Body & Mind

DID YOU KNOW? According to the World Health Organization, breast cancer survival rates vary greatly worldwide. While survival rates range from 80 percent or better in North America and countries such as Sweden and Japan, those fi gures drop to roughly 60 percent in middle-income countries. Lowincome countries fare the worst, with survival rates below 40 percent. The WHO attributes the low survival rates in low-income countries to inadequate diagnosis and treatment facilities and the lack of early detection programs. Early detection is often essential when battling breast cancer, as late-stage survival rates are low regardless of where a person lives. For example, the American Cancer Society notes that, in the United States, the fi ve-year relative survival rate for breast cancers detected in their earliest stages (often referred to as “stage 0” or “stage I”) is 100 percent. The fi ve-year relative survival rate in the United States is considerably lower for stage IV breast cancers, at right around 22 percent.

TO YOUR GOOD HEALTH

By Keith Roach, M.D. Paraplegic Battles UTIs

--DEAR DR. ROACH: I am a paraplegic due to a spinal cord injury back in 1979. I battle one UTI after another, and I am becoming immune to most antibiotics. Why the constant infections? My urologist just ordered a CT scan, but seems uninterested in me as a patient. I am sick of being sick. I straight catheterize four times a day usually. It’s getting very hard for them to match the antibiotic to the culture. At times the infections are so bad I get “foggy headed.” These times I am in misery. The last time I went to the ER hoping it wasn’t sepsis. They gave me antibiotics. I can’t keep running to the ER. My copays are too much. Maybe I need a doctor who specializes in working with people who have a spinal cord injury. -- Anon. ANSWER: Regular drainage of the bladder with a “straight catheter” is the most effective way to reduce the risk of urine infections in a person with a spinal cord injury, but it is not perfect. People may still get bacteria in the bladder. Although it may be worthwhile to review your catheterization technique with an expert, it’s possible to get infections even with perfect technique. You haven’t become immune to antibiotics, but the frequent use of powerful antibiotics will make you colonized with resistant bacteria, so that if you do get an infection, it’s likely to be with a diffi cult-totreat organism. The CT scan is a good idea to see whether there is an anatomic reason for recurrent (or persistent) infections. I am disappointed to hear your urologist does not seem to be doing his or her best for you. Recurrent infections are dangerous. Becoming foggy headed is a sign of serious systemic infection, and sepsis (a dysfunctional body response to infection) is life-threatening. Some people take antibiotics to prevent infection. Often, these are rotated to reduce resistance. A urologist experienced in spinal cord injury, perhaps in consultation with an infectious disease doctor, would be ideal.

*** Dr. Roach regrets that he is unable to answer individual questions, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu. © 2021 North America Synd., Inc. All Rights Reserved

We Care About Your Smiles

by Dr. Steve Sokolovskiy

GOOD FOR YOUR TEETH, BAD FOR YOUR BREATH

The Keto diet can be great for oral health because it is low in sugar and simple carbohydrates (which become sugar when they are digested). Everyone knows that sugar is not good for teeth since it can cause cavities and loss of enamel. It also leads to more bacteria developing on the teeth and gums. Unfortunately, the Keto diet can also result in a problem called ‘keto breath,’ which is bad breath caused by the new abundance of ketones being produced by the liver. Luckily, this is only temporary, and as the body adjusts and acclimates to this new wealth of ketones, the ‘dragon breath’ should begin to subside. This usually happens within a month of starting the keto diet. If you are bothered by this condition, don’t be shy about discussing bad breath with your dentist. Professional care is always the best course to pursue when unusual symptoms occur. We’re here at BATAVIA FAMILY DENTAL to offer our patients comprehensive, gentle, family dentistry, including dietary advice, routine maintenance care, restorative work, and cosmetic approaches to enhance any smile. All our staff members are exceptional in their care of every patient who comes through our doors. Please call us for an appointment (585.343.4246) at 6 Batavia City Centre.

P.S. Those experiencing ‘keto breath’ from a new diet can fi ght it by drinking lots of water and brushing after every meal to prevent bacteria from building up. www.bataviafamilydental.com

Youth sports injuries are common but preventable. Warming up, being in good physical shape and not overtaxing a growing body can help kids avoid pain and impairment.

DO YOU HAVE CHRONIC HEEL PAIN?

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Dr. Joseph Canzoneri Dr. Evan LaTourrette

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ORLEANS COMMUNITY HEALTH

NEW PATIENTS WELCOME • MOST INSURANCES ACCEPTED Specializing in the treatment of Diabetic foot problems • Heel pain Bunions/Hammertoes • Ingrown Toenails • Calluses • Foot Injuries/Fractures Warts • Children’s Foot Disorders • Surgitron available for soft tissue conditions.

DON’T LET SUNBURN DERAIL SUMMER FUN

Apply - and reapply - sunscreen. Look for products that offer an SPF of 15 or greater. The American Academy of Dermatology actually recommends an SPF of 30 or greater. Make sure the product is broad-spectrum, meaning it protects against UVA and UVB rays. Apply sunscreen thoroughly, paying attention to the tops of feet, hands and other places that tend to go untreated. Reapply every two hours or more frequently, if necessary. By Lucie Winborne * It’s illegal to kill Bigfoot in British Columbia. That is, if you ever actually run across him. * The earliest toothpaste was made in ancient Egypt from crushed pepper, rock salt and dried fl owers. No, it wasn’t particularly effective. * Speaking of toothpaste, that blob on your toothbrush is called a nurdle. * Chimpanzees can identify each other from pictures of their butts.

Celebrating 20 Years

Serving Our Community!

Discover the Human Touch in Hearing Technology

Accepting New Patients. Sue DeBruyne, Au.D. Doctor of Audiology Lakeville

3513 Thomas Dr., Suite 2 Henrietta

20 Finn Road, Suite C 585.286.3664

SouthsideHearingCenter.com

AMANA

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White ARG6603SFW Black ARG6603SFB

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125 Main St. • Geneseo • (585) 243-2711

OPEN M-F UNTIL 5:30PM • SAT. TIL 5:00PM www.conradsgeneseo.com

We’ve Moved! Buying Gold & Silver

Old Coins & Scrap

We also buy platinum, coin collections, estates, rare coins, etc.

Hours: Mon, Tues, Thurs 10am-2pm John G. Cooper COIN DEALER

450 N. Main St., Suite #100 Warsaw, NY 14569 585-786-0061

WAYS TO SUPPORT LOCAL BUSINESSES