Health Beauty Priceless
MARIJUANA AND YOUR HEART THE SKINNY ON KETO DIET DIARY OF A DIETER BEST FITNESS TIPS THE POWER OF MEDITATION
Pass me on for a greener Bermuda
Summer 2019
Now you can see a cardiologist from NewYork-Presbyterian
without leaving
bermuda. To make an appointment, call your local CORE Heart Health Center at 441-232-7812
nyp.org/globalservices/collaborations
I N A F F I L I AT I O N W I T H
CONTENTS
3 Cancer care 5 Eye disease 7 Skin toning 9 Save money on meds 11 Cancer treatment 12 A healthy heart 13 Take your medicine 14 Changing your health 15 Naturopathic medicine
16 Oral hygiene 17 Home after stroke 17 Beauty over the counter 18 Marijuana and your heart 20 The Keto diet 26 Diary of a dieter 28 Meditating 30 2QH ƶWQHVV WLS 32 The biggest gym
Publisher Ian Coles Director of Marketing Lissa Fisher Art Director Tim Parker Editorial Contributions Jeremy Deacon, Don Burgess, Peter Backeberg Editorial, Advertising & Distribution: PO Box HM 2032, Hamilton HM HX, Bermuda. Tel: (441) 292-7279 Email: hello@bm.bm Website: http://www.bermudamedia.bm Health & Beauty 2019 is published biannually by Bermuda Media. © 2019 Bermuda Media. All rights reserved. No part of this publication may be reprinted or reproduced without the written permission of the publisher.
33 Get toned 33 Energise yourself 34 Beauty tips 36 Good looks at any age 37 Hairstyling tips 38 For seniors 39 Eye exams 40 Medical Professionals Associated media include Bermuda Business Visitor Your Future New Resident Guide Building Bermuda Going Green <RXU 2ƸFH Bermuda Real Estate Handbook Bermuda Channel House Garden Kitchen & Bath
A wellness programme tailored for you If your health insurance is with BF&M, you have access to LiveWell, our free online wellness platform. LiveWell offers a wellness programme that can be tailored to your needs and interests. Our easy-to-use online wellness platform includes: • An individualised Wellbeing Activity Hub • Fun and engaging wellness challenges • A personal Wellness Assessment • Healthy Habits programmes • Access to healthy lifestyle and chronic disease management programmes and events • Access to BF&M’s LiveWell Rewards Programme… and much more! Visit www.bfm.bm and click on LiveWell, or contact us at livewell@bfm.bm.
The BF&M difference? Insurance the way it should be. For more information visit www.bfm.bm or call +1 441 295 5566
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Health & Beauty Summer 2019
CANCER CARE
Improving the quality of life for cancer patients
PALS nurses; L-R Reanna Stovell, Rosa Ward, Waynette Wilson, Kathy Fox, Merlyn Burgess
T
hirty-nine years ago, cancer was a word hardly spoken aloud in the community. Patients were isolated for fear of contamination, and families were even afraid to use the same utensils. PALS began with a group of volunteer nurses to assist in getting patients home from the hospital with cancer. These patients needed a â&#x20AC;&#x153;pal,â&#x20AC;? someone to sit with them, read to them, or perhaps feed them. Robert Stigwood, a well-known music HQWUHSUHQHXU ĆśOP SURGXFHU DQG D %HUPXGD
Health & Beauty Summer 2019
resident, provided funding for two years for a part-time nurse. Today, Bermudaâ&#x20AC;&#x2122;s only home cancer FDUH FKDULW\ KDV JURZQ WR LQFOXGH ĆśYH full-time specialised nurses, a palliative care physician, and a part-time medical social worker who all see approximately 160 patients a month. PALS supports all patients with cancer at any stage of the disease. Some of its patients complete their cancer treatment and no longer require its specialised services; others require
palliative care for pain and symptoms experienced with end-of-life care. PALS continues to support the patient and his or her family medically, emotionally, and ĆśQDQFLDOO\ ,Q DGGLWLRQ WR QXUVLQJ VXSSRUW 3$/6 RĆľHUV GXUDEOH PHGLFDO HTXLSPHQW WR its patients, including such items as hospital beds, commodes, shower benches, and wheelchairs, all free of charge. PALS will assist patients (on an individual basis once ĆśQDQFLDOO\ VFUHHQHG WKDW UHTXLUH DVVLVWDQFH with purchasing food supplements, medications, and overseas medical travel for uninsured and underinsured patients. PALS receives no government grants and relies solely on corporate and individual donations, various fundraising events and its thrift shop, to continue to support its programmes. PALS spends more than $4,000 a day on patient care, and its annual budget is approximately $1.87 million dollars. PALS never charges a patient or his or her family for its services. All support ĆśQDQFLDOO\ DQG WKURXJK YROXQWHHULQJ LV greatly appreciated. www.pals.bm
3
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EYE CARE
How to Lower Your Risk of Eye Disease y age 65, a significant number of Bermudians will acquire a visionimpairing eye disease. Many sightrobbing conditions can be effectively treated if detected early enough, in many cases limiting or eliminating the damage to eyesight. Four eye diseases – age-related macular degeneration (AMD), diabetic retinopathy, glaucoma, and cataracts – account for most cases of adult blindness and low vision in Bermuda. Because these eye diseases cause no pain and often have no early symptoms, they do not automatically prompt individuals to seek medical care. However, a thorough checkup by an eyecare professional can detect many eye diseases in their earliest stages. Early treatment is vital because it can slow or halt disease progression. A thorough eye exam can also detect other health conditions, such as stroke, cardiovascular disease, diabetes, high blood pressure, autoimmune diseases, sexually
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Health & Beauty Summer 2019
transmitted diseases, and some cancers. The American Academy of Ophthalmology states that following these five simple steps can help you take control of your eye health today: 1. Get a comprehensive medical eye exam at age 40. Early signs of disease or changes in vision may begin at this age. An exam by an ophthalmologist or other eyecare professional is an opportunity to carefully examine the eye for diseases and conditions that may have no symptoms in the early stages. 2. Know your family history. Certain eye diseases can be inherited. Knowledge of past and present family eye disorders can help save your vision. In fact, if age-related macular degeneration (AMD) runs in your family, you have a 50 percent chance of developing AMD. Further, according to the Glaucoma Research Foundation, having a family history of glaucoma makes you four to nine times more likely
to get the disease. Just as you would tell your family doctor about your family history of heart disease, you should inform your eyecare professional about your family’s eye health history. Telling your eyecare professional the types of eye diseases that run in your family may prompt him or her to recommend more frequent eye exams. Also your age, race, and gender all play a factor in eye diseases that you may or may not be prone to. For example, nearly twothirds of people affected by vision loss are female and elderly individuals with African ancestry, and this group is five times more likely to develop glaucoma. 3. Eat healthy foods. Eye-healthy food choices include citrus fruits, nuts, whole grains, dark green leafy vegetables, and oily fish. Leafy green vegetables are rich in lutein and zeaxanthin and are also a good source of eye-friendly vitamin C. Fish that contains the most beneficial levels of omega-3s include salmon and tuna. Studies have found that fish oil can reverse dry eye, including dry eye caused by spending too much time on a computer. Drinking plenty of water can prevent dehydration, which may also reduce the symptoms of dry eyes. 4. Stop smoking. Smoking increases the risk for eye diseases such as cataract and age-related macular degeneration. Smoking also raises the risk for cardiovascular diseases, which can indirectly influence your eye health. Tobacco smoke, including second-hand smoke, also worsens dry eye. 5. Wear sunglasses. Long-term exposure to the sun without proper protection can increase the risk of eye disease, including cataracts, macular degeneration, growths on the eye, and a rare form of eye cancer. Even short-term exposure can damage the eyes. Sun UHƷHFWLQJ RƵ ZDWHU FDQ FDXVH D SDLQIXO sunburn on the front part of the eye, called photokeratitis. It causes redness, blurry vision, sensitivity to bright light, and, in rare cases, even temporary vision loss. The good news is that prevention is simple: Wear sunglasses that block 99 to 100 percent of both UVA and UVB radiation. Look for a sticker or tag on sunglasses indicating that they block 99 to 100 percent of both UVA and UVB radiation. While dark lenses may look cool, they do not necessarily block more UV rays. 5
introduces
A revolutionary fat loss and skin toning technology, nยบ1 in France1
Effective Lose up to 2 inches in just one thirty-minute session2
Comfortable The latest fat freezing technology safe, non-surgical and kind to the skin
Permanent Once the fat cells are gone they will never return3
1
Cryoskin is the best-selling cryolipolysis device in France. 2 Source R&D test. 3 Once the fat cells are gone they will never return, although a healthy diet is recommended after the treatment to prevent the remaining fat cells from enlarging.
BWOC Aesthetics & Fitness Centre 3 Gorham Road Pembroke HM08 Bermuda
441-292-4530
@bwoc.bda
sbenson@bwoc.bm
Bermuda Wellness & Outreach Centre
BEAUTY TRENDS
A Revolutionary Fat Loss and
Skin Toning Technology Sasha Benson, C.L.T., L.E., spa coordinator at BWOC explains a new noninvasive fat loss treatment any of us have stubborn fat due to lifestyle, genetics, and many other factors. Unwanted bulges contain fat cells that may be resistant to diet and exercise – but not to fat freezing. The FDA approved a new technology nearly a decade ago called Cool Sculpting, which was designed to accomplish what liposuction accomplishes – but without surgery and without piercing the skin. This new high-tech device freezes the fat cells underneath the skin. When the fat cells become frozen, they die. The fat cells then dissolve and release their contents. When people have an abnormal accumulation of “fat,” which means their fixed number of fat cells is bulging with liquid fat content. With CryoSkin, the patient lies back on a comfortable treatment table while the technician applies a specialised gel that is resistant to freezing, over the targeted area, and then the treatment begins. The procedure is capable of reaching a temperature as low as -8°C maintaining it constantly during the whole session, while preserving the skin at the same time. It uses negative temperatures to destroy fat cells (fat freezing). A session lasts only 30 minutes, and patients usually lose between 1 and 2 inches in only one session. The surface skin itself is never frozen, but there may be a little redness for several hours post-treatment. Because there is a timeline for how long it takes the destroyed fat cells to release their contents to be digested internally by the body’s normal scavenging mechanisms, it may take two weeks for the results to show. Also, to achieve a desired outcome, several
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Health & Beauty Summer 2019
A BWOC patient undergoing CryoSkin treatment
sessions may be required. The areas that typically show the best results are those that also do best with liposuction: the muffin top, arms, double chin, front abdomen, and flank love-handle areas –
for both men and women. When you see and also feel a noticeable improvement in your pant size, that’s motivation to stick with a healthy diet and fitness routine. 7
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PRESCRIPTIONS
How to save money
on your meds Par-la-Ville Pharmacy presents 10 tips to help you save money on your prescription medications aving on your prescription medication costs begins at the GRFWRUĹĄV RƸFH EHIRUH \RX JHW WR WKH pharmacy. Hereâ&#x20AC;&#x2122;s how.
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At the doctors (1) Ask questions. Before you leave the GRFWRUĹĄV RƸFH EH DEVROXWHO\ FOHDU ZKDW each medicine written on your prescription is for. You may already have one of those medicines at home and may not need a new prescription right now, or you may have already tried it through another doctor and found it not to work. The same medicine can often be SUHVFULEHG XQGHU GLĆľHUHQW QDPHV )RU example, you may have been prescribed Omeprazole, and it did not work. If you then get a prescription for Losec, the chances are it wonâ&#x20AC;&#x2122;t work either, as it is exactly the same. All this costs you more money. (2) Look at your prescription. At the bottom there are two places a doctor can put his or her signature. On the right, that instructs Health & Beauty Summer 2019
the pharmacist to dispense the prescription â&#x20AC;&#x153;as writtenâ&#x20AC;?; on the left, that allows for the generic equivalent to be used. If your doctor has signed on the right, then ask why. There may be a medical reason; at the same time, however, there may not, and you could instead get prescribed a less-expensive but clinically equivalent medicine. (3) Irrespective of where the doctor signs the prescription, ask if the name of the medicine is a BRAND name or a GENERIC name.
At the pharmacy (4) Use your pharmacistâ&#x20AC;&#x2122;s skill set. Pharmacists are experts in medicines DQG KDYH WUDLQHG IRU ĆśYH WR VL[ \HDUV DW D university; they can help you with many aliments for free, saving you a trip to the GRFWRUĹĄV RƸFH DQG WKH DVVRFLDWHG FRVWV (5) Ask the pharmacist to explain in detail what your medicine is for and how to take it. Incorrectly taken medicine can result in the need for a second course, thus
increasing the expense to you and your insurance company. (6) If this is a medicine you have taken for a long time, then make sure you get a three monthsâ&#x20AC;&#x2122; supply. This is the maximum you can get with insurance coverage and will lower your expenses over time. (7) 2Q WKH ơLS VLGH LI WKLV LV WKH ĆśUVW WLPH you are taking a medicine, ask for only one monthâ&#x20AC;&#x2122;s supply. Patients often purchase WKUHH PRQWKV RI D PHGLFLQH RQO\ WR ĆśQG RXW a week later it does not agree with them. (8) Ask if you are entitled to any discounts. 0RVW SKDUPDFLHV RĆľHU D VHQLRU FLWL]HQ discount or a no-insurance discount that can range anywhere from 5%â&#x20AC;&#x201C;15%.
At home (9) Do your research. Find out everything you can about the medicines you are taking. Use the Internet. Not everything can be trusted on the Internet, of course, but it is still a valuable research tool and can help you ask the right questions to your pharmacist and doctor. (10) If you are taking a branded medicine, and there is no generic alternative suitable UHPHPEHU \RX KDYH WR DVN WKHQ ĆśQG RXW when the patent expires on your medicine. ,W PD\ EH LQ ĆśYH \HDUV EXW LW PD\ DOVR EH next month. Once the patent expires, you should be able to get your medicine at a lower cost. For more information, visit www. pharmacy.bm 9
ACR ACCREDITATION WORLD-CLASS CARE IN BERMUDA
FIRST INTERNATIONAL FACILITY TO EARN ACR ACCREDITATION FOR RADIATION ONCOLOGY. Our Centre is honoured to be recognised for delivering radiation therapy at the highest level of quality and patient safety. We provide individualised treatment plans with specialist oversight, at $0 (out of pocket) cost to our patients, right here in your neighbourhood. providing
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236-7035
rtinfo@chc.bm
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CANCER CARE
The new radiation unit at BCHC
Cancer on a small island With 1 in 3 people worldwide diagnosed with cancer in their lifetime, it is likely you or WSQISRI ]SY ORS[ LEW FIIR EÇşIGXIH F] GERGIV ermuda Cancer and Health Centre (BCHC) is the Islandâ&#x20AC;&#x2122;s leading entity providing cancer prevention, early detection, radiation therapy and support FDUH IRU WKRVH DĆľHFWHG E\ FDQFHU %&+& LV D UHJLVWHUHG QRW IRU SURĆśW charity, working to serve the community and building healthier lives free of cancer and disease. BCHC has a multidisciplinary, experienced team consisting of radiologists, oncologists, diagnostic imaging technologists, radiation therapy
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Health & Beauty Summer 2019
nurses and therapists, patient service VWDĆľ FRPPXQLW\ RXWUHDFK SURIHVVLRQDOV accounting and administrative personnel. This dedicated team provides compassion with care throughout all areas of the cancer journey. In line with its charitable purpose, BCHC ĆśUPO\ EHOLHYHV WKDW KHDOWK VFUHHQLQJV VXFK as mammograms and ultrasound and treatment like radiation therapy should be available to everyone, regardless of insurance coverage or ability to pay. BCHCâ&#x20AC;&#x2122;s Equal Access Fund subsidises
the cost of clinical services at their centre, ensuring that all who require BCHCâ&#x20AC;&#x2122;s services receive them. This high level of subsidisation is challenging to sustain and BCHC is extremely grateful for the continues generosity of the local community, corporations, foundations for their donations to this cause. To book a screening mammogram appointment, telephone 236-1001. For other clinical services, speak to your doctor about making BCHC your choice. www.chc.bm. 11
HEART HEALTH
Are you at risk of heart disease? Simone Barton, CEO of CORE, provides advice on keeping your heart healthy id you know that heart disease is the number-one killer of people around the world â&#x20AC;&#x201D; including Bermuda? This is a staggering fact when you consider it is 95% preventable. Once considered a disease of old age, heart attacks are happening now to a much younger demographic. Poor diets, sedentary lifestyles, and stress are just a few of the contributing factors to the disease. Thatâ&#x20AC;&#x2122;s why it is more important than ever to understand your risk for heart disease and to take some simple but necessary steps to limit your risk. You need to be aware of your familyâ&#x20AC;&#x2122;s medical history, but of course, thereâ&#x20AC;&#x2122;s not too much you can do about that. What you can take action on is improving the nutritional value of the foods you consume, and to get moving and become more active. Your heart is a muscle that needs a ZRUNRXW $ VLPSOH KDOI KRXU ZDON ĆśYH WLPHV a week will help your heart beat stronger and may help you live longer. Did you know as little as a 10% improvement to your current health status can have a huge impact on your overall heart health? A healthy lifestyle does not have to be intimidating, complicated, painful, restrictive, or expensive. This is where the CORE Heart Health Centerâ&#x20AC;&#x2122;s Kick
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12
Start Programme can help you. COREâ&#x20AC;&#x2122;s motto is â&#x20AC;&#x153;Why Fight Disease When You Can Prevent It?â&#x20AC;? The goal of the Kick Start Programme is to reduce the number of heart-related deaths in Bermuda, in a safe, supportive environment that makes getting healthy doable, fun and HĆľHFWLYH &25( LV DƸOLDWHG ZLWK WKH WRS UDQNHG facility for heart health care, the New York-Presbyterian Hospital (NYP), which works in tandem with two prestigious Ivy League medical schools, Columbia and Cornell. Two top cardiologists from NYP visit Bermuda regularly and see patients at CORE on a rotating basis, to strengthen WKH VHUYLFHV DOUHDG\ RĆľHUHG E\ &25( +HDUW Health Center. Having such distinguished physicians partnering with CORE keeps it on the cutting edge of advances in the LGHQWLĆśFDWLRQ RI FDUGLRYDVFXODU GLVHDVH DQG helps CORE reach the goal of lessening the impact this disease has on our society. COREâ&#x20AC;&#x2122;s Kick Start provides a 12-week/32 session programme that is covered by most insurance companies. The center has a full state-of-the-art gym and RĆľHUV HGXFDWLRQDO FODVVHV IURP VWUHVV management to healthy cooking. The programme is for men and women who are at high risk of developing heart disease;
for example, those who have one or a combination of risk factors including but not limited to obesity, hypertension, high cholesterol, or diabetes. A multidisciplinary team customises programmes that meet the needs of the individual in order to EXLOG OLIHVW\OH PRGLĆśFDWLRQ VNLOOV WKDW DUH sustainable and lead to a healthier life. &25( +HDUW +HDOWK &HQWHU DOVR RĆľHUV D personal training assessment, plus personal and group exercise classes, working with FDUGLDF ĆśWQHVV VSHFLDOLVWV 7KH H[HUFLVH programme utilises a full complement of CYBEX exercise equipment. The trainers WHDFK VWUHQJWK WRQLQJ DQG ơH[LELOLW\ VNLOOV All this takes place at COREâ&#x20AC;&#x2122;s Heart Health Center, conveniently located in the heart of Hamilton, at 87 Front Street, with entry via Chancery Lane. The Bermuda Heart Foundation EHOLHYHV WKDW ĆśQDQFLDO KDUGVKLS VKRXOG never impede anyoneâ&#x20AC;&#x2122;s access to quality healthcare. This is why patients referred to CORE for cardiology services who have major medical coverage will not have to pay a co-pay. This initiative falls in line with the Bermuda Heart Foundationâ&#x20AC;&#x2122;s mission to be a resource to those who need help. 7R ĆśQG RXW PRUH WHOHSKRQH RU visit www.mybermudaheart.bm, www.facebook.com/corebermuda Health & Beauty Summer 2019
PRESCRIPTIONS
Time to take your medicine 8LI 5LSIRM\ XSVIW HMWGYWWIW XLI FIRIǻXW SJ ƸVIQMRHIVƹ packaging that helps you know when to take your prescription drugs What is an MDS blister pack? A monitored dosage system [MDS] is a method of dispensing tablet and capsule medications that helps manage the days and times when they should be taken. An MDS blister pack contains medications for the week organised in clear pods by the day and time of day you should take them whether at breakfast, lunch, supper, or bedtime.
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Q A
Health & Beauty Summer 2019
RI DQ 0'6 EOLVWHU SDFN DOVR WKRVH ZKR ƶQG LW GLƸFXOW WR RUJDQLVH RU UHPHPEHU WR WDNH their medication at the correct time each GD\ FDQ EHQHƶW IURP WKH XVH RI DQ 0'6 blister pack. Caregivers and nursing homes RIWHQ ƶQG WKH EOLVWHU SDFNV XVHIXO How is the MDS blister SDFN ƶOOHG" $ TXDOLƶHG SKDUPDFLVW ƶOOV HDFK MDS blister pack per the doctorâ&#x20AC;&#x2122;s prescription[s]; each pack is sealed and labelled with dosage instruction.
Q A
Suppose I get a month supply of MDS blister packs, but my
Q
Laura Fitzsimmons, Pharmacist
prescription changes before its use? Should an order change after an MDS blister pack is dispensed, just return any unopened packs to the distributing pharmacy along with your new prescription to have your MDS blister packs dispensed per your new medication requirements.
A
Can I obtain an MDS blister pack as a walk-in customer? As a walk-in customer, please be prepared to collect your MDS blister pack later that day or within 24 hours.
Q A
13
HEALTH
Small changes, big results Virloy Lewin, Ed.,D., MPH health promotion coordinator, Department of Health, says that tiny but powerful tweaks will make you healthier e all have good intentions, but then life comes along, so we may need a little help to make changes to become healthier and happier. We recognise that everyone wants to do all they can for their own wellbeing â&#x20AC;&#x201C; but it is not easy. One must take a step back and realise that life is a series of decisions and actions. These two components are crucial for our self-growth and success in life and, unfortunately, are not mutually exclusive. We could spend our entire lives stuck in the same place, if we donâ&#x20AC;&#x2122;t make decisions and donâ&#x20AC;&#x2122;t follow them up with action. If you make a decision but donâ&#x20AC;&#x2122;t take any action, not much will happen. On the other hand, if you take a bunch of actions without any decisions driving them, youâ&#x20AC;&#x2122;ll DLPOHVVO\ ơRDW DURXQG
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Commit to Change presents four areas or decisions that you can make to improve your overall health. Whether you focus on PDVWHULQJ RQH DUHD ĆśUVW DQG WKHQ JUDGXDOO\ add the other areas or choose more than one at a time is totally up to you. Just decide to change. We invite you to Commit to Change for a Well Bermuda by working toward a healthier lifestyle:
incorporating them into more meals and snacks.
1. Drink Water
Balancing the demands of a busy lifestyle is not an easy thing to do but is best-managed by regularly reviewing and assessing your priorities. Managing stress is about making a SODQ WR FRSH HĆľHFWLYHO\ ZLWK GDLO\ SUHVVXUHV The goal is to strike a balance among life, work, relationships, relaxation, and fun. By doing this, you are better able to deal with daily stress triggers and meet these challenges head on.
Drink more water by choosing it as your HYHU\GD\ EHYHUDJH ,W LV KHDOWK\ DĆľRUGDEOH and quenches thirst at any time. It has no calories, no sugars, and is necessary for the body to work.
2. Eat More Vegetables Vegetables help support a healthy weight, prevent disease, and give a variety of nutrients. Eat more vegetables by
3. Exercise Daily It is the miracle cure weâ&#x20AC;&#x2122;ve always had, but for too long weâ&#x20AC;&#x2122;ve neglected to take our recommended dose of at least 30 minutes daily. Move more by seeking everyday activities that help to increase body movement.
4. Balance Mental Well-Being
Commit to Change SMALL CHANGES, BIG RESULTS!
Choose to drink eight 8-ounce glasses of water daily
For more information email: healthpromotion@gov.bm or call: 278-6500
14
Eat at least 3 servings of vegetables a day
Exercise for at least 30 minutes daily
Balance mental well-being by reducing stress
G OVERNMENT OF BERMUDA Department of Health
Health & Beauty Summer 2019
NATUROPATHIC MEDICINE
The Benefits of Naturopathic Medicine Dr. Sergei Frenzel, of Northshore Medical & Aesthetics Centre (NMAC), explains why his recommendations are getting clients such great results magine there was a way to get to the root of your illness, without harsh drugs, QHJDWLYH VLGH HĆľHFWV RU D RQH VL]H ĆśWV all approach to medicine. The good news is, there is. 10$& RĆľHUV QDWXURSDWKLF PHGLFDO services that go beyond just treating the symptoms and provide a more holistic approach to looking and feeling your best.
I
It allows you to take an active role in your health With conventional medicine, the patient lies on the hospital bed and gives the doctor permission to do whatever they
Health & Beauty Summer 2019
think will get them better. With natural medicine, the patient takes an active role in their own treatment. The naturopathic doctor educates them on what is happening with their body, and they get to play a part in solving the issue.
It aims to minimise damage in the body One of the goals of naturopathic medicine is to choose the best approach to minimise harm for the patient. Sometimes pharmaceutical drugs can come with QDVW\ VLGH HĆľHFWV DQG ZKLOH WKH\ WUHDW one illness, such as diabetes, they can lead
to other problems like damage to the liver or weight gain. As a result, patients donâ&#x20AC;&#x2122;t get healthy. Naturopathic medicine uses herbs, minerals, and natural supplements, which are gentle, have little to no adverse VLGH HĆľHFWV DQG ZLWK FRQVLVWHQW XVH FDQ bring patients back to full health.
It can lead to positive lifestyle changes Nearly 70 percent of patients who come WKURXJK 'U )UHQ]HOĹĄV RƸFH GRRUV DUH battling chronic health concerns like obesity or Type 2 diabetes. Rather than just having them pop a pill, Dr. Frenzel works with patients to determine an HĆľHFWLYH VWUDWHJ\ LQFOXGLQJ XVLQJ QDWXUDO remedies, nutrition, and exercise. Patients are usually 100 percent ready for change when they come to him â&#x20AC;&#x201C; as a result, he can support them in creating better KDELWV ZKLFK EHQHĆśW WKHP LQ WKH ORQJ term. Appointments with Dr. Frenzel can be made online at www.nmac.bm or by calling 293-5476. The consultation is covered by insurance, with a referral from a GP.
15
ORAL HYGEINE
A Shift Towards Natural Oral Care
H
aving healthy teeth and gums can have a positive impact on your physical and psychological wellbeing, chewing function, appearance, and social integration. More recently there has been an increase in popularity of an overall more natural daily life which has extended to peopleâ&#x20AC;&#x2122;s oral health care. While natural products and practices can be a good adjunct, it is important to understand the background of each practice.
Some of the natural options you can XVH IRU D KHDOWK\ PRXWK LQFOXGH Æ·XRULGH a naturally occurring mineral found throughout nature. Worldwide dental health has improved with established oral KHDOWK SURJUDPPHV XVLQJ Æ·XRULGH IRU cavity prevention. Cavities are a disease and responsible for the majority of tooth loss. Fluoride helps prevent cavities by hardening teeth enamel. Oil pulling, involves swishing oil around in your mouth, can be helpful to collect
and trap bacteria and for generalised LQƷDPPDWLRQ EXW LW LV QRW D VROXWLRQ WR cavities and infections. &RFRƷRVV KDUQHVVHV WKH SURSHUWLHV of coconut oil, while protecting against tooth decay, by reaching the areas where WHHWK FRQWDFW ,WšV PDGH RI QDWXUDO ƶEHUV DQG DURPDV JLYLQJ WKH ƷRVVLQJ D JUHDW ƷDYRU 2QH PLQXWH RI ƷRVVLQJ FDQ SURYLGH HQRUPRXV RUDO KHDOWK EHQHƶWV Charcoal toothpaste can whiten your WHHWK EXW LW ODFNV ƷXRULGH ZKLFK SUHYHQWV cavities. There is also a risk of scratching teeth enamel due to the abrasive nature of charcoal toothpaste and powder. It is EHVW XVHG DV D VXSSOHPHQW WR ƷXRULGDWHG toothpaste. It is now clearer than ever before, that a broader knowledge of preventative RUDO K\JLHQH SURGXFWV ZLOO EHQHƶW WKRVH looking to improve their health. While taking care of your teeth at home is critical, it is just as important to visit your dentist for an oral hygiene maintenance appointment at least twice a year. Coral Dental, 27 Queen Street, Suite 401. Hamilton. Tel: 295-8040. www.coraldental.bm
!' !% $ &' ' "# &# &#$ ' " %$& ' #' &#$!% ' % $"# '' &'%!&' " $$& '$"' &! # '% ' &#&!%$ "# ' $ ' ' % $ '%# ' " % "#%$&'$!&%$ &#$' #'%' %! '%# ' & " # ' &# !"# &#$ ' &' ! %! ' !" "$&'"!% ' &% $ '%# ' & #& ' $ '%#'& % '"#' !& &#$ "#'" ' &% &'!%$ &!'$ %#' $!&%$ &#$ ' !' ! &# ' $% ' % & ' " ' && ' " "!$% &' !" '$ &' " &#$' " ' % ' #'$ &' ""! ' &'% "' !" &' !&&' '%# '%'!& !& &#$' $%$ "#' #'%'!& % & '%$ " &!&
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Health & Beauty Summer 2019
HEALTH
Home after a stroke oming home after experiencing a stroke can be daunting for both the patient and the caregiver. Prior to hospital discharge, patients should be assessed to determine the need for a home visit to ensure safety and provision of appropriate aids, support, and community services. Patients and families should identify and discuss post-discharge plans with members of a multidisciplinary team. Here are some of the considerations: â&#x20AC;˘ Is caregiver training for care, lifting, and handling required? â&#x20AC;˘ Should the general practitioner and community services be informed? â&#x20AC;˘ All medications, equipment, and support services should be organized. â&#x20AC;˘ Any continuing specialist treatment
C
required should be organized. â&#x20AC;˘ Self-management strategies should be planned. â&#x20AC;˘ Risk for falls should be addressed. â&#x20AC;˘ All stroke survivors who experience stroke severity, diabetes, incontinence, and reduced mobility should have a pressure care risk assessment and a regular evaluation completed by trained personnel. All stroke survivors assessed as high risk should be provided with appropriate pressure-relieving aids and strategies. Stroke survivors should not return to driving for at least one-month post event. A follow-up assessment by a GP or an occupational therapy driving assessment should be conducted prior to driving.
Health and beauty, not so different obertsonâ&#x20AC;&#x2122;s Drug Store, in the heart of St. Georgeâ&#x20AC;&#x2122;s, has been caring for Bermudiansâ&#x20AC;&#x2122; health and looks for almost a century. Its friendly and knowledgeable pharmacists dispense more than prescriptions. Their recommendations and tips can help you get and stay healthy.
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Robertsonâ&#x20AC;&#x2122;s stocks a wide range of natural skin and haircare products to help you look as good as you feel. Eye masks that rejuvenate, night creams that keep your skin moisturised, peels that exfoliate, and scrubs that, well, scrub. You can almost take home an entire spa session. Robertsonâ&#x20AC;&#x2122;s also has a range of cosmetics for all skin W\SHV DQG LWV IULHQGO\ VWDĆľ LV RQ KDQG WR RĆľHU DGYLFH 5REHUWVRQĹĄV LV FRQWLQXDOO\ searching for new and better products DQG LV RIWHQ WKH ĆśUVW WR LQWURGXFH WKHP WR the island. Helping you is Robertsonâ&#x20AC;&#x2122;s #1 priority, so come and get to know your bodyâ&#x20AC;&#x2122;s new best friend. 24 York Street, St. Georgeâ&#x20AC;&#x2122;s. Tel: 2971828. Find us on Facebook and Instagram. Open, with a smile, Mon to Sat 8am7.30pm. Sun 2pm-6pm.
Time and how to deal with it. Get healthy, stay beautiful. Prescriptions, medicines, supplements, cosmetics and everything in between. Look after yourself. Robertsonâ&#x20AC;&#x2122;s, St. Georgeâ&#x20AC;&#x2122;s Drug Store.
Open 8-7:30, Sun 2-6. 24 York Street, St. Georgeâ&#x20AC;&#x2122;s, 297-1828 Health & Beauty Summer 2019
17
HEART HEALTH Award-winning cardiologist Dr. Shane Marshall looks at a plant with a myriad of IÇşIGXW f youâ&#x20AC;&#x2122;re toying with the idea of trying PDULMXDQD PD\EH RĆľ WKH VWUHHW RU PD\EH WKH PHGLFDO VWXĆľ ZKR ZRXOG \RX JR to for advice? Probably someone whoâ&#x20AC;&#x2122;s tried it a few times. Itâ&#x20AC;&#x2122;s an odd thing about marijuana â&#x20AC;&#x201D; when you write or speak about it, people canâ&#x20AC;&#x2122;t help but wonder what your personal experience is. Patients sometimes comment to me about how calm I seem. I mean, cardiology is a stressful ĆśHOG 'RHV LW PDNH \RX ZRQGHU ĹŠ" &RXOG 'U Marshall be toking before work? I was wondering the same about Dr. Andrew Pipe while listening to his Grand Rounds lecture at the University of Ottawa Heart Institute, delivered on December DERXW WKH FDUGLDF HĆľHFWV RI marijuana. Not only was I imagining his personal marijuana history, I was fascinated by his name â&#x20AC;&#x201C; Dr. Pipe â&#x20AC;&#x201C; not to be confused ZLWK 'U %RQJ ZKR LV D ĆśFWLRQDO JHQLXV superhero from the 70â&#x20AC;&#x2122;s who wore a bell-shaped helmet, and Dr. GanjaLove, ZKR ĹŠ ZHOO QHHG , JR RQ" 0\ SRLQW LV WKDW when it comes to marijuana, thereâ&#x20AC;&#x2122;s a certain credibility factor if youâ&#x20AC;&#x2122;ve tried it. Of course, if you smoke it constantly that FUHGLELOLW\ EHJLQV WR IDGH 6WLOO ĹŠ Medical marijuana is now legal in 29 states, and recreational marijuana is legal in 8 states, Washington DC, and all of Canada. Itâ&#x20AC;&#x2122;s only a matter of time before Bermuda follows suit. So, with that in mind, OHWĹĄV WDON DERXW VSOLĆľV UHHIHUV EOXQWV WKH Mary Jane, or anything else you wish to call it - a fascinating plant laden with fascinating chemicals, the two most infamous being THC and CBD. These are cannabinoids. THC is the cannabinoid in marijuana that makes you high, sleepy, and hungry. Now you can buy it as THC-infused gummy bears in Boston or chocolate chip brownies in Los Angeles, so itâ&#x20AC;&#x2122;s good to be aware of what youâ&#x20AC;&#x2122;re purchasing. CBD (cannabidiol) is marijuanaâ&#x20AC;&#x2122;s other wellknown cannabinoid, and itâ&#x20AC;&#x2122;s purported to keep you awake, increase energy, alleviate DQ[LHW\ UHGXFH LQơDPPDWLRQ DQG LWĹĄV EHHQ used to treat epilepsy and depression. Coca-Cola is in talks with Canadian marijuana suppliers so it can market a CBD-infused Coke which it plans to
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18
Marijuana and
your heart market as a health and wellness beverage. Another good reason to read labels. 6R \RX FDQ VHH ZKHWKHU RĆľ WKH VWUHHW purchased in retail shops in Ontario or Colorado, prescribed by your doctor, or baked into any array of products marijuana is everywhere. If you have a heart problem, and even if you donâ&#x20AC;&#x2122;t, there are a few things you should know about how this SODQW DĆľHFWV \RXU KHDUW Hereâ&#x20AC;&#x2122;s an interesting notion: there are marijuana receptors in your heart. When I ĆśUVW KHDUG WKLV , WKRXJKW ZK\ ZRXOG (DUWK have a marijuana plant and human hearts with marijuana receptors, if they werenâ&#x20AC;&#x2122;t meant to meet up? Am I right? It turns out theyâ&#x20AC;&#x2122;re not exactly marijuana receptors. Theyâ&#x20AC;&#x2122;re cannabinoid receptors. Theyâ&#x20AC;&#x2122;re also
in the lining of your blood vessels. In fact, theyâ&#x20AC;&#x2122;re found throughout your body. There are two main types - cannabinoid 1 and cannabinoid 2 receptors, abbreviated CB1 and CB2. They respond to naturally-made brain cannabinoids. Yes, thatâ&#x20AC;&#x2122;s true, too your brain makes cannabinoids, and some of their functions involve regulating pain perception, motor function, tremor-control, learning, memory, appetite, the list goes on. It appears that when something stimulates cardiac and blood vessel CB1 receptors, it sets into motion tissue damage and atherosclerosis. When you stimulate &% UHFHSWRUV LW UHGXFHV LQơDPPDWLRQ DQG promotes tissue healing. Itâ&#x20AC;&#x2122;s complicated. THC preferentially stimulates CB1 receptors in the heart and blood vessels, resulting in Health & Beauty Summer 2019
HEART HEALTH
WLVVXH GDPDJH DQG LQơDPPDWLRQ 1RW JRRG When you smoke marijuana your heart rate and blood pressure increase. This forces the heart to work harder. Furthermore, marijuana burns at a much higher temperature than tobacco, so when you smoke it, you change its composition plus inhale all the products of combustion, like carbon monoxide, which reduce your bloodâ&#x20AC;&#x2122;s ability to deliver oxygen. This increases the risk of a heart attack and stroke while smoking and for a few hours afterwards. In addition to this short-term danger, studies suggest that smoking marijuana increases the long-term death rate in people whoâ&#x20AC;&#x2122;ve already had a heart attack. There are also reports of increased risks RI DWULDO ĆśEULOODWLRQ YHQWULFXODU WDFK\FDUGLD DQG YHQWULFXODU ĆśEULOODWLRQ ,I \RX GRQĹĄW know what those erratic heart-rhythm terms mean, take my word for it, you donâ&#x20AC;&#x2122;t want any of them. So, it doesnâ&#x20AC;&#x2122;t look like there are any redeeming features of marijuana for persons with heart disease. Does that mean itâ&#x20AC;&#x2122;s really just a young-personâ&#x20AC;&#x2122;s drug? In fact, smoking marijuana can Health & Beauty Summer 2019
cause heart attacks even when youâ&#x20AC;&#x2122;re young and donâ&#x20AC;&#x2122;t have heart disease. There seems to be an increased risk of death from marijuana especially in young men who smoke and then engage in strenuous physical activity â&#x20AC;&#x201C; i.e., the worst thing you can do is ease your nerves with a blunt, then head out to the cricket pitch, swim meet, or road race. Adults, if you think nobodyâ&#x20AC;&#x2122;s doing that, then you risk being even more out of touch than I am. Well, you may say, if smoking marijuana is bad, then maybe eating itâ&#x20AC;&#x2122;s okay. Eating marijuana avoids the toxins associated with combustion. But when you ingest PDULMXDQD SURGXFWV WKH HĆľHFWV WDNH longer to kick in and longer to go away. At least if you inhale it, if you feel unwell, you can stop. When you ingest THC in cookies, brownies, or whatever, if youâ&#x20AC;&#x2122;re H[SHFWLQJ DQ LPPHGLDWH HĆľHFW DQG GRQĹĄW get it, some people make the mistake of eating more of the product, waiting, still QRWKLQJ HDW PRUH DQG WKHQ ĹŠ ZKDPR everything hits you at once. What about synthetic cannabinoids? Are they safer? These products go by the names spice, joker, junk, K2, dream, black mamba, mojo, and aroma, all popularized as â&#x20AC;&#x153;legalâ&#x20AC;? marijuana. I have trouble imagining P\ SDWLHQWV VHHNLQJ RXW WKLV VWXĆľ HVSHFLDOO\ when the real thing is so readily available. Still, itâ&#x20AC;&#x2122;s worth knowing that synthetic cannabinoids can have 200 times the potency of THC - they increase heart rate and blood pressure, and can cause strokes and heart failure. So, for those of you whoâ&#x20AC;&#x2122;ve been thinking of using marijuana for this or that, I hope
A cannabinoid is the name given to the more than 100 active chemical compounds found in marijuana. The two best known are tetrahydrocannabinol (THC) which gets you high and cannabidiol (CBD) ZKLFK KDV DQWL LQơDPPDWRU\ DQWL pain, anti-nausea, anti-anxiety, and anti-seizure properties.
it helps your deliberations when you see things from your heartâ&#x20AC;&#x2122;s point of view. In its present forms, thereâ&#x20AC;&#x2122;s no compelling evidence to support marijuana use, and a fair bit to be concerned about. The weight of evidence to date is that it should be avoided in persons with heart disease.
$ ĆśQDO WKRXJKW RQ KHDUWV DQG marijuana 7KLV LV ZKHUH , RĆľHU P\ SHUVRQDO disclaimers. Iâ&#x20AC;&#x2122;m no expert in recreational marijuana. In fact, Iâ&#x20AC;&#x2122;m a marijuana virgin. One reason I may appear chill in the RƸFH LV EHFDXVH WKRVH WKUHH FXSV RI FRĆľHH KDYHQĹĄW NLFNHG LQ \HW %XW SUREDEO\ the main reason is this: when I was a medical student the one thing that invariably created panic on the wards was a cardiac arrest. I studied cardiology so I could understand how hearts think, behave, and react. Once I understood what it could do, I was no longer afraid of the heartâ&#x20AC;&#x2122;s power or its limitations. Back then I was also a little afraid of marijuana. I didnâ&#x20AC;&#x2122;t know anything about it. My parents made me fear it. As a result, I dodged it and anything else that might compromise my thinking and throw my SODQV RĆľ FRXUVH 7KH IXQQ\ WKLQJ LV , never felt like I missed out on anything. Perhaps naively, I thought the world was a super-cool place just how it was. Now time has passed and, although I know a lot more about marijuana, thereâ&#x20AC;&#x2122;s still tons I donâ&#x20AC;&#x2122;t know. So, the fear is back. Not for myself â&#x20AC;&#x201C; Iâ&#x20AC;&#x2122;m too old for that â&#x20AC;&#x201C; but for my daughter, nieces, and nephews. Itâ&#x20AC;&#x2122;s a vague background fear, but then thatâ&#x20AC;&#x2122;s the worst kind. The problem is that in its present form marijuana is a crude drug. Itâ&#x20AC;&#x2122;s hard to know what youâ&#x20AC;&#x2122;re getting, what to expect, and how much of what preparation the Uber driver took before swinging by to pick you up. One outcome of legalization I welcome is the greater research opportunities that will demystify this complicated plant, its many ingredients, and the ways in which certain doses, formulations, and delivery systems may help humans, without putting them in jeopardy. For more news on the latest developments in cardiology, visit www.ShaneMarshallMD.com, subscribe to the free newsletter The Annals of Cardiology, and follow Dr. Marshall on Twitter @ShaneMarshallMD. 19
KETO
The Skinny on the Keto Diet *ZIV]SRIĆśW XEPOMRK EFSYX XLI OIXS HMIX ;I [IMKL XLI FIRIÇťXW ERH TMXJEPPW
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tkins, Pritkin, Paleo, and dozens of other diets have become popular over the years. The latest craze is the keto or ketogenic diet. Despite its rise in popularity, the keto diet is not particularly new. Variations of it have been used for several decades, and many other diets utilise aspects of this low carbohydrate approach as well. A keto diet is a low-carbohydrate diet by design, containing no more than 30 grams of carbohydrate per day. When you switch to a keto diet, your muscles and liver switch from burning glucose as their primary fuel to fatty acids as their primary fuel. Your brain is designed to run RĆľ JOXFRVH H[FOXVLYHO\ DQG FDQQRW XVH fatty acids as a fuel source. In order to withstand such low-carbohydrate intake, your liver manufactures ketone bodies as an emergency backup fuel for your brain. Hence, the ketogenic diet. Dr. Stanley James of Premier Health and Wellness, who runs physician-supervised weight loss programmes, explains, ĹŁ7KH NHWR GLHW VLJQLĆśFDQWO\ UHGXFHV carbohydrates, so the body shifts to burn fat as its primary source of fuel. You know youâ&#x20AC;&#x2122;re burning the fat because you have an increased production of ketones, which is a byproduct of fat breakdown. Simply put, thatâ&#x20AC;&#x2122;s ketosis. Itâ&#x20AC;&#x2122;s the byproduct of fat that is being burned as a fuel.â&#x20AC;? A number of programmes GHWDLO VSHFLĆśF PHDO SODQV for the keto diet. As a rule, however, they will all be low on carbohydrates, high in fat, and moderate in protein. Foods included on the keto diet are dairy such as eggs, butter, and cream; meats such as beef and SRUN FKLFNHQ DQG IDWW\ ĆśVK ĹŁKHDOWK\Ť IDWV 20
like olive oil, coconut oil, and sesame oil; and avocados and nonstarchy vegetables, including broccoli, mushrooms, peppers, and greens. The foods avoided on a keto diet are breads and other baked goods; anything sugary such as soda, sports drinks, ice cream, and candy; pastas, beans and legumes, and fruit. Dr. James says that the keto diet doesnâ&#x20AC;&#x2122;t have to be done under medical supervision, but itâ&#x20AC;&#x2122;s preferable to have professional support and access to a medical physician. â&#x20AC;&#x153;You can get blood work done, and you can be supervised and evaluated,â&#x20AC;? he says. â&#x20AC;&#x153;Sometimes your blood pressure or blood sugar will drop, so this should be
monitored, especially if youâ&#x20AC;&#x2122;re on medication for either of those. Any time you have a major shift in your diet or your lifestyle, itâ&#x20AC;&#x2122;s good to have medical supervision, another set of eyes, to make sure what youâ&#x20AC;&#x2122;re doing is correct, and, if you have questions, thereâ&#x20AC;&#x2122;s a resource you can go to.â&#x20AC;? Premier Health and Wellness uses aspects of the keto diet in its diabetes reversal programme, but Dr. James says that the keto diet was not designed VSHFLĆśFDOO\ IRU SHRSOH ZLWK GLDEHWHV
Health & Beauty Summer 2019
KETO DOWKRXJK LW KDV SURYHQ HĆľHFWLYH IRU diabetics. â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s a diet thatâ&#x20AC;&#x2122;s evolved and is still evolving. Itâ&#x20AC;&#x2122;s something that people DUH XVLQJ IRU ĆśWQHVV DQG KHDOWK LQ JHQHUDO Itâ&#x20AC;&#x2122;s not just for diabetes.â&#x20AC;? Premier Heath has an arrangement with Lâ&#x20AC;&#x2122;Oriental Express where the restaurant prepares meals based on the principles of the keto diet. â&#x20AC;&#x153;You simply get registered at our clinic, then go there and pick up your food for the day, or the whole week, which makes it convenient and easy to do,â&#x20AC;? says Dr. James. â&#x20AC;&#x153;They give you a great menu to select from. You pick out your items, and the food is prepared for you. My goal in doing this is to reduce the hurdles and resistance that some people have when it comes to changing their diet. You donâ&#x20AC;&#x2122;t have to worry about choosing the right IRRGV RU OHDUQLQJ KRZ WR FRRN GLĆľHUHQWO\ This programme uses the same principles as in the keto diet, already worked out for you by the chef at Lâ&#x20AC;&#x2122;Oriental and myself. You can run through the whole
Health & Beauty Summer 2019
programme on this, lose weight, and enjoy the food with no stress. The programme includes lunch and dinner. â&#x20AC;&#x153;You donâ&#x20AC;&#x2122;t need snacks,â&#x20AC;? explains Dr. James, â&#x20AC;&#x153;because once you eat these foods that have high fats, moderate protein, and low calories, youâ&#x20AC;&#x2122;re not hungry between meals, so it works very well.â&#x20AC;? Patients of Dr. James who are on this programme are encouraged to practice intermittent fasting â&#x20AC;&#x201C; from eight oâ&#x20AC;&#x2122;clock at night until noon the next day. â&#x20AC;&#x153;They donâ&#x20AC;&#x2122;t eat any food during that 16KRXU SHULRG EXW LQWDNH ơXLGV LGHDOO\ ZDWHU WKRXJK FRĆľHH DQG WHD DUH DFFHSWDEOH Ť Dr. James says. â&#x20AC;&#x153;By fasting overnight and into the next morning, the body goes into further resetting and promotes weight loss HYHQ PRUH HĆľHFWLYHO\ Ť
2QH RI WKH NHWR RĆľHULQJV IURP /ĹĄ2ULHQWDO ([SUHVV LV FRĆľHH WKDW FRQWDLQV 0&7 (medium-chain triglyceride) oil and butter. ,WĹĄV VRPHWLPHV FDOOHG EXOOHWSURRI FRĆľHH VLQFH LW ZDV ĆśUVW SURPRWHG DV SDUW RI another fad diet called the bulletproof diet. Experts say that it may be harmless if drunk occasionally, but, if used as a substitute for breakfast on a regular and long-term basis, itâ&#x20AC;&#x2122;s best to consult with a healthcare professional and to get your blood markers checked, due to the high levels of saturated fat and the possibility of increased cholesterol levels. Another keto food programme has been endorsed by Premier Health with the %X]] UHVWDXUDQW JURXS 'U -DPHV FODULĆśHV how this came about: â&#x20AC;&#x153;We were contacted by Buzz in response to an article in the newspaper about Premier Healthâ&#x20AC;&#x2122;s weight loss programmes. We then shared philosophies and found that our two organisations had synergy in our passion to reduce chronic diseases and healthcare costs in Bermuda. The food choices were made by the chefs at Buzz, and I went over it with them; we then changed one or two things. Thatâ&#x20AC;&#x2122;s how it happened.â&#x20AC;? The Take Five group of restaurants, which includes Buzz, has taken this a step
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KETO farther by creating a 40-day in-house keto challenge to HQFRXUDJH VWDĆľ PHPEHUV WR adopt a healthier lifestyle. Its WHDP RI VWDĆľ LV VXSSRUWLQJ each other in becoming more KHDOWK FRQVFLRXV DQG ĆśQGLQJ it rewarding on many levels, including donating money based on the pounds lost to a local charity. â&#x20AC;&#x153;The idea is to encourage a healthier lifestyle through food,â&#x20AC;? says Holger Eiselt, managing director of Take Five Ltd. â&#x20AC;&#x153;We are very proud WR VD\ WKDW ZH KDYH VWDĆľ members participating in this challenge, with more coming on to the programme all the time. We have also had interest from people outside the company to join the challenge and are working on ideas to keep the programme running LQGHĆśQLWHO\ DQG EURDGHQ LW to try to encourage more people to make better lifestyle
choices.â&#x20AC;? Dr. James opines that â&#x20AC;&#x153;As a doctor, you canâ&#x20AC;&#x2122;t sit in a corner and turn a blind eye to the â&#x20AC;&#x2DC;modern plagueâ&#x20AC;&#x2122; as we call it â&#x20AC;&#x201C; chronic diseases like diabetes, high blood pressure, kidney disease, heart disease, and being overweight. â&#x20AC;&#x153;This is why young people are in the obituary. It is why many of our loved ones are EHLQJ ơRZQ RĆľ WKH LVODQG IRU costly care. I canâ&#x20AC;&#x2122;t be cynical and just wring my hands saying, â&#x20AC;&#x2DC;People need to eat better and exercise.â&#x20AC;&#x2122; So I thought, why not go across the street to the people that make the food and ask, â&#x20AC;&#x2DC;Can you prepare this food for my patients? And Iâ&#x20AC;&#x2122;ll encourage them to come to your restaurant to pick their meals.â&#x20AC;&#x2122; I do this because I know that this food is going to cause them to lose weight, improve their health, and help them
Dr. Leonard Gibbons of Bermuda Wellness and Outreach Centre
live longer. I learned that the restaurant owners were more excited than I was. They wanted to solve the same problem and not just make money.â&#x20AC;? Dr. James says that, although the keto diet is popular at the moment, because of the nature of the human body, WKHUHĹĄV QRW D RQH VL]H ĆśWV DOO answer to weight loss. â&#x20AC;&#x153;You have to choose a diet that works for your lifestyle, helps you achieve your goals, and that is safe for you to do. It also has to be sustainable, and, over 22
D SHULRG RI WLPH TXLFN Ćś[ VWULFW fad diets have been shown to be hard to stick with.â&#x20AC;? The keto GLHW LV PRGLĆśDEOH DQG WKH IRRG tastes good. â&#x20AC;&#x153;The diet that I personally advocate is a whole food, plant-based diet, which is low in simple sugars and based on live fresh fruits, nuts, and vegetables,â&#x20AC;? he continues. â&#x20AC;&#x153;This is largely plant foods. I believe this is a very good diet and by following it people actually lose weight and reverse chronic diseases, too. â&#x20AC;&#x153;I am personally not against Health & Beauty Summer 2019
KETO
Dr. Stanley James of Premier Health and Wellness Center
people eating animal products, of course. I coach patients based on their culture, values, goals, food sensitivities, or tastes. Most good diets have some things in common. The key is to keep your diet low in simple sugars, low LQ UHĆśQHG IRRGV DQG ORZ in carbohydrates. Another important feature is to eat foods that are fresh and from the earth, such as vegetables, nuts, and fruits that are not high in sugar content. Then, you want to eat your healthy fats as well. Health & Beauty Summer 2019
â&#x20AC;&#x153;Food is such a big part of our lives. We all love food; we build our families around food; we date and bond around food. We can live, and we can die by our food. â&#x20AC;&#x153;In Bermuda, a lot of people are overweight or obese, and that can lead to cancer, heart disease, diabetes, kidney
failure, sleep apnea, and strokes, and the list goes on. The good news is that many of these diseases can be avoided and even turned around or eliminated altogether if you eat the right way.â&#x20AC;? Dr. Leonard Gibbons of Bermuda Wellness and Outreach Centre (BWOC), says WKH NHWR GLHW FDQ EH HĆľHFWLYH for helping people to lose weight, lower cholesterol levels, and control blood sugar levels in the short-term, but it comes with a number of VLJQLĆśFDQW ORQJ WHUP KHDOWK risks. Studies conducted with tens of thousands of SHRSOH RYHU ĆśYH \HDUV LQGLFDWH that low-carbohydrate diets increase risk of heart disease, hemorrhagic stroke, obesity, death due to diabetes, and premature death from all causes of death. â&#x20AC;&#x153;This diet is proven to be unsustainable,â&#x20AC;? he says. â&#x20AC;&#x153;I much prefer my patients develop healthy eating habits that they can maintain.â&#x20AC;? â&#x20AC;&#x153;The keto diet eliminates all bread, pasta, sugar, milk, corn, beans, and rice from the diet. The majority of the diet is eggs, cheese, meat, oil, nuts, seeds, nonstarchy vegetables, and leafy green
vegetables. Most of the food choices in the keto diet are the reason for the many health risks associated with this diet long-term,â&#x20AC;? explains Dr. Gibbons. â&#x20AC;&#x153;We can get the same EHQHĆśWV RI Ĺ IDGĹĄ GLHWV Ť KH suggests, without using an approach that eliminates major food groups like fruits, beans, and whole grains. â&#x20AC;&#x153;The oldest living groups of people in the world, those who live healthy and well into their late 80s and 90s, for example, in Okinawa, Japan; Sardinia, Italy; Nicoya, Costa Rica; Icaria, Greece; and among the Seventh-day Adventists in Loma Linda, California, consume a high intake of legumes and beans followed by vegetables, fruit, and whole grains. Meat is eaten in small amounts. These long-lived people have low rates of diabetes, heart disease, dementia or Alzheimerâ&#x20AC;&#x2122;s, and do not have the weight issues that are common in our culture. â&#x20AC;&#x153;Theyâ&#x20AC;&#x2122;re eating a highcarbohydrate, plant-based diet. Other keys to their longevity include moving more naturally throughout the day, living with a purpose, stress-
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KETO relieving rituals, eating until 80% full, being part of a faith-based community, and having close and strong family and social networks. â&#x20AC;&#x153;The overwhelming thing is that they consume 90% or more of their diet from whole plant foods. They drink water as their main beverage. If we see large groups of people who live happily this way and have the least amount of disease; then perhaps this is the type of eating path that we should all be following ourselves. And you can start were you are right now by adding more whole plant foods to your diet,â&#x20AC;? Dr. Gibbons suggests. ĹŁ/HW PH JLYH \RX RQH VSHFLĆśF H[DPSOH of the power of whole plant foods when compared with the ketogenic diet for diabetic patients that I received from one of my colleagues,â&#x20AC;? reveals Dr. Gibbons. â&#x20AC;&#x153;For 17 years, Jane [not her real name] was a Type 1 diabetic, meaning she was dependent on insulin injections to live. For 17 years, she did not eat a single fruit or starchy food. Her diet was primarily meat, cheese, and nuts, with some vegetables on the side. Jane was on a ketogenic diet. Now, despite following what many would call this perfectly executed ketogenic diet, Janeâ&#x20AC;&#x2122;s health only got worst. She gained weight, had terrible brain fogs, felt exhausted, and her A1C levels (a measure of how well blood glucose levels have averaged over the past three months) climbed higher every year. Jane felt depressed and began ORVLQJ KRSH 7KHQ VKH PDGH D VLJQLĆśFDQW
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change in her diet to a low-fat, plantbased whole food diet, and all of her conditions improved. After three months on the diet, her A1C went down from 7.3% to 6.1%. Her carbohydrate intake went up from 20 to 130â&#x20AC;&#x201C;200 grams per day. The amount of daily insulin units she required went down from 18â&#x20AC;&#x201C;20 to only 13. Her total cholesterol dropped from 340 mg/dl to 130 mg/dl. Her LDL or bad cholesterol went from 227 mg/dl to only 59 mg/dl, and she lost 15 pounds.â&#x20AC;? â&#x20AC;&#x153;Typically, what she had for breakfast,â&#x20AC;? explains Dr. Gibbons, â&#x20AC;&#x153;was a bowl of fruit and oatmeal or a green smoothie. Lunch was a green salad with lots of raw vegetables and beans and sometimes brown rice or quinoa. For dinner, she had a platter of sliced vegetables with hummus and or salsa, with potatoes on the side and fruit for dessert. This was her eating plan, DQG LW SURGXFHG VLJQLĆśFDQW KHDOWK EHQHĆśWV
after only three months. Jane became much healthier on a low-fat plant-based diet than on the ketogenic diet she lived on for many years.â&#x20AC;? Dr. Gibbons says our emotions are GHĆśQLWHO\ D IDFWRU ZKHQ LW FRPHV WR HDWLQJ and the food choices we make. He has a saying, â&#x20AC;&#x153;Some of us are sad eaters, some are mad eaters, some are glad eaters: and some eat mostly when hungry. Understand your primary motivation for eating and do what it takes to make hunger your number-one motivator for eating.â&#x20AC;? â&#x20AC;&#x153;I think we should celebrate, and there is nothing wrong with food being a part of the celebration,â&#x20AC;? he says, â&#x20AC;&#x153;but when food becomes the centerpiece of everything we do in life, somethingâ&#x20AC;&#x2122;s wrong. The centerpiece of life should be our relationships. And if our relationships are intact, if we are doing things that challenge us and inspire us; if we get adequate sleep and exercise and follow the right diet, we can DOO OHDG KHDOWK\ KDSS\ DQG IXOĆśOOLQJ OLYHV Ť Health & Beauty Summer 2019
KETO
BMSG
BMSG
Health & Beauty 2019
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WEIGHT LOSS
Diary of a dieter Don Burgess, teacher, writer, and CEO of the Media Council of Bermuda, shares his personal struggles with weight loss had a diabetes scare a few years back, and my weight had ballooned up to 185 pounds. Both my parents had diabetes, so I am genetically at a disadvantage. I have no control over that, but I do have control over what I eat. I kept a food journal and saw my weight drop to 154 pounds. Why a journal rather than D VSHFLĆśF GLHW SURJUDPPH" , had read on WebMD that the number-one key to any weight loss programme, regardless of whether it is Atkins, Paleo, Weight Watchers, or any other
I
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diet, is keeping track of what you eat. For most of the next 18 months, I kept my weight between 150 and 160 pounds, something I hadnâ&#x20AC;&#x2122;t done before the year 2000. But I didnâ&#x20AC;&#x2122;t keep my eye on the prize, and my weight slowly began to go up again until it was over 170 pounds. Recently, Iâ&#x20AC;&#x2122;ve been having chest pains, so I need to cut down on my sodium and red meat consumption. Heart problems are another genetic gift from my parents I could do without.
In February of this year, I decided that it was time to get back on track with my weight, and, with my prior knowledge of keeping a food journal, I decided to look for an app. After testing several options, I decided to use the Nutracheck app as my food journal. I used it free for a week, then paid $10 for a yearâ&#x20AC;&#x2122;s subscription, DV WKH DSS RĆľHUV VHYHUDO XVHIXO features. For one, it has a thorough list of brand-name foods in its database, including plenty of items from the United Kingdom. There is also a barcode scanner, so you can quickly add in foods that are not included in the app. It can also keep track of exercise. And, besides counting calories, it also keeps track of the amount of sodium, protein, sugars, carbs, fats, and saturated fats consumed. It even provides a weekly report, so if I overindulge on one or two days, the results are more
accurately balanced out over time. I set myself an ambitious goal of reaching 149 pounds before May 24. At this point, it looks like an overreach on my SDUW Ĺ&#x17E; DIWHU D JUHDW ĆśUVW ZHHN of losing nearly seven pounds, , KDYH ơRXQGHUHG D ELW A typical day of meals LQFOXGHV VHYHUDO FXSV RI FRĆľHH and a banana for breakfast. )RU OXQFK LI , DP KRPH ,ĹĄOO Ćś[ myself two turkey or chicken sandwiches or have a bag of peas with rice and make myself a curry. For dinner, a typical meal will be a bag of salad topped with a 6 oz chicken breast, dressing, and crunched-up lime chips. Unfortunately, for me, I love chocolate, and Cadbury Mini Eggs have been my nemesis. There are good intentions to eat just one serving, but before I know it, Iâ&#x20AC;&#x2122;ve devoured a whole bag. The other issue is going out to eat with friends and not
Health & Beauty Summer 2019
WEIGHT LOSS Don Burgess weighs in
Health & Beauty Summer 2019
making the best choices. 6R IRU P\ HĆľRUWV WR ORVH weight so far, itâ&#x20AC;&#x2122;s been an up-and-down journey. Iâ&#x20AC;&#x2122;ve lost 11 pounds in nine weeks. But VHYHQ RI LW ZDV WKH ĆśUVW ZHHN when a lot of water loss makes it look good. Weeks two and three also saw some minimum decreases. They werenâ&#x20AC;&#x2122;t big, EXW , WRRN RĆľ DQRWKHU WZR pounds and was still headed in the right direction. It was the fourth week in which the wheels started to IDOO RĆľ WKH ZDJRQ , KDG WZR dinners to attend and ate more than I should have with WKH EXĆľHWV WHPSWLQJ PH ZLWK all sorts of treats. :HHN ĆśYH ZDV HYHQ ZRUVH as it was my birthday. It probably wasnâ&#x20AC;&#x2122;t a good idea to eat nearly all of my coconut birthday cake. My wife is celiac (she gets sick if she has gluten), and my brother and sister-in-law left the cake at my house, so I was the only one nibbling away at it. That week saw me gain nearly two pounds. The next three weeks saw me lose those two pounds plus another two pounds to be on the verge of getting back below 160 pounds. Regarding exercise, most days I walk around 10,000 steps. The Nutracheck app lets me count any steps I make over 2,500 per day as exercise. So, although I donâ&#x20AC;&#x2122;t have a VSHFLĆśF H[HUFLVH SURJUDPPH I am not totally inactive, and, according to Nutracheck, my 10,000 steps equal 300 calories burned. I have been limiting my red meat consumption to twice a week, but I need to do a better job of getting more vegetables into my diet. I am not at the end of my journey, and I probably wonâ&#x20AC;&#x2122;t hit my goal on target, but I am still pressing onward. 27
MEDITATION
How Meditat Improve You Meditation has been proven to reduce stress and anxiety and can even improve your physical health. Peter Backeberg reports. uch in the way that adding more fruit and vegetables to your plate is a simple dietary change that improves health, meditation is an uncomplicated practice, accessible to almost everyone, that has a multitude RI SURYHQ KHDOWK EHQHĆśWV 'HVSLWH WKLV meditation still inhabits an esoteric, even mystical, space in the world of healthy living. Just perusing the ways meditation can improve the quality of life, e.g., better health, clearer mind, improved memory, greater self-awareness, and stress reduction plus increased empathy, kindness, and generosity (for yourself and others), it begs for understanding why more people donâ&#x20AC;&#x2122;t do it. â&#x20AC;&#x153;There is a perception of time as it relates to meditation,â&#x20AC;? says Brian Patterson, D FHUWLĆśHG \RJD WHDFKHU ZKR KDV EHHQ practicing meditation for more than 15 \HDUV DQG WHDFKLQJ LW IRU ĆśYH ĹŁ3HRSOH KDYH VR PXFK WR GR WKDW ĆśQGLQJ WLPH WR VLW quietly is not high on the list. They think, â&#x20AC;&#x2DC;Good God, I donâ&#x20AC;&#x2122;t have time for all of that.â&#x20AC;&#x2122;â&#x20AC;? Ironically, it is busy people (most of us) and stressed people (many of us) who would get the most out of meditation. To this point, Brian relays a quotation he recently read: â&#x20AC;&#x153;You must meditate for twenty minutes a day. If you donâ&#x20AC;&#x2122;t have time, make it an hour.â&#x20AC;? The quote speaks directly to the counterintuitive nature of meditation, that by slowing down the mind we can
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VSHHG XS LWV HĆľHFWLYHQHVV E\ VLWWLQJ still we can get more done, and by focusing on our self we can improve our relationships with others. ĹŁ,W KDV KDG D GLUHFW HĆľHFW RQ KRZ , UHDFW to everyday situations, good or bad,â&#x20AC;? says Brian. â&#x20AC;&#x153;It is as if my eyes are open a little bit wider. I can also connect more easily with other people and have a harder time ignoring my brothers and sisters when they are asking for help.â&#x20AC;? We tend to think of meditation primarily IRU LWV PHQWDO DQG SV\FKRORJLFDO EHQHĆśWV EXW VFLHQWLĆśF VWXGLHV KDYH VKRZQ WKDW it can also change our physical bodies, reducing blood pressure, boosting the immune system, and increasing serotonin production â&#x20AC;&#x201C; one of our feel-good chemicals. More interestingly, researchers at Harvard Medical School have even found changes on a genetic level for those who practice deep relaxation techniques, such DV PHGLWDWLRQ ZLWK PRUH ĹŁGLVHDVH ĆśJKWLQJ genesâ&#x20AC;? active in long-term practitioners. 7KHVH ĆśQGLQJV UHYHDO WKDW PHGLWDWLRQ LV in fact a â&#x20AC;&#x153;physicalâ&#x20AC;? activity, something the ancient yogis understood when developing their system of mind and body wellness. In fact, one of the main purposes of the yoga asanas, or postures, is to get the body ready to meditate. â&#x20AC;&#x153;There are additional or complementary EHQHĆśWV WR WKH DVDQDV EXW LW LV HVVHQWLDOO\ to prepare the body to be able to sit still for longer,â&#x20AC;? Brian says. Health & Beauty Summer 2019
MEDITATION
ion Can ur Health
Health & Beauty Summer 2019
Yogic practice is by no means the only tradition in meditation, in fact, there is a vast array of traditions and practices, some ancient, some modern. Brian says it WRRN KLP ĆśYH \HDUV WR ĆśQG D SUDFWLFH WKDW SURGXFHG WKH EHQHĆśWV KH VRXJKW ,Q KLV search, he pinpointed three factors he feels are important to establishing a meditation routine, especially when starting out. â&#x20AC;&#x153;Find a teacher, whether it is a person or through an app, with a calm voice, who speaks slowly, and who focuses on the breath,â&#x20AC;? he says. %ULDQ UHFRPPHQGV ĆśQGLQJ DQ LQVWUXFWRU with â&#x20AC;&#x153;recognised training or experience with meditationâ&#x20AC;? and warns against trying to do too much too soon. â&#x20AC;&#x153;Sitting down with a group who have been meditating for a long time could be overwhelming,â&#x20AC;? he says. â&#x20AC;&#x2DC;The â&#x20AC;&#x2DC;gongâ&#x20AC;&#x2122; goes, and everyone is quiet for an hour; that might freak some people out. We live in a society where we measure ourselves against others, and it would be easy to think, â&#x20AC;&#x2DC;Iâ&#x20AC;&#x2122;m not good at this.â&#x20AC;&#x2122; But thatâ&#x20AC;&#x2122;s like saying you are too hungry to eat dinner.â&#x20AC;? Continuing with the food analogy, Brian says consistency is the key to H[SHULHQFLQJ WKH EHQHĆśWV RI PHGLWDWLRQ with regular and shorter periods of practice adding up over time. â&#x20AC;&#x153;You donâ&#x20AC;&#x2122;t eat one big meal on Sunday and hope that it lasts for the week,â&#x20AC;? he says. â&#x20AC;&#x153;Fifteen minutes, three times a week will PDNH D GLĆľHUHQFH Ť $QG ZKDW ZLOO WKDW GLĆľHUHQFH EH" â&#x20AC;&#x153;It will change you over time,â&#x20AC;? says Brian. â&#x20AC;&#x153;We are so accustomed to the noise in our minds that we donâ&#x20AC;&#x2122;t even realise it is there. â&#x20AC;&#x153;But, over time, it will uncover, or reveal, a better version of yourself, like when you are on vacation, and you have time to breathe and relax, everything just works a little better, there is peace.â&#x20AC;? 3OXV DOO WKH RWKHU JRRG VWXĆľ OLNH ORZHU blood pressure, increased concentration, DQG DFWLYDWLQJ \RXU GLVHDVH ĆśJKWLQJ JHQHV To practice meditation in Bermuda there are a number of yoga teachers and other organisations that can be found online. Also online is a plethora RI ZHEVLWHV DQG DSSV WKDW RĆľHU JXLGHG meditation and teaching. )LQGLQJ WKH SUDFWLFH WKDW EHVW ĆśWV RU resonates can take time and patience, ZKLFK LV ĆśWWLQJ DV WKRVH DUH DOVR WZR RI WKH EHQHĆśWV PHGLWDWLRQ FDQ EHVWRZ RQ its practitioners. 29
FITNESS Here’s what some of Bermuda’s leading health ERH ǻXRIWW I\TIVXW XSPH YW
Tali Gabai
Minister of Health Wilson
Minister of Health, the Hon. Kim Wilson, JP, MP “Eating right and moving more are simple tips to good health. The Eat Well plate ZZZ JRY EP ƶOH HDW ZHOO SODWHSGI LV D great guide to a balanced diet and portion control. Choosing water as your main drink really helps. And walking and taking the stairs at every opportunity will get you at least 30 minutes of activity every day. Small FKDQJHV FDQ PDNH D ELJ GLƵHUHQFH Ť
Maureen Ryan
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Just One Tip If you could give just one important piece of advice to help people lead healthier lives, what would it be? Maureen Ryan, physiotherapist and director Myotherapy Centre “Be active daily doing something you love.
Henry Adderly
Health & Beauty Summer 2019
FITNESS Sophia Cannonier
Craig Brown
Doing something you enjoy. Sometimes people join gyms when they are not gym people. They end up being in the gym like a robot because they want to burn calories and keep their heart strong, but they donâ&#x20AC;&#x2122;t like it. Itâ&#x20AC;&#x2122;s more than physicality but neurochemistry. If we can keep joy and content by doing something you love, by going for a run or going to a dance class, then thatâ&#x20AC;&#x2122;s what you should do.â&#x20AC;?
Henry Adderley, owner and trainer, LifeThyme CrossFit â&#x20AC;&#x153;Everyoneâ&#x20AC;&#x2122;s got to start somewhere. Find something that you enjoy, and you will be more likely to stick with it. For me, thatâ&#x20AC;&#x2122;s &URVV)LW KHUH DW /LIH7K\PH Ĺ&#x17E; D GLĆľHUHQW workout every day with a bunch of fun people who encourage and support one another.â&#x20AC;?
Tali Gabai, co-owner and yoga instructor, Lucky Elephant Wellness â&#x20AC;&#x153;Make sure you get your heart rate up every day doing something you enjoy. Itâ&#x20AC;&#x2122;s a good way to centre yourself. I love yoga, but that may not be for everyone. For others, it may be running, but it has to be something you enjoy that elevates your heart rate and clears your head.â&#x20AC;? Health & Beauty Summer 2019
Craig Brown, advanced physiotherapy practitioner and FHUWLĆśHG IXQFWLRQDO PRYHPHQW specialist, APEX Physio ĹŁ$JLQJ LV D SURFHVV WKDW ZLOO DĆľHFW everyone; after all, none of us are getting younger. One area that can sometimes be overlooked is a condition known as sarcopenia â&#x20AC;&#x201C; loss of muscle tissue as a natural part of the aging process. The good QHZV LV WKDW WKH HĆľHFWV RI VDUFRSHQLD FDQ be drastically reduced. One way to do this is through regular resistance training DQG H[HUFLVH ZLWK D TXDOLĆśHG KHDOWK professional.â&#x20AC;?
Sophia Cannonier. Owner, founder, DQG GLUHFWRU RI WKH LVODQGĹĄV ĆśUVW Pilates studio, The Bermuda Integrated Health Co-operative Ltd and Lotus Mind Body Spirit Wellness and Birth Center. â&#x20AC;&#x153;Use your whole self. Many people exercise their heart through aerobics, work their legs, arms and abs in the gym, and itâ&#x20AC;&#x2122;s mostly done separately, in pieces. They donâ&#x20AC;&#x2122;t put it all together. I climb and do aerial exercises. When I do, I use my mind to think about how to climb. I use my awareness of anatomy to position exactly how my pelvis, my arms, and my legs should be situated. Everything has to work together. Donâ&#x20AC;&#x2122;t try to separate parts of the body and tone them. But, of course, using your whole self doesnâ&#x20AC;&#x2122;t just involve exercise. You also have to eat well, and DJDLQ QRW MXVW VSHFLĆśF WR RQH SXUSRVH Ĺ&#x17E; such as putting on muscle for bodybuilding or eliminating carbs to lose weight. You need foods that are going to heal you â&#x20AC;&#x201C; not just feed you. There really isnâ&#x20AC;&#x2122;t just â&#x20AC;&#x2DC;one tipâ&#x20AC;&#x2122; thatâ&#x20AC;&#x2122;s going to improve your health and ĆśWQHVV EXW Ĺ XVH \RXU ZKROH VHOI Ĺ&#x17E; PLQG body, spiritâ&#x20AC;&#x2122; is my mantra.â&#x20AC;? Steve Burgess
Steve Burgess, Bermuda 800 metre record holder, owner and trainer, Back to Basics â&#x20AC;&#x153;I always believe if it isnâ&#x20AC;&#x2122;t fun, it isnâ&#x20AC;&#x2122;t worth doing. It doesnâ&#x20AC;&#x2122;t depend on the coach; it has to come from within.â&#x20AC;? 31
FITNESS
Bermudaâ&#x20AC;&#x2122;s largest private gym
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lchemy Fitness Studio is Bermudaâ&#x20AC;&#x2122;s largest private gym, specialising in one-on-one and semiprivate SHUVRQDO WUDLQLQJ DV ZHOO DV JURXS ƶWQHVV classes. With three main rooms spanning over 5,000 square feet, workouts are fun, IXQFWLRQDO DQG HƵHFWLYH ZLWK HQRXJK space to accommodate everyone. Located in the heart of Hamilton, $OFKHP\ RƵHUV VSHFWDFXODU YLHZV RI Front Street and Hamilton Harbour. With DQ LPPDFXODWH IDFLOLW\ DQG IULHQGO\ VWDƵ
there is something here for everybody. Clients of all ages and abilities will experience a mix of traditional and unique training methods while working with FHUWLƶHG HGXFDWHG DQG NQRZOHGJHDEOH trainers, each with their own style. Safe and correct techniques are part of the mission, where the vision is to create widespread empowerment through the lifestyle transformation process. Individualised programmes aim to transform anyone ready to take the necessary steps, and it
can be a seemingly magical process. $OFKHP\ DOVR RƵHUV QXWULWLRQDO consultation, sports massage, and yoga as well as open gym hours where all manner of equipment is available to use. Alchemy means transformation, and it boasts great success in facilitating VLJQLƶFDQW DQG SRVLWLYH OLIHVW\OH FKDQJHV WR all who walk through its doors. Conveniently located at 22 Reid St., Hamilton. Get in touch on all social media. Email: info@alchemy.bm. Tel: 295-9400.
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Health & Beauty Summer 2019
FITNESS
Get strong, toned, and flexible ilates reformer classes at Horizon Health will help you develop and maintain nextlevel core muscles Pilates is a low-resistance, low-gravity form of movement to help gain strength easily and consistently in a noninvasive way through the reformer push/pulley system. Reformers work on the basis of opposition always strengthening an area of the body whilst stretching the opposite muscles. This creates a balanced muscular skeletal system, evenly toned, and posture-aligned body. Pilates concentrates on working your â&#x20AC;&#x153;inner unitâ&#x20AC;? muscles verses your â&#x20AC;&#x153;outer unitâ&#x20AC;? major muscles that most other forms of movement and sports focus on. The inner unit is the mast of the body and supports the major muscles. Hence lifestyle, sports performance, and general body function improves through the practice of Pilates. Horizon Health has recently
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expanded its studio space and has become Bermudaâ&#x20AC;&#x2122;s largest Pilates facility, with more than 40 years of collective teaching experience. To experience Bermudaâ&#x20AC;&#x2122;s best team of Pilates instructors, contact Caroline. Email: info@horizonhealthbermuda.com. Tel.: 2931687. www.horizonhealthbermuda.com. Chancery Hall, Ground Floor, 52 Reid Street, Hamilton.
How to energise yourself NERGIZE! Wellness Solutions is a ERXWLTXH ĆśWQHVV DQG ZHOOQHVV FHQWUH located in the heart of the business district in Hamilton. It sets itself apart from the big gyms by providing a personalised, intimate setting that focuses on your health. You are welcome to walk in and try any of its fun, safe, DQG HĆľHFWLYH \RJD DQG ĆśWQHVV classes and state-of-the-art, self-powered cardiovascular
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Horizon Health offers classical and contemporary solo, duet and trio Pilates reformer classes to all ages and abilities. We are the largest Pilates facility in Bermuda and have the most collective experience teaching clients. For a first class Pilates experience sign up for sessions with our team. info@horizonhealthbermuda.com www.horizonhealthbermuda.com Tel. 293 1687 Chancery Hall, Ground Floor, 52 Reid Street, Hamilton, HM 12 Health & Beauty Summer 2019
machines. You can even schedule a relaxing and restorative sports massage for after your class. A variety of other massages are also available. If you are looking to focus on more WKDQ D VSHFLĆśF ĆśWQHVV JRDO DQG DUH UHDG\ to change to a healthier lifestyle, sign up for its â&#x20AC;&#x153;My Best Meâ&#x20AC;? wellness programme or a monthly health coaching session. Tackle issues such as workâ&#x20AC;&#x201C;life balance, barriers to success, stress management, self-esteem, and mindful eating. Energize! follows a nondiet approach, and you do not need to be concerned about going on a diet. You will learn ways to listen to your bodyâ&#x20AC;&#x2122;s hunger and fullness signals, and other topics such as portion-control with the Bermuda Eat Well Plate. For more details, visit www.energizewellness. solutions or telephone 747-7474.
Open Monday-Friday 7:15 am - 7:00 pm Saturday 8:00 am - 1:00 pm
Call 747-7474 today! Find us at Park Place, 55 Par-La-Ville Rd, Hamilton HM 11 33
BEAUTY TIPS
Hair-free skin or more than 13 years, Body Sculpture has been specialising in laser hair removal and laser skin rejuvenation. It is now proud to introduce new team member Charlotte, an aesthetician with more than 25 years of beauty experience. Charlotte has vast knowledge of skin care and specialises in medical-grade facials for aging, acne, sensitive and sunGDPDJHG VNLQ DQG URVDFHD 6KH DOVR RĆľHUV full body waxing, manicures, pedicures, and lash and brow tinting. Plus, Charlotte brings a new treatment to Body Sculpture â&#x20AC;&#x201C; Dermaplaning. Karen, a registered nurse (RN) with more than 30 yearsâ&#x20AC;&#x2122; experience, specialises in laser hair removal and laser skin rejuvenation as well as LPGâ&#x20AC;&#x2122;s endermologie treatments for cellulite. %RG\ 6FXOSWXUH DOVR RĆľHUV D ODUJH selection of beauty products for sale such as Circadia, a fabulous medical line of skin products that utilises paraben-free preservative systems. Circadia products are also animal-testing free and have a multitude of cutting-edge ingredient technologies and specialty items for comprehensive treatment of aging skin, pigmentation disorders, acne, and rosacea. Other great products stocked by Body Sculpture are Revitalash, which enhances, thickens, and lengthens lashes, and Silcskin antiwrinkle silicone pads. For more information or to book online, telephone 292-5164 or visit www.bodysculpture.gettimely.com
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The secret to defying aging f improving your looks without surgery is your goal, want to stay competitive in a youthful job market, or just want to look younger, several nonsurgical options are available. With more than 30 yearsâ&#x20AC;&#x2122; experience,
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Nurse Willi Lawrence of the Dermatology & 6NLQ &DUH &HQWUH LV TXDOLĆśHG WR SURYLGH \RX with a professional assessment on how to achieve the results you seek. 7KH ĆśUVW VLJQV RI DJLQJ DUH XVXDOO\ VHHQ on the face, neck, and hands due to a loss of collagen and volume. It is common WR XVH %RWR[ DQG ĆśOOHUV RQ WKHVH DUHDV however, Nurse Lawrence also utilises a unique procedure called Thermageâ&#x201E;˘. Thermage has become increasingly popular since Oprah Winfrey showcased it on her show and called it one of her favorite things. The Dermatology & Skin Care Centre has the latest CPT machine, which decreases a patientâ&#x20AC;&#x2122;s discomfort. It is also 40 percent faster and has greater skintightening ability. It uses no needles and no anesthesia. It can be used on all skin types to lift sagging eyebrows, raise and sculpt cheekbones, and tighten the jawline. The Dermatology & Skin Care Centre has the tools and experience to help you look your best without ever looking like youâ&#x20AC;&#x2122;ve had anything done. For a personalised consultation on how to rejuvenate your look, call 295-9963.
Womenâ&#x20AC;&#x2122;s Wellness tâ&#x20AC;&#x2122;s all about you at Vida Medical Spa, a contemporary spa in the heart of Hamilton. At Vida, the focus is on womenâ&#x20AC;&#x2122;s wellness. Its clinicians provide excellence in aesthetic services, leading-edge cosmetic technology, and a signature blend of applied science with an artistâ&#x20AC;&#x2122;s eye for enhancing the best of you. Vidaâ&#x20AC;&#x2122;s full range of treatments improve
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VXQ GDPDJHG VNLQ UHGXFH ĆśQH OLQHV and wrinkles, smooth skin texture, ease discolorations and acne, and enhance the skinâ&#x20AC;&#x2122;s overall health and appearance. 9LGD RĆľHUV D YDULHW\ RI PHGLFDO VSD services for face and body. Medspa Services: Medical skin care system (ZoÂŽ by Dr. Z. Obagi), medical grade chemical peels, medical grade microdermabrasion, Botox and dermal ĆśOOHUV %URWR[ WUHDWPHQW IRU PHQ Light Based Therapies: For hair removal, facial vein removal and facial redness, skin tightening, pigment removal. Other Services: eDS skin rejuvenation/ dermaroller (micro-needling), sclerotherapy (spider vein removal on legs), permanent SLJPHQWDWLRQ DQG VFDU FDPRXơDJH (micropigmentation). Spa Services: Hot stone massage, deep tissue massage, bellybliss massage (for the expectant mother). International Centre, Suite 308, Bermudiana Road. Tel: 295-VIDA. Email: vida@logic.bm. www.vidabermuda.com
Choose Water ugar is a carbohydrate and occurs naturally in fruits, vegetables and dairy products. Too many carbohydrates can lead to weight gain mainly due to extra calories in the diet. Sodas and other beverages are some of the main culprits of â&#x20AC;&#x153;added sugarâ&#x20AC;?. There are profound health implications related to excess body fat. Being overweight increases your risk of high blood pressure, heart disease, stroke and diabetes. Drinking water is a healthier alternative to sodas. It allows you to hydrate without the sugars. Fruits like limes and lemons FDQ EH DGGHG WR HQKDQFH WKH ơDYRXU Sparkling water is a great option if you miss the carbonation of sodas. Always read the labels on the water you purchase since all waters are not created equal. There is a time to indulge in the sweeter side of life. However, balance things out with a refreshing glass of water. It does a body good, pure and simple. www.bwl.bm.
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Health & Beauty Summer 2019
Drink More Water. Drinking up to eight glasses of water a day will help you get clearer skin, feel more energized, lose weight, and keep you staying well-hydrated. Start by simply bringing a reďŹ llable bottle to keep at work, and opt for water when dining out. MAKE SURE YOU BRING YOUR BOTTLE CAP!
Make sure you check out the easy to use PURE WATER & PURE ICE VENDING MACHINE HOURS OF OPERATION MONDAY - FRIDAY: 8 a.m. â&#x20AC;&#x201C; 5 p.m. (OFFICE, RETAIL SHOP & DRIVE THRU)
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BEAUTY TIPS
The seasons of your life
hatever stage of life you are entering, there are always ways to ease the journey and help you to live more authentically. The Headway team prides itself on serving its clients by making it a priority to only use, wherever possible, superior quality products that are clean and organic. When weâ&#x20AC;&#x2122;re in our teens to 30s, we tend to take our good looks and health for
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granted, but, by making small changes and using clean/organic products such as Jane Iredale mineral cosmetics, you will be laying the foundations to protect your skin from irritants and sun damage, helping you to look great now and in the future. Headwayâ&#x20AC;&#x2122;s amazing Karin Herzog facial products are suitable for all ages and skin types, especially sensitive skins, ensuring maximum protection and healing, as they contain stabilised oxygen, whilst being paraben, dairy- and crueltyfree, and suitable for vegans. At any stage of life, we can make improvements to our looks by making wise choices in hair and body care. Headwayâ&#x20AC;&#x2122;s sulfate and paraben-free product lines, such as Moroccanoil, Olaplex, and TIGIŠ all contain multiple options. As we reach our 40s and beyond, we WHQG WR PRYH LQWR RXU FDPRXơDJH SHULRG and our skin and hair may need extra
help to diminish signs of ageing or stress. Headway suggests that you consider a PRUH QDWXUDO ĆśQLVK ZLWK PDNHXS VSHQGLQJ time on foundation and concealer that will provide a youthful look. The ultimate in nonsurgical procedures is still by far Headwayâ&#x20AC;&#x2122;s micropigmentation service. It gives the look of an eyelift without surgery and can be a life changer for chemotherapy patients, clients with M.S., or alopecia, as it means you can sleep and wake up with your make up on. For more details, visit www.headway.bm or telephone 292-8983.
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Health & Beauty Summer 2019
BEAUTY TIPS strives to not only excel in delivering leading-edge techniques but also in HĆľHFWLYHO\ FRPPXQLFDWLQJ ZLWK LWV YDOXHG clients. www.tanglesbermuda.com
Weird and Wonderful Hair Facts
Switching stylists? f youâ&#x20AC;&#x2122;re looking for a new hairstylist, go to Tangles Hair Ltd., a full-service Paul Mitchell and Alfaparf concept salon. Tangles Hair caters to women, men, and children of all ages. It is also a color salon and especially loves to work with brides to ensure they look beautiful for their special day. Tanglesâ&#x20AC;&#x2122; highly trained VW\OLVWV XQGHUVWDQG WKDW D ơDZOHVV FXW DQG fabulous, personalised color and highlights are key necessities to looking and feeling your best. It is passionate about its work and especially your satisfaction. Tangles
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â&#x20AC;˘ Hair is the fastest-growing tissue in the body, second only to bone marrow â&#x20AC;˘ PHWHUV RI KDLU ĆśEUH DUH SURGXFHG HYHU\ day on the average adult scalp â&#x20AC;˘ The average scalp has 100,000 hairs. Redheads have the least at 80,000, brownand black-haired persons have about 100,000, and blonds have the most at 120,000. â&#x20AC;˘ 90% of scalp hairs are growing and 10% are resting â&#x20AC;˘ It is normal to lose 100 hairs a day from the scalp â&#x20AC;˘ You must lose more than 50% of your scalp hairs before it is apparent to anyone â&#x20AC;˘ Many drugs can cause hair loss â&#x20AC;˘ 7K\URLG LPEDODQFH DQG LURQ GHĆśFLHQF\ DUH reversible causes for hair loss
â&#x20AC;˘ More than 50% of men by age 50 have male-pattern hair loss â&#x20AC;˘ 40% of women, by the time they reach menopause, will have female-pattern (hereditary) hair loss â&#x20AC;˘ Hair covers the whole body, with the exception of soles of feet, palms of hands, mucous membranes, and lips â&#x20AC;˘ The lifespan of human hair is three to seven years on average
Natural Hair Colors A personâ&#x20AC;&#x2122;s genes determine the hair/ skin/eye color before his or her birth. The determinants for hair color are known as melanocytes. These cells form the natural hair colors, or pigments, and distinguish among black, brown, and red. Depending on the percentage of each pigment, a person typically has blond, brown, red, or black hair. As the melanocytes decay during a lifetime, the hair becomes dull gray and later on turns whitish. For good hair health, eat whole meat products, eggs, liver, kidneys, vitamin D, herrings, salmon, carrots, green vegetables, and vitamin C. www.livhairandbeauty.com
Embrace your
Beauty We offer a complete range of Hairdressing and Beauty services. Call us today for your appointment. Gift cards available.
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Health & Beauty Summer 2019
10 Park Road, Hamilton 295-1873 liv@northrock.bm
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SENIORS
Slowing down the ageing process Can you really turn back the hands of time? As one wit WYKKIWXIH Ƹ.X QE] RSX FI TSWWMFPI FYX . [MPP HMI XV]MRK Ćš ouldnâ&#x20AC;&#x2122;t we all like to have an elixir that will make us look and feel younger? It will come as no surprise to know that such a preparation does not exist, despite advertisements claiming to have, indeed, discovered a magic formula. There are, however, many things you can do to help you stay vibrant at any age.
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backache thatâ&#x20AC;&#x2122;s been troubling you.
Meditate It will reduce stress and anxiety and has also been shown, in some cases, to reduce age-related memory loss. For more information, read the detailed article on page 28 of this issue.
Exercise Regularly
Sleep
That doesnâ&#x20AC;&#x2122;t mean running a marathon or spending two hours in the gym each day. Just walking or other moderate physical activity for 30 minutes a day is all it takes.
Getting enough sleep will not only improve your mood and give you a more positive outlook on life, it can also help you to gain better concentration and improve memory. Another thing, it will reduce the risk of stroke and heart attack.
Drink water Research reports suggest it can increase your brain power, provide energy, improve your complexion, promote healthy weight management, and provide many other EHQHĆśWV )RU H[DPSOH GHK\GUDWLRQ LV RIWHQ an overlooked cause of back pain, so drinking more water may just prevent that
Eat Well Seek out the most nutritious foods that will help promote your health and vitality. /D\ Rƾ WKH VXJDU DQG HDW PRUH DQWL LQơDPPDWRU\ IRRGV (GXFDWH \RXUVHOI RQ the food choices that are right for you and
that you will enjoy in the long run â&#x20AC;&#x201C; donâ&#x20AC;&#x2122;t just follow the latest fad diet.
Study something new Youâ&#x20AC;&#x2122;re never too old to learn. Whether itâ&#x20AC;&#x2122;s painting, gardening, taking up a musical instrument, needlework, advancing your computer skills, or unleashing your creativity in other ways, youâ&#x20AC;&#x2122;ll feel energised and youthful as you stretch yourself with a new hobby.
Volunteer Proven to be good for your mind and body, volunteering has many surprising EHQHĆśWV ,W ZLOO FRQQHFW \RX ZLWK RWKHUV and youâ&#x20AC;&#x2122;ll make new friends. It will relieve stress, give you a sense of purpose, and ZLOO KDYH D SURIRXQG HĆľHFW RQ \RXU RYHUDOO well-being.
The West End's #1 destination for prescription medication, over-the-counter drugs, gifts, snacks, accessories and more. Our hours are: Monday -Thursday, 8am-6pm, Friday and Saturday 8-5 and Sunday 11-2 49 Somerset Road, Sandys Tel: 234-2484 Email: sompharm@northrock.bm
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Health & Beauty Summer 2019
OPHTHALMOLOGY
Why itâ&#x20AC;&#x2122;s important to have your eyes checked Dr. Burgess, an experienced doctor of optometry and chair of the Optometristsâ&#x20AC;&#x2122; and Opticiansâ&#x20AC;&#x2122; Council, provides a list of signs and symptoms that may indicate a medical emergency or urgent condition that could lead to vision loss over time lines appearing wavy may be symptoms caused by macular degeneration, a leading cause of blindness among older Bermudians. Blind spots in your vision and unexplained blurred vision may be due to diabetic retinopathy. Regular eye exams are important for diabetics, particularly those over age 60. By evaluating your retina, your eye doctor can provide valuable information to your general physician about the control and severity of your diabetes. Cloudy and blurred eyesight. Halos around lights at night and/or loss of
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6SRWV DQG ơRDWHUV LQ \RXU vision. Floaters are generally due to a normal age-related condition called â&#x20AC;&#x153;vitreous degeneration,â&#x20AC;? which occurs when the eyeâ&#x20AC;&#x2122;s gel-like interior OLTXHĆśHV DQG VHSDUDWHV IURP the retina. If you notice a sudden onset of spots and ơRDWHUV YLVLW \RXU H\H GRFWRU immediately to rule out a more serious condition called â&#x20AC;&#x153;retinal detachment.â&#x20AC;? A sudden painful red eye with nausea and vomiting. This may indicate a narrowangle glaucoma attack. This can permanently damage vision in a short period of time and should be treated immediately by your eye doctor. Double vision. Many conditions can cause double vision, but, in some
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Health & Beauty Summer 2019
cases, it can signal an underlying health emergency such as a stroke. If you have a sudden onset of double vision, see your eye doctor or family physician immediately. Sudden blurry vision in one eye. After age 60, your chance of developing a macular hole in the central part of the retina increases. Macular holes can worsen and cause permanent vision loss, so itâ&#x20AC;&#x2122;s important to visit your eye doctor for diagnosis and prompt treatment. Tunnel vision or peripheral vision loss. These may be a sign of glaucoma. Without intervention, peripheral vision loss could continue to worsen and even lead to blindness. Central vision loss including distortions such as straight
bright color vision may be due to cataracts. Cataracts tend to worsen gradually over time and are not a medical emergency; however, they should be monitored regularly by your eye doctor. Tearing, irritated, or scratchy eyes may be due to dry eye syndrome. Dry eyes are generally not an emergency but may be a chronic condition that can DĆľHFW WKH TXDOLW\ RI \RXU vision, especially as you grow older and your body produces fewer tears or your tear chemistry changes. Consult your eye doctor for advice about treatments.
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ARGUS OPTICAL COMPANY 11 PARLIAMENT STREET HAMILTON HM 12 | HOURS 9AM-5:30PM (441) 292-5452 (441) 292-0097 25 REID STREET HAMILTON | HOURS 9AM-5PM (441) 296-EXAM
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CONTACTS EXAMS EX CONTACTS
39
MEDICAL PROFESSIONALS GUIDE
Medical Professionals Guide or a small, remote island, we are blessed with more than 2,000 registered health professionals. The ratio of one medical professional for every 30 people is one of the highest in the world. We are also blessed that we have quality as well as quantity. As healthcare becomes increasingly complex â&#x20AC;&#x201C; and miraculous â&#x20AC;&#x201C; our medical professionals keep up to date with cutting-edge technologies and research, while making your health and well-being their priority. Our doctors, dentists and ophthalmologists, together with their VSHFLDOLVW VWDĆľ EULQJ WKH EHVW KHDOWKFDUH SUDFWLFHV WR WKH LVODQG ZLWK their expertise, care, and compassion. Whatever medical help or advice youâ&#x20AC;&#x2122;re seeking, for you or your family, thereâ&#x20AC;&#x2122;s an expert in Bermuda whoâ&#x20AC;&#x2122;s just right for you.
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Dr.
Chris Fosker Dr. Chris Fosker is the Medical Director and Radiation Oncologist at the Bermuda Cancer and Health Centre, a consultant FOLQLFDO RQFRORJLVW DW %HUPXGD +RVSLWDOV %RDUG DQ DƸOLDWH RI WKH 'DQD Farber Cancer Institute, and Consultant at the Brigham and Womenâ&#x20AC;&#x2122;s Hospital in Boston. Dr. Fosker was the clinical lead in the project that EURXJKW UDGLDWLRQ WKHUDS\ WR %HUPXGD 'U )RVNHU LV TXDOLĆśHG WR WUHDW cancer patients with radiation therapy, chemotherapy, molecular therapy, and immunotherapy. Before moving to Bermuda, Dr. Fosker worked as a specialist at St. Jamesâ&#x20AC;&#x2122;s Institute of Oncology in Leeds, Europeâ&#x20AC;&#x2122;s largest purpose-built cancer centre. He is the recipient of numerous awards, including the RS Bush Award for academic excellence. Dr. Fosker and the team at Bermuda Cancer and Health Centre have treated more than 300 patients with radiation therapy since the unit opened in 2017. Bermuda Cancer and Health Centre 46 Point Finger Road. Paget DV 04 Tel: 236-1001 Email: cfosker@chc.bm www.cancer.bm 40
Dr. Olivia Bato
Dr Olivia Bato joined Bermuda Cancer and Health Centre in March 2019 as the Clinical Director of Diagnostic Imaging. She is an experienced Radiologist with subspecialty interest in breast imaging. Dr Bato is responsible for the day-to-day clinical operation of the centreâ&#x20AC;&#x2122;s diagnostic imaging department which provides mammograms, ultrasounds, breast and prostate biopsies and bone densitometry. She meets directly with diagnostic imaging and biopsy patients and communicates imaging results directly to the UHIHUULQJ SK\VLFLDQV WR GLVFXVV ZLWK WKHLU SDWLHQWV 6KH TXDOLĆśHG IURP Maastricht University in 2006 before undertaking radiology training LQ ODUJH WUDLQLQJ KRVSLWDOV LQ WKH 1HWKHUODQGV ZLWK WZR ĆśQDO \HDUV RI subspecialty training in Breast Radiology. Further expertise was gained at the Royal United Hospital Bath, as well as private practices in the UK and Belgium in ultrasound guided biopsies and stereotactic breast biopsies, 3-D tomosynthesis, breast cancer screening, ultrasound JXLGHG LQĆśOWUDWLRQ DQG EXUVDH JHQHUDO DQG PXVFXORVNHOHWDO XOWUDVRXQG Bermuda Cancer and Health Centre 46 Point Finger Road, Paget DV 04 Tel: 236-1001. Email: obato@chc.bm www.cancer.bm
Health & Beauty Summer 2019
MEDICAL PROFESSIONALS GUIDE
Drâ&#x20AC;&#x2122;s
Arlene Basden MD. (pictured left) Dr. Arlene Basden is the Medical Director of Bermuda Medical Specialties Group. Dr. Basden received her undergraduate degree in biochemistry from Dalhousie University in Halifax, Nova Scotia and her Medical Degree from the University of the West Indies in St Augustine, Trinidad. She completed her residency training in the United Kingdom at Morecambe Bay Hospitals NHS Trust and Lancashire Teaching Hospitals NHS Trust. Dr. Basden is only the second Bermudian to become a Fellow of the Royal College of Physicians. 2IWHQ UHIHUUHG WR DV %HUPXGDťV ţ'U +RXVHŤ WKH ƜFWLRQDO 79 GRFWRU 'U %DVGHQ VSHFLDOLVHV LQ KDQGOLQJ GLƸFXOW PHGLFDO FDVHV FRPSOH[ FDUH coordination and medical second opinions. She also has a special interest in medical weight loss and team-based medicine.
Andrea Gilford Johnson MD. (pictured right) Dr. Andrea Gilford Johnson, is a general practitioner with Bermuda Medical Specialties Group and has more than 17 years of experience. Dr. Gilford Johnson graduated from the University of Guyana with a Bachelor of Medicine and a Bachelor of Surgery Degree (MBBS). She also received a Diploma in Medical Technology, with distinction, specialising in Hematology. Her clinical interests focus on community and preventative medicine, as well as complex care coordination, public health and patient education. â&#x20AC;&#x153;Treat others the way you would like to be treated as a patient and deliver compassionate healthcareâ&#x20AC;? is Dr. Gilford Johnsonâ&#x20AC;&#x2122;s personal motto. Bermuda Medical Specialties Group 3 Reid Street, Hamilton HM 11 Tel: 541-2674 Email: mycare@bermudamedical.com www.bermudamedical.com
Dr.
Sergei Frenzel, ND, MD.
Dr. Sergei Frenzel believes poor health and diseases do not exist in isolation, but are in fact a direct consequence of our diet, lifestyles, genes, cultures and how we interact with our environments. He is passionate about adopting an integrated approach to health, as well as exploring how safe, proven complementary therapies can work in conjunction with mainstream medicine. With more than 35 years of medical practice experience, Dr. Frenzel brings a unique perspective to individualised wellness. His diverse expertise is an amalgamation of living and practicing medicine and blending naturopathic, conventional, and alternative methodologies to tailor treatment plans in Ukraine, Israel, and United States. Dr. Frenzel graduated from Bridgeport University School of Naturopathic Medicine, located in Bridgeport, Connecticut, USA, with a Naturopathic Doctor degree. He received his MD degree from Kharkiv Medical University in Kharkiv, Ukraine. Dr. Frenzel concluded postdoctoral training in Chinese herbal remedies and acupuncture. 7 North Shore Road Devonshire DV 01 Tel: 293-5476 Email: sfrenzel@nmac.bm www.nmac.bm Health & Beauty Summer 2019
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MEDICAL PROFESSIONALS GUIDE
Dr. Paul G. Lee, M.D.
Paul G. Lee, MD, MPH is the Harry C and Misook Doolittle Professor of Medicine and serves as Medical Director of the Hospitalist Programme, the Associate Program Director for the Medical Residency Training Programme and Medical Director for Global Services at NewYork Presbyterian Hospital Columbia University Irving Medical Center (CUIMC). Dr. Lee was a recipient of the Physician of the Year Award and three-year recipient of the Ewig Clinical Education Award for dedication and excellence in clinical teaching. Along with his current functions, Dr. Lee has been the Head Team Internist for the New York Yankees since 2007 and is a member of the Major League Baseball Team Physicians Association. Since 2014, he has also served as the Head Team Internist for the New York City Football Club. ,Q WKHVH FDSDFLWLHV 'U /HH FRQWLQXHV WR VHDPOHVVO\ EULGJH FOLQLFDO H[FHOOHQFH WR WKH SDWLHQW H[SHULHQFH $ JHQWOH EHGVLGH PDQQHU ĆśQH attention to detail, consistent availability and passion for continuing medical education are core to his function. Dr. Leeâ&#x20AC;&#x2122;s appreciation for cultural diversity is demonstrated by his years of active participation in medical conferences and events abroad. In February 2018, Dr. Lee partnered with the Bermuda Heart Foundation in bringing Continuing Medical Education (CME) sessions on island. Medical professionals ZHUH DĆľRUGHG DQ RSSRUWXQLW\ WR HDUQ FUHGLWV E\ DWWHQGLQJ D IXOO GD\ VHVVLRQ RI SUHVHQWDWLRQV LQ YDULRXV FOLQLFDO VSHFLDOWLHV 'U /HH UHWXUQHG to present a second series in 2019 and is currently preparing to celebrate the 3rd annual Bermuda CME event in February 2020. Tel: 232-2673 Email: info@bdaheart.bm www.mybermudaheart.bm/core www.NYP.org/globalservices/collaborations
Dr.
David Serur, M.D.
Dr Serur, Associate Professor of Medicine in Clinical Surgery, Weill Cornell Medical College, Cornell University, Associate Attending Physician, NewYork-Presbyterian Hospital, and Associate Professor of Clinical Medicine, Weill Cornell Medical College, Cornell University, joined NewYork-Presbyterian Hospital Weill Cornell Medical Center in 1991 with an interest in clinical transplantation. In 2007, Dr. Serur was appointed Medical Director of the kidney transplant programme. For the past 17 years, he has supervised the evaluations of kidney donors at Weill Cornell Medical Center, that performs 150 living donations annually. Research interests have included pharmaceutical industry supported studies of new transplant medications as well as investigator-initiated studies. 'U 6HUXU ZDV RQH RI WKH HDUOLHVW SURSRQHQWV RI RĆľHULQJ NLGQH\ WUDQVSODQWDWLRQ WR +,9 SDWLHQWV RQ GLDO\VLV VRPHWKLQJ WKDW PDQ\ WKRXJKW was too risky but is now done routinely. He is a pioneer with a keen ability to connect with patients. Dr. Serur appreciates patients and approaches them with a calm, soothing demeanor. Recently, Dr. Serur developed an online educational tool kit for living donor transplantation. In March 2016, he visited the White House to advise the White House National Economics Council on ways to promote organ donation and remove disincentives from live donors and subsequently joined the White House Organ Summit in June 2016. Dr. Serur expanded his scope internationally in 2018 and 2019, when he participated as a guest speaker at NewYork-Presbyterian Hospital Columbia University Irving Medical Centerâ&#x20AC;&#x2122;s Continuing Medical Education/Bermuda Heart Foundation programme in Bermuda. He maintains close ties with the Bermuda Heart Foundation and remains readily available to participate in related endeavors. Tel: 232-2673 Email: info@bdaheart.bm www.mybermudaheart.bm/core www.NYP.org/globalservices/collaborations 42
Health & Beauty Summer 2019
MEDICAL PROFESSIONALS GUIDE
Drâ&#x20AC;&#x2122;s
Carmen Rabain, D.M.D. (pictured right) Dr. Carmen Rabain, owner of Coral Dental, has been practicing in Bermuda since 2010. She is originally from Atlanta, Georgia and attended The University of Alabama School of Dental Medicine. Following her graduation, she practiced in Savannah, Georgia before moving to Bermuda. When opening her own practice, Dr. Rabain wanted to support her community by providing exceptional cosmetic and family care. â&#x20AC;&#x153;Mission work and outreach programmess are extremely important to me.â&#x20AC;? Multiple times a \HDU 'U 5DEDLQ DORQJ ZLWK KHU VWDĆľ WDNH WLPH RXW RI WKH RƸFH WR HGXFDWH DQG SURYLGH care to the community. â&#x20AC;&#x153;Not everyone has the same access to dental care, and it is important to make quality patient care available as best we can.â&#x20AC;?
Colleen Donnelly (pictured left) Dr. Colleen Donnelly has been with Coral dental for more than 4 years. Originally from Connecticut, she attended the University of Connecticut School of Dental Medicine, followed by additional training through a general dentistry residency at Mount Sinai Hospital in New York. She is a current member of the Academy of General Dentistry and the American Academy of Cosmetic Dentistry. Since graduating, she has taken multiple continuing education courses and says â&#x20AC;&#x153;I am passionate about patient care and continuously learning. Dentistry is always changing and there is always more to learn. I am then able to use what I learn to help my communityâ&#x20AC;&#x2122;s overall quality of life.â&#x20AC;? Coral Dental 27 Queen Street, Suite 401 Hamilton HM 11 Tel: 295-8040 www.coraldental.bm
Drâ&#x20AC;&#x2122;s
Frances Betts (pictured left) Dr. Betts wanted to be a dentist since she was 9 years old. After qualifying in the UK in 1995 she moved WR %HUPXGD LQ ZKHUH VKH ZRUNHG DW D QXPEHU RI GHQWDO RƸFHV EHIRUH MRLQLQJ WKH GHGLFDWHG Smilesinc team in 2013. She has furthered her career in dental implants through the American Academy of Implant Dentistry and Invisalign, but Dr. Betts says the most exciting change in dentistry for her is the technology. â&#x20AC;&#x153;Intra oral cameras allow patients to see photos of their teeth; scanning has replaced gooey impressions, 3D images can be captured on screen and are used for planning WUHDWPHQWV OLNH ,QYLVDOLJQ DQG LPSODQW SODFHPHQW ZKLFK FDQ EH SULQWHG RQ RXU RƸFH ' SULQWHU ,W LV D very exciting time to be a dentistâ&#x20AC;?, she exclaims.
Tekira Hypolite (pictured right) Dr. Tekira Hypolite graduated from Case Western University in 2014, and completed Advanced Education in Tennessee. This residency programme provided Dr. Hypolite with advanced training in all DVSHFWV RI GHQWLVWU\ LQFOXGLQJ URRW FDQDO WKHUDS\ FRVPHWLF GHQWLVWU\ Ɯ[HG DQG UHPRYDEOH GHQWXUHV DQG her passion, oral surgery. Dr Hypolite returned home to Bermuda in 2016, to join the dynamic team at 6PLOHVLQF 6PLOHVLQF LV D *ROG 3OXV 3URYLGHU OHYHO IRU ,QYLVDOLJQ DQG 'U +\SROLWH LV DQ RƸFLDOO\ DSSURYHG SURYLGHU IRU ,QYLVDOLJQ WKH FOHDU almost invisible alternative to metal braces for adults and teens. Dr. Hypolite welcomes new patients. SmilesInc 12 Dundonald Street, Hamilton HM 09 Tel: 296 0990 Email: smiles@smilesinc.bm www.smilesinc.bm
Health & Beauty Summer 2019
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MEDICAL PROFESSIONALS GUIDE
Dr.
Dr.
Jamie Burgess Dr. Jamie Burgess earned her Doctorate of Optometry from the Suny College of Optometry in New York. Dr. Burgess returned home and has been in practice in Bermuda for 11 years and took over Argus Optical from her well regarded predecessor Dr. Henry Simmons. Dr. Burgess has also served as the Chairwoman of the Bermuda Optometristsâ&#x20AC;&#x2122; and Opticiansâ&#x20AC;&#x2122; Council for the past 9 years and has been extensively involved in legislative FKDQJHV DĆľHFWLQJ WKH SURIHVVLRQ Dr. Burgess practices primary care optometry but also specialises in pediatrics and behavioral vision and has extensive experience in these areas. Argus Optical & Sunwear Melbourne House, 11 Parliament St. Hamilton, HM 12 Tel: 292-0097 info@argusoptical.bm sun@argusoptical.bm
Also at 25 Reid Street Hamilton, HM 11 Tel: 296-EXAM reid@argusoptical.bm www.argusoptical.net
Ms. Claire Cartmill Ms. Claire Cartmill graduated from the esteemed Glasgow Caledonian University in 2004 with a 2.1 degree in Optometry. She completed her pre-registration year in Belfast working for a busy independent practice where she gained a wide variety of experience including shadowing her mentor who was working with children with dyslexia. Ms. Cartmill also gained a yearâ&#x20AC;&#x2122;s experience in a nursing home and assisted living eyecare in the community which allowed her to learn how to adapt her skill set to accommodate patients with dementia and learning disabilities. Ms. Cartmill moved to Bermuda in 2012 and became an employee RI $UJXV 2SWLFDO LQ HDUO\ 0V &DUWPLOO SDUWLFXODUO\ HQMR\V ĆśWWLQJ specialised contact lenses for patients with corneal disorders such as keratoconus. She also enjoys working with children. Argus Optical & Sunwear Melbourne House, 11 Parliament St. Hamilton, HM 12 Tel: 292-0097 info@argusoptical.bm sun@argusoptical.bm 44
Also at 25 Reid Street Hamilton, HM 11 Tel: 296-EXAM reid@argusoptical.bm www.argusoptical.net
Diana Li
Dr. Diana Li earned her Doctorate of Optometry degree from the New England College of Optometry in Boston. She provides comprehensive eye care, diabetic eye exams, pre/post operative care to surgical patients, pediatric eye exams, contact OHQV ĆśWWLQJV WKH WUHDWPHQW RI RFXODU GLVHDVHV DQG JODXFRPD 'U Li is committed to educating her patients about all aspects of eye health and focusing on disease prevention. Dr. Li is a member of V.O.S.H. and has participated in an eye care mission trip in the Dominican Republic. She also volunteered with the Massachusetts Association for the Blind and Visually Impaired and completed a 5k blind-folded run to raise funds for the charity. Argus Optical & Sunwear Melbourne House, 11 Parliament St. Hamilton, HM 12 Tel: 292-0097 info@argusoptical.bm sun@argusoptical.bm
Also at 25 Reid Street Hamilton, HM 11 Tel: 296-EXAM reid@argusoptical.bm www.argusoptical.net
Dr. Helen Christopher
Dr. Helen Christopher leads Young Smiles Ltd, a specialist pediatric dental office located just outside of Hamilton in Paget. Its aim is to provide excellent preventive and restorative dental care to children of all ages in a fun, child-friendly environment, and its team all genuinely enjoy working with young people. Young Smiles Ltd follows the American Association of Pediatric Dentistry guidelines and recommends children have their first dental visit by their first birthday, and subsequent visits every 6-months through late adolescence, to help maintain healthy smiles for a lifetime. Young Smiles Ltd The Hutch, 23 The Lane Paget PG 05 Tel: 292-9191 www.facebook.com/youngsmilesbermuda/
Health & Beauty Summer 2019
Delivering the Highest Quality Medical Care Possible
Dr. Gerhard Boonstra
Dr. Carlton C. Jones
Dr. Basil Wilson
Dr. Judith Boyce
Dr. Roddy Moore
Dr. Heather Montgomery
Dr. Samantha Price
Dr. Margot K. Harvey
Dr. Diane Kooiman
Dr. Hayley Morton
WHAT WE OFFER: • Family Practice
• Panel Physician for US Immigration
• Functional Medicine
• Scuba Diving Medical Examinations
• On-site Laboratory Open from 7:30am
• Home Visits
• Ultra Sound
• On-site Nurses
• Stress Testing
• Vaccinations
• 24hr. Blood Pressure Monitoring
• Se Habla Español, Afrikaans, Dutch
• TCD Examinations
Paget Location 40 & 42 Point Finger Road, Paget DV 04 Monday - Friday 8am - 8pm | Saturday 9am - 12noon | Call 236-0084 for Appointments Hamilton Location 14 Dundonald Street, Hamilton HM 09 Monday-Thursday 8am-5pm | Friday 9am-4pm | Call: 296-9733 for Appointments
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