Medical Directory - June 2021 by Hearst Midwest

to your health...

DIRECtoRY June 26, 2021

SUPPLEMENT TO:

www.michigansthumb.com

JUNE 26, 2021

HURON MEDICAL DIRECTORY

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How to catch cancer early Stephen Mancuso, D.D.S., P.L.L.C. One Visit Ceramic Crowns Root Canal Treatments Extractions • White fillings Children’s Care

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Cancer is most treatable and beatable during its earliest stages. But how does a person detect cancer early, when he or she may not even realize cancer is present? There are a few steps to take. Screening tests Scheduling screening tests for common cancers, even if there are no symptoms present, is an effective way to detect cancer in its early stages. The American Cancer Society recommends the following tests. • Breast cancer: Women between the ages of 40 and 44 can begin to schedule annual breast cancer screenings if they so choose. The ACS recommends women between the ages of 45 and 54 schedule annual screenings, after which mammograms can occur every two years. • Colorectal cancer: Regular screenings for colorectal cancers can begin at age 45 with stool-based or visual exams that look for signs of cancer. • Cervical cancer: This cancer screening should begin at age 25 and continue until women are 65. Pap tests and human papillomavirus tests are recommended at various intervals, typically between three and five years for healthy women. • Skin cancer: All people regardless of age are advised to check their skin regularly for any changes that may indicate the presence of skin cancer. Screenings for prostate cancer, lung cancer, endometrial cancer, and some others may be important for those with a family history of these cancers or those who are at higher risk due to various behaviors. People are urged to speak with their physicians about

cancer screenings and any additional steps they can take to lower their risk for cancer. Looking for microvesticles To detect cancers earlier, doctors may employ blood tests that examine the presence of microvesticles in the blood. Harvard Medical School says cells shed microvesticles, but the amount shed by tumors is substantial. However, finding these very small particles requires a powerful device and complicated lab process. Newer innovations at the Center for Systems Biology at Massachusetts General Hospital have led to the development of a handheld device that uses a nanotechnology sensor to detect tumor microvesticles in a drop of blood in roughly two hours. This technology has the potential to diagnose cancer much earlier, according to Dr. Ralph Weissleder, director of the center and developer of the technology. Feeling “off”

Individuals are their best advocates for early cancer detection. Any symptom that is out of the ordinary and persists should be treated as a red flag. Lumps, pains, the presence of blood in stool or urine, persistent coughs, fatigue, abnormal vaginal discharge, sores that do not heal, and a loss of appetite all could be early signs of cancer. People are urged to schedule appointments with their primary care doctors to discuss any abnormalities. As cancer spreads, it can affect the effectiveness of treatment. This also may affect chances of survival. The earlier one detects cancer, the greater his or her chances of surviving the disease.

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JUNE 26, 2021

Common terminology

surrounding cancer Cancer affects tens of millions of people across the globe every year. Data from the International Agency for Research on Cancer indicates that roughly 19 million new cases of cancer were diagnosed in 2020. Though people confronting cancer recurrence might be familiar with various terms, the 19 million people with no such personal history who are diagnosed each year may find discussions with their cancer care teams a little confusing. A lack of familiarity with cancer terminology may be at the root of such confusion. The following are some terms, courtesy of the American Society of Clinical Oncology, that are often used by cancer care teams during discussions with their patients. • Acute: Acute is not specific to cancer, as it is often used to describe symptoms patients with various illnesses may experience. ASCO® notes that acute refers to symptoms that start and worsen quickly but do not last over a long

period of time. • Biopsy: A biopsy is a test during which a small amount of tissue is removed for examination under a microscope. ASCO® notes that a biopsy is the only test that can make a definitive diagnosis of cancer. • Cancer: Cancer is an umbrella term used to describe more than 100 different diseases, all of which are characterized by abnormal cell growth and the ability to invade nearby tissues. • Chemotherapy: Chemotherapy is a cancer treatment that involves the use of drugs to kill cancer cells. • Clinical trial: Clinical trials are studies that test new treatments and/or prevention methods to determine if they are safe, effective and potentially better than current standards of care. Some cancer patients may be eligible to take part in clinical trials, and they can discuss the pros and cons of doing so with their cancer care teams. • Complementary medicine:

This refers to a diverse group of treatments, techniques and products that are used in addition to standard cancer treatments. Patients can discuss the various types of complementary therapies available to them with their cancer care teams. • Hormone therapy: This treatment removes, blocks or adds hormones to destroy or slow the growth of cancer cells. It is sometimes referred to as hormonal therapy or endocrine therapy. • Imaging test: An imaging test creates pictures of internal body parts, tissues or organs. These tests may be ordered to make a diagnosis, develop a course of treatment or to determine if treatment is working. • Immunotherapy: Immunotherapy is a type of treatment that aims to improve the body’s natural defenses to fight the cancer. Sometimes called biologic therapy, immunotherapy employs materials made by the body or in a lab to improve,

target or restore immune system function. • In situ: Cancer is described as “in situ” when it has not spread to nearby tissue. This is also called non-invasive cancer. • Invasive cancer: This is used to describe cancer that has spread outside the layer of tissue in which it started. Invasive cancer has the potential to grow into other tissues or parts of the body. • Late effects: Late effects refers to side effects that occur months or years after a cancer diagnosis. These may develop due to related treatments, such as chemotherapy, radiation therapy or surgery. • Metastasis: The spread of cancer from the place where it began to other parts of the body. • Mortality rate: The number of deaths in a particular population during a specific time. • Palliative care: This refers to any form of treatment that concentrates on reducing a patient’s symptoms or treatment of side effects. Palliative care aims

to improve patients’ quality of life and support patients and their families. • Polyp: A growth of normal tissue that usually sticks out from the lining of an organ. • Precancerous: This refers to cells that have the potential to become cancerous. • Relative survival: The amount of time after treatment that a person with cancer lives, excluding all other causes of death but cancer. • Remission: The disappearance of the signs and symptoms of cancer but not necessarily the entire disease. Remission may be temporary or permanent. • Staging: A way of describing cancer, such as where it is located, whether or where it has spread and whether it is affecting the functions of other organs in the body. • Tumor: A mass formed when normal cells begin to change and grow uncontrollably.

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Eating less and moving more are the hallmarks of many fitness regimens, especially those designed for people who want to lose weight. Maintaining a healthy weight can help reduce risk factors for many illnesses, making weight loss a worthy goal for those who can afford to shed a few pounds. While people have good intentions when designing their exercise regimens, over time hitting the treadmill or doing a weight circuit can lose its appeal. When exercise routines become stale, people may be put off from doing something that is essential to their overall health. Routinely switching things up can keep workouts fresh and exciting. Try a trendy workout Experiment with a new fitness trend to see if you like it. Start by talking with a personal trainer or group exercise captain at your fitness center. Chances are they’ve already implemented novel workouts for their clients and they can walk you through some of the offerings. So whether it’s barre classes that make you feel like a prima ballerina or renegade rowing to emulate a crew team, new exercises can help to banish boredom. Cut down on workout time It’s easy to lose interest in a

lengthy workout. High-intensity workouts can streamline exercise to 30 minutes or less and produce the same results as longer, less intense regimens. High intensity interval training, or HIIT, is a popular regimen that pairs bursts of maximum-output moves with short recoveries to streamline efforts. Bring a friend along A buddy to exercise alongside can make a regimen fun even if you’ve done the same things over and over. Plus, a healthy dose of lighthearted competition may motivate you to keep going. Change small components Apart from preventing boredom, changes to a routine also benefit your body. If exercise regimens are never altered, and you keep doing the same number of reps and sets, your body can adapt to these workouts and make it difficult to break plateaus. Lack of variation also may decrease focus, which can make it hard to achieve your fitness goals. A consultation with a personal trainer can help you adapt your routine or find an entirely new one. Altering a workout regimen from time to time can help people overcome stale routines.

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Staying safe in the

great outdoors

Vaccinations are helping many people across the globe return to something resembling normalcy after more than a year of living in unusual circumstances. Sports venues are welcoming fans back in limited capacities, and many schools that had offered strictly virtual learning began to welcome students back for in person learning by the end of the school year. Though the world seems to be on the cusp of getting back to normal life, public health officials with the Centers for Disease Control and Prevention and the World Health Organization continue to emphasize the importance of staying vigilant to stop the spread of COVID-19. Officials with the CDC have urged political leaders to keep social distancing and mask mandates in place even as the number of vaccinated Americans exceeded 100 million. This summer people may be more comfortable getting out of the house to enjoy the great outdoors than they were a year ago, especially if they’re fully vaccinated. Those who want to follow the advice of public health officials can consider these strategies to keep themselves and others safe as they spend time in nature. • Visit beaches during off-peak hours. Crowded beaches were a significant cause for concern in the summer of 2020. Many beachgoers did not wear masks and it proved difficult to practice social distancing on crowded beaches. This summer it may be most safe to visit beaches during off-peak hours, such as during the late afternoon. Beaches tend to be less crowded as the sun starts to set and dinnertime approaches, so people who want to stay safe but still hear waves crashing on the shore can visit the

beach later in the day, even brining dinner so they can enjoy a beach picnic. • Wear masks when hiking. Hiking is a great way to enjoy all that nature has to offer. Hiking trails likely won’t be as crowded as sunny beaches, but it’s hard to stay six feet apart on narrow trails, especially when encountering hikers going in the opposite direction. Wear masks throughout your hike and afford fellow hikers as much room as possible on the trails. • Consider private experiences. Whale watching adventures and group fishing excursions are popular among vacationers and others who want to have a fun day on the water. Unfortunately, crowded boats can make it easy for the virus to spread, especially if mask mandates have been lifted. Before booking a day on a boat, inquire about the company’s safety protocols, including whether or not they’re limiting capacity and insisting all guests wear masks. If not, consider a private boat just for your family or the people within your bubble. • Bring everything along. Bringing meals, water and snacks along on your trip into the great outdoors can minimize your exposure to others. That reduces the likelihood that you will catch the virus or potentially spread it to others. Bringing your own food and water along also ensures you won’t go hungry or thirsty while on the trails or relaxing on the beach. People may feel more safe about enjoying the great outdoors this summer than they did a year ago. But safety measures like mask wearing, social distancing and avoiding crowds should remain a priority in the months ahead.

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HURON MEDICAL DIRECTORY

JUNE 26, 2021

Health problems

men may face in middle age

The human body requires constant upkeep in order for people to maintain their health over the long haul. An encouraging annual physical should inspire people to keep up the good work, while one that uncovers certain issues should spark changes designed to promote optimal health for years to come. Men who work hard to keep themselves healthy should know that their hard work may not prevent certain issues. That’s especially so for men in middle age, as men’s risk for various conditions increases with age. High blood pressure/ hypertension Blood vessels naturally become less flexible as the body ages. WebMD notes that this decreased flexibility puts pressure on the system responsible for carrying blood throughout the body. That’s one reason

why high blood pressure, also known as hypertension, is more common among aging adults. In fact, Johns Hopkins Medicine notes that even people who do not have hypertension by age 55 to 65 still have a 90 percent chance of developing it at some point. The Mayo Clinic reports that, until age 64, hypertension is more common in men, so middle-aged men should take steps to reduce their risk even if retirement is still a long way off. Johns Hopkins Medicine notes that shedding excess weight, reducing alcohol consumption, becoming more physically active, and reducing stress are just some of the ways adults can reduce their risk for hypertension.

heart disease. Researchers at the CDC’s National Center for Health Statistics found that, between 2011 and 2017, the rate of deaths from heart disease for adults between the ages of 45 and 64 increased by 4 percent. The American Heart Association notes that a significant percentage of heart disease cases are linked to obesity, so men in middle age can make a concerted effort to lose weight if they’re already overweight or obese. Middle-aged men who are currently maintaining healthy weights can continue to do what they’re doing while also recognizing that they may need to alter their diets and exercise regimens in the years ahead.

Heart disease

Prostate problems

A recent report from the Centers for Disease Control and Prevention found that a growing number of middleaged Americans are dying from

WebMD notes that the prostate begins to enlarge as men age. In fact, that process slowly begins around age 25. Enlargement of the prostate

is known as benign prostatic hyperplasia, or BPH, and it’s entirely normal. However, around age 50, BPH can begin to produce some uncomfortable side effects. More frequent trips to the bathroom and difficulty with urination may begin around this time, and that’s a result of the prostate growing larger. Various organizations recommend men, beginning around age 40, start speaking to their physicians about their family history in regard to the prostate. Lifestyle changes like cutting back on caffeine and alcohol consumption may help reduce the side effects of an enlarging prostate by decreasing the number of times men must visit the toilet each day. Men may have to confront various health issues in middle age. Many of these issues can be overcome or made less severe by implementing some simple strategies.

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Momentum can be a valuable asset as people pursue their fitness goals. Once a fitness routine picks up steam and begins to produce results, the resulting momentum can make it easier for individuals to fully commit to exercise and ultimately achieve, if not exceed, their initial goals. A successful fitness regimen includes various components, not the least of which is sufficient rest. As individuals gain momentum and inch closer to their fitness goals, it can be tempting to skip off days. But rest is vital, allowing the body to recover and thus reducing athletes’ risk for various injuries, including overuse injuries.

illustrate proper techniques when using strength training equipment or lifting free weights. Such instruction can greatly reduce athletes’ risk for overuse injuries. Can other factors contribute to overuse injuries?

Athletes should know that overuse injuries are not always a result of errors with their training or technique. A 2014 study published in the British Journal of Sports Medicine noted that certain intrinsic and extrinsic risk factors can increase athletes’ risk for overuse injuries. Intrinsic risk factors for overuse injury include misalignment issues, What is an overuse injury? leg length discrepancy, muscle All physical activities carry a certain imbalance, muscle weakness, and measure of risk. Athletes and fitness body composition. Adults and parents enthusiasts suffer injuries each day of young athletes should discuss that have nothing to do with overuse. fitness regimens with their physicians Such injuries often aren’t preventable, or children’s pediatricians prior to but overuse injuries are. According to beginning a routine. Such a discussion the Mayo Clinic, overuse injuries are may uncover intrinsic risk factors caused by repetitive trauma. These athletes are unaware they have. injuries affect muscles or joints, and Extrinsic risk factors for overuse may be caused by training errors or injuries include surfaces; equipment, mistakes with technique. Training including shoes; environmental errors include exercising for too long conditions; and nutrition. Athletes can or doing too much of a certain activity. act as their own watchdogs to prevent The resulting strain caused by overuse overuse injuries caused by extrinsic leads to injury. One common example factors, examining equipment and of a technique error that can cause playing surfaces to ensure they’re an overuse injury is improper form functional and safe, and eating a wellwhen performing strength training balanced, nutritious diet. exercises. That’s one reason why it’s Overuse injuries are almost always vital for anyone beginning a new preventable. Though it can be hard to fitness regimen to consult with a coach take a break from an exercise routine or personal trainer prior to starting. that’s producing results, rest is integral Coaches and personal trainers can to a successful fitness regimen.

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9 signs your young child is having

vision problems

JUNE 26, 2021

Serving You and Your Community Since 1960 Ubly Medical Clinic

Cass City Family Practice

6190 Hospital Dr. Suite 106 Cass City 989.872.5010

Eric Schoemaker, MD

2254 Main St. Ubly

6190 Hospital Dr., Suite 105, Cass City

989.872.8503

children may exhibit when they’re experiencing vision disorders. • Squinting, which can be a sign of compensating for poor vision. • Sitting too close to the television or holding a tablet screen close to the face. • Covering or shutting one eye. • Rubbing eyes due to visual fatigue and not general fatigue. • Pulling toys or other objects closer. • Head tilting, which could be a signal that vision may be better in one eye than the other. • Inability to make steady eye contact or track an object in an infant older than three months of age. • Crossed or misaligned eyes after age four months. • Children who are easily distracted in learning situations or have difficulty paying attention may be losing interest due to trouble with their vision. A proactive approach to eye health by parents when children are young can help correct problems early on and ensure children can see and function successfully through the years. Early treatment can lead to major, long-term improvements in vision.

Angela Weber

Family Nurse Practitioner

Hills & Dales Orthopedic Clinic

Thumb Pediatrics

As many a parent can attest, decoding a youngster’s needs can be challenging when that child is not yet able to fully communicate. Diagnosing health issues may require a little trial and error. So it’s no wonder many parents are not aware if their children are having issues with vision. Routine wellness exams by your child’s physician can help to determine if a child is having problems with his or her vision. Doctors may detect subtleties that parents may not see, including signs that suggest kids are having trouble with their vision. The American Optometric Association recommends vision exams at age six months, three years and before entering first grade, as well as every two years thereafter until age 18. Initial vision assessments typically take place in a pediatrician’s office. Parents can speak with their children’s pediatrician and ask if he or she can look for signs of vision trouble in their sons or daughters. Some pediatricians may recommend children visit an optometrist or ophthalmologist. In addition to speaking with their children’s pediatricians, parents can keep an eye out for the following warning signs

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Simple ways to maintain memory as you age

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Adults confront various age-related side effects as they transition from middle age to their golden years. Skin may begin to wrinkle and hair may turn gray, but those are just the visible side effects of aging. Many additional effects are unseen, but those changes can have a profound effect on adults’ quality of life. According to the Mayo Clinic, various parts of the body are affected by aging. For example, the cardiovascular system changes as people grow older. Blood vessels and arteries stiffen as adults age, forcing the heart to work harder to pump blood through them. Though many changes are linked to aging, other changes commonly associated with aging, such as a decline in memory, reasoning and other thinking skills, are not natural. The Alzheimer’s Association® notes that dementia is not a normal part of aging. There are many different types of dementia, including Alzheimer’s disease, and these are the result of damage to brain cells that affect a person’s ability to communicate. That damage is not inevitable, even if it’s commonly associated with aging. The Harvard Medical School notes that fleeting memory problems experienced with aging often reflect normal changes in the structure and function of the brain. But it’s important that those changes not be mistaken for dementia, and it’s equally important that adults recognize there are many ways they can protect and sharpen their minds as they age. • Continue learning. HMS notes that a higher level of education is

associated with improved mental functioning in old age. The reasons for that are unknown, but experts theorize that advanced education compels people to remain mentally active, which in turn helps them maintain a strong memory. Even aging men and women who are still working in challenging fields can benefit from pursuing a new hobby or learning a new skill. • Use the tools at your disposal. It may seem counterintuitive to suggest that organizational tools like planners, maps and lists can help people maintain their memories. However, HMS notes that expending mental energy on finding car keys or trying to remember what to buy at the store makes it harder to learn new and important things. • Let all your senses play a role. HMS reports that the more senses a person uses to learn something, the more his or her brain is involved in retaining a memory. HMS cites one study in which adults were shown a series of emotionally neutral images that were each presented along with a smell. Participants were not asked to recall what they saw, but were later shown a set of images and asked to indicate which they had previously seen. The participants had excellent recall for the odor-paired images, and researchers believe that’s because additional parts of the brain were activated when participants were asked to use more than one sense. Memory loss is not an inevitable side effect of aging, especially for adults who take steps to maintain their memories as they age.

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Keeping employees safe

JUNE 26, 2021

Our Family Serving Your Family Since 1933

in the workplace

The COVID-19 pandemic has taught the world many things, including the need to prioritize public health. Protecting those you rely on ensures they’ll be there when you need assistance. Business owners must prioritize the health and safety of their employees. Data from the U.S. Bureau of Labor Statistics indicates that 5,333 fatal work injuries occurred in 2019, which marked a 2 percent increase over 2018. The most common causes of workplace injuries include overexertion and bodily reaction, falls, slips, and trips. When implementing safety precautions comes with a high price tag or is met with resistance by workers, it is up to business owners to dig deep and put protection over profit. Various strategies can help business owners as they navigate a post-pandemic landscape that may require a new approach to employee safety. • Recognize the threat of potential safety issues. Accidents will happen regardless of how much business owners try to prevent them. But prevention efforts still greatly reduce the risk of accident and injury. Make a list of more common dangers (falls or injuries from equipment) and less common ones (fires or criminal perpetrators). Once the list is compiled, develop a plan to reduce the risk of accidents on both lists. • Perform risk assessments. Conduct a risk assessment on your own or hire a third party to review the business and make recommendations. Note potential hazards and what must be done to remedy them promptly. • Create a custom health and safety

policy. Make a safety plan a key part of the employee handbook. Employees should be well versed in existing and newly adopted safety protocols and what’s expected of them in case of emergency. • Be mindful of requirements. The Occupational Safety and Health Administration’s OSH Act includes statutory requirements. Some of these include providing OSHA training, keeping records of work-related illnesses and accidents and providing personal protective equipment. Properly maintaining tools and equipment is another requirement. • Utilize safety equipment and label hazards. Anti-slip mats on floors, properly locked cabinets for combustibles and other chemicals, warning signs and labeling in hazardous zones, and guards or kill switches on heavy machinery can greatly reduce the risk of employee injury. • Provide safety training. Employees won’t know how to do their jobs safely without training. Routinely assess employees to ensure compliance and install a reward system to commend those who make safety a priority. • Perform safety drills. Ensure employees know how to react quickly in emergency situations by routinely going over protocols, including emergency evacuation drills. Consult with law enforcement professionals if guidance is needed. Safety should be a goal for any business owner. Providing resources, maintaining equipment, conducting safety assessments, and educating employees can make a real difference in reducing injuries.

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