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October 10, 2019

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October 10, 2019 â€” YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS S-2

The RVC office supports Breast Cancer Awareness

In their own words

By Lyn Dobrin

or 39 years, the Adelphi NY Statewide Breast Cancer Hotline & Support Program has offered Long Islanders — and all New Yorkers — coping with breast cancer a vital resource for emotional support and valuable information. The more than 100 highly trained volunteers offer comfort, guidance and referrals, all free. Social work staff provide professional services. In addition to the hotline, locally the program offers support groups, individual and family counseling, plus educational forums and workshops. Hotline staffers are readily available to respond to everyone who has concerns about breast cancer. “You are not alone” is their motto. Many local survivors volunteer with the hotline. They contribute their personal insights in their ongoing effort to support others; sharing their message that it is possible to move on — and even thrive — as you find your own way on this unanticipated journey. These survivors have turned their encounter with the disease into an opportunity to assist others. Here some volunteers and staff share their thoughts.

Michelle Lamberson, Valley Stream Administrative Assistant for six years Before coming to work here, my awareness of breast cancer was limited to Breast Cancer Awareness Month in October when everything turns pink. Being a mom of children who play sports, I saw lots of pink on the field every October. But working here I have learned that breast cancer doesn’t affect people only one month a year. People affected by breast cancer need support every day of the year and our volunteers and social workers are on call to help. I am proud to be part of that team.

Judy Platt, Long Beach Breast cancer survivor for 24 years; volunteer for 24 years Being a hotline volunteer makes me more caring. It has made me more aware of what is happening in the cancer world and what we can do to make thing better. It has made me aware that treatment is not always available to some or the same level of care and that we need to do more to change that. It has made me a better person.

Genevieve Picone, Bellmore Volunteer for six years When I retired, I was hoping to do something that would make a difference in my life. I had worked for over 30 years in the medical field and enjoyed interacting with patients. I was fortunate to find the Adelphi Breast Cancer Program. Though I have never had breast cancer, I am happy to volunteer my time with breast cancer survivors in an effort to eradicate this terrible disease. Being a part of the program has changed my life. The survivors have taught me the power of positive thinking and to appreciate and enjoy everyday. When I volunteer at an outreach event with survivors, I listen to them explain their journey. Their experiences have educated me so much on living with and fighting breast cancer. When someone approaches us at an outreach program, the program helps them. We offer families of breast cancer patients an outlet to seek advice and have their many questions answered. Due to my own family history, I am very diligent about having my yearly mammogram. I have had to see a surgeon for aspirations and fortunately the results were negative. I make a point to mark my calendar every year to schedule my mammogram. This past year, I once again had my routine mammogram and sonogram. A few years ago, I was told to call a breast surgeon as soon as possible. I had a biopsy, and after endless waiting the results were negative. I was thankful and grateful. My time spent with the Adelphi Breast Cancer Program survivors has taught me patience, appreciation for life and to take one day at a time. I feel so good that I can spend my retirement helping educate people, support those diagnosed and doing my part in the fight for a cure.

Kimberly Newman, Bellmore Marketing and Communications Coordinator for six years I design all the marketing materials including brochures, invites, flyers and ads to educate the public about breast cancer. I also designed and continue to maintain our website (breast-cancer.adelphi.edu) as well as manage all our social media accounts. I have also developed and implemented numerous successful ad and crowd-funding campaigns. Working for the Adelphi Breast Cancer Program has changed me, by making me more aware. I recognize the struggles people are dealing with. I know you may meet someone and think everything is fine, however,

they may be dealing with issues you don’t even realize. I am aware that many people don’t have access to health care or are afraid to get help. I am aware that many people don’t know what their rights are within the health care system. I am aware that you must always get a second opinion and maybe even a third or fourth when diagnosed. I am aware that nutrition and self-care play an important role in your well-being. The Adelphi Breast Cancer Program has truly changed me for the better. I am more knowledgeable, compassionate and understanding of the many issues we all face. I have learned that when you are in the midst of a crisis, there are people and services available to help. The volunteers at our program are the most dedicated and incredible group of women and men. They truly have inspired me to “give back” because that is the most rewarding work

Alida Rubenstein, Rockville Centre Social Worker with the program for five years I was diagnosed with early stage breast cancer 16 years ago. After my lumpectomy, I reported to radiation at 8 a.m. every morning before work at my previous job, for 35 days. Breast cancer was front and center on my mind every day. When my treatment was completed I was able to focus on more pleasurable and important aspects of my life including my supportive family, friends and co-workers. As time went by I tried to no longer let thoughts of cancer creep into my everyday life. Eventually over time I only thought about breast cancer every October and June, the month I was diagnosed. That is until I was offered a social work position at Adelphi’s Breast Cancer Program. I was very hesitant at first to even consider working in the field of breast cancer. I had left breast cancer in my past and that’s where I wanted it to remain. After meeting with the dedicated and dynamic director and staff at the Breast Cancer Program, and after much consideration I decided to accept the position of Hotline and Volunteer Coordinator. My role affords me the distinct privilege of supervising our large group of volunteers who are the most compassionate, intelligent and caring group of women and men, the majority of whom are breast cancer survivors themselves. Yes, I have now returned to thinking about breast cancer every day, and at times that can be very overwhelming and frightening. The difference for me is now I have the strength of our volunteers in my arsenal. We all realize how important and inspirational it is for our clients to speak with someone who has walked in their shoes, heard those words “you have breast cancer” and is now not only surviving after five years, 10 years and even 37 years, but thriving and giving back to those just beginning their breast cancer journey. I invite breast cancer survivors and other who want to help to call me at 516-877-4315 to find out about volunteer opportunities.

Making sense of it all The current thinking on mammogram screening caused quite a stir when it first became public in October 2015. It’s still the subject of discussion among patients and the medical community. In a departure from past recommendations on breast cancer screening, new expert advice says that most women should not start mammograms before age 50, and it’s best for the tests to come every two years. These new recommendations come from the U.S. Preventive Services Task Force. This is the most influential group that provides preventive care guidelines for doctors. The new guidelines are the first that this group has issued on breast cancer screening since 2002. Women ages 40 to 49 are the ones most affected by this new advice. Some women in this age group already get mammograms. Based on the new recommendations, these women would stop these yearly tests until age 50. For more than five years, the American Cancer Society and the National Cancer Institute have endorsed a mammogram every one to two years for women ages 40 to 49. They have the same advice for women 50 and older. But the American College of Physicians issued a different guideline. It said mammograms should be optional for women ages 40 to 49. It advised women to talk to their doctors about the pros and cons of screening. Now the U.S. Preventive Services Task Force has concluded that screening women in their 40s offers limited benefits and may do more harm than good. This opinion is based on a thorough review of the latest research. Many women have an emotional reaction to breast cancer, made all the more understandable because they have family or friends whose lives were up-ended by breast cancer. On October 20, 2015, the American Cancer Society released a new breast cancer screening guideline for women at average risk. Here are some answers to questions that might be asked about it. How does this guideline differ from previous ACS guidelines? The biggest change in the current guideline is that we now recommend that women at average risk for breast cancer start annual screening with mammograms at age 45, instead of age 40 (which was the starting age in our previous guideline). Women ages 40 to 44 can choose to begin getting mammograms yearly if they want to. In addition, the guideline says that women should transition to screening every two years starting at age 55, but can also choose to continue screening annually. The ACS no longer recommends a clinical breast exam (CBE) as a screening method for women in the U.S. Breast self-exam is also no longer recommended as an option for women of any age. Why did ACS change its guideline to say routine screening should start at 45 instead of 40? The evidence shows that the risk of cancer is lower for women ages 40 to 44 and the risk of harm from screenings (biopsies for false-positive findings, overdiagnosis) is somewhat higher. Because of this, a direct recommendation to begin screening at age 40 was no longer warranted. However, because the evidence shows some Continued on page S-10

YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS — October 10, 2019

Dedicated to helping patients and survivors

Screening guidelines

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October 10, 2019 — YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS

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October is Physical Therapy Month

o, what exactly is Physical Therapy? According to The American Physical Therapy Association (2019), the definition of Physical Therapy is “Physical therapists (PTs) are movement experts who optimize quality of life through prescribed exercise, hands-on care, and patient education.” At Lynbrook Restorative Therapy and Nursing, our physical therapists start by evaluating the patient, formulating a treatment plan, implementing the treatment plan and planning for a safe discharge. Physical therapy helps people of all ages and in all stages of life. We focus on facilitating individuals to cope with, manage and overcome limitations resulting from a variety of medical conditions, injuries and illnesses. Those aforementioned ailments often, unfortunately limit a person’s regular ability to move and function as well as limit their quality of life. It is the job, the goal and the passion of our physical therapist to help those to lessen or to completely eradicate pain, improve their mobility, advance their balance and to avoid falls. Our physical therapists are educated to assisting in recovering from surgery, recovering from a stroke, managing diabetes and vascular conditions and our Pulmonary Program is in place to combat deficits stemming from heart and lung disease. In addition, Lynbrook Restorative Therapy and Nursing has a brand new Amputee Rehabilitation Program. This state-of-the-art personalized program has designated physical

therapists who are trained specifically to work with our amputee patients. Our physical therapists help these patients achieve their goals, speed their healing and provide them with skills to return home to live independently as possible. Another job of our physical therapy team is to facilitate those who are suffering from age-related issues. Physical therapy can help those individuals to regain their original capabilities. When a person

becomes unable to return to their prior level of functioning, they often become depressed and feel that they will never go back home. Physical therapists at Lynbrook Restorative will do everything in his or her power to help that person to achieve their goals and to re-obtain as much of their independence as possible. Additionally, our physical therapists and social Work team are able to make recommendations to

facilitate a safe discharge back home, whether that involves removing any obstacles in the home, such as area rugs, to having a family member or caregiver provide assistance or supervision in the home environment. Specific areas which our Physical therapist may work on with each patient are: muscle strengthening, functional endurance training, gait training, dynamic balance training, core strengthening, postural control training and safety awareness training. The proudest moment in Lynbrook Restorative’s physical therapist’s journey, is being able to watch our patient go from requiring a machine to help them to get out of bed, to needing less and less assistance and then to finally be able to walk out of the door and return home. That is exactly what we want for each and every patient that we meet. We do our very best to help them to achieve their goals and to safety be discharged from Lynbrook Restorative Therapy and Nursing back into their home environment. To contact Lynbrook Restorative Therapy and Nursing, call 516-634-1400.

243 Atlantic Ave., Lynbrook 516-634-1400

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HEALTH MEMO

Three breast lumps that aren’t cancer

he first thing to do if you notice a lump in your breast? Don’t panic, says Delia Keating, MD, a radiologist at Memorial Sloan Kettering Cancer Center. “The likelihood that it’s benign is much greater than not being benign, especially if you’re younger,” says Dr. Keating, who specializes in breast cancer screening. Not every breast lump is cancer, and benign masses are very common, Dr. Keating says. Lumps that are benign may be tender and feel smooth and movable. They may also change in size. However, a physical Dr. Delia Keating exam alone cannot reliably Radiologist distinguish a benign lump from Memorial Sloan Kettering a suspicious mass. Any newly discovered lump requires attention. For women of screening age, that is true even if you recently had a negative mammogram. Another mammogram may be necessary to compare to previous ones. Ultrasound, too, is very helpful to characterize lumps in women of all ages. Dr. Keating advises women to talk to their doctor about any new lump they find, keeping in mind that it could very well be one of the following: A cyst, which is a fluid-filled sac that doesn’t require treatment but can be drained if it causes discomfort. They tend to bubble up close to

A mammogram is sometimes - but not always - needed to distinguish a benign lump from a suspicious mass. a woman’s menstrual period and go away on their own. A fibroadenoma, which happens when benign breast tissue forms a mass. Some shrink and go away on their own, and others do not. They also don’t require treatment. Tissue. A ridge of tissue or a thicker area of the breast can mimic the feel of a lump. This can ring especially true for women who don’t perform regular breast self-exams and might not be familiar with what their breasts tend to feel like. Dr. Keating recommends that women stay aware of the look and

feel of their breasts. “If you notice something, don’t ignore it,” she says. “But you shouldn’t feel the need to perform self-checks more than once a month or if they cause extreme anxiety or confusion.” Learn more about MSK’s outpatient cancer centers in Nassau, Commack, and Hauppauge at www.mskcc.org/longisland.

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Resources that make a difference

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By Karen Bloom

o one ever need face breast cancer alone. The many services available in the area offer support, assistance and friendship, beginning with diagnosis and through recovery. Adelphi NY Statewide Breast Cancer Hotline & Support Program Anyone – in New York State — with breast cancer concerns can call the Adelphi NY Statewide Breast Cancer Hotline & 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. The Adelphi NY Statewide Breast Cancer Hotline & Support Program urges all women to regularly get their mammograms. “It’s October and once again much attention is focused on breast cancer. We hope that women will take the opportunity to get that mammogram they’ve been putting off,” says Hillary Rutter, the program’s executive director. “Most women don’t have breast cancer and once it is done, they can rest easy. And for those who have a breast cancer that is found, then they can get the treatment as early as possible that will increase their chances of survival.” “Often women will put their own health on hold as they take care of family members;

we want to send out the message that when you take care of yourself, you’re taking care of your family.” “At the Adelphi NY Statewide Breast Cancer Hotline and Support Program we have been helping women and men and their families cope with a diagnosis of breast cancer every month of the year for 39 years. We are there with emotional support and information. We are a place where people can get the latest information and can speak with someone who has survived breast cancer, every day, every month, every year. Call 800-877-8077.” Locally the program offers support groups, individual and family counseling, plus educa-

tional forums and workshops. The program was established in 1980. Anyone who is worried about breast cancer should call the hotline for help. “You are not alone” is the hotline’s motto. The program’s volunteers are local survivors who have had breast cancer and are now helping others with breast cancer concerns. People diagnosed with breast cancer often express a variety of specific concerns but often do not have the opportunity to discuss them in depth. To meet this need, the program is offering new short-term groups for discussion and support, meeting in Garden City. The groups, which are free and limited to

10 people, will meet for 90 minutes for four consecutive weeks, focusing on a particular aspect of the topic each week. An upcoming group focused on nutrition will meet for four consecutive Tuesdays , 6 to 7:30 p.m., starting October 29. The topics discussed are: What is good nutrition? (Oct. 29); How we feel about food (Nov. 5); Eating out (Nov. 12); and Making it work for you (Nov. 19). “We feel that this new format will allow Continued on page S-12

Above photo: No one has to face breast cancer alone. Having the support of others is an important part of survivorship.

The world’s leading cancer breakthroughs. Right here in Nassau County. At Memorial Sloan Kettering, we’re bringing the future of cancer care close to home. From our groundbreaking treatments to our dedicated cancer specialists, MSK Nassau is here to serve your community.

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YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS — October 10, 2019

Assistance from diagnosis on is just a phone call away

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October 10, 2019 — YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS

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South Nassau renamed Mount Sinai South Nassau By Mount Sinai South Nassau new name for a 90-year-old community institution critical to 900,000 residents of the South Shore has been approved. South Nassau Communities Hospital will now operate as Mount Sinai South Nassau. “This new name reflects our partnership with Mount Sinai while recognizing the hospital’s history and its ties to the South Shore communities,” said Richard J. Murphy, President and CEO of Mount Sinai South Nassau. “While the hospital has a new name, our legacy of serving this community and providing patients with extraordinary health care will only grow stronger. Our patients will now also have access to highly specialized physicians, clinical trials, and a wide range of new services as we grow the partnership with Mount Sinai.” “Mount Sinai South Nassau creates a clear and consistent identity with the Mount Sinai Health System brand and reflects a shared vision and collective goal to provide the highest quality of care to patients on Long Island,” said Arthur Klein, MD, President of the Mount Sinai Health Network. “Mount Sinai South Nassau is positioned to expand access to innovative approaches in patient care, treatment, and research to the communities of Long Island.” “The Mount Sinai partnership is already benefiting our patients,” said Joseph Fennessy, Chairman of Mount Sinai South Nassau’s board of trustees. “From a patient care perspective, we are seeing real advantages to the partnership.” New and expanded services, in maternal fetal medicine, interventional endoscopy and pediatric cardiology are already benefiting patients. And there are plans to expand in cardiac surgery, cancer care, neuroscience, and colon and rectal surgery. One goal of the partnership is to move Mount Sinai South Nassau from a medical center to a tertiary-level facility so that residents don’t have to travel into Manhattan or other parts of Long Island for most

Patients gain access to expanded array of services as South Nassau joins world-renowned Mount Sinai Health System.

advanced medical services. The Mount Sinai Health System includes 8 hospitals, more than 400 ambulatory practices, and more than 7,000 primary and specialty care physicians, as well as 200 physicians at 11 multidisciplinary practices on Long Island. The Mount Sinai Hospital is ranked No. 14 nationally in the 20192020 “Best Hospitals” issue of U.S. News & World Report and is ranked nationally in 8 adult medical specialties. Mount Sinai South Nassau is ranked No. 20 among the 170 hospitals in New York state, No. 20 among the 118 hospitals in the New York metropolitan area while its Division of Urology is ranked 35th nationally.

For more information, visit mountsinai.org/southnassau. (516) 632-3000 One Healthy Way, Oceanside, NY 11572

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Hypnosis evolves with technology

W Case study:

The Grand Pavilion For Rehabilitation & Nursing (June 2019)

r. K. was admitted to The Grand Pavilion Center for Rehabilitation and Healing on June 15, following spinal surgery. Mr. Kula presented to The Grand Pavilion with a diagnosis of generalized muscle weakness and a posterior lumbar interbody fusion, which is spinal surgery that addresses low back pain resulting from a spine disorder or injury. Mr. K. was greeted by the community’s staff, assessed and made comfortable. Therapy spent a great deal of time discussing his treatment goals and plans to get him back on his feet and a return to his normal activities of daily living (ADL), as well as, returning to his practice as a neurologist. Upon admission he was at risk for falls, with a decrease of functional activities and restrictions in completing his self-care and general tasks. A daily plan of therapy was developed that enhanced, encouraged and promoted skilled physi-

cal and occupational therapy services. The therapists evaluated and supported his recovery of safety awareness, improved dynamic balance, increase functional activity and body strength. They helped him to minimize his fall risks and also decreased his complaints of pain while enhancing quality of life. All of this while working alongside the motivated Mr. K. who worked fiercely and effortlessly with the therapy team to reach his target goals of recovery and success. During his stay he was complimentary of the care, support and encouragement provided by the Grand Pavilion Staff. The food was better than expected, the staff was very supportive, therapy was AMAZING and he enjoyed spending time out on the patio in a very clean community. He was successfully discharged on June 28 and ranked the community a 10 out of 10.

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

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

Terry Biener, CCH

41 Maine Ave., Rockville Centre • 516-536-7730 • TheGrandPavilionRC.com

516-791-6174 • www.easychanges.com

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Mammograms:

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mammogram is an important step in taking care of yourself and your breasts. Whether you’re a mammogram newbie or a veteran, knowing what to expect may help the process go more smoothly. How to prepare If you have a choice, use a facility that specializes in mammograms and does many mammograms a day. Try to go to the same facility every time so that your mammograms can easily be compared from year to year. If you’re going to a facility for the first time, bring a list of the places and dates of mammograms, biopsies, or other breast treatments you’ve had before. If you’ve had mammograms at another facility, try to get those records to bring with you to the new facility (or have them sent there) so the old pictures can be compared to the new ones. Schedule your mammogram when your breasts are not tender or swollen to help reduce discomfort and get good pictures. Try to avoid the week just before your period. On the day of the exam, don’t wear deodorant or antiperspirant. Some of these contain substances that can show up on the x-ray as white spots. If you’re not going home afterward, you might want to take your deodorant with you to put on after your exam. You might find it easier to wear a skirt or pants, so that you’ll only need to remove your top and bra for the mammogram.

Discuss any recent changes or problems in your breasts with your health care provider before getting the mammogram. Don’t be afraid of mammograms! Remember that only two to four screening mammograms in 1,000 lead to a diagnosis of breast cancer. Once you get there These tips can help you have a good quality mammogram: Always describe any breast changes or problems you’re having to the technologist doing the mammogram. Also describe any medical history that could affect your breast cancer risk — such as surgery, hormone use, breast cancer in your family, or if you’ve had breast cancer before. Before getting any type of imaging test, tell the technologist if you’re breastfeeding or if you think you might be pregnant.

breast for a few seconds while the technologist takes a picture. The whole procedure takes about 20 minutes. The actual breast compression only lasts a few seconds. You might feel some discomfort when your breasts are compressed, and for some women it can be painful. Tell the technologist if it hurts. Two views of each breast are taken for a screening mammogram. But for some women, such as those with breast implants or large breasts, more pictures may be needed.

What to expect when getting a screening mammogram You’ll have to undress above the waist to get a mammogram. The facility will give you a wrap to wear. A technologist will position your breasts for the mammogram. You and the technologist are the only ones in the room during the mammogram. To get a high-quality picture, your breast must be flattened. The technologist places your breast on the machine’s plate. The plastic upper plate is lowered to compress your

What to expect when getting a diagnostic mammogram A diagnostic mammogram is often done if a woman has breast symptoms or if a change is seen on a screening mammogram. More pictures are taken during a diagnostic mammogram with a focus on the area that looked different on the screening mammogram. During a diagnostic mammogram, the images are checked by the radiologist while you’re there so that more pictures can be taken if needed to look more closely at

any area of concern. In some cases, special images known as spot views or magnification views are used to make a small area of concern easier to see. How will I get my mammogram results? If you don’t hear from your health care provider within 10 days, do not assume that your mammogram was normal. Call your provider or the facility where the mammogram was done. A full report of the results of your mammogram will be sent to your health care provider. Mammography clinics also must mail women an easy-to-understand summary of their mammogram results within 30 days — or “as quickly as possible” if the results suggest cancer is present. This means you could get the results before your provider calls you. If you want the full written mammogram report as well as the summary, you’ll need to ask for it. Courtesy American Cancer Society Above photo: It’s normal to feel some anxiety prior to a mammogram, but it’s important to set aside those fears.

Physical Therapy Report

Patient Progress:

Excellent

Therapy That Transforms Lives

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Lynbrook Restorative Therapy and Nursing, 243 Atlantic Avenue, Lynbrook, New York 11563 • 516.634.1400 www.lynbrookrehab.com

YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS — October 10, 2019

What to know before you go

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Women Battling Breast Cancer Turn to NYU Winthrop’s Hidden Scar® Surgery – A Breakthrough that Removes the Cancer but Avoids Disfiguring Scarring

YU Winthrop Hospital is the first-ever Hidden Scar® Center of Excellence on Long Island, offering an advanced approach to breast cancer surgery that removes cancerous tissue but hides visible scarring. More than 65 percent of women who’ve undergone breast cancer surgery are said to be left feeling selfconscious and unhappy with the remaining scar. Many of these women were not able to benefit from concealing surgical techniques, due to the nature or location of their breast cancer. Not anymore. “This procedure should be the new ‘normal’ for breast cancer surgery,” said Virginia Maurer, MD, former Chief of Breast Surgery at NYU Winthrop and previous Director of the Breast Health Program. “We’re proud to pave the way, introducing this important advancement to women on Long Island.” Just ask Andrea, a Hidden Scar patient who discovered that she had breast cancer following a routine mammogram. “If I have a scar, it will always remind me that I had breast cancer and that I could have it again.” Then Andrea heard about the Hidden Scar program and knew this unique procedure, which would eradicate the breast cancer but still leave her feeling whole—was for her. Following her successful Hidden Scar procedure, she explained, “I don’t have a dimple or any kind of indication that something was taken out of me. Isn’t that amazing? I don’t

(From left) Dr. Shubhada Dhage and Dr. Virginia Maurer

have to look at the scar and remember.” The procedure also proved right for another Hidden Scar patient, Kim, who is young and single but unfortunately carries the BRAC gene mutation. Kim was told she had an 88 percent chance of getting breast cancer. Her viewpoint: “I can either chance it—or prevent it from happening.” Kim opted for a double mastectomy via the Hidden Scar procedure. “You can’t see my incision at all,” said Kim. “Having the Hidden Scar procedure allowed me to make the mastectomy more private. You don’t have to be reminded every time you wear a bikini. I like the way I look, and now I don’t have to worry about cancer.” The Hidden Scar approach involves a specially

trained surgeon utilizing highly advanced and unique equipment to make a small incision—much smaller than with traditional breast surgery—in a hidden area to remove a tumor. The cancerous tissue is removed through that single incision, thus preserving the natural shape of the breast while reducing visible scarring. This small incision may be made in the natural crease beneath the breast; in the armpit hidden in a natural fold; or along the edges of the areola, which can be very desirable for some mastectomies, since it is a nipple-sparing technique. The Hidden Scar approach requires consistent illumination of the surgical cavity, which is guided by advanced photonics—a sophisticated amplification of light—that enhances visualization of the tumor, so that tumors once too challenging

to remove through hidden folds may now benefit from that approach. The Hidden Scar approach can be used both in a breast-conserving lumpectomy that removes only part of the breast tissue, or a mastectomy that removes all of the breast tissue. Shubhada Dhage, MD, Director of Breast Surgical Services at NYU Winthrop Hospital and Director of the Breast Health Program, said of the Hidden Scar approach, “Our goal is to go well above and beyond standards of care, and that includes helping a patient continue to feel like a whole woman by using the Hidden Scar procedure to minimize disfigurement.” Patients who undergo the Hidden Scar procedure experience optimal clinical and cosmetic outcomes and are at no higher risk of cancer recurrence than patients who undergo other breast cancer surgical techniques. The Hidden Scar procedure is available to most breast cancer candidates, with some exclusions based on the size and location of a tumor, breast shape, and breast size. To learn more about NYU Winthrop’s Hidden Scar® Center of Excellence, call 1-866-WINTHROP or visit www.nyuwinthrop.org.

59 1st St., Mineola 1-866-WINTHROP • www.nyuwinthrop.org

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Hyp n o s i s

Fighting cancer through research, patient care and education

Can Help!

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

Terry Biener, CCH

Certified Clinical Hypnotist in practice since 1992

Easy Changes Hypnosis

516-791-6174

HypnoShe@aol.com www.easychanges.com Lo Cated in Va LL ey Stream

Gift Certificates Available

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

he SASS Foundation for Medical Research, Inc., founded in 1986, remains focused in its fight against cancer with a continued powerful commitment and purpose. It will be holding its 25th Annual Breast/ Ovarian Cancer Awareness Day on Saturday, Oct. 19, 2019 at the Long Island Marriott in Union-

dale, from 9 a.m. to 12:30 p.m. Moderated by Dr. Francis P. Arena, President and Co-Founder, the day will begin with a continental breakfast and will feature a “Meet the Experts” Town Hall Forum. A panel of renowned doctors will address the most recent updates in cancer research and treatment, as well as workshop

sessions, awards ceremony and support services showcase. It is through the tremendous generosity of the Sass Family that this day is presented FREE to the public and truly represents The Foundation’s belief that “knowledge is power.”

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October 10, 2019 — YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS

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516-365-SASS (7277) • 1025 Northern Boulevard, Suite 302, Roslyn Health memos are supplied by advertisers and are not written by the Herald editorial staff.

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NYU Winthrop is Long Island’s first Hidden Scar Center of Excellence. ®

YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS — October 10, 2019

Breast Cancer Surgery With No Visible Scar

Perlmutter Cancer Center at NYU Winthrop's Breast Health Center was first in Nassau County to be accredited by the National Accreditation Program for Breast Centers (NAPBC). Now we are the first on Long Island to offer Hidden Scar surgery, a sophisticated new approach to breast cancer surgery that hides the scar so effectively it’s virtually invisible. A specially trained Hidden Scar surgeon makes a small incision—much smaller than with traditional breast surgery—in a hidden area, beneath the breast, for example. The cancerous tissue is removed through that incision, thus preserving the natural shape of the breast. Less accessible tissue is illuminated with special technology to be seen clearly by the surgeon and removed with virtually no scarring.

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At NYU Winthrop, we have always understood the powerful emotions that can overwhelm any woman dealing with a breast cancer diagnosis. That’s why we are so pleased to be the first to make available this remarkable surgical advance. To learn more, call 1-866-WINTHROP or visit nyuwinthrop.org.

October 10, 2019 — YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS

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Making sense of it all Continued from page S-3

benefit from screening with mammography for women between 40 and 44, the guideline committee concluded that women in this age group should have the opportunity to begin screening based on their preferences and their consideration of the tradeoffs. That balance of benefits to risks becomes more favorable at age 45, so annual screening is recommended starting at this age. Every life lost to cancer is important. But the fact is, even though mammography reduces deaths from breast cancer, it does not eliminate them, even in the age groups where it is agreed that women should be screened. The challenge of screening is maximizing the lifesaving benefits while minimizing its harms. These evidencebased guidelines represent the best current thinking on that balance. What exactly should a woman do at age 40? Should she get screened or not? How should she decide? The risk of breast cancer is lower in women between the ages of 40 to 44. Still, some women will choose to accept the greater chance of a falsepositive finding and the harms that could come from that (biopsy pain and anxiety, for instance) as a reasonable tradeoff for potentially finding cancer. The decision about whether to begin screening before age 45 is one that a woman should make with her health care provider. Why can women choose to start screening every two years at age 55? Although breast cancer is more common in older women after menopause, breast cancer grows more slowly in most women, and is easier to detect early because the breasts are less dense. Since most women are post-menopausal by age 55, and because the evidence did not reveal a statistical advantage to annual screening in post-menopausal women, the guidelines committee concluded that women should move to screening every 2 years starting at age 55. Still, the guideline says women may choose to continue screening every year after age 55 based on their preferences. Why is a clinical breast exam (CBE) no longer recommended? Clinical breast examination (CBE) is a physi-

cal exam done by a health professional. During the beginning of the mammography era, the combination of CBE and mammography was associated with a lower risk of dying from breast cancer, and CBE was shown to offer an independent contribution to breast cancer detection. Since then, as mammography has improved and women’s awareness and response to breast symptoms has increased, the few studies that exist suggest that CBE contributes very little to early breast cancer detection in settings where mammography screening is available and awareness is high. In addition, there was moderate evidence that doing CBE along with mammography increases the rate of false positives. Based on this information, the current guideline does not recommend CBE for US women at any age. There are settings in the US where access to mammography remains a challenge, and the American Cancer Society will continue to work to ensure that all women have access to mammography screening. We recognize that some health care providers will continue to offer their patients CBE, and there may be instances when a patient decides with their health care provider to have the exam — and that’s OK. The important message of the guideline is that CBE should not be considered an acceptable alternative to mammography screening, no matter the challenges of access to mammography. Why is a breast-self-exam no longer an option for women in these new guidelines? Evidence does not show that regular breast self-exams help reduce deaths from breast cancer. However, it is very important for women to be aware of how their breasts normally look and feel and to report any changes to a health care provider right away. This is especially important if a woman notices a breast change at some point in between her regular mammograms. What are the limitations of mammography and why is it important for women know about them? Mammography is the best test we have at this time to find breast cancer early, but it has known limitations — it will find most, but not all, breast cancers. The American Cancer Society supports informing women about the limitations of mammography so they will have reason-

able expectations about its accuracy and usefulness. Studies show that informing women of the limitations of mammography before they have one decreases anxiety and improves later adherence with screening recommendations. The accuracy of mammography improves as women age — thus, accuracy is slightly better for women in their 50s than women in their 40s and slightly better for women in their 60s than women in their 50s, and so on. However, a woman undergoing breast cancer screening needs to know that mammography at any age is not 100 percent accurate. Overall, mammography will detect about 85 percent of breast cancers. Women also need to be prepared for the possibility of being called back for additional testing, even though most women who get further testing do not have breast cancer. On average, about 10 percent of women are recalled for further evaluation, including additional mammography and/or ultrasound, and sometimes a biopsy to determine if cancer is present. Women also need to know that if their mammogram result is normal, but they detect a symptom months later before their next mammogram, they should see a doctor right away. What about women who are at higher risk? The American Cancer Society has sepa-

American Cancer Society Recommendations for the Early Detection of Breast Cancer Guideline for women at average risk for breast cancer

EVERY YEAR

Ages 40 – 44

Women should have the option to start screening with a mammogram every year.

Ages 45 – 54

Women should get a mammogram every year.

Age 55 and older

Women can switch to a mammogram every other year, or they can choose to continue yearly mammograms. Screening should continue as long as a woman is in good health and is expected to live at least 10 more years.

rate recommendations for women at increased risk for breast cancer. Why are there no recommendations for 3D mammography (tomosynthesis)? Although digital breast tomosynthesis units are steadily being introduced in mammography facilities, at the time the protocol for the evidence review was developed, there was too little data on digital breast tomosynthesis to include comparisons to 2D mammography.The issue will continue to be revisited and will be updated as evidence emerges. How was the American Cancer Society’s screening guideline developed? The Society’s guideline development process is transparent, consistent, and rigorous process that is closely aligned with Institute of Medicine (IOM) standards. The Society’s guidelines are now developed by the American Cancer Society Guideline Development Group (GDG), a voluntary panel of generalist clinicians, biostatisticians, epidemiologists, economists, and patient representatives. The Society’s breast cancer screening guideline was developed in accordance with this process, and utilized a systematic evidence review of the breast cancer screening literature that was conducted independently by the Duke University Evidence Synthesis Group. There were no representatives from the health insurance industry on the GDG, and all GDG members are required to disclose potential conflicts of interest before they are accepted for participation. What about screening women in their 30s and younger? They get breast cancer, too. Doesn’t ACS care about that? Cases of breast cancer in women who are in their 30s are rare, but that doesn’t make them any less tragic or important. The reason why none of the major guidelines recommend routine screening in this younger age group is because the evidence so far shows that the risk of harms such as false positive, additional procedures, and potential overdiagnosis outweighs the potential benefits. Additionally, routine screening for women in their 30s or younger doesn’t reduce deaths from cancer. The bottom line is that you can and should talk to your doctor about any concerns you have with your breast health at any age. Courtesy American Cancer Society Above photo: There’s a lot of confusion about screening mammography guidelines and that uncertainty can cause patient confusion about potentially life-saving mammograms and when to obtain the appropriate screening.

HEALTH MEMO

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avier Gaudin, D.O., and Alex Zouzias, M.D., both neurosurgeons specializing in spine surgery, have joined Neurological Surgery, P.C. (NSPC). With six offices on Long Island, and 20 neurosurgeons available to see patients, NSPC is one of the country’s largest private brain and spine surgery practices. “Drs. Gaudin and Zouzias are outstanding additions to our practice,” says Michael H. Brisman, M.D., Chief Executive Officer (CEO) and a senior partner at NSPC. “They’re both qualified as neurosurgeons and have additional orthopedic spinal surgical training. This gives them exceptional insight into how to best treat patients with neck or back conditions. Their arrival,” he notes, “further enhances our group’s ability to provide highly-specialized, university-level care in a community setting.” Dr. Gaudin performs minimally invasive and complex spinal surgery to treat conditions such as degenerative scoliosis and deformity, spinal stenosis, compression fractures, herniated disks, sciatica, revision surgery, infections, and tumors. In addition, he’s able to address a variety of other neurosurgical disorders, including brain tumors, craniocervical trauma, and peripheral nerve pathologies. He sees patients in Rockville Centre and treats them at Mount Sinai South Nassau Hospital in Oceanside. Dr. Zouzias is a board-certified neurosurgeon specializing in complex and minimally invasive spinal surgery. He performs advanced neurological and spinal procedures using the most advanced techniques, such as lateral access procedures for spinal fusion, cervical artificial disk replacement, and percutaneous procedures for complex spinal reconstruction and pain control. He sees patients in Commack,

Dr. GauDin

Dr. ZouZias

Port Jefferson Station, and West Islip. Dr. Zouzias performs his surgeries at St. Catherine of Siena Medical Center in Smithtown, and West Islip’s Good Samaritan Hospital Medical Center. Dr. Gaudin received his medical degree from the University of Pikeville – Kentucky College of Osteopathic Medicine, and he completed his internship and residency in neurological surgery at Ohio University COM/Grant Medical Center and Riverside Methodist Hospital, Columbus, OH. Dr. Gaudin was appointed Chief Resident and a clinical instructor during his final year of residency. He received additional training in minimally invasive, complex spinal deformity and scoliosis surgery at The Orthopedic Foundation in New Albany, Ohio.

Dr. Zouzias received his medical degree from the New York University (NYU) School of Medicine and completed his internship in general surgery and his residency in neurological surgery at the University of Medicine and Dentistry of New Jersey (UMDNJ). He was named chief neurosurgical resident of both University Hospital and Robert Wood Johnson Hospital during his final year of residency. Dr. Zouzias then went on to complete a complex and minimally invasive spine surgery fellowship at the University of South Florida. Prior to joining NSPC, he was an attending neurosurgeon and Chief of Spine Surgery at New York-Presbyterian Brooklyn Methodist Hospital. Founded in Freeport in 1958, Neurological Surgery, P.C. has grown to become one of the largest, private neurosurgical practices in the U.S. with six conveniently located offices on Long Island. The practice’s experienced neurosurgeons and interventional neuroradiologists are experts in “Bloodless” brain and spine surgery, including laser spine surgery, ultrasonic spine surgery, endovascular coiling, stereotactic radiosurgery, and other advanced minimally invasive techniques which are used to treat brain tumors, brain aneurysms, trigeminal neuralgia, herniated disk, spinal stenosis, chronic back pain, and other neurosurgical conditions. Please visit www.nspc.com to learn more.

516-255-9031 100 Merrick Rd Suite 128 W, Rockville Centre

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

N ew Yo rk Ca n ce r & B l o o d S p e c i a l i s t s Pre s e n t s

L i s te n to Radio For A Cure o n yo u r favo ri te Lo n g I s l a n d Ra d i o S t a t i o n .

Ra d i o fo r a Cu re ra i s e s awa re n e s s a b o u t e d u c a t i o n , re s ea rch , a n d n ew te ch n o l o g i e s t rea t i n g c a n ce r o n Lo n g I s l a n d t h ro u g h a m e d i a fo c u s e d o n - a i r c a m pa i g n o n Co n n o i s s e u r M e d i a’s Lo n g I s l a n d ra d i o s t a t i o n s , i n fo rm i n g l i s te n e rs a n d re i n fo rc i n g t h e i m p o r t a n ce o f ea rl y d e te c t i o n , f re q u e n t s c re e n i n g , a n d exa m i n a t i o n s .

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V i s i t Ra d i o Fo rACu re .co m

YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS — October 10, 2019

Neurosurgeons Xavier Gaudin, D.O., and Alex Zouzias, M.D. join Neurological Surgery, P.C. of Rockville Centre

October 10, 2019 — YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS

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Making Strides Annual event inspires and raises awareness

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ong Islanders will once again put their best foot forward in the fight against breast cancer at Jones Beach. This year’s edition of the American Cancer Society’s Making Strides Against Breast Cancer takes place Sunday, Oct. 20 at Jones Beach (and on Oct. 27 at Suffolk County Community College’s Eastern Campus), uniting communities, honor those touched by the disease and raise awareness and funds for a world without breast cancer. The event at Jones Beach is the most attended in the United States with over 65,000 volunteer participants, helping to raise over $2.65 million, according to the American Cancer Society. The noncompetitive, inspirational walk raises-awareness and funds to end breast cancer and provide hope to ensure no one faces breast cancer alone. Dollars raised help the American Cancer Society fund innovative breast cancer research; provide education and guidance to help people reduce their risk; and offer comprehensive patient support to those who need it most. In 2018, ACS staff helped guide more than 34,000 cancer patients through every step of their journey as they moved through the health care system, including

helping with insurance problems, referring them to ACS and other local services, assisting caregivers and addressing obstacles to care. “Because of the determination of Making Strides supporters, the American Cancer Society is there for people in every community affected by breast cancer, whether they’re currently dealing with a diagnosis, may face one in the future, or will avoid it altogether because of education and risk reduction,” said Katie Goepfrich, senior manager for the American Cancer Society. “This year, 17,490 women in New York will be diagnosed with breast cancer and 2,460 residents will succumb to the disease. To learn more about Making Strides Against Breast Cancer and how you can become involved, visit www.makingstrideswalk.org/ LongIsland and www.makingstrideswalk.org/ EasternLongIsland. To contact via email, LongIslandNYStrides@cancer.org or by phone at 631-300-3212. Above photo: Wantagh residents were joined by other local communities at a recent Making Strides event. From left, Victoria Walsh, Miss Wantagh Samantha Walsh, Rita Nolan and Aileen Campbell stood by the start line at Field 5.

Assistance from diagnosis on is just a phone call away Continued from page S-5

WHAT UNITES US, IGNITES US Making Strides Against Breast Cancer

By joining Making Strides Against Breast Cancer,

October 20, 2019

October 27, 2019

you’re saving lives. The money you raise funds breast cancer research and helps patients get the

Jones Beach State Park Parking Field 5

Suffolk County Community College

8:00 a.m.

Eastern Campus

MakingStridesWalk.org/ LongIsland

8:30 a.m.

us at the Making Strides event near you. United, we can make a bigger impact on breast cancer.

MakingStridesWalk.org | 1-800-227-2345

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MakingStridesWalk.org/ EasternLongIsland

things they need now. Like free rides to chemo, free places to stay near treatment, and a live 24/7 cancer helpline for answers and support. So join

participants to explore topics of mutual concern,” says counseling and educational coordinator Erin Nau. All groups are free but registration is required. Groups will meet at Adelphi University School of Social Work. To register, call Ms. Nau at 516-877-4314. In addition to the short-term group, the Adelphi Breast Cancer Program also offers the following groups: Support Group (Mondays, 6-7:30 p.m.) — General support group for women who have been recently diagnosed with breast cancer. Support Group for Men (Tuesdays, 6 to 7:30 p.m.) — Support focused on the unique concerns of men with breast cancer. Support Group for Women with Metastatic Disease (Thursdays, 6-7:30 p.m.) — Meet with other women who are surviving metastatic breast cancer. Young Women’s Support Group, Under 40 (Wednesdays, from 6-7:30 p.m. — An

online group that addresses the concerns of young women. Listings of other support groups can be found on the web site: breast-cancer.adelphi. edu or by calling 800-877-8077. Hewlett House Hewlett House, operated by 1 in 9 in Hewlett, is another important local resource for breast cancer patients and their families. Hewlett House is a community learning resource center for cancer patients and their families. The caring staff has been serving the local community for over 28 years and has served tens of thousands of cancer patients and their families All services are free and confidential. Call Hewlett House at 516-374-2385 or visit www.hewlett-house.org Other support groups and services are available through area hospitals, and such community resources as the Barry and Florence Friedberg JCC in Oceanside.

YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS â€” October 10, 2019

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October 10, 2019 — YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS

Knowledge is power 25TH ANNUAL

Saturday, October 19, 2019

Know the

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October 19, 2019

• • • • • ••

reast cancer is the most common cancer diagnosed in women (excluding skin cancer) and second only to lung cancer as a cause of cancer death in women. In 2019, an estimated 268,600 women in the U..S will be diagnosed with brast cancer. Approximately 41,760 women will die of breast cancer in the U.S. this year In New York, in 2019, an estimated 17,490 women in New York will be diagnosed with breast cancer and 2,400 will succumb to the disease. Breast cancer does not just affect women. More than 2,670 men in the U.S. are expected to be diagnosed this year and an estimated 480 are expected to die from the disease. Breast cancer death rates have dropped by 40 percent since 1989, thanks in part to work of the American Cancer Society. The five-year relative survival rate for breast cancer that has not spread to the lymph nodes or other location is 99 percent. There are more than 3.5 million breast cancer survivors in the U.S. The average risk of a woman in the U.S. getting breast cancer during her life is about 12 percent.

Courtesy American Cancer Society

GET SCREENED

Today

A REVITALIZING REHABILITATION ENVIRONMENT That Meets & Exceeds Your Expectations

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w o r r o m To

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41 Maine Avenue Rockville Centre, NY 11570 (516) 536-7730 TheGrandPavilionRC.com

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HOPE

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84 East Park Avenue • Long Beach, New York 11561

Leah Tozer of Engel & Völkers Long Beach supports the fight against breast cancer.

Joining The Fight One Step At A Time!

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DONNA BIONDO STANYA 1057308

Engel & Völkers Long Beach NY 58 West Park Avenue Long Beach, NY 11561 Phone 516-860-5784 leahtozer@evusa.com leahtozer.evusa.com

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Merrick • Hanover, MD

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Hanover, MD

OVERCOME THROUGH COURAGE & STRENGTH

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2914 LINCOLN AVENUE OCEANSIDE, NY 11572

PHONE: 516.536.2300 • WWW.OCEANSIDECC.COM

xxxxxxx

RICHNER

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YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS — October 10, 2019

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WEâ€™RE CHANGING A LOT MORE THAN THE NAME. South Nassau Communities Hospital is now Mount Sinai South Nassau. And, of course, the name is just one of many changes happening here. We will be adding new facilities, technology, and specialists, and over $400 million is being invested to improve health care services. The one thing that is not changing; the great physicians, nurses, and staff who have always called South Nassau home. For more information or to make an appointment call: 877-South Nassau mountsinai.org/southnassau

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October 10, 2019 â€” YOUR HEALTH - HERALD COMMUNITY NEWSPAPERS

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411276_01a_2019_Mount Sinai_South Nassau_We're Changing__Herald-Jewish Star.indd 1

9/20/19 11:35 AM

Richner Communications, Inc

Published on Oct 10, 2019

Your Health - Central Zone October 10, 2019

Published on Oct 10, 2019

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