d-mars.com Health & Wellness 52

Health & Wellness Journal HEALTH

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WELLNESS

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MEDICAL

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RESEARCH

November 2015

INSIDE

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SPORTS

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FITNESS

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LIFESTYLE

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BEAUTY

Inspire, Inform & Educate Connect With Us

52nd Edition

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@dmars_com

@dmars_com

Giving Back to the Community

Purchase with a Purpose

By Rhonda Dallas When I started R2EWD, a nonprofit organization, I wanted to make a difference in the lives of women and children through mentoring and combating obesity in children.

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Have you been diagnosed with fibroids?

He can help!

PAGES 4-5

Malocclusion and Oral Health

By Dr. Ka-Ron Y. Wade What is malocclusion?

Malocclusion means having crooked teeth or a poor bite.

Dr. Andrew Doe is “The Fibroid Doc”

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PAGE 16

Your Health is Your Wealth

By J. Thomas Smith It is sad to note that thousands of men lose their lives each year to preventable health problems, like diabetes, heart disease, stroke, cancer and other smoking-related deaths.

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By Dr. Sterling L. Carter

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Caring for Your Elderly Parents Healing begins where the wound was made.

- Alice Walker

By d-mars.com News Provider

Tips for the Caregiver

November 2015 3

Journal Behind The

Publisher’s Message

MR. D-MARS

SR. PUBLISHER Keith J. Davis, Sr.

SENIOR VICE PRESIDENT Kevin Davis

VICE PRESIDENT Kim Floyd

ACCOUNTING MANAGER Eugenie Doualla

SENIOR ACCOUNT EXECUTIVES C.T. Foster Eric D. Goodwine Tiffany Black

Giving Back to the Community is the theme for this issue of the d-mars.com Health & Wellness Journal. Health is of the utmost importance. If you’re not healthy, then you can’t be successful in your business and achieve your life goals. It is vital for you and your family that you make your health a priority. This latest issue of the Health & Wellness Journal will encourage you to take those steps to make for a healthier you.

Dr. Andrew Doe aka “The Fibroid Doc” is the founder of Houston Vascular & Interventional Radiology (Houston VIR).

He is an expert and the go to in Houston for those suffering from fibroids. Dr. Doe offers an amazing and much needed alternative to a hysterectomy. Because an estimated 20-40% of African-American women suffer from fibroids, Dr. Doe finds it a high priority to educate women of color in the community about Uterine Fibroid Embolization (UFE), an alternative to a hysterectomy. If you or someone you know is suffering with fibroids, you will get great education about Dr. Doe’s UFE treatment as an alternative.

As always, thank you for your continued support of d-mars.com. When you support us, you are supporting more than just our company; you are supporting the communities in which we live and work. Working together, we can succeed in making positive things happen.

ASSOCIATE EDITOR Dawn Paul

ADMINISTRATIVE TEAM Dyvl Davis DeAndra N. Dunn

Contents

PHOTOGRAPHY L.C. Poullard Grady Carter Tony Gaines

The Fibroid Doc..........................................................................................................................................................................................................4-5 Purchase with a Purpose.......................................................................................................................................................................................... 6

MULTIMEDIA DIRECTOR Andrea Hennekes

Employment for the Disabled.................................................................................................................................................................................. 6 Texas High School Jamboree This Thanksgiving................................................................................................................................................7

LAYOUT & GRAPHIC DESIGNER

Malocclusion and Oral Health.................................................................................................................................................................................. 8

Angel Rosa

Your Health is Your Wealth......................................................................................................................................................................................10

DISTRIBUTION

Caring for Your Elderly Parents..............................................................................................................................................................................10

Booker T. Davis, Jr. Rockie Hayden

5 Ways to Boost Your Health.................................................................................................................................................................................. 12

CONTRIBUTING WRITERS Rhonda Dallas Dr. Ka-Ron Y. Wade J Thomas Smith Dr. Sterling L. Carter d-mars.com News Provider

MR. D-MARS Tip of the Month “If you’re walking down the right path and you’re willing to keep walking, eventually you’ll make progress.” – President Barack Obama

Tips for the Caregiver................................................................................................................................................................................................16 7 Unlikely Foods That Sabotage Fat Loss...........................................................................................................................................................18 Texas Department of State Health Services......................................................................................................................................................18 Conquer Holiday Food Cravings............................................................................................................................................................................20 What Employers Look for in the 21st Century Nurse...................................................................................................................................... 21

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Helping Women 4 November 2015

“Years ago, a hysterectomy was one of few treatment options available for women with fibroids. Today, there are other safe and effective options. You owe it to yourself to seek medical treatment if you suspect that you have fibroids. If you have been diagnosed and told that you need surgery, get a second or third opinion until you find the treatment option that is right for you.”

—Dr. Andrew Doe, Houston VIR

Heal Through Houston VIR are treated with the most advanced and latest technology.

By Dawn Paul

Associate Editor

A

ccording to WomensHealth.gov, fibroids are common among women of childbearing age. However, A frican-A merican women are three times more likely to get fibroids than other women. Also, in African-American women, fibroids also seem to occur at a younger age, grow more quickly, and are more likely to cause symptoms. Years ago, a hysterectomy was one of the few treatment options available to effectively treat fibroids, but still some myths plague our community about fibroids and the treatment of fibroids. Dr. Andrew Doe is the founder of Houston Vascular and Interventional Radiology (Houston VIR), and his office is educating and healing women diagnosed with fibroids with a safe and effective alternative to surgery.

Many people fear going to the doctor because they are afraid that they may be told that they need a life altering treatment. Dr. Doe knows that when patients walk in the doors of Houston VIR there can be nervousness and anxiety. Because he know this, he has the patient in mind. He takes pride in the fact that he has created a comfortable and compassionate outpatient setting where patients

About Houston VIR Houston VIR provides a safer, faster and less painful experience for the patient. Houston VIR is recognized in Houston for their work when it comes to their unique and effective treatment of uterine fibroids and venous disease.

In fact, Houston VIR is the only Vas-

cular Interventional Radiology clinic of its kind in the city of Houston. Realizing that newer, safer and less-invasive procedures can be done in an outpatient setting, Dr. Doe chose to break away from hospital-based groups. Dr. Doe is a Vascular and Interventional Radiologist (VIR) trained to perform a wide range of procedures and treat a wide range of conditions. Uterine fibroids and vein disease impact a disproportionate number of African-American women, and

this is Dr. Doe’s primary focus of interest. The technique Houston VIR uses to treat uterine fibroids is Uterine Fibroid Embolization (UFE), an FDA approved and minimally invasive and non-surgical treatment that was first recognized by the American College of Obstetricians as an effective fibroid treatment in 2004.

CONTINUED on page 5

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November 2015 5

CONTINUED from page 4

Get Educated about Fibroids According to the Centers for Disease Control, uterine fibroids are the most common noncancerous tumors in women of childbearing age. Fibroids are made of muscle cells and other tissues that grow in and around the wall of the uterus, or womb. The symptoms of fibroids include:

• Heavy or painful periods or bleeding between periods • Feeling “full” in the lower abdomen • Urinating often • Pain during sex • Lower back pain • Reproductive problems, such as infertility, multiple miscarriages, or early labor

Other factors that can have an impact on fibroid development include: • Heredity. If your mother or sister had fibroids, you’re at an increased risk of developing them. According to the National Institutes of Health (NIH), some genetic studies have also contributed to the idea that susceptibility to fibroids is passed on to a woman by her father.

• Race. African-American women are more likely to have fibroids than women of other racial groups. In addition, African-American women have fibroids at younger ages, and they’re also likely to have more or larger fibroids.

• Other Factors. Onset of menstruation at an early age, having a diet higher in red meat and lower in green vegetables and fruit appear to increase your risk of developing fibroids.

• Genetic Changes. Many fibroids contain changes in genes that differ from those in normal uterine muscle cells.

• Hormones. Estrogen and progesterone, two hormones that stimulate development of the uterine lining during each menstrual cycle in preparation for pregnancy, appear to promote the growth of fibroids. Fibroids contain more estrogen and progesterone receptors than normal uterine muscle cells do. Fibroids tend to shrink after menopause due to a decrease in hormone production.

African-American Women and Fibroids Over the years, Dr. Doe has come into contact with many women who have been advised that a hysterectomy is the only way to treat fibroids and the symptoms. Dr. Doe says, “Many women come to Houston VIR looking for a second opinion and an alternative to having a hysterectomy. In fact, many don’t want treatment of fibroids for fear that they will be advised to get a hysterectomy. Some of these women have even reported suffering with fibroids for 10 years.”

When it comes to treatment of fibroids, Dr. Doe is one of the most experienced Uterine Fibroid Embolization experts in the Uterine Fibroid in the Houston area.

He has done extensive research and educated himself on the link between African-American women and fibroids.

NIH reports that by age 50, 80% of African-American women have had fibroids. For some women, the fibroids are small enough that they never know they have them or they do not cause other complications. More than 200,000 hysterectomies are performed each year for uterine fibroids. Annual direct health care costs for uterine fibroids exceed $2.1 billion. Recent findings indicated that while fibroid growth rates are similar for African-American and white women under 35 years of age, as women get older, growth rates decline for whites but not for African-Americans. Several studies have also investigated the effects of diet on the growth of fibroids. Recent findings from a study of more than 22,000 AfricanAmerican women showed that women who consumed milk, cheese, ice cream or other dairy products (increase in vitamin D consumption) at least once a day were less likely to develop fibroids than were women who consumed dairy less frequently. Also, the study indicates that due to the amount of melanin produced, it’s harder for African-American women to get vitamin D through sun exposure.

Dr. Doe has seen African-American women presented with a hysterectomy as treatment for fibroids over UFE by physicians, and he sees it as an educational issue. “The American College of

Obstetrics & Gynecology (ACOG) first recognized UFE as a safe and effective treatment for fibroids in 2004. UFE is a procedure that is only performed by specially trained Interventional Radiologists. Historically, Interventional Radiologists have conducted very little outreach to educate the community about UFE as an alternative to a hysterectomy. I believe that UFE may not be presented as an option because there is not as much familiarity or understanding about who may be a good candidate. In general, I believe that there is a lack of knowledge about this procedure among the community at large,” says Dr. Doe. Dr. Doe has plans to host community workshops, educating on various treatment options for fibroids.

Dr. Doe knows and understands that it’s all about education.

Houston VIR’s Treatment of Fibroids There are other, non-surgical alternatives to treating fibroids, but none of those have been shown to be as effective as UFE aka Uterine Artery Embolization (UAE). UFE is a very safe and effective FDA approved procedure that has been used to treat women with fibroids for 15 years. It can be done in approximately one hour in an outpatient setting. The most common side effect is cramping.

UFE is a great option for women who are looking for an alternative to a hysterectomy, don’t want surgery, may be a poor surgical candidate due to obesity or anemia, who are not pregnant and who do not desire future fertility, but do wish to retain their uterus.

Dr. Doe’s 10-year success rate of UFE as a treatment for fibroids is well over 95% for qualified candidates. Dr. Doe says, “I believe the success rate is even better and so is my practice now, because of better techniques and tools to do the UFE procedure.” The complications are rare and less than 4%. After UFE, most women switch from prescription pain medication to over-the-counter pain relief medication, and they are able to go back to work 3-7 days following the procedure. Dr. Suhyun An is a patient of Houston VIR and expresses, “It took me 3 days to fully recover. The first 12 hours were very difficult, but gradually it went away relatively quickly. Within about 48 hours I was able to walk and do most of the chores. I even felt like I could go back to work that day, but I took an additional day off. It was everything I could manage. It’s so much better. Really consider this procedure because it has been a life-changing experience for me. Now if I talk to any woman who has uterine fibroids, without hesitation, I recommend Dr. Doe and his office.”

The majority of Dr. Doe’s self-referred patients come to Houston VIR after being diagnosed with fibroids by a doctor who did not present UFE as a treatment option. Dr. Doe advises that women should be educated on UFE as a potential treatment option. Dr. Suhyun An’s testimony is one of many success stories after receiving the UFE treatment at Houston VIR. Dr. Doe and the Houston VIR staff treat their patients like they would a member of their own family. They strive to provide the highest quality care and go above and beyond to help their patients get the care and treatment they need and deserve. Dr. Doe’s goal is to improve quality of life and prevent patients from needing hospitalizations. To read more about Dr. Andrew Doe and Houston Vascular and Interventional Radiology, please visit www.HoustonFibroidDoc.com.

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6 November 2015

Purchase Employment for the Disabled with a Purpose

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By d-mars.com News Provider

By Rhonda Dallas

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Contributing Writer

hen I started R2EWD, a nonprofit organization, I wanted to make a difference in the lives of women and children through mentoring and combating obesity in children. The purpose was to raise awareness and to give back. I came up with the idea that we all gather together for parties and shopping. So, after careful research, I came up with the idea of “Purchase and Party with a Purpose.”

People will give and support endeavors if they know the purpose. I felt like we come together for everything else, why not gather together for a purpose? When I host events for women and children, I offer people the choice to give back to certain charities that I partner with. Charities that support breast cancer awareness, domestic violence, fighting childhood obesity and mental health awareness are just a few to name. Another community initiative I’m involved with is the annual “Prom Dress Drive,” where we provide local high school female students with a prom dress.

I believe we were put on this earth not for ourselves, but to help others who are less fortunate. I do not believe we will be here forever, so giving back is a way to make a legacy for yourself and to bless others.

Throughout the year and especially during the holiday season we must pause and think of others and think of ways we can help members of our community. If you want to know how you can help make a difference in the lives of others, please contact us at dallasjrus@yahoo.com, and we will give you a list of individuals and organizations looking for volunteers. Remember, a smile is free and contagious.

To find out more about programs and health and wellness coaching, please contact Rhonda Dallas on the web at www.rhondadallascoaching.com.

any of us know someone with a disability.

You could be living with a disability.

National Disability Employment Awareness Month was held recently, and for 70 years, this month has been raising awareness about the countless contributions of America’s workers who are disabled. So many times the disabled are excluded and not included. Raising awareness and recognizing the disabled who are employed in this country should be of the utmost importance. These individuals are shining examples of why the disabled should be included and not excluded, especially when it comes to employment.

Disability.gov is a highly respected source when it comes to relevant and vital information for the disabled community. They recently posted important information we should know when it comes to employment and the disabled.

Things You Should Know Work Experience is Key for Youth.

Gaining work experience as a young adult is a key to future career success for youth with disabilities. The Youth Transitions Collaborative recently released a video campaign, “Work Early, Work Often,” to encourage young people with disabilities to see the value of working as an important part of transitioning to adulthood. Of equal importance are work-based experiences such as service learning and volunteering. Internships are also a great way to begin building a professional resume. The National Collaborative on Workforce and Disability for Youth website provides a wealth of resources on employment for youth with disabilities, internship opportunities that can help develop leadership skills and career options.

R-E-S-P-E-C-T. When working with colleagues or employees with disabilities, the most important thing to do is show them the same respect you would show anyone else in your workplace.

However, knowing basic disability etiquette can help avoid potential sources of conflict or awkward situations. For instance, it is essential to know how to communicate with and about people with disabilities in the workplace. The Job Accommodation Network (JAN) has an in-depth resource on Disability Etiquette in the Workplace, which covers topics including best practices for recruiting, interviewing and interacting with employees with disabilities.

On the Job Hunt. The Internet has transformed the way people search for jobs. There are many resources available by simply going online to learn about career options, research accommodations and find other employment

related information. Office of Disability Employment Policy (ODEP) funds a variety of projects dedicated to helping people with disabilities find employment. Disability.gov’s Guide to Employment also offers a broad range of resources about finding a job. The Employer Assistance and Resource Network (EARN) helps employers recruit, hire, retain and advance qualified employees with disabilities.

Employment Help for Service Members and Veterans with Disabilities. Veterans and transitioning Service Members with disabilities face unique challenges when returning to the civilian workforce. There are several resources that can help ease this transition. The National Resource Directory is a good place to start to find employment. The U.S. Department of Defense (DOD) offers a variety of employment support programs for wounded, ill and injured Service Members.

Recruiting, Diversity and Inclusion. ODEP is committed to helping employers make their workforce more diverse and inclusive for people with disabilities. The Guide to Building an Inclusive Workforce makes the case for why people with disabilities are a critical component of the workforce and provides information on how to create an inclusive culture in your workplace. Find additional recruitment and retention resources from ODEP, including some specifically for federal employers.

Workplace Accessibility. Fully inclusive employment for people with disabilities means ensuring that the workplace is both physically accessible and technologically accessible. The Americans with Disabilities Act (ADA)

requires employers to provide reasonable accommodations for job applicants with disabilities during the application process and for employees with disabilities so they’re able to perform their jobs effectively.

Mentor Relationships. A good mentor can make a difference in your career. This type of relationship is especially important for youth with disabilities. The National Center for Mentoring Youth with Disabilities provides customized trainings to organizations interested in creating their own disability inclusion programs. Partners for Youth with Disabilities offers one-toone and group mentoring to motivate youth with disabilities, ages 6 to 24, to reach their personal, educational and career goals. The National Mentoring Partnership can help you start a mentoring program in your workplace.

Legal Responsibilities. Employers have certain key responsibilities under the law when it comes to recruiting, hiring and retaining employees with disabilities. First and foremost, employers must adhere to the ADA. Though there have been great strides in the fight for the disabled, there is still work to do. The disabled community should be included and not excluded. This is especially true when it comes to employment. Many disabled American’s around this country have made significant contributions to the workforce, and with awareness initiatives such as National Disability Employment Awareness Month, the number of our disabled Americans joining the workforce will continue to increase. For more information on employment and the disabled, please visit www.Disability.gov.

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November 2015 7

Texas High School Jamboree This Thanksgiving By d-mars.com News Provider

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his month d-mars.com is teaming up with the Nelson Brand Sports organization to sponsor the Thanksgiving High School Basketball Rivalry Week, which kicks off with the Texas High School Jamboree, hosted at Episcopal High School and St. Thomas High School on November 27-28, 2015.

The Texas High School Jamboree was created as a platform for student athletes who wouldn’t necessarily get the opportunity to be seen by college coaches. This gives them a chance to compete at a high level for college scholarships in front of the many college coaches that will be in attendance for a full two days. As President of Nelson Brand Sports, Rick Nelson’s mission is to provide a positive environment for academics and the game of basketball for young men and women. He recognized

early on the value of using basketball as a tool to further one’s education after having played point guard on scholarship for Texas College, winning two National College Championships and going on to receive his Bachelor’s and Master’s degree from Prairie View A&M University.

“In sports, the principle of working as a team is essential to achieving championship success,” says President and CEO of d-mars.com, Keith J. Davis, Sr. “With this partnership between d-mars.com, Exquisite Group and Hunt & Hunt, we are setting out to show the community that there are ways to achieve your goals in life, whether it is through entrepreneurship or athletics. Strong team players make some of the best leaders."

For more information or to get involved with Nelson Brand Sports, please email elite action@sbcglobal.net or visit www.txjambo ree.com.

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8 November 2015

Malocclusion and Oral Health How is malocclusion diagnosed?

By Dr. Ka-Ron Y. Wade Contributing Writer

What is malocclusion?

Malocclusion means having crooked teeth or a poor bite.

Orthodontic treatment can correct the way teeth and jaws line up.

Dentists who are specially trained to correct malocclusion are called orthodontists. They use a variety of treatment tools and techniques (including braces) to move teeth and sometimes the jaw into the right places.

What causes malocclusion?

If children have a small jaw, their teeth may grow into a space that is too small. Malocclusion (poor bite) is usually caused by problems in the shape or size of the jaw or teeth. A common cause of malocclusion is teeth that have too much or too little room in the jaw. If children have a small jaw, their teeth may grow into a space that is too small. Under these crowded conditions, teeth will push each other out of proper position. As a result, teeth may grow or drift out of place. Other causes include thumb-sucking, pacifier use and tooth loss.

What are the symptoms?

The most obvious sign of malocclusion is crooked, stuck out or protruding teeth. Physical symptoms of malocclusion are uncommon but can range from mild to severe. Most of the time, having crooked teeth is only a cosmetic problem, meaning people don't like the way their teeth look. But in severe cases, it can cause problems with eating or speaking.

Have your general or pediatric dentist evaluate whether a poor bite is causing: • Problems chewing food • Problems with biting the cheek or roof of the mouth • Slurring speech, trouble saying certain words or other speech problems • Pain in the facial muscles or jaw • Permanent teeth coming in (erupting) at the wrong position Adult malocclusion symptoms will typically remain the same or get worse over the years. Symptoms in a child who has mild malocclusion may improve over time. Through the teen years, the jaw grows dramatically.

This growth period may correct mild crowding of teeth or teeth shifting as a result of thumb-sucking.

A dentist usually checks for malocclusion in children during regular dental visits. Teeth that are naturally perfectly aligned are rare. A poor fit and alignment of the teeth (malocclusion) can range from mild to severe.

Mild malocclusion causes no medical or functional problems and little cosmetic concern, while severe malocclusion may cause difficulty with eating and speaking. Some people are embarrassed or self-conscious about crooked or protruding teeth.

Crowding is the most common type of malocclusion. In children, early crowding of permanent teeth can prevent new teeth from coming in properly or from erupting at all (impaction).

Some mild types of malocclusion may improve as a child's jaw grows and changes. But there are many conditions that don't improve without treatment. These usually involve the size or position of the jaw (such as an underbite or an unusually narrow lower jaw).

With or without orthodontic treatment, the teeth have a normal tendency to slowly drift towards the front of the jaw. This may lead to crowded lower front teeth (incisors).

A poor bite doesn't usually cause tooth decay, gum (periodontal) disease, or temporomandibular (TM) disorder. But teeth that are aligned properly are easier to keep clean.

If the jaw or teeth are out of line, the dentist may suggest a visit to an orthodontist. The American Association of Orthodontists recommends that all children get a checkup with an orthodontist by age 7.

3. Stumbling or falling accidents 4. Sucking on a baby bottle during sleep – sugars in juice, milk and formula can cause tooth decay

How is it treated?

of childhood tooth loss include: 1. Playing sports without a mouth guard 2. Using poor dental hygiene

In children and teens, the first step in treatment may be to take out certain teeth to make room for teeth that may still grow in.

The next step is to attach braces to teeth to straighten out the bite. In addition to straightening teeth, braces can help move a child's jaw into the right position.

Teeth tend to move forward as you age, even after treatment with braces.

Retainers are devices you wear in your mouth to keep your teeth from moving. Some people need to use retainers for many years after treatment.

Adults can successfully straighten their teeth with braces. But the only way to straighten an adult's jaw is with surgery.

Braces and other types of orthodontic treatment cost a lot. Most insurance plans don't pay for them. Before you start treatment, make sure you know how much it will cost and how you will pay for it.

For breakthrough dental technology, please call us at 832-304-2447, or visit us on the web at www.cos meticdentaltexas.com.

An orthodontist will: • Ask questions about your or your child's past health problems • Check the mouth and teeth • Take X-rays of the face and teeth • Take photographs of the face and teeth • Make a plaster model of the teeth Start your child's trips to the dentist when the child is 12 months. This will help your child get used to seeing a dentist. It will also catch any early problems. Keep up with regular dental checkups two times a year.

What Increases Your Risk?

Things that increase the risk of developing malocclusion include: • A family history of malocclusion • Jaw and tooth size are inherited traits that can cause too much or too little room for the teeth • Oral habits, such as thumb-sucking and possibly mouth breathing • Tooth loss due to trauma or tooth decay. After a tooth is knocked out or removed (extracted), the bordering teeth drift out of place. Major causes

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November 2015  9

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10 November 2015

Caring for Your Elderly Parents

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Your Health is Your Wealth must focus on bringing awareness to health disparities that disproportionately impact racial and ethnic minorities. We must stress the importance of prevention as a key strategy for achieving health equity.

According to Men’s Health Network (www.menshealthnetwork.org), “African-American males have the lowest

By J. Thomas Smith life expectancy in Washington, D.C.” Contributing Writer The numbers are likely comparably t is sad to note that thousands lower in other jurisdictions as well. of men lose their lives each year The network adds, “African-American to preventable health prob- males are twice as likely to die from lems, like diabetes, heart dis- prostate cancer as white males. Hisease, stroke, cancer and other panic males have almost three times smoking-related deaths. As we the rate of HIV/AIDS as white males encourage men to become better fa- and are 2.5 times more likely to die thers, I believe that we need to encour- from HIV/AIDS as white men. Hisage men, boys and their families to live panic males are six times more likely to healthier lives. Whether we focus on have never seen a primary healthcare simply engaging in regular exercise, eat- provider and eight times less likely to ing healthier or getting regular screen- have never seen a dentist than white ings and exams, we must be proactive. males.” These numbers can be reduced Many organizations and companies simply by increasing the number of sponsor health screenings, health fairs, persons obtaining screenings that inmedia appearances, health education clude cholesterol, glucose, blood presevents and outreach activities. It’s im- sure, body fat and grip strength assessportant to raise awareness throughout ments. the community and the country and to encourage prevention and dialogue Men’s Health Disparities about what one can do individually According to the United States Deto keep themselves and their families partment of Health and Human Serhealthy. vices Office of Minority Health (miInequity in health is pervasive in minorityhealth.hhs.gov), the health status nority communities. It is important to of racial and ethnic minority men has stress prevention in these communities. lagged far too long behind the general In order to achieve equity in health, we

I

population, despite our nation’s vast advances in science, public health and health care.

Some examples below are: • Heart disease is the leading killer across most racial and ethnic minority communities in the United States, accounting for 24 percent of all deaths in 2010.

• Hispanic men are 30 percent more likely to have a stroke.

• African-American men are 1.5 times more likely to be diagnosed with diabetes.

• American Indian and Alaska Native men are 1.8 times more likely to be diagnosed with diabetes.

• Asian American men are 1.2 times more likely to be diagnosed with diabetes.

• Boys of color are less likely to engage in the recommended amount of physical activity each day.

• African-American and Latino boys 6-11 years old are 1.3 times more likely to be obese than white boys of the same age group.

J Thomas Smith is an attorney (www. jthomassmithlaw.com), mental health consultant, author and host of “Sunday Morning Live” on KMJQ/Majic 102.1 (9-11 am). His book, The Secret to a New Life, is available through your favorite bookseller or online at www.TheSecrettoaNewLife.com.

Dr. Sterling L. Carter Contributing Writer

our mom and dad used to take care of you. Now suddenly, they are the ones who need help.

Ideally, we all want our parents to be able to make their own decisions and control their own living environments. However, sometimes the struggle for independence can compromise health and safety. When this happens, it is important to know how to address your parent's needs.

First, you must recognize that your elderly parent may stubbornly refuse any help you offer. They may even deny they have a problem. Do not take this personally. Instead, try to understand their feelings. Perhaps your parent worries that their independence is being threatened. It is common for an older person to resist any assistance that makes them feel they are losing privacy, dignity or independence.

The worst thing you can do when encouraging your parent to seek help or change their lifestyle is to make them feel powerless. Instead, keep the following suggestions in mind: • Allow them to remain in control as much as possible. Your mission should be keeping them healthy and safe, not micro-managing their life. Give options, not ultimatums.

• Change takes time. Help by making the smallest changes possible that still provide the desired benefit. Don't try to overhaul your parent's life all at once.

• Express your own feelings. By sharing your emotions and fears with your parent, you can approach necessary lifestyle changes as a team, not adversaries.

When possible, give your parents the tools that will help them maintain independence or even help each other. For instance, an occupational therapist may be able to help your parents maintain or regain the strength necessary to perform some daily tasks. If they can stay active, they'll be able function better, which will make you both happier.

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November 2015  11

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12 November 2015

5 Ways to Boost Your Health in Five Minutes or Less By d-mars.com News Provider

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ou know those days when your normal schedule gets thrown completely out the window? You’re tired, overrun and can barely think about the next thing on your todo list, let alone work on your larger goals or concentrate on your health.

“Luckily, major results can stem from small steps, even if they seem inconsequential. These tiny decisions throughout your day add up to create a gradual shift towards change and transformation when it comes to your health,” says Paul Kriegler, registered dietitian with Life Time – The Healthy Way of Life Company.

When you’re f lying at rapid speed throughout your day and could use a small win, Kriegler suggests trying a few of these five-minute health commitments: Whip up a sustainable energy boost. Think of food as fuel for your body. When you’re busy and on the run, don’t forget to pack healthy lunches and snacks to keep you nourished throughout the day.

• A protein and powdered greens shake is the perfect quick snack or lunch.

• Cut up veggies at the beginning

of the week to pack for lunch.

• Make a 3-ingredient salad. All you need is lettuce, a protein, and another veggie.

• Throw together stew or chili ingredients for a week of healthy dinners and lunches.

Do you have five minutes? Fit in a workout. Kriegler says a workout doesn’t have to (and shouldn’t!) disrupt your entire day. If you find yourself with five minutes to spare, get up and move.

• Work out your kinks with five minutes of stretching or foam rolling.

• See how many pushups you can do in five minutes.

• When you’re at work, run up and down the side stairs of your office. in two • Fit sprints up and down your street before dinner.

• Do three to six yoga poses to target a particular body part or objective. Find a yoga video that focuses on relaxation or strength.

• Head out to your backyard for five minutes of jumping

rope, playing tag with the kids or trying a YouTube exercise video that looks interesting.

Plan for the days and weeks ahead.

Achieving a goal always involves planning.

Find five minutes in your day to make sure you have a healthy plan in place.

• Plan a healthy menu for dinner tonight or start your healthy shopping list for the week.

• Pack your gym bag for tomorrow’s workout.

Take time for yourself. “When you’re constantly on the go, remembering to take time for yourself can be a challenge,” says Kriegler. “Whether you have to get up five minutes early or stay up five minutes late, fit in some time to connect with yourself.”

• Try a five minute meditation to relax your body.

• Walk outside for a few minutes of sun and fresh air. * Pour yourself a big glass of water to take your supplements with in the morning. *Call someone in your support network for encouragement.

This could be a weight loss coach, running or workout buddy, friend or spouse.

Although these may seem like minor tips, these small wins can help you on your journey toward a healthier way of life. – BPT

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16 November 2015

Tips for the Caregiver By d-mars.com News Provider

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hough there are paid caregivers, many have the unexpected task of being a caregiver to an elderly loved one or a loved one if something unexpected or unfortunate should occur. Being a caregiver takes patience, love and compassion. The role of being a caregiver is an important role, as you are the individual responsible for helping someone with daily activities. Caregiving can include providing financial assistance to providing round-the-clock care. It is true that caregiving comes in many forms, but many people who assist family members and friends who are ill, elderly or disabled may not even consider themselves a caregiver, but the task can be sometimes difficult.

It is no easy task to be a caregiver, and it is a selfless role, but one necessary for many individuals. The cost to pay a caregiver, if not covered by health insurance, can be overwhelming. If money is a factor, or if finances are not a factor, family steps in. In many cases, family being the

caregiver is preferred, as no one can care for your loved one better than a trusted family member. The statistics found in Caregiving in the U.S. 2015 (www.car egiving.org), the report has key findings regarding caregiving.

Caregiving in the U.S. 2015 provides the following below regarding caregiving: • An estimated 43.5 million adults in the United States have provided unpaid care to an adult or a child in the prior 12 months.

• The estimated prevalence of caring for an adult is 16.6%, or 39.8 million Americans.

• Approximately 34.2 million Americans have provided unpaid care to an adult age 50 or older in the prior 12 months.

• The majority of caregivers are female (60%), but 40 percent are male.

• Eight in 10 are taking care of one person (82%). They are 49 years of age, on average.

• A large majority of caregivers provide care for a relative (85%), with 49 percent caring for a parent or parent-in-law.

• One in 10 provides care for a spouse.

• Higher-hour caregivers are almost

four times as likely to be caring for a spouse/partner.

• Nearly 1 in 10 caregivers is 75 years of age or older (7%).

Help for New Caregivers It is easy to become overwhelmed as a new caregiver. The Centers for Disease Control offers five tips that can help new caregivers.

Five tips that can help are: • Learn about the person's medical condition or diagnosis. By learning more you will understand your loved one's disease or condition and can be better able to care for them now and plan for the future. Also, set aside some time to acquaint yourself with their doctors, therapists, prescription drugs, and insurance coverage.

• Talk about finances and healthcare wishes. Having these conversations can be difficult but can help you carry out your loved one's wishes and take care of their financial affairs should they no longer be able to do these things themselves.

• Invite family and close friends to come together and discuss the needed care. If possible, it's helpful to include the person needing care in this meeting. This meeting gives you a chance to explain what they need, plan for care, and ask others for help.

• Use community resources. Services such as Meals on Wheels, adult day programs, and respite care may help relieve your workload and increase your free time. Look for caregiver educational pro-

grams that will increase your knowledge and confidence.

• Take care of yourself. Don't forget your own mental and physical health by putting your loved one's needs first.

Nearly half of caregivers have reported that their health has gotten worse due to caregiving. Of those caregivers who say their health has declined, over half report that declining health has made it harder to support their loved one.

It takes a person of compassion and selflessness to be a caregiver. Many of us will be caregivers at some point in our lives as family members or spouses age. Caregiving can be a challenge, but it can also be a great feeling of purpose and satisfaction.

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18 November 2015

7 Unlikely Foods That Sabotage Fat Loss By d-mars.com News Provider

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he basic idea behind fat loss is simple: eat better, exercise more. However, hidden in this formula are numerous caveats and footnotes. No wonder there are so many books and television specials about the 100 different ways people are supposed to exercise and eat right.

According to Becca Hurt, MS, RD, and program manager of Life Time Weight Loss at Life Time – The Healthy Way of Life Company, “one of the most confusing parts of dieting is the fact that many of the foods people think will help them lose weight actually pack on the pounds.” Hurt notes there are enemies lurking in common foods that almost everyone eats or drinks. So, what’s to be done? To help identify some of the most common weight-loss enemies, Hurt has provided a list of seven culprits everyone will want to weed out of their diet.

Coffee shop drinks Never mind the french fries and potato chips, Hurt says that liquid calories are more often one of the biggest downfalls when it comes to losing weight. For many, it starts with their morning coffee. While 1-2 cups of coffee with only cream added is no harm, the danger is in the sugar loaded, caramel-chocolate dieting disasters many people believe to be perfectly healthy because they ordered the non-fat options. “Not only do these drinks lead to a sugar rollercoaster and energy crashes, they may be loaded with as many as 500-plus calories,” says Hurt.

Dr. John Hellerstedt Will Join DSHS as New Commissioner By d-mars.com News Provider

their body’s fat burning process. Hurt adds that people should get no more than 5 percent of their calories from sugar and just one energy drink will put someone well over this limit.

Sandwiches While many think ordering a sandwich is a diet-friendly alternative to a burger, consider this: one sandwich has as many carbohydrates as a Kit-Kat bar! “Carbs are not a sustainable source of energy,” says Hurt, “and are responsible for that sluggish, hungry feeling that leads many to skip workouts and snack more.” The solution: ditch the bread and add a salad!

Protein bars They might be marketed as the fat burning, muscle gaining snack, but don’t be fooled. Heavily processed protein bars are loaded with sugars and carbohydrates. To get the necessary protein, Hurt suggests looking to nuts or animal sources such as meats or yogurt instead. – BPT

AUSTIN – Texas Health and Human Services Executive Commissioner Chris Traylor announced today Dr. John Hellerstedt is returning to the HHS system Jan. 1, this time as commissioner of the Texas Department of State Health Services.

Hellerstedt, who last served the state as medical director for the Medicaid and Children’s Health Insurance Program Division, will leave his current position as chief medical officer at the Seton Family of Hospitals on Dec. 30.

“I am very excited about this next chapter in my life, and I’m eager to return to public service where I can help keep Texans healthy and safe,” Hellerstedt said. “I loved my time at Seton. I’m proud of everything we’ve accomplished, and I’m always going to be in awe of the dedicated staff who have made these great things possible.”

A graduate of the University of Pittsburgh medical school, Hellerstedt moved to Austin in 1981 after completing his residency at the University of Texas-San Antonio Health Science Center. He spent 18 years working as a pediatrician at the Austin Regional Clinic, where he also chaired the pediatric department.

Following his service with the state, Hellerstedt served as vice president of medical affairs for Dell Children’s Medical Center of Central Texas.

As the next DSHS commissioner, Hellerstedt will take over for Kirk Cole, who has been serving as interim commissioner since Dr. David Lakey left in January.

“Bringing Dr. Hellerstedt on board is great for the HHS system and for the health of Texans everywhere,” Commissioner Traylor said. “John’s work in private practice combined with his public service and his incredible work at Seton, gives him a unique depth of knowledge about Texan’s health needs that will serve the state well. Dr. Hellerstedt’s life-long dedication to public health makes him a perfect fit as the state’s health commissioner.”

Skim milk “Only recently, Americans started to realize fat isn’t always the bad guy,” explains Hurt. “There is no difference in fat loss between diets with no-fat and full-fat dairy consumption, according to recent studies.” In fact, Hurt notes that people often add sugar to enhance the taste of their skim milk, which quickly turns it into a decidedly unhealthy option.

Pasta Yes, even whole grain pasta is stripped of beneficial nutrients, bleached and loaded with preservatives to make it more shelf-stable. Pasta portions can also be confusing. “A pasta meal should begin with a big salad, and the high protein meatballs should be larger than the portion of pasta,” says Hurt. “Instead of spaghetti and meatballs, it should be meatballs with some spaghetti on the side.”

Reduced fat snacks For many, reduced fat, no fat and low fat labels on foods can be a green light to what they believe is guilt free snacking. The principle to remember here is not all calories are the same. “A 100-calorie pudding pack is not as healthy as 100-calories worth of almonds,” explains Hurt. “Food that is naturally healthy doesn’t have to have the “no-fat” label.” A handful of nuts, a few slices of fullfat cheese or some Greek yogurt are healthier options by far.

Energy drinks For those looking to shed some fat, drinking one of these sugar-loaded bad-boys means putting the brakes on

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20 November 2015

How to Conquer Holiday Food Cravings and Still Enjoy Seasonal Treats By d-mars.com News Provider

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weet treats at work. Extravagant family dinners. Buffets brimming with holiday indulgences. There’s plenty to savor this time of year, and it doesn’t have to lead to a bigger waistline.

Licensed naturopathic doctor Dr. Aimée Gould Shunney believes the holidays are a time to enjoy good food and time with family and friends.

With her expert insight, you can make smart eating decisions while avoiding the most notorious food traps of the holiday season.

Avoid: Eating holiday sweets to satisfy hunger Eat: Proteins followed by just a bit of dessert “Many of us don’t cook and we simply show up to the party hungry, craving something sweet,” says Shunney.

“My suggestion is to have some dessert … after you have proper sustenance.

Make sure you eat regularly throughout the day. Keeping your blood sugar stable will help you make good choices when you get to the party. Be sure to have plenty of high quality protein and fat, like fish, meat, beans, nuts and seeds, as well as fiber, so any sugar you do eat takes longer to metabolize.

And then, since you will be sated, you can have a small portion of your favorite dessert. It's a win-win.”

Avoid: Meat and fatty main dishes Eat: Flavorful and festive fish as a main course “Fish contains the essential longchain omega-3 fats EPA and DHA that are so helpful for a healthy stress response, for blood sugar balance, for mood, and for heart health. Who doesn’t need an extra dose of that at the holidays?” says Shunney. “The truth of the matter is most people rarely eat fish often enough — at least once a day — to get a therapeutic dose of EPA and DHA. Supplementing with two to four caps daily of Nordic Naturals Ultimate Omega or Algae Omega, is an excellent way to supplement fish in the diet and ensure the myriad health benefits associated with long chain omega-3s.”

Avoid: Overindulging on chocolate goodies Eat: Healthier alternatives that use raw cocoa powder “Sugar cravings are often a sign of low blood sugar,” Shunney says. “It’s your body screaming for quick energy. But remember, while something sweet may confer a quick energy burst, it will also drop you on your bottom sooner than you can say, ‘Oops! I did it again.’”

Shunney suggests eating protein or opting for a healthier chocolate alternative like Chocolate Avocado Mousse.

(Recipe by Chef Jenny Brewer at www. nourishingnutrition.com) Ingredients: • 3 dates, pitted and soaked in warm water for at least 10 minutes • 2 large ripe avocados • 1/2 cup raw cacao or cocoa powder • 1 Tablespoon vanilla extract

yourself to have small amounts of the things you love.”

Avoid: Baking with tons of sugar and refined flour Eat: Baked goods with smart sugar and grain substitutes “Recipes always call for way more sugar than needed, so do some research or experiment with cutting sugar in

half,” Shunney says. “You can also sweeten with fruit, fruit juice, dates or coconut sugar for added nutrition and to keep the sugar and calories down.

Substituting whole grains for refined grains is an excellent way to add fiber and vitamins, and adding whole nuts or using crushed nuts as crusts is a great way to add good quality fat to stabilize blood sugar.” – BPT

Directions: Pulse dates in a food processor until broken down, as close to a paste as you can get them. Add avocados, chocolate, and vanilla and puree until smooth, scraping the sides as needed.

Note: taste and add more cocoa and dates if desired. Serve with fresh berries and a few crushed nuts for crunch.

Avoid: Eggnog, holiday cocktails and other high calorie drinks Eat: Water or unsweetened juice mixed with mineral water Shunney suggests: “Water, water, water — not very festive, but it really is the best thing to drink for your mood and metabolism. Additionally, a bit of unsweetened juice with sparkling water is a perennial non-alcoholic favorite that feels a bit more special when toasting and doesn’t overload you with sugar and empty calories.”

Avoid: Eating everything at a holiday buffet Eat: Your favorites surrounded by veggies and protein “Take small amounts of your favorites, otherwise you’ll be miserable and overeat everything else,” says Shunney. “Then surround those with veggies and protein. Ideally, you should have about 1/4 of your plate be protein and 1/2 to 3/4 of your plate be veggies, and no more than 1/4 of your plate be starch. It’s more doable than you think — especially if you allow

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What Employers Look for in the 21st Century Nurse By d-mars.com News Provider

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ver the last decade, a number of changes have transformed the healthcare industry.

The Affordable Care Act has enabled more than 16.4 million Americans to receive healthcare coverage. Advancements in technology improve both diagnoses and treatment quality. Retail health offers a convenience used by more than 10 million patients at 1,800 retail health locations. Along with the current challenges facing the healthcare system, such as an aging population, increased patient volume and physician shortages, these changes prompt the expansion of the traditional role of a nurse.

Generally, Americans believe nurses’ roles are expanding as they share increased responsibilities to support the delivery of high quality healthcare, according to a poll commissioned by University of Phoenix College of Health Professions. The survey also found that adults in the United States view their experience with nurses as overwhelmingly positive. In fact, 95 percent found nurses to be a valuable addition to the healthcare system as a whole, and 87 percent view nurses as trusted sources of health information.

“As nurses take on greater responsibil-

ity, and as the needs of healthcare organizations continue to grow more complex, the skills and training requirements of nurses must be prepared to match this growth,” says Betty Nelson, Ph.D., RN, and academic dean for University of Phoenix School of Nursing. “This is especially important given that the United States is currently facing a shortage of as many as 90,000 physicians by 2025..

Nurses with advanced education can

help fill this shortage, particularly in areas where consumers do not have access to care.”

Because of this, employers are looking for nurses with a variety of skills and certifications including: • Additional degrees or seeking an advanced degree • In-demand skills such as bilingualism, leadership and critical thinking • Flexibility and professionalism

• The desire to grow into advanced practitioners such as nurse practitioners and physician assistants • Specialized training for working with various populations • An openness to diverse opportunities in a number of different facilities In order to keep up with the changes in the healthcare system, at least 80 percent of the nation’s nursing workforce will need a bachelor’s degree by 2020 and the number of nurses with doctoral degrees will need to be double, according to the Institute of Medicine. Nursing education institutions play a critical role in meeting the needs of today’s healthcare system. Nurses need a place to obtain these degrees and further their skills within the healthcare industry. Institutions recognize the expanding role of the 21st century nurse and are offering a wide range of curriculum and degree programs that address recent changes in the delivery of primary care.

Graduates need to be equipped with the skills they need to succeed in today’s health care market.

It’s now more important than ever that nurses have the training and skills to match the demands of the growing profession. Along with the nursing community, institutions that offer nursing degree programs must work together to enhance and better prepare the nursing workforce. – BPT

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