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Issue 15 | summer 2018

FIRST-AID

BE PREPARED FOR

YOUR GUIDE TO

Health Challenges

A Safe Summer

Burned out?

DENTAL CARE

for babies

30 DAYS OF HAPPINESS Holiday Challenge

TELL-TALE SIGNS ALL ABOUT

Weird Allergies

The abuse of

ADHD MEDICATION


www.intercare.co.za


6

contents

Issue 15 | summer 2018

Be personal 2 32

9

12

9

QUICK TIPS Be Prepared for Health Challenges

Interact 3

INTERCARE News & events

4

SNIPPETS Latest health news

30

RECIPE Coconut Prawns and Chicken Tikka

16

From the experts

CEO MESSAGE

Your body 18

follow on sociauls media!

18

HEALTH STRATEGY Weird Allergies DIAGNOSIS Babies Get Cavities Too!

24

FIRST AID A Safe Summer

27

TRAVELGROUND Top Hammock Hangouts

Your health 6

NEED TO KNOW ADHD Medication Abuse

12

HEALTH ADVICE Tell-Tale Signs of Burnout

20

KNOW IT ALL Your Mighty Mitochondria

INFOGRAPHIC 30 Days of Happiness Challenge

yo u. .. W e wa nt to hentsarandfrcusom to air their ers tom

24

30

ite all patie We would like to inv ing this magazine. us with input regard e vid views and pro will then be able remain relevant and In doing so, we can at healthcare gre a e eat “cr and to make a difference Please email us at er” on a daily basis. experience altogeth intercare.co.za ce@ en eri OR myexp info@intercare.co.za ideas and topics you with any suggestions, d about. rea would like to ORIAL ENQUIRIES ADVERTISING & EDIT ng: Health-B ytes Publishi health-b ytes.co.za 021 913 0504 | christa@ Grobler ista Chr or Publishing edit : Bernette Becker Design – Health-B ytes t | Printing BusinessPrin Proofing Albert Buhr

ADVERTISING: Language FREE copies of Bod y rcare are distributed at Inte tres. Medical and Dental Cen act cont se To advertise, plea ent. our advertising departm


CEO message

CEO

message

excellence to our patients, Intercare has created a home for over 1 000 healthcare professionals and other team members, as well as providing quality care to over one million patients every year. The Intercare Group’s unique model for the provision of a variety of healthcare services has seen the company’s network grow to 21 multidisciplinary medical and dental centres, 4 day hospitals, 4 sub-acute hospitals and 1 specialised hospital. Intercare is an example of what is possible when one is profoundly committed to change and willing to invest, collaborate and partner to make value-based healthcare a reality. The recent investment by Mediclinic will allow for a competitive advantage and enable us to deliver on our commitment to be leaders in health. This closer relationship with Mediclinic further enables us to offer an innovative, endto-end healthcare solution, with our patients’ best interests central to the process.

Intercare is a leading-edge integrated healthcare organisation that combines state-of-the-art facilities with best in class health professionals, all working together to unconditionally serve the ultimate beneficiaries, who can be none other than the patients who entrust us with their care. The ethos of Intercare is to care for people the Intercare way. We have a strong commitment and continuously strive to demonstrably live our values. These deeply rooted values include putting the patient first, excellence, compassion, innovation and integrity. With our vision to create a great healthcare experience altogether by providing consistent levels of service

The support of our patients is the foundation upon which Intercare operates, and we sincerely thank you for that. However, our achievements are only made possible by a comprehensive team effort and we would like to thank our healthcare professionals, team members and business associates for your dedication and the contributions that you’ve made. Let us reflect for a moment on the challenges which we are facing in our country, but also on the opportunities it brings about. Let us embrace a positive attitude and recognise the potential, rather than focus on the problems. Let us build the future on the good that has been done to ensure that tomorrow will be better than today. We wish you and your loved ones a blessed festive season and a new year filled with peace, joy and prosperity. Warmest regards, Dr Hendrik Hanekom Chief Executive – Intercare Group


NEWS AND EVENTS Th e G if t Of Si gh t

Eun ice Nie ma ndt rce l Nie ma ndt and We sth uiz en, Dr Ma vd rio Ma t, Toi du FLT R: Sr. Fri ed a

In line with the Intercare vision to create a great healthcare experience altogether, the group has embarked upon several corporate social investment projects throughout the year. Some worthy causes have been identified and outreaches to the less fortunate were held. The Gift of Sight was one of these projects. During eye care awareness week, Dr Marcel Niemandt (ophthalmologist) and his medical team performed 45 free cataract surgeries at the Intercare Hazeldean Day Hospital. This campaign, in partnership with the Good Morning Angels programme on Jacaranda 94.2, Caring Daisies, Operation Healing Hands and Right to Sight, changed the lives of so many people, who do not belong to a medical scheme and have to wait for months or years to be treated by government hospitals. It was a privilege to be part of this life-changing project.

page 03


snippets

tHhEAeLTlaHtNeEsWtS SUMMER FUN:

Be safe in the water! A SAFE WATER FUN GUIDE

WHILE WATER ACTIVITIES ARE ESSENTIAL TO SOUTH AFRICAN SUMMERS, POOR SUPERVISION CAN HAVE DEADLY CONSEQUENCES. South Africa enjoys better weather conditions than most of the world, so it is important for all children to attend swimming lessons from a young age. Parents and child-minders are encouraged to complete a basic life-support course on what to do during an emergency. • Be vigilant at all times around water. • Keep a watchful eye on children in and around water. • Never swim alone. • Always swim near lifeguards. • Make sure everyone in the family learns how to swim. • If you have a pool at home, lock the gate and cover it with a pool net. • Avoid alcohol in and around water.

• Make sure that you know how to perform CPR. • Make sure toddlers wear arm bands or life jackets. • Always wear a life jacket on a boat. • Always keep toddlers in the shallow end of the pool. • Discourage underwater breath-holding contests. • If you're at the beach, watch out for giant waves.

GET YOUR

colonoscopy About 1 in 3 adults between 50 and 75 years are not getting tested for colon cancer as recommended. If you’ve reached 50 or have a family history of colon cancer, talk to your doctor about scheduling a screening today.

TEST YOUR MEN'S HEALTH KNOWLEDGE

True or false? 1. Erectile dysfunction (ED) only affects older men. FALSE: 40% of men experience ED by age 40.

2. Prostate cancer is the deadliest cancer for men. FALSE: It’s the most common diagnosis (excluding non-melanoma skin cancers), but lung cancer kills more men. 3. Heart disease has nothing to do with genetics. MOSTLY TRUE: 90% of heart disease is lifestyle related. 4. You only get liver disease if you drink alcohol. FALSE: Toxins, viruses, and many other factors can cause liver disease. Source: alive.com


A WORKOUT

for your face?

Worried about the visual signs of aging? Research shows that facial exercises might help you look a little younger. A study published in JAMA Dermatology showed that women older than 40 who practised a specific series of exercises every day for eight weeks, then every other day for four weeks, looked about three years younger when evaluated by dermatologists. The idea is that strengthening facial muscles – like any muscles – makes them stronger and larger, for a face that appears rounder and less hollow and wrinkly. The study was small, and more research is needed, but feel free to pucker, smirk and stick your tongue out – Source: www.nytimes.com all in the name of exercise.

Sometimes you feel hungry when you are actually dehydrated. This is your body’s way of trying to tell you to hydrate. Next time you feel hungry, have a big glass of ice water first. This will fill you up and keep you from overeating.

although how it works is not entirely clear. It is a compound originally found in the bark of the cinchona tree, native to South America, which was used to treat malaria from as early as the 1600s. It was also discovered that the bark could prevent the disease.

DOES A GIN AND TONIC A DAY

keep malaria away? Travellers often joke about drinking gin and tonic to prevent malaria, but is there any truth to it? Malaria is a serious tropical disease spread by mosquitoes. If it isn’t diagnosed and treated promptly, it can be fatal. Quinine has long been used as an antimalarial drug,

By the early 19th century, chemists had isolated quinine from the bark and this formed an essential ingredient in tonic water, giving it its bitter taste. Quinine remained the mainstay of malaria treatment until the 1920s, when more effective, synthetic antimalarial drugs became available. The genius idea to add gin to tonic water originated in India during the 19th century, when British officers began mixing gin with their daily ration of

quinine tonic, and eventually lemon and lime, creating the iconic drink. Winston Churchill once stated: “The gin and tonic has saved more Englishmen’s lives, and minds, than all the doctors in the Empire.” Nowadays the quinine content of tonic water is minimal, and more effective antimalarial drugs have been developed. The therapeutic dose of quinine to treat malaria is about 500mg every 8 hours for up to 10 days. This would mean drinking up to 20 G&Ts every eight hours. There are definitely easier ways to prevent malaria. It’s best to stick to tried and tested strategies including antimalarial drugs, applying mosquito repellent, using a bed net or avoiding outbreak areas altogether. Source: www.sarooibos.co.za

page 05


need to know

A BO U T THE NEED-TO-KNOW

e s u b A n io t a ic d e M ADHD potentially dangerous consequences.

ATTENTION DEFICIT

When taken as prescribed,

HYPERACTIVITY DISORDER

ADHD stimulants are safe and

(ADHD) STIMULANTS ARE

effective. With an accurate

PRESCRIBED BY MEDICAL

diagnosis and treatment

ADHD stimulants are

PROFESSIONALS TO

plan, individuals with ADHD

commonly believed to give

IMPROVE CONCENTRATION,

can face and overcome the

short bursts of enhanced

MEMORY AND MOTIVATION

challenges of modern life and

concentration and academic

TO COMPLETE TASKS.

live fulfilling lives. However,

or work performance.

the misuse of stimulants

Reports reveal the occasional

Without treatment, ADHD

by ADHD and non-ADHD

recreational use of stimulants

symptoms (inattention,

children and adults has

by school children but most

impulsivity and hyperactivity)

increased drastically over

who misuse ADHD medication

can have an adverse impact

recent years. This is due to

rely on it in high-pressure

on one’s social interactions

misconceptions and a lack of knowledge regarding the associated risks and

situations such as exams and

and functioning in the school and work environment.

working on big projects to improve multitasking, memory


and performance. But to

Grey matter is responsible

Prescription stimulants

maintain this unsustainable

for memory, executive

provide mental stimulation

level of efficiency, increased

functions, impulse control,

to harmonise chemical

dosages and use are often

emotions and speech.

imbalances. It enables

required.

individuals to focus on the Likewise, dopamine and

task at hand with enhanced

norepinephrine levels have

concentration and energy.

an impact on concentration,

However, the abuse thereof

memory, problem solving,

can result in a lack of

decision making, motivation,

concentration, sleep

Research shows that ADHD

impulse control, emotions

deprivation, depression,

is caused in part by

and social behaviour.

social anxiety, an inability

THE EFFECTS AND RISKS OF ADHD STIMULANT ABUSE

chemical imbalances in the brain and structural differences in grey matter – a core component of the central nervous system.

to communicate effectively,

It is crucial to understand the dangers of stimulant abuse and the impact thereof on the brain.

a fast and irregular heart rate, high body temperature, psychosis, paranoia and hallucinations.

THE MISUSE OF STIMULANTS BY ADHD AND NON-ADHD CHILDREN AND ADULTS HAS INCREASED DRASTICALLY OVER RECENT YEARS. UNDERSTANDING THE PRESCRIBED USES OF ADHD MEDICATION Modern-day school and

Here’s how you can encourage a healthy understanding and appropriate use of ADHD medication.

workplace pressures are mounting. To keep up with life at breakneck speed,

• No

evaluation. No meds.

help you draw that fine line and accurately report the symptoms. • Know

about

what the fuss is

A comprehensive evaluation

Learn all you can about the

children and adults with or

and diagnosis by a licensed

effects of ADHD stimulants

without ADHD are becoming

medical professional

on your children and adults

overly reliant on coping

is essential before

as well as the effects and

mechanisms of all sorts,

considering any form of

potential reasons for misuse.

including ADHD stimulants.

ADHD medication. Reports

Equip loved ones with life

show that some individuals

management skills to rely on

Explaining to a loved one

exaggerate their symptoms

instead of medication when

with ADHD the importance

to get a larger dosage to

balancing academics, work

of using medication as

misuse or share with non-

and social activities.

prescribed will go a long

ADHD individuals. Having

way in encouraging the

an in-depth knowledge of

With the right practical

responsible use of all sorts

ADHD symptoms and how

resources, individuals with

of stimulants and substances

it typically presents in a

ADHD can improve their

and understanding the risks.

friend or family member will

focus and organisation skills.

page 07


need to know • Explain

the risks of abuse

With a holistic treatment plan,

are also indicative of

Children and adults with

therapy and life management

inattentiveness.

undiagnosed ADHD often

skills, children and adults with

struggle with social

ADHD can manage everyday

interactions and may be more

challenges and live successful

susceptible to peer pressure.

lives.

The desire to fit in can be

the impact of ADHD on the brain and the risks of misusing or sharing prescribed medication with non-ADHD individuals.

• Know the red flags of abuse

an extended period of time. This might also present as rambunctious behaviour in inappropriate situations. Hyperactive individuals have trouble sitting quietly or entertaining themselves, and always seem to be ‘on the go’, often talking excessively. A kind of ‘inner restlessness’

range from signs of anxiety,

SYMPTOMS OF ADHD

might also be indicative of hyperactivity, with an inability

pupils to sleep deprivation and difficulty concentrating.

ADHD has three core

If you suspect a loved one

symptoms. All three of these

may be misusing, sharing or

core symptoms present in

abusing stimulant medication,

different ways throughout the

share your concerns with

lifespan.

a medical professional.

If you suspect that an adult loved one has ADHD, suggest a self-assessment (www.myadhd.co.za) to see if their symptoms are consistent with ADHD. For the assessment of children, consult a licensed medical professional.

seen in general fidgety sit still or sit in one place for

LIVING WITH ADHD CAN BE CHALLENGING. THERE IS NO ROOM FOR THE ADDITIONAL DANGERS OF STIMULANT ABUSE. THE IMPORTANCE OF AN ACCURATE DIAGNOSIS AND TREATMENT USAGE CAN’T BE OVERSTATED.

Signs of treatment abuse can manic behaviour and dilated

Hyperactivity is most often behaviour – not being able to

a strong incentive to misuse or share medication. Explain

• Hyperactivity

to relax peacefully.

• Impulsivity

Another key symptom of ADHD is impulsivity. Impulsive behaviours might be blurting

• Inattention

out answers before questions

Inattention speaks to

are completed, and a lack of

difficulty paying attention

patience, often interrupting

and listening when spoken

others and intruding on

to, as well as being easily

conversations.

distracted and forgetful in daily activities. Not following

Impulsivity can also present

through on instructions and

as a fierce temper and

not finishing schoolwork,

engaging in risky

work projects or housework

activities.


WEIRD

allergies

Hay fever season is the time of year when nature releases gazillions of microscopic pollen spores into the atmosphere, but while springtime has a whopping 17 million (30%) of South Africans in a frenzy, our nation also seems to grapple with much rarer allergies. One of the country’s leading providers of allergy

sun (different to sunburn) 4. 17% suffer from pressure

10. 9% are allergic to hair dye 11. 7% experience either hives,

treatments, Pharma Dynamics,

urticaria, which means they

swelling of the mouth and

recently conducted a national

can’t wear tight clothing, sit

throat or wheezing after

poll among 1 772 allergy

down, lean against or touch

sufferers to find out to what

anything for too long

degree South Africans are affected by unusual allergies.

5. 17% have an allergic reaction to air conditioners 6. 16% are allergic to cigarette

HERE’S WHAT THE SURVEY REVEALED: 1. 36% experience eczema type symptoms when wearing jewellery 2. 25% are allergic to certain fruit 3. 21% break out in a rash when spending time in the

smoke 7. 15% experience allergy symptoms when eating shellfish, such as mussels, oysters, prawns, etc. 8. 15% are allergic to alcohol 9. 13% break out in a red

eating chocolate 12. 6% complain of headaches, heart palpitations or skin problems when drinking coffee 13. 6% break out in hives, coughs or sneezes when working with wood 14. 5% are allergic to fizzy drinks 15. 3% experience redness, swelling or flaking around

rash when exposed to cold

the nail when applying

temperatures

artificial nails

page 09


health strategy The fact that almost 20%

dermatitis. Nickel is often

may be allergic to alcohol

of the allergy sufferers

used in the base metal of less

itself, others may be sensitive

polled had to either be

expensive jewellery, which is

to certain allergens in alcoholic

hospitalised or treated

then plated with gold or silver.

drinks, such as wheat, barley,

in ER for these allergies

Affected individuals often

yeast, grapes, etc. However,

speaks to the severity of

develop eczema in places

if you are allergic to

their symptoms and how it

where nickel-containing

alcohol, fruit or any other

impacts the quality of their

jewellery touches the skin, such

type of food, rather steer

lives.

as the fingers, earlobes, wrists

clear of these allergens.

and neck. Sufferers should An allergic reaction

rather opt for jewellery that

typically occurs when the

is hypoallergenic, made

body mistakenly misreads

from stainless steel, sterling

something that is harmless

silver, polycarbonate plastic

EVER HEARD OF BEING ALLERGIC TO THE COLD? According to health

as a threat.

or at least 18-karat gold.

authorities, urticaria (a type of skin allergy) affects between

This overreaction by the

15 and 25% of the population

area, wheezing, runny or stuffy

FRUIT SUCH AS STRAWBERRIES, KIWI, PEACH, APPLE, BANANAS AND CITRUS are known

nose, nausea and the like.

to cause allergies, which can

Cold temperatures and

prove fatal in severe cases.

even diving into a cold pool

Most often, symptoms include

could trigger itchy welts

skin reactions, swelling of the

or hives within minutes

oral cavity, asthma or rhinitis.

of exposure in some

Similar signs of alarm are also

individuals; equally a tad

have a nickel allergy – also

common in those who are

too much sunshine could

known as contact allergic

allergic to alcohol. While some

lead to similar symptoms.

immune system can manifest as a rash, fever, headache, swelling of mouth or affected

THOSE WHO ARE ALLERGIC TO JEWELLERY are likely to

Affected individuals often develop eczema in places where nickelcontaining jewellery touches the skin, such as the fingers, earlobes, wrists and neck.

at least once in their lifetime, while ‘cold urticaria’ – being allergic to the cold – makes up about 3% of urticaria cases.


Different to sunburn,

wheezing, sudden drop in

acid or benzoates, than the

blood pressure and dizziness.

carbonation in these drinks.

CONSTANT SNEEZING AND COUGHING as a result of an air conditioner is a

are hereditary while others

PARAPHENYLENEDIAMINE (PPD) AND PARATOLUENEDIAMINE (PTD) are often used in

develop symptoms when

hair dyes, which could

prevent the propagation of

triggered by factors, such

cause contact dermatitis.

dust mites, to which many are

as medication. Mild cases

Symptoms include burning

allergic. Equally, the chemicals

usually clear up without any

and stinging skin, as well as

in cigarette smoke could

treatment, while more severe

a bumpy red rash, which can

induce watery, itchy eyes

rashes should be seen to by a

be alleviated with shampoos

and irritation of the airways

dermatologist or allergologist.

or creams containing

especially in those with

If you suffer from a sun

topical corticosteroids. Oral

existing allergic rhinitis.

allergy, wear sun-protective

antihistamines could also help

clothing to limit your

to reduce skin inflammation

exposure to the sun during

and itching.

A SUN ALLERGY OR ‘VAMPIRE ALLERGY’ – as it is commonly referred to – is defined as polymorphic light eruption, which can be described as sun poisoning. Various degrees exist – some

likely sign that the filters need to be cleaned or changed to

Even though scientists are still grappling with why or

the day.

PRESSURE URTICARIA,

how people become allergic to certain allergens, there are

COFFEE AND CHOCOLATE could also

another unusual allergy, may

ways to treat it. If you suspect

occur after sitting or standing

you may have an allergy, it’s

trigger allergy symptoms in

for too long or when wearing

best to see an allergologist

some, but it’s important to

tight clothing. The hands,

or GP who will be able

note the distinction between

feet, trunk, buttocks, legs and

to perform or authorise

allergies and sensitivities.

face are mostly affected and

an immunoglobulin (IgE)

While both are problematic,

is characterised by welts or

antibody test, which will

a sensitivity to something

painful lesions, which could

help to diagnose an allergy

isn’t life-threatening, while

last for 8 to 72 hours.

to a specific substance or

an allergy can be. Symptoms

The peak age of onset is

substances.

of a sensitivity could include

in one’s 20s and 30s.

stomach cramps, feeling bloated, jittery, anxious, and

Never ignore the symptoms of an allergic reaction.

could even elevate your

FIZZY DRINKS could also

If left untreated, it can quickly

heartbeat and blood pressure,

be a trigger, but it’s more

worsen, especially in the

especially if you’re sensitive

likely to experience an allergic

case of anaphylaxis, where

to coffee, while an allergy

reaction to the compounds

emergency treatment is

can cause more serious

used to preserve colour

required. Even if you never

symptoms, such as nausea,

or flavour in soft drinks,

suffered from an allergy

vomiting, trouble swallowing,

such as tartrazine, sulphur

before, it is entirely possible to

shortness of breath,

dioxide or sulphites, benzoic

become allergic later in life.

Source: www.pharmadynamics.co.za

page 11


health advice

DO YOU HAVE THEM?

t u o n r u B f o s n ig S le a T ll The Te Feeling depleted of energy?

often burnouts happen over

prolonged period of excessive

You should recognise the

time with very few indicators

stress.

signs of a burnout before it's

that your work and life have

too late. Burnout is long-term

taken a turn for the worse.

More simply put, if you feel

exhaustion meets diminished

Do any of these traits sound

exhausted, start to hate your

interest, energy and passion.

familiar? If so, you may need

job, and begin to feel less

to slow down.

capable at work, you are

What can you do about it?

showing signs of burnout.

If constant work stress has

Burnout is a state of

you feeling exhausted, worn

emotional, mental and

THE SYMPTOMS OF

out or just plain sick to

physical exhaustion caused

BURNOUT ARE NOT

your stomach, you may be

by unbalance; too much work

ALWAYS DRAMATIC. THEY’RE

suffering from burnout. You

or responsibility and too little

OFTEN OVERLOOKED OR

would think it would be easy

time to do the things that

ATTRIBUTED TO SOMETHING

to recognise the signs, but

need to be done, causing a

ELSE.


Signs and Symptoms

INCREASED IRRITABILITY

DEPRESSION

A clear sign that you are

In the early stages, you may

CHRONIC EXHAUSTION

burned out is becoming

feel mildly sad, occasionally

When you are burned out,

short-tempered or easily

hopeless, and you may

you often feel exhausted

frustrated with your work,

experience feelings of guilt

physically and emotionally.

co-workers and family.

and worthlessness as a result.

• You’re unusually cranky and

• You feel trapped and

• You go long periods of

overly emotional. You feel

hopeless – especially after

time without taking care

like you’re frequently on the

long periods of time working

of your body or getting

verge of tears and it’s not

proper rest. It’s a feeling of

always obvious as to why.

being completely drained of energy to move or think. • You go to bed physically and mentally exhausted every night and you wake up tired every morning.

• It’s a challenge to find

bombarded with negative

contentment and happiness

thoughts and perceptions

in life.

about the workplace. You

• You feel “off” and you’re not sure why or how to fix it. • You act irrationally,

Even when you get enough

like having an emotional

hours of sleep, you’re not

meltdown or quitting

waking up feeling rested

suddenly.

feel like you’re never doing enough. • It’s a challenge to find contentment and happiness in life. • You constantly feel like you have to prove yourself to

and refreshed. • Everything feels like it takes

with no breaks or time off. • You are constantly

Irritability often stems

others.

too much energy and effort:

from feeling ineffective,

• You seek the approval of

visiting friends, going out to

unimportant, useless, and an

dinner, or going shopping –

increasing sense that you're

things you would otherwise

not able to do things as

At its worst, you may feel

enjoy and look forward to

efficiently or effectively as you

trapped, severely depressed,

doing.

once did. In the early stages,

and think the world would be

this can interfere in personal

better off without you. (If your

and professional relationships.

depression is to this point,

DETERIORATING HEALTH

At its worst, it can destroy

you should seek professional

A burnout in most cases is

relationships and careers.

help immediately.)

others more often.

caused by mental stress and that can take a toll on the body. • Some people begin to experience a deterioration in their health such as high blood pressure, insomnia, hair loss, vision problems and back pain. • You have an illness that you can’t seem to recover from. Like having a cold that seems to last forever. Source: www.jillconyers.com

page 13 17


health advice FOMO (FEAR OF MISSING OUT)

RELIANCE ON DRUGS AND

POOR WORK PERFORMANCE

ON WORK

ALCOHOL

When burned out, your

Being preoccupied with work to the point where it stops you

thinking isn’t as sharp and • A nightly need to turn to

your overall work begins to

from engaging in other activities

self-medication, drugs and

decline.

is a sure sign of a burnout.

alcohol to cope with stress

• You start making more

• You stress about work 24/7.

is worrisome and a signal

• You need time to find a

for burnout help.

release to let go of work

• You depend on coffee to

mistakes and becoming less productive. • You may also get more

issues, so that you can engage

perk up, alcohol to “relax”,

complaints about your

and enjoy your downtime.

and sleeping pills to rest.

work, too.

What can you do to combat burnout?

IDENTIFY AND MANAGE

ADJUST YOUR ATTITUDE.

THE STRESSORS THAT

Consider ways to improve

Burnout isn't like the flu; it

CONTRIBUTE TO BURNOUT.

your outlook. Rediscover

doesn't go away after a few

Look at your stressors

enjoyable aspects of your

weeks unless you make some

individually instead of the

life. Make the time to do

changes in your life. And as

big picture. They’re a lot less

things you enjoy.

hard as that may seem, it's the

overwhelming and making

smartest thing to do because

changes can be easier.

making a few little changes

SET BOUNDARIES. Set an end to your workday. Determine

now will keep you in the race

SEEK SUPPORT. You’re not

what needs to be done for

with a lot of energy to get you

alone. The support of loved

you and your boss to feel

across the finish line.

ones helps with stress and

you’ve had a productive day.

feelings of burnout. You can

Work to achieve the goals

GET ORGANISED. When you

also try communicating

so that you can leave at a

have order in your day, you feel

more with co-workers

specific hour and feel good

more in control of how it turns

and your boss about your

about ending your workday.

out.

concerns, as well as sharing

ASSESS YOUR INTERESTS,

ideas to enhance projects or

IMPROVE YOUR DIET. Drink

improve workflow.

a lot of water and eat well-

SKILLS AND PASSIONS. Are the

balanced meals. Certain

things you’re doing a match to

GET ENOUGH SLEEP. Sleep

food gives you energy and

your interests or core values?

restores well-being and

clarity of mind. Try not to

helps protect your health.

consume junk food while

SET PERSONAL GOALS.

working as it can make you

Although your boss may have

EVALUATE YOUR OPTIONS.

sluggish and unproductive.

a goal for your assignment,

What can you realistically

Some or all of these can be

set personal goals to achieve

change about your lifestyle?

part of your anti-burnout

milestones and celebrate your

new year’s resolutions.

success. When you can clearly

GET SOME EXERCISE.

measure your progress, it will

Regular physical activity can

increase your confidence and

help you to better deal with

overall well-being.

stress.

Here’s to a happy, healthy, stress-free 2019!


page 19


diagnosis

BABIES GET

cavities TOO!

IF YOU THINK PUTTING YOUR BABY TO SLEEP WITH A BOTTLE IS A GOOD IDEA, THINK AGAIN…

You might think of tooth decay as a problem only adults face, but babies are susceptible from the moment their first teeth arrive. Your baby’s bottle is the usual culprit – hence the term “baby bottle tooth decay” – but dummies dipped in sugar or juice could also be the problem.


What causes baby bottle tooth decay?

To prevent tooth decay:

Baby bottle tooth decay, also

• Check your baby’s teeth

known as Early Childhood Caries (ECC) or nursing caries

regularly.

a bottle filled with juice, milk, tea or formula – if they insist, consider using water instead. • Encourage drinking from a

• Watch out for brown or

cup at six months and when

(cavities) happens when

chalky white spots along the

juice is given always dilute it

sweetened liquids or even

gum line.

with water. BUT do not use

those with natural hidden

• Suspect tooth decay if your

sugars, linger in the mouth;

baby frowns or cries when

this includes otherwise

you feed him hard, cold,

healthy liquids like fruit juices,

sweet or hot foods.

milk, formula, tea or even breast milk.

a sippy cup as a substitute for a dummy. • Avoid dipping dummies in honey or sugary substances. • Encourage healthy eating,

PREVENTION

and give your child water

Take good care of your own

when he or she is thirsty –

The tooth decay is usually

teeth first and see a dentist

caused by a baby falling

while you are pregnant.

instead of sugary drinks. • Floss your child’s teeth from

asleep while nursing a bottle

age three. Floss every night

or while breast-feeding.

with fluoride containing

It also happens when children are allowed to sip these liquids via a sippy cup, throughout the day. While a child is

floss.

How to protect your baby’s teeth

• Make sure your child gets

• From the day your child is

be in the form of systemic

the fluoride needed to prevent decay. This can

asleep less saliva is produced.

born until about 1 year old,

fluoride in the form of

The sugary liquid pools in the

keep your baby’s mouth

fluoride drops or tablets, or

mouth, causing the bacteria

clean by gently wiping

topical fluoride applied by

living in every baby’s mouth

a cloth over the gums;

your dentist in her rooms.

to turn the sugars to acid,

this should be practised

• Visit your dentist regularly

which, in turn, causes decay.

until teeth become visible.

to ensure teeth and gums

Even when teeth begin to

stay healthy.

WHAT TO LOOK OUT FOR

emerge, continue to wipe

The teeth are affected in the

the areas that do not have

order of their eruption in the mouth. The upper-front

teeth.

As with anything else,

• Clean your child’s teeth

prevention is best! In some

teeth are the first to be

daily. Brushing should begin

cases, teeth become so

affected. Baby bottle caries

immediately after eruption

badly decayed they have to

first appear to the naked eye

of the first teeth. Use a soft

be extracted. Baby teeth are

as white spots on the front

bristle toothbrush. Brush

really important for chewing

teeth. Thereafter it discolours

before bedtime, and use

food, and for speech.

rapidly to brown or black

only a pea-size amount of

cavities on the teeth, and eventually the entire crown of the tooth fractures.

toothpaste.

A beautiful smile also

• Don’t allow your child to fall asleep at the breast, or with

enhances a child’s good self-image.

Written by: Dr Linton Brown, Dentist, Intercare Parow

page 19


know it all Consider the last time you exercised but didn’t really have the oomph you wanted. Or the last

YOUR MIGHTY

Mitochondria MEET YOUR MITOCHONDRIA… POWER HOUSES, FACTORIES, WASTE DISPOSAL AND RECYCLING CENTRES, AND ASSASSINS...

time your brain was foggy, maybe you couldn’t remember where you put your car keys. Performance dips like this link back to the performance of your mitochondria. So what are they and why are they so important?

Mitochondria literally power our high performance, productivity and health. It is no exaggeration to say that when your mitochondria are off their game, then you’re off your game.

POWER TO YOUR CELLS Life needs energy, and mitochondria, often nicknamed cellular power plants, are tiny bean-shaped machines in every cell which act like miniature powerhouses, converting molecules from food (fats, sugars and proteins) into energy our body can burn. No energy _ no life! So it's easy to see why when mitochondria go wrong, serious diseases are the result, and why it is important we understand how mitochondria work.


When you don’t have enough mitochondria, and when the HUMAN CELL

MITOCHONDRIA

ones you have aren’t working well, and when you don’t produce them consistently, you get mitochondrial dysfunction.

Mitochondria decide how you feel. But, you’re still in charge of them. Damaging molecules

Mitochondria comes from the Greek words for ‘thread’ and ‘granule’ for this is how they appear under the microscope.

single cell in your body, so its

called free radicals are

existence is crucial to keep

made in the mitochondria

you alive.

during energy production. If too many are made

They’re particularly

(called oxidative stress)

important for your brain, liver

these molecules damage

Mitochondria are super cells

and muscles because they

parts of the cell, including

and make 90% of the body’s

consume larger amounts of

the mitochondrion

energy. They have a double

energy than other organs.

itself. Mitochondria have

outer membrane and their

However, although your

antioxidants in place to

own genetic material, which

brain’s weight consumes

help prevent this damage.

is unique. This is why most

only 2% of your overall body

Unfortunately, the amount of

scientists think mitochondria

weight, it needs 20% of your

these antioxidants decline as

were once free-living cells,

resting metabolic rate to

we age. One way to overcome

engulfed and incorporated

function properly.

this is to build more and

into larger cells over a billion years ago.

bigger mitochondria. To do However, mitochondria do

this we need to stress the

much more than just produce

mitochondria in the short

This partnership allowed

energy. They also produce

term. This is what we are

eukaryotic cells to get more

chemicals that your body

doing when we exercise

energy from their food and

needs for other purposes,

and we ask our muscles to

powered their evolution to

break down waste products

keep working in low energy

more and more complex

so they’re less harmful, and

conditions. Mitochondria

multicellular organisms.

recycle some of those waste

are stimulated by a lack of

products to save energy.

cellular energy to grow bigger

The mitochondria transforms

and divide, becoming more

glucose and oxygen to

Mitochondria also help with:

numerous – a process called

energy, also known as ATP

• Cell repair

mitochondrial biogenesis.

(adenosine triphosphate) on

• Sex hormone production

Said simply, we can’t

a cellular level. This molecule

• Cell signalling

be mighty unless our

transports energy to every

• Cell growth

mitochondria are mighty first.

page 21


know it all Why does your mitochondria matter?

5. MORE IS BETTER

regulation of cardiovascular

One of the most eminent

cell function. On the flipside,

factors to improve your

mitochondrial dysfunction

1. YOU CAN’T LIVE

athletic performance or any

increases the risk of

WITHOUT IT

other physical activities that

cardiovascular disease.

As mentioned above, these

demand endurance, is the time

organelles generate the

it takes to generate energy

8. THEY TRIGGER

necessary energy supply for

from oxygen and sugar in your

PROGRAMMED CELL DEATH

every cell in your body to

exercising muscles. Having

Mitochondria also have a

work properly. These little

more mitochondria in your

special role in making cells

guys have a big job!

muscle cells will amplify their

die (apoptosis). This may

energy production and then

sound strange, but it is vital

you’ll perform better.

for the processes of growth

2. THEY’RE IMPORTANT FOR YOUR LONGEVITY

and development. Sometimes

Your mitochondria are

6. MALFUNCTIONING

cells don’t die when they

necessary for many biological

MITOCHONDRIA IS LINKED

should, and start to grow

processes, so it is logical

TO MAJOR DISEASES

uncontrollably. This is how

that their severe dysfunction

Research suggests damaged

a tumour starts to grow, so

is related to premature

mitochondria play a role

you shouldn’t be surprised

aging and death. Many

in many diseases, like

that mitochondria play an

scientific studies support the

Alzheimer’s and dementia.

important part in cancer and

mitochondrial free radical

Defects in mitochondrial

are seen as targets for anti-

theory of aging – the idea

function underlie many

cancer drugs.

that mitochondria also play

common diseases such as

a part in the aging process.

neurodegenerative,

If further evidence of the

metabolic and heart diseases,

importance of healthy

cancer, diabetes, and aging.

mitochondria continues to

3. CRUCIAL FOR FAT LOSS More mitochondria creates

emerge, drugs that focus on

more energy from glucose,

7. PROPERLY FUNCTIONING

regulating cellular energy

amino acids and fat and

MITOCHONDRIA PREVENTS

production instead could

due to this fact, burns more

HEART DISEASE

become a new line of defence

kilojoules. Need I say more?

Mitochondria plays an

for psychiatric and biological

important role in the

disorders.

4. HELPS TO MAINTAIN YOUR BLOOD SUGAR LEVELS Research has shown that patients with type 2 diabetes have a decreased mitochondrial number, function and biogenesis. In insulin production, which takes place in your pancreatic cells, mitochondria plays an important role.


7 Ways to keep your mitochondria happy

glutathione, a master

D-ribose, and magnesium

antioxidant. You can also

aspartate as well as:

Caring for your

mitochondrial-building

mitochondria is one of the

veggies and fruits in a daily

This is a mitochondrial

best ways to take care of

smoothie.

coenzyme, so it’s one

blend several of your

your health and operate

• Coenzyme Q10 (CoQ10):

of the building blocks

at full power – and enjoy

4. DINE ON FIBRE-RICH

of mitochondria.

better energy, metabolism,

FOODS to help detox the

Supplementation can

mental focus in the process.

poisons that can build up

keep the cells healthy

when mitochondria slow

and studies on its use

down.

have been promising

1. DO STRENGTH TRAINING AND HIGH-INTENSITY

regarding prevention of

INTERVAL TRAINING (HIIT).

5. UP YOUR OMEGA-3 FAT

cardiovascular disease.

Both can increase the

INTAKE to help build your

It’s easier to supplement

number, and improve

mitochondrial membranes.

coenzyme Q10 than to

the function, of your

Eat grass-fed meat or low-

consume it.

mitochondria. The

mercury wild-caught fish

better your muscle

each day. Avocados, nuts,

mass and cardiovascular

and seeds are also rich in

Supplementing with

conditioning, the better

fatty acids. Taking a fish-oil

resveratol can actually

your mitochondria will fare,

supplement is a good idea

help mimic the benefits

and the more powerfully

for most people.

of kilojoule restriction

they will perform.

• Resveratrol:

for the cells without the 6. BREW UP BONE BROTH.

work. It can be helpful

2. AVOID OR ELIMINATE

When mitochondria are

in protecting cells if you

INGREDIENTS THAT

compromised, there

don’t have a reason to

ARE TOXIC TO YOUR

is increased risk for

restrict kilojoules (lose

MITOCHONDRIA, including

autoimmune diseases, such

weight), or are eating at

processed carbohydrates,

as arthritis. Bone broth

a kilojoule surplus (to gain

all sugars and refined

is rich in glutamine and

weight/muscle).

sweeteners, trans fats,

other amino acids that are

gluten, and dairy products.

especially good for healing a leaky gut as well as other

3. EAT A BALANCED DIET.

ailments.

A variety of greens (broccoli, bok choy,

7. TAKE MITOCHONDRIA-

etc.), brightly coloured

PROTECTIVE AND

vegetables (beets, carrots,

ENERGY-BOOSTING

etc.), and the sulphur-

MICRONUTRIENTS,

rich veggies (cauliflower,

such as Acetyl-L-carnitine,

cabbage, etc.) that help

alpha-lipoic acid,

your body produce

N-acetylcysteine, NADH,

Your microscopic mitochondria are in charge, but only to the extent that you let them rule you. Remember, you own them, you feed them, and you create the environment that makes them decide whether to serve you or hold you back.

Sources: www.wiseapetea.com; www.fitlife.tv; www.experiencelife.com

page 23


first aid

Your guide to

A SAFE SUMMER ER OF TH IN GS RN S, TH ER E AR E A NU MB FROM BE E ST IN GS TO BU LE AR N BA SIC , G TH E SU MM ER . HE RE TH AT CA N HA PP EN DU RIN T CO MM ON SU MM ERTIM E IN JU RIE S. TR EA SU MM ER SA FE TY TIP S TO

1. SUNBURN

that has both UVA and UVB

lotions (talk to a doctor

protection, is water/sweat-

about whether to give them

Whether you’re basking in the

resistant and has an SPF

sun’s warm rays or seeking

rating of at least 15.

shade in a cool canopy of

• Apply sunscreen (to all

trees, protect yourself with

exposed areas) 30 minutes

these summer skin care tips

before going outside and

to prevent sunburn.

re-apply every two hours or immediately after swimming

PREVENTION is as easy as SLIP, SLAP, SLOP: SLIP into a T-shirt SLAP on a hat SLOP on the sunscreen

to kids, and how much). 2. Drink plenty of water to rehydrate the skin. 3. Be sure to stay out of the sun until the burn heals.

2. HEATSTROKE

or excessive sweating. Often missed areas include: ears,

Heatstroke happens when

feet, lips and scalp.

someone gets so hot that

• To protect your lips, use a lip

their body can’t control their

balm or lipstick with an SPF

temperature. It is a very

of 30 or higher.

serious (potentially fatal)

• Avoid midday sun (10:00 to

condition and the person needs help straight away.

• Wear long sleeves and pants.

WHAT TO DO (IF YOU SLIP UP AND GET A BURN)

• Wear a hat and sunglasses.

1. Cool compresses or a cool

The signs and symptoms

• Apply sunscreen. Choose a

bath can help, as can oral

are very similar to those of a

pain relievers and medicated

stroke.

15:00), rather seek shade.

broad-spectrum sunscreen


A PERSON WITH HEATSTROKE MAY:

unless there is an allergic

it could block their airway so

reaction.

call an ambulance.

• have hot, flushed and

BATTLE THE BUGS.

GETTING WORSE?

To keep mosquitos, bees and

Watch for signs of a more

dizzy or be confused and

other insects away:

severe allergic reaction.

restless

• Choose a bug spray based

dry skin • have a headache, feel

• get worse quickly and

on the insects you want to

Swollen lips and/or throat,

become unresponsive (lapse

repel, the active ingredient

dizziness, and difficulty

into unconsciousness)

and the protection time

breathing or swallowing could

you’ll need.

all be signs of anaphylaxis

WHAT TO DO 1. Call an ambulance or get someone else to do it.

• Citronella candles might also help to keep bugs away.

– a life-threatening allergic reaction.

• Wear long-sleeved shirts and pants to help keep

WHAT TO DO

move them into a cool

mosquitos at bay, and light-

1. Call an ambulance.

environment, lay them

coloured clothing to help to

2. Reassure them while

down, remove outer

see ticks on your body.

2. Cool them. Quickly

clothing and turn them

• Check your body – and

waiting for the ambulance. 3. If they have a known

into the recovery position.

your pets’ – after spending

allergy and an auto-injector

If this is impossible or the

time outdoors, and learn

(or EpiPen), help them to

person is unconscious, try to

the proper way to quickly

use it. Or do it yourself

cool the environment (use

remove a tick.

following the guidance on

fans, open doors and keep crowds away). 3. Wrap in a cold wet sheet and keep it wet. 4. Keep cooling them

the product.

WHAT TO DO 1. If someone has been stung

JELLYFISH STINGS

and you can see the sting on the skin, use the edge

A painful sting can cast a dark

while waiting for help to

of a credit card to scrape

cloud over your sunny day at

arrive. If their temperature

it away. Take care not to

the beach very quickly.

returns to normal and they

squeeze the venom sac at

no longer feel hot to touch,

the end of the sting.

WHAT TO DO

you can stop cooling them

2. Clean with soap and water.

To get relief, you’ll need to

and replace the wet sheet

3. Apply an ice-pack

remove the tentacles.

with a dry one.

on the affected area to reduce pain and swelling.

3. BITES AND STINGS Along with the sunshine and

1. Rinse with seawater. 2. Gently scrape with a credit

STUNG IN THE MOUTH OR THROAT?

warm weather come bites

card or flick off with a cloth. Avoid rubbing the affected area with a towel, as you

(mosquitoes and fleas) and

Get them to suck on an ice

may force the stingers into

stings (bees, wasps and

cube or sip a glass of cold

the skin.

jellyfish). Stings and insect

water to prevent swelling. If

bites are not usually serious

swelling does start to develop

page 25


first aid 4. MINOR WOUNDS

area around it with soap. 5. Pat dry with clean, non-

Skinned knees, bumps and

6. Apply an antibiotic

in the summer, especially for

ointment or spray.

MOST MINOR WOUNDS CAN BE TREATED IN THE HOME WITHOUT THE NEED FOR FURTHER MEDICAL ATTENTION UNLESS: • There is a foreign body embedded in the wound • The wound shows sign of infection • The wound is from a human

available.

fluffy material.

bruises are often unavoidable active kids.

medical help is not readily

7. Get a tetanus shot if it has

IF THE BARB IS NOT SHOWING, A TRIP TO THE EMERGENCY ROOM TO

been five or more years

HAVE IT REMOVED MIGHT BE

since you last had a shot

NECESSARY.

and the wound is deep or

1. Cut the line as close to the

particularly dirty. 8. Cover the wound with a bandage or dressing for protection. 9. Change the bandage regularly. 10. Watch for signs of infection.

hook as possible to prevent it catching on something and causing further damage. 2. Pad around the hook until you can bandage over or around it. 3. Seek medical help.

or animal bite.

FISHHOOK REMOVAL WHAT TO DO

1. Cut the line as close to the

KEEP SCRAPES AND

Not much puts a damper on a

SCRATCHES CLEAN

summertime fishing trip like a

1. Wash your hands, before

fishhook through the skin.

treating the wound. 2. Check that there is nothing in the wound. 3. Apply gentle pressure

hook as possible. 2. Cut off the barb using a pair of needle-nose pliers. 3. Remove the hook by gently

WHAT TO DO

pulling it out of the skin.

Although this is a relatively

4. Clean and cover the wound.

minor injury, fishhooks often

5. Check the wound for signs

with a clean bandage or

have a barb on the end that

cloth to stop the bleeding.

make it difficult to be pulled.

4. Clean the wound under running water and wash the

IF YOU CAN SEE THE BARB:

of infection over the coming days. 6. Check that the tetanus

Only try to remove one if

booster is up to date.


TOP HAMMOCKS HANGOUTS

IN SOUTH AFRICA

Hammocks have come to symbolise summer, leisure, relaxation, and easy living. Taking into account factors such as view, sound, fresh air and remote location, we carefully selected some of the best spots to hang out (literally) this summer. With our beautiful coasts, fresh air, natural scenery and rich wildlife, there’s no need to wait for Hammock Day (22 July) to celebrate.

GARDEN ROUTE A mere stroll in the Knysna Forest provides a feast of sights, sounds and smells; Knysna loeries and Cape vervet monkeys frolicking in the branches, the earthy aroma of moss-covered tree roots, and fallen trees that create openings in the canopy to allow magical sun rays to light up the leafy carpet. The sounds of birds, frogs and insects echo in this lush cocoon, which every now and then opens up to reveal the most breathtaking views of fynbos-covered kloofs and the ocean beyond.

Forest Edge, on the Knysna Forest’s edge

Rates: From R2069 per night for 4 people Highlight: Beautiful picnic spots!

Forest Valley Cottages, looks out over the Knysna Forest

Rates: From R1560 per night for 2 people Highlight: Spa baths in all the cottages!

page 27


TravelGround WILD COAST Appreciate the rugged coastline, unspoilt sandy beaches and lush greenery and allow the local inhabitants and livestock to set the pace when you choose one of the following spots for hanging your hammock:

Crawford’s Beach Lodge, Cintsa

Rates: From R2000 per night for 2 people Highlight: Each unit has a sea-view deck or balcony!

The Sullies, Morgan Bay

Rate: From R5432 per night for 10 people Highlight: Large covered deck with floating chairs, hammocks, a table and benches!

WEST COAST Spectacular sunsets, crisp air and the kaleidoscope of wild flowers in spring all set the scene for the perfect hammock vacation. Here are some suggestions for accommodation that fits the bill:

Skye Beach House, Golden Mile Boulevard, St Helena Bay

Rate: R3880 per night for 10 people | Highlight: Big lawn for children, right next to the beach!

16 Perlemoendraai Beach House, Jacobs Bay Rate: From R2200 per night for 6 people Highlight: Step right off the veranda onto the beach!

OVERBERG This fertile mountainous region is bordered by a stunning coastline that serves as a playground for whales and sharks. More inland, the landscape displays a colour spectrum – from green agricultural lands to blue mountains in the distance, making way for a different hue of blue that is the clear, crisp Overberg sky.

Stanford Hills Cottages, Stanford

Rates: From R990 per night for 4 people Highlight: Entertainment for everyone, children and pets included!

Hangklip House, right beneath Hangklip

Rates: From R1900 per night for 8 people Highlight: Uninterrupted views from the hammock!


CAPE TOWN

LIMPOPO AND MPUMALANGA

Rumour has it that Cape Point Nature Reserve has some of the freshest air in the world, which makes the South Peninsula an excellent spot to take a ‘breather’.

More trees and decks ideal for hammocks present themselves toward the scenic regions of the Waterberg Mountains in Limpopo and the Panorama Route in Mpumalanga.

From the hub of Cape Town, coastal roads with breathtaking views take you to suburbs that are shared with penguins, baboons and seals. Dolphin and whale-watching opportunities abound, and that’s exactly what you can do from a hammock at:

Diamond Creek Bush Lodge, Waterberg region Rates: From R780 per night for 2 people Highlight: The sights and sounds surrounding you during your Bushveld braai!

Little Hampton’s, Simon’s Town

Rates: From R3550 per night for 7 people Highlight: Wrap-around deck for a morning coffee at sunrise!

Swallows House, Da Gama Lake, Mpumalanga Rates: From R1100 per night for 4 people Highlight: Spend your days overlooking the dam and walking along its edge.

Casablanca, Kommetjie

Rates: From R7500 per night for 6 people Highlight: Two beach decks and two en-suite Jacuzzis!

GAUTENG If you find yourself in the country’s busiest hub, the City of Gold, the dwellings mentioned might not be within reach for a quick weekend winddown. But we found something for you too – a tranquil retreat within the borders of Gauteng!

Whispering Pines Country Estate

Hout Bay Beach Cottage, Hout Bay

Rates: From R2500 per night for 6 people Highlight: Solar-heated swimming pool!

Rates: From R1880 per night for 2 people Highlight: Only about an hour’s drive from Johannesburg and Pretoria, their honeymoon suites are ideal for a quick romantic getaway.

Source: All images found on TravelGround.com

page 29


recipe

T S A E F Y A D I L HO E ON THE FndItR he braai A deluxe feast arou

T PRAWNS BARBECUED COKCEONNU TIKKA AND CHIC


Ingredients FOR THE COCONUT PRAWNS • 5cm piece fresh ginger, peeled and roughly chopped • 2 garlic cloves, roughly chopped • 2 green chillies, roughly chopped • 1 tbsp ground coriander • 1 tbsp ground cumin • 1 x 160ml tin coconut cream • 4 limes: the juice from 2 limes and 2 limes cut into wedges, to garnish • small bunch fresh coriander, roughly chopped • 1 onion, roughly chopped • 8 large prawns, shells left on

FOR THE CHICKEN TIKKA

tray, spoon the marinade mixture over the top, turning to coat the prawns completely. Cover and marinate for at least 2 hours in the fridge.

FOR THE CHICKEN TIKKA 1. Blend all of the chicken tikka ingredients except for the chicken to a smooth paste in a clean food processor. 2. Place the chicken pieces in a bowl, spoon over the marinade mixture and stir to coat. Cover and marinate for at least 2 hours in the fridge. When marinated, thread the chicken pieces onto large metal skewers.

WHEN YOU’RE READY TO START COOKING

• 4 ripe tomatoes • 1 lime, juice only • ½ tsp ground cumin • ½ tsp ground coriander • small bunch fresh coriander, roughly chopped • small bunch fresh mint, leaves only, roughly chopped

1. Light your braai. Allow the flames to flare up and die down, until the coals are glowing red and starting to turn white. 2. While the braai is warming up, make the dip by blending all of the ingredients to a coarse salsa in a clean food processor. 3. When the coals are ready, lay the prawn skewers over the coals and cook for 5–8 minutes, turning once, until slightly charred on both sides. 4. Cook the chicken skewers at the same time, for 12–15 minutes, or until the chicken is cooked through. (The chicken is cooked through when the juices run clean, when the meat is pierced with a knife and no trace of pink remains.) Alternatively, heat a griddle pan until hot and cook the prawns and chicken until cooked through. 5. To serve, slide the prawns and chicken from the skewers onto plates and serve with a dollop of the dip alongside, garnished with the lime halves.

Method

Recipe Tips

FOR THE COCONUT PRAWNS

• To get ahead, marinade the prawns and chicken the day before, if desired. • If you use wooden skewers, soaking them in warm water for 10–30 minutes before threading will keep them from cooking along with the food.

• • • • • • • • • • •

5cm piece ginger, peeled and grated 1 tbsp tomato purée 1 green chilli, finely chopped 2 garlic cloves 1 tsp ground turmeric 1 tsp red chilli powder 1 tsp ground cumin 1 tsp garam masala 400g Greek-style yoghurt 2 limes, juice only 4 boneless skinless chicken breasts, cut into chunks

FOR THE DIP

1. Blend all of the coconut prawn ingredients, except for the prawns, to a smooth paste in a food processor. 2. Thread the prawns onto 4 large metal or wooden skewers, place them onto a baking

Source: www.bbc.com/food/recipes

page 31


quick tips

10

HEALTH CHALLENGES

1 Think about how you’ll respond to a crisis in advance, such as your child breaking a bone during a sports game.

2

If you have a symptom that alarms you – such as a swollen leg, which could indicate a blood clot – don’t wait to get it checked out.

ways to prepare for Don’t think that being a non-smoker means you can’t get lung cancer. Be aware of your risk factors.

4 8

5 If you’re a smoker or a former smoker, talk to your doctor about lung cancer screening.

3

If you’re receiving treatment for a health condition, don’t be afraid to ask your doctor a lot of questions. And ask for a second opinion if you want one.

6

Know what conditions run in your family and tell your doctor. Whether you're dealing with cancer or any other serious illness, know the people you can count on and ask them for help. Be specific about what you need.

9

If you might be in the midst of a health emergency but don’t want to go to hospital because of the cost, go anyway.

Does your chest hurt? Stay calm, but seek emergency care if you think there’s a chance it’s a heart attack.

7

10 Don’t live with chronic pain – such as in your back – without seeing if a GP can help you. It’s better for your quality of life, and it might uncover a treatable health problem.


Day Hospital

www.intercare.co.za


www.intercare.co.za

Dental

Profile for Health-Bytes

BodyLanguage Issue 15 Summer 2018  

QUICK TIPS: Be Prepared forHealth Challenges RECIPE: Coconut Prawns and Chicken Tikka INFOGRAPHIC: 30 Days of Happiness Challenge HEALTH STR...

BodyLanguage Issue 15 Summer 2018  

QUICK TIPS: Be Prepared forHealth Challenges RECIPE: Coconut Prawns and Chicken Tikka INFOGRAPHIC: 30 Days of Happiness Challenge HEALTH STR...