July - 2010
The Arts and Children Whale Done Parenting! Laughter As Therapy 35 Years of Caring
We are proud to welcome Dr. Gerardo Garza to our practice. Dr. Garza earned his medical degree from the Universidad de Monterrey in Monterrey, Mexico, his home town. He continued his studies in Internal Medicine at the University of Texas Medical Branch in Galveston, Texas, where he also completed his Pulmonary and Critical Care fellowship. He also had the honor of serving as Chief Resident of Internal Medicine at UT Medical Branch. Dr. Garza is certified by the American Board of Internal Medicine in Internal Medicine and Pulmonary Medicine. In addition to his training and experience, Dr. Garza has been involved in teaching medical students and other physicians. One of his greatest honors is earning the Award on Excellency, which is achieved for outstanding performance during the last year of medical school and is awarded to the top students in the class.
“VALLEY INTENSIVISTS, PULMONOLOGISTS AND SLEEP SPECIALISTS has been elected to membership in the American Academy of Sleep Medicine. The medical services of this accredited center have been found to be in conformance with the high standards required by the Academy.” American Academy of Sleep Medicine, 2010.
BOARD CERTIFIED PHYSICIANS • PULMONARY FUNCTION TESTING AND CLINIC FOR ALL BREATHING PROBLEMS • SLEEP CLINIC AND ON-SITE SLEEP STUDIES • ALLERGY TESTING AND TREATMENTS • STATE OF THE ART EQUIPMENT • BILINGUAL STAFF
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WHATÂ´S INSIDE The Arts and Children
Whale Done Parenting!
Remember to Relax While on Your Family Vacation
Kids, Allowance, and Chores
Sharing Her Grandpa
The Arts and Children
Five Tips to Help You Deal With Diabetes in Teenagers
Laughter As Therapy: The Results Are Excellent
Whale Done Parenting!
35 Years of Caring
Pointers for Parents
Dental Health and Hygiene
Checking for Cancer: Screenings for All Ages
POW: Positive Only Women
PILATES: Finding your Technique
Chronic Stress and Adrenal Exhaustion
Caffeine-Related Psychiatric Disorders
Roasted Bell Pepper & Asparagus Salad
Remember to Relax While on Your Family Vacation
Kids, Allowance, and Chores
P U B L IS TITLE HE R SAMPLE
healthy valley magazine Editor in Chief Marketing Director Website Director Graphic Design Photography Proof Reader Contributing Readers
Children, a sense of family, and a dollop of caring characterize this issue. Summer, what a wonderful time to enjoy our children and families and value ourselves. What else is there? This summer it has been so enjoyable to be able to go home for lunch and find my children there. To see them throughout the day has been enriching and a constant reminder that they are two of the many reasons I wake up every morning so eager, so determined to make a difference in the world, just because they are in it. This month our articles have been written with parenting in mind. We want to emphasize and appreciate that it takes a great deal of perseverance to be a good parent, that being in someone’s life is more than just being there. We need to fulfill our children’s needs and be aware of the many challenges they must overcome and lessons they have to learn throughout their childhoods and how hard, yet rewarding, it is when we as parents have given them our 100% and send them into the world ready to fly on their own. My congratulations to Herlinda and Denice, our Healthy Challenge Makeover finalists, who have been doing a terrific job, and to Dr. Marcel Twahirwa who focuses on their weight loss and to their trainers, Steven from Mundo Power Plate Gym and Abel from Anytime Fitness, whose focus aims for the pinnacle of women’s health as they examine the best and most productive ways to lose weight the healthy way. Remember to blog with Herlinda and Denice through our website. Help them as they work hard to make a difference in their lives and share with you their progress and success stories. Wherever you are this summer, I hope that you will be inspired by our articles and suggestions that we have gathered for you on these pages. At the very least, we hope that you get to sit back, relax, and enjoy this summer with a Red Mango and some of our delicious recipes from Chef Marcel. Be on the lookout as we will be bringing you a great announcement next issue. We are preparing something special that I am sure will bring joy and just a little more fun than what we have had throughout these past two years. Have a healthy summer, Claudia Portillo-Del Valle firstname.lastname@example.org 6
Special Thanks Account Executives
Claudia Portillo Del Valle Arnaldo Del Valle Andres Rojas Healthy Valley Media Cesar A. Tobon David Pezzat Lora Incardona Marcel Twahirwa, M.D. Sandra Trevino, FNP, CDE Ana C Posada-Diaz, MD Debra Gillett, RN, MSN, Bruce LeTourneau, ACN Mauricio Portillo Carlos Jaramillo Chef Marcel Barbara Weltman Mariana Aguayo Giselle Mascarenhas-Gonzalez Rubel Shelly Ruth Hamilton Maria Luisa Salcines National Sleep Fundation Carlos Jaramillo Edna Cervantez Giovanna Garcia Lidi Pastor Nina Farris
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SHARING HER GRANDPA
Sharing Her Grandpa by Rubel Shelly Avery’s elementary school hosted a Grandparents Day recently, and her Grandpa was able to arrange his day to be there. Avery was pleased. And her proud grandfather was looking forward to sharing a special event. Things ran about as you would have expected. With all the grandparents seated in the bleachers, boys and girls began parading onto the gym floor. Various classes were introduced. People were thanked for helping. And the children were given permission to go sit with their special guests. As Avery went to her beaming Grandpa’s side for a hug, a beautiful smile practically covered her face. But she looked back over her shoulder at the only child in her class who had not left the gym floor to scale the bleachers. Joshua was standing there all alone and looking sad. “Grandpa,” Avery said, “Joshua’s grandparents are all dead. So he doesn’t have anybody to be with today. Can he come and sit with us?” “Why, of course he can, sweetheart,” came the reply. “It would be great to have him join us.” He did. And three people had a great time together. I only wish you could have seen his face as Avery’s grandfather told me the story. He was so proud of his granddaughter for her sensitive spirit and kind treatment of her friend. He teared up a bit as he told me what had happened. 8
I knew immediately that I had heard a story that needed to be shared. Jesus once reminded his disciples that they needed to become like little children in order to enter the Kingdom of God. If you’ve ever wondered what he had in mind with that statement, just picture Avery’s compassionate treatment of Joshua. See her giggling, playing patty-cake with her Grandpa, and sharing his presence with Joshua. No jealousy. No selfishness. There was enough human kindness and laughter to go around for everyone that day. Maybe she will keep that spirit for the rest of her life. But I can guarantee there will be events, people, and circumstances to tempt her to change. Somebody will try to convince her she has no responsibility to anybody but herself. And there will be times of scarcity when her own heart will tempt her to be selfish with something under her control that another person needs. May she rise to the occasion – as she did on Grandparents Day with Joshua. There will be somebody in my world today who needs an Avery. Since she will be at school, I will try to remember the lesson she taught me and imitate her. You just might run across a similar person in the course of your day too. “I tell you the truth, unless you change and become like little children, you will never enter the kingdom of heaven” (Matthew 18:3).
ART AND CHILDREN
The Arts and Children When people talk about education, what usually comes to mind are the academicsâ€”math, reading, science. We do not often think about the arts as belonging to the education category. Some people do not even believe that the arts are a worthy piece to be included our childrenâ€™s schools. They could not be farther from the truth. In relation to performance in the classroom, students who are involved in the arts are building intelligence and expanding their attention spans. It has been proven that the arts develop creativity and problem solving skills, which are necessary abilities in the learning equation. Coloring, sketching, finger painting, and modeling clay all have something in common. They are fun ways to teach children to be creative and innovative. And the best part is that children do not even know that they are developing skills and strengthening their brains! They think it is all play. The National Art Education Association (NAEA) states that participating in the arts helps children learn to form mental images to solve problems due to the engagement of higher-level thinking. Art is wonderful because not only does it build the brain, it also provides an emotional outlet for those who have difficulty expressing themselves with words. Even the art of dance has its importance. For most people it is impossible to remain still while music is playing. Movement, 10
by Lora Incardona
whether it is dancing or toe tapping, builds balance, poise, and coordination. The more dance experience children gain, the more confidence they develop. In fact, children involved with dance, whether through formal dance classes or informal dance activities, tend to have an increased self-esteem because the accomplishment of learning various steps and routines helps build self-worth. Dance even builds a respect for others. What is really amazing is that The College Board, the U.S. association of schools and colleges, found that students who had taken four years of art and/or music in high school scored significantly higher on average on the SAT than those students who had taken only one semester of the arts. Perhaps it is a result of the creativity, problem solving, observation, and reflection skills that are developed through participation in the arts. At some point in their lives, children feel bad about themselves, do not feel like they belong, or want to change something negative about themselves, even things that cannot be changed such as their facial features and body type. What children need is not to change such things about themselves but to feel confident and worthy with what they have been given. The arts help to create confidence and self-esteem in those who need to see themselves in a positive light and learn to accept themselves. Through participation in the arts, children build a sense of pride through creation and performance.
Five Tips to Help You Deal With Diabetes in Teenagers
If you have a teenager with diabetes, it’s important to be aware of some of the issues affecting your teen when it comes to managing the condition. Here are 5 tips to help you and your teenager cope with diabetes. 1: PROMOTE SELF-RELIANCE Now is the time to encourage your teen to become self-sufficient when it comes to managing diabetes. For example, older teens are likely to start making decisions about treatment and management, rather than relying on you, and they may prefer to visit their doctors alone. If your teen is uncommunicative after meeting with the doctor, be sure that you are kept in the communication loop between your teen and the doctor or diabetes educator, always respecting the fact that your teen may now be the one making many of the decisions about managing the condition. Lots of hospitals and diabetes centers operate diabetes support groups for teenagers (or their parents) so that they can meet with others and share their experiences. There are also organizations that promote educational camps to help teenagers learn diabetes management skills. 2: UNDERSTAND YOUR TEEN’S METABOLISM
Marcel Twahirwa, M.D. Board Certified in Diabetes, Endocrinology & Metabolism, and Internal Medicine.
During adolescence, it can be very difficult to control blood glucose levels, which could be due to bodily changes that affect your teen’s metabolism. Researchers believe that growth hormone, which helps promote the growth of bone and muscle mass during puberty, also acts against the action of insulin. Another hormone, adrenaline, also plays a role: when the levels of blood sugar fall, adrenaline is released, which stimulates the release of stored glucose in the body. These hormonal influences result in the levels of blood glucose varying from too low to too high. 3: UNDERSTAND YOUR TEEN’S LIFESTYLE Having diabetes should not be an impediment to enjoying life, and it’s important that your teen recognizes this. Teens often want to eat take-out foods, go to parties, and do things on the spur of the moment. And they can. You can help your teen realize that it’s possible to have a free and easy social life and stay within healthy limits, but this can only be achieved by being disciplined about diabetes. Explain that by acting sensibly, your teen actually has more freedom to enjoy life than if his diabetes is allowed to get out of control. 4: BE AWARE OF PEER PRESSURE
Sandra Trevino, FNP, CDE
Although diabetes is a common problem, it is likely that a teen with diabetes will be in the minority at school and when with groups of friends. With adolescence bringing a plethora of physical, social, and emotional issues, it’s important that you understand what your teen may be going through. During adolescence, being ‘part of the crowd’ is particularly important, and your teen may be embarrassed about having to monitor blood sugar or take insulin. Teens should be encouraged to tell close friends about their diabetes and offer suggestions as to how these friends could help. For example, teens can teach their friends what to do if they become hypoglycemic. Also, be aware that your comments to other people may make your teen embarrassed, so ask your teen what he would like you to say in front of other people if the subject of diabetes comes up in conversation. 5: BE REALISTIC AND SEEK HELP IF YOU NEED IT
956.519.4774 2121 E Griffin Parkway Suite 14 Mission, Tx. 78572 12
Adolescence is a difficult time for any parent and teen. You may find that the child who used to comply with everything you suggested is gradually becoming uncooperative and unhelpful and may rebel against the routine management of diabetes by going on food binges or refusing to monitor blood sugar levels. So if you feel that your teen is not managing diabetes as well as possible, seek the help of your healthcare professional and take advantage of other help where it is available. Organizations such as the Juvenile Diabetes Research Foundation may be able to offer advice.
LAUGHTER AS THERAPY
Laughter As Therapy: The Results Are Excellent by Ruth Hamilton Humor is a perspective that enables one to view stress and pain with a softer edge. Though not an immediate cure for trauma, chronic illness, or emotional difficulty, humor can be a therapeutic tool. It offers positive outlets for chronically ill patients and for stressed out medical and corporate staff. For many years, medical staff have recognized that those patients who maintained a positive mental attitude and shared laughter responded better to treatment. Physiological responses to laughter include increased respiration, circulation, hormonal and digestive enzyme secretion, and a leveling of the blood pressure. Many report a general sense of euphoria after vigorous laughter. But until the New England Journal of Medicine in 1979 published the Norman Cousins case study, few considered the therapeutic uses of humor. The first documented case of humor positively affecting disease was in 1964 when Norman Cousins published “Anatomy of an Illness.” Medical professionals were, for the first time, shown that humor biologically reversed Cousins’ ankylosing spondylitis, a painful disease causing the disintegration of the spinal connective tissue. Given a one in five hundred chance of recovery, Cousins decided to infuse himself with humor treatments. With Cousins’ self-designed humor treatments, he found that 15 minutes of hardy laughter could produce two hours of pain free sleep. Blood samples also showed that his inflammation level was lowered after the humor treatments. Eventually, Cousins was able to completely reverse the illness. Following the example of Cousins, many health care facilities as well as corporations have established humor programming as an aid to patient/employee health. To meet the growing demand for therapeutic humor, Carolina Health & Humor Association (Carolina Ha Ha), incorporated in 1986 as an educational service foundation. Carolina Ha Ha specializes in humor programming for health care, for business, and for personal
growth. The founder, Ruth Hamilton, continues to serve as Executive Director. An early program included the Laugh Mobile and was developed for Duke University Medical Center in 1987 by Hamilton. This became the Duke Humor Project and offers bedside humor interventions to cancer patients. Coordinated with the Department of Oncology Recreation Therapy, patients receive humorous interactions that invite them to use the Laugh Mobile. This rolling display cart with a circus motif delivers a wide variety of humorous media including books, audio and video tapes, games, and clowning props. Patients are invited to use their hospital time to learn a new skill that will increase creativity and keep the mind active. Distraction becomes a resource for pain management. Boredom is combated through positive experiences. Humor interventions offer a plan to promote joy and laughter in patients, which offers many positive effects in their recovery. Humor volunteers may engage in yo-yo demonstrations, guitar playing, or just friendly banter that reveals clues to patient humor preferences. Water-guns may be dispensed to allow the patient to fight back during the rigorous oncology treatment. Patient assessments document the effectiveness of the humor intervention and offer the recreation staff and volunteers continuity of interventions. Over the last nine years, Hamilton has assisted dozens of hospitals nationwide to implement humor programming patterned after the Duke Humor Project. The Laugh Mobile is also manufactured by Carolina Ha Ha and has been sold nationally. Medical staff report that Laugh Mobile programs build morale and endorse the value of the sense of humor. Ruth Hamilton and Frank Jeffreys may be contacted at (919) 544-2370 for consultation or presentations. Carolina Ha Ha offers monthly community mini-seminars and also clowning classes and the Certified Humor Presenter series. Their web site URL is email@example.com. All rights reserved.
WHALE DONE PARENTING
Whale Done Parenting!
Catch Your Children Being Good! By Lora Incardona Parenting. It is so simple when children behave, yet not so simple when there are tantrums and disobedience. But what is a parent to do when all efforts to rear a well-behaved child have been for naught? There is no one technique that works magic on all children. Many times it seems to be a matter of trial and error, and it is not unusual for different techniques to be effective with each child within the same family. So where is a parent to start? How about with the basic scientific principles of behavior? Some behaviorists talk of a link between rearing children and training animals. Although this may sound insulting to human parents, scientific studies have proven that the two are more alike than some may like to admit. In fact, there has been a positive collaboration between killer whale SeaWorld trainers and Ken Blanchard, one of the most prominent leadership experts in the world. They have combined their knowledge and experience, and from their work has come the book Whale Done Parenting. In the 1970s, when SeaWorld and Blanchard began working together, animal training was not as it is today. Prior to their collaboration, there was an obvious need to find better ways to train the animals at SeaWorld. Trainers did their best and developed their own training methods based on 16
trial and error and past experience (much like parents), because the popular method of command-and-control training was not effective. Today, thanks to the collaborative effort, animal trainers are aware of and use what is called science of operant conditioning, which is the theory that desired responses are strengthened through reinforcers and that the individual is conditioned to respond. The overriding principle is to accentuate the positive, not punish the negative. This is not to say, however, that punishment is never warranted. Because of SeaWorldâ€™s intensive investigation of the field of behavioral science, it was instrumental in pioneering the reinforcement-based training that is now used the world over to train animals. Parents were so inspired by reinforcementbased training that they began asking if the same methods would be successful in childrearing as well. The answer was a resounding yes. It has been proven that the key to developing good behavior in children is catching them doing something right and rewarding them for that positive, desired behavior, even if the reward is as simple as a compliment, thank you, or high five. The philosophy of reinforcement-based training or parenting goes beyond a set of techniques. Itâ€™s a way of looking for the best in children and outwardly acknowledging it.
We have had the pleasure to interview the bright young CEO from Valley Regional Medical Center (VRMC), David C. Handley. A married man with 1 child, he has been with VRMC for 5 years, and last month celebrated the center’s 35th anniversary. David Handley is proud of his staff and VRMC’s mission statement. He said, “The staff created their own mission statement. We went through a process a few years ago where we asked our employees what the difference is between Valley Regional Medical Center and the hospitals in the area. Many of our employees voiced the concept that we are a family, and when people come here, we take care of them as a family. This is a very tight community, and we take care of it. That’s how we came up with our mission statement: Our mission is to treat our community as family by providing quality compassionate care. We all believe it, and it drives everything that we do. People have choices, but we truly deliver the best choice for health care.”
David Handley Valley Regional Medical Center Brownsville, TX Chief Executive Officer
EDUCATION 1993-1995 Tulane University New Orleans, LA Master of Health Administration 1988-1993 University of Illinois Champaign, IL Bachelor of Arts in Economics and English Literature 1991-1992 University of Vienna, Vienna, Austria Completed International Economics Curriculum
PROFESSIONAL American College of Healthcare Executives – Fellow & Mentor
COMMUNITY INVOLVEMENT University of Texas at Brownsville (UTB) Development Board Board Chair for the Consortium for Health Profession Education at UTB
HOW DO YOU FEEL AS VRMC CELEBRATES 35 YEARS OF SERVING THE COMMUNITY? Fantastic! We have people who have worked here for 35 years. We even have an employee that was the first ever born in this hospital. It is a very united group of people that works in this facility. We take care of each other as a family, like we treat our customers. We really embrace this concept. In here, if you walk around, everybody will be looking at you in the eyes, smiling, a very positive vibe, taking care of you, like a family. AS CEO, WHAT HAVE YOU BROUGHT TO VRMC? I give a lot of energy running the hospital, in making it the best it can be. After I went to Tulane University, I started working with a group called HCA, which owns about 160 hospitals. I was with HCA for almost 15 years and worked at several hospitals around Louisiana and at a Houston hospital before coming to VRMC. I gained a lot of experience with HCA and that is what I brought here. When I started in 2005, we were in the bottom 10 in patient satisfaction. Now, we are in the top 10 of the hospitals in our organization. We did a lot to make this happen. WHAT CAN YOU TELL ME ABOUT VALLEY REGIONAL MEDICAL CENTER? There are 700 employees and 200 affiliated physicians, with specialists in almost every area. We are an acute care hospital with a level 3 trauma center in the area, available 24 hours-7 days a week. Also being that Brownsville is a very young population, average age 27 years old, 6,000 babies are born annually in this area, making Obstetrics/ Gynecology and Pediatrics very busy service lines. HOW DO YOU SEE VRMC IN FIVE YEARS? We will continue to grow. We pride ourselves in being the best and having the best technology. We are the first hospital in the Valley to have a robot in the pharmacy, to install a CT scanner, to incorporate “air strip OB” (distant monitoring of fetal heart tracing via PDA), and to utilize “PK Mobility” (obtaining clinical information via PDA). We will continue to embrace technology to provide the very best equipment and resources for physicians, because that’s what the community deserves. And we will continue to push the envelope. The Valley is the fastest growing area in Texas, so we need to always be expanding our services and recruiting physicians to meet the demand. We are proud of the quality of what we do and the quality of our employees and services we provide. Being an HCA facility, we have in Brownsville what’s found in major metro market HCA hospitals.
Valley Initiative for Development and Advancement Board Brownsville Airport Advisory Board Brownsville Chamber of Commerce Board Texas Hospital Association Council on Policy Development Supporter of the United Way, March of Dimes, American Heart Association, and American Cancer Society
100 Alton Gloor Blvd Brownsville, Texas 78526
POINTERS FOR PARENTS
Pointers for Parents What can you do to be sure your teen gets enough sleep to be healthy and perform at his or her best?
Become a good role model by making sleep a high priority for yourself and your family.
Learn about physical, behavioral, and emotional changes that occur in adolescence and how sleep is affected.
Establish a home environment that promotes healthy sleep habits. Quiet time in the evenings should be free of loud music and bright lighting. Limit your child’s use of the computer, radio, TV, phone, or instant messaging device close to bedtime. These devices in the bedroom can disrupt sleep.
Know the signs of insufficient sleep in teens. They include difficulty waking in the morning, irritability late in the day, falling asleep during quiet times in the day, and sleeping for extra long periods on the weekends. Decide on age-appropriate schedules for your family and work to maintain them. Talk with your teens to make sure they are getting the amount of sleep required. If not, help them to adjust or balance school, work, and activity demands to make sure that an appropriate amount of sleep can be fit into their daily schedule. Work with your teens to help make the hard choices of which activities to cut back on so that they can increase and get the amount of sleep they need. Encourage your children to keep a sleep diary for two weeks and to share it with you. This can provide immediate insight into sleep habits that could use improvement and can be used to measure progress. Plan ahead if your child’s sleep schedule while on vacation is different from an upcoming school schedule. Move back to “school time” gradually, because this transition can take several days to several weeks to complete. Seek the opinion of a sleep expert if you think your child may have a sleep disorder. Sleepiness can be a sign of serious but treatable sleep disorders such as narcolepsy, sleep apnea, or restless legs syndrome. 20
Advocate for positive changes in your community and schools by increasing public awareness about sleep and related disorders. Support sleep-smart policies and request that sleep curricula be included. Encourage your school district to enact policies that will benefit the sleep health of all students such as later school start times for adolescents. Understand that the consequences of sleep deprivation include increased chance of fall-asleep car crashes, poor health, poor grades, depression, substance abuse, aggressive conduct, and behavior problems. Create a sleep-friendly room for your teen that is cool, quiet ,and dark. Lights should be dim close to bedtime to signal the brain when it is time to sleep and bright light used in the morning to signal the brain when it is time to wake up. Restrict the use of sleep disturbing products including pills and caffeine. Consuming caffeine late in the day can disturb sleep many hours later. Organize active family activities. Exercise can improve sleep, but make sure it is not too close to bedtime.
National Sleep Foundation
DENTAL SAMPLEHEALTH TITLE
Dental Health and Hygiene From the time you were little, you’ve been hearing about how important it is to brush your teeth and floss every day. But caring for your teeth and gums does more than improve your smile and your breath. In fact, good dental hygiene may actually reduce your risk of ulcers, pneumonia, digestive problems, heart disease, stroke, and diabetes. A healthy mouth doesn’t just happen by itself—you need to take on an active role by making dental hygiene a part of your everyday routine. Although you can’t see them, there are literally millions of bacteria in your mouth. Some are harmless and help break down the food you eat so it can be more easily digested. Other bacteria are quite harmful. They clump together to create plaque, a sticky, acidic substance that builds up on the teeth. Having plaque on your teeth is perfectly normal, and if it’s regularly removed (by brushing and flossing every day), plaque is harmless. But if it’s not removed, plaque begins eating away and decaying your teeth and will ultimately cause cavities and gum disease. Over time, the bones and tissue that hold your teeth in place can be destroyed. Your teeth may become loose and/or fall out. GUM DISEASE Approximately 75% of adults over 35 will have some form of gum disease at some point in their lives. In the early stages, gum disease is painless and you might not even notice you have it. But if you notice any of the following symptoms, you should see a dentist as soon as you can. • • • •
Red, swollen, tender gums Gums that bleed when you brush or floss Gums that have receded (pulled away) from the teeth Persistent bad breath or bad taste in the mouth
• Pockets of pus around teeth or gums • Loose teeth, changes in the way your teeth fit together when you bite • Pain when chewing or difficulty chewing certain kinds of foods PREVENTION AND TREATMENT Fortunately, early gum disease can almost always be reversed—but you’ll have to make a commitment to taking better care of your teeth. Here are some important steps to take: • Have your teeth checked and cleaned at least twice a year. • Brush at least twice a day with fluoride toothpaste—if possible after every meal. Use a soft bristled brush. • Floss every day. • Brush your tongue or use a scraper to remove the bacteria that gathers towards the back of your tongue. • Eat crunchy foods like apples and carrots. They actually help reduce plaque buildup on the surfaces of the teeth and may even help reduce coffee stains. • Avoid sugary snacks and soft drinks between meals. These foods quickly convert to plaque. • Drink lots of water. Saliva helps reduce plaque by washing it away. But age and some medications may make your mouth dry and more susceptible to plaque buildup, tooth decay, and gum disease. Chewing sugarless gum is one way to stimulate saliva. • Don’t smoke or chew tobacco. • Avoid chewing hard candies or anything else that might damage your teeth. • If you have dentures, most of the suggestions above apply to dentures as well as your natural teeth. Blueprint for Men’s Health: A Guide to a Healthy Lifestyle • Second Edition
MCALLEN 1901 South 2nd Street McAllen, Texas 78503 PH: 956.687.5150 FAX: 956.687.9546
WESLACO 1330 East 6th Street, Suite 204 Weslaco, Texas 78596 PH: 956.969.0021 FAX: 956.968.9744
BROWNSVILLE 2150 N Expressway 83 Brownsville, TX 78521 PH: 956.548.0810 FAX: 956.548.2239
HARLINGEN 2121 Pease Street, Suite 101 Harlingen, Texas 78550 PH: 956.425.8845 FAX: 956.364.6793
TEXAS UROLOGY ALLIANCE, P.A. 844 Central Blvd. Suite 430 Brownsville, TX 78520 PH: 956.982.7190 FAX: 956.982.7191
By Debra Gillett, RN, MSN, FNP-C Texas Oncology-McAllen
Checking for Cancer: Screenings for All Ages The National Cancer Institute estimates that more than 1.5 million people in the United States will be diagnosed with cancer in 2010, and more than half a million are expected to die because of cancer. It’s possible that up to 35 percent of premature cancer-related deaths could be avoided through screening, according to the National Cancer Institute. The latest Health Information National Trends Survey states that most Americans are not even aware of how often they should see a doctor for cancer screening exams, such as mammograms and colonoscopies. Screening exams are extremely important because they allow cancers to be diagnosed at the earliest stages and treated when treatment is most effective. Recent studies have added to the general confusion about when to screen for what type of cancer. At Texas Oncology–McAllen, experts know screening can save lives. Texas Oncology recommends specific timing for screenings based on age, gender, family history, and type of cancer. EVERY AGE People of all ages should check their skin once a month for changes in moles, freckles, and other marks. Women should conduct regular self-exams to determine if their breasts feel different and report any changes to their physician. WOMEN IN THEIR 20S Women in their twenties should check their breasts for lumps every month and have a clinical breast exam every one to three years. Women should have a Pap smear to screen for cervical cancer at least once a year beginning at age 21, or three years after beginning to have sexual intercourse, regardless of whether they have received the HPV vaccine. Women with an increased risk, such as family history of breast cancer, should discuss beginning screenings earlier with their doctors. WOMEN IN THEIR 30S Women in their thirties should continue to have clinical breast exams and Pap smears every one to three years. Women with a high lifetime risk for breast cancer (greater than 20 percent) — associated with defined genetic profiles — should discuss MRI screening with their physicians.
WOMEN IN THEIR 40S AND 50S Women in their forties and fifties should have an annual mammogram and should continue clinical breast exams and Pap smears every one to three years, as well as an annual MRI screening if recommended by their doctors. WOMEN AND MEN IN THEIR 50S Beginning at age 50, men and women should begin screening for colorectal Debbie Gillet t , cancer. A physician can recommend RN, MSN, FNP- C , the best option for colorectal cancer screening, including colonoscopy, flexible sigmoidoscopy, fecal occult blood test, double contrast barium enema, or fecal immunochemical test. People with increased risk factors for colorectal cancer (family history of the disease, diabetes, or Lynch syndrome) should discuss beginning screenings earlier than age 50 with their physicians. MEN IN THEIR 40S AND 50S At age 50, and then as recommended by a physician, men should have the prostate-specific antigen (PSA) blood test and a digital rectal examination (DRE) to screen for prostate cancer. Men with a high risk of prostate cancer (African American men and those with a family history of the disease) should begin screenings at age 45, and those with even higher risk of prostate cancer should begin testing at age 40. Practicing proper nutrition and sun safety as well as engaging in physical activity are ways everyone can help prevent cancer. However, regular screenings can detect cancer at an early stage when it’s most treatable. No matter the age, it is important to screen for cancer. Debra Gillett is a certified family nurse practitioner with a certification as an advanced oncology nurse at Texas Oncology–McAllen, 1901 South Second Street in McAllen, Texas.
BROWNSVILLE Carlos Gonzalez-Angulo, M.D. Radiation Oncology Dr. Gonzalez specializes in radiation oncology and internal medicine. He is certified by the American Board of Internal Medicine as well as the American Board of Radiology, and is a member of the American Society of Therapeutic Radiation Oncology (ASTRO), American College of Radiation Oncology (ACRO). He completed his fellowship in radiation oncology at Roswell Park Cancer Institute, in Buffalo, New York, and also completed a second residency in radiation oncology at Jackson Memorial Hospital/Sylvester Comprehensive Cancer Center, in Miami, Florida. Aside from his medical practice, Dr. Gonzalez is a Christian lay minister and a student of ancient Greek.
Jos. John Mar tinez-O’Hara, M.D. Medical Oncology/Hematology Dr. Martinez-O’Hara specializes in hematology and medical oncology. He completed his internship and residence at South Baltimore General Hospital and is a fellow in hematology/ oncology and radiation oncology at the University of Maryland. He is the former chief of staff of Valley Baptist Hospital and Valley Regional Medical Center in Brownsville- He served as the coordinator for District 6 for the Texas Medical Associates Committee for Physician Health.
Balesh Sharma, M.D. Medical Oncology/Hematology Dr. Sharma specializes in internal medicine, medical oncology, and hematology. He is boardcertified in medical oncology. He completed his medical internship at Lincoln Medical Center in New York and completed his residency in internal medicine at St. Vincent’s Medical Center in affiliation with Yale University School of Medicine, Connecticut. He completed a fellowship in hematology and oncology from The University of Texas Southwestern Medical Center in Dallas and has served patients in the Rio Grande Valley since 2001. He received the American Cancer Society’s “Cancer Screening Resident of the Year” in 1995 and is a member of the American Society of Clinical Oncology and a member of Association of Community Cancer Centers (ACCC).
Jose L . Maymi, M.D., M.S., FACS
Dr. Maymi is board-certified in urology. He completed his urology oncology fellowship and received a masters in Clinical Investigation from the University of Iowa. He is a fellow of the Fellowship of American College of Surgeons (FACS) and has served the Brownsville community for the past four years.
Texas Urology Alliance 844 Central Blvd., Ste 430 Brownsville, Texas 78520 PH: 956-982-7190 FAX: 956-982-7191
Brownsville 2150 N Expressway 83 Brownsville, TX 78521 PH: 956.548.0810 FAX: 956.548.2239 www.TexasOncology.com
McALLEN Texas Oncology delivers high-quality cancer care with leading-edge technology and advanced treatment options to help patients achieve “More breakthroughs. More victories.” in their fights against cancer. Texas Oncology, a pioneer in community-based cancer care, is an independent oncology practice with sites of service throughout Texas and southeastern New Mexico. Texas Oncology patients have the opportunity to take part in some of the most promising clinical trials in the nation for a broad range of cancers. In fact, Texas Oncology has played an integral role in gaining Food and Drug Administration (FDA) approval for 29 of the latest cancer therapies.
Billie J. Marek, M.D., FACP Medical Oncology/Hematology Dr. Marek is board-certified and specializes in medical oncology and hematology. He currently serves as a director of Texas Oncology and is the medical director for Texas OncologyMcAllen. He has served the Rio Grande Valley for the past 22 years as a medical oncologist and hematologist, has been recognized as a “Super Doctor” in oncology for five years in a row, and was recognized as Doctor of The Year for Rio Grande Regional. Dr. Marek received his medical degree from The University of Texas Medical School at San Antonio. He completed his fellowship at The University of Texas M. D. Anderson Cancer Center.
Alvaro Restrepo, M.D. Medical Oncology/Hematology “I can be part of your team… and together we can fight the battle.” Dr. Restrepo specializes in, medical oncology and hematology. He completed his fellowship at the University of Miami. He also serves on the Breast Cancer Committee of US Oncology and has completed a fellowship in breast cancer treatment. Through the Life Beyond Cancer Fundation he established the Texas Oncology–McAllen Breast Cancer Ride/Walk fundraiser to raise funds for Rio Grande Valley cancer patients. To date approximately $30,000 has been donated to cancer patients in the Rio Grande Valley.
Suresh Ratnam, M.D., FACP Medical Oncology/Hematology Dr. Ratnam has been with Texas Oncology-McAllen for 13 years, which he joined after completing his fellowship at the renowned National Cancer Institute at the National Institutes of Health. He has co-authored several research publications and is passionate about cutting-edge oncology care. He currently serves on the Pharmacy and Therapeutics Committee of US Oncology and chairman of the Credentials Committee for South Texas Health System.
McAllen 1901 South 2nd Street McAllen, Texas 78503 PH: 956.687.5150 FAX: 956.687.9546 www.TexasOncology.com
Nurul Wahid, M.D. Medical Oncology/Hematology Dr. Wahid was fellowship-trained in medical oncology and hematology at Columbia University College of Physicians and Surgeons in New York. He has been recognized as Physician of the Year at Rio Grande State Center in Harlingen where he has served as senior attending physician for the past 13 years.
Joseph Litam, M.D. Medical Oncology/Hematology Dr. Litam was fellowship-trained at The University of Texas M.D. Anderson Cancer Center in Houston. He is well known in the community and was in private practice for 27 years before joining Texas Oncology. He has special interest in treating solid tumors.
Guillermo Lazo, M.D. Medical Oncology/Hematology Dr. Lazo specializes in medical oncology and hematology. He completed his fellowship at The University of Texas M.D. Anderson Cancer Center. He is a recipient of several awards including the American Society of Clinical Oncology Merit Award and is the author of several peer-reviewed medical publications as well as book chapters. He received the highest honors on the professional examination for his medical doctorate degree.
Marcelo Boek, M.D. Medical Oncology/Hematology Dr. Boek is board-certified in internal medicine, medical oncology and hematology. Prior to him joining Texas Oncology, he conducted clinical research as part of the North Central Cancer Treatment group.
Nirupama Shekar, M.D. Medical Oncology/Hematology Dr. Shekar specializes in medical oncology and hematology and is currently the only female oncologist in the Rio Grande Valley. She completed her fellowship at Johns Hopkins University School of Medicine in Baltimore, Maryland and trained at The University of Texas M.D. Anderson Cancer Center.
Benjamin West, M.D. Radiation Oncology Dr. West is a board-certified radiation oncologist. He was a physicist prior to becoming a physician.
Rogelio Salinas, M.D. Radiation Oncology Dr. Salinas is a board-certified radiation oncologist. He completed his residency training at Memorial Sloan–Kettering Cancer Center in New York followed by his fellowship at The University of Texas M.D. Anderson Cancer Center.
Debbie Gillett, R.N., N.P. Nurse Practitioner
“Cancer prevention is a high priority. My aim is to identify individuals who may be at high risk for cancer and work with them to develop a plan to reduce that risk.” Debbie Gillett is a nurse practitioner.
HARLINGEN - WESLACO Ramon F. Arguelles, M.D. Radiation Oncology Dr. Arguelles is knowledgeable in all aspects of radiation oncology: 3-D conformal, IMRT, as well as brain stereotactic radiosurgery, and brachytherapy utilizing the High Dose Rate unit. He completed his residency training in radiation oncology at Montefiore Medical Center and the Hospital of A. Einstein College of Medicine in New York City. While there he became chief resident and earned the Leo M. Davidoff Society Award for Outstanding Achievement as house officer from the college of medicine. Dr. Arguelles has been board-certified in radiation oncology since 1988.
Daniel Farray, M.D. Medical Oncology/Hematology Dr. Farray is board-certified in medical oncology, hematology, and internal medicine. He received his medical degree in 1998 from the Universidad Nacional Pedro Henriquez Urena in the Dominican Republic and completed his residency in internal medicine at the Cleveland Clinic Foundation in Cleveland, Ohio. He completed his fellowship in medical oncology and hematology in 2006 at Cardinal Bernardin Cancer Center/Loyola University Chicago. Dr. Farray ranked first in his medical school class. He is a member of the American Society of Clinical Oncology and American College of Physicians. Available to see patients in Harlingen and Weslaco.
Marco A . Araneda, M.D. Medical Oncology/Hematology Dr. Araneda specializes in medical oncology and is board-certified in internal medicine and medical oncology. He received his medical degree from San Carlos University in Guatemala and completed a medical oncology fellowship at East Tennessee State University, Johnson City, Tennessee, as well as a fellowship in bone marrow transplantation at the University of Florida, Gainesville, Florida. He has special interests in breast cancer, gastrointestinal malignancies, hematologic malignancies, and molecular targeted therapy. He is a clinical instructor at Regional Academic Health Center, a lower Rio Grande Valley extension campus of The University of Texas at San Antonio.
Habib Ghaddar, M.D., FACP Medical Oncology/Hematology Dr. Ghaddar specializes in medical oncology and hematology. He is board-certified by the American Board of Internal Medicine in hematology and medical oncology. He received his medical degree from the American University of Beirut in Beirut, Lebanon. He completed his internship and residency in internal medicine at the Good Samaritan Hospital/John Hopkins University in Baltimore, Maryland. He completed his fellowship in hematology/ oncology at The University of Texas MD Anderson Cancer Center in Houston, TX. He has been in practice with Texas Oncology since 1995. Available to see patients in Harlingen and Weslaco.
Laura E. Cisneros, M.D. Medical Oncology/Hematology Dr. Cisneros specializes in hematology and oncology. She completed her residency in internal medicine as well as her fellowship in hematology and oncology at the University of Kansas Medical Center in Kansas City, KS. She is board-certified by the American Board of Internal Medicine and is a member of the American Society of Clinical Oncology.
Harlingen 2121 Pease Street, Suite 101 Harlingen, Texas 78550 PH: 956.425.8845 FAX: 956.364.6793 Weslaco 1330 East 6th Street, Suite 204 Weslaco, Texas 78596 PH: 956.969.0021 FAX: 956.968.9744 www.TexasOncology.com
heal t hy makeover challenge The Healthy Makeover Challenge is well underway! Herlinda and Denice have been working extremely hard to makeover their lives and their looks, and the results are incredible! Both ladies are extremely dedicated to the challenge that they have decided to accept and are encouraging each other along the way. Herlinda and Denice, you are inspiring and determined women and an encouragement to us all!
Herlinda C. Colley
Denice is really taking in all the goodness of this Healthy Makeover Challenge. She is even appreciating the idea of working out on a daily basis and is feeling better and more energized. Way to go, Denice! She is taking her mom’s advice to focus only on the present and the future, which are looking very healthy for her. After two weeks of the Challenge, Denice lost 10 pounds and 8 inches. Her first 4 pounds came off “just by starting to eat healthy.” Take the time to visit Denice on the Healthy Valley Magazine website.
Herlinda had a wonderful month in June! She saw many of the Healthy Makeover Challenge sponsors and has been at working out faithfully, despite being sore. If you have been following her blog, you know that she only wanted to “cheat” one day but fought the urge and stayed the course. Good for her! She reports that she has already dropped a size in clothing and lost 5 pounds in the first week! Nice job! With motivation, persistence, and true desire, all is possible. Be sure to visit Herlinda on the Healthy Valley Magazine website.
Height: 5’ 6”
Height: 5’ 2”
Weight: 280 lbs
Weight: 180 lbs
Being completely healthy consists of a lot more than being physically healthy. You can be extremely fit but have negative thoughts running through your head. Is that really healthy? It is important to feed your soul with healthy thoughts just as it is important to feed your body healthy food. Many people live a day-in-day-out kind of life, but is it enough? Do you want to live an EXTRAordinary life? You can! It begins with YOU deciding to do so.
P.O.W. talks about choosing to see the positive side of every situation, understanding that dreaming big is a necessity, and believing that you can accomplish anything is a reality! We were dreaming big when we decided to found P.O.W., and we just celebrated P.O.W.’s first birthday! Yippee, dreams do come true! We are dreaming of P.O.W. sweeping the nation as a lifestyle, and we believe it is happening right now!
P.O.W. is an organization that stands for Positive ONLY Women. However, as we have developed, we have had a few P.O.W. men jump on board. We formed this organization because we felt like we had a secret we wanted to share. The secret is we were living TRULY HAPPY lives, and we were doing it with life’s events that are being thrown at us. How were we living HAPPY? The Secret… we chose to! Yes, we simply decided to live happy at a certain point in our lives (actually at quite difficult points in our lives), and it works! That is how we came together and collaborated to make it our mission to find like people to live extraordinary lives and support each other through it!
Every month P.O.W. is proudly bringing this “new” lifestyle into your homes through Healthy Valley magazine. Look for us giving you a boost of P.O.W. to enhance your life! A truly healthy body and soul can always use a little P.O.W.!
Choosing to live happy is done by practicing daily, like waking up and giving thanks for another day and choosing to make the most of what is gifted to you. Daily we have some sort of set back, and this is when the practice is crucial. You begin with a formula: event + reaction = outcome. Think about any negative event that has happened to you lately, like getting toothpaste on your shirt when you are already late for work. If you react with a hostile attitude, the outcome is negative, but if you laugh and quickly change your shirt, your outcome is pleasant.
Sending you some POWness NOW!!! Your POW sisters, Mariana Aguayo and Giselle Mascarenhas-Gonzalez
Mariana & Giselle
THE NEXT GENERATION OF BODY CONTOURING BE SELECTIVE Every body type has problematic areas that are predisposed to fat storage and, even with rigorous diet and exercise, those unwanted bulges often persist. Now you can have the body you’ve always wanted with fast recovery and smooth results. With VASER Lipo, your doctor can perform everything from minor touchups to major transformations. The next generation in body contouring, VASER Lipo, or LipoSelection®, uses ultrasonic energy to precisely break apart fat deposits for easy, safe removal. Whether you need fine-tuning or significant fat reduction, VASER Lipo enables your doctor to do his or her very best work
WHAT IS VASER® LIPO? HOW DOES IT DIFFER FROM TRADITIONAL LIPOSUCTION? VASER Lipo, also known as LipoSelection®, is an advanced body contouring procedure that selectively removes unwanted body fat. An alternative to the harsh techniques of traditional liposuction, VASER Lipo uses state-of-the-art ultrasound technology designed to gently reshape your body. What distinguishes the VASER Lipo procedure is its ability to differentiate targeted fat from other important tissues such as nerves, blood vessels and connective tissue. Innovative VASER technology breaks up fat while preserving these other important tissues to promote smooth results and rapid healing. HOW DOES VASER LIPO WORK? First, the area to be reshaped is filled with a special saline solution that helps numb the site and shrink the blood vessels (to minimize blood loss and reduce bruising). This solution wets and fills the area to be treated, making it easier to break up fatty tissue with the VASER Lipo System’s ultrasound energy. Then a small probe transmits sound energy (similar to that used for cataract removal from the eye) to break up fatty tissue on contact while preserving other important tissues. Finally, the liquefied fat is removed through a gentle suction process designed to minimize damage to surrounding tissues. WHAT BODY AREAS CAN BE TREATED WITH VASER LIPO?
Doctors have experienced great success in treating all of the following areas: abdomen, thighs, knees, buttocks, hips, back, arms, male and female breasts, love handles, chin, neck areas and just about any other body part you need treated.
The VelaShape II System promises clinically-proven results in as little as four treatments. The VelaShape II system has been performed over 3 million times in patients around the world, and results of recent studies show an average reduction of more than 2 centimeters in thigh circumference and up to a 60% overall improvement in skin texture after five sessions. Some of the key benefits of the VelaShape II system include: • • • • • • • • • •
Reduced inches after liposuction Smooths out skin after weight loss Reshapes and tones loose skin Reduces appearance of cellulite Can treat skin on the abdomen, butocks or neck in less than thirty minutes Proven safe and effective for treating cellulite Zero downtime Easy to administer Highly-controllable energy heat source with the elos technology Targeted treatment
MEDSANA PATIENT AFTER 1 VELASHAPE II SESSION
• • • • • • •
MEDICAL WEIGHT LOSS LYPOMASSAGE TREATMENT ANTI-CELLULITE TREATMENTS BODY SCULPTING CARBOXI THERAPY ANTI-AGING SHOT RHINOPLASTY
• • • • • • •
MESO THERAPY BOTOX & FILLERS THREAD LIFT FACE & BUTTOCKS PRODUCTS FRIDA DORSH LASER SKIN TIGHTENING VASER HI DEF LIPO SCULPTURE GASTRIC BYPASS SURGERY
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801 E Nolana, Suite 3 McAllen, TX 78504
PILATES: Finding your Technique The word Pilates has a nice way of rolling off the tongue. Since its creation, the famous exercise with the odd name has been taking off for both men and women, with 11 million people who practice the discipline regularly and 14,000 instructors in the United States. By focusing on the spine and its core muscles, Pilates emphasizes the balanced development of the body through core strength, flexibility, and awareness in order to support efficient and graceful movement. It does not stop there, however. While women have traditionally embraced the Pilates elegant style, the rigid system of exercises and machines also has much appeal to men as we have seen in the recent explosion of Pilates-based exercise regimes. Started in the mid 1920s by Joseph Pilates to help wounded World War I veterans, the method uses the six principles of Centering, Control, Flow, Breath, Precision, and Concentration to allow participants to completely change their bodies and rid themselves of any chronic weaknesses. Joseph Pilates originally called his work “contrology.” He considered this to be a body/mind/spirit approach to movement founded on the integrative effect of these principles. The Power Pilates Program is a workout honoring the integrity of the methods and approach of the German creator. “I had originally tried it when I contracted a spinal disc herniation injury lifting weights at the gym. I thought my exercise life was pretty much over, as this kind of injury essentially limits you to maybe swimming for any kind of exercise,” says Bridget Castñeda, a trainer and manager at Alamat Pilates and Spa. “When I tried Pilates, I found that it was as much therapy for me as it was exercise, and while I did get muscle tone and flexibility, I also found myself being almost completely rehabilitated from my spine injury.” Pilates often emphasizes the importance of the spine and the profound effect it has on the body. The act of deep breathing is also used to gain a balanced anatomical position that allows for optimal function, such as better circulation through blood vessels, better oxygenation through respiration, and a higher functioning nervous system. “I’ve walked out of sessions with a lift and energy that wasn’t there before. My fitness, flexibility, strength, even my height, was affected,” says Mary Walker, an instructor at South Texas College. “Aside from losing the weight I wanted to lose, I think I gained 3/4 of an inch in height!” “When I first came to the Rio Grande Valley, there were no options for anyone who wanted part of this, so I took it on myself and became a certified trainer, and now Alamat Pilates and Spa presents two options: Commercial, i.e., Modern Pilates (more active, more of a emphasis on fitness, sessions are in larger groups), and Classical Pilates (slower pace, more personal and therapeutic, and less intense) at two different locations, one on 10th Street and one on Dove Avenue. It really is a great way to choose which style fits you best, what you’re most comfortable with,” says Castñeda. “It’s amazing to see how it much it has grown since, especially here in the RGV.” By Carlos Jaramillo
mone-like substances, which are integrated into virtually every function of the body. The inner part of an adrenal gland is an extension of nerve tissue providing quick jolts of energy to help us handle “emergencies.” Unfortunately, our modern lifestyle seems like one emergency after another to our adrenal glands, so they end up getting exhausted, “jumpy,” and overworked. And without healthy adrenal glands we suffer. Many of the syndromes, symptoms, and diseases of the 21st century are directly related to a lack of adrenal health. To • • • • • •
Chronic Stress and Adrenal Exhaustion By Bruce LeTourneau Stressful challenges from our environment such as air, water, and chemical pollution; the eating of “junk” foods; stressed interpersonal relationships; overworking and anxiety combined with fears of the unknown; and the future for our family and friends are the signs of our times. Coping with these physical, mental, and emotional stresses tests the limits of our health. Each and every one of these challenging factors calls upon one or more of the dozens of healthful functions provided by the adrenal glands. The adrenals are endocrine glands the size of walnuts and are located on top of the kidneys. The outer layers are known to create more than 30 hormones or hor40
name a fewChronic Fatigue Immune Deficiency Insomnia Craving of Sweets and Caffeine Weight Gain Depression
Constant stressful stimulation of the adrenals ultimately leads to adrenal exhaustion. Think of the adrenals as if they were muscles. Muscles contract when the need arises and relax when the need passes. Try holding even a small hand weight straight out from your body—it won’t take long for your arm to fatigue and go weak. Similarly, the adrenals respond to stresses, and ultimately fatigue if not given an opportunity to “relax” and restore their strength and function. In this way, constant stress leads to the loss of healthful adrenal function. Refined carbohydrates, junk foods, physical and mental strain, sleep deprivation, chemical and heavy metal toxins, trauma/injury, anger, fear, worry, anxiety, overworking, noise pollution, inflammation, pain, infections, indigestion, food allergies, low blood sugar—as one can see from this list of challenges, in our world the adrenals are constantly stressed. Do you suffer from dizziness, headaches, weakness, muscular exhaustion, insomnia, decreased libido, or weight gain around your waist or face only? Do you feel “wired but tired”? If so, you are very likely suffering from stressed, unhealthy adrenals. There are many ways to test to see if your symptoms, conditions, and health challenges are related to adrenal stress. There are many changes you can make to your lifestyle and nutritional status that can help put you back on the road to vibrant health, energy, and well being. Call us now to make an appointment for a consultation. Together we can decide what we can do to build your health!
CaffeineRelated Psychiatric Disorders by Ana C Posada-Diaz, MD Psychiatrist
Caffeine is a white, bitter crystalline alkaloid that belongs to a class of compounds called xanthines and is classified together with cocaine and amphetamines as a central nervous system stimulant. Coffee is the most abundant source of caffeine, although caffeine is also found in tea, cocoa, and cola beverages as well as in over-the-counter and prescription medications for pain relief. These are some of the caffeine contents: brewed coffee (8-oz cup): 135-150 mg; instant coffee (8-oz cup): 95 mg; tea brewed from leaves or bag (8-oz cup): 50 mg; iced tea from mix (8oz glass): 25-45 mg; Mountain Dew (8-oz glass): 38 mg; diet cola (8-oz glass): 31 mg; Excedrin (2 tablets): 130 mg; chocolate bar: 25 mg. The lifetime prevalence of caffeine intoxication in USA is approximately 10%, and it has been estimated that more than 80% of Americans use caffeine regularly (averaging 200 mg/day). Caffeine is rapidly absorbed, with peak blood levels in 30 to 60 minutes and a half-life of 5 hours. Caffeine intake is higher among males than among females in North America. There are four caffeine-induced disorders classified in the DSM IV TR (diagnostic and statistical manual of mental disorders, third edition text review) under the rubric of substance-related disorders: - Caffeine intoxication is defined as the recent consumption of caffeine, usually in excess of 250 mg, and the subsequent development of symptoms like restlessness, nervousness, insomnia, flushed face, diuresis, muscle twitching, rambling speech, tachycardia, periods of inexhaustibility, and agitation. Symptoms resolve over 6-12 hours. Acute doses of more than 10 grams may cause seizures or respiratory failure. - Caffeine-induced anxiety disorder is defined as prominent anxiety, panic attacks, or obsessions or compulsions due to caffeine use. - Caffeine-induced sleep disorder is characterized by a prominent disorder in sleep (e.g., insomnia) due to caffeine use. - Caffeine-related disorder not otherwise specified refers to disorders associated with the use of caffeine that are not classifiable as one of the disorders listed above. An example is caffeine withdrawal that appears 12 to 24 hours after the last dose of caffeine and is characterized by headache, poor concentration, fatigue, anxiety, irritability, and depressed mood. It usually clears in 2 to 7 days. Further study has been suggested for this category. Some of the complications from caffeine use are the worsening of gastroesophageal reflux, peptic ulcer disease, and fibrocystic disease. Caffeine may exacerbate panic attacks in those with panic disorder. There is suggestive evidence that propensity to abuse caffeine is inherited. Treatment of caffeine-related disorders involves reducing cosumption or abstaining from caffeine intake. A sedative is occasionally needed for agitation in severe cases of intoxication. Prevention of caffeine-related disorders requires awareness of the caffeine content of beverages, medications, and other sources of caffeine; monitoring oneâ€™s daily intake; and substituting decaffeinated coffee, tea, or soft drinks for the caffeinated versions of these beverages.
RECIPE OF THE MONTH
Roasted Bell Pepper & Asparagus Salad INGREDIENTS: 4 Bell peppers assorted colors, seeded and sliced in strips 2 lb Asparagus, sliced on bias and bottoms removed 1 Little Bear Farms® Honey sweet onion, peeled and sliced in strips 1 Cup Extra virgin olive oil ½ Cup Honey toasted pecans ¼ lb Thinly sliced Manchego cheese 4 TBS Dijon mustard 3 Cloves garlic, minced 3 tsp Lemon juice fresh 2 tsp Sugar* 1 tsp Tabasco Salt * & Pepper * If your diet permits. If not, replace with substitutes. A good salt-substitute is AlsoSalt®.
Preheat oven to 425oF. Place sliced bell peppers and asparagus in a bowl, drizzle with olive oil and sprinkle with pepper and salt, mix until coated. Place on an aluminum foil covered baking-sheet. Roast for about 10 minutes, remove from oven and cool. In the same bowl toss peppers and asparagus together with onions, pecans and Manchego cheese. In a separate bowl mix 1/4 cup olive oil and the remaining ingredients. Pour over the salad toss and serve. Enjoy !!! I welcome questions and comments. Chef Marcel
Prepared and Photographed by Chef Marcel
2900 North 10th Street
McAllen, TX 78501
Remember to Relax While on Your Family Vacation
One of my favorite movies is Family Vacation. Chevy Chase plays the father who loves his family and wants every single moment of their vacation to be just perfect. Not only does he want his family to have a great vacation, but he wants it to be an educational experience as well. The movie is a bit exaggerated, but we all know people who go on vacation and plan out every single activity they are going to do. Adults and children have totally different ideas when it comes to planning a fun vacation. In fact, when you are traveling with children, sometimes the less you do the more fun you’ll have. It’s great to take your children to museums and to see Broadway shows, but don’t overdo the grown-up stuff or you will find yourself with a whiny, bored child who doesn’t want to do anything. Expensive dinners at fancy restaurants are not what most children will enjoy. The younger the child the more difficult it will be for them to sit still for more than an hour or so. Parents need to take in consideration the age of their children and plan activities that will keep them entertained. Vacations are supposed to be relaxing, and every minute does not have to be spent doing something. The simple things are what children love the most. For example, order room service one night and stay up late watching movies. Then sleep in the next morning. The more flexible you are, the more fun your family will have. Let your children pick some of the places they want to visit. This makes them feel like their decisions are important and that you care about what they think. When you do things they like, they will be more willing to try the things you suggest. Family vacations are for the whole family; find things to do that everyone will enjoy, and remember that vacations don’t have to be earth-shattering experiences. Too many times we get caught up in the event that we lose out on what vacations are all about—spending time together.
Vacations are a great opportunity to talk to your children and to work on your relationship with them. Spending time with your children allows them the opportunity to bring up important issues to discuss. A picnic on the beach where your children don’t feel rushed and have the opportunity to open up is much more important that riding the banana boat. I know so many families that are always on the go, but they never spend time alone with their children just hanging out. If you are always doing something, there is never time to talk. As children get older, parents have to spend time with them in order for them to open up. I’ve never agreed with the idea that quality time is more important than the quantity of time you spend with your children. Parents with teenagers will tell you, once they reach that age, it is a challenge to talk to your children. However, if you are spending a lot of time with them, eventually the opportunity for those long talks will arise. When on vacation, we can teach our children how to enjoy themselves even when things don’t go as planned. Until the age of seven or eight, which is when self-awareness begins to develop, a child’s mind-set is largely a product of his environment. Our attitudes and actions have a very strong influence on our children. When it rains, when we get a flat tire, or when a hotel loses our reservation these are great learning opportunities for children. Our reactions to these incidents will teach them how to deal with unforeseen circumstances that will come up during their lives. Vacations are supposed to be fun. So, relax and enjoy your children, because before you know it they’ll be on their own, and you’ll miss those hectic but very memorable years. Maria Luisa Salcines is a freelance writer, certified parent educator and parent coach with The International Network for Children and Families in Redirecting Children’s Behavior, Redirecting for a Cooperative Classroom, and Redirecting Corporate America. Contact her at her Web site atwww. redirectingchildrenrgv.org.
The old world Spanish charm, boutique-style Comfort Suites速 Alamo/Riverwalk is ideally located within walking distance of the historic Alamo and San Antonio River Walk Area Attractions
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505 Live Oak Street San Antonio TX, US, 78202
PH. 210.227.5200 FAX. 210.227.5202
Free full hot breakfast buffet Free WI-FI www.comfortsuitessa.com
Kids, Allowance, and Chores NO STRINGS ATTACHED? According to a survey by Zillions, about three-quarters of all allowance recipients (of all ages) were supposed to perform chores to get their allowances. Some parents give allowances with no requirements on the child’s part. Others make performing chores a condition of receipt. Child experts hotly disagree on whether allowances should be conditioned on performing chores. Each side believes strongly in its position. On the one hand, requiring work for pay prevents a child from believing in entitlement. There is value in doing work and being rewarded for it, and it’s good training for getting a job. On the other hand, others believe that chores should be required just because a child is part of the family. Just as Mom and Dad are not paid for shopping, cooking, and repairing the broken porch, a child should be required to contribute time and effort to help with the family work load. Conditioning the receipt of an allowance on performing work can lead to disaster. A child may think that all jobs around the house should be monetarily compensated. A child who continually tries to negotiate and renegotiate his workload and allowance may be in perfect training for a job with a union or the National Labor Relations Board but can cause endless friction on the home front. 48
by barbara weltman
PIGGYBANK ON IT If you decide to condition an allowance on doing chores, you must be realistic in setting the dollar amounts. There’s no lesson in having your child work for sweatshop wages. Keep in mind that the current federal minimum wage is $5.15 an hour. Obviously, the decision of whether to attach strings to an allowance comes down to what you think best in your family. You may, of course, be influenced by whether you were required to perform chores when you were a child and how you felt about that at the time. Whichever way you come out, make sure that the rules are clear—and be consistent. Think through which alternative you’ll use, and then follow through. There is another string that some parents put on the receipt of an allowance: good behavior. If a child fights with his brother, breaks a lamp due to carelessness, or talks back, a parent might threaten to dock the allowance for this bad behavior. Some child experts think this type of string is not a good idea, though: They don’t believe it works to create good behavior— it just punishes a child without any benefit. You, of course, must decide on punishment for bad behavior, and you may think that withholding an allowance for a week or a month may be appropriate in certain circumstances. Barbara Weltman Publisher of Big Ideas for Small Business® www.barbaraweltman.com
CALENDAR OF EVENTS
of Community Events
US Too McAllen Prostrate Support Group 7:00pm – 8:30pm Edinburg Regional Medical Center, Cactus Room 1400 W. Trenton Road For more information, call 388.2025 Depression in Children, Adolescents, and Adults Presented by Dr. Ovidiu Dulgheru Doctors Hospital at Renaissance 5501 S. McColl Rd., Edinburg For more information, call Travis McAlpine at 362-3103 Parkinson Support Group For persons with Parkinson disease and/or their caregivers First United Methodist Church 4200 N. McColl Rd., McAllen For more information, call 686-3784 Beary Buddies Weight-Loss Surgery Support Group 6pm – 7pm For people who have undergone weight-loss surgery or are considering it Weight Loss Surgery Center 416 Lindberg Ave. Ste. B McAllen, Texas To reserve your space, call 664-1616. Managing Back Pain Presented by Dr. Aaron Guerra Doctors Hospital at Renaissance 5501 S. McColl Rd., Edinburg For more information, call Travis McAlpine at 362-3103 Weight Loss Surgery Seminar 6pm For people who have undergone weight-loss surgery or are considering it McAllen Heart Hospital, Conference Room 1900 South “D” Street To reserve your space, call 664-1616.
Weight-Loss Surgery Post-Op Nutrition Class 5:00pm – 6:00pm The Weight Loss Surgery Center offers a Post Op Nutrition Class for patients who have just had weight loss surgery. The class offers information on your new diet, vitamin intake, and general information about life after weight loss surgery, including support group attendance and long term follow up with your surgeon. Weight-Loss Surgery Center 416 Lindberg Avenue, Ste. B, McAllen
Alzheimer’s Support Group 7:00pm – 8:00pm South Texas Behavioral Health Center, Conference Room 1 2102 W. Trenton, Edinburg For more information, call 388.1300
ADD & ADHD Parent Support Group Logopedia Therapy Clinic 3409 W. University Dr., Edinburg For more information, call 380.3400, childcare available
Prenatal Class 9:00am – 4:00pm Our prenatal classes can help you obtain the knowledge, confidence and support you need during your pregnancy and after the birth of your baby. Classes must be paid in advance ($25.00 Fee Per Couple) Breakfast & Lunch will be provided. Mission Regional Medical Center 900 S. Bryan Road To register, call 323-1150.
31 EVERY MONDAY
Bowl-A-Rama 12:00pm – 4:00pm Sponsored by Food Bank RGV $250 per 5-person team For more information, call 682-8101 ext. 35 or visit www.foodbankrgv.com Overeaters Anonymous 5:30pm McAllen Memorial Library 601 N. Main St. Diabetes Education 1:00pm South Texas Health System McAllen Medical Center, 3 East Classroom 301 W. Expressway 83 For more information, call 632.4000
Arturo Lopez, D.D.S., P.A. Laser & Cosmetic Dentistry 6900 N. 10th St., Suite #7 McAllen, TX 78504 PH 956.630.6130
Somabel Spa Stone Ridge Plaza 5417 South McColl Rd. Edinburg, TX 78539 PH 956.682.6600
Diabetes & Endocrine Center 2121 E. Griffin Pkwy, Ste. 14 Mission, TX 78572 PH 956.519.4774
Massage & Spa Massage, Reiki, Lymph Drainage, Meditation firstname.lastname@example.org 2013 N. Conway, Mission, TX PH 956.584.0080
Valley Ear, Nose & Throat Specialists, P.A. 2101 S Cynthia St # A McAllen, TX 78503 PH 956.687.7896
Marilyn Asistores, M.D., P.A. Family Practice 1400 S. Closner Blvd. Edinburg, TX 78539 PH 956.316.0860
Felix Rivera 5505 S. Expressway 77, Ste. 204 Harlingen, TX. 78550 PH 956.440.7711
Valley Regional Medical Center 100 Alton Gloor Blvd. Brownsville, Texas 78526 PH 956.350.7000
VIPS 1200 E. Savannah Ave., Ste. 12 McAllen, TX 78503 PH 956.688.6300
Diana Cortinas, M.D. Aesthetics 4745 S.Jackson Rd. Edinburg, Texas 78539 PH 956.687.9997
Boyer 702 E. Expressway 83, Ste. A-3 Donna, TX 78573 PH 956.464.8600
910 South Bryan Rd., Ste. 209 Mission, TX 78512 PH 956.424.1511
Home Healthcare McALLEN Beyamar Home Health 4901 S. McColl Rd. Edinburg, TX 78539 PH 956.683.0149
Alberto A. Pena, M.D. Colorectal Specialist 2821 Michaelangelo Dr., Ste. 401 Edinburg, Texas 78539 PH. 956.682.8700
Patient Care Specialists PH. 956.782.2100 1-877.710.1400 FAX 956.782.2177
Brownsville Surgical Specialist 100 B Alton Gloor Blvd., Ste. 260 Brownsville, TX 78526 PH. 956.350.3901
Hospice CIMA Hospice of the Valley 5317 North McColl Road McAllen, TX 78504 PH. 956.631.4354 www.cimahospice.com
Texas Oncology 1901 South 2nd Street McAllen, Texas 78503 PH. 956.687.5150 www.texasoncology.com
South Heart Clinic 902 South Airport Drive Weslaco, TX 78596-6649 PH. 956.969.1222 www.southheartclinic.com
Pharmacy San Juan Pharmacy 1205 N Raul Longoria Rd. #F San Juan, TX 78589-3712 PH. 956.782.6337
JUST DME 602 Pecan Boulevard Mcallen, TX 78501-2414 PH. 956 661 9161 justdme.com
Foundations American Cancer Sociaety 5413 S. McColl Rd. Edinburg, TX 78539 PH. 956.682.8320 www.cancer.org American Lung Association 8207 Callaghan Rd. San Antonio, TX 78230-4736 PH. 210.308.8978 www.lungusa.org
Rio Grande Valley Diabetes Association 2007 W. Owassa Rd. Edinburg, TX PH. 956.292.3411
Leezaâ€™s Care Advocate 5401 S. McColl Rd. Edinburg, TX, 78539 PH. 956.683.7180
More Healthy Valley Magazine 801 E. Fern Ave., Suite 131 McAllen, TX 78501 PH. 956.525.0240
Center for Medical Weight Loss 2727 W. Trenton Rd., Ste. B-13 Edinburg, TX 78539 PH 956.627.2777
Roberto Ayres, M.D. Pediatric Pulmonologist 1900 S. Jackson Rd., Ste. 7 McAllen, Texas 78503 PH. 956.688.5864
Life Medical Supply 2509 Buddy Owens McAllen, TX 78504 PH 956.994.3600
801 E Fern Suite 129 | McAllen, Texas 78501 | PH. 956.226.3286 | www.davidpezzat.com
Events VALLEY REGIONAL MEDICAL CENTER Celebrates thirty-five years of history-- David Handley, CEO of Valley Regional Medical Center said â€œthirty-five years of providing exceptional health care to the families in our communities, the care we provide at VRMC reflects our innovative technology and unwavering commitment to patient care, patient safety and compassion. When you come to Valley Regional Medical Center; we want you to feel like family.â€?
HV MAKEOVER EVENT DINNER On June 1, 2010, Healthy Valley Magazine held a dinner at Peppers at Uptown to introduce the Healthy Makeover Challenge winners to the sponsors. Herlinda Colley and Denice Ledezma were welcomed with open arms by the professionals who will be working with them throughout the next few months. The meet and greet was a wonderful way to begin their new adventure!