Think pink Octo ber 2, 2014 LIBERTY TRIBUNE THE KEARNEY COURIER GLADSTONE DISPATCH THE SMITHVILLE HERALD
BOOK BUZZ: Never say never
A lesson in nutrition for college students
HELPFUL. POLITE. BUZZED. 1 in 5 Missouri youth starts drinking alcohol by age 12.
Studies show that parents have the most influence on whether their child will drink. Parent Up is here to empower your influence. Visit www.parentupkc.com for tips and tools to address underage drinking.
(parentupkc.com)
“Message sponsored by Tri-County Mental Health Services, Inc., the Northland Coalition, and the SAMHSA STOP Underage Drinking Grant�
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Tips for picking apples and pumpkins Apples
Although scores of people cite summer as their favorite time of year, autumn also is a beloved season. Cool breezes and crisp air seem tailor-made for afternoons spent enjoying the great outdoors. The pleasant autumn weather and awe-inspiring foliage may be the reason so many festivals and outdoor events are scheduled this time of year. Apple and pumpkin picking are popular fall pastimes. Orchards open their doors to the public, allowing men, women and children to scour their fields and trees for the perfect finds. Heed these picking tips to make the experience even more of a success.
Many orchards that have open picking seasons plant dwarf apple trees to make the picking process easier, particularly for young children, so there’s no need to bring along a ladder. You should still be able to find plenty of apples close to the ground. A good farmer will know when certain varieties of apples are ripe, and he or she will likely cordon off trees that are not ready for picking. Ripe apples will be crisp and firm. Keep in mind that apples ripen from the outside of the tree inward. Those are the ones usually picked first, anyway. Try to get to an orchard earlier in the season. If you wait too long, the trees may be picked of most of the best fruit. Apples can bruise, so don’t toss them into baskets when picking. Also, wait to wash apples until right before eating to prevent moisturerelated spoilage. Apples keep best in a cool location.
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Pumpkins
Pumpkin patches are often found in close proximity to apple orchards. Picking pumpkins to eat or decorate the home is a popular autumn activity, one that families often enjoy together. When visiting a pumpkin patch, dress accordingly. That means wearing shoes that you don’t mind getting dirty, as the patch may be muddy. Layer Autumn is clothing in the season case it is a for apple chilly day. Breezes and pumpkin are more picking. This is pronounced a great way in open fields. to spend an Pumpkins afternoon are “longoutdoors with keepers,” the family. If which means possible, visit an if they are uncut or not orchard on a damaged, weekday, when they can last the crowds for several will be much weeks. This smaller than means you during prime fall can pick weekends. pumpkins at the same time as apples. When selecting a pumpkin, look for one that is completely orange. After picking, a green or yellow pumpkin may never ripen to orange. Bring along a small wagon and knife so that you can cut the vine, if necessary. Pumpkins are heavy, and a wagon will come in handy, especially with youngsters in tow. Ripe pumpkins should not dent easily. Examine your pumpkin for holes or insects, which could indicate internal rot that greatly reduces the shelf life of the pumpkin. Remember, carving the pumpkin reduces its life expectancy, so be sure to reserve that task until close to Halloween. If you desire a pumpkin to turn into a baked treat or other dish, you will need a type of small, sweet cooking pumpkin known as a sugar pumpkin. The meat of this pumpkin is much less stringy and more smooth than decorative pumpkin varieties. — Metro Creative
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Key to cooking with
PUMPKINS Autumn is ripe with vibrant colors and scenery. One of the more vivid sights this time of year are the bright, orange pumpkins that adorn walkways and front porches of homes and businesses. Not only are pumpkins ideal for decorating, but they’re also great to eat. Some people who plan to carve jack-o-lanterns mistakenly believe the same type of pumpkin can be used in their favorite recipes. But what carving pumpkins have in visual flair, they usually lack in flavor and substance. Instead, would-be pumpkin cookers should look to other varieties if they plan to serve pumpkin on the menu.
Pumpkins are available from September through December, but they peak in October. Many smaller pumpkins are better and sweeter for cooking. Mini pumpkins, sugar, cheese and pie pumpkins are varieties commonly used in recipes. The big jack-o-lantern pumpkins have stringy, watery flesh and will provide little to no pulp for cooking. Select a pumpkin as you would any other type of squash. Look for a firm pumpkin with no bruises or soft spots. The pumpkin also should have a deep orange color. Store pumpkins in a cool, dark area until ready for use to prolong freshness. Wash the exterior of the pumpkin in cool water before cutting to remove any dirt and bacteria on the surface of the pumpkin so it won’t be transferred to the pulp of the pumpkin. Slice the pumpkin in half and remove the seeds and
any stringy material. Rinse and save the seeds for planting or roasting. Put the pumpkin pieces in the microwave to cook, or you can steam or bake them until the pulp is soft and the pumpkin falls off of the skin. Cool the pumpkins, then puree the pulp until it’s smooth. You may want to strain the pureed pumpkin with a cheese cloth to remove any excess water before using in a pie recipe. Baked breads may benefit from the extra moisture. Pumpkins are a great source of dietary fiber, vitamin A, vitamin C, riboflavin, potassium, copper, manganese, vitamin E, thiamine, niacin, vitamin B6, folate, iron, calcium, magnesium, and phosphorus. They’re also low in fat and calories. Pumpkin puree can replace the oil in some baking recipes, much as you would use applesauce. — Metro Creative
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Healthy eating 101 A lesson in nutrition for college students By Hannah Stine Goodbye to high school and hello to the “freshman 15.” In recent years, college life has become less known for its furthering education and more so for its weight gain. But Lindsay Nelson, Liberty Hy-Vee dietitian, says eating healthy is not as hard as many students think. The No. 1 mistake college students make is eating too many processed foods and fast foods, according to Nelson. She recommends a diet full of fruits and veggies, lean meats and other proteins, low-fat dairy and whole grains.
“There are lots of easy snacks that college students can eat that incorporate these foods,” Nelson said. Nuts, fruit, cut-up raw veggies, healthy energy bars, peanut butter and whole-grain crackers are just some snack options that students can keep in their backpacks or dorm rooms throughout their busy class schedules. While eating healthy may seem to be on the expensive side on a college budget, Nelson assures there are plenty of economical options. “Making foods from scratch always saves money but does take more time,” Nelson said. For example, buy a whole chicken,
cook it in a crock pot, and cut up the meat yourself instead of buying precut meat. Produce is another way to go. Buying in season makes food taste better and is typically more affordable. “Check the weekly ads and buy whatever produce is on sale,” Nelson said. Nelson has four key suggestions for college students to stay healthy: • Eat real, whole foods, avoiding most processed foods. • Half of your diet should consist of fruits and veggies. • Stay away from beverages with lots of sugar and calories. Milk and water are the only beverages that we really need. • Exercise.
Drink more water The symptoms of dehydration mimic those of hunger, and college students might turn to snacks when all they really need is a glass of water. If you find yourself snacking shortly after eating a meal, then you might just need to drink more water. — Metro Creative
“Physical activity has been proven to help you concentrate and sleep better and will, therefore, help your grades and your health,” Nelson said.
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THINK PINK
While the leaves are changing into red, gold
and orange, everything else is turning pink to raise awareness for breast cancer in October. Breast cancer is the second leading cause of cancer death in women, exceeded only by lung cancer. According to the American Cancer Society, one in eight women will develop breast cancer in their lifetimes. While researchers are working to discover a cause and a cure for breast cancer, technology — such as 3D mammography — is developing to improve the likelihood of an early diagnosis.
Breast Cancer Awareness Month highlights changing mammography technology, need for self-exams THE
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Radiologist Dr. Michael Green explained the difference a 3D mammogram can make. “Standard mammography is performed generating two separate 2D images of each breast,” he said. “3D mammography uses an arcing motion of the mammography machine to generate a series of about 60 images of each breast in two separate views with each image being one millimeter in thickness.” This allows a more detailed view of each breast, increasing the likelihood of finding abnormalities, according to Julie Osbahr, Liberty Hospital’s director of diagnostic imaging. Both technology and awareness has led to an increase in the numbers of women younger than 40 being diagnosed with breast cancer, Green said. According to the Young Survival Coalition (www.youngsurvival.org), about 70,000 women and men age 15 to 39 are diagnosed with cancer
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in the U.S. Of those, breast cancer is the most common cancer for women in this age group. Currently, women are advised to get an annual mammogram starting at age 40. “While there is not a distinct cause, the increasing incidence rate likely is due to environmental factors such as diet, toxins, etc.,” Dr. Green said. “Breast cancer in young women tends to be more aggressive; however, the degree of cancer aggressiveness also has increased over the years, likely due to environmental factors. At the same time, these cancers are being diagnosed earlier due to improving diagnostic modalities and patient education, especially self-breast exams.” Monthly self-breast exams are critical to early diagnosis. According to Johns Hopkins Medical Center, 40 percent of diagnosed breast cancers are detected by women who feel a lump during their self exam. For
85 percent of women diagnosed have no known family history of breast cancer
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What’s your plan for early detection?
directions on doing a self-breast exam, go to www.nationalbreastcancer.org/ breast-self-exam or visit Liberty Hospital Women’s Imaging, located in Medical Plaza East Suite G80, 2529 Glenn Hendren Drive in Liberty, where tabletop models are used to teach this skill. Those self exams are important even if a woman doesn’t have a mother, sister or daughter with breast cancer; 85 percent of women diagnosed have no known family history of breast cancer. “As with health and well-being in general, women should maintain routine health visits to their primary care physician and/or gynecologist,” Dr. Green said. “No one knows their body better than themselves.” In addition to self-breast exams, Dr. Green encourages women to watch for signs and symptoms of ovarian cancer, which include abdominal bloating, abdominal/pelvic pain, change in urinary frequency/difficulty, feeling full early, protruding belly button and weight gain. Discuss your family history and any health concerns with your primary care physician. — Liberty Hospital
What is a 3D mammogram? Get answers to your questions about this new technology available at Liberty Hospital Women’s Imaging. Radiologist Michael Green will discuss mammography techniques, findings and suggestions from 6:30 to 8 p.m. Thursday, Oct. 9, at Liberty Hospital Medical Plaza East Lobby, 2529 Glenn Hendren Drive, Liberty. This free program is open to the public. Sign up at www.libertyhospital.org.
With breast cancer the second most common cancer in women, according to government health statistics, awareness and early detection are crucial for treatment outcomes. With this in mind, every October is National Breast Cancer Awareness Month — a time to raise awareness of the disease and funds for research and treatment. While most women are aware of the disease, many fail to take steps to detect breast cancer in its early stages, say the experts at the National Breast Cancer Foundation. As such, each year in October, women are encouraged to create an early
Susan L. Storm MD Laurie D. Riddell MD Ermalyn Kubart MD Stephanie A Marx MD Kathyrn Hauptmann MD
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detection plan. The benefits are proven; when breast cancer is detected early in what is known as a localized stage, the five-year survival rate is 98 percent, according to the National Cancer Institute. Having a plan is all about creating reminders to conduct breast self-exams, and to schedule clinical breast exams and mammograms based on your age and health history. More free information about creating an Early Detection Plan is available at www.earlydetectionplan. org and by consulting your personal health care provider.
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So what diagnostic tests can a woman — even one who hasn’t find anything during self-examinations — ask her physician about if she is worried about possible breast cancer?
Biopsy
A biopsy, which is the removal of cells or tissues so they can be viewed under a microscope by a pathologist to check for signs of cancer, may be conducted to determine if breast cancer is present. When a lump in the breast is found, doctors may remove a small piece of the lump to perform a biopsy. There are four types of biopsies. An excisional biopsy is the removal of an entire lump of tissue, while an incisional biopsy removes just part of a lump or a sample of tissue. A core biopsy removes tissue using a wide needle, whereas a fine-needle aspiration, or FNA, biopsy uses a thin needle to remove the tissue.
Blood chemistry studies
A blood chemistry study checks a blood sample to measure the amounts of certain substances released into the blood by organs and tissues in the body. An unusual amount of a substance, whether that amount is higher or lower than normal, may be indicative of disease in the organ or tissue that makes it.
Clinical breast exam
A clinical breast exam is an examination of the breast that is conducted by a doctor or another health professional. The person conducting the examination will carefully feel the breasts and under the arms for lumps or anything else that seems unusual.
Magnetic resonance imaging test
Commonly referred to as an MRI or a nuclear magnetic resonance
A New Beginning
with Familiar Faces and in a Familiar Place Thank you to all our patients on our 1 year anniversary.
Spring Clean-up OctoberYard is Breast CancerTips Awareness Month Early Detection is the Key
• See Your Doctor for Annual Check Ups • Annual Mammogram if You’re Over 40 • Self-examination Monthly
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What does it mean to live a healthy lifestyle? Begin by visiting us for regular well woman visits and preventive screenings. Call us today to make your appointment. Remember to follow us at www.facebook.com/SpellFitchwc Spell~ Fitch Women’s Care thanks everyone for their support and new patient referrals. 75032432
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Now serving the
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imaging, or NMRI, this procedure employs a magnet, radio waves and a computer to produce a series of detailed pictures of areas inside the body.
Mammogram
A mammogram is an X-ray of the breast that can be used to check for breast cancer in women who have no signs or symptoms of the disease. Mammograms also may be used to check for breast cancer after a lump or other sign or symptom of the disease has been found. According to the National Cancer Institute, a mammogram performed on a pregnant woman may appear negative even if cancer is present. The NCI also notes that mammograms miss about 20 percent of breast cancers that are present at the time of screening.
Samuel U. Rodgers Health Center has been serving our community for �� years, providing quality health care to patients of all ages. Call ������������ to schedule an appointment—some same-day appointments are also available.
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Physical exam
Women should get a routine physical examination of their bodies once a year. Physicians conducting such exams will check for general signs of health while also checking for signs of disease, including breast cancer. Breast cancer symptoms may include swelling and lumps on the breast or under the arms.
Dr. Sherri Howell, do
Sherri Howell, do, is now practicing at Samuel U. Rodgers Health Center’s North Oak office. Dr. Howell is Board Certified in Family Medicine. She has �� years of experience and believes in treating her patients holistically, using a preventive and educational approach to healing and wellness. Sarah Parro�, do, is Board Certified in Family Medicine and sees patients at our Clay County office. She practices the full scope of family medicine and has a special interest in women’s health.
Robert M. Huster, M.D. 1500 North Church Road Suite C Liberty, MO 64068
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If your children need medical care, Dr. Navkirandeep Kaur, do, is Board Certified in Pediatrics. She provides care for children— from newborns to children under the age of ��. Dr. Kaur sees patients at our North Oak and Clay County practices. She believes in working with the child and the parents together, as a team, to achieve the best outcomes in a child’s health. Dr. Kaur has special interest in obesity and complex patient care.
• Dr. Huster is the only physician in the Northland certified as a diplomate by the American Board of Obesity Medicine and he serves as a director of that board. • Our comprehensive obesity medicine practice has successfully assisted patients to make healthy lifestyle changes for the past 18 years. • This has been an exciting year with the FDA approval of two medications for the long-term treatment of obesity. These are the first medications to be approved for obesity treatment in 13 years!
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During a routine physical, a doctor also will request the patient provide a history of her health habits and past illnesses, and women with a family history of breast cancer should make note of that history when discussing their own medical histories.
Ultrasound exam During an ultrasound exam, highenergy sound waves are bounced off internal tissues or organs to make echoes, which form a picture of body tissues called a sonogram.
LIB E R T Y T R IBUN E , T HE KE A R N E Y COU RI ER, G L A D S TO NE D I S PATC H, THE S MI THV I L L E HERA L D
A closer look: Studying cancer cells When a person is diagnosed with breast cancer, tests are then conducted to study the cancer cells. According to the National Cancer Institute, such tests are used to determine how quickly the cancer may grow and the likelihood that the cancer will spread throughout the body. These tests also may help doctors determine a course of treatment and if a patient is likely to experience a recurrence of the cancer down the road. One such test is the estrogen and progesterone re-
— Metro Creative
A Big “Thank You” to those who joined us in the fight
against Breast Cancer will be published in our newspapers October 15-16, 2014*
It’s not too late to participate — stop by The Kearney Courier, The Smithville Herald or the Liberty Tribune offices, fill out a sheet to honor someone you know who has been touched by breast cancer and make a $1.00 donation.** Names of donors and honorees will be published in our newspapers October 15-16.* All proceeds donated to Women’s Health Fund at Liberty Hospital *Published Oct. 15 in The Smithville Herald, Oct. 16 in The Kearney Courier, Liberty Tribune and Gladstone Dispatch. Deadline is Oct. 10. **All donations will be accepted.
ceptor test, which measures the amount of estrogen and progesterone receptors in cancer tissue. The cancer may grow more quickly in patients who have more of these receptors than normal. In addition to measuring the amount of these hormones in the cancer tissue, an estrogen and progesterone test can determine if a treatment aimed at blocking estrogen and progesterone may prevent the cancer from growing. — Metro Creative
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Is a pet right for your family? Pets often make wonderful additions to a household. Parents not only love pets because animals bring smiles to their children’s faces but also because pets teach kids about responsibility. But the decision of whether to bring a pet into a home is a complicated one that parents would be wise to give ample consideration before making their final decision. The following are a few factors parents can consider when deciding if now is the right time to bring a pet into their household.
already working on thin budgets might find it’s not financially prudent to bring a pet into their home until their finances stabilize. Families who tend to travel a lot also must consider the cost of sheltering the animal when they are out of town, while renters should determine if bringing a pet into a home will incur a higher rental deposit or if the animal is likely to cause damage, as puppies and kittens tend to do, that will ultimately cost them money when they move out of their rental.
Finances
Time
Money is often overlooked when deciding whether to bring a pet into a home. But pets can be expensive, and the potential cost of pet ownership must be fully explored. Pet adoption fees are often negligible, but families who prefer a purebred dog can expect to spend considerably more money than they would if they were to adopt a mixed breed dog from the local shelter. In addition, a pedigreed cat is likely to cost more than a cat adopted from the shelter. But those initial fees are only a small part of the expenses associated with pet ownership. Medical costs, including routine veterinary visits and medication, pet insurance, food and grooming costs can add up over time, so families
that’s equally comfortable lounging around the house. When considering cats, families should speak with a professional, be it a veterinarian or a representative at the local animal shelter, about the demeanors of different breeds to ensure they make the best decision. Parents of young children likely want a cat that’s playful as opposed to one who is likely to be standoffish with curious kids.
Future
The future is another thing parents should consider before bringing a pet into their home. Parents whose careers are stable might make better Some pets require more attention pet owners than those angling for a than others, so heads of a family reassignment or looking to change should consider just how much time careers. An unfortunate side effect they have to devote to pet ownership. of the recession that began in 2008 Dogs tend to need the most was that many families were forced attention among the more popular When considering bringing a pet to relocate when one or both parents household pets, so families whose into a home, parents should consider lost their jobs but found opportunities schedules are already full may find their own demeanor, their kids’ elsewhere. Upon moving, these that pets who don’t need so much demeanors and the demeanor of the families realized the family pet could attention fit their lifestyle better. For pet they are thinking of adopting. not make the trip, which led to shelters example, cats don’t need to go for Dogs have their idiosyncrasies, but being flooded with homeless pets. daily walks and tend to be more breeds tend to exhibit similar behaviors. If your family’s future is in question, independent than canines, making Labrador retrievers, for example, tend to delay adopting or buying a pet until them ideal pets for on-the-go families. be active and energetic, while a typical your situation is more stable. If all is When deciding if a pet is right for English bulldog might be more laidwell in your career and your family is your family, give heavy consideration back and less prone to running around. firmly entrenched in your community, Active families who enjoy spending to how much time your family spends then now might be a great time to time outdoors might prefer a more at home, and if you decide to adopt bring a pet into your home. active dog, while families who enjoy a pet, choose one that won’t be — Metro Creative negatively affected by your schedules. relaxing at home might want a dog
Demeanor
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Book Buzz: Never say never What the dickens? It was Charles Dickens who first coined the expression “Never say never” in a book he wrote in 1837. It’s a fitting theme for October, as Newsbee suggests three books featuring characters who don’t give up the ghost, no matter how hard their row is to hoe.
The Most Magnificent Thing by Ashley Spires Sometimes things go awry.The girl in “The Most Magnificent Thing,” by Ashley Spires, can identify. She wants to build a remarkable object and tells her puppy pal assistant all about it. There are tried and true steps — gathering supplies, setting up in the right place — then “the girl tinkers, hammers and measures…,” with help from her assistant. But instead of being pleased with the end product, the child is disappointed. She has failed. “It is all wrong.” Back to the drawing board she goes, getting madder with each failed attempt; clouds of rage gather above her like a swarm of angry bees. Try as she might, the girl can’t make anything to delight. Finally, she takes a walk — a magnificent idea, one that sets her on the road to success. Line drawings and cartoon characters by Spires are can-do-perfect for this pick.
just an Italian kid hawking newspapers. “Joltin’ Joe DiMaggio” by Jonah Winter is the story of the lanky Yankee hitter’s rise to fame. Growing up, DiMaggio couldn’t get to first base with his dad when it came to baseball. A fisherman — that’s what Joe would be — just like his brothers. The idea didn’t fly with Joe, though. He dropped out of school on the sly and rounded back lot diamonds with his buddies. Tall and soft-spoken, it wasn’t long before Joe was asked to play with the San Francisco Seals. His dad about flipped out, didn’t consider baseball a job. That was until Joe was signed as a big leaguer, and bigger money started coming in. Soon the Yankees came calling, just as the Great Depression was sinking people’s hopes. Joe provided them with a reprieve from their troubles as he racked up hit after hit, setting records that still stand today. Handsome watercolor paintings by James E. Ransom detail DiMaggio’s life and present actionpacked moments, on and off the field.
Joltin’ Joe DiMaggio by Jonah Winter
The Fourteenth Goldfish by Jennifer L. Holm
In the 1920s, baseball was all the rage, bigger than any other sport. Back then Joe DiMaggio was
Grandfathers aren’t supposed to look like 13-yearolds, have acne and wear ponytail holders. But Ellie
Cruz’s grandfather does — so goes “The Fourteenth Goldfish” by Jennifer L. Holm, known to many because of her “Baby Mouse” and “Squish” series. Ellie’s granddad, Melvin Sagarsky, a scientist, has discovered the fountain of youth via a jellyfish compound. Now the 76-year-old has a senior brain in a pubescent body. Madcap antics ensue as grumpy grandpap goes to school with Ellie, is viewed as datable material by her buddy Brianna and badgers Ellie’s mom about everything from turning the heat up to staying out too late on dates. Mostly humor-filled, “The Fourteenth Goldfish” has serious overtones when it references famous scientists from the past and when it focuses on the splashy, repercussions of unleashing a discovery that would allow people to live forever. This mustread book is solid gold from the get-go. Reprinted with permission, Missourian Publishing Company. Copyright 2014.
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