Focus On Health A SUPPLEMENT TO TIMES BEACON RECORD NEWSPAPERS • OCTOBER 24, 2013
SeaSonal health • medicare d • dental • healthy diet
PAGE S2 • FOCUS ON HEALTH • OCTOBER 24, 2013
Thank You for Trusting Us with Your Care
Robert Branca, D.D.S. Sweetwater Dental Care, LLC 515 Route 111, Ste 102
Specializing in Reconstructive Breast Surgery
(Behind Starbucks)
We offer more reconstruction options including the latest implants and new natural tissue breast reconstruction (“DIEP Flap”)*
Hauppauge, NY 11788
631–265–6655
www.robertbrancadds.com
Starbucks
McDonalds
Blockbuster
515 Rt. 111 Suite 102
S
Route 111
W
October Is National Breast Cancer Awareness Month ©131090
N
Route 347
Hess
E
Burger King
Have Healthy Teeth & Gums For Life!
Hello. My name is Dr. Robert Branca and I have a dental office in Smithtown/Hauppauge. In our office, we believe the most important thing we can help our patients do is keep their teeth and gums healthy for a lifetime. My friendly, professional staff and I will provide you with quality care in a comfortable environment. Let us help you have healthy and attractive teeth and keep them that way for the rest of your life. Sincerely, Robert Branca, D.D.S.
Nat onal i Cons um er A dvisory Council Counci l National Consumer Advisory
Hilton C. Adler, MD, FACS Stephen F. Coccaro, MD, FACS
Welcome Offer:
Kenneth C. Kneessy, MD, FACS Snezana Veljic, MD, FACS
FO R N E W PAT I E N T S
* Unless gum disease is present.
SUFFOLK PLASTIC SURGEONS, PC
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179 Belle Meade Road, East Setauket, NY 11733
631-751-4400
Call Now For An Appointment
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• A Professional Cleaning * • A Complete Exam, including necessary X-Rays • A Personal Consultation
www.suffolkplasticsurgeon.com
(631) 265-6655
SPS is a group practice and all doctors are board certified in Plastic Surgery. MeMber of the AMericAn Society for AeSthetic PlAStic Surgery
*SPS is one of only two regional practices to offer DIEP Flap
TBR10.10
Long Island’s Premier Minimally Invasive Bariatric and General Surgical Specialty Practice
LONG ISLAND LAPAROSCOPIC DOCTORSsm Not Bigger. Just Better! When it comes to having surgery, bigger isn’t always better. If you want a treatment that is less invasive with a smaller scar, then you will want to meet Long Island’s finest surgical team of doctors offering complex surgery with small Inclsions.
A smaller incision means big benefits: • It could mean a shorter hospital stay. • Less discomfort and faster recovery. • A great alternative to open surgery.
“Don’t take our word for it...” Meet our doctors and hear real patients experiences at www.Vimeo.com/channels/IiId/
“My hiatal hernia surgery was too important to me not to have it done the right way the first time. I was recommended to Dr. Atwa by my physician and he changed my life. I have no more pain and I can breath again. I would recommend Dr. Atwa to anyone!”
Dale M. Shoreham, NY. “Before I came to Dr. Parcha’s weight loss seminar I had given up hope. I couldn’t walk 40ft without resting. I had migraine headaches every day from intracranial hypertension. It has been only 3 months since I had my gastric sleeve surgery and I have lost over 50 lbs! I no longer have headaches and I am back at the gym. My regular doctor can’t believe I am the same women and says he will take me off the medication. I have taken for years if I continue this way next month. Would I recommend Dr. Paracha. You bet I would!
Danielle H. Port Jefferson, NY
Better Care • Consistent Care • Patient-Focused Care 128853
4 Technology Drive Suite 220 (631) 938-6711 East Setauket, NY 11733 www.LiLapDoc.com Located within the Stony Brook Technology Park (off Route 347)
Left to Right
Dr. Thompson III, M.D Dr. Hesham Atwa, M. D., FACS Dr. Karim Paracha M.D Operating Room Experience You Can Count On
•Gallbladder Removal •Adrenal Removal •Appendix Removal •Large and Small Bowel Removal • Acid Reflux Treatment •Hernia Repair 5 Star Rated Practice •Spleen Removal
OCTOBER 24, 2013 • FOCUS ON HEALTH • PAGE S3
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4
What’s inside ...
Moods can change in fall and winter
Flu season is here
Protect yourself with some simple practices
TIMES BEACON RECORD NEWSPAPERS PUBLISHER Leah S. Dunaief
ART/PRODUCTION DIRECTOR David R. Leaman
GENERAL MANAGER Johness Kuisel EXECUTIVE EDITOR Rachel Shapiro
ART AND PRODUCTION Janet Fortuna Beth Heller Mason Wendy Mercier
EDITOR Ellen Barcel
BUSINESS MANAGER Sandi Gross
BUSINESS OFFICE Meg Malangone CIRCULATION MANAGER Courtney Biondo SUBSCRIPTION MANAGER Terri Caruso
ADVERTISING DIRECTOR Kathryn Mandracchia
Times Beacon Record Newspapers are published every Thursday. Address: PO Box 707, Setauket, NY 11733. Telephone: 751–7744. Email address: desk@tbrnewspapers.com; fax: 751–4165; website: www.northshoreoflongisland.com. Entire contents copyright 2013.
6
12
Seasonal affective disorder
5
Living with diabetes?
Watch your mouth!
15
Medicare Part D
Open enrollment runs through Dec. 7
SBU Dental School
Grant for periodontal disease treatment
10
Anti-cancer diet
Think colorful
7
Pregnancy and dental health
Antibiotic resistance
Take only when needed
Encourage children to floss
19
14 17
Teen health
Oral health, stress and diet
Serving the Community 29 Years
massage therapy with physical therapy Insurance accepted
No Fault Cases and Workman’s Comp Participating with Blue Cross/Blue Shield & HIP Most Insurance Accepted
Benefits Reduce muscle tension • Promote healthy circulation Heal adhesions and sores • Reduce stress and blood pressure Improve mobility and flexibility • Detoxify your system
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www.atlantishn.com
Saint James 584-2323
Shoreham 744-3661
Ronkonkoma 467-2770
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instant online gift certificates for the holidays at
PAGE S4 • FOCUS ON HEALTH • OCTOBER 24, 2013
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Feel Young Again... End Urinary Incontinence
The psychology of the seasons
PUT AN END TO THOSE EMBARRASSING MOMENTS Seven Minutes That Will Change Your Life
Caring for your mental health
:
The 7minute SlingTM A minimally invasive procedure that will restore continence and have you back doing the things you used to do. This is an easy treatment that lasts. Minimally invasive treatments for overactive bladder, leaking with coughing, sneezing or activity, and during intercourse. Stop worrying where the next bathroom is. We also offer: Botox treatments for overactive bladder medical as well as surgical treatments.
Scott M. Press, M.D. P.C.
Certified by the American Board of Urology • Fellow American College of Surgeons
One of the few physicians on Long Island trained to do Interstim Sacral Nerve Neuromodulation therapy
226 North Belle Mead Rd., East Setauket • 631-675-2810 Š111753
792 Harrison Ave., Riverhead • 631-591-3120 300 Atlantic Ave., Greenport • 631-477-1885 www.7minutesling.com
Stony Brook Dental Associates
A Faculty Practice Leading the way in oral health care We are a private dental group practice located within the School of Dental Medicine. Our group consists of both primary care dentists and dental specialists; all are faculty at the school. Our comfortable reception room is in a private area that leads to our state of the art treatment rooms.
Our services include: General & Cosmetic Dentistry Periodontics Oral & Maxillofacial Surgery Implant Dentistry Prosthetic Dentistry Oral Medicine & Pathology Digital X-Rays
KHQ VHDVRQV FKDQJH PRRGV FDQ FKDQJH ZLWK WKHP 7KH ORQJ GDUN DQG FROG PRQWKV FDQ JLYH SHRSOH D VHUL RXV FDVH RI FDELQ IHYHU 6RPH SHR SOH PD\ HYHQ VXIIHU IURP VHDVRQDO GHSUHVVLRQ Those who face this type of depression, known as Seasonal Affective Disorder (SAD), feel a physiological response by the body to decreases in light exposure associated with the fall and winter months, according to Dr. Gary Bruss, program dean of the American School of Professional Psychology at Argosy University, Southern California. “This is one of the more biologically based forms of depression,� says Bruss. “SAD can be characterized by moodiness, heightened irritability, lack of interest in those things you usually take pleasure in, changes in eating and sleeping patterns, and difficulty concentrating that take place during those fall and winter months every year.� Simply put, you may not feel as peppy as you normally do or have the same energy level or you may not want to be around people or follow your regular routine. If you are a student, you could see your grades declining and if you work, you may see your performance slipping. Being proactive about your mental health and taking care of yourself can help address depression and mood swings. Bruss recommends engaging in exercise, going for a walk or meeting friends or family for coffee or some fun activity. He also adds it is important to eat a balanced diet, get enough rest at night, do nice things for yourself or find a hobby to help occupy your time. “In the fall and winter, we tend to see an increase in seasonal affective
disorder and in overall stress,� says Dr. Devin Byrd, dean of the College of Health Professions at South University. “Becoming more acutely aware of your habits, stress levels and social activities can help assess and counterbalance the onset of seasonal sadness or depression.� If you sense that the season may be negatively affecting your well-being, Byrd recommends you initiate a new hobby, increase exercise, watch what you eat and take measures to take an active role in social activities. Light exposure therapy can combat the signs and symptoms of SAD. During this type of therapy, you sit near a device called a light therapy box. This box gives off a specific kind of light that mimics the natural light from the outdoors and can ease SAD symptoms. If signs of depression appear in a family member, friend or co-worker, Bruss recommends talking with them and encouraging them to seek help if depression persists or worsens. He also points out that the holiday season can have a major impact on depression if a person has experienced the death of a family member, close friend or a pet. If the severity of the depression interferes with a person’s ability to function socially or professionally, then it’s time to seek help from a mental health professional, says Bruss. “Seeking professional help is an increasingly common practice and people should not feel anxious about seeing a psychologist for psychotherapy or taking medication for depression if it’s needed — especially for a disorder that is based so heavily on our biology. The most important thing is to connect with a professional who can help you restore emotional balance, peace and happiness to your life,� Bruss says.
Pediatric Dentistry Orthodontics Endodontics Sleep Apnea Prostheses Maxillofacial Prosthodontics Laser Dentistry TMJ/Facial Pain
Sedation administered by certified dental anesthesiologists available.
631-632-8971
Š133295
Hours: Mondays, Tuesdays & Thursdays 8:30am-5:00pm Wednesdays & Fridays 8:30am-6: 30pm
Seasonal affective disorder can be helped with a variety of techniques.
OCTOBER 24, 2013 • FOCUS ON HEALTH • PAGE S5
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Stop the spread of cold and flu viruses this school year
$
QHZ VFKRRO \HDU KDV VWDUWHG DQG DV PDQ\ SDUHQWV NQRZ NLGV DUH OLNHO\ WR EULQJ KRPH PRUH WKDQ WKHLU KRPHZRUN DW VRPH SRLQW 0DQ\ FDWFK FROG DQG IOX YLUXVHV IURP WKHLU FODVV PDWHV ZKLFK FDQ WKHQ VSUHDG WR RWKHU IDPLO\ PHP EHUV DW KRPH :KHQ NLGV DUH VLFN WKH\ PLVV RXW RQ YDOXDEOH OHDUQLQJ H[SHULHQFHV DQG VRFLDO LQWHUDF WLRQV LQ WKH FODVVURRP On average, elementary school children get eight to 12 colds or cases of the flu each school year, according to the Centers for Disease Control and Prevention. For the older kids, it is about half that. That’s why it’s important that parents, teachers and kids work together to stop the spread of germs in the classroom. Everyone can follow these simple steps to help prevent the spread of viruses that can cause colds and flu this school year: • Get vaccinated: Getting a yearly flu vaccination is the first and most important step in flu prevention. The CDC recommends that everyone 6 months and older get a flu vaccination each year to protect against the flu virus. • Stay home when sick: If possible, keep kids home from school when they are sick to help prevent teachers and classmates from catching their illness. • Sing and scrub: Make sure kids wash their hands the right way. They should wash frequently with warm water and soap for at least 20 seconds (the time it takes to sing the “Happy Birthdayâ€? song twice). • Do the elbow cough: Teach kids to cough into elbows, not hands, since hands are more likely to spread bacteria and viruses through touch. • Disinfect germ hot spots: The CDC recommends disinfecting frequently touched surfaces or objects when
All Backed Together
$ Teachers can help prevent the spread of colds and flu by using a disinfectant approved to kill cold and flu viruses on desks, computer mice, door knobs and other classroom items shared by students.
someone is ill. In the classroom teachers can use a disinfectant approved to kill cold and flu viruses on desks, computer mice and doorknobs. “Creating a healthier learning environment starts with small actions that add up to a big impact,� says Dr. Howell Wechsler, CEO of the Alliance for a Healthier Generation, a nonprofit organization dedicated to helping children thrive. “Parents play an important role and can lend a hand to teachers by reinforcing healthy lessons at home and donating useful items like tissues, hand sanitizer and disinfecting wipes.�
Lovelier Legs
Port JEFFErSoN DErMAtologY
Jerry G. Ninia, MD, RVT, FACPh Fellow American College of Surgeons
Peter A. Klein, MD, FAAD Adam J. Korzenko, MD, FAAD David I. Silverstein, MD, FAAD
We provide office-based treatment for Varicose Veins and Spider Veins Specializing in:
Patients are only seen by a physician who is board-certified in Dermatology by the American Board of Dermatology We are delighted to announce our new Patchogue office, formerly the practice of Dr. Carolyn Ragan
EXPERT SPIDER VEIN TREATMENT
for minimally invasive vein treatment.
Call to schedule
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Uniquely Effective For: Replacing vein stripping.
Varicose Vein Center
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Immediate Evening & Weekend Appointments
www.portjeffersondermatology.com
• Injection-Compression Sclerotherapy • Foam Sclerotherapy • Ultrasound - Guided Sclerotherapy • Ambulatory Phlebectomy • Endolaser Vein Therapy • Cutaneous (Skin) Laser Therapy
Plus ELVeS™ (Endo Laser Vein System) The latest procedure
Most Insurance Plans Accepted Reasonable Fees for Non-insured Patients
631.928.7922 6 Medical Drive Suite D Port Jefferson Station, NY 11776
OO %DFNHG 7RJHWKHU ,QF LV GHGLFDWHG WR UDLVLQJ DZDUHQHVV RI VSLQDO LQMXULHV DQG IXQGLQJ IRU VSLQDO UHVHDUFK ,W ZDV IRUPHG LQ 6HSW DIWHU LWV IRXQGHU -RVHSK 0 %\UQHV H[SHULHQFHG VHULRXV OLIH FKDQJHV DIWHU LQMXULQJ KLV OXPEDU GLVFV Research needs funding. Providing a constant flow of funding can save lives, and future generations will never experience daily suffering, be severely disabled or paralyzed. The group offers bracelets at $4 each to help spread awareness and symbolize hope and strength for those suffering with spinal injuries. A polar plunge for this winter season is being planned. This event will be taking place towards the end of January or the beginning of February here on Long Island. The group is currently looking into holding the event at a private beach on the North Shore from Mt. Sinai to Wading River. If you belong to a private beach and can help All Backed Together in making this happen please contact them by email at JosephByrnes@ allbackedtogether.com or AlexisFriedman@allbackedtogether.com. For further information on All Backed Together go to www.allbackedtogether.com.
Most medical insurance accepted
PORT JEFFERSON
405 East Main Street • 474–1414 Visit Our Website at www.mdvein.com
American College of Phlebology
PAGE S6 • FOCUS ON HEALTH • OCTOBER 24, 2013
Long Island BeautyMD
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Where Your Beautiful Skin Begins
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Special Event: Saturday, Nov. 2nd A full day of treatment & education Treat yourself to Dysport, a Botox alternative & Sculptra Aesthetic
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Representative on site to discuss treatment options. Light fare, beverages & conversation will be served.
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Navigating the Medicare Part D enrollment
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Gift Certificates Available Lisa Makrides, MD Andrew Makrides, MD 7 Emmet Way, Stony Brook, NY 631–751–0542 www.LongIslandBeautyMD.com
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Here’s to keeping the swing in your step.
The Joint Replacement Center
Prescription drug plans can be confusing
I \RX¡UH FRQIXVHG DERXW KHDOWK FDUH UHIRUP DQG 0HGLFDUH \RX¡UH QRW DORQH 0HGLFDUH 3DUW ' RSHQ HQUROOPHQW LV XQGHU ZD\ DQG WKRX VDQGV RI $PHULFDQV DUH ORRNLQJ IRU DQVZHUV A new survey from Express Scripts titled, “Fift y States of Confusion,â€? confirms that seniors are misinformed about how health care reform will impact their Medicare benefits. “It’s worrisome; one in five seniors think they’ll be able to enroll in a health or prescription drug plan through a public health insurance exchange,â€? says Paul Reyes, an Express Scripts’ pharmacist and host of the “Ask the Pharmacistâ€? radio series. “These exchanges are part of the Affordable Care Act, but are only for uninsured people under the age of 65.â€? Although Medicare Part D has been around since 2006, with some states offering upwards of 36 different plans, the survey revealed that 60 percent of seniors still think that choosing the right Medicare plan is confusing. And with more than half of seniors falsely believing they’ll be paying more for their prescription drugs as a result of health care reform, they are taking matters into their own hands. “Seniors are skipping doctor’s appointments, delaying medication refills and skipping medication doses,â€? says Reyes. “These misconceptions may not only cost seniors, but could also lead to decisions that may be bad for their health.â€? Whether you are preparing to enroll into a Medicare Part D plan or you’re helping a family member or friend, Reyes provides some tips to simplify the process. • Know the basics: You are eligible
for Medicare Part D when you turn 65. Enrollment began on Oct. 15 and ends on Dec. 7. If you miss this deadline, you won’t be able to enroll again until fall of 2014, unless you qualify for a special election period. If you’re eligible (age 65), and neglect to enroll in Medicare Part D on time, you will be faced with a penalty when you do join the program. • Do your homework: Consider the premium, deductible and co-pays when assessing the overall cost of the plan. Make sure that the drugs you need to take are on the plan’s formulary (the list of covered medications). Also, look at the plan’s network of pharmacies. Some plans offer a preferred pharmacy network, which could save you money. • Care and convenience: Consider a plan with round-the-clock pharmacist access to help you get the support you need and the savings you want from your plan. Pharmacists can identify shortcuts to help you stick to your treatment regimen and avoid potentially harmful drug interactions. • Making the most of your Medicare dollars: To achieve the most value from your Part D plan, make sure to take your medications as prescribed, use generic medications when clinically appropriate, ask about home delivery and take advantage of the free preventative screening and vaccinations under Medicare Part B. To help seniors and caregivers make informed decisions, Express Scripts’ developed a consumer eGuide titled “Navigating Medicare and Reform: A Roadmap for Seniors and Caregivers,â€? available at www.roadmapformedicare.com. Seniors can also visit www. medicare.gov to learn more about the available Medicare Part D plans in their region.
The caring professional staff of the Joint Replacement Center, led by James Nicholson, MD, and Fazel Khan, MD, have spent years fine-tuning their skills to help you enjoy your favorite activities and keep the swing in your step. If you have joint pain that prevents you from doing the things you love, take a step in the right direction. Call Stony Brook Orthopaedic Associates at (631) 444-4233 today for an appointment. Visit lihipandknee.com for information about hip and knee conditions, or attend a free seminar on November 6 to learn about hip and knee problems and their treatments. To register, call (631) 444-4000. The Joint Replacement Center follows IHI (Institute for Healthcare Improvement) guidelines for employing the best practices in joint replacement surgery, which decreases joint replacement surgical-site infections. 129356
stonybrookphysicians.com Stony Brook University/SUNY is an affirmative action, equal opportunity educator and employer. Produced by the Office of Communications. 13080239H
The Medicare open enrollment period runs through Dec. 7.
OCTOBER 24, 2013 • FOCUS ON HEALTH • PAGE S7
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SBU Dental Medicine receives grant The Stony Brook University School of Dental Medicine and GlycoMira Therapeutics, Inc., have received a two-year $1.5 million grant from the National Institute of Dental & Craniofacial Research to develop a new treatment for periodontal disease, one of the most prevalent chronic inflammatory conditions without any known cure. The Phase II Small Business Innovation Research award supports the continuing development of a new class of anti-inflammatory agents. The project is led by Stony Brook Medicine’s Maria Ryan, DDS, PhD. The NIDCR award allows GlycoMira to develop its semi-synthetic glycosaminoglycan ether (SAGE) technology as an effective local therapy for gingivitis and periodontitis. Chronic gingival inflammation afflicts over half of all American adults and can progress to periodontal disease, eventually resulting in tooth loss. Periodontal disease is exacerbated by diabetes and smoking, and periodontitis subsequently increases the risk of systemic illness such as cardiovascular and renal disease, rheumatoid arthritis, and pregnancy complications. “Stony Brook Dental Medicine is committed to increasing awareness of the often silent gum disease known as periodontitis, which if not treated properly can have a significant impact on overall health,” said Dr. Ryan, co-principal investigator of the grant
and the professor and chair of Oral Biology & Pathology at Stony Brook University. “We are thrilled to see this innovative technology that will provide us with new therapeutic options to better manage periodontitis, move to the next phase of preclinical development and work with GlycoMira to introduce this new technology into the clinical setting and the practice of dentistry.” GlycoMira’s SAGE technology consists of a proprietary class of metabolically stabilized polysaccharides that are systemically and topically safe anti-inflammatory agents. Based on the preclinical results obtained during a previously awarded Stony Brook University/GlycoMira Phase I SBIR, GlycoMira’s SAGEs were found to block multiple pathways of periodontal disease progression. The pilot study demonstrated that GlycoMira’s lead compound, GM-0111, reduced key molecules involved in the destructive processes that lead to bone loss in an accelerated model of periodontal disease. Additionally, Dr. Ryan said that by targeting receptors for advanced glycation end-products or RAGE pathophysiology, SAGE has a high potential to impact the difficult-to-treat subset of periodontal patients comprising of people with diabetes and smokers. To further develop the new periodontal treatment technology, Dr. Ryan is collabo-
Free Medical Screening Available to Former Workers of
BROOKHAVEN NATIONAL LAB
About GlycoMira GlycoMira Therapeutics, Inc. is a development stage pharmaceutical company with a novel approach to treating inflammatory diseases that affect over 150 million Americans. GlycoMira was launched in early 2008 by University of Utah researchers and entrepreneurs, Glenn D. Prestwich, PhD and Thomas P. Kennedy, MD. In collaboration with physicians and scientists at the University of Utah and Stony Brook University, GlycoMira is developing unique, proprietary inflammation-modulating therapeutics that are safe and effective for the topical treatment of periodontal disease, gingivitis, oral inflammation and bladder inflammation.
PAWS FOR A CAUSE
Halloween Charity Dog Walk & Contest LOCATION:
EVENT FEES:
TO REGISTER:
Day of walk fee: $25.00
Pre-registration fee: $20.00 Includes walk & costume contest
• TOP DOG FuNDRAISER BEST IN SHOW • COSTuME CONTEST
Sunday, 27, 2012 2013 Sunday, October 28, Registration 10:30 – 11:30 am Costume Contest Awards 11:30 am Walk begins at 12:00 noon Rain or Shine
OWNER/DOG LOOk ALIkE FuNNIEST DOG CuTEST PuPPy MOST ORIGINAL CHILDREN & DOGGIE DRESS-uP
505 Main Street, Northport NY
Refreshments Awards Refreshments, Awards,&Doggie Bandanas
Call Today: 888-241-1199 117563
All of your information will be kept confidential
Department of Oral Biology & Pathology at Stony Brook University The mission of the department is to support the mission of Stony Brook Medicine and Stony Brook University through sci-
Online: www.visitingnurseservice.org
Beryllium sensitivity test Chest x-ray Breathing and hearing tests Blood work A complete physical
www.worker-health.org
rating with co-investigators Dr. Ying Gu of the Department of General Dentistry and Dr. Stephen Walker of the Department of Oral Biology & Pathology at Stony Brook, and with other researchers at the University of Utah, including co-principal investigator Dr. Glenn D. Prestwich.
By Mail or In Person Visiting Nurse Service & Hospice of Suffolk 505 Main Street, Northport NY 11768
Services include:
Maria Ryan, DDS, PhD
Walk starts at 505 Main Street and proceeds down Main Street to Northport Village Park
Independent expert occupational medicine physicians will check for illnesses that may be related to your work.
entific discoveries coupled with the dissemination and application of new knowledge in the health sciences through robust educational and research programs. The Department of Oral Biology & Pathology has a multidisciplinary faculty committed to research, teaching and service. The Department with its outstanding record of achievement in translational oral research develops new treatment paradigms, generates new products for oral health, and has integrated translational research concepts into its educational curriculum.
This medical screening program is implemented by Queens College of the City University of New York and is funded by the US Department of Energy.
FUN FOR THE WHOLE FAMILY Hay Rides and Petting Zoo will be available at Northport Village Park after the walk
presented by:
East Northport Chamber of Commerce Northport Chamber of Commerce Visiting Nurse Service & Hospice of Suffolk Sponsorship opportunities are available
For more information please call Barbara Sorelle 631-930-9310 or go online to www.visitingnurseservice.org
131272
PAGE S8 • FOCUS ON HEALTH • OCTOBER 24, 2013
Freedom From Food & Weight Issues
An Oral Treatment Option for Relapsing Forms of Multiple Sclerosis (MS)
If you struggle with eating and weight issues, you are not alone. Effective nutrition counseling can help overcome these patterns. Learn to: ■ Nourish your body by returning to a healthy relationship with food ■ Reconnect with internal signals of hunger and fullness ■ Stop emotional and deprivation-driven eating ■ End preoccupation with food ■ Rediscover enjoyment in eating
Mark Gudesblatt, MD South Shore Neurologic Associates, PC Tuesday, October 29, 2013 at 6:30 PM Eastern
WEU
Space is limited. A light meal will be served.
PHGLD
can help.
For more information call 631.751.7744 northshoreoflongisland.com
©128405
©128867
To RSVP, please call 1–866–703–6293 or e-mail MSrsvp@ahmdirect.com MS.US.PO1497.0313
Huntington, Hauppauge, NYC (631) 427-0002 jeanniegedeonmphrd.com
Not getting the attention you deserve online this year?
H2O Seafood Grill 215 West Main Street Smithtown, NY 11787
Event code: TR229148 (1085009)
Jeannie Gedeon, MPH, RD/CDN
Jeannie is a nutrition therapist who specializes in counseling for eating, body image and weight issues and is an expert in the treatment of eating disorders.
©128866
An informative event for people living with MS and their caregivers.
SUBSCRIBE NOW! SAVE OFF ThE NEWSSTAND COVER PRICE! KEEP INFORMED THROUGHOUT THE YEAR!
SUBSCRIPTION FORM
Use this form to mail your subscription or call
1 year $49 • 2 years $79 • 3 years $99
Charge it on MasterCard or VISA Card # Exp. Date Security CVV# Zip Code
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Zip Phone Make checks payable to:
TIMES BEACON RECORD NEWSPAPERS P.O. BOX 707 • SETAUKET, NY 11733 Visit us on the Web at
northshoreoflongisland.com EXCELLENCE. WE MAKE AN ISSUE OF IT EVERY WEEK.
©103559
❏ The Village TIMES HERALD ❏ The Village BEACON RECORD ❏ The Port TIMES RECORD ❏ The TIMES of Smithtown Township ❏ The TIMES of Northport & East Northport ❏ The TIMES of Middle Country ❏ The TIMES of Huntington
631–751–7744
OCTOBER 24, 2013 • FOCUS ON HEALTH • PAGE S9
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$
Five ways to fight fall allergies
XWXPQ LV D VHDVRQ ILOOHG ZLWK FULVS DLU IDOOLQJ OHDYHV SXPS NLQ FDUYLQJ DQG RI FRXUVH KD\ IHYHU V\PSWRPV +D\ IHYHU DIIHFWV PLOOLRQ $PHULFDQ DGXOWV DQG FKLOGUHQ DFFRUGLQJ WR WKH $PHULFDQ &ROOHJH RI $OOHUJ\ $VWKPD DQG ,PPXQRORJ\ 6\PSWRPV FRPPRQO\ DSSHDU GXULQJ WKH VSULQJ DQG IDOO PRQWKV “Ragweed blooms from August until November, and is unfortunately lasting longer every year,â€? says Dr. Michael Foggs, an allergist and ACAAI president-elect. “Research suggests the season lasts up to three weeks longer than it used to, and the further north you live, the longer you have to wait for relief.â€? To help sufferers fight fall allergy symptoms, ACAAI offers these tips: • Know the culprits — The most common sneeze and wheeze trigger during the fall hay fever season is ragweed pollen. Ragweed can begin blooming as early as August in some regions. A single ragweed plant may release a million pollen grains in just one day, and one grain can travel up to a hundred miles. Mold can also be particularly bothersome this time of year. Unlike pollen, mold doesn’t die with the first frost. Rather, spores stop growing during this time. • Avoid triggers — Ragweed pollen and
To help relieve fall allergy symptoms, shower and change and wash clothing after spending time outdoors.
mold spores can float in the air and linger on fallen leaves. After spending time outdoors, shower and change and wash your clothes. Clean your nasal passages, too, by using a salt-water rinse. While working outdoors, wear a pollen mask, such as a National Institute for Occupational Safety and
Health-rated 95 filter mask. Be sure to also keep your car and home windows closed. • Find relief — If you wait until the first sneeze to take your medication, you may be too late. Allergists recommend taking your medication two weeks before symptoms begin, and continuing for two weeks after
the first frost. Because of the nasal and eye symptoms associated with ragweed allergies, symptoms can linger after the pollen is no longer detected in the air. • Get tested — While hay fever may not seem serious, self-diagnosis and selftreatment can be. Many popular over-thecounter medications can cause sleep disturbances and mental impairment. If you have symptoms, make an appointment with an allergist for proper testing. Allergy testing can be done as skin tests or as blood tests, with positive results usually appearing in about 20 minutes. • Arm yourself — Allergy symptoms can be bothersome enough without flu symptoms getting in the way. Because the flu season overlaps with fall allergy season, be sure to get a flu shot. Recent studies have found even those with an egg allergy can safely get a flu shot. An allergist may also prescribe immunotherapy (allergy shots) to provide you with allergy relief during the fall months. While there is no cure for hay fever, this form of therapy can prevent and modify disease progression. Seasonal allergies and asthma are serious diseases that should be properly treated by a board-certified allergist. More information and free allergy tools, including the My Nasal Allergy Journal, can be found at www.AllergyAndAsthmaRelief.org.
Choose a Lifestyle for a Lifetime Choose Jefferson’s Ferry Jefferson’s Ferry, the premier Lifecare retirement living community on Long Island for over 12 years. Visit us at our next event!
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www.jeffersonsferry.org 631.650.2600 One Jefferson Ferry Drive South Setauket, NY
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PAGE S10 • FOCUS ON HEALTH • OCTOBER 24, 2013
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Encourage children to floss Flossing is essential to avoiding cavities at an early age
Learning to brush their own teeth is a lesson all children must master. Although parents ultimately may have children who become proficient at brushing their own teeth, getting them to floss is generally more difficult. The National Health and Nutrition Examination Survey from the Centers for Disease Control and Prevention found that 41 percent of children aged 2 to 11 had tooth decay in their first teeth. Dental caries are common among children, likely because they have not become proficient at taking care of their teeth. Soft, sticky foods are commonplace in young kids’ diets, and these can promote decay. Even well-intentioned gummy vitamins can be sources of dental decay. Oftentimes, these foods become lodged between the teeth or on the surface of molars. If left in contact with the teeth for too long, food particles become a source of carbohydrates for oral bacteria, and cavities may appear as a result.
Why are they
experts in healing? Breast Imaging Specialists. Board certified radiologists Dr. Michelle Price and Dr. Joseph Carrucciu only read breast images‌in fact they review more than 14,000 studies every year. Read and manage annual mammograms to more complex cases. Many freestanding centers only want to handle everyday mammograms and refer their most complex cases to Drs. Price and Carrucciu because they have more than 30 years combined experience in breast health imaging. From annual mammograms to complex cases, you want to go to someone who can do it all!
;OL 5H[PVUHS /LHS[O HUK 5\[YP[PVU ,_HTPUH[PVU :\Y]L` MYVT [OL *LU[LYZ MVY +PZLHZL *VU[YVS HUK 7YL]LU[PVU MV\UK [OH[ WLYJLU[ VM JOPSKYLU HNLK [V OHK [VV[O KLJH` PU [OLPY MPYZ[ [LL[O To remove food particles from between the teeth, children must floss, advises the American Academy of Pediatric Dentists. It is recommended that parents help their children to floss as soon as two teeth are touching and continue to do so until the child is around the age of 8, when a child should have enough dexterity to do it on his or her own. Flossing is essential to making sure children do not experience cavities at an early age, and it can establish practices that promote oral health throughout life. Continued on page S13
“We guarantee the Cremation with Confidence™. â€? – Peter G. Moloney
Owner, Funeral Director
We understand, due to national scandals, that those who choose cremation might have concerns about the process and procedures of cremation. Moloney Family Funeral Homes, Inc. exclusively uses the Nassau Suffolk Crematory, and we are the only local provider to offer a 10-step cremation process backed by our exclusive Cremation with Confidence™ Guarantee. Throughout the entire cremation process, your loved one is in our care at all times.
Patient Navigation. Fortunato Breast Health Center is with you all the way. Whether you are a patient who simply needs an additional test or you face a challenging diagnosis, we’re here to assist you through your journey to wellness. Higher Standards of Care. Drs. Price and Carrucciu are only at the Fortunato Breast Health Center, which has earned accreditation from the National Accreditation Program for Breast Centers (NAPBC). This recognition is earned by centers that voluntarily undergo a rigorous review of their performance and are committed to providing the highest level of quality breast care.
Please call us for a copy of our free Cremation with Confidence™ brochure and to learn more about our guarantee.
Moloney Family Funeral Homes 532 Route 112 Port Jefferson Station, NY 11776 Please send me a copy of “Cremation With Confidence™â€? ______________________________________________ Name
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OCTOBER 24, 2013 • FOCUS ON HEALTH • PAGE S11
I Know ThaT BehInd every serIous Injury Is someone’s lIfe sTory
Eric Hoffmann M.D.
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We are with youEvery step of the way, Every day CONQUERING CANCER... CLOSE TO HOME ®
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Long Island’s Premier Comprehensive Cancer Treatment Center 631.751.3000 | NSHOA.COM
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Setauket • Patchogue • Smithtown Brightwaters • Port Jefferson
PAGE S12 • FOCUS ON HEALTH • OCTOBER 24, 2013
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Fighting cancer with food
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Colorful fruits and veggies, as well as beans seem to be beneficial Tomatoes, whether served fresh or as a paste or sauce, have been linked to reducing a person’s risk for various cancers, including cancers of the prostate, lung and stomach.
Obstetrical & Gynecological Specialties, PC
A Division of Women’s Health Professionals, LLP Serving our community for over 50 years Affiliated with St. Catherine of Siena Hospital and SUNY Stony Brook
Everything you expect in an OBGYN Everything you deserve!
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Comprehensive care for women at every phase of life
Left LindaEkert, Ekert,N.P. N.P. LefttotoRight: Right:Natalia NataliaFlores, Flores,M.D., M.D.,Michael MichaelGentilesco, Gentilesco,M.D., M.D., Neila Neila Hernandez, Hernandez, N.P., N.P., Linda Lisa Amorin, M.D., Morisa J. Marin, M.D., Charles Mann, N.D., Wider, Lisa Amorin, M.D., Morisa J. Marin, M.D., Charles T. Mann,T.M.D., Jerry A. Jerry Wider,A.M.D. (notM.D. in photo)
Smithtown, 48 Route 25A, Suite 207 Stony Brook, 2500 Nesconset Highway Building 10A 133504
Fluent in Spanish, Portuguese, and Hebrew
For Appointments: (631) 862-3800
Obstetrical & Gynecological Specialties PC FP COL 10-10-13
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We are pleased to offer evening and Saturday hours Come visit us at one of our convenient office locations
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We accept most managed care plans including: • Empire Blue Cross Blue Shield • Oxford Health Plans • Empire Plan • United Health Care
HZ LI DQ\ IDPLOLHV FDQ VD\ WKH\ KDYH QHYHU KDG DQ H[SHULHQFH ZLWK FDQFHU Though cancer may strike even the healthiest of persons, there are ways men, women and even children can reduce their risk. One such way is to consume certain foods that researchers feel can reduce cancer risk. Though precisely how these foods fight cancer remains a mystery, cancer researchers feel they can effectively lower an individual’s cancer risk when combined to form a healthy diet. • Beans: Beans boast numerous healthy attributes, and their potential to reduce cancer risk is one of them. Beans contain many phytochemicals that researchers believe protect the cells from the type of damage that can ultimately make a person susceptible to cancer. Beans also have been shown to decelerate tumor growth and prevent tumors from releasing potentially harmful substances that can damage nearby cells. • Colorful fruits and vegetables: It may seem odd that a food’s color can have an impact on cancer risk, but colorful fruits and vegetables contain more cancer-fighting nutrients than fruits and vegetables that aren’t as flashy. Consuming such fruits and vegetables also helps men and women maintain a healthy body weight, an important benefit when considering overweight and obesity increases a person’s risk for multiple cancers. • Foods with folate: Folate is a B vitamin that can reduce a person’s risk of developing several cancers, including those of the colon, rectum and breast. Those who are fond of a healthy breakfast to begin their day may already be getting healthy doses of folate, which can be found in eggs, fortified breakfast cereals, orange juice and strawberries, among other foods. If toast is your breakfast of choice, opt for whole wheat toast, as whole wheat products are a good source of folate. • Grapes: Studies have shown that resveratrol, a key ingredient in grapes, may prevent the type of damage that triggers the production of cancerous cells. Though scientists are not yet comfortable saying grapes, or beverages like grape juice and wine, can reduce cancer risk, they believe that the antioxidant and anti-inflammatory properties of grapes make them a healthy option. • Tomatoes: Tomatoes are widely beloved, and perhaps that love affair stems from the tomato’s role in fighting cancer. Though the reasons are unknown, tomatoes have been linked to lowering men’s risk for prostate cancer. One such study, a 1995 study from researchers at the Harvard Medical School, found that men who ate 10 or more servings of tomatoes per week reduced their risk of developing aggressive prostate tumors by nearly 50 percent. Later research from the author of the 1995 study found that processed tomatoes, such as those found in tomato paste and tomato sauce, were even more effective at reducing cancer risk than fresh tomatoes. Tomatoes have also been linked to lowering a person’s risk for lung and stomach cancers. • Water: Water may not qualify as a food, but it may protect people from bladder cancer. Potential cancercausing agents in the bladder are diluted when drinking water. In addition, the more water you drink the more frequently you’re likely to urinate, which means cancer-causing agents have less time to come into contact with the lining of your bladder. Many foods can help individuals in the fight against cancer. Though one food alone may not be potent enough to do the job, when several cancer-fighting foods are included in a person’s diet, the effects may be significant.
061208
OCTOBER 24, 2013 • FOCUS ON HEALTH • PAGE S13
-VJ\Z VU /LHS[O FLOSSING Continued from page S10 welcomes to our family
Richard Litman, MD, FACS
Lee Shangold, MD, FACS
William Sher, MD, FACS
John Sugrue, MD, FACS
Lauren Zaretsky, MD, FACS
Ajay Chitkara, MD, FACS
Craig Litman, MD, FACS
These superb physicians (formerly of Otolaryngology Associates of Long Island, P.C.) will continue to serve patients in their existing Port Jefferson and Patchogue locations, with access to the latest state-of-the-art technology and additional sub-specialty resource support.
Children should learn that flossing is just as important as brushing.
To prevent the buildup of plaque and the development of dental caries, parents should educate children about proper flossing techniques.
Port Jefferson
251 East Oakland Avenue Port Jefferson, NY 11777 Tel: 631-928-0188
Patchogue
475 East Main Street Patchogue, NY 11772 Tel: 631-654-3833
Adult and Pediatric ENT • Allergy and Immunology • Voice and Swallowing • Hearing Services Sleep Services • Head and Neck Surgery • Facial Plastics • Ear and Dizziness • Clinical Research
131084
an early age, and it can establish practices that promote oral health throughout life. Despite being so important, many parents fail to encourage flossing or are at a loss as to how to make it enjoyable and effective. Although regular dental floss is one of the first tools for flossing, the dexterity required to wind the floss around little fingers and then thoroughly clean the teeth may discourage children. Parents can look into the wide array of flossing helpers available in stores. In fact, many age-appropriate flossers are now available that feature fun designs and smaller profiles to fit into kids’ mouths more easily. Flossers may be attached to a handle to make back teeth more accessible and promote more effective flossing. Manufacturers such as DenTek, Butler GUM, Plackers Kids, Dr. Fresh, Oral-B, and Brush Buddies offer children’s flossers. Kids who shy away from flossing may be more likely to use a children’s water flosser. In lieu of string floss, a water flosser uses a pressurized stream of water to dislodge food from between teeth. Although a water flosser may be more messy, children may enjoy the opportunity to play with water and the cleaning sensation provided.
SMITHTOWN CENTER FOR REHABILITATION & NURSING CARE IS VERY PROUD OF ITS ACCOMPLISHMENT!
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CENTERS FOR MEDICARE & MEDICAID SERVICES GIVES
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A 5-STAR RATING!!!
PAGE S14 • FOCUS ON HEALTH • OCTOBER 24, 2013
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Rosacea Study Do you flush easily? Is your face often red? Do you have acne-like pimples or bumps on your face? You may have Rosacea. To qualify for a clinical trial, evaluating an investigational topical gel for treating Rosacea, you must be 18 years or older and have at least 16 acne-like pimples or bumps on your face. Qualified study participants will receive at no cost a dermatological evaluation, study medication, and a possible stipend to cover time and travel. Š38560
For more information: DermResearchCenter of New York, Inc. 2500 Route 347, Building 22A Stony Brook, NY 11790 Tel: 631.689.1900
Photo courtesy of Getty Images, source, Colgate Total
Develop healthy oral care habits, like brushing, flossing and regular dental visits.
Living with diabetes? Watch your mouth!
TO SUBSCRIBE Please call 631.751.7744 or Subscribe on line at northshoreoflongisland.com
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FFRUGLQJ WR WKH &HQWHUV IRU 'LVHDVH &RQWURO DQG 3UHYHQWLRQ SHRSOH ZLWK GLD EHWHV DUH WZLFH DV OLNHO\ WR GHYHORS JXP GLVHDVH WKDQ WKRVH ZLWKRXW LW ,Q IDFW DERXW RQH WKLUG RI SHRSOH ZLWK GLDEHWHV KDYH VHYHUH JXP GLV HDVH Why are those with diabetes more vulnerable to gum disease? High blood glucose levels impair the body’s ability to heal from oral infections and uncontrolled diabetes can make treating gum disease more difficult, according to the American Diabetes Association. The association is joining with Colgate to launch a new “Watch Your Mouth!â€? campaign to help raise awareness surrounding the often over-looked link between oral health and diabetes. Here are some tips to help you live well with diabetes: • Watch your mouth! Begin to develop healthy oral care habits, like brushing, f lossing and visiting the dentist regularly. • Don’t miss out on your favorite foods. Just eat healthier versions that
everyone in your family can enjoy. Making simple substitutions to most dishes can help increase nutritional value, while not sacrificing on taste. • Use the right tools. Stay organized with a journal large enough to keep your diet, exercise, goals and health information together. Keep a week’s worth of prescriptions in one place with a handy pill case. • Know your risks. The American Diabetes Association lists the common risk factors for diabetes as being 45 or older, being overweight, not exercising regularly, having high blood pressure and being a part of certain racial and ethnic groups. • Visit your dentist. While your doctor and certified diabetes educator play an important role in helping with your diabetes, so does your dentist. If you don’t see a private-practice dentist, you can visit dental schools that provide services at a fraction of the cost to help you keep your mouth healthy. For more expert tips and information, visit www.oralhealthanddiabetes.com.
Š131424
CancerCare resource guide now available “A Helping Hand: The Resource Guide for People with Cancer� is now available. The comprehensive handbook features the most up-to-date contact information and descriptions for hundreds of national and regional organizations offering financial help to people with cancer. The new edition also provides valuable tips patients and caregivers can use to manage finances and access resources in their local community. Health care professional can rely on “A Helping Hand� for the latest accurate information about services that can benefit their patients. Order copies, free of charge, from www.cancercare.org/publications/order.
OCTOBER 24, 2013 • FOCUS ON HEALTH • PAGE S15
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0
Dental health and pregnancy
DQ\ PRPV WR EH UHFHLYH DGYLFH IURP ZHOO PHDQLQJ IULHQGV DQG UHODWLYHV <HW WKHUH VHHP WR EH P\WKV DERXW WDNLQJ FDUH RI WHHWK DQG JXPV ³ LI GHQWDO KHDOWK LV HYHQ PHQ WLRQHG DW DOO While pregnancy comes with many responsibilities, oral hygiene should be a top priority to ensure both mother and child are set up for healthy habits that will last a lifetime.
ing to clean a pacifier by putting it in your own mouth, as these types of activities may transfer cavity-causing germs to your baby.
Take baby steps to better dental health
What to expect
Hormonal changes can lead to an increased risk of gum disease (gingivitis) throughout pregnancy. Some women may develop “pregnancy tumors,” painless bumps on their gums, most often during their second trimester. In addition to flossing once daily and brushing twice daily, work closely with your dentist throughout pregnancy to flag issues before they become problematic. “Delaying necessary treatment for dental problems could result in significant risk to you and your baby,” said Dr. Maria Lopez Howell, DDS, spokesperson for the American Dental Association. “It’s worth your time to visit the dentist even if you don’t think you have dental problems.” According to national experts in women’s health, public health and dental health, a new consensus statement based on scientific evidence reaffirms that preventive oral care, including the use of dental X-rays, pain medication and local anesthesia for dental procedures, is safe throughout pregnancy. “Don’t put dental care on the back burner, as the
Photo pressmaster, Fotolia
Take good care of your teeth and gums, both during and after pregnancy.
complications could far outweigh potential risks. Make it part of your health and wellness visits during pregnancy,” Dr. Howell said. Postpregnancy, maintaining good dental health habits is critical for everyone in the family. Evidence suggests that most infants and young children catch the germs that cause cavities from their parents or caregivers. Refrain from sharing utensils or attempt-
Do you suffer from frequent yeast infections?
BELLE MEAD PHARMACY INC Compounding & Surgical Ph: 631-444-0784 Fax: 631-689-2209 Located opposite Stony Brook Technology Park & Research Way
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• You must be a healthy female. • You must be between 18 and 50 years of age (inclusive). • You must have an active yeast infection when you come to the office. • You must have had 2 other yeast infections in the last year.
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Together with the ADA, the American College of Obstetricians and Gynecologists, the National Maternal and Child Oral Health Resource Center at Georgetown University and the Health Resources and Services Administration, recommend following a few simple steps to help maintain a healthy mouth during pregnancy: • Get dental health treatment, as recommended by your dentist, before delivery. Schedule an appointment with your dentist if your last dental visit was more than six months ago. The use of dental X-rays, pain medication and local anesthesia for dental procedures is safe throughout pregnancy. • If you experience morning sickness, rinse your mouth with a teaspoon of baking soda in a cup of water to prevent stomach acid from harming your teeth. • Drink water throughout the day that contains the recommended amount of fluoride to help to keep you hydrated and prevent tooth decay. • Avoid foods that are high in added sugar and drink water or milk instead of juice, fruit-flavored drinks or soda. More advice from the American Dental Association about dental health during pregnancy is available at www.mouthhealthy.org. — StatePoint
Maureen or Daniela 631.656.4060
Suffolk Obstetrics & Gynecology Suffolk Obstetrics & Gynecology
Dedicated To A Lifetime Of Wellness For Women a division of
PAGE S16 • FOCUS ON HEALTH • OCTOBER 24, 2013
THIS Year DO YOU Want To reverse Disease? Want To Lose Weight? Feel Concerned You’re Locked Into Your Genes?
IF YOU THInk IT’S TOO LaTe TO CHanGe, reaD THe COmmenTS FrOm mY prOUD paTIenTS beLOW: The results I have achieved working with Dr. Dunaief have been quite remarkable. My primary goal was to reduce average blood pressure to acceptable levels. This was accomplished in a little over 3 months. Coincidentally I was able to reduce my overall cholesterol from 250 to 177 with a much improved LDL/HDL ratio in 4 months. In addition I lost over 30 lbs and went from 24% body fat to 17.7%. I have some good days but mostly great days and I’m very happy with the results and look forward to even more improvement in the future. —D.L., age 64
“My pain has subsided considerably. But, I must tell you that I don’t think I would have made it this far without your help. I was a mess when I first saw you, but you gave me a new sense of strength, new knowledge about nutrition and just a better regard for myself.” ~ Nurse Practitioner/ IBS and ulcerative colitis sufferer, age 62
“My cardiologist was so impressed with my results. By following Dr. Dunaief’s advice, I’ve been able to stop all three of my blood pressure medications. My heart palpitations, which were limiting my activities, have dramatically reduced in frequency, my energy levels have increased and I have lost 15 pounds in two months.” ~ Nurse, age 62 “I feel awesome after eating the diet, especially in the morning. I can’t believe how much has improved with such small changes. My cholesterol is normal, and my triglycerides dropped dramatically - almost 200 points! My blood pressure medication was stopped, yet my blood pressure is the best it has ever been.” ~ E.M., age 44
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David M. Dunaief, M.D. Clinician, Author and Speaker
Preventing and Reversing These Conditions and Diseases: Diverticular Disease Irritable Bowel Syndrome Fibromyalgia Alzheimer’s Disease Dementia Parkinson’s Disease Depression and Mood Disorder Menopause Asthma Allergies Macular Degeneration Uveitis/Scleritis Optic Neuritis Chronic Obstructive Pulmonary Disease Trained with
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OCTOBER 24, 2013 â&#x20AC;˘ FOCUS ON HEALTH â&#x20AC;˘ PAGE S17
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Antibiotic resistance threats in the U.S.
Patients and health care providers need to work together to combat this problem
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How bacteria become resistant
When bacteria are exposed to antibiotics, they start learning how to outsmart the drugs. This process occurs in bacteria found in humans, animals and the environment. Resistant bacteria can multiply and spread easily and quickly, causing severe infections. They can also share genetic information with other bacteria, making the other bacteria resistant as well. Each time bacteria learn to outsmart an antibiotic, treatment options are more limited, and these infections pose a greater risk to human health.
Infections can happen to anyone, anywhere
Anyone can become infected with antibiotic-resistant bacteria anywhere and anytime. Most infections occur in the community, like skin infections with MRSA and sexually transmitted diseases. However, most deaths related to antibiotic resistance occur from drug-resistant infections picked up in health care settings, such as hospitals and nursing homes.
What you can do to protect yourself against drug-resistant infections
There are many ways you can help prevent the creation and spread of resistance. First, when you are sick, do not demand antibiotics from your doctor or take antibiotics that were not prescribed to you directly for your specific illness.
When taking antibiotics, do not skip doses, and make sure to follow the directions about dose and duration from your doctor. Second, like all diseases, common safety and hygiene methods can prevent disease and spread. Make sure to: â&#x20AC;˘ Get updated and regular vaccinations against drug-resistant bacteria â&#x20AC;˘ Wash your hands before eating and after using the restroom to avoid putting drug-resistant bacteria into your body â&#x20AC;˘ Wash your hands after handling uncooked food to prevent ingesting drugresistant bacteria that can live on food â&#x20AC;˘ Cook meat and poultry thoroughly to kill bacteria, including potential drugresistant bacteria
What health care provides can do to protect patients from drug-resistant infections
There are many ways to help provide the best care to your patients while protecting them against antibiotic-resistant infections. â&#x20AC;˘ Follow all necessary infection control recommendations, including hand hygiene, standard precautions, and contact precautions. â&#x20AC;˘ Diagnose and treat resistant infections quickly and efficiently. Treatment options change often because resistance is complex. Make sure to follow the latest recommendations to ensure you are prescribing appropriately. â&#x20AC;˘ Only prescribe antibiotics when likely to benefit the patient, and be sure to prescribe the right dose and duration. â&#x20AC;˘ Be sure to clearly label dose, duration, and indication for treatment, and include appropriate laboratory diagnostic tests when placing antibiotic orders. This will help other clinicians caring for the patient to change or stop therapy when appropriate. â&#x20AC;˘ Take an antibiotic time out, reassessing therapy after 48 to 72 hours. Once additional information is available, including microbiology, radiographic, and clinical information, a decision can be made on whether to continue the same therapy. â&#x20AC;˘ When transferring patients, ensure the other facilities are notified of any infection or known colonization. â&#x20AC;˘ Keep tabs on resistance patterns in your facility and in the area around your facility. â&#x20AC;˘ Finally, encourage prevention methods with your patients. Make sure they understand how to protect themselves with vaccinations, treatment, and infection control practices such as hand-washing and safe food handling. The above information was provided by the Centers for Disease Control; www.cdc.gov.
Antibiotic-resistant bacteria, like C. difficile, are becoming more common. Follow guidelines to help prevent their spread.
Donâ&#x20AC;&#x2122;t give up on skin during the colder months ahead
'
XULQJ WKH IDOO ZKHQ WHP SHUDWXUHV GURS VNLQ FDUH VWHSV WKDW ZHUH FUXFLDO GXU LQJ WKH KRW VXPPHU PRQWKV FDQ RIWHQ EH RYHUORRNHG EHFDXVH VNLQ LVQ¡W DV H[SRVHG Instead of waiting until skin is uncomfortably dry and itchy, make sure youâ&#x20AC;&#x2122;re moisturizing every day so skin stays soft, smooth and supple. And with all of the gatherings and parties that happen through fall and winter, you want to feel comfortable and confident in whatever you wear â&#x20AC;&#x201D; whether itâ&#x20AC;&#x2122;s a short cocktail dress or a sleeveless top. So, if youâ&#x20AC;&#x2122;re the type to hide red, flaky skin under layers of clothing every fall and winter, consider these simple tips that will have you prepared to bare your arms and legs during one of the biggest party seasons. â&#x20AC;˘ Stop the scratching â&#x20AC;&#x201D; With dry air comes dry skin, which can cause irritating itchy spots. Scratching those spots damages the skin and leaves red welts amongst the white scaly patches. â&#x20AC;˘ Add a little moisture into the air at home using a humidifier, especially in the bedroom where you sleep at night. Research by the University of Minnesota found that if the outdoor temperature is between zero and 40 F, and the indoor temperature is set at 70 F, the relative humidity level indoors should be between 30 and 40 percent. Your skin, hair and sinuses will notice the extra humidity indoors, helping you to feel more comfortable in your skin. â&#x20AC;˘ Moisturizer is key â&#x20AC;&#x201D; Although a simple step, moisturizing is often over-
looked. But youâ&#x20AC;&#x2122;d be surprised how applying a layer every day can make you feel more comfortable and confident. â&#x20AC;&#x153;With all the parties during fall and winter, you donâ&#x20AC;&#x2122;t have time to sacrifice fashion because of poor skin care choices,â&#x20AC;? shares FashionIndie.com blogger Beca Alexander. â&#x20AC;&#x153;Thereâ&#x20AC;&#x2122;s no better feeling than flaunting your legs in the perfect little black dress.â&#x20AC;? Areas to remember moisturizing include the elbows, feet and neck, as these areas build up a tough layer of skin when dried out. â&#x20AC;˘ Add a bit of coloring â&#x20AC;&#x201D; Self-tanning product technology has improved greatly over the years, and allows women to give their skin a hint of color without exposing it to any UV rays. After moisturizing, carefully apply a spray or cream tanner to the skin, being sure to thoroughly wash your hands and wrists once finished. Apply lightly and work in layers, so you donâ&#x20AC;&#x2122;t overdo. â&#x20AC;˘ Cater to special features â&#x20AC;&#x201D;Lips, eyes and the nose are often affected by the colder temperatures more than the rest of the body. Be sure to give these features of your face loving attention with extra moisturizing products like lip balm and ointment during the winter months. Also be sure to cover your face while outside with scarves to help prevent additional damage from the cold wind. By maintaining your skinâ&#x20AC;&#x2122;s moisture as much as possible, you will feel much more comfortable and know that you can show off your beauty, even as the temperatures drop and the air gets drier.
PAGE S18 • FOCUS ON HEALTH • OCTOBER 24, 2013
A Woman’s Life: Health Care For Every Stage
Those perplexing teen years...family planning...your first pregnancy...the journey into your golden years. A woman’s life is full of wonderful, natural stages. At Suffolk Obstetrics & Gynecology, we believe each stage deserves its own special attention and nurturance. Suffolk Obstetrics & Gynecology is a progressive, collaborative practice offering a wide range of services with emphasis on primary and preventative women’s care for all age groups. Come visit with us. Surround yourself in the comfort of our state-of-the-art facilities. Find out about our ongoing Lecture Series. Meet our caring, certified physicians and other health care providers. Visit with us and feel cared for...every step of the way.
Suffolk Obstetrics & Gynecology
Dedicated To A Lifetime Of Wellness For Women a division of
Anthony Giammarino, M.D. Lance Edwards, M.D. Paul Lograno, M.D. Amy R. Richter, M.D. Sarah Frischberg, D.O.
Douglas S. Lee, M.D. John G. Petraco, M.D. Dennis Strittmatter, M.D. Stephen Golub, M.D. Dorothy Kozlowski, O.G.N.P.
Gerardo A. San Roman, M.D. Jennifer D. Marshak, M.D. Mindy L. Shaffran, M.D. Patrick Schreiber, M.D. Kim DeCastro, C.R.N.P., C.N.M.
Over 30 Health Plans Accepted Including: Vytra, Empire Blue Cross, Oxford, United HealthCare and the Empire Plan Port Jefferson - Main Office 118 North Country Road (631) 473-7171
Patchogue 285 Sills Rd. (631) 475-4404
Smithtown 222 Middle Country Rd. (631) 361-7171
Visit our website at: www.suffolkobgyn.com
Wading River 6144 Route 25A (631) 929-3222 128896
Our Convenient Offices • Evening and Saturday Hours
OCTOBER 24, 2013 â&#x20AC;˘ FOCUS ON HEALTH â&#x20AC;˘ PAGE S19
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Navigating teen health issues
DUHQWV RI WHHQDJHUV IDFH D GHOLFDWH EDODQFLQJ DFW EHWZHHQ WDNLQJ FDUH RI WKHLU WHHQV DQG DOORZLQJ WKHP IUHHGRP WR PDNH WKHLU RZQ GHFLVLRQV 7HHQV WKHPVHOYHV VHHP WR XQGHUVWDQG WKH LPSRUWDQFH RI JRRG KHDOWK ,Q D VXUYH\ E\ WKH 1DWLRQDO )RXQGDWLRQ IRU ,QIHFWLRXV 'LVHDVHV WZR RXW RI WKUHH VXUYH\HG WHHQV VDLG WKH\ ZRUU\ D ORW RU D JUHDW GHDO DERXW VWD\LQJ KHDOWK\ +RZHYHU ZKHQ LW FRPHV WR KDQGOLQJ KHDOWK LVVXHV SDUHQWV QHHG WR UHPDLQ LQ WKH GULYHU¡V VHDW â&#x20AC;&#x153;Parents need to know that itâ&#x20AC;&#x2122;s going to be ok,â&#x20AC;? says internationally recognized author and parenting expert Dr. Michele Borba, Ed.D. â&#x20AC;&#x153;Even though the teen years are a difficult time, we canâ&#x20AC;&#x2122;t let the kids take the lead, especially with their health. Now more than ever parents must be vigilant and involved. There are actually some simple ways to help guide them and not try to control them.â&#x20AC;? While teens face many health-related issues, experts recommend that parents focus on three key teen health issues and consider some simple approaches to instill good habits:
Oral Health
Parents and teens both know that brushing and flossing are essential for good oral health. But they may be unaware that crooked teeth (also called malocclusion), if left untreated, can lead to periodontal disease and premature wearing of the teeth. Crooked teeth can put abnormal stress on teeth and jaws and cause difficulty with effectively biting, chewing and speaking. While straight, attractive teeth can certainly boost a teenâ&#x20AC;&#x2122;s mental health and self-esteem, teeth straightening is clearly much more than just a cosmetic issue. Itâ&#x20AC;&#x2122;s easier than ever to straighten teeth, with choices (such as plastic removable appliances) that eliminate many of the negatives associated with traditional braces. Teens no longer have to worry about having the conspicuous look of metal braces. Plus, removing the aligners allows wearers easier access to brushing and flossing, which reduces the risk of tooth decay. As the mouth is truly the health gateway to the body, experts suggest a complete oral health routine including brushing, flossing and regular visits to the dentist and orthodontist.
The single most important way parents can teach teens about health, diet and lifestyle habits is to model those habits themselves, experts agree. Involve teens in meal-planning and preparation, demonstrating good nutrition and healthful choices. Encourage physical activity by engaging the entire family in fun, healthful exercise such as cycling, hiking or playing sports together. Just talking about weight, diet and appearance is not only not enough, it can actually be detrimental to teensâ&#x20AC;&#x2122; health. A study by the University of Minnesota in Minneapolis found that when parents focus on weight, size and appearance when talking to teens,
they may actually increase a teenâ&#x20AC;&#x2122;s risk of engaging in unhealthy weight-control measures such as fad diets or binge eating. Even though theyâ&#x20AC;&#x2122;re approaching adulthood, teens still need parental guidance and support when it comes to health, but not interference. The NFID study found that 60 percent of teens could come up with at least one reason to ditch their annual checkup, with a third thinking they only need to see a doctor when sick. But of those who did get a checkup, 84 percent of doctors surveyed said exams went better when parents took a supportive stance outside the exam room.
NEW YORK SPINE AND BRAIN SURGERY
From nonsurgical approaches to advanced complex surgery, our spine specialists have your back.
Stress
Diet and weight
More than a third of American children and teens are obese or overweight, according to the Centers for Disease Control and Prevention. Health experts agree, however, that weight is only one reason to emphasize a healthy diet for teens. Good nutrition is just as important for teens as it is for young children, since teenagersâ&#x20AC;&#x2122; bodies go through stressful development and mentally they are creating eating habits that can follow them throughout life.
Left to right: Robert Galler, DO, Director, Spine Treatment Center; Jonathan Raanan, MD, Physiatrist; Frederick Gutman, MD, Neurosurgeon; Donald Macron, MD, Physiatrist; Raphael Davis, MD, Chair, Neurosurgery; Michelle Tomasetti, RPA-C, Physician Assistant; Eugene King, RPA-C, Physician Assistant; Arthur Rosiello, MD, Neurosurgeon.
Our Spine Treatment Center team understands that spine disorders vary from patient to patient. So relax; you wonâ&#x20AC;&#x2122;t find a one-treatment-fits-all approach here. Spine problems can be treated by our physiatrists using the latest nonsurgical procedures. While other more complex conditions such as a spinal trauma, spinal tumors or disc herniations/bulges require the expertise and experience of our neurosurgeons. Our team of neurosurgeons, physiatrists and physician assistants will work with you to develop a customized care plan to treat your neck and back conditions.
More about us: â&#x20AC;˘ Spine procedures and surgeries at Stony Brook University Hospital, Stony Brookâ&#x20AC;&#x2122;s Ambulatory Surgery Center and Peconic Bay Medical Center
â&#x20AC;˘ Stony Brook Medicine is the only site on Long Island offering access to acute spinal cord injury clinical trials â&#x20AC;˘ Convenient outpatient offices in East Setauket and Riverhead
(631) 444-1213 (option 1) neuro.stonybrookmedicine.edu stonybrookphysicians.com Stony Brook University/SUNY is an affirmative action, equal opportunity educator and employer. 13080230H
133495
Extreme stress isnâ&#x20AC;&#x2122;t good for anyone, and todayâ&#x20AC;&#x2122;s teens have more on their plates than ever before â&#x20AC;&#x201D; from academic and extracurricular commitments and college preparation to family obligations, friendships and even working outside the home. Doctors polled in the NFID study reported stress-related conditions were among the topics teens and parents were most likely to bring up at their annual checkups. In addition to short-term physical symptoms like increased heart rate and breathing, headache, neck stiffness and pain, and stomach upset, stress can create long-term problems, too. Over time, stress can affect the immune system, heart, blood pressure, lungs, reproductive organs and stomach. In teens, it can make existing acne even worse. One simple solution is more exercise. Getting off the couch or away from the computer screen and engaging in physical activity is a great stress buster. Exercise releases tension and excess energy, and provides physical and cosmetic benefits, too.
PAGE S20 • FOCUS ON HEALTH • OCTOBER 24, 2013
walk on for
NOV 3, 2013 PORT JEFFERSON, NEW YORK
A community walk/run to benefit Good Shepherd Hospice WALK ON FOR HOPE is a community walk supported by many area schools and students that will benefit the Child Life program at Good Shepherd Hospice. Our Child Life program is unique because we provide this valuable service, usually hospital-based, through the collaboration of our inpatient center, patient homecare team, and the many hard working men and women of CHSLI.
DATE
Sunday, November 3, 2013
TIME
Sign in begins at 8 am Walk/Run to start at 9 am
LOCATION
Parking Lot Across from St. Charles (Old Crayon Building) 200 Belle Terre Road, Port Jefferson
ROUTE
4.5 MILE WALK/RUN through Belle Terre and Port Jefferson
PRE-REGISTRATION:
$20
REGISTRATION THAT DAY:
$25
T-shirts for all participants Make a team, get your friends to sponsor you, bring your family! Can’t make it that day? We would still appreciate your support! Make a donation!
SPONSORSHIP OPPORTUNITIES AVAILABLE Sponsorship DEADLINE October 21, 2013 (NO EXCEPTIONS can be made due to production restrictions)
Use the QR code on the right or register online at http://www.islandrunning.net/search/event.aspx?id=22909 For more information, please call Community Relations at 631-465-6350
REGISTRATION