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LIFEST YLE

A message from the publisher

How dramatically the relationship between doctor and patient has changed! When I was a child, I well remember how the doctor’s words and directions were regarded as absolute. Few patients were willing to disagree with the doctor’s advice, and if they did, they did so silently, never in conversation with their physician. There was no such arrangement as a doctor-patient partnership. It was simply “doctor knew best.” Evidence of this void was the lack of medical articles in the lay press. There was little information for the average patient to use in discussion with his or her doctor. I was well aware of that because I wanted to write about the frontiers of medicine after I graduated from college, but there were precious few publications that even carried a medicine section. Time Inc. was one of the rare publishers with such content, and that is where I was lucky enough to land a job. Fast-forward half a century, and now almost every publisher offers articles on health and wellness. Some of them even catch the eye of physicians for their technical excellence and timeliness. These articles and programs on

other media enable patients to enjoy a much more satisfying relationship with their physicians, and physicians to speak with patients who have a much higher degree of awareness about their conditions. Doctors even routinely give patients literature to read about their health so that they are more of an informed partner in the treatments. We’ve come a long way, with great success, in medicine, and this relationship change, although largely unheralded, has been part of the picture. So it is with great satisfaction that we present to you this October edition of Lifestyle, devoted almost entirely to articles on the state of different medical specialties today. Much as Thomas Jefferson said that an informed citizenry is necessary for democracy to thrive, so a knowledgeable population concerning wellness is required for the best of health. We have put every effort into making these articles both accurate and readable. They cover topics as broad as the latest in breast cancer to falls prevention. We hope you enjoy reading and that the information you gain helps in your next visit with your doctor. Here’s to your health! ~ Leah Dunaief

A message from the editor

Welcome, Lifestylers, to our October issue — a unique edition focusing on health. Behind this month’s pages lay stories spanning the spectrum of wellness, with features on breast cancer, the benefits of being a pet owner, a 411 on what exactly concierge medicine is and more. Health, a broad topic, takes many shapes. I thought I’d take this space to spotlight a sleepy, oft-overlooked health condition: seasonal affective disorder, or the winter blues, for short. Mayo Clinic defines SAD as “a type of depression that’s related to changes in seasons.” Now, this isn’t a lethal type of illness. But it’s safe to say we’ve all felt SAD-ness. And it interferes with our lives in quiet, unassuming ways, affecting work productivity, friendships, family relationships and more. Naturally, this disorder more greatly affects those

living in colder regions. Even though you may not have been diagnosed with SAD, most people feeling the winter blues could benefit from a mood boost. So it’s time to gear up, and I’m not just talking about warmer clothes. We’re at the edge of the season right now, when this depressive bug starts to kick in. Some tips MayoClinic offers to help you manage SAD include taking care of yourself by getting enough rest and time to relax; practicing stress management techniques, socializing, and, one of my favorite tips — take a trip somewhere warm, if you can. Even a long-weekend will do wonders, and you can find some great deals out there (I’ve recently taken to perusing the under-$99 section of getaways on Groupon). Or, ditch all those suggestions and curl up with a copy of Lifestyle by the fire. We sincerely hope you enjoy this month’s read. ~ Rohma Abbas

PUBLISHER Leah S. Dunaief ~ GENERAL MANAGER Johness Kuisel ~ EDITOR Rohma Abbas ~ MANAGING EDITOR Phil Corso | ONLINE EDITOR Elana Glowatz EDITORIAL Giselle Barkley, John Broven, Phil Corso, Victoria Espinoza, Ernestine Franco, Desirée Keegan, Ellen Recker, Lisa Steuer, Heidi Sutton ART AND PRODUCTION DIRECTOR David R. Leaman ~ ART AND PRODUCTION Janet Fortuna, Beth Heller Mason, Wendy S. Mercier INTERNET STRATEGY DIRECTOR Rob Alfano ~ ADVERTISING DIRECTOR Kathryn Mandracchia ~ CLASSIFIEDS DIRECTOR Ellen Segal ADVERTISING Elizabeth Reuter Bongiorno, Laura Johanson, Nina Jorgensen, Robin Lemkin, Barbara Newman, Jackie Pickle, Judy Sedacca, Michael Tessler, Minnie Yancey BUSINESS MANAGER Sandi Gross | CREDIT MANAGER Diane Wattecamps | CIRCULATION MANAGER Courtney Biondo BUSINESS OFFICE Sandi Gross, Meg Malangone ~ SUBSCRIPTION MANAGER Ellen Recker EDITORIAL & ADVERTISING ADDRESS: 185 Route 25A, East Setauket, NY 11733 • 631.751.7744 office • www.tbrnewsmedia.com

PAGE A2 | LIFESTYLE MAGAZINE | OCTOBER 22, 2015

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PAGE A4 | LIFESTYLE MAGAZINE | OCTOBER 22, 2015

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OCTOBER 22, 2015 | LIFESTYLE MAGAZINE | PAGE A5

F O CU S O N H E A LT H

Breast cancer: Facts and risks

BY LISA STEUER

ctober is Breast Cancer Awareness Month, and while genetics play a large role in breast cancer risk, there are still things you can do to help protect yourself and decrease your risk of acquiring the disease. Alison Stopeck, MD, a breast cancer physician and researcher, is the associate director for translational research at Stony Brook University Cancer Center. In her role at Stony Brook, Stopeck primarily works in research and believes that prevention is key. “I basically do research in a way that I bring ideas, concepts, new drugs and predictors of response from the bench to the patient,” Stopeck said. “I honestly believe that the way we’re going to impact patients’ quality of life and basically their cure rate, is by preventing the disease. … Usually by the time we detect [breast can-

cer], they have anywhere from 25 to over 100 mutations. Because of that, it’s very difficult to cure the disease once it’s spread. And even if you treat disease before it’s spread and you cure the patient, they still have the complications of the treatment.” Stopeck shared risk factors, tips for prevention and anything else you need to know about breast cancer ,according to the latest research:  Know your genetics, if possible. “Unfortunately, the number one risk factor for getting breast cancer is your family history. And as much as we’d like to think we can change our parents, we really can’t.”  Maintain a healthy bodyweight throughout adulthood.  Engage in physical activity three to five times a week for at least 30 minutes.  Drink alcoholic beverages in moderation, which for a woman is one or fewer drinks a day.  Eat a diet low in saturated fats and reﬁned sugars, and increase your vegetables— especially cruciferous vegetables like cauliflower, kale, broccoli, turnips, brussels sprouts, etc.  Breastfeed each child for one year and consider having your children earlier, if possible. “Having your children before the age of 30 decreases your risk of having breast cancer,” said Stopeck, who added, that even so, “You have to have your children when you’re ready to have your children— emotionally, financially, all those things.”  Avoid HRT (hormone replacement therapy) if possible, especially progesterone, or use for the smallest time inter-

val. One controversial topic is whether or not breast cancer is linked to oral contraceptives. “To me, the biggest issue of birth control is how much progesterone there is in the pill. I think that progesterone may be linked to breast cancer, and the reason I feel that is basically from the women’s health studies, where the group that got estrogen and progesterone had an increased risk of breast cancer, while those that had estrogen alone had a decreased risk,” said Stopeck. “But oral contraceptives are the best way to avoid pregnancy and they decrease the risk of ovarian cancer by about 50 percent. And the data in breast cancer is small. So I think more of the risk would be in taking estrogen and progesterone when you’re postmenopausal.”  Follow recommended screening guidelines, and start getting mammograms after age 40. Breast cancer is still fairly uncommon in the 20 and 30-yearolds, said Stopeck, and is more likely to occur in your 50s or 60s.  Practice monthly breast exams. “Even though the data on that is controversial, I think if you know what you’re doing and you know your breast, it actually works well.”  If you are diagnosed with breast cancer, know your options. “There are a lot more options now than there were previously. [Patients] should always make sure their physician is considering all the options. … We are making these huge advances.”

PAGE A6 | LIFESTYLE MAGAZINE | OCTOBER 22, 2015

LOOKING FORWARD

With more than 20 years of experience in the field, Stopeck said she is optimistic about the future of breast cancer treatments and prevention, and that it has been rewarding to see and be part of the improvements over the years. “There have been several major focuses in breast cancer treatment that have really helped with patients’ quality of life. One is targeted therapies — so more specifically, targeting the cancer and having less toxic side effects to the normal tissue,” said Stopeck. “We now are giving the correct dosage of therapy to people, meaning we have ways … to know which tumors are most likely to respond to chemotherapy and which tumors are less likely to respond to chemotherapy, and therefore, we are giving chemotherapy to many fewer patients than we used to.” In addition, novel, critical trials are constantly being done and can lead to new and better treatments. One such clinical trial coming up at Stony Brook will focus on very novel immunotherapy trials in both early stage and late stage patients, said Stopeck. “People always ask what can they do to help the fight. And the thing that they can do most, honestly, is participate in a clinical trial,” said Stopeck, adding that they always need women who have already been diagnosed or who are high risk to participate in clinical trials. “Those are the superheroes in oncology … because without them, there really would be no advances, there would be no new treatments, and there would be no hope for a cure.”

What you need to know

Breast self-exam guidelines

n addition to scheduling clinical screenings and mammograms, women should routinely examine and massage their breasts to detect any abnormalities. These breast self-exams can be an important part of early breast cancer detection. Although many women are aware that they should become familiar with their bodies, many are unsure about just how frequently they should conduct breast examinations. Experts at The Johns Hopkins Hospital advise adult women of all ages to perform self-examinations at least once a month. That’s because 40 percent of diagnosed breast cancers are first detected by women who feel a lump. Establishing a regular breast self-exam schedule is very important. Begin by looking at the breasts in a mirror. Note the size and appearance of the breasts, and pay attention to any changes that are normal parts of hormonal changes associated with menstruation. Breasts should be evenly shaped without distortion or swelling. Changes that should cause concern include dimpling, puckering or bulging of the skin. Inverted nipples or nipples that have changed

position, as well as any rash or redness, should be noted. In addition, the same examination should be done with arms raised over the head. The breasts should be felt while both lying down and standing up. Use the right hand to manipulate the left breast and vice versa. Use a firm touch with the first few fingers of the hand. Cover the entire breast in circular motions. The pattern taken doesn’t matter so long as it covers the entire breast. All tissue, from the front to the back of the breast, should be felt. The same pattern and procedure should be conducted while standing up. Many women find this easiest to do while in the shower. It is important not to panic if something is detected. Not every lump is breast cancer. And bumps may actu-

ally be normal parts of the breast, as certain areas can feel different than others. But bring any concerns to the attention of your doctor. Breast self-exams are a healthy habit to adopt. When used in conjunction with regular medical care and mammography, selfexams can be yet another tool in helping to detect breast abnormalities. Doctors and nurses will use similar breast examination techniques during routine examinations.

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OCTOBER 22, 2015 | LIFESTYLE MAGAZINE | PAGE A7

F O CU S O N H E A LT H

Before

After

Is it for you?

Photos from Dr. Gregory Diehl

A before and after of a rhinoplasty, or “nose job,” by Dr. Gregory Diehl in Port Jefferson Station.

Plastic surgery made simple

By Melissa arnold

e’ve all experienced it at some point in our lives, even briefly: That nagging feeling of discontent about the way you look. Maybe you’re a parent with stubborn post-baby weight, someone who’s had gastric bypass surgery with lots of extra skin or even someone recovering from a traumatic injury that’s affected your appearance. In all of these cases, lifestyle changes can only do so much. For many years, plastic surgery has bridged that gap, giving patients from all walks of life the look they’ve longed for. And while it’s still going to cost you, going under the knife is simpler than ever.

An Ancient PrActice

Believe it or not, plastic surgery has been around for thousands of years in two forms — reconstructive and cosmetic.

According to the National Institutes of Health, some of the earliest body-altering procedures were performed in India around 800 B.C. At that time, people often had their noses cut off during conflict or as punishment, and simplistic rhinoplasties, “nose jobs,” were performed to reconstruct them. Modern reconstructive surgery was born in wartime as soldiers dealt with facial trauma and other injuries. The American Board of Plastic Surgery was organized in 1937. Cosmetic surgery took longer to become popular — the buzz surrounding it didn’t pick up until the 1970s and 80s, says Dr. Jim Romanelli of North Shore Plastic Surgery in Huntington. “There was [originally] some resistance within medicine, saying it was unnecessary, dangerous and vain,” Romanelli said. “But today, we know a lot more

about performing the surgery safely with good results.” What began with involved, painful procedures and long scars has grown into a streamlined, patient-directed field of surgery with more natural-looking results and less hassle. And these days, plastic surgery and cosmetic procedures

are more accessible than ever. While no cosmetic surgeries are covered by insurance, there are now plenty of options to finance them, from saving up cash to working with a lender or financing company. “Most people having cosmetic surgery just want to look Continued on page 9

“I always start by asking a patient what they’re looking for — what concerns them and what they want to see changed, Then, following an exam, I’ll offer them choices based on what [technology is] available. ... I wouldn’t say that any particular cosmetic procedure has been abandoned, just significantly modified. It’s almost like a brand-new procedure in some cases.”

PAGE A8 | LIFESTYLE MAGAZINE | OCTOBER 22, 2015

Dr. Hilton Adler, M.D.

plastic surgery continued froM page 8

Modern trends In the past, a patient’s wishes weren’t always a huge priority. Years ago, a surgeon may have only performed a procedure in a certain way. If the patient hoped for something different, they’d have to look elsewhere. But today, it’s not uncommon for patients to bring in photos of the kind of look they’re hoping for, much like choosing a hairstyle or wedding dress, Romanelli explained. Finding out what the patient really wants is the foundation of modern cosmetic surgery, says Dr. Hilton Adler of Suffolk Plastic Surgeons in Setauket. “I always start by asking a patient what they’re looking for — what concerns them and what they want to see changed,” he said. “Then, following an exam, I’ll offer them choices based on what [technology is] available.” Today’s most sought after surgeries aren’t that different from the past. Nose jobs, breast reductions or augmentations, tummy tucks and face-lifts all top the list. “I wouldn’t say that any particular cosmetic procedure has been abandoned, just significantly modified. It’s almost like a brand-new procedure in some cases,” Adler explained. For example, Romanelli says that the incisions used for breastrelated surgeries have changed, allowing for a smaller scar. In some cases, the incision is made under the arm, where it’s less obvious. There’s also the “mommy makeover,” which combines a tummy tuck and a face lift or

breast work into one surgery. Men usually come in for facial work, but many are also seeking help for gynecomastia, a condition that causes breast development. “It’s tough on guys who are in high school or college whose breasts develop,” said Dr. Gregory Diehl of Diehl Plastic Surgery in Port Jefferson Station. “The hormones are fine, but the glands are bigger. Its become more common today to look for a fix.” In reconstructive surgery, one of the most common procedures today helps to eliminate excess skin that often occurs in people who have experienced rapid or significant weight loss, Adler says. In many cases, the weight loss is aided by gastric bypass procedures.

noninvasive procedures and More

right surgeon. “We urge patients to seek out board-certified plastic surgeons. Make sure your doctor has proper credentials,” Adler said. Diehl also noted that they should offer to show you their previous work. “Ask for pictures of their surgeries. You should like what you see. Pictures tell the story,” he said. “Also, is the doctor really listening to you and what you want? You have to communicate. You have to make sure all the details are ironed out.” Once you find the right person, a consultation lasts anywhere from 30 minutes to an hour. The surgeon will get an idea of what you’d like to do, and in some cases allow you to check it out using computer imaging. If you’re satisfied, you’ll return for a second appointment

Of course, not every cosmetic procedure requires surgery. In fact, minimally invasive and noninvasive procedures are extremely popular today, as new technology continues to develop. “People are trying to get away from surgery, while things like Botox and other (injectable) fillers are becoming more popular,” Diehl said. Injectables are a group of materials that can smooth wrinkles, plump other areas, and create a more youthful look overall. Procedures such as CoolSculpting, which freezes and shrinks fat cells, and ultherapy, which uses ultrasound technology for tightening the face, are also on the rise, Adler said. Put simply, if you can dream it, there’s likely a procedure to help you achieve it.

planning your Makeover If you’re looking to have cosmetic surgery or another procedure, the first step is choosing the

OCTOBER 22, 2015 | LIFESTYLE MAGAZINE | PAGE A9

to address any new questions or concerns before scheduling the procedure. The exact process and recovery time varies, depending on the procedure. Many surgeons have operating rooms in their own offices, and barring complications, a patient can go home the same day.

Making a difference The surgeons are quick to note that there’s no longer any stigma surrounding plastic surgery. “People are proud of what they’ve done. They want to tell everyone about it,” Diehl said. The surgeons are proud, too. “People do say, ‘You’ve changed my life. I should have done this sooner.’ It’s wonderful to be able to help people with that,” Romanelli said.

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in the mirror and feel happy and healthy,” Romanelli said. “These are everyday people — schoolteachers, musicians, bus drivers — not exclusively wealthy people or celebrities.” While many patients opting for surgery are women, the number of male patients is growing too.

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PAGE A10 | LIFESTYLE MAGAZINE | OCTOBER 22, 2015

F O CU S O N H E A LT H

Halloween candy:

The sweet truth

By SuSan RiSoli

veryone knows that Halloween treats are bad for children’s teeth. Or is that just a myth, perpetrated by parents who want to pilfer their kids’ candy stash? With their mouths full of restorations, adults are the ones more likely than kids to experience post-Halloween dental problems, said Dr. Robert Branca D.D.S. It’s not unusual for adults to make an appointment at Sweetwater Dental Care in Hauppauge, where Branca practices, to take care of a cracked tooth, a lost crown or a missing filling caused by biting into hard or sticky candy. As far as kids go, Branca said, Halloween doesn’t so much affect the ongoing issue of tooth decay as much as the child’s genetic makeup and the texture of their teeth — smooth or pitted. To prevent cavities, he recommends that children get fluoride treatments and have their teeth sealed. Energy drinks and soda are way worse for a young person’s teeth than once-a-year consumption of Halloween candy, Branca said. “We see a big difference in tooth decay of young adults in their 20s,” since energy drinks became popular, he said, because the drinks are “very high in sugar, very high in acid. Those things are really bad for your teeth.” If the child has braces, their parents can remind them to choose and eat their Halloween candy carefully. “Sticky things could be a problem,” he said.

When it came to raising his own kids, Dr. Branca said he practiced the “all things in moderation” approach. “I wasn’t going to take Halloween away from them. Let them have their fun,” he said. “But I wasn’t going to let them have candy every day, either.” Young trick-or-treaters have healthier teeth than adults, said Dr. Roger Kleinman, D.D.S., so a little Halloween indulgence shouldn’t be bad for their dental health. “Up until age 14 or 15, children tend to still have strong teeth,” he said. “Some of their adult teeth didn’t come in until they were 12. There hasn’t been a chance yet for adult decay to set in.” At the Gentle Dental office in Port Jefferson, he has treated his share of dental trauma caused by adults biting into candy — “broken teeth from a frozen caramel cluster, for example.” Dr. Kleinman recommends parents follow the usual advice about letting their kids eat only wrapped candies. “And after they eat the candy they’re allowed to have, I would recommend that they go brush their teeth,” he advised. Dr. Aimee Zopf, D.M.D., also a practitioner at Gentle Dental, isn’t likely to condemn Halloween. “That’s my birthday,” she said. For the rest of us trick-ortreaters, as long as proper dental hygiene is practiced on a consistent, daily basis, Halloween shouldn’t pose a problem, she said. Eating candy won’t necessarily cause tooth decay “as long as you’re brushing and flossing and seeing your dentist every six months, or more

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OCTOBER 22, 2015 | LIFESTYLE MAGAZINE | PAGE A11

wine & dine

The health benefits of wine By BoB Lipinski

ine has a long history of use as a medicine, often being recommended by doctors, including Hippocrates, considered the father of medicine, and alchemists. It was consumed as an alternative to drinking oftencontaminated water as well as to disinfect and dress wounds, as a digestive aid, to purge fever and suf-

Wine, consumed in moderation, has long been thought of as heart-healthy. ferings from child birth, as cure-alls for man’s ailments, love potions and guarantees of everlasting life, for rejuvenation, and sexual potency, and even as an aphrodisiac. Wine was easy to make; ancient wine-

makers used whatever grapes were available and relied on the natural yeast on the grapes to ferment the wine. Wine was easy to drink (not high quality) and the high alcohol content made dissolving herbs and other medicines much easier. Among the many ancient drinks was one called Hippocras, a highly spiced honey wine that was made more than 2,300 years ago by Hippocrates. Hippocras was quite popular in Europe until the time of Louis XV of France. Wine, consumed in moderation, has long been thought of as heart-healthy. The alcohol and certain substances in wine, called antioxidants, may help prevent heart disease by increasing levels of high-density lipoprotein (HDL) cholesterol — the “good” cholesterol — and protecting against artery damage.

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During the past several decades, there have been hundreds of studies confirming the health benefits of consuming wine, especially red wine, in moderation. Numerous studies have found that a powerful polyphenol known as resveratrol is found in the seeds and skins of red grapes, which has antioxidant properties. Red wine has a high concentration of resveratrol because the skin and seeds ferment in the grape-juice during the winemaking process. White wine also contains resveratrol, but seeds and skin are removed early in the winemaking process, reducing the concentration of the compound in the finished wine. Resveratrol can also be found in blueberries and cranberries. Scientific research has suggested that resveratrol may have very desirable health benefits, from fighting cancer and heart disease to slowing aging. The amount of resveratrol in wine varies by the grape variety, country of origin, and the winemaking process. There is some research showing that wine may have other health benefits as well, including slowing memory loss, preventing dementia, fighting weight gain, protecting against dental disease and reducing risk of depression. As a part of a healthy lifestyle, we often find ourselves reading food labels, looking for the number of calories, grams of fat, sodium and so forth. Regarding wine, there are calories present, which vary depending on the number of ounces, alcohol content and amount of sugar present. With few exceptions, most red and white wines fall between 11 to 14.5 percent alcohol. In restaurants, the “standard” glass of wine is about 6 ounces.

PAGE A12 | LIFESTYLE MAGAZINE | OCTOBER 22, 2015

Let’s not forget Hippocrates’ wise words on wine’s health benefits. “Wine is a substance that is wonderfully appropriate to man, in health as well as in sickness, if it be administered at the right time, and in proper quantities, according to the individual constitution,” the physician once said. Bob Lipinski, a local author, has written nine books, including “101: Everything You Need To Know About Whiskey” and “Italian Wine & Cheese Made Simple” (available on Amazon.com). He conducts training seminars on Wine, Spirits, and Food, and is available for speaking engagements. He can be reached at www.boblipinski.com OR boblipinski2009@hotmail.com

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F O CU S O N H E A LT H

By Melissa arnold

magine this: You’re out with friends at a barbecue and wake up the next day with an unusual rash. On top of that, you’re just not feeling well. Most people would head to a nearby urgent care center, emergency department or doctor’s office to get checked out. In all of these situations, though, you’re probably in for a wait of several hours. And in the case of a doctor’s office, you might have to wait a few days or even longer to be seen. But what if you could take a picture of that rash with your cellphone and text it to a doctor, who responds right away with advice before calling in a prescription? Even better, what if you could do that at any time, seven days a week? Such direct access to a doctor isn’t just a fantasy anymore. It’s a type of care called concierge medicine, and it’s spreading rapidly across the country. Concierge practices come in several different forms, but in all cases, patients pay an annual or semi-annual fee to their physician, even if they don’t visit the office. In exchange, patients are guaranteed shorter wait times, longer, unrushed appointments and 24/7 access if a problem arises. The fee varies widely depending on the location of the practice and the services they offer. Some physicians will also charge based on a patient’s age or medical status. Dr. Bruce Feldman works independently, traveling throughout Long Island and occasionally elsewhere to meet his patients at their workplace, home or another location. “My preferred population is an executive or professional who is too busy to go to the doctor. I go directly to them,” said Feldman, who also has offices in Melville and Port Washington.

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... what if you could take a picture of that rash with your cellphone and text it to a doctor, who responds right away with advice before calling in a prescription? “If a guy is making a fair living, the idea of driving to the doctor and having to spend time waiting usually doesn’t sit well. And yet they want to be successful at their jobs and function at an optimal level.” Feldman does have patients come in for an initial physical, but as he gets to know them, care becomes less about face-

to-face contact and more about communicating by phone or email as needed. The biggest difference between concierge and traditional medical care, Feldman said, is the focus on preventing future health issues instead of attempting to resolve existing problems. Both Feldman and Dr. Vasilios Kalonaros of Northport

PAGE A14 | LIFESTYLE MAGAZINE | OCTOBER 22, 2015

agreed that preventative care is lacking in traditional medicine, and patients are suffering for it. “When you’re only given 15 minutes with a patient, it’s like putting your finger in a dam — you can’t always take the time to treat every issue,” Kalonaros says. Small practices are a hallmark in concierge medicine. Most doctors limit themselves to a few hundred patients, allowing for longer visits. Before Kalonaros made the switch to concierge medicine eight years ago, he was seeing up to 40 patients a day. Now, it varies between eight and 12. Feldman sees about four patients each day, with only 60 patients total. And statistics show that a doctor with time to spare makes a difference for patients. According to MDVIP, a private network of physicians that includes Kalonaros, concierge patients are hospitalized 72 percent less than those seeing a traditional doctor. In addition, the American Journal of Managed Care reports that concierge medicine ultimately saves the health care system more than $300 million in Medicare expenses. Its popularity appears to be growing, too. There are now hundreds of concierge doctors throughout the country, and more than 20 on Long Island alone. Before choosing a concierge doctor, it’s best to determine exactly what you want. Are you looking for a doctor who takes your insurance, does house calls or has inexpensive fees? Answering these questions will help narrow the field. Then, ask for a consultation. Use that time to get to know them, learn about their services and determine if he or she is a good fit for your needs. Fees vary widely in the concierge world, from under $2,000 Continued on page 15

F O CU S O N H E A LT H ConCierge MediCine Continued froM page 14

annually to more than $20,000. Concierge medicine is familiar to some, thanks to the USA Network’s medical drama series “Royal Pains.” The show follows a cardiac surgeon who becomes a private physician for the wealthiest residents of the Hamptons. While some of the show’s themes are accurate, its sole focus on upper-class patients is just a stereotype. “Most of my patients are not wealthy — they are middle and lower-middle class,” Kalonaros said. He added that a concierge doctor can be a great option for those with minimal or no insurance, because his $1,650 fee guarantees access to him at any time. And Feldman argues that when you don’t get sick in the first place, this model will save

you money that would be otherwise spent on medication or more extensive treatment. But both doctors are quick to admit it’s not the best option for everyone. “If you have a good relationship with your existing doctor, you don’t need a concierge doctor. But if you’re frustrated or not getting the care you need and are willing to pay more, a concierge doctor might be for you,” Feldman says. “It’s about having a partner in your wellness.” For those interested, contact Dr. Bruce Feldman at (646) 801-7541, www.mypersonaldocny.com, and contact Dr. Vasilios Kalonaros at (631) 2391677. Or visit www.mdvip.com to learn more about concierge medicine on Long Island.

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F O CU S O N H E A LT H

The health benefits of pets By Lisa steuer

It is quite obvious that people love their pets. In fact, 62 percent of U.S. households contain a pet, and about $45 billion is spent on pets annually, according to Pamela Linden LMSW, Ph.D., a clinical associate professor in the Occupational Therapy program at Stony Brook University. But what many people may not realize is that these animals could be positively impacting the pet owner’s health, and that emerging research shows that therapy and comfort animals could have a place in therapeutic and trauma settings. Currently, a lot of the research on the health benefits of pet ownership has to do with the bond between the animal and its owner, Linden said. “There’s a book by Meg Daley Olmert called ‘Made for Each Other’ and the whole book is about oxytocin — and that’s why we bond with others, including other mammals, like dogs,” said Linden. “A lot of it has to do with the gazing and the staring, so studies have been done, especially one interesting study that measured oxytocin levels in both the human and the dog after gazing— oxytocin levels raised for both of them,” resulting in good feelings not only for human, but for the dog, too. Linden’s hope is that more people will be motivated to understand the role of pets in our lives. She developed the first social work internship with Patchogue Rotary Animal Assisted Therapy, a not-for-profit organization in Patchogue that screens, trains and supports human-dog teams that visit individuals in schools, hospitals and hospice

Understanding the Positives of animal ComPanionshiP facilities. Linden hopes to work with PRAAT to research the effect that comfort animals have on people who are already sick. In addition, Linden is the faculty advisor for Stony Brook University’s first Animal Assisted Activity student club anticipated to begin in spring 2016. So far, more than 150 students have signed up for the club, which has goals to help provide education about animal -assisted therapy while partnering students with organizations like PRAAT and local shelters to help prepare dogs to become adoption-ready. Linden pointed out that people often get confused between service animals, therapy dogs and comfort animals. Service dogs are protected by law, are allowed anywhere animals typically aren’t allowed and have been trained to perform special functions, like open doors, push buttons and retrieve objects for people with visual impairments, for instance. A comfort dog has been trained to visit hospitals, nursing homes and similar places to provide comfort to patients, and a therapy dog is an animal

Photos from Dr. David Roy Hensen and Dr. Pamela Linden

Clockwise, from top left, Hans, of PRAAT, provides comfort to students during college exams; a PRAAT dog serves as a reading assistant at a local library; and Pella, also of PRAAT, visits the children cancer ward at Stony Brook Hospital.

used by a licensed health professional to achieve a therapeutic outcome. “I’ll give you an example [of a therapy dog],” said Linden. “As a social worker, I’m working with someone who is grieving. And they’re either too numb or too emotional to process the grief. I might bring in a dog with a ther-

PAGE A16 | LIFESTYLE MAGAZINE | OCTOBER 22, 2015

apeutic goal of bridging between the client and the therapist by doing those behaviors that we do— you can snuggle up to a dog, pet it, stare into the eyes and have your oxytocin kick in and relax.”

F O CU S O N H E A LT H Physical, Psychological and Emotional BEnEfits Although the research is limited, studies have demonstrated the healthy benefits of pet ownership and companionship. Linden shared the physical, psychological, and emotional benefits: • Physical: Pet owners have fewer minor health complaints and have greater levels of exercises and physical fitness. Studies have found that pet owners had

reductions in some common risk factors for cardiovascular disease, such as lower systolic blood pressures, plasma cholesterol and triglyceride values. “People experience a decrease of blood pressure talking to pets. Blood pressure decreases for

people with normal pressures and those with hypertension when watching fish in a standard aquarium,” said Linden.

• Psychological: Studies have found that pet owners enjoy better well-being than non-owners, and that pet owners have greater self-esteem and tend to be less lonely. “People find comfort in talking to their animals. People walking with their dog experience more social contact and longer conversations than when walking alone — pets stimulate conversations between people,” Linden said. “Companion animals can help people to laugh and maintain a sense of humor.” She added that Children with ADHD and defiant disorders exhibit significantly less antisocial and violent behavior than a matched group that did not involve animals. •EMoTioNal:

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F D O A

Examining diet trends with a Stony Brook nutritionist

F O CU S O N H E A LT H

BY LISA STEUER

n the 1990s, low-fat food products lined the shelves. Consumers believed that choosing a product with a low-fat label was essential for optimal health and fat loss. But today, experts say that a low-fat diet can be detrimental — as food that has the fat removed can instead be high in sugar and calories to make up for the lack of fat. “The whole low-fat phase was problematic because people substituted refined carbohydrates, and that is a huge problem,” said Dr. Josephine Connolly-Schoonen, Ph.D., RD, the executive director of Stony Brook Medicine Nutrition Division and author of “Losing Weight Permanently with the Bull’s Eye Food Guide: Your Best Mix of Carbs, Proteins, and Fats.” So with so many diets out there today, which work best for weight loss and health? Here is Connolly-Schoonen’s input.

nies wanting to take advantage of the gluten-free trend — and products such as “gluten-free cookies” may not necessarily be nutritionally sound. “In my practice, I’ve seen many people benefit from gluten-free styles of eating, but using whole foods, not processed gluten-free food … A slice of gluten-free bread is rather small and has the same or perhaps a little bit more calories than regular bread,” said ConnollySchoonen. “Foods that are naturally glutenfree are quite healthy and I really do think people may benefit from a gluten-free style of eating, but it has to be natural.”

GOING GLUTEN FREE Gluten is a name for proteins found in wheat, and some common foods that contain gluten include pasta, bread, flour tortillas, oats, dressings, cereals, sauces and more. Go to any grocery store these days and you will most likely find a “gluten-free” section. And while people with Celiac disease cannot eat gluten because they will get sick, many people who aren’t allergic to gluten are touting the weight loss and health benefits of going gluten free. But if you don’t have a gluten allergy, is it necessary or nutritionally wise to go gluten free? “I think that many people are gluten intolerant and can benefit from a gluten-free diet,” said Connolly-Schoonen. “But, [it should be] a high-quality gluten-free diet — foods that never had gluten. So your starches are going to be from potato and rice and quinoa, not from gluten-free bread and gluten-free pasta.” So while foods that are naturally gluten free are generally healthy, those who are not glutenintolerant should be wary of processed foods that have had the gluten removed, as there now exists a big market and opportunity for compa-

THE PALEO DIET AND GOING VEGAN The idea behind the paleo diet is that we should eat as our ancestors or “cavemen” ate, including meat, fish, vegetables and fruit, and excluding processed food, grains and dairy. And while many people have reportedly lost weight on the diet, some argue that the paleo diet does not necessarily follow what our ancestors ate, and there is now a market for processed paleo bars and drinks. But Connolly-Schoonen says the concept of consuming fewer processed foods is a good one to follow, especially when it comes to sugarladen beverages. “With the advent of the high fructose corn syrup, it became so cheap to make sweetened beverages … that have the equivalent of 17, 19, 20 packets of sugar in them, and we genetically cannot handle that.” In addition, some people choose to go vegan or vegetarian for a variety of reasons — moral, health or a combination. Both vegans and veg-

PAGE A20 | LIFESTYLE MAGAZINE | OCTOBER 22, 2015

etarians do not eat meat, fish or poultry, while vegans also do not use other animal products and byproducts, such as eggs, honey, cosmetics, and more. “I don’t think you need to be a vegetarian to be at your optimal health, but there is a lot of research over an extended period of time showing that vegetarians, more than vegans, who eat a high-quality vegetarian diet — so no Snickers bars — do quite well in terms of decreasing the risk for chronic illnesses like diabetes and heart disease, and there really is a lot of research behind the vegetarian diet to support that,” said Connolly-Schoonen. “Vegan diets could be healthy, but it’s much more challenging to make sure that you get all of your micronutrients.” JUICING UP Juicing is still considered healthy in moderation and as a quick way to get antioxidants. But when you use a juicer, the juice is extracted from fruits and vegetables, leaving behind a pulp that is often thrown away. In addition, this strips the fruit of its fiber but leaves the sugar. “Even if you’re juicing vegetables, you’re still getting the sugar … and making the sugar much more highly available,” said ConnollySchoonen. “And most people are more satiated when they chew their food.” In addition, many people subscribe to the idea of doing juicing “detoxes” or “cleanses” every so often — which have found to be not really necessary, as we already have a natural detoxification system that occurs in our livers. In addition, any sort of diet that deprives one FOOD FADS CONTINUED ON 21

Food Fads

Once one works on the quality of foods in his or her diet, “it’s been my experience that patients can then much more easily work on moderating the quantity,” she said. “Once you’re eating whole foods and you’re mixing your quality proteins and fats, it becomes much easier to manage your appetite.” Does this mean you can never have dessert again? Not at all. “I tell patients if you’re eating ice cream, it should be real ice cream made from whole milk fat and real sugar. You shouldn’t get artificially sweetened products,” she said. “When you want chocolate and you want ice cream, have the real stuff. And that you should be able to include in your diet, maybe not every The BoTTom Line Instead of following a super day, maybe a few times a week — it strict diet, you may want to simply all just depends on how active you remember Connolly-Schoonen’s are.” “two key factors” for healthy nutriLisa Steuer is the managing edition: quality and quantity. In terms of quality, choose foods that are tor of FitnessRx for Women and Fitless processed — lean proteins like nessRx for Men magazines. For fitchicken and fish, a huge variety of ness tips, training videos and healthy vegetables, beans, nuts and olive oil recipes, visit www.fitnessrxformen. com and www.fitnessrxwomen.com. for healthy fats. of nutrients is never a great idea. Instead, work on supporting your body’s natural ability to detox. “If you have an unhealthy gut environment, you’re taxing your liver’s detoxification system. So first you want to have a healthy gut environment, which means lots of fiber and a good source of probiotics,” said Connolly-Schoonen. “Then you need to support your liver’s detoxification system with a wide array of micronutrients, which is going to come from a wide array of whole foods like protein, fish, lean meats, beans and then your vegetables, fruits and nuts.”

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hen we were younger, falls usually did not result in significant consequences. However, when we reach middle age and chronic diseases become more prevalent, falls become more substantial. And, unfortunately, falls are a serious concern for older patients, where consequences can be devastating. They can include brain injuries, hip fractures, a decrease in functional ability and a decline in physical and social activities.(1) Ultimately, falls can lead to loss of independence.(2) Of those over the age of 65, between 30 and 40 percent will fall annually.(3) Most of the injuries that involve emergency room visits are due to falls in this older demographic.(4)

What can

increaSe the riSk of fallS? A multitude of factors contribute to fall risk. A personal history of falling in the recent past is the most prevalent. But there are many other significant factors, such as age; being female; and using drugs, like antihypertensive medications used to treat high blood pressure and psychotropic medications used to treat anxiety, depression and insomnia. Chronic diseases, including arthritis, as an umbrella term; a history of stroke; cognitive impairment and Parkinson’s disease can also contribute. Circumstances that predispose us to falls also involve

PAGE A24 | LIFESTYLE MAGAZINE | OCTOBER 22, 2015

weakness in upper and lower body strength, decreased vision, hearing disorders and psychological issues, such as anxiety and depression.(5)

hoW do We prevent fallS? Fortunately, there are ways to modify many risk factors and ultimately reduce the risk of falls. Of the utmost importance is exercise. But what do we mean by “exercise?” Exercises involving balance, strength, movement, flexibility and endurance, whether home-based or in groups, all play significant roles in fall prevention. (6) We will go into more detail below. Many of us in the northeast suffer from low vitamin D, which strengthens muscle and bone. This is an easy fix with supplementation. Footwear also needs to be addressed. Non-slip shoes, if last winter is any indication, are of the utmost concern. Inexpensive changes in the home can also make a big difference. MedicationS that exacerbate fall riSk There are a number of medications that may heighten fall risk. As I mentioned, psychotropic drugs top the list. Ironically, they also top the list of the bestselling drugs. But what other drugs might have an impact? High blood pressure medications have recently been investigated. A recent propensity-matched sample study (a notch below an randomized control trial in terms of quality) showed an increase in fall risk in those who were taking high blood pressure medication.(7)

Surprisingly, those who were on moderate doses of blood pressure medication had the greatest risk of serious injuries from falls, a 40 percent increase. One would have expected those on the highest levels of BP medication to have the greatest increase in risk, but this was not the case. While blood pressure medications may contribute to fall risk, they have significant benefits in reducing the risks of cardiovascular disease and events. Thus, we need to weigh the risk-benefit ratio, specifically in older patients, before considering stopping a medication. When it comes to treating high blood pressure, lifestyle modifications may also play a significant role in treating this disease.(8)

Where does arthritis fit into this paradigm?

In those with arthritis, compared to those without, there is an approximately two-times increased risk of two or more falls and, additionally, a two-times increased risk of injury resulting from falls, according to the Center for Disease Control and Prevention.(1) This survey encompassed a significantly large demographic; arthritis was an umbrella term including those with osteoarthritis, rheumatoid arthritis, gout, lupus and fibromyalgia. Therefore, the amount of participants with arthritis was 40 percent. Of these, about 13 percent had one fall and, interestingly, 13 percent experienced two or more falls in the previous year. Unfortunately, almost 10 percent of the participants sustained an injury from a fall. Patients 45 and older were as likely to fall as those 65 and older.

Why is exercise critical?

All exercise has value. A meta-analysis of a group of 17 trials showed that exercise significantly reduced the risk of a fall (9). If their categories are broken down, exercise had a 37 percent reduction in falls that resulted in injury and a 30 percent reduction in those falls requiring medical attention. But even more impressive was a 61 percent reduction in fracture risk. Remember, the lower the fracture risk, the more likely you are to remain

Stock photo

tai chi, yoga and aquatic exercise have been shown to have benefits in preventing falls and injuries from falls.

physically independent. Thus, the author summarized that exercise not only helps to prevent falls, but also fall injuries. The weakness of this study was that there was no consistency in design of the trials included in the meta-analysis. Nonetheless, the results were impressive.

What specific types of exercise are useful?

Many times, exercise is presented as a word that defines itself. In other words: just do any exercise and you will get results. But some exercises may be more valuable or have more research behind them. Tai chi, yoga and aquatic exercise have been shown to have benefits in preventing falls and injuries from falls. A randomized controlled trial, the gold standard of studies, showed that those who did an aquatic exercise program had a significant improvement in the risk of falls (10). The aim of the aquatic exercise was to imContinued on page 26

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prove balance, strength and mobility. Results showed a reduction in the number of falls from a mean of 2.00 to a fraction of this level — a mean of 0.29. There was no change in the control group. There was also a 44 percent decline in the number of patients who fell. This study’s duration was six months and involved 108 postmenopausal women with an average age of 58. This is a group that is more susceptible to bone and muscle weakness. Both groups were given equal amounts of vitamin D and calcium supplements. The good news is that many patients really like aquatic exercise. Thus, our best line of defense against fall risk is prevention. Does this mean stopping medications? Not necessarily. But for those 65 and older, or for those who have “arthritis” and are at least 45 years old, it may mean reviewing your medication list with your doctor. Before considering changing your

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BP medications, review the risk-tobenefit ratio with your physician. The most productive way to prevent falls is through lifestyle modifications. (1) MMWR. 2014; 63(17):37983. (2) J Gerontol A Biol Sci Med Sci. 1998;53(2):M112. (3) J Gerontol. 1991;46(5):M16. (4) MMWR Morb Mortal Wkly Rep. 2003;52(42):1019. (5) JAMA. 1995;273(17):1348. (6) Cochrane Database Syst Rev. 2012;9:CD007146. (7) JAMA Intern Med. 2014 Apr;174(4):58895. (8) JAMA Intern Med. 2014;174(4):577-87. (9) BMJ. 2013;347:f6234. (10) Menopause. 2013;20(10):1012-1019. Dr. Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For more information, go to the website www. medicalcompassmd.com and/or consult your personal physician.

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F O CU S O N H E A LT H

Physical therapists play an important role

n injury or illness can impact a person’s mobility and ability to perform everyday activities. While medicine and other treatments can help the situation, physical therapists are often sought to help individuals get back on track. The American Physical Therapy Association says physical therapists examine each individual patient and develop plans using treatment techniques to promote mobility, reduce pain, restore function and prevent further disability. In addition, physical therapists work with individuals to prevent the loss of mobility before it occurs by developing fit-

Tips on finding the right PT

ness and wellness oriented programs for healthier and more active lifestyles. Physical therapists frequently work with patients’ larger medical teams to provide customized care depending on patients’ needs. Physical therapists may begin their treatment plans by gathering patients’ histories and reviewing any tests and imaging the patients may have had. This information, combined with physical examinations and studies of the injuries or illnesses, will help physical thera-

pists to establish treatment plans for the patients. Men and women who have been told they need physical therapy can heed to the following tips as they look for therapists to work with.  Get a referral from your primary doctor or orthopedist. With some insurance plans, a referral will be needed for treatment. Otherwise, use your insurance plan’s provider directory to find a physical therapist who accepts your insurance.  Check your insurance benefits to determine how much coverage you have for physical therapy. You may be limited to a certain number of sessions or have no restrictions at all.  Many physical therapists are board-certified in one specialty. They have passed tests and have documented hours treating certain conditions. This can be helpful if you require a pediatric specialist or one who has expertise with the back or neck. Any physical therapist or therapist’s assistant should be qualified and licensed.  Ask if you will be the physical therapist’s only patient at an appointment. Some treat one individual at a time while others may see two or three patients at a time.

OCTOBER 22, 2015 | LIFESTYLE MAGAZINE | PAGE A29

 Find out who will be treating you. You may be assigned the same therapist each time. If you are getting services at a therapy group, you may have a different therapist for each visit.  Always ask questions before and after a treatment so you can continue to work on the healing process on your own and so you know which activities are safe, which should change as your treatment progresses. Physical therapists play an integral role in helping restore patients’ mobility and helping them avoid further injury so that patients can maximize their quality of life.

events OctOber 22 Tobacco cessaTion

Long isLand aLzheimer’s FoundaTion coping and caring conFerence

The Suffolk County Department of Health Services’ Learn to Be Tobacco Free smoking cessation program, sponsored by Huntington Hospital, will be on Oct. 22 and 29 and Nov. 5, 12 and 19. These programs will take place at the Dolan Family Health Center, located at 284 Pulaski Road in Greenlawn. For more information and to register for the program, call Irene Housley, RN, at (631) 351-2385. 6 to 7 p.m.

The mission of the Long Island Alzheimer’s Foundation is to improve the quality of life for those living with Alzheimer’s disease and related forms of dementia, and their caregivers. The foundation is hosting its 2015 Coping and Caring Conference at Hilton Long Island, 598 Broad Hollow Road, Melville. 8:30 a.m. to 3:30 p.m. Contact Christine Fex at 516-767-6856 for information.

Varicose Veins & TreaTmenT opTions

how To dance Like michaeL Jackson

Varicose veins, enlarged veins that can be seen directly under the skin surface, are commonly found on the legs, but they can appear on other parts of the body. Dr. Steven Friedman, director of Endovascular Services at Peconic Bay Medical Center, will discuss varicose veins, spider veins, and other related conditions, focusing on their causes, care, and treatment. Sachem Public Library. 150 Holbrook Road, Holbrook. 11 a.m. to 12:30 p.m. (631) 588-5024

Join Lauren from Long Island Dance and Fitness to learn the famous dance moves from Michael Jackson’s “Thriller” video at Wyandanch Public Library. This event is for children younger than 11 and for young adults ages 11 to 17. The children’s program starts at 4:30 p.m., the young adult’s at 5:15 p.m.. Contact the library for registration and additional information at (631) 643-4848. 14 South 20th Street, Wyandanch.

huey Lewis & The news

Come see the show at NYCB Theatre at Westbury. Concert starts at 8 p.m. Tickets range between $49.50 and $129.50. thetheatrewestbury.com. (516) 247-5200

OctOber 23 The machine – TribuTe To pink FLoyd

Come see the show at NYCB Theatre at Westbury. Concert starts at 8 p.m. Tickets are $59.50, $29.50. www.thetheatrewestbury.com. 960 Brush Hollow Road, Westbury. (516) 247-5200.

OctOber 24 18Th annuaL 5k run For The ridLey

Help save the sea turtles. Join the Riverhead Foundation for Marine Research and Preservation for their 18th Annual 5K Run for the Ridley. Open to runners and joggers of all ages. 10 a.m. Main Street, Riverhead. Registration prices vary with time registered. Call (631) 369-9840 to register or visit riverheadfoundation.org for more information.

pumpkin FesT

This ninth annual event features pumpkins, pumpkins and … wait for it. Wait for it. More pumpkins. And what embodies late October more than this orange food? Islandia Village Hall, 100 Old Nichols Road, Islandia. Free. Noon to 3 p.m. www.newvillageofislandia.com

OctOber 25 The beach To bay yoga FesTiVaL

Take a deep, cleansing breath and enjoy a day of healing at the Magnolia Community Center in Long Beach. The event features chair yoga, open-level yoga for adults and kids yoga classes. There will be Reiki music, Ayurveda consultations, meditative art workshops and much more. Proceeds will fund free yoga classes for Hurricane Sandy survivors. 10 a.m. to 4 p.m. Contact Julie Hornberger for more information at 347-683-6091. Suggested donation: $40 for adults; kids free.

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PAGE A30 | LIFESTYLE MAGAZINE | OCTOBER 22, 2015

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Sunday, Friday, 30 October 25 October 8 pm 3 pm

EVENTS OctOber 24-25

OctOber 30

OktOberfest

hallOween bOat burninG

freepOrt Gem and mineral shOw

2nd annual mOnsters Of freestyle ball kaleidoscopegemshows.com

Dazzle yourself with jewelry at this show. Numerous mineral and fossil dealers, and gemstone and jewelry vendors will sell rare loose gemstones as well as finished jewelry items. Freeport Recreation Center, 130 E. Merrick Road, Freeport. $5.50 for adults, children 12 and under with adult are free. All proceeds benefit the center to help support programs for children and seniors. www.kaleidoscopegemshows.com. 10 a.m. to 5 p.m.

OctOber 25 fOrbidden films: the hidden leGacy Of nazi films real-tO-reel: a dOcumentary film series by felix mOeller

Sponsored by Stuart & Ginger Polisner. 1,200 feature films were made in Germany’s Third Reich. According to experts, some 100 of these are blatant propaganda. More than 40 remain—nearly seventy years after the end of the Nazi regime—under lock and key. This is their story. Cinema Arts Centre, 423 Park Ave., Huntington. 1 p.m. www.cinemaartscentre. org. Members, $10; public, $15. Includes reception.

OctOber 29 searchinG fOr ways tO halt the prOGressiOn Of breast cancer

In this 25th annual tradition, a boat deemed too unsafe to sail is set ablaze in sacrifice while thousands watch from shore. Festival also includes raffles, snacks, hot apple cider and music. Long Island Maritime Museum, 88 West Ave., West Sayville. www.limaritime.org. $5, children five and under free. 5 p.m.

David L. Spector, PhD of Cold Spring Harbor Laboratory will discuss “Searching for New Ways to Halt the Progression of Breast Cancer” at a free educational seminar. Please RSVP. 6:30 p.m. Mather Hospital, 75 North Country Road, Port Jefferson. 6:30 p.m.

Come see the show at NYCB Theatre at Westbury. Showtime is 8 p.m. Tickets range from $49.50 to $99.50. www.thetheatrewestbury. com. (516) 247-5200.

OctOber 31 new yOrk city’s 42nd annual VillaGe hallOween parade

Only those in costume are welcome to join. The event features hundreds of puppets, 53 bands of varying genres, dancers, artists and thousands of New Yorkers in costumes of their own creation in the nation’s most wildly creative public participatory event in the greatest city in the world. Parade starts at 7 p.m. Only enter the line-up on 6th Avenue at Canal Street 6:30 to 8:30 p.m.. For more information, visit www.halloween-nyc.com

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Enjoy Long Island craft beers, live music, pumpkin picking, farm tours, arts and crafts and more at the East End’s only Oktoberst. All proceeds to benefit WUSB Radio’s nonprofit radio programs. Garden of Eve Organic Farm & Market, 4558 Sound Ave., Riverhead. $15 adults. 10 a.m. to 5 p.m. www.gardenofevefarm.com

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NOvember 1 “the actual dance”

“The Actual Dance,” a one-person play about a man caring for his wife while she battled breast cancer, will be held at the Cinema Arts Centre from 5 p.m. to 6:30 p.m. The play is written and performed by Samuel Simon and directed by Kate Holland. After the play, there will be a Q-and-A segment featuring Simon and Michael Buchholtz, chairman of the department of hematology and oncology at Huntington Hospital. The play is cosponsored by Huntington Hospital and the Cinema Arts Centre. $10 for members, $15 for nonmembers. 423 Park Avenue, Huntington. www.cinemaartscentre.org. (631) 423-FILM.

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OCTOBER 22, 2015 | LIFESTYLE MAGAZINE | PAGE A31

EVENTS November 3 ‘Grand Central’ sCreeninG

Part social realism, part romance, this menacing drama about a young laborer at a nuclear power plant looms with the threat of both radiation and forbidden love, and features impeccable performances from Tahar Rahim (A Prophet) and Léa Seydoux (Blue is the Warmest Color). Cinema Arts Centre, 423 Park Ave., Huntington. 7:30 p.m. www.cinemaartscentre.org (631) 423-FILM

November 4 Meditation: UnloCk the Power within YoU

Longtime meditator Dr. Matthew Raider presents effective methods for creating a more satisfying lifestyle, harmonious relationships and a deepened sense of peace. Learn a simple technique to help you relax and realign towards equilibrium and fearlessness. Lindenhurst Memorial Library, 1 Lee Avenue, Lindenhurst. 7 p.m. Free. (631) 957-7755.

November 5 Jefferson airPlane 50th anniversarY

November 6 Mobile CardiovasCUlar sCreeninG

St. Francis Hospital will be offering free health screenings in Amityville Public Library’s parking lot using its state-of-the-art outreach van. These screenings include a brief cardiac history, blood pressure, simple blood test for cholesterol and diabetes screenings, with the appropriate patient education and referrals needed for clients above the age of 18. No registration necessary. 10 a.m. to 2 p.m. Corner of Oak and John streets, Amityville. (631)264-0567

Technology is changing the way we think, approach and eat food at an unprecedented rate. Learn about the future of food from foodtech and design pioneers Mike Lee and Danielle Gould at the Parrish Art Museum. Includes admission. Space is limited; advance reservations recommended. $10, free for members. 6 p.m. 279 Montauk Highway, Water Mill. (631) 283-2118

November 7-8

November 11

li woodworkers 20th annUal show

Meat loaf

This annual show, presented by the Long Islander Woodworkers, returns to the Old Bethpage Village Restoration offering skillfully crafted furniture and a host of wood projects to tantalize the eye. It also features woodturnings, wood carvings, a tool garage sale, free seminars and demos, a toy workshop, free toys for kids and unique gifts for the holidays. Free with paid admission to Old Bethpage Village Fairgrounds. 1303 Round Swamp Road, Old Bethpage. 10 a.m. to 4 p.m. (516) 572-8400

darCY noviCk Presents 13th li CoMedY and MUsiC festival

Come see the show at NYCB Theatre at Westbury. Tickets range from $21.38 to $50. Showtime is 8 p.m. www.thetheatrewestbury.com. 960 Brush Hollow Road, Westbury. (516) 247-5200

November 8 CanCerCare’s 13th annUal lUnG CanCer walk for hoPe

November 7

Come join hundreds of Long Islanders at the Town of Oyster Bay Golf Course. All proceeds will support nonprofit CancerCare. $40 for adults; $20 students 13 to 22, minimum $10 donation for children ages 12 and under. 1 Southwoods Road, Woodbury. Walk is at 9:30 a.m. (Registration at 8 a.m.) Walkers are asked to register in advance at www. cancercare.org/lungcancerwalk, or call 1-888-814-WALK.

hot aUtUMn niGhts

Come see Tommy James & The Shondells; Herman’s Hermits Starring Peter Noone; and Gary Puckett & The Union Gap. 8 p.m. Tickets range in price from $39.50 to $129.50. www. thetheatrewestbury.com. 960 Brush Hollow Road, Westbury. (516) 247-5200

stYx in ConCert

sPeCial exhibit: the seCret world inside of YoU

This exhibit at the American Museum of Natural History will take visitors on a tour of the human body, making stops at places where microbes thrive: your skin — which, covering about 20 square feet, is your largest organ — and your mouth and your gastrointestinal tract, which is home to your body’s densest and most diverse microbial community, among others. Admission is by timed entry only. American Museum of Natural History, Gallery 3, Central Park West at 79th Street, New York. (212) 769-5100

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Celebration with Jefferson Starship, Jazz is Dead and Quicksilver. Hosted by Dan Healy. Come see this show at NYCB Theatre at Westbury. Showtime is 8 p.m. Tickets range in price from $39.50 to $99.50. www.thetheatrewestbury.com. 960 Brush Hollow Road, Westbury. (516) 247-5200

foodteCh

Come see STYX at the NYCB Theatre at Westbury. The event starts at 8 p.m. Tickets range from $59.50 to $129.50. www. thetheatrewestbury.com. 960 Brush Hollow Road, Westbury. (516) 247-5200.

November 10 traCe adkins

Trace Adkins performs at The Paramount. Adkins’ trademark baritone has powered countless hits to the top of the charts and sold over 10 million albums, cumulatively. The Grammy-nominated member of the Grand Ole Opry is a TV personality, actor, author, spokesman for the Wounded Warrior Program and the American Red Cross, for whom he raised more than $1.5 million dollars as winner of NBC’s “The Celebrity Apprentice.” The Paramount, 370 New York Avenue, Huntington. 8 p.m. For tickets, visit www.paramountny.com.

PAGE A32 | LIFESTYLE MAGAZINE | OCTOBER 22, 2015

Come see Meat Loaf at NYCB Theatre at Westbury. The event starts at 8 p.m. Tickets range from $49.50 to $99.50 www.thetheatrewestbury.com. 960 Brush Hollow Road, Westbury. (516) 247-5200

November 12 eli YoUnG band

Come see the Eli Young Band at NYCB Theatre at Westbury. The event starts at 8 p.m. Tickets range from $19.50 to $49.50 www. thetheatrewestbury.com. 960 Brush Hollow Road, Westbury. (516) 247-5200

November 13 MUsiC at the Mansion ConCert series: daniel GarCia trio

Daniel Garcia Trio, which consists of two Spanish/flamenco/classical guitarists and a percussionist, is among the most requested ensembles in New York City. Planting Fields Foundation, 1395 Planting Fields Rd, Oyster Bay. 6:30pm at Coe Hall, $25, $15 members. For tickets call Antigone Zaharakis (516) 922-8668 or email education@plantingfields.org.

November 13 to JaNuary 3 radio CitY ChristMas sPeCtaCUlar

Don’t miss this one-of-a-kind celebration that brings together family, friends and loved ones. The Rockettes ring in the season with brilliant dance numbers, ice skaters swirl across the stage and Santa spreads cheer to all. Tickets range from $49 to $250. 1260 6th Avenue, New York. (212) 465-6741 or visit www.radiocity.com.

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EVENTS November 14 Billy Meets the Boss: traMps like Us & Movin’ oUt

Come see the show at NYCB Theatre at Westbury. The event starts at 8 p.m. Tickets range from $39.50 to $59.50. www.thetheatrewestbury. com. 960 Brush Hollow Road, Westbury. (516) 247-5200

November 18 total healing: the Meditation prescripton

Learn about the latest medical and scientific data on meditation and the prevention and treatment of many diseases, including high blood pressure, heart disease, cancer and chronic pain. 7:30 p.m. Longwood Public Library. 800 Middle Country Road, Middle Island. Free. (631) 924-6400

November 19 half the World and all of tiMe: asian art at the Met

Discover Asia through the eyes of the Met’s incomparable curatorial staff. This series delves into the remarkable diversity and richness of the continent’s cultural traditions as

reflected in one of the finest and most comprehensive art collections in the world. The Metropolitan Museum of Art, The Grace Rainey Rodgers Auditorium, 1000 5th Avenue, New York. 11 a.m. www.metmuseum.org

November 22 the i love chocolate fest

Who doesn’t love chocolate? Come satisfy your craving at The I Love Chocolate Fest. Enjoy free samples and purchase delicious and unique chocolate treats. Wine tastings from local vineyards, meet Santa Claus. Plus, your chocolate fest ticket includes admission to the Old Bethpage Village Restoration, a living history museum where you can step back in time and experience life as it was on Long Island during the 1800s. The first 500 attendees who bring a pet donation for the Little Shelter will receive a free Chocolate Fest t-shirt. 10 a.m. to 5 p.m. 1303 Round Swamp Road, Old Bethpage. $10, adults. $7, kids 5 to 12 and seniors. Children under 5 free. Free parking. (516) 572-8400.

November 29

December 6

Brian setzer orchestra

holiday doo Wop extravaganza

Come see the show at NYCB Theatre at Westbury. The event starts at 7 p.m. Tickets range from $29.50 to $129.50. www. thetheatrewestbury.com. 960 Brush Hollow Road, Westbury. (516) 247-5200

December 3 cartoonist roz chast

Come see New Yorker cartoonist Roz Chast at NYCB Theatre at Westbury. Showtime is 8 p.m. Tickets range from $19.50 to $99.50. www.thetheatrewestbury.com. 960 Brush Hollow Road, Westbury. (516) 247-5200

December 5 the 2nd annUal Jingle Bell BottoM Ball

Come see the Holiday Doo Wop Extravaganza at the NYCB Theatre at Westbury, featuring The Duprees, The Tymes, Jay Siegel’s Tokens, The Classics, Johnny Farina of Santo & Johnny, The Eternals and Kathy Young. Showtime is at 3 p.m. Tickets range from $39.50 to $69.50. www.thetheatrewestbury. com. 960 Brush Hollow Road, Westbury. (516) 247-5200

December 10 neil degrasse tyson

Come see Neil deGrasse Tyson at NYCB Theatre at Westbury. The event starts at 8 p.m. Tickets range from $49 to $89. www.thetheatrewestbury.com. 960 Brush Hollow Road, Westbury. (516) 247-5200

Come see The 2nd Annual Jingle Bell Bottom Ball at NYCB Theatre at Westbury. Showtime is 8 p.m. Tickets range from $49.50 to $99.50. www.thetheatrewestbury. com. 960 Brush Hollow Road, Westbury. (516) 247-5200

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OCTOBER 22, 2015 | LIFESTYLE MAGAZINE | PAGE A33

F O CU S O N H E A LT H

Perfectly

Health facts: Pumpkins are a good source of nutrition. They are low in calories, fat and sodium and high in fiber. They are loaded with vitamins A and B and potassium. The seeds are very high in protein and are an excellent source of B vitamins and iron. Because pumpkins are 90 percent water, they are low calorie. one cup of canned pumpkin only has 83 calories and only half a gram of fat. In comparison, the same serving size of sweet potato has triple the calories. They also have more fiber than kale, more potassium than bananas, and are full of heart-healthy magnesium and iron.

Fun pumpkin facts:  The word “pumpkin” showed up for the first time in the fairy tale Cinderella.

 The original jack-o’-lanterns were made with turnips and potatoes by the Irish.

PumPkin

 A pumpkin is really a squash and is a member of the Cucurbita family, which includes squash and cucumbers.  The largest pumpkin ever grown weighed in at 2,036 pounds in 2014.

IngredIents: FILLIng 1 (15 ounce) can pumpkin purée 1 (14 ounce) can sweetened condensed milk 2 large eggs 1 teaspoon ground cinnamon 1/2 teaspoon ground ginger 1/2 teaspoon ground nutmeg 1/2 teaspoon salt

Classic Pumpkin Pie With Whipped Cream

PIe CrUst 1 1/3 cups all purpose flour 1/2 teaspoon salt 1/4 cup vegetable shortening 3 to 6 tablespoons ice cold water

Pumpkins are grown all over the world except Antarctica.  The largest pumpkin pie ever made was more than five feet in diameter and weighed more than 350 pounds. It used 80 pounds of cooked pumpkin, 36 pounds of sugar, 12 dozen eggs and took six hours to bake.  In early colonial times, pumpkins were used as an ingredient for the crust of pies, not the filling.  native Americans used pumpkin seeds for food and medicine and weaved dried strips of pumpkin into mats.  The town of Morton, Ill., is the self-declared pumpkin capital of the world.

dIreCtIons: Preheat oven to 425 F. In a large bowl, mix the flour and salt. With a pastry blender or fork, cut in shortening and butter until mixture resembles course crumbs. sprinkle in 3 to 5 tablespoons ice water, a tablespoon at a time. Mix lightly with a fork after each addition, until dough is just moist enough to hold together. shape dough into a ball. Wrap and refrigerate for 30 minutes. roll out onto a lightly floured surface in the shape of a circle until dough is less than 1/4 inch thick. roll the dough around the rolling pin, lift up, and unroll over a 9-inch pie plate. Using your fingers, gently pat the dough into place. trim any excess dough with a paring knife or kitchen shears, leaving a 1-inch overhang; then fold dough under to reinforce the edge. Whisk the pumpkin, sweetened condensed milk, eggs, spices and salt in medium bowl until smooth. Pour into crust. Bake for 15 minutes. reduce oven temperature to 350 degrees F and continue baking 35 to 40 minutes or until knife inserted 1 inch from crust comes out clean. Cool. garnish with whipped cream. store leftovers covered in refrigerator.

Pumpkins were once used to cure snake bites and remove freckles.  The largest pumpkin pie ever baked weighed 2,020 pounds.  Pumpkin pie originated in the colonies, just not as we know it today. Colonists would cut the tops of pumpkins off, remove the seeds, and fill the pumpkins with milk, spices and honey, and bake them in hot ashes.  each pumpkin has about 500 seeds.  Pumpkins are 90 percent water.  There are more than 45 different varieties of pumpkin. They range in color like red, white, yellow and green, and have names like Hooligan, Cotton Candy and orange smoothie.

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