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Fall 2013
Fall 2013
Fall 2013 Features Migraine relief
5
Learning about Alzheimer’s
8
What’s lurking in your makeup drawer? 10
Special this issue Maryland Health Connection
13
Going gluten-free 17
In every edition
Build up your immunity
18
Heart, mind, soul 4
Serious about medicine safety
22
Recipes
12
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Southern Maryland Health
Fall 2013
PUBLIC HEALTH SERVICES FOR ALL RESIDENTS Administration
Heart, mind, soul
Nursing and Community Health Services
• Birth and Death Certificates • Employment
Developing a taste for veggies
• Immunizations • HIV Testing
Disability Services
Public Health • Support Services • Infants and Toddlers Services Preparedness and
Response Services
Environmental Services
• Disaster Planning • Emergency Management
• Restaurant Inspections • Septic and Water Testing
Mental Health Services
• Out-Patient Treatment • Anger Management Classes
Substance Abuse Services
• Prevention Education • Screening for Substance Abuse
4545 Crain Hwy White Plains, MD 20695
301-609-6900 Fax 301-934-4623 TTY 800-735-2258 www.charlescountyhealth.org Hours of Operation 8:00am – 5:00pm
(some programs may include evening hours)
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Located southbound on Route 235 (next to Dunkin Donuts) California Professional Center
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I wasn’t a kid who ate her vegetables. Well, let me correct that: I wasn’t a kid who willingly ate her vegetables. Dousing broccoli in nuclear-orange cheese sauce? Covering up cauliflower and peas with butter? I did that — under duress. Like, when my dad insisted at least half be gone before I could go watch cartoons. If we’d had a dog back then, he totally would have been slipped ’em on the sly. Thankfully, things have changed — and I’ve changed with them. With age has come a new appreciation for all things green. It took cooking as an adult and venturing into local farmers’ markets for me to really get why veggies are so awesome, and I’m not afraid of turnips and Brussels sprouts anymore. If you’re one of the many adults afflicted with No-Vegetables-Please-itis, a serious but not necessarily lifelong condition, these tips on their benefits from ChooseMyPlate.gov may help sway you: • Feel like lowering your risk of heart attack and stroke? Eating a diet rich in fruits and vegetables as part of an overall healthy diet can do it — and reduce your risk of cancer, too. • Diets rich in fibrous foods — like vegetables — may also reduce your risk of obesity, type 2 diabetes and heart disease. And the potassium in those foods helps lower blood pressure, reduce the risk of developing kidney stones and decrease bone loss. • Vegetables are naturally low in fat and calories, and none have cholesterol. Feeling hungry? Eat as much as you want! (But keep in mind that sauces or seasonings may add calories, fat or cholesterol. So go natural and steam, when possible.) • Vitamin A, often found in veggies, keeps eyes and skin healthy and protects against infection. Vitamin C helps heal wounds and keeps teeth and gums healthy. That all sounds great — but if you don’t like them, you might be wondering how to stomach them. Just as parents must sometimes sneak-attack their kids with healthy goods, incorporate them into your diet in nontraditional ways: • Instead of traditional cheese or marinara sauce, puree sweet potato, pumpkin or butternut squash to serve over whole wheat pasta. • Have spinach daily through green smoothies, a popular way to take in vegetables’ vitamins and minerals without crunching on leaves. A quick recipe can include a banana, 1-2 cups spinach, 1 cup plain or Greek yogurt and a cup of unsweetened orange juice, plus 2 cups of your favorite frozen fruit. Blend until smooth, drink and enjoy for breakfast — or whenever you need a boost. • Add greens to traditional pasta dishes like lasagna, spaghetti or manicotti. Chopping up spinach and adding it to your regular ingredients adds color and flavor without the raw quality. • Get fun with your sandwiches. Adding lettuce or spinach to your afternoon meal adds freshness and spunk to an otherwise hum-drum lunch . . . and you’ll get the nutrients, too. • Be spunky with zucchini. Because it’s naturally moist and similar to vegetable oil when baked, substitute it for oil in recipes. To better hide it within your goods, peel before shredding. Replace it cup for cup with oil and drastically cut your calorie count. Megan Snider, editor
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Finding migraine relief Described as an “intense throbbing or pulsing sensation in one area of the head” by the Mayo Clinic, anyone who has suffered a migraine won’t mistake that pain. With the changing of seasons, allergies and other factors, autumn might be a good time to think about the triggers of migraines — and how to help ease symptoms. “Migraine attacks can cause significant pain for hours to days and be so severe that all you can think about is finding a dark, quiet place to lie down,” the Mayo Clinic explains on their website (mayoclinic.com). Some migraines are preceded or
accompanied by sensory warning systems like blind spots, flashes of light or tingling in the arms or legs. Physical symptoms like nausea, vomiting and sensitivity to both light and sound often accompany the migraine itself. Though there is no way to completely prevent an attack, the clinic explains, your doctor will be able to help you manage your condition. Medications specifically designed for the treatment of migraines fall into two categories: pain-relievers taken during migraines to stop current symptoms; and preventive medications, taken regularly — often daily — to reduce the frequency or severity of migraines. For the best treatment of symptoms, the clinic recommends taking pain-relieving drugs as soon as you experience signs of a migraine. Common pain relievers include aspirin or nonsteroidal anti-inflammatory drugs like ibuprofen (Advil, See Migraines, Page 24
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Did you know?
Fall 2013 Obesity now affects 17 percent of all children and adolescents in the U.S. — triple the amount of children from just one generation ago. -CDC
Many athletes have been told to stretch before starting a workout, as such a routine prepares the body for physical exertion. But new evidence suggests that stretching before a workout may do more harm than good. Several studies now indicate that static stretching, or slowly moving muscles until they start to hurt and then holding the position, may impair strength and speed. One study published in the April 2013 Journal of Strength and Conditioning Research concluded that those who stretch before lifting weights could find themselves feeling wobblier and weaker than expected. Another study at the University of Zagreb in Croatia reviewed 104 studies of people who practiced static stretching as a warm-up. Muscle strength was reduced by more than 5 percent in those who stretched. Many personal trainers now discourage extensive
Skip stretching?
stretching before a workout, feeling that stretching postworkout provides the most benefit. A number of people have long confused stretching with warming up muscles, but static stretching is a different activity from actual muscle warm-up, which generally involves low-impact movement of the body.There is no evidence that stretching before a workout makes muscles more limber or reduces the risk of injury during a workout.
Signs of cancer
Many cancers are detected only after a person discovers an anomaly and alerts his or her doctor. Knowing your body and recognizing any abnormalities could help catch cancer at a very early stage, which can vastly improve your chances of survival. But what are the different signs of cancer? Though some cancer may exhibit no symptoms at all, there are some signs that may indicate the presence of cancer. • Moles: Look for any abnormal moles or marks on the body. If previously apparent moles change shape or appearance, this could be a sign of skin cancer. • Lumps: Lumps may be benign, such as ingrown hairs or abscesses, or they
Some experts liken stretching muscles prior to working out to overstretching a rubber band. The muscles may get limp and overworked prematurely, then not be able to perform to peak when power intensity is needed. Others argue that when people engage in stretching, the muscles are actually tightening, rather than relaxing, which may make athletes more prone to injury.
could be cancerous tumors. If you notice a lump on an area of the body that is hard and inflexible, bring it to the attention of a doctor who might want to conduct a biopsy. • Nagging conditions: If a cough is lingering longer than it should, or you have a specific pain for quite some time, it could be indicative of cancer. Pain in the abdomen or stomach that does not go away may be indicative of a larger problem. It is safer to have things checked out early on than let symptoms go by without any action. • Unexplained bleeding: Bleeding from any bodily orifices could be a sign of a serious condition. Blood in the urine or feces could be cancer and warrants a doctor's checkup. • Sores: Sores that don't heal could be signs of skin cancer. Keep a close eye on sores that do not seem to get better with time or begin to hurt even more. Skin cancer is quite common, but can be treated when caught early on.
Why do we need fiber? Fiber is an essentially indigestible substance found mainly in the outer layers of plants. Fiber will pass through the human digestive system virtually unchanged from when it was consumed and without being broken down into nutrients. It’s classified into two types: insoluble fiber, which will not dissolve in water; and soluble fiber, which can be dissolved. Insoluble fiber is typically found in whole grain products, dark leafy vegetables, green beans, wheat bran, corn bran, seeds, nut, and skins of fruits and vegetables. Soluble fiber comes from foods like oats, nuts, fruits, and dried beans. Fiber is essential to digestion. The Harvard School of Medical Health advises people should get between 20 to 30 grams each day, though many do not consume that much. Fiber adds bulk in the digestive system, which helps soften stool and flush out the intestines. It assists in making bowel movements more frequent, preventing constipation and increasing regularity.
Get more by . . . • Eating more bran, as it has the highest fiber content of any food (roughly 2545 percent). Beans are high in fiber and protein, too. • Consuming whole fruit instead of juice. Whole fruits have more fiber in them and fewer calories than juices. Eating fruit can help you to feel fuller longer. • Taking a fiber supplement, if necessary. Gummy fiber chews can be tasty ways to get fiber. • Opting for more fresh fruit and vegetables as snacks instead of processed foods.
Fall 2013
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Prepping pets for cooler weather • Choose pet-friendly ice and snow melters that won't irritate paws or stomachs, especially if your dog or cat licks its paws after being outside. • Protect your dog's paws with a wax product designed for this purpose by forming a dense, breathable bond, which helps prevent snow buildup during outdoor exercise. After walks, wipe away any snow or ice from your dog's feet, legs and belly. • Poor weather and decreased daylight may cause limited visibility for drivers at night, so take extra precautions, including using a leash, when walking your pets.
Always There Companion Care, LLC There when you need us most! 2 - 24 Hour Care Assistance with Activities of Daily Living Medication Reminders Companion Care, Socialization Transportation Meal Prep Light House Keeping
Articles in Southern Maryland Health are for informational purposes only and are not intended to provide medical advice. Neither the editors of Post-Newsweek Media, Inc., the author nor publisher take responsibility for any possible consequences from any treatment, procedure, exercise, dietary modification, action or application of medication which results from reading or following the information contained in this magazine. The publication of Southern Maryland Health does not constitute the practice of medicine, and this information does not replace the advice of your health care provider(s). Before undertaking any course of treatment, the reader must seek the advice of their physician and/or other health care provider(s).
301-475-6888
www.alwaystherecompanioncare.com
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It's a fall ritual to get our homes, cars and even ourselves ready for the colder weather. But how many of us consider the impact of the changing season on our pets? Michele Dixon, a health and nutrition specialist with Petcurean, says there are simple things we can do to keep our pets healthy and safe through fall and winter. Here are some that top the list: • Cooler weather usually brings dry air, so using a humidifier will help to keep the nose and throat of our dogs and cats from drying out. It's the same for their coat and skin. A dog or cat food with omega oils will help support a healthy coat and skin.
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Fall 2013
Understanding Alzheimer’s
Free memory screening It’s a disease with many faces, affecting millions. According to the Alzheimer’s Association, one in three seniors will die with Alzheimer’s disease or another dementia, and two-thirds of those diagnosed are women. In 2010, 68,000 Marylanders were living with Alzheimer’s, a number expected to rise to 100,000 by 2025. Someone in the U.S. develops Alzheimer’s every 68 seconds, affecting more than 5 million adults living with the disease — and their caregivers. It’s the sixth leading cause of death in America and 986 Marylanders died of Alzheimer’s in 2010, according to the Alzheimer’s Association. It’s the most common form of dementia,“a general term for memory loss and other intellectual abilities serious enough to interfere with daily life,” says the association. The disease accounts for 50 to 80 percent of dementia cases and is a degenerative, progressive disorder attacking the body’s neurons. In time, it robs the afflicted of their language skills and memory. “Alzheimer’s is not a normal part of aging, although the greatest known risk factor is increasing age, and the majority of people with Alzheimer’s are 65 and older,” the
Alzheimer’s Association reports. “But Alzheimer’s is not just a disease of old age. Up to 5 percent of people with the disease have early onset Alzheimer’s (also known as youngeronset), which often appears when someone is in their 40s and 50s.” The illness worsens over time. In its earliest stages, memory loss is mild, but late-stage Alzheimer’s means individuals lose the ability to carry on a conversation and respond to their environment, the Alzheimer’s Association says. Those with the disease live an average of eight years after symptoms become noticeable to others, but survival can range from four to 20 years, depending on age and other health conditions. Though there is no cure for the disease, there are therapies to help slow its neurological impact. Research into the disease, prevention and treatment continue. “Although current Alzheimer’s treatments cannot stop Alzheimer’s from progressing, they can temporarily slow the worsening of dementia symptoms and improve quality of life for those with Alzheimer’s and their caregivers,” the association says. Recognizing the early warning signs of Alzheimer’s can encourage
adults and their families to seek assistance. Current treatment plans range from medications for memory loss to treatment for behavioral and sleep changes. If you are concerned you or a loved one may be developing the disease, the Alzheimer’s Association provides this information:
The Waldorf Senior Center will participate in National Memory Screening Day from 10 a.m. to 12 p.m. Nov. 20 at the center, 3092 Crain Highway, Waldorf. An initiative of the Alzheimer’s Foundation of America, this free event will feature confidential memory screenings and more. For more information, call the Waldorf Senior Center at 301-6384420 or visit www.nationalmemoryscreening.org.
10 warning signs of Alzheimer’s
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Memory loss that disrupts daily life: Memory loss is the most common sign — especially forgetting recently learned information. Some forget important dates or events or ask the same information over and over, for example. Challenges in planning, solving problems: Some adults experience changes in their ability to develop and follow a plan or work with numbers. They may also have difficulty concentrating and take much longer to complete common tasks. Difficulty completing familiar tasks at home, at work or at leisure: Those with Alzheimer’s often find it hard to complete daily tasks, have trouble driving to
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a familiar location or cannot remember the rules of a favorite game, for instance. Confusion with time or place: People with Alzheimer’s can lose track of dates, seasons and the passage of time. They may have trouble understanding if something is not happening immediately or forget where they are or how they got there. Trouble understanding visual images, spatial relationships: For some, vision problems are a sign of Alzheimer’s. They may have trouble reading, judging distance or determining color and contrast, which could be problematic when driving. New problems with words in speaking or writing: Those with
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Alzheimer’s may have trouble following or joining a conversation or repeat themselves. Misplacing things: Some may put things in unusual places or lose things and be unable to retrace their steps to find them. Sometimes, they may accuse others of stealing. Decreased or poor judgment: People with Alzheimer’s may experience changes in judgment or decision-making. For example, they could exercise poor judgment when dealing with money. They may pay less attention to grooming or cleanliness. Withdrawal from social activities and work: Some may distance themselves from hobbies, social activities, sports and work projects. They may have trouble keeping up with a favorite sports team or remembering how to complete a favorite hobby, and could avoid being social because of those changes. Changes in personality and mood: The mood and personalities of those with Alzheimer’s can change. They can become suspicious, confused, depressed, fearful or anxious. It may be easy to upset them, especially in places outside their comfort zone.
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Symptoms vary per individual and the stages of Alzheimer’s range from no impairment (stage 1) to very severe decline (stage 7). The Alzheimer’s Association states that, like other common chronic conditions, the illness usually develops as a result of complex interactions among factors including genetics, environ-
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ment, age and lifestyle, as well as coexisting medical conditions. While no preventative action can be taken for factors like genetics, ongoing research may lead to new methods for detecting if one is at risk and how to prevent the onset of the disease. Regular physical exercise may be a helpful strategy for lowering the risk of Alzheimer’s and vascular dementia, the association states. Some evidence suggests exercising may benefit brain cells by increasing blood and oxygen flow. Even stronger evidence suggests exercise may protect brain health through its proven benefits to the Photo courtesy of the Alzheimer’s Association, National Capital Area Chapter cardiovascular system — and because of those Participants in the 2013 Walk to End Alzheimer’s gathknown boons, a medically-approved exercise er in Solomons on Sept. 21. For more information on program is a valuable part of any wellness plan, walks and future events, visit alz.org/walk. the Alzheimer’s Association states. Diet could play a role in prevention, too. “Like exercise, diet may have its greatest impact and mental stimulation protect the brain. “Alteron brain health through its effect on heart health,” natively, people who eventually develop says the association. “The best current evidence Alzheimer’s may feel less inclined to engage in suggests that heart-healthy eating patterns, such socially and intellectually stimulating activities as the Mediterranean diet, also may help protect years before current diagnostic methods can the brain. A Mediterranean diet includes relatively detect symptoms,” reports the Alzheimer’s Associlittle red meat and emphasizes whole grains, fruits ation. and vegetables, fish and shellfish, and nuts, olive If you or a loved one have been diagnosed with oil and other healthy fats.” Alzheimer’s or related dementia, many resources Other studies indicate maintaining strong are available. Call the Alzheimer’s Association’s social connections and keeping mentally active as 24/7 helpline at 800-272-3900 or visit alz.org. The adults age may help lower the risk of cognitive National Capital Area Chapter of the Alzheimer’s decline and Alzheimer’s, according to the associa- Association has an office at 10665 Stanhaven tion. Though experts are not sure why, it may be Place, Suite 205D, White Plains. Call 240-518-8496. due to direct mechanisms through which social —MEGAN SNIDER
NEW CUSTOM HOMES & ADDITIONS
Hospice of St Mary’s If your loved one could benefit from pain or symptom management, emotional and spiritual support and assistance with bathing and grooming, call us, and we will provide an in-home evaluation to determine if hospice is the right choice for your family.
23511 Hollywood Road P.O. Box 1210 • Leonardtown, MD 20650
Caring for our community for over 32 years.
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301-475-2755
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Hospice care can increase both the quality of life and how long a patient lives. Experts agree that at least two to three months of care is optimal.
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Southern Maryland Health
Fall 2013
What’s lurking in your
makeup drawer?
Items with expiration dates aren’t just in the refrigerator — they could be camped out in your makeup drawer, too. Whether we’re talking mascara or eye shadow, lipstick or foundation, cosmetics run the risk of contamination by bacteria over time – especially those we apply to the face. That’s why it’s important to know how long it’s been since you invested in your favorites, and when it’s time to throw it out. Can makeup really hurt you? Possibly, physicians advise. Because products come in contact with skin and mucus membranes and are sometimes kept in damp, humid bathrooms, they can be susceptible to bacterial growth. Beauty products typically come into contact with our eyes, hair, lips and skin, and we want to ensure they’re safe. Infected cosmetics can contribute to pink eye, discoloration, skin breakouts, dry skin, rashes or other allergic reactions. Though the U.S. Food and Drug Administration does not require cosmetics to have expiration dates on their packaging, some companies do label their products for consumers. Preservatives found in makeup should kill common bacteria, but airborne bacteria settle into products as soon as they’re opened. Remember that expiration dates are simply guidelines; products can become contaminated and unsafe anytime if they have not been stored properly. Consider these tips for keeping your beauty stock safe: • Do not purchase or use a product that has been previously opened, including makeup samplers at department stores and other locations. • Apply makeup with clean hands. Bacteria on your fingers and beneath your nails can add to the contamination of a product. • Keep products out of direct sun-
• Mascara: three months. Beauty experts also advise not pumping the wand, which pushes air — and potential airborne bacteria — back into the tube. Remove wand, twirl onto lashes and then clean the wand with a tissue every few days. This trick will help prevent clumping, too. • Concealer: six to eight months. • Powders: one year. This includes blush, eye shadows and facial powder. • Foundation: three to six months for liquids; four to six months for creams. If your foundation is in a pump dispenser, it can last longer due to less exposure to air. Products with a higher percentage of pigment — like mineral makeup — can last a year. • Lip gloss, lipstick, lip pencils: one year. • Eye pencils: one year, provided you sharpen the pencil continuously.
light and high temperatures (like a steamy bathroom), which can destroy preservatives and encourage bacterial growth. • Always close products tightly after use. • Avoid using any eye products when you have an eye infection. • When possible, use disposable rather than built-in applicators. • Be sure to regularly clean your tools — especially brushes — and keep your station clean. Makeup brushes should be
cleaned weekly using a mild detergent, while sponges should be replaced weekly or when they have become soiled. • Replace regularly-used products often. Older cosmetics have less power to fight bacteria. • Do not share makeup with others. So what should stay and what should go? Keep these timelines in mind. Recommendations are approximate and begin as soon as a product has been opened:
How do you know if a cosmetic is past its prime? You may notice changes in texture or color, separation of liquids, unusual smells or offputting odors. If anything seems “off,” better to be safe than sorry — look for a replacement, even if that means sacrificing your favorite hard-to-find hue of lipstick. A bit of bright news: when stored properly, nail polish has no mandated shelf life. Keep your best bottles in a dark, cool setting to prevent light and heat from breaking them down, and occasionally clean the bottle of the neck with acetone. You’ll know your polish needs to be tossed if, after shaking, colors remain separated or the texture is clumpy, dry or too thick. —MEGAN SNIDER
Fall 2013
John J. Heffron, D.D.S. Paul J. Schwartz, D.M.D. Lane T. Knight, D.D.S.
Southern Maryland Health
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Wendell K. Gardner, D.D.S. Kamran Raja, D.M.D., M.D. Malini Iyer, D.M.D., M.D.
Some of the services we offer:
SOUTHERN SOUTHERN MARYLAND MARYLAND ORAL ORAL & & MAXILLOFACIAL MAXILLOFACIAL SURGERY SURGERY PROUDLY PROUDLY SUPPORTS SUPPORTS THE THE FIGHT FIGHT AGAINST AGAINST BREAST BREAST CANCER CANCER
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3 CONVENIENT LOCATIONS TO SERVE YOU 3450 Old Washington Rd., #201, Waldorf, MD 20602 22888 Three Notch Rd., #101, California, MD 20619 3150 West Ward Rd., #306, Dunkirk, MD 20754
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When You Need DISABILITY Benefits You need the BEST Representation!
Call Today for your FREE no obligation, telephone consultation.
Our practice focuses solely on recovering
disability benefits for our clients.We have handled thousands of disability cases and have the skill and knowledge to assist you concerning your disability benefit matters.
Elkind & Shea The Disability Benefits Law Firm For a free case consultation, call us at 301-495-6665 FAX 301-565-5111
or visit us on line at www.disabilitybenefitslawfirm.com 1902144
Social Security Disability Short/Long Term Disability (Private and ERISA) State and Federal Disability Long-Term Care Life Insurance Claims
“Mr. Elkind is ranked as one of the top 25 attorneys in the country that practice in the ERISA field.” Quoted from Smith vs. Continental Casualty Co., F. Supp.2d (D.MD. 2003)
subjective by definition. The Social Security Administration through the Department of Disability Determination Services in the separate states utilizes a standard form for assessing psychiatric claims. This form includes a series of By Scott B. Elkind, Esq. mental residual functional capacity findings address pertinent aspects in the following categories: DISABILITY COVERAGE FOR PSYCHIATRIC CLAIMS IS SIMPLE IN THEORY, BUT DIFFICULT understanding and memory, sustaining concentration and persistence, social interaction, IN PRACTICE. adaptation, and effect of work stressors. Unfortunately, the in-house examiners rarely make Coverage under Social Security comes in the form findings which indicate disability -- and rarely find of Social Security Disability (SSD) and Supplemental more than moderate impairment. Treatment Security Income (SSI). SSD is available to individuals providers are rarely contacted for supplemental who have worked and paid a minimum of 20 information, allowing the non-examining reviewer quarters over the past 10 years. Those failing to pay to make their own functional capacity findings into the system sufficiently may be entitled to SSI as without being contradicted. long as they do not reside in households with income Private insurers also will use non-examining of greater than $12,000 each year earned by a relative. reviewers for the purpose of denying disability The Social Security Administration (SSA) employs claims, especially where group policies a medical- and age-based analysis which imposes administered under ERISA are concerned -- despite greater restrictions on an individual’s ability to work a clear prohibition of this practice by the American as a person ages. A person under the age of 50, for the Psychiatric Association (Principles of Medical Ethics most part, will be expected to prove disability from §7(C)). Both SSA and private insurers will seize upon all work whereas a person age 55 or older, in many limited recordation in medical records as evidence a cases, will need to prove only the inability to perform claimant does not suffer from functional their prior or similar work. Private disability policies impairment. employ somewhat different medical and vocational So, how are these problems remedied in order to concepts and do not make any allowances for a assist disabled patients? The basic approach is to presumption of age-related disability. develop more extensive information from treatment A person considering application for disability providers, either a narrative or questionnaire form benefits should seek a series of consultations prior to with a focus on addressing functional capacity finalizing their decision. First, a potential claimant issues to demonstrate claimant disability. Should should review the terms of any private disability the claimant experience cognitive deficits, a referral policy under which he/she is covered. Then, the for neuropsychiatric evaluation may be warranted. individual should discuss their medical situation Such testing can result in objective evidence which with their treatment provider(s). A fully-supported can satisfy a private insurer’s demand for proof of medical record is essential for the purpose of disability. Only by supplementing the medical applying for disability. record will patients be given any fair chance at Once medical support for disability is established, receiving disability benefits. Even when claims are the next consultation should be with a lawyer who documented extensively, legal action may still be has substantial experience in disability law. This necessary to obtain much-needed disability consultation will assist the claimant in clarifying any benefits for deserving patients. remaining medical and legal issues and can give Scott Elkind is a principal with Elkind & Shea, The greater guidance in coordinating a better Disability Benefits Law Firm. He can be reached at presentation of an individual’s disability claim. 301-495-6665 and does not charge for phone Psychiatric disability claims present several inquiries. challenging issues, and psychiatric claims are PAID ADVERTISING
PSYCHIATRIC DISABILITY CLAIMS
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Fall 2013
Friends for dinner? Smothered veggie burritos Ingredients: 1 cup chopped zucchini 1 cup chopped red bell pepper 1 cup chopped onion 2/3 cup fat-free refried beans 1/4 tsp cumin 1/4 tsp chili powder 1/4 tsp garlic powder 2 medium-large high-fiber flour tortillas with 110 calories or less 1/3 cup red enchilada sauce 1/3 cup shredded reduced-fat Mexican-blend cheese Preheat oven to 400 F. Spray a baking sheet with nonstick spray. Bring a large skillet sprayed with nonstick spray to medium-high heat. Add zucchini, pepper and onion. Cook and stir until softened, 10 to 12 minutes. In a microwave-safe bowl, thoroughly mix refried beans, cumin, chili powder, and garlic powder. Microwave for 1 minute, or until hot, and stir. Microwave tortillas on a microwave-safe plate for 15 seconds, or until warm. Lay tortillas flat and divide the bean mixture between the bottom halves. Top with cooked veggies. Fold in the sides of each tortilla and tightly roll it up around the filling. Place seam-side down on the baking sheet, side by side. Top with sauce and cheese. Bake until cheese has melted and burritos are hot, 2 to 3 minutes. Yields 2 servings.
• Entree ideas — and one spicy appetizer — sure to please the crowd without the calories
Baked pork chops with a spicy peanut glaze Ingredients: 2 pork chops, fat trimmed 2 tbsp cooking oil 2 tbsp natural creamy peanut butter 2 tbsp milk (or non-dairy substitute) tablespoon white vinegar 2 tsp chili powder 1 tsp salt (1/4 teaspoon if your peanut butter is already salted) Preheat oven to 350 F. Line a pan with aluminum foil, place the pork chops on the pan and drizzle with the cooking oil to coat. Make sure that the oil covers the whole pork chop to prevent burning. When the oven is preheated, put in the
pork chops and bake them for 30 minutes. While the pork chops are cooking, combine the peanut butter, chili powder, vinegar, milk, and salt in a small dish. Whisk together to emulsify. Remove the pork chops from
the oven and evenly distribute the sauce between both chops, brushing on in an even layer. Put the pork chops back in the oven for 10 more minutes to finish cooking and to allow sauce to thicken.
Chipotle hummus
1 cup tahini (sesame paste) 3 tbsp fresh lemon juice 2 tbsp extra virgin olive oil 1 tbsp Roland Chipotle Peppers in Adobo Sauce, minced 1 garlic clove, minced 1 tsp fresh cumin, ground 1 cup pimientos 1/3 cup fresh cilantro, chopped Sea salt and black pepper, ground, to taste
Blend garbanzo beans, water, tahini, lemon juice, olive oil, chipotle peppers, garlic, and cumin in food processor until smooth. Add pimientos and pulse until coarsely chopped. Stir in cilantro. Season with sea salt and pepper to taste. This can be made a day ahead. Bring to room temperature before serving. Yields 16 servings.
Ingredients: 31/2 cups garbanzo beans (chickpeas), drained 1/2 cup water
Did you know? If a recipe calls for pumpkin pie spice and you don’t feel like shelling out the dough for a specialty bottle used once a year, make your own at home by combining 1 teaspoon ground cinnamon, 1/4 teaspoon ground nutmeg, 1/4 teaspoon ground ginger and 1/8 teaspoon ground cloves. Will yield enough for one pumpkin pie!
Fall 2013
Health insurance marketplace opens through
Maryland Health Connection Maryland Health Connection is the new marketplace for individuals, families and small businesses to compare and enroll in health insurance and determine eligibility for Medicaid and
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other assistance programs, federal tax credits and costsharing reductions. Enrollment through Maryland Health Connection began in October with insurance coverage beginning Jan. 1, 2014, for individuals and families. Enrollment for small businesses will begin when the Small Business Health Options Program (SHOP) opens on Jan. 1. To prepare for enrollment, Maryland Health Connection provides ways to start the process online or in-person.
Review rate estimates for qualified health plans, search for health care providers in Maryland Health Connection’s network of plans and even compare Managed Care Organizations (MCO) by visiting www.marylandhealthconnection.gov. The connection helps you compare health insurance plans and shop confidently for quality health coverage that meets your family’s needs and budget. All insurance plans offered through Maryland Health Connection have been approved by the State of Maryland and must cover the same core set of benefits. No plan can turn you away or charge you more because you’re sick or have a medical condition. The different health insurance plans offered at Maryland Health Connection are grouped as bronze, silver, gold or platinum. Each level tells you how much of your medical expense (in percentage) a plan will cover.
Groupings help you compare plans within each level, based on similar covered benefits and costs. For the full list and additional information, visit www.marylandhealthconnection.gov. If you or your children are currently enrolled in Medicaid, you do not need to do anything now; you’ll be contacted when it’s time to renew your coverage. Starting in 2014, you can renew your Medicaid coverage through the Maryland
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Health Connection website and get free help through the Consumer Assistance Program by phone or in-person locally at Calvert Healthcare Solutions, 234 Merrimac Court, Prince Frederick. Call 1-855-339-3007. The consumer support center is available to answer questions about Maryland Health Connection. Call 1855-642-8572. For services for the deaf or hard of hearing, call 1-855-642-8573.
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Lee Funeral Homes “For six generations your family has placed trust in our family’s tradition of quality service.” Lee Funeral Home, Inc.
MORE THAN 5 MILLION PEOPLE LIVE WITH ALZHEIMER’S DISEASE Many are cared for by family members in home. Circle of Care specializes in providing care to the Alzheimer’s Patient and respite for the family caregiver. Serving the greater Southern Maryland area.
6633 Old Alexandria Ferry Rd. Clinton, MD 20735 301-868-0900 (F) 301-868-0909
OHCQ RSA # 2670
8200 Jennifer Ln. Owings, MD 20736 301-855-0888 (F) 410-257-0848
www.LeeFuneralHomes.com
1900136
GOOD GOOD OMEN OMEN YOGA YOGA Yoga by Anne Machetto Traditional Yoga to enhance focus, de-stress, tone, and increase flexibility. ONGOING CLASSES
1900139
Lee Funeral Home Calvert, P.A.
Mon & Wed 9 a.m. – Wills Park, LaPlata Tue 11 a.m. - St. Paul’s, Waldorf Tue 6:45 p.m. at Civista Hosp.
For more info, Email anne@goodomenyoga.com Or call 240-682-3229 1899405
COMPREHENSIVE VISION SERVICES CATARACT CONSULTATION & SURGERY Glaucoma Treatment Medical Eye Care • Oculoplastics Botox • LASIK
“Trust Your Eyes To The Most Experienced Cataract Surgeons in Southern Maryland” A GROUP PRACTICE OF BOARD CERTIFIED OPHTHALMOLOGISTS WITH OVER DRS. DODD, MILLER, YOON, WANNER, BENDERSON AND BURGE
www.marylandeyeassociates.com 866-702-2020
ANNAPOLIS
1888196
2629 Riva Rd., Suite #102 Annapolis, MD 21401
• 90
YEARS •
OF COMBINED EXPERIENCE PRINCE FREDERICK
800 Prince Frederick Blvd Prince Frederick, MD 20678
UPPER MARLBORO
14460 Old Mill Rd, Suite #101 Upper Marlboro, MD 20772
Fall 2013
What is it to be
gluten-free? is necessary in celiac disease in which people are allergic to gluten.” But those without celiac disease are seeing benefits of going glutenfree, too. Some have a non-celiac gluten sensitivity (NCGS), which is
Got Kids?
We accept the following insurance plans
Southern Maryland
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ORTHOPAEDIC and SPORTS MEDICINE CENTER 301-475-5555 800-778-7633
www.somdortho.com
gluten because of allergies. Unlike celiac disease or NCGS, both digestive system responses to gluten, having a wheat allergy is an immune See Gluten, Page 25
PLEASE CALL IN ADVANCE TO PLACE YOUR ORDER
Carefirst BCBS • Cigna Health Plan • John Hopkins EHP • PHCS Mailhandlers • Medicare • UnitedHealthcare US Family Health Plan • Tricare Prime & Standard
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not as severe as celiac disease — but research has suggested a gluten-free diet can help relieve NCGS symptoms like abdominal pain and headaches. Others choose to go without
Nogluten? Noproblem! Enjoyourdelicious gluten-freecakes!
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Leonardtown
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Waldorf
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1901393
For some, gluten-free is the way to be. Though dietary changes and fads seem to shift as quickly as the seasons, the gluten-free movement is a nutritional trend that seems to be gaining momentum — but what does it involve? Maintaining a gluten-free diet was once exclusive to those affected by celiac disease, a condition that damages the lining of the small intestine and prevents it from absorbing parts of the food needed to stay healthy. The resulting damage is caused by the body’s reaction to gluten, a term describing proteins found in specific grains like those in breads, cakes, cereals, pies, French fries, pastas, croutons and more. “Being on a gluten-free diet means avoiding all foods containing wheat, barley and rye, which contain the protein gluten,” said Thomas P. Gage, M.D., a gastroenterologist with GI Associates of Maryland and Waldorf Endoscopy Center. “One must be a label reader when purchasing food items as these grains may be found in many food products such as sauces, condiments, soups and salad dressings, for instance. Gluten avoidance
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Build up your immunity Ah, the holiday season — a time for visiting with family and friends. Hugs are shared by roaring fireplaces; hearty handshakes delivered at many a party. So many of us want to share warmth, goodwill and good eats during the fall and winter . . . but are we also sharing germs? No one wants to be sick on Christmas morning — but the chaos of the season can find many adults stressed, tired and susceptible to illness by the new year. Throw in cold and flu season for a homebrew of exhaustion that could lend less good cheer to family gatherings than we’d hope. But it doesn’t have to be that way.
In the months leading up to the holidays and after, we can take steps to help boost our immunity and prevent spreading sickness: • Get your annual flu vaccination. Recommended by the Centers for Disease Control and Prevention, the flu shot is designed for all Americans over age 6 months and is typically available as an injection or nasal spray. Call your doctor to make
an appointment. • Consider probiotics. With so many opportunities for illness to spread, taking a daily probiotic in advance of the holidays could help foster a healthy intestinal flora to protect you against the penetration of bacteria, viruses and parasites. These supplements could help preSee Immunity, Page 20
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Before the busy holidays — and prevent the spread of infection, too
Fall 2013
Adeteju Ogunrinde
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Injured at work, not functionally able or physically capable to return to work?
M.D.,F.A.A.P.
CHILDREN’S HEALTHCARE CENTER
Optimal Physical Therapy & Industrial Rehabilitation
Our Practice continues to grow and we are still accepting patients from 0-18 years of age, providing quality care in a safe clean environment.
Please visit our website for online tour at www.childrenshcmd.com • Camp physical (same day appointment available) • Asthma care • Attention Deficit management • Ear piercing • Weight and nutritional management • Special vision testing for children as young as 6 months old!
We are open:
Monday - 9am to 5pm • Tuesday - 11am to 7pm Wednesday - 9am to 5pm • Thursday - 9am - 4pm Friday - 9am - 5pm • Alternate Saturdays - 9am - 12noon
We focus on returning our patients to their highest functional level. We specialize in Functional Capacity Evaluations and Work Hardening/Work Conditioning for the injured worker that has not met the required physical demand level to return to work.
If returning to good health is your goal, the best choice for your recovery is...
OPT is a provider for most HMO & PPO Networks
605 Post Office Road, Suite 102, Waldorf
Optimal Physical Therapy & Industrial Rehabilitation
www.childrenshcmd.com
(301) 855-6326 Mon-Thu: 7:30am-5:00pm; Fri: 7:30am-1:00am
10020 Southern Maryland # 103, Dunkirk, MD 20754
301-374-2666 • 301-870-1789
1893012
1900112
Lisa Polko, M.D., F.A.C.O.G. Adedoyin Shonekan, M.D. Nnamdi Davis, M.D., F.A.C.O.G. Danielah A. Gautier, M.D. Anne Naru, M.S., C.R.N.P. Tia W. Bennett, R.N.C., W.H.N.P. - B.C. Reana K. Barnes, M.S., W.H.N.P. Brooke Bucci, M.S.N., C.N.M. Jill Collier, M.S., F.N.P.-C.
Telephone: 301-997-1788 Emergency After Hour Telephone: 301-475-8981
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41680 Miss Bessie Drive, Suite 102 • Leonardtown, MD OBSTETRICS, GYNECOLOGY AND MIDWIFERY CARE NEW PATIENTS WELCOME We look forward to meeting the needs of our current and future patients.
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Your Local REVERSE MORTGAGE Professional
Could a Reverse Mortgage be right for you?
Benefits
• No more mortgage payments • Get access to cash from your equity • Keep title to your home • Financial Independence • Pay off existing mortgage
Mike Foster 301-399-2399
mfoster@mtglender.net
If you are 62 or older, please call with questions and information
301-399-2399
1903830
nmls # 184967
Immunity Continued from Page 18
vent and treat the common cold, flu and gastroenteritis. Many types are available at pharmacies and health food stores. Talk to your doctor for recommendations and options. • Get some sleep. Heading into the holidays already exhausted reduces your body’s ability to fight infection. Sleep needs are individual and vary per person, but the average adult is recommended to get 7-8 hours nightly, says the Mayo Clinic. • Keep your hands washed. Frequent, thorough hand-washing is the best way to prevent many common infections. Scrub hands vigorously for at least 15 seconds. If soap and water aren’t available, use alcohol-based hand sanitizers. Keep them in your work bag, jacket pocket, purse or glove compartment. • Cover that cough. Contain your coughs and sneezes by covering your mouth and nose with a tissue or the inner crook of your elbow — not your hands. Discard used tissues right away, and teach children to do the same. Also be sure to wash
your hands well after coughing or sneezing. • Steer clear of crowds. Though difficult during the busy shopping season, the flu spreads easily wherever people gather: office buildings, schools, auditoriums, public transportation. The Mayo Clinic advises avoiding crowds when possibly during peak flu season to reduce your opportunities for infection. If you’re sick, stay home from work — and keep your kids home from school or child care. • Keep it clean. Scrub your kitchen and bathroom countertops clean, especially when someone in the family has a cold. Wash children’s toys regularly and keep other well-handled surfaces — doorknobs, drawer handles — clean. • Get your own. Avoid sharing utensils or drinking glasses with other family members or friends, even if you don’t feel sick or exhibit any symptoms of illness. Use your own glass or disposable cups if you or someone else are sick. Also, avoid “close, prolonged contact” with anyone with a cold or virus, the Mayo Clinic advises. —MEGAN SNIDER
INTRODUCING NEW ASSOCIATES • NOW TAKING NEW CLIENTS
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C.A. (patient of Anne Crowley)
ANNE C. CROWLEY
Licensed Acupuncturist State of MD, NCCAOM, Nationally Certified
203 Centennial St., Suite 107, La Plata, MD 1899407
Your direct CONNECTION for affordable healthcare insurance information, options and enrollment services.
“I dwell in possiblity” ---Emily Dickinson
For a Free E-Book, “The Vibrant Health Blueprint: 10 Steps to a Happy, Healthy Life” See www.LaPlataAcupuncture.com 301-932-6125
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Are You Getting Your Money’s Worth?
PA I D A D V E R T I S E M E N T
If you do need restorative care, such as fillings, root canal therapy, periodontal treatment, or crowns your insurance company has negotiated special fees for you with the dentist, as long as they are a “preferred provider” dental office with your carrier. This means your dentist agrees to charge you the discounted fee that was prearranged with the insurance company. Your insurance company will cover the majority of those fees until your annual limit is reached. Your annual limit is the amount of money your employer and insurance
company has agreed to pay for your restorative treatment under the insurance terms defined by the employer agreement. Most insurance companies will cover between $1000 and $2500 worth of treatment per year. If you don’t use your benefit that year you lose it. The “use it or lose it” policy is how dental insurance companies make their money. They are charging you a fee every month that comes out of your paycheck, or from your employer. They collect that fee knowing that a portion of it may go to restorative dentistry. If your mouth is in good health, you both win. They keep the money you paid each month and you never have out-of-pocket costs for your preventative care. On the other hand, if you have restorative care that needs to be done,
they’ve set a limit to the loss they are willing to accept (your annual limit). But, if you put off needed dentistry and the year expires, so does your benefit. In other words, if you have a $1500 annual limit and you have $3000 worth of dentistry that needs to be done you can take full advantage of your insurance benefit by having half the dentistry done in the current year and the other half in the beginning of the second year. Conversely, if you are the type of person to put off dentistry for years, you could end up having a treatment plan for over $10,000. Your insurance company will still only pay the annual limit. The rest becomes your responsibility. Situations like these often times end up with the patient neglecting care due to the cost. The end result is usually a very sad health and
esthetic situation for those who neglect their care for so long. In these instances it is important to not give up hope and let finances stand in the way of your health. Work with our dental office and your insurance company to come up with an affordable plan to get back your smile and restore your health. A good dental practice will have multiple options for helping you pay for your treatment while working with your insurance. It is in your best interest to go to the dentist twice a year for all of your preventative care and get other dental work done as needed. The longer you put off dentistry the more you will pay in the long run. Don’t let your dental insurance company keep your money.
A Dr. David J. Cooper Practice 21534 Great Mills Road Lexington Park, MD 20653
877-606-8302
690 Prince Frederick Blvd N. Prince Frederick, MD 20678
877-606-8301
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If you’re lucky enough to have a job that provides dental insurance you should know what’s covered and what happens if you don’t take advantage of the coverage you are provided. Dental insurance is not a required insurance for businesses to provide. In fact many businesses offer dental coverage at the sole expense to the employee through paycheck deductions. Whether you or your employer is paying for the coverage, you need to know what’s covered and what’s free. Almost without exception, all dental insurances provide their insured individuals and families with two prophylaxis (traditional) dental cleanings per year, provided they are six months apart, at no cost to the patient. They will also cover the necessary x-rays, doctor’s exam, education, and often time fluoride, sealants and other preventative services. Depending on the age of the patient and the insurance coverage the patient has, these are at no cost to the insured party and it has no effect on their annual limits. With most insurance plans these are the only procedures that are fully covered as they are considered preventative procedures. In other words, your dental insurance company knows that preventative measures (i.e. dental cleaning, fluoride, sealants) are essential to avoiding very expensive restorative procedures. Restorative dentistry is expensive for both the insurance company and the individual getting the procedures done. Dental insurance companies are very smart. They’ve done the math. They know it is much less expensive (more profitable) for them to provide you with free cleanings than it is to assist in the payment of restorative care to bring your mouth back to good health. The cost to a dental insurance company to have your teeth cleaned ranges from $70 $200. The cost to the insurance company for you to have two crowns could be well over $1500. Your out-of-pocket cost for the same two crowns, even with dental insurance, could easily be over $1000 depending on the coverage you have and your annual limits. So it is in the best interest for you and the insurance company that you get your teeth cleaned as prescribed by the dentist, as regular cleanings and preventative maintenance are proven to reduce the risk of decay and damage to the teeth and gums.
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Protect your family by safely using, storing your medicines When we’re sick, we want medicine readily available — and easily accessible. Many people have a cabinet or designated drawer for storing allergy pills, pain relievers and children’s medications, and families typically know where these drugs are kept. Though convenient, this could pose potential problems for curious kiddos. According to Safe Kids Worldwide, 500,000 adults call a poison control center annually because a child accidentally ingested medicine or was given an incorrect dosage. The Centers for Disease Control and Prevention reported a 160 percent increase in poisonings in children from 1999 to 2009, and 67,000 children were treated for medicine poisoning in an emergency room in 2011. Many of those children found medicine in places other than the designated medicine cabinet — like bags or purses, in drawers or on night-
stands and counters. reach won’t hurt them if ingested. Approximately 50 percent of calls Follow these tips to help keep drugs into poison centers involve children and poisons away from little ones: under the age of 6, according to the • Store medications in a high locaMaryland Poison Center, and kids ages 5 tion, but preferably not in a bathroom. and younger are the most likely victims Because they’re typically warm and of prescription drug poihumid, the bathroom’s soning. How can you keep environment speeds up a your family safe? Parents drug’s breakdown process Poison and caregivers must be — especially for tablets and diligent about where and emergency? capsules. The National how their medications are Institutes of Health recomCall 1-800being taken and stored. mend keeping them in a A “poison” is defined as cool, dry and secure place 222-1222 anything that can harm out of a child’s reach, such someone if used in the as a locked cabinet. If you wrong way, by the wrong keep drugs in the kitchen, person or in the wrong amount — such choose a cabinet away from the stove, as medication. If children come upon sink or hot appliances. If you must put something new, they may want to look, medicines in the bathroom, always taste or touch it, the Maryland Poison ensure their containers are tightly Center cautions. It’s the responsibility of adults to make sure items within their See Medicine, Page 26
Therapeutic Bodyworks
by MS Vicky & Associates
Therapeutic Massage/Bodywork ~ Pre-Natal Massage Acupuncture ~ Waxing Services Holiday & Special Occasions ~ Gift Certificates
NOVEMBER SPECIAL: $60 PER SESSION Book two one hour massage sessions at the discounted price of $60 and receive a 3rd one hour session for $50. Thats a $40 savings on 3 one hour massage sessions. (all 3 must be booked and used by Dec. 25th 2013) Call now or go online to book your appointments Mention this ad for discounts at the time of service.
Sunday thru Saturday by Appointment Located next to La Plata Greene Turtle
Online Scheduling Available at therapeuticbodyworks.fullslate.com
1903316
301.392.1123 6 Saint Mary’s Ave. Suite #101 P.O. Box 2161 La Plata, MD 20646 www.msvickystherapeuticbodyworks.abmp.com
Fall 2013
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Migraines
McDermott M c D e r m o t t Chiropractic C h i r o p r a c t i c Care Care Chiropractic techniques: • Diversified • Thompson • Activator • Palmer Nutritional Therapy
Continued from Page 5
Physical Techniques: • Musculoskeletal Exercises • The Graston Technique • Cold Laser • Cervical and Lumbar Traction • Ultrasound and Electrical Stimulation
We Accept Most Insurances. Karen L. McDermott, D.C.
*After $37 membership fee and initial exam. For patients without insurance.
1900185
Ask About Our Cash Program: Visits as low as $35*!
141 Main Street, Prince Frederick, MD • 410-257-7106
Assisted Living at Hawkins Gate LLC Assisted Living at Hawkins Gate LLC is a residential facility for seniors who value their independence, yet need some help with daily activities, such as meal preparation, bathing, dressing and medication reminders and/or assistance. The facility is located in La Plata on 3.5 acres and offers spacious, beautifully decorated private rooms.
Services and Amenities:
• Trained Staff available 24 hours a day • Daily physical fitness • Social and spiritual activities and scheduled group trips • Three delicious, well-balanced meals served daily with snacks available throughout the day • Medication administration and assistance
• Monthly wellness visits by a licensed nurse • Weekly housekeeping • Weekly personal laundry • Maintenance of building and grounds
For more information please contact 301-392-6145
1903320
Motrin IB). Medication like acetaminophen (such as Tylenol) may also help relieve mild migraines for some, but others may only find relief by opting for drugs specifically targeted for migraines. Products like Excedrin Migraine use a combination of acetaminophen, aspirin and caffeine to ease moderate pain — but if taken too often or for a long period of time, these medications can cause gastrointestinal bleeding, ulcers and medication-overuse headaches. Consult your doctor. Other medication treatments include triptans, used by many to promote constriction of blood vessels and the blocking of pain pathways in the brain. Triptans effectively relieve the pain and other symptoms associated with migraines, the Mayo Clinic explains. Some are available as tablets, nasal sprays and injections, and side effects can include drowsiness, nausea, dizziness and muscle weakness. Antinausea medications like chlorpromazine may also be prescribed by
your doctor. The clinic also recommends some “self-care measures” to help ease migraine headache pain, including: • Muscle relaxation exercises, which may help with pain. Consider progressive muscle relaxation (concentrating on and easing specific muscle groups), meditation or yoga. • Getting enough sleep, but not oversleeping. The Mayo Clinic recommends getting an adequate amount of sleep as well as going to bed and waking up at regular times. • Rest and relaxation. “If possible, rest in a dark, quiet room when you feel a headache coming on,” the Mayo Clinic says. “Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to the painful areas on your scalp.” • Keeping track of your headaches. Jotting down when, where and how you feel migraines coming on could help you and your doctor determine triggers and effective treatment for your symptoms. Bring it with you to your next appointment. —MEGAN SNIDER
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Gluten Continued from Page 17
We are a Comprehensive Ophthalmology Practice
Highly skilled and trained in:
meats, seasoned rice mixes and more. Because certain grains — like oats — can be contaminated with wheat during the growing and processing stages of production, doctors generally recommend avoiding them as well (unless labeled glutenfree), the Mayo Clinic explains. Additional products to pass up include medications and vitamins using gluten as a binding agent, as well as play dough and food additives like malt flavoring. Because many grains are enriched with vitamins, keep in mind that those following a glutenfree diet may have lower levels of certain vitamins and nutrients in their diets, the Mayo Clinic explained. Ask your doctor to review your diet to make sure you’re getting enough iron, fiber, calcium, thiamin, riboflavin, niacin and folate. If interested in pursuing a glutenfree lifestyle, seek medical advice. “People with celiac disease are certainly benefited by a gluten-free diet. They should note less diarrhea and should have more efficient absorption of essential nutrients including iron and other vitamins and minerals,” explained Dr. Gage. “Some individuals with non-celiac diseases, such as irritable bowel syndrome, have felt that their health has been improved through a gluten-free diet. However, there has been no clear medical benefit demonstrated in so doing. “Regardless, people with persistent digestive symptoms, particularly if associated with weight loss or decreased ‘quality of life,’ would benefit by consulting with their personal physician or a gastroenterologist,” Dr. Gage said. —MEGAN SNIDER
• Cataracts • Glaucoma • Retina • Diabetes
• Macular Degeneration • LASIK • General Eye Care • On-site Optical Shop
We are conveniently located at
9131 Piscataway Rd Suite 450 Clinton, MD 20735
Contact us for your appointment today at
301-868-6700
Or visit our website at
1902160
www.marylandeyedocs.com
1901397
system response which can be outgrown. But until it is, it’s best to avoid any foods that could trigger an allergic reaction. If you do not have dietary reasons for going gluten-free, could it still be right for you? “Certainly, those people with celiac disease should avoid gluten,” said Dr. Gage. “There are other people who have non-celiac gluten sensitivity and note digestive symptoms after eating gluten-containing foods. There is no specific test to diagnose this condition; hence in people with irritable bowel syndrome (IBS) or other digestive complaints, a trial of gluten avoidance may be reasonable.” If you’re considering starting a gluten-free lifestyle without a preexisting condition, seek the advice and recommendations of your doctor — and keep in mind that going glutenfree is not necessarily an easy switch. Not as simple as avoiding certain everyday foods like bread, gluten proteins can be found in additives which wouldn’t necessarily be listed among a product’s ingredients. If you’re interested in leaving gluten behind, you must be aware of all additives that may contain it — so be ready to do your research. Many healthy foods that are naturally gluten-free can be enjoyed without repercussions, explains the Mayo Clinic. These include beans, seeds, unprocessed nuts, fresh eggs, fresh meats, fruits, vegetables, fresh fish and poultry as well as most dairy products. Grains and starches that can be incorporated into a gluten-free diet include amaranth, arrowroot, buckwheat, corn and cornmeal, flax, gluten-free flours (soy, corn, rice, potato, bean), hominy (corn), millet, quinoa, rice, soy, sorghum, tapioca and teff — just ensure they’re not processed or mixed with glutencontaining grains, additives or preservatives, leading to cross-contamination during the manufacturing process. Unless specifically labeled “gluten-free,” additional foods to avoid include candies, cookies, crackers, gravies, imitation meat and seafood, processed luncheon
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Southern Maryland Health
Karen Acton, CEO Megan Snider, editor Cover design by Brandon Young
For advertising opportunities:
is published by PostNewsweek Media, Inc.
www.somdnews.com 301-843-9600
In Charles County, call 301-764-2812 or email kminopoli@somdnews.com In St. Mary’s County, call 301-866-6402 or email adailey@somdnews.com In Calvert County, call 301-855-1029 or email cbailey@somdnews.com
WES GREENWAY’S
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Continued from Page 22
Jennifer Fairfax Family Building Attorney
• Domestic and International Adoption • Assisted Reproduction Technology Law Fellow of the AMERICAN ACADEMY OF Adoption Attorneys
Member of RESOLVE, Mid-Atlantic Region
p: 301.221.9651 f: 240.491.9551 jfairfax@jenniferfairfax.com www.jenniferfairfax.com
1903322
Medicine closed. Remove the cotton plug, as this can attract moisture and contribute to chemical changes. • Do not advertise your medication use to children. Take your pills away from curious eyes. Because young children learn by imitating what they see, they may try to take medications themselves to be like mom and dad, advises the Maryland Poison Center. • Explain carefully that medicine is not candy and can be harmful. If children are around medication or seem interested in the bottles, gently take them away and discuss what kids can and cannot eat. Because drugs can resemble “safe” goodies like colorful sweets, be sure to explain the difference and keep anything that could be confusing out of arm’s reach. • When possible, ask for medications to be prescribed in blister packs that are more difficult for little hands to open. • Don’t keep old medicines around the house. Always dispose of any expired or unwanted pills by blending them with coffee grounds, kitty litter or other inedible substances, the NIH recommends. Seal
the mixture in a plastic sandwich bag and promptly throw it in the garbage — preferably one outside, where it will be harder for kids and pets to find and swallow them. • Always store pills in their original containers. If medication is accidentally ingested, poison control will want to know what and how much your child took, if possible. If you’re traveling, medications may be more readily available in bags and suitcases — and easier for youngsters to grab. Consider these tips from the NIH: • Before you head out, list all medications you’re taking on a card along with the name and phone number of your doctor and pharmacist. • Pack your medicine in a carryon bag instead of a checked suitcase. If your luggage is lost in transit, you’ll still have your pills available — and it may be easier to spot kids looking through a nearby bag than a suitcase, which is often left out in the room. • Never leave medicines in the car, which can be accessed by others and children. Heat can quickly destroy drugs, too, the NIH cautions. In a poison emergency, call 1-800222-1222. For more information on keeping your family safe, visit the Maryland Poison Center at www.mdpoison.com. —MEGAN SNIDER
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