SWGA HOMES - NOVEMBER 2018 by Albany Herald

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Health Southwest Georgia

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ERIN CANNINGTON, MD Allergy & Asthma Clinics of Georgia

Willie Adams Integrity Hospice

COPD

Diabetes Caregivers Stomach Cancer Health Tips

According to a Study by CNN, Greater consumption of Coffee could lead to a longer life

ANTHONY BURKE, DO Cardiology Affinity Clinic

KEISHA CALLINS, MD

Look inside for Dr. Oz

#1 Health Magazine In Southwest Georgia KELLY MILLER, FNP-BC Georgia Dermatology & Skin Cancer Center

Thisisisthe the#1 #1Health Health This MagazineCovering Covering Magazine SouthwestGeorgia Georgia Southwest

Email Upcoming Events Events To To Mail Upcoming swgahealthbeat@albanyherald.com swgahealthbeat@albanyherald.com

CONTENTS CONTENTS An Egg a Day Might 3 Cancer 3 Eye Reduce Your Risk of Heart Disease,

Good Study Dental Says Care

4 Symptoms and Risk Eye Center Factors for COPD 5 South 5 Five Ways Hospice

can HelpScreenings Annual High School 6 for Gifting Fresh and 6Athletes

Vibrant Skin: How to

Navigate Dr. Oz & Popular Roizen Spa &Treatments Health Tip

7 Identifying and First Aid Essentials 98Understanding Dr. Oz & Roizen

Dehydration

9 Potential Complications

of Diabetes Take Charge of Thyroid 10 Your The Types of Stomach 10Condition Cancer

Let’s Talk Women’s

Dear Libido…How Low 11Health 11 Can You Go?

CONTACTS CONTACTS CONTACTS CONTACTS Phil Cody

Majors/National Sales Phil Cody

Support Groups Breast Cancer Support Group A group for women with breast cancer. The group meets on the second Thursday of each month from 12:30 p.m. - 1:30 p.m. in the Radiation Oncology

Calendar of Events

Conference Room at Phoebe. Call 229-312-7161 Black & Blue Clinic for more information

The Black & Blue Clinic is open Saturdays from 9 a.m. - 11 a.m. during football season for all of your sports injury needs. Learn more about orthopaedic and sports medicine at Phoebe. Call 229-312-5000 to schedule and appointment.

Spiritual Care and You

Safe Sitter Classes

Sit down with one of Phoebe’s chaplains to discuss how spiritual care can impact your life during and after cancer treatment. This is great for individual sessions with a chaplain or to include caregivers and/or other loved ones.

BY APPOINTMENT July 10-11, 2018,

9:00AM-4:00PM

One-on-one/small available. Contact Kimberly Smith at 229-312-4670 or krsmith@ Join our safe group sitterappointments summer class! Designed to prepare students in grades 6-8 phoebehealth.com to make your appointment.

to be safe when they’re home alone, watching younger siblings, or babysitting. Class location: Phoebe HealthWorks 311 Third Ave., Albany, GA 31701 Healthy Holidays DIET & EXERCISE TIPS FOR HAPPY-HEALTHY HOLIDAY CELEBRATIONS Join Jan Haddrill, RD, LD, Radiation Oncology dietitian and learn how to make some of your Holiday foods nutritious, along with ways incorprate activity into your Holidays. Golden Keytoseminars take place in the conference rooms at

Golden Key Seminars

NOVEMBER 8 Phoebe Northwest, 2336 Dawson 6:00 pm - 7:00 pm | Cost: No Charge July 19, 2018, 9 a.m. - 2 p.m. Location: Phoebe Northwest

Road in Albany.Thursday,

For more information, call 229-565-9355 (WELL), follow the greeting’s instructions, and leave a message.

Be an AARP Smart Driver

Safe Driving Class@ Phoebe Putney Memorial Hospital Lights of Love Saturday, Julyhope 14,will 2018, 1 p.m. 4 p.m., Phoebe This holiday season shine brightly at Phoebe Cancer Center inNorthwest Albany, Phoebe Sumter Medical Center, and Phoebe Worth Medical Center as each campus pays tribute to localclasses; cancer patients and their families with Reservations are required for AARP safe driving their own special Lights of Love tree. Thousands of lights will be lit in honor and memory of loved ones, and call 229-312-2418

donations to the beloved holiday events will benefit oncology patients receiving treatment at the three locations.

Tree Lighting Ceremony Event Date and Locations • Phoebe Worth: November 26, 2018 @ 7 p.m. • Phoebe Sumter: November 27, 2018 @ 7 p.m. • Phoebe Putney Memoral Hospital in Albany: November 29, 2018 @ 7 p.m. A symbolic light of love can be purchased for a suggested $25, but all donations are welcomed. Donations can be sent to Lights of Love, PO Box 3770, Albany, GA 31706.

J U L Y November

CALENDAR OFofEVENTS Calendar Events  PREPARED CHILDBIRTH CLASS

Covers general topics related to labor, delivery and basic care for a baby. We request that mothers be at least 28 weeks, but it is not required. When: All sessions are held on Saturdays from 9 am-12 pm in the TRMC Meeting Rooms (first floor of TRMC), 901 East 18th Street, Tifton. To see dates this class is offered or to register please call 229-353-7605 or register on-line.

 BREASTFEEDING CLASS

Representative Majors/National 229-888-9304 Sales Representative 229-888-9304

Covers breastfeeding decision-making, preparation, instruction and helpful tips. When: All sessions are held at 6 pm in the TRMC OB Classroom (second floor of TRMC), 901 East 18th Street, Tifton. To see the dates this class is offered or to register please call 229-353-7605 or register on-line.

Heather Harrison

SUPPORT GROUPS  NEW PARENTS BREAKFAST CLUB

Multi-Media

Ashanti Smith Representative Multi-Media 229-888-9370 Representative 229-888-9340

Daulton Luttrell

Multi-Media Representative Heather Harrison 229-888-9340 Multi-Media

Representative 229-888-9370

Brandon Bracy

Multi-Media Representative Matt Behrens 229-434-8737

Multi-Media Representative 229-888-9337

Providing a networking and support group opportunity for all expectant and new parents. When: Every Monday at 10 am Where: TRMC OB Classroom (second floor of TRMC), 901 East 18th Street, Tifton How: No registration necessary. Call 229-353-7605 for more information

 BREAST CANCER SUPPORT

Facilitated by the TRMC Women’s Health Navigator, this support group is open to breast cancer patients and survivors as well as their caregivers. When: First Tuesday of each month, 6 pm Where: First Baptist Church Family Life Center, 404 Love Avenue, Tifton How: Call 229-353-6325 to register or for more information

 CANCER SUPPORT GROUP

Open to any cancer patient or person providing care to a cancer patient When: Every fourth Tuesday of the month at 5:30 pm Where: TRMC Oncology Center, 1623 Madison Avenue, Tifton How: Call 229-386-1300 to register or for more information

DISTRIBUTION: DISTRIBUTION:

Southwest Southwest Georgia Georgia Health Health Beat Beat has has over over 300,000 300,000 print-online monthly readers and distributes print-online monthly readers and distributes monthly monthly to to prime prime locations. locations.

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LOCATIONS LOCATIONS TO TO PICK PICK UP UP YOUR YOUR COPY COPY ARE: ARE:

Hospitals, Hospitals, Medical Medical Offices, Offices, Drug Drug Stores, Stores, Grocery Grocery Stores, Dental Offices, Fitness Centers, Stores, Dental Offices, Fitness Centers, Colleges, Colleges, Tech Tech Schools Schools and and Industry Industry Break Break Rooms Rooms

An Egg a Day Might Reduce Your Risk of Heart Disease, Study Says By Susan Scutti, CNN

(CNN) Eating an egg a day may lower your risk of cardiovascular disease, a study of more than 400,000 adults in China suggests. Daily egg eaters had an 18% lower risk of dying from cardiovascular disease, which manifests as heart attacks and strokes, compared with adults who avoided eggs, according to the research published Monday in the journal Heart. Commonly called heart disease, cardiovascular disease includes heart failure, arrhythmias and heart valve problems in addition to strokes and attacks. Raised blood pressure, carrying too much weight or obesity, and elevated blood sugar all contribute to the risk of cardiovascular disease, which is triggered by unhealthy diet, physical inactivity, smoking and harmful use of alcohol.

‘Controversial’ nutrition source �� In the past, doctors sometimes warned patients to avoid eating too many eggs. Though eggs contain high-quality protein and other positive nutritional components, they also have high amounts of cholesterol, which was thought might be harmful, explained Canqing Yu, a co-author of the study and an associate professor in the Peking University School of Public Health in Beijing. Yet “existing studies on the association between egg and cardiovascular diseases are controversial due to small sample size and limited information,” Yu wrote in an email. Past studies have provided only limited evidence from the Chinese population, “which have huge differences in dietary habits, lifestyle behaviors and diseases patterns,” Yu said. These are among the reasons why he and his colleagues decided to investigate the relationship between eating eggs and cardiovascular disease. To begin, they used information from an ongoing study of half a million adults living in 10 regions of China. They concentrated on 416,213 participants who’d never been diagnosed with cancer, cardiovascular disease or diabetes. Slightly more than 13% of these adults, ranging in age from 30 to 79, said they ate about an egg a day while just over 9% reported never or very rarely enjoying an egg. Nearly all the participants ate chicken, not duck, eggs, Yu noted. Over nearly nine years, the research team tracked this select group. They focused on major coronary events, such as heart attacks and strokes, including hemorrhagic strokes – when a blood vessel bursts in the brain due, usually, to uncontrolled high blood pressure – and ischemic strokes – when a blood vessel feeding the brain becomes blocked, usually by a blood clot. “Cardiovascular diseases are the leading cause of deaths in China, which accounted for half of the total mortality,” Yu said. “Stroke, including hemorrhagic and ischemic stroke, is the first cause of premature death, followed by ischemic heart disease.” During follow-up, 9,985 people died of cardiovascular disease, and an additional 5,103 major coronary events occurred. Nearly 84,000 other participants were diagnosed with heart disease in this time period. Analyzing the data, the researchers found that eating about an egg a day related to a lower risk of heart disease compared with not eating eggs. In fact, participants who ate up to one egg daily had a 26% lower risk of hemorrhagic stroke, which is more common in China than in the United States or other high-income countries. Additionally, the egg eaters had a 28% lower risk of dying from this type of stroke.

Finally, egg eaters also enjoyed a 12% reduced risk of ischemic heart disease, which is diagnosed in those who show the early signs of gridlocked blood flow to the brain. Based on the results, Yu said, eating eggs in moderation – less than one a day – is associated with a lower incidence of cardiovascular diseases, especially hemorrhagic stroke. Even more, the new research is “by far the most powerful project to detect such an effect,” he said. On the downside, the research team collected only “crude information” about egg consumption from participants, and this prevented them from estimating effects “more precisely,” Yu said. “We should [also] be cautious when interpreting our results in a context of different dietary and lifestyle characteristics from China.”

Part of a healthy diet �� Caroline Richard, an assistant professor of agricultural life and environmental sciences at the University of Alberta in Edmonton, said the new study is simply observational and so cannot show a direct cause and effect between eating eggs and risk of heart disease. “Saying that, this is a very large study, and that in itself is a strength, and the researchers have done the best possible job to control for other factors,” said Richard, who was not involved in the research. Her own systematic review of studies showed that when participants are provided with between six and 12 eggs a week, no change occurs in major cardiovascular risk factors, including higher rates of blood sugar, inflammation and cholesterol. “Several studies in our review observed a positive effect of egg consumption on HDL cholesterol,” or “good” cholesterol, she added. The new study, then, “delivers a similar message” that “egg consumption does not increase the risk of developing a cardiovascular disease,” Richard said. Some studies have suggested that consuming eggs increases the risk of diabetes, she said. “In this study however, they didn’t assess the risk of developing diabetes, which may be because diabetes is a newer disease in the Chinese population and there is not good documentation of who has it,” Richard said. Still, she noted, “this will be very important data for helping develop dietary prevention guidelines in China.” Cardiovascular disease, which takes the lives of 17.7 million people every year, is the leading cause of death and disability worldwide, according to the World Health Organization. Cardiovascular disease causes nearly a third – 31% – of all global deaths each year. “Overall, I would say that consuming egg as part of a healthy diet does not increase the risk of cardiovascular disease, and we now have another carefully done study to support that,” Richard said. November 2018 | A (SCNI) Southern Community Newspaper Product | 3

Symptoms and Risk Factors for COPD (MCC) A group of progressive lung diseases that make it hard to breathe, chronic obstructive pulmonary disease, or COPD, was the fourth most common cause of death in the United States in 2016. Only cancer, heart disease and unintentional injuries claimed more American lives in 2016 than COPD, which includes conditions such as chronic bronchitis and emphysema. But Americans aren’t the only people affected by COPD, as the World Health Organization notes the disease affects more than 65 million people across the globe. Experts predict that number will rise over the next half century. So how does COPD affect so many people and claim so many lives? Understanding its risk factors and symptoms is a good place to start answering that question and more about this deadly yet preventable disease.

Risk factors Prolonged exposure to irritants that damage the lungs and airways can cause COPD. Limiting exposure to these risk factors can reduce the chances that you develop COPD. • Smoking: The American Lung Association notes that roughly 85 to 90 percent of all COPD cases are caused by cigarette smoking. When cigarette smoke, which contains thousands of harmful chemicals, is inhaled, the toxins within the smoke weaken the lungs’ defenses against infections, narrow the air passages and cause swelling in air tubes. Each of these things contributes to COPD. • Workplace pollutants/poor air quality: Long-term exposure to and contact with harmful workplace pollutants is another risk factor for COPD, as is working in an environment with poor air quality. Exposure to certain chemicals and 4 | A (SCNI) Southern Community Newspaper Product | November 2018

fumes can increase workers’ risk of developing COPD. The resource COPD.net indicates that 20 percent of COPD cases in the United States are caused by poor air quality in the workplace. Dust and fumes can adversely affect workplace air quality and may elevate workers’ risk for COPD. • Genetics: Though such instances are rare, the American Lung Association notes that a small number of people have a rare form of COPD caused by a genetic condition that affects the body’s ability to produce Alpha-1, a protein that protects the lungs. This is called Alpha-1 deficiency-related emphysema, and the Mayo Clinic notes that it’s responsible for about 1 percent of COPD cases.

Symptoms Shortness of breath and tiring easily are two early symptoms of COPD. Because these symptoms do not have too great an impact on daily life, they’re often ignored. People tend to take more notice as COPD progresses to a cough that can produce mucus, phlegm or even spots of blood. Fatigue and tightness in the chest also may indicate COPD. Many people with COPD also experience wheezing and gasping for air when climbing a flight of stairs. As COPD progresses, people may develop swelling in their legs and feet. COPD also may cause low oxygen levels in the bloodstream that can cause discoloration in the lips and fingernails. Current or former smokers need to be especially mindful of COPD symptoms, reporting even seemingly minor problems to their physicians immediately. More information about COPD is available at www.lung.org.

November 2018 | A (SCNI) Southern Community Newspaper Product | 5

Gifting Fresh and Vibrant Skin: How to Navigate Popular Spa Treatments (MCC) The desire for healthy, clean-looking skin drives the multibillion dollar cosmetics and skincare industry. According to data from the Semi-Annual Consumer Insight Snapshot from DermStore, a leading skin care e-commerce website, 67 percent of consumers surveyed are very or extremely interested in trying products for their specific skin concerns. The top five skin concerns across the United States include aging, uneven skin tone, sensitive skin, dark circles, and sun damage. To address concerns about their skin, consumers are increasingly turning to in-spa services, such as facials, peels and fillers. A facial or body skin treatment can be a coveted gift this holiday season. However, navigating spa jargon can be tricky. Here are some popular services and what they entail.

Traditional facial A traditional facial typically begins with a cleansing of the face using steam to open up pores. This lets impurities clear out. Depending on an individualâ&#x20AC;&#x2122;s skin type or concerns, a mild scrub may be used to exfoliate dead skin cells, dirt and oils. A hydrating mask or lotion will be applied to soothe skin after treatment.

Chemical or fruit acid peel Chemical and fruit acid peels rely on various acids to exfoliate and peel off the outer layer of skin. The skin beneath is usually more smooth and less wrinkled. Some deep peels target the middle layer of skin to remove damaged skin cells. The American Society for Dermatologic Surgery says that peels can be used to treat anything from acne to aging skin to scars. Alpha-hydroxy acid and lactic acid may be used in mild peels. Trichloroacetic acid, or phenol, is used for more potent chemical peels. Peels are best left to an aesthetician or dermatologist.

Facial masks Masks may contain many different ingredients designed to treat various skin problems. A paraffin mask, for example, involves the

process of applying molten warm wax over a thin mask. The wax will open pores and moisturize the skin. Masks are applied, and then there is a waiting period, during which the mask dries or penetrates. Then the treatment will be removed.

Microdermabrasion In microdermabrasion, layers of dead skin are buffed. This dead skin may have accumulated due to age and sun exposure. Many spas employ a device that scours the skin using micronized aluminum oxide crystals. Similar at-home products use motorized spinning brushes that employ bristles to slough off skin cells.

Lymphatic massage Many facial treatments also include some massage. With lymphatic massage, particular pressure points are targeted to release strain from tension headaches and may even reduce skin puffiness. Massaging the skin can promote blood flow and lead to a rosier, more youthful glow.

Cosmetic fillers Injectable dermal fillers can soften facial creases, remove wrinkles and improve the appearance of scars, says the American Society of Plastic Surgeons. These procedures are best left to professionals. Skincare treatments can be an ideal holiday gift for someone special.

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THESE ARE SOME GREAT GREENS!

Reviving paralyzed limbs; genetic testing for breast cancer BY MICHAEL ROIZEN, M.D., AND MEHMET OZ, M.D. Q: Lately I’ve read about paraplegics with damaged spinal cords who are able to walk again using the latest technology. Can you explain how that works? – Angie B., Salisbury, Maryland

Q: My aunt and my cousin have had breast cancer, now my sister has been diagnosed. Should we get genetic testing to see if it’s something that runs in the family? If it does, what’s my next step? – Kate G., Pauling, New York

A: Sure. But to be clear, exoskeletons (that is structures outside of the body) have been around for a few years, and they do help paraplegics walk. We believe what you’re talking about is spinal cord stimulation using 16 small electronic sensors implanted along the damaged area of the spine to increase the volume on nerve sensations so that the brain can “hear” the signals and move the limbs below the point of spinal injury.

A: Yes, you (and anyone in a similar situation) should consult a genetic counselor at a nearby academic center to discover what testing might reveal. You also can access such expert advice through a virtual medicine app.

That technology was applied by researchers at the University of Louisville to four people with spinal cord injuries who couldn’t move their legs. They had tried every other kind of rehabilitation imaginable, including intense treadmill training while having their weight partially suspended. The patients who received the implants had sustained their injuries between 2.2 and 3.5 years earlier, according to the researchers. Two of them went through “278 sessions of epidural stimulation and gait training over a period of 85 weeks and [two worked through] 81 sessions over a period of 15 weeks ... and all four achieved independent standing and trunk stability.” That’s a lot of work, but with intense training and intense electrostim it paid off. They certainly didn’t get back to where they were before their injuries, but it created a significant improvement in their lives. Spinal cord rejuvenation was previously thought to be impossible, but we are now seeing great advances. Inspired by the success of this form of spinal cord stimulation, scientists are using small molecule compounds in mice models, coupled with limited zaps of electronic stimulation, to revive previously “quiet” spinal nerve pathways in paralyzed mice. That could be the next step for humans (pun intended), so stay tuned.

According to Dr. Holly Pederson, the director of Cleveland Clinic’s Medical Breast Services, about 10 to 15 percent of breast cancer cases are truly hereditary, meaning there’s a genetic mutation passed down from generation to generation that markedly increases the chance of getting breast cancer. Finding out if you have that increased risk of developing the disease is a good thing! If you’re a woman with a genetic predisposition (you carry the BRAC1 or BRAC2 mutation or both) you can have up to an 80 percent risk of being diagnosed with breast cancer during your lifetime. Testing gives you a chance to take preventive medications or have risk-reducing surgery. And if you are carefully monitored and you develop it, it’ll be detected early when treatment is very successful. Unfortunately, most women who have a hereditary risk for breast cancer do not know it even if they’re aware that: • A mother, grandmother(s), sister(s) and/or aunt(s) were diagnosed with the disease before age 50. • One close relative had both breast cancer and ovarian cancer. • A related man had breast cancer. • They’re of Ashkenazi Jewish heritage. • A relative had triple-negative breast cancer. • Other cancers are present in relatives. So talk to your doc about your risk factors and see if you should be tested. If you’re worried that genetic testing is too expensive, Dr. Pederson says, “The Patient Protection and Affordable Care Act identifies BRCA testing as a preventive service. Medicare provides coverage for affected patients with a qualifying personal history, and 97 percent of commercial insurers and most state Medicaid programs provide coverage for hereditary cancer testing.”

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* * *Mehmet Oz, M.D. is host of “The Dr. Oz Show,” and Mike Roizen, M.D. is Chief Wellness Officer and Chair of Wellness Institute at Cleveland Clinic. Email your health and wellness questions to Dr. Oz and Dr. Roizen at youdocsdaily@sharecare.com. © 2018 Michael Roizen, M.D. and Mehmet Oz, M.D. Distributed by King Features Syndicate, Inc.

November 2018 | A (SCNI) Southern Community Newspaper Product | 7

First Aid Essentials

lbany is fortunate to have one of the most beautiful hospice facilities in the country. Phoebe Hospice at Willson Hospice House is nestled in the woodlands of northwest Albany and features an innovative design that welcomes the outdoors in, providing a calm and peaceful setting for patients and family members. More important than the design, however, is the compassionate care our highly-skilled team offers patients facing end-of-life illnesses. Our team includes physicians who are board-certified in palliative care, nurses, social workers, home health aides, chaplains, bereavement counselors and trained volunteers who have served more than 3,000 patients since our facility opened in 2010. November is National Hospice and Palliative Care Month, a good time to focus on the services we provide and the need many families have for them. Our general inpatient and respite care provides peace and comfort to those nearing the end of their lives. Willson Hospice House is perfect for patients who need pain and symptom management or whose families need a temporary break from caregiving. We also offer other services such as education on caring for a hospice patient, assistance with personal care and daily living at home provided by our certified nursing assistants, interdisciplinary team meetings to discuss your care needs and goals, and bereavement services during which we follow a family for 13 months following their loved one’s death. Unfortunately, Hurricane Michael forced us to cancel this year’s Camp Good Grief. Typically, however, the popular annual event attracts dozens of children and teens who are dealing with loss and

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Jennifer Stephens, LMSW Regional Executive Director, Phoebe Hospice

provides a day of hope and healing and a sense of community for them. Now is also a good time for you to consider advance care planning which may include completing an advance directive. We can help guide you through that process to make sure your wishes regarding end-of-life medical care – including the types of care you do and do not want – are carried out, even if you are no longer able to make decisions or communicate your wishes. If your family needs hospice care, it is never an easy time for your family. But we promise to provide you with comfort and rest, a warm and welcoming environment, and the compassionate and loving care that will help you through your difficult time.

Potential Complications of Diabetes (MCC) A diabetes diagnosis is life-changing. Living with diabetes requires altering one’s lifestyle. Those lifestyle changes are typically focused on diet and exercise, but some people develop complications related to diabetes that require additional changes. The American Diabetes Association® says that diabetes increases a person’s risk for serious health problems. However, the ADA notes that with the correct treatment and lifestyle changes, it’s possible to prevent or delay the onset of such complications. As a result, it’s important that people diagnosed with diabetes learn about the potential complications of their disease and how to recognize them.

Skin complications

People with diabetes are vulnerable to complications that can affect their vision.

The ADA says skin problems are sometimes the first indicators that a person has diabetes. Most of these problems can be prevented or easily treated if caught early. The list of skin complications that can affect people with diabetes is extensive and includes bacterial infections such as styes, boils, infections around the nails, and carbuncles, which are deep infections of the skin and the tissue underneath it. Localized itching caused by a yeast infection, dry skin or poor circulation is another example of a skin condition that is often caused by diabetes. Visit www.diabetes.org/living-with-diabetes/complications/skin-complications. html for the complete list of skin complications associated with diabetes.

Diabetes can affect the retina in various ways, and diabetic retinopathy is the general term used to describe the various ways it can do that. Nonproliferative retinopathy and proliferative retinopathy are the two main types of the disorder, and each disorder concerns the blood vessels and how they affect vision.

Neuropathy Nerve damage resulting from diabetes is referred to as diabetic neuropathy. The ADA notes that roughly 50 percent of people with diabetes have some sort of

Eye complications People with diabetes have a higher risk of blindness than people without diabetes. However, the ADA notes that most people with diabetes develop only minor eye disorders. Routine checkups are essential to preventing those minor problems from becoming something major. Glaucoma, cataracts and retinopathy are eye complications associated with diabetes. People with diabetes are 40 percent more likely to suffer from glaucoma than people without diabetes, according to the ADA. Risk for glaucoma increases with age. Cataracts are not exclusive to diabetes, though people with diabetes are 60 percent more likely to develop the condition, which occurs when the lens of the eye clouds and blocks light.

nerve damage, though it is most common in people who have had diabetes for a number of years. Peripheral neuropathy can cause tingling, numbness, pain, or weakness in the feet and hands. Autonomic neuropathy affects the nerves that control the bladder, intestinal tract, genitals, and other organs. The symptoms of autonomic neuropathy vary depending on which nerves are affected. Visit diabetes.org to learn more. People with diabetes often develop complications, though such complications oftentimes can be prevented or delayed.

Support for Caregivers is Helpful (MCC) At some point in a son or daughter’s life,

are neglected. The Mayo Clinic says it is natural

cannot be with their loved ones constantly. Another

the role of caregiver may shift. Where parents

to feel sad, alone, frustrated, and even angry

option is a product called Care Coach. This is

once took care of their children, aging parents very

when serving as a caregiver to an elderly parent.

a digital tool that provides medicine reminders,

frequently rely on their children to care for them.

However, it’s also important to recognize the signs

health coaching, automated alerts, and an

that the burden has become too much and to look

interactive avatar that can offer psychological and

for ways to lighten the workload.

comforting support.

the demands of medical and emotional support

Anyone can get caregiver stress, but the National

• Explore respite care. Many rehabilitation and

can dominate their lives — so much so that their

Alliance for Caregiving says women are more

nursing facilities offer short-term respite care for

own children and other household responsibilities

susceptible than men. Those who are responsible

loved ones so that caregivers can take the time

for helping someone with Alzheimer’s disease,

to go on vacation or enjoy a day or two without

dementia or a debilitating illness are also at a high

having to check in on an elderly parent. Facilities

risk of developing their own medical issues. These

generally have 24-hour staff to monitor residents,

responsibilities can affect the quality of caregivers’

provide meals and provide entertainment. The

sleep and impede their ability to relax and unwind.

change of pace can also be stimulating to

Adult caregivers typically want to do right by their aging loved ones but sometimes find that

Finding relief from caregiver stress can involve a few different strategies. • Ask for more help. Don’t hesitate to ask for help. If other family members or siblings are unable to pitch in, look into the possibility of hired aides. These professionals can be excellent and trained sources of support who assist with activities of daily

introduction to long-term care. • Embrace community resources. Seniors may be eligible for low- or no-cost services like visiting nurses, meal delivery and adult day programs. This network of support can further alleviate caregiver stress.

living, remind patients to take their medications

• Talk it out. Work with a licensed therapist to

and assist in coordinating medical checkups.

find other coping strategies for dealing with the

• Consider watchdog technology. Smart homes have enabled remote control of many household systems, making it possible to monitor thermostat

Using a network of community support can help caregivers manage stress.

the senior, and respite care can be a gradual

mounting pressure of being a caregiver. Talk therapy and relaxation techniques can help curb stress.

temperature, water leaks or floods, appliance and

Being a caregiver is a rewarding but demanding

light usage, and much more. Video and sound

responsibility. Utilizing all possible resources can

surveillance can offer peace of mind to those who

make the job easier.

November 2018 | A (SCNI) Southern Community Newspaper Product | 9

The Types of Stomach Cancer (MCC) Cancer affects people from all walks of life. According to estimates from the World Health Organization, cancer will cause 9.6 million deaths worldwide in 2018. Part of the reason cancer is so deadly is that it can affect any part of the body and spread to other parts of the body. Lung and colorectal cancers cause more deaths than any other forms of the disease, but stomach cancer results in 783,000 deaths across the globe each year, making it the third-leading cause of cancer deaths. There are various types of stomach cancers. Because early detection is often so important, learning about the different types of stomach cancers can be a great first step toward protecting yourself against this deadly disease.

Adenocarcinoma According to the American Cancer Society, about 90 to 95 percent of stomach cancers are gastric adenocarcinomas. These cancers develop from the cells that form the mucosa, which is the innermost lining of the stomach. Various genetic and environmental conditions can increase your risk of developing gastric adenocarcinoma. The online resource My Virtual Medical Centre (www.myvmc.com) notes that such conditions include: • family history of gastric cancer • blood group A • hereditary nonpolyposis colon cancer syndrome • low socioeconomic status

• a diet that is low in fruits and vegetables • smoking • consumption of salted, smoked or poorly preserved foods Gastric adenocarcinoma is rare before age 40, but incidence rates steadily increase after that point before peaking in the seventh decade of life.

Lymphoma Gastric lymphomas are cancers of the immune system that are sometimes found in the wall of the stomach. Lymphoma is a malignancy of the lymphatic system, which is a network of nodes, or knots of tissue, connected by vessels. These nodes drain fluid and waste products from the body, acting as filters that remove foreign organisms and cells. Gastric lymphomas are non-Hodgkins lymphomas. My Virtual Medical Centre notes that most cases of gastric lymphoma occur in people age 50 or older. However, incidences of gastric lymphoma among people younger than 50 who are affected by HIV and/or AIDS are increasing. Gender is a risk factor for gastric lymphoma, as males are affected two to three times more often than females. In addition to age and gender, chronic infections such as hepatitis C increase a person’s risk for gastric lymphoma.

Gastrointestinal stromal tumor The ACS notes that gastrointestinal stromal tumors, or GISTs, are rare. However, they can form in the wall of the stomach. Some may be

cancerous, while others may not be. Though GISTs can be found anywhere in the digestive tract, most are found in the stomach. Age is one of the risk factors for GISTs. Though they can be diagnosed in people younger than 40, GISTs are most common in people between the ages of 50 and 80. Genetics also may increase a person’s risk for GISTs. Though rare, primary familial GIST syndrome is an inherited condition that increases a person’s risk for GISTs. Carney-Stratakis syndrome and von Recklinghausen disease are two additional genetic conditions than can increase your risk of developing GISTs. More information about stomach cancer is available at www.cancer.org.

How to Cook for People with Various Dietary Needs (MCC) Breaking bread with friends and family is the perfect recipe for a fun day or evening. However, even the most experienced party hosts may struggle with ways to cater to their guests’ various dietary restrictions. According to Food Allergy Research & Education organization, as many as 15 million Americans have food allergies. Research by a team of allergists at the McGill University Health Centre found that 7.5 percent of Canadians report having at least one food allergy. In addition to food allergies, hosts also must consider diets, food sensitivities, religious preferences, and lifestyle choices (i.e., vegetarianism or veganism) when planning dinner party menus. So what is the accommodating host or hostess to do? Etiquette experts say that while it is important to keep guests’ preferences in mind, it is impossible to accommodate everyone. But hosts can take certain steps when planning a menu that might make it easier to cater to an array of eaters. • Host a buffet or family-style meal. Buffets and family-style services provide plenty of options for guests to enjoy. Think about offering at least one item from all of the food groups, including vegetables that will fit the bill for vegetarians, vegans and those who may be avoiding grains. • Keep some trendy foods on hand. Consider current dietary trends and how likely your guests are to follow them. For example, investigate a few gluten-free options and some foods that are low in carbohydrates. Opt for quinoa or couscous as an alternative to white rice. A hummus dip is a nice change from a dairy-based dressing for 10 | A (SCNI) Southern Community Newspaper Product | November 2018

those who may need to avoid dairy products. Replace iceberg or romaine lettuce with baby spinach and arugula. • Stick to simple recipes. The more ingredients in each dish, the more explaining you will have to do to guests who might be watching what they eat. Herb-crusted grilled chicken, roasted colorful vegetables in a ratatouille, a bean salad, and a three-cheese gourmet mac-and-cheese are some simple crowd-pleasers. • Offer a signature dish. In addition to “safe” menu items, showcase something you enjoy and like to prepare. After all, you should be able to enjoy the foods you love as well. Some guests may come with food in hand. Graciously accept their additions and give credit where credit is due. You can even encourage those with especially strict diets to bring their own foods to ensure they don’t go hungry.

LET’S TALK

Dear Libido…How CanYour You Go? Don’t Huff andLow Puff Health

Away: Developing Your Action things together to reconnect such as grocery shopping, cooking, or riding to Plan to Defeat Smoking work; 4) Look at positives: focus on

Keisha R. Callins, MD, MPH

Enlightenment Loss of interest in sex, or low libido, affects nearly one-third of women aged 18-59. It ENLIGHTENMENT may be affected by multiple factors such as Smoking is the most preventable cause of death in the US, and age, changes, challenges, it can behormonal especially harmful for womenwork at all stages of life. You financial pressure, are probably aware that smokingmedical exposes the conditions, body to harmful chemicals, but smoking can cause unique challenges to a relationship stress, educational pursuits, woman’s health, and second-hand smoke can affect the family obligations, and commitment to health of loved ones. Women who smoke have an increased risk of many different problems: cancer of the cervix, breast and extra-curricular activities.

in nicotine patches that to help you the transition, “healthy” the things youduring like about and yourself snacks to manage the urge to have something in your and your partner and less on your mouth own (carrots, celery, gum). Join forces with someone who also plans insecurities; 5) Listen to your body: talk to quit. Increase your exercise and change your eating habits to manage thedoctor possible initial weight gain associated with giving up to your about things that affect your cigarettes. Last but not least, make it count. Open an account or ability to become intimate; 6) Look for buy a piggy bank to save the money that you would normally use solutions: on cigarettes, theninvestigate plan a reward. medical conditions,

you may talk with your doctor about medical EDUCATION and herbaltoremedies potential. The decision stop smokingthat is oneshow of the best gifts you can

EMPOWERMENT (smoking, and One of the most alcohol, helpful thingslack that youofcanexercise do to help support the decision to change your smoking behavior is to channel sleep) that can affect your libido; 7) Let it the the people and places you. Tell your go:support talk ofopenly with your around partner about friends, family and co-workers to hold you accountable – no how you changes in where youryoubody. exceptions. Limitfeel, the useand or change the locations usually buy cigarettes because the staff knows your preferences and are used to accommodating you. You can also engage your usual staff Encouragement to promise not not to sell you cigarettes, even if you women demand them. You are alone. Although areIf you are used to smoking after eating, you may need to change similar,and they a large variety of personal locations; if youhave are used to smoking with certain friends, you may have to change and what activities do with your friends. experiences life you situations that are

vulva; lung diseases and cancer or vascular complications such as heart disease, blood clots, and stroke. They may have difficulty Education becoming pregnant, and when pregnant, have an increased While is nopreterm standard intimacy in a chance ofthere miscarriage, delivery,for preterm loss of fluids, and abnormal location of the placenta. Because toxins can be relationship, if the change in interest causes passed on to the baby, newborns of mothers who smoke can have distress woman orproblems her partner, it low weight atto birth,the a greater chance of such as colds, earaches, lungaproblems, increasing to the pediatrician, and becomes situation thatvisits needs a solution. even death. Pelvic infections, menstrual cycle issues, onset and Unlike men, there are no FDA approved severity of menopause, and even bone health can be impacted by medications for low libido in women, but the dangers of smoking.

medications, and even lifestyle choices

unique. Therefore, while there is no “single” ENCOURAGEMENT for changes in challenge, libido, Iitam certain does Ifremedy by chance, smoking is not a personal that you know someone who needs your help and support to require an intentional and creative effort change this harmful behavior, so use this information to help by each Please someone youindividual care about. If woman. you are a smoker who istake quitting,a constructive look at how to improve your keep in mind that medication and alternatives, such as vaping, are meant to help your transition but not as a permanent substitute overall health and enhance the intimacy for in cigarettes. As with most other things in life, persistence is one of your relationship. quit. Pick a date – your birthday, birthday of a loved one, or after the keys to success. So, if by chance, it takes you longer than you an upcoming holiday! 4) Assist yourself – Call 1-800-QUIT-NOW expected or more than one attempt to shake this habit, don’t stop or talk to your medical provider about available help with medical trying to quit smoking. Developing an action plan to remove therapy. Download the QuitGuide app, text START to 47848, or cigarettes from your life and the lives of your loved ones, is one of the wisest thatand you will quit“My cold turkey! Finally,in 5) life Arrange accordingly –to invest mission isyourself not merely survive, but todecisions thrive; toever domake. so with give to your health, your family, and your bank account. Once

WITH

Keisha R. Callins, MD. MPH ERCER UNIVERSITY

you decide to stop smoking, your success requires a strong desire Empowerment to quit and a strategic plan: 1) Ask yourself why you smoke – 1) Livelyboredom, things up: orprioritize for is it anxiety, depression stress? Seek time help for new coping behaviors. may benefitchanging from talking to where a therapistand and/ intimacy andYou consider or takingyou medication, findingintimate; a new hobby or2)activity to occupy your how become Light things time; 2) Advise yourself about why you need to quit – is it for up: – light candle anda infuse some romance your health or a your kids? Make contract with yourself about the reasonyour for your decision; 3) Assess yourselfup: for the time to into relationship; 3) Link dobest routine

SCHOOL OF MEDICINE

Heal with breath Breath is one of our best tool in managing stress and heal the body. • Calms the mind and the nervous system, allowing deep relaxation.

Quote of The Month:

some passion, some compassion, some humor, and some style.” “My mission QUOTE OFbut THE MONTH: in life is not merely to survive, to thrive; and to do so with some “AS YOU GROW OLDER, YOU WILL DISCOVER THAT YOU HAVE TWO HANDS, passion, some compassion, some humor, and some style.” ONE FOR HELPING YOURSELF, THE OTHER FOR HELPING OTHERS.” Maya ANGELOU Angelou ~~ ~~ MAYA

Breathe in and out comfortably and then exhale through mouth.

OTHER AFFIRMATIONS:

Breathe in through your nose for the count of 6 and then hold for count of 6 and exhale

I am at peace.

• Helps to balance the left and right hemisphere of the brain (linear thinking with creative thinking).

for the count of 8 through your mouth.

• Cleanses and rejuvenates vital channels of energy.

When you feel relaxed you can close your eyes and repeat the same breathing pattern for another 2 minutes.

• Increases the intake of oxygen throughout the body which detoxifies the body and restores the body.

Repeat this 6-6-8 breathing pattern and do it for 2 minutes.

Benefits

• most of the people do not have the habit of breathing deeply with the result that only 1/4 part of the lungs is brought into action and 75% remains inactive.

Mind becomes calm and steady.

• By regular practice, habit of deep breathing is developed which results in several health benefits.

As words and intentions are powerful use affirmations.

Method Sit comfortably on chair. Keep the back straight. Relax and shoulders down.

Benefits in conditions like mental tension, Anxiety, Agitation, high blood pressure, heart diseases. It is useful in meditation also.

If any body part needs healing breathe in to that area and affirm I receive perfect health in my body.

My body is calm. I release my fears. I love and accept myself. I receive perfect health into my body. I let go everything which does not serve me. I let go of all negative ideas about my body. Healing energy flows through my body. I am here, I am now, I am free. I feel all the good things coming to me. I am getting better and better everyday in every way. Jyotsna Agarwal Holistic Health Life Coach Reiki Master and Tai Chi/Qigong practitioner

You can use any affirmation of your choice.

July2018 2018| A | A(SCNI) (SCNI)Southern SouthernCommunity CommunityNewspaper NewspaperProduct Product| 11 | 11 November

Robert S. Pilcher, MD, PhD

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