®
January 2017
Keeping Your Resolutions for 2017? Fun Facts and Word Search for the New Year pages 6, 8, and 24
Learn More About Yoga
Learn How to Involve Yoga Practices into Your Everday Activities page 26
Questions about Vein Problems?
Find out why they are not just “vain” problems page 19
Dr. Randall with
Juleff
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®
January 2017
Keeping Your Resolutions for 2017?
Learn More About Yoga
Learn How to Involve Yoga Practices into Your Everday Activities page 26
Fun Facts and Word Search for the New Year
Questions about Vein Problems?
pages 6, 8, and 24
Find out why they are not just “vain” problems page 18
Dr. Randall with
Juleff January 2017 • Volume 4/Issue 1
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Read more on page 18.
Table of Contents
Toast to the New Year! Let this coming year be better than all the others. Vow to do some of the things you’ve always wanted to do but couldn’t find the time. Call up a forgotten friend. Share a funny story with someone whose spirits are dragging. A good laugh can be very good medicine. Make a genuine effort to stay in closer touch with family and good friends. The surest way to have a friend is to be one. Find the time to be kind and thoughtful. Give a compliment. It’s sure to give someone a badly needed lift. Think things through. Forgive an injustice. Listen more. Be kind. Apologize when you realize you are wrong. An apology never diminishes a person. It elevates him. Don’t blow your own horn. If you’ve done something praiseworthy, someone will notice eventually. Lighten up. When you feel like blowing your top, ask yourself, “Will it matter in a week from today?” Laugh the loudest when the joke is on you. Don’t discourage a beginner from trying something risky. Nothing ventured means nothing gained. Be optimistic. The can-do spirit is the fuel that makes things go. Don’t abandon your
On the cover: Dr. Randall Juleff, photographed at Bella Vita Laser & Vein Center by Bach Imagery, LLC. Article by Becky Rolland.
old-fashioned principles. They never go out of style. When courage is needed, ask yourself, “If not me, who? If not now, when?” Walk tall, and smile more. You’ll look 10 years younger. Don’t be afraid to say, “I love you”. Say it again. They are the sweetest words in the world. And Have a Happy New Year!
Notes & News / Page 4
Orthotics: Are They Right For You? /Page 14
Senior Living’s Book Club Corner /Page 8 by: Liz Maddox
Greater New Orleans Senior Olympics /Page 15
Anxiety During the Holidays /Page 9
Nutrition: Butcher Breakdown /Page 16
Spiritual Maturity /Page 10 by Dr. Larry T. McEwen
Why Sitting is the New Smoking /Page 22 by Becky Rolland
Annual Go Red for Women Highlights /Page 11 Focus on COPD (SMH announcement) /Page 12 by Matthew L. Schuette, MD
COAST update: )n the ballot this December /Page 24 Life: A Daily Yoga Practice /Page 26 Senior Sampler / Page 28
Meet the Staff of Senior Living
Publishers Michelle Carollo Kelly Walgamotte
Director of Marketing Renee Ragucci-Shelton
Editor Lana Walgamotte
Designer Dan Sause
Photographer Bach Imagery
Contributing Writers S. Terry Kraus MD, Dr. Larry T. McEwen, Liz Maddox, Danny Nava, Laurie Panzeca, Becky Rolland
Senior Living is published monthly P.O. Box 752, Slidell, LA 70459. Copyright 2016 by Senior Living. No part of this publication can be reproduced without the written, expressed consent of the publisher. Reproduction of editorial content or graphics in any manner or in any medium is prohibited. Opinions of staff & contributing writers do not necessarily reflect the opinions of the publisher. Contact the publishers of Senior Living via e-mail at seniorlivingmagla@gmail.com, or call 985-778-6171 or 985-445-3644
Letters to the Editor are Welcome – send signed letters to: Senior Living Magazine P.O. Box 752, Slidell, LA 70459. Please include a phone number for verification (it will not be published). E-mail letters to seniorlivingmagla@gmail.com. The Editor reserves the right to edit for length, style and spelling. Postmaster : Send address changes to Senior Living P.0. Box 752, Slidell, LA 70459
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Notes & News January 2017
New Year's Eve Ball Time Square New Year's Eve Ball was first dropped in 1907 after there was a fireworks ban. Back then, a 700-pound ball embellished with 25-watt bulbs made of iron and wood was dropped. Now, however, it weighs 11,875 pounds, is 12 feet in diameter and is adorned with 2,668 Waterford crystals. The tradition has continued in Times Square, except for in 1942 and 1943. The ball was not lowered because of wartime restrictions.
Interesting New Years Facts Hide Your Cars; Hide Your Wife, Because They’re Robbing Everybody Out Here!
Keep your car locked up tonight as the National Insurance Crime Bureau revealed that New Year’s Eve is the day that more cars are stolen in the United States than any other day of the year. Make sure to park in a populated area tonight and take your keys with you. Unless you drive a 1994 Honda Accord. If you do, you might as well just leave your car unlocked with the keys on the driver’s seat. The 1994 Honda Accord is the most stolen car on New Year’s Eve, more than any other vehicle.
Green Coffee Extract Green coffee is simply unroasted coffee beans from the plant that gives us so many of our morning brews. Coffee contains hundreds of compounds, many of which may have healthful benefits. There’s some data in green coffee research to support the idea that chlorogenic acid in the green coffee bean can have an effect on bodies weight and fat loss,” said
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Lona Sandon, R.D., assistant professor of clinical nutrition at the University of Texas Southwestern in Dallas. A study in India found that people taking pills with green coffee bean extract lost an average of 18 pounds— 10 percent of their body weight—over 22 weeks. The study, published in Diabetes, Metabolic Syndrome and Obesity.
New Year is the oldest of all holidays, as it was first observed in ancient Babylon as many as 4000 years ago. The tradition of making New Year resolution dates back to the early Babylonians. The Roman senate declared January 1 as the New Year in 153 BC. Though even this date saw major tampering, it was Julius Caesar who again declared January 1 in Julian calendar as the New Year, in 46 BC. Noisemaking and fireworks on New Year's Eve are believed to have originated in ancient times when noise and fire were thought to dispel evil spirits and bring good luck. Traditionally, it was thought that people could alter the luck they would have throughout the coming year by what they did or ate on the first day of the year. It has, therefore, become important to celebrate the first day of the New Year in the company of family and friends.
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Notes & News January 2017
Champagne for New Years Eve The unofficial drink of New Years Eve is the bubbly French creation, champagne. Champagne is a sparkling wine that goes great with orange juice. The “bubbly” dates back to the 17th century where winemakers discovered that if you put a cork in a bottle of champagne, shake it up, it will pop off the top and make an incredible sound that will become synonymous with celebrations for eternity. According to the food and beverage association, Americans will drink over 360 million glasses of champagne at the stroke of midnight.
Early to Bed Early to Rise New research indicates that the familiar quote from Benjamin Franklin contains a lot of wisdom. Surprising health improvements might be the morning person’s real rewards. Those who go to bed early and get up early have lower rates of heart disease, diabetes, and overall lower death rates than those who stay up late and get up late.
Our bodies are designed to work best when we go to sleep early in the evening and get up early in the morning. Dr. Timothy H. Monk, one of the foremost authorities on sleep, said: “Human beings are built to be daytime creatures. It’s hard wired into our circuitry… when you deliberately try to shift the sleep/wake cycle, it’s like having a symphony with two conductors, each one beating out a different time… your delicate internal rhythms go haywire… you need to treat sleep as a precious and fragile thing.
Stuff Your Bellies with Black Eyed Peas and Leafy Greens According to New Year’s Eve lore, leafy greens and legumes bring prosperity for the New Year. Tradition says that beans and peas look like coins and therefore represent money, and a fortuitous year ahead. Lobsters and chickens are considered bad luck to eat on New Year’s Eve as they can move and scratch in reverse. Did you know that more black eyed peas are consumed on January 1st than any other day of the year?
Eat Your Yolks, Folks
Studies show eating the whole egg (yes, yolk included) can contribute to weight loss and even increase HDL cholesterol—that’s the good kind. In reality, by tossing the yolk, you are missing out on many health-boosting benefits. A study
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from the Rochester Center for Obesity in America showed that those who consumed eggs for breakfast ate, on average, 400 fewer calories per day than those who didn’t eat eggs. The high-protein qualities in eggs keep you feeling full, longer. It’s like scoring a bargain at your favorite store—few calories with big benefits. It doesn’t get its name—the incredible, edible egg—for no reason.
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You can even get your Medicare questions answered in person, right here in New Orleans. Just stop by your local Humana Guidance Center and see all we have to offer. Your New Orleans Humana Guidance Center 1107 Veterans Memorial Blvd. 504-840-0906 (TTY: 711) Licensed sales agents available: 9 a.m. – 5 p.m., Monday – Friday
*Humana Inc. First Quarter 2016 Earnings Release 5/4/2016 Humana is a Medicare Advantage HMO, PPO and PFFS organization and stand-alone prescription drug plan with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and member cost share may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Humana Inc. and its subsidiaries (“Humana”) do not discriminate on the basis of race, color, national origin, age, disability, or sex. English: ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1-877-247-9910 (TTY: 711). Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-618-6836 (TTY: 711). 繁體中文 (Chinese): 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-877-247-9910 (TTY: 711)。 Y0040_GHHJEXNTE17 Accepted
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Book Club Corner January 2017
Liz Maddox:
Rarely does a story have the ability to draw me in on the first page and not release me until the final. That happened in Ann Patchett’s Commonwealth. I have long been a fan of Patchett, and I still consider Bel Canto one of my all-time top favorites. But Commonwealth may possible have secured Patchett’s position as my favorite living author.
This month's selection: Commonwealth by Ann Patchett
Between the Wines rating:
FIVE OUT OF FIVE STEMS
Next month's selection: The Joke by Milan Kundera
“The christening party took a turn when Albert Cousins arrived with gin.” The opening sentence is just pregnant with possibilities. In fact, everything that happens in this novel begins when Bert Cousins arrives unannounced at a Christening party for the daughter of a policeman friend of his. The father of four, Bert has eyes for his colleague’s wife Beverley, and after kissing her in the kitchen that day, two families forever change. The opening scene is set up like a well-choreographed ballet. Patchett gives us the background and motivations for the characters, the pace of their movements, and the absurdity of their choices; all this, in the heat of a California day. You can hear the music and smell the fresh squeezed citrus. I was at that party watching these characters slide in and out of focus. I could feel the tension and the
Marlene:
Commonwealth is a novel about a complicated family, who, ultimately, lets love for each other guide them into making decisions that are best for their family. Best book of the year!!
Cathy:
If you and your book club would like to be featured on this page, or if you have any questions or comments about this review, contact me at emaddox185@yahoo.com
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A rich and insightful novel by the author of Bel Canto. Commonwealth follows two families for fifty years. As a fan of post modern literature, I particularly enjoyed the multiple perspectives and non-chronological progression and circular structure of the narrative. Patchett is a pro! An engaging read that I highly recommend.
longing between these people. This story lived and breathed; it was utterly real. While the beginning of this novel may seem to be some sort of dream sequence, the storyline that follows is tight and riveting. Patchett takes us through the lives of the children and how the divorce and subsequent marriages affect their childhood. You will love these children, but you’ll also pity them, sympathize with them, cheer for them, and mourn for them. My only disappointment in the novel was that I couldn’t spend more time with these people. If you have been a follower of our Book Club page, you know that the Between the Wines members rarely agree on a novel. We all agreed and loved this book. If you’re an Ann Patchett fan, rush out and get this book! If you’ve never read any of Patchett’s work, read this one… then Bel Canto, and then State of Wonder….
Cindy:
I loved the fact that while Patchett creates a large variety of characters to keep up with in this novel, she is able to give them each depth and dimension. A great story about the complicated connections that are created in families through divorce and remarriage.
Barbara:
This wonderful “stand-by-me” story glides through the lives of six children thrown into a blended family by parents who didn’t seem to give a damn about their children’s emotional welfare. Read it, and you’ll experience the loyalty we all wish for from our adult brothers and sisters, whether they be blood or step.
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Spiritual Maturity by Dr. Larry T. McEwen
SPIRITUAL MATURITY
by: Dr. Larry T. McEwen
Conquer a Mountain
How old is too old to conquer a mountain? It all depends on how you look at the mountain! One sure sign of spiritual maturity is to understand that age is not a limiting factor when it comes to accomplishing the things God desires for you to accomplish. Knowing this can give you a confidence to face any challenge that may come your way and to not only face the challenge, but to face it with a certain excitement and anticipation of seeing God work in
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your situation by giving you the same strength you had when you were a much younger person. And here’s something any person of age should know well: attitude matters! Let me remind you of a Bible story that bears this out beautifully. Caleb was one of the 12 spies of Israel who had spied out the Promised Land and was one of only two who believed they could conquer the giants who lived there. He was only 40 years old when this took place. The people chose to listen to the ten who did not believe they could win and this disbelief caused the whole nation to wander in the desert for 40 years. You might think this would have totally destroyed the attitude and hope of Caleb. But it didn’t! Listen to his story…Joshua 14:9-12 “So on that day Moses swore to me, 'The land on which your feet have walked will be your inheritance and that of your children forever, because you have followed the LORD my God wholeheartedly.' Now then, just as the LORD promised, he has kept me alive for forty-five years since the time he said this to Moses, while Israel moved about in the desert. So here I am today, eighty-five years old! I am still as strong today as the day Moses sent me out; I'm just as
As we mature in life, most of us have a strong desire to remain vigorous to go out to battle now as I was then. independent as long as humanly possible! This desire motivates Now me this hill LORD our plansgive for the retirement yearscountry as we thinkthat about the financial independence, independence, andyourself health independence! promisedhousing me that day. You heard then There is nothing wrong with pursuing these goals with a passion! that thewhen Anakites and their iscities However, it comes towere spiritualthere maturity, the opposite true. The more we grow in our walked, withbut, God, the we comehelpto were large and fortifi themore LORD realize our increasing dependence upon Him in every area of our ing me, I will drive them out just as he said." lives. Why? Because a mature person has experienced times in Wow, 85they years and still believing, with their life when choseold to live independently of God’s direction, guidance, and strength. In retrospect, those times I God’s help,wisdom he could conquer a mountain! were some of the darkest and most difficult of their lives. A spirthink old Caleb understood the concept of a itually maturing person is very willing to lay down their human Bible that had yet to bepower, written: pride andverse admit they need God’s presence, and protection every single day. Spiritual maturity recognizes this fact: dependPhilippians “I can do everything ence upon God is the4:13 key to living with meaning and purpose. The Psalmist stated thiswho conceptgives beautifully in Psalm 62:5-8… through him me strength.” Psa 62:5 Find rest, O my soul, in God alone; my hope comes from Go ahead, conquer that mountain you’re fachim.
ing today, with God's help, you can do it!
Psa 62:6 He alone is my rock and my salvation; he is my fortress, IFor will not be shaken. more on this concept, visit our website at: Psa 62:7 My salvation and my honor depend on God ; he is my http://northshorechurch.net mighty rock, my refuge.
Click resources, thenO people; eitherpour watch Psa 62:8 on Trust in him at all times, out yourahearts to him, for God our refuge. Selah notes and then one sermon orisread sermon the follow through messages.
of
Dr.Dr. Larry McEwen is a graduateis a graduate of Larry McEwen of New Orleans Baptist TheologiOrleans Baptist Theological calNew Seminary with a Doctor of Ministry degree inwith Leadership Seminary a Doctor of Ministry and has over thirty years of mindegree in Leadership and has over istry experience.
thirty years of ministry experience.
Daughter. Daughter. Sister. Sister. Wife. Wife. Mother. Mother. Friend. Friend. Aunt. Aunt.
Heart disease disease effects effects more more women women than than all all cancers cancers combined. combined. Heart NewOrleansGoRed.Heart.org NewOrleansGoRed.Heart.org
#NOLAGORED #NOLAGORED
Go Red Red For For Women Women Go Luncheon Luncheon February 2 2 February
National Wear Wear Red Red Day Day National February 3 3 February
Annual Go Red For Women Luncheon highlights the fight against the leading killer of women, heart disease Local women take action to uncover the truth about heart disease, the #1 killer of New Orleans Women WHO:
The American Heart Association
WHAT:
Go Red For Women Luncheon
WHEN: Thursday, February 2
10:00- 11:30 – free health screenings & silent auction 11:30 – luncheon and motivational speakers
WHERE: Hyatt Regency New Orleans
The luncheon is part of the Go Red For Women movement that encourages local women to take charge of their heart health by making it a top priority so they can live stronger, longer lives. Guests can participate in free health screenings & silent auction from 10:00-11:30AM. At 11:30 a.m., the ticketed heart-healthy luncheon program begins with the stories of local women affected personally by heart disease.
601 Loyola Avenue, Downtown
HOW:
WHY:
Tickets for the New Orleans Go Red For Women luncheon program are $150 payable in advance. To purchase tickets and for more information, please call 504-830-2300 or visit neworleansgored.heart.org. The Go Red For Women Movement works to educate the fact that more women die of heart disease than all forms of cancer combined. Unfortunately, heart disease is often silent, hidden and misunderstood. That’s why Go Red For Women invites New Orleanians to participate in the Annual National Wear Red Day on Friday, February 3 to make ending heart disease a reality.
ABOUT THE AMERICAN HEART ASSOCIATION
Founded in 1924, we’re the nation’s oldest and largest voluntary health organization dedicated to building healthier lives, free of heart disease and stroke. To help prevent, treat and defeat these diseases—America’s #1 and #5 killers —we fund cutting-edge research, conduct lifesaving public and professional educational programs, and advocate to protect public health. To learn more or join us in helping all Americans, call 1-800-AHA-USA1 or visit heart.org.
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Focus on COPD January 2017
Do you have COPD?
by Matthew L. Schuette, MD
Do you find yourself running out of breath just walking to the mailbox or going up a flight of stairs? Do you feel that it can be difficult to take a really deep breath, or even go a few hours without coughing? Shortness of breath, chronic cough, chest tightness, wheezing and the inability to take a deep breath are all symptoms of Chronic Obstructive Pulmonary Disease, or COPD. COPD is a group of lung diseases that block airflow and make it difficult to breathe. Emphysema and chronic bronchitis are the most common conditions that make up COPD. Emphysema is the destruction and enlargement of air spaces, while bronchitis involves inflammation and eventual scarring of the airways. The disease is increasingly common, affecting millions of Americans, and is the third leading cause of death in the United States. The dangers of this disease can be detrimental. Currently, 15 million Americans have been diagnosed with COPD, but millions more may be unaware that they have it. In Louisiana alone, 6.8% of the population has COPD. Tobacco is considered to be the largest key factor in the development and progression of the disease. However, air pollutants, dusts, gases and fumes have also been linked to causing COPD. People who currently smoke or have a history of smoking are at a much higher risk for developing COPD. People over the age of 40, non-Hispanic whites, people with a history of asthma, and women are more likely to report COPD. The best way to avoid developing COPD is to avoid tobacco smoke at all times. Second-hand smoke can be just as harmful to people as smoking when it comes to their lung health. For current smokers, smoking cessation is crucial for preventing COPD. It is also a good idea to stay away from workplace and home air pollutants. The development of the illness can potentially change if
Matthew L. Schuette, MD Pulmonary/Critical Care, SMH Physicians Network 1051 Gause Blvd., Suite 290 Slidell, LA 70458 (985) 280-7456
FOR MORE INFORMATION, PLEASE VISIT THE SMH WEBSITE:
SlidellMemorial.org Pg. 12
COPD is detected early. A medical diagnosis is required in order to determine if you have COPD. A test called spirometry can be done to measure the function of your lungs and detect COPD. Unfortunately, there is no cure for COPD. However, there are treatments available to help manage the symptoms that are caused by COPD and improve quality of life. The first and best thing that you can do to reduce your discomfort is quit smoking. Smoking cessation and physical activity are the best and most effective options for treatment. In addition, medications, such as bronchodilators and oral steroids, can be given by your doctor to help open your airway. Oxygen therapy and surgery are also potential options for treatment; the flu vaccine, a balanced diet and adequate sleep can be effective, as well.
EVENTS!
Join us for a FREE reverse mortgage seminar! Contact our knowledgeable Reverse Mortgage Professionals today to learn more about the NEW Reverse Mortgage!
We host educational monthly seminars and answer any questions you may have. Call us to reserve a spot at our next event.
Stop by to see us at 1600 Veterans in Metairie.
Susan Vrbaskovich 504-378-3152 NMLS# 355380
Marilyn Cox 504-378-3153 NMLS# 685994
504-834-1190
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These materials are not from HUD or FHA and were not approved by HUD or a government agency. Home Bank NMLS# 483958.
Senior Living Magazine would like to welcome its newest member, Nigel. Nigel is a Hyacinth Macaw (Anodorhynchus hyacinthinus). This majestic macaw is one of the largest of the macaw species. They are native to South America. They can grow to a length of over 3.3 feet long and can weigh up to 8 pounds. Keep an eye out for Nigel he will be joining the Senior Living team as we are out in the community this year.
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Mail name and address with check for $19.95, (to cover shipping and handling for one year), to:
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* Include email address if you would like to be added to our mailing list. See you next month! December 2015
January 2016
FOCUS on
FITNESS!
with an Superm
Mackie Shilstone
ÂŽ
October 2015
August 2016
Resolutions That Matter: Starting the Year off Right
October Breast Info! for Breast Cancer Awareness Month
Five Steps That Can Save Your Life!
Why Your House is Still On The Market? Tips to Fast Track a Sale
Holiday Cheer: Tips to Get You Through the Holiday Season Pets and Fireworks How to Keep Your Pets Safe and Happy
page 26
Overweight & Cancer
Holiday cooking from the garden with Chef John Folse Vaccination Guide: A Complete List of Vaccination Must Haves
A year of success for COAST, the St. Tammany Council on Aging
The Right Vaccines For Your Lifestyle
Tips for healthy summer eating
TOP
page 27
DOCTORS SPECIAL SECTION
Neurobics??? Exercise for your mental agility page 06
Cover Feature:
Knowledge
,
Compassion,
Accessibility Dr. Ricardo Febry and Hospice Associates
Bobby Hebert, The Cajun Cannon From gridiron to mic, Bobby Hebert captivates the WHO DAT Nation
Gulf South Foot and Ankle SOUTHSHORE
2520 Harvard Ave. Suite 2B Metairie, LA 70001 504.708.4537 NORTHSHORE
71121 Hwy. 21 Covington, LA 70433 985.218.3195
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what you NEED to KNOW about
CANCER
Furbee the Squirrel: A Short Story My daughter found a squirrel on the side of the road. The demise of said squirrel most likely came from an unfortunate encounter with a car. My then 8-year-old child decided the squirrel, that was then named “Furbee” should have a proper burial. Why Frubee? With infallible logic, I was informed that “He looks like a ‘Furbee’”. (I sensibly did not pursue how she knew that Furbee was a boy and not a girl. I did not wish to do a squirrel anatomical exam, which most assuredly would have been demanded.) Once home, a wooden cigar box was found and handed to my daughter. The box was carefully and thoroughly examined. She pronounced that it was a satisfactory container for Furbee’s remains. Purple crepe paper was carefully tucked about the animal. He looked like a pharaoh in repose. Burial was done with solemn dignity and flower petals were dropped about the grave. “Amelia,” I asked, “do you have any last words?” Amelia responded, “Furbee, he was a good squirrel.” It has been a decade since Furbee’s burial. A “good squirrel.” I wouldn’t mind such a legacy, to be remembered as a good person. What will you be your legacy? I would like to hear how you would like to be remembered – please write to me (by email or Facebook page) or call to share!
It will be my honor and privilege to assist you and your loved ones in the fight against cancer. Please call me today at
(504) 717-3237.
Oncology Consulting Services, LLC S. Terry Kraus, M.D.
DESCRIPTION OF DR. KRAUS’ SERVICES • A review with you of all available x-rays and scans • A review with you of the cancer histology or cell type with a detailed explanation of the interpretation • Clarification of the step–by–step process and significance of cancer staging. • Treatment recommendations and alternatives will be discussed in detail. All treatment recommendations will be within the accepted standards of care. • Assistance, if desired, regarding the pursuit of complementary medicine. • If desired, I will be your resource for any clinical studies that are available. • If desired, I will refer you to an oncology specialist in a major cancer center.
The opinions voiced in this material are for general information only and are not intended to provide specifi specificc advice or recommendations for any individual. About the author: Dr. Kraus is a recently retired radiation oncologist who’s treated every type of adult cancer and over 16,000 patients in the past 38 years. He fi finds nds caring for his “cancer family” both a privilege and calling, and through Oncology Consulting S. Terry Kraus, M.D. Services, LLC he Oncology Consulting Services, LLC 111 Veterans Memorial Blvd., Suite 403 continues to use his Metairie, LA 70005 vast knowledge and expertise to provide (504) 717-3237 information and www.oncologyconsultingservices.com guidance to patients. email: terry@terrykrausmd.com
• End of life issues will be handled with dignity and compassion. If hospice recommendations are requested, I will do my best to make sure that the hospice selected is compatible with you and your family.
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Dr. Julef f Explains. . . why Vein Disease is not just a cosmetic issue
article by Becky Rolland photographs by Bach Imagery, LLC
When you think of chronic health issues, varicose veins are not the first thing that comes to mind. But surprisingly, vein problems are the largest chronic health problem in the United States, affecting 30 million Americans. Varicose veins are a result of non-functioning vein valves that once made it possible for blood to flow from the legs to the heart, against the force of gravity. When the vein valves become ineffective, blood begins to “pool” or collect in the legs causing several vein disorders, including varicose and spider veins. Varicose veins are the most common venous condition and
according to The Vascular Disease Foundation affect 40% of women and 20% of men aged 40 to 50 years. Although varicose veins are usually more unsightly than dangerous, the larger the varicose vein, the more likely it is an indicative of a larger issue. And because varicose veins worsen with age, it is best to get an early diagnosis of the problem so that you can prevent chronic conditions such as deep vein thrombosis, skin lesions or ulcers from developing. Dr. Randall Juleff, a board certified Phlebologist at La Bella Vita Laser and Vein Center, explained
that although people with venous insufficiency suffer daily with painful swollen legs or mild cramping, some never realize that these are symptoms of a progressive disease. “When they see visible symptoms such as spider or varicose veins, they may dismiss the symptoms as a cosmetic problem and go without treatment. What they don’t realize is that vein disease is progressive and can lead to serious complications. When veins in the leg become inflamed and painful, this could develop into phlebitis which could lead to deep vein thrombosis and possibly a pulmonary embolism,” he said. Pg. 19
WHAT CAUSES VENOUS INSUFFICIENCY?
evaluated early by a vein specialist who Although these risk factors are can get to the root of the problem and beyond a patient’s control, other prepare a treatment plan.” risk factors such as lifestyle and There are hundreds of little oneoccupation are also part of the way valves in the leg veins and these RISK FACTORS AND MISproblem. Because veins depend on valves work to ensure that blood CONCEPTIONS muscle movements to push blood travels upward, against gravity, and back towards the heart, vein disease then back towards the heart. Over Dr. Juleff, who began his 20 year is more common in people who time, these veins begin to dilate and medical career as a Cardiovascular are overweight, obese, or who live they eventually begin to fail causing and Thoracic Surgeon, specializes in sedentary lifestyles. Vein disease is the blood to start flowing downward, Phlebology, a specialty surrounding also more common in people whose in the wrong direction. As the the diagnosis and treatment of occupation requires them to stand or downward flow begins to pool, this vein disorders. In 2011, after sit for extended periods of time or increases pressure throughout the being inspired by the technological carry excess weight. venous system of each leg. As the advances in the treatment of venous pressure increases, it is transmitted diseases, Dr. Juleff opened La Bella FREE SCREENINGS outward and this leads to a dilatation Vita Laser and Vein Center so that of the more superficial venous vessels he could address a variety of vein If you are suffering from any of the (the visible ones, namely spider related problems in a safe and caring following symptoms, Dr. Juleff can and varicose veins). If the constant environment. conduct a painless, non-invasive downward pressure continues, this Of the many factors that impact ultrasound to view your venous can lead to more serious changes a person’s risk of vein disease, age, structures and find out where the such as skin discoloration, drying and heredity and gender are the most problematic vessels lie: rash formation. In more severe cases, prevalent. Age naturally causes • Leg aching and heaviness that venous insufficiency can cause chronic wear and tear that makes veins less worsens throughout the day ulceration that can lead to infection effective, thereby increasing the risk • Restless legs and gangrene. of circulation issues and genetics play • Leg swelling or tiredness, especially “Spider veins and varicose veins are a part as well for those with a family at night just the tip of the iceberg. The real history of vein problems. Also, due • Leg ulcers problem often times lies beneath the to the hormonal changes that occur • Leg cramping surface of the skin and away from during pregnancy and menopause, • Itching or burning our visual scrutiny.” Dr. Juleff said, women are more likely to struggle • Brownish discoloration of the skin “It is best to have vein insufficiency with vein disease than men. on the lower legs • Eczema like skin rash on the lower legs
Dr. Juleff and his friendly Covington office staff, ready and able to answer any questions.
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He cautioned about people taking the symptoms of vein disease lightly or believing everything they read on the internet about this serious condition. “Unlike the information on the internet, which tends to be a one size fits all, a vein specialist will first listen to blood flow, look for blood clots and determine if your vein valves are functioning properly. Then the diagnostic tests, which are noninvasive and painless, will reveal the problem”, he said. “Symptoms of vein disease can vary from patient to patient. That is why I treat each of our patients with a customized treatment plan that fits their individual needs. This can only come after reviewing the patient’s complete family history and current lifestyle.”
TREATMENT Modern day vein care is nearly painless and can be accomplished fully with in-office, minimally invasive,
procedures that result in little to no downtime and can be nearly 100 percent effective. A wide variety of treatments and procedures are available to remove or seal varicose and spider veins.
TYPE OF TREATMENT
WHAT DOES IT DO?
PROCEDURE / DOWNTIME
ENDOVENOUS LASER ABLATION (EVLA)
Delivers laser energy inside the diseased vein to cause it to collapse and seal.
Patients have the choice to take valium to help them relax, but are alert and awake. Local anesthesia is administered through injections to numb the leg. The procedures take less than an hour, require no incisions, and minimal to no discomfort, as well as no scarring.
ENDOVENOUS RADIOFREQUENCY ABLATION (ERFA)
Utilizes radio-waves from a small catheter inserted into the vein to create heat and close off the vein.
With no incisions or scarring, most patients resume normal activities within one day.
ULTRASOUND-GUIDED SCLEROTHERAPY
Uses ultrasound imaging to guide a needle into the vein. A solution in injected which irritates the lining of blood vessel and seals it shut. It is primarily used to treat large veins beneath the surface of the skin.
Treatment is faster and much less invasive than surgery and offers little to no downtime or discomfort
INJECTION SCLEROTHERAPY
Involves injecting a solution into the vein to cause irritation and scarring inside the vein wall. The vein closes off and eventually fades away. It is often used to treat spider veins.
Patients should wear compression stockings for 2-3 weeks after treatment. A follow-up visit within two weeks to enable the evacuation of blood clots in larger veins can improve the prognosis and the appearance.
MICROPHLEBECTOMY
Removes larger varicose veins near the skin’s surface.
While using local anesthesia for numbing the leg, the vein is removed through a small 1-2mm puncture site requiring no sutures.
EDUCATION Triple board certified in General Surgery, Cardiovascular & Thoracic Surgery and Phlebology, Dr. Juleff is an advocate for continuing education for himself and his staff at La Bella Vita. He routinely attends national and international meetings on vein care so that he can provide his patients with the most up-to-date treatments for venous disorders. A firm believer in educating the public, as well as other physicians on the risk factors and misconceptions surrounding vein disease, he offers free seminars and open houses at La Bella Vita.
1431 Ochsner Blvd., Suite B Covington, LA 70433 985-892-2950 www.labellavitavein.com
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Holiday Cheer Why Sitting is isn’t a given; The New Smoking by Becky Rolland
TIPS TO GET YOU THROUGH
What are the risks of sitting too much? According to a study published in the Annals With the holiday season rapidly approaching many of us can get of Internal Medicine, 50% of an average person’s waking hours are spent sitting. caught up in the hustle and bustle of the season. With a bit of foresightwhether and planning the holidays canwatching leave you feeling television, up, not And you are working at a computer or commuting, down. Feeling down and overwhelmed during the holidays can lack ofespecially movement to your risks for cardiovascular disease, cancer, be tough, when you go may out and contribute everyone around you seems to be beaming withdementia. the holiday spirit. Don’t let that fool most are aware of the benefits of exercise, undiabetes, and Although you most are feeling wretched and exhausted. With High expectatil there was a lack ofthe research on the negative effects of sitting too long. tions,recently, family commitments, money woes, remembering loss of loved ones, and other holiday hazards can spell trouble for anyone. Here is what sitting for 8-10 hours a day does to our bodies: Remember these quick tips to help you avoid the blues during this holiday season.
Increase exposure to light
During the winter months the sun is not as powerful as it was during the summer. Most people feel consistently tired and irritable this time of year. It is due to the lack of exposure to the sun and a decrease in Vitamin D. On sunny days get outside as much as you can. You may even want to invest in a light box for light exposure for about 30 minutes a day.
Cut back on commitments
If you feel like you just can’t get through one more holiday gathering, it’s OK to sit one out.
Forget perfection
No one is perfect don’t let having to fine the perfect gift consume your focus. Remember it’s the thought that counts.
Don’t binge on food or alcohol
Overindulgence can as much of a holiday tradition as opening gifts. Try to achieve more restraint. Don’t go back for seconds. This will help you from feeling guilty afterwards. Prepare yourself for the over indulgent meals by eating healthy the week leading up to the occasions. Don’t use alcohol to deal with holiday depression. Alcohol is a depressant and it can intensify your emotions and leaves you feeling worse at it wears off.
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Research by Harvard University revealed that being seated for too long also increased the risk for obesity and metabolic syndrome — a cluster of conditions that includes increased blood pressure, high blood sugar, excess body fat around the waist and abnormal cholesterol levels.
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Happy New Year from Senior Living Magazine! Hope y’all have some great memories of 2016 to celebrate and things to look forward to in the New Year 2017!
FIREWORKS FRIENDS HATS MIDNIGHT CELEBRATION COUNTDOWN
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GNOSO GREATER NEW ORLEANS
SENIOR OLYMPICS The schedule for the 2017 Greater New Orleans Senior Olympic Games has been set! Feb. 10 Feb. 11 March 2 March 4 March 5 March 7 March 8 March 9 March11 March11 March 14 March 15 March 18 March 18 March 19 March 21 March 22
GNO Senior Olympics has 30 different sports; something for everyone. The schedule follows, so pick your sports, save the dates, and come have some fun with us. Hope to see all of you!
Table Tennis Basketball Bridge Bocce Tennis Shooting Beanbag Baseball Billiards Arts & Crafts Weightlifting Darts Washer Pitch Cycling Horseshoes Swimming Miniature Golf Shuffleboard Doubles
March 23 March 25 March 26 March 27 March 28 March 31 April 1 April 1 April 1 April 2 April 4 April 8 April 11 April 19 TBA TBA
Shuffleboard Singles Softball Cabbageball Golf Bowling (Mixed Doubles) Throws Archery 5K Race & Race/walk Pickle Ball Track & Field Bowling Doubles Volleyball Bowling BANQUET Team Dancing Texas Hold’em
The competition will start February 10 and run through April 19. This year there are three ways to enter; online at gnoso.net, print out the entry form and mail it in, or use a paper registration and mail it. The paper registrations will go out about the middle of January to all participants who requested one. You may request an entry form from Janey Perez, Program Director, at 504-296-8200 or jperez.gnoso@ gmail.com or Bernice Bordelon at 504-834-5279 or bernicebordelon1@aol.com. All adults 49 or older may play with us. Basketball, Softball and Track and Field will take 40 year olds and up. You do not have to be an athlete, just be willing to try and have fun. You will be surprised what you can accomplish. In Senior Olympics for most events, participants compete within 5 year groups, for example: 50-54, 55-59…95-99. That way an 80-year-old is not up against a 50-year-old. The cost is $25.00 to enter, which entitles you to enter three sports, a tee shirt, and admittance to the Banquet on April 19th. Some events have additional cost beside the registration fee. The deadline to enter is February 3, 2017. However, GNO Senior Olympics takes late entries but we do not guarantee requested tee shirt size. Some sports will take same day entries.
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Life – A Daily Yoga Practice Yoga has saved me from the American way of fitness – “No Pain No Gain” and “More is Better” (more weight, time, speed). A stuffed tortoise and hare are prominently displayed in my studio to remind us that slow and deliberate is more beneficial. Slow and deliberate movements are also easier to fit into the movements of daily life – and if we are moving too fast, Yoga reminds us to slow down. Once you become more aware of your body and breath through the practice of Yoga, every movement is influenced by it. I invite you to find ways to incorporate Yoga into your daily activities – to become more mindful of each movement, and moment. Walking Focus on good posture; relax
shoulders away from ears; tongue away from roof of mouth; breathe through nostrils. Lead with your heart instead of head and neck, and move through the core. Engage the core (as if zipping up tight pair of jeans). Tilt the pelvis to remove any arch in the low back (imagine having a dragon’s tail to drop on the ground). Feel the feet gently pressing into the earth.
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Standing Stand with feet “fist” distance
apart, stacking hips and knees over ankles. Root down through four corners of each foot (each side of ball and heel). Grip the earth with toes spread wide. Engage muscles in legs, glutes, core; tilt the pelvis to find your dragon’s tail. Extend through the side body, lifting the bottom ribs away from the waist. With shoulders back, turn the palms to face forward to open the heart; reach fingers for outside of heels to pull shoulders away from ears. Push top of crown to the sky while rooting feet down to the earth. Relax face, tongue, and jaw – Breathe.
Reaching When reaching for a top shelf,
under a bed, or behind obstacle, focus on reaching through the side body, not the shoulder. Extend the side body from the waist to the underarm, keeping the shoulder away from the ear. Breathe.
Working Overhead Use your body’s bone
structure for support. With arms raised, stack wrists over elbows and shoulders (Touchdown!). Relax shoulders away from the ears; open the heart; squeeze shoulder blades toward each other. Extend through side body. Gaze upward, keeping chin tucked slightly to avoid dropping head back and straining the neck.
Sitting Lower to the chair without using
your hands. Stack knees over ankles; engage core; slowly bend knees to lower hips to chair. Place back of body and head fully into chair, resting feet on floor. Sit up tall; arms/ palms on armrests to relax shoulders away from ears. Rise from the chair without using hands. Stack knees over ankles; engage core; rise slowly by pressing feet into the earth. A friend used this practice during Church services, moving to and from seated, rising, and kneeling. (Look Mom, no hands!)
Driving Place bottom of left foot on car floor, knee stacked over ankle to keep hips level. Place back of the body into the seat, and back of head against headrest. Place the hands “lightly” on the wheel at 9:00 and 3:00 (instead of 10:00 and 2:00), so the shoulders are even. Sit up tall; engage the core; breathe.
“The world is the gymnasium where we come to make ourselves strong.” (Swami Vivekananda) Julie Hunt-Juneau, RYT 200 Yoga By Water Bayou Bonfouca, Slidell, LA YogaJulieSlidell.com
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Senior Sampler January 2017
Italian Baked Eggs INGREDIENTS 1 4 ¼ ¼
cup marinara sauce large eggs cup milk or half & half cup shredded gruyere or shredded Parmesan cheese Kosher salt and freshly ground black pepper to taste ¼ cup basil leaves chiffonade Crusty Bread
Saturday night’s leftover marinara is Sunday’s Brunch PREPARATION
1. Preheat oven to 425˚. Lightly spray two 10-ounce ramekins or other small oven safe dishes with cooking spray. 2. Divide marinara sauce evenly between ramekins. Top with eggs, milk, and cheese. Season with salt and pepper. 3. Bake until egg whites are cooked through, about 10 minutes. 4. Garnish with basil leaves, serve immediately with crusty bread for dipping.
Strawberry Grapefruit Mimosa INGREDIENTS 5 whole large ripe strawberries 1 whole large grapefruit, juiced 1 tablespoon sugar 2 ounces tequila of choice 1 cup ice 1 ½ bottle chilled pink Moscato
PREPARATION 1. In a blender combine strawberries, grapefruit juice and sugar. Blend until smooth. 2. Strain juice into a cocktail shaker add Tequila and ice. Shake. 3. Strain mixture into champagne flutes. 4. Top with champagne and garnish with strawberries.
Lentil, Kale, & Mushroom Soup INGREDIENTS ¾ cup French green lentils, rinsed 1 tablespoon olive oil 1 medium shallot, fine dice (roughly 1/3 cup diced shallot) 1 lb (454 grams) mushrooms 1-2 cloves of garlic, minced 2 teaspoons fresh thyme leaves, minced 2 tablespoons white wine 2 teaspoons soy sauce 1 ½ cups vegetable stock 1/3 cup unsweetened coconut milk. 3-4 kale stalks, stems removed, leaves sliced (1 ½ packed cups of sliced kale) PREPARATION 1. Bring a medium saucepan of water to a boil. Add the lentils to the water along with pinch of salt. Simmer the lentils until they’re just-tender, about 20 minutes. Drain and set aside. 2. In a medium soup pot, heat olive oil over
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medium heat. Add shallots to the pot and stir. Cook the shallots until translucent, about 4 minutes. Add sliced mushrooms to the pot and let them sit for 1 minute. Season with pepper and stir. Let the mushrooms sit in the pot for another 1 minute. 3. Stir the mushrooms and season with salt. Add the garlic and thyme to the pot and stir. Add white wine and soy sauce and stir. Add the drained lentils, vegetable stock and coconut milk to the pot. Stir and bring the mixture to a boil. 4. Remove half of this mixture and place into your blender, ensuring that you include enough of the liquid. Blend on high until completely smooth. Scrape the creamy blended mushroom mixture back into the pot. Add the kale and stir. Bring the mixture to a boil and check it for seasoning. The texture should be like a thick and creamy stew.
(Serves 2) Recipe by Ann Mannella
CALL ACCESSIBLE HEARING AIDS TODAY AND LEARN ABOUT DR. GRIFFITH’S MOBILE SERVICES. HE CAN COME TO YOU!
Dr. Joe Griffith, III 504-738-4557 www.accessiblehearingaids.com
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Health... in your hands
“All my mom’s medical records are in one place.” Aging parents often have more than one doctor managing their care. But, if their doctors use the Louisiana Health Information Exchange, or LaHIE, they can store your parent’s health records electronically and send them to other doctors when needed. Talk to your parent’s doctor about LaHIE.
Visit MakeMyHealth.me
to make your health personal.
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LET GULF SOUTH FOOT & ANKLE GET YOU BACK ON YOUR FEET As the foundation of the human body, when an issue affects your feet, it can be
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absolutely debilitating. You know the pain, you need relief and you need it fast.
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NOW SERVING BOTH SIDES OF THE LAKE Call us at 504.708.4537 or 985.218.3195 to schedule an appointment in Metairie or our new Covington location.
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