Thrive Magazine 2022 - A Guide to Your Health and Wellness

A Guide to Your Health and Wellness

Office Ergonomics Learn how to prevent pain with the Centers for Advanced Orthopaedics

Financial Health

Why, and how, to plan for a very long life Brought to you by

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Washington County Health Department

Support for Pregnant and New Mothers

The Tobacco Free For Life program offers free cessation classes. These interactive sessions focus on helping individuals develop quit plans, handle stress and much more.

The Tobacco program provides one on one support for pregnant women and new mothers who are trying to quit using tobacco products.

These programs include incentives such as diaper vouchers and baby supplies.

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Washington County Health Department Division of Behavioral Health Services 925 North Burhans Boulevard Hagerstown, MD 21742 240-313-3310

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GROUP SUPPORT

M O KIN G

Tobacco Free For Life Services

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R E P AIRI N

Nicotine Replacement Therapy

Nicotine Replacement Therapy Patches, Gum and lozenges are available for FREE to Tobacco Free For Life program clients.

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Creating Confidence Through Smiles From routine cleanings to dental implants, we’re here to care for your dental needs and increase your overall health.

Live Your Life with a Confident Smile Eat the foods you love, socialize in public, and smile with confidence. We are proud to provide our patients with dental implants. Traditional dental implants may not be the answer for everyone, they can be expensive and can take many dental visits. This is why we provide mini dental implants alongside traditional. We believe that everyone is a candidate for a confident smile.

Everett J. Eklund, DDS

Benefits of Mini Dental Implants Compared to Traditional • Half the Size • Instant Results • Less Invasive • Faster Healing Time • Less Expensive • Higher Success Rate (95%) • Fewer Dental Appointments

All Your Dental Needs Under One Roof For over 50 years, Potomac Dental Centre has been in the Eklund family serving the community with compassionate, quality dentistry.

Our Services Include:

Arlyn Logan, DDS

• Implant Dentistry • Sedation Dentistry • Cosmetic Dentistry • Emergency Dentistry • Same-Day Crowns • Teeth Whitening • Botox • Invisalign (Clear Ortho Aligners) • Routine & Periodontal Cleaning

You deserve a dental team committed to helping you live confidently. Call us today!

1301 Potomac Ave., Hagerstown MD 21742 www.potomacdentalcentre.com @potomacdentalcentre 301-329-5512 2022 | 3

➤ A Herald-Mail Media publication Lisa Tedrick Prejean Managing Editor Kathryn Biek Design Editor/Layout Sandie Lynch, Dr. Kristin Horman, Dr. Derek Fogle, Tim Luipersbeck, Haley Greene Contributing Writers Colleen McGrath Photographer DesignIQ Advertising Design Kathy Gelwicks, Michelle Horton, Tricia Johnson Advertising Sales © 2022 Herald-Mail Media

From the cover

Derek Fogle, physical therapy manager, Centers for Advanced Orthopaedics, demonstrates an upper trapezius stretch. This stretch is used to alleviate neck tightness along the side of the neck and top of the shoulder. BY COLLEEN MCGRATH/HERALD-MAIL

HERALD-MAIL P U B L I S H I N G • D I G I TA L • V I D E O

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Hagerstown Gastroenterology (240) 513-7072

Colorectal Cancer: What Gen-Xers and Millennials need to know It’s March, and it's more than brackets and Final Four. It’s Colon Cancer Awareness month!

Nobody in their 20s, 30s and 40s gets colorectal cancer, right? Wrong. The truth is colorectal cancer is on the rise in young adults. Millennials are about twice as likely to develop colon cancer and four times as likely to develop rectal cancer compared to people born in 1950. The rising trend in young-onset colorectal cancer, increased by 51% since 1994, prompted the American Cancer Society to lower the age of colon cancer screening from age 50 to 45 years for individuals at average risk.

Some people have no symptoms at all, so it’s important to talk to your doctor if colorectal cancer runs in your family. He or she may recommend a colonoscopy before age 45. About 25-30% of colorectal cancer patients have a family history of the disease.

If you have a change in bowel habits, if you have any bleeding, even if you think it’s a hemorrhoid, and it doesn’t go away, just get a colonoscopy, it can be lifesaving. Awareness of symptoms and what they may represent is very important.

Unfortunately, we see people who have had concerning symptoms that were not addressed for months or even years before seeking medical attention.

‘I have no risk factors’ The single most modifiable risk factor for colorectal cancer is a failure to be screened.

‘I’m too young to get colon cancer’ According to the National Cancer Institute, colorectal cancer incidence over the next decade among those younger than 50 is expected to nearly double and is on track to becoming the leading cause of cancer-related death in this age group.

45 is the new 50!

Hagerstown Gastroenterology is essentially a one-stop shop for a number of GI ailments and conditions, including acid reflux, anemia/GI bleeding, fatty liver disease, irritable bowel syndrome, colon cancer screening, colon polyps and colitis. Dr Choudari is dedicated to both the diagnosis and treatment of digestive disorders and liver disease, as well as making significant contributions in clinical research.

Dr C.P. Choudari of Hagerstown Gastroenterology explains why healthy adults with no family or medical history should schedule a routine colonoscopy.

‘I feel good’ Colon polyps and early colon cancer can occur without symptoms. Waiting until symptoms occur can mean the cancer is more advanced and less likely to be cured.

‘I’m healthy … why get screened?’

Colorectal cancer screening is for healthy people. If at colonoscopy a polyp is found, it can be removed in order to prevent cancer from developing.

‘No one in my family had colon cancer’ Don’t be the first.

‘Only men get colon cancer’

Colon cancer is an equal-opportunity disease. Women have the same risk as men.

One in 23 men and one in 25 women will be diagnosed with colorectal cancer.

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HM-28891432

table of contents NUTRI TI ON

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The many benefits of tomatoes What you eat can help your body heal

DENTAL CARE

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Are pretty teeth an exercise in vanity?

Early warning signs of oral cancer The importance of brushing and flossing

PHYSI CAL THERAPY

17

Workstation ergonomics for home offices

F I NANC I AL HEALTH

17

23 25

5 tax prep tips Why, and how, to plan for a very long life

GI VI NG BACK

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Giving back enriches your life, the lives of those around you

SENI OR L I VI NG Life plan community offers independent living at its finest

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How urinary symptoms may lead men to avoid activities

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HEART HEALTH

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Steps to help all family members fight cardiovascular disease

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4 common heart conditions Straight facts about omega-3s and heart health

COMPASSI ONATE C ARE

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Nursing home residents receive direct access to hospice care

N U T RIT ION

The many benefits of

tomatoes

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odern diets designed with nutrition in mind are much more flavorful than the healthy diets of yesteryear. Healthy foods have long suffered from an ill-gotten reputation that they’re devoid of flavor, but one need only look at tomatoes to see how nutrition and flavor are not incompatible.

Tomatoes are often discussed in regard to their status as a fruit or vegetable. According to the European Food Information Council, tomatoes are technically both. The EUFIC notes that botanists classify tomatoes as fruit, while nutritionists adhere to a different classification system that defines tomatoes as vegetables.

Regardless of how they’re classified, tomatoes are undeniably healthy. If the taste of tomatoes isn’t enough to convince people to eat more of them, perhaps these characteristics could be enough to compel more individuals to reach for this delicious fruit … or vegetable.

• Tomatoes are rich in the antioxidant lycopene. Harvard Medical School notes that tomatoes are rich in the antioxidant lycopene. Lycopene is a carotenoid that gives tomatoes their deep red color, but lycopene is about more than just aesthetics. Researchers in Finland reported in a study published in the journal Neurology that men with the greatest amounts of lycopene in their blood had a 55 percent lower risk of having any kind of stroke.

• Tomatoes can help lower cancer risk. Another reason to include more tomatoes in your diet concerns their connection to cancer. A study funded by the World Cancer Research Fund International found that men who consumed canned and cooked tomatoes five to six times a week had a 28 percent decreased risk of prostate cancer compared to men who never consumed tomatoes. That’s a significant benefit, as the WCRFI notes that prostate cancer is

the second most common cancer worldwide. The study’s author noted that cooked tomatoes were particularly valuable, as cooking increases the bioavailability of lycopene.

• Tomatoes can promote healthy vision. The lycopene found in tomatoes doesn’t stop at reducing risk for stroke.

Lycopene also has been linked to promoting healthier eyes. The health supplement experts at 1MD NutritionTM note that routine exposure to light and environmental toxins makes eyes vulnerable to oxidative damage and disease caused by an excess of free radicals. Lycopene and other antioxidants scavenge free radicals and prevent cell and tissue damage, thus protecting eyes from conditions that can lead to blindness.

• Tomatoes can help lower “bad” cholesterol. A study published in the British Journal of Nutrition linked high tomato consumption to a roughly 13 percent reduction in “bad” cholesterol. A separate study published in The Journal of Nutrition found that women who ate at least 10 servings of tomato-based products a week experienced significant improvements in total cholesterol. This link is important, as the Centers for Disease Control and Prevention notes that high levels of bad cholesterol increase individuals’ risk for heart disease and stroke.

Tomatoes are a healthy addition to anyone’s diet, regardless of where they stand on the fruit or vegetable debate.

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By Metro Creative

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Parkway

Roberta L. Rothen, M.D.

Board Certified Orthopaedic Surgeon Orthopaedic Sports Medicine Certified

Alvaro I. Cabezas, M.D. Thomas Amalfitano, MD Board Certified Orthopaedic Surgeon

Board Certified Orthopaedic Surgeon

Richard Milford, MD Board Certified Orthopaedic Surgeon Hand Surgery

Patricia L. McKay, MD

Emmanuel N. Koli, MD

Board Certified Orthopaedic Surgeon Hand Surgery

Orthopaedic Surgeon

At The Centers for Advanced Orthopaedics, Parkway Division, our goal is to provide the best possible orthopaedic care to our patients in a friendly, caring atmosphere.

We welcome patients of all ages - from infants to senior citizens.

Providers:

Thomas G. Amalfitano, MD Alvaro I. Cabezas, MD Richard S. Milford, MD Roberta L. Rothen, MD Lynne A. Kline, CRNP Emily J. Young, PA-C Samantha K. Ezolt, PA-C Michael K. Shives, PA-C Patricia L. McKay, MD Emmanuel N. Koli, MD

Welcoming our new physicians: Dr. McKay and Dr. Koli

• Joint replacement surgery of the hip, knee, and shoulder

• Sports injuries

• Arthroscopic surgery

• Physical Therapy

• Fracture and trauma treatment

• Occupational Therapy

• Upper Extremity/Hand Surgery

13 Western Maryland Parkway, Suite 104 Hagerstown, MD 21740 8 | 2022

301-665-4575 • 888-665-4575 www.hipknee.com

Injured Athletes are our PRIORITY. Experienced Sports Medicine Team, including Physical Therapists and Occupational Therapists, who will help you to return to play as soon as possible!

Openings available call 240-452-3205 for an appointment

Kelly Slocum, MPT • Pete Rinehart, MPT • Julie Martin, PTA • Todd Anderson, OTR/L, CHT • Andy Ashway, PTA Alice Wong, DPT • Ragan Shaw, DPT • Derek Fogle, DPT

Roberta L. Rothen, MD

Board Certified • Orthopaedic Surgeon Orthopaedic Sports Medicine Certified

Patricia L. McKay, MD Board Certified • Orthopaedic Surgeon Hand Surgery

Alvaro I. Cabezas, MD Board Certified Orthopaedic Surgeon

Richard S. Milford, MD Board Certified • Orthopaedic Surgeon

Thomas G. Amalfitano, MD Board Certified Orthopaedic Surgeon

Emmanuel N. Koli, MD Orthopaedic Surgeon

Hand Surgery

13 Western Maryland Parkway, Suite 104, Hagerstown, MD

The Centers for Advanced Orthopaedics Physical Therapy and Rehabilitation

240-452-3205

Parkway Division

13 Western Maryland Parkway, Suite 204, Hagerstown, MD

For more information or to schedule an appointment call (301) 665-4575 Or Visit our website at www.hipknee.com to request an appointment 24/7!

N UTR I T I O N

Make every bite count

GETTY IMAGES

What you eat can help your body heal

Written by Sandie Lynch Registered Dietitian In private practice

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f you’ve had a cut or a broken bone, you know that your body heals itself.

The body is designed to heal, sustain life and multiply, but it is dependent on us to provide the resources needed to do so. When dealing with diabetes, cancer, autoimmune and cardiovascular disease, as well as the flu and COVID-19, many of the same systems that heal cuts and broken bones are at work. The body has five healing systems that require quality resources to promote healing and health.

Health experts estimate that 40 to 80 percent of diseases that are the leading causes of death – coronary artery disease, ischemic stroke, diabetes and some cancers – could be prevented through lifestyle.

Thirty years ago, researchers demonstrated that intensive lifestyle changes lead to the regression of coronary heart disease after just one year of intervention, and they proved that these changes are sustainable.

Dr. William Li published the book, Eat to Beat Disease: The New Science of How Your Body Can Heal Itself, in which he reviews the five systems within the body that prevent and 10 | 2022

heal disease, along with foods that support optimal function.

The five healing systems of the body include:

1

Angiogenesis: The body’s ability to make blood vessels to feed cells. Angiogenesis is what grows new blood vessels to heal a cut. In some situations, making new blood vessels can lead to diseases, such as obesity and cancer.

Diseases caused by too many blood vessels include cancer, Alzheimer’s, endometriosis, obesity and rheumatoid arthritis. Having too few blood vessels leads to hair loss, heart failure, ulcers and nerve damage, to name a few. Foods such as berries, broccoli, kale, stone fruit, almonds, walnuts, green tea and dark chocolate balance angiogenesis to improve healing without causing disease.

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Regeneration: The body’s organs are created and replaced by stem cells. Stem cells create every organ as an embryo grows into an infant, and these continue to “renew” organs and tissues over one’s lifetime. Stem cells monitor and replace cells when they become dysfunctional or die. Without stem cell regeneration, the body would die within a week. Unhealthy habits such as smoking, a nutrient-poor diet or sleeping less than six hours a night can decrease or damage stem cells’ ability to regenerate and heal. Foods and beverages shown to stimulate stem cell regeneration include apples, apricots, cranberries, grapes, carrots, soy, coffee, black tea and olive oil.

Foods such as berries, broccoli, kale, stone fruit, almonds, walnuts, green tea and dark chocolate balance angiogenesis to improve healing without causing disease.

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Microbiome: The community of microscopic organisms living within our intestines. The microbiome weighs approximately 3 pounds, similar to the size of the brain. Diet influences the type of organisms within the gut, influencing the risk of disease, weight, mood, motivation, social interaction and food preferences. Eating plant foods high in fiber such as beans, whole grains, fruits, vegetables and fermented foods increases the number of beneficial organisms that make essential chemicals, such as vitamins, energy, appetite hormones, and brain neurotransmitters. Beneficial organisms boost the healing systems within the body. A diet high in animal fat and red meat, while low in whole grains, fruits and vegetables, increases the number of harmful organisms, increasing inflammation and damaging cells.

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DNA Protection: DNA is the genetic blueprint for building the body, holding all the genes inherited from our parents. DNA code instructs the body how to regenerate, vital in keeping the body alive and functioning properly. DNA is fragile and encounters over 10,000 events daily, resulting in errors in the replication of proteins causing cell malfunction. Fortunately, the DNA protection system works hard to replace these errors and, in most cases, prevents disease. Certain foods such as kiwi, oranges, tomato, cabbage, spices and herbs optimize the DNA protection system, correcting mistakes and healing disease.

Immune system: The body’s internal cleansing system rids the body of metabolic waste, harmful chemicals, viruses, bacteria and toxins, which, if left unchecked, may lead to disease and death. The immune system is best known for preventing infections. It also is essential in preventing and healing cancer. Unfortunately, the immune system can be overactive and attack the body. Foods to support the immune system include berries, chili peppers, concord grape juice, mushrooms and pomegranate.

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The book Eat to Beat Disease has food and lifestyle recommendations to help the body heal. Remember, quality and consistency of eating food that helps the body heal matters.

Make every choice count.

Sandie Lynch is a registered dietitian, fitness trainer, wellness and lifestyle medicine professional coach and owner of ATP Wellbeing Consultants LLC. ATP: Attain Top Performance in Life with Greater Health, Fitness and Spiritual Connection.

Contact Lynch for a free 60-minute Transformation Breakthrough session for three powerful steps toward health and healing. Email her at Sandie@ATPHealthandFitness. com or call 240-439-9927.

GETTY IMAGES Sources used in this article: • Prevention of Chronic Disease by Means of Diet and Lifestyle Changes, Willett, Koplan, Nugent, et al.

• Dean Ornish, et al., 1992, Intensive Lifestyle Changes for Reversal of Coronary Heart Disease.

• Dr. William Li, Eat to Beat Disease: The New Science of How Your Body Can Heal Itself.

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D ENTA L C ARE

Are

pretty teeth an exercise in vanity?

GETTY IMAGES

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The truth about benefits gained from alignment

By Dr. Kristin Horman Robinwood Dental

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spend hours every week talking with people about the idea of straightening their teeth. There are a multitude of reasons that motivate a person to consider aligning their teeth, but as different as those reasons might be, there is one common theme that runs through each person’s mind – that straightening their teeth is an exercise in vanity. It is assumed that orthodontic treatment – whether it be braces or clear aligners, such as Invisalign – is a branch of cosmetic dentistry. But this could not be further from the truth.

Now, don’t get me wrong. I would never argue that straight teeth don’t look amazing. Who doesn’t enjoy the flash of a beautiful smile? But the benefit a person gains from aligning their teeth goes far beyond cosmetics. In fact, it is almost impossible NOT to gain a health benefit from aligning your teeth.

For one, it is always easier to care for teeth that are aligned. Any dental hygienist will tell you that there is a world of difference in the amount of plaque and tartar in the mouth of someone with straight teeth as opposed

to someone with crowded teeth. The ability to reach all surfaces of a tooth with a toothbrush and floss is dramatically easier when your teeth are aligned, which leads to healthier gums and significantly less decalcification and cavities.

Another, lesser-known side effect of crowded, misaligned teeth is the excessive wear and tear to which they are subjected. We generate an incredible amount of force when biting and chewing. Crooked, overlapped teeth and narrow irregular arches do not fit together correctly. Combine these two things, and it results in fractured enamel, worn down, chipped edges and broken teeth. Patients spend a lot of time and money at the dentist, not because of cavities and gingivitis, but instead getting chipped and broken teeth fixed. Teeth that are aligned, and arches that fit together evenly, result in a bite that helps all the teeth share equally in the burden of chewing, and the forces of biting are absorbed by the teeth in a way that is not damaging.

In almost every patient I treat, the choice to align their teeth results in a win-win-win scenario. They get the benefit of healthier gums and fewer cavities because their teeth are easier Continued on page 14 2022 | 13

The ability to reach all surfaces of a tooth with a toothbrush and floss is dramatically easier when your teeth are aligned, which leads to healthier gums and significantly less decalcification and cavities.

BEFORE

Continued from page 13

AFTER

and we get out from behind our masks, give yourself the gift of a perfect smile.

And know that it is not only cosmetic — it is the HEALTHIEST thing for your teeth!

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to clean. They gain a balanced, even bite so their teeth are not damaged by the forces of biting. And – BONUS – their teeth look great, too.

In this modern era, metal braces are not the only option. The invention of clear aligner therapy has opened the door for millions of adults to receive orthodontic treatment, when they would have never considered traditional braces. Think you are not a candidate for clear aligner therapy? I bet you are wrong. You would be amazed by the difficult cases we can treat and the beautiful results we can achieve. So, as the world begins to return to normal

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DEN TA L CA RE

Early warning signs of

oral cancer

By Metro Creative

ral cancer is a significant threat across the globe. Data from the World Health Organization indicates that more than 450,000 new cases of oral cancer are diagnosed each year.

The Oral Cancer Foundation notes that oral cancers are part of a group of cancers referred to as head and neck cancers. All cancers in that group are potentially dangerous, but oral cancers account for roughly 85 percent of all head and neck cancer diagnoses, which underscores the importance of routine oral health checkups. The Moffitt Cancer Center® in Florida notes that many dentists perform oral cancer screenings during routine checkups, which dispels the notion that checkups are unnecessary for individuals who practice proper dental hygiene every day.

The American Dental Association notes there is not a one-size-fits-all regimen for dental health. However, at least two visits to a dentist per year can ensure teeth stay clean and afford dentists opportunities to screen for oral cancers and detect other issues, including gingivitis. In addition to scheduling routine checkups, individuals can learn to spot the common symptoms of oral cancer.

The Moffitt Cancer Center urges individuals to seek medical attention if any of these signs persist for more than two weeks: • A sore, irritation or thickness in the mouth or throat • A white or red patch on the inside of the mouth • A feeling that something is caught in the throat • Hoarseness or other vocal changes • Persistent coughing • Difficulty chewing, swallowing or speaking • Difficulty moving the jaw or tongue • Numbness in the mouth • Swelling in the jaw or neck • Frequent nosebleeds • Ear pain that does not affect your hearing • Unexplained weight loss It’s important that individuals recognize that the presence of these symptoms is not necessarily indicative of the presence of oral cancer. Some of these symptoms could indicate the presence of other issues that also require medical attention. For example, frequent nosebleeds could indicate high blood pressure or a blood clotting disorder, while unexplained weight loss is a potential indicator of diabetes.

Oral health is important, and routine checkups are vital to maintaining that health. Such checkups can help dentists spot various conditions, including oral cancer.

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D ENTA L C ARE

By Metro Creative

B

rushing and flossing ensures the removal of plaque and bacteria, which are culprits in tooth decay and gum disease. Periodontal disease is caused by a buildup of such bacteria and plaque. Brushing removes materials from the surface of the teeth, while floss gets in between teeth where toothbrush bristles cannot reach. The American Dental Association says that a combination of brushing and flossing is the key to good oral health. While both brushing and flossing are necessary, some oral health experts say that, if done correctly, flossing actually may be slightly more important since it gets to hardto-reach spots where the most destructive microbes live.

Oral hygiene does not just keep the mouth clean; it also can prevent serious disease. The Centers for Disease Control and Prevention says extensive research shows that the bacteria that flourish in an unhealthy mouth can harm the rest of the body, potentially contributing to diabetes, respiratory illness and heart disease, which is the leading cause of death in the United States.

Brushing and flossing also can make dental cleanings and examinations go smoothly. Plaque is the precursor to tartar and is sticky, but soft and pliable. Tartar forms when plaque has been left undisturbed. Once on teeth, tartar can’t be removed without professional help. By removing plaque before it’s had a chance to harden into tartar, people can reduce time spent in the dentist’s chair. Furthermore, those who clean their teeth and gums regularly will have a lower risk for gingivitis, which is inflammation and bleeding in the gums.

Flossing and brushing are important components of oral hygiene and also are vital to overall health.

The importance of and

brushing flossing

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The American Dental Association says that a combination of brushing and flossing is the key to good oral health.

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PHYSI CAL T H ERA PY

Workstation ergonomics for home offices

Derek Fogle, physical therapy manager, Centers for Advanced Orthopaedics. BY COLLEEN MCGRATH/HERALD-MAIL

By Derek Fogle, DPT Physical Therapy Manager Centers for Advanced Orthopaedics

T

he COVID-19 pandemic has brought many changes into our lives. One of these major changes is the increasing number of companies utilizing telework as the primary option for full-time employees.

Although the telework option allows for social distancing and reduces the risk of exposure to COVID-19, there are some drawbacks of working out of a home office. In general, working in an office environment allows you access to well-designed office furniture and equipment that promotes good posture and ergonomics. In most cases, if you have an issue with your workstation, your employer has access to ergonomics experts who can assess your needs and provide modifications, if necessary.

When working from home, most people use whatever home office setup they have. This varies from a complete home office, to sitting at the kitchen table on a hard kitchen chair, to sitting in bed using a laptop. Although most people will adapt and make it work, over time these less-than-ideal workstation setups can cause an array of injuries.

Home office issues The most common complaint with most home office setups is improper height for the computer screen, desk and Continued on page 19

Derek Fogle, physical therapy manager, Centers for Advanced Orthopaedics, demonstrates a piriformis stretch.

This stretch is used to reduce low back and posterior hip pain associated with slumped posture when sitting.

BY COLLEEN MCGRATH/ HERALD-MAIL

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Derek Fogle, physical therapy manager, Centers for Advanced Orthopaedics, demonstrates an upper trapezius stretch. This stretch is used to alleviate neck tightness along the side of the neck and top of the shoulder. BY COLLEEN MCGRATH/HERALD-MAIL

Derek Fogle, physical therapy manager, Centers for Advanced Orthopaedics, demonstrates a levator scapulae stretch. This stretch is used to alleviate posterior neck and shoulder blade tightness.

BY COLLEEN MCGRATH/HERALD-MAIL

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chair. This causes the body to adapt and alter posture, which over time can cause low back pain, neck pain, joint stiffness and even headaches. Other common physical problems experienced by those working from home include elbow pain and shoulder pain from having the keyboard and mouse at the wrong height.

Ideally, when sitting at a computer, your eyes should be level with the top of the computer screen, shoulders back, and back resting firmly against the back of the chair. This allows you to keep your spine upright, like a stack of building blocks, which prevents your muscles from working harder to keep your body upright. When sitting at a kitchen table, or on a sofa with your laptop resting on your legs, the tendency is to lean forward to see the computer screen, causing your neck and back muscles to work overtime. For a short period of time, your body can adapt, but attempting to sit with poor posture for an entire workday can cause increased pain and symptoms.

Take breaks, stretch often

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If you find yourself in a situation where you are working from home in a less-than-ideal home office setup, what should you do to reduce your chances of feeling these aches and pains? The two most important things to remember are to take frequent breaks and stretch often. Taking regular breaks to get up, take a walk or simply change your body’s position has been proven to reduce muscle and joint pain. In a simple sense, motion is the lotion for your muscles and joints. Stretching those overworked muscles regularly has also been shown to reduce pain and symptoms related to muscle tightness.

At Centers for Advanced Orthopaedics, Parkway Division, our expert staff of highly educated physical therapists are your movement specialists. We are here to evaluate your needs and develop an individualized treatment program designed to reduce pain, restore motion, and optimize your functional ability so you can live your best life.

Dr. Derek Fogle is physical therapy manager at Centers for Advanced Orthopaedics, Parkway Division, 13 Western Maryland Parkway, Suite 204, Hagerstown, Md.

Derek Fogle, physical therapy manager, Centers for Advanced Orthopaedics, demonstrates a hamstring stretch. This stretch is used to reduce tightness and cramping located on the back side of the thigh and behind the knee.

BY COLLEEN MCGRATH/HERALD-MAIL

Derek Fogle, physical therapy manager, Centers for Advanced Orthopaedics, demonstrates a doorway mid-back stretch.

This stretch is used to alleviate mid-back and scapular pain/ tightness commonly associated with poor posture while sitting at a computer.

BY COLLEEN MCGRATH/ HERALD-MAIL

2022 | 19

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WASHINGTON COUNTY HEALTH DEPARTMENT DIVISION OF BEHAVIORAL HEALTH SERVICES 925 NORTH BURHANS BOULEVARD HAGERSTOWN, MD 21742 240-313-3310

WASHINGTON COUNTY HEALTH DEPARTMENT DIVISION OF BEHAVIORAL HEALTH SERVICES 925 NORTH BURHANS BOULEVARD HAGERSTOWN, MD 21742 240-313-3310

2022 | 21

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WASHINGTON COUNTY HEALTH DEPARTMENT DIVISION OF BEHAVIORAL HEALTH SERVICES 925 NORTH BURHANS BOULEVARD HAGERSTOWN, MD 21742 240-313-3310

WASHINGTON COUNTY HEALTH DEPARTMENT DIVISION OF BEHAVIORAL HEALTH SERVICES 925 NORTH BURHANS BOULEVARD HAGERSTOWN, MD 21742 240-313-3310

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5 tax prep tips

F I NANCIA L HEA LT H

T

ax season isn’t something most people look forward to, particularly if they suspect they owe money. However, a few tax prep tips can make the process of filing a return and, if necessary, paying back taxes as pain-free as possible.

1. Call your tax preparer early. If you use an accountant or another tax preparer, be sure to book the appointment as soon as possible because slots fill up quickly. You don’t want to wait until the last minute and find there are no remaining appointments.

2. Establish a tax preparation folder. Beginning in January, certain documents will arrive in the mail that will be needed to file your taxes. Documents include earnings statements, banking interest statements and documents indicating investment profits. When items

arrive, stash them in your tax folder so you’ll have all necessary paperwork at the ready.

3. Avoid tax scams. As tax season draws near, tax scammers target unsuspecting individuals. You may find that you receive calls or texts from those purporting to be with the Internal Revenue Service. However, financial experts say that the IRS or the U.S. Treasury will never call you on the phone; their mode of contact is via the U.S. mail. Another scam is individuals advertising a bigger refund when you use their services.

This is not how tax laws work nor is it possible to get a return larger than what is owed. Avoid anyone promising a bigger return, advises Bankrate.

4. Consider increasing health spending account contributions.

Lisa Greene-Lewis, a blog editor at

TurboTax, says HSAs are triple tax-advantaged, meaning you get an “abovethe-line” deduction for contributing, and the growth in these accounts as well as withdrawals are tax-free if used for qualified health expenses.

If you need to lower your tax burden, HSAs may be a safe and legal way to do so.

5. Utilize tax software. If you’re not using an accountant and have a relatively cut-and-dry financial situation, modern tax software can be an easy and inexpensive way to do your taxes.

These sophisticated programs ask a series of detailed questions and the entire process can be completed in relatively little time.

It’s almost time to get income taxes in order. Certain tips can make the process go more smoothly.

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By Metro Creative

Coping Techniques for Caregivers Join us for this free presentation and learn how to cope with caregiving stress. We’ll share tips and tools that you can use to make sure you keep yourself healthy and strong so you can give your loved one the care they deserve.

Join us Friday, April 8th, at 12 p.m.

Hosted by Commonwealth Senior Living at the Hagerstown Family Diner: 431 Dual Highway, Hagerstown, MD 21740 Lunch will be provided

Seating is limited. RSVP today.

301-686-5240

Commonwealth SENIOR LIVING at HAGERSTOWN

Welcome Home www.CommonwealthSL.com A Memory Care Community

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2022 | 23

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Why, and how, to plan for a very long life Provided by RBC Wealth Management and Laura Herrera

During your retirement years, when you rely on some of your investments for income, you need growth potential in your portfolio as well. Growth may help you prepare for a longer time horizon.

Costs are going up, too

Life spans are increasing According to the National Center for Health Statistics, a 65-year-old man is expected to live another 17.9 years (to age 82.9). And a 65-year-old woman can anticipate living another 20.5 years (to age 85.5). These numbers have been repeatedly revised upward in recent years, indicating a clear trend toward greater longevity. For further proof, the Centers for Disease Control and Prevention reports that the population of U.S. centenarians (those reaching 100 years of age) has grown by 44 percent since the year 2000.

Given these facts, you might want to review your portfolio to determine if it is well-positioned to help sustain you for a longer lifetime than you may once have envisioned – keeping in mind that investing successfully for longevity is more than a matter of how much you invest. You may also want to reevaluate how you are investing.

Until recently, inflation had been low for several years. But even at a relatively low 3 percent inflation rate, prices double roughly every 25 years. Depending on your personal needs, your spending may increase over time. For example, you may pay for more doctor’s office visits and prescriptions to help you stay healthy as you get older.

To help your purchasing power keep up with inflation, it may be practical to diversify conservative portfolios heavy on fixed income allocations by reallocating a portion toward conservative equity investments that may provide the growth you need for a longer retirement.

By planning for greater longevity, you can help yourself feel more confident about your ability to enjoy a long and happy retirement.

Asset allocation and diversification do not assure a profit or protect against loss.

This article is provided by RBC Wealth Management on behalf of Laura Herrera, a Financial Adviser at RBC Wealth Management, and may not be exclusive to this publication. The information included in this article is not intended to be used as the primary basis for making investment decisions. RBC Wealth Management does not endorse this organization or publication. Consult your investment professional for additional information and guidance.

Non-Deposit Investment Products: Not FDIC Insured Not Bank Guaranteed May Lose Value RBC Wealth Management is a division of RBC Capital Markets, LLC, Member NYSE/FINRA/SIPC.

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W

hen creating a long-term investment strategy, think about your goals, circumstances, risk tolerance and liquidity needs.

But you should also place considerable weight on one other factor: your projected longevity.

Your estimated life span can help determine how much you need to save and invest, how much you can afford to withdraw each year from your retirement accounts, how much insurance to carry, and how much you may be able to leave to your family.

Of course, none of us can say for sure how long we will live.

We might look at our family history of longevity and our own health status for clues. But a growing body of evidence suggests a lot of us are actually underestimating how long we are going to be around.

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G I V I NG BACK

Giving back enriches your life, the lives o

Written by Tim Luipersbeck Director of marketing & communications Community Foundation of Washington County, MD Inc.

W

ellness can be defined by more than nutrition, exercise and general self-care. If you listen to most experts on this topic, you may be inclined to believe that different forms of enrichment – whether it be cultural, or even philanthropic, are just as important.

The act of physically volunteering can benefit you in many ways. Stress reduction, a boost in cardiovascular health, finding a sense of purpose, and more, are all great byproducts of giving back. You do not need a doctor to tell you giving feels good. Any individual who has volunteered knows this first-hand.

But charitable acts, in general, can still have many positive results. It should not be too surprising that they provide many mental health benefits and can easily lead to increased happiness and enhanced self-esteem. The positive effects of charitable giving can extend well beyond the immediate result of improving others’ lives, and there are plenty of scientific studies to back up that notion.

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At its very core, giving makes us feel better. Charitable acts spike levels of happiness and emotional health, giving philanthropists a great jolt. This “warm and fuzzy” feeling can impact brain activity and diminish anxiety.

The physical benefits of being a humanitarian can be related to stress reduction and to decreasing heart rate and high blood pressure, two leading causes of heart attacks and strokes.

Giving back combats depression Given the circumstances, as we are still amid a global pandemic, an estimated 50 million (19.6% of American adults) have experienced a mental illness as recently as 2019. Those numbers have, no doubt, inflated over these past years. To counter, scientific evidence reveals that humans secrete serotonin (a mood-mediating chemical), dopamine (a feel-good chemical), and oxytocin (associated with tranquility) when “good” things happen. Philanthropic acts certainly encourage these feelings, which can lend a swift hand in the battle against depression. Depression itself has been linked to several physical ailments, including heart disease.

Giving back can extend your life The benefits that come from altruism do more than simply make a person feel good.

While scientists do not know exactly why generosity reduces the risk of a shorter life, researchers can draw parallels between having a sense of purpose to longer lives among older adults. One study found that helping others reduced the risk of early death, most likely by countering stress.

Since 1997, the Community Foundation of Washington County, MD, has specialized in establishing relationships with philanthropists both new and seasoned. In fact, we are considered the experts in philanthropic giving in Washington County. It is not only our duty to keep in tune with the community’s needs, but we also work with a lot of first-time donors to contribute to a particular cause they are passionate about, or to create a fund of their very own. When you donate, you are not only helping others, but you are also helping yourself. It is truly a win-win.

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es of those around you

Giving back makes people happier, reduces stress

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Emotional and Behavioral Therapy for All Ages Offering a wide range of inpatient and outpatient therapy, special education, and substance use treatment Call or visit our website for more information 301-733-0330 www.brooklane.org 28 | 2022

Locations in Hagerstown and Frederick

SEN IOR L IVIN G

Life plan community offers

independent living at its finest

By Haley Greene Administrative assistant Fahrney Keedy Home and Village

D

uring turbulent times of life in a pandemic, everyone seeks a sense of community – a place to belong, to be a part of something, to feel a little less alone when we must keep socially distant.

Fortunately for the seniors of Washington County, there is a hidden gem waiting to be found that offers just that.

Located at the foot of South Mountain is Fahrney Keedy Home and Village, a senior living facility in rural Boonsboro that offers a variety of independent living options, a fully licensed assisted living and memory care center, as well as a skilled nursing facility for those needing shortand long-term care. By staying true to its mission of enriching the lives of seniors through quality, caring service, what started as a single log cabin on the side of Md. 66 has now become a thriving community for active seniors.

Each of our 65 homes (apartments and single-level ranch homes commonly referred to as cottages) range in size from 1,000-2,000 square feet and come fully equipped with a full kitchen, garage and laundry room.

Maintenance crews handle all landscaping and snow removal, so there are no worries, regardless of the season. A meal plan with full delivery service is available. In addition to a growing village, residents also have access to a brandnew community center which features a full-service gym, recreation room, library, small meeting spaces and private rooms available to rent for special occasions. Our seniors enjoy a variety of activities like monthly book clubs, movie afternoons, Bible studies, card and game nights, craft days and birthday celebrations – including one for a resident who just turned 100 years old! Residents are also

Our seniors enjoy a variety of activities like monthly book clubs, movie afternoons, Bible studies, card and game nights, craft days and birthday celebrations.

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Continued from page 29

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Resident Joan Waters has enjoyed her time at Fahrney Keedy.

invited to attend Sunday services in the chapel where fellow residents play piano and assist with the service. In all areas of the campus, Covid protocols remain in place.

With close proximity to downtown Boonsboro, Hagerstown, Berkeley County, W.Va., and access to Interstates 70 and 81, residents enjoy day trips to local attractions such as museums, Civil War battlefields, theaters, plenty of shopping and restaurants.

Try the Lunch Bunch, a group of men and women who get together once a month and sample new area restaurants. During the holidays, residents can find visits from trick-or-treaters on Halloween night, enjoy a Thanksgiving potluck, and take a trip to see Christmas lights downtown. On summer nights, Boonsboro fireworks over Fourth of July weekend are not to be missed. Fahrney Keedy is full of adventures for those who seek them.

With any adventure, it is not so much what you do; it is the company you keep. With all the shortages happening across the country, one thing Fahrney Keedy is never short of is friendly and caring residents who look after each other. While our residents love to exchange gifts and goodies during Christmastime, it’s not uncommon to see residents performing daily acts of kindness. Residents out for a morning walk will place newspapers at front doors to save others a trip to the mailbox. During the snowy months, neighbors will clean off each other’s cars and help shovel each other’s walkways. Are you in need of transportation to an appointment or to run an errand? Residents have no problem transporting those without a car or those unable to drive.

The friendliness of her neighbors is one reason why resident Joan Waters has enjoyed her time at Fahrney Keedy. Since moving with her husband Bill from North Carolina in 2012, she has enjoyed getting to know “happy residents and an awesome staff in a relaxing environment nestled in the mountains.”

When Bill’s health began to decline a few years ago, she praised the “excellent care” he received during his time spent in the skilled nursing department. But it’s the independent living community that truly reminds her of the compassionate care that residents receive both from staff and from each other.

“To live here in independent living,” adds Joan, “Is a sight of beauty to enjoy and a joy to behold for such friendly neighbors, fantastic care and fun at the new community center. With socials, games, movies, exercise classes and the gym area, Fahrney Keedy makes me feel young at heart.”

For more information on the independent living community at Fahrney Keedy or to schedule a tour of one of the housing options, contact Kathy Neville, director of independent living, by phone, 301-8007987 or email, kneville@fkhv.org.

Where will you start the next phase of your life?

Hopefully with us at Fahrney Keedy!

30 | 2022

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S E NI O R L I VING

How Urinary Symptoms May Lead Men to Avoid Activities

By Family Features

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en with urinary symptoms common with an enlarged prostate, also known as benign prostatic hyperplasia or BPH, may anticipate and plan for urgent and frequent bathroom needs and even avoid events and activities they enjoy because of their urinary symptoms. Whether they rearrange their morning schedules in anticipation of interrupted sleep, limit the amount they drink or purposefully seek out and stay close to the bathroom, this is known as extreme bathroom planning and can disrupt normal daily activities.

In men with BPH, the enlarged prostate presses on and blocks the urethra, causing bothersome urinary symptoms, such as an urgent or frequent need to urinate or the sensation that the bladder is not empty after urinating. These

32 | 2022

symptoms can significantly impact a man’s quality of life, leading to interrupted sleep and even a loss of productivity and depression, according to research published in “British Journal of Urology International.”1 As part of a survey sponsored by Teleflex Incorporated of approximately 1,000 men in the United States 45 years and older who have experienced at least one bothersome urinary symptom, nearly half (45.49%) reported they have avoided events or activities they enjoy because of their bothersome urinary symptom.2 When they do attend an event or perform an activity, a significant number of men surveyed make plans or take action to accommodate their bathroom needs. In fact, more than 40% have chosen certain routes on road trips because

they have more or better availability of restroom facilities. Additionally, about 1 in 5 said locating the closest bathroom is the first thing they do when they go somewhere new, and about 43% selected seats when purchasing tickets to an event based on proximity to the restroom.2 These “extreme” bathroom planning habits are not just limited to daytime activities. Many men with urinary problems, including BPH patients, experience frequent nighttime waking to urinate.

The majority of those surveyed (more than 70%) said their energy levels have been impacted during the day because they get up frequently at night to urinate. To avoid this, about 3 in 4 men (74.8%) limit the amount they drink in the evening. Some men (about 22%)

effective” or “not effective at all” at helping reduce their need to plan their next bathroom trip.2 BPH relief through medication can be inadequate with potential side effects such as sexual dysfunction, dizziness and headaches, prompting many men to quit using their BPH treatment medications.7 A study published in the “Journal of Urology” also found commonly prescribed BPH medications are linked to an increased risk of new instances of heart failure in some men.8 Among men participating in the Teleflex survey, those men taking BPH medication and who have never had a medical procedure or surgery to treat their condition, more than two-thirds (66.81%) said they are extremely, very or somewhat interested in a minimally invasive procedure that could help reduce their bathroom visits and planning needs.2 An option like the UroLift(r) System is a minimally invasive treatment for lower urinary tract symptoms due to BPH. It is indicated for the treatment of symptoms of an enlarged prostate up to 100 cubic

Sources used in this article: 1. Speakman, BJUI 2014 2. Data on file: Men’s Health Survey 2021, n=1,000 conducted by Teleflex l NeoTract 2021 3. NeoTract US Market Model estimates for 2020, data on file 4. American Cancer Society Key Statistics for Prostate Cancer http://www.cancer. org/cancer/prostatecancer/detailedguide/prostate-cancer-key-statistics 5. Berry, J Urol 1984

centimeters in men 45 years or older. The UroLift System permanent implants, in many cases can be delivered during an outpatient procedure and is a proved approach to treating prostate obstruction without heating, cutting, destroying or removing prostate tissue.9, 12 The UroLift System is the only leading BPH procedure shown to not cause sexual dysfunction (no instances of new, sustained erectile or ejaculatory dysfunction) as shown in the LIFT pivotal study.10,11 Most common side effects are temporary and include pain or burning with urination, blood in the urine, pelvic pain, urgent need to urinate and/or the inability to control the urge.9 Rare side effects, including bleeding and infection, may lead to a serious outcome and may require intervention. Speak with your doctor to determine if you may be a candidate.

To talk to a doctor about safe and effective treatments for BPH, visit UroLift. com to find a urologist in your area.

Source: Teleflex Interventional Urology, manufacturer of the UroLift System

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have even slept in another bed or room than their spouse, partner or significant other to avoid waking him or her when getting up to urinate.2 “It’s important for men to be aware of symptoms of BPH, including frequent trips to the bathroom during both daytime and nighttime,” said Ana Fadich, vice president of the nonprofit Men’s Health Network. “While not all urinary symptoms are caused by BPH, men over the age of 45 who are experiencing urgent or frequent urinary symptoms should consider speaking with their doctor about their prostate health.”

More than 12 million men in the U.S. seek treatment for BPH.3 BPH is unrelated to, but more common than, prostate cancer, according to the American Cancer Society,4,5 and if left untreated can lead to permanent bladder damage.6 Medications are a common treatment option for men diagnosed with BPH. Among those surveyed, more than 65% have taken medication to treat their condition. However, nearly 1 in 4 said their medication was “not very

6. Tubaro, Drugs Aging 2003 7. AUA BPH Guidelines 2003, 2010, 2018 8. Lusty A, J Urol 2021 9. Roehrborn, J Urology 2013 LIFT Study 10. AUA BPH Guidelines 2003, 2020 11. McVary, J Sex Med 2016 12. Shore, Can J Urol 2014

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Steps to help all family members fight cardiovascular disease O

ur families are made up of all ages, shapes, sizes and fitness levels, but there are simple steps you can take to ensure every member of your family stays heart healthy. Remember that the key to fighting cardiovascular disease is a healthy diet and active lifestyle.

Douglas Spotts, M.D., chief health officer for Meritus Health, says the best place to start is by setting a good example for those we love.

“You can play an important role in your family’s heart health from childhood and beyond, by being that ‘good example,’” said Spotts. “When your loved ones see you making the good choices for a healthy diet and being active, they will often follow along in your footsteps and may even join you on the journey!”

Dr. Spotts offered some key eating and exercise ideas to consider: • Avoid sugary drinks and increase your water intake instead to the amount recommended by your health care provider.

• Reduce fat content with simple changes like choosing skim milk.

• Eat vegetables, fruits, whole grains, low-fat dairy and lean meats and avoid fried, fatty baked goods.

• If kids or adults are not necessarily into sports, encourage daily family walks after dinner or run around and toss the ball to the dog in the backyard.

Another way to set a great example for those around you is to not make poor choices for your health. One choice is to not smoke or to stop smoking, as it increases your risk of having and dying from heart disease, heart failure or a heart attack.

“Quitting smoking greatly reduces the risk of recurrent heart attack and cardiovascular death and it is possible!” said Spotts.

“Millions of people have successfully quit smoking and remain nonsmokers.”

When you set a quit date, let those close to you know and ask them for support in your efforts. One way for them to help is to not smoke in your

34 | 2022

house and car.

Poor sleep habits and the lack of sleep itself can directly affect your health, as it is linked to an increased risk of heart disease, kidney disease, high blood pressure, diabetes and stroke.

“Sleep regulates metabolism, and better sleep is associated with healthier weight, which is good for your heart,” said Spotts.

It’s also crucial to keep blood pressure in check and stress at bay. Many studies report a connection between stress and heart health. After a heart attack, people with higher levels of stress and anxiety tend to have more trouble recovering.

“If you have high blood pressure, you and your health care provider should work together to come up with a plan to reduce it,” said Spotts. “It’s truly about making one or a few small changes – being more active, eating well, reducing sodium, drinking only in moderation and taking prescribed medications as directed – that will provide big benefits to your health.”

Begin a conversation with your health care provider if you know you need to make better choices for your health. After that, a great place to learn more about being active in our community, choosing healthier foods and snacks and staying mindful and stress free is at HealthyWashingtonCounty. com. The website has free resources and information. While you are on the site, join the Go For Bold movement. The movement is encouraging our community to lose one million pounds by the end of the decade. This resource will help you and those you love stay on track and take good care of your health.

Meritus Health exists to improve the health status of our region by providing comprehensive health services to patients and families.

Alongside many community partners and participating individuals, the organization is dedicated to the Go For Bold movement where we all do, eat and believe in a Healthy Washington County. For more information, go to healthywashingtoncounty. com/goforbold.

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By Meritus Health

Douglas Spotts, M.D. MERITUS MEDICAL CENTER

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HEA RT H E ALTH

HEART HEA LT H

heart conditions

By Metro Creative

Cardiovascular disease is the leading cause of death across the globe.

According to the World Health Organization, an estimated 17.9 million people die each year from cardiovascular diseases, which are a group of disorders of the heart and blood vessels.

The sheer volume of deaths caused by heart disease each year suggest there’s little people can do to avoid it. However, the Canadian organization Heart & Stroke notes that healthy behaviors like eating a heart-healthy diet and exercising regularly can help individuals delay the onset of heart disease by as much as 14 years.

Education is another valuable asset in the fight against heart disease.

Individuals who are aware of common heart illnesses can discuss them with their physicians and take measures to reduce their risk.

Heart & Stroke notes that angina is another word for chest pain. The discomfort associated with angina, which can feel like squeezing, suffocating or burning, is caused by a temporary disruption in the flow of blood and oxygen to the heart. Though angina symptoms typically do not last long, they are considered warning signs for heart attack and should be discussed with a physician immediately after they appear.

2. Atherosclerosis Atherosclerosis is characterized by the buildup of plaque on the interior wall of an artery. That buildup makes the walls of the artery thick and hard, thus restricting the flow of blood, and can potentially contribute to a blockage. The experts at Johns Hopkins Medicine note that risk factors for atherosclerosis include high cholesterol, high blood pressure, obesity, and a poor diet that includes lots of saturated fats. Atherosclerosis can cause angina, though many individuals with the condition experience no symptoms until it has reached an advanced stage. Blockages in the leg may cause cramping when exercising or walking, while those in the arteries of the heart can cause heart attack.

Blockages that develop in the brain can cause stroke.

3. Cardiomyopathy The Centers for Disease Control and Prevention notes that cardiomyopathy often goes undiagnosed, making it hard to determine just how common the condition is. But the CDC estimates that as many as one in 500 adults have cardiomyopathy. Cardiomyopathy is a disease of the heart muscle that makes it harder for the heart to pump oxygen-rich blood to the body at optimal capacity. Heart & Stroke notes that cardiomyopathy can lead to heart failure. Early stages of cardiomyopathy may not produce any symptoms, but as the disease gets worse individuals may experience fainting, irregular or rapid heartbeats, light-headedness, and swelling of the hands and feet, among other things.

4. Coronary artery disease Heart & Stroke notes that coronary artery disease (CAD) is the most common form of heart disease. CAD occurs when one or more of the coronary arteries narrows or becomes blocked. CAD causes damage or disease to major blood vessels that supply blood, oxygen and nutrients to the heart. Certain risk factors for CAD, such as age, are beyond individuals’ control. However, many risk factors are within a person’s control. Individuals can speak to their physicians about how to maintain a healthy blood pressure and a healthy weight, limit stress, and reduce their cholesterol, all of which can lower risk for CAD. Heart disease claims the lives of millions of people each year. Recognizing common heart conditions and how to prevent them can help individuals lower their risk for this deadly, yet often preventable disease.

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4 common

1. Angina

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H EA RT H E A LTH

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Straight Facts About

Omega-3s and Heart Health

By Family Features

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any people are familiar with omega-3 fatty acids, and some of those at risk for heart disease take them as dietary supplements.

However, according to a Harris Poll commissioned by Amarin Pharma, Inc., some people have limited understanding of the risks and benefits of these dietary supplements.

Heart disease is the leading killer of men and women globally, and risk increases over the age of 45, according to the Centers for Disease Control and Prevention (CDC). In fact, the American

36 | 2022

Heart Association predicts 45% of the United States population will have some form of cardiovascular disease by 2035.

According to the CDC, people with diabetes are twice as likely to have heart disease or a stroke than those without diabetes, and at a younger age. To help counter their risk, almost half (46%) of heart patients and more than one-third of patients with diabetes take omega-3 dietary supplements, according to the poll. Six in 10 of those heart patients and 55% of people with diabetes consulted a health care professional before taking them, but only 45% of the general adult

Roughly two-thirds of people polled believe fish oil supplements have been proven effective to reduce the risk of cardiovascular disease.

However, the American Heart Association advises against self-medicating with any dietary supplements.

FDA Regulation Although roughly one-third of people surveyed reported believing omega-3 dietary supplements, which are often referred to simply as fish oil, are approved by the FDA, the FDA found fish oil supplements, which contain omega-3 fatty

acids, do not meet the standards of significant scientific agreement required for a scientific health claim.

Cardiovascular Disease Roughly two-thirds of people polled believe fish oil supplements have been proven effective to reduce the risk of cardiovascular disease. However, the American Heart Association advises against self-medicating with any dietary supplements.

If you’re at risk of heart attack or stroke, work with your doctor on a plan to help reduce your risk. Learn more at truetoyourheart.com.

What You Should Know About Fish Oil Dietary Supplements and Statins Statins are currently the first-line proven therapy for lowering cholesterol.

However, statins, along with diet and exercise, still leave persistent cardiovascular risk.

Despite commonly held beliefs to the contrary, fish oil dietary supplements have not been successfully proven to provide cardiovascular benefits in clinical studies. There are multiple reasons for this: • Omega-3s come in different forms and have different efficacy, safety and clinical effects, which can behave differently based on how they are manufactured, handled and administered.

• Certain ingredients in fish oil supplements such as docoahexaenoic acid (DHA) may raise low-density lipoprotein, which is often referred to as “bad cholesterol” or LDL-C. • Typical fish oil supplements contain only 30% of the omega-3 fatty acids EPA and DHA, with the majority of the product consisting of non-omega-3 ingredients, often including saturated fats.

• Fish oil supplements are considered food; according to FDA standards, they are not intended to treat diseases.

Source: Amarin Pharma, Inc.

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population taking omega-3 dietary supplements has done so.

Among poll respondents who think they are at risk of heart disease, 56% of those taking omega-3 dietary supplements believe they have been proven effective in reducing the risk of (or treating) heart disease, and 44% believe they have been approved by the Food and Drug Administration (FDA) to treat or prevent heart disease. However, this is not the case, and they have not been approved or proven effective in preventing disease.

Additionally, while men with diabetes (87%) are more likely than women (73%) to cite obesity as a risk factor, 75% are also more likely to believe fish oil dietary supplements are proven to reduce risk of CVD, compared to 58% of women.

“The volume of misinformation can be overwhelming for the average person who may not know whether or not to use omega-3 dietary supplements, let alone which dosage is optimal,” said R. Preston Mason, Ph.D., member of the cardiovascular division at Brigham and Women’s Hospital, teaching affiliate of Harvard Medical School, president and co-founder of Elucida Research LLC and consultant for Amarin. “Heart disease and other conditions like diabetes are too risky to leave to unproven products.”

If you currently take or are considering taking omega-3 dietary supplements, Mason recommends arming yourself with information about some commonly held beliefs about omega-3 fatty acids and the risks and benefits of these dietary supplements, especially in relation to heart disease risk.

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Unique philosophy, partnerships drive care

CO M PA S S I O NATE CAR E

A Hospice nurse visits with a patient. GETTY IMAGES/ISTOCKPHOTO

Nursing home residents receive direct access to hospice care

By Melissa Karns For Hospice of Washington County

E “Often overtaxed with competing resident demands and time constraints, the nursing home staff find great comfort in knowing that the hospice team can offer extended visitation and attention to the resident at a time it is most needed.”

38 | 2022

rnesto Lopez says that his past 10 years in an industry associated with death has marked some of his most fulfilling days.

Perhaps a hospice volunteer said it best when she told Lopez about one of “the most amazing experiences” she’d ever had with a patient. It was a real life, get-what-you-give moment.

“Hospice is a passion, it’s a commitment,” the volunteer told Lopez. And the patient she was working with recognized that within her.

“The patient saw it right away as just someone giving their best for them for no reason at all other than just to be there for them,” said Lopez, CEO of Hospice of Washington County (HWC).

For so many, hospice isn’t a job — it’s about the time people have left and how best to enrich it. After all, the gift of caring is best unwrapped when you need it most.

Hospice of Washington County has been serving the Hagerstown area for over 40 years. While many hospice organizations are for-profit businesses, HWC offers an alternative to that model and instead is driven by a volunteer spirit and a unique philosophy.

Many of the local volunteers have experienced hospice care through a loved one and now want to give back to the community; plus, HWC staff say they feel it is a privilege and an honor to work in the field.

While hospice care is often conducted in an individual’s home, HWC has a longstanding relationship with many area nursing homes, assisted living and senior living communities, including Homewood at Williamsport, a senior living community that offers both nursing home and assisted living options. For the past decade, Homewood and HWC have worked together to ensure residents live as full an end of life as possible, a partnership that also works well in the many other senior communities throughout the region.

Melissa Hadley, executive director of Homewood, said the HWC partnership is designed to meet the needs of nursing home residents nearing life’s end.

HWC has made a positive impact in specialized ways and the partnership is a shining example of how HWC interacts in similar communities all over the region.

“Although the Homewood team is trained to provide palliative and endof-life care, hospice personnel and volunteers augment that care by offering expert management of pain, specialized care planning and grief support for the resident, family and staff,” said Hadley. “Often, we find that the family needs just as much, if not more support than the resident, especially during end-of-life situations. Hospice is deliberate about developing a relationship with families that encourages trust, open and honest dialogue, and support throughout and beyond the hospice experience.”

Hospice services also help reduce end-of-life stressors and, when working in tandem with Homewood’s staff, they create “an experience of care, comfort and satisfaction as one

Moving forward during pandemic times

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Find out more about Hospice of Washington County and how it helps area residents at the end of life — wherever they call home. For information, call 301-791-6360 or go to hospiceofwc.org.

A healthcare worker combs the hair of a retirement home resident.

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We care for the whole family.

Providing Exceptional Family-Centered Care in our Community since 1980.

ld ra He

The COVID-19 pandemic has spurred some unique challenges to end-of-life care.

“I see the relationship between hospice and the nursing homes as just critical,” Lopez explained. “It needs to be cooperative. They love their residents, they are just super invested in the care that they’re providing, and a lot of times, they feel like they can do it all and they can provide it all. So, we try to remind them that, ‘Hey, we’re here to help.’”

Hadley agreed. “The Hospice staff provides the gift of time to the resident and nursing home staff,” she said.

“Often overtaxed with competing resident demands and time constraints, the nursing home staff find great comfort in knowing that the hospice team

can offer extended visitation and attention to the resident at a time it is most needed.”

And staff, like that at Homewood, know they can reach out to hospice when a patient with a chronic illness, for example, may be in need.

“As you start building relationships with the staff and the teams there, they feel more comfortable in saying, ‘Hey, I have this resident who’s been declining. Could you take a look at this person and review their medical history?’”

Lopez explained.

It’s a team effort that is set to continue to benefit Homewood residents, families and staff — and the community. “[We] have been blessed by the collaboration between our staff and the Hospice of Washington County team,” Hadley said. “It is my hope that we can continue to collaborate to make every resident experience exceptional.”

Lopez intends the partnership and others like it to continue for years to come, fulfilling the mission of HWC and the compassionate care the organization is driven to provide.

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prepares for the inevitable,” she added.

Lopez agrees the relationship is a cooperative one between the two staffs, working together to benefit those facing the end of life. While Homewood and similar communities provide dayto-day support and care for its residents, HWC works closely with staff and physicians to ensure a patient’s wishes and plan for end-of-life care are being followed. “That’s a very important factor,” he said.

For Homewood, HWC also provides support. “The hospice team is available to the nursing home team 24/7 for consultation and collaboration relative to resident care,” Hadley said.

Such teamwork is critical, and HWC’s valuable insight goes beyond instructive aid regarding medications and treatments — to when it’s OK to continue and when the care plan calls for a cease.

As much as HWC is there for senior community residents in hospice care, it is also there for the staff. “Losing a beloved resident is difficult,” Hadley said. “The hospice staff can also provide bereavement support for the nursing home staff.”

For Lopez, that is a critical piece.

Senior living community staff become like family to their residents and helping them deal with the loss of a patient is just as important as helping families deal with the loss of a loved one.

M c ail •E Me ald dia • The Record Her

Embracing individual needs with love, kindness, and compassionate care while creating meaningful end-of-life experiences for our patients and families.

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