Health and Beauty Magazine Fall/Winter 2020/21

Health Beauty Priceless

COVID-19 SPECIAL ALL ABOUT MASKS DENTIST: WHAT TO EXPECT VACCINE TIMELINE

RACIAL BIAS IN MEDICINE Pass me on for a greener Bermuda

Fall/Winter 2020/21

OUR SERVICES

3D & DIGITAL MAMMOGRAPHY

Bermuda Cancer and Health

BREAST & PROSTATE BIOPSIES

Centre is a registered charity engaged in the prevention,

BONE DENSITOMETRY

detection and support of cancer and other health concerns in

ULTRASOUND SERVICES

the local community.

236-1001 www.cancer.bm

RADIATION THERAPY

PREVENTION PROGRAMMES Free to our community

CONTENTS

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12 3 4 5 6 7 8 14 16 17 18

Boost your immunity

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Health Soup Quit smoking

Cancer prevention Become resilient Comfortable mammography Cancer care COVID-19 special Racial bias

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Defy age Importance of eye exams Pilates reformer Road to recovery

Publisher Ian Coles Director of Marketing Lissa Fisher Art Director Tim Parker Editorial Contributions Jeremy Deacon, Don Burgess, Peter Backeberg Editorial, Advertising & Distribution: PO Box HM 2032, Hamilton HM HX, Bermuda.

Tel: (441) 292-7279 Email: hello@bm.bm Website: http://www.bermudamedia.bm Health & Beauty 2020 is published biannually by Bermuda Media. Š 2020 Bermuda Media.

All rights reserved. No part of this publication may be reprinted or reproduced without the written permission of the publisher.

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Associated media include Bermuda Business Visitor Your Future New Resident Guide Building Bermuda Going Green <RXU 2ƸFH Bermuda Real Estate Handbook Bermuda Channel House Garden Kitchen & Bath Health & Beauty Fall/Winter 2020/21

IMMUNE SUPPORT

Boost your immune system naturally Tania Kowalski says look to the bees and Lindoâ&#x20AC;&#x2122;s to boost your immunity to infectious diseases id you know that bees line their hives with a resinous mixture called propolis which is known as the immune system of the hive? Propolis is known as â&#x20AC;&#x2DC;bee glueâ&#x20AC;&#x2122; which literally holds the hive together, sealing holes and cracks in the hive while protecting the bees from outside germs. Propolis contains more than 300 compounds known for supporting immunity. Studies show that propolis has antifungal, antibacterial, antiseptic, antiLQơDPPDWRU\ DQG LPPXQH HQKDQFLQJ properties. My grandfather was a beekeeper and was always expounding the wonders of bees and their natural compounds, so bee products are near and dear to my heart, which is why Iâ&#x20AC;&#x2122;m extra excited to share a new product line that Lindoâ&#x20AC;&#x2122;s has just recently introduced by Beekeepers Naturals.

Iâ&#x20AC;&#x2122;ve been using and loving the Beekeepers products for a few years now and am thrilled to have them here in Bermuda to share with you. The lineup includes; a Propolis Throat Spray for daily immune support and to soothe a sore or scratchy throat, B Powered Superfood +RQH\ IRU QRQ FDĆľHLQDWHG HQHUJ\ DQG B.Chill honey with hemp to induce a sense of calm and better sleep. Another two of my very faves are the Bee Pollen for energy and recovery (great for around your workout) and B.LXR for brain fuel, focus, and productivity (yes please).

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Health & Beauty Fall/Winter 2020/21

What else can we do to boost immunity?

BEE Kind. Bees are an incredible example of teamwork. In a single colony, there can be thousands of bees that need to work together in order to survive and thrive. Ensure that you have a supportive network of friends and family in your life, connection is so important to good health. Itâ&#x20AC;&#x2122;s also very important to be kind to yourself â&#x20AC;&#x201D; to give yourself some love and compassion. I promise that you are not alone in experiencing a rollercoaster of emotions during this time. Give yourself permission to BE, to FEEL, and to FORGIVE yourself for anything that you may be holding onto so that you can move through your emotions.

BEE Happy. Identify what youâ&#x20AC;&#x2122;re doing when youâ&#x20AC;&#x2122;re truly feeling your best.

What foods are you eating? How are you moving? How are you reducing and working through stress? What activities are you making time for? Be sure to make the time to do more of the things that make you feel good long term.

BEE Healthy. What is the status of your sleep and how can you improve LW" $OFRKRO VWUHVV FDĆľHLQH VFUHHQV blue lightâ&#x20AC;Ś these can all wreak havoc on your sleep. Identify your barriers to deep, dreamy, restorative sleep and work to remove them. Busy bees need good

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quality sleep. Choose nutrient dense foods DQG HOLPLQDWH QXWULHQW GHĆśFLHQFLHV %HH pollen, royal jelly, and propolis are some of natureâ&#x20AC;&#x2122;s most nutrient dense foods.

Bee pollen is loaded with a wide variety of DQWLR[LGDQWV WR UHGXFH LQơDPPDWLRQ WR KHOS WR ƜJKW LQIHFWLRQV DQG WR LQKLELW WKH growth of harmful bacteria. Choose pre and probiotic foods to nourish your gut and improve immunity. Bee pollen and royal jelly have also shown to stimulate important probiotic gut bacteria.

This COVID pandemic is yet another important reminder of the importance of boosting immunity through our lifestyle choices.

When youâ&#x20AC;&#x2122;re focused on balanced QXWULWLRQ DQG ĆśWQHVV LPSURYLQJ VOHHS keeping stress in check, and having a support network of supportive family and friends in your hive, youâ&#x20AC;&#x2122;re well on your way to increased immunity, better energy, better health, and an overall happier life.

Tania Kowalski is a health coach and wellness consultant for Lindos.

Facebook: ZZZ IDFHERRN FRP WDQLDNĆśWQHVV Instagram: ZZZ LQVWDJUDP FRP WDQLDNĆśWQHVV Lindoâ&#x20AC;&#x2122;s Facebook: www.facebook.com/LindosBermuda/ Lindoâ&#x20AC;&#x2122;s Instagram: www.instagram.com/lindosbermuda/ Beekeepers Facebook: www.facebook.com/BeekeepersNaturals/ Beekeepers Instagram: www.instagram.com/beekeepers_naturals/

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PREVENTION

Cancer can be prevented Bermuda Cancer and Health Centre shares things you can do today, that will lower your risk of being diagnosed with cancer ocally more than 300 people are diagnosed with cancer annually. It is estimated that 30% to 50% of cancers can be prevented and more than half cancer deaths can be prevented.

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Preventing Cancer It is possible to change the course of some cancers in a population, including Bermuda. HPV is the cause of almost all FHUYLFDO FDQFHUV 7KH YLUXV ZKLFK DĆľHFWV both males and females has also been linked to cancers of the vulva, vagina, penis, anus, and throat. In addition to following a healthy lifestyle and cancer screening guidelines, vaccinating against HPV will be a step toward preventing these types of cancer.

There is strong evidence that an individualâ&#x20AC;&#x2122;s risk of developing cancer can be substantially reduced by healthy behaviour: â&#x20AC;˘ donâ&#x20AC;&#x2122;t use tobacco and reduce alcohol consumption â&#x20AC;˘ JHW VXƸFLHQW SK\VLFDO DFWLYLW\ â&#x20AC;˘ eat healthy foods in moderation â&#x20AC;˘ participate in cancer screenings according to recommended guidelines â&#x20AC;˘ get vaccinated against the Human Papillomavirus (HPV) 4

Screening Tests Starting as early as 40 years of age, getting VFUHHQLQJ WHVWV UHJXODUO\ PD\ ĆśQG EUHDVW cervical, and colorectal (colon) cancers early when treatment is likely to work best. Lung cancer screening is recommended for some people who are at high risk. Bermudaâ&#x20AC;&#x2122;s cancer screening guidelines can be found on the Centreâ&#x20AC;&#x2122;s website (www.cancer.bm/ cancer-information/bermudas-cancerscreening-guidelines).

Vaccines Vaccines also help lower cancer risk. The human papillomavirus (HPV) vaccine helps prevent most cervical cancers and several other kinds of cancer in both males and females. The hepatitis B vaccine can help lower liver cancer risk.

Healthy Choices You can reduce your risk of getting cancer by making healthy choices like keeping a healthy weight, getting regular exercise, avoiding tobacco, limiting the amount of alcohol you drink, protecting your skin and practising safe sex.

Bermuda Cancer and Health Centre provides a series of programmes highlighting healthy lifestyle choices which,

together, can make an enormous impact on peopleâ&#x20AC;&#x2122;s likelihood of developing cancer and other non-communicable diseases over their lifetimes. Presentations and workshops are provided free to the community and can be requested through the Centreâ&#x20AC;&#x2122;s website (www.cancer.bm/cancer-information/ reducing-your-cancer-risk-presentations).

$ĆľRUGLQJ &DQFHU 6FUHHQLQJ DQG 7UHDWPHQW $ĆľRUGLQJ KHDOWK FDUH FDQ EH FKDOOHQJLQJ not everyone has health insurance, and in other cases, health insurance may not cover the full cost of a needed service. As a registered charity, Bermuda Cancer and Health Centre believes that everyone should have access to health care. Through the ongoing generosity of the local community, the Centreâ&#x20AC;&#x2122;s Equal Access fund can help subsidise the cost of mammography, ultrasound, breast and prostate biopsies and radiation therapy treatment at our Centre for those who are uninsured and underinsured.

In addition to the physical illness and emotional distress caused by cancer, the high costs of care is a burden to patients, their families, and to the public.

By preventing some of these cancers, the burden of cancer will be reduced, and the number of deaths caused by cancer will decline.

Health & Beauty Fall/Winter 2020/21

MENTAL WELL-BEING

Resilience in the face of the coronavirus 'VIRHE )EPI &:5 ;IPPRIWW EX '+ 2 SǺIVW WSQI XMQIP] advice to deal with COVID-19 related stress he coronavirus has changed our world in so many ways, and it’s not likely that we will return to the world as we knew it for quite some time. How do we manage such significant changes in our everyday lives as we adjust to our ‘new normal’?

Resilience.

Lockdown? Self-isolation? Now having to parent, teach, and work all at the same time? It can feel like too much at times – and that is understandable.

Resilience is our ability to bounce back from misfortune or change. In this era of continuous change, it can boost our ability to adapt and carry on.

Here are a few strategies to

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strengthen your resilience: • Recall your triumphs. In the midst of a tough time, call to mind a past challenge you’ve conquered. You were strong enough to handle that hardship — you’re strong enough now.

• See obstacles as opportunities.

In the end, each setback represents a chance to shine. Many people report better relationships, more self-worth, and a greater appreciation for life after difficulties.

• Take small steps. You might not be able to tackle a huge problem all at once. But making even one small move toward a solution can help you take steps toward bigger goals.

• Practice self-compassion. Instead of judging or blaming yourself for any shortfalls you may perceive you have, treat yourself kindly.

• Prioritise self-care. Proper stress management, rest, and exercise boost your ability to cope.

• Seek support. Resilience doesn’t mean being strong enough to handle burdens alone. Rather, it involves reaching out for help when you need it.

Being resilient in the face of the new challenges will help us adjust to this new normal, and keep ourselves, our families and those around us positive, as well as safe.

A wellness programme tailored for you with BF&M If your health insurance is with BF&M, you have access to LiveWell, our free online wellness platform that can be tailored to your needs and interests.

Our easy-to-use online wellness platform includes: An individualised Wellbeing Activity Hub Fun and engaging wellness challenges A personal Wellness Assessment Healthy habits programmes Access to health lifestyle and chronic disease management programmes and events Access to BF&M’s LiveWell Rewards Programme

The BF&M difference? Insurance the way it should be.

Visit www.bfm.bm and click on LiveWell or contact us at livewell@bfm.bm.

LiveWell is intended to complement rather than substitute for proper medical advice or treatment.

Health & Beauty Fall/Winter 2020/21

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IMAGING

No more excuses. Now there is a more comfortable mammogram Ultimate Imaging provides details of its advanced technology ur normal protocols, pastimes and patterns are slowly returning after the onslaught of COVID-19. We have become accustomed to pivoting to a new normal. However, it is more important than ever to continue a health care plan that is

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paramount to your personal well-being. Did you know, for example, that 25% of women skip their annual mammograms due to discomfort, anxiety and pain.

At Ultimate Imaging, we continue to advocate for women’s health — leading

the charge in providing the best and most advanced technology available.

Senographe Pristina™ 3D mammography system delivers the most superior diagnostic accuracy for screening or diagnostic mammograms — providing comfort, maneuverability and streamlined precision of result. It was designed by women for women.

The system has a range of ergonomic features that are intentionally designed to enable patients to be more comfortable.

All parts in contact with the patient’s breasts, for example, have gentle, rounded corners for greater comfort. The system features comfortable armrests that relax the pectoral muscles to simplify positioning, compression and image acquisition.

Traditional mammography systems compress the breast automatically, which can be a source of considerable discomfort. Senographe Pristina™ features a self-compression tool that helps give women a sense of control by allowing them to manually adjust the degree of breast compression. Under the direction of a technologist, the patient can set compression to a level that feels right for them. Taken together, these design features mean that technologists are better able to focus on precise positioning, making exams easier and faster. Poor positioning is the FDXVH RI PRVW FOLQLFDO LPDJH GHƶFLHQFLHV that often require a rescan.

We believe our patients deserve the best.

Don’t skip. Be proactive with your health.

Take the time and make that mammogram appointment today.

Ultimate Imaging Ltd. International Centre, Suite 308. 26 Bermudiana Road, Hamilton. Tel: 29SOUND. www.ultimateimaging.bm 6

Health & Beauty Fall/Winter 2020/21

HEALTHCARE

Improving the quality of life for cancer patients Forty years ago, cancer was a word hardly spoken aloud in the community. Patients were isolated for fear of contamination, and families were even afraid to use the same utensils.

ALS began with a group of volunteer nurses to assist in getting patients home from the hospital with cancer.

These patients needed a â&#x20AC;&#x153;pal,â&#x20AC;? someone to sit with them, read to them, or perhaps feed them. Robert Stigwood, a well-known PXVLF HQWUHSUHQHXU ĆśOP SURGXFHU DQG D Bermuda resident, provided funding for two years for a part-time nurse.

Today, Bermudaâ&#x20AC;&#x2122;s only home cancer FDUH FKDULW\ KDV JURZQ WR LQFOXGH ĆśYH IXOO time specialised nurses, a palliative care physician, and a full-time medical social worker who all see approximately 160 patients a month.

PALS supports all patients with cancer

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Health & Beauty Fall/Winter 2020/21

PALS nurses: L-R Reanna Stovell, Rosa Ward, Waynette Wilson, Kathy Fox, Merlyn Burgess

at any stage of the disease. Some of its patients complete their cancer treatment and no longer require its specialised

services; others require palliative care for pain and symptomsm experienced with end-of-life care. PALS continues to support the patient and his or her family PHGLFDOO\ HPRWLRQDOO\ DQG ĆśQDQFLDOO\ In addition to nursing support, PALS RĆľHUV GXUDEOH PHGLFDO HTXLSPHQW WR LWV patients, including such items as hospital beds, commodes, shower benches, and wheelchairs, all free of charge. PALS will assist patients (on an individual EDVLV RQFH ĆśQDQFLDOO\ VFUHHQHG WKDW require assistance with purchasing food supplements, medications, and overseas medical travel for uninsured and underinsured patients.

PALS receives no government grants and relies solely on corporate and individual donations, various fundraising events and its thrift shop, to continue to support its programmes.

PALS spends more than $5,000 a day on patient care, and its annual budget is approximately $2 million dollars.

PALS never charges a patient or his or her family for its services. All support ĆśQDQFLDOO\ DQG WKURXJK YROXQWHHULQJ LV greatly appreciated. www.pals.bm

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COVID-19 SPECIAL

Tips to avoid face mask skin irritation Have you seen more acne on your nose, cheek or chin areas in recent months?

It may be due to a new phenomena aestheticians are calling â&#x20AC;&#x2DC;maskneâ&#x20AC;&#x2122;. ince the pandemic, Aesthetician Cherrece Salmon-Shirley from Northshore Medical and Aesthetic Center, says sheâ&#x20AC;&#x2122;s seen a growing number of breakouts in areas covered by clientsâ&#x20AC;&#x2122; masks. In hot weather, face masks grow moist and

moisturiser, oil free matte SPF30.

Exfoliate Properly. To prevent pores from getting clogged and congested, Mrs. Salmon-Shirley suggests a combination of laser, microdermabrasion and chemical peels. â&#x20AC;&#x153;I always recommend clients try a dual modality or triple modality approach, as it makes treatments much more HĆľHFWLYH Ť VKH VD\V Make sure to deep clean.

7R ĆśJKW EUHDNRXWV ORRN IRU a cleanser with salicylic acid.

This will clear pores and get rid of dead skin cells and trapped dirt and oil. She recommends Dermologicaâ&#x20AC;&#x2122;s Breakout Clearing Foam Wash, available at NMAC. For more information call 293-5476

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damp, leading to a build-up of sweat, oil and bacteria on the skin.

Mrs. Salmon-Shirley suggests three ways to keep skin clear during COVID-19: Wear lightweight products.

Now more than ever, itâ&#x20AC;&#x2122;s important to avoid thick creams that sit on the skinâ&#x20AC;&#x2122;s surface. Instead use a water-based product like Dermalogicaâ&#x20AC;&#x2122;s ultra-sheer

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Time to take your medicine 8LI 5LSIRM\ XSVIW HMWGYWWIW XLI FIRIÇťXW of â&#x20AC;&#x153;reminderâ&#x20AC;? packaging that helps you know when to take your prescription drugs What is an MDS blister pack?

A monitored dosage system [MDS] is a method of dispensing tablet and capsule medications that helps manage the days and times when they should be taken.

An MDS blister pack contains medications for the week organised in clear pods by the day and time of day you should

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take them whether at breakfast, lunch, supper, or bedtime. :KR FDQ EHQHĆśW IURP using an MDS blister pack?

If you are required to take one or more medications daily, you can make use of an MDS blister pack; also, those ZKR ƜQG LW GLƸFXOW WR RUJDQLVH or remember to take their

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Health & Beauty Fall/Winter 2020/21

COVID-19 SPECIAL

When will my â&#x20AC;&#x2DC;rock feverâ&#x20AC;&#x2122; be cured?

Melissa Butler, PharmD, MPH, PhD, of Somerset Pharmacy, discusses the search for a COVID-19 vaccine.

any of us are ready to leave the island and want to do so safely.

Beyond wearing a face mask and proper hand hygiene, a COVID-19 vaccine may be our best option. But how long will that wait be and what should you expect?

There is an aggressive race to develop a COVID-19 vaccine. The US alone is spending up to $9 billion on vaccine development and manufacturing. This diagram outlines the usual development process along with the vaccines under study in each phase as of August 28, 2020. The preclinical stage may include lab simulation and animal testing. Phase 1 looks for an immune response and safety

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in samples of less than 100 people. Phase 2 continues the quest for safety signals and immune response in a few hundred people. Special populations such as children and the elderly may also be included at this phase. Phase 3 determines if the vaccine works. Thousands of people are randomly given the vaccine or placebo and researchers measure how many people contract the coronavirus. For approval, regulatory bodies, such as the US Food and Drug Administration (FDA) and European Medicines Agency (EMA), review the trial data to determine whether a vaccine should be approved. The FDA says it will approve a vaccine ZLWK HƸFDF\

Coronavirus vaccine development is happening at warp speed. A process that usually takes more than 10 years is being promised in less than two. Development is moving quickly because regulators are giving emergency authorisation to move through phases much faster, some vaccine candidates were already in development for other conditions, study phases are being combined, and the heightened awareness has made it easier to recruit study participants. The news in early August of an approved vaccine in Russia falls under the relaxed approval process as the vaccine only completed phase 1. Chinaâ&#x20AC;&#x2122;s vaccine was approved after phase 2. We still do not know if

either of them works. Despite the excitement, most drugs KDYH EHWZHHQ D RQH LQ ĆśYH WR D one in 10 chance of making it to approval. Of the 43 vaccines in clinical development, four to eight may make it to market.

However, with a goal of 50% HƸFDF\ PRUH PD\ UHDFK WKH threshold for approval.

There are many questions to ask before a vaccine becomes widely available. How long after approval will there be a supply?

Many countries already have preorders, does Bermuda? How will we decide who will receive a YDFFLQH ĆśUVW" 6KRXOG YXOQHUDEOH populations be vaccinated ĆśUVW LI SRRUO\ UHSUHVHQWHG LQ clinical trials? Will airline and cruise passengers be required to vaccinate? What are the implications of not vaccinating?

Hopefully, armed with answers you will be more comfortable ERRNLQJ \RXU QH[W WULS RĆľ WKH island.

with dosage instruction.

Suppose I get a month supply of MDS blister packs, but my prescription changes before its use?

Should an order change after an MDS blister pack is dispensed, just return any unopened packs to the distributing pharmacy along with your new prescription to have your MDS blister packs dispensed per your new medication requirements.

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Laura Fitzsimmons, Pharmacist

medication at the correct time HDFK GD\ FDQ EHQHĆśW IURP WKH use of an MDS blister pack.

Caregivers and nursing homes RIWHQ ĆśQG WKH EOLVWHU SDFNV useful.

How is the MDS blister SDFN ĆśOOHG" $ TXDOLĆśHG SKDUPDFLVW ĆśOOV HDFK 0'6 EOLVWHU SDFN per the doctorâ&#x20AC;&#x2122;s prescription[s]; each pack is sealed and labelled

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Can I obtain an MDS blister pack as a walk-in customer?

As a walk-in customer, please be prepared to collect your MDS blister pack later that day or within 24 hours.

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Health & Beauty Fall/Winter 2020/21

Youâ&#x20AC;&#x2122;ve got better things to do than worry about your meds. . %% .% .

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Contact Contact Us Us (441) 234-2484 Located Located 49 M Mangrove angrove Ba Bayy R Rd, d, SSandys andys

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COVID-19 SPECIAL

How to select a face mask What to expect at the N dentist Tinee Furbert of Medical House Ltd. provides some valuable advice on choosing and wearing a face mask

ow that we have been in the midst of the pandemic COVID-19 for the last 6 months. Iâ&#x20AC;&#x2122;m sure you have tried many face masks and may even feel like an expert on face mask selection.

The coronavirus can be spread from person to person through droplets when we talk, cough, or sneeze. These droplets can enter your body through your mouth, eyes, and nose, either directly or by touching a contaminated surface or item. We should be following recommendations from the World Health Organisation as there are EHQHĆśWV WR ZHDULQJ IDFH masks in keeping ourselves and others safe â&#x20AC;&#x201D; along with

physical distancing and proper handwashing.

There are many brands of face masks on the market and not every brand will suit every wearer. It is most important you choose one that provides protection and is comfortable.

Your mask must cover your

Come in and see us for all of your PPE needs!

We also carry scrubs, lab coats, stethescopes, eyewear,

footwear, chef wear and work wear.

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nose and mouth. There are medical procedural masks, surgical masks, N95 masks, cloth face masks and others.

The mask should be easy to XVH ơXLG UHVLVWDQW OLJKW ZHLJKW ZLWK EUHDWKDEOH ƜOWUDWLRQ DQG IRUP ƜWWLQJ 7KHUH FDQ EH GLƾHUHQW OHYHOV WR IDFH PDVNV Level 1: Low barrier protection.

Level 2: Moderate barrier protection. Level 3: Maximum barrier protection.

Concerns people may experience when wearing a face mask include; rubbing around the back or top of the ears, too tight around ears. material is not breathable, not makeup proof, rises up into your eyes, may not fully come under your chin, slips down under your nose, and makes your sunglasses fog.

To help solve these issues, here are some tips when choosing a mask. Look for a mask with a nose bridge you can pinch to secure, and with adjustable ear loops that are soft and comfortable. Find a FRPIRUWDEOH ĆśW Ĺ&#x; SOHDWV PD\ help â&#x20AC;&#x201D; with a good length span. Two or three layers of non-woven fabric will provide SURSHU ĆśOWUDWLRQ 6RPH PDVNV LQFOXGH D SRFNHW IRU ĆśOWHUV which can be bought separately and should be changed frequently.

Donâ&#x20AC;&#x2122;t let COVID-19 stop you from seeing a dentist. Itâ&#x20AC;&#x2122;s more important than ever to seek expert dental services, as oral health is vital to your overall health. miles Inc, has implemented extraordinary measures to keep you safe during this pandemic. â&#x20AC;&#x153;We have special N95 medical masks, over which we wear a second medical mask, and over that we have face shieldsâ&#x20AC;? says Dr. Steven Cardwell. â&#x20AC;&#x153;We also wear headgear, overalls, shoe covers and gloves to ensure all bodily surfaces are protected. And all the PPE is changed between every patientâ&#x20AC;?.

A major consideration for Smiles was how to modify its smart new building to make it safer for patients, and to prevent cross infection. Its treatment rooms were without doors, so they had to seal those rooms. â&#x20AC;&#x153;The doors needed to be clear so we could see the patient through it for safetyâ&#x20AC;?, explains Dr. Cardwell. â&#x20AC;&#x153;We choose Lexan as itâ&#x20AC;&#x2122;s lighter than glass and in the event of a breakage, itâ&#x20AC;&#x2122;s also much safer.

Lexan does not shatter and produce sharp edges like glass and Plexiglassâ&#x20AC;?.

Each room is now equipped with a high-

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Health & Beauty Fall/Winter 2020/21

COVID-19 SPECIAL Dr. Akbar Lightbourne (left) and Dr. Steven Cardwell (right)

HƸFLHQF\ SDUWLFXODWH DLU ƜOWHU FRPPRQO\ NQRZQ DV D +(3$ ƜOWHU WR FOHDQ WKH DLU and remove virus particles.

Each treatment room is left empty for at least 30 minutes between patients, often for much longer, during which WLPH WKH +(3$ ĆśOWHU JRHV through six to eight cycles of clearing the air.

Dr. Akbar Lightbourne says that in addition to the +(3$ ĆśOWHUV HDFK URRP also has a hospital grade â&#x20AC;&#x2DC;negative airâ&#x20AC;&#x2122; system, which is turned on whenever aerosol procedures are performed. ĹŁ7KH V\VWHP LV D PRGLĆśFDWLRQ to our air conditioning system. We have a HEPA ĆśOWHU DQG D 89 VWHULOLVHU RQ the intakes to our a/c, so we are pumping medical air into the buildingâ&#x20AC;? he explains. â&#x20AC;&#x153;Then a separate suction pump draws all of that air, and more, out of the room,

through another steriliser, and exhausts it out of the top of the building, thus creating negative pressure. That ơXVKHV WKH ZKROH URRP DW D rate of twelve air changes an hourâ&#x20AC;?.

When making an appointment, patients will be asked some pre-screening questions â&#x20AC;&#x201D; there are no walk-in appointments.

Patientsâ&#x20AC;&#x2122; temperatures are checked on arrival and they are asked to sanitise their hands, the reception area has socially distanced seating, WZR +(3$ ĆśOWHUV DUH UXQQLQJ in that area and door handles and other surfaces are wiped down regularly. Payments are now contactless and there is a one-way for entering and leaving the building.

So, you can be reassured WKDW 6PLOHV GHQWDO RƸFH LV D very, very safe place to have treatment.

A unique practice in Bermuda delivering outstanding services in general and cosmetic dentistry, Invisalign, Periodontolgy and Oral Surgery. We use the latest technology including 3D scanners, 3D printers and Digital Impressions in a comfortable, convenient and patient based environment.

No Goop. No Gag. No Worries!

The iTero Element Scanner is a state-of-the-art digital impression system that eliminates the need for messy impressions!

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FOR THE SAFETY OF OUR STAFF & PATIENTS WE NOW HAVE; INCREASED STAFF P.P.E., H.E.P.A. filters, AIR Purifiers, Foggers, U.V/H.E.P.A. filters in our A.C. system, and HOSPITAL GRADE NEGATIVE PRESSURE sealed OPERATORIES

Health & Beauty Fall/Winter 2020/21

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COVID-19 SPECIAL

COVID-19 timeline: What happened when Bermuda stayed at home?

Lest we forget, here are the key events and dates that punctuated the coronavirus pandemic on the island DECEMBER â&#x20AC;˘ December 31, 2019: The World Health Organisation (WHO) receives a report about a cluster of viral pneumonia cases in Wuhan, China.

JANUARY â&#x20AC;˘ Mid-January: The Bermuda Epidemiology and Surveillance Unit (ESU) PHHWV IRU WKH ĆśUVW WLPH â&#x20AC;˘ January 30: WHO declares COVID-19 a public health emergency of international concern.

FEBRUARY â&#x20AC;˘ February 8: 7KH ĆśUVW WHVWV LQ %HUPXGD IRU coronavirus sent to the Caribbean Public Health Agency (CARPHA) lab in Trinidad.

Results take a week or more. â&#x20AC;˘ February 10: Royal Caribbeanâ&#x20AC;&#x2122;s Anthem of the Seas arrives in Bermuda after being given the all-clear for suspected coronavirus cases. BTA commented: â&#x20AC;&#x153;There clearly is concern regarding COVID-19. But itâ&#x20AC;&#x2122;s early GD\V DQG WRR GLƸFXOW WR SUHGLFW ZKDW LPSDFW the outbreak could have on Bermudaâ&#x20AC;?.

MARCH â&#x20AC;˘ March 11: The Government starts daily press conferences regarding the Coronavirus. WHO declares COVID-19 a pandemic. â&#x20AC;˘ March 12: Government issues a travel ban on visitors from China, Iran, Italy and Korea. â&#x20AC;˘ March 18: First two positive cases in

The Royal Bermuda Regiment set up road checkpoints

12

Bermuda of COVID-19 reported as coming LQ RQ ơLJKWV IURP 0LDPL DQG /RQGRQ â&#x20AC;˘ March 19: Bermudians urged not to make unnecessary movement around the island. The Royal Bermuda Regiment is embodied and sets up checkpoints to enforce isolation and quarantine restrictions. â&#x20AC;˘ March 20: The L.F. Wade International Airport is closed to regular commercial DLUOLQH WUDƸF +HOL[ /DERUDWRU\ EHJLQV RQ island tests, cutting time for results to less than 48 hours. â&#x20AC;˘ March 21: Schools, gyms, beauty salons, spas, and swimming pools in hotels, ordered to close. Church services (except funerals), sports activities, and events with more than 50 people are prohibited. â&#x20AC;˘ March 23: Added to the closures list are bars and clubs, movie theatres, concerts, restaurant dine-in services and retail stores (except grocery stores and pharmacies). â&#x20AC;˘ March 26: The number of positive COVID-19 cases increases to 15. â&#x20AC;˘ March 27: A curfew is introduced from 8pm to 6am. â&#x20AC;˘ March 28: Golf courses added to list of Government ordered closures. â&#x20AC;˘ March 30: First payments of Governmentâ&#x20AC;&#x2122;s temporary unemployment EHQHĆśW DUH SDLG RXW WR IXUORXJKHG employees.

APRIL â&#x20AC;˘ April 1: State of Emergency declared.

Testing for front line workers

Government order issued requiring all businesses to work remotely from home. â&#x20AC;˘ April 3: Grocery shoppers implored to resist panic buying as long lines develop outside stores. Grocery store owners say â&#x20AC;&#x153;Nobody needs to worry. Stores are wellstocked, regular weekly food deliveries via ocean freight will continue as normal, and stores will be open as usual during the shelter in placeâ&#x20AC;?. â&#x20AC;˘ April 4: Shelter-in-place (lockdown) begins, initially announced for 14 days. Subsequently extended to May 2nd. Grocery stores, pharmacies and gas stations remain open between 7am and 7pm. All other businesses ordered closed. Residents permitted one hourâ&#x20AC;&#x2122;s exercise outside, no more than two people together at a time, within a half mile of their homes between the hours of 7am and 7pm. Exercise only allowed on the roads. Parks, beaches and railway trail all closed under the regulations and being patrolled by police to enforce restrictions. â&#x20AC;˘ April 6: %HUPXGD UHFRUGV LWV ĆśUVW WZR deaths from COVID-19. One a senior being treated in the King Edward VII Memorial Hospital, the other a middle-aged man who shared a house with someone who previously tested positive for COVID-19.

Grocery store â&#x20AC;&#x2DC;alphabetâ&#x20AC;&#x2122; shopping by surname begins. â&#x20AC;˘ April 7: )LUVW Ĺ DLUEULGJHĹĄ ơLJKW %ULWLVK Health & Beauty Fall/Winter 2020/21

COVID-19 SPECIAL There were long lines at grocery stores

Airways from London, arrives with repatriating residents and medical supplies.

All 97 passengers required to quarantine in Government facility for 14 days. â&#x20AC;˘ April 9: Premier Burt says that Bermuda FRXOG VXĆľHU &RYLG GHDWKV ,WĹĄV reported that Regiment troops pulled over 4,000 road users at 25 checkpoints since lockdown began. â&#x20AC;˘ April 14: Five further deaths reported â&#x20AC;˘ April 16: Grave concern as 24 cases are reported in nursing homes, and the total number of cases reaches 81. â&#x20AC;˘ April 17: Parliament holds a virtual PHHWLQJ IRU WKH ĆśUVW WLPH LQ %HUPXGDĹĄV history. â&#x20AC;˘ April 20: To ease the long lines in grocery stores, people are limited to shopping to WZR GD\V D ZHHN EDVHG RQ ĆśUVW OHWWHU RI ODVW name. Sundays reserved for seniors (55 and older), essential workers, and the disabled. â&#x20AC;˘ April 24: Drive through testing began at the Governmentâ&#x20AC;&#x2122;s Molecular Diagnostic Laboratory, bringing testing capacity to more than 900 a day. Initially, the testing is limited to essential workers but later opens to public. â&#x20AC;˘ April 25: A total of 10 cases pushes Bermuda over the 100 mark to 109.

MAY â&#x20AC;˘ May 2: Island moves to Phase 1 of reopening, ending the lockdown. A curfew remains in place from 10pm to 6am. Groups larger than 10 prohibited. Construction workers and landscapers allowed back to work. Retail stores and restaurants open for curbside pick-up only. Boaters allowed back on the water, but only with immediate family members. â&#x20AC;˘ May 4: Banks reopen with limited services. â&#x20AC;˘ May 11th: Ferry service resumes with limited service. â&#x20AC;˘ May 14: Ninth person dies from Health & Beauty Fall/Winter 2020/21

â&#x20AC;˘ June 30: State of Emergency ends.

JULY

COVID-19. As of press time, this is the last recorded death from coronavirus in Bermuda. â&#x20AC;˘ May 20: Bus service returns with a limited capacity of 17 per bus. Passengers must wear masks. â&#x20AC;˘ May 21: Phase 2 reopening. Retail stores reopen with â&#x20AC;&#x2DC;alphabet shoppingâ&#x20AC;&#x2122; similar to grocery stores. Restaurants and bars open for outdoor dining. Outdoor weddings and funerals allowed with up to 20 people. Boats may now carry 10 people. Beauty salons and barbers open for limited services. Parks, beaches, and golf courses open. Some Government services, including the courts, open on a limited basis. â&#x20AC;˘ May 22: Government ministers take a 15% pay cut. â&#x20AC;˘ May 25: An educational support programme at Government schools starts for parents who have to return to work.

â&#x20AC;˘ July 1: Phase 4 starts. Curfew remains in place from midnight to 5am. Employers and employees allowed to suspend Government and private pension contributions for 12 months.

Permitted public gatherings increase to 50 people. Government quarantine sites close. Alphabet shopping stops. â&#x20AC;˘ July 2: The L.F. Wade International Airport reopens to commercial airline services. Air &DQDGD ơLJKW IURP 7RURQWR LV ĆśUVW WR ODQG All arriving passengers tested at airport and must self-quarantine until they receive negative result. A resident and two tourists turned away from the Swizzle Inn for not following the arrival protocols. Finance Minister Curtis Dickinson announces XQHPSOR\PHQW EHQHĆśWV H[WHQGHG IURP to 16 weeks. â&#x20AC;˘ July 3: Bermuda has 0 active cases of FRURQDYLUXV IRU WKH ĆśUVW WLPH VLQFH 0DUFK â&#x20AC;˘ July 6: Delta Airlines restarts daily service from Atlanta.

Tourism and Transport Minister Zane DeSilva and National Security Minister Wayne Caines resign, following party at BLU restaurant a few days earlier, where they were both video-recorded breaking strict social distancing and mask-wearing rules. A large group exemption for the party at which 120 people were present, was authorised by Minister Caines. â&#x20AC;˘ July 20: Curfew is lifted. Bars allowed to stay open to midnight.

JUNE

AUGUST

â&#x20AC;˘ June 7: Black Lives Matter march attracts estimated 7,000 residents. â&#x20AC;˘ June 11: Phase 3A starts. All Government departments at full operation, including public transportation, but with limited seating on buses and ferries. Public gatherings are limited to 20 people.

Churches, cinemas and museums reopen with 20% capacity and physical distancing.

Restaurants open for indoor dining. Curfew remains in place from 11pm to 5am. â&#x20AC;˘ June 18: Phase 3B begins: Full personal services allowed to resume, including facial grooming, personal waxing, tattoos, and massages. Commercially licensed vessels allowed to operate to their licensed capacity. â&#x20AC;˘ June 29: Two members of Royal Bermuda Regiment struck by a car that drove through a checkpoint on South Shore Road in Devonshire. One was seriously injured and ơRZQ RĆľ WKH LVODQG IRU WUHDWPHQW

â&#x20AC;˘ August 3: Government launches new residency scheme to attract remote workers on a one-year permit. â&#x20AC;˘ August 5: 3HURW 3RVW 2ƸFH RSHQV DV testing site for travellers; testing after day 4 in Bermuda, day 8 and day 14. â&#x20AC;˘ August 7: Government says a new worst case scenario model predicts 264 deaths in Bermuda due to Covid-19 during the course of a year. â&#x20AC;˘ August 17: Government announces four new cases, the highest number in a single day since May 26. Three of the cases LPSRUWHG IURP WKH -HW%OXH 1HZ <RUN ơLJKW while the fourth is unknown. Bermuda now KDV WHQ DFWLYH FDVHV IRU WKH ĆśUVW WLPH VLQFH early June. â&#x20AC;˘ August 18: The US CDC upgraded %HUPXGDĹĄV FRXQWU\ FODVVLĆśFDWLRQ WR Alert â&#x20AC;&#x201C; Level 2 that the risk in Bermuda is moderate.

13

HEALTHCARE DVW ZHHN , ơHZ IURP %HUPXGD WR Boston with my family, when a stewardess approached and asked if I ZDV D GRFWRU , ZDV XQVKDYHQ D OLWWOH VFUXƾ\ but she noticed some medical images on my computer and assumed my profession.

A gentleman a few rows ahead was in distress. , ORJJHG RXW DQG WUXQGOHG XS WR ƜUVW FODVV to see what was going on. The diagnosis turned out to be too much alcohol and DQ HVFDODWLQJ SDQLF DWWDFN EXW P\ HƾRUWV HDUQHG PH SURIXVH WKDQNV IURP WKH VWDƾ DQG D ơLJKW YRXFKHU 1LFH A few months ago, my daughter met another doctor who helped a patient on a plane. Dr. Fatima Stanford works at Massachusetts General Hospital and is an assistant professor of Medicine and Pediatrics at Harvard Medical School. In 2018, she attended to a distressed airline passenger but was repeatedly interrupted E\ DLUOLQH VWDƾ DVNLQJ WR VHH KHU PHGLFDO credentials. As part of a Communications assignment, my daughter attended a lecture

by Dr. Stanford at Boston Universityâ&#x20AC;&#x2122;s School of Public Health and met her afterwards.

Hereâ&#x20AC;&#x2122;s the article she wrote:

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+DUYDUG 3URIHVVRU 6D\V 5DFLDO %LDV LQ 0HGLFLQH 0XVW 6WRS

by Chiara M. Marshall Allowing minorities to have a voice is essential to eliminating racial bias in the health profession, an assistant Harvard University professor said during a talk at BUâ&#x20AC;&#x2122;s School of Public Health last Wednesday.

Recognising that this issue not only DĆľHFWV PLQRULWLHV EXW HYHU\RQH LV WKH ĆśUVW step to making changes said Dr. Fatima Stanford, who made national news in 2018 IRU DOOHJHGO\ EHLQJ UDFLDOO\ SURĆśOHG RQ D 'HOWD ơLJKW )OLJKW DWWHQGDQWV UHSHDWHGO\ asked for her credentials while she administered care and asked if her medical license was hers. â&#x20AC;&#x153;Our degrees donâ&#x20AC;&#x2122;t protect us,â&#x20AC;? said Stanford, who specialises in obesity medicine as a Massachusetts General Hospital physician. â&#x20AC;&#x153;Despite the fact that I have four [of them], did two residences, did two fellowships, and actually had P\ PHGLFDO OLFHQVH RQ PH WKH ơLJKW attendant had the audacity to ask me if [the license] was mine.â&#x20AC;?

Addressing several hundred Boston University undergraduates, graduates 14

Racial bias in medicine Award-winning cardiologist Dr. Shane Marshall asks if racial bias in medicine is bad for your health?

and medical students, Stanford said that acknowledging that the current system is creating barriers for non-white professionals is paramount to stopping discrimination.

This comes at a time where the total medical school enrollment for non-white students is at a historic high, according to a 2019 report by the Association of American Medical Colleges.

Diminishing the potential discrimination IDFHG ZRXOG FUHDWH D EXWWHUơ\ HƾHFW improving healthcare employment for the next generation, said Stanford. She also said one of the main problems is non-white students not seeing representation within WKHLU ƜHOG

The eventâ&#x20AC;&#x2122;s organiser, an associate professor at Boston Universityâ&#x20AC;&#x2122;s School of Public Health, said that witnessing this representation should start in schools, but that this is not currently a reality. ĹŁ, DP RIWHQ WKH ĆśUVW >SURIHVVRU@ RI FRORU that many [Boston University] students have ever had,â&#x20AC;? said Dr. Yvette Cozier, who specialises in epidemiology. â&#x20AC;&#x153;And I teach graduate school.â&#x20AC;?

Cozier believes that representation within the health profession can reduce the stereotypical image of doctors being white men, but this process may take time.

Measures to promote diversity are now gaining traction. From 1986 to 2016, there was a 51% increase in the number Health & Beauty Fall/Winter 2020/21

HEALTHCARE

of non-white university faculty, and the upward trend has continued in recent years, according to a 2019 report by the American Council on education.

Natalia Kanj, a freshman in the College of Arts and Sciences on the pre-med track, said that these developments are creating an atmosphere of inclusivity. â&#x20AC;&#x153;I think [classes are] well-representative [of every ethnicity],â&#x20AC;? said Kanj. â&#x20AC;&#x153;[The students] are all treated the same way.

Theyâ&#x20AC;&#x2122;re all equal.

During her talk, Stanford said that increased diversity in medicine could EHQHĆśW SDWLHQWV DV ZHOO Ĺ&#x17E; SDUWLFXODUO\ ethnicities with higher genetic health risks.

Having doctors of the same ethnicity has Health & Beauty Fall/Winter 2020/21

EHHQ VKRZQ WR OHDG WR PRUH HĆľHFWLYH medical care, according to a 2018 report from the National Bureau of Economic Research.

When talking to non-white students who are considering practicing medicine, Stanford said that no one should be discouraged from a profession because of potential bias. â&#x20AC;&#x153;If itâ&#x20AC;&#x2122;s something that youâ&#x20AC;&#x2122;ve been driven to do [and] is your passion,â&#x20AC;? she said, â&#x20AC;&#x153;why allow that to stop you?â&#x20AC;?

Though older professionals such as Stanford and Cozier have had to deal with outdated perceptions, the younger generation seems more optimistic about their future in medicine.

â&#x20AC;&#x153;I think the professionâ&#x20AC;&#x2122;s open to everyone,â&#x20AC;? said Kanj, â&#x20AC;&#x153;I can imagine anyone being a doctor if they have the drive for it.â&#x20AC;?

Although I love pre-med Nataliaâ&#x20AC;&#x2122;s optimism, I suspected most black doctors would read this and think â&#x20AC;&#x153;No surprise.â&#x20AC;? So, last Sunday when I spotted Dr. Fiona Ross in the MarketPlace parking lot, I asked her opinion.

Dr. Ross, of Lifecare Family Practice, was carrying two grocery bags, her hair ZDV ơ\LQJ DOO RYHU WKH SODFH DQG VKH KDG just spent the morning updating her CPR credentials. â&#x20AC;&#x153;No surprise,â&#x20AC;? she said. Dr. Ross had a few other interesting things to say about the experience of black doctors.

As a medical student she remembered VSHFLĆśFDOO\ EHLQJ FDOOHG RQ WR DQVZHU questions, then her professor expressing surprise that she knew the answers.

Even now, she sensed that in general white doctors were perceived as more competent. She often reminds young people and medical students of color that LW LV QRW DQ HYHQ SOD\LQJ ĆśHOG Ĺ&#x17E; WR EH WDNHQ seriously they need to be better than their white classmates.

Sadly, thereâ&#x20AC;&#x2122;s a huge literature documenting racial disparities in medical care, including heart health. The reasons for this are complex â&#x20AC;&#x201C; thereâ&#x20AC;&#x2122;s racism, but thereâ&#x20AC;&#x2122;s also access issues, lack of insurance, and cultural mistrust. But I hadnâ&#x20AC;&#x2122;t given much thought to the challenges faced by black doctors once theyâ&#x20AC;&#x2122;d earned their degree.

Dr. Stanfordâ&#x20AC;&#x2122;s airline experience helped start the #whatadoctorlookslike movement on Twitter. Check it out. As youâ&#x20AC;&#x2122;ll see, not all doctors are middle-aged white men.

Finally, for my white friends, if you think UDFLDO SURĆśOLQJ RQO\ KDV FRQVHTXHQFHV IRU black doctors, I invite you to reconsider. +RZ ZRXOG \RX UHDFW WR DLUOLQH VWDĆľ if your relative had a cardiac arrest on an airplane, a black doctor was doing CPR, and the stewardesses kept interrupting her to ask for medical credentials? Just a reminder that racial bias isnâ&#x20AC;&#x2122;t just a black personâ&#x20AC;&#x2122;s problem.

Itâ&#x20AC;&#x2122;s everybodyâ&#x20AC;&#x2122;s problem.

For more news on the latest developments in cardiology, visit www.ShaneMarshallMD.com, subscribe to the free newsletter The Annals of Cardiology, and follow Dr. Marshall on Twitter @ShaneMarshallMD. 15

HEALTHCARE

Choose Water ugar is a carbohydrate and occurs naturally in fruits, vegetables and dairy products. Too many carbohydrates can lead to weight gain mainly due to extra calories in the diet.

Sodas and other beverages are some of the main culprits of â&#x20AC;&#x153;added sugarâ&#x20AC;?.

There are profound health implications related to excess body fat. Being overweight increases your risk of high blood pressure, heart disease, stroke and diabetes.

Drinking water is a healthier alternative to sodas.

It allows you to hydrate without the sugars. Fruits like limes and lemons can be added to enhance the ơDYRXU Sparkling water is a great option if you miss the carbonation of sodas. Always read the labels on the water you purchase since all waters are not created equal.

There is a time to indulge in the sweeter side of life.

However, balance things out with a refreshing glass of water. It does a body good, pure and simple. www.bwl.bm

S

The secret to defying aging f improving your looks without surgery is your goal, want to stay competitive in a youthful job market, or just want to look younger, several nonsurgical options are available.

With more than 30 years experience, Nurse Willi Lawrence of the Dermatology & Skin Care Centre LV TXDOLĆśHG WR SURYLGH \RX ZLWK D professional assessment on how to achieve the results you seek.

7KH ĆśUVW VLJQV RI DJLQJ DUH XVXDOO\ seen on the face, neck, and hands due to a loss of collagen and volume. ,W LV FRPPRQ WR XVH %RWR[ DQG ĆśOOHUV on these areas; however, Nurse Lawrence also utilises a unique procedure called Thermageâ&#x201E;˘.

Thermage has become increasingly popular since Oprah Winfrey showcased it on her show and called it one of her favorite things.

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The Dermatology & Skin Care Centre has the latest CPT machine, which decreases a patientâ&#x20AC;&#x2122;s discomfort. It is also 40 percent faster and has greater skintightening ability. It uses no needles and no anesthesia. It can be used on all skin types to lift sagging eyebrows, raise and sculpt cheekbones, and tighten the jawline.

The Dermatology & Skin Care Centre has the tools and experience to help you look your best without ever looking like youâ&#x20AC;&#x2122;ve had anything done.

Call nurse Lawrence for personalised consultation 735-5743.

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16

Health & Beauty Fall/Winter 2020/21

EYE CARE

Glaucoma could deliver a sucker punch to young, undiscerning Bermudians

of glaucoma is by far the biggest risk factor for acquiring the disease.

There is overwhelming evidence in literature that early detection is one of the key factors in successful management of the condition.

The entire prognosis changes when somebody is detected early on in the disease process, avoiding sight threatening complications.

Glaucoma is well controlled in a vast majority of patients with eye drops. In a minority, a surgical option may need to be pursued.

It must be emphasised that glaucoma is not synonymous with blindness and most patients are able to carry on with their lives till the very end. However, the key to management is early detection, good drug FRPSOLDQFH DQG HƸFLHQW monitoring using good timetested clinical methods and technology.

Dr. Vellore Chandran Parthasarathy explains the importance of early testing for glaucoma

hen a 35-year-old male walks into my RƸFH IRU WKH YHU\ ƜUVW time with features of advanced glaucoma, my heart sinks as I realise that it is the lack of awareness that has contributed to his plight. It will be an uphill struggle from here to preserve his sight. *ODXFRPD DƾHFWV DOO DJHV from infants to the elderly. The earlier the onset of glaucoma, worse is the prognosis. There is strong genetic basis to the disease and families with glaucoma should urge the younger members to get tested.

We are increasingly realising that all screening protocols should commence earlier than what was once thought.

A person with a positive family

W

history must start his regular visits to the optometrist by the age of 20 years. Glaucoma is more prevalent in short sighted (myopic) individuals and diabetics, in whom the screening should commence early.

It is estimated that glaucoma DĆľHFWV PRUH WKDQ PLOOLRQ

Americans, and only half of them are even aware of their condition. What makes it deadly is the fact that it produces no symptoms until very late in the disease. African Americans have a six to eight-fold risk of going blind from glaucoma compared to Caucasians. A family history

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Health & Beauty Fall/Winter 2020/21

17

HEALTHCARE

Orthopaedic surgery and physiotherapy: The road to recovery

O

rthopaedic and Physiotherapy Associates is a well renowned medical and physiotherapy practice, which opened its doors in 2003. We have a fabulous team of orthopaedic surgeons and physiotherapists who provide excellent healthcare to a wide range of SDWLHQWV 7KH\ DUH EDFNHG XS E\ RXU RƸFH managers who guide patients through the process of appointment bookings, hospital admissions, insurance claims and after care bookings.

The three orthopaedic surgeons:

Doctors Will Peckett, Milan Oleksak and Gail Caruth are highly trained and experienced.

They work tirelessly for their patients, providing excellent trauma and elective care to our community in our clinic and at the KEMH. We have access to world class surgeons who visit the island to enhance the excellent service here.

Lizzie Peckett, owner and manager of the physiotherapy department KDV D FRPPLWWHG WHDP RI FHUWLƶHG physiotherapists: Jill Brydon, Jane Cooper and Alex Wilberz. They are all experienced

Get strong, toned, and flexible ilates reformer classes at Horizon Health will help you develop and maintain next-level core muscles Pilates is a low-resistance, low-gravity form of movement to help gain strength easily and consistently in a noninvasive way through the reformer push/pulley system. Reformers work on the basis of opposition always strengthening an area of the body whilst

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stretching the opposite muscles. This creates a balanced muscular skeletal system, evenly toned, and posture-aligned body.

Pilates concentrates on working your “inner unit” muscles verses your “outer unit” major muscles that most other forms of movement and sports focus on.

The inner unit is the mast of the body and supports the major muscles. Hence

in a wide range of musculoskeletal physiotherapy: orthopaedics, sports injuries, paediatrics and elderly care.

Home visits are also popular for those patients who are unable to attend the clinic. Acupuncture, manual therapy, post-operative care, sports assessments, and exercise protocols are all available. At OPA the best course of treatment will be discussed and implemented.

The clinic is based opposite the hospital, with free parking, and is fully wheelchair accessible. www.opa.bm lifestyle, sports performance, and general body function improves through the practice of Pilates.

Horizon Health has recently expanded its studio space and has become Bermuda’s largest Pilates facility, with more than 40 years of collective teaching experience.

Email: info@horizonhealthbermuda. com. Tel.: 293-1687. www.horizonhealthbermuda.com.

Chancery Hall, Ground Floor, 52 Reid Street, Hamilton.

Orthopaedic and Physiotherapy Associates is a well renowned medical and physiotherapy practice, which opened its doors in 2003. We have a fabulous team of orthopaedic surgeons and physiotherapists who provide excellent healthcare to a wide range of patients.

Doctor's office: 236 8228 Physiotherapy: 236 8881 www.opa.bm

Horizon Health offers classical and contemporary solo, duet and trio Pilates reformer classes to all ages and abilities. We are the largest Pilates facility in Bermuda and have the most collective experience teaching clients. For a first class Pilates experience sign up for sessions with our team. info@horizonhealthbermuda.com www.horizonhealthbermuda.com Tel. 293 1687 Chancery Hall, Ground Floor, 52 Reid Street, Hamilton, HM 12 18

Health & Beauty Fall/Winter 2020/21

WELLNESS 0(7+2'

Recipe A delicious soup that also helps to detoxify ushrooms meet FDXOLơRZHU LQ WKLV WDVW\ VRXS 7KH FDXOLơRZHU lends a creamy texture DQG RƾHUV FUXFLDO QXWULHQWV WR VXSSRUW GHWR[LƜFDWLRQ

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,1*5(',(176 1 box of shitake mushrooms 1 jar of artichokes 1 box of button mushrooms VKDOORWV FKRSSHG ƜQHO\ FDXOLơRZHU FKRSSHG LQWR ơRUHWV 2 tbsp. dried thyme or 3 tbsp. fresh 2 tbsp. light olive or grapeseed oil

3 tbsp. of gluten free tamari or coconut aminos 4 garlic cloves 1/2 cup canned coconut milk Optional: Âź cup organic white wine 5 cups of bone broth or low sodium vegetable stock

Preheat oven to 400F. 7RVV WKH FDXOLơRZHU ơRUHWV in 1 tbsp. olive oil and 1/2 tsp. sea salt.

Spread out on a baking tray and roast until crispy, about 25 minutes.

In a large saucepan, sautĂŠ the shallots until translucent. Add in the chopped mushrooms.

Keep them spread out so they crisp up rather than steam. Add in the garlic, thyme, organic white wine and tamari.

Simmer for several PLQXWHV DQG WKHQ WXUQ Rƾ the heat. Carefully blend in an upright blender with WKH URDVWHG FDXOLơRZHU and coconut milk. Season to taste.

Recipe provided by Sarah Wight, Nutritional Therapist, Ocean Rock Wellness. Tel: 295-5100. Email: info@oceanrockwellness.com. www.oceanrockwellness.com

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Ă&#x;Ĺ?ĆŤĹ?Ƹ ƸĹ&#x160;ÄŞ Ă / ÂŽSÂź/ ĂżÄ&#x203A;ĹźÇ&#x153;ÄŞ Âź ' ĂŚâ&#x20AC;Ť Ü&#x2039;â&#x20AC;Ź Health & Beauty Fall/Winter 2020/21

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ccording to the American Cancer Society and the US Surgeon General, this is how your body starts to recover: 20 minutes after quitting: Blood pressure and heart rate return to normal.

12 hours of smoke-free living: Carbon monoxide levels in your blood return to normal.

2 weeks to 3 months of smoke-free living: Your circulation and lung function begin to improve.

1 to 9 months of smoke-free living: Clear and deeper breathing gradually returns as coughing and shortness of breath diminishes.

1 year after quitting smoking: Risk of coronary heart disease is reduced by 50%.

5 to 15 years after quitting smoking: A personâ&#x20AC;&#x2122;s risk of stroke is similar to that of a non-smoker.

Contact Pathways Bermuda for a consultation. Tel: 441 236-0823.

Email: info@pathwaysbermuda.bm. www. pathways.bm

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19

MEDICAL PROFESSIONALS GUIDE

Dr.

Patrick Murray Dr. Murray hails from the UK and is a graduate of the University of Leeds, gaining membership of the Royal College of Surgeons of England. He obtained his research doctorate investigating immunological changes that happen within head and neck cancer, sparking his interest in the treatment of cancer. In 2013, he was awarded a medical doctorate (MD research) from the University of Hull for successfully defending his thesis on immunomodulation in the head and neck cancer microenvironment, field of study immuno-oncology. He completed his clinical fellowship at the Leeds Cancer Centre in the UK, the largest purpose-built cancer centre in Europe, before extending his training with a focus on high precision radiation techniques such as SBRT and SRS with a specialisation in head and neck cancer.

In 2017, Dr. Murray was awarded the esteemed BJR Barclay Medal Award for his BJR paper on “A systematic review of outcomes following stereotactic ablative radiotherapy in the treatment of early-stage primary lung cancer”. He worked as a Consultant Clinical Oncologist at Leeds Teaching Hospitals NHS Trust before moving to Bermuda to join Bermuda Cancer and Health Centre’s radiation therapy department as a radiation oncologist.

Dr.

Chris Fosker Dr. Fosker is the medical director and radiation oncologist at Bermuda Cancer and Health Centre, a consultant oncologist at King Edward VII Memorial Hospital, an affiliate member of the Dana-Farber Cancer Institute and a consultant at Brigham and Women’s hospital in Boston.

As a Clinical Oncologist Dr. Fosker is qualified to treat cancer patients with radiation therapy, chemotherapy, molecular therapy and immunotherapy. Prior to moving to Bermuda, Dr. Fosker worked as a specialist at St James’s Institute of Oncology in Leeds, Europe’s largest purpose built cancer centre.

Dr. Fosker has completed a Fellowship at Princess Margaret Hospital in Toronto and has published research in a number of clinical areas as well as in medical education, service development and health economics. Aside from his clinical work he has held other positions of responsibility, including working for the Macmillan Cancer Charity as a policy adviser, and for NHS England as a clinical advisor. He is the recipient of a number of awards including the ‘RS Bush Award’ for academic excellence from Princess Margaret Hospital and the University of Toronto.

Dr. Fosker received a Bachelor of Science in Genetics from the University of Leeds.

Bermuda Cancer and Health Centre 46 Point Finger Road. Paget DV 04 Tel: 236-7035. Email: rtinfo@chc.bm www.chc.bm

Dr.

Vellore Chandran Parthasarathy Dr. Vellore Chandran Parthasarathy is the consultant ophthalmologist at the Bermuda International Institute of Ophthalmology, with over thirty-two years of experience. He earned his Diplomate in Ophthalmology at Madras Medical College in India and did an Ophthalmic Fellowship at the Royal College of Ophthalmologists in the UK. He passed the three- part Ophthalmic Fellowship examination of the Royal College of Ophthalmologists in London. He specialises in Paediatric Ophthalmology, Squint, and Micro Incision Cataract surgery. Dr. VC worked alongside BIIO’s founder Dr. Teye-Botchway at the Warwickshire Hospital (UK) from 1988-1992 and has practiced in Bermuda as a locum since 2008. He is passionate about ophthalmology and the care of his patients. He holds active memberships with the American Academy of Ophthalmology, the Royal College of Ophthalmologists, and the All India Ophthalmic Society.

Bermuda International Institute of Ophthalmology The Arches 13 Berry Hill Road, Paget DV03, and 129 Front Street, 2ND Floor, Hamilton, HM12 Tel: 232-3937, Email: info@biio.bm. www.biio.bm 20

Health & Beauty Fall/Winter 2020/21

Delivering the Highest Quality Medical Care Possible

Dr. Gerhard Boonstra

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Dr. Samantha Price

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Dr. Amne Osseyran

Dr. Margot K. Harvey

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Dr. Joanne Lysack

WHAT WE OFFER: • Family Practice

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Paget Location 40 & 42 Point Finger Road, Paget DV 04 Monday - Friday 8am - 7pm | Saturday 9am - 12noon | Call 236-0084 for Appointments Hamilton Location 14 Dundonald Street, Hamilton HM 09 Monday-Thursday 8am-5pm | Friday 9am-4pm | Call: 296-9733 for Appointments

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