Good Health - Herald Community Newspapers - October 20, 2011

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A Special Advertising Section OCTOBER 20, 2011

Breast cancer warrior Geri Barish leads the fight on Long Island

By Karen Bloom

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eri Barish has been at the forefront in the battle against breast cancer on Long Island since 1988, base to determine whether there is a relationship between pesticide use and breast cancer. Among her accomplishments: in March 1997, she spoke in Albany for the bipartisan “Mastectomy Bill”, which passed in both the Senate and Assembly and signed into law by then Governor George Pataki.

Her appointment as Executive Director of Hewlett House fulfills a dream and vision Barish had when she began her own struggle with breast cancer. Barish vowed a long time ago, that given the opportunity, no one would have to go through what she did - to battle this dreadful disease alone.

Hewlett House, in Hewlett, is a multi-purpose, professionally staffed facility in a home-like setting, for cancer victims and their family and friends. It is a central place offering information, counseling and meetings; where a pot of coffee is always on the stove and a listening ear available.

Barish’s dedication and perseverance has resulted in increased national funding, the

and has earn earned the distinction of being New York State’s Stat pre-eminent breast cancer activist. IIn 1996, Geri was awarded the Annual New Y ork State Innovation First An Breast Cancer Early Detection and in Brea Research Researc Award.

Barish Baris is no stranger to the pain and torment tormen of cancer: she is a three-time breast cancer victim and survivor . Her son, Michael, lost his life at a young age M from complications of Hodgkin’ s Lymphoma in 1986. Barish promised Lymp Michael that she would dedicate her Mic life to finding the causes and cures for breast bre cancer, and she has done so to this th day.

As President of “1 in 9”, Barish spearheaded negotiations of N ew sp York State’s Pesticide Registry Law, Y which created an accessible data-

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implementation and overseeing of the Long Island Breast Cancer Study Project, which is the first scientific symposium held on Long Island to determine whether there was a need for a separate Long Island study of breast cancer; and the establishment of the ongoing Michael Scott Barish Human Cancer Grant at Cold Spring Harbor Laboratory for research into genetic mutations that could cause breast cancer , lymphoma and leukemia.

“Over the past 20 years we have been able to secure funding both on a national level and in Albany for more research and new technology ,” Barish says. “While we have come very far, we still have along way to go. “ Barish explains that it is essential for everyone to understand breast cancer if we are to reduce the risk of getting this disease.

“It is very important for people to understand Continued on page 14

UNDERSTANDING BREAST CANCER

DO MEN GET BREAST CANCER?

SERVICES AND SUPPORT

Knowledge is the first step in overcoming the disease

Be aware of the common symptoms

Assistance during and after treatment is just a phone call away

Continued on page 3

Continued on page 3

Continued on page 6

October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

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Be Strong

LET YOUR HEART TAKE COURAGE

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Staying cancer-free as we age

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he Bristal Assisted Living Communities offer tips to keep senior citizens cancer-free.

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Family members can help reduce an aging relative’s risk of cancer by encouraging healthy lifestyle changes, according to W insome Bent, RN, Executive Director of the Bristal Assisted Living Community of North Hills.

“About 77 percent of people diagnosed with cancer are 55 or older, but lifestyle changes can benefit the health of senior family members,” says Bent.

Educate seniors about the benefits of exercise. Increasing physical activity can lower a person’s chances for many cancers, including breast, endometrial, prostate, colorectal and lung cancers.

Encourage seniors to do activities they enjoy and that will keep them active. Gardening, golfing, playing tennis and swimming are all great choices. According to Bent, “many seniors, especially those living alone, don’ t cook much. A poor diet might keep seniors from getting the nutrients they need to maintain a healthy body and lower their risk of cancer.”

Learn about healthy diets for adults older than age 50. Share information on how many calories they should be getting daily and the types of foods they should be eating.

“Quitting smoking is the most important thing anyone can do to improve their health. It’ s never too late to quit,” says Bent. “Avoiding secondhand smoke can greatly improve a senior’s health.

The Bristal Assisted Living Communities have facilities in East Meadow , East N orthport, L ynbrook, N orth Hills, N orth W oodmere, Westbury and Massapequa. For information on The Bristal Assisted Living Communities, visit www.thebristal.com. The Bristal Assisted Living Communities • 631-580-6420

Meet Dr. Richard Luck, Rodolfo Valentin 137 Cedarhurst Avenue Cedarhurst N.Y. 11516

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Hewlett House

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Protect your vision with a comprehensive eye exam.

oph·thal·mol·o·gy noun \- äf (l) mäl j \ is the branch of medicine that deals with the anatomy, physiology and diseases of the eye. The word ophthalmology literally means “the science of eyes”.

Richard A. Luck, DO, an Ophthalmologist, is a medical doctor who specializes in advanced eye and vision care. Trained to provide the full spectrum of eye care, from performing complex and delicate eye sur gery to prescribing glasses and contact lenses. Dr. Luck is Board Certified in Ophthalmology and Fellowship trained in Anterior segment surgery . He has been in practice for the past 11 years serving the Inwood and Rockaways communities and now moved his practice to a spacious, more comfortable and state of the art facility to better serve his old and new patients.

Centrally located at 1504 Broadway in Hewlett, the office is easily reachable by car or public transpor tation from Lynbrook, Valley Stream, all the Five Towns and still the Rockaways! Plenty of free parking is available.

Dr. luck is affiliated with both Winthrop University Hospital, having served as the past Chief of Consult Service in the Department of Ophthalmology, and at St. John’s Episcopal Hospital in Far Rockaway as Assistant Program Director for residents in their Ophthalmology Residency, teaching residents, medical students and physician assistants. Dr. Luck is also an active adjunct Professor for Touro University, Physician Assistant Program, and Medical school, in Manhattan.

Dr . Luck is skilled at diagnosing and treating most forms of eye diseases. Common complaints such as cataracts, diabetes, high blood pressure, doublevision, dry eye, infections, and itching are confidently and effectively managed. He has a special interest in treating glaucoma, also known as the “Silent Thief of V ision.”

In-office retinal imaging and visual field evaluation helps to ensure proper diagnosis and management of the disease.

With one of the only specialized lasers in the Five Towns and surrounding areas and Rockaways, called the SLT Laser, Dr. Luck can selectively and painlessly treat the drainage areas of the eyes and lower the pressure in the eyes. In a five-minute procedure, Selective Laser Trabeculoplasty can help lessen dependency on glaucoma drops, postpone the need for additional medication, or remove the need for them at all, making the patients’ life easier.

Dr. Luck sees adults as well as children, and accepts most insurance plans. His office can be reached at 516-371-1550. Call today and see how good it feels to see!

Dr. Richard A. Luck • 1504 Broadway, Hewlett 516-371-1550

Understanding breast cancer

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hen diagnosed with breast cancer , women are often filled with questions. What is the survival rate?

Can breast cancer spread to other parts of my body? What does this mean for my family?

Such questions are common, and it’ s perfectly all right and even beneficial for women diagnosed with breast cancer to ask as many questions as possible to better understand the disease. Though each individual’ s experience with breast cancer is unique, upon diagnosis the doctor will determine which stage that cancer is in.

Determining the stage of the cancer is based on: • The size of the cancer.

• If the cancer is invasive or noninvasive.

• Whether or not the cancer is in the lymph nodes.

• If the cancer has spread to other parts of the body .

Upon diagnosis, the doctor will also discuss if the cancer is local, regional or distant. Local means the cancer is confined to the breast, while regional means the cancer has spread to the lymph nodes, most likely those in the armpit. If the doctor says the cancer is distant, that means it has been found in other parts of the body . If the tumors involve the breast skin, the underlying chest structures, have changed the breast’s shape, and enlarged the lymph nodes, the doctor will then likely determine the cancer is locally advanced or regionally advanced.

Survival rates have increased dramatically over the last 30 years. Much of this is thanks to research, but increased awareness of breast cancer has also played a role in the significantly improved survival rates. Part of that awareness includes taking steps as a young woman to reduce risk for breast cancer. Steps such as adopting a healthier diet, learning about family history with breast cancer and undergoing routine checkups can greatly improve a woman’ s chances of beating breast cancer . Survival rates depend on a host of factors, including the stage of the cancer at diagnosis.

Women who understand the stages of breast cancer and the role they play in surviving the disease might be more inclined to take steps that reduce their risk.

Stage 0: Though the best breast cancer diagnosis is no diagnosis at all, women diagnosed with stage 0 breast cancer can breathe somewhat easy . Stage 0 means the cancer is noninvasive and there is no evidence that the cancer cells or the noncancerous abnormal cells have spread beyond the part of the breast where they originated.

Stage I: A stage 1 diagnosis means the cancer is invasive, and the cancer cells are beginning to invade normal cells around the breast tissue. However, a stage 1 diagnosis means the lymph nodes have not been invaded.

Stage II: Stage II is divided into the subcategories of IIA or IIB. A stage IIA diagnosis can mean any of the following: • N o tumor has been found in the breast, but cancer cells are in the lymph nodes under the arm.

• The tumor in the breast is 2 cm or smaller and has spread to the lymph nodes under the arm.

• The tumor in the breast is between 2 to 5 cm but has not spread to the lymph nodes under the arm.

health & QA

Breast cancer basics: Knowledge is the first step in overcoming the disease

A stage IIB diagnosis means the cancer is invasive and: • The tumor is between 2 to 5 cm and has spread to the lymph nodes under the arm.

• The tumor is larger than 5 cm but has not spread to the lymph nodes under the arm.

Stage III: Similar to stage II, a stage III diagnosis will be divided into subcategories. But stage III breast cancer will be diagnosed as IIIA, IIIB or IIIC. In stage IIIA breast cancer: • No tumor is found, but cancer has been found in the lymph nodes under the arm; these lymph nodes will be clumped together or sticking to other structures or the cancer may have spread to lymph nodes near the breastbone.

• The cancer is any size and has to spread to the lymph nodes under the arm, which are clumped together and sticking to other structures.

A stage IIIB diagnosis means: • The cancer may be any size and has spread to the skin of breast and/or the chest wall.

• The cancer may have spread to the lymph nodes under the arm, where they will be clumped together or sticking to other structures; or the cancer may have spread to the lymph nodes near the breastbone.

Symptoms of stage IIIB breast cancer can include reddening of a significant portion of the breast skin, swelling of the breast and a warm feeling at the touch.

A stage IIIC diagnosis means: • There may be no sign of cancer in the breast.

• If the there is a tumor, it can be any size and may have spread to the chest wall and/ or the skin of the breast.

• The cancer has spread to the lymph nodes above or below the collarbone; and the cancer may have spread to the lymph nodes under the arm or near the breastbone.

Stage IV: A stage IV diagnosis means the cancer has spread beyond the breast and local lymph nodes to other organs of the body . This can include the skin, bones, liver, lungs, distant lymph nodes, or even the brain.

A stage IV diagnosis might be a recurrence of a previous breast cancer, but it’s also possible to get a stage IV diagnosis at first diagnosis.

The American Cancer Society (ACS) estimates that 230,480 new cases of breast cancer will occur among women in the United States during 2011, with approximately 2,140 new cases expected in men. Breast cancer is the second leading cause of cancer death in women, exceeded only by lung cancer . The chance that breast cancer will be responsible for a woman’ s death is about 1 in 36 (about 3 percent), according to the ACS. Death rates from breast cancer have been declining since about 1990, with larger decreases in women younger than 50.

These decreases are believed to be the result of earlier detection through screening and increased awareness, as well as improved treatment.

For 31 years here on Long Island, the Adelphi N Y Statewide Breast Cancer Hotline & Support Program (800-877-8077) has been answering questions from people concerned about breast cancer. Stay aware, be informed, schedule the appropriate mammograms, and continue to spread the word that early detection saves lives.

Here are the most frequently asked questions.

Q - How many women develop breast cancer each year?

A - It is estimated that in 2010, 207,090 new cases of

breast cancer were diagnosed in the United States.

N ew cases in N ew Y ork State were estimated at 14,610. Women have a one in eight chance of developing breast cancer over the course of her lifetime. More women in the United States are living with breast cancer than any other cancer (excluding skin cancer).

Q - What are the factors that put a woman at higher risk for breast cancer?

A - The two most significant risk factors are being

female and getting older. The majority of women diagnosed with breast cancer have no other known risk factors.

Q - As a Hispanic woman, should I be concerned about breast cancer?

Do men get breast cancer?

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reast cancer in men is rare, but it does happen. After all, men have breast tissue, too. The overall ratio of female to male breast cancer in the U.S. is 100 to 1, according to the American Cancer Society.

Of the 2,140 men who are expected to be diagnosed in the U.S. 2011, 450 will die from the disease.

Because breast cancer is much more common in women, many men do not realize they can develop this disease. This can delay diagnosis and as a result, some cancers are not found until they have progressed to a later stage. However, when cancer is found at the same stage among men and women, the survival rates are similar.

Because the male breast is much smaller than the Publishers CLIFFORD RICHNER STUART RICHNER Executive Editor JOHN C. O’CONNELL

female breast, it is more likely the disease will spread to the chest wall. For this reason, it is important to find the cancer early for successful treatment. See your doctor right away if you have any lumps or changes in your chest area.

Be aware of the common symptoms of male breast cancer: • A lump in the chest area • Skin dimpling or puckering • Nipple changes The annual incidence of breast cancer for men increases steadily after age 35. It frequently occurs between 60-70 years old. A small study regarding male breast cancer found that the average time between first symptom and diagnosis was 19 months, or over a year and a half. That’ s a very long time! This is probably because people don’t expect breast cancer to happen to men, so there is little to no early detection.

Section Editor KAREN BLOOM Editorial Designer JEFFREY A. NEGRIN Vice President of Sales RHONDA GLICKMAN

Account Executives MIMMA BARONE JOAN BATTINO ROBERT CUMMINGS NANCY FRIEDMAN ELLEN FRISCH

A man’s risk N o matter how small, the risk is still there. It’ s important to be aware of the known factors that increase a man’s risk of breast cancer. These are: • A genetic condition such as Klinefelter’ s syndrome that is associated with high estrogen levels • Family members (male or female) with breast cancer , especially with a BRCA2 mutation • Chronic liver disorders, alcoholism and obesity • Getting older As with all cancer early diagnosis can make a life-saving difference. W ith more research and more public awareness, men will learn that – just like women – they need to go to their doctor right away if they detect any persistent changes to their breasts.

JILL KAPLAN VICKI KAPLAN KAREN RESNICK TRICIA SKINNER Cover Design JEFFREY A. NEGRIN

GOOD HEALTH is an advertising supplement to the HERALD Community Newspapers. Copyright © 2011 Richner Communications, Inc. Published by Richner Communications, Inc. 2 Endo Blvd., Garden City, NY 11530 (516) 569-4000 • www.liherald.com

A - More Hispanic women are diagnosed at a later stage than Caucasian, when cancer is harder to treat.

Q - Am I at risk for breast cancer?

A - All women are at risk of developing breast cancer .

Speak to your health care provider who will talk with you about your family history and your own individual risk factors.

Q - As an African-American woman, should I be concerned about breast cancer?

A - Yes, although the incidence of breast cancer is lower in African –American women than white women, the mortality or death rate is higher.

Q - Am I more at risk of developing breast cancer as I age?

A - Age is the number one risk factor for breast cancer.

Older women are much more likely to get breast cancer than younger women. Most breast cancers (about 80 percent) occur in women ages 50 and older. About 5percent of all breast cancer cases occur in women under the age of 40. It is recommended that women start annual mammography at age 40.

Q - Can exercise reduce my risk for breast cancer?

A - Several studies indicate that women who exercise at moderate to vigorous levels (3-4 hours per week) may reduce their risk level.

October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

Awareness and knowledge a friend when preparing to fight the disease

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here are three loss is: you must exert more types of weight: calories than you consume. “good,” “bad,” and Exercise will build lean “artificial” and knowing muscle mass, improve carthe difference is key to diovascular and circulatory maintaining your health function, but it won’t counand your sanity on the terbalance your scale. morning doughnut! Focus Good Weight: is the on the four elements of weight of your organs, your meal plan: (1) Type tissue, bones and most of Food, (2) Portion Size, importantly the lean muscle (3) Method of Preparation mass on your body. Lean and (4) Schedule of Eating. muscle mass requires Try journaling for a few more energy (or calories) to days using these elements maintain, giving your body to create an honest the ability to break down picture of how you truly eat.

The tough part is getting started and staying motivated. larger caloric levels. This This will help you identify will give you an appearance the habits that of being leaner. sabotage your weight-loss.

Decrease Your Artificial Weight: Weigh yourself in Bad Weight: are the stores of fat we carry around the morning, undressed, before eating or drinking and the midsection, hips, thighs and buttocks. This is the weight we want to lose and keep off. And whether you after using the bathroom. This will be the most accurate representation of your weight. If you see a gain, ask have 10 or 100 pounds to lose, it is going to require yourself: when was my last bowel movement, have there some effort and discipline. The tough part is getting been any changes to my meal plan, sleep or stress levels? started and staying motivated.

The answers will help identify your weight gain triggers.

Artificial Weight: occurs when we retain fluids, Spicy and salty foods or carbonated beverages may be experience decreased bowel movements or experience the cause. Caffeine is also a lesser -known bloat trigger. metabolic changes. This is not real weight, as it will fall So be conscious of your habits, big and small. For a off as quickly as it came on. Don’ t get obsessed with the number on the scale comparing one day’s weight to quick fix, increase your water intake, to aid in bowel the next; this will only serve to sabotage and discour - movements and help flush your body of excess sodium.

Finally, instead of getting obsessed with small age you. Look at your total weight and inches lost, fluctuations on the scale, get obsessed with what you not the minor fluctuations day to day. can control: your meal plan (the types of food you Increasing Good W eight: Starting a strength training routine can be extremely intimidating. T o choose, the portions you consume, how that food is prepared and when the food is eaten) and your activity begin, Dr. Bo Rosenblat’s advice is to start small and level and the number on the scale will fall into place start slow. Some light training will not turn you into accordingly. the Incredible Hulk but it will give the definition and Dr. Bo Rosenblat, Chief Physician for Dr. Bo’s Diet, tone you are looking for . Try lighter weights at first is a board-certified medical doctor with office locations and perfect your form. A trainer at your gym or an inexpensive DVD can help. Most importantly , be in Hewlett, Great N eck, Brooklyn and Manhattan.

For more information about Dr. Bo’s Diet, call consistent. 10-15 minutes per day , three days a week 516-284-8248. will yield tremendous results.

Decreasing Bad Weight: The one truth of weight-

Understanding skin cancer

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October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

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More than 3.5 million skin cancers in over two million people are diagnosed annually.

Each year there are more new cases of skin cancer than the combined incidence of cancers of the breast, prostate, lung and colon. N early 800,000 Americans are living with a history of melanoma and 13 million are living with a history of nonmelanoma skin cancer, typically diagnosed as basal cell carcinoma or squamous cell carcinoma. One in five Americans will develop it in the course of their lifetime and between 40 and 50 percent of Americans who live to age 65 will have skin cancer at least once.

Skin cancer develops primarily on areas of sun-exposed skin, including the scalp, face, lips, ears, neck, chest, arms and hands, and on the legs in women. But it can also form on areas Skin cancer affects people of all skin tones. that rarely see the light of day — your palms, beneath your fingernails, the spaces between your toes or under your toenails, and your genital area.

Skin cancer affects people of all skin tones, including those with darker complexions. When melanoma occurs in those with dark skin tones, it’s more likely to occur in areas not normally considered to be sun-exposed.

Prevention is worth a pound of cure, so here are some things you can do: seek the shade (especially between 10 a.m. and 4 p.m.), do not burn, avoid tanning and UV tanning booths, cover up with clothing (including a broad-brimmed hat and UV-blocking sunglasses), and most importantly use a broad spectrum (UV A/UVB) sunscreen with an SPF of 15 or higher every day and for extended outdoor activity . Use a water-resistant, broad spectrum sunscreen. Keep newborns out of the sun. Sunscreens should be used on babies over the age of six months.

Examine your skin head-to-toe every month and see your physician every year for a professional skin exam.

Dr. Sirota Rozenberg • 11 Irving Place, Woodmere • 516-295-5571

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It is considered an insidious and silent disease because it has no signs or symptoms until a serious injury or fracture occurs. You may not know you have the disease until a small bump or fall causes you to break a bone.

NSC connects you to a stronger healthier you!

Just The Facts Osteoporosis affects 200 million individuals worldwide. Eighty percent of patients are women One out of two women and one out of four men over age 50 will break a bone in their lifetime due to osteoporosis. It can strike at any age but the older you are, the greater your risk. Those who are sedentary have higher risks for developing osteoporosis.

An Ounce Of Prevention Nutrition. Eat right. Proper intake of calcium and Vitamin D help make your bones strong. For additional guidance, call our registered dietician for your free consultation (516-596-1011).

Stop smoking and don’ t drink alcohol excessively. These “habits” limit calcium absorption, which increases your risk.

Exercise. Exercise not only helps build muscle and endurance, it also builds and maintains bone density .

The most comprehensive program combines weight bearing exercises and resistance exercise.

As we age, concerns about performing the right type of exercise grow . The physical therapists of Nassau Sports Care will design an exercise program that combines postural strengthening, balance training and bone strengthening to provide you with an ideal, personalized program. You will exercise in a safe and nurturing environment supervised by licensed health care professionals. And, your exercise program may even be covered by insurance. W e have partnered with a nationwide company and are the only providers on Long Island for this program. Visit us at www.nscpt.com to learn more.

We know what it takes to build strong healthy bones for individuals of all ages. Call us today and let us walk with you on your health and wellness journey.

John Krupa has been a licensed physical therapist for 25 years and is the owner of Nassau Sports Care Physical Therapy. Providing personalized hands on care since 1991, NSC is a multi-location physical therapy wellness & fitness center. For more health and wellness information, sign up for our FREE no obligation bi-monthly newsletter at www.nassausportscare.com or call us at 516-596-1011.

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October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

The silent disease

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ed by Christine Hodyl, DO, F ACS, Director of Breast Health Services, South N assau Communities Hospital offers a comprehensive Breast Health Services Program providing the expert, advanced, compassionate care that will ease patients’ fear and fill them with hope and confidence during their breast cancer journey.

Dr. Hodyl and her team use targeted surgical techniques that aim to preserve as much of the healthy breast and surrounding areas as possible.

This includes sentinel lymph node biopsy and lymph node dissection for early stage breast cancer; single channel balloon brachytherapy techniques; breast-conserving surgery (commonly known as lumpectomy); and mastectomy . After surgery, other treatments such as chemotherapy , hormonal therapy, and/or radiation treatments may be needed.

Dr. Hodyl offers oncoplastic surgery , which is a combination of breast cancer surgery with a cosmetic procedure. It is an option for patients with certain tumors that may not have been amenable for breast conservation previously.

For more information about South Nassau’s Breast Health Services Program or to schedule an appointment, call 1-877-South Nassau. South Nassau Communities Hospital, Oceanside • 877-South Nassau

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ES AN C I V ER

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October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

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Assistance during and after treatment is just a phone call away

By Karen Bloom

SU P P O RT

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o one need face breast cancer alone. There are myriad of services available throughout the area that offer support, assistance and friendship, beginning with diagnosis and continuing through recovery.

• For Single Women with Breast Cancer A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Young Women A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m. also Thursday mornings 10:30 a.m.-noon.

• For Women with Breast Cancer A daytime group will meet weekly for eight weeks, 11a.m.-12:30 p.m. tentatively beginning on January 20.

• For Women with Metastatic Breast Cancer A daytime group that meets weekly, Mondays, 1:30-3 p.m.

• For Women with Metastatic Breast Cancer A daytime group that meets weekly, Thursdays, 1:30-3 p.m.

Hewlett House

1 in 9’s Hewlett House offers free breast cancer and other cancer support groups, and classes. All services are free and confidential.

Pre-registration is required. Call the Hewlett House 516-374-3190.

Groups and Classes are held at Hewlett House 86 E Rockaway Rd, Hewlett. Visit the website at www.1in9.org

“You are not alone.” The supportive volunteers and staff at the Adelphi NY Statewide Breast Cancer Hotline and Support program, along with Hewlett House and other local organizations, are ready to assist patients and survivors.

Adelphi NY Statewide Breast Cancer Hotline and Support Program

labels, discover new tips to plan meals and learn the latest information that will help to promote overall good health and control weight.

Anyone – in New York State – with breast cancer concerns can call the Adelphi NY Statewide Breast Cancer Hotline and Support Program’ s toll free number, (800) 877-8077, and speak with someone who has “been there.” The more than 100 highly trained volunteers offer emotional support, information and referrals, all free. Social work staff provides professional services.

Locally the program offers support groups, individual and family counseling, plus educational forums and workshops. A newsletter , Update, is published quarterly and Sisters United in Health/Hermanas Unidas en la Salud, reaches Latinas and African-American women, along with breast health information for young women.

The program was established in 1980. Anyone who is worried about breast cancer should call the hotline for help. “Y ou are not alone” is the hotline’s motto.

Bellydancing for Breast Cancer Survivors Tuesday, Nov. 16, 7-8 p.m.

Aviva Khadra, a performer/choreographer, and director of the Harem Belly Dance Studio in Baldwin, leads this bellydance class for survivors This captivating and beautiful art form can be a refreshing alternative to traditional exercise Get ready for a magic carpet ride that will enhance your confidence, boost your sensuality and add fun to your workout!

Both programs are held at Adelphi University’ s Alumni House, 154 Cambridge Avenue, Garden City. Admission is free but pre-registration is required. Call (516) 877-4325 for information and to register.

Workshops

Informative workshops and lectures are presented periodically throughout the year. Upcoming program include: Nutrition for Breast Cancer Survivors – What You Can Do To Stay Healthy – Tuesday. Nov. 1, 7-8:30 p.m.

A panel of experts will cover current recommendations for weight management and maintaining muscle and bone health during and after breast cancer treatment at this free forum. They will explore foods and nutrients that have received attention in the media and help sort through this oftenconfusing information. Participants will find out how to interpret food

Support Groups Adelphi NY Statewide Breast Cancer Program The Adelphi NY Statewide Breast Cancer program offers many support groups for Long Island women. There is no cost for any group; however pre-registration is required. Groups meet at Adelphi University School of Social Work, Garden City. Individual counseling is also available. For infor mation or to sign up, call Sandi Kafenbaum, LCSW , at (516) 877-4314, or the Breast Cancer Hotline at (800) 877-8077.

• For Women Newly Diagnosed with Breast Cancer A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Women Post-Treatment A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• Cancer Support Group An ongoing group that meets Tuesdays 11:15 am-12:15 p.m. For those in need of support for all cancer-related illnesses. Group members of different ages and with different types of cancer come together each week to support one another.

• Newly Diagnosed Breast Cancer Support (in treatment) For those recently diagnosed with breast cancer meets Tuesdays, 12:30-1:30 p.m.

• Thriving Through and Beyond Cancer Group meets Tuesdays and Wednesdays, using misfortune to grow and regenerate new solutions as a couple or family.

• Discussions An informal, ongoing chat for people whose lives have been touched by cancer, meets Wednesdays, 1-2:30 p.m.

• Cancer Support Group for Bilateral Surgery For women who have had bilateral surgery, double mastectomy, meets Wednesdays, 5:30-6:30 p.m.

• Yoga/Stress Reduction For all cancer-related illness, meets Mondays, 1:30-2:30 pm.

• Decoupage Art Class Heal through art, Tuesdays 1-2:30 p.m.

• Reiki Clinic Learn about and experience this simple healing technique, by appointment.

• Crochet Class A group designed to help cancer patients draw strength from each other and enjoy togetherness in a circle of friendship., meets Thursdays, 11 a.m.-1 p.m.

• Four Weeks To A Healthier You Take control of your diet, meets Thursdays, 2:30-4 p.m.

A nutrition series, Series on Nutrition by Donna Miller-Small, Reiki Master Teacher & Practitioner.

• Breast Cancer Exercise Program For those patients who are finished with treatment, meets Saturdays, 11 a.m.-noon.

Additional groups for families, adolescents, bereavement, and private counseling are available upon request. All services are free and confidential.

Pre-registration is required.

Other support groups and services are available through area hospitals, and such community resources as the Peninsula Counseling Center and Barry and Florence Friedberg JCC.

7

October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

Rodolfo Valentin Salon, Spa & Hair pieces is proud to be entering into a partnership with Hewlett House 1 in 9 and the North Shore Hebrew Academy in a Wig Donation Program for women under treatment for certain kinds of cancer..

The Salon has donated more than 1,000 wigs to be allocated to women in extreme financial duress. Screening for acceptance into these programs will be done thru 1 in 9 and North Shore Hebrew Academy only.

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Diabetes is one of the leading causes of blindness among Americans. Many patients with diabetic eye problems have no symptoms, but if left untreated, diabetes can lead to serious visual loss, explains Dr. Edward Stroh.

Many diabetics notice blurred vision when their blood sugar fluctuates either high or low . Diabetes can also damage the small blood vessels throughout the retina, resulting in lack of oxygen to the retina.

The damaged blood vessels leak, producing fluid in the retina. The diagnosis of diabetic eye disease is Have your eyes examined regularly to check for diabetes damage. made by examination and may require photographs, fluorescein angiography and/or OCT to detect diabetic retinopathy.

There are new advances for treating diabetic retinopathy including laser techniques, medication, injections, or even surgery for severe cases.

Blindness due to diabetic eye disease can be preventable. Strategies for preventing diabetic retinopathy include control of blood sugar and blood pressure, avoiding smoking, early detection, and early treatment as well as maintaining regularly scheduled visits.

Dr. Stroh is a retina specialist in Rockville Centre who specializes in Diabetes and Retinal Disorders. He has published numerous articles and frequently lectures at national meetings. Dr . Stroh is a member of many organizations, including The American Academy of Ophthalmology , Vitreous Society and Association for research in Vision and Ophthalmology. He can be reached at 516-536-9525 for appointments, consultations and second opinions.

Dr. Edward Stroh Retina Consultants of Long Island • 165 N. Village Ave., Suite 203, Rockville Centre • 516-536-9525

Comprehensive breast health

services at Mercy

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Available procedures include the latest low-radiation digital mammography, non-invasive ultrasound and stereotactic breast biopsy, with expert, sensitive radiologists and imaging technologists, as well as highly skilled breast surgeons.

Mercy offers next-day screening appointments, and same-day results.

Radiologists are available to read images in real time, order additional views if needed, and consult with their physicians as needed. All images and reports are available to patients’ physicians via computer, through a state-of-the-art Picture Archiving Communication System.

And we make it easy to transfer films and records of previous screenings at other facilities.

Mercy’s Department of Radiology and Imaging is accredited by the American Mercy utilizes the most advanced imaging and minimally-invasive techniques for College of Radiology . And recent the diagnosis of benign and malignant breast disease. amenities upgrades at the McGann Center provide a spa-like atmosphere And at Mercy Medical Center , it’s easy to with a spacious, airy reception area designed to proarrange state-of-the-art screening and diagnostic vide patients with a bright, cheerful environment, mammograms as part of convenient, comprehensive along with a new private waiting area for W omen’s breast health services.

Imaging patients.

Mercy’s Bishop McGann Center for Oncology Mercy Medical Center and Imaging provides coordinated multidisciplinary screening, diagnosis, treatment and follow-up care at a 516-62MERCY • www.MercyMedicalCenter.info single location, utilizing the most advanced imaging and minimally-invasive techniques for the diagnosis of benign and malignant breast disease.

Breast reconstruction Helping you become whole again 14 questions you should ask when choosing a surgeon you can trust Plastic surgery involves many choices. The first and most important is selecting a surgeon you can trust. Use this checklist as a guide during your consultation.

1) Are you certified by the American Board of Plastic Surgery?

2) Were you trained specifically in the field of plastic surgery?

3) How many years of plastic surgery training have you had?

4) Do you have hospital privileges to perform this procedure?

If so, at which hospitals?

5) Is the office-based surgical facility accredited by a nationallyor state-recognized accrediting agency, or is it state-licensed or Medicare-certified?

6) Am I a good candidate for this procedure?

7) What will be expected of me to get the best results?

8) Where and how will you perform my procedure?

9) What surgical technique is recommended for me?

10) How long of a recovery period can I expect, and what kind of help will I need during my recovery?

11) What are the risks and complications associated with my procedure?

12) How are complications handled?

13) What are my options if I am dissatisfied with the outcome?

14) Do you have before-and-after photos I can look at for this procedure and what results are reasonable for me?

“When I was diagnosed with stage 3 breast cancer at 27, Dr. Hodyl not only helped save my life … she changed it forever.”

Dr. Christine Hodyl’s caring approach to lifesaving breast cancer surgery had a life-changing impact on survivor Kristine Smart, who is now studying to become a radiation oncology nurse because of her experience. A leading breast surgeon, Dr. Hodyl removes the tumors alongside a team of plastic surgeons, conserving as much of the breast as possible and providing immediate post-mastectomy reconstruction, giving patients hope and renewed dignity with the utmost in personal, compassionate care.

Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy.

Although breast reconstruction can rebuild your breast, the results are highly variable. A reconstructed breast will not have the same sensation and feel as the breast it replaces. V isible incision lines will always be present on the breast, whether from reconstruction or mastectomy. Certain surgical techniques will leave incision lines at the donor site, commonly located in less exposed areas of the body such as the back, abdomen or buttocks.

Kristine Smart Breast cancer survivor & radiation oncology nursing student, West Hempstead

Beauty for life

Breast reconstruction can be a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other condition.

The creation of a new breast can dramatically improve your self-image, self-confidence and quality of life. Although surgery can give you a relatively natural-looking breast, a reconstructed breast will never look or feel exactly the same as the breast that was removed.

Breast reconstruction is a highly individualized procedure. You should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image, advises Dr. Martin E. Kessler , of The Plastic Surgery Group in Rockville Centre, and chief of the Division of Plastic Surgery at South Nassau Communities Hospital.

Breast reconstruction is a good option for you if: • You are able to cope well with your diagnosis and treatment • You do not have additional medical conditions or other illnesses that may impair healing • You have a positive outlook and realistic goals for restoring your breast and body image Breast reconstruction typically involves several procedures performed in multiple stages. It can begin at the same time as mastectomy , or be delayed until you heal from mastectomy and recover from any additional cancer treatments.

It’s important that you feel ready for the emotional adjustment involved in breast reconstruction. It may take some time to accept the results of breast reconstruction.

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Is it right for me?

To schedule an appointment with Dr. Hodyl, call 877.SOUTH.NASSAU or visit www.southnassau.org for more information.

Christine Hodyl, DO, FACS Director of Breast Services SOUTH NASSAU COMMUNITIES HOSPITAL

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ONE HEALTHY WAY, OCEANSIDE, NY 11572

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October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

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hoosing breast reconstruction is about feeling normal and healthy, even though you’ve lost your breast or part of your breast.

9

Nutrition for life Mediterranean diet may help fight breast cancer New research suggests women looking to prevent breast cancer after menopause may want to consider dietary changes, including adopting Mediterranean eating habits, to reduce their risk.

According to information published in the American Journal of Clinical N utrition, Greek post-menopausal women who rated highly in terms of researching scores in their consumption of foods that fit with a Mediterranean diet were 22 percent less likely to develop breast cancer during the study than others. Although the diet is not a cure-all for breast cancer, researchers estimate that if all women in their study population had closely adhered to a traditional Mediterranean diet, about 10 percent of the 127 postmenopausal breast cancers in the group would have been avoided.

It has long been believed that a Mediterranean diet has many positive effects on personal health. Although studies have only been conducted on breast cancer thus far, there is also hopeful evidence that the diet may reduce the risk for other cancers, including colon and stomach cancer, as well as reduce the chances for heart disease.

What is a Mediterranean Diet?

Nations in the Mediterranean region, including Italy, Greece, Turkey, and Spain, have historically had lower rates of heart disease and some cancers, including breast cancer, compared with other European countries and the United States. Researchers believe there is a correlation between the foods Mediterranean people eat and the rates of cancer and other illnesses.

A traditional Mediterranean diet is rich in seafood, heart-healthy fish, vegetables, whole grains, legumes, nuts, and olive oil.

It is relatively low in dairy and red meat products. According to the Mayo Clinic, most if not all major scientific organizatio ns encourage healthy adults to adopt a diet similar to the Mediterranean diet to prevent major chronic diseases.

Those who want to follow a Mediterranean diet can consider the following guidelines.

• Base every meal on the consumption of fruits, vegetables, grains, olive oil, beans, nuts, legumes, seeds, herbs, and spices.

• Consume fish and seafood often, at least two times per week.

• Enjoy moderate portions of poultry, eggs, cheese, and yogurt daily to weekly.

• Reduce and limit consumption of meats and sweets.

Experts say that if the Mediterranean diet does have a preventative nature toward breast cancer and other illnesses, it is likely due to the antioxidant components of the diet. The Mediterranean diet is rich in antioxidants, which protect cells from damage that may lead to diseases. The diet also helps to promote a health body weight, which is instrumental in keeping the body in top form and helping with immune system function.

To get started on the path of healthy Mediterranean eating, enjoy this recipe for Eggplant Dip.

Eggplant Dip Ingredients: 1 medium eggplant 2 tablespoons lemon juice 1/4 cup extra-virgin olive oil 1/2 cup finely chopped red onion ¼ cup plain Greek yogurt 1 small red bell pepper, finely chopped 1 small chile pepper, such as jalapeno, seeded and minced (optional) 2 tablespoons chopped fresh basil 1 tablespoon finely chopped flat-leaf parsley 1/4 teaspoon cayenne pepper, or to taste 1/4 teaspoon salt Directions: Position oven rack about 6 inches from the heat source; preheat broiler.

Line a baking pan with foil. Place eggplant in the pan and poke a few holes all over it to vent steam. Broil the eggplant, turning with tongs every 5 minutes, until the skin is charred and a knife inserted into the dense flesh near the stem goes in easily, 14 to 18 minutes. Cool on a cutting board until ready to handle.

Put lemon juice in a medium bowl. Cut the eggplant in half lengthwise and scrape the flesh into the bowl, tossing with the lemon juice to help prevent discoloring.

Add oil and stir with a fork until the oil is absorbed. (It should be a little chunky.) Stir in yogurt, onion, bell pepper, chile pepper (if using), basil, parsley, cayenne and salt.

If the eggplant has a lot of seeds it may be bitter. Add a dash of salt to sweeten the dip. Serve with whole-wheat crackers, wedges of toasted pita, or fresh vegetable slices.

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October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

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October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

Fashion tips after a mastectomy

M

aking the choice to After a well-fitting bra and breast have a mastectomy is form is selected, a woman can start rarely easy. But many shopping for clothing. Many find it is the best way to remove the prostheses can be purchased to risk for breast cancer and go on mimic the size and shape of the with their lives. Getting used to original breast. Then existing clothdressing your body after a mastecing in one’s closet may fit and little tomy takes a little patience. new shopping is needed. However , A study published in the journal scarring or perceived attention to the Cancer found that, in N ew Y ork area may cause some women to feel State alone, the number of women anxious. Following these guidelines who had a double mastectomy after can help. discovering cancer in one breast • Avoid form-fitting tops that draw more than doubled between 1995 attention to the bust. and 2005, increasing from 295 to • Look for scoop or boat neck shirts Shopping for clothing after a mastectomy may 683 during that time. instead of deep V-neck tops. require some patience and self-confidence Having a part of the body • Choose shirts and dresses with after recovering from breast cancer surgery. removed brings on many changes. sleeves or thick straps in terms of Some women feel liberated by the thought of being tank tops to cover a supportive bra. cancer-free. Others mourn the loss of a part of their • Select solid-color tops paired with print skirts to draw identity and femininity. Whatever the case, after some of the eye away from the top half of the body. the physical healing takes place, women must adapt to a • When selecting a swimsuit, look for styles that are cut new body. high under the arms and at the neckline. Athletic styles Many women who have undergone a mastectomy are usually higher-cut. find that using a breast form – a type of prosthesis – can • Use accessories like shawls or shrugs to cover up per make feeling more confident possible. These forms may ceived problem areas. be attached directly to the breast wall with a bit of • Layer clothing, like a vest over a shirt. skin-safe adhesive or fit inside of a bra. Some mastectomy • Splurge on a lacy bra to help you feel more feminine bras are also built with the form already in the cups, and sexy. similar to a padded bra.

• Avoid boxy or oversized shirts, which will only broadcast that you’re trying to hide something.

It is important when choosing a bra to be sure it is Above all, realize that problem areas may be noticesupportive and firm-fitting to alleviate the risk of gapping or able only to you. Most likely , others will not detect by the breast form shifting or coming out entirely . There are outward appearances that you even had surgery. stores that specialize in post-mastectomy bra fittings and prostheses to help navigate the new world of these products.

Health insurance exchanges A small business benefit

By Vincent C. Ashton

W

hile some deride the 2010 federal health reform law as “Obamacare,” one component should be considered separately from the rest – the Small Business Health Options Program (SHOP) Exchange.

SHOPs could help small businesses create new jobs, expand employer-based coverage, and recycle more revenue through the local economy.

They could also reduce the growing Medicaid enrollment; every worker enrolled in commercial health insurance through the SHOP is one less potential Medicaid enrollee.

New York’s small businesses are trapped in a dysfunctional and unsustainable small group health insurance market. This constrains their growth and diminishes their ability to compete in the labor marketplace. A SHOP Exchange could act as these firms’ benefits management department, making them less susceptible to losing their trained and experienced staff seeking coverage and reclaiming the time and manpower spent managing these benefits.

SHOP exchanges represent a rare opportunity to bring value, order and simplicity to small group health insurance markets. Even if health reform is overturned by the Supreme Court, most states would do well to continue with their plans for a SHOP. They could even be structured as non-profit, private sector entities.

Recently released federal SHOP rules propose a framework friendly to small employers and attractive to employees, while maximizing state flexibility . Workers can be allowed to choose plans that meet their budget and health needs while allowing employers relief from the onerous task of administering and managing health benefits.

State lawmakers who reject these innovative marketplaces abdicate its design and operation to a yet unknown federal model. If history is any guide, federal interference is a consequence that states would do well to avoid.

A bill creating a robust, small business-friendly SHOP has been negotiated by our state leaders in Albany , but is stalled in the Senate. Failure to pass this legislation means forgoing federal dollars to help our state’ s small businesses and local economies.

Using a SHOP to reduce the burdens associated with health care benefits is not only smart health policy , but sound economic policy as well. Since the 1970’ s, small businesses have led the nation out of every economic downturn by creating new jobs and hiring unemployed workers. They are likely to do so again if provided the opportunity .

Vincent C. Ashton is Executive Director of HealthPass New Y ork, a non-profit, commercial health insurance exchange for small businesses in downstate New York.

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The business of hope for October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

Infertile couples

W

hat happens when a family seemingly has everything, yet the one thing they are desperate for eludes them? Genesis Fertility & Reproductive Medicine, the brainchild of Dr. Richard Grazi, is not a promise of happiness or a secret to prenatal success; what it is though, is a beacon of hope when to some it seems there is none left.

To none that end, Dr. Grazi has brought his expertise in infertility to the 5 Towns community by establishing a satellite office at 1175 West Broadway in Hewlett. Dr. Grazi is smart, soft-spoken, and very sure. When asked why he chose this field, he immediately replied, “You must know that it is far and away the greatest field of medicine.” I laughed, and yet he did not. “I’m serious. Just by virtue of the human drama that we need to deal with every day and how, with God’s help, we create new families, mine is a field unlike any other. While it’s not that often that we get to save a person’s life, we do get to change our patients’ lives. We change the whole psychodynamics of the family that hopefully emerges. And that is a difference that is everlasting.”

He recalls, “The thought of becoming a doctor came late to me, actually during my post-high school stint in an Israeli yeshiva. I never thought about becoming a gynecologist. But I had an epiphany after my first year of medical school, when the first “test tube baby” was born. The birth of this one baby, and how it was accomplished, all seemed so exciting and fresh. It was something new, scientific but very artful, very out-of-the-box. I was

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interested in both genetics as well as surgery, so it was a good combination.”

In addition to being on the cutting edge medically, Genesis was also among the first medical practices to use digital charting.

“Communication between staff is as important as communication with patients.” Dr. Grazi explains, “For this reason everything here is electronic ... no paper charts. Because there are so many different aspects to the care of each couple, we all need simultaneous access to information. In this way we keep our very anxious patients informed.

Genesis is truly a masterpiece, a full service infertility program open 365 days a year, and now conveniently located in our community.

Genesis Fertility & Reproductive Medicine 1175 West Broadway, Suite 21, Hewlett 516-596-8752 • www.genesisfertility.com

The Place For Caring

Finding hope at Hewlett House

F

inally there is a place to go, right here on Long Island, to avoid the profound isolation, despair and fear often felt by people with cancer.

Specialized Services • Short Term Rehabilitation — Physical, Occupational and Speech Therapies • Certified Ventilator Unit • Hemodialysis — In-Patient and Out-Patient • Amputation Recovery Program • IV Therapy — Hydration, Nutrition and Medication Administration •Wound Management • Alzheimer’s Disease/Dementia Care • Social Work/Discharge Planning • Long Term Care • Hospice Care • Glatt Kosher • Daily Minyan

E-mail: woodmererehab@aol.com Website: www.woodmererehab.com Most Insurances Accepted.

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At Hewlett House, people with cancer , and their families, can become involved in networking and receive support from people who are going through similar experiences.

In 1990, the chance of developing breast cancer for a woman living on Long Island was one in nine. Today, it is one in eight. However, in parts of Suffolk County it’s one in seven.

Progress has been made in fighting this disease. But not enough, since this is clearly an uphill battle. Yet, we believe it’ s one we can Hewlett House provides hope and support for cancer patients and families. win.

Hewlett House is open to all who enter without referral and at no cost. It provides an innovative and creative approach to the overall needs of patients and their families and friends. As a non-profit charitable resource center , Hewlett House offers the basic components of therapy and support, education, and social events. It remains a freestanding center that will not be affiliated with any other institutions. W e are guided by the following principles: Hewlett House provides means of establishing ties with people going through similar experiences. Through friendship and socialization, Hewlett House enables individuals to live richer lives. We intend to foster public and private partnerships. This helps raise awareness of Hewlett House and enable us to raise money to support its on going programs.

Hewlett House fulfills a dream that Geri Barish, Executive Director of Hewlett House and President of 1 in 9: The Long Island Breast Cancer Action Coalition, had while battling breast cancer . She is a three-time breast cancer survivor and activist whose oldest son, Michael, died in 1986 from complications of Hodgkin’ s Lymphoma. Geri has been in the forefront in the battle against the high incidence of cancer on Long Island since 1988, and has spearheaded major changes to local, state and federal legislation; resulting in new policies that positively impact people with cancer, help to clean up toxins in our environment and take greater steps towards finding cancer’s causes and cures. Geri vowed a long time ago that, given the opportunity , she would ensure that no one would have to go through what she had gone through – battling this dreadful disease alone.

Hewlett House is available without referral and at no cost.

Hewlett House • 86 E. Rockaway Rd., Hewlett • 516-374-3190

14

Breast cancer warrior

YOU ARE NOT ALONE THERE IS HOPE WE BECOME EMPOWERED AT HEWLETT HOUSE WE BELIEVE THAT TOGETHER WE CAN FIGHT THIS DISEASE

86 East Rockaway Road, Hewlett, NY 11557 Tel: (516) 374-3190 Fax: (516) 569-1894 505467

when we talk about breast cancer, that it is multi-factual,” Barish says. “People have to understand who they are, where they came from, and their own history.”

Environmental issues as well as hereditary issues both impact a patient’s understanding of the disease and outcome. “Y ou should find out as much as you can about your history , both on your mother’s and father’s side,” Barish advises. “There can be correlating cancers that are hormonal and are connected to breast cancer.”

“As we know more about genetics we know that many people could have the gene. This The Hewlett House was given to John Hewlett by his grandfather, George Hewlett, does not mean that you will get who came from England in 1636. The House is still in the family. the disease but it is important for screening purposes. You should be aware of your history . Today we know that among men who have prostate cancer, their daughters are now at a high risk for breast cancer . Prostate is a hormonal cancer.”

Noting that breast cancer affects both menand women, Barish emphasizes the importanceof awareness and education. A lifestyle that stresses modification is essential, she says. “Do everything in modification. What Wh you eat or don’ t eat alone does not give you breast cancer . Statistics are tricky. I believe that it doesn’t matter if there are 20 statistics or one, because if you are be that one, then it is one too many. Eating a healthy diet, exercise and rest does wonders is bigger.” but the picture p Above all, be knowledgeable, stay up to date with the latest research, and never lose hope, hop Barish advises. “Try to put your life in its proper perspective. Always get a second opinion and if you still are unsure get a third. Knowledge is power . Today, through throug new technology and research we know so much more then we did years ago. a There are over two million survivors today.”

Barish lives in Baldwin with her husband Alan, her son Eric, and faithful dog, Sammy.

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or more than one hundred years, Peninsula Hospital Center has served the Rockaways, the Five Towns of Nassau County and parts of southern Queens and Brooklyn.

The Hospital Center’ s 173-bed acute care community hospital encompasses a 200-bed long-term care and rehabilitation center (Peninsula Center for Extended Care and Rehabilitation), which provides compassionate and competent care as well as a very active medical-model Adult Day Health Care Program.

Peninsula Hospital Center offers the diagnostic and therapeutic components found in today’ s forward-thinking hospitals. The Angels on the Bay Pediatric Unit, the Traumatic Brain Injury/ Stroke Rehabilitation Unit and the Butterflies by the Sea, Eisenstadt Hospice Inpatient Care Unit, Pain Management Program and Family Health Center all highlight the exceptional care given to all our patients. The exciting process of restructuring and charting new directions for an even more exceptional future has begun.

In the midst of all the energy moving us into the future, Peninsula Hospital Center remains a community-centered hospital that will never lose its focus on what matters most: people. Providing quality healthcare goes well beyond the technology of medicine and comes from the hearts of the people providing the care. There are wonderful new plans for the future of Peninsula Hospital Center – all focused on maintaining the health of our community.

Peninsula Hospital Center • 51-15 Beach Channel Dr., Far Rockaway • 718-734-2000

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Hypnosis Solution While the core of her Even if you’ve never been hypnotherapy practice is smoke formally hypnotized, you’re cessation, weight control and probably more familiar with stress management, Terry hypnosis than you realize. In Biener’s true passion is helping fact, a hypnotic trance is a people with fears and panic. natural state that most of us Having had these devastating visit on a daily basis.” issues herself, which were A hypnotherapist induces ultimately healed through a hypnotic trance to be able hypnosis, her empathy and to “adjust” the subconscious. understanding runs deep.

Contrary to myths, the Of the many techniques she person being hypnotized has used over the years, she never loses their control. finds Neuro-linguistic “Hypnosis can be Programming (NLP) combined effective with just about with hypnosis, to be most anything caused by, or Hypnosis is a safe therapy that can benefit anyone. successful for fears and anxiety. blocked by, the subconscious “How many sessions needed mind. I’ve been able to help depends on both the individual people cope with a loss or and the problem,” said Ms. Biener. “Since most habits trauma, improve in a sport, concentration, memory, or conditions exist from years of negative re-enforceovercome exam anxiety, and release all types of ment, one should expect at least a few sessions for habits. As a former school teacher , I’m comfortable long-lasting effect. One-on-one hypnosis, as opposed helping children heal self-esteem that’ s been damaged to group hypnosis, is very different in that sessions can through ADD or ADHD.” be tailored exactly to the person’s issues, triggers and A clinical hypnotherapist since 1992, Ms. Biener personality. Motivation and the desire to make the works with both children and adults, on a one-on-one change are important ingredients. And, trust and a basis. She holds a variety of certifications though the good rapport with the hypnotherapist should definiteAmerican Board of Hypnotherapy and the National ly be there.”

Guild of Hypnotists. Clients are seen by appointment Ms. Biener believes that people should understand only. Phone consultations are free and confidential. hypnosis and be comfortable with it before trying it.

Terry Biener • 516-791-6174 “Ignore what you’ve seen in movies and on stage. www.easychanges.com

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the age of 40 to have an annual mammogram and, in some cases, earlier, where there is a strong family history of breast cancer ,” says Mohan Mahadkar, M.D., Chairman of Obstetrics/Gynecology at St. John’s. “We are very pleased to offer state-of-the-art digital mammograms, given by excellent and caring technologists, conveniently in our community,” he added.

“This new digital technology will provide both accuracy and increased ease of use for our patients,” says Dr. Schwartz. “Providing outstanding diagnostic equipment for patients is a St. John’s Episcopal Hospital’s new digital mammography system is a new powerful vital step to good preventive health, technology in the fight against breast caner. and one we take very seriously.”

There are many advantages to a his year in America, more than 184,450 women digital system including: will be diagnosed with breast cancer . Today, St. • The images are clear and easy to read, and it offers John’s Episcopal Hospital advanced the fight an excellent view of the breast, especially near the against this pervasive disease by installing a new skin line, chest wall and in women with diverse cutting edge digital mammography system for its breast tissue types. patients.

• A digital mammography exam usually takes less This system, a GE Healthcare Senographe Digital than half the time of a traditional film-based exam, Mammography system, provides physicians with clear and there’s less of a chance you will be called back to and precise all-digital images, rather than images retake your images. on X-ray film. What’ s more, the system provides the • Your physician will gain viewing options with the largest field of view currently available, which can be unique ability to enhance certain areas to get a more extremely helpful for precision imaging of patients precise picture of your condition. with diverse shapes and sizes.

• Your breast images can be zoomed in and out, and This is a new and powerful technology for the contrast can be lightened or darkened. Also, the detection and fight against breast cancer ,” through an inverting feature, black and reverse to says Kenneth Schwartz, M.D., attending physician, white and white to black. This feature helps detect Department of Imaging, St. John’ s. “Digital systems microcalcifications, which is like revealing a grain o f such as the new GE digital mammography system salt in a ball of clay . All these image enhancements allow us to offer our patients state-of-the-art mammohelp aid in proper diagnosis. grams that are fast and easy. And it gives our referring • Digital images can be viewed on workstations physicians accurate images to use in diagnosis.” anywhere in the world, allowing physicians to Mammograms are among the best early detection compare current images to past images. methods, yet 13 million U.S. women 40 years of age or For an appointment for digital mammography at older have never had a mammogram, according to the St. John’s Episcopal Hospital, call 718-869-7780.

National Breast Cancer Foundation, Inc. “As a gynecologist, we encourage all women over

October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

Fight breast cancer

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October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

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A Special Advertising Section OCTOBER 20, 2011

Breast cancer warrior Geri Barish leads the fight on Long Island

By Karen Bloom

G

eri Barish has been at the forefront in the battle against breast cancer on Long Island since 1988, base to determine whether there is a relationship between pesticide use and breast cancer. Among her accomplishments: in March 1997, she spoke in Albany for the bipartisan “Mastectomy Bill”, which passed in both the Senate and Assembly and signed into law by then Governor George Pataki.

Her appointment as Executive Director of Hewlett House fulfills a dream and vision Barish had when she began her own struggle with breast cancer. Barish vowed a long time ago, that given the opportunity, no one would have to go through what she did - to battle this dreadful disease alone.

Hewlett House, in Hewlett, is a multi-purpose, professionally staffed facility in a home-like setting, for cancer victims and their family and friends. It is a central place offering information, counseling and meetings; where a pot of coffee is always on the stove and a listening ear available.

Barish’s dedication and perseverance has resulted in increased national funding, the

and has earn earned the distinction of being New York State’s Stat pre-eminent breast cancer activist. IIn 1996, Geri was awarded the Annual New Y ork State Innovation First An Breast Cancer Early Detection and in Brea Research Researc Award.

Barish Baris is no stranger to the pain and torment tormen of cancer: she is a three-time breast cancer victim and survivor . Her son, Michael, lost his life at a young age M from complications of Hodgkin’ s Lymphoma in 1986. Barish promised Lymp Michael that she would dedicate her Mic life to finding the causes and cures for breast bre cancer, and she has done so to this th day.

As President of “1 in 9”, Barish spearheaded negotiations of N ew sp York State’s Pesticide Registry Law, Y which created an accessible data-

C

implementation and overseeing of the Long Island Breast Cancer Study Project, which is the first scientific symposium held on Long Island to determine whether there was a need for a separate Long Island study of breast cancer; and the establishment of the ongoing Michael Scott Barish Human Cancer Grant at Cold Spring Harbor Laboratory for research into genetic mutations that could cause breast cancer , lymphoma and leukemia.

“Over the past 20 years we have been able to secure funding both on a national level and in Albany for more research and new technology ,” Barish says. “While we have come very far, we still have along way to go. “ Barish explains that it is essential for everyone to understand breast cancer if we are to reduce the risk of getting this disease.

“It is very important for people to understand Continued on page 4

UNDERSTANDING BREAST CANCER

DO MEN GET BREAST CANCER?

HEALTH INSURANCE EXCHANGES

Knowledge is the first step in overcoming the disease

Be aware of the common symptoms

A small business benefit

Continued on page 3

Continued on page 3

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October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

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LET YOUR HEART TAKE COURAGE

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Staying cancer-free as we age

T

he Bristal Assisted Living Communities offer tips to keep senior citizens cancer-free.

Family members can help reduce an aging relative’ s risk of cancer by encouraging healthy lifestyle changes, according to Winsome Bent, RN , Executive Director of the Bristal Assisted Living Community of North Hills.

“About 77 percent of people diagnosed with cancer are 55 or older, but lifestyle changes can benefit the health of senior family members,” says Bent.

Educate seniors about the benefits of exercise. Increasing physical activity can lower a person’ s chances for many cancers, including breast, endometrial, prostate, colorectal and lung cancers.

Encourage seniors to do activities they enjoy and that will keep them active. Gardening, golfing, playing tennis and swimming are all great choices. According to Bent, “many seniors, especially those living alone, don’ t cook much. A poor diet might keep seniors from getting the nutrients they need to maintain a healthy body and lower their risk of cancer.”

Learn about healthy diets for adults older than age 50. Share information on how many calories they should be getting daily and the types of foods they should be eating.

“Quitting smoking is the most important thing anyone can do to improve their health. It’ s never too late to quit,” says Bent. “Avoiding secondhand smoke can greatly improve a senior’s health.

The Bristal Assisted Living Communities have facilities in East Meadow , East N orthport, L ynbrook, N orth Hills, N orth W oodmere, Westbury and Massapequa. For information on The Bristal Assisted Living Communities, visit www.thebristal.com. The Bristal Assisted Living Communities • 631-580-6420

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Comfort Keepers is a guidance, incidental transporta tion, laundry and lining washing , franchise owned by Oceanside recreational activities and crafts , resident Judy Geier. Comfort mail assistance and organization , Keepers is a worldwide periodic review and communica franchise servicing N assau tion, emergency monitor sys County and surrounding tems. Caregivers are certified b y areas. Its main goal is enabling The Alzheimer’s Association o f independent living at home Long Island. with respect and dignity.

Each is equipped to meet th e Comfort Keepers aims needs of any and all patients. All to keep seniors in their own caregivers have cars and hav e homes while providing been subject to criminal an d non-medical care and DMV background checks. I n companionship. Although addition, all employees ar e elders are the main focus all Keeping seniors in their own homes while providing bonded and insured. adults are serviced; this non-medical care and companionship.

A free in-home clien t includes pregnant women. assessment is done so that your loved one i s The many services provided by Comfort Keepers assured the correct caregiver “match” for his/he r includes conversation, companionship, meal specific needs. preparation, light housekeeping, errand services, grocery shopping, respite or relief for the family , Comfort Keepers • 516-442-2300 • fax 516-442-2301 Email: CK786@comfortkeepers.com medication reminders, grooming and dressing

Food allergy: fact or fiction?

A

new study in the Journal of Pediatrics reaffirms the growing problem of food allergies among young people. Researchers found that eight percent of children under 18 in the United States have at least one food allergy. In the past, estimates had ranged from two to five percent, adding to the growing body of evidence that increasingly more children have food allergies.

There is increased awareness of food allergies and more doctors are screening for food allergies, but how do you know if you truly have a food Many foods contain peanuts. allergy? Some patients clearly have evidence of food allergy because of previous reactions; however there are some patients with positive test results without a known reaction.

Young children with eczema, asthma, or seasonal allergies often get tested for foods before they have actually consumed them. If testing is positive, they are advised to avoid a particular food, however this may not be needed. Patients with seasonal allergies, eczema, and asthma can be misdiagnosed with food allergies. As a mother and an allergist, Dr. Fiorillo-Quinn knows how burdensome it can be to have a family member with food allergies. Patients or caretakers are often worrying: Did I pack the Epipen? Does this food contain peanuts? These concerns lead to increased anxiety and poor quality of life.

Allergists can help determine if positive testing translates into true allergy. There are specialized tests that can confirm if a food allergy is truly present. There are also some food allergies that can be outgrown. In certain cases repeat testing and food challenges are performed. This is useful in determining if a patient truly has a food allergy or has outgrown their allergy.

Food allergies are common, affect quality of life, and can be severe and potentially fatal. Food allergies are increasing and so has the amount of food allergy testing. It is important to know if your reaction is truly allergic in nature and to confirm that food avoidance is needed. Dr. Fiorillo-Quinn’s office can help you take control of your food allergies and ensure that you have the right diagnosis. Dr. Annette Fiorillo-Quinn • 516-307-9140.

Visit my website at: www.longislandallergies.com.

Understanding breast cancer

W

hen diagnosed with breast cancer , women are often filled with questions. What is the survival rate?

Can breast cancer spread to other parts of my body? What does this mean for my family?

Such questions are common, and it’ s perfectly all right and even beneficial for women diagnosed with breast cancer to ask as many questions as possible to better understand the disease. Though each individual’ s experience with breast cancer is unique, upon diagnosis the doctor will determine which stage that cancer is in.

Determining the stage of the cancer is based on: • The size of the cancer.

• If the cancer is invasive or noninvasive.

• Whether or not the cancer is in the lymph nodes.

• If the cancer has spread to other parts of the body .

Upon diagnosis, the doctor will also discuss if the cancer is local, regional or distant. Local means the cancer is confined to the breast, while regional means the cancer has spread to the lymph nodes, most likely those in the armpit. If the doctor says the cancer is distant, that means it has been found in other parts of the body . If the tumors involve the breast skin, the underlying chest structures, have changed the breast’s shape, and enlarged the lymph nodes, the doctor will then likely determine the cancer is locally advanced or regionally advanced.

Survival rates have increased dramatically over the last 30 years. Much of this is thanks to research, but increased awareness of breast cancer has also played a role in the significantly improved survival rates. Part of that awareness includes taking steps as a young woman to reduce risk for breast cancer. Steps such as adopting a healthier diet, learning about family history with breast cancer and undergoing routine checkups can greatly improve a woman’ s chances of beating breast cancer . Survival rates depend on a host of factors, including the stage of the cancer at diagnosis.

Women who understand the stages of breast cancer and the role they play in surviving the disease might be more inclined to take steps that reduce their risk.

Stage 0: Though the best breast cancer diagnosis is no diagnosis at all, women diagnosed with stage 0 breast cancer can breathe somewhat easy . Stage 0 means the cancer is noninvasive and there is no evidence that the cancer cells or the noncancerous abnormal cells have spread beyond the part of the breast where they originated.

Stage I: A stage 1 diagnosis means the cancer is invasive, and the cancer cells are beginning to invade normal cells around the breast tissue. However, a stage 1 diagnosis means the lymph nodes have not been invaded.

Stage II: Stage II is divided into the subcategories of IIA or IIB. A stage IIA diagnosis can mean any of the following: • N o tumor has been found in the breast, but cancer cells are in the lymph nodes under the arm.

• The tumor in the breast is 2 cm or smaller and has spread to the lymph nodes under the arm.

• The tumor in the breast is between 2 to 5 cm but has not spread to the lymph nodes under the arm.

health & QA

Breast cancer basics: Knowledge is the first step in overcoming the disease

A stage IIB diagnosis means the cancer is invasive and: • The tumor is between 2 to 5 cm and has spread to the lymph nodes under the arm.

• The tumor is larger than 5 cm but has not spread to the lymph nodes under the arm.

Stage III: Similar to stage II, a stage III diagnosis will be divided into subcategories. But stage III breast cancer will be diagnosed as IIIA, IIIB or IIIC. In stage IIIA breast cancer: • No tumor is found, but cancer has been found in the lymph nodes under the arm; these lymph nodes will be clumped together or sticking to other structures or the cancer may have spread to lymph nodes near the breastbone.

• The cancer is any size and has to spread to the lymph nodes under the arm, which are clumped together and sticking to other structures.

A stage IIIB diagnosis means: • The cancer may be any size and has spread to the skin of breast and/or the chest wall.

• The cancer may have spread to the lymph nodes under the arm, where they will be clumped together or sticking to other structures; or the cancer may have spread to the lymph nodes near the breastbone.

Symptoms of stage IIIB breast cancer can include reddening of a significant portion of the breast skin, swelling of the breast and a warm feeling at the touch.

A stage IIIC diagnosis means: • There may be no sign of cancer in the breast.

• If the there is a tumor, it can be any size and may have spread to the chest wall and/ or the skin of the breast.

• The cancer has spread to the lymph nodes above or below the collarbone; and the cancer may have spread to the lymph nodes under the arm or near the breastbone.

Stage IV: A stage IV diagnosis means the cancer has spread beyond the breast and local lymph nodes to other organs of the body . This can include the skin, bones, liver, lungs, distant lymph nodes, or even the brain.

A stage IV diagnosis might be a recurrence of a previous breast cancer, but it’s also possible to get a stage IV diagnosis at first diagnosis.

The American Cancer Society (ACS) estimates that 230,480 new cases of breast cancer will occur among women in the United States during 2011, with approximately 2,140 new cases expected in men. Breast cancer is the second leading cause of cancer death in women, exceeded only by lung cancer . The chance that breast cancer will be responsible for a woman’ s death is about 1 in 36 (about 3 percent), according to the ACS. Death rates from breast cancer have been declining since about 1990, with larger decreases in women younger than 50.

These decreases are believed to be the result of earlier detection through screening and increased awareness, as well as improved treatment.

For 31 years here on Long Island, the Adelphi N Y Statewide Breast Cancer Hotline & Support Program (800-877-8077) has been answering questions from people concerned about breast cancer. Stay aware, be informed, schedule the appropriate mammograms, and continue to spread the word that early detection saves lives.

Here are the most frequently asked questions.

Q - How many women develop breast cancer each year?

A - It is estimated that in 2010, 207,090 new cases of

breast cancer were diagnosed in the United States.

N ew cases in N ew Y ork State were estimated at 14,610. Women have a one in eight chance of developing breast cancer over the course of her lifetime. More women in the United States are living with breast cancer than any other cancer (excluding skin cancer).

Q - What are the factors that put a woman at higher risk for breast cancer?

A - The two most significant risk factors are being

female and getting older. The majority of women diagnosed with breast cancer have no other known risk factors.

Q - As a Hispanic woman, should I be concerned about breast cancer?

Do men get breast cancer?

B

reast cancer in men is rare, but it does happen. After all, men have breast tissue, too. The overall ratio of female to male breast cancer in the U.S. is 100 to 1, according to the American Cancer Society.

Of the 2,140 men who are expected to be diagnosed in the U.S. 2011, 450 will die from the disease.

Because breast cancer is much more common in women, many men do not realize they can develop this disease. This can delay diagnosis and as a result, some cancers are not found until they have progressed to a later stage. However, when cancer is found at the same stage among men and women, the survival rates are similar.

Because the male breast is much smaller than the Publishers CLIFFORD RICHNER STUART RICHNER Executive Editor JOHN C. O’CONNELL

female breast, it is more likely the disease will spread to the chest wall. For this reason, it is important to find the cancer early for successful treatment. See your doctor right away if you have any lumps or changes in your chest area.

Be aware of the common symptoms of male breast cancer: • A lump in the chest area • Skin dimpling or puckering • Nipple changes The annual incidence of breast cancer for men increases steadily after age 35. It frequently occurs between 60-70 years old. A small study regarding male breast cancer found that the average time between first symptom and diagnosis was 19 months, or over a year and a half. That’ s a very long time! This is probably because people don’t expect breast cancer to happen to men, so there is little to no early detection.

Section Editor KAREN BLOOM Editorial Designer JEFFREY A. NEGRIN Vice President of Sales RHONDA GLICKMAN

Account Executives MIMMA BARONE JOAN BATTINO ROBERT CUMMINGS NANCY FRIEDMAN ELLEN FRISCH

A man’s risk N o matter how small, the risk is still there. It’ s important to be aware of the known factors that increase a man’s risk of breast cancer. These are: • A genetic condition such as Klinefelter’ s syndrome that is associated with high estrogen levels • Family members (male or female) with breast cancer , especially with a BRCA2 mutation • Chronic liver disorders, alcoholism and obesity • Getting older As with all cancer early diagnosis can make a life-saving difference. W ith more research and more public awareness, men will learn that – just like women – they need to go to their doctor right away if they detect any persistent changes to their breasts.

JILL KAPLAN VICKI KAPLAN KAREN RESNICK TRICIA SKINNER Cover Design JEFFREY A. NEGRIN

GOOD HEALTH is an advertising supplement to the HERALD Community Newspapers. Copyright © 2011 Richner Communications, Inc. Published by Richner Communications, Inc. 2 Endo Blvd., Garden City, NY 11530 (516) 569-4000 • www.liherald.com

A - More Hispanic women are diagnosed at a later stage than Caucasian, when cancer is harder to treat.

Q - Am I at risk for breast cancer?

A - All women are at risk of developing breast cancer .

Speak to your health care provider who will talk with you about your family history and your own individual risk factors.

Q - As an African-American woman, should I be concerned about breast cancer?

A - Yes, although the incidence of breast cancer is lower in African –American women than white women, the mortality or death rate is higher.

Q - Am I more at risk of developing breast cancer as I age?

A - Age is the number one risk factor for breast cancer.

Older women are much more likely to get breast cancer than younger women. Most breast cancers (about 80 percent) occur in women ages 50 and older. About 5percent of all breast cancer cases occur in women under the age of 40. It is recommended that women start annual mammography at age 40.

Q - Can exercise reduce my risk for breast cancer?

A - Several studies indicate that women who exercise at moderate to vigorous levels (3-4 hours per week) may reduce their risk level.

October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

Awareness and knowledge a friend when preparing to fight the disease

3

Allergies, Asthma and Sinus

Breast cancer warrior Continued from page 1

Do you or your child suffer from food allergy?

Sick of carrying an Epipen?

Newer testing available to determine if food allergy is present. Often times food allergy is over diagnosed.

We can help.

Dr. Fiorillo-Quinn 2940 Lincoln Avenue Suite 200 Oceanside, NY 11572 Phone: 516-307-9140 Fax: 516-706-6770 www.longislandallergies.com

Dr. Florillo-Quinn is board certified in Pediatric/Adult Allergy & Immunology.

We can help with: • Asthma • Allergic rhinitis • Eczema/Allergic Skin disorders • Drug, food, and insect allergy • Latex allergy • Urticaria (hives, welts) • Anaphylaxis (severe reactions to

foods, drugs,ant bites, or insect stings)

when we talk about breast cancer, that it is multi-factual,” Barish says. “People have to understand who they are, where they came from, and their own history.”

Environmental issues as well as hereditary issues both impact a patient’s understanding of the disease and outcome. “Y ou should find out as much as you can about your history , both on your mother’s and father’s side,” Barish advises. “There can be correlating cancers that are hormonal and are connected to breast cancer.”

“As we know more about genetics we know that many people could have the gene. This The Hewlett House was given to John Hewlett by his grandfather, George Hewlett, does not mean that you will get who came from England in 1636. The House is still in the family. the disease but it is important for screening purposes. You should be aware of your history . Today we know that among men who have prostate cancer, their daughters are now at a high risk for breast cancer . Prostate is a hormonal cancer.”

Noting that breast cancer affects both menand women, Barish emphasizes the importanceof awareness and education. A lifestyle that stresses modification is essential, she says. “Do everything in modification. What Wh you eat or don’ t eat alone does not give you breast cancer . Statistics are tricky. I believe that it doesn’t matter if there are 20 statistics or one, because if you are be that one, then it is one too many. Eating a healthy diet, exercise and rest does wonders is bigger.” but the picture p Above all, be knowledgeable, stay up to date with the latest research, and never lose hope, hop Barish advises. “Try to put your life in its proper perspective. Always get a second opinion and if you still are unsure get a third. Knowledge is power . Today, through throug new technology and research we know so much more then we did years ago. a There are over two million survivors today.”

Barish lives in Baldwin with her husband Alan, her son Eric, and faithful dog, Sammy.

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Breast reconstruction Helping you become whole again 14 questions you should ask when choosing a surgeon you can trust Plastic surgery involves many choices. The first and most important is selecting a surgeon you can trust. Use this checklist as a guide during your consultation.

1) Are you certified by the American Board of Plastic Surgery?

2) Were you trained specifically in the field of plastic surgery?

3) How many years of plastic surgery training have you had?

4) Do you have hospital privileges to perform this procedure?

If so, at which hospitals?

5) Is the office-based surgical facility accredited by a nationallyor state-recognized accrediting agency, or is it state-licensed or Medicare-certified?

6) Am I a good candidate for this procedure?

7) What will be expected of me to get the best results?

8) Where and how will you perform my procedure?

9) What surgical technique is recommended for me?

10) How long of a recovery period can I expect, and what kind of help will I need during my recovery?

11) What are the risks and complications associated with my procedure?

12) How are complications handled?

13) What are my options if I am dissatisfied with the outcome?

14) Do you have before-and-after photos I can look at for this procedure and what results are reasonable for me?

“When I was diagnosed with stage 3 breast cancer at 27, Dr. Hodyl not only helped save my life … she changed it forever.”

Dr. Christine Hodyl’s caring approach to lifesaving breast cancer surgery had a life-changing impact on survivor Kristine Smart, who is now studying to become a radiation oncology nurse because of her experience. A leading breast surgeon, Dr. Hodyl removes the tumors alongside a team of plastic surgeons, conserving as much of the breast as possible and providing immediate post-mastectomy reconstruction, giving patients hope and renewed dignity with the utmost in personal, compassionate care.

Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy.

Although breast reconstruction can rebuild your breast, the results are highly variable. A reconstructed breast will not have the same sensation and feel as the breast it replaces. V isible incision lines will always be present on the breast, whether from reconstruction or mastectomy. Certain surgical techniques will leave incision lines at the donor site, commonly located in less exposed areas of the body such as the back, abdomen or buttocks.

Kristine Smart Breast cancer survivor & radiation oncology nursing student, West Hempstead

Beauty for life

Breast reconstruction can be a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other condition.

The creation of a new breast can dramatically improve your self-image, self-confidence and quality of life. Although surgery can give you a relatively natural-looking breast, a reconstructed breast will never look or feel exactly the same as the breast that was removed.

Breast reconstruction is a highly individualized procedure. You should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image, advises Dr. Martin E. Kessler , of The Plastic Surgery Group in Rockville Centre, and chief of the Division of Plastic Surgery at South Nassau Communities Hospital.

Breast reconstruction is a good option for you if: • You are able to cope well with your diagnosis and treatment • You do not have additional medical conditions or other illnesses that may impair healing • You have a positive outlook and realistic goals for restoring your breast and body image Breast reconstruction typically involves several procedures performed in multiple stages. It can begin at the same time as mastectomy , or be delayed until you heal from mastectomy and recover from any additional cancer treatments.

It’s important that you feel ready for the emotional adjustment involved in breast reconstruction. It may take some time to accept the results of breast reconstruction.

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Is it right for me?

To schedule an appointment with Dr. Hodyl, call 877.SOUTH.NASSAU or visit www.southnassau.org for more information.

Christine Hodyl, DO, FACS Director of Breast Services SOUTH NASSAU COMMUNITIES HOSPITAL

|

ONE HEALTHY WAY, OCEANSIDE, NY 11572

|

877-SOUTH-NASSAU

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WWW.SOUTHNASSAU.ORG

October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

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hoosing breast reconstruction is about feeling normal and healthy, even though you’ve lost your breast or part of your breast.

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Welcome our NEW Physicians Dr. Mihai Dimancescu of NSPC (Neurological Surgery, P.C.) World-wide recognition in the evaluation and management of Coma Dr. Julius Bazan (Private Practice RVC) Board Certified in Neurology and Psychiatry Dr. James Germano of Orlin & Cohen Orthopedics Board Certified in Orthopedic Surgery

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here are three loss is: you must exert more types of weight: calories than you consume. “good,” “bad,” and Exercise will build lean “artificial” and knowing muscle mass, improve carthe difference is key to diovascular and circulatory maintaining your health function, but it won’t counand your sanity on the terbalance your scale. morning doughnut! Focus Good Weight: is the on the four elements of weight of your organs, your meal plan: (1) Type tissue, bones and most of Food, (2) Portion Size, importantly the lean muscle (3) Method of Preparation mass on your body. Lean and (4) Schedule of Eating. muscle mass requires Try journaling for a few more energy (or calories) to days using these elements maintain, giving your body to create an honest the ability to break down picture of how you truly eat.

The tough part is getting started and staying motivated. larger caloric levels. This This will help you identify will give you an appearance the habits that of being leaner. sabotage your weight-loss.

Decrease Your Artificial Weight: Weigh yourself in Bad Weight: are the stores of fat we carry around the morning, undressed, before eating or drinking and the midsection, hips, thighs and buttocks. This is the after using the bathroom. This will be the most accurate weight we want to lose and keep off. And whether you representation of your weight. If you see a gain, ask have 10 or 100 pounds to lose, it is going to require yourself: when was my last bowel movement, have there some effort and discipline. The tough part is getting been any changes to my meal plan, sleep or stress levels? started and staying motivated.

The answers will help identify your weight gain triggers.

Artificial Weight: occurs when we retain fluids, Spicy and salty foods or carbonated beverages may be experience decreased bowel movements or experience the cause. Caffeine is also a lesser -known bloat trigger. metabolic changes. This is not real weight, as it will fall So be conscious of your habits, big and small. For a off as quickly as it came on. Don’ t get obsessed with the number on the scale comparing one day’s weight to quick fix, increase your water intake, to aid in bowel the next; this will only serve to sabotage and discour - movements and help flush your body of excess sodium.

Finally, instead of getting obsessed with small age you. Look at your total weight and inches lost, fluctuations on the scale, get obsessed with what you not the minor fluctuations day to day. can control: your meal plan (the types of food you Increasing Good W eight: Starting a strength training routine can be extremely intimidating. T o choose, the portions you consume, how that food is prepared and when the food is eaten) and your activity begin, Dr. Bo Rosenblat’s advice is to start small and level and the number on the scale will fall into place start slow. Some light training will not turn you into accordingly. the Incredible Hulk but it will give the definition and Dr. Bo Rosenblat, Chief Physician for Dr. Bo’s Diet, tone you are looking for . Try lighter weights at first is a board-certified medical doctor with office locations and perfect your form. A trainer at your gym or an inexpensive DVD can help. Most importantly , be in Hewlett, Great N eck, Brooklyn and Manhattan.

For more information about Dr. Bo’s Diet, call consistent. 10-15 minutes per day , three days a week 516-284-8248. will yield tremendous results.

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Teating chronic sinusitis

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October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

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Sinusitis sufferers require over 18 million office visits and nearly 30 million prescriptions per year . Medications are often effective, but for many of these patients, even multiple courses of increasingly stronger antibiotics may not be enough to relieve their symptoms of facial pain, congestion, headache, and fatigue.

For patients unresponsive to medication, functional endoscopic sinus surgery (FESS) is often the next step toward finding relief. These procedures involve the removal of bone and tissue to enlarge the sinus opening, and while effective, may lead to post-oper ative pain, bleeding and scarring. Full recovery can take a week or more for some patients.

Millions of people suffer from chronic sinusitis.

About four years ago Dr . Louis Rosner started using guidewires and balloon catheters to gently open sinus passages and restore function to diseased sinuses while preserving natural anatomy within the nose. This type of sinus surgery is much like the angioplasty procedure performed by interventional cardiologists and is commonly referred to as Balloon Sinuplasty . Dr. Rosner has now performed over 500 procedures using Balloon Sinuplasty devices and has achieved excellent results for his patients.

While not appropriate for every surgical patient, he has found that many sinus sufferers are very good candidates for Balloon Sinuplasty. These patients do very well, are extremely happy with the results, and typically resume normal activities within a few days. Most importantly , this approach is clinically proven to be extremely safe. Dr. Rosner is now able to do this procedure in his office under local anesthesia. Most insurance plans are covering Balloon Sinuplasty done in the office. This may be a great option for someone who cannot or will not tolerate general anesthesia in the operating room and needs to be back to work within a day.

Dr Louis M. Rosner is Chief of Otolaryngology at South Nassau Communities Hospital and maintains a private practice in Rockville Centre.

Dr Louis M. Rosner, M.D., F.A.C.S • South Shore Otolaryngology P.C. 176 N. Village Ave., Rockville Centre • 516-678-0303

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October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

pproximately 14 million Americans have diabetes mellitus, but many don’t know they are affected.

Diabetes is one of the leading causes of blindness among Americans. Many patients with diabetic eye problems have no symptoms, but if left untreated, diabetes can lead to serious visual loss, explains Dr .

Edward Stroh.

Many diabetics notice blurred vision when their blood sugar fluctuates either high or low . Diabetes can also damage the small blood vessels throughout the retina, resulting in lack of oxygen to the retina. The damaged blood vessels leak, producing fluid in the retina. The diagnosis of Have your eyes examined regularly to check diabetic eye disease is made by examination and may require photographs, for diabetes damage. fluorescein angiography and/or OCT to detect diabetic retinopathy.

There are new advances for treating diabetic retinopathy including laser techniques, medication, injections, or even surgery for severe cases.

Blindness due to diabetic eye disease can be preventable. Strategies for preventing diabetic retinopathy include control of blood sugar and blood pressure, avoiding smoking, early detection, and early treatment as well as maintaining regularly scheduled visits.

Dr. Stroh is a retina specialist in Rockville Centre who specializes in Diabetes and Retinal Disorders. He has published numerous articles and frequently lectures at national meetings. Dr . Stroh is a member of many organizations, including The American Academy of Ophthalmology , Vitreous Society and Association for research in Vision and Ophthalmology. He can be reached at 516-536-9525 for appointments, consultations and second opinions.

Dr. Edward Stroh Retina Consultants of Long Island • 165 N. Village Ave., Suite 203, Rockville Centre • 516-536-9525

Comprehensive breast health

services at Mercy

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Mammography is the most and same-day results. effective screening test for the Radiologists are available early detection of breast cancer to read images in real time, available to women today. order additional views if And at Mercy Medical needed, and consult with their Center, it’s easy to arrange statephysicians as needed. All of-the-art screening and images and reports are diagnostic mammograms available to patients’ physias part of convenient, cians via computer, through a comprehensive breast health state-of-the-art Picture services.

Archiving Communication Mercy’s Bishop McGann System.

Center for Oncology and And we make it easy to Mercy utilizes the most advanced imaging and Imaging provides coordinated transfer films and records of minimally-invasive techniques for the diagnosis multidisciplinary screening, previous screenings at other of benign and malignant breast disease. diagnosis, treatment and facilities. follow-up care at a single location, utilizing the Mercy’ s Department of Radiology and Imaging is most advanced imaging and minimally-invasive accredited by the American College of Radiology. And techniques for the diagnosis of benign and malignant recent amenities upgrades at the McGann Center breast disease. provide a spa-like atmosphere with a spacious, airy Available procedures include the latest low-radiareception area designed to provide patients with a tion digital mammography, non-invasive ultrasound bright, cheerful environment, along with a new and stereotactic breast biopsy , with expert, sensitive private waiting area for Women’s Imaging patients. radiologists and imaging technologists, as well as Mercy Medical Center highly skilled breast surgeons.

516-62MERCY • www.MercyMedicalCenter.info Mercy offers next-day screening appointments,

Long Beach Rheumatology & Osteoporosis

Sandeep Gupta, MD Director

lead to outstanding results

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Working one-on-one with our patients.

ockville Skilled N ursing & Rehabilitation Center is proud to announce the expansion of our rehabilitation program to seven days per week. Now our outstanding rehabilitative services are available every day of the week and our rehab staff also provides late day and evening assessments for all new admissions. Each resident has the opportunity to start working on his/her goals from the very first day.

Our rehab team works diligently to help each resident reach his/her goals in a safe, nurturing and fun environment. Residents and rehab staff members can often be seen“strolling” around the neighborhood enjoying the sunshine while working on important skills such as ambulating on uneven surfaces.

Stop by the rehab gym and you are bound to hear music, conversation and laughter at any given time.

We invite you to stop in for a tour of our newly renovated short-term rehabilitation unit and meet our outstanding staff.

Rockville Skilled Nursing & Rehabilitation Center 516-536-8000

759 Lincoln Blvd.

Long Beach, NY 11561 516•897•3885

504710

Outstanding rehab services

• State of the Art Treatment of Rheumatoid Arthritis and severe Psoriasis, with drugs in our infusion suite .

• Do you have osteoporosis with heartburn?

We have solutions, including intravenous medicines given every 3 months or once a year.

• Do you have knee pain? We have options available, including gel injections.

• We will spend the time needed to make the diagnosis and discuss your options.

• All Commercial Insurance Plans & Medicare A ccepted • Late Hours Available

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Retina Consultants of Long Island

Park Avenue Extended Care

Specializing in Diseases and Surger y of the Retina and Vitreous:

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Macular Degeneration Diabetic Retinopathy Macular Pucker and Macular Holes Retinal Vascular Occlusions Flashes and Floaters Laser Surgery and Phototherapy Retinal Detachment and Vitreoretinopathy Retina, Vitreous and Macular Surgery Uveitis Penetrating Eye Injuries Ocular Trauma

165 North Village Avenue, Suite 203 Rockville Centre, NY 11570 Affiliated with: Mercy Medical Center, Long Island Jewish-North Shore Health System, Winthrop University Hospital, South Nassau Communities Hospital, and Manhattan Eye, Ear and Throat Hospital

505407

536-9525

ark Avenue has always been a facility that is progressive and forward thinking. This, in part, can be attributed to the Administrator, Teresa Pocchia, who is determined to create the finest Extended Care Facility in Nassau County. We not only have long term residents at Park Avenue, we also have a sub-acute rehabilitation center for those not requiring a long length of stay. We treat a variety of medical conditions utilizing our board certified staff physicians and skilled nursing staff.

In addition to our existing staff, we are proud to welcome Neurosurgeon, Dr. Mihai Dimancescu of NSPC, (Neurological Surgery, P.C.) to our staff.

Dr. Dimancescu has world-wide recognition in the evaluation and management of Coma. He will be creating and coordinating a program to benefit our patients in need of rehabilitation. This program will be of great significance to our stroke patients and those who are rehabilitating from traumatic brain injury.

We are in the process of acquiring specialized equipment and staff to carry out this exciting endeavor. Currently the Sub-acute rehabilitation center for those not requiring a long length of stay. mass suspension harness is one of several pieces of equipment utilized by the rehabilitation department for the benefit and progress of our patients. W e look forward to working with Dr .

Dimancescu and anticipate a wonderful program unique only to Park Avenue Extended Care.

Although the facility is only ten years old, it was recently renovated and resembles a modern Manhattan hotel. Park Avenues’ grounds, which include an outdoor enclosed patio and eight floors of beautiful interior, is immaculate. The central lobby reception area for visitors and family is adorned with a white baby grand piano, a large flat screen TV and views of the bay and ocean.

We welcome and look forward to any inquiries about our facility, as well as offering tours to those who are considering utilizing Park Avenue for themselves or loved ones.

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

Osteoarthritis of the knee

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October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

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rthritis of the knee is a common problem especially in people 40 and older.

It can be a very painful and functionally disabling condition.

The cause of the arthritis of the knee can be divided into two major groups – inflammatory and noninflammatory. The inflammatory group includes rheumatoid arthritis, gout and psoriatic arthritis. The other and more common cause is degenerative osteoarthritis. This “wear and tear” arthritis occurs as we grow older , especially with a family history of osteoarthritis.

Common treatments recommended include Tylenol, Advil, Aleve, and other anti-inflammatory drugs given by your physician. Physical therapy at times produces an excellent response. W eight loss is highly recommended (even a few pounds matter!). Surgery, either done arthroscopically (which is usually temporary and may lead to increasing the arthritis in the future) or as knee replacements, has a place for the severe arthritic patient.

An often overlooked but quite effective form of therapy entails injecting the effected knee with a “gel” (previously derived only from chickens, now also made synthetically). A series of injections (brand names include Euflexxa, Synvisc and Orthovisc) lead to significant pain relief in about 50-70 per cent of people for six months or more. The injections are done in the office and barely take a few minutes to do.

These injections should only be given in a non-inflamed knee as it not effective and will be wasted if given in a swollen knee.

So remember to keep walking and strive to loose weight. If pain persists, call our office at 516-897-3885.

Dr. Sandeep Gupta Long Beach Rheumatology • 759 Lincoln Blvd., Long Beach • 516-897-3885

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A SMALL FACILITY, A LARGE FAMILY October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

Let us pave the way from hospital to home for your loved one.

For short-term residents, our physical and occupational therapy is outcome-oriented, allowing them to return to the community as quickly as possible. F or long-term residents, we strive to help them gr ow stronger and more enabled as their stay pr ogresses.

Our residents’ quality of care is as important to us as it is to y ou.

Our Staff Includes: • Doctors • 24-Hour Skilled Nursing Care • Physical Therapists • Occupational Therapists • Speech Therapists • Dieticians • Social Workers • Recreational Personnel

Contact us today at 516-536-8000 for mor e information or to set up a tour.

50 Maine Avenue, Rockville Centre, NY 11570 www.rockvillerehab.com

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Our Facility / Services Include: 5 STAR • Dedicated Short-Term Rehabilitation Unit RATED • Physical, Occupational and Speech Therapy CENTER • Wound, Respiratory and Dementia Care ★★★★★ • Long-Term and Hospice Care • Tracheostomy Care and Ostomy Care • Outdoor Garden • Cardiac Rehabilitation • Pain Management • Religious Services • IV Therapy/Nutrition • Private and Semi-Private Rooms

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Urgent care for every

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n urgent care/walk-in care is a place where you can go for your healthcare needs when you need the care. The center should be close to you, open late and on the weekends, be easy to access and accept your insurance.

Our newly opened center is special for a number of reasons.

First, there is no appointment needed - EVER! Come in and be seen very quickly. There are no referrals needed, even if you have a primary care physician. We accept Medicare and most commercial insurance. This means only paying the co-pay as in a medical office. Insurance accepted includes Aetna, HIP, GHI, Cigna, BCBS, Oxford, United Health Care, Empire Plan, etc. W e treat most common problems and injuries. W e perform all physicals and fill out most forms needed. We offer low radiation digital x-ray, blood draw, strep test, pregnancy testing, EKG and lung function tests all on site. We have ample free parking and are open late: until 8 p.m. on weekdays; 9 a.m.-3 p.m. on Saturdays/Sundays and holidays. Payment plans are available for patients without insurance. Call us at 516-558-7858 and come in for your all of your healthcare needs.

Nassau South Walk-In • 2710 Long Beach Rd., Oceanside • 516-558-7858

At Comfort Keepers® we provide in-home care that helps seniors live happy, independent lives in the comfort of their own homes. Our Comfort Keepers® help keep minds, bodies and lives active, happy and healthy

Osteoporosis:

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• Physical Exams

• Walk-Ins Welcome

• Camp & School Physicals

• You Do Not Have To Change Your Primary Physician to See Us

• No Waiting • Ample Free Parking • Low Dose Digital X-Ray

As we age, concerns about performing the right type of exercise grow. The physical therapists of N assau Sports Care will design an exercise program that combines postural strengthening, balance training and bone strengthening to provide you with an ideal, personalized program. You will exercise in a safe and nurturing environment supervised by licensed health care professionals.

And, your exercise program may even be covered by insurance. We have partnered with a nationwide company and are the only providers on Long Island for this program. V isit us at www . nscpt.com to learn more.

We know what it takes to build strong healthy bones for individuals of all ages. Call us today and let us walk with you on your health and wellness journey.

John Krupa has been a licensed physical therapist for 25 years and is the owner of Nassau Sports Care Physical Therapy. Providing personalized hands-on care since 1991, N SC is a multi-location physical therapy wellness and fitness center . For more health and wellness information, sign up for our FREE no obligation bi-monthly newsletter at www.nassausportscare.com, or call us at 516-596-1011.

Nassau Sports Care Physical Therapy 516-596-1011

provides compassionate, expert care

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• Medicare & Most • Immediate Insurances Accepted Treatment of All Minor Illnesses & Injuries

Open 7 Days a Week

MONDAY - FRIDAY 9AM-8PM • SATURDAY, SUNDAY & HOLIDAYS 9AM-3PM

2710 Long Beach Road • Oceanside (Across from Wild by Nature)

516.558.7858

Osteoporosis is a condition in which bones lose calcium and become porous making it more susceptible to breakage.

It is considered an insidious and silent disease because it has no signs or symptoms until a serious injury or fracture occurs. You may not know you have the disease until a small bump or fall causes you to break a bone.

N SC connects you to a stronger healthier you!

Just The Facts Osteoporosis affects 200 million individuals worldwide.

Eighty percent of patients are women One out of two women and one out of four men over age 50 will break a bone in their lifetime due to osteoporosis. It can strike at any age but the older you are, the greater your risk. Those who are sedentary have higher risks for developing osteoporosis.

An Ounce Of Prevention N utrition. Eat right. Proper intake of calcium and Vitamin D help make your bones strong. For additional guidance, call our registered dietician for your free consultation (516-596-1011).

Stop smoking and don’t drink alcohol excessively.

These “habits” limit calcium absorption, which increases your risk.

Exercise. Exercise not only helps build muscle and endurance, it also builds and maintains bone density. The most comprehensive program combines weight bearing exercises and resistance exercise.

South Nassau’s breast health program

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October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

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ed by Christine Hodyl, DO, F ACS, Director of Breast Health Services, South N assau Communities Hospital offers a comprehensive Breast Health Services Program providing the expert, advanced, compassionate care that will ease patients’ fear and fill them with hope and confidence during their breast cancer journey.

Dr. Hodyl and her team use targeted surgical techniques that aim to preserve as much of the healthy breast and surrounding areas as possible.

This includes sentinel lymph node biopsy and lymph node dissection for early stage breast cancer; single channel balloon brachytherapy techniques; breastconserving surgery (commonly known as lumpectomy); and mastectomy. After surgery, other treatments such as chemotherapy, hormonal therapy, and/or radiation treatments may be needed.

Dr. Hodyl offers oncoplastic surgery , which is a combination of breast cancer surgery with a cosmetic procedure. It is an option for patients with certain tumors that may not have been amenable for breast conservation previously.

For more information about South Nassau’s Breast Health Services Program or to schedule an appointment, call 1-877-South Nassau.

South Nassau Communities Hospital, Oceanside • 877-South Nassau

Fashion tips after a mastectomy

Health insurance exchanges

October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

M

aking the choice to After a well-fitting bra and breast have a mastectomy is form is selected, a woman can start rarely easy. But many shopping for clothing. Many find it is the best way to remove the prostheses can be purchased to risk for breast cancer and go on mimic the size and shape of the with their lives. Getting used to original breast. Then existing clothdressing your body after a mastecing in one’s closet may fit and little tomy takes a little patience. new shopping is needed. However , A study published in the journal scarring or perceived attention to the Cancer found that, in N ew Y ork area may cause some women to feel State alone, the number of women anxious. Following these guidelines who had a double mastectomy after can help. discovering cancer in one breast • Avoid form-fitting tops that draw more than doubled between 1995 attention to the bust. and 2005, increasing from 295 to • Look for scoop or boat neck shirts Shopping for clothing after a mastectomy may 683 during that time. instead of deep V-neck tops. require some patience and self-confidence Having a part of the body • Choose shirts and dresses with after recovering from breast cancer surgery. removed brings on many changes. sleeves or thick straps in terms of Some women feel liberated by the thought of being tank tops to cover a supportive bra. cancer-free. Others mourn the loss of a part of their • Select solid-color tops paired with print skirts to draw identity and femininity. Whatever the case, after some of the eye away from the top half of the body. the physical healing takes place, women must adapt to a • When selecting a swimsuit, look for styles that are cut new body. high under the arms and at the neckline. Athletic styles Many women who have undergone a mastectomy are usually higher-cut. find that using a breast form – a type of prosthesis – can • Use accessories like shawls or shrugs to cover up per make feeling more confident possible. These forms may ceived problem areas. be attached directly to the breast wall with a bit of • Layer clothing, like a vest over a shirt. skin-safe adhesive or fit inside of a bra. Some mastectomy • Splurge on a lacy bra to help you feel more feminine bras are also built with the form already in the cups, and sexy. similar to a padded bra.

• Avoid boxy or oversized shirts, which will only broadcast that you’re trying to hide something.

It is important when choosing a bra to be sure it is Above all, realize that problem areas may be noticesupportive and firm-fitting to alleviate the risk of gapping or able only to you. Most likely , others will not detect by the breast form shifting or coming out entirely . There are outward appearances that you even had surgery. stores that specialize in post-mastectomy bra fittings and prostheses to help navigate the new world of these products.

Get Sinus Relief Now I am offering a revolutionary procedure to help resolve the symptoms associated with sinus disease. Commonly referred to as Balloon Sinuplasty, this minimally invasive, no-cut approach uses guidewires and balloons to gently restore normal function to the sinuses and relieve symptoms associated with chronic sinusitis. For certain patients, I am able to perform this procedure in my office using only local anesthesia. My office patients return to work the following day.

If you are one of the 37 million Americans that suffer with sinus disease, you are familiar with its debilitating effects: intense facial pain, headaches, congestion and fatigue. If you have already been through multiple courses of medications and antibiotics without relief, the Balloon Sinuplasty approach may be appropriate.

This approach may either be performed as a hospital out-patient procedure, or office procedure under local anesthesia. Balloon Sinuplasty has been demonstrated to be extremely safe and effective and is covered by most insurance plans.

If you are tired of the misery associated with sinus disease, please call me to find out if this approach is appropriate for you.

Dr. Louis M. Rosner, M.D., F.A.C.S.

South Shore Otolaryngology P.C. 176 N. Village Ave, Rockville Centre, NY 11570

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Looking your best

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516.678.0303

A small business benefit

By Vincent C. Ashton

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hile some deride the 2010 federal health reform law as “Obamacare,” one component should be considered separately from the rest – the Small Business Health Options Program (SHOP) Exchange.

SHOPs could help small businesses create new jobs, expand employer-based coverage, and recycle more revenue through the local economy.

They could also reduce the growing Medicaid enrollment; every worker enrolled in commercial health insurance through the SHOP is one less potential Medicaid enrollee.

New York’s small businesses are trapped in a dysfunctional and unsustainable small group health insurance market. This constrains their growth and diminishes their ability to compete in the labor marketplace. A SHOP Exchange could act as these firms’ benefits management department, making them less susceptible to losing their trained and experienced staff seeking coverage and reclaiming the time and manpower spent managing these benefits.

SHOP exchanges represent a rare opportunity to bring value, order and simplicity to small group health insurance markets. Even if health reform is overturned by the Supreme Court, most states would do well to continue with their plans for a SHOP. They could even be structured as non-profit, private sector entities.

Recently released federal SHOP rules propose a framework friendly to small employers and attractive to employees, while maximizing state flexibility . Workers can be allowed to choose plans that meet their budget and health needs while allowing employers relief from the onerous task of administering and managing health benefits.

State lawmakers who reject these innovative marketplaces abdicate its design and operation to a yet unknown federal model. If history is any guide, federal interference is a consequence that states would do well to avoid.

A bill creating a robust, small business-friendly SHOP has been negotiated by our state leaders in Albany , but is stalled in the Senate. Failure to pass this legislation means forgoing federal dollars to help our state’ s small businesses and local economies.

Using a SHOP to reduce the burdens associated with health care benefits is not only smart health policy , but sound economic policy as well. Since the 1970’ s, small businesses have led the nation out of every economic downturn by creating new jobs and hiring unemployed workers. They are likely to do so again if provided the opportunity .

Vincent C. Ashton is Executive Director of HealthPass New Y ork, a non-profit, commercial health insurance exchange for small businesses in downstate New York.

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Breast cancer warrior Geri Barish leads the fight on Long Island

By Karen Bloom

G

eri Barish has been at the forefront in the battle against breast cancer on Long Island since 1988,

and has earned earn the distinction of being New York State’s Stat pre-eminent breast cancer activist. IIn 1996, Geri was awarded the Annual New Y ork State Innovation First An Breast Cancer Early Detection and in Brea Research Researc Award.

Barish Baris is no stranger to the pain and torment tormen of cancer: she is a three-time breast cancer victim and survivor . Her son, Michael, lost his life at a young age M from complications of Hodgkin’ s Lymphoma in 1986. Barish promised Lymp Michael that she would dedicate her Mic life to finding the causes and cures for breast bre cancer, and she has done so to this th day.

As President of “1 in 9”, Barish spearheaded negotiations of N ew sp York State’s Pesticide Registry Law, Y which created an accessible data-

base to determine whether there is a relationship between pesticide use and breast cancer. Among her accomplishments: in March 1997, she spoke in Albany for the bipartisan “Mastectomy Bill”, which passed in both the Senate and Assembly and signed into law by then Governor George Pataki.

Her appointment as Executive Director of Hewlett House fulfills a dream and vision Barish had when she began her own struggle with breast cancer. Barish vowed a long time ago, that given the opportunity, no one would have to go through what she did - to battle this dreadful disease alone.

Hewlett House, in Hewlett, is a multi-purpose, professionally staffed facility in a home-like setting, for cancer victims and their family and friends. It is a central place offering information, counseling and meetings; where a pot of coffee is always on the stove and a listening ear available.

Barish’s dedication and perseverance has resulted in increased national funding, the

implementation and overseeing of the Long Island Breast Cancer Study Project, which is the first scientific symposium held on Long Island to determine whether there was a need for a separate Long Island study of breast cancer; and the establishment of the ongoing Michael Scott Barish Human Cancer Grant at Cold Spring Harbor Laboratory for research into genetic mutations that could cause breast cancer , lymphoma and leukemia.

“Over the past 20 years we have been able to secure funding both on a national level and in Albany for more research and new technology ,” Barish says. “While we have come very far, we still have along way to go. “ Barish explains that it is essential for everyone to understand breast cancer if we are to reduce the risk of getting this disease.

“It is very important for people to understand Continued on page 4

DO MEN GET BREAST CANCER?

NUTRITION FOR LIFE

SERVICES AND SUPPORT

Be aware of the common symptoms

Mediterranean diet may help fight breast cancer

Assistance during and after treatment is just a phone call away

Continued on page 4

Continued on page 6

Continued on page 8

Be Strong

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Breast reconstruction Helping you become whole again

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hoosing breast reconstruction is about feeling normal and healthy, even though you’ve lost your breast or part of your breast.

14 questions you should ask when choosing a surgeon you can trust Plastic surgery involves many choices. The first and most important is selecting a surgeon you can trust. Use this checklist as a guide during your consultation.

1) Are you certified by the American Board of Plastic Surgery?

2) Were you trained specifically in the field of plastic surgery?

3) How many years of plastic surgery training have you had?

4) Do you have hospital privileges to perform this procedure?

If so, at which hospitals?

5) Is the office-based surgical facility accredited by a nationallyor state-recognized accrediting agency, or is it state-licensed or Medicare-certified?

6) Am I a good candidate for this procedure?

7) What will be expected of me to get the best results?

8) Where and how will you perform my procedure?

9) What surgical technique is recommended for me?

10) How long of a recovery period can I expect, and what kind of help will I need during my recovery?

11) What are the risks and complications associated with my procedure?

12) How are complications handled?

13) What are my options if I am dissatisfied with the outcome?

14) Do you have before-and-after photos I can look at for this procedure and what results are reasonable for me?

“When I was diagnosed with stage 3 breast cancer at 27, Dr. Hodyl not only helped save my life … she changed it forever.”

Dr. Christine Hodyl’s caring approach to lifesaving breast cancer surgery had a life-changing impact on survivor Kristine Smart, who is now studying to become a radiation oncology nurse because of her experience. A leading breast surgeon, Dr. Hodyl removes the tumors alongside a team of plastic surgeons, conserving as much of the breast as possible and providing immediate post-mastectomy reconstruction, giving patients hope and renewed dignity with the utmost in personal, compassionate care.

Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy.

Although breast reconstruction can rebuild your breast, the results are highly variable. A reconstructed breast will not have the same sensation and feel as the breast it replaces. V isible incision lines will always be present on the breast, whether from reconstruction or mastectomy. Certain surgical techniques will leave incision lines at the donor site, commonly located in less exposed areas of the body such as the back, abdomen or buttocks.

Kristine Smart Breast cancer survivor & radiation oncology nursing student, West Hempstead

Beauty for life

Breast reconstruction can be a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other condition.

The creation of a new breast can dramatically improve your self-image, self-confidence and quality of life. Although surgery can give you a relatively natural-looking breast, a reconstructed breast will never look or feel exactly the same as the breast that was removed.

Breast reconstruction is a highly individualized procedure. You should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image, advises Dr. Martin E. Kessler , of The Plastic Surgery Group in Rockville Centre, and chief of the Division of Plastic Surgery at South Nassau Communities Hospital.

Breast reconstruction is a good option for you if: • You are able to cope well with your diagnosis and treatment • You do not have additional medical conditions or other illnesses that may impair healing • You have a positive outlook and realistic goals for restoring your breast and body image Breast reconstruction typically involves several procedures performed in multiple stages. It can begin at the same time as mastectomy , or be delayed until you heal from mastectomy and recover from any additional cancer treatments.

It’s important that you feel ready for the emotional adjustment involved in breast reconstruction. It may take some time to accept the results of breast reconstruction.

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Is it right for me?

To schedule an appointment with Dr. Hodyl, call 877.SOUTH.NASSAU or visit www.southnassau.org for more information.

Christine Hodyl, DO, FACS Director of Breast Services SOUTH NASSAU COMMUNITIES HOSPITAL

|

ONE HEALTHY WAY, OCEANSIDE, NY 11572

|

877-SOUTH-NASSAU

|

WWW.SOUTHNASSAU.ORG

Breast cancer warrior Continued from page 1

when we talk about breast cancer, that it is multi-factual,” Barish says. “People have to understand who they are, where they came from, and their own history.”

Environmental issues as well as hereditary issues both impact a patient’s understanding of the disease and outcome. “Y ou should find out as much as you can about your history , both on your mother’s and father’s side,” Barish advises. “There can be correlating cancers that are hormonal and are connected to breast cancer.”

“As we know more about genetics we know that many people could have the gene. This The Hewlett House was given to John Hewlett by his grandfather, George Hewlett, does not mean that you will get who came from England in 1636. The House is still in the family. the disease but it is important for screening purposes. You should be aware of your history . Today we know that among men who have prostate cancer, their daughters are now at a high risk for breast cancer . Prostate is a hormonal cancer.”

Noting that breast cancer affects both menand women, Barish emphasizes the importanceof awareness and education. A lifestyle that stresses modification is essential, she says. “Do everything in modification. What Wh you eat or don’ t eat alone does not give you breast cancer . Statistics are tricky. I believe that it doesn’t matter if there are 20 statistics or one, because if you are be that one, then it is one too many. Eating a healthy diet, exercise and rest does wonders is bigger.” but the picture p Above all, be knowledgeable, stay up to date with the latest research, and never lose hope, hop Barish advises. “Try to put your life in its proper perspective. Always get a second opinion and if you still are unsure get a third. Knowledge is power . Today, through throug new technology and research we know so much more then we did years ago. a There are over two million survivors today.”

Barish lives in Baldwin with her husband Alan, her son Eric, and faithful dog, Sammy.

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Staying cancer-free as we age

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he Bristal Assisted Living Communities offer tips to keep senior citizens cancer-free.

Family members can help reduce an aging relative’s risk of cancer by encouraging healthy lifestyle changes, according to W insome Bent, RN, Executive Director of the Bristal Assisted Living Community of North Hills.

“About 77 percent of people diagnosed with cancer are 55 or older, but lifestyle changes can benefit the health of senior family members,” says Bent.

Educate seniors about the benefits of exercise. Increasing physical activity can lower a person’s chances for many cancers, including breast, endometrial, prostate, colorectal and lung cancers.

Encourage seniors to do activities they enjoy and that will keep them active. Gardening, golfing, playing tennis and swimming are all great choices. According to Bent, “many seniors, especially those living alone, don’ t cook much. A poor diet might keep seniors from getting the nutrients they need to maintain a healthy body and lower their risk of cancer.”

Learn about healthy diets for adults older than age 50. Share information on how many calories they should be getting daily and the types of foods they should be eating.

“Quitting smoking is the most important thing anyone can do to improve their health. It’ s never too late to quit,” says Bent. “Avoiding secondhand smoke can greatly improve a senior’s health.

The Bristal Assisted Living Communities have facilities in East Meadow , East N orthport, L ynbrook, North Hills, North W oodmere, Westbury and Massapequa. For information on The Bristal Assisted Living Communities, visit www.thebristal.com. The Bristal Assisted Living Communities • 631-580-6420

The “trio of weights”:

The Good, The Bad, and The Artificial

Do men get breast cancer?

B

reast cancer in men is rare, but it does happen. After all, men have breast tissue, too. The overall ratio of female to male breast cancer in the U.S. is 100 to 1, according to the American Cancer Society. Of the 2,140 men who are expected to be diagnosed in the U.S. 2011, 450 will die from the disease.

Because breast cancer is much more common in women, many men do not realize they can develop this disease. This can delay diagnosis and as a result, some cancers are not found until they have progressed to a later stage. However, when cancer is found at the same stage among men and women, the survival rates are similar.

Because the male breast is much smaller than the

female breast, it is more likely the disease will spread to the chest wall. For this reason, it is important to find the cancer early for successful treatment. See your doctor right away if you have any lumps or changes in your chest area.

Be aware of the common symptoms of male breast cancer: • A lump in the chest area • Skin dimpling or puckering • Nipple changes The annual incidence of breast cancer for men increases steadily after age 35. It frequently occurs between 60-70 years old.

A small study regarding male breast cancer found that the average time between first symptom and diagnosis was 19 months, or over a year and a half. That’ s a very long time! This is probably because people don’t expect breast cancer to happen to men, so there is little to no early detection.

A man’s risk No matter how small, the risk is still there. It’s important to be aware of the known factors that increase a man’ s risk of breast cancer. These are: • A genetic condition such as Klinefelter’s syndrome that is associated with high estrogen levels • Family members (male or female) with breast cancer , especially with a BRCA2 mutation • Chronic liver disorders, alcoholism and obesity • Getting older As with all cancerse arly diagnosis can make a life-saving difference. W ith more research and more public awareness, men will learn that – just like women – they need to go to their doctor right away if they detect any persistent changes to their breasts.

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here are three loss is: you must exert more types of weight: calories than you consume. “good,” “bad,” and Exercise will build lean “artificial” and knowing muscle mass, improve carthe difference is key to diovascular and circulatory maintaining your health function, but it won’t counand your sanity on the terbalance your scale. morning doughnut! Focus Good Weight: is the on the four elements of weight of your organs, your meal plan: (1) Type tissue, bones and most of Food, (2) Portion Size, importantly the lean muscle (3) Method of Preparation mass on your body. Lean and (4) Schedule of Eating. muscle mass requires Try journaling for a few more energy (or calories) to days using these elements maintain, giving your body to create an honest the ability to break down picture of how you truly eat.

The tough part is getting started and staying motivated.

This will help you identify larger caloric levels. This the habits that will give you an appearance sabotage your weight-loss. of being leaner.

Decrease Your Artificial Weight: Weigh yourself in Bad Weight: are the stores of fat we carry around the morning, undressed, before eating or drinking an d the midsection, hips, thighs and buttocks. This is the weight we want to lose and keep off. And whether you after using the bathroom. This will be the most accurat e representation of your weight. If you see a gain, as k have 10 or 100 pounds to lose, it is going to require yourself: when was my last bowel movement, have ther e some effort and discipline. The tough part is getting been any changes to my meal plan, sleep or stress levels ? started and staying motivated.

The answers will help identify your weight gain triggers .

Artificial Weight: occurs when we retain fluids, Spicy and salty foods or carbonated beverages may b e experience decreased bowel movements or experience metabolic changes. This is not real weight, as it will fall the cause. Caffeine is also a lesser -known bloat trigger.

So be conscious of your habits, big and small. For a off as quickly as it came on. Don’ t get obsessed with the number on the scale comparing one day’s weight to quick fix, increase your water intake, to aid in bowe l the next; this will only serve to sabotage and discour - movements and help flush your body of excess sodium.

Finally, instead of getting obsessed with smal l age you. Look at your total weight and inches lost, fluctuations on the scale, get obsessed with what yo u not the minor fluctuations day to day. can control: your meal plan (the types of food yo u Increasing Good W eight: Starting a strength training routine can be extremely intimidating. T o choose, the portions you consume, how that food i s prepared and when the food is eaten) and your activit y begin, Dr. Bo Rosenblat’s advice is to start small and level and the number on the scale will fall into plac e start slow. Some light training will not turn you into accordingly. the Incredible Hulk but it will give the definition and Dr. Bo Rosenblat, Chief Physician for Dr. Bo’s Diet, tone you are looking for . Try lighter weights at first is a board-certified medical doctor with office locations and perfect your form. A trainer at your gym or an inexpensive DVD can help. Most importantly , be in Hewlett, Great N eck, Brooklyn and Manhattan .

For more information about Dr. Bo’s Diet, cal l consistent. 10-15 minutes per day , three days a week 516-284-8248. will yield tremendous results.

Decreasing Bad Weight: The one truth of weight-

Advertorials

South Nassau’s breast health program

Located in the Heart of Bellmore Village

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Dr. Hodyl and her team use targeted surgical techniques that aim to preserve as much of the healthy breast and surrounding areas as possible.

This includes sentinel lymph node biopsy and lymph node dissection for early stage breast cancer; single channel balloon brachytherapy techniques; breast-conserving surgery (commonly known as lumpectomy); and mastectomy. After surgery, other treatments such as chemotherapy, hormonal therapy, and/or radiation treatments may be needed.

Dr. Hodyl offers oncoplastic surgery, which is a combination of breast cancer surgery with a cosmetic procedure. It is an option for patients with certain tumors that may not have been amenable for breast conservation previously.

For more information about South N assau’s Breast Health Services Program or to schedule an appointment, call 1-877-South Nassau.

South Nassau Communities Hospital, Oceanside 877-South Nassau

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ver wake up in the middle of the night wondering how you were going to pay the bills? Then you know that a car or mortgage payment can affect your health! The stress of personal conflicts, work, project deadlines, and the demands of our time and money take a huge toll on our health. Chronic pain and muscle tension can cause you to experience nervousness and irritability.

There are three types of stress: emotional, chemical and physical. Financial worries (and other anxieties) fall into the emotional stress category. Smoking, alcohol consumption, medication and poor diet can lead to chemical stress in your body . The physical stress of poor posture, improper lifting, sports related injuries, auto accidents, and slips and falls can cause wear and tear on your body.

All three types of stress affect your nervous system. Like a chain that breaks at its weakest link, stress tends to show up where we are most vulnerable: our neck; our low back; tightness between our shoulders. Stress can increase the frequency of headaches and compromise our ability to get enough restful sleep.

Chiropractic helps reduce stress by allowing the joints and muscles to move freely , which in turn increases blood flow and reduces neurological irritation. Muscles can then relax and pressure in blood vessels decreases. Chiropractic care provides individuals with a safe, effective way to reduce the symptoms of stress, feel great, and, in turn, be happier . Regular chiropractic care now could be a wise investment for a healthier, happier and financially secure you!

If you have any questions, contact Dr . Dana Weissman Timmins or visit www .bellmorechiropractic.com.

Dr. Dana offers free consultations!

Bellmore Chiropractic & Wellness • 110 Bedford Ave., Bellmore • 516-809-9191

Nutrition for life Mediterranean diet may help fight breast cancer New research suggests women looking to prevent breast cancer after menopause may want to consider dietary changes, including adopting Mediterranean eating habits, to reduce their risk.

According to information published in the American Journal of Clinical N utrition, Greek post-menopausal women who rated highly in terms of researching scores in their consumption of foods that fit with a Mediterranean diet were 22 percent less likely to develop breast cancer during the study than others. Although the diet is not a cure-all for breast cancer, researchers estimate that if all women in their study population had closely adhered to a traditional Mediterranean diet, about 10 percent of the 127 postmenopausal breast cancers in the group would have been avoided.

It has long been believed that a Mediterranean diet has many positive effects on personal health. Although studies have only been conducted on breast cancer thus far, there is also hopeful evidence that the diet may reduce the risk for other cancers, including colon and stomach cancer, as well as reduce the chances for heart disease.

What Is a Mediterranean Diet?

Nations in the Mediterranean region, including Italy, Greece, Turkey, and Spain, have historically had lower rates of heart disease and some cancers, including breast cancer, compared with other European countries and the United States. Researchers believe there is a correlation between the foods Mediterranean people eat and the rates of cancer and other illnesses.

A traditional Mediterranean diet is rich in seafood, heart-healthy fish, vegetables, whole grains, legumes, nuts, and olive oil.

It is relatively low in dairy and red meat products. According to the Mayo Clinic, most if not all major scientific organizatio ns encourage healthy adults to adopt a diet similar to the Mediterranean diet to prevent major chronic diseases.

Those who want to follow a Mediterranean diet can consider the following guidelines.

• Base every meal on the consumption of fruits, vegetables, grains, olive oil, beans, nuts, legumes, seeds, herbs, and spices.

• Consume fish and seafood often, at least two times per week.

• Enjoy moderate portions of poultry, eggs, cheese, and yogurt daily to weekly.

• Reduce and limit consumption of meats and sweets.

Experts say that if the Mediterranean diet does have a preventative nature toward breast cancer and other illnesses, it is likely due to the antioxidant components of the diet. The Mediterranean diet is rich in antioxidants, which protect cells from damage that may lead to diseases. The diet also helps to promote a health body weight, which is instrumental in keeping the body in top form and helping with immune system function.

To get started on the path of healthy Mediterranean eating, enjoy this recipe for Eggplant Dip.

Eggplant Dip Ingredients: 1 medium eggplant 2 tablespoons lemon juice 1/4 cup extra-virgin olive oil 1/2 cup finely chopped red onion ¼ cup plain Greek yogurt 1 small red bell pepper, finely chopped 1 small chile pepper, such as jalapeno, seeded and minced (optional) 2 tablespoons chopped fresh basil 1 tablespoon finely chopped flat-leaf parsley 1/4 teaspoon cayenne pepper, or to taste 1/4 teaspoon salt Directions: Position oven rack about 6 inches from the heat source; preheat broiler.

Line a baking pan with foil. Place eggplant in the pan and poke a few holes all over it to vent steam. Broil the eggplant, turning with tongs every 5 minutes, until the skin is charred and a knife inserted into the dense flesh near the stem goes in easily, 14 to 18 minutes. Cool on a cutting board until ready to handle.

Put lemon juice in a medium bowl. Cut the eggplant in half lengthwise and scrape the flesh into the bowl, tossing with the lemon juice to help prevent discoloring.

Add oil and stir with a fork until the oil is absorbed. (It should be a little chunky.) Stir in yogurt, onion, bell pepper, chile pepper (if using), basil, parsley, cayenne and salt.

If the eggplant has a lot of seeds it may be bitter. Add a dash of salt to sweeten the dip. Serve with whole-wheat crackers, wedges of toasted pita, or fresh vegetable slices.

Novartis MS Education Link Hear

Barbara Bumstead, NP discuss information about multiple sclerosis (MS) and a prescription treatment option.

December 1, 2011 6:00pm Lombardi’s on the Bay 600 South Ocean Avenue Patchogue, NY 11772

Novartis Pharmaceutical Corporation ©2011 Novartis 9/11 T_XMG-1099611

503063

Please RSVP by November 30, 2011 by calling 800-973-0362

Looking your best Fashion tips after a mastectomy

M

aking the choice to After a well-fitting bra and breast have a mastectomy is form is selected, a woman can start rarely easy. But many shopping for clothing. Many find it is the best way to remove the prostheses can be purchased to risk for breast cancer and go on mimic the size and shape of the with their lives. Getting used to original breast. Then existing clothdressing your body after a mastecing in one’s closet may fit and little tomy takes a little patience. new shopping is needed. However , A study published in the journal scarring or perceived attention to the Cancer found that, in N ew Y ork area may cause some women to feel State alone, the number of women anxious. Following these guidelines who had a double mastectomy after can help. discovering cancer in one breast • Avoid form-fitting tops that draw more than doubled between 1995 attention to the bust. and 2005, increasing from 295 to • Look for scoop or boat neck shirts Shopping for clothing after a mastectomy may 683 during that time. instead of deep V-neck tops. require some patience and self-confidence Having a part of the body • Choose shirts and dresses with after recovering from breast cancer surgery. removed brings on many changes. sleeves or thick straps in terms of Some women feel liberated by the thought of being tank tops to cover a supportive bra. cancer-free. Others mourn the loss of a part of their • Select solid-color tops paired with print skirts to draw identity and femininity. Whatever the case, after some of the eye away from the top half of the body. the physical healing takes place, women must adapt to a • When selecting a swimsuit, look for styles that are cut new body. high under the arms and at the neckline. Athletic styles Many women who have undergone a mastectomy are usually higher-cut. find that using a breast form – a type of prosthesis – can • Use accessories like shawls or shrugs to cover up per make feeling more confident possible. These forms may ceived problem areas. be attached directly to the breast wall with a bit of • Layer clothing, like a vest over a shirt. skin-safe adhesive or fit inside of a bra. Some mastectomy • Splurge on a lacy bra to help you feel more feminine bras are also built with the form already in the cups, and sexy. similar to a padded bra.

• Avoid boxy or oversized shirts, which will only broadcast that you’re trying to hide something.

It is important when choosing a bra to be sure it is Above all, realize that problem areas may be noticesupportive and firm-fitting to alleviate the risk of gapping or able only to you. Most likely , others will not detect by the breast form shifting or coming out entirely . There are outward appearances that you even had surgery. stores that specialize in post-mastectomy bra fittings and prostheses to help navigate the new world of these products.

Health insurance exchanges

developing breast cancer over the course of lifetime. More women in the United States ar e ing with breast cancer than any other c a (excluding skin cancer).

health &

Q - What are the factors that put a woman at

QA

higher risk for breast cancer?

A - The two most significant risk factors are b

e female and getting older. The majority of wo m diagnosed with breast cancer have no other kno risk factors.

Q - As a Hispanic woman, should I be concerned

Breast cancer basics: Knowledge is the first step in overcoming the disease

about breast cancer?

A - More Hispanic women are diagnosed at a

l stage than Caucasian, when cancer is hard e treat.

The American Cancer Society (ACS) estimates that 230,480 new cases of breast cancer will occur among women in the United States during 2011, with approximately 2,140 new cases expected in men. Breast cancer is the second leading cause of cancer death in women, exceeded only by lung cancer . The chance that breast cancer will be responsible for a woman’ s death is about 1 in 36 (about 3 percent), according to the ACS. Death rates from breast cancer have been declining since about 1990, with larger decreases in women younger than 50.

These decreases are believed to be the result of earlier detection through screening and increased awareness, as well as improved treatment.

For 31 years here on Long Island, the Adelphi N Y Statewide Breast Cancer Hotline & Support Program (800-877-8077) has been answering questions from people concerned about breast cancer. Stay aware, be informed, schedule the appropriate mammograms, and continue to spread the word that early detection saves lives.

Here are the most frequently asked questions.

Q - How many women develop breast cancer each year?

A - It is estimated that in 2010, 207,090 new cases of

breast cancer were diagnosed in the United States.

N ew cases in N ew Y ork State were estimated at 14,610. Women have a one in eight chance of

Q - Am I at risk for breast cancer?

A - All women are at risk of developing breast ca n

Speak to your health care provider who will with you about your family history and your o individual risk factors.

Q - As an African-American woman, should I be concerned about breast cancer?

A - Yes, although the incidence of breast cancer is ol

in African –American women than white wo m the mortality or death rate is higher.

Q - Am I more at risk of developing breast cancer as I age?

A - Age is the number one risk factor for breast can Older women are much more likely to get b cancer than younger women. Most breast ca (about 80 percent) occur in women ages 50 older. About 5percent of all breast cancer occur in women under the age of 40. It is re mended that women start annual mammogr at age 40.

r n

c c a

Q - Can exercise reduce my risk for breast cancer ?

A - Several studies indicate that women who exerci moderate to vigorous levels (3-4 hours per w may reduce their risk level.

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hile some deride the 2010 federal health reform law as “Obamacare,” one component should be considered separately from the rest – the Small Business Health Options Program (SHOP) Exchange.

SHOPs could help small businesses create new jobs, expand employer-based coverage, and recycle more revenue through the local economy.

They could also reduce the growing Medicaid enrollment; every worker enrolled in commercial health insurance through the SHOP is one less potential Medicaid enrollee.

New York’s small businesses are trapped in a dysfunctional and unsustainable small group health insurance market. This constrains their growth and diminishes their ability to compete in the labor marketplace. A SHOP Exchange could act as these firms’ benefits management department, making them less susceptible to losing their trained and experienced staff seeking coverage and reclaiming the time and manpower spent managing these benefits.

SHOP exchanges represent a rare opportunity to bring value, order and simplicity to small group health insurance markets. Even if health reform is overturned by the Supreme Court, most states would do well to continue with their plans for a SHOP. They could even be structured as non-profit, private sector entities.

Recently released federal SHOP rules propose a framework friendly to small employers and attractive to employees, while maximizing state flexibility . Workers can be allowed to choose plans that meet their budget and health needs while allowing employers relief from the onerous task of administering and managing health benefits.

State lawmakers who reject these innovative marketplaces abdicate its design and operation to a yet unknown federal model. If history is any guide, federal interference is a consequence that states would do well to avoid.

A bill creating a robust, small business-friendly SHOP has been negotiated by our state leaders in Albany , but is stalled in the Senate. Failure to pass this legislation means forgoing federal dollars to help our state’ s small businesses and local economies.

Using a SHOP to reduce the burdens associated with health care benefits is not only smart health policy , but sound economic policy as well. Since the 1970’ s, small businesses have led the nation out of every economic downturn by creating new jobs and hiring unemployed workers. They are likely to do so again if provided the opportunity .

Vincent C. Ashton is Executive Director of HealthPass New Y ork, a non-profit, commercial health insurance exchange for small businesses in downstate New York.

S

D

ES AN C I V ER

Assistance during and after treatment is just a phone call away

By Karen Bloom

SU P P O RT

N

o one need face breast cancer alone. There are myriad of services available throughout the area that offer support, assistance and friendship, beginning with diagnosis and continuing through recovery.

• For Single Women with Breast Cancer A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Young Women A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m. also Thursday mornings 10:30 a.m.-noon.

• For Women with Breast Cancer A daytime group will meet weekly for eight weeks, 11a.m.-12:30 p.m. tentatively beginning on January 20.

• For Women with Metastatic Breast Cancer A daytime group that meets weekly, Mondays, 1:30-3 p.m.

• For Women with Metastatic Breast Cancer A daytime group that meets weekly, Thursdays, 1:30-3 p.m.

Hewlett House

1 in 9’s Hewlett House offers free breast cancer and other cancer support groups, and classes. All services are free and confidential.

Pre-registration is required. Call the Hewlett House 516-374-3190.

Groups and Classes are held at Hewlett House 86 E Rockaway Rd, Hewlett. Visit the website at www.1in9.org

“You are not alone.” The supportive volunteers and staff at the Adelphi NY Statewide Breast Cancer Hotline and Support program, along with Hewlett House and other local organizations, are ready to assist patients and survivors.

Adelphi NY Statewide Breast Cancer Hotline and Support Program

labels, discover new tips to plan meals and learn the latest information that will help to promote overall good health and control weight.

Anyone – in New York State – with breast cancer concerns can call the Adelphi NY Statewide Breast Cancer Hotline and Support Program’ s toll free number, (800) 877-8077, and speak with someone who has “been there.” The more than 100 highly trained volunteers offer emotional support, information and referrals, all free. Social work staff provides professional services.

Locally the program offers support groups, individual and family counseling, plus educational forums and workshops. A newsletter , Update, is published quarterly and Sisters United in Health/Hermanas Unidas en la Salud, reaches Latinas and African-American women, along with breast health information for young women.

The program was established in 1980. Anyone who is worried about breast cancer should call the hotline for help. “Y ou are not alone” is the hotline’s motto.

Bellydancing for Breast Cancer Survivors Tuesday, Nov. 16, 7-8 p.m.

Aviva Khadra, a performer/choreographer, and director of the Harem Belly Dance Studio in Baldwin, leads this bellydance class for survivors This captivating and beautiful art form can be a refreshing alternative to traditional exercise Get ready for a magic carpet ride that will enhance your confidence, boost your sensuality and add fun to your workout!

Both programs are held at Adelphi University’ s Alumni House, 154 Cambridge Avenue, Garden City. Admission is free but pre-registration is required. Call (516) 877-4325 for information and to register.

Workshops

Informative workshops and lectures are presented periodically throughout the year. Upcoming program include: Nutrition for Breast Cancer Survivors – What You Can Do To Stay Healthy – Tuesday. Nov. 1, 7-8:30 p.m.

A panel of experts will cover current recommendations for weight management and maintaining muscle and bone health during and after breast cancer treatment at this free forum. They will explore foods and nutrients that have received attention in the media and help sort through this oftenconfusing information. Participants will find out how to interpret food

Support Groups Adelphi NY Statewide Breast Cancer Program The Adelphi NY Statewide Breast Cancer program offers many support groups for Long Island women. There is no cost for any group; however pre-registration is required. Groups meet at Adelphi University School of Social Work, Garden City. Individual counseling is also available. For infor mation or to sign up, call Sandi Kafenbaum, LCSW , at (516) 877-4314, or the Breast Cancer Hotline at (800) 877-8077.

• For Women Newly Diagnosed with Breast Cancer A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Women Post-Treatment A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• Cancer Support Group An ongoing group that meets Tuesdays 11:15 am-12:15 p.m. For those in need of support for all cancer-related illnesses. Group members of different ages and with different types of cancer come together each week to support one another.

• Newly Diagnosed Breast Cancer Support (in treatment) For those recently diagnosed with breast cancer meets Tuesdays, 12:30-1:30 p.m.

• Thriving Through and Beyond Cancer Group meets Tuesdays and Wednesdays, using misfortune to grow and regenerate new solutions as a couple or family.

• Discussions An informal, ongoing chat for people whose lives have been touched by cancer, meets Wednesdays, 1-2:30 p.m.

• Cancer Support Group for Bilateral Surgery For women who have had bilateral surgery, double mastectomy, meets Wednesdays, 5:30-6:30 p.m.

• Yoga/Stress Reduction For all cancer-related illness, meets Mondays, 1:30-2:30 pm.

• Decoupage Art Class Heal through art, Tuesdays 1-2:30 p.m.

• Reiki Clinic Learn about and experience this simple healing technique, by appointment.

• Crochet Class A group designed to help cancer patients draw strength from each other and enjoy togetherness in a circle of friendship., meets Thursdays, 11 a.m.-1 p.m.

• Four Weeks To A Healthier You Take control of your diet, meets Thursdays, 2:30-4 p.m.

A nutrition series, Series on Nutrition by Donna Miller-Small, Reiki Master Teacher & Practitioner.

• Breast Cancer Exercise Program For those patients who are finished with treatment, meets Saturdays, 11 a.m.-noon.

Additional groups for families, adolescents, bereavement, and private counseling are available upon request. All services are free and confidential.

Pre-registration is required.

Other support groups and services are available through area hospitals, and such community resources as the Peninsula Counseling Center and Barry and Florence Friedberg JCC.

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A Special Advertising Section OCTOBER 20, 2011

Breast cancer warrior Geri Barish leads the fight on Long Island

By Karen Bloom

G

eri Barish has been at the forefront in the battle against breast cancer on Long Island since 1988,

and has earned earn the distinction of being New York State’s Stat pre-eminent breast cancer activist. IIn 1996, Geri was awarded the Annual New Y ork State Innovation First An Breast Cancer Early Detection and in Brea Research Researc Award.

Barish Baris is no stranger to the pain and torment tormen of cancer: she is a three-time breast cancer victim and survivor . Her son, Michael, lost his life at a young age M from complications of Hodgkin’ s Lymphoma in 1986. Barish promised Lymp Michael that she would dedicate her Mic life to finding the causes and cures for breast bre cancer, and she has done so to this th day.

As President of “1 in 9”, Barish spearheaded negotiations of N ew sp York State’s Pesticide Registry Law, Y which created an accessible data-

base to determine whether there is a relationship between pesticide use and breast cancer. Among her accomplishments: in March 1997, she spoke in Albany for the bipartisan “Mastectomy Bill”, which passed in both the Senate and Assembly and signed into law by then Governor George Pataki.

Her appointment as Executive Director of Hewlett House fulfills a dream and vision Barish had when she began her own struggle with breast cancer. Barish vowed a long time ago, that given the opportunity, no one would have to go through what she did - to battle this dreadful disease alone.

Hewlett House, in Hewlett, is a multi-purpose, professionally staffed facility in a home-like setting, for cancer victims and their family and friends. It is a central place offering information, counseling and meetings; where a pot of coffee is always on the stove and a listening ear available.

Barish’s dedication and perseverance has resulted in increased national funding, the

implementation and overseeing of the Long Island Breast Cancer Study Project, which is the first scientific symposium held on Long Island to determine whether there was a need for a separate Long Island study of breast cancer; and the establishment of the ongoing Michael Scott Barish Human Cancer Grant at Cold Spring Harbor Laboratory for research into genetic mutations that could cause breast cancer , lymphoma and leukemia.

“Over the past 20 years we have been able to secure funding both on a national level and in Albany for more research and new technology ,” Barish says. “While we have come very far, we still have along way to go. “ Barish explains that it is essential for everyone to understand breast cancer if we are to reduce the risk of getting this disease.

“It is very important for people to understand Continued on page 2

BREAST RECONSTRUCTION

LOOKING YOUR BEST

SERVICES AND SUPPORT

Helping you become whole again

Fashion tips after a mastectomy

Assistance during and after treatment is just a phone call away

Continued on page 3

Continued on page 6

Continued on page 7

October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

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Breast cancer warrior Continued from page 1

when we talk about breast cancer, that it is multi-factual,” Barish says. “People have to understand who they are, where they came from, and their own history.”

Environmental issues as well as hereditary issues both impact a patient’s understanding of the disease and outcome. “Y ou should find out as much as you can about your history , both on your mother’s and father’s side,” Barish advises. “There can be correlating cancers that are hormonal and are connected to breast cancer.”

“As we know more about genetics we know that many people could have the gene. This The Hewlett House was given to John Hewlett by his grandfather, George Hewlett, does not mean that you will get who came from England in 1636. The House is still in the family. the disease but it is important for screening purposes. You should be aware of your history . Today we know that among men who have prostate cancer, their daughters are now at a high risk for breast cancer . Prostate is a hormonal cancer.”

Noting that breast cancer affects both menand women, Barish emphasizes the importanceof awareness and education. A lifestyle that stresses modification is essential, she says. “Do everything in modification. What Wh you eat or don’ t eat alone does not give you breast cancer . Statistics are tricky. I believe that it doesn’t matter if there are 20 statistics or one, because if you are be that one, then it is one too many. Eating a healthy diet, exercise and rest does wonders is bigger.” but the picture p Above all, be knowledgeable, stay up to date with the latest research, and never lose hope, hop Barish advises. “Try to put your life in its proper perspective. Always get a second opinion and if you still are unsure get a third. Knowledge is power . Today, through throug new technology and research we know so much more then we did years ago. a There are over two million survivors today.”

Barish lives in Baldwin with her husband Alan, her son Eric, and faithful dog, Sammy.

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October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

2

Breast reconstruction Helping you become whole again 14 questions you should ask when choosing a surgeon you can trust Plastic surgery involves many choices. The first and most important is selecting a surgeon you can trust. Use this checklist as a guide during your consultation.

1) Are you certified by the American Board of Plastic Surgery?

2) Were you trained specifically in the field of plastic surgery?

3) How many years of plastic surgery training have you had?

4) Do you have hospital privileges to perform this procedure?

If so, at which hospitals?

5) Is the office-based surgical facility accredited by a nationallyor state-recognized accrediting agency, or is it state-licensed or Medicare-certified?

6) Am I a good candidate for this procedure?

7) What will be expected of me to get the best results?

8) Where and how will you perform my procedure?

9) What surgical technique is recommended for me?

10) How long of a recovery period can I expect, and what kind of help will I need during my recovery?

11) What are the risks and complications associated with my procedure?

12) How are complications handled?

13) What are my options if I am dissatisfied with the outcome?

14) Do you have before-and-after photos I can look at for this procedure and what results are reasonable for me?

“When I was diagnosed with stage 3 breast cancer at 27, Dr. Hodyl not only helped save my life … she changed it forever.”

Dr. Christine Hodyl’s caring approach to lifesaving breast cancer surgery had a life-changing impact on survivor Kristine Smart, who is now studying to become a radiation oncology nurse because of her experience. A leading breast surgeon, Dr. Hodyl removes the tumors alongside a team of plastic surgeons, conserving as much of the breast as possible and providing immediate post-mastectomy reconstruction, giving patients hope and renewed dignity with the utmost in personal, compassionate care.

Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy.

Although breast reconstruction can rebuild your breast, the results are highly variable. A reconstructed breast will not have the same sensation and feel as the breast it replaces. V isible incision lines will always be present on the breast, whether from reconstruction or mastectomy. Certain surgical techniques will leave incision lines at the donor site, commonly located in less exposed areas of the body such as the back, abdomen or buttocks.

Kristine Smart Breast cancer survivor & radiation oncology nursing student, West Hempstead

Beauty for life

Breast reconstruction can be a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other condition.

The creation of a new breast can dramatically improve your self-image, self-confidence and quality of life. Although surgery can give you a relatively natural-looking breast, a reconstructed breast will never look or feel exactly the same as the breast that was removed.

Breast reconstruction is a highly individualized procedure. You should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image, advises Dr. Martin E. Kessler , of The Plastic Surgery Group in Rockville Centre, and chief of the Division of Plastic Surgery at South Nassau Communities Hospital.

Breast reconstruction is a good option for you if: • You are able to cope well with your diagnosis and treatment • You do not have additional medical conditions or other illnesses that may impair healing • You have a positive outlook and realistic goals for restoring your breast and body image Breast reconstruction typically involves several procedures performed in multiple stages. It can begin at the same time as mastectomy , or be delayed until you heal from mastectomy and recover from any additional cancer treatments.

It’s important that you feel ready for the emotional adjustment involved in breast reconstruction. It may take some time to accept the results of breast reconstruction.

504912

Is it right for me?

To schedule an appointment with Dr. Hodyl, call 877.SOUTH.NASSAU or visit www.southnassau.org for more information.

Christine Hodyl, DO, FACS Director of Breast Services SOUTH NASSAU COMMUNITIES HOSPITAL

|

ONE HEALTHY WAY, OCEANSIDE, NY 11572

|

877-SOUTH-NASSAU

|

WWW.SOUTHNASSAU.ORG

October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

C

hoosing breast reconstruction is about feeling normal and healthy, even though you’ve lost your breast or part of your breast.

3

October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

4

Convenient, comprehensive care—with screening, diagnosis, treatment and follow-up, all at one location • Next-day screening appointments – Same-day results • Easy transfer of films and records • Spa-like facilities – Expert, sensitive physicians and technologists • Low-radiation digital mammography – Non-invasive ultrasound • Accredited by the American College of Radiology

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Advances in

A

pproximately 14 million Americans have diabetes mellitus, but many don’t know they are affected.

Diabetes is one of the leading causes of blindness among Americans. Many patients with diabetic eye problems have no symptoms, but if left untreated, diabetes can lead to serious visual loss, explains Dr. Edward Stroh.

Many diabetics notice blurred vision when their blood sugar fluctuates either high or low . Diabetes can also damage the small blood vessels throughout the retina, resulting in lack of oxygen to the retina.

The damaged blood vessels leak, producing fluid in the retina. The diagnosis of diabetic eye disease is Have your eyes examined regularly to check for diabetes damage. made by examination and may require photographs, fluorescein angiography and/or OCT to detect diabetic retinopathy.

There are new advances for treating diabetic retinopathy including laser techniques, medication, injections, or even surgery for severe cases.

Blindness due to diabetic eye disease can be preventable. Strategies for preventing diabetic retinopathy include control of blood sugar and blood pressure, avoiding smoking, early detection, and early treatment as well as maintaining regularly scheduled visits.

Dr. Stroh is a retina specialist in Rockville Centre who specializes in Diabetes and Retinal Disorders. He has published numerous articles and frequently lectures at national meetings. Dr . Stroh is a member of many organizations, including The American Academy of Ophthalmology , Vitreous Society and Association for research in Vision and Ophthalmology. He can be reached at 516-536-9525 for appointments, consultations and second opinions.

Dr. Edward Stroh Retina Consultants of Long Island • 165 N. Village Ave., Suite 203, Rockville Centre • 516-536-9525

Edward M. Stroh, M.D. Retina Consultants of Long Island

October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

diabetic eye disease

5

Specializing in Diseases and Surger y of the Retina and Vitreous: Macular Degeneration Diabetic Retinopathy Macular Pucker and Macular Holes Retinal Vascular Occlusions Flashes and Floaters Laser Surgery and Phototherapy Retinal Detachment and Vitreoretinopathy Retina, Vitreous and Macular Surgery Uveitis Penetrating Eye Injuries Ocular Trauma

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Available procedures include the latest low-radiation digital mammography, non-invasive ultrasound and stereotactic breast biopsy, with expert, sensitive radiologists and imaging technologists, as well as highly skilled breast surgeons.

Mercy offers next-day screening appointments, and same-day results.

Radiologists are available to read images in real time, order additional views if needed, and consult with their physicians as needed. All images and reports are available to patients’ physicians via computer, through a state-of-the-art Picture Archiving Communication System.

And we make it easy to transfer films and records of previous screenings at other facilities.

Mercy’s Department of Radiology and Imaging is accredited by the American Mercy utilizes the most advanced imaging and minimally-invasive techniques for College of Radiology . And recent the diagnosis of benign and malignant breast disease. amenities upgrades at the McGann Center provide a spa-like atmosphere And at Mercy Medical Center , it’s easy to with a spacious, airy reception area designed to proarrange state-of-the-art screening and diagnostic vide patients with a bright, cheerful environment, mammograms as part of convenient, comprehensive along with a new private waiting area for W omen’s breast health services.

Imaging patients.

Mercy’s Bishop McGann Center for Oncology Mercy Medical Center and Imaging provides coordinated multidisciplinary screening, diagnosis, treatment and follow-up care at a 516-62MERCY • www.MercyMedicalCenter.info single location, utilizing the most advanced imaging and minimally-invasive techniques for the diagnosis of benign and malignant breast disease.

Excitin Low Pricge !

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Looking your best

October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

Fashion tips after a mastectomy

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aking the choice to After a well-fitting bra and breast have a mastectomy is form is selected, a woman can start rarely easy. But many shopping for clothing. Many find it is the best way to remove the prostheses can be purchased to risk for breast cancer and go on mimic the size and shape of the with their lives. Getting used to original breast. Then existing clothdressing your body after a mastecing in one’s closet may fit and little tomy takes a little patience. new shopping is needed. However , A study published in the journal scarring or perceived attention to the Cancer found that, in N ew Y ork area may cause some women to feel State alone, the number of women anxious. Following these guidelines who had a double mastectomy after can help. discovering cancer in one breast • Avoid form-fitting tops that draw more than doubled between 1995 attention to the bust. and 2005, increasing from 295 to • Look for scoop or boat neck shirts Shopping for clothing after a mastectomy may 683 during that time. instead of deep V-neck tops. require some patience and self-confidence Having a part of the body • Choose shirts and dresses with after recovering from breast cancer surgery. removed brings on many changes. sleeves or thick straps in terms of Some women feel liberated by the thought of being tank tops to cover a supportive bra. cancer-free. Others mourn the loss of a part of their • Select solid-color tops paired with print skirts to draw identity and femininity. Whatever the case, after some of the eye away from the top half of the body. the physical healing takes place, women must adapt to a • When selecting a swimsuit, look for styles that are cut new body. high under the arms and at the neckline. Athletic styles Many women who have undergone a mastectomy are usually higher-cut. find that using a breast form – a type of prosthesis – can • Use accessories like shawls or shrugs to cover up per make feeling more confident possible. These forms may ceived problem areas. be attached directly to the breast wall with a bit of • Layer clothing, like a vest over a shirt. skin-safe adhesive or fit inside of a bra. Some mastectomy • Splurge on a lacy bra to help you feel more feminine bras are also built with the form already in the cups, and sexy. similar to a padded bra.

• Avoid boxy or oversized shirts, which will only broadcast that you’re trying to hide something.

It is important when choosing a bra to be sure it is Above all, realize that problem areas may be noticesupportive and firm-fitting to alleviate the risk of gapping or able only to you. Most likely , others will not detect by the breast form shifting or coming out entirely . There are outward appearances that you even had surgery. stores that specialize in post-mastectomy bra fittings and prostheses to help navigate the new world of these products.

Health insurance exchanges A small business benefit

By Vincent C. Ashton

W

hile some deride the 2010 federal health reform law as “Obamacare,” one component should be considered separately from the rest – the Small Business Health Options Program (SHOP) Exchange.

SHOPs could help small businesses create new jobs, expand employer-based coverage, and recycle more revenue through the local economy.

They could also reduce the growing Medicaid enrollment; every worker enrolled in commercial health insurance through the SHOP is one less potential Medicaid enrollee.

New York’s small businesses are trapped in a dysfunctional and unsustainable small group health insurance market. This constrains their growth and diminishes their ability to compete in the labor marketplace. A SHOP Exchange could act as these firms’ benefits management department, making them less susceptible to losing their trained and experienced staff seeking coverage and reclaiming the time and manpower spent managing these benefits.

SHOP exchanges represent a rare opportunity to bring value, order and simplicity to small group health insurance markets. Even if health reform is overturned by the Supreme Court, most states would do well to continue with their plans for a SHOP. They could even be structured as non-profit, private sector entities.

Recently released federal SHOP rules propose a framework friendly to small employers and attractive to employees, while maximizing state flexibility . Workers can be allowed to choose plans that meet their budget and health needs while allowing employers relief from the onerous task of administering and managing health benefits.

State lawmakers who reject these innovative marketplaces abdicate its design and operation to a yet unknown federal model. If history is any guide, federal interference is a consequence that states would do well to avoid.

A bill creating a robust, small business-friendly SHOP has been negotiated by our state leaders in Albany , but is stalled in the Senate. Failure to pass this legislation means forgoing federal dollars to help our state’ s small businesses and local economies.

Using a SHOP to reduce the burdens associated with health care benefits is not only smart health policy , but sound economic policy as well. Since the 1970’ s, small businesses have led the nation out of every economic downturn by creating new jobs and hiring unemployed workers. They are likely to do so again if provided the opportunity .

Vincent C. Ashton is Executive Director of HealthPass New Y ork, a non-profit, commercial health insurance exchange for small businesses in downstate New York.

Advertorials

Staying cancer-free as we age

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he Bristal Assisted Living Communities offer tips to keep senior citizens cancer-free.

Family members can help reduce an aging relative’s risk of cancer by encouraging healthy lifestyle changes, according to W insome Bent, RN, Executive Director of the Bristal Assisted Living Community of North Hills.

“About 77 percent of people diagnosed with cancer are 55 or older , but lifestyle changes can benefit the health of senior family members,” says Bent.

Educate seniors about the benefits of exercise. Increasing physical activity can lower a person’s chances for many cancers, including breast, endometrial, prostate, colorectal and lung cancers.

Encourage seniors to do activities they enjoy and that will keep them active.

Gardening, golfing, playing tennis and swimming are all great choices. According to Bent, “many seniors, especially those living alone, don’ t cook much. A poor diet might keep seniors from getting the nutrients they need to maintain a healthy body and lower their risk of cancer.”

Learn about healthy diets for adults older than age 50. Share information on how many calories they should be getting daily and the types of foods they should be eating.

“Quitting smoking is the most important thing anyone can do to improve their health. It’ s never too late to quit,” says Bent. “Avoiding secondhand smoke can greatly improve a senior’s health.

The Bristal Assisted Living Communities have facilities in East Meadow , East N orthport, L ynbrook, North Hills, North W oodmere, Westbury and Massapequa. For information on The Bristal Assisted Living Communities, visit www.thebristal.com. The Bristal Assisted Living Communities • 631-580-6420

South Nassau’s breast health program

provides compassionate, expert care

L

ed by Christine Hodyl, DO, F ACS, Director of Breast Health Services, South Nassau Communities Hospital offers a comprehensive Breast Health Services Program providing the expert, advanced, compassionate care that will ease patients’ fear and fill them with hope and confidence during their breast cancer journey.

Dr. Hodyl and her team use targeted surgical techniques that aim to preserve as much of the healthy breast and surrounding areas as possible.

This includes sentinel lymph node biopsy and lymph node dissection for early stage breast cancer; single channel balloon brachytherapy techniques; breast-conserving surgery (commonly known as lumpectomy); and mastectomy. After surgery, other treatments such as chemotherapy, hormonal therapy, and/or radiation treatments may be needed.

Dr. Hodyl offers oncoplastic surgery, which is a combination of breast cancer surgery with a cosmetic procedure. It is an option for patients with certain tumors that may not have been amenable for breast conservation previously.

For more information about South N assau’s Breast Health Services Program or to schedule an appointment, call 1-877-South Nassau.

South Nassau Communities Hospital, Oceanside 877-South Nassau

S

Assistance during and after treatment is just a phone call away

By Karen Bloom

SU P P O RT

N

o one need face breast cancer alone. There are myriad of services available throughout the area that offer support, assistance and friendship, beginning with diagnosis and continuing through recovery.

• For Single Women with Breast Cancer A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Young Women A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m. also Thursday mornings 10:30 a.m.-noon.

• For Women with Breast Cancer A daytime group will meet weekly for eight weeks, 11a.m.-12:30 p.m. tentatively beginning on January 20.

• For Women with Metastatic Breast Cancer A daytime group that meets weekly, Mondays, 1:30-3 p.m.

• For Women with Metastatic Breast Cancer A daytime group that meets weekly, Thursdays, 1:30-3 p.m.

Hewlett House

1 in 9’s Hewlett House offers free breast cancer and other cancer support groups, and classes. All services are free and confidential.

Pre-registration is required. Call the Hewlett House 516-374-3190.

Groups and Classes are held at Hewlett House 86 E Rockaway Rd, Hewlett. Visit the website at www.1in9.org

“You are not alone.” The supportive volunteers and staff at the Adelphi NY Statewide Breast Cancer Hotline and Support program, along with Hewlett House and other local organizations, are ready to assist patients and survivors.

Adelphi NY Statewide Breast Cancer Hotline and Support Program

labels, discover new tips to plan meals and learn the latest information that will help to promote overall good health and control weight.

Anyone – in New York State – with breast cancer concerns can call the Adelphi NY Statewide Breast Cancer Hotline and Support Program’ s toll free number, (800) 877-8077, and speak with someone who has “been there.” The more than 100 highly trained volunteers offer emotional support, information and referrals, all free. Social work staff provides professional services.

Locally the program offers support groups, individual and family counseling, plus educational forums and workshops. A newsletter , Update, is published quarterly and Sisters United in Health/Hermanas Unidas en la Salud, reaches Latinas and African-American women, along with breast health information for young women.

The program was established in 1980. Anyone who is worried about breast cancer should call the hotline for help. “Y ou are not alone” is the hotline’s motto.

Bellydancing for Breast Cancer Survivors Tuesday, Nov. 16, 7-8 p.m.

Aviva Khadra, a performer/choreographer, and director of the Harem Belly Dance Studio in Baldwin, leads this bellydance class for survivors This captivating and beautiful art form can be a refreshing alternative to traditional exercise Get ready for a magic carpet ride that will enhance your confidence, boost your sensuality and add fun to your workout!

Both programs are held at Adelphi University’ s Alumni House, 154 Cambridge Avenue, Garden City. Admission is free but pre-registration is required. Call (516) 877-4325 for information and to register.

Workshops

Informative workshops and lectures are presented periodically throughout the year. Upcoming program include: Nutrition for Breast Cancer Survivors – What You Can Do To Stay Healthy – Tuesday. Nov. 1, 7-8:30 p.m.

A panel of experts will cover current recommendations for weight management and maintaining muscle and bone health during and after breast cancer treatment at this free forum. They will explore foods and nutrients that have received attention in the media and help sort through this oftenconfusing information. Participants will find out how to interpret food

Support Groups Adelphi NY Statewide Breast Cancer Program The Adelphi NY Statewide Breast Cancer program offers many support groups for Long Island women. There is no cost for any group; however pre-registration is required. Groups meet at Adelphi University School of Social Work, Garden City. Individual counseling is also available. For infor mation or to sign up, call Sandi Kafenbaum, LCSW , at (516) 877-4314, or the Breast Cancer Hotline at (800) 877-8077.

• For Women Newly Diagnosed with Breast Cancer A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Women Post-Treatment A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• Cancer Support Group An ongoing group that meets Tuesdays 11:15 am-12:15 p.m. For those in need of support for all cancer-related illnesses. Group members of different ages and with different types of cancer come together each week to support one another.

• Newly Diagnosed Breast Cancer Support (in treatment) For those recently diagnosed with breast cancer meets Tuesdays, 12:30-1:30 p.m.

• Thriving Through and Beyond Cancer Group meets Tuesdays and Wednesdays, using misfortune to grow and regenerate new solutions as a couple or family.

• Discussions An informal, ongoing chat for people whose lives have been touched by cancer, meets Wednesdays, 1-2:30 p.m.

• Cancer Support Group for Bilateral Surgery For women who have had bilateral surgery, double mastectomy, meets Wednesdays, 5:30-6:30 p.m.

• Yoga/Stress Reduction For all cancer-related illness, meets Mondays, 1:30-2:30 pm.

• Decoupage Art Class Heal through art, Tuesdays 1-2:30 p.m.

• Reiki Clinic Learn about and experience this simple healing technique, by appointment.

• Crochet Class A group designed to help cancer patients draw strength from each other and enjoy togetherness in a circle of friendship., meets Thursdays, 11 a.m.-1 p.m.

• Four Weeks To A Healthier You Take control of your diet, meets Thursdays, 2:30-4 p.m.

A nutrition series, Series on Nutrition by Donna Miller-Small, Reiki Master Teacher & Practitioner.

• Breast Cancer Exercise Program For those patients who are finished with treatment, meets Saturdays, 11 a.m.-noon.

Additional groups for families, adolescents, bereavement, and private counseling are available upon request. All services are free and confidential.

Pre-registration is required.

Other support groups and services are available through area hospitals, and such community resources as the Peninsula Counseling Center and Barry and Florence Friedberg JCC.

October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

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ES AN C I V ER

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Martin E. Kessler, M.D., F.A.C.S. Facial Enhancement

Breast Surgery

• Face, Neck & Eyelid Lift • Endoscopic Brow Lift • Rhinoplasy • Ear Surgery

• Breast Enlargement • Breast Lift • Breast Reduction • Breast Reconstruction

Body Contouring

Skin Rejuvenation

• Liposuction • Abdominoplasty (tummy tuck) • Arm Lift (brachioplasty) • Thighs / Hips

• Laser Removal of Facial Wrinkles • Botox, Restylane, Juvederm • Dermabrasion for Acne Scarring

ROCKVILLE CENTRE

242 Merrick Road, Ste 302 516.536.5858

• Diplomate American Board of Plastic Surgery • Respected Leader in Plastic & Reconstructive Surgery • Castle Connolly Top Doctors 1998-2010

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Cosmetic Surgery Plastic & Reconstructive Surgery Surgery of the Hand

GREAT NECK

650 Northern Boulevard 516.466.7000

www.plasticsurgerypc.com

Novartis MS Education Link Hear

Barbara Bumstead, NP discuss information about multiple sclerosis (MS) and a prescription treatment option.

December 1, 2011 6:00pm Lombardi’s on the Bay 600 South Ocean Avenue Patchogue, NY 11772 Please RSVP by November 30, 2011 by calling 800-973-0362

Novartis Pharmaceutical Corporation ©2011 Novartis 9/11 T_XMG-1099611

503063

October 20, 2011 — Good Health – HERALD COMMUNITY NEWSPAPERS

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