Focus On Health - October 4, 2018 by TBR News Media

A SUPPLEMENT TO TIMES BEACON RECORD NEWS MEDIA • OCTOBER 4, 2018

Focus on Health

OCTOBER IS BREAST CANCER AWARENESS MONTH

• High blood sugar during pregnancy risks • Fighting fall allergies • Promote healthy weight starting with lunch • Wireless technology and hearing • Confusing mammogram guidelines • Sleep problems and menopause

Lovelier Legs

PAGE S2 • FOCUS ON HEALTH • OCTOBER 04, 2018

Focus on health METRO

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Sleep during the menopausal transition is not always easy to come by. American College of Phlebology

This article was originally published by the National Institute on Aging. The years of the menopausal transition are often a time when there are other changes in a woman’s life. You may be caring for aging parents, supporting children as they move into adulthood, and reflecting on your own life journey. Add hot flashes on top of all this, and you may find yourself having trouble sleeping at night. Not getting enough sleep can affect all areas of life. Lack of sleep can make you feel irritable or depressed, might cause you to be more forgetful than normal, and could lead to more falls or accidents. Some women who have trouble sleeping may use over-the-counter sleep aids like melatonin. Others use prescription medicines to help them sleep, which may help when used for a short time. But, medicines are not a cure for insomnia. Developing healthy habits at bedtime can help you get a good night’s sleep.

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Sleep problems and menopause: What can I do?

Getting a Good Night’s Sleep During the Menopausal Transition

To improve your sleep through the menopausal transition and beyond: • Follow a regular sleep schedule. Go to sleep and get up at the same time each day. • Avoid napping in the late afternoon or eve-

ning if you can. It may keep you awake at night. • Develop a bedtime routine. Some people read a book, listen to soothing music, or soak in a warm bath. • Try not to watch television or use your computer or mobile device in the bedroom. The light from these devices may make it difﬁcult for you to fall asleep. • Keep your bedroom at a comfortable temperature, not too hot or too cold, and as quiet as possible. • Exercise at regular times each day but not close to bedtime. • Avoid eating large meals close to bedtime. • Stay away from caffeine late in the day. • Remember, alcohol won’t help you sleep. Even small amounts make it harder to stay asleep. If these changes to your bedtime routine don’t help as much as you’d like, you may want to consider cognitive behavioral therapy. This problem-solving approach to therapy has recently been shown to help sleep disturbances in women with menopausal symptoms. Cognitive behavioral therapy can be found through a class or in one-on-one sessions. Be sure that your therapy is guided by a trained professional with experience working with women during their menopausal transition. Your doctor may be able to recommend a therapist in your area.

OCTOBER 04, 2018 • FOCUS ON HEALTH • PAGE S3

Huntington Hospital’s Comprehensive Orthopedic Program

The care you need to get back to enjoying life—all in one location. At the Department of Orthopedics at Huntington Hospital, everything we do is designed to eliminate your pain and help you and your family return to the active, fulfilling lifestyles you enjoy—all within one convenient location. As a part of an extensive network of world-class orthopedic resources, our department is composed of board-certified orthopedic surgeons and interdisciplinary caregivers with years of expertise in their fields. Our physicians specialize in the diagnosis and surgical and nonsurgical treatment of musculoskeletal conditions and offer general orthopedic care and surgery, as well as a full range of sub-specialty treatments.

Our services

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Total joint replacement Hand & wrist Shoulder & elbow Spine care

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We have received the prestigious Joint Commission’s Disease-Specific Care Certification for quality in knee and hip replacement surgery.

Foot & ankle Trauma & fractures Sports medicine Musculoskeletal oncology

Visit Northwell.edu/HuntingtonOrtho or call (631) 351-2700 to learn more.

As one of the few “Own the Bone” sites in the region, we’ve been recognized for our dedication to our patients and our ability to treat a wide range of orthopedic needs, including fractures resulting from osteoporosis.

PAGE S4 • FOCUS ON HEALTH • OCTOBER 04, 2018

Focus on health

Your Health, Our Care

High blood sugar during pregnancy ups risk of mother’s type 2 diabetes, child’s obesity Researchers followed mothers and children 10 years after birth

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The following article was originally published Sept. 11 on the National Institutes of Health website. Mothers with elevated blood glucose during pregnancy – even if not high enough to meet the traditional definition of gestational diabetes – were significantly more likely to have developed type 2 diabetes a decade after pregnancy than their counterparts without high blood glucose. For children born to mothers with elevated or normal glucose, researchers found no statistically significant difference between the two groups of children in terms of their combined overweight and obesity, the study’s primary outcome. However, when obesity was measured alone, children of mothers with elevated blood glucose were significantly more likely to be obese. The results are part of a follow-up study published Sept. 11 in the Journal of the American Medical Association. Funded primarily by the National Institute of Diabetes and Digestive and Kidney Diseases, part of the National Institute of Health, the Hyperglycemia and Adverse Pregnancy Outcomes-Follow-up Study or HAPO-FUS, followed mothers and their children 10 to 14 years after birth. The original HAPO study found that even modestly elevated blood glucose levels increased the risks of complications for the baby both before and shortly after birth. Based on these results many, but not all, organizations adopted a new definition of gestational diabetes, a type of diabetes that occurs during pregnancy. HAPO-FUS compared the long-term effects of blood glucose levels in mothers who would have met the new definition of gestational diabetes with those who did not. Researchers aimed to learn if modest increases in blood glucose increased the mother’s risk of developing type 2 diabetes or prediabetes and the risk of obesity in the mother’s offspring at least a decade after giving birth. The study found the harms of even modestly elevated blood glucose for both mother and child extend more than a decade. Among women with elevated blood glucose during pregnancy, nearly 11 percent had type 2 diabetes at the follow-up study visit 10 to 14 years after childbirth and about 42 percent had prediabetes. Of their counterparts who did not have elevated blood glucose during pregnancy, about 2 percent had type 2 diabetes and about 18 percent had prediabetes. The study examined

The National Institutes of Health has released results from a more than a decade long study into the impact of a mother’s blood sugar during pregnancy.

4,697 mothers for type 2 diabetes, prediabetes and other disorders of glucose metabolism. Researchers analyzed 4,832 children for overweight and obesity, collecting data using body mass index, body fat percentage, skin fold thickness and waist circumference. They found that these measures all showed that children born to mothers with elevated glucose levels were more likely to be obese. For example, using BMI, 19 percent of children born to mothers with elevated blood glucose were obese, compared with 10 percent for children of mothers with normal glucose. Adjusting for the mother’s BMI reduced – but did not eliminate – the differences between the groups. “The differences in mothers and their children due to the mother’s higher blood glucose are very concerning. Even accounting for the mother’s weight, glucose had an independent effect,” said Dr. Barbara Linder, a study author and senior advisor for childhood diabetes research at the NIDDK. “Our ﬁndings add to the motivation to ﬁnd ways to help women at high risk for gestational diabetes who are or plan to get pregnant to take steps to reduce their risk.”

OCTOBER 04, 2018 • FOCUS ON HEALTH • PAGE S5

Focus on health

Wireless technology takes hearing aids to new levels METRO

Hearing loss may not be something people want to contemplate, but it is more common than many people may think. Hearing deﬁcits may occur from birth or be acquired due to injury or prolonged exposure to loud noises. The National Institute on Deafness and Other Communication Disorders says approximately 15 percent of American adults (37.5 million people) aged 18 and older report some trouble hearing. Age is the strongest contributor to hearing loss, with people age 60 and older with the highest levels of impairment. People with hearing deﬁcits can access a growing number of assistance devices to make their lives easier. From telephones and doorbells that trigger a blinking light rather than a bell to closed captioning and voice-to-text conversion to a greater understanding and widespread usage of sign language, the deaf and hearing impaired have many options to help them overcome hearing loss. As technology advances, so, too, do the options for the hearing impaired. One innovative piece of gadgetry is sophisticated wireless hearing aids that are compatible with personal electronic devices.

The capabilities of hearing aids are being expanded thanks to new technology like Bluetooth.

Thanks to Bluetooth technology, hearing aid manufacturers are harnessing this science to expand on the abilities of hearing aids and to develop new products. In the past, in order to use an MP3 player or mobile phone, a person

would need to remove traditional hearing aids to accommodate a pair of earbuds. Furthermore, hearing aids may have had their limitations in ﬁltering ambient noise. Although Bluetooth-powered hearing devices are still in their

infancy, Oticon, a global hearing technology company, has developed their own communication and entertainment solution called ConnectLine that enables people to connect hearing aids with different devices. This transforms hearing aids into a personal wireless headset for listening to music, watching television or video chatting. Many other companies, such as ReSound and Starkey, also offer Bluetooth-enabled devices. Their devices may be compatible with Android and iPhone models, some of which may only require an app or direct connectivity to the device. In fact, Apple has patented a speciﬁc Bluetooth connectivity with certain hearing aid manufacturers. Others may require an accessory of some sort to make connections possible, especially when pairing with a TV or other audio device. Thanks to cutting edge technology, assistive listening devices have improved considerably. Individuals should speak with their hearing care professionals about their daily needs concerning hearing aids and explore the options in wireless hearing aid technology that can work seamlessly with their devices.

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PAGE S6 • FOCUS ON HEALTH • OCTOBER 04, 2018

Focus on health

“We do whatever it takes to make families comfortable.” Our neighbors know we always go the extra mile, providing options they can’t find elsewhere. We’re continually adding new, unique services and team members - like Kota!

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Did you know?

The number of people who smoke is on the decline, as a 2018 report from the Centers for Disease Control and Prevention noted that the percentage of adults in the United States who smoke cigarettes declined from roughly 21 percent in 2005 to 15.5 percent in 2016. That decline has no doubt helped reduce overall cancer death rates, though the figures regarding smoking-related deaths are still staggering. According to the CDC, smoking accounts for more than 480,000 deaths each year in the U.S. The 2018 report from the CDC indicates that men (17.5 percent) are more likely than women (13.5 percent) to smoke cigarettes. In addition, the report notes a correlation between education and the likelihood of smoking cigarettes. While smoking was lowest among people who had graduate degrees, with only five out of every 100 such adults being smokers, smoking rates were highest (40.6 percent) among adults with graduate education degree certificates, or GEDs. While people who had no high school diploma were less likely to smoke cigarettes than GED recipients, the CDC report found that smoking rates declined the more education people received.

Preparing for the holidays can add a dash of stress to our already busy lives.

To avoid holiday stress, have a plan The holiday season is a busy time of year when there is much to accomplish. But everyday life continues during the holiday season, and that can make the month of December feel like a juggling act. Organization is one of the keys to managing the holiday season, and the following are a handful of strategies to stay organized during the holiday rush.

Kota is the first certified grief therapy dog in the area. He’s trained to detect human emotion and put people at ease. Research shows animals reduce anxiety and can aid in the grief process.

Write it down

Moving things that need to be done from the recesses of the brain to a physical piece of paper or note-taking app on a mobile device can be quite helpful. Break down and sort tasks into categories or list them in chronological order. prioritizing those tasks that need to be completed ﬁrst. Cross off tasks as they’re completed.

Kota’s presence is one more way we make a difference for families.

Buy gifts early

Shopping is one of the biggest stressors of the holiday season. The longer you wait to begin shopping, the longer the lines will be at the store when you ﬁnally get going. Instead, make a list of gift ideas early in the season and start shopping at the end of November or when you can take advantage of seasonal bonus deals or free shipping.

Peter G. Moloney (Co-Owner) with Kota.

Pick social events wisely

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You cannot be everywhere at the same time. And even if it’s possible to attend 10 holiday parties in a row, that can easily lead to burnout. Attend those gatherings that mean the most to you. If you’re struggling to choose between events, attend and those that seem the easiest to handle. Recognize that you will have to say no to others — just do so with ﬁnesse. Got invited to a last-minute gathering? Need a gift in a pinch? It is helpful to have a running stock of hostess and other gifts at the ready. Stock up on delicious, yet reasonably priced bottles of wine. Have a few gift cards to a favorite retailer handy. Put together a care package of movie ticket vouchers and jumbo candy boxes. And don’t forget to ﬁnd an easy, no-bake recipe and keep the ingredients on hand so you can arrive in style with a homemade dessert. The holidays are festive, fun and full of things to do. Organization can help ensure all of those things actually get done.

OCTOBER 04, 2018 • FOCUS ON HEALTH • PAGE S7

Focus on health

Reap the beneﬁts of physical therapy METRO

Injuries have the potential to sideline people for weeks, months or permanently. Injury to the body can occur when participating in organized sports, ﬁtness regimens or even after being in an accident. Recovering from incidents that can impact mobility and range of motion takes time, but physical therapy can help the body acclimate to regular activity once more. Physical therapy also can help healthy people as well. Those who have suffered a sprain or a broken bone or even spent a duration of time immobile in the hospital due to an illness are often prescribed physical therapy as part of their follow-up treatment. Physical therapy programs try to progressively increase strength, improve mobility and help the body return to a state where it can function as best as possible. In many cases, a person can regain his or her original capabilities. According to the American Physical Therapy Association, a physical therapist is a trained and licensed medical professional who has the experience to diagnose physical abnormalities, restore physical function and mobility, maintain that function, and promote proper form for

Physical therapy can be a valuable tool in both recovery from and prevention of injuries.

future activity. Physical therapy sessions can take place in hospitals, rehabilitation centers, ﬁtness settings, private practices, and much more. Not only can physical therapists react to and treat an injury, but they can also teach exercises, stretches and techniques to help prevent problems in the ﬁrst place. Experts at Bay

State Physical Therapy indicate that physical therapy extends beyond disabled or injured people. Physical therapists can educate a person on weaknesses in the body and can guide correction on poor body mechanics that cause pain. This way a person can make changes to prevent future pain and injury. Rather than being reactionary, healthy individuals can take a

proactive approach to avoiding pain and injury. When one opts for physical therapy, he or she may: • undergo a physical exam and evaluation of pain, movement, flexibility, and performance • receive a clinical diagnosis and plan of care • establish long-term goals • participate in physical therapy treatment, which may include stretching, movement and weight-bearing activities based on the therapist’s guidance • be given at-home work to further progress in between sessions. While physical therapy can be used for recovery from strokes or paralysis, injuries, trauma, and musculoskeletal conditions, it also benefits healthy people. For example, women can use physical therapy to learn exercises that may prevent pelvic floor dysfunction. In addition, physical therapy can teach people how to improve their balance and prevent falls. When people hear about physical therapy, they tend to think it is for people with injuries. While physical therapists can help heal injured parts of the body, physical therapy continues to evolve to assist with overall wellness.

Orthopedic Injury Assessment Walk-In Clinic

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Pre and Post-Operative Classes for any Orthopedic Surgical Cases including Joint Replacements and Arthroscopic Our FREE classes help educate patients (or those who may be considering surgical intervention) about what to expect in preparation for surgery. Benefits of taking class: • Increase preparation • Decrease anxiety and concerns • Improve outcome

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Available for ATHLETES throughout the entire year 7 am - 7 pm Monday through Friday East Setauket • Miller Place Each of our highly trained Physical Therapists offer clinic hours during the week Frank McCoy, PT • Jessie Cavazos, DPT • Walter Chomicki, DPT Athletes under the age of 18 must be accompanied by a parent or guardian with $20 cash payment. Medical emergencies should be directed to the nearest hospital emergency department

PAGE S8 • FOCUS ON HEALTH • OCTOBER 04, 2018 DIANE H. CYMERMAN, MD, Allergy and Asthma Specialist

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Individualized, results-oriented allergy and asthma care

Focus on health

Dr. Cymerman has been serving the adults and children of the community with distinction for over 20 years. Treatment is offered for allergic and immune conditions, including: • Seasonal allergies • Recurrent sinusitis • Asthma • Hives

• Eczema • Food allergies • Hay fever • Pet allergies

• Bee sting allergies • Immune conditions • Chronic cough • Dermatitis

Optimal assessment is accomplished in our office with: • Skin testing • Pulmonary function testing

• Desensitization injections • Patient education

Call (631) 751-6262 for an appointment.

Packing a healthy meal for school lunch can help combat childhood obesity.

Long Island Allergy and Asthma

Promote healthy weight starting with lunch

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Although there are a variety of theories behind the growing obesity problem plaguing North American adults and children, the most consistent findings point to caloric intake as the culprit. Here’s a simple equation to get to the root of the problem: Calories eaten > calories spent = weight gain According to National Health Examination Surveys, adult obesity trends in the United States between 1976 and 2014 indicate the percentage of the adult population classified as obese has roughly doubled to more than 38 percent in the last three decades. Children may be learning eating habits from their parents, potentially contributing to rising obesity rates in children as well. Recent findings from the Centers for Disease Control and Prevention indicate one in five school-aged children and young people in the United States is obese. In Canada, the Public Health Agency says roughly one in seven children is obese. Teaching children healthy eating habits starts at home and can extend to what students are given to eat while at school. The Center for Science in the Public Interest says schools across the country are working hard to improve school nutrition. Here’s how parents and school districts can help make school lunches more nutritious and delicious and lower in calories. • Control snack intake. The U.S. Department of Agriculture says that more than onefourth of kids’ daily caloric intake comes from snacking. Choosing smarter snacks may help reduce overeating. Good snacks can include grain products that contain 50 percent or more whole grains by weight; snacks in which the primary ingredient is a fruit, a vegetable, dairy

product, or lean protein; snacks that are a combination food that contain at least a 1⁄4 cup of fruits or vegetables; and foods that contain no more than 200 calories. • Read nutritional information. When selecting foods for school lunches, parents should read the nutritional information to make sure they know exactly what they are feeding their children. Select foods that are low in saturated fats and cholesterol and high in fiber and nutrient-rich fruits, vegetables, grains, and legumes. • Go with water. Rethinking beverage choices can help control kids’ caloric intake. Many people don’t realize just how many calories beverages add to their daily intake. Even a six-ounce, 100-percent apple juice can include as many as 96 calories. Sodas and other soft drinks pack a hefty caloric punch. Water, seltzer and unsweetened iced tea are healthy beverage options. If milk is the go-to beverage, choose a reduced-fat version. • Introduce new foods. Children can be notoriously picky eaters, but with patience and perseverance, parents can introduce new, healthy foods at lunchtime. Yogurt, hummus and salsa are healthy and can add flavor to vegetables and fruit. When making sandwiches, exchange refined breads for whole-grain varieties. Choose lean protein sources, and go heavy on vegetables and fruits for natural fiber, which will create feelings of satiety. • Read the school menu. Let children indulge in ordering from the school menu when healthy options are featured. Urge them to try something unexpected, rather than sticking to chicken nuggets or pizza days. Healthy eating habits begin in childhood and can be initiated with school lunch.

OCTOBER 04, 2018 • FOCUS ON HEALTH • PAGE S9

Focus on health

As the days become shorter and the weather cools down, a new crop of allergy symptoms can arise, turning the autumn season into one marked by sneezing, scratchy throats and itchy eyes. Medications can alleviate such symptoms, but allergy sufferers may want to investigate some natural ways to beat allergies. According to the American College of Allergy, Asthma & Immunology, ragweed is one of the more common triggers of autumnal allergies. Ragweed contributes to “hay fever,” which is a term to describe allergic rhinitis that occurs as a symptom of ragweed pollen in the air. Ragweed releases pollen in mid-August, and it can continue to be problematic until a deep freeze arrives. Other sources of fall allergies include leaf mold and pollen that is present on fallen leaves. This gets circulated when people begin to rake or blow fallen leaves. Classroom pets and chalk dust in schools (although chalkboards are largely a thing of the past) are other autumn allergens. The good news is that many natural remedies work just as effectively as over-the-counter medications in regard to combatting ragweed and pollen problems. Here’s how to beat

the fall allergy blues. • Stay away from pollen. Stay away from pollen and prevent it from being tracked indoors. Remove shoes when walking through the door. Take off clothes worn outside and launder them promptly, showering to wash pollen off of the body. Use an air conditioner or keep windows closed when the pollen count is high. • Increase omega-3 fatty acids. It is well documented that fatty acids are good for brain health and cardiovascular well-being. But these acids also may help with allergies. A German study linked foods high in omega-3 fatty acids with the ability to fight inflammation, which is a hallmark of allergy suffering. Foods that are high in fatty acids include walnuts, flax, eggs, and cold-water fatty fish. • Rinse off pollen. Use a mild cleanser to rinse the eyelids and eyelashes of pollen, as this is where it tends to congregate after being outdoors. Use saline spray to clear nasal passages of excess pollen as well. • Take natural supplements. A study published in the journal Clinical and Experimental Allergy found participants who used tablets of the herb butterbar showed significant allergy

METRO

Fighting fall allergies

The changing of the seasons means days or weeks struggling with allergies for many.

relief after only one week. Select herbs from reputable manufacturers who certify them. • Use eucalyptus oil. This oil is great to have in the house to help clear up sinuses and provide nasal congestion relief. Mix a small amount with coconut oil and rub onto the chest. There also is some evidence that adding a few

drops of eucalyptus oil to cleansing products can help kill dust mites around the house. • Wear a mask. When doing housework or yard work, wear a mask to reduce the inhalation of speciﬁc allergens. Avoid seasonal allergies by exploring natural ways to ﬁnd prevention or relief of symptoms.

CLASSIC MEDICARE SOLUTIONS Medicare Advantage • Supplements • Prescription Drug Plans

Turning 65? Questions about your current Medicare plan? We’re here to help at no cost or obligation. Classic Medicare Solutions is a team of licensed, trained and certiﬁed insurance agents knowledgeable about Medicare. “The Classic Team” is available to answer all of your questions and can help you ﬁnd a plan that best suits your needs and your budget. We’ll review Medicare Advantage, Medicare Supplement Insurance Plans and Prescription Drug Plans. As licensed agents who focus on Medicare, we can

help you understand how your beneﬁts work and review all of your available plan options to help you select a plan that works for your needs and budget. By representing most major Medicare carriers, we can provide you unbiased information at no cost to you, our services and advice are FREE! We are available by phone 631-474-5220, or at our office 900 Hallock Avenue Port Jefferson Station, NY 11776 or in the convenience of your home.

Annual Enrollment Period is Oct. 15 – Dec. 7, 2018 You must continue to pay your Part B premium. A sales person will be present with information and applications. For accommodation of persons with special needs at sales meetings please call1-888-608-1790 TTY 711 M-F 9 am-5 pm. By calling the number above you will be directed to a licensed insurance agent. Medicare has neither reviewed nor endorsed this information

www.rrosenka.onlinehealth.news

PAGE S10 • FOCUS ON HEALTH • OCTOBER 04, 2018

HELPING YOU NAVIGATE TO OPTIMAL HEALTH

David Dunaief, M.D. Integrative Medicine

• A Whole Body Approach • Reversing, Preventing & Treating Chronic Disease and Managing Weight by Connecting Conventional Medicine with Lifestyle Modifications Our Philosophy is simple. We believe wellness is derived through nutritional medicine and lifestyle interventions that prevent and treat chronic diseases. Medications have their place - and in some cases can be lifesaving. However, there’s no medication without side effects. The goal should be to limit the need for medications - or minimize the number of medications you take on a regular basis. You are not limited by your genes. Fortunately, most diseases are based primarily on epigenetics, which are environmental influences, and not on genetics. Epigenetics literally means above or around the gene. In epigenetics, lifestyle choices impact gene expression. Just because your first degree relatives may have had a disease, you are not predestined to follow suit. We are specialists who will partner with your primary care physician. A standard medical education does not integrate enough nutritional medicine and other lifestyle interventions. We bridge that gap.

We use evidence-based medicine to guide our decision-making. The amount of research related to nutrition and other lifestyle issues continues to grow rapidly, with many studies showing significant beneficial effects on health. We treat each patient as an individual. We will work with you to develop a plan that allows you to take a proactive role in managing your own health. The health outcomes are worth the effort. Is disease reversal possible? Absolutely! Study evidence has found this to be true, and many of our patients have experienced reversal of diabetes, autoimmune disorders, migraines, and cardiovascular disease, just to mention a few. In many cases, because of their exceptional results, our patients have been able to reduce or eliminate their medications.

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41 Clark Street, Brooklyn, NY 631.675.2888 718.924.2655 drdunaief@medicalcompassmd.com • Visit our website www.medicalcompassmd.com

Clinician, Researcher, Author and Speaker Dr. Dunaief was also recently published in The New York Times and appeared on NBC, News 12 Long Island and News 12 Brooklyn.

Benefits of Our Approach: Treat/reverse the causes of disease, not just symptoms Minimize or eliminate dependence on medications Reduce pain and inflammation Improve weight management

Read more common questions and answers on medicalcompassmd.com. Dr. Dunaief has written over 2,000 medical research articles that have been published in Times Beacon Record Newspapers.

47 Route 25A, Setauket NY

David Dunaief, M.D.

“Dr. Dunaief is a knowledgeable, dedicated and compassionate Integrative Medicine clinician, researcher and speaker.” – Joel Fuhrman, M.D., author of six New York Times best sellers, including Eat to Live.

Dr. Dunaief builds a customized plan for each patient - he knows that “no body is the same.”

OCTOBER 04, 2018 • FOCUS ON HEALTH • PAGE S11

Focus on health

Are mammogram guidelines confusing you?

Dr. Nina Vincoﬀ, Northwell Health’s chief of breast imaging, sets the record straight on why it’s never too early to start screening for breast cancer METRO

BY DR. NINA VINCOFF Are you unclear about when you should get your ﬁrst breast cancer screening mammogram and how often you should have them? You’re not alone. Over the past few years, I’ve met so many women who are confused about this important decision. They tell me they used to think they should begin annual screenings when they turned 40 — what most experts recommended in the past — but now they are unsure due to conﬂicting recommendations. You may recall that in 2015, the American Cancer Society changed its recommendation and suggested that women who are at average risk for breast cancer should begin annual screenings at age 45, and then cut back to every two years starting at age 55. Soon after, the United States Preventive Services Task Force suggested women get mammograms only every two years between the ages of 50 and 74. So not only did both organizations change guidelines, but the new guidelines are not the same. I certainly understand why many people are confused. Despite these changes, my colleagues and I at Northwell Cancer Institute continue to strongly recommend annual mammograms starting at age 40. Here’s why:

Early detection saves lives

Studies have proven that annual mammography starting at age 40 saves the most lives. That’s because while breast cancer can occur at any age, the risk noticeably increases at age 40. One-sixth of all breast cancers occur in the 40 to 50 age group, and 40 percent of all years of life lost to breast cancer are in women diagnosed in their 40s. These are women in the prime of their lives and careers, and a lot of them are mothers — so we want to pay attention and not let anyone slip through the cracks.

Saving lives outweighs the risks of screening

Disparities in guidelines arose because some people gave weight to the so-called risks of screening, namely the possibility of needing additional imaging and/or a biopsy for what turns out to be a false-positive ﬁnding. (A biopsy is a procedure to remove sample cells or tissue from your body to exam it and determine the presence or extent of a disease.) While it’s true that one out of every 10 women who are screened will need additional images in order for the doctor to make a decision, and of these women, one in ﬁve will need a biopsy, I don’t readily accept the idea that women can’t handle this level of stress. I

Screening for breast cancer is essential to ensure early detection, which saves lives.

let my patients know that 80 percent of women who undergo a breast biopsy end up not having cancer. I believe that when explained upfront, it’s something that most women can accept — that the biopsy may show no indication of cancer. But that’s a good thing. And saving lives trumps everything else. It’s also important to note that the updated guidelines were largely based on 2D technology; we’re now moving toward 3D mammograms, which reduce the need for extra images by up to 40 percent, while increasing the detection of invasive breast cancer by up to 40 percent.

Early detection means less aggressive treatment and better outcomes

Catching any cancer in its earliest stage greatly reduces the amount of treatment need-

ed. Early breast cancer detection often means less extensive surgery, fewer mastectomies, and less aggressive or possibly no chemotherapy at all. This results in an easier recovery with less chance of side effects and complications — and a quicker return to normal life.

It’s hard to predict who may have breast cancer

New guidelines suggest that women who fall outside of the suggested screening age talk to their doctor and decide for themselves whether to get screened or not. But an annual mammogram is beneﬁcial for all women 40 and over, even those who believe they are low or average risk. That’s because every one of us is susceptible to the disease, regardless of genetics or family history. In

fact, 75 percent of breast cancer patients don’t have family history of the illness. And a woman in the U.S. has a one in eight risk of being diagnosed with the disease over the course of her lifetime.

A national consensus will probably not be reached anytime soon

I hope that all organizations can come to an agreement on this important topic, but I don’t think it’s going to happen in the near future. Therefore, it’s up to each individual to take a proactive approach to ﬁghting this disease — starting with getting annual mammograms at age 40. For more information, thewell.northwell.edu. Dr. Nina Vincoff is Northwell Health’s chief of breast imaging.

PAGE S12 • FOCUS ON HEALTH • OCTOBER 04, 2018

Where You Go Matters When you go for a mammogram, you want a highly experienced breast radiologist, the latest technology and the most caring staff.

Join us for Paint Port Pink during October. Bringing the community together in the fight against breast cancer. Learn more at paintportpink.org

Mather Hospital’s Fortunato Breast Health Center is pleased to announce our New Advanced 3D Mammography System - Designed to make screening more comfortable for you - Offers sharper, clearer images for improved diagnostic accuracy - Delivers the lowest radiation dose of all FDA approved 3D mammography systems

Our board certified breast radiologists, Dr. Michelle Price and Dr. Joseph Carrucciu, review more than 12,000 breast studies each year, comparing your latest scans to multiple prior year scans to identify the smallest changes. Our compassionate nurse navigators assist diagnosed patients through treatment and recovery explaining every step of the journey while providing emotional support. Our center is warm and serene, and we even have heated robes. Make your appointment for your annual mammogram, call the Fortunato Breast Health Center at 631-476-2771.

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