Forget the stigma; get screened early Nurse practitioner Louise Beaulieu of Southern Maine Health Care advocates for receiving the benefits associated with early screenings for colorectal cancer. Read the story on page 5.
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Tribune
journaltribune.com
Seafood's a healthy, smart choice
High-tech reasons to fight hearing loss
There's no minor brain injury
5 reasons for sleep problems
Spring cleaning for allergy relief
Combat your fitness aversion
How healthy is your smile?
Football players risk more than concussions
Better breakfast ideas
Protect your vision
2 York County Health & Wellness
Sunday, February 28, 2016
York County
HEALTH & WELLNESS 457 Alfred Street, Biddeford, ME 04005 Phone (207) 282-1535 • Fax (207) 282-3138 Email: jtcommunity@journaltribune.com Available online at:
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Graphic Design & Composing: Michelle Cote - Art Director Shelley Richard, Claire Smith York County Health & Wellness is Southern Maine’s monthly resource for health news and information distributed throughout the region in Journal Tribune Sunday and various locations throughout York County. This magazine and its contents are for general consumer educational use only. Nothing contained in this magazine is or should be considered or used as a substitute for medical advice, diagnosis or treatment by a licensed medical practitioner.
Welcome Procrastination. Everyone does it – especially when the task is unpleasant, like cleaning the bathroom or gathering together a year’s worth of receipts to file income taxes. But when it comes to your health, procrastinating can cost your life. This month’s issue of York County Health & Wellness focuses on colorectal cancer in conjunction with Colorectal Cancer Awareness Month in March. Despite having one of the highest cure rates among cancer types when caught early, many cases of colorectal cancer go undiscovered until the late stages simply because people are uncomfortable with getting a rectal exam and colonoscopy. This is one reason colorectal cancer is the second-leading cancer killer in the United States, according to the Centers for Disease Control and Prevention. It’s understandable – from an early age, we’re taught to be modest about that area of our bodies. But colorectal cancer doesn’t care if you’re modest or not. And if you’re age 50 or older, male or female, you’re at higher risk of developing it. On Page 5, a story by Krysteana Scribner addresses
the stigma associated with colorectal cancer, and the efforts of health care professionals to eradicate that stigma. Contrary to popular belief, says Louise Beaulieu, director of clinical operations for outpatient services at Southern Maine Health Care, the procedure used to check for colorectal cancer is not painful, and most patients return to work the next day. According to the American Cancer Society, Scribner reports, an estimated 95,270 people have been diagnosed with colorectal cancer in the United States so far this year. But there’s also more than 1 million survivors, and that number is increasing, thanks mainly to early detection. That’s good news – and all the more reason to get tested. “Considering it could save your life, it’s really important to get it done,” Beaulieu says. You’ll also find in this issue articles to help cope with spring allergies, how to overcome the biggest obstacles to staying fit, tips to protecting your vision, how to get a good night’s sleep, and more. The common factor in most of these articles can be summed up in one word: Prevention. “An ounce of prevention is worth a pound of cure,” wrote Benjamin Franklin way back in the 18th century. While a cliché, it’s as true today as it was then. Be well,
Rod Harmon
Managing Editor
York County Health & Wellness 3
Sunday, February 28, 2016
Seafood is a healthy, Page 12 Spring cleaning for smart choice allergy relief Page 4
Colorectal cancer: Common, treatable Page 5
There's no minor brain injury Page 6
5 reasons for sleep problems Page 7
Questions about pancreatic cancer Page 8
High-tech reasons to fight hearing loss Page 9
Combat your fitness aversion Page 10
How healthy is your smile? Page 11
Football players risk more than concussions Page 11
Dealing with hypothyroidism Page 12
Better breakfast ideas Page 13
Protect your vision
Page 14
Battling opioid induced constipation Page 14
4 York County Health & Wellness
Sunday, February 28, 2016
Fishing for a
healthy meal?
Seafood is a smart choice BPT
When it comes to mealtime, are you thinking fish? You should! Fish is the premier natural source of omega-3 fatty acids, which are not naturally produced by the body and, therefore, must come from food. If you’re an expecting or breastfeeding mom, it’s even
more important to eat fish because it’s a vital staple for optimal brain and eye development in babies, as well as brain and heart health for moms. Eating two to three servings of fish each week has also been shown to have a positive effect on developing babies’ and children’s IQs. Unfortunately, many mothers avoid eating fish
based on fears associated with misinformation. “Years ago, there were concerns that trace amounts of mercury in fish could be harmful, but, actually, hundreds of peer-reviewed studies show the health benefits of eating fish are real and the powerful nutrients in fish outweigh any potential concerns,” says
Jennifer McGuire, MS, RD. “In fact, at a time when people are told to limit many foods, including popular proteins, seafood is among the handful of foods Americans are encouraged to eat more of for their health. Seafood is a satisfying and affordable source of protein that is easy to incorporate into meals twice a week.” According to the 20152020 Dietary Guidelines for Americans, healthy eating patterns should include at least 8 ounces – or two servings – per week of a variety of seafood because it is an important part of eating patterns that contribute to a healthy heart and weight. Seafood also provides powerful nutrients including brain-building omega-3 fatty acids, protein, B vitamins, vitamin D, iron and selenium. In addition, eating seafood during pregnancy contributes to better health for babies. Currently, the average American eats about half of the recommended amount of seafood, and the average momto-be eats less than a quarter of the recommended amount each week. If you’re not eating as much fish as you should, don’t worry – making a shift to add more seafood to your diet is easier than you think. Just substitute fish for meat, such as in a taco, or add it to a pasta dish. Fish can be the main course of a quick weeknight dinner, a packahead lunch or even a weekend brunch. Fish is so versatile, you can easily add it to pasta, rice, tacos or a scrumptious salad,
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York County Health & Wellness 5
Sunday, February 28, 2016
Colorectal cancer:
It's common, but highly treatable BY KRYSTEANA SCRIBNER Special to the Journal Tribune
BIDDEFORD — According to the American Cancer Society, an estimated 95,270 people have been diagnosed with colorectal cancer in the United States so far this year. Fortunately, because treatment has improved over the last few decades, there are also more than 1 million survivors, and the numbers are continuing to increase. Colorectal cancer (cancer of the colon or rectum) is located at the digestive tract’s lower end. Early cases often emerge as noncancerous polyps (abnormal tissue growth on a mucous membrane) inside the rectum, which are not always cancerous. If discovered, they can be easily removed by a medical professional. However, there is often patient hesitancy in getting the procedure performed. When people turn 50, they are urged to get screened for polyps. If they are not found, they won’t need another checkup for eight to 10 years (or earlier, depending on the person’s family history). The treatment for colorectal cancer occurs at the same time as the screening. The procedure is known as a colonoscopy, which entails inserting a camera on a tube into the rectum and colon to visibly check for polyps. If found, they will be removed. If they come back as cancerous, polyps are sent to a specialist to determine if the patient should have radiation
therapy, chemotherapy or a combination. According to Louise Beaulieu, a nurse practitioner and director of clinical operations for outpatient services at Southern Maine Health Care, there is a stigma around the cancer and the procedure that goes into diagnosis. “Patients go under a light sedation, but the procedure itself is not that painful. You feel a slight discomfort, but you can go back to work the next day,” said Beaulieu. “Considering it could save your life, it’s really important to get it done.” About 600 cases of colorectal cancer are diagnosed in Maine every year, Beaulieu said, but the survival rate is high if caught early enough. Patients also have the option for a take-home exam called an IFOB, which is available directly from the hospital. Ideally, Beaulieu suggests people get the procedure at age 50 regardless, because even if the test comes back positive, the patient will have to get a colonoscopy done. Symptoms, which may not occur right away, include a change in bowel habits (such as diarrhea or constipation), rectal bleeding, blood in stool, cramping or abdominal pain, weakness or fatigue, and unintended weight loss. High-risk factors include physical inactivity, smoking, drinking heavy amounts of alcohol and a history of polyps. Patrick Martel, a resident • See Colorectal Cancer, Page 7
SUBMITTED PHOTO
Louise Beaulieu, a nurse practitioner and director of clinical operations for outpatients services at Southern Maine Health Care, speaks out on the stigma associated with Colorectal Cancer and the benefits that coming from getting screened early.
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6 York County Health & Wellness
Sunday, February 28, 2016
Heads up: There’s no
minor brain injury By Michael A. Burman
March 14-20 is Brain Awareness Week, making brain injury awareness a timely topic for the February/March issue of York County Health and Wellness. Traumatic brain injury, or TBI, might already be on your mind with the recent Will Smith movie about concussions in the NFL as well as regular coverage in the news and growing public awareness about the risks of brain injury for long-term degenerative disorders. Recently, I was thinking about this issue while riding the ski lift at a local mountain in the middle of a hard day of skiing. I have just recently returned to the sport after a 20-year hiatus. When learning to ski as a teenager, I fell, hit my head and lost consciousness. I regained awareness while being taken down the mountain by the ski patrol. A couple of days later, my concussion symptoms subsided – but not my fear of further injury. It kept me off the slopes for decades. Traumatic brain injuries are surprisingly common. According to the
U.S. Center for Disease Control, there are at least 2.5 million TBIs each year that result in emergency room visits or hospitalizations, with many more that are treated elsewhere. More than 4 percent of enlisted soldiers have been diagnosed with a TBI, and approximately 4 to 5 million Americans are living with longterm residual effects. TBIs range in severity. Symptoms from a concussion, like my injury, may come on immediately or be delayed by several days. They include dizziness, nausea and headaches as well as sensory or motor changes – spots in your vision, ringing in your ears or weakness in one arm. More severe traumatic brain injuries can result in immediate
and sometimes long-term loss of consciousness and significant brain damage resulting in permanent loss of function or death. Importantly, sub-concussive impacts may result in no obvious immediate symptoms. However, evidence now suggests that they combine with more severe injuries to contribute to brain degeneration over time (called Repetitive Head Injury Syndrome or Chronic Traumatic Encephalopathy; known as CTE). Thus, as tragic and dramatic as severe brain injury is, in my opinion, there is no such thing as a mild brain injury. One of the most difficult parts about brain injury is that the damage is hidden. It’s hard for anyone, including the victim, to understand how severe the injury is. Injured joints swell; broken bones have casts. Brain injuries are not visible. Moreover, the brain is not a good judge of its own health. It often fails to realize how impaired it is. This is critical, because the brain is especially vulnerable while it recovers from an injury. A second trauma, even a relatively mild one, can sometimes result in catastrophic swelling and damage, a phenomenon called “second-impact syndrome.” Proper diagnosis and rest are critical to avoid this additional damage, even if the patient feels able to return to normal activity. Thankfully, many athletes and sports teams are starting to realize the importance of preventing brain injuries. We’re seeing rule changes come forward in the NFL and elsewhere. Helmet technology is consistently under development. Concussion-prevention equipment is catching on in additional sports, such as soccer. Importantly, social norms are also shifting. We’re questioning what level of risk is acceptable. Helmets are becoming standard for winter sports such as skiing and ice-skating. “Shaking off ” or playing through an injury is no longer encouraged or celebrated. In addition, both athletes and training staff are realizing the importance of recognizing potential brain injury quickly and allowing the athletes time to recover. Several groups are helping lead local effects combating brain injury. The DANA Alliance for Brain Initiatives has three members in Maine, and all of us have agreed to engage the public on these critical issues. Furthermore, I am on the board of directors of the Michael T. Goulet Traumatic Brain Injury and Epilepsy Foundation in Saco. The foun-
dation serves to raise awareness about brain and helmet safety and the effects of traumatic brain injury through a variety of programs. At many public events across southern Maine, the foundation gives away properly fitted “love your brain” helmets. The University of New England, where I work, is also actively engaged with brain safety in our community. The Center for Excellence in the Neurosciences has a host of cuttingedge laboratories, tackling issues from the effects of stress on the developing brain to the development of novel treatments for chronic pain. Our innovative K-12 outreach program has reached tens of thousands of local students, helping them understand how their brains work and why they should keep them safe. We are opening these activities up to the community on March 18 - 19 at the Maine Science Festival in Bangor and on April 8, for our third annual Brain and Health Fair on our Biddeford Campus. Probably the hardest question I face on this issue is when parents, friends or the media ask about individual decisions, such as whether certain sports are safe. This is a personal struggle for me too. Today, downhill skiing is one of my deep passions, and my life would be emptier without it. What has changed from the time of my injury and the decades I spent away from the mountains? Well, almost everything. Ski technology has changed, making it easier to stay in control. My attitude has changed; I make sure I stay within my limits. Most of all, I now wear a good helmet, as does almost everyone on the mountain. That was unheard of 20 years ago. Brain injury is a serious issue. My risk for future cognitive decline, from conditions like CTE, is enhanced due to the concussions I suffered as a child. Nevertheless, my life would be emptier if I avoided the sports and activities that I love. Ultimately, each individual must make his or her own decisions. Some risk is necessary for a full life, but it is critical that we mitigate that risk to the highest degree possible. Luckily, advances in medical science, safety equipment and sporting rules are starting to have a positive impact. — Michael A. Burman, Ph.D. is an associate professor and K-12 outreach coordinator for the University of New Englands Center for Excellence in the Neurosciences.
York County Health & Wellness 7
Sunday, February 28, 2016
5 reasons you’re not sleeping
BPT
Tossing, turning and constantly waking – it can be maddening when you don’t get the sleep your mind and body so desperately needs. If you constantly struggle to fall asleep • Colorectal Cancer, From Page 5
of Biddeford and a survivor of colorectal cancer, was hesitant to get tested 10 years ago, when he first went to the hospital to get the procedure done at age 50. “My first colonoscopy showed that I had no problems at all, but last year, I got a reminder that I was due for it once again,” he said. “I delayed doing it for a couple of weeks, because I thought, ‘If I didn’t have them then, I shouldn’t have them now,’ but that’s not how it works. “When I had my colonoscopy for the second time in early October of last year, they found two polyps: One cancerous, one not. I was so happy, I decided to get it done again.” Martel said they caught the cancer early enough that he didn’t have to go through chemotherapy or radiation.
and stay asleep, you’re in good (albeit tired) company. Millions of Americans across the country are chronically sleep deprived. In fact, the Centers for Disease Control and Prevention state that insuf-
ficient sleep is a serious and growing public health concern. What most people don’t realize is that their lack of quality rest is often connected to bad sleep habits. Are you guilty of any of
Because they also discovered a hernia that needed to be removed, he was out of work for five weeks. For most people, the recovery time is 24 hours, but because of the extra surgery and the nature of his carpentry job, Martel’s body needed extra time to heal. “After going through that scenario, I have told everyone in my family to get checked, including my children, who are at risk because of possible hereditary genes,” he said. “It’s given me a second chance. Life is a valuable gift, and I realized that after knowing what could have happened had I not gotten the colonoscopy.” The National Colorectal Cancer Roundtable, an organization co-founded by the American Cancer Society and the Centers for Disease Control and Prevention, is ral-
lying organizations to embrace a shared goal of 80 percent of adults ages 50 and older being regularly screened for colorectal cancer by 2018. Southern Maine Health Care has decided to take part. “We were close to 75 percent last month, and the numbers are only going to continue to grow,” said Beaulieu “For a variety of reasons, people won’t go to the doctor for regular yearly checkups, so it takes us a lot to get a hold of them. “The most important thing that people need to do is get screened as soon as they turn 50. It’s so easily preventable, and if caught early, it’s easily treatable.” For more information on SMHC’s Cancer Care Programs, visit smhc.org/cancercare/home/about-us or call 294-5800.
these top five mistakes that reduce your body’s ability to sleep all night? Learn what they are and how to make simple corrections for a more rejuvenating rest. Mistake 1: Sleeping on an old mattress An old, unsupportive, mattress inhibits quality sleep, yet the cost and time it takes to purchase a new mattress deters people from upgrading. Fortunately, the mattress industry is evolving so it’s easier than ever to get a new mattress. Mistake 2: Using electronics at bedtime Tablets, cell phones, smartphones - digital devices make it easy to stay connected, but they mess with the brain’s ability to fall asleep. Light emitting devices disrupt the body’s natural circadian rhythm. That means when you’re checking your phone right before bed, you’re causing your brain to think it’s time to wake. The best solution is to avoid digital devices for at least an hour before bed. Instead of TV or tech, take a bath, read or do some gentle yoga to get your body into sleep mode. Mistake 3: Ignoring phantom noise pollution Ticking clocks, beeping phones and buzzing electronics may not seem loud, but this
phantom noise pollution is secretly robbing you of a good night’s rest. To encourage your body to get into REM sleep, try to eliminate as much noise as possible from the bedroom. If you’re left with other disruptive noises, such as a snoring partner or outside traffic, invest in a white noise machine or earplugs to block it out. Mistake 4: Keeping the bedroom too warm If you crank up the heat and grab an extra blanket at bedtime, you might be disrupting your sleep patterns. The National Sleep Foundation identifies temperature as a key factor to sleep, recommending a cooler sleeping environment. So turn down the thermostat, reduce blankets and rethink your mattress. Mistake 5: Allowing inconspicuous light You flip off the light switch when it’s time for shuteye, but your room is probably not completely dark. Even subtle glow from a night-light, phone or muted TV disrupts the crucial circadian rhythm, causing your body to think dawn is near, which in return triggers you to get up. Try to remove or block all light in your room, and if there’s some you just can’t eliminate, an eye mask is an helpful alternative.
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8 York County Health & Wellness
Sunday, February 28, 2016S
Pancreatic Cancer:
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nt a t r o p m i Five questions
This year alone, nearly 50,000 people in the U.S. will be diagnosed with pancreatic cancer, the fourth highest cause of cancer-related deaths in the U.S. The statistics about pancreatic cancer are staggering because unlike some other cancers, diagnosis is difficult as there is no screening test, and symptoms can be subtle and mimic other conditions. It often goes undetected in the early stages, and in advanced stages, symptoms are present but non-specific – such as digestive issues, back pain and weight loss. A pancreatic cancer diagnosis can be devastating and often comes with many questions from both patients and caregivers. That is why Celgene has launched NavigatePANC.com – a new central source for information and resources selected just for people living with pancreatic cancer and their caregivers. The website has curated answers to questions on pancreatic cancer, types of treatment, tips for nutrition, and help with financial and insurance questions. Here are five important questions about pancreatic cancer: 1. What is pancreatic cancer? Like other cancers, pancreatic cancer starts with abnormal cells that grow out of control. With pancreatic cancer, the abnormal cells form a tumor or tumors in the head, body or tail of the pancreas. Pancreatic cancer can affect the functions of the pancreas that normally include help with digestion and blood sugar control. 2. How is pancreatic cancer treated? Together, patients and their health care teams will create individualized treatment plans based on many factors, including the pancreatic cancer’s stage and the patients’ overall health. Common treatment
plans may include: surgery, chemotherapy, radiation therapy, palliative care and mental health care. Clinical trials investigate promising new treatments and may also be a treatment option for certain pancreatic cancer patients. 3. Is nutrition important? Eating is often a challenge for people with pancreatic cancer because they are living with ongoing symptoms from their cancer, or from their surgery or other treatments. These things may impact their ability to digest foods normally, maintain good nutrition and follow a healthy meal plan. It’s important for patients to talk to their health care team about a nutritional plan. 4. How can patients cope with pancreatic cancer? Counseling can help patients learn new ways to cope with cancer, manage emotions and improve communications both with their healthcare teams and with their families. Free telephone counseling services, online networks and support groups can help patients and their loved ones. 5. How can patients manage costs associated with cancer? People with cancer often receive a large number of medical bills and health insurance statements. It can seem overwhelming. But there are ways to track and manage bills, statements and payments through the creation of tracking and filing systems. Careful management of these important documents can help reduce stress, allow patients to feel more in control and better manage their finances. In addition, there may be assistance programs that can help with certain costs. To get more information about these and other important questions related to pancreatic cancer, visit: www.navigatepanc.com.
York County Health & Wellness 9
Sunday, February 28, 2016
BPT
Lifting your mood, boosting your energy, protecting your earnings, supercharging your social life – and even keeping your mind sharp: These are just some of the many spoils that come with facing and dealing with a noise-induced hearing loss that has been slowly but persistently creeping up on you. The quality-of-life and feel-good benefits of treating even just mild hearing loss brought on by years of loud music, power tools, high-volume headphones, motor-sport engines, crowded night clubs and bars, noisy restaurants and raucous sporting events are plenty. But in this digital age of smartphones and wearable technologies, the draw for many solution-minded consumers may be in the technology itself. Supersmart, super-sleek, super-convenient and super-sophisticated – today’s hearing aids give you a multitude of reasons to address that hearing loss you’ve been trying so hard to ignore. Consider these inspiring facts about today’s highly functional, high-powered hearing aids. They just may get you to finally do something about your hearing loss and make your life easier. 1. They’re cool, sleek, discreet and virtually invisible. New technologies are all about function, style and effortless living. The latest hearing aids offer all three. The designs are incredibly
7
attractive with smooth, modern contours. And they’re much smaller than even conventional Bluetooth earpieces. Many of the latest hearing aids are so tiny, they sit discreetly and comfortably inside the ear canal, out of sight. You might say that aesthetically, hearing aids have had a complete makeover. 2. They cut out background noise so you hear what you want to hear. Even with the best of hearing, it’s tough to hear people when it’s noisy. But many state-of-the-art hearing aids not only reduce unwanted noise, they also scan the listening environment and automatically adapt to it – even in wind. There are hearing aids that can actually “geo-tag” a location. So if it’s convenient for you to network at a certain coffee shop, your hearing aids will know when you’re there and adjust themselves accordingly. For the record, it’s not by chance that the latest state-of-the-art
hearing aids are so adaptable to changing noise scenarios. Recordings of virtually every imaginable listening situation have been used to create algorithms and train these amazing minicomputers for your ears. 3. They capture the natural richness and variation of speech, so it’s easier to follow the conversation wherever you are. Let’s face it, one of the most pesky aspects of not hearing as well as you once did is not catching everything people are saying. New technologies not only help you decipher speech details in music and noise, but they better preserve and clarify the more subtle sounds of language – like the consonants B, S, F, T, and Z – so you can really follow what someone is saying. No faking. 4. You can hear from all directions – even when scoping out what’s in the fridge. Advanced directional microphone technology lets you hear from
high-tech reasons
you should finally deal with hearing loss
the back and side – something really important when driving a car. But it also makes it easier to hear voices more clearly in other everyday settings – like when your head is in the fridge and your significant other is talking at your back. Yes, that’s one great feature. 5. Digital, Bluetooth and wireless capabilities keep you connected when it counts. Digital, wireless hearing aids are the now the norm. That means many new technologies let you stream sound directly into your hearing aids – at the perfect volume – from your smartphone, laptop, conference-room speakerphone, home entertainment system, and other Bluetooth devices. Music, phone calls, podcasts, videos, whatever you listen to through your iPhone (or iPad and iPod for that matter), you can listen to through many hearing aids. Some even let you control the volume and other personalized sound settings with an app on your smartphone. Several types of wireless accessories give you a listening boost by bridging the gap between you and the speaker, making it easier to hear in loud or large places. Using a wireless minimicrophone – with cool, contoured designs, some even looking like a pen placed on the restaurant or conferenceroom table, or near anyone you want to hear, makes it feel like they’re speaking • See Hearing Loss, Page 10
10 York County Health & Wellness
Sunday, February 28, 2016
• Hearing Loss, From Page 9
directly and clearly into your ears, no matter how noisy the setting. You adjust the volume. 6. State-of-the-art comfort and convenience mean you’ll always want to use them. Super-small, super-light, customized, functional, and ergonomically designed, hearing aids today are more comfy than ever – yet tough enough to withstand real life. For most of the newest hearing aids, there’s virtually no feedback or whistling thanks to advances in digital technologies. And most are hypoallergenic with nanotechnology coating to keep them clean and dry. Some are even fully waterproof, so you can swim and shower in them, no problem. Plus, today’s greater-than-ever audio-processing goes hand-in-hand with less battery usage. Some hearing aids are even rechargeable, eliminating the need to change batteries altogether. But the convenience and comfort don’t end there. Some brands let you set up reminders for things like appointments or taking medicine. Perhaps the most “peace-of-mind-preserving” life hack, though, is leading-edge technology that helps sooth the ringing in your ears (tinnitus) in a way that suits you. 7. There are even more disruptive hearing technologies on the horizon. Totally out-of-sight, semi-permanent hearing aids that stay in for two to three months let you shower and sleep in them, no fuss. Perhaps the most futuristic glimpse of hearing aids is tied to recent ground-breaking studies revealing a significant link between untreated hearing loss and dementia. Hearing aid manufacturers are deep in the trenches working to create future breakthrough technologies that will make it as easy as possible for the brain to decode speech and other sounds. Reducing cognitive load – that is, drawing fewer resources from the brain just to “hear” – is a very good thing. After all, we really do hear with our brains and not with our ears. Some hearing aids with these technologies are already available. Yes, leading-edge hearing aids are here to help you keep your mind sharp and your life easier by hearing your best at every age – starting today. For more information on hearing loss and to take a free, quick, confidential, online hearing check to determine if you need a comprehensive hearing test by a hearing healthcare professional, visit www.BetterHearing.org.
Conquer the top reasons you're fighting fitness BPT
Everyone can agree that regular exercise is important, so why do so many people struggle to stick with their fitness goals? If you’ve encountered barriers holding you back from committing to a fitness routine, you’re not alone. The health experts at the Mayo Clinic offer simple ideas for overcoming the five most common hurdles to fitness commitment. For more ideas, visit healthcheckup.mayoclinic.org. Challenge 1: I don’t have enough time to exercise. Setting aside time to exercise can be a challenge, so it’s important to use a little creativity to get the most out of your time. Squeeze in short walks. If you don’t have time for a full workout, don’t sweat it. Shorter spurts of exercise, such as 10 minutes of walking spaced throughout the day, offers benefits too. Get up early. If your days are packed and the evening hours are hectic, get up 30 minutes earlier twice a week to exercise. Drive less and walk more. Park in the back row of the parking lot or even a few blocks away and walk to your destination. Revamp your rituals. Your weekly Saturday matinee with the kids could be reborn as your weekly bike ride, rock-climbing lesson or trip to the pool. Challenge 2: I think exercise is boring. It’s natural to grow weary of a repetitive workout day after day, especially when you’re going it alone. But exercise
doesn’t have to be boring. Choose fun activities. You’ll be more likely to stay interested. Remember, anything that gets you moving counts. Vary the routine. Rotate among several activities such as walking, swimming and cycling to keep you on your toes while conditioning different muscle groups. Join forces. Exercise with friends, relatives, neighbors or co-workers. You’ll enjoy the camaraderie and the encouragement of the group. Explore new options. Learn new skills while working out. Check out exercise classes or sports leagues at a recreation center or health club. Challenge 3: I’m self-conscious about how I look. Fitness isn’t just about what you look like on the outside, it’s the inside as well. Remind yourself what a great favor you’re doing for your cardiovascular health or focus on how much stronger you feel after a workout. Avoid the crowd. If you’re uncomfortable exercising around others, go solo at first. Try an exercise video or an activity-oriented video game. Make an investment. Consider investing in home exercise equipment like a stationary bicycle, treadmill or a stair-climbing machine that you can use at home on your own time. Focus on the future. Praise yourself for making a commitment to your health. Remember that as you become fitter and more comfortable exercising, your self-confidence is likely to improve as well. Challenge 4: I’m too tired to exercise. No energy to exercise? Without
exercise, you’ll have no energy. It’s a vicious cycle. But breaking the cycle with physical activity is one of the best gifts you can give yourself. Try a morning workout. Hop on the treadmill or stationary bicycle while you listen to the radio or watch the morning news. Make lunchtime count. Keep a pair of walking shoes at your desk and take a brisk walk during your lunch break. Be prepared. Make sure you have comfortable shoes and loose-fitting clothes for exercising readily available at home and in your car. Challenge 5: I can’t afford health club fees. You don’t need a membership at an elite gym to get a great workout. Consider easy and free alternatives. Do strengthening exercises at home. Use inexpensive resistance bands lengths of elastic tubing that come in varying strengths - in place of weights. Do pushups or squats using your body weight. Start a walking group. Round up friends, neighbors or coworkers for regular group walks. Plan routes through the neighborhood, along local parks and trails, or in a nearby shopping mall. Take the stairs. Skip the elevator when you can and climb the stairs. Try your community center. Exercise classes offered through a local recreation department or community education are often more budgetfriendly than an annual gym membership. Visit healthcheckup.mayoclinic.org to learn more today.
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Sunday, February 28, 2016
But a recent breakthrough is available to help support oral health – in a sugar-free chocolate flavored soft chew. An article published in February’s RDH Magazine discusses the discovery and importance of beneficial bacteria that live in the mouth. It’s been known for over a century that certain bad bacteria in dental plaque are able to convert sugars from the diet to acid, which is bad for teeth. After decades of researching the micro-organisms in the mouth, Dr. Israel Kleinberg, DDS and Distinguished Professor in the Department of Oral Biology at Stony Brook University School of Dental Medicine, discovered beneficial bacteria that also live in dental plaque. Dr. Kleinberg isolated a nutrient in saliva called arginine, which these “good” bacteria use to naturally produce tooth-protecting buffers. This process can help neutralize the acids from the harmful bacteria and help keep the teeth
How healthy is your smile?
You’d be surprised BPT
That healthy smile may not be so healthy. Twenty-one percent of children and 91 percent of adults have caries
(commonly referred to as tooth decay) in their permanent adult teeth, according to a recent National Health and Nutrition Examination Survey.
in a normal pH (acid/base) balance. Here are five ways to help children and even adults maintain their oral health: 1. Minimize sugary foods and drinks, and if you do eat them, avoid sticky foods that can get stuck on teeth. This even includes dried fruit, bread and crackers. Children should choose water and low-fat milk as health beverage alternatives. 2. Limit between-meal snacks. If children crave a snack, offer them nutritious foods. 3. If your kids chew gum, make it sugarless. Chewing sugarless gum after eating can increase saliva flow and helps wash out foods that produce acids. 4. Help your children develop good brushing and flossing habits. 5. Schedule regular dental visits.
Football Little-known neurologic condition also prevalent players at risk for more than concussions BPT
There’s been a lot of attention recently on the effects of sports-related brain injuries. However, PseudoBulbar Affect, or PBA, a neurologic condition that causes uncontrollable, sudden outbursts of crying and/or laughing in
people with brain injuries or certain neurologic conditions, is absent from the dialogue. An estimated 7 million Americans suffer from PBA, but awareness is low and many people don’t know they have it. A recent survey from the
Gridiron Greats Assistance Fund assessed the prevalence and impact of PBA symptoms in former professional football players. Ninety-nine percent of all players had experienced head trauma or injury during their football career. And • See Concussions, Page 16
12 York County Health & Wellness
Sunday, February 28, 2016
spring cleaning for allergy relief
L
BPT
onging for allergy relief? To stop the endless cycle of sniffles, sneezes and wheezes, it’s time to ready your vacuum and rubber gloves. Spring cleaning helps eliminate allergens so you can relax, breathe easy and enjoy the season. “People who suffer from allergies may not realize there’s a direct connection between cleaning your home and reducing allergy symptoms,” says allergist Bryan Martin, president of the American College of Allergy, Asthma and Immunology. ”The more you can rid your home of dust mites, mold, cockroaches and pet dander, the easier you’ll breathe.” ACAAI recommends seven spring cleaning steps to remove allergens in the home and avoid accidentally letting more in.
Good morning, hypothyroidism! — How 2 to 3 percent of Americans greet the day — BPT
Many of us have a morning routine. For individuals living with the incurable condition of hypothyroidism, their morning routine is likely to include taking medication at the same time before breakfast each morning, as prescribed by their doctor. According to the American Association of Clinical Endocrinologists, medication adherence is important for helping the body function when it comes to thyroid care. When and how patients take their medication can affect the way the body absorbs it. Hypothyroidism, an underactive thyroid gland, is a common condition in which the thyroid gland cannot produce enough thyroid hormone to keep the body functioning properly, according to the American Thyroid Association. The thyroid gland is a butterfly-shaped endocrine gland located in the lower front of the neck, which produces thyroid hormones that help regulate certain functions of the body. Hypothyroidism affects millions of people in the U.S., and as many as 10 percent of women may have some degree of thyroid hormone deficiency, according to an endocrineweb.com report. “Helping patients understand hypothyroidism and providing them with useful information is our primary goal,” says Dr. Jordan Geller, board-certified internist and endocrinologist and past clinical chief of the Division of Endocrinology, Diabetes, and Metabolism at the Cedars-Sinai Medical Center.
Some tips for establishing a morning routine to ensure consistent treatment compliance include: 1) In sight, in mind: Keep your medication near one of the first things you see or use when you wake up, such as your phone or toothbrush. 2) Leave a note: Leave a sticky note reminder where you’re sure to see it. If you walk your dog each morning, attach a reminder note to your dog’s leash. If you read the morning news on your phone or tablet, place a note on that. 3) Know you’ve taken it: Turn your medicine bottle or pillbox upside down after taking your medication each morning. Before going to sleep, turn the bottle right side up so you remember to take it again in the morning. 4) Keep it straight: Use a weekly pillbox to ensure you take your medication as your doctor prescribes. “Upon receiving my hypothyroidism diagnosis, I was uncertain about what it would mean to manage a lifelong condition,” says Elisa A., from Tennessee. “It was important for me to recognize I’m not on this journey alone. By consulting closely with my physician, I’ve learned important tools to manage my condition. And by nurturing connections with a community of individuals living with hypothyroidism, I’ve felt inspired and empowered by others on their own patient journey.” Elisa A. uses connects to others with her condition through OurMorningRoutine.com.
Step 1: To sleep, perchance to dream – and breathe. Start in the bedroom where you spend eight to 10 hours a day. Dust mites can flourish during cold, dreary months, so wash your sheets and comforter regularly. Most mites die by drowning, but if you want to use hot water (which will kill slightly more mites), don’t use water that’s over 120 F, because it can scald. Remember to also wash decorative pillows. Finish by adding allergy-proof casings to the mattress, box spring and pillows. Keep pets out of the bedroom as their dander can cause symptoms to flare. Step 2: Gaze out, but don’t open. Window treatments are a magnet for dust and allergens. Pull them down and dry clean, or vacuum each thoroughly. Don’t forget to vacuum blinds • See Spring Cleaning, Page 16
York County Health & Wellness 13
Sunday, February 28, 2016
5 unbelievably yummy, better-for-you breakfast ideas BPT
Breakfast may be the most important meal of the day, but it can often be the one that’s hardest to fit into busy schedules. Even if you have time for breakfast, you may find yourself trading wholesomeness and quality for speed and convenience. However, having better-for-you breakfasts need not require a lot of time or effort. It can be as simple as making better and smarter choices. “One of my favorite breakfasts is a bagel with cream cheese, but when I was looking to make healthier choices, I thought this was too indulgent,” said New York Times
best-selling author and food blogger Andie Mitchell. “In reality, it’s about moderation and eating a whole wheat bagel with a natural cream cheese is a guilt-free breakfast option I love.” Here are five wholesome, yet easy breakfast options that can start your day off on the right nutritional foot: 1. Better-for-you bagel and cream cheese Who doesn’t love a good bagel? They’re quick, convenient and delicious. If you’ve been shying away from this traditional favorite thinking you don’t need all the carbs of bagels and the additives in
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most cream cheeses, it’s time to rethink your view. A whole grain bagel topped, with a better-for-you spread, is a satisfying and delicious start to the day. 2. A better breakfast burrito Classic breakfast burritos are filling, satisfying and nourishing, but unless you go the frozen route, you may not have the time to whip up a morning burrito. A faster, wholesome option awaits – simply top a whole-grain tortilla with your favorite cream cheese, add fresh-sliced fruit such as kiwi, apple or banana, fold in half and enjoy. 3. Outstanding oatmeal As breakfast cereals go, oatmeal is a nutritional champ. A 1-cup serving of plain oatmeal has about 150 calories, and it’s loaded with nourishing fiber, protein and vitamin A. Add flavor with wholesome toppings like fresh berries, chopped apples, raisins or nuts. Here’s even better news – plain instant oatmeal has the
same basic nutritional value as the kind you slow-cook yourself, according to the USDA’s Nutrient Database. However, be wary of flavored versions that may have a lot of added sugar. 4. Terrific toasts A slice of toasted white bread slathered in butter isn’t sufficient for a good breakfast, but you can take toast to the next level and create a morning meal that’s tasty, wholesome and toasted. Start by toasting a slice of whole grain bread. Next, spread on some protein – this could be a sugar-free peanut butter, almond butter or better-for-you cream cheese. Top with your favorite fruit or veggies. For example, banana slices go well with peanut butter; mango or kiwi cubes are yummy with light cream cheese; and tomato slices atop cream cheese make for a great wake-up call. 5. Easier eggs Everyone knows eggs are a breakfast staple, but who has
the time to prepare them in the morning when you’re trying to get everyone out the door? You do. The microwave is your morning best friend, from reheating your coffee to whipping up delectable, easy and wholesome egg breakfasts. You can make scrambled eggs in minutes. Just crack an egg into a microwave-safe cup, add a tablespoon of water or milk, a dash of cayenne pepper and some salt, and a teaspoon or two of your favorite veggie finely diced, such as scallions, tomatoes or mushrooms. Top with a generous spoonful of shredded Havarti or Gouda cheese and microwave everything for 45 seconds. Stir and microwave for another 45 seconds until the eggs are set. Breakfast doesn’t have to be a time-consuming or disappointing compromise. A few better-for-you breakfast options can set a healthful, happy tone for the rest of your day.
14 York County Health & Wellness
Sunday, February 28, 2016
Protect your sight with this little-known nutrient BPT
There’s an existing nutrient that is incredibly important to your eye health. However, odds are you’ve probably never heard of it. The nutrient is called zeaxanthin. The antioxidant, along with lutein, is found in the back of the eye as a component of the macular pigment. Light enters through the front of the eye, or pupil, and projects onto the retina, a light-sensitive wall of cells at the back of the eye. The retina has millions of photoreceptor cells known as rods and cones, which are responsible for central and peripheral vision. The macula, located in the center of the retina, is responsible for discerning color and fine detail. This area mostly includes cones. The cones in the fovea are smaller and more densely packed. They are not obscured by a layer of nerve cells or blood vessels. This
accounts for the sharp vision associated with them. This is where zeaxanthin is deposited by the body in the highest concentrations. Zeaxanthin and lutein are antioxidants that protect against light-induced oxidative stress, functioning like internal sunglasses to protect the photoreceptors and provide visual performance benefits. In nature, lutein and zeaxanthin appear to absorb excess light energy to prevent damage to
Start the conversation about opioid-induced constipation
plants from too much sunlight, especially from high-energy light rays called blue light. Increasing zeaxanthin intake helps maintain visual performance over the long term. Certain benefits to ensuring an optimal supply of zeaxanthin to one’s diet includes: • Enhanced visual acuity – improved vision in fine detail situations like needlepoint or reading in low-light situations. • Reduced glare recovery time – faster recovery from BPT
temporary “blindness” caused by high intensity lighting, such as automobile or stadium lights. • Improved contrast sensitivity – ability to discern objects from their background, e.g., seeing a white golf ball or baseball clearly against a light blue sky. • Diminished light sensitivity and visual discomfort – less visual discomfort in sunlight or when exposed to bright light. • Increased visual processing speed – seeing an object more clearly, enabling improved processing speed and reaction time. There are more than 600 carotenoids in nature. Fifty are found in the food chain. About 12 are measured in the human bloodstream. Lutein and zeaxanthin are the only two naturally occurring carotenoids found in the macula. The body does not make zeaxanthin or lutein. Although zeaxanthin is found in foods, like paprika
Results of a survey of patients prescribed opioids for chronic pain sheds light on constipation, a common side effect of opioid therapy. The online survey was conducted by Harris Poll on behalf of AstraZeneca. The survey results show that out of the 2,797 survey respondents who were prescribed opioids to manage chronic pain, 1,001 people (36 percent) reported they had personally experienced constipation in the past three months while they took prescribed opioid pain medication. The survey highlights the impacts on the life of patients who took opioids and experienced constipation. The findings show that of the 1,001 survey respondents who took opioids and experienced constipation within the past three months, the following
and goji berries, available data indicates the foods containing these nutrients are not abundantly consumed by the average American. A study published in American Journal of Epidemiology found higher levels of lutein and zeaxanthin in the diet are associated with a lower incidence of Agerelated Macular Degeneration (AMD). AMD destroys central vision, and is the leading cause of severe vision loss in adults over the age of 55. There is no current cure for AMD, and the effects are irreversible. While there are certain nonmodifiable risk factors, there are also risk factors than can be modified. Quitting smoking, incorporating a healthy diet and having a healthy body mass index are ways to reduce the risk. Incorporating a supplementation with lutein and zeaxanthin can also help protect as well as preserve vision.
observations were made due to their constipation: • 81 percent of the 1,001 respondents reported constipation had at least a “minor negative impact” on their overall quality of life. • 40 percent of the 1,001 respondents reported skipping at least one social event in the past year. • 47 percent of the 441 employed respondents reported missing at least one day of work in the past year. • 34 percent of the 407 respondents who had children reported missing at least one of their child’s school events in the past year. Additionally, the survey found that communication barriers can keep patients who took opioids and experienced constipation from speaking up. Seventy-seven percent strongly or somewhat agreed that constipation is a condition people are ashamed or embarrassed
to talk about. Furthermore, 26 percent of the 1,001 survey respondents who took opioids and experienced constipation reported they had not talked to any health professional about their constipation. AstraZeneca’s Dr. Cathy Datto says, “Starting a conversation with your healthcare provider is the first step to finding support.” She also recommends visiting www. OhISee.com for more information. The online survey was conducted by Harris Poll on behalf of AstraZeneca between March 27 - April 8, 2015. The results of the survey were drawn from 2,797 U.S. adults aged 18 or older who were prescribed opioids to manage chronic pain, 1,001 who had personally experienced constipation in the past three months while they took prescribed opioid pain medication.
Sunday, February 28, 2016
York County
York County Health & Wellness 15
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• Concussions, From Page 11
more concerning is that a third of these players admit to experiencing symptoms consistent with PBA; and most were unaware that PBA symptoms may result from head injury. PBA is not limited to sportsrelated brain injury; it can also occur in people with brain injuries from other causes like car accidents or falls, or certain other neurologic conditions such as Alzheimer’s disease or other dementias, stroke, traumatic brain injury or multiple sclerosis. PBA episodes may occur several times a day and last from seconds to minutes, can be exaggerated or don’t usually match what a person is feeling on the inside, and can occur spontaneously, often with no clear trigger. Additional findings from the survey include: • The majority of the former players surveyed were aware of symptoms like memory loss (73 percent), difficulty thinking (60 percent) and headache (60 percent) as a result of brain injury. However, few were aware of PBA-like symptoms. • Among former players surveyed with PBA-like symptoms, the greatest impact of these symptoms appears to be on spending time with family, maintaining a marriage, working and being able to participate in social activities. • Only 16 percent of former players reporting any PBA-like symptoms had discussed their symptoms with a health care professional, and just over half of them received any diagnosis or explanation for their symptoms. • Common reasons for not reporting crying or laughing episodes to a physician were “thought it was just depression” (29 percent) or “too embarrassed to mention” (25 percent). “People who suffer from PBA may find their symptoms challenging, and suffer an emotional toll. PBA can
• Spring Cleaning, From Page 12
and windowsills as well. Tempted to open the windows to let the spring breeze in? Don’t. Unwanted pollen can enter your home and spread everywhere. Step 3: When the dust settles, wipe it off. Suit up to win the war on dust by wearing protective gloves and a face mask so you don’t breathe in microscopic mold spores. Next, ditch cotton cloths and feather dusters that kick up allergens, and instead use microfiber cleaning cloths which trap and remove triggers. Wipe down all surfaces including picture negatively impact social interactions, and sometimes these crying or laughing episodes are so interpersonally disruptive for people that they may
frames, knickknacks, plant saucers and ceiling fans. Step 4: Nature abhors a vacuum. You shouldn’t. Move all furniture, and vacuum the dust and dander that collects underneath. Use a cyclonic vacuum, which spins dust and dirt away from the floor, or a vacuum with a HEPA (high efficiency particulate air) filter. Additionally, clean vents and return registers to limit dust recirculating. Consider shampooing carpets to remove deeply embedded allergens. Step 5: Scrub-a-dub the mold. In bathrooms, basements interfere with their normal activities,” says Dr. Greg O’Shanick, National Medical Director Emeritus of the Brain Injury Association of
and tiled spaces, scrub any visible mold and mildew from surfaces with bleach, or borax mixed with water, then dry completely. The key to reducing mold is moisture control, so use bathroom fans and clean any standing water immediately. You can also help ward off mold by keeping home humidity below 50 percent. Step 6: Change is good – for filters. Keep the air that circulates through your home’s ventilation system clean by using filters with a MERV rating of 11 or 12. Change the filter at the change of every season, America. “The good news is PBA is treatable. People who have, or think they may have PBA should talk to their doctor about ways to manage their
or every three months. (Set a calendar reminder to remember). Additionally, change filters in HEPA appliances. This helps eliminate allergens, and prohibits mold growth. Step 7: Get out! And about. Check your home’s exterior for any concerns that may have emerged due to cold weather. Chipped paint, roof damage or cracked siding can lead to mold problems. Make repairs as necessary. These seven spring cleaning steps may take a few weekends to complete, but they’ll help reduce allergens all season long. symptoms.” For more information about PBA and the survey, visit www. TacklePBA.org or talk to your doctor.
Kennebunk Center for Dentistry Ask Suzanne Gordon about Kennebunk Center for Dentistry, and she will say becoming a client was one the best decisions she has ever made – and even changed her life. Under the leadership of Dr. Wesley Mills, Kennebunk Center for Dentistry has been serving the greater Kennebunk community for nearly 30 years. Fully dedicated to the highest quality of patient care, Mills (a Fellow of the Las Vegas Institute for Advanced Dental Studies), Dr. Samantha King (Diplomat of the American Board of Prosthodontics) and their highly trained team use an effective combination of cutting-edge technology and time-proven methods to keep their clients’ smiles both healthy and beautiful. Recognizing that a healthy mouth is directly connected to a healthy body, the Center caters to individualized and proactive health care, while making client comfort a priority. A c c o r d i n g to Lisa Mills, marketing and social media director, Kennebunk Center for Dentistry serves every member of the family for their general Dentistry needs and also specializes in full mouth restorations or as they are popularly known- “smile designs”. New patients are asked about their “smile goal” during their initial visit. Options are reviewed and all potential treatments are thoroughly explained. Gordon, of Falmouth, said she had always had “soft” teeth and needed extensive dental work, including an implant that was becoming loose, several new implants and addressing temporomandibular disorder, most commonly referred to as TMJ. “Dr Mills totally reconstructed each
tooth individually,” Gordon said. Alleviating her TMJ also meant her bite was restored. “The difference is unbelievable. I couldn’t ask for anything better than what I have in my mouth right now.” Not only was her jaw completely aligned, she said, “My gums are so healthy.” Gordon said she had very little discomfort throughout the phases of treatment and needed nothing stronger than Ibuprophen for pain relief. As an added bonus, Gordon said the smile design made her lips fuller, making her look younger. The state-of-the art facility includes private treatment rooms, general dentistry for the entire family, same day crowns, laser therapy, cosmetic dentistry and whitening. Optimal Aesthetic & Neuromuscular Smile Design Consultations are available. The smile makeover design team uses digital photography and cosmetic mockups to project the results. Patients are also encouraged to look at the Center’s before and after photos of other clients
to get an idea of the results that can be achieved. With numerous advances in dental technology, virtually any cosmetic dental problem can be fixed. Discolored teeth have many possible remedies. Teeth that are crooked, chipped, or uneven can be addressed with porcelain veneers or crowns. “It’s a tremendous experience that gives you a whole new attitude,”
said Gordon of her relationship with Kennebunk Center for Dentistry. “I highly recommend them.” The Center is currently accepting new patients. Call them today at 9857944. Kennebunk Center for Dentistry is located at the Kennebunk Southern Maine Health Care Campus next to Quest Fitness. For more information, visit www.kennebunkdental.com.
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Located at 2 Livewell Drive, in the Southern Maine Healthcare Kennebunk Campus 207-985-7944 • www.kennebunkdental.com • Mon-Thurs 8am-5pm