WATCH
Stave Off The Flu
Northwell doctor shares expert tips on flu prevention BY CYNDI ZAWESKI
czaweski@atonmediagroup.com
T
his year’s flu season is fully underway, but it is not too late to protect yourself and your family from the virus. Fever, chills, a sore throat and a runny nose are a few of the symptoms associated with coming down with influenza, but it could be even more serious for those most vulnerable, such as small children, the elderly and the chronically ill. Northwell infectious disease specialist Dr. Bruce E. Hirsch shared these prevention tips to help you stave off sickness.
Get A Flu Shot
It’s not too late to get this year’s vaccine. While it’s possible to contract the flu anytime of year, activity often begins to increase in the fall and peaks between December and February, according to Centers for Disease Control and Prevention. Hirsch said the flu shot—which is available free of charge at many pharmacies and medical centers across Long Island—is the best method of prevention. “ The vaccine is important,” he said. “We encourage people to get the flu vaccine even late into the season.” Hirsch noted that one essential way to protect others from getting the flu is to prevent ourselves from transmitting it by getting the vaccine. The flu is highly contagious, and the best way to protect everyone, especially those who are most susceptible, is to vaccinate those around them. “By you getting the vaccine yourself, you’re helping people around you avoid sickness,” he said.
Wash Your Hands
In addition to getting vaccinated,
frequent hand washing and use of hand sanitizer are among the best things you can do to lower your risk of contracting the flu, Hirsch said. People are contagious with the flu a day before they start to have symptoms so practicing good hand hygiene on a daily basis puts you ahead.
Avoid Touching Your Face
Along the same lines, touching your face as little as possible is another key element of prevention. The flu is spread through the air and by touching infected surfaces. Contracting the virus is as easy as inadvertently touching an infected surfaces and then touching your hand to your eyes, nose or mouth, Hirsch said. Another tip, “Cough into your
elbow instead of your hand,” he said. “You don’t touch surfaces with your elbow, it is a way of containing the virus if you’re sneezing or coughing.”
Use Bleach Wipes
Disinfecting frequently touched surfaces at home, work and school, especially when someone is sick with the flu, can drastically cut down risk of infection. Hirsch recommends keeping bleach wipes handy to sanitize high traffic areas easily.
Practice Health Habits
Another benefit of following a healthy lifestyle is staving off the flu. Clocking in the recommended six to eight hours of sleep a night, being physically active and managing stress
gives your body a healthy baseline for fighting the virus. “Common sense health practices are important for reducing your risk of getting the flu,” he said. Nutrition is also key. Diets that are rich in fruits, vegetables, lean protein and healthy fats provide a wide array of nutrients and antioxidants that can help boost the immune system. Fiber, Hirsch said, is another dietary staple for flu prevention. One study, published in the health journal Immunity, showed that dietary fiber increased survival rates in influenza-infected mice by setting the immune system at a healthy level of responsiveness. One final note from Hirsch, “Be a hero by staying home when you’re sick to avoid getting others sick.”
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DECEMBER 11 - 17, 2019 • HEALTHY LIVING
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Preventing Hepatitis A
utbreaks of hepatitis A continue to be reported throughout the country. Since 2016, there have been more than 28,000 cases associated with single site exposures in 30 states, resulting in more than 17,000 hospitalizations and 288 deaths. Sources of the outbreaks have been traced to contaminated blueberries, strawberries, blackberries, lettuce, raw fish and even a flight attendant. Hepatitis A is the most common cause of acute viral hepatitis in the United States. Anyone, regardless of age, who has not been previously infected or who has not been vaccinated against hepatitis A can become infected and ill from the hepatitis A. The older you are, the sicker you can become. Hepatitis A is transmitted through the fecal-oral route. The virus enters the body through the mouth, multiplies in the body and is passed in the feces. The virus can then be carried on an infected person’s hands and can be spread by direct contact, or by consuming food or drink that has been handled by the individual. This is the
THE SPECIALIST David Bernstein, MD
reason restaurant food handlers are frequent vectors of disease transmission. In some cases, it can be spread by sexual contact or by consuming contaminated water or food (e.g., raw shellfish, fruits and vegetables). The symptoms of hepatitis A may include fatigue, poor appetite, fever and nausea. Some people might also have vomiting and abdominal cramping. Urine may darken and then yellowing of the eyes or jaundice may appear. The symptoms usually present themselves 15 to 50 days after exposure. Most often, the symptoms appear within four weeks. Most people recover in a few weeks without any complications. Infants and young children tend
to have very mild symptoms and are less likely to develop jaundice than are older children and adults. Hepatitis A can be easily transmitted from one person to another in homes, schools and work places. The contagious period begins about two weeks before the symptoms appear which is concerning. By the time jaundice occurs, most people are probably no longer contagious. There are no special medicines or antibiotics that treat hepatitis A. Generally, providers will recommend rest, good nutrition, fluids, and treatment of symptoms. A small number of people might need to be hospitalized for the illness. The good news is that once an individual has recovered from hepatitis A, they cannot get it again and poses no health risk to others. Hepatitis A can be prevented with careful hand washing after using the toilet and before eating or preparing food. People should avoid eating raw shellfish taken from potentially contaminated waters. Infected people should not handle foods during the contagious period.
There (Photo source: infectiousdiseaseadvisor.com) is a vaccine against hepatitis A that is effective in preventing HAV infection. Earlier this year, the Advisory Committee on Immunization Practices voted to update recommendations on the use of vaccines to protect against hepatitis A. The committee voted unanimously to recommend that all children and adolescents between the ages of 2 and 18 who have not previously received the hepatitis A vaccine should receive a catch-up vaccination. Vaccination is also recommended for travelers to countries with high rates of illness, for anyone with chronic liver disease, for men who have sex with men and for anyone using illegal drugs. I would recommend universal vaccination for anyone not previously exposed.
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Samantha sees Dr. Palmer as more than her urologist—she sees a “Super Doctor” who fixed her kidney.
Children, like Samantha, see us differently. Because we care for them differently. Samantha was born with a severe kidney condition, which put her at continuous risk of infection. But Dr. Palmer monitored her and provided the best care throughout her early years, eventually performing a specialized surgery that cured her.
Lane “Super Doctor” Palmer by 8-year-old Samantha
And now, Samantha enjoys life as an active, sassy 8-year-old. And, as far as she’s concerned, Dr. Palmer is so much more than just her doctor—he’s her hero with special healing powers. “He is nice and amazing, and has helped me since I was born,” she said. “He is my Super Doctor.” Read Samantha’s full story at Northwell.edu/SuperSam
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Dealing With The H
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he holiday season is in full swing and food is abundant during this time of year. Holiday parties can start to fill up your calendar and tend to be extremely food-focused. Plus, food-pushers are in full force this time of year. A food-pusher is a person who, although he or she may have the best intentions, persistently pushes you to eat or drink something decadent. The holidays are a time where food-pushing is not only accepted, but it is almost expected by our loved ones. If you absolutely love the dish that they are persuading you to eat, by all means eat it and sensibly indulge. But if the dish that this food-pusher is persuading you to eat or drink is something that you don’t want to partake in, then
CHOOSING HEALTH STEFANI SASSOS
there are some strategies and responses to help you avoid giving in. Honesty Is Always The Best Policy Although this may not be the easiest option, you should always make your best effort to be honest with that food-pusher. If they are supportive of your health goals, try explaining that you are making an important lifestyle change. This strategy
can sometimes work with the right person if they respect your journey and choices. Never forget that honesty is the best policy, and expressing your health goals may even inspire that food-pusher to make some healthy choices. Blame It On The Doctor Or Dietitian Some food-pushers can get really offended if you don’t want to eat their food, even if you explain to them that you are trying to making some healthy lifestyle changes. Instead, you can put the blame on us. Saying that your doctor or dietitian advised you to limit sugar, salt, etc. can make that food-pusher take your concerns more seriously. This is a pretty easy way out and something that a food-pusher may have a hard time arguing with.
You’ll Save It For Later Let that food-pusher know you are too full now, but would love to have a piece of whatever they are serving later. Stalling can help that food pusher simply forget to pack you some of that pumpkin pie. If they do remember to send you home with some treats, don’t be afraid to get rid of them. A holiday should last a day, not a week, month or year. Beware of leftovers lingering around the house for too long after a holiday as these can be tempting and might throw off your healthy habit.
Don’t Be Afraid To Just Say No You can always politely decline and be assertive in saying no to get yourself
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e Holiday Food-Pusher out of the food pushing scenario. Plus, you can always say no but instead ask for something else like a cup of hot tea or coffee. Oftentimes, a food-pusher just wants to offer you something. This may be a happy compromise for both you and your loved one. Wishing you all a wonderful and blessed holiday season! Stefani Sassos, MS, RDN, CSO, CDN, CPT, is a clinical dietitian and certified personal trainer. She also provides private nutrition counseling at her office in Great Neck. Visit her website www.stefhealthtips.com for more information or call 516-216-9909 to schedule an appointment.
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HEALTH NEWS
Northwell Appoints Renowned Cardiologist To Senior Leadership Post A fter an extensive national search, Northwell Health has recruited Jeffrey Kuvin, MD, as chair of cardiology at North Shore University Hospital, Long Island Jewish Medical Center and the Donald and Barbara Zucker School of Medicine at Hofstra/ Northwell. He will also serve as senior vice president of cardiology for Northwell’s central and eastern regions, and co-director of the Sandra Atlas Bass Heart Hospital, effective Feb. 3, 2020. Kuvin joins Northwell from the Dartmouth-Hitchcock Medical Center’s Heart and Vascular Center in Lebanon, NH, where he served as section chief of cardiovascular medicine as well as a professor of medicine at the Geisel School of Medicine. He spent the majority of his clinical and educational career in progressive roles at Tufts-New England Medical Center and School of Medicine in Boston, MA, including associate chief medical
Jeffrey Kuvin, MD officer for graduate medical education, associate chief of cardiology, director of quality and service for the cardiovascular center and director of cardiovascular clinical services. His clinical areas of interest include preventive cardiology and adult congenital heart disease. Kuvin will assume a senior role on Northwell’s cardiology administrative team that includes Varinder Singh,
MD, senior vice president of cardiology for the system’s Western Region and chair at Lenox Hill, Larry Ong, MD, vice president of cardiology for Northwell’s eastern region, and executive director William O’Connell, RN. “We are pleased to welcome Dr. Kuvin, an esteemed cardiologist and educator, to Northwell Health, which is recognized by U.S. News & World report as a premier destination for cardiac care in the New York metro area,” said Lawrence G. Smith, MD, executive vice president and physician-in-chief at Northwell Health and dean of the Zucker School of Medicine at Hofstra/Northwell. “As a highly regarded leader in clinical and investigative cardiology, as well as mentorship and education, Dr. Kuvin will be a tremendous asset to students and the faculty at the medical school.” Kuvin, who is a fellow in the American College of Cardiology, the American Heart Association and the
American College of Physicians, is widely published and has lectured extensively. He has served as the principal investigator on numerous clinical studies focused on a range of cardiovascular diseases and he has received several research and education awards. He’s an 11-time winner of Tufts School of Medicine’s Excellence in Teaching Award, and has been recognized six times by Castle Connolly’s Best Doctors in America and America’s Top Doctors and four times as Boston Magazine’s Top Doctors for cardiovascular disease. He was also selected to the Geisel Academy of Master Educators and Dartmouth’s Geisel School of Medicine. Kuvin earned his MD from Emory University School of Medicine in Atlanta, GA, and completed his residency in internal medicine and fellowship in cardiovascular medicine at Tufts-New England Medical Center. —Submitted by Northwell Health
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New Study Aims To Advance OCD Treatment How The Bio Behavioral InstituteShe in Great is making wasNeck treated for strikes on a misunderstood illness neuralgia— trigeminal
yesterday.
BY CYNDI ZAWESKI
czaweski@antonmediagroup.com
“OCD” is one of the most commonly misused medical terms. Often used dismissively to describe someone who keeps their items arranged in perfect order or is considered a “clean freak,” Obsessive Compulsive Disorder is a serious mental illness that impacts more than two million Americans, according to the Anxiety and Depression Association of America. The symptoms include intrusive thoughts that make everyday life a struggle. There is still so much to learn about the often misunderstood disorder. At the Bio Behavioral Institute in Great Neck, Dr. Fugen Neziroglu and her dedicated team have been studying OCD for more than four decades. The acclaimed institute is now teaming up with Bio Haven Pharmaceuticals to study a new medicine to treat OCD. We sat down with Neziroglu to shed some light on OCD and the important research being done at The Bio Behavioral Institute.
Q A
What is Obsessive Compulsive Disorder and how does it impact those who suffer? Most people when they think of OCD think of someone washing their hands a lot or someone who keeps double checking doors, appliances, lights, their work, email, etc. However, OCD can take on many forms such as emotional contamination where you avoid someone or their belongings because you are angry with them and you think they are contaminated; health anxiety such as worrying about your heart, breathing and repeating things over and over again.
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How long has The Bio Behavioral Institute been researching OCD treatments? The Bio Behavioral Institute has been studying OCD for more than 40 years. Our work has been both in cognitive behavior therapy as well as in medications. My husband, Jose Anibal Yaryura Tobias, brought Anafranil/Clomipramine the first medication for OCD, to the United States and we did our first double blind placebo study in 1972. We hypothesized that OCD may be a chemical disorder and measured a substance in our body called
Fugen Neziroglu, Ph.D., ABBP, ABPP (Photo courtesy of The Bio Behavioral Institute)
serotonin (a chemical that is sometimes called the happy chemical because it contributes to well-being) in OCD and non-OCD patients. We published our results in 1974, and then in 1977 put forth the serotonergic hypothesis for OCD. Since then, we have had almost all the selective serotonin reuptake inhibitors (SSRIs). In 1989, we also demonstrated, with National Institute of Mental Health’s help, that behavioral therapy can also modify serotonin.
Q A
What methods does The Bio Behavioral Institute use to treat OCD? Evidence-based treatment for OCD is exposure and response prevention, a form of cognitive behavior therapy and SSRI or serotonin– norepinephrine reuptake inhibitors (SNRI) medications.
Q A
What is an SSRI and why are some OCD patients unsatisfied with taking it? SSRI is a category of anti-depressants that target serotonin levels in the body. Most give about a 30% reduction in symptoms and should be combined with cognitive behavior therapy. Patients may respond only to a certain level and need another medication to boost the efficacy of the SSRI. This is why we are now studying a medication that works in a different pathway in the brain.
Q A
What are you hoping to learn from this new study with Bio Haven Pharmaceuticals? Bio Haven is the pharmaceutical company that has designed the study and that provides us with
the medication. I am really excited years thereafter. because this new medication works in Who can participate in the the glutamine pathway and it increasstudy? es a substance called glutamate. Some Anyone who has a diagnosis of your Treating trigeminal nerve pain shouldn’t take over studies already show that glutamate OCD, or thinks they have OCD, may be involved in OCD and prelimilife. At CyberKnife® of Long who isIsland, betweenwe’ll the agesget of 18you to 65 back to nary studies show that it helps reduce and who are currently on an SSRI can people younotlove—fast. OCD the symptoms. We have had a participate. They may be doing okay new medication since 1997. with their current medication but may For you more than athe decade, used to CyberKnife improve more.to help people Can describe study? we’vewant with trigeminal neuralgia thrive. With locations to sign home, this How can eligibleclose patients The study is 10 weeks long, and treatment targets affected nervesup with pinpoint in precision in just one to participate the study? then if the participant wants short visit—resulting in fewer sideAnyone effects. And, as part in of Northwell who is interested they can continue on the medication, participating can callteam the Bioof experts. Health, you’ll have access to a diverse, experienced which we will provide for another two Behavioral Institute in Great Neck years. People who are on medication for a prescreening make suremiss they out on We’re raising the standard of health care—so to you don’t can also be receiving therapy so in qualify. realitylife’s all weprecious are doingmoments. is just adding a The Bio Behavioral Institute is new medication to what they already located at 935 Northern Blvd., Suite are doing to help them potentially feel 102, in Great Neck. Those interested a next-day at (877) 377-9385 better.Book Although during theappointment 10 weeks in participating in the study or who they may not know whether they or learn more at Northwell.edu/FastRelief would like more information should are getting the medication, they will contact the office at 516-487-7116, or definitely have the medication for two visit www.biobehavioralinstitute.com.
Q A
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HEALTH NEWS
A Place To Call Home Free senior placement service locates assisted living options T
here is a new way to receive hands-on guidance to locate quality assisted living options throughout Nassau and Suffolk counties and northeast Queens. Assisted Living Locators has a new Long Island franchise. Based in Arizona, Assisted Living Locators offers a no cost, nationwide senior care placement and referral service for in-home companion care, independent retirement options, assisted living, memory care and skilled nursing facilities. The company has more than 100 franchisees in 34 states and the District of Columbia. According to the Administration on Aging, the population of adults 65 and older is experiencing the biggest increase in history. Between 2010 and 2050, the number of seniors is expected to more than double. “As a result of the growing senior population, many different options for care and housing are available, including in-home companion care,
55+ communities, independent retirement options, assisted living, memory care and nursing homes,” said Mike McClernon, Assisted Living Locators franchise owner. “We are also an excellent resource for short-term respite care, emergency discharges, out-of-town relocations and coordinating non-emergency transportation. Seniors and their families need a trusted advisor to
help them navigate what can be an overwhelming amount of information. Assisted Living Locators offers a complete assessment of a senior’s needs and recommends a plan that provides the full continuum of care.” He explained that Assisted Living Locators offers a complete assessment of a senior’s needs and recommends a plan that provides the full continuum of care.
“My goal is to come alongside families and seniors to provide free, personalized assistance in locating assisted living, memory care options or in-home care to best fit the needs of the senior,” said McClernon. “And because I’m local, I look at a wide range of options for seniors that just can’t be matched by online resource databases. I tour and rank all the facilities I recommend, and make sure all our partners in the senior care market are fully committed to providing the best care possible.” “I’m passionate about helping others and excited about assisting families navigate the system to find the best senior care for their loved ones,” he added. For more information about Assisted Living Locators no cost community service for seniors and their families, call Mike McClernon at 516-254-9481 or visit, www.assisted livinglocators.com/long-island. —Submitted by Assisted Living Locators
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Join A New Study for OCD The Bio Behavioral Institute is taking part in a research study for a possible medication that would be added to your current treatment for OCD.
OCD patients not satisfied taking an SSRI: You may be eligible to participate if you are 18-65 years old, have a diagnosis of OCD, and are currently taking medication for your OCD. The Bio Behavioral Institute has been researching CBT treatment and medications for OCD for over 40 years. Visit our website for more on us. www.biobehavioralinstitute.com Call us today for more information (516) 487-7116 935 Northern Blvd., Suite 102 Great Neck, NY 11021 209409 B