Comunity health summer 2015 by Shoreline Media

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DON’T EAT THAT! KNOW WHAT FOODS ARE TOXIC TO YOUR PET

MEAT MIDDLE in the

LEARN TO MAKE BETTER DECISIONS IN THE BUTCHER SHOP

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MONITOR

PETS

Don’t Eat That!

suspect your pet has gotten into something

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Swipe for Safety

Put important food safety information in the palm of your hand with these helpful apps.

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Swipe for Safety

SWIPE FOR SAFETY

Put important food safety information in the palm of your hand with these helpful apps:

But you don’t have to give up beef and chicken. Learn to sharpen your carnivorous instincts, and make better in the butcher As we learn more about how decisions meat affects our health,shop. it’s changing what we eat.

Meat in

But you don’t have to give up beef and chicken. Learn to sharpen your carnivorous instincts,

and make better decisions in the butcher shop.

Meat in P

lenty of people have a beef with meat. They want to eat it, steroids used in their growth, and how they’re processed to end up but can’t help but think of how it made it to their plate. on our tables. And what we’re learning is changing what we buy at Meat just isn’t made like it used to be. the grocery store. These scary stories are making many Americans We’ve all heard horror stories about genetically modified seek steaks from cows raised organically, or only buy chicken that chickens, and cows pumped full of antibiotics to make them get once roamed free on a farm. The meat industry has seen a boom in bigger faster. And we’ve known for years that a diet packed with interest for artisanal meats, and you now can sink your teeth into a too much meat raises our cholesterol and blood pressure. burger while knowing where it was bred and what it was fed. Our attitudes toward meat have clearly changed in the past Many others are giving up meat altogether, or turning to alterfew decades. We still love meat, but we want to know more about natives. In a poll conducted in August 2013 by market research it—how aremeat. raised,They whatwant they’re and incompany Mintel, 7%how of participants identified as vegetarians. lenty of people have aanimals beef with tofed, eat the it, antibiotics steroids used their growth, and they’re processed to end up

but can’t help but think of how it made it to their plate. Meat just isn’t made like it used to be. We’ve all heard horror stories about genetically modified chickens, and cows pumped full of antibiotics to make them get

C O m m U N I T Y H E A LT H | L U D I N G T O N D A I LY N E W S | F R I D AY, J U N E 5 , 2 0 15

on our tables. And what we’re learning is changing what we buy at the grocery store. These scary stories are making many Americans seek steaks from cows raised organically, or only buy chicken that once roamed free on a farm. The meat industry has seen a boom in

MIDDLE BY PAIGE FUMO FOX

the MIDDLE BY PAIGE FUMO FOX

Midd l e But even among vegetarians, 36% said they use meat alternatives, such as soy, tempeh and seitan. Also, about one-third said they use meat alternatives because they are healthy, and more than half thought meat alternatives are healthier than real meat. But Americans still love their meat. Jeanne Colleluori is a spokeswoman for grocery chain Wegmans, which has stores in six states, including New York and Pennsylvania. Though meat alternatives have gained popularity, Colleluori says real meat still has plenty of muscle in the market.

“In the past few years, we have seen the demand for plantbased alternatives increase,” Colleluori says. “But we are not seeing a decrease in demand for meat.” If you want to eat a healthy diet that includes meat and meat alternatives, you have more options than ever before. Shifting public opinion is encouraging the government to dictate meat producers offer products that are more natural, and to cut unhealthy practices. And a growing world of meat-free options means you can eat meat—or not—and feel good about it. L U D I N G T O N D A I LY N E W S | F R I D AY, J U N E 5 , 2 0 15 | C O m m U N I T Y H E A LT H

truth behind the labels any health-conscious food shopper has been stuck in the meat department, going back and forth between products with different labels, unsure of what’s best. Should i choose “natural” or “organic?” What do those mean, anyway? Jessica Shade, of The organic Center nonprofit, cautions consumers to read labels carefully, as “some labels are confusing, unfortunately,” she says. you might think the chicken you buy is extra healthy if it’s labeled “hormone-free,” but it’s actually illegal to add hormones to poultry. all pork or poultry carrying the label “no hormones added,” must also include the statement “federal regulations prohibit the use of hormones (in pork or poultry).” beef: no hormones The label “no hormones administered” may be added if the producers provide the uSda with enough evidence that hormones haven’t been used in raising the cows. ChiCken: no hormones it’s illegal to use hormones in chicken growth, so this label only means they’re following the law, which is why this label is followed by the statement: “Federal regulations prohibit the use of hormones (in pork or poultry).”

behind the sCenes Steroid hormone drugs are formulated as pellets that are placed under the skin on the back side of the animal’s ear. The pellets dissolve slowly under the skin.

ChiCken: air-Chilled vs. Water Chilled air-chilled chicken is hung in a cooler and blasted with cold air to keep it preserved. Water-chilled chicken is immersed in water, which is often treated with antibiotics and chlorine. natural  as close to its original form as possible  Contains no artificial ingredients or added colors  minimal processing that doesn’t fundamentally alter the product  does not cover farm practices no antibiotiCs may be used for meat and poultry products if the producer can document the animals were raised without antibiotics. organiC

free-range animals get continuous access to food, fresh water and the outdoors, which may or may not be fenced in or covered with a net-like material.

3 meat cheaters The meat alternative business has mushroomed. according to a June 2013 report by market research group mintel, sales from specialty and natural supermarkets of meat alternatives reached $553 million in 2012, an 8% increase from 2010. if you’re searching for some popular meat alternatives, check out these products.

Cage-free animals can roam about a building or room, with unlimited access to food and fresh water. grass-fed animals get a majority of nutrients from grass throughout their life. it doesn’t mean organic, or hormone- or antibioticfree, unless it’s noted. pasture-raised due to the number of variables involved in pasture-raised agricultural systems, the uSda has not developed a federal definition for pasture-raised products.

1s abo That’ siz

Wh tempeh  made by fermenting whole soybeans  Nutty flavor  Can be chopped, sauteed, stewed, crumbled and roasted

 animals were raised under specific regulations that dictate health and wellness standards  animals may be fed only 100% organic feed  No antibiotics, hormones or other drugs may be used  animals have 24-hour access to the outdoors

humane multiple labeling programs make claims that animals were treated humanely during the production cycle, but the verification of these claims varies widely. These labeling programs are not regulated under a single uSda definition. SourCe: uSda

tofu

how the beef stacks up Portions are so important, especially when it comes to meat, says registered dietitian Katie Lambert. Despite what your neighborhood steakhouse sees as a meal for one person, keep in mind one serving of meat is about 3 to 4 ounces. “In the land of bigger is better, it’s hard to scale back,” Lambert says. Remember these tips, so you don’t overdo it at your next meal.

reCalls.gov/food Check out this site to track recalls of meat and other food products. You can also sign up for email notifications.

 made by thickening soymilk  also known as “bean curd”  Bland flavor  Can be “silken” or soft, or firm enough to marinate and stir-fry or grill

Just because something is catered to vegetarians, doesn’t mean it’s going to be healthier for you. kaTie lamberT regiSTered dieTiTian

8 oz. meat = thin paperback book seitan

1 oz. meat = box of matches

3 oz. meat = bar of soap Source: AmericAn cAncer Society

 also known as “wheat meat”  Created by reducing whole wheat flour down to pure gluten

 Can be made from scratch, or bought as a mix

 Chewy texture  Found in prepared foods like vegetarian fajitas and lunchmeat-style products SourCeS: Whole FoodS, VegeTariaN reSourCe grouP

C O m m U N I T Y H E A LT H | L U D I N G T O N D A I LY N E W S | F R I D AY, J U N E 5 , 2 0 15

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up red meat?’” she says. “There are plenty of things you can have besides boneless, skinless chicken breasts.” Be more selective with the cut of meat you choose, she says, to get the healthiest option possible. When you’re at the butcher counter, look for loins and other cuts of meat from the upper back you and sides of an animal, rather than the belly,When where ground beef Want meat: don’t take shortCuts and flank steak come from. So, does meat have a place in a healthy diet? Absolutely, says reg“That’s where most of the fat is,” Lambert says. So, does meat have a place in a healthy istered dietitian Katie Lambert, of Barnes-Jewish Hospital in St. Look for 90% or 93% lean ground meats, diet? and goAbsolutely, easy on those says registered dietitian KaLouis. There’s nothing wrong with indulging your carnivorous Lambert, ofyou Barnes-Jewish Hospital in St. When Want meat: rib eyes and marbled steaks because of theirtie high fat content. cravings, Lambert says. You can maintain a healthy Louis. There’s nothing wrong with indulging take shortCuts diet with or When you prepare meat, be sensitive aboutdon’t how much seasonwithout meat, and it’s not as as you’d your carnivorous cravings, Lambert says. Youthink. When you Want meat: ing you add to the dish. You’ll dial up the health risks by adding So, does meat have a place inboring a healthy diet? Absolutely, says reg“I’ve been getting a lot of questions like, ‘Should I be giving can maintain a healthy diet with or without don’t take shortCuts too much salt to your meat meals. istered dietitian Katie Lambert, of Barnes-Jewish Hospital in St. up redSo, meat?’” sheassays. “There are of diet? things you can have meat, and it’s not boring as you’d think. does meat have awrong place in aplenty healthy Absolutely, says regLouis. There’s nothing with indulging your carnivorous “I’ve been getting a lot of questions like, the besides boneless, skinless chicken breasts.” istered dietitian Katie Lambert, of Barnes-Jewish Hospital don’t cravings, Lambert says. You can maintain a healthy diet with in orSt. ‘Should I be giving up with red meat?’” says. you choose, cure BeLouis. more selective thewrong cutshe ofwith meat she says, There’s nothing indulging your carnivorous without it’s notyou as boring as beyou’d think. pig out! “There aremeat, plentyand of things can have bacon to getcravings, the healthiest option possible. you’re at the butcher Lambert says. canWhen maintain a for healthy diet with oraddiction “I’ve been getting achicken lot ofYou questions like, ‘Should I isbe giving sides boneless, skinless breasts.” 1 serving of meat is Bacon having a moment in pop culcounter, look for loins and other cuts of meat from the upper back without meat, and it’s asare as of you’d think. upBe red meat?’” she says. “There plenty things you can have more selective with thenot cut ofboring meat you about 3 to 4 ounces. ture, with the crispy stuff being piled and sides of an animal, rather than the belly, where ground beef Jeanne Colleluori “I’ve been getting achicken lot of questions ‘Should I be giving burgers, tossed in salads, and even That’s about the same choose, she says, toskinless get the healthiest option like, on besides boneless, breasts.” SpokeSwoman for wegmanS groCerY and flank steak come from. up red meat?’” she says. “There are plenty of things you can have sprinkled onto ice cream sundaes. it’s size as a bar of soap possible. When you’re at the butcher counter, Be more selective with the cut of meat you choose, she says, “That’s where most of the fatchicken is,” Lambert says.a salty, fatty counterbalance to the besides boneless, skinless breasts.” or deck of cards. look for loins and otheroption cuts ofpossible. meat from to Look get the healthiest When you’reeasy at the butcher for 90% or 93% lean ground meats, and on meat those healthier more selective the cutrather of meat go you choose, she movement. says, the upperBe back and sides of with an animal, counter, look for loins and other cuts of meat from the upper back rib eyes and marbled steaks because of their high fat content. “it’s kind of an interesting trend,” to get the healthiest option possible. When you’re at the butcher than the belly, where ground beef and flank going meatless: vegetarians and vitamins and sidesyou of an animal, rather than theabout belly,how where ground beef says registered dietitian Katie When prepare meat, be sensitive much seasonWhere’s the beef (from)? steak come from. counter, look fordefinitely loins and other cuts of meat from the upper back For those who choose to cut out meat altogether, the options have improved, says andyou flank steak come from. lambert. “Bacon is a meat that is ing add to the dish. You’ll dial up the health risks by adding While they crave a tasty prime rib or chicken leg, people also thirst for more knowledge “That’s whereofmost of the fat is,” Lambert and sides an animal, rather than the belly, where ground beef Mark Rifkin, a registered dietitian and volunteer with the Vegetarian Resource Group higher in saturated fat, but because where most of the fat is,” Lambert says. too “That’s much salt tosteak your meat meals. about where their meat comes from. And antibiotics top the list of concerns. says. and flank come from. great taste, and that fact that it in Baltimore. He switched to a vegan diet—one Look that excludes all animal-derived ingredifor90% 90%or or93% 93%lean lean groundmeats, meats, andof gothe easy on those Look for “This last year, we’ve seen a lot about antibiotic-resistant bacteria. That has prompted “That’s where most ofground the fat is,” Lambertcan says. go with so many things, it’s kind the ents—in 1986. rib go eyes and steaks because of their high fat content. and easy onmarbled those ribor eyes marbled a lot of concern,” says Jessica Shade, director of science programs at The Organic Center, Look for 90% 93%and lean ground meats, and go easy on of exploded onthose the scene.” cur “Quite frankly, some of the early productssteaks were quite disgusting,” Rifkin says. because of their high fatbecontent. When youand prepare meat, sensitive about how much seasona nonprofit research group in Washington, D.C. if you’re on the bacon bandwagon, rib eyes marbled steaks because of their high fat content. for To make up for some flavor deficiencies, they tended to be heavily processed and high When you prepare meat, be sensitive about ing you When add toyou theprepare dish. You’ll up the health risks byturkey adding bacon to cut down Meat producers use antibiotic drugs to avoid the spread of infection among their meat,dial be sensitive aboutconsider how much seasonBacon in salt, he says. But the variety of products how has improved, with aisles filled with Tofurky much seasoning you add to the dish. some of the fat. But keep in mind that too much saltadd to your meat meals. animals, and also to artificially promote their growth. The problem is that they’re the ing you to the dish. You’ll dial up the health risks by adding ture, w breasts, black bean burgers, tofu cheese and sausage, and seitan—a gluten Jeanne You’ll dial up the healthColleluori risks by protein adding often it’s a processed product with high levon bur same drugs used to treat people when they’re sick. We take and eat themingredients in too much salt to your meat meals. SpokeSwoman for wegmanS groCerY used as aantibiotics, meat substitute. These come in more forms—and can be prepared in too much salt to your meat meals. els of sodium, so go easy on it. t sprink meats. This overexposure is breeding bacteria more resistant to the drugs, creating a more ways—than ever before. ct a salty potentially deadly situation. “They’re becoming more popular in terms of what you can do with them,” Rifkin says. fo health c meaty issue In fall 2013, the Centers for Disease Control and Prevention that each year diet a diet presents its own set of health concerns, Adoptingreported a vegetarian or vegan Ba “it’ f going meatless: vegetarians and vitamins saystur more than 2 million Americans get antibiotic-resistant infections, andsays 23,000 diewho as aremove meat more than re Lambert says. She people from their diet loseColleluori a significant source B Jeanne Forvitamin those who choose to cut out meat altogether, have definitely improved, says result. Yet up to half of antibiotic use in humans and animals is unnecessary, theprotein, report says. lambe ont of nutrients, including zinc, iron and B.SpokeSwoman She recommends B12 and iron the options for wegmanS groCerY Jeanne Colleluori Rifkin, registered dietitian volunteer with the Vegetarian Resource Group higher spo Several studies have compared the presence of antimicrobial-resistant bacteria— supplements, as well as plenty of nuts, seeds,Mark legumes andakidney or other beansand to help SpokeSwoman for wegmanS groCerY of the a ss in Baltimore. He switched to a vegan diet—one that excludes all animal-derived ingrediamericans bacteria that can’t be killed by antibiotics—in conventionally and organically produced offset that loss. can he go a ents—in 1986. get antibiotic-resistant meats. Some showed no significant difference, but in others, the organic meat had less “We get concerned with vegetarians becoming anemic,” Lambert says. of exp h infections each year, “Quite frankly, some of the early products were quite disgusting,” Rifkin says. antimicrobial-resistant bacteria, Shade says. And many meat alternatives are loaded with sodium tomeatless: improve their taste, Lambert going vegetarians and vitamins ifsay To make up for some flavor deficiencies, they tended to be heavily processed and high going meatless: vegetarians and vitamins They might2013, even the a have surprisingly high fatthose content. Responding to these statistics and public outcry,says. in December Food and For who choose to cut out meat altogether, the options have definitely improved, says consid las in salt, hedoesn’t says.who But theit’s variety of products has improved, with aisles filled withimproved, Tofurky sayssome o For those choose to cut out meat altogether, the options have definitely “Just because catered to vegetarians, mean going to be healthDrug Administration announced a policy change that indicated meatsomething producersisshould Mark Rifkin, a registered dietitian and volunteer with the Vegetarian Resource Group l hig of whom die asgluten a result, breasts, black bean aburgers, tofu cheese and and seitan—a protein often Mark Rifkin, registered andsausage, volunteer with the Vegetarian Resource Groupit’s aofph you,” Lambert says. phase out the use of antibiotics for enhancing growthier orfor improving feed efficiency, using in Baltimore. He switched to a dietitian vegan diet—one thatsays excludes all animal-derived ingredithe Centerscan for disease used as meat substitute. These ingredients come in more forms—and be preparedingrediin els of s in aBaltimore. He switched to a vegan diet—one that excludes all animal-derived cao them only when medically necessary. ents—in 1986. Control and prevention. more ents—in ways—than ever before. c of 1986.some of the early products were quite disgusting,” Rifkin says. The FDA also said it wants the companies that market these drugs to voluntarily “Quite frankly, o “They’re becoming more popular in terms of what youquite can do with them,” Rifkin says. “Quite frankly, some of the early products were disgusting,” Rifkin says. remove “production uses” from the approved uses for medically important antimicroTo make aupvegetarian for some flavor deficiencies, they tendeditstoown be heavily processed and high m Adopting or vegan diet a diet presents set of health concerns, co Tosays. makeBut up the for some flavor deficiencies, they tendedwith to beaisles heavily processed and high bial drugs. If manufacturers comply, it would be illegal for ranchers to use the drugs in salt, he variety of products has from improved, filled with Tofurky c m so Lambert says. She says people who remove meat their dietwith lose aisles a significant source in salt, he says. But the variety of products has improved, filled with Tofurky for livestock growth. s breasts, black bean burgers, tofu cheese and sausage, and seitan—a gluten protein often it’s of nutrients, protein, zinc, iron and and vitamin B. She recommends B12 and ironoften breasts,including black bean burgers, tofu cheese sausage, and seitan—a gluten protein i “This is a good start toward a necessary decrease in the agricultural use of antibiotics,” used as a meat substitute. These ingredients come in more forms—and can be prepared supplements, wellsubstitute. as plenty of nuts, seeds, legumes kidney or other beans help inin else used as aas meat These ingredients comeand in more forms—and can beto prepared Shade says. “I still recommend choosing organic as a way to decrease the development of more that ways—than ever before. a offset more loss. ways—than ever before. antibiotic-resistant bacteria, and potentially reduce your exposure to these ‘superbugs.’” g “They’re becomingwith more popular inbecoming terms of what youLambert can do with them,” Rifkin says. “We get concerned vegetarians anemic,” says. “They’re becoming more popular in terms of what you can do with them,” Rifkin says. in Antibiotics aren’t the only drugs plaguing the worried minds of carnivores. Ranchers also Adopting a vegetarian or vegan diet awith dietsodium presents its own set of health concerns, And many meat arevegan loaded to improve their Lambert Adopting aalternatives vegetarian or diet a diet presents its own set taste, of health concerns, use hormones to amp up growth among their herds, and traces of these synthetic chemiLambert says. She says people who remove from their diet lose a significant source says. They might even a have highmeat fatmeat content. Lambert says. She says surprisingly people who remove from their diet lose a significant source cals ultimately end up in farm waste, which may contaminate groundwater and streams. of nutrients, including protein, zinc,toiron and vitamin B. She recommends B12 and iron “Just because something is catered vegetarians, doesn’t mean going to be healthof nutrients, including protein, zinc, iron and vitamin B. Sheit’s recommends B12 and iron o Experts don’t know whether these hormones present a danger to human health, but supplements, as well as plenty of nuts, seeds, legumes and kidney or other beans toto help ier forsupplements, you,” Lambert says. as well as plenty of nuts, seeds, legumes and kidney or other beans help s studies have already shown links to abnormal hormone levels in aquatic animals, accordoffsetoffset that loss. that loss. C ing to research from The Organic Center. “We get withwith vegetarians becoming anemic,” Lambert says. “Weconcerned get concerned vegetarians becoming anemic,” Lambert says. The FDA says the level of hormones used in cattle have been shown to be safe. And residAnd And manymany meatmeat alternatives are are loaded with sodium to improve their taste, Lambert alternatives loaded with sodium to improve their taste, Lambert ual amounts are below levels that would have a damaging effect on humans, Shade says. says. says. TheyThey might eveneven a have surprisingly highhigh fat content. might a have surprisingly fat content. And conventional wisdom is slowly changing, Shade says. She talks with farmers “Just“Just because something is catered to vegetarians, doesn’t mean it’sit’s going to to bebe healthbecause something is catered to vegetarians, doesn’t mean going healthand ranchers frequently, and many who switch to organic practices find their animals ier forieryou,” Lambert says.says. for you,” Lambert actually stay healthier.

We are not seeing a decrease in demand for meat.

We are not seeing a decrease in demand for meat. We are not seeing a decrease in demand for meat.

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L U D I N G T O N D A I L Y N E W S | F R I D A Y , J U N E 5 , 2 0 1 5 | C o m m unity H ealth

June: CataraCt awareness Month

Sight Restored

understand the symptoms of cataracts and how you can get your vision back By Joanne K. Clobus

RivalRy Time OuT

Tips for keeping your kids from duking it out during summer vacation By kirSten SrinivASAn “We suspect that one of the reasons For some children, summer kids gets in fights a lot with a brother vacation means brawls in the backAlthough some fights may seem petty, it’s imporForofsome children, or sister is just pure boredom,” Feinberg seat the car, screamingsummer matches vacation means tant to realize they are important theforchildren, brawls in pulling the backseatof says. “They willto look stimulation. over toys, hair and shouts of,the car, screaming Faber says. matches over toys, hair pulling and shouts of, “He Getting into arguments or fights and “He started it!” But it doesn’t have to be “Their conflicts are just as their important them assay is started it!”because But it doesn’t have provoking siblingstoI wouldn’t that way. Just kids have timetoonbe that way. Just great fun at least it’s their hands kids doesn’t mean conflict has to our conflicts with a spouse orbut coworker aremore withstimulatus, because have time on their hands doesn’t mean JoAnnA FABer parenT being bored.” escalate. and figuring out howingtothan resolve those conflicts is the conflict has to escalate. educaTor Faber recommends parents and their Sibling relationships can have a sig-

Their conflicts are just as important to them as our conflicts with a spouse or coworker are with us.

Sibling relationships can have a significant impact

important and necessary work of their childhood. So,

children check outyou thehave The Siblings’ nificant impact on child development, even though it’s exasperating to us, to give Busy on child development, says Mark Feinberg, research Keep the peace this summer with tips Book, which features ideas for fun activsays Mark Feinberg, research professor those problems respect,” she says. professor with Penn State University’s Prevention and ideas for handling conflict. ities that will keep kids stimulated and with Penn State University’s Prevention Research Center for the Promotion of Human Develout of trouble. Research Center for the Promotion of Provide Stimulation opment. Feinberg worked on the Siblings are Special It helps to encourage siblings to work Human Development. Feinberg worked Avoid the BlAme GAme It’s important to together keep kids busy during summer program, a study that tested whether Parents a curriculum as a team, as well. That might on the Siblings are Special program, a often make the mistake of trying break, he says“We suspect that one the reasons kids developed forwhether siblingsa and parents could help reduce mean working onof a project together or study that tested curriculum to figure out who is to blame, Faber says. gets in fights a lot with a brother is just pure sibling conflict. playing a duet,or forsister example. developed for siblings and parents could But it’s best to not point fingers. boredom,” says. “Theytime will with lookeach for stimula“The research shows that children’s siblings Spending child indihelp reduce sibling conflict. “There’simpact no gold at the end of thatFeinberg rainGetting into arguments or also fights and provoking their selfesteem, risky vidually may help reduce sibling “The development, research shows that children’sengagement bow as in soon as you taketion. sides,” Faber says. their siblings I wouldn’t sayFeinberg is greatsays. fun but at least it’s behaviors and ability to have selfgood positive friendrivalry, siblings impact their development, esteem, in risky behaviors tAke it SeriouSlymore stimulating than being bored.” ships,engagement as well as romantic relationships throughout and ability to have says. good positive friendAlthough some fights mayFaber seem petty, CurB ComPetition recommends parents and their children life,” Feinberg ships,Parents as well asshould romantic important to realize they are De-emphasizing competition between check outimporthe The Siblings’ Busy Book, which features berelationships careful how theyit’s handle fights throughout Feinberg tant to the teacher children, Faber siblings also keep helps to cutstimulated back on fightideassays. for fun activities that will kids between life,” siblings, sayssays. parent educator, former Parents should be careful how they “Their conflicts areand just out as important of trouble. ing, Faber says. and parent Joanna Faber, of Putnam Valley, N.Y. handle fights between siblings, says parto them as our conflicts with a spouse For example, if you’re playing a board It helps to encourage siblings to work together as a When children are fighting, parents need to respond ent educator, former teacher and parent or coworker are with us, and figuring game, make it so there are first, second team, as well. That might mean working on a project in a helpful manner. Joanna Faber, of Putnam Valley, N.Y. out how to resolve those conflicts is the and third winners, rather than a wintogether or playing aner duet, for example. firstare thing is toparents see if they help,” she When“The children fighting, needneed important andsays. necessary work of their and a loser. Or have children do an Spending time with each child and individually “The second thing is to not take sides—stay neutral to respond in a helpful manner. childhood. So, even though it’s exasobstacle course beat their may own time also helpthose reduce sibling rivalry, Feinberg and feelings. Third, put them “Theacknowledge first thing is toeach see ifkid’s they need perating to us, you have to give rather than beating theirsays. siblings’ time. in charge to“The figure out what choices they have and help,” she says. second thing is problems respect,” she says. “You can lecture all you want about Curb Competition they can do.”neutral and to what not take sides—stay not being a sore loser, but little kids can’t De-emphasizing separate competition between also acknowledge each kid’s this feelings. Third,with tips the idea of losingsiblings a game or Provide StimulAtion Keep the peace summer and ideas for puthandling them in charge to figure out what a loser,” Faber says. “Do yourself a It’s important to keep helps kids busy during to cut back on being fighting, Faber says. conflict. choices they have and what they can do.” favor and change the game.” summer break, he says. For example, if you’re playing a board game, make

Avoid the Blame Game Parents make C o m m uoften nity H e a l t Hthe mistake of trying to figure out who is to blame, Faber says. But it’s best to not point fingers. “There’s no gold at the end of that rainbow as soon as you take sides,” Faber says.

x x 2014

Ta ke it Seriously

it so there are first, second and third winners, rather than a winner and a loser. Or have children do an obstacle course and beat their own time rather than beating their siblings’ time. “You can lecture all you want about not being a sore loser, but little kids can’t separate the idea of losing a game or being a loser,” Faber says. “Do yourself a favor and change the game.”

C o m m unity H ealth | L U D I N G T O N D A I L Y N E W S | F R I D A Y , J U N E 5 , 2 0 1 5

If you’ve ever found yourself questioning the accuracy of the weather forecast because instead of clear skies, you see a cloudy horizon, then it might be time to talk with an ophthalmologist. Amber Kunselman, surgical coordinator for ophthalmologist Dr. Parag Perekh of Laurel Eye Clinic, says cloudy vision is the number one symptom of cataracts. “Cataracts are part of the natural aging process of the (eye) lens,” Kunselman says. “Sooner or later, everyone develops them.” Besides cloudy vision, people with cataracts may experience blurry vision, a glare or halo effect around headlights or lamps, and poor night vision or double vision. According to the National Eye Institute, by age 80, more than half of all Americans either have cataracts or have had cataracts surgery. However, cataracts are not necessarily limited to senior citizens. People in their 40s and 50s can develop an age-related cataract, but it will probably be small and won’t affect their vision much. About 70% of Perekh’s Brookville, Pa., practice is made up of patients seeking treatment for cataracts. What are CataraCts? The lens of the eye comprises mostly water and protein, which is precisely arranged to keep the lens clear and allow light to pass through. With aging, some of the protein may clump together, forming a cloud over a small area of the lens—this is a cataract. As the cataract grows larger, it becomes increasingly harder to see well. Along with age-related cataracts are those caused by diabetes or lifestyle choices, like smoking and alcohol use. Environmental factors, including prolonged exposure to sunlight without protective eyewear and, in rare cases, head trauma or a blow to the eye may result in a cataract. surgICal solutIon Surgery, although it may not be immediately indicated, is the best permanent solution for cataracts, Kunselman says. Cataracts can develop gradually and in the early stage may be merely annoying. However, the larger they grow, the more they can interfere with a person’s ability to read, watch television and drive safely. Not that long ago, cataract surgery meant an hour or more

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spent in the operating room, incisions, sutures and a three-day hospital stay. Today, most patients remain wide awake throughout the procedure, which takes 20 to 30 minutes. Afterward, they can expect a minimal amount of discomfort and usually return to their daily routine within a day or so. The surgeon begins by removing the affected lens, which can restore about one-third of a patient’s visual acuity and function, Kunselman says. Next comes the placement of an artificial intraocular (in the eye) lens, and here’s where things get interesting. Perekh offers patients a variety of options to customize their vision after cataract surgery. Depending upon the shape of their cornea or astigmatism, patients may choose to have their vision corrected to lessen their dependence on eyeglasses or to improve their vision at greater distances. “Some patients opt for what we refer to as the ‘distance and near’ option, which allows them to give up eyeglasses totally,” Kunselman says.

CataraCt eness Month

ght estored

sa ly

and the symptoms of cataracts you can get your vision back Clobus

reduCe Your rIsK be advise protecting your eyes from ultravioeverOphthalmologists found yourself questioning the accuhey let sunlight with sunglasses or a hat with a brim to help delay eathertheforecast because instead clear onset of cataracts. Research also of shows thatskies, a diet rich in green leafy vegetables, fruit and other antioxidant foods help udy horizon, then it might be time to talk with an to e reduce the risk of age-related cataracts.

gist. unselman, surgical coordinator for ophthalmoloACCEPTING NEW g Perekh of Laurel Eye Clinic, says cloudyPATIENTS vision is one symptom cataracts. Margaret E.ofGustafson, M.D. • Jennifer L. Miller, D.O. • Michelle Gentry, F.N.P-B.C. s are part of theAre natural aging process of the (eye) all Accepting New OB/GYN Patients man says. “Sooner or later, everyone Our office offers full obstetrical care and specializes in adevelops wide variety of women’s health issues as well

Thinking Health?...Think Chiropractic!

Your Mason County Chiropractic Physicians (D.C.)

Cataracts are part of the natural aging process of the (eye) lens. Sooner or later, everyone develops them.

as specific gynecological needs, prevention and wellness care and operative gynecology.We also have a special interest in menopausal concerns, including ways to manage menopausal symptoms.

oudy vision, people with cataracts may experience We accept most insurances including Medicaid, Meridian, McLaren, Medicare, Blue Cross and most , a glare or halo effect around or lamps, commercial insurances. Please call our staffheadlights for inquiries. 843-3771 ht vision or double vision. To make an appointment call 231-845-5992 • www.gusmd.com g to the National Eye Institute, by age 80, more all Americans either have cataracts or have had • Liquid Oxygen Home Medical • Diabetic Supplies gery. However, cataracts are not Equipment necessarily & Supply limamber Kunselman, LaureL eye CLiniC • 24 Hr. Emergency Service citizens. People in their 40s and 50s can develop 843-4088 • Helios System d cataract, but it will probably be small and won’t spent in the operating room, incisions, sutures and a three-day • C-Pap BI Pap Hospital Beds ision much. About 70% of Perekh’s Brookville,• • Pa., hospital stay. Today, most patients remain wide awake throughWalkers & Commodes ade up of patients seeking treatment for cataracts. out the procedure, which takes 20 to 30 minutes. Afterward, ACHC Accredited 5750 W. US-10, Ludington they can expect a minimal amount of discomfort and usually 757-3356 231-843-1063 • 800-280-8889 CataraCts? 320 First St.,return Manistee to their daily routine within a day or so. 231-723-5897 • 800-747-6598 Health Care Facility Owned &lens, Operatedwhich The surgeon begins byEach removing theIndividually affected he eye comprises mostly water and protein, which L U D I N G T O N D Aof I LY a N Epatient’s W S | F R I D A Y , visual JUNE 5, 2 0 15 | C o m m unity H ealth can restore about one-third acuity and rranged to keep the lens clear and allow light function, Kunselman says. gh. With aging, some of the protein may clump • Neck, Back, Sciatic Pain • Muscle & Joint Pain • New Patients Welcome • Insurance Accepted • Same Day Appointments

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Junk the Jar If you’re not thrilled with the thought of your baby getting all his meals from a jar, try making your own baby food. It’s easy and affordable, and often can be found right in the meal you’re already preparing for everyone else in the family. “Start with vegetables. Don’t be afraid to take whatever Mom and Dad are eating and chop it up and put it in a blender,” says Amy Nadelen, a family nutrition educator and president of Tribe Wellness in Rochester, N.Y. Babies are typically ready for solid foods at about 6 months, when they can sit and hold their heads up, appear interested in putting new things in their mouths, and have roughly doubled their birth weight, according to the American Academy of Pediatrics. Once baby is ready, introduce single-ingredient foods gradually, watching to make sure she can tolerate a new food before adding another. After a few months, babies will likely start showing signs they want to feed themselves little pieces of food. But babies develop at different rates, so if you’re unsure about whether your child is ready for solid foods, talk to your pediatrician. The perception was that babies have to start out eating very bland foods, but guidelines have changed, Nadelen says. A little bit of spices and herbs are OK in baby food. But remember the USDA says it is not safe to give honey to a baby younger than 1, because honey can contain bacteria that can cause botulism. “Babies all over the world are eating different seasonings and spices. You can introduce them with table foods gradually, and look for reactions,” says Dr. Evelina Krieger, director of pediatric inpatient services at Allegheny General Hospital. “Some babies even like spicy foods if introduced early.” The recommendation to hold off feeding a baby common allergens like berries has also changed, says Krieger. Talk with your pediatrician. As long as there is no family history of food allergies,

Don’t be afraid to take whatever Mom and Dad are eating and chop it up and put it in a blender. Amy NAdeleN Family nutrition educator

C o m m unity H ealth | L U D I N G T O N D A I L Y N E W S | F R I D A Y , J U N E 5 , 2 0 1 5

make your own baby food to introduce new tastes By PAIge Fumo Fox

it will likely be fine to gradually introduce the foods. Bananas and avocados can be mashed raw, of course. But most foods will need prep to soften them up. Steaming is a great way to soften foods while retaining nutrients. Nadelen also recommends roasting vegetables to bring out flavor. If you’re tossing turnips and sweet potatoes in with your roast, grab a few chunks and mush them for baby. Don’t forget—the baby food stage really only lasts a few months. Then it’s on to eating whatever Mom and Dad eat, just in smaller bites and servings. When Krieger’s son and daughter were babies, she would figure out what they could eat and then create tasty food combinations. “I liked to mix a meat, fruit and vegetable,” she says. “Chicken with sweet potato and broccoli was a frequent one.” SmArt StorAge Fresh purees last a couple of days in the fridge in glass or plastic food storage containers. Remember: If the baby won’t eat the whole amount you’ve prepared, spoon out just what he needs and store the rest. Don’t let him eat from the container, to keep bacteria from growing during storage. Freeze purees in ice cube trays, which yield about 1 ounce each. Store the cubes in a freezer bag, and they’ll keep for about a month.

No New toolS Needed There are plenty of products designed for making baby food, such as the Beaba, which can steam, blend and reheat. But if you already own a blender, food processor or immersion blender, that’s all you need. Steam on the stovetop or in the microwave.

meAt-Free IS FINe Nadelen notes that most babies don’t like meat at first, and says, “Don’t stress about that.” Instead, Krieger suggests, try lentils or quinoa for protein.

Double-Duty Dinners By tIm dudIk, Community HealtH HouSe CHeF

Double-Duty Dinners By tIm dudIk, Community HealtH HouSe CHeF Don’t make two meals—adapt what you cook for your adult dinner into food for your baby. Check out these three simple meal plans with convertible ingredients. Have a blender or baby food maker on hand to puree, and pair these with any other fresh or jarred baby food.

Don’t make two meals—adapt what you cook for your adult dinner into food for your baby. Chec plans withmake convertible ingredients. Have a blender or food maker on hand puree, and pai Don’t on tHe StoVetoP inbaby tHe oVen on tHeto grill jarred food. twobaby meals— youR chili lime shrimp herb roasted chicken, Pan seared steak, aDulT adapt what with grilled avocado Yukon gold potatoes sautéed zucchini and DINNeR you cook for with kale yellow squash your adult dinner into youR avocado is a great first baby Potatoes offer potassium, fiber Zucchini and yellow squash give BeNeFITS food for your food because of its creaminess, and vitamin B6, and you’ll give your baby a good dose of vitaFoR BaBy aDulT high nutrition content and good your baby vitamins a and C with min C, potassium and fiber. baby. Check fats. the kale, and introduce a new DINNeR out these three flavor in its earthy tartness. simple meal mix juice of 1 lime, 1 tbsp. olive Season a whole chicken Season your favorite cut To STaRT plans with oil, 2 tsps. salt, 1 tsp. black pepgenerously with salt, pepper, of steak with olive oil, salt, pepconvertible per, 2 tsps. ancho chili powder in a garlic powder, dried thyme per and fresh garlic. Sear in bowl. Coat 12 large shrimp in mixand dried oregano. Bake at a cast iron skillet over high ingredients. ture and marinate in fridge for 30 350 degrees F for 45 minutes, heat until internal temperaminutes or up to 2 hours. Skewer or until the internal temperature reaches 125 degrees F for Have a blender av Potatoes potassium, fiber Zucchini andmedium yellow BeNeFITS shrimp for easy grilling, using two ture reaches 165 degrees,offer when rare. squash give or baby food skewers to keep stable while turnmeasured at the meatiest part fo and vitamin B6, and you’ll give your baby a good dose of vitaFoR BaBy ing. Grill for 3 minutes per side of the breast. maker on hand until shrimp are pink throughout. hi your baby vitamins a and C with to puree, and min C, potassium and fiber. fa the kale, and introduce a new pair these with youR Potatoes Grilled avocado sautÉed squash BaBy’S flavor in its earthy tartness. makes three adult servings makes two adult servings any other fresh with kale DINNeR and one baby serving. and one baby serving. makes two adult servings or 1 tbsp. olive oil 2 large avocados, skinned, and one baby serving. 1 large zucchini, diced cut in half 4 large yukon gold potatoes, jarred baby 1 large yellow squash, diced 1 tbsp. olive oil washed, left whole 1 tsp. salt 1 tsp. salt m Season cut ½ lb. kale, chopped a whole chicken To STaRTfood. Season your favorite 1 tsp. black pepper 1 tsp. black pepper 2 tbsp. olive oil oi generously with 1salt, pepper, of steak with1 olive oil, salt, pep1 ½ tbsp. salt Heat a medium skillet over Before grilling, reserve one half 1 tsp. black pepper heat, and add olive for baby, mashing thoroughly pe garlic powder, dried thyme per and freshmedium garlic. Sear in oil. When oil is hot, add other with a fork or wooden spoon. 1 Place potatoes on a medium ingredients. Sautéhigh until zucchini With other avocados, bo andanddried oregano. Bake at coat flat a cast iron skillet over baking sheet, season with and squash are tender. sides with oil, salt and pepper. 1 tablespoon olive oil, 1 table2 Removetemperaone cup and puree 2 Place flat-side down on oiled tu 350 degrees heat until internal spoon salt and 1 teaspoon black F for 45 minutes, in blender for baby. grill for 3 minutes. Tastes great pepper. Bake at 350 degrees F m or until the internal ture reaches 125 degrees F for with atemperadash of hot sauce. for 35 minutes or until fork-soft. 2 Sauté kale withreaches remaining sh ture 165 degrees, when medium rare. olive oil, salt, pepper until very soft. Combine potatoes andat the meatiest part sk measured kale to serve. in of1 cup the 3 Remove and breast. puree in blender for baby. If desired, un incorporate a quarter-cup of

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