Global Health TRIBUNE
JA N U A RY I S S U E - 2012
S er vin g: J upiter
Also in this issue Global Study Finds Drug Abuse Highest in Richer Nations .......2 Twist and Shout… Is that your Ankle talking?......3 Two Whitey Grogans...............4 Management of Heel Pain.......5 Mayor Darrell Bowen and
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Study Finds Drug Abuse Highest in Richer Nations
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About 200 million people worldwide use illicit drugs each year, and use is highest in wealthier nations, a new study shows. PAGE 2
Simply 66 Brings Innovation to Health Care Products PAGE 11
More than one in 10 Americans over the age of 12 takes an antidepressant, a class of drugs that has become wildly popular in the past several decades, U.S. government researchers said. PAGE 2
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2 JANUARY ISSUE
Global Study Finds Drug Abuse Highest in Richer Nations About 200 million people worldwide use illicit drugs each year, and use is highest in wealthier nations, a new study shows.
he researchers also found that the burden of health problems caused by illicit drug use in developed countries is similar to that caused by alcohol, but much less than that caused by tobacco. Experts in the United States weren't surprised by the numbers, and said that more needs to be done to reduce Americans' dependence on illegal drugs. The study "serves to confirm something addiction experts have known for some time -- that the extent of illicit drug use and abuse in developed countries like the United States has reached epidemic proportions," said Dr. Jeffrey T. Parsons, a professor in the department of psychology at Hunter College, in New York City. The analysis of available data from a team of Australian
Lack of data also means there are no estimates of the extent of use, or the health effects, of Ecstasy; hallucinogenic drugs; inhalants; or non-medical use of benzodiazepines such as valium or anabolic steroids.
researchers estimates that there are up to 203 million marijuana users, anywhere from 14 million to 56 million amphetamine users, 14 million to 21 million cocaine users, and 12 million to 21 million opioid users around the world. The researchers also estimate that there are 15 million to 39 million "problematic users" of opioids (which include prescription painkillers such as Oxycontin or Vicodin), amphetamines or cocaine, and 11 million to 21 million people who inject drugs worldwide. Marijuana use appears to be highest in Oceania (Australia/New Zealand), with up to 15 percent of those aged 15 to 64 using the drug, according to estimates made by the UN Office on Drugs and Crime. Amphetamine use was also highest in Oceania (2.8 percent of this age group), while
use of heroin and other opioids was highest in the Near and Middle East (up to 1.4 percent). Cocaine use was highest in North America (1.9 percent). There is no gold-standard method for estimating the true number of illicit drug users and no one method is ideal for all drugs or all countries, said Louisa Degenhardt, of the National Drug and Alcohol Research Centre at University of New South Wales, Sydney, and the Burnet Institute in Melbourne, and colleague Wayne Hall of the University of Queensland Centre for Clinical Research in Brisbane.
The toll on human health from illicit drug use is enormous. According to the investigators, the most recent (2004) data from the World Health Organization suggest that illicit drugs caused 250,000 deaths that year, compared with 2.25 million deaths from alcohol and 5.1 million deaths due to tobacco. Years of life lost because of illicit drug use were 2.1 million, compared with 1.5 million for alcohol. That's likely because drug deaths generally affect younger people while deaths from alcohol (and tobacco) tend to affect middle-aged and elderly people, the researchers said. Illicit drug use also caused 13 million years lost to disability (disability-adjusted life years, or DALYs).
Wealthy nations, including the United States, are lagging in efforts to beat back the scourge of drug abuse, experts said. "Unfortunately, the U.S. has made little progress in the prevention and treatment of drug abuse in the past decade," Parsons said. "More research is needed on effective educational and prevention programs designed to reach young people before they begin to use/abuse illicit drugs," he added. And expert Dr. Marc Galanter said that "it is important that we call attention to very serious drug abuse problems that still exist in the United States. For example, we are seeing recent increases in abuse of painkillers in the United States, as well as the abuse of MDMA [Ecstasy] by adolescents and young adults. Abuse of these particular drugs is not prevalent in less industrialized countries." Galanter is director of the division of alcoholism and substance abuse at NYU Langone Medical Center/Bellevue, and a professor of psychiatry at the NYU School of Medicine, in New York City.
Persistence Is Key to Losing Weight and Keeping It Off Mastering any new skill, including eating right and exercising, takes practice, expert says.
adjust behaviors accordingly," Bartfield said. n Exercise for one hour every day. "Snow shoveling, vacuuming, taking the stairs -- you don't have to run like a hamster on a wheel for 60 minutes. Take three 20-minute brisk walks, or compile the one hour based on a series of activities," she advised.
osing weight is one of the most common New Year's resolutions, but changing long-held behaviors is a skill in itself, a medical expert says. To shed unwanted pounds and keep them off, people have to be ready to face some setbacks and keep on trying, said Dr. Jessica Bartfield, an internal medicine and medical weight-loss specialist at Gottlieb Memorial Hospital, part of the Loyola University Health System.
"People need a motivation to lose weight and the new year is an opportunity to start fresh," Bartfield said in a Loyola news release. "Behavior change is the cornerstone of healthy, successful weight loss and it takes about three months to establish a new behavior," she pointed out. "When you learn to ride a bike, you expect that you will fall
down a couple times and are prepared to try again and get back on; you need to have the same expectation with weight loss and to plan accordingly," she explained. Only 20 percent of Americans who've tried to lose weight will keep the weight off after one year, according to the U.S. Centers for Disease Control and Prevention. Bartfield offered the following tips to help reverse this trend and help people achieve and maintain their weight-loss goals:
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n Don't skip breakfast. "Eating within one hour of awakening can boost your metabolism up to 20 percent for the rest of the day," Bartfield said. "Eating something is better than eating nothing, but ideally try to incorporate protein for longerlasting fuel." n Have a weekly weight check. "Monitoring your weight on a weekly basis provides a fairly accurate weight trend and, more importantly, an early detection of any weight regain, which allows you to
your progress." n Keep track of calories. Do not underestimate how many calories you consume at each meal. n Set clear, realistic goals. Avoid setting vague goals. Objectives need to be specific and attainable. People can start by trying to lose 10 percent of their body weight, Bartfield recommended.
n Limit TV to fewer than 10 hours each week. "Many argue they don't have time to exercise, but when I ask them to count the hours they spend watching TV or surfing the Net, they are able to find the time for activities where they are moving instead of sitting," Bartfield said.
n Be consistent. "Eat at regular intervals seven days per week," Bartfield advised. "Being 'good' on the weekdays and then splurging on the weekend creates a harmful cycle that discourages weight loss."
n Keep track of your physical activity. "Park your car farther away, take the stairs, manually change TV channels -- these are all simple ways to get more physical activity and you need to write them down as they are performed to keep yourself honest," Bartfield said. "Also wearing a pedometer can help accurately document and track
n Plan for setbacks. "When you learn to drive, or learn a sport or musical instrument, you make mistakes and you have an experienced instructor -maybe even several -- to help correct the mistakes and prevent repeats. Enlist a trusted friend, or enroll in a program to learn and master the rules of weight loss," Bartfield said.
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JANUARY ISSUE • 2012
Twist and Shout… Is that your Ankle talking?
Arthur Hansen DPM, M.S.
e have all done it. You know, twisted or turned an ankle. Some of us were stepping off a curb, some being the ‘weekend warrior’ and others wearing those just a bit too high heels; but we have all done it. The ankle got really swollen, red and bruised, and luckily for most of us, after a few weeks we were back to normal. However, sometimes a twisted ankle doesn’t get back to normal. Continued pain, clicking, and/or swelling several weeks after twisting ankle can indicate a more serious injury.
Ankle sprains are very common afflicting approximately 25,000 people each day. The ankle is held in place largely by three ligaments. These ligaments are elastic in nature stretching with normal movements of the ankle and then returning to their normal size. When the ligaments are forced to stretch outside their normal range, like with severe twisting, they are considered sprained. This causes varying levels of swelling, redness, bruising and pain. The ligaments can be slightly sprained or completely torn. When diagnosing an ankle sprain your doctor will take a detailed history, palpate different areas of the ankle, determine any limitations of range of motion, and order an x-ray to rule out any fracture or bone chip. Treatment for ankle sprains depends on the severity with Rest, Ice, Compression, and Elevation comprising the backbone of medical recommendations. Non-steroidal anti-inflammatory medications are usually prescribed as well as varying lev-
surgical intervention including but not limited to arthroscopic surgery or repair of the torn ligaments to regain stability about the ankle joint. Stretching and proper shoe gear are important preventive ankle sprain measures. As is being well aware of the terrain you are walking or running on.
els of weight bearing. Physical therapy is also used to increase strength of the stretched ligaments, increase range of motion of the ankle and to decrease pain. This conservative treatment regimen is adequate to allow most sprains to heal. However, if an ankle sprain continues to be painful and sometimes swell after the initial injury and treatment, a more serious injury may have occurred. Such
Long term complications from ankle sprains are usually preventable if the diagnosis is made early and treatment plan is initiated as soon as possible after the injury. If you have continued pain and swelling after an ankle sprain it is best to have it evaluated by a doctor. injuries could include instability of the ankle, fractures or bone chips that were not seen on the initial x-ray. Advanced diagnostic procedures such and MRI’s and CT scans are valuable tools utilized in diagnosing chronic pain and swelling following an ankle sprain. Sometimes these complications following an ankle sprain require
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4 JANUARY ISSUE
Two Whitey Grogans By David Fagin david Fagin is a New Yorkbased wwriter/ producer/ musician and the founder of indie-rock icons, the rosenbergs, the first band to go 'viral' back in the 1800's when the term still meant infection. along with legendary progressive rock master, robert Fripp, the rosenbergs were instrumental in paving the way for artists to begin partnering with labels, thus giving them a share in the ownership of their masters and better control of their financial futures. an artists' rights advocate, david has testified on capitol hill, lectured at harvard, appeared on howard stern alongside Kiss' gene simmons, made dennis miller laugh, and shared the stage w/ artists such as No doubt, the strokes, and duran duran. he's contributed to Billboard and aol News, and even worked with the muppets. david's music can be heard on dozens of television shows and in retail stores around the country. his song 'Birds of a Feather' was recently used as the theme to the sitcom 'accidentally on Purpose' on cBs. he is also a food snob.
hen he was a young man, my grandfather was quite the formidable figure. Tall, handsome, in great shape, and, dressed in his NYPD blues, the last thing you wanted to see in front of you if you were a criminal. Working his way up through the ranks, he eventually made detective, and did it at one of the most notoriously dangerous precincts in the city, the 41st, also known as Fort Apache and made famous by Paul Newman in the classic film from the early eighties. Throughout his career he was awarded several citations for bravery in the line of duty – in one instance, while moonlighting as a supermarket security guard, he ended up in a shootout in the streets with an escaped murderer which turned into a toe-to-toe brawl; one where my grandfather found himself being pummeled in the face with the butt of his own gun, only to somehow recover and subdue the suspect with the help of a 300lb. New York cabbie nicknamed, ‘Tiny’.
This event in my grandfather’s life would eventually be turned into legend in a book entitled Growing Up Bronx, as the author, then just a nine-year-old boy, witnessed the entire battle from his bedroom window. He even gave my grandfather a name that echoed with the stuff heroes are made of, Whitey Grogan. If you didn’t know, you’d assume Whitey Grogan was a mythical figure along the lines of Babe Ruth or Elliot Ness; which, to me, he was. Didn’t matter that his real name was “Abe” or that the guy I knew was more famous for swiping napkins and ketchup packets from McDonald’s, as opposed to beating escaped convicts into submission with his bare hands.
Didn’t matter that I never saw the shiny cruiser he patrolled the streets in, and that, when I knew him, his chariot was a beat up, white Pontiac with a trunk filled to the brim with dozens of used tennis balls and racquets in case the grandkids dropped in with the challenge of a “Million Dollar Match.” Didn’t matter that I never witnessed his blazing forehand. Instead, he beat us by routinely hitting the ball a hundred feet into the air, shouting “Duck Soup!” and hurling hilarious insults designed to distract us. Thus, by the time the stupid ball finally returned to earth, my sister and I would be laughing so hard the best we could offer was a drunken, feeble, “Whiff!” at the empty air. None of that stuff mattered, though. To me, he was still Whitey Grogan. As strong and tall as he ever was. I was in awe of the stories he told, the places he took us, and the ice cream he bought us after services on Fridays. Years removed from chasing criminals in real life, he settled for chasing them on stage in his community productions of Guys and Dolls and the like, but he never lost his swagger. Fast forward about a decade later, and I’m helping my grandfather go to the bathroom, as Parkinson’s has all but eviscerated every trace of the oncestrapping, tough-as-nails, New York detective who once occupied this withered, old shell of a man that stood before me. When he passed on New Year’s Eve 1996, it left a void in me that will never be replaced. To say he was irreplaceable would be a severe understatement. Yet, he was gone. At his funeral, my father said, “Will Rogers once said, ‘I never met a man I didn’t like.’ Well, I never met a man who didn’t like Abe.” To me, that summed it up perfectly. After his passing, we all did our best to move on. What choice did we have? For the next few years, my grandmother did her best as well, attending an occasional dance or social function, but she always went alone, unescorted. I only knew him for a third of his life, when his best years had already passed him by, but knowing my grandfather almost all her life, I can’t even begin to imagine the void that he left in her. But, she was a trooper and, to all of our surprise, kept on keepin’ on. I guess you don’t raise three kids in the fifties in the Bronx without a backbone of your own. As I grew older and learned to live with my grandfather’s memories and, what feels to this day as his constant presence, I realized he didn’t leave a ‘void.’ He left a ‘space’ that was his spot in our hearts. That will always be his spot. And it is not a void. It is the exact opposite. It’s a space completely filled with his voice, his laughter, his pranks, and his lessons. Good luck trying to top, or even equal that, for any of us, let alone my grandmother. Meeting someone new after a six-year relationship is difficult enough when you’re young. Meeting someone after almost a sixty-year relationship, when you’re on the wrong end of eighty, has to be just terrifying. Add to that, the legacy left by “Whitey Grogan” and you can see what, unbeknownst to him, this man -this short, jovial, unassuming, Hoboken-born truck driver named, “Irving,” was up against. I think the only thing in his favor was that he didn’t know. How could he? Sometimes ignorance is not only bliss it is a necessity. I can’t remember exactly when it was, but some point, maybe around 2001, my mother started saying the name ‘Irving’ when mentioning my grandmother; “Irving’s taking your grand-
mother to dinner.” Or, “Your grandmother’s bringing Irving to the party next week.” At first, I was incredibly protective; not only of my grandmother, but of my grandfather as well. Who is this guy who thinks he can come in and take the place of my life-long hero? This guy drove a truck all his life while my grandfather was making the entire city a safer place to be and risking his life on a daily basis. Not to mention, physically, he was no match, either. And yet, here was Irving. He stood closer to five than six feet, waddled when he walked because of a bum leg, could hardly hear you, and had a nose and a voice like Jimmy Durante. Turns out, my grandmother, not willing to ‘settle’ for anything less than the handsome prince she felt she deserved, rejected this “Irving” at least ten times before finally caving and agreeing to ‘a date’ (What exactly you do on a date in your eighties is anybody’s guess). My grandmother was a beauty queen who would routinely get mistaken for my mother’s sister when she was younger. She and my grandfather painted quite the striking picture when they were in their prime, and even later on as well. Compared to her, Irving was chopped liver. But, eventually, his persistence won over
the lonely princess and she capitulated. Next thing you know, they’re inseparable. Going on cruises, out to fancy dinners, etc., etc. If there was one area lacking in my grandmother’s life, it was my grandfather’s frugalness. It wasn’t that he was ‘cheap,’ it’s just the way he was raised. He put every penny away for a rainy day, never spending a dime on anything he deemed ‘unnecessary’, as that money was for my grandmother come a time when “I’m not around anymore.” Thus, they never went anywhere or did anything unless my parents took them along. You can imagine how happy my grandmother was to finally be given a taste of what all her friends and neighbors had been bragging about and urging her to do all those years. Maybe this Irving wasn’t such a bad guy after all. For the next two or three years, that’s the way it went. Irving and my grandmother were boyfriend and girlfriend. Birds of a feather. Both of these birds had long lost most of their actual feathers, but they flocked on, nonetheless, completely enjoying each other’s company. Once, she even confided in me they still had sex -or at least, “a form of it.” I didn’t know whether to laugh or cringe in horror. How do you react when your almost ninety-yearold grandmother decides to have a sex talk with you out of the blue? George Burns once said, “Sex after eighty is like shootin’ pool with a rope,” so I can’t even imagine what they did or tried to do, but the thought of two people that late in life still trying to please each other was quite beautiful to me. On one particular visit, I realized Irving was beginning to grow on me; on all of us. He was always by her side, and by default, ours, and she
seemed to really like him, as did we. Perhaps she even loved him? Sure, he wasn’t Clark Gable, but whatever she needed -doctor’s appointments, foot massages, a return to Marshalls -Irving was there. He was older than my grandmother by a full year, so he would often joke he was “robbing the cradle.” As I got to know Irving, I grew to respect him more than I ever thought I would. Turns out, he fought on D-Day, went to school with Frank Sinatra, and originally thought my sweet nana was 'a snob'. He wasn’t just a ‘truck driver,’ either. He worked three trucking jobs while supporting his family (one son became a police captain and the other a district judge). He’d work his 9-5 job, then, go straight to another which lasted ‘til about ten or eleven, then he’d go to a third which he would work until about six in the morning, get home in time for a whole two hours sleep, then start the whole day over. He did this for forty years with almost no vacation time. My first thought, after “You’re crazy!” and “How the heck can anyone even do that?!” was, “You’re lucky you didn’t kill anybody driving twenty hours a day, six days a week, for forty years with practically no vacations!” But Irving insisted he never needed sleep. He just didn’t. And, as he continues to prove to the rest of us, even now at ninety-four, by waking up at four a.m. to drive an hour in total darkness to Miami Int’l Airport to pick up his son who took the redeye, he still doesn’t appear to need a good night’s sleep. The bottom line is, as I would come to learn tenfold down the line, the man had an unbreakable spirit. A few years into their relationship, my grandmother began having ‘episodes’. T.I.A.’s the doctors call them; ministrokes, which eventually resulted in her driver’s license being taken away. My grandmother was a fiercely independent woman all her life, so having to suddenly rely on someone just to go to the supermarket was a major adjustment for her; and for my parents as well. But there was Irving. Every, single day for months on end, he would chauffeur his best girl around town, saving my folks gas, time, and, more importantly, heaps of stress. My parents were a half-hour plus from my grandparents, thus when my grandfather was diagnosed with Parkinson’s, they did the back and forth every day for ten years; sometimes twice or more in a day. Now, as my grandmother, too, became increasingly dependent on those around her, my parents at least had some help. Irving, it seemed, was not only a blessing for my grandmother, but for the rest of us as well. When my grandmother fell and broke her hip in two places, and needed to be admitted to a rehab, there was Irving. The rehab wasn’t around the corner for him, either. It was near my folks. So, while most men his age, who had lived much easier lives, sat staring blankly at a flat screen in some old age home gurgling into their oatmeal, ninety-two year-old Irving would drive to the rehab, stay there all day, every day, then drive home at night; only to repeat in the morning. Occasionally, my folks would convince him to stay with them, but he was so full of pride and stubbornness, he would refuse most of their requests, even demands. That’s Irving. “I don’t wanna be a bother,” is his favorite expression. Eventually, after many, many months of watching this seemingly indestructible, Jewish Iron-Man bail them out, or arrive in the nick of time to assist in the care of my grandma, my mother developed an acronym; “TGFI”Thank God for Irving. It has become our mantra.
When my grandmother suffered the major stroke, just months after finally recovering from the broken bones, the rehabs, the doctors, and the therapists, who was holding a vigil with us at her bedside while she lay in a coma, close to death? You guessed it. The stroke was a big one and left my once vibrant, energetic, and happy-go-lucky grandmother with a lifeless right arm, trouble speaking, and a myriad of other issues, such as, but not limited to; severe incontinence, food aspirating, complications from dozens of medications, and basic, overall helplessness. The woman who relished the chance to upstage my professional singing mother every chance she got with a rousing rendition of New York, New York that would almost always bring the house down, was now virtually bedridden and in need of constant care. As the money began to drain from her savings, and all the good times my grandfather chose to pass up so the love of his life would have security went for naught, it was Irving who arrived every day, like a geriatric Lancelot, to sit with the nurse and assist her with anything and everything my grandmother needed. Irving the ninety-year-old 'truck driver' was indeed much more than met the eye. My parents and Irving became a home-health tag team. If one wasn’t able to get there, the other would. While all this was going on, Irving had his own health issues to deal with. At one point about a year ago, he was admitted to the hospital with a liver infection and, for a time, it looked like he wasn’t coming out. It not only felt like we were again losing a member of the family but one we had come to rely on implicitly. Miraculously, as my grandmother had done half a dozen times herself, Irving cheated death, and, just days after leaving the hospital, was back at my grandmother’s side. Now, as I type this and my grandmother lay in her hospice bed, unaware of her surroundings, completely unable to speak or to feed herself, and we prepare for the final moments of her life, once again, it is with Irving by our side. This time his son had to drive him, as a particularly tough day of dialysis has left him very weak. But you’d never know it. True to form, he hasn’t complained a bit. Just like my grandfather, my grandmother’s mind and razor sharp wit have been the last things to go. So we know it’s time. I’ve heard stories of men half his age who abandon their wives after years of marriage for a tenth of the hassles and nightmares Irving’s had to endure with my grandmother. And they’re not even married. They’re just boyfriend and girlfriend. They’ve known each other only a tenth of their lives. They met less than ten years ago when both were at, what they thought, was the end of their lives. They'll never share a ski trip together or a wild, drunken night of passion under the lights of Paris. Yet, I still can't help but envy them. It’s amazing how, just when you think it’s over and all your work is done, it’s just the beginning. It’s amazing how one person’s selfless commitment to another can affect the lives of so many. As I reflect on the saving grace this unsuspecting man with the funny walk who came out of nowhere has been to my parents, my entire family, and me I can’t help but think there will forever be two Whitey Grogans in my life. We love and thank you for everything, Irving Goldstein. God bless you.
JANUARY ISSUE • 2012
Management of Heel Pain About 10% of all Americans will suffer with pain on the bottom of their heels at some point throughout their lives. There are numerous reasons that people develop these plantar heel symptoms.
Robert Rochman, M.D. Orthopaedic Surgery
rauma, stress fractures or contusions of the heel, thinning of the fatty cushion underneath the heel, pinched nerves, circulation problems, infections, tumors, and plantar fasciitis are some of these reasons. The correct cause of the heel pain can usually be discovered by a thorough history, physical examination, and X-rays. Seldom, further investigation to make the diagnosis may need to be done including MRI, blood work, or nerve studies. The majority of cases with people suffering pain on the undersurface of the heel are caused by plantar fasciitis. This condition is an inflammation and degeneration of the strong, fibrous tissue (the plantar fascia) that stretches from the bottom of
the heelbone to the toes. A heel spur is often associated with this condition. In the past, surgeries were commonly done to remove these heel spurs but we now believe that the spur itself is rarely ever the cause of the pains. Once the diagnosis of plantar fasciitis is made there is usually a very good chance that the pain can be eliminated without any surgery or invasive procedures. With the proper nonoperative treatments about 90% of people suffering with plantar fasciitis will have their symptoms resolve. Treatment can be divided into three broad categories: reducing inflammation, tissue stretching, and lessening of heel impact. Decreasing the inflammation can be achieved in a number of ways. Over the counter oral anti-inflam-
matories (like Advil, ibuprofen, etc.) can help, though sometimes a prescription strength antiinflammatory is necessary. There are also anti-inflammatory treatments that can be applied directly to the area of heel pain. Prescription patches or gels with anti-inflammatory medication can be applied to the inflamed heel with a beneficial effect. An ice massage to the affected heel is another way to decrease inflammation as well. A tight Achilles/plantar fascia complex is one of the factors that can be involved in the development of plantar fasciitis. Therefore, a program of stretching exercises can be used to maintain flexibility of the involved tissues. These exercises are relatively simple and can usually be done on one’s own. A physical therapist can also be involved if desired to help with the stretching program and for other treatments to the tissues. Using a night splint is another method of keeping the tissues stretched. Normally when someone is sleeping the ankle relaxes and points downward allowing the Achilles/plantar fascia complex to shorten. It then becomes tight in that shortened position over the hours of sleep. On the first step out of bed the tissues are then abruptly stretched which causes more stress and microtearing to the inflamed area of the plantar fascia. A night splint is a
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device worn at night while sleeping that keeps the ankle and foot in a position that does not allow the tightening of the tissues (and therefore prevents the reinjury to the plantar fascia described above). The third category of treating plantar fasciitis is reduction of the impact on the heel. Proper shoe wear is very important. This involves a shoe with a firm heel support that has a sole that bears some of the impact of walking. Therefore, walking barefoot or in flimsy flip-flops would not be advisable. This is especially true on hard surfaces such as tile. Another option to lessen heel impact is the use of a heel insert. A silicone gel heel cup can provide a great deal of shock absorption if it is properly made. Many of the commonly found gel inserts are too thin and therefore do not provide the impact resistance you need. Lastly, modification of activities may be a way to lessen the impact that the heel is taking. If recreational activities include jogging, aerobics, or even prolonged walking, a change in routine may help alleviate the pains from the plantar fasciitis. For instance, including more nonimpact activities such as swimming or riding a bike can make a big difference in allowing things to heal up more quickly. There are few times when following these treatments diligently does not result in elimination of
the pains. If pain does persist there are other options. Extracorporeal shock wave therapy (ESWT) can be effective for chronic plantar fasciitis that has been unresponsive to the above conservative treatments. ESWT consists of a machine that produces shock waves that are delivered to the area of the plantar fasciitis and may stimulate healing of the tissue. This involves no incisions or opening of the skin whatsoever. This shock wave therapy should only be performed by a physician trained and certified in using the machine. Ultimately if none of the nonoperative measures succeed in eliminating the pains from plantar fasciitis then surgery is considered. This involves cutting part of the plantar fascia off of its attachment at the heelbone to relieve some of the stress there. This should not be taken lightly (or chosen as the first line of treatment) as it does have risks associated with it. Due to the variety of causes and the potential for debilitating pain affecting one’s quality of life, people who have plantar heel pain are encouraged to visit an orthopedist that specializes in treating foot and ankle conditions. Making the correct diagnosis and then being guided through an appropriate treatment protocol can manage and eliminate plantar heel pain and allow people to enjoy a good quality of life.
6 JANUARY ISSUE
Mayor Darrell Bowen and NuVista Living... A Perfect Combination By Deborah Lynn
n intimate gathering of supporters and friends attended the campaign fundraiser for Mayor Darrell Bowen on December 19. The event was held at NuVista Living at Wellington Green. NuVista is truly a beautiful, warm, and inviting community that offers a magnificent lifestyle.
Benjamin Boynton and Robert Campion.
Paul Walczak, Dr. Jeffrey Bishop, Mayor Darrell Bowen, Shariffa Gunawardene, Dr. Ishan Gunawardene, and Charlene Bishop.
Dr. Ishan Gunawardene, Linda Humphrey, Jerel Humphrey and Benjarmin Boynton.
Councilwoman, Anne Gerwig and Shauna Hostetler.
Patricia Walczak, Paul Walczak and Irene Walczak.
Charlene &â€ˆDr. Jeffrey Bishop, Kevin & Chiara Bell.
Francine Nelson, Mayor Darrell Bowen and Shauna Hostetler.
Al Bennet and Dean Tendrich.
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JANUARY ISSUE • 2012
Know the Signs of Alzheimer's
nowing the warning signs of Alzheimer's disease is important because it may lead to an early diagnosis, experts say. According to the Alzheimer's Association, early diagnosis enables patients to:
n Plan ahead for the future. n Potentially take part in a clinical drug trial. n Start treatments that may help maintain independence for a longer time and possibly improve symptoms. n Be involved in decisions about their care, living options, financial and legal matters. n Cultivate relationships with doctors and care partners. n Take advantage of care and support services that make it easier for patients and families to manage the disease. n Alzheimer's disease, a progressive brain disorder, is the most common type of dementia seen in the elderly. In a recent news release, the association listed the 10 warnings signs of Alzheimer's: n Memory loss that disrupts daily life. This includes forgetting recently learned information, forgetting important dates or events, repeatedly asking for the same information, and relying on memory aides or family members for things that used to be handled on one's own. n Challenges in planning or solving problems. For example, becoming unable to develop or follow a plan or work with numbers, having difficulty
DEAR DEBORAH Why do men and women disagree about what is considered cheating? - Confused
keeping track of monthly bills or following a recipe, difficulty concentrating, and taking much longer than normal to do things one has done before. n Difficulty completing familiar tasks at home, work or at leisure. This may include getting lost while driving in a familiar area or needing help using the microwave. n Confusion with time or place. People may forget where they are or how they got there. n Trouble understanding visual images and spatial relationships, such as judging distance. n New problems with spoken or written words. A typical example is calling things by the wrong name. n Misplacing things and losing the ability to retrace steps in order to find lost objects. n Declines in judgment or decision-making. For example, giving large amounts of money to telemarketers or paying less attention to grooming and keeping clean. n Withdrawal from work or social activities. n Changes in mood and personality. For example, becoming easily upset as well as confused, depressed, fearful, anxious or suspicious.
Dear Confused: Most women characterize any type of physical or emotional intimacy as cheating. While men on the other hand, are harder to pinpoint. Some men are "aware" enough to internalize emotional intimacy with another woman as a violation; while others believe only physicality is cheating. Either way, whether for a man or a woman, the definition of cheating comes down to their personal character and will be different for everyone. If you establish guidelines at the beginning of your relationship, you can eliminate any issues that might come up in the future. DEAR DEBORAH: I have been dating a woman for six months now. She’s 42, never been married and not always mentally present when we’re together. When we’re in bed and getting physical, she will just get up and walk away in the middle. What do you think? - What’s Her Problem? Dear What’s Her Problem: I believe there are truly more
questions than answers at this point. Has she acted this way since the beginning of your relationship? Have you ever had a conversation with her in relation to her behavior and how it bothers you? Personally, I would sit her down and have a discussion with her as to how her lack of focus bothers you. If you continue to avoid the issue, you are in fact enabling her. If you cannot get the resolution you need, than I suggest you find another woman that shows a genuine interest in being with you. Good luck! DEAR DEBORAH: I always date one guy at a time. My friends think that I need to open up and explore my options. I don’t think I would be comfortable doing this. What would you do? - One Man at a Time Dear One Man at a Time: You have to do what makes YOU happy. If your friends date multiple people, than that is what works for them. However, there is nothing wrong with focusing on only one person. I have always felt that when you date more than one person at a time, that you tend to care more for one than the other(s). I believe in giving a relationship your all and I don’t believe you can do that if you go out with several people at the same time.
DEAR DEBORAH: I have been dating this guy for seven months. I am loyal to him, but I think he’s dating others. I can really see myself with this guy down the road. But, when I ask him if I am the only woman he’s dating, he backs off for a few days. What can I do to get him to commit? - Commitment Issues Dear Commitment Issues: I hear this all the time. Personally, I’m old fashioned and believe in having only one person in my life. Unfortunately, times have changed and not everyone feels the same way. People also do not feel the need to label a relationship. Since you truly enjoy his company, there is nothing wrong with continuing to date him. As for dating other women, you are not in a committed relationship with him and therefore, you really have no reason to question him on whom he is dating. However, since you would like a commitment, I would simply let him know that you enjoy spending time with him and are interested in moving to the next level. You need to build on your own relationship and hopefully in doing so; he will inevitably find you to be his perfect match.
Dear Deborah is a monthly advice column written by Deborah Lynn with a common sense approach to dating. If you have any questions or comments, please forward them to: email@example.com as we would love to help.
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8 JANUARY ISSUE
“To Screen or Not to Screen – That is the Question” (in Prostate Cancer)
hen I was in my residency training at Columbia-Presbyterian Medical Center in the early 80’s, there was no PSA (prostate-specific antigen) test for prostate cancer. We had to rely on a more primitive test called the PAP (prostatic acid phosphatase), rarely used today and of little if any value in screening a population at risk.
by Jerome J. Spunberg M.D., FACR, FACRO
The PAP and the DRE (digital rectal examination) were all we had to go on, and not surprisingly, almost 50% of the patients who walked in the door with newly diagnosed prostate cancer already had bone metastasis at presentation (spread
to bone). Many of these patients were unfortunately destined to die from their disease, especially without the much improved treatment options we have available today. Now approximately 90% of prostate cancers are detected by screening!
cancer, but virtually none exists, with the most notable exception being CA-125 for ovarian cancer. We simply do not have a test like PSA for colon cancer, lung cancer, breast cancer, melanoma, or almost everything else. And we wish we did!
PSA was first isolated and identified in 1971 and found to be associated with prostate cancer and BPH (benign prostatic hypertrophy or enlargement) by the early 1980’s. In many ways, it was viewed as a miracle test, extremely sensitive in detecting prostatic disease (over 90%) with a high degree of specificity. I dreamed of a test like the PSA for every
Routine screening by PSA testing has now come under fire. PSA is not cancer-specific and can be elevated in other conditions such as prostatitis or BPH. Abnormal PSA results can lead to excessive testing and biopsies, and can result in anxiety, pain, bleeding, or infection. This is all true. However, PSA screening can detect prostate cancer at its earli-
Cancer Incidence, Death Rates Continue to Drop: Report One million lives saved, largely because of improved prevention, detection and treatment.
Between 2004 and 2008, death rates for cancer went down by 1.8 percent a year in men and 1.6 percent a year in women, the American Cancer Society (ACS) reported. And from 1990 through 2008, death rates plunged almost 23 percent for men and just over 15 percent for women. "Cancer death rates in the U.S. have continued to decrease since the early 1990s," said Dr. Ahmedin Jemal, senior author of the new report, published online Jan. 4 in CA: A Cancer Journal for Clinicians. "As a result of this, about a million cancer deaths were averted." The decreases, said Jemal, who is vice president for surveillance research at the ACS, "largely reflect improvements in prevention, early detection and treatment." The annual report is based on the most recent data available from the National Cancer Institute and the U.S. Centers for Disease Control and Prevention. Death rates dropped most dramatically among black men (2.4 percent per year) and Hispanic men (2.3 percent annually). "It's an encouraging note that the decrease in cancer deaths was a little larger as a percentage in the
MRI Scans Show Brain Changes in Kids With Schizophrenia Progressive loss of gray matter linked to worse prognosis for young patients, researchers say.
C women more likely to get cancer and more likely to die from it.
hildren who are diagnosed with schizophrenia or a number of other psychoses go on to experience a progressively greater than normal loss of gray matter in the frontal lobe region of the brain, new research suggests.
And there have been disconcerting increases in cancers of the pancreas, liver, thyroid and kidney as well as melanoma, esophageal adenocarcinoma and some oropharyngeal cancers, the last related to infection with human papillomavirus (HPV).
These adolescents also experience an above-average spike in the amount of so-called "cerebrospinal fluid" found in the same location, according to a report published in the January issue of the Archives of General Psychiatry.
"These are worrisome trends which require further study and intervention," said Seiden.
In turn, children who experience these brain developments appear to face an increased risk for longer hospitalization, more severe illness and a poorer overall prognosis, the authors of the study noted.
mall but continued drops in cancer incidence and deaths in the United States in recent years are charted in a new report.
African-American population," said Dr. Michael V. Seiden, president and CEO of Fox Chase Cancer Center in Philadelphia. "This is wonderful to see because, as a group, they do much worse than whites. That's a gap we need to close." The report also noted continued advances were made against the four major cancer killers -- lung, colorectum, breast and prostate. Declines in lung cancer deaths accounted for almost 40 percent of the total decline in men, and longer lives among breast cancer survivors resulted in 34 percent of the total drop in women. Meanwhile, cancer incidence rates dipped 0.6 percent for men, although they remained unchanged for women. There was also good news in the area of childhood malignancies. Although incidence increased by half a percent from 2004 to 2008, death rates since 1975 have decreased from 4.9 per 100,000 children to 2.2 per 100,000 in 2008. The five-year survival rate is now 83 percent, up dramatically from 58 percent in the mid1970s, the report found. Still, one in four deaths in the United States each year is due to cancer and, in 2012, some 1.6 million new cancers will be diagnosed and almost 600,000 people will die from the disease. Racial and ethnic disparities remain, with black men and
Experts don't really know the reasons behind these increases but some, such as cancers of the kidney and pancreas, may be related to the growing obesity epidemic, said Jemal. The rise in liver tumors could well be due to hepatitis C infections or intravenous drug use in the 1960s and '70s, he added. Much additional progress is easily within reach, said Seiden. "There's still a lot of low-lying fruit. Still, only half our population is getting screened by colonoscopy, 20 percent smoke cigarettes. Mammography, Pap screening, all of those have room for an upside as do vaccinations for things like HPV and hepatitis," he said. "There is still plenty of incremental improvement in earlier diagnosis, in cancer prevention and, of course, in extending lives through better cancer therapies."
est stage, when it is still confined to the prostate, much more easily and successfully treated, and highly curable, often with radiation therapy as the preferred approach. I firmly believe that it is better to know and then to decide individually what is best for each patient, a decision involving the patient, the family members, and the physician, and certainly not the government or insurer. We should celebrate the fact that a marker for prostate cancer such as PSA exists, use it wisely for screening and management, but keep it available as a treasure for all men to use as they see fit. “Ignorance is not bliss. Knowledge is power.”
"We found progression of gray matter volume loss after a twoyear follow-up in patients who ended up with a diagnosis of schizophrenia, but not bipolar disease, compared with healthy controls," Dr. Celso Arango, of the Hospital General Universitario Gregorio Maranon in
Madrid, Spain, and colleagues said in a journal news release. "Some of these pathophysiologic processes seem to be markers of poorer prognosis," the researchers added. The findings stem from an analysis of brain changes detected using MRI scans taken over a two-year period among 61 patients who had been diagnosed with a range of different psychoses at one of six child and adolescent psychiatric facilities in Spain. In all, brain changes among 25 children diagnosed with schizophrenia, 16 with bipolar disorder and 20 with a number of other psychoses were stacked up against the brain status of 70 healthy children. The result: in addition to the principal findings, the team further observed that total brain gray matter (as well as gray matter in the left parietal region of the brain) were notably different among patients with schizophrenia compared with their healthy peers. "To develop therapeutic strategies to counteract these pathologic progressive brain changes, future studies should focus on their neurobiological underpinnings," the study authors advised.
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10 JANUARY ISSUE
Exercise is good for health exercise produce the same medical outcomes as leading pharmaceutical agents in the treatment of diseases including early type 2 diabetes mellitus and breast cancer. Staying fit mentally is as important as maintaining our physical health. It is vital to exercise our brain regularly just like we exercise the rest of our body. This in turn reduces anxiety and depression in individuals.
xercise is good for health as long as you are healthy to do so. Of course, one has to be certified healthy by a trained health specialist and that means getting your annual physical examination, getting all the necessary tests for good health. Follow a nutritious diet and do your physical exercise daily if you can. Also, spend time nurturing your relationship with people who matter most to you. Try to smile, be happy, try to lead a stress free life, which obviously is something that we all want to have, but is difficult to achieve. One way to go around this is to do yoga, eat less at night, eat healthy and get good sleep. Lack of good sleep causes a whole lot of different problems to the human body which is a different item altogether as part of good
Weight Loss Surgery May Help Diabetes Weight loss surgery isn't likely to cure type 2 diabetes, but it can improve blood sugar control, a new study suggests. Obesity is a major risk factor for diabetes. Some previous research has suggested that gastric bypass surgery can cure diabetes in up to 80 percent of patients. Gastric bypass, which involves stapling the stomach to form a smaller pouch and connecting it to the small intestine, is considered the most effective type of weight loss surgery. In this study, researchers at Imperial College London in England used new criteria to assess the effects of gastric bypass and two other types of weight loss surgery in 209 patients with type 2 diabetes. They found that remission occurred in only 41 percent of patients who had gastric bypass surgery, 26 percent who had sleeve gastrectomy (surgical removal of part of the stomach), and 7 percent of those who had gastric banding, in which a band is used to restrict stomach size. "Using the new criteria, we don't get such eye-catching figures as some that have been quoted in recent years," study leader Dr. Carel le Roux, of the department of medicine at Imperial College London, said in a college news release.
health. Now I will focus on exercise and good nutrition. Part of better health is to live simple and try not to accumulate negative feelings like jealousy, regret, and anger within ourselves. Exercise is good for the heart as well as for the mind and for the total body functions. It has own healing powers by raising the body immunity. Exercise prevents heart disease in the long term, lowers your cholesterol levels, increasing your HDL cholesterol which is the good cholesterol and keeps body lean and strong. It has also been observed that being more physically active for a child is positively related to improved academic performance in children. Exercise may help the mental faculties of a child by increasing blood flow to the brain and thereby better oxygenation of the brain tissue. Exercise is the most effective medicine for the prevention and management of chronic disease, a problem that is respon-
sible for around 80% of a healthcare expenditure according to Robert Newton professor at the Edith Cowan University School of Exercise Biomedical and Health Sciences. The risk of mortality of someone who is normal weight but unfit is about three times higher than the mortality risk of someone who is obese, but fit, he adds. Largescale studies show prescribed
Dr. Sharma's office in Belle Glade is at 1200 South Main Street, Suite 100 (opposite the Old Glades General Hospital). Dr. Sharma will be seeing patients at this location along with his nurse practitioner Grace VanDyk. He is currently accepting New Patients and the office accepts most insurances.
Call 561-996-7742 for an appointment.
Families hoping to improve their fitness and overall health in 2012 should spend less time in front of a tV or computer screen and more time being active together, according to the alliance for a healthier generation: n take a walk. stroll together after a family meal or walk around the mall when it's cold or raining. n choose an outing. spend a weekend afternoon going to a pool, skating rink or basketball court. n Take breaks. try to fit in 10 to 15 minutes of rigorous physical activity several times a day. team up. have the family sign up for a group run, walk or car wash. n Limit TV. select which shows kids will watch ahead of time and limit screen time to just those programs. n Join a club. Buy a family membership to a town recreation center, Ymca or health club. n Learn something new. have family members take a lesson in an activity, such as martial arts, fencing or gymnastics. n Chores count. Working together around the house or in the yard is another way families can stay active. the alliance added that parents should be role models for their children. that means they should strive to make healthier changes in their own lives as well as their children's routines.
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Exercise is also known to boost our self-confidence and our overall well-being. Therefore exercise is an important tool that helps us achieve this physical confidence. To sum it up feeling confident in a rational and realistic manner is a sound safeguard against several physical, mental and emotional problems. Exercise also increases attention and concentration. All in all, the end product of good physical activity is something we all yearn for and that is a good physique. So why not exercise?
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JANUARY ISSUE • 2012
Simply 66 Brings Innovation to Health Care Products S By Erica Whyman
imply 66 is one of those businesses that unless you are in the healthcare biz, you may not ever know about, and that would be your loss. Lucky for me, I had the opportunity to meet with Elizabeth Serio, VP of Marketing for Simply 66 to learn more about the successful local family run company. I was greeted warmly by Ms. Serio in West Palm Beach for a tour of the facilities. The open office environment made me feel like I was in a family room and not in the corporate headquarters of a multi million-dollar business, which is exactly where I was.
Simply 66 has managed to take the seemingly ordinary business of healthcare privacy curtains and make it innovative and dare I say exciting. The original Simply 66 snap system was developed by the CEO Stephanie Serio, and is the only system that is a “one size fits all solution” that standardizes privacy curtains regardless of the horizontal track size or ceiling height. How? Simple. Simply 66 is named for the individual fabric panels that measure 66 inches long and 66 inches wide. The individual panels simply snap into a vertical antimicrobial mesh that runs along the track. The vertical mesh is adjustable meaning it can work with existing or new track systems and patients will always have sufficient privacy regardless of ceil-
ing height. The individual panels simply snap out as needed and do not require ladders for installation or removal. Traditional privacy systems are often cumbersome, requiring complete removal when soiled. With Simply 66 healthcare facilities have a better ability to control infectious situations, by simply snapping out the soiled panel immediately to be cleaned and easily snapping in a replacement. Located in West Palm Beach, but sold
world wide, Simply 66 customers have benefited by implementing the system. Simply 66 helps facilities lower labor and laundry costs, with easy to launder panels, decreasing the risk of injuries with the elimination of ladders, as well as reducing replacement costs. Ms. Serio introduced me to the Simply 66 team who were hard at work with sales as well as manufacturing. I was able to see the Simply 66 panels being made first
hand. She showed me the array of fabric designs for the Simply 66 panels, as well as the array of eco friendly and antimicrobial fabrics choices. The Simply 66 team has thought of everything, almost making their innovation seem, Simple. Ms. Serio sums it up perfectly, “we are an industry leader of innovative healthcare products as well as a small woman-owned GSA vendor, with strong steadfast roots in its reputation in the industry.”
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12 JANUARY ISSUE
With Depression, Helping Others May in Turn Help You
Study of New York City commuters found 90 percent to be at risk of ear damage.
Random acts of kindness can snowball into more positive mood overall, experts say.
oing something nice for someone else often leaves people feeling good about themselves and positive about their place in the world.
But does that mean practicing random acts of kindness has scientifically proven therapeutic value in treating mood disorders like depression? Yes, according to a growing body of research that has found that "positive activity interventions" - like helping someone with groceries, writing a thank you note or even counting your blessings - can serve as an effective, lowcost treatment for depression. "They seem really trivial. They seem like, what's the big deal, you feel good for 10 minutes," said Sonja Lyubomirsky, a psychology professor at the University of California, Riverside, who co-authored a recent paper on the topic. "But for a depressed person, they aren't trivial at all. Depressed individuals need to increase positive emo-
MP3 Players May Be Major Source of Hearing Loss
tions in their life, even a minute here and there." After a rigorous review of research on the therapeutic benefits of positive emotion, Lyubomirsky said, she and her colleagues found widespread support for the notion that people with a tendency toward depression can help themselves by helping others or otherwise introducing positivity into their day-today lives. Such a simple, low-cost path to well-being could have big-time implications, given that more than 100 million people worldwide suffer with depression, according to Lyubomirsky's study. That includes more than 16 million U.S. adults, of whom about 70 percent of reported cases either do not receive enough treatment or do not get treated at all.
Positive activity interventions come in a variety of forms, including: n n n n
Being kind to others Expressing gratitude Thinking optimistically Meditating on the good things in life
"The major aspect is the positive emotion," Lyubomirsky said. "The most significant feature of depression is the absence of positive emotion -- just a feeling of nothing, of emptiness." Not only can being positive improve your mood, it can develop into a selfsustaining "upward spiral," she said. "You might be more approachable to others, or be more creative and imaginative," Lyubomirsky said. "It snowballs, and you are more likely to experience even more positive emotion."
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new study suggests that about 90 percent of New York City residents may be at risk of hearing loss due to noise exposure, with MP3 players appearing to be a major culprit. The research has major limitations: It doesn't directly measure what Big Apple residents hear during their daily lives or physically track their activities. Even so, the study's lead author said the findings are a sign that risks to hearing lurk in the urban environment. "We need to step up our efforts to encourage people to protect their hearing," said Richard Neitzel, an assistant professor of risk science at the University of Michigan. "Maybe we need to put a little more money into making transit quieter and do a better job educating people that listening to music, if it's loud enough, can hurt you." Previous research has tracked the loudness of the noise that people encounter from transportation like subways and ferries, Neitzel said. But it wasn't clear how much time people spent being exposed to the noise. For the new study, Neitzel and colleagues created a survey that they gave to more than 4,500 New York City residents who were recruited at street fairs in
Manhattan, Brooklyn, Queens and the Bronx. The participants in the 2008 and 2009 surveys received a $1 lottery ticket in exchange for taking part and answering questions about topics like their work lives, their time spent on transit and leisure-time activities. The researchers then estimated how much noise the subjects were exposed to based on previous research into how much sound is produced by transit, music players and other sources. It would be more ideal to use devices that measure noise to figure out how much sound the subjects were exposed to each day, Neitzel acknowledged. But that's an expensive and complicated proposition, he noted. Instead, he said, "we took the approach of talking to people about how long they spend doing these things."
JANUARY ISSUE • 2012
Upcoming Medical Fundraising Events for January 2012 JANUARY 12 National Multiple Sclerosis Society – South Florida Chapter. The MS Gala & Fashion Show presented by DBS Financial Group will be held at the Broward County Convention Center. Tickets start at $150. For more information, contact Monica Whiting at 954-731-4224 or email@example.com
Ackerman at 561-997-8265 or Carol Dorf at 561-997-8857 for more information.
JANUARY 24 American Parkinson Disease Association. Parkinson Lunch & Learn. The Fountainview, West Palm Beach. For more information, call 800-825-2732.
Bethesda Hospital Foundation. Join LPGA greats at the 3rd Annual Bethesda Pro-Am Golf Tournament at Pine Tree Golf Club, Boynton Beach. For more information, call 561-737-7733, ext. 5600.
St. Jude Children’s Research Hospital. The Ambassadors of St. Jude Golf Classic & Dinner benefiting St. Jude Children's Research Hospital. The Woodlands Country Club, Tamarac. Contact Tom Lenz at 954-323-8405 or firstname.lastname@example.org for more information.
American Red Cross Greater Palm Beach Area Chapter. Designers’ Show House Preview Party at The Mansion in West Palm Beach. Tickets are $200. For more information, contactAlison Freeman at 561-650-9133.
Susan G. Komen South Florida. 21st Annual South Florida Race for the Cure. Meyer Auditorium in West Palm Beach. Cost is $30 to $45. For more information go to www.komensouthflorida.org or call 1-888-470-6374.
American Red Cross. The 55th Annual International Red Cross Ball. It’s a white-tie and tiara affair that welcomes ambassadors, dignitaries, government and civic officials, and philanthropic leaders from around the world in support of the Red Cross. The Mar-a-Lago Club, Palm Beach. Tickets start at $1,000. Contact DurrantJ@redcross-pbc.org, or call 561-650-9105 for more details.
Johns Hopkins Medicine. “A Woman’s Journey” Johns Hopkins Premier Women's Annual Health Conference at the Palm Beach County Convention Center in West Palm Beach. Tickets are $150. For more information, call 410-955-8660.
JANUARY 21 Boca Raton Regional Hospital. 50th Annual Boca Raton Regional Hospital Ball. Boca Raton Resort & Country Club, Boca Raton. Tickets are $400. Contact Sandy Longo at 561-9553249 or email@example.com for more information. The Leukemia & Lymphoma Society. Annual Gala - "Cirque du Palm Beach" at The Mar-a-Lago Club, Palm Beach. Tickets are $600/Adult and $375/Junior. Contact, Darby Collins at 561-775-9954 for more information. Or, visit www.LLScirquegala.com.
JANUARY 22 Muscular Dystrophy Association. Palm Beach County and Treasure Coast Muscle Walk. Palm Beach Zoo. For more information, go to www.walk.mda.org.
JANUARY 23 Papanicolaou Corps for Cancer Research - Greater Boca Raton Chapter. Annual Gala Luncheon and Fashion Presentation by Saks Fifth Avenue. Polo Club, Boca Raton. Tickets are $125 and up. Contact, Donna
JANUARY 29 Kidney Association of South Florida. Fashion Show for kidney patients. Courtyard by Marriott, Boynton Beach. Tickets are $28. Call 561-471-2588 for more details.
JANUARY 30 Hearing the Ovarian Cancer Whisper (H.O.W.). 11TH Annual “Time is of the Essence” Luncheon with Actress and Model, Andie MacDowell. Flagler Museum Pavilion, Palm Beach. Tickets are $325 and $150 for young professionals. For more information, contact 561-837-2285 or firstname.lastname@example.org. Lymphoma Research Foundation. Sixth Annual Luncheon and Fashion Show. St. Andrews Country Club, Boca Raton. Tickets start at $125. For more information, please contact Taylor Zitay at (646) 465-9103 or email@example.com. If you would like to add your fundraising event to our upcoming events section, please forward your information to: firstname.lastname@example.org
Did you know?
august has the highest percentage of births
unless food is mixed with saliva you can't taste it
the average person falls asleep in 7 minutes
11% of people are left handed
a bear has 42 teeth an ostrich's eye is bigger than it's brain
14 JANUARY ISSUE
Saving for a "Collagen" Education: Can We Go Any Lower Than Toddlers & Tiaras? oriented reality show, but do we really need to sink to the level where we're offering our kids up as bait in exchange for a shot at the big time? Thanks to the success of the aforementioned, the answer is apparently a resounding, "Yes!"
By David Fagin
I did awesome. I'm better than all the other girls,â€? boasts beauty queen Torran Robinson, age 8.
Watch five minutes of Toddlers & Tiaras, TLC's controversial reality show featuring virtual infants learning all the wrong life lessons in the guise of a beauty pageant, and tell me the world isn't coming to an end. It's bad enough we have the ever-popular "my-success-is-contingent-on-your-failure" mantra governing almost every adult-
Not only do we get to see five-year-olds playing the competition game to the max, complete with a visit to the chiropractor to gain that 'extra edge,' but we're treated to a glimpse inside the mind of one of these "Mimps" (Mommy-Pimps) as she openly brags that her goal in life is to mooch off her young daughter's celebrity for as long as she can. Is she talking about her daughter or a used car? The logical next step for the networks is to shoot a reality version of The Hunger Games. A few years back, Sacha Baron Cohen's film Bruno shed some light on the disturbing subject of mothers willing to exploit their children in the pursuit of fame when he secretly filmed the mommy of a twoyear-old agreeing to subject her baby to plastic surgery if it meant the possibility of
landing a national commercial. As bad as that was, "T&Ts" takes it to a whole new level. Child beauty pageants have been around for a long time. Knowing they exist is one thing, but watching the carnage unfold firsthand in your living room is another. After all, aside from Extreme Home Makeover, aren't the main ingredients of almost every successful reality show a toxic blend of humiliation, tension, and aggression? And, while the producers of Toddlers ^ Tiaras haven't yet bestowed upon us a throw-down between two sixyear-olds, in my opinion, what they're doing is much worse. Just watching one of these future "Veruca Salts" as she learns to be a sore loser (or worse, an ungracious winner), and overhearing a starstruck mother as she imparts upon her impressionable child life's most valuable lesson: the need to be better than everyone else, one can't help but feel that by simply tuning into the show, you're an accomplice. An accomplice in the destruc-
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tion of a dozen childhoods per week. Where Toddlers & Tiaras really succeeds is in its ability to give viewers an up-closeand-personal glimpse into what will most likely amount to a sadly confusing, vanityfilled, twisted adolescence and adulthood for many of these little girls. Thanks to the magic of reality television, the stars of the show are no longer just beauty pageant contestants, they're now pint-sized celebrities -- signing autographs, endorsing dolls, landing their own spin-off shows, etc. And, I think we've seen at least one or two of those derail in recent memory. The big question is, where does it end? Are reality shows becoming our reality? The Internet is overrun with clips of teenagers beating homeless people for sport, parents encouraging their kids to fight each other, and countless stories of teen celebs relapsing after rehab. But, who can blame them for their neanderthal behavior when everywhere you look is the message that living a "screw you" lifestyle is the preferred way to succeed? You don't have to be a sociology professor to see there's something wrong with this picture. On one hand, reality shows like Toddlers & Tiaras keep reminding us, indeed, we can sink even lower. On the other, I can't wait for Bravo's UFC Kids this spring.
Fun Ways to Include Kids in Fitness Resolutions
Berry noted that the U.S. Centers for Disease Control and Prevention advises kids to get at least an hour a day of physical activity, including recreation that involves muscle strengthening. He outlined concrete steps parents can take to make exercise adventurous and enjoyable for children in the coming year: n Involve children in compiling a fitness "wish list" to get at what kids actually want to do, and allow them a roster of activities to choose from a couple of times a month. n Replace the typical family pizza night with a family fitness night to benefit everyone's waistline. n Walking to school, sauntering around the neighborhood to see the local holiday decorations or visiting local fitness attractions -- such as a rock-climbing or trampoline facility -- are additional ways to for parents to engage children, Berry said. n In addition to scheduling two to three moderately active half-hour exercise dates per week, parents can turn a child's penchant for gaming to everyone's advantage by carefully choosing those games that call for lots of movement and high energy. He cited the "Just Dance" title from Wii as an option. n But in the end, Berry said, the biggest benefits occur outside the living room, whether that means signing up junior for team sports like basketball or soccer, or taking a family hike in the local nature preserve or park.
JANUARY ISSUE • 2012
Mental Decline Can Start Have confidence knowing your injectable wrinkle filler will provide at 45, Study Finds
long lasting results with Artefill
Early lapses in memory, reasoning may signal dementia later in life, researchers say.
new study suggests that memory, reasoning and comprehension can start to slip as early as age 45. This finding runs counter to conventional wisdom that mental decline doesn't begin before 60, the researchers added. "Cognitive function in normal, healthy adults begins to decline earlier than previously thought," said study author Archana Singh-Manoux. "It is widely believed that cognitive ability does not decline before the age of 60. We were able to show robust cognitive decline even in individuals aged 45 to 49 years," added Singh-Manoux, research director at INSERM's Center for Research in Epidemiology & Population Health at the PaulBrousse Hospital in Paris. These findings should be put in context of the link between cognitive function and the dementia, Singh-Manoux said. "Previous research shows small differences in cognitive performance in earlier life to predict larger differences in risk of dementia in later life," she said. Understanding cognitive aging might enable early identification of those at risk for dementia, Singh-Manoux said. The report was published in the Jan. 5 issue of BMJ. For the study, Singh-Manoux and colleagues collected data on nearly 5,200 men and 2,200 women who took part in the Whitehall II cohort study. The study, which began in 1985, followed British civil servants from the age of 45 to 70.
Over 10 years, starting in 1997, the participants' cognitive function was tested three times. The researchers assessed memory, vocabulary, hearing and vision. Singh-Manoux's group found that over time, test scores for memory, reasoning and vocabulary skills all dropped. The decline was faster among the older participants, they added. Among men aged 45 to 49, reasoning skills declined by nearly 4 percent, and for those aged 65 to 70 those skills dropped by about nearly 10 percent. For women, the decline in reasoning approached 5 percent for those aged 45 to 49 and about 7 percent for those 65 to 70, the researchers found. "Greater awareness of the fact that our cognitive status is not intact until deep old age might lead individuals to make changes in their lifestyle and improve [their] cardiovascular health, to reduce risk of adverse cognitive outcomes in old age," Singh-Manoux said. Research shows that "what is good for the heart is good for the head," which makes living a healthy lifestyle a part of slowing cognitive decline, she said. Targeting patients who have risk factors for heart disease such as obesity, high blood pressure and high cholesterol might not only protect their hearts but also prevent dementia in old age, the researchers said.
After 6 months
After 1 year
After 5 years
Photos reprinted from: dermatol surg 2007; 33: s222–s230
skin. Gravity, volume loss, sun and environmental damage to our skin all play a role in the aging process and the appearance of fine and deep lines in our face. Temporary injectable wrinkle fillers are made of different kinds of natural or synthetic materials that are broken down and eventually absorbed by your body. As a result, wrinkle correction is only temporary and you may need to repeat injections several months after the initial treatment to maintain your wrinkle correction.
By Sara Bernstein Medical Director Rejuvia Medspa, and her highly-trained aesthetic staff provide complimentary consultations for all treatments including Botox, Juvederm, Radiesse and Artefill. Rejuvia is located at 10131 W. Forest Hill Blvd., Ste. 130, Wellington, FL 33414 behind the Wellington Regional Medical Center. 561-798-8818 www.Rejuvia.com
Artefill is different from temporary fillers of the past.
s we age, there are several factors that change the appearance of our face and
Artefill is made with microsphere-enhanced collagen, which works with your body’s own collagen. The microspheres provide the support your own skin needs for a natural look and feel. Results improve over several
After 6 months
After 1 year
months and stand the test of time. Artefill cannot be felt after treatment. As with any injectable wrinkle filler, you can expect mild swelling and redness at the treatment site. These side effects are common with dermal fillers and are usually temporary. Occasionally, there is mild bruising that will typically disappear in a few days. You will see immediate results in wrinkle correction and can return to your normal daily activities after the treatment. Since Artefill is a long lasting solution, it will require less injections over time and you won’t have to keep coming back year after year for additional treatments to maintain your wrinkle correction. You will see the real value in investment and time saved with Artefill over temporary injectable wrinkle fillers. After 5 years
Photos reprinted from: dermatol surg 2007; 33: s222–s230
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