Fall 2016

FALL EDITION 2016

Preventing

Musculoskeletal Sports Injuries in Youth

Delicious

Dinner Recipes for Fall

WOMEN TO KNOW

Ponytail Perfection

Maddie Urhahn’s Newly Discovered Attitude

Medical Risks Before You Get That Tattoo

NK I P s the age p ide Ins

Nancy Brinker...

shares her story about her sister Susan G. Komen and the foundation that bears her name.

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thenewyoumagazine.net FALL EDITION 2016

FROM UP HERE , THE WORLD SEEMS I N F I N I T E LY B E T T E R . A N D S O D O Y O U .

S PA A N D S A L O N RISING SEVEN STORIES ABOVE THE CITY SKYLINE, T H E S PA AT F O U R S E A S O N S H O T E L S T. L O U I S I S A S A N C T U A RY W I T H I N T H E C I T Y. T R E AT M E N T S F U S E A N C I E N T AY U RV E D I C P R I N C I P L E S W I T H M O D E R N T E C H N I Q U E S T O H A R M O N I Z E T H E M I N D , B O D Y A N D S P I R I T.

999 North Second Street, St. Louis, Missouri 63102 Tel. (314) 881-5800 www.fourseasons.com/stlouis/spa

the Risks to Know Before 21 Medical You Get Inked On the Cover The “Fall” Woman graces the cover of The New You Magazine, Inside & Out this month. Women love this time of year because it marks the start of the holiday season – that time of loving, laughing and cheer with family and friends!

FALL EDI T I ON 2016 FEAT U RES BEAUTY

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8 WAYS TO FEEL BEAUTIFUL

FOOD & NUTRITION

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DELICIOUS DINNER RECIPES FOR FALL

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DIET TIPS FOR HOLIDAY SURVIVAL

from the Inside Out

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PONYTAIL PERFECTION Seven secrets that will take your everyday pony to perfection.

HEALTH & FITNESS

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LACK OF EXERCISE Replacing the old smoking trends.

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To help you survive the seasonal parties without packing on the pounds, try these seven tips to save calories.

PINK PAGES

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Nancy Brinker shares her story about her sister Susan G. Komen and the foundation that bears her name.

7 MEDICAL RISKS TO TALK ABOUT Before you get that tattoo!

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thenewyoumagazine.net FALL EDITION 2016

THE STORY THAT STARTED THE MOVEMENT

RESOURCE GUIDE

© St St. Lou Lo is Chi C ldr ldren’ en s Ho en’ osp pitall 2016 6

your gif t

her fu ture

St. Louis Children’s Hospital is a not-for-profit hospital.

Your contribution supports groundbreaking research, exceptional pediatric care and health outreach programs for kids throughout our community.

Donate today and become a Guardian of Childhood at StLouisChildrens.org/Donate.

™

FALL EDITION 2016 thenewyoumagazine.net

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Welcome to the THE NEW YOU–Inside & Out...

Dear Friends, What a wonderful time of the year! I love the fall and the holidays.

I love watching the trees change colors and the animals preparing for winter. What a wonderful time to spend with family and friends taking walks, going to football games and enjoying the holiday traditions.

This is the time of the year when you want to look and feel your best. In this edition, you will find tips on “How to Feel Beautiful Inside & Out”

VOLUM E 6, I SSU E 4 THE NEW YOU PUBLISHING, L.L.C. 1260 Bar ron Road Poplar Bluff, Missouri 573-631-9100 thenewyoumagazine.net

CEO/PUBLISHER Karen Hawkins 573-631-9100 or karen@islc.net

and even secrets that will take your everyday ponytail to perfection. Our experts will give you tips on surviving the seasonal parties without packing on the pounds and so much more.

MANAGING EDITOR Sharon Lewis

This issue features the lovely Maddie Urhahn. She may appear to be a typical college freshman, but she possesses an atypical college attitude of “don’t take anything for granted” because of the life-threatening experience she had in high school.

Finally, you will not want to miss the Susan Komen story told by her sister and why this incredible foundation was created. The story is so heartfelt it is sure to touch your heart.

I hope you enjoy this issue and that it inspires you to be the best you can be.

DESIGN & PHOTO DIRECTOR NY Marketing & Creative SPECIAL PROJECTS EDITOR Karen Hawkins CONTRIBUTING WRITERS Kathleen Berchelmann, MD Raina Childers Davine Conover, Ozark Federal Michelle Cox Linda Franklin Julie Margenthaler, M.D.,FACS Terrence Myckatyn, MD, FACS, FRCs(C) Jessica Park Rachel Russo ADVERTISING COORDINATOR NY Marketing & Creative ACCOUNT EXECUTIVES Karen Hawkins

Life is Good!

A OGRAM MAMM D MY SAVE nd LIFE a ave s it can R !

YOU S

EXECUTIVE EDITOR Michelle Cox

The New You–Inside & Out Publisher and Founder

“We learn something from everyone who passes through our lives. Some lessons are painful, some are painless but, all are priceless.”

— author unknown

ADVERTISING To place an ad or request a media kit, please call Karen Hawkins at 573-631-9100 or email to karen@islc.net MARKETING/ADVERTISING AGENCY AND WEB PRODUCTION NY Marketing & Creative

Subscription Rates: $10 for one year • Frequency five issues per year • Single copies in office • Reprint requests must be made prior to the publishing of a specific issue • Reprints are $2.00 per copy • Reproduction in part or whole is strictly prohibited without the express permission of the publisher • Unsolicited manuscripts may be submitted but must be accompanied by a self-addressed stamped envelope • The New You–Inside & Out Magazine does not endorse any information contained in articles or advertisements and suggests consulting a health-care professional before beginning any therapy or medical treatment.

© 2016 by The New You–Inside & Out Magazine ALL RIGHTS RESERVED

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thenewyoumagazine.net FALL EDITION 2016

6 WOMEN TO KNOW IN MISSOURI A Lesson on Life “Don’t take anything for granted”, said Maddie Urhahn on her newly discovered attitude about life.

30 FINANCIAL HEALTH What is Your Shopping Filter System?

Davine Conover explains how identifying your filter system can change the way you look at money.

32 PINK PAG ES The Story that Started the Movement After nine operations, three courses of chemotherapy and radiation, Susan G. Komen lost her three-year battle with cancer. Her sister Nancy Brinker shares her story and the founding of the Susan G. Komen Foundation.

38 DOCS TO KNOW Preventing Musculoskeletal Sports Injuries in Youth According to the Centers for Disease Control and Prevention, more than 2.6 million children 0 to 19 years old are treated in the emergency department each year for sports and recreation-related injuries.

FALL EDITION 2016 thenewyoumagazine.net

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WOMEN TO KNOW

A Lesson

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Maddie Urhahn’s Newly Discovered Attitude

on Life Maddie Urhahn is a typical college freshman at Missouri State University – she studies, joined a sorority, is getting involved in campus ministry, exercises and hopes to find a few other extra curriculars as time goes by. But she possesses an atypical college freshman attitude of “don’t take anything for granted,” because of the life-threatening experience she had in high school. >

FALL EDITION 2016 thenewyoumagazine.net

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WOMEN TO KNOW Maddie was a year-round high school athlete at Notre Dame Regional High School in Springfield, MO, having played softball, basketball and soccer from a very young age. Then during soccer season her freshman year, she fainted on the field.

But true to her competitor’s nature, she continued to play summer softball on a traveling team in the months leading up to her surgery, even participating in a game the day prior to the operation at St. Louis Children’s Hospital.

Although she had been seeing doctors about dizzy spells, this fainting episode took things to the next level of testing. “I had to wear a heart monitor and they figured out that my heart would just stop beating sometimes,” she says.

Her doctors would not confirm whether she’d be released to play sports again until after the surgery, but things went well enough and she was released with no restrictions to play again when her sophomore year commenced.

The monitor revealed that Maddie’s abnormality involved some kind of electrical problem in Maddie’s heart and it would stop beating for as long as nine seconds with no apparent explanation.

She was told she would need surgery to implant a pacemaker – at 14. “It was a shock,” she says. ‘It freaked me out, mainly because I didn’t know if I would be able to keep playing sports. That was my main concern.”

“Those weeks when I was sitting out, waiting to hear if I’d get to play again, I realized that I shouldn’t ever take anything for granted,” Maddie says. “I decided to always give my absolute best to everything.”

Maddie had a great sophomore year in all three sports and was ready to be a starter her junior year when a blood clot in her shoulder sidelined her again. Blood

thinners to break up the clot meant she had to sit the bench – a position for which she was unaccustomed.

“Having that happen to me again, watching my team play without me – the only thing that kept me going was that I had told myself I wouldn’t take anything for granted, that I would remember how lucky I was to be here.”

The blood thinners dissolved the clot, but it returned, so her doctors decided to leave it place and her body created pathways around it. Leaving it meant Maddie would have be very aware of any signs and symptoms of a pulmonary embolism, but it was a risk she was willing to take to remain a competitor.

Once again, her doctors gave their blessing and she returned to sports.

When Maddie graduated from Notre Dame in 2016, she had played all three sports all four years of high school.

“I guess when all that started, I wasn’t sure I’d be able to say that, so looking back, I'm grateful,” she says. “My teammates and coaches were really supportive and it turned out to be a really good life lesson.”

Today, Maddie continues to have annual checkups with her heart doctor and bi-annual checkups with the technician to make sure her pacemaker is still working properly. She is an athletic training major at Missouri State with plans to attend graduate school for a degree in physical therapy.

“I want to help people and I certainly know what it’s like to be the patient and I think I’ll be able to be an encouragement to patients because of that,” she says.

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thenewyoumagazine.net FALL EDITION 2016

Let us do OUR JOB. So YOU focus on yours.

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FALL EDITION 2016 thenewyoumagazine.net

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BEAUTY

8 Ways to Feel Beautiful from the Inside Out

By Dr. Vivian Diller

I

have learned a lot about what makes women feel attractive as they age. And by that I don’t mean which over-the-counter remedy works best or how to get just the right nip or tuck that leads to looking like a model on a

magazine cover. What I mean is what really works from the inside out for real women who want to look great at any age.

Having worked inside the world of beauty—as a Wilhelmina model in the ‘70s—I discovered trade secrets from women whose lives were all about looking the best they could. (Yes, our objective then was to make it to the cover of those magazines!) As a psychologist for more than 20 years, I came to have a different goal: to help women understand themselves so they could feel and look their best. My two careers led me to write “Face It”, a book exploring the psychological answer to, “What really makes women feel attractive for life?” I interviewed hundreds of women—current and former models, psychologists, corporate execs, stay-athome moms and women from all walks of life. Their responses revealed a number of surprising similarities and are summarized in these eight psychological tips that work from the inside out.

Show Confidence Inside and Out The most frequent comment I heard from the women interviewed was that beauty is about confidence. The comment resonated with something Wilhelmina Cooper (the founder of Wilhelmina Models) told me the first day I worked with her agency. She said, “The chances of booking work for us rises the minute you take on an air of confidence, no matter what you look like.” I learned pretty quickly that success as a model wasn't about being the prettiest—

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thenewyoumagazine.net FALL EDITION 2016

everyone was. Or about being perfect—no one was. It was about how you carried yourself and how self-assured you appeared. So it is for all women at any age. Holding your head up high, with poise and self-confidence, is probably the number one quality that women say leads to feeling and looking beautiful at any age.

Focus on What You Do Have, Not on What You Don’t The sum is not always greater than the whole of its parts. Sounds counterintuitive, but when it comes to feeling beautiful, it's important to keep this in mind. Women who focus on features they like (rather than those they don’t) and use them to serve their selfimage are more likely to say they feel attractive. It is well known in the fashion industry that some models are branded for their great legs or long necks. They use these assets to feel beautiful.

Sometimes only their hands or feet are considered marketable material. Take a look at yourself and choose one feature you like and embellish it. Delicate wrists? Wear an eye-catching watch.

Thick hair? An elegant headband or jeweled clip can draw attention where you want it. Good posture? Standing tall can make everything else about you look and feel more attractive.

A Radiant Smile Works Wonders A woman’s smile is reported as the single most important physical feature that leads to being viewed as attractive. Women say it conveys what they call their inner beauty. This, too, resonates with my experience as a model, as well of the experiences of many of those I spoke to. We all know women who draw positive attention toward themselves because of their great smiles.

Think of a baby’s smile. Does anything bring more pleasure to the eyes of others than that spontaneous toothless grin? Women talk about using their smiles to bring what they feel inside to their exterior, regardless of their age. A generous smile is the best facelift you can have. Even better? It’s free and natural.

>

FALL EDITION 2016 thenewyoumagazine.net

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BEAUTY Reinvent Your Look Flexibility is key. Instead of holding onto old definitions of beauty or feeling anxious about change, women who find fun in reinventing their style are able to feel attractive as they age. Holding on and holding back looks tight and tense. Moving forward and letting go appears relaxed. Remember, letting go of your former self-image doesn’t mean neglecting yourself. It's like learning to enjoy walking when you may have jogged in the past or taking yoga in place of spinning class. A flexible attitude toward beauty leads to the ability to adjust your style and fashion sense and is key to enjoying your looks at any age.

Sensuality from Sixteen and Sixty As we get older, we may leave behind unlined faces and bright teeth, but we never have to leave behind our abilities to connect to others in a sensual way. Many women who were interviewed said that sensuality was equated with feeling and looking attractive at any age—from teenage years to midlife and beyond. Models I talked to agreed. During photo shoots, models are often told to “make love to the camera” because photographers know pictures can look cold and dull no matter how beautiful a woman is. Safety pins may pull at a model’s clothes and fans may blow wind into her face, but she has to look into the eyes of the photographer in an alluring way to get a good shot. Women who report feeling attractive as they age say they never forget their capacity to be sensual and hold onto it into their 60s and beyond.

Replace Anti-Aging with Healthy Aging The words “healthy aging” have always made a lot more sense than “anti-aging,” the catchphrase that has become so popular in the media and cosmetic industry. What does anti-aging mean anyway? How do women feel when they are told that the key to looking beautiful is equated with not getting older? As a model, there is enormous focus on keeping the aging process from showing on your face and body. Plastic surgery and cosmetic procedures have become common practice for women in the public eye to ensure a youthful look. Women who talk about feeling and looking attractive as they age focus more on prolonging the health of their bodies and skin rather than stopping the clock by trying to “fix” themselves. They adapt to the changes they see. In the end, feeling attractive is based on how you experience your looks, no matter what you do or don't do to your face and body.

Leave Competition Out of Beauty It’s important to remember that beauty is about looking the best you can for your age rather than competing with others. Successful models whose careers last the longest learn that lesson early on.

From the day they start working, there is another younger model ready to take their place. So they cope best by looking forward, not sideways or backward. Theirs is an exaggerated and intensified version of what many women experience when they compare themselves to younger women. Women who say they feel attractive as they age are interested in looking and feeling healthy, robust and vital, not younger. They don’t focus on having the smoothest skin, the thinnest waist, plumpest lips or the youngest body. They feel like winners, not because they come in first in a competition, but because they get out of a race they know they can't win and channel their energy into achieving their personal best.

See Yourself as an Example for the Next Generation Perhaps the best tip I heard from the women who age gracefully is that they see themselves as role models for the next generation.

They feel a responsibility to demonstrate that being attractive at midlife is not only a possibility, but that the meaning of beauty can be broadened and deepened with age. These are women who don’t panic as their looks change, so their bodies and faces appear calm and relaxed. At social and professional gatherings, they show the kind of poise and grace they want their daughters and younger colleagues to emulate. They say they owe it to themselves and others to look forward optimistically to the years that lie ahead so that they pass on that kind of confidence to others. Strength and beauty is reflected proudly on their faces and bodies for all to see.

It may sound cliché, but I genuinely believe beauty comes from within. So I’d like to write the kind of beauty article you’ll never see in Cosmo. Not that you shouldn’t put on eyeliner if it makes you feel pretty or get a pedicure when you feel like treating yourself, but I believe that if you follow these tips, you’ll positively radiate.

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BEAUTY

secrets for

ponytail perfection W

hile ponytails are often considered the “goto” hairstyle for many women on a bad hair day, a ponytail can be a very versatile style that will suit a wide variety of occasions and events – from a backyard BBQ on the weekends to that holiday party. From sporty to elegant – there’s a ponytail for you!

Here are seven secrets that will take your everyday pony to perfection

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For Low Ponytail

• Part your hair deeply on one side (or in the middle) • Brush it smoothly over across your forehead • Tuck any stray pieces behind your ear or mist with hairspray • Keep the hair sleek and close to your head • Pull it back • Secure the ponytail at the nape of your neck • Use some hairspray all over your head

high low Secret 1 Wash and shampoo your hair. Unlike other updoes, a perfect ponytail requires perfectly clean hair. Also, slightly damp hair holds tighter around the side trapping shorter layers in as it dries.

Secret 5 Choose hair friendly elastic to secure your ponytail. Use rubber bands with special coating that will protect your hair from pulling and ripping. Celebrity hairdressers love to use Blax Bands or Bungee Cords which are designed especially for ponytail creation. Opt for elastics that allow for easy removal yet hold very tight and sleek.

Secret 6

Secret 2

To achieve some more volume, place your palms on the top of your head and slowly slide them up, pulling the back of your hair ever so slightly up while keeping it secured in the elastic.

Straight hair works best for ponytail, so blow dry your hair straight with a blow dryer that comes with a concentrator attachment. For naturally wavy or curly hair, apply straitening balm to damp strands.

In order to fix the tease at the crown, use a pencil - put it through your hair in the area that needs fixing and pull it up slightly until the hair is fixed.

Secret 3

To avoid an annoying “hair bag” underneath your ponytail, hold your head back when pulling your hair up and fixing the elastic

Left, right and center...decide on whether you want to part your hair in the middle or if you’d rather wear side ponies. Badgley Mischka designers prefer to style their models with a side ponies with sideswept bangs; while Jill Sanders, Ralph Lauren and Versace prefer a ponytail with a middle part for their runway models.

Secret 4 High or low ponies. Try experimenting with higher or lower ponytails to achieve different looks.

High ponies are famous for providing women with “mini” facelifts by putting tension on the face and emphasizing the cheekbones while low ponies tend to be a more sophisticated, modern and sleeker style.

Secret 7 Keep on conditioning. By mid day, your hair might be dry and frisky – some even rebel and try to stand out. Well, tame that wild hair with leave-on conditioner. Smoothen strands to maintain clean and stylish ponies.

Whether you choose to wear it high or low, with side or middle part, the

ponytail

is the ultimate hair doctor.

For High Ponytail • Put your fingers at the crown of your head • Gather up a large section of hair (about 3 inches wide by 2 inches deep) • Tease it on the underneath to give it volume • Run your hairbrush over this section lightly • Pull hair into a ponytail just above the middle point at the back of your head • Secure with a hair-covered elastic or wrap a strand of your hair around the elastic itself • Pin the end of the strand underneath the ponytail with a bobby pin • Finish with some hairspray on the sides and back of the hair FALL EDITION 2016 thenewyoumagazine.net

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HEALTH & F ITNESS

Lack of

Exercise Replacing Smoking Trends!

W

e’ve all heard it hundreds of times: exercise is good for us. The American Cancer Society recommends that women who’ve been diagnosed with breast cancer exercise regularly (about 4 hours per week) to improve their quality of life and reduce the risk of developing new cancers.

But what exactly is so good about exercise? Here are the ways exercise can improve your life: You’ll lower your risk of heart disease. A lack of exercise is a bigger cause of heart disease in women over 30 than smoking, researchers have found. Researchers found that in the rankings of causes of heart disease in women, once they are over the age of 30, a lack of exercise becomes more important than smoking.

Women around that age are giving up smoking as they start a family and that makes them less likely to exercise.

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You’ll lower your cancer risk. Regular exercise lowers the risk of breast cancer coming back, as well as reducing the risk of ever being diagnosed with breast cancer.

Exercise also can lower your risk of cancers of the colon, lungs, and uterus.

You’ll be able to maintain a healthy weight. Regular exercise can help you maintain a healthy weight by building muscle and burning fat. Overweight and obese women – defined as having a BMI of over 25 – have a higher risk of being diagnosed with breast cancer compared to women who maintain a healthy weight, especially after menopause. Being overweight also can increase the risk of the breast cancer coming back (recurrence) in women who have had the disease.

How to Stick to an Exercise Routine Once your initial enthusiasm wears off, you might find it hard to stick with your exercise routine. Here are some tips to keep you motivated: I Make it fun. If you like to be around people, take an aerobics class or sign up

for a local soccer or walking club. If you’re happier in solitude, trying walking or hiking in a park or location with a nice view.

Switch up what you do so you don’t get bored. Walk one day and lift light weights the next. Ride a bike, dance, take a yoga class -- doing anything is better than doing nothing.

I Make exercise social. If you make a commitment to exercise with someone

else, you’re more likely to stick to it than if you’re just working out alone. Plus, you get to catch up with your friend and cheer on each other’s accomplishments.

I Make exercise a priority. Think of exercising as a necessary part of life,

like breathing, sleeping, and eating. It’s what you do to be as healthy as you can be. Schedule exercise like you do any other important activity. Put it in your daily planner!

I Exercise first thing in the morning. If you exercise in the morning, you’re

more likely to stick to your routine, according to some studies. As the day goes on, you’re more likely to come up with excuses or have delays in your schedule that can make it hard to exercise. Another bonus of morning exercise: you’re energized for the day ahead.

I Exercise on your way home from work. If you can’t exercise first thing in the

morning, working out on your way home from work is the next best thing. Make sure you don’t go home first. Once you change and sit down, it’s unlikely you’ll be motivated enough to go back out again. A bonus of after-work exercise: you melt away the day’s stress and irritations.

I Exercise even when you think you’re too tired. You’ll probably feel better

and more energized afterward. Exercise makes your brain release endorphins, which elevate your mood and make your whole body feel better. You also breathe deeply, which can make you feel calm and relaxed.

I Keep an exercise journal. Write down the exercise statistics that are

important to you: how long you exercised, how far you walked (or ran or biked), how much weight you lifted, how many reps you did, etc. Seeing your progress can help keep you motivated to achieve more.

I Reward yourself. Set some goals and as you achieve them, reward yourself.

When you’re able to walk for 30 minutes without stopping, you might buy yourself a new pair of walking shoes or a warm-up jacket. When you can put your body in Eagle Pose in yoga, your reward might be a new pair of yoga pants or a new top.

Do whatever works for you!

I Be flexible. If you’re truly too busy or feel run down, take a break. The important thing is to get back on track as soon as you can.

FALL EDITION 2016 thenewyoumagazine.net

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HEALTH & F ITNESS

Medical Risks to Talk About Before you get Inked.

Thirty-six percent of Americans between the ages of 18 and 25 have tattoos, according to a 2013 report from the Pew Research Center, and the desire to get inked seems to be rising. Just look around at the pool and you’ll see the body-art show. Before you get a tattoo, here are seven real but

uncommon medical risks worth thinking about:

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thenewyoumagazine.net FALL EDITION 2016

1

The tattoo risk people don’t talk about is regret.

There is big industry in tattoo removal, which itself has medical risks including scarring and infection.

Ten percent of people with tattoos say they don’t even like tattoos, according to a 2014 poll. My colleague Aisha Sultan explains tattoo regret well: “Regret is a very real risk and may not even kick in until years later, when skin might not be as taut and when ink has started to fade. Just like an 18 year old’s clothes may not look great on a 50 year old woman, you may feel the same way about a tattoo you loved as a teenager. Consider taking a few months to think about a tattoo rather than just running out and getting it– you’ll feel better that you made a solid decision.

2

4

Allergic reactions to ink.

The metals in the ink can trigger an inflammatory response – your own immune system trying to reject the ink. Allergic reactions to tattoo ink can occur years after getting the tattoo. If you tend to get eczema you may end up with an eczema-like reaction at the site of your tattoo.

Skin infections.

It’s normal for a tattoo to take two to three weeks to heal. Expect a fresh tattoo to have mild redness and swelling. Tattoos can become infected with common bacteria, staph and strep, including the antibiotic resistant MRSA bacteria.

The CDC has reported clusters of MRSA infected tattoos associated with unlicensed tattoo parlors.

Rarely, you can contract other types of skin infection in a tattoo such as herpes and viral warts. If the swollen area starts to weep pus, if you have a fever, or if there are streaking red marks on your body, you need to seek medical care.

3

had trouble with keloids after piercings, think twice about a tattoo.

People who get keloids usually get them again. A granuloma is a type of hard, bumpy swelling that is really a form of inflammation as your body’s immune system fights the tattoo ink.

It may take months to years for keloids and granulomas to form around tattoos. Granulomas and keloids are hard to treat and can cause permanent disfigurement.

Blood borne infections such as tetanus & hepatitis.

5

More people contract hepatitis B and C from their dentist than from tattoo parlors, and your overall risk of any blood borne infection is very low, but

still real. You can also get tetanus from a tattoo if your immunizations aren’t up to date, so be sure to get your tetanus booster shot before your tattoo.

6

MRI complications

It is true that tattoos can cause complications with MRIs, specifically burning at the site of the tattoo.

Occasionally, a tattoo can interfere with MRI image quality, especially if it is a large tattoo and/or uses red ink. A tattoo is not a contraindication for an MRI, though, so if you need an MRI don’t hesitate because of your tattoo.

7

Epidural anesthesia complications.

Lower back tattoos do pose a small risk for epidural anesthesia during labor or surgery. There is a small risk that some dye can get caught in the needle used for the epidural. The doctor might nick the tattoo first with a scalpel and then insert the epidural needle through the nick.

This reduces the risk of getting pigment in the needle. This can, however, result in scarring.

Scarring, keloids, granulomas.

Some people have skin that just doesn’t heal well, leaving bumpy scars that distort tattoos. Keloids are big, puffy scars that forms at sites of skin injury such as piercings, lacerations, and tattoos. If you’ve FALL EDITION 2016 thenewyoumagazine.net

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FOOD & NUTRITION

Recipes for Fall Seafood Gumbo

She-Crap Soup

Yield: 8 servings

Yield: 8 servings • ¼ cup cooking oil • 1 yellow onion, chopped • 1 red bell pepper, chopped • 3 garlic cloves, minced • 3 tablespoons all-purpose flour • 4 cups chicken broth • 1 ~ 28 ounce can diced tomatoes w/juice • 1 pound cooked lump crabmeat • ½ pound fresh okra • 2 bay leaves

Ingredients

• 1 teaspoon dried basil • 1 teaspoon dried oregano • 1 teaspoon dried thyme • 1 teaspoon hot pepper sauce • salt to taste • Fresh ground black pepper to taste • 1 pound smoked sausage, sliced • 1 pound medium shrimp, peeled and deveined • 4 cups steamed long grain white rice

1. Heat oil in large saucepan over medium heat and sauté onions and red pepper until tender. Add garlic and reduce heat to low. Stir in flour and cook 5 minutes or until flour turns slightly brown.

Preparation

2. Stir in chicken broth slowly. Add tomatoes and next 9 ingredients. Bring to a boil. Reduce heat, cover and simmer 1 hour.

3. Boil sausage in second pan then drain. Add warm sausage to gumbo.

4. Stir in shrimp and simmer 5 minutes or until shrimp are pink and cooked through.

5. Mound rice in soup bowls. Ladle gumbo over rice and serve.

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• 1/4 cup unsalted butter • 3 tablespoons minced sweet onion • 4 tablespoons all-purpose flour • 4 cups half-and- half • Salt and pepper to taste • 2 teaspoons Worcestershire sauce • ½ teaspoon paprika • Dash of Old Bay seasoning • 1 pound lump crabmeat • 2 hard-boiled eggs, finely chopped • Sherry to taste

Ingredients

1. Melt butter in Dutch oven over medium heat.

Sauté onion about 8 to 10 minutes or until tender.

Add flour and stir until flour begins to turn golden.

Preparation

2. Reduce heat and whisk in half-and-half.

Continue whisking 3 to five minutes or until slightly thickened.

3. Season with salt and pepper. Add Worcestershire, paprika and Old Bay. Fold in crab and eggs, heating on low about 15 to 20 minutes.

4. Ladle into bowls and sprinkle with sherry to taste.

Simple Dinner Salad

Peppered Beef Tenderloin

Yield: 12 servings • 1 bag romaine lettuce • 1 bag mixed greens or spinach • 1cup toasted almonds • Feta cheese, crumbled • 2 ~ 11-ounce cans Mandarin oranges, drained • 4 green onions, sliced • 1 ~ 8-ounce can sliced water chestnuts, drained

Ingredients

Combined ingredients in large bowl. Pour Red Wine Dressing over salad and toss well.

• ½ cup cooking oil • 4 tablespoons sugar • 4 tablespoons red wine vinegar • 1 teaspoon salt • Black pepper to taste

Red Wine Dressing

Combine ingredients in jar and shake well.

Yield: 12 servings

Yield: 8 servings • 1 ~ 8-ounce container sour cream • 6 tablespoons Dijon mustard, divided • 2 tablespoons horseradish • 2 tablespoons whole green peppercorns • 2 tablespoons whole red peppercorns • 2 teaspoons coarse salt • 1 ~ 3 ½ pound beef tenderloin, trimmed • 1 cup chopped fresh flat leaf parsley • ¼ cup butter, softened • Baby artichokes • Fresh rosemary

Ingredients

1. Combine sour cream, 3 tablespoons Dijon and horseradish; cover and chill.

Directions

2. Place peppercorns in blender or pepper mill; cover and pulse until chopped. Transfer to bowl and stir in salt.

3. Place beef on lightly greased rack in shallow roasting pan;

4. Combine parsley, butter and remaining Dijon; rub mixture evenly over tenderloin. Pat peppercorn mixture evenly over beef.

5. Cover and chill up to 24 hours.

6. Bake at 350° for 50 minutes and 425° for 30 minutes until meat thermometer in thickest portion of beef registers 145 (medium-rare) to 160° (medium).

7. Transfer beef to serving platter; cover loosely with foil. Allow to stand 10 minutes before slicing.

8. Serve with sour cream mixture. Garnish with baby artichokes and rosemary.

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FOOD & NUTRITION

seven diet tips for

holiday survival

{

24

Holidays are all about bringing family and friends together to celebrate traditions and spread good cheer. A whirlwind of parties and happy hours, with food attached. Every event may seem like an excuse to splurge. To help you survive the seasonal parties without packing on the pounds, try these tips to save calories.

thenewyoumagazine.net FALL EDITION 2016

}

Rest Up

1

Rest up the night

before a holiday fête by getting at least seven hours of sleep. A recent study found that after a short night’s sleep adults ate about an extra 300 calories and tended to choose higher-fat, higher-calorie foods. When women lack sleep they may feel less full after eating, while men tend to have an increased appetite. By getting your zzz’s, you’ll save calories and make healthier choices.

Be Realistic

5

Don’t try to lose pounds during the holidays, instead try to maintain your current weight.

Wear Snug Clothes And Keep One Hand Busy

6

When you wear snug-fitting attire, chances are you'll be too

busy holding in your stomach to overeat. While you stand around looking posh in your holiday finery, hold a drink in your dominant hand so it won't be so easy to grab food.

Choose Wisely

2

Choose your first buffet picks wisely. Research suggests that you’ll consume the largest quantity of the foods you eat first, so set yourself up for success by starting with something lowcalorie. Try fresh veggies and hummus over chips and creamy dip to save 120 calories per serving.

Pour Wisely

3

Count 1-2-3 when pouring yourself a glass of wine, to get an estimated 5-ounce serving. Don’t rely on just filling up a glass halfway, since many glasses are half full with 10 ounces of wine, which quickly turns that 125 calorie glass into a 250calorie one.

Plan Time For Exercise

7

Exercise helps relieve holiday stress and prevent weight gain. A moderate and daily increase in exercise can help partially offset increased holiday eating. Try 10 or 15-minute brisk walks twice a day.

Downsize Your Plate

4

Downsize your plate to trick your brain into thinking you are eating more. According to the Calorie Control Council, the average number of calories eaten at a holiday dinner is a shocking 3,000, and that doesn’t count pre-dinner snacking. Use an appetizer or salad plate instead of a dinner plate and eat 40 percent less, cutting 1,200 calories.

Holiday parties are much more than food and drinks.

They are a time to delight in the traditions of the season, and enjoy the company of family and friends. If you keep the focus on the spirit of the season – and heed the advice of our diet experts – you'll most likely get through the holidays without gaining a pound.

And if you do splurge, don’t beat yourself up, the experts say. Just get right back to normal eating and exercising, and try to do a better job at the next party.

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FINANCIAL HEALTH

What is Your

By Davine Conover, Ozark Federal

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W

e spend our days thinking about what, when, how, and with whom to share our purchasing power... All of this costs money. What identifies how much we spend all comes down to our individual filter system. Our filter system identifies if we are spending money out of friendship, companionship/ acceptance, obligation, justification, or necessity, or a combination of these reasons.

Identifying your filter system can change the way you look at money. You can learn to have a tremendous respect for the choices you make, and they will become wiser choices. To identify your filter system, review the options below: Friendship is when you have the opportunity to spend resources on enjoyment, with or without someone else. It could be the thrill of the hunt or even the chance to spend time with someone while shopping, entertaining or eating out.

Acceptance is typically gift giving. Many people give with the desire to have you include them in your time. They give personal possessions or money to have you include them in your activities or visit more often. They see money as power to control behavior.

Obligation is required, acceptable spending... i.e. Christmas, birthdays, graduations, and weddings.

Justification usually starts with “I need this because...” You justify every purchase you make before making it.

Necessity is spending when you know it is a need, and not a want (i.e. food, electricity, gas, etc.)

These are not excessive items, but needed items.

Entitlement is when you spend money because you have earned it, and/or you deserve it.

Shopping Filter System?

Once you have identified the filter of why you shop, think about when you like to shop. You can click on an app for any of your favorite stores and put that special item in the cart right from your phone. The UPS driver becomes your best friend. If you shop for the thrill of it, you can choose to use your spending power over the web, phone, or face to face. It could be that you like the feeling of accomplishment, of “saving money” because it was on sale. Or, you could shop because you are lonesome and love visiting with your favorite clerk.

Whatever the reason you spend, just remember everything is better with balance. You can retrain your bad shopping habits by: • Understanding your filter system of why you shop • Adding safety guards to your spending habits, like carrying cash instead of using credit cards • Setting limits to your spending • Waiting 24 hours before making a purchase • Starting a wish list and saving up for the purchase • Paying attention to your emotional state before and after shopping • Keeping a written record of your spending You have the opportunity to change your spending habits and take control of your finances. There will always be a sale and styles will change regularly, but every good decision has a goal. Stick with your plan, and you will reap big rewards.

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P I N K PA G E S

The StoryThat Started The Movement Written by Susan G.Komen’s Sister and Founder of Susan G Komen Foundation Nancy Brinker

G

rowing up, Suzy and I were just about as close as two sisters can get. Suzy was the perfect older sister.

She was beautiful and kind and loving, not only to me but to everyone. She was the star of our hometown of Peoria, Illinois— the high school homecoming queen, the college beauty queen.

I, on the other hand, was bigger, heavier and taller than most of my friends and her friends. I developed my own way of getting attention. I was a tomboy and a mischief-maker and delighted in nothing more than spending hours galloping around on horseback.

Suzy tried desperately to teach me about the pretty things in life: how to fix my hair, apply makeup and coordinate my wardrobe.

None of it seemed to work. I was still a big, sort of clumsy girl with two left feet. The boys didn't know I was alive, except that I was Susan Goodman's younger sister.

Suzy came back to Peoria when she graduated from college and got a job modeling locally. Eventually, she married her college sweetheart, Stan Komen.

College, for me, was the first time I felt I belonged anywhere. I was active in many school projects and finally began to have confidence in myself. I felt independent and responsible and ready to take on the world. After graduating, I packed up my bags and moved to Dallas, Texas,

1

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home of my father's older sister.

Although we were separated by distance, Suzy and I spoke every day by phone in the late afternoon.

As if it were yesterday, I can remember the phone call I received from Suzy one Tuesday afternoon. Her doctor had found a lump in her breast that was not a cyst. He recommended a biopsy. A biopsy is the surgical removal and microscopic examination of tissue to see if cancer cells are present.

I decided to fly home to Peoria.

When I got off the plane, my father was waiting there alone with an expression on his face I will never forget. He didn't have to say a word. At the age of 33, Suzy had breast cancer.

What happened from this point on is still difficult for me to talk about because I am so much more knowledgeable on the subject today. If I had only known then what I know now.

The truth of the matter is that growing up in the small town of Peoria, our family had been treated our whole lives by one doctor. Suzy trusted him with her cancer the same way she did with her measles.

Mistake number one.

None of us knew enough to inquire about seeking information from a major

cancer center or from a group of physicians associated with one in Peoria. He was our doctor. Period.

The most difficult concept to grasp about cancer, I think, is the fact that when it is first detected the patient usually feels just fine. There is rarely any pain associated with breast cancer in its early stages. So when you are told you've got a life-threatening disease, and the treatment sounds more heinous than the thought of a little lump in the breast, it is understandable that a woman uneducated about cancer might opt for no treatment at all.

procedure in which the outside of the breast is left intact, but an incision is made and the breast tissue is removed. He would then do an implant ten days later. Suzy would be left with a small scar but no more cancer. She felt it was her best option.

After Suzy's surgery, my parents, Stan and I were all at the hospital anxiously awaiting the results. The surgeon walked confidently in the room and said, "You can relax, we got it all. I believe she's cured." My heart sank because I knew enough to know that cure is a very difficult word to use in reference to cancer.

Such was the case with Suzy. My sister was terrified, naturally, but adamant against having a mastectomy.

If it is used at all, it is more likely to be spoken after a five-year period has passed without a recurrence.

Our family doctor called in a surgeon to review Suzy's case. It is important, if you are to learn from our mistakes, that I tell you a little bit about this surgeon. He was very handsome, very suave and seemed very self-confident. According to Suzy, this surgeon told Suzy he could cure her. Even the most respected cancer experts in the country (which he was certainly not) do not talk about recovery in terms of surviving cancer or remission. They refrain from using the word cure because cancer can recur.

For the next five months or so, Suzy felt pretty good. She was convinced she was cured. When I suggested she secure a second opinion just to be sure, she became very sensitive. After all, her doctor had told her she was fine.

But that, of course, is exactly what Suzy wanted to hear, and who could blame her? Like many women, and for that matter men, too, Suzy was of the frame of mind that the doctor was always right.

This surgeon suggested performing a subcutaneous mastectomy, a

But before six months had gone by, our worst nightmare became a reality. Suzy found another lump. This time it was under her arm.

Despite everyone's optimism her cancer had spread.

Suzy went next to the Mayo Clinic, where we learned that her cancer had metastasized (spread) to her lung and under her arm.

There was a tumor the size of a quarter in the upper part of her right lung and suspicious shadows elsewhere. Their recommendation was 30 days of radiation and then to "watch it."

>

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2

P I N K PA G E S Well, I, for one, was tired of "watching." I wanted to see some results.

Terror, rage, sadness and above all, a feeling of complete and utter helplessness invaded me. Why was this happening to Suzy, of all people?

What had she ever done to deserve to be so sick and so frightened?

Although no one said anything aloud, we all knew my sister was now fighting for her life. And it all happened so quickly. She tried to keep up a brave front and would often talk of plans for the future.

A major turning point in Suzy's struggle for survival came from a surprising source, Mrs. Betty Ford.

The year was 1978, and while serving as First Lady, Mrs. Ford had finished a successful bout with breast cancer. The whole country was shocked and saddened with the news of her breast cancer and mastectomy. Her bravery touched a place inside of Suzy that none of us could possibly understand because we hadn't gone through it ourselves. In Betty Ford, my sister found new strength.

"Nan," she said, "if Mrs. Ford can admit she has breast cancer and tell the whole world she intends to fight it, well then so can I." The doctors at Mayo suggested Suzy have radiation therapy, which is a treatment using high- energy rays to damage (burn) cancer cells and stop them from growing. She did have the radiation but it was not successful in slowing her disease. The cancer was out of control, and there wasn't a thing we could do about it. But we had to try.

Suzy decided to seek treatment at the M.D. Anderson Cancer Center in Houston. When she arrived, she was a Stage IV cancer patient. This means that the disease had spread to other organs in her body and was still growing. It was a very critical situation. But, for the first time, Suzy was part of a team: Her new doctor and his associates made Suzy a partner in every decision. They were completely and totally honest with her and all of us about her condition. Suzy was not only allowed to ask questions, she was encouraged to do so.

Suzy's doctor's approach to the disease was an aggressive one. Thus began the saga of intense chemotherapy. The problem with chemotherapy is that it doesn't know the difference between the good guys and the bad guys, so a lot of important healthy cells are killed in the process, including the cells of the stomach lining and hair roots.

Chemotherapy is often accompanied by nausea, mouth sores, hair thinning, and sometimes total hair loss, depending on the type used.

Suzy experienced all of that and more. Everyone given chemotherapy is warned that a side effect is hair loss, but nothing can prepare a woman for the shock and embarrassment of baldness. She bore up under the strain with all the dignity and grace she could manage, although I know she was devastated. Little did I know that even then, my sister was teaching me.

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The stress and tension put on a family involved in a serious illness is unimaginable. You know you must stick together on the crucial matters, so often the tension released is by arguing about the little things. My father had a terrible time. He could not bear the sight of his precious daughter being so ill. As a result, it was our dear mother who bore the brunt of much of the burden.

It was especially difficult for her because during this time lumps kept appearing in my breasts. I had my left breast biopsied three different times during Suzy's ordeal. Once, she had to leave Suzy's side in Houston in order to be with me in Dallas. All three of my tumors were benign (noncancerous). I hated to worry my mother, but the truth is, I was scared. Every time I felt the slightest little abnormality, my heart began to race. I had learned that women whose mothers or sisters have had breast cancer have as much as three times the usual risk of developing the disease.

Whenever we felt as if we couldn't go on, that the load was just too heavy, it was Suzy's grace and humor that got us through the day. She was able to find something to smile about with every turn of the road, and her infectious, warm concern was felt throughout the hospital.

The one thing Suzy never found humor in, however, was the aesthetic conditions of the waiting rooms.

The walls were empty, the chairs uncomfortable, and sometimes a patient would have to sit there waiting six or more hours for a scheduled appointment. Suzy was horrified and so was I. She was more concerned with the treatment of the patients while my concern was the treatment of her disease. I was outraged that more hadn't been learned to help my sister.

History of Susan G. Komen Susan G. Komen is the world’s largest breast cancer organization, funding more breast cancer research than any other nonprofit while providing real-time help to those facing the disease. Since its founding in 1982, Komen has funded more than $800 million in research and provided more than $1.6 billion in funding to screening, education, treatment and psychosocial support programs serving millions of people in more than 30 countries worldwide. Komen was founded by Nancy G. Brinker, who promised her sister, Susan G. Komen, that she would end the disease that claimed Suzy’s life.

"Nan," she said, "as soon as I get better, let's do something about this. You can find a way to speed up the research. I know you can. And I want to fix up this waiting room and make it pretty for the women who have to be here. This isn't right."

For about fifteen months, the Houston doctors were successful in slowing down Suzy's breast cancer. But then, for reasons known only to God, the disease started to rage inside her once again.

Fully aware of her condition, but never willing to give up or talk about it, Suzy began a perilous and painful downhill battle. There was more surgery and more chemotherapy, but by now her body had built up a resistance to the drugs. Her cancer had gotten so out of control that it broke through the skin, resulting in grotesque sores all over her chest. She began to spend more time feeling awful and we spent more time feeling helpless.

None of us knew what to do anymore. Up until this point, we had always spoken enthusiastically about our future together. It was becoming more obvious with each new day that this was our future with Suzy.

One day, during the time when Suzy stayed in Houston, we were lying together by the pool at the hotel.

She loved to sunbathe as often as possible, because she felt that having color on her face was the only thing that made her look healthy.

As I watched her lying there reading, I took note of her thin, frail body and strained breathing. Fortunately, Suzy was into her book and paid no attention to me. Had she looked over, she would have seen my tears and known immediately what I was thinking.

Our time together was drawing to a close. In a flood of beautiful memories, I began to look back on the sacred relationship I shared with my sister. Frantically, I wrote my memories down, fearing somehow I might forget one later. I didn't realize then that memories so special are never forgotten. I also didn't realize that what I was writing that sunny afternoon was my sister's eulogy.

It was time to begin saying our good-byes. Our family had always been totally honest with each other, and breaking that trust at this point would hurt Suzy much more than help her.

After my sister was released from M.D. Anderson, I tried to come home every other week for a visit. One particular Sunday afternoon on the way back to the airport, Suzy spoke to me again about doing something to help the sick women in the hospital. This practically tore my heart out because here she was, hardly able to manage a whisper, and she was worrying about other people. I couldn't bear it.

When my father pulled up to the curb, I quickly kissed them both good-bye and jumped out of the car. I was just about inside when I heard a funny sound that sounded like my name. I stopped in my tracks and turned around. There was Suzy, standing up outside the car on wobbly knees, wig slightly askew.

With her arms outstretched, she said gently, "Good-bye, Nanny, I

Susan G. Komen, left, and her sister, Nancy G. Brinker, prior to Susan’s death from breast cancer in 1979.

love you." I hugged her so hard I was afraid she might crumble. And then I ran to catch my plane.

I never saw my sister alive again. After nine operations, three courses of chemotherapy and radiation, she had lost her three-year war. By the time I flew back to her side it was too late. She was gone.

The months after Suzy's funeral were the saddest in my life. I wanted to stay near my parents because I knew they needed me (the truth is, we needed each other), but I had a son and a home that had been without any attention for a long time. It was time to get on with it, to pick myself up and start living again. Some things are easier said than done.

I spent a lot of time thinking about Suzy. There is no way to accurately describe the void her absence left in my life. I also spent a great deal of time questioning my faith and wondering why such a good person was taken from a family that needed her so desperately. I often wonder, as many people do when they've lost a loved one, what really happens to a soul when a person dies. Was Suzy watching me? Did she hear me when I called her name out loud? After much thought I came to the conclusion that I would never know until I died myself, but I sure didn't want to die in order to find out. Just in case, I wanted to do something to let her know how special she would always be in my heart. I was haunted by our last conversation and lay awake sometimes all night wondering what I could do to help other women with breast cancer.

Could one person really make a difference?

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35

PINK PAGES RESOURCE GUIDE Cancer MICA

Diet, Nutrition & Cancer Prevention

The cancer MICA allows the user to create tables showing cancer incidence by year, age, sex, race, cancer site, stage, grade, and geographic area down to county (with some restrictions to protect confidentiality; see below). This MICA provides the user with valuable cancer incidence data. It is intended to be used by the general public, as well as researchers, local public health agencies, and others.

American Social Health Association

CDC - Cancer Prevention & Control

National HPV & Cervical Cancer Prevention Resource Center

Division of Cancer Prevention & Control conducts, supports and promotes efforts to prevent cancer and to increase early detection of cancer.

American Cancer Society Provides facts, risk factors and prevention of cancers.

Information on volunteer opportunities and research funding.

American Institute for Cancer Research (AICR)

Avon Breast Cancer Crusade Funding access to care and finding a cure for Breast Cancer Breast & Cervical Cancer: Find out about the free breast and cervical cancer screening services available through the Missouri’s Show Me Healthy Women program. Guidelines for eligibility, services provided and the list of providers in Missouri is included. Excluding all cancers of the skin, breast cancer is the most common cancer among women in Missouri and accounts for nearly one-third of all cancers diagnosed in women. According to the Surveillance, Epidemiology and End Results (SEER) program, an average of 3,951 cases of breast cancer per year were diagnosed among Missouri women between 1996 and 2000. The American Cancer Society estimate of new breast cancer cases for Missouri women in 2004 are 4,680. The American Cancer Society 2004 estimate of breast cancer deaths for Missouri women is 870.

CDC: The National Breast & Cervical Cancer Early Detection Program: At-A-Glance The NBCCCEDP provides funding for breast & cervical cancer screening services to low income and underinsured women.

NCBBEDP operates in all 50 states, District of Columbia, 6 U.S. territories and 12 American Indian/Alaska Native organizations.

Intercultural Cancer Council The Intercultural Cancer Council (ICC) promotes policies, programs, partnerships and research to eliminate the unequal burden of cancer among racial and ethnic minorities and medically underserved populations in the United States and its associated territories.

Kansas City Cancer Information Project The Breast Cancer Foundation of the Ozarks

BRFSS Data

The KcCancer.info website is a joint production of The Kansas City Cancer Coalition and The Kansas City Cancer Information Project. These resources are unique, designed for Kansas City area cancer patients and their families, where content is managed by representatives from every sector within the Kansas City cancer community.

This is the Behavioral Risk Factor Survey where you can produce tables based on cancer and other disease specific data.

Living Beyond Breast Cancer

Provides local resources and support for individuals and their families in the local area who are and have been affected by breast cancer and are concerned with women's health issues.

Cancer Inquiry Investigates, through a team effort, concerns initiated by the public about perceived high rates of cancer in a community or neighborhood. Informs public that cancer is more common than most people realize; contrary to public perception, cancer is not usually caused by pollution or other environmental factors; and most of the causes of cancer that we know about are related to lifestyle.

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thenewyoumagazine.net FALL EDITION 2016

LBBC offers educational information to women affected by breast cancer. Programs include conferences, teleconferences, newsletters, Survivors' Help Line (888-753-LBBC), website (lbbc.org), young survivors' and outreach programs.

MammaCareÂŽ The only scientifically validated system for teaching physical examination of the breast.

Missouri Cancer Consortium

National Ovarian Cancer Coalition

The Missouri Cancer Consortium is a leader in cancer control in Missouri. Members are groups and individuals. They come from all walks of the cancer fight. New members are always needed and welcome. The work of cancer control and the Missouri Cancer Consortium is comprehensive.

The website for the National Ovarian Cancer Resource Center takes you through some of the issues most commonly faced by cancer patients.

National Alliance of Breast Cancer Organizations (NABCO) NABCO provides information to medical professionals and their organizations and to patients and their families, and advocates for beneficial regulatory change and legislation.

Native American Cancer Research This is a community-based, American Indian, non-profit resource. We seek to help reduce cancer incidence and mortality in Native Americans.

R.A. Bloch Cancer Foundation, Inc R.A. Bloch Cancer Foundation is dedicated to help all cancer patients in the process to successfully conquer their disease.

National Breast Cancer Coalition - NBCC Susan G. Komen Breast Cancer Foundation

The National Breast Cancer Coalition Fund is a grassroots organization dedicated to ending breast cancer through the power of action and advocacy.

To eradicate breast cancer as a life-threatening disease by advancing research education.

National Cancer Institute

WISEWOMAN

National funding for cancer research. Provides credible, current, comprehensive cancer information for public and professional use.

(Well-Integrated Screening and Evaluation for Women Across the Nation) funding expands the prevention services provided for women participating in the National Early Breast and Cervical Cancer Control Project (NBCCCEDP), known in Missouri as the Show Me Healthy Women program. WISEWOMAN is a CDC-funded program that helps underinsured, low-income women gain access to health screenings and lifestyle education that can reduce the risk of heart disease and stroke. To be eligible for WISEWOMAN services, women must be participants in the Show Me Healthy Women breast and cervical cancer control project and be 40-64 years of age.

National Cervical Cancer Coalition Enhance awareness of cervical cancer prevention, the Pap smear and proper follow-up, HPV, new technology and treatment options.

National HPV & Cervical Cancer Public Education Program You Need to Know, National HPV & Cervical Cancer Campaign.

Women's Cancer Network

National Coalition for Cancer Survivorship

Physicians dedicated to preventing, detecting and conquering cancer in women.

The only survivor-led advocacy organization working exclusively on behalf of people with all types of cancer and their families, is dedicated to assuring quality cancer care for all Americans.

Y-ME National Breast Cancer Organization: Through peer support no one faces breast cancer alone.

FALL EDITION 2016 thenewyoumagazine.net

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DOCS TO KNOW

Preventing Musculoskeletal Information from National Institute of Arthritis and Musculoskeletal and Skin Diseases

CHILDHOOD SPORTS INJURIES: A COMMON AND SERIOUS PROBLEM MORE THAN 38 MILLION CHILDREN AND ADOLESCENTS PARTICIPATE IN ORGANIZED SPORTS IN THE UNITED STATES EACH YEAR. STILL MORE PARTICIPATE IN INFORMAL RECREATIONAL ACTIVITIES. ALTHOUGH SPORTS PARTICIPATION PROVIDES NUMEROUS PHYSICAL AND SOCIAL BENEFITS, IT ALSO HAS A DOWNSIDE: THE RISK OF SPORTS-RELATED INJURIES. ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION, MORE THAN 2.6 MILLION CHILDREN 0 TO 19 YEARS OLD ARE TREATED IN THE EMERGENCY DEPARTMENT EACH YEAR FOR SPORTS AND RECREATION-RELATED INJURIES. 38

thenewyoumagazine.net FALL EDITION 2016

Sports Injuries in Youth THE MOST COMMON SPORTS-RELATED INJURIES IN KIDS Sprains and Strains A sprain is an injury to a ligament, one of the bands of tough, fibrous tissue that connects two or more bones at a joint and prevents excessive movement of the joint. An ankle sprain is the most common athletic injury.

A strain is an injury to either a muscle or a tendon. A muscle is a tissue composed of bundles of specialized cells that, when stimulated by nerve messages, contract and produce movement. A tendon is a tough, fibrous cord of tissue that connects muscle to bone. Muscles in any part of the body can be injured.

Growth Plate Injuries In some sports accidents and injuries, the growth plate may be injured. The growth plate is the area of developing tissues at the end of the long bones in growing children and adolescents. When growth is complete, sometime during adolescence, the growth plate is replaced by solid bone.

The long bones in the body include: I The long bones of the hand and fingers (metacarpals and phalanges) I Both bones of the forearm (radius and ulna) I The bone of the upper leg (femur) I The lower leg bones (tibia and fibula) I The foot bones (metatarsals and phalanges) If any of these areas become injured, it’s important to seek professional help from an orthopedic surgeon, a doctor who specializes in bone injuries.

of muscles and tendons. Some of these injuries don’t always show up on x rays, but they do cause pain and discomfort. The injured area usually responds to rest, ice, compression, and elevation (RICE). Other treatments can include crutches, cast immobilization, and physical therapy.

Heat-Related Illnesses Heat-related illnesses include: I Dehydration (deficit in body fluids) I Heat exhaustion (nausea, dizziness, weakness, headache, pale and moist skin, heavy perspiration, normal or low body temperature, weak pulse, dilated pupils, disorientation, and fainting spells) I Heat stroke (headache, dizziness, confusion, and hot dry skin, possibly leading to vascular collapse, coma, and death) Heat injuries are always dangerous and can be fatal. Heatrelated injuries are a particular problem for children because children perspire less than adults and require a higher core body temperature to trigger sweating. Playing rigorous sports in the heat requires close monitoring of both body and weather conditions. Fortunately, heat-related illnesses can be prevented.

>

Repetitive Motion Injuries Painful injuries such as stress fractures (a hairline fracture of the bone that has been subjected to repeated stress) and tendinitis (inflammation of a tendon) can occur from overuse FALL EDITION 2016 thenewyoumagazine.net

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DOCS TO KNOW

Preventing and Treating Injuries Injuries can happen to any child who plays sports, but there are some things that can help prevent and treat injuries.

Prevention

Enroll your child in organized sports through schools, community clubs, and recreation areas that are properly maintained. Any organized team activity should demonstrate a commitment to injury prevention. Coaches should be trained in first aid and CPR, and should have a plan for responding to emergencies. Coaches should be well versed in the proper use of equipment, and should enforce rules on equipment use.

Organized sports programs may have adults on staff who are certified athletic trainers. These individuals are trained to prevent, recognize, and provide immediate care for athletic injuries.

Treatment

Treatment for sports-related injuries will vary by injury. But if your child suffers a soft tissue injury (such as a sprain or strain) or a bone injury, the best immediate treatment is easy to remember: RICE (rest, ice, compression, elevation) the injury. Get professional treatment if any injury is severe. A severe injury means having an obvious fracture or dislocation of a joint, prolonged swelling, or prolonged or severe pain.

Sport-Specific Safety Information Here are some winning ways to help prevent an injury from occurring, so you are less likely to get that alarming phone call like Raoul’s mom did.

Basketball

Common injuries and locations: sprains, strains, bruises, fractures, scrapes, dislocations, cuts, injuries to teeth, ankles, and knees. (Injury rates are higher in girls, especially for the anterior cruciate ligament or ACL, the wide ligament that limits rotation and forward movement of the shin bone.)

Safest playing with: eye protection, elbow and knee pads, mouth guard, athletic supporters for males, proper shoes, water. If playing outdoors, wear sunscreen and, when possible, a hat.

Make sure your child has—and consistently uses—proper gear for a particular sport. This may reduce the chances of being injured.

Make warm-ups and cool-downs part of your child’s routine

Injury prevention: strength training (particularly knees and shoulders), aerobics (exercises that develop the strength and endurance of heart and lungs), warm-up exercises, proper coaching, and use of safety equipment.

before and after sports participation. Warm-up exercises make the body’s tissues warmer and more flexible. Cool-down exercises loosen muscles that have tightened during exercise.

Track and Field

Make

sure your child has access to water or a sports drink while playing. Encourage him or her to drink frequently and stay properly hydrated. Remember to include sunscreen and a hat (when possible) to reduce the chance of sunburn, which is a type of injury to the skin. Sun protection may also decrease the chances of malignant melanoma—a potentially deadly skin cancer—or other skin cancers that can occur later in life.

Learn and follow safety rules and suggestions for your child’s particular sport. You’ll find some more sport-specific safety suggestions below.

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Common injuries: strains, sprains, scrapes from falls.

Safest playing with: proper shoes, athletic supporters for males, sunscreen, water.

Injury prevention: proper conditioning and coaching.

Football

Common injuries and locations: bruises, sprains, strains, pulled muscles, tears to soft tissues such as ligaments, broken bones, internal injures (bruised or damaged organs), concussions, back injuries, sunburn. Knees and ankles are the most common injury sites.

Safest

playing with: helmet, mouth guard, shoulder pads, athletic supporters for males, chest/rib pads, forearm, elbow, and thigh pads, shin guards, proper shoes, sunscreen, water.

Injury prevention: proper use of safety equipment, warm-

up exercises, proper coaching techniques and conditioning.

Baseball and Softball

Common injuries: soft tissue strains, impact injuries that include fractures caused by sliding and being hit by a ball, sunburn.

Safest playing with: batting helmet, shin guards, elbow guards, athletic supporters for males, mouth guard, sunscreen, cleats, hat, detachable, “breakaway bases” rather than traditional, stationary ones.

Injury prevention: proper conditioning and warm-ups.

Soccer Common injuries: bruises, cuts and scrapes, headaches, sunburn.

Safest playing with: shin guards, athletic supporters for males, cleats, sunscreen, water.

Injury prevention: aerobic conditioning and warm-ups, and proper training in “heading” (that is, using the head to strike or make a play with the ball).

Gymnastics

Common injuries: sprains and strains of soft tissues.

Safest playing with: athletic supporters for males, safety harness, joint supports (such as neoprene wraps), water.

Injury prevention: proper conditioning and warm-ups.

Treat Injuries with “RICE” Rest: Reduce or stop using the injured area for at least 48

hours. If you have a leg injury, you may need to stay off of it completely.

Ice: Put an ice pack on the injured area for 20 minutes at a time, four to eight times per day. Use a cold pack, ice bag, or a plastic bag filled with crushed ice that has been wrapped in a towel.

Compression: Ask your child’s doctor about elastics wraps, air casts, special boots, or splints that can be used to compress an injured ankle, knee, or wrist to reduce swelling.

Elevation: Keep the injured area elevated above the level of the heart to help decrease swelling. Use a pillow to help elevate an injured limb.

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NATIONAL LEADERS IN ORTHOPEDICS:

now in South County

I-55 & BUTLER HILL

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Foot and ankle ankle Foot wrist Hand and wrist Hip and knee knee Hip Musculoskeletal oncology oncology Musculoskeletal Physical medicine and rehabilitation rehabilitation Physical Sports medicine Sports

ing, casting The The center center off offers ffers ers on-sit on on-site e rradiology, adiologyy, imag imaging, ell as outpa tient sur splinting services, well outpatient surgery and splin ting ser vices, as w gery and e inf for ormation, visit physical therapy. more information, ph ysical ther apy. FFor or mor ortho.wustl.edu/SouthCounty. or tho.wustl.edu/SouthCounty.

Center Advanced Medicine South County edicine - S outh C ounty C enter ffor or A dvanced M Washington University Orthopedics W ashington Univ ersity O rthopedics Midamerica Plaza, Suite e 1500 5201 M idamerica P laza, Suit SSt. t. LLouis, ouis, MO 63129

Timely Access to Comprehensive Orthopedic Care

“We also have two nurse practitioners on site who help us see patients in a more timely fashion,” Dr. LaBore says. “These professionals make patient appointments more accessible, and because we all collaborate, patients receive consistent, high level care.”

Corri Payton, MSN, APRN, BC, and Rich Planzo, MSN, DC, RN, NP-C, are the two physician extenders in South County.

Specialties and Physicians Foot and Ankle I

Sandra Klein, MD, Associated Director of Orthopedics at the Center for Advanced Medicine – South County

Hand and Wrist I I

Christopher, Dy, MD, MPH Daniel Osei, MD, MSc

Hip and Knee I

Muyibat Adelani, MD, (will begin seeing patients in South County in September 2016) I Cara Cipriano, MD (will begin seeing patients in South County in September 2016)

Musculoskeletal Oncology I

Cara Cipriano, MD (will begin seeing patients in South County in September 2016)

Physical Medicine and Rehabilitation I I

Dale Colorado, DO, MHP Adam LaBore, MD, Director of Orthopedics at the Center for Advanced Medicine – South County

Shoulder and Elbow I

Alexander Aleem, MD (will begin seeing patients in South County in August 2016)

Sports Medicine I

Ljiljana Bogunovic, MD

Appointment accessibility is an important component of these clinics, according to Dr. LaBore, and all physicians reserve spots in their day for same-day appointments. “Our team works hard to provide timely access to care.”

We are all very exited “ about joining the other

Dr. LaBore says that based upon the patient traffic at the location thus far, the South County clinic seems to be filling a need for the region.

specialists who are already providing great care in the South County region and helping them care for the people of this area, Dr. LaBore Appointments and Location

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To make an orthopedic appointment at the Center for Advanced Medicine – South County, call 314.514.3500. The clinic is located at 5201 Midamerica Plaza, Suite 1500, St. Louis, MO. The clinic administrator is Jean Szerzinski, RN, MSN.

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