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good health body / mind / fitness

A Special Advertising Section May 26, 2016

focusing on

Men and doctors Understanding the disconnect

r millennia, women have wondered why men steer o clear of doctors. Avoidance is especially common in men ages 20 to 40. In this age range, men are twice as likely as women to die from any cause.

In one large survey, three times more men than women said they had not seen a doctor in the last 12 months. In the survey, 25 percent of men said they would wait as long as they could before getting help with a health problem. Now research shows why men delay treatment when it comes to health care. Surveys find that the biggest reason guys steer clear of doctors may be that many men believe health problems threaten their masculinity. Some experts theorize that, way back on the tree of human ancestry, being ill meant being unable to procreate. Thus, men had a vested interest in denying ill health. But that was then and this is now. These days, studies show that most men will not go to a doctor if they feel good. Men should understand that feeling fine is not the

Look and feeL better take charge of your eating habits See Inside

GettinG to the heart of the matter

keep that ticker happy

See Inside

same as being healthy. A person can feel fine while high blood pressure, cholesterol and blood sugar are silently affecting their health. Many men, too, are reluctant to talk about certain physical symptoms. High on the list: getting up more than once a night to pee, seeing blood on the toilet paper or in the tank, erectile dysfunction and an itchy rash almost anywhere on the body. Other men simply do not have a good relationship with a doctor. They are most uncomfortable when they believe a doctor is being overbearing or giving too much information. However, building a relationship with a doctor through an annual check-up makes good sense. A doctor who feels concerned about you is more likely to give you quick access to medical care when you need it. â€œCompared to similarly aged women, men are less Continued on page S-3

feed YoUr bodY riGht a decade-by-decade guide to optimal nutrition See Inside

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Look and feel better Take charge of your eating habits

Many U.S. men only go to their doctor when they’re extremely sick, skipping preventive care.

Understanding the disconnect Continued from S-1

likely to have a regular doctor and health insurance and are more likely to put off routine checkups or delay seeing a health provider after experiencing symptoms,” said Darryl Davidson, director of Men’s Health for the Northwest Health Center. “This month [Men’s Health Month] is a reminder to talk to health professionals and to learn about important screenings that assist with finding conditions before they get worse.”

Get the screenings you need

Take charge of your health. And that means stay on top important screenings. Getting recommended screening tests is one of the most important things you can do for your health. Pay attention to the ABCs of screenings. Abdominal Aortic Aneurysm. If you are between the ages of 65 and 75 and have ever been a smoker, (smoked 100 or more cigarettes in your lifetime) get screened once for abdominal aortic aneurysm (AAA). AAA is a bulging in your abdominal aorta, your largest artery. An AAA may burst, which can cause dangerous bleeding and death. An ultrasound, a painless procedure in which you lie on a table while a technician slides a medical device over your abdomen, will show whether an aneurysm is present. Colon Cancer. Have a screening test for colorectal cancer starting at age 50. If you have a family history of colorectal cancer, you may need to be screened earlier. Several different tests can detect this cancer. Your doctor can help you decide which is best for you. Depression. Your emotional health is as important as your physical health. Talk to your doctor or nurse about being screened for depression, especially if during the last two weeks you have felt down, sad, or hopeless; you have felt little interest or pleasure in doing things. Diabetes. Get screened for diabetes (high blood sugar) if you have high blood pressure or if you take medication for high blood pressure. Diabetes can cause problems with your heart, brain, eyes, feet, kidneys, nerves, and other body parts. Hepatitis C virus (HCV). Get screened one time for HCV infection if: n

You were born between 1945 and 1965.

You have ever injected drugs.

You received a blood transfusion before 1992.

If you currently are an injection drug user, you should be screened regularly.

High Blood Cholesterol. If you are 35 or older, have your blood cholesterol checked regularly with a blood test. High cholesterol increases your chance of heart disease, stroke, and poor circulation. Talk to your doctor or nurse about having your cholesterol checked starting at age 20 if:

You use tobacco.

You are overweight or obese.

You have diabetes or high blood pressure.

You have a history of heart disease or blocked arteries.

A man in your family had a heart attack before age 50 or a woman, before age 60.

High Blood Pressure. Have your blood pressure checked at least every two years. High blood pressure can cause strokes, heart attacks, kidney and eye problems, and heart failure. HIV. If you are 65 or younger, get screened for HIV. If you are older than 65, ask your doctor or nurse whether you should be screened. Lung Cancer. Talk to your doctor or nurse about getting screened for lung cancer if you are between the ages of 55 and 80, have a 30 pack-year smoking history, and smoke now or have quit within the past 15 years. (Your pack-year history is the number of packs of cigarettes smoked per day times the number of years you have smoked.) Know that quitting smoking is the best thing you can do for your health. Overweight and Obesity. The best way to learn if you are overweight or obese is to find your body mass index (BMI). You can find your BMI by entering your height and weight into a BMI calculator, such as the one available at www.nhlbi.nih.gov/guidelines/obesity/BMI/ bmicalc.htm. A BMI between 18.5 and 25 indicates a normal weight. Persons with a BMI of 30 or higher may be obese. If you are obese, talk to your doctor or nurse about getting intensive counseling and help with changing your behaviors to lose weight. Overweight and obesity can lead to diabetes and cardiovascular disease.

Get preventive medicines if you need them

Aspirin. If you are 45 or older, your doctor or nurse can help you decide whether taking aspirin to prevent a heart attack is right for you. Vitamin D to avoid falls. If you are 65 or older and have a history of falls, mobility problems, or other risks for falling, ask your doctor about taking a vitamin D supplement to help reduce your chances of falling. Exercise and physical therapy may also help. Immunizations. Immunizations aren’t just for kids. Adults need them too. n

Get a flu shot every year.

If you are 60 or older, get a shot to prevent shingles.

If you are 65 or older, get a pneumonia shot.

Get a shot for tetanus, diphtheria, and whooping cough. Get a tetanus booster if it has been more than 10 years since your last shot.

Pay attention to what’s on your plate and the types and amounts of foods you need. Make your food choices a priority and be physically active so you can be the man you want to be. Magic foods do not exist. There’s no magic food or way to eat. Try to stick veggies, fruits, whole grains, protein foods — like beans, eggs, or lean meats, and low fat dairy. You’ll get nutrients you need for good health — including magnesium, potassium, calcium, vitamin D, fiber, Get off the couch and cut back and protein. If it’s there, you’ll on the pizza delivery. Your body eat it. Keep healthy will thank you. foods in your kitchen that need little preparation. Keep your fridge filled with carrots, apples, oranges, low-fat yogurt, and eggs. Stock up on fresh or frozen vegetables and fruits, lean meats, canned beans, and tuna or salmon. Find healthier heat-and-eat options to replace heating up a frozen pizza. Whole grains help you feel full. Make sure half your grains are whole grains. Whole grains can help give a feeling of fullness and key nutrients. Choose whole-wheat breads, pasta, and crackers; brown rice; and oatmeal instead of white bread, rice or other refined-grain products. Build habits that don’t add pounds. Cut calories by skipping foods high in solid fats and added sugar. Limit fatty meats like ribs, bacon, and hot dogs. Cakes, cookies, candies, and ice cream should be just occasional treats. Use smaller plates to adjust the amount of food you eat. Water is your friend. Water is a better choice than many routine drink choices. Beverages can add about 400 calories a day to men’s diets. So limit high-calorie beverages, including those with alcohol. Skip soda, fruit drinks, energy drinks, sports drinks, and other sugary drinks. Find out what you need to eat. Men’s energy needs differ from women’s needs. If you’re unsure of how to make the right nutrition choices, you can find exactly how much and what foods you need, based on your height, weight, age, and physical activity level at www.SuperTracker.usda.gov. Get beyond survival cooking. Start cooking more often. Try steaming vegetables, roasting a chicken, and making a tasty veggie sauce for spaghetti from scratch. Eating your own home-cooked meals allows you to control what and how much you eat. Wise-up about what’s in food. Use both Nutrition Facts and ingredient labels to discover what nutrients foods and beverages contain. Cut back on foods that have sugar or fat as the first ingredient. Sweat is not bad. Be active whenever you can. Have friends or family join you when you go for a long walk, bike, or jog. Vary activities to stay motivated. Set a goal of 2½hours or more of moderate physical activity a week. Include strengthening your arms, legs, and core muscles at least 2 days a week. Being active just 10 minutes at a time makes a difference.

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Keep that ticker happy Good nutrition and lifestyle play big roles in keeping your heart healthy. And, since more men die from heart disease than any other disease, it is essential to take a look at these risks and take action to reduce these potential players in heart disease. Being overweight or obese, eating fatty foods, smoking cigarettes and being inactive put you at greater risk for heart disease. Cholesterol levels and blood pressure are also important when considering risk factors. Keep in mind that the following increase the chances of heart disease:

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High triglycerides (greater than 150 mg/dL)

Low HDL “good” cholesterol (less than 60 mg/dL)

You can control your risk of heart disease by making smart food choices. Choose foods including whole grains, fruits, vegetables, lean protein, low-fat or fat-free dairy products and heart-healthy fats. Limit your calories by filling up on high-fiber foods such as whole grains, fruits and vegetables. Fiber can help you lose weight and keep the pounds off by filling you up faster and for a longer time.

Fat matters

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The amount and kind of fat you eat makes a difference. Fat should make up 20 percent to 35 percent of your total calories, with only 10 percent coming from unhealthy, saturated fat. Research shows eating too much saturated fat is not good for the heart. Foods such as bacon, red meat, butter and ice cream contain saturated fat. You also should avoid trans fats or partially hydrogenated oils. These fats can clog arteries and raise cholesterol levels. Trans fats are found in commercial baked goods and fried foods. Unsaturated fat is another story. It has been found to be beneficial for overall cardiovascular health. Foods including olive oil, canola oil, avocadoes, walnuts and almonds contain unsaturated fat, and help cholesterol levels by raising “good” HDL cholesterol and

lowering “bad” LDL cholesterol. Omega-3 fatty-acids, a type of unsaturated fat, have been found to be helpful in preventing sudden death from heart attacks. Fatty fish, such as salmon, mackerel, tuna and herring, contain two types of omega-3 fatty acids, docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA). The recommended intake for omega-3 fatty acids is 500 milligrams per day. That’s about two 6-ounce servings of fatty fish per week. Another type of omega-3 fat, alpha-linolenic acid (ALA) provides cardiac benefits. Flaxseeds and walnuts contain ALA. Eat 2 tablespoons of ground flaxseed or 1 ounce (about a handful) of walnuts each day for heart health.

Focus on fruits and veggies

Eat less fatty meats and more plant-based foods, such as fruits and vegetables. Not only are fruits and vegetables low in calories and high in fiber and antioxidants, they can help keep blood pressure in check. High blood pressure is a major risk factor for heart attack and stroke. What makes fruits and veggies so good? They are packed with potassium, a mineral that has been shown to lower blood pressure in clinical studies. Aim for 4,700 milligrams of potassium every day for good blood pressure. That’s at least 2 cups of fruit and 2½ cups of vegetables daily. The best picks are tomatoes, leafy greens, potatoes, bananas and squash.

Slow and steady weight loss for heart health

In men, a 40-inch (or larger) waistline may be dangerous for health. Losing belly fat is important, with slow weight loss offering the best results. Do not deny yourself everything at once. Try gradually subtracting about 500 calories from your daily intake instead. This can be done with more moderate portion sizes and limiting added sugars and fats. It doesn’t take much to see results; with a 5- to 10-percent drop in weight, overall health improves.

Exercise, exercise, exercise

Aim for at least 30 to 60 minutes of regular, aerobic exercise most days of the week. Simple activities make a difference. This includes walking, jogging, biking and dancing. Participate in strength training, such as weight lifting, at least two to three times per week. Courtesy Academy of Nutrition and Dietetics

Feed your body right A decade-by-decade guide to optimal nutrition

Think your nutrition needs stay the same your whole adult life? Think again. Every decade has its own pitfalls and concerns, from weight creep to heart disease, and this changes what — and how much — you need to eat during each life stage. Check out our handy guide to figure out which foods will help boost your health no matter your age.

20s: High Energy

You’re no couch potato! In your 20s, you’re likely in college or working in your first job after graduating, and your spare time is filled with sports, hiking and other active pursuits. Savor the decade, because it means you can get away with downing more calories than your older brethren without piling on weight. “But just because you can eat a lot of calories doesn’t mean they should be empty calories,” says Keith Ayoob, EdD, RD, FADA, a former Academy of Nutrition and Dietetics spokesperson. “If you’re going to snack on high calorie foods, go with things like nuts, dried fruit, and cheese over cookies, chips, and sodas. Yes, they’re still high calorie but you get a lot more nutrition with them.” Active guys need to be sure they’re getting enough protein. Choose a variety of protein foods, which include seafood, lean meat and poultry, eggs, beans and peas, soy products, and unsalted nuts and seeds. Since

heart disease begins early, Dave Grotto, MS, RDN, LDN, also suggests that men in their 20s eat two to three servings of fatty fish per week to protect their ticker.

30s: Weight Doesn’t Wait

This decade, you may be married and have kids, and you’re probably ensconced in a 9-to-5 job, which means you’re likely not out trekking in the woods or playing touch football with your buddies as much. But even though your activity slows down, your appetite doesn’t, and this can lead to weight gain if you don’t alter your eating habits. Instead of eating three (or fewer) big meals per day, nosh on five or six small meals daily, Each life stage has its own nutritional requirements to keep your body running in peak says Grotto. Eating frequent meals means you form. Eating right at every age will help you sail through the decades feeling great. won’t be starving come dinnertime and scarf down all the food you can get your hands on. bly getting somewhere between 12 and 15 soy beverages, also are commonly fortified But see what works best for your body; some grams.” with this nutrient. Natural sources of vitamin people do best with three main meals, and a Beans are the fiber-phile’s best friend, and D include some kinds of fish (such as salmon, snack if needed, while others do best with veggies, fruits and whole grains are also fiber- herring, mackerel and tuna) and egg yolks. more frequent, but smaller meals. rich foods. Adequate vitamin D also can help reduce You’re probably not getting out in the sun the risk of bone fractures. If you think you’re 40s: Fiber Fail as much as you did in younger years, which not getting enough vitamin D, talk to your The 40s is when you start to see heart dis- means you could also be low on vitamin D, doctor. ease rear its head. Fiber, especially soluble which is manufactured from sunlight. But you fiber, which works like a sponge to soak up can also get vitamin D from some foods. Most 50s: Busting Disease cholesterol, can help keep your heart healthy. of it in this country is obtained from fortified Disease control — heading off cancer, “The goal for most guys is to try to work foods, especially fluid milk and some yogurts. heart disease and other diseases — becomes their way up to about 35 grams of fiber per Some other foods and beverages, such as a major focus in your 50s. That’s why noshing day,” says Grotto. “The average guy is proba- breakfast cereals, margarine, orange juice and Continued on page S-8

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HEALTH MEMO

HEALTH MEMOS

Comfort Keepers: Expanding to your community

omfort Keepers is owned by Oceanside resident Judy Geier. Comfort Keepers is a worldwide franchise servicing Nassau County and surrounding areas. Its main goal is enabling independent living at home with respect and dignity. Comfort Keepers aims to keep seniors in their own homes while providing nonmedical care and companionship. Although elders are the main focus, all adults are serviced, including pregnant women. The many services provided by Comfort Keepers include conversation, companionship, meal preparation, light housekeeping, errand services, grocery shopping, respite or relief for the family, medication reminders, grooming and dressing guidance, incidental transportation, laundry and linen washing, recreational activities and crafts, mail assistance and organization, periodic review and communication, and emergency monitor systems. Caregivers are certified by The Alzheimer’s Association of Long Island. Each caregiver is equipped to meet the needs of any and all patients. All have cars and have been subject to criminal and DMV background checks. In addition, all employees are bonded and insured.

A free in-home client assessment is done so that your loved one is assured the correct caregiver “match” for his/her specific needs.

HEALTH MEMO

Is dental health connected to overall health?

hen was the last time you visited the doctor? Many people regularly visit their physician. However, when is the last time you visited the dentist? In many cases, visits to the dentist are put off unless a patient is in pain. If we are regularly brushing and flossing is it really necessary to have regular dental check-ups? The connection between our oral health and our overall health may surprise you. While home care is important it cannot remove all tartar deposits that build up on teeth over time. Without removing these deposits gums can become inflamed leading to dental infections. Oral infections have a profound impact on our overall health and can contribute to serious health issues. Delaying dental treatment is a serious risk. Here at Now Dental we have been serving the South Nassau community for over 30 years helping patients to improve their dental health. Our friendly staff is here to serve you and help make a visit to our office one you look forward to. If you do not have dental insurance we offer an “in-office” insurance plan for a nominal fee that provides two cleanings,

exam, and x-rays each year, as well as a discount on our usual fees for any treatment you may need. This can help make your dental treatment more affordable than you may think, as well as the convenience of being a patient of a multi-specialty practice where all your dental needs can be taken care of in one place. Over the years, many families have been served by Now Dental and become part of our practice “family” and we look forward to welcoming you and your family.

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Health memos are supplied by advertisers and are not written by the Herald editorial staff.

HEALTH MEMO

The Long Island FQHC, Inc. (Federally Qualified Health Center) provides primary health care for everyone in the neighborhood

Travel medicine services at Nassau University Medical Center

Your Health — Our Mission

hatever your family needs, regardless of your income, residency or immigration status, The Long Island FQHC, Inc. (Federally Qualified Health Center) Family Health Centers are your primary choice for managing your continued health and well-being. In addition to Primary Care Adult and Pediatric Medicine, we have extensive Women’s Health, Behavioral Health, Podiatry, Optometry and Dental services. Three of our locations (Roosevelt, Elmont and Westbury) house the WIC – Women, Infants and Children Nutritional Health Program. Our locations are continually being renovated and updated. Request a tour of our facilities and learn more about the services available for you and your family. Our newly launched Care Coordination services provide the careful organization of activities between all the providers involved in a patient’s care. This service assures the appropriate delivery of health care services for each individual patient. We provide enhanced services, evening and Saturday hours and reduced prescrip-

tion pricing at our convenient locations in Westbury, Hempstead, Elmont, Freeport and Roosevelt. Most locations are near train and bus services. As needed, we offer a sliding fee scale and accept Medicare and Medicaid, as well as other benefits. Our mission is to improve the health status of your community, especially for the underserved and vulnerable in a financially responsible manner. For more information on LIFQHC Family Health Centers, call 516-296-FQHC (3742) or visitwww.lifqhc.org.

LIFQHC Family Health Centers • 516-296-FQHC (3742) • www.lifqhc.org Health memos are supplied by advertisers and are not written by the Herald editorial staff.

assau University Medical Center (NUMC) offers a comprehensive personalized Travel Medicine Service to meet the needs of travelers going abroad for both business and pleasure. “The service provides expert consultations and vaccinations for safe and enjoyable international travel. The Travel Medicine Service serves both individuals and travel groups. A thorough medical history assessment, combined with an itinerary analysis is done to determine the recommended and required vaccinations along with other preventive measures based on destination and length of stay,” stated President/CEO Dr. Victori Politi. The Infectious Disease experts in the Travel Medicine Service at NUMC utilize the most up-to-date travel disease databases to administer required and recommended vaccinations, provide an International Certificate of Vaccination, and provide necessary prescriptions for preventive medications. The complete range of vaccinations available to meet international travel requirements or recommendations includes yellow fever, hepatitis, typhoid, polio, meningitis, rabies, varicella, and Japanese encephalitis, as well as prescrip-

Victor F. Politi, MD, FACP, FACEP, President/CEO

tions for malaria prevention and treatment of travelers’ diarrhea. For appointments, call 516-572-6355 or 8811. Nassau University Medical Center 2201 Hempstead Turnpike, East Meadow 516-572-0123 www.numc.edu

Health memos are supplied by advertisers and are not written by the Herald editorial staff.

Listen:

Get Tested for Liver Cancer, One Man’s Story

Here, from the Centers for Disease Control and Prevention (CDC), is a look at liver cancer — and how you can avoid it.

Gary, 61, never really had health problems. “Before this, I can’t remember the last time I was sick twice in a year,” he says. So an illness caught him off guard in 2013. When doctors suggested he go for more tests, he knew his condition was more severe than he first guessed. But the test results found something he never expected: Gary had liver cancer.

The Condition

The number of new cases of liver cancer is on the rise in the United States. Every year, about 28,000 people are diagnosed with it and 23,000 people die from it, according to the CDC. More men than women get liver cancer and it kills approximately twice as many men as women.

The Problem

There are no recommended regular screening tests for liver cancer. “Most people don’t realize they have it until it’s much later on,” says Gary. But people can still take steps to reduce their risk of developing liver cancer. “I had hepatitis C, as a matter of fact,” Gary says. “I never knew it until after I’d been out of the hospital. The doctor asked, ‘How long have you had hepatitis C?’ And I said, ‘I didn’t even know I had it!’” When left untreated, hepatitis, a viral infection of the liver, can lead to the most common type of liver cancer. According to the most recent available data, as many as 2.2 million people in the U.S. could be living with chronic hepatitis B infection, and as many as 3.5 million people could be living with chronic hepatitis C infection. Hepatitis C is especially

Gary, Who has liver cancer, urges everyone his age to learn more about liver cancer risk factors. common among people like Gary who were born between 1945 and 1965 (sometimes called “baby boomers”) — people who are between the ages of 50 and 70.

What To Do

The U.S. Preventive Services Task Force recommends that people in this age range get a one-time test for hepatitis C. Your doctor can help you find ways to manage your risk and

treat the hepatitis if the test is positive. People with hepatitis B or hepatitis C typically have no symptoms and can carry the disease for years without knowing. A vaccine for hepatitis B is routinely given to newborns and may prevent hepatitis B infection, which can also lead to liver cancer. If you haven’t been vaccinated, ask your health care provider about the hepatitis B vaccine. Other risk factors that can contribute to a higher chance of getting liver cancer include heavy alcohol use, obesity, cigarette smoking, type 2 diabetes, and certain other diseases that affect the liver. You can help control some of these risk factors with healthy lifestyle habits. Gary is currently receiving treatment to shrink the tumors in his liver. One tumor has been significantly reduced, and another has shrunk so much that scans can no longer detect it. But the cancer may never go away entirely. “One thing I can do is help other people in the process of treatment. Maybe they don’t find the cure for liver cancer with me, but maybe I can help them find a cure. I also tell all my friends and family about the risk factors for liver cancer.”

Learn More

For further information, call (800) CDC-INFO or visit www. cdc.gov/cancer/liver. To learn about hepatitis C, visit www.cdc. gov/hepatitis/HCV, and for more information about the disease’s link to liver cancer, visit www.cdc.gov/knowmorehepatitis. To learn more about the hepatitis B vaccine, go to www. cdc.gov/vac cines/vpd-vac/hepb.

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Understanding prostate cancer A decade-by-decade guide Recognizing the signs and symptoms Prostate cancer is a deadly disease that forms in the tissues of the prostate, a gland in the male reproductive system that is found below the bladder and in front of the rectum. The National Cancer Institute estimates that nearly 30,000 American men will lose their lives to prostate cancer in 2014, and roughly 15 percent of American men will be diagnosed with prostate cancer at some point in their life. Despite its status as a potentially deadly disease, prostate cancer can be beaten. In fact, the NCI notes that the five-year survival rate for men diagnosed with prostate cancer between 2004 and 2010 was 98.9 percent, proving that a prostate cancer diagnosis is not a death sentence. Like many types of cancer, prostate cancer is most effectively treated when discovered in its early stages. Men are often their own best friends when it comes to fighting prostate cancer. Men over 50 should speak to their physicians about routine prostate cancer screenings, which include the prostate-specific antigen test or the digital rectal examination. Such screenings can help detect prostate cancer early and dramatically improve prognosis. In addition to screenings, learn the signs and symptoms to further improve your chances of surviving a diagnosis.

Early signs

Prostate cancer does not always show signs or symptoms in its early stages, and that’s because it tends to be slow-growing. It’s important men recognize that certain symptoms associated with prostate cancer may be caused by other conditions and that

the presence of these symptoms does not mean a man has prostate cancer. However, it’s equally important that men who notice symptoms associated with prostate cancer bring them to the attention of their physicians immediately. Changes in bladder habits are among the most common symptoms of prostate cancer, and these symptoms tend to be early indicators of the disease. These changes may include a frequent need to urinate, especially at night; an intense need to urinate; difficulty in starting or stopping the flow of urine; inability to urinate; weak and/or interrupted urine stream; and burning or pain during urination. Blood in urine or semen and painful ejaculation may also indicate the presence of prostate cancer.

Late signs

When prostate cancer is not detected early, the cancer then grows larger and may metastasize, or spread to other organs of the body. This spreading can produce the following late signs and symptoms, which differ greatly from those that appear during the early stages of prostate cancer. n n n n n n

Bone pain, especially in the back, hips, thighs or neck Weight loss Fatigue Low red blood cell count (anemia) Weakness or numbness in the legs or feet Loss of bladder or bowel control

to optimal nutrition

Continued from page S-5

on antioxidants is key; these compounds bust the free radicals that react with components of the cell and that increase your risk for chronic diseases. To keep free radicals in check, Grotto recommends eating plenty of anything ending in -erry, such as blueberries, strawberries, cranberries and raspberries. Other colorful plant foods work too. If you have high cholesterol or if high triglycerides kick in, “in addition to exercise you may need to cut back on things like added sugar and added fat, and keep desserts to a minimum,” says Ayoob. Craving something sweet? Try an ounce of heart-healthy dark chocolate. “Does it have fat in it? Yes, but most of the fat is stearic acid, which is cholesterol neutral,” Ayoob says.“And the flavonols tend to increase blood flow, so that’s good for you.” Men in their 50s and beyond should also consume foods fortified with vitamin B12, such as fortified cereals.

60s and Beyond

‘The 60s and 70s is where your body is really keeping score,” says Ayoob, meaning that poor eating habits in earlier decades will start showing up now. The focus, similar to your 50s, is disease prevention. You want to be eating the same antioxidant-rich, fiber-full foods that you did in your 40s and 50s. Another heavy-hitter for your health arsenal? Eggs.“Eggs are high in lutein and zeaxanthin, which can help prevent age-related macular degeneration,” says Ayoob. Leafy

green vegetables can help as well. In the 60s and beyond, men also start losing muscle mass, so protein is important. Replace protein foods that are higher in solid fats with choices that are lower in solid fats and calories or are sources of oils, such as fish (salmon and tuna). Also look at beans and peas. Because of their high nutrient content, they are considered both a vegetable and a protein food. The eggs that help with macular degeneration are also a great source of high-quality protein. Eat whole eggs and yolks in moderation to keep your cholesterol intake under the recommended 300 milligrams a day. Since the fat and cholesterol in an egg is found in the egg yolks, you can use egg whites in place of the yolks. Courtesy Academy of Nutrition and Dietetics

Long Island Shopping & Dining

Hy p n o s i s

BUSINESS

Can Help!

Expert loving care for your loved ones By Kristen Hoffman

Treating patients like their own family and being available 24/7 is the motto of long time Oceanside residents Judy and Barry Geier, owners of Comfort keepers. Having lived in Oceanside for 27 years, the Geiers have created a strong bond with their community and have become a reassuring presence their neighbors can trust. Comfort Keepers, a leading provider of in-home services, providing customized care plans that include personal care and companionship/ homemaker services. Judy has BFA & MS degrees from LIU and Barry has a masters degree from Mt. Sinai School of Medicine and Baruch College in Healthcare Administration.

one-on-one Hypnosis for Adults and Children in a safe & Comfortable Environment Weight • Smoking • Stress • Anxieties Fears • Phobias • Grieving • Unwanted Habits Self Esteem • Confidence • Starting Over Dating • Clutter • Study Habits • Memory Procrastination • Menopause • Sleep Issues Sports Improvement and More

He also licensed as a NYS Nursing home administration license and has worked with seniors for many years. Together they bring a vast wealth of knowledge and experience to Comfort Keepers, which has been independently owned and operated by the Geiers, since 2009. Comfort Keepers is licensed by the NYS Department of Health and provides approved personal care services to their clients such as bathing, grooming, transferring, toileting, feeding and medication reminders. Twentyfour hour and live-in services are also available. Companion care services, such as transportation, meal prep, grocery

shopping, errands, respite care and housekeeping can also be obtained. All staff members are criminal and motor vehicle background checked, reference checked and fingerprinted. The Alzheimer’s Disease Resource Center trains our caregivers yearly. Interactive Caregiving is the unique way our Comfort Keepers deliver care to their clients. This centers on four inter-related aspects: mental engagement, active body, proper nutrition and safety. Visit them online at www.oceanside-786.comfortkeepers.com www.comfortkeepers.com for more information. for more information.

3355 Lawson Boulevard • Oceanside • 516-442-2300

In-Home Senior Care Services

Terry Biener, CCH

Happy Father’s Day

Certified Clinical Hypnotist in practice since 1992

Your Dad always gave you the best care, so give him the best in-home senior care!

Easy Changes Hypnosis

Put him in the caring hands of Comfort Keepers®. We Provide compassionate in-home care that helps people maintain full and independent lives, right in the comfort of their own home.

HypnoShe@aol.com www.easychanges.com Lo Cat e d i n Va L L e y St r e a m

Gift Certificates Available

COMFORT KEEPERS® SERVICES Personal Care

Care Services

• Bathing, grooming and hygiene

• Companionship • Meal Preparation • Laundry • Light housekeeping • Grocery shopping • Errand services/All our caregivers drive • Live-in services • Respite care or relief for family

• Mobility assistance • Transferring and positioning • Toileting and incontinence care • Feeding and special diet • Dementia/Alzheimer’s care

FlExiblE Hours • by AppointmEnt only CAll For A FrEE pHonE ConsultAtion

847802

IN-HOME CARE SERVICES

Keeping the Comforts of Home™

• Medication reminders

3355 Lawson Boulevard, Oceanside 516-442-2300

www.oceanside-786.comfortkeepers.com • E-Mail: CK786@comfortkeepers. ComfortKeepers.com • E-Mail: CK786@comfortkeepers.com comLicensed by:State NY State DepartmentofofHealth Health #2117L001 Licensed by: NY Department #2117L001

846620

516-791-6174

”

Things are looking up.

NUMC has changed for the better. So I’m feeling better. Sweeping, hospital-wide improvements are enhancing the health care options for all of Nassau County.

”

Yes, the differences are astounding — across many Heart Attack Heart Failure Pneumonia Surgical Care VTE Perinatal Care

segments of the hospital — structural, technological and clinical enhancements that have elevated NUMC to world-class stature. Our vision of bringing a greater level of health care to central Nassau has clearly taken shape, and our commitment to upgrading the quality of care is ongoing. • Physical Medicine and Rehabilitation Unit • Emergency and Level One Trauma Center • Hypertension, Diabetes and Vascular Care Center • Cardiac Care Center Including State-of-the-Art Cardiac Catheterization Lab • Neurosurgery/Stroke Center • Multiplace Hyperbaric Chamber • Primary Care Center • Maternity and Newborn Center • Oncology Center • Orthopedic and Spine Center • Burn Center

Stroke Center

516.572.0123 • www.numc.edu

Victor F. Politi, MD, FACP, FACEP, President/CEO • Michael B. Mirotznik, Esq. Chairman, Board of Directors

846327

Heart Center

HEALTH MEMO

HEALTH MEMOS

HBOT, utilized in the finest hospitals, is available at only one skilled nursing facility, Park Avenue Extended Care

ark Avenue Extended Care Facility offers HBOT (hyperbaric oxygen therapy), as part of wound care therapy for our patients. It is especially useful for those patients who are diabetic. Utilizing HBOT for diabetics can help heal difficult wounds and has the potential to salvage limbs. HBOT is a non-invasive treatment that delivers oxygen under pressure to help accelerate the wound healing process. It is recognized by the FDA to aide in the healing of wounds and thus reduce the risk of amputation. During 2015, we were happy to be recognized for the second year in a row, by U.S. News & World Report. U.S. News & World Report reviewed and rated Park Avenue with outstanding results in both 2014 and 2015. It means a great deal to us to receive such excellent feedback from such a prestigious and respected resource. We pride ourselves in delivering the best skilled nursing care as well as offering the finest and latest in state of the art rehabilitation equipment. Each resident is evaluated on an individual basis and a program is put in place specifically for that resident to achieve the best outcome for their recovery. In addition to HBOT, our other specialized equipment includes the Quadriciser, the Moveo and the Multiplication Application Suspension System (M.A.S.S.) It is very rewarding to receive recogni-

tion for the service we give on a daily basis. We shall continue in our efforts to strive for excellence and offer our patients the finest care, companionship, and comfort possible. We received Five Stars in Overall Rating, Five Stars in Health Inspections and Five Stars in Quality Measures. Park Avenue has direct access to the LIRR and bus service. We would be happy to arrange a tour of the facility at your convenience. Call 516431-2600 for further information.

HEALTH MEMO

Smiles happen at Silverman & Associates

t Silverman & Associates we pride ourselves in providing the best dental care in a comfortable, fun, and friendly environment! Most of all, our team is proud to offer a wide selection of dental services all at our office. These services range from periodic dental exams, cleanings, x-rays, and implants, to root canals and other surgical procedures. We have three General Dentists — Dr. Barry Silverman, Dr. Matthew Siegel, and Dr. Salvador Gales; an Orthodontist, Dr. Laura Sotomayor — and two Endodontists — Dr. Brian Webber and Dr. William Brownstein. Our team works together to provide comprehensive dental care. Dr. Silverman has been practicing for over 13 years in Bellmore and over 30 years in Bayside. Throughout his career in serving the community, he has always made sure to surround himself with an all-star team who enjoy working together. Our goal is to make going to the dentist

convenient. That is why we have two locations, are available 6 days per week, and provide all of your dental needs under one roof. Dentistry is a rapidly changing field, so we make sure to stay up to date with the latest dental technologies. These updates include, but are not limited to the use of digital radiography, lasers, and the Velscope as an adjunctive in our oral cancer screenings. Each state-of-the-art operatory is outfitted with a television to maximize our patients’ comfort. We look forward to having you visit our office and join our dental family. Please feel free to call us at or visit our website.

Silverman & Associates 2592 Merrick Rd., Suite C 43-07 214th Place, Suite B Bellmore Bayside 516-781-9700 718-225-0515 www.DrSilvermanAssociates.com

Park Avenue Extended Care Facility 425 National Blvd., Long Beach 516-431-2600

Health memos are supplied by advertisers and are not written by the Herald editorial staff.

HEALTH MEMO

The best prostate cancer treatment? It depends on the patient

Hypnosis evolves with technology

sk your doctor: What’s ing in patients’ understanding of the best treatment for the benefits and the stages of the prostate cancer — raditreatment plans they have selectation, surgery, cryotherapy, ed, which is essential to achievactive surveillance? The most ing optimal outcomes. likely answer will be, “It Dr. Herman, a former assistant depends — upon age, overall professor at Weill Cornell Medical health, wellness and the stage College, is at the forefront of the of the prostate cancer and its diagnosis and treatment of urologlocation.” ic cancers. He utilizes minimally Each patient’s prostate caninvasive robotic and laparoscopic cer is unique and requires a surgical technologies to eradicate Michael Herman, M.D., treatment plan tailored to that prostate, kidney and bladder canDirector of Urologic patient’s needs and preferenccers. Co-author of three book Oncology at South Nassau es. The more the patient chapters and more than 30 peerknows about his options, the better prepared reviewed journal articles, Dr. Herman is preshe will be to choose the treatment plan that ently investigating and testing the use of the gives him the best possible outcome. latest biomarkers and imaging techniques to Under the leadership of Michael Herman, reduce the overdiagnosis and overtreatment of M.D., Director of Urologic Oncology, South prostate cancer. This can help reduce the numNassau Communities Hospital’s Center for ber of unnecessary biopsies while more accurately diagnosing aggressive prostate cancer, Prostate Health specializes in the range of thereby leading to improved outcomes for proven prostate cancer treatment modalities. patients. He also utilizes novel genetic testing This includes radiosurgery using the Varian Novalis Tx™; robotically assisted, minimally to determine who is a good candidate for active invasive surgery; brachytherapy; cryotherapy; surveillance, or monitoring, of their cancers. For more information about the Center for and active surveillance. Prostate Health or to schedule an appointment, The center’s patient-centered treatment call 516-632-3350 or visit southnassau.org. plans are complemented by comprehensive education and counseling services for South Nassau Communities Hospital, patients and their primary physicians. The Oceanside • 516-632-3350 services foster steady communication, resultHealth memos are supplied by advertisers and are not written by the Herald editorial staff.

ith 20 years behind her as a Clinical Hypnotherapist, Terry Biener, CCH, believes that the key to a successful result is knowing what to say, how to say it, and which techniques to apply once a person is hypnotized. This wisdom can only come from extensive training and experience. “Everyone processes information differently,” said Biener. “There are reasons why a habit or fear has formed, which should be examined before effective treatment can take place.” A thorough intake session is done first. The number of hypnosis sessions recommended varies. Hypnosis sessions are tailored to the person’s triggers and habits. Motivation and willingness to work with suggestions on a conscious level are important. Trust and rapport with the hypnotist is vital too. Biener has recently added Computerized Client-Based Weight Loss to her repertoire. A sophisticated computer program is used to pinpoint personality, mental processing, strengths and weaknesses. Combined with data gathered from the client, she custom designs hypnosis sessions to zero in on imprints that need to be changed. Weight loss workshops, which include group hypnosis, will be offered in the future. Biener’s true passion is helping people with fears and panic. Having experienced phobias and panic attacks herself, which were ultimately healed through hypnosis, her understanding and empathy is profound. By combining Neuro-linguistic Programming (NLP) techniques with hypnosis, she can eliminate or reduce unwanted and sometimes devastat-

ing anxiety. “People should realize they aren’t alone. Phobias can seem irrational since they come from the subconscious—the part of the mind that responds without logic. Most people who have never experienced a phobia simply don’t understand.” Understanding how hypnosis works before trying it is advised. “Ignore what you’ve seen in movies or on stage. A hypnotic trance is actually a natural state we visit frequently; when we’re engrossed a movie, or if we daydream while driving and don’t remember passing certain streets or exits. A hypnotist induces a trance to “reframe” the subconscious part of the mind. A good subject is strong-willed and intelligent. The person being hypnotized never loses control.” Hypnosis can help with trauma, sports, procrastination, self-esteem, stress, anxiety and most habits. As a former New York City teacher, Biener is comfortable working with children. She holds numerous certifications though the American Board of Hypnotherapy and the National Guild of Hypnotists. She has done speaking engagements and group hypnosis sessions for organizations and wellness centers. Clients are seen by appointment only. Phone consultations are free and confidential. Easy Changes Hypnosis is located in Valley Stream. Contact Terry Biener, CCH, at 516791-6174 or visit www.easychanges.com. Terry Biener, CCH • 516-791-6174 www.easychanges.com

Health memos are supplied by advertisers and are not written by the Herald editorial staff.

PARK AVENUE PARK AVENUE

EXTENDED CARE FACILITY EXTENDED CARE FACILITY

New York State Department ★ ★ ★ ★ ★ of Health

2016 Survey ★★★★★ Deficiency-Free Health Inspections Overall Rating

★★★★★ Quality Measures

Hyperbaric OxygenCare Therapy Wound Care Park Avenue Extended is proud to welcome • Diabetic Dr. Ostuni, Dr. Smar,Neuro and Dr. Caso State-of-the-Art Rehab Program We continue our affiliation with Dr. James Germano of Orlin & Cohen Orthopedics & Dr. Ivan Mikolaenko of Neurological Surgery, PC.

Chosen as One of America’s Top Nursing Homes by Hyperbaric Oxygen Therapy is an integral partof ofAmerica our Consumer’s Research Council wound care and neuro treatment services. 785583

If someone youIfknow couldyou benefit our services,we would be someone knowfrom could benefit from our services, happy to arrange a tour of the facility atofyour we would be happy to arrange a tour the convenience. facility at your convenience.

846153

425 NATIONAL NY 11561 425 NATIONAL BLVD. BLVD. ♦ LONGLONG BEACH,BEACH, NY 11561 TEL: 516.431.2600 ♦ FAX: 516.431.0891 TEL: 516.431.2600 FAX: 516.431.0891