Your Wellness Matters | Issue 27 | Oct 2022

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October 2022 Issue 27

Matters The community paper to whom your wellness matters. facebook.com/yourwellnessza

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DITTO PROJECT The Golden Bow

HERALDED ‘LIFE-SAVING’

BY STATE RECIPIENT a symbol for breastfeeding protection, promotion and support.

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his October, ‘Breast Cancer Awareness Month’ – Apffelstaedt, Hoosain & Associates will once again, for the third consecutive

year, support and raise awareness for the Ditto Project of Reach for Recovery’s Cape Peninsula Branch. “Reach for Recovery (R4R) and I share the same

belief: that all women facing breast cancer must be treated with dignity and have the same access to care, regardless of whether they can afford it,” says Dr

Continued on page 3 PARTNERS:

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October 2022

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Issue 27

Your Wellness Matters is a free wellness community newspaper created to empower readers with preventative wellness information in order to make better wellness and lifestyle decisions.

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Writers: Zagreb Kline, Refiloe Nomdada, Tsolofelo Mhabe

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DITTO PROJECT HERALDED ‘LIFE-SAVING’ BY STATE RECIPIENT Apffelstaedt. Launched in 2011, the Ditto Project has provided a total of 7,784 silicone prostheses costing more than R5,9 million to women who could not afford one.

“The Ditto Project aims to help women regain their self-confidence, giving them access to high-quality silicone breast prostheses and also assisting them – through local branches of R4R – to ensure they choose the correct shape and size for their body,” says Stephné Jacobs, Chairperson of R4R. “Having a mastectomy leads to a tier of decision making regarding whether to have surgical reconstruction, wear an external breast prosthesis, or not wear anything at all to replace the amputated breast,” says Stephanie van Deventer, National Manager of R4R. According to Dr Hoosain, “With a breast cancer diagnosis, there is the possible trauma of the diagnosis, the physiological side-effects of the various treatments (hormone fluctuations, fatigue, nausea, pain), the dramatic changes to your body following mastectomy as well as side effects from radiation and chemotherapy treatments such as weight gain or loss, for example. Some women struggle with a feeling of having ‘lost their wholeness’. All of this can lead to self-esteem issues, and in some cases, even depression. The work that The Ditto Project does is of immense value. Not only from an aesthetic viewpoint, by providing a prosthesis, but from a psychological viewpoint; by providing a sense of wholeness to those who feel a physical loss.”

Dr F Hoosain

Carla Lind – Regional Chair for Reach for Recovery Western Cape and volunteer Michele Coe, spearheaded a further project via the Cape Peninsula branch of R4R. “State patients do not have the luxury of shopping at a mastectomy boutique for a proper mastectomy bra after they have received an external breast from the Ditto Project. Many of them do not have access to either the proper bra or the correct size, so vital for supporting the external prosthesis,” says Lind. “So, in May 2022, the Cape Peninsula branch of the Ditto Project also started offering a new, subsidised mastectomy bra. This has been a development project in collaboration with Thursdays Lingerie – to provide a locally made mastectomy bra at a price point that was accessible.”

Says Shona Macdonald, owner of Thursdays Lingerie: “Speaking to Reach for Recovery about the Ditto Project, and understanding their mission to help breast cancer survivors feel comfortable in their bodies post-surgery, really resonates with my initial reasons for launching Thursdays Lingerie. Designing a bra that can give these women a sense of self pride, allowing them to recognise themselves in the mirror and feel beautiful in public spaces, is so meaningful. Our vocation is to help women see themselves through the kind and loving eyes of their best friend.”

The design of a mastectomy bra is far more complex than that of regular underwear.

An internal stretch mesh layer is added to a baseline design that acts as a thin pocket on both breasts. This allows the prosthesis to easily slide in and be kept firmly in place during wear. The pattern grading allows a fit for both smaller and bigger sizes. The bra also features a wide under band (the band that goes under the cups and around the back) that helps the bra to stay in place. The straps on a mastectomy bra are also wider than those on a standard bra.

This is more comfortable for most women, especially those who are overweight. For example, wearing a size 12 prosthesis can be very heavy. Thursdays used their supportive Cape Everlasting Wireless Bralette pattern as a baseline for the mastectomy bra. After consultation with R4R, it was then developed into the Carla Mastectomy Bra launched this year.

Says Mercy Dzemunyasi, a recipient of both a R4R prosthesis and mastectomy bra who recently took part in a photoshoot to

Dr. Justus Apffelstaedt

help raise awareness for this initiative, “Reach for Recovery came at the right time. I was diagnosed at an early age, and it was really shocking, so I was feeling both depressed and shattered. When the prosthesis came along, it was a huge change for me. My self-confidence and self-esteem were at an all-time low and this made an enormous difference. When I then got the mastectomy bra, it was an even more enormous difference. I felt like a whole woman again. The little things make a huge difference when you’re going through something like this. The Ditto Project is literally a lifesaver.”

Concludes Dr Apffelstaedt: “Reach for Recovery wants to help women who are dependent on public health services to feel confident again after the traumatic diagnoses and surgery. We believe that a breast prosthesis is an important step in her recovery, especially for those women from communities where there is still a stigma attached to a cancer diagnoses. A more natural appearance with a breast prosthesis, together with the emotional support that she can continue to receive from Reach for Recovery volunteers through support groups, will help her to return to her normal life.”

In support of breast cancer month, Thursdays Lingerie is donating 5% of any purchase of the Carla Mastectomy Bra via their e-commerce site to the Cape Peninsula branch of Reach for Recovery. This month will also see Dr Apffelstaedt donate funds raised through any speaking events in support of the Ditto Project.

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GLENCORE INVESTS OVER R100 000 TO PREVENT BLINDNESS Zagreb Kline

Eye Care Awareness Month is commemorated from 21 September to 18 October to raise awareness about the importance of eye health, specifically around the prevention and treatment of avoidable blindness.

50% of blindness is estimated to be caused by cataract, affecting an estimated 170,000 people in South Africa. Cataract is known as the clouding of the normally clear lens of the eye and forms when protein builds up in the lens of one’s eye and makes it cloudy. This keeps light from passing through clearly and can cause the affected party to lose some of their eyesight, thus negatively affecting their quality of life.

“We weren’t aware of just how prevalent the issue of blindness caused by cataract in our communities was, but once we had sight of the numbers, it became incredibly important for us to get involved and help out,” said Glencore’s Community Development Specialist, Mapule Mokoena.

According to the South African National Council for the Blind (SANCB), the Nkangala district in Mpumalanga has a high prevalence of cataracts and very few eye care activities due to inadequate resources in the district. This means that close to 6000 people have avoidable blindness in these communities as caused by cataract.

Images Supplied

This was the unfortunate case for self-employed Carpenter, Gideon Mola before he received the much needed surgery through Glencore’s support.

played our part in reducing the prevalence of avoidable blindness in our communities.,” said Glencore’s Community Development Specialist, Mapule Mokoena.

“My vision has always been misty to the point where I couldn’t even see properly at school. The last time I had my eyes tested was three years ago and my eyes had gotten much worse at that point. Life was getting more difficult as I couldn’t work productively and this was affecting my ability to making a living. Now that I have had the surgery, I am confident that my life will improve significantly. I’m excited to look at the world with fresh new eyes.” he said.

To better understand just how much support was needed, Glencore partnered with the SANCB to identify community members in need of the surgery. The two companies commenced a Witbank Hospital tour where more than 30 patients were screened and 22 underwent cataract surgery with the help of the hospital surgeons, Dr Mthethwa and Dr Sebogodi.

Through the partnership, the mining operation aims to provide comprehensive eye care to community members as this is an essential part of the global action plan which is to meet the eye care needs of marginalized communities in the country.

“What has been done through this incredible partnership has enabled us to slowly change the statistics of people needing cataract operations in the district. This means providing direct eye care service to our community members who do not have access to eye care services. We are happy to have

You may suffer from cataract if you note these signs and symptoms; clouded, blurred or dim vision, increasing difficulty with vision at night, sensitivity to light and glare, need for brighter light for reading and other activities, seeing "halos" around lights to name but a few.

“The success of such a project is based on the partnerships that the South African National Council for the Blind has, as no organisation can successfully implement the programme on its own. This is also why we partnered with Glencore Coal. When we first approached Glencore, they were eager to jump on board based on their commitment to improving the lives of their communities.

Their response gave us the encouragement we needed as we also want to improve people’s quality of life” said SANCB Manager, Angelina Khupe.

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FLAXSEED OIL REDEFINES SOAP FOR HEALTHCONSCIOUS TIMES

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As hand hygiene and skin health become major priorities for individuals and families across South Africa, flaxseed oil has emerged as a healthy and effective way to improve skin health.

and to prevent pollutants from entering the skin. As an ingredient in new Protex Flaxseed bar soap, flaxseed oil helps to protect against germs while penetrating the skin and boosting its ability to fight bacteria.

Flaxseed oil has been found to enhance the skin’s own ability to clean itself, boosting natural antibiotic protection and providing prolonged protection against bacteria. It also has internal health benefits – flaxseed oil contains omega-3, omega-9 fatty acids , and omega-6 fatty acids, which studies have found to have positive heart benefits.

The new soap offers South Africans revolutionary health benefits, incorporating this recognised bacteria-protection effect using pure, cold-pressed flaxseed oil. It has been shown to boost the skin’s natural defences for up to 24 hours after use.

Flaxseed oil is also known to improve skin smoothness and hydration, to reduce inflammation, control sebum production,

“We believe an ingredient is not protecting unless it makes you stronger,” said Panagiotis Tsourapas, group President, Colgate-Latin America, Asia Pacific & Africa-Eurasia. “This is why we have added flaxseed oil to our new

Protex bar soap. The new soap represents the biggest natural innovation in body care since the launch of Protex in 1985.”

Tsourapas said thanks to the protection that new Protex Flaxseed provides, people using it would now have greater confidence to get out and enjoy life.

“Protex Flaxseed gives you the confidence and freedom to reach out and touch everything good in the world,” he said. “New flaxseed technology protects against germs while also rejuvenating skin and making you healthier.

“By combining these health benefits, Protex is looking to improve our attitude to life. It’s about going beyond regular soap, and redefining what soap does for us.”

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SOCIAL MEDIA AND SELF-ASTEEM

Tsolofelo Mhabe

Depending on how it is used, social media has the power to either help build a person’s self-esteem or feed their insecurities. October is World Mental Health Month, and Netcare Akeso is challenging everyone to reflect on how they see themselves as a foundation for better mental wellbeing all year round.

“Look beyond the image reflecting back at you, and realise that you are so much more.

This is the first step in maintaining positive mental health,” says Melanie Da Costa, managing director of Netcare Akeso and Netcare Group director of strategy and health policy.

Megan Hosking, Netcare Akeso crisis line and marketing manager, adds that healthy self-esteem is nurtured when we learn to love the many different facets of ourselves beyond the surface level measures of physical appearance. “The preoccupation that many people have with selfies as a means of expressing their identity, particularly younger social media users, tends to highlight a person’s looks and the number of ‘likes’ they attract on these platforms as a measure of self-worth, which can be exceptionally destructive for one’s self esteem.

“Add to this the highly filtered, edited and posed images that proliferate on social media creating an expectation of unrealistic standards that young people often feel pressure to live up to. The danger of ‘selfie culture’ is that it threatens to erode self-confidence by narrowing how we define and what we value about ourselves as people, which is fundamental to mental wellbeing,” Hosking says.

World Mental Health Month self-esteem challenge “This World Mental Health Month, we challenge you to focus on what aspects you love about yourself that are more than skin deep.

Flip the narrative on selfie culture, and take this opportunity to think about your other abilities, attributes and good qualities.

“If you find yourself preoccupied with social media or your self-image is dominated by how you look, take the time to break down the false perception of yourself and build up your self-confidence with this exercise.

Step 1: Take a no make-up, no filter photo of yourself when you don’t look your best.

Step 2: Don’t post it to social media. Instead, use it as a self-reflection tool and take a minute to consider how you look at your own image and to become aware of how you see yourself.

Step 3: List your strengths and capabilities, and that which you identify as being ‘you’.

Step 4: Be realistic about yourself and set daily goals towards improving any aspects that you may wish to develop. For example, if you find you’ve been scrutinising yourself with a narrow focus on your appearance, reconsider which accounts you follow or think about taking a break from certain media or social media platforms.

Step 5: Love yourself for more than what can be seen in a mere selfie, including the contributions you make to the world and other people’s lives.

“Instead of dedicating time and energy to the unattainable standards of selfie culture, which may encourage people to be overly critical of themselves, rather empower yourself with a more compassionate view of yourself. Only you can define who you are as a person, and your true merit,” Hosking says.

Mental wellbeing is a continuous journey

“Maintaining good mental health requires us to consciously be aware of and check in with ourselves, constantly putting in the work to stay healthy and well. This entails forming constructive habits, having a solid support system and having conversations with the right people to ensure you have access to help, if needed,” Da Costa notes.

Family and true friends can offer invaluable emotional support, and professional assistance is available through a number of channels, including Netcare Akeso mental health facilities on either an outpatient or inpatient basis.

“Building and maintaining a healthy self-esteem can be a daunting process – remember you are not alone.”

If you are having an emotionally difficult time, Netcare Akeso’s 24 hour crisis line is always here for you on 0861 435 787.

Trained counsellors are available to listen without judgement, and can guide you on the various options for assistance, whether for yourself or for a loved one. The South African Anxiety and Depression Group (SADAG) also provides a 24 hour suicide crisis helpline on 0800 567 567.

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TECHNOLOGY HELPS TACKLE SOUTH AFRICA’S MENTAL HEALTH CRISIS Refiloe Nomdada

October is Mental Health Awareness Month in South Africa, a month that aims to shine a light on and destigmatise the silent epidemic that affects millions of people.

Alon Lits, the co-CEO and co-founder of Panda, the mental health support app that launched a year ago, explains the significant role technology plays in providing access to those who need affordable mental health support and resources. Until now, access to mental health support has been limited. It is expensive to see a therapist, and the stigma surrounding mental illness has stopped so many people from getting the help they need.

The reality is that hundreds of thousands of South Africans suffer in silence because they are too embarrassed to ask for help, they don’t know how or where to get help or they simply can’t afford to get help. This is when the Panda team realised enough was enough and drove the primary objective behind the app to provide as many people as possible with access to a supportive community where they can get treated and get better. Lits and his business partner Allan Sweidan, a clinical psychologist, knew the way to do this was through technology.

“Anyone with a smart phone can access the Panda app. We have made the platform so easy to use so that we can try to democratize access to mental health support and help people find the right care at the right time, says Lits. “Since launching Panda, we have gained valuable insights into what ails our nation from a mental health perspective.

Our data has revealed a critical need for support for anxiety, depression, exam stress, sleep-deprivation and self-esteem. By far the biggest issue people deal with is anxiety, overwhelmingly affecting younger age groups” he explains.

According to the World Health Organization

(WHO), during the first year of the Covid-19 pandemic, people suffering with anxiety and depression spiked by 25%, the majority being women and young people aged 18 25. This, along with findings from the Mental Health of the World report 2021 that recorded South Africans as having the lowest mental health quotient score in the world, means our country is facing a mental health crisis that very little is being done about.

This is evident in South Africa where suicide is the second-leading cause of death among those under the age of 29, taking the lives of 23 South Africans every day. For those grappling with poverty, unemployment and violence, the risk of suicide is even higher.

With 9 out of 10 people who die by suicide being found to have suffered from a mental disorder, often unnoticed, undetected, and untreated, it is time to break down the barriers that prevent them getting help.

To help curb the broader mental health crisis, Panda has made a wide range of assessments available on its app so that users can better understand and proactively manage their mental health. Importantly, the app provides users with personalised recommendations about how to take the first step to manage their mental health journey.

Below are key benefits of using technology for mental health support: 1. Support for anyone, anywhere – tech-

nology means more people can access help, no matter their location. As long as they have a smart phone, and access to internet, support is in the palm of their hands.

2. More affordable – the Panda app is free to download, access to live-interactive group sessions, content and assessments are free, and they also offer low-cost 1:1 inter-

Alon Lits: co-CEO and co-founder of Panda

vention in the form of text-based chat support.

3. Anonymity – while the Panda team hopes to reduce the mental health stigma, it still exists and there are people who would prefer to remain anonymous when seeking help. Technology enables this.

4. Helps sufferers take the first step to get help – technology provides a platform

for mental health sufferers to take the first step to get the care they need. It can be intimidating to make an appointment with a mental healthcare professional, technology removes this barrier and makes it easier to join a live session and listen or review content in your own time.

5. Convenience – support sessions are

within reach of users and can take place anytime, anywhere and is the answer for those who are intimidated by in-person appointments.

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MANAGING YOUR MENTAL WELLNESS Supplied Content

October puts the spotlight on Mental Health Awareness, and two of the essential aspects of healthy mental wellness are sleep and staying active; Psychologist and Wellness Coach Dr. Eugene Kemp adds, “it helps with interrupting destructive patterns and obsessive worrying about something by changing the focus.” “You need to make it a priority, which often starts with being more aware, mindful and attentive with your approach. In terms of exercise, make sure to plan it into your schedule; give it a specific time slot and dedicate yourself to it - focus on the advantages of prioritising it.” he adds.

When we don’t make sleep and exercise a priority, we see an increase in psychiatric conditions, “which can exacerbate the symptoms of many mental conditions including depression, anxiety, and bipolar disorder” says Dr. Kemp.

Dr. Daniel Amen, an American Psychiatrist, recently said that exercise, when measured as an antidepressant, goes head to head with pharmacology when treating depression, so it's proven to be an effective means to support not only your mental but also physical health.“When it comes to exercise, if you’re feeling low, we know it can be a challenge to even think about prioritising fitness; however, you don’t have to go all out, Ignite Fitness has classes and facilities that cater to your every fitness need. You might find that kicking up your training a notch in the Rumble arena is exactly what you need.

Alternatively, If you’re just coming to the gym to get support and to join a community of like-minded people, the group class concept that we have to offer might be exactly what you need. Whatever gets you moving will surely benefit your mind and body.” says Kerry-Anne Mathieson, Head of Marketing at Ignite Fitness. With sleep being one of the most important activities you do

in a day, right up there with eating, we need to ensure we create the ‘perfect sleeping environment’. “The ‘perfect’ environment doesn’t necessarily exist because everyone prefers it differently. It’s not impossible to try, though!” says Rudo Kemp, Founder of Sloom - the only comfort adjustable mattress in South Africa.

“However, the one constant is a quality mattress and pillows - both need to support your preferred comfort as well as your body (and its shape). I launched Sloom because I wanted to create one bed that could deliver the perfect restful environment for everyone - from support to comfort, to delivery straight to your door.” he adds.

“To add to your sleeping comfort, ideally you want breathable bedding, so Cotton or Linen is always a win, but not a must. In terms of room temperature, our bodies prefer sleeping in a room that is around 23-degrees. This can either be accomplished by an aircon or managed through opening or closing windows and using thicker or cooler curtains. In terms of light, some love it pitch dark and others prefer the room to have a glance of light coming in. However blue light from screens is not suggested prior to sleep; It’s 100% preferential to the sleeper.” he adds.

emotional reactivity, decision-making and risk-taking behaviour. * Cognition: By affecting stress hormones, sleep disruption may affect your thinking, judgement and problem-solving ability.

“The first step to start incorporating better sleep habits is to be aware of the many advantages and then to plan your routines around that.” says Dr. Kemp. “When a person starts to experience the benefits of sleep, it will become easier to prioritise.” he adds.

Dr. Eugene Kemp shared some of his top tips on managing your mood and mental wellness: * Realise that emotions/moods are a result of one’s thinking. Negative emotions follow negative thinking. * Interrupt the negative mood by calling a timeout and focussing on something totally different (and more positive). * Acknowledge the emotion, work through it and move on. * Remember, you are more than your emotions!

When you know of someone going through a difficult time, Dr. Eugene Kemp suggests the following for support:

Researchers have noted that sleep links to several brain functions, including:

* In most cases, just be present! * Be willing to listen without making a value judgement. * Emphasise that it is ok to be vulnerable, and that no one can take away your feelings and emotions. They are valid! * Support them to get further help if necessary.

* Memory: Sleep disruption may affect memory processing and formation. * Performance: People’s performance at work, school, and other settings are affected by sleep disruption. This includes focus,

Health is Wealth and by prioritising your sleep and fitness schedules, you are also prioritising your mental - and physical health. Now that’s something we can all get behind.

Now, how does one start incorporating better sleep habits into your routine and why is this important?

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October 2022

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WOMEN, YOUNG PEOPLE WITH TYPE 2 DIABETES AT HIGHER RISK OF EARLY DEATH Tsolofelo Mhabe

A new UK study has found that women with type 2 diabetes (T2D) may live five years less than average; and being diagnosed with type 2 diabetes at a younger age may reduce life expectancy by more than eight years.

The research presented at the European Association for the Study of Diabetes Annual Meeting in Stockholm, examined data from over 12 000 English patients with T2D over a ten year period and found that the risk of early death was 84 percent higher in people with diabetes.

Women with T2D had a sixty percent increased chance of an early death and may live five years less than the average woman, while men with T2D had a 44 percent increased risk of an early death and may live four and half years less.

Smoking shortened life expectancy of people with T2D by 10 years and being diagnosed with T2D before the age of 65 reduced life expectancy by over eight years.

Vanessa Ascencao: A nutritional consultant and a health and wellness expert.

lighted the significant burden of the disease, but it can be managed by following a holistic approach to health.

South Africa has one of the highest rates of diabetes in sub-Saharan Africa. An estimated 4.6 million South Africans have diabetes, half of whom are undiagnosed. And at least 95 percent of diabetes is caused by being overweight or obese, an issue that affects half of all South African adults.

“Optimise your heath by maintaining healthy blood sugar levels and a healthy weight whether you have diabetes or not. At least 80 percent of people with prediabetes are unaware that they have it, so make sure to follow a healthy diet rich in nutrients and foods as close to nature as possible,” said Ascencao.

Health expert, Vanessa Ascencao says that diabetes is one of the leading causes of death worldwide and Covid-19 has high-

“Increase intake of fruit and vegetables, healthy fats, lean protein, fatty fish, brown rice, legumes and beans. Plan healthy meals

ahead, exercise regularly, manage stress, avoid processed and sugary foods, avoid smoking and try high quality supplements like nutrient dense, 100% nature-based Marcus Rohrer Spirulina,” she added.

“Studies show that spirulina has powerful antioxidant and anti-inflammatory properties. It’s shown to help balance blood sugar levels and blood pressure in patients with T2D and may reduce blood lipids and triglyceride levels which protects against heart disease and metabolic syndrome.

Marcus Rohrer Spirulina is shown to deliver more key nutrients per serving than any other spirulina,” she said.

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BENEFITS OF RUNNING FOR MENTAL HEALTH Refiloe Nomdada

You may have started your running journey to improve your fitness levels or to make up for that extra slice of cake you had, but besides helping you maintain a physically healthy lifestyle, running helps improve your mental state too.

South African Depression and Anxiety Group (SADAG) Board Deputy Chairperson and Clinical Psychologist at Tara Hospital, Zamo Mbele, unpacks the benefits of running.

Running reduces stress

Running reduces stress and strengthens your mind’s ability to deal with psychological tension. When you become mentally stressed, your body produces cortisol, which is the primary stress hormone. However, through physical exercising like running, your body produces less cortisol in reaction to stressful situations, making running a healthy way to deal with mental stress. In therapy, running is encouraged to help with the symptoms of mental illness.

Running boosts your mood Ever heard of ʻrunnerʼs highʼ?

It’s the result of your brain releasing endorphins, which reduce pain, support sleep and improve your mood. Running also increases blood circulation to your brain, which stimulates the part of your brain that responds to stress, temporarily improving your mood in stressful situations.

Running improves sleeping patterns Sleep deprivation impacts your mental abilities and emotional state. Running will boost your body’s serotonin levels, a hormone related to the sleep-wake cycle. A boost in

your serotonin levels improves your brain’s ability to metabolise serotonin and regulate sleep.

Running boosts your brainpower

Running helps form new brain cells and improves overall brain performance. It increases your heart rate, which triggers a release of noradrenaline, improving cognitive function and limiting conditions like attention deficit hyperactivity disorder (ADHD), depression, and hypotension.

It also boosts levels of brain-derived proteins in your body, which helps in decision-making, critical thinking, and learning. Running teaches you to concentrate and gives you the determination to overcome obstacles and fatigue while gaining a new perspective on how to deal with problems while expanding your stamina and improving your problem-solving skills.

Running improves creativity

A single run can boost your creativity for up to two hours. Instead of staring at a blank page and waiting for innovative ideas to come to mind, put on your running shoes and step outside to rejuvenate your body and mind. Exercise also releases dopamine, which stimulates creativity. Running is also a great way to activate the right side of the brain and spark creativity.

Runnings boosts self-esteem

Running improves your body image and self-esteem. Being confident in yourself helps you stay rooted in activities that you love, and it is beneficial to your overall well-being. So, next time you find it hard to get out of bed and go for your morning run, think about all the benefits.

Nedbank, through its Nedbank’s Running Club has been involved in running for decades and throughout its partnership with SADAG aims not only to create a lasting impact in the communities its serve, but to bring South Africans together to address mental well-being with running as a catalyst.

It is time to Runify around mental health and take the first step towards a happier, healthier South Africa. To find out how to join Nedbank Runified in your city, join the Nedbank Running Club on Strava or search #NedbankRunified on social media.

If you or your loved ones are battling with mental health challenges, there is hope. Visit sadag.org for free resources to manage your mental health.

SMS 31393 and a counsellor will call you back or call 0800 567 567 – available seven days a week, 24 hours a day. SADAG has a dedicated WhatsApp counselling chat line on 087 163 2030 available seven days a week, from 08:00 to 17:00.

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YOUR BONES MATTER! ACT NOW TO MANAGE OSTEOPOROSIS Zagreb Kline

Cape Town, October 2022 – More than four million South Africans may be living with osteoporosis, however, many people only find out when they have experienced severe fractures.

As South Africa marks World Osteoporosis Day on October 20, the National Osteoporosis Foundation of South Africa has launched Your Bones Matter - a national campaign to advocate for better approaches to diagnosing and treating osteoporosis patients.

Osteoporosis is a disease that deteriorates bone tissue and weakens bones. Its risk factors include medical and chronic conditions like HIV, cancer, rheumatoid arthritis and early menopause. It can lead to fragility fractures, which not only severely affect quality of life but can also increase the likelihood of premature death. The two most common osteoporotic fractures are of the vertebra, and of the hip. Patients with hip fractures have a 20-30% increased risk of death within a year of their first fracture.

While it is not always easy to avoid bone density loss, the good news is that early diagnosis and a good treatment plan can prevent about 70% of osteoporotic fractures, helping patients to live longer, better, more fulfilling lives.

According Tereza Hough, CEO of the NOFSA, there are several ways to prevent the life-altering impact of osteoporosis. “The best thing you can do to improve your bone health is to take action quickly,” says Hough.

“Speak to your doctor about your risk

factors, ask for a bone density scan, stick to your prescribed treatment plan and follow a bone-healthy lifestyle to reduce your risk of fractures.”

However, despite patients’ best efforts to manage their bone health, they often need intensive treatment which involves hospitalisation and surgery. For patients over 45, osteoporosis accounts for more days in hospital than diseases like breast cancer or diabetes, or treatment for heart attacks.

Hough says treatment is expensive and medical aid schemes often fall short in providing for osteoporosis patients. “While medical aids will pay for procedures, like surgeries to treat fractures, , they don’t pay for the medication patients need to prevent future fractures. We need urgent action to change this because our patients deserve better.”

Thecla Macdonald, a pensioner from a small town in the Western Cape, is one such patient. Diagnosed with osteoporosis nearly 20 years ago and oesophageal cancer a decade later, she fractured her spine. “While I was getting radiation I broke my spine which was extremely painful. Now, I am scared to fall because if I break a hip there’s a big chance I won’t survive,” says Macdonald.

She is trying her best to prevent more fractures but hopes that medical aids would provide better care for patients like her: “I take my medication regularly but it is expensive and medical aid doesn’t pay for it. It

Tereza Hough: CEO of the NOFSA

must cost them a fortune to keep us in hospital when we have fractures so it would make more sense for them to pay for the medication we need.”

Stories like Macdonald’s motivate NOFSA to continue using campaigns like Your Bones Matter to raise awareness of osteoporosis and advocate for patients’ access to medication.

“Osteoporosis is a neglected disease area and unless our government and medical aids commit to improving the way we care for patients, many more lives will be affected by this debilitating disease,” says Hough.

For more information, contact the National Osteoporosis Foundation of South Africa (NOFSA) help line at 0861102265, WhatsApp 068 491 3543 e-mail info@osteoporosis.org.za, visit https://osteoporosis.org.za/yourbonesmatter/

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Your Wellness Matters

Issue 27

October 2022

HOW ONE WOMAN REGAINED CONTROL OF HER LIFE

Zagreb Kline

Recovery from debilitating anxiety, panic attacks and addiction “At that time, I thought psychiatrists were for people who needed serious intervention and help. I didn’t think that included me, and I did not want to waste their time with my ‘silly’ problem,” recalls Michelle. Michelle, whose name has been changed to protect her and her family’s privacy, has emerged from years of crippling addiction to prescription medicine and alcohol, and debilitating anxiety.

This World Mental Health Month she is sharing her personal journey to regaining control of her life, hoping to reach others who may be on a similarly destructive trajectory and encouraging them to seek help before reaching crisis point.

“Over a number of years, I became progressively more overwhelmed and anxious, and I was starting to have panic attacks.

Everything was an effort, and I felt like my days were all black. It got to a point where I was unable to drive, stand in queues, be in a crowd and sometimes I could not even leave home. By 2005, anxiety was completely dictating my life.”

Peta-Lyn Foot, COPE manager and occupational therapist at Akeso Randburg – Crescent Clinic, notes that mental health issues are often misunderstood, delaying or preventing people from accessing treat-

ment. “Even though there is more awareness and open mindedness about the importance of mental wellbeing generally, in some families and particularly among older generations there is still a lot of judgement and stigma attached to seeking help,” she says.

“There is often a misplaced belief that people experiencing mental health difficulties have the option to ‘just get over it’, without fully realising the complexities of recovery and that it usually requires professional assistance.” ʻSomething to take the edge offʼ

Michelle describes how she was first introduced to the medicine she later became addicted to. “I spoke to my gynaecologist about the way I was feeling after the birth of my first baby. I thought there was no way I needed antidepressants, I just wanted something to ‘take the edge off’. She prescribed a certain medication and, at first, I thought ‘What an incredible little pill’. It made me feel ‘normal’ again, and I could do everything and more – for a while,” she remembers.

“During this time, I managed to justify how the medication had become my answer to living a normal existence. I was under so much pressure in my relationship with my husband, raising a family, and coping with a demanding job, so I felt I could use it as a crutch for a short while. One little pill soon turned into two, then three, then four to

have the same effect. I was completely addicted, and I knew it. I felt completely helpless.

“I tried to wean myself off the medicine several times without success, it completely controlled my waking hours. Even though I was taking the maximum daily dose, my anxiety and panic attacks returned with a vengeance.”

Michelle realised she could not keep taking the medicine, and instead of seeking professional help she tried to self-medicate with another substance: “Alcohol was the answer, a glass of wine at night helped me to relax and get a good night’s sleep. Then a glass of wine at lunch helped with the anxiety of the afternoon. Soon I was drinking throughout the day, and still my anxiety and panic attacks continued. I was a wreck. I hated myself, I didn’t know how I could do this to my precious children,” she recalls.

Finding help

"Eventually, my self-worth and self-esteem were non-existent, and I knew I had two choices, either death or professional help. I thought of my precious children and knew I needed to get professional help,” Michelle recalls of that dark time in her life. “And so, in 2012 my life took a drastic turn for the

Continued on page 13

Issue 27

October 2022

Your Wellness Matters

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HOW ONE WOMAN REGAINED CONTROL OF HER LIFE better. I was admitted to Netcare Akeso Randburg – Crescent Clinic for three weeks of rehabilitation in the dual diagnosis unit for panic and anxiety disorder and alcoholism. I had been in another mental health facility years before but lapsed after my discharge as the facility did not offer a support programme after discharge from the inhouse stay.”

“People often have reservations about admitting that they need help in the first place, and therefore don’t get the help they need when they first develop dysfunctional coping mechanisms or start feeling symptoms of stress, depression, anxiety or other mental health concerns,” Foot points out.

“Recognising that you need and deserve professional help is the first step. Unfortunately, all too often people only access the mental healthcare they need once their substance use or other disorder has progressed to become so intense that it starts affecting other people at work, in relationships or within families. Eventually, all areas of the person’s life can be impacted, including their physical health and hygiene.”

The dual diagnosis units at various Netcare Akeso mental health facilities run 21-day inpatient programmes involving a multidisciplinary team of psychologists, psychiatrists, occupational therapists, an addictions counsellor, a general practitioner, and a social worker, where required, who work closely together with the individual to provide comprehensive treatment to help

them regain control of their lives.

“We all wish there was a quick fix – a pill that would take all our problems away – but recovering from addiction and underlying mental health conditions is a process that requires work. We help teach clients the skills to cope, however the person needs to be willing to accept help and take responsibility for their actions to commit to their long term recovery,” Foot says.

Recovery is an ongoing process

“By my third week in Netcare Akeso Randburg – Crescent Clinic, I was able to smile with honesty and cry with real tears, I found emotions that had been buried so deep I was not sure they still existed. I saw colour in the world again,” says former patient Michelle, who has now been in recovery for more than 10 years. “After I was discharged, I became independent again. I disconnected from all the friends that had encouraged my addictive behaviour and reached out to my family for support and embraced holistic therapy. Within a few months I was back on my feet, and still am. Continuing to regularly consult my psychiatrist and psychologist at the Netcare Akeso facility at first helped me keep my resolve and I now check in when I need to. Trust me, it was not easy in the beginning, but it got easier and easier.”

Foot adds: “It is an ongoing process, and we encourage clients to continue their progress after the inpatient programme. We understand it is more challenging to take time for

yourself when life is busy and stressful. We also recommend regular follow up sessions with a mental health professional on an outpatient basis, and this provides a dedicated space for the person to work on their recovery and resilience.”

She also advises setting a daily routine.

“Although life isn’t always predictable, having a routine helps us to focus and regain a sense of being in control of our lives, so that we are more prepared when we encounter tough times. Taking things one step at a time also makes a situation feel more manageable once you have the tools needed to cope when life throws something unexpected our way.

“Check in with yourself regularly and look for help in the right places, you can’t expect it to come to you. Family alone may not always be able to provide the kind of support you need. Support groups, such as those organised by Alcoholics Anonymous, Narcotics Anonymous and the South African Anxiety and Depression Group can be invaluable for empathetic support from individuals who have walked the same path.”

For information about mental health and services, and accessing care, or for help in an emotional crisis, Netcare Akeso is here to help. In the event of a psychological crisis, individuals can phone the Netcare Akeso crisis helpline on 0861 435 787, 24 hours a day, to talk to an experienced counsellor.

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Your Wellness Matters

Issue 27

October 2022

STAY ABREAST OF REGULAR MAMMOGRAMS IT COULD SAVE YOUR LIFE Tsolofelo Mhabe

Three women doctors unite in the fight against breast cancer Three women healthcare professionals have united to fight breast cancer – the most common cancer globally – raising awareness this Breast Cancer Awareness Month of the importance of regular mammogram screening to help improve survival rates.

“Having a screening mammogram can feel daunting but it should rather be seen as a vital component of regular health screenings that can help to prolong or even save your life by detecting cancer early,” says Dr Heleen Hanekom, a radiologist with special interest in breast imaging, who practises at Netcare Unitas Hospital as part of Drs Burger Radiologists Incorporated.

Dr Hanekom, together with clinical and radiation oncologist Dr Rouchelle Marais and specialist breast surgeon Dr Lucienne van Schalkwyk are specialists who are passionate about prioritising breast health and making the journey of breast cancer treatment as unintimidating and effective as possible.

Together, they have put this into practice by establishing a dedicated breast care team at Netcare Unitas Hospital.

Why mammograms?

“Mammography remains the best screening option for women as it is the only method of breast imaging that has consistently been shown to improve breast cancer mortality rates,” Dr Hanekom says.

during, or in the week leading up to your period when your breasts may be swollen and uncomfortable.

2. Ask your family doctor about options for safe over the counter pain relief, and take it about an hour before your appointment.

3. Having moral support at the appointment can help to reduce anxiety, take a friend or loved one with you.

4. Try to relax, take deep breaths and use mindfulness techniques to help you remain calm before and during your mammogram.

5. Keep your body and feet turned towards the mammogram machine to avoid pinching, as well as neck and back discomfort.

6. Mammograms can be performed while you are seated, if you are unable to stand or are uncomfortable standing.

7. If you experience discomfort at any time during the positioning for the mammogram, let the radiographer know as they may be able to make small adjustments to make you feel more comfortable.

Taking the ʻWhat ifʼsʼ together

“Taking care of your breast health is a necessary part of your health routine, and regular mammograms are recommended for all women from the age of 40 onwards. Your doctor can guide you as to how often you should be screened. If something is detected that requires further investigation, there is

“Monthly breast self-examination is also important, however with regular mammograms, ideally annually, we can detect breast cancer at the earliest possible opportunity, often before it is palpable.”

Dr Van Schalkwyk adds that the earlier breast cancer is identified, the more options are available to manage the condition.

“Some women report procrastinating about having a mammogram because they have experienced discomfort in the past, however the risk is simply too great for women over the age of 40 for regular mammograms to be ignored or postponed,” she says.

Seven tips for a more comfortable mammogram

Most women find mammograms somewhat uncomfortable, but here’s what you can do if you found it more painful: 1. Try not to schedule your mammogram

Netcare Unitas Breast Care Unit Doctors

so much more that can be done today to treat breast cancer. The earlier a lesion is identified, the more treatment options there are available,” Dr Van Schalkwyk says.

“Almost the entire team are women, and we understand that screening, diagnosis and treatment for breast cancer can be very daunting so we have made the environment as supportive as possible for the patients we serve,” she says.

The dedicated breast cancer team established at Netcare Unitas Hospital has a multidisciplinary approach to treating breast cancer, and the care provided is aligned with international best practice guidelines. This may include more specialised imaging or image guided biopsy, radiation therapy, chemotherapy, surgery, or a combination.

“Each patient is a key member of the treatment team along with the medical specialists from various disciplines. Multidisciplinary care ensures that treatment decisions can be reached without wasting the patient’s time or money, treatment progress can be monitored and the plan can be revised if needed,” Dr Van Schalkwyk adds.

“Awareness and regular mammograms can go a long way to minimising the impact of breast cancer on individuals, families and society. Stay abreast of your health screenings, as a few minutes can bring you great peace of mind.”

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Issue 27

October 2022

Your Wellness Matters

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Your Wellness Matters

Issue 27

October 2022

WELLNESS WAREHOUSE LAUNCHES THEIR REJUVENATING NATURAL BEAUTY RANGE

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South Africa’s leading natural wellbeing and lifestyle retailer, Wellness Warehouse is thrilled to announce their latest all-natural beauty collection – the Rejuvenating range.

The conscious brand’s answer to their customers’ ever-increasing interest in chemical-free, eco-friendly personal care products, the range combines pure ingredients from nature with the latest in scientific advances for skincare that is both gentle and effective.

The exciting addition to their already popular beauty and personal care range, the Rejuvenating collection has been crafted with expert care and quality ingredients to bring customers products that are 100% natural, cruelty-free, and safe for use on all skin types. In line with Wellness Warehouse’s efforts to make all facets of wellbeing accessible and affordable, the products are com-

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Natural Beauty Merchandise Shamiyah Vawda shares:

Every step of a daily skincare routine has been accounted for, with a Gel Cleanser to remove impurities; a Toning Mist to help calm irritation; a Hydration Serum to nourish and protect; an Eye Contour Serum to brighten and plump; a Day Cream to restore dry skin; and a Night Cream to improve uneven skin tone and help to combat the signs of ageing.

Packaged mostly in glass and recyclable plastic and card, the range is sure to delight

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The result? An indulgent and effective natural skincare range for all. The star of the show and the buyer’s choice award goes to the Rejuvenating Hydration Serum - a powerfully moisturising serum perfect for tired and dry skin. Its lightweight formula absorbs instantly into the skin, leaving no greasy residue behind. The magical ingredient hyaluronic acid - firms and plumps, leaving skin feeling and looking healthy. Combine this amazing product with the rest of the range to achieve ageless beauty.”

Issue 27

October 2022

Your Wellness Matters

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EXPERT ADVICE FROM A DENTAL PROFESSIONAL TO CANCER PATIENTS

Refiloe Nomdada

October is Breast Cancer Awareness Month, and although your oral hygiene may not seem like a priority when you are battling cancer, about a third of patients will experience oral complications. Mouth ulcers, dry mouth, cracked lips and dental disease are top of the list.

“Chemotherapy, other medications and radiation can upset the balance of bacteria in your mouth, limit your body’s ability to fight infection and dry out the mouth,” says Dirna Grobbelaar, Ivohealth oral hygiene advisor. “Unfortunately this can make you more susceptible to cavities, gum disease and infections. Maintaining an effective oral care routine is important for your overall health and well-being, even when you’re not feeling well.”

Many cancer patients experience mouth ulcers which make eating, talking and cleaning the mouth uncomfortable. Use Aloclair gel or spray to create a ‘barrier’ over the ulcer for immediate relief and promote faster healing. And don’t be tempted to skip your oral care routine because your mouth is sore; keeping it clean can help prevent further infection.

To help you take good care of your mouth during cancer treatment, Ivohealth has compiled easy-to-follow advice from dental and other medical professionals in a guide Love your Life, Love your Oral Care which can be downloaded for free. Grobbelaar shares some of the most important advice:

Dental Problems

Dry Mouth

A dry mouth, medically known as xerostomia, is a common side-effect of many medications and radiation. Because saliva is the body’s way of naturally cleaning the mouth, plaque and bacteria build up more quickly, putting you at higher risk of bleeding gums, bad breath and dental decay.

Rehydrating your mouth is a priority. Drinking water will give temporary relief; an oral lubricator like GUM Hydral spray and gel will last longer. Chewing sugar-free gum can stimulate saliva flow and some medications can help produce saliva; ask your pharmacist or healthcare professional for advice.

Mouth Ulcers

Cracked Lips

Protect your lips with a lubricating barrier to prevent them from becoming dry and cracked. Licking your lips can exacerbate dryness. Rather regularly apply a moisturising balm, like Letibalm nose and lip repair, and drink plenty of fluids to keep the mouth and skin hydrated.

Gum disease, dental decay and cavities are all common dental problems during cancer treatment. These are best prevented with an effective daily oral care routine and professional support. Visit your dentist for a thorough check-up before your treatment starts, to detect and treat any existing issues. See the oral hygienist for a professional cleaning at the same time. Removing plaque and tartar build-up means your mouth is in tip-top shape at the onset.

Some patients experience nausea during treatment. Vomiting demineralises teeth enamel and weakens the teeth. Don’t brush your teeth immediately after vomiting.

Simply rinse with water or an alcohol-free mouthwash with fluoride, like Dentyl Active or GUM Paroex with antibacterial CPC, then wait an hour or so before brushing.

Recommended Daily Oral Care Routine during Cancer Treatment:

A few minor adjustments to your daily oral care can make it easier and more effective.

Here’s the routine recommended during

cancer treatment from Dirna Grobbelaar, Ivohealth’s oral hygiene advisor: 1. Brush correctly at least twice a day for a full two minutes each time. You may be tired. A quality electric brush, like Philips Sonicare or GUM Sonic, will give a ‘supreme clean’ with minimum effort. Dip the brush in warm water to soften the bristles, or use an ultra-soft brush like GUM Sonic Sensitive.

2. Look for mild or pleasant-tasting toothpaste that has multiple benefits. GUM Paroex Intensive Action has anti-bacterial ingredients to help maintain healthy gums.

All-natural Olgani Probiom toothpaste and tooth powder have added prebiotics and probiotics for a balanced oral microbiota.

3. Continue to clean between the teeth every day. If you find floss too firm for sensitive gums, try an interdental brush like the reusable GUM Bi-Direction with anti-bacterial coated bristles, or gentle rubber Soft-Picks.

4. After eating or being sick, rinse with an alcohol-free mouthwash like GUM Paroex with antibacterial CPC or Dentyl Active, or use a salt-based mouth rinse like Thryve mouth salts or Olgani.

While cancer treatment can negatively impact your mouth, the right care can help you prevent or manage many of the common problems. Remember, your dental professional is available to support you at this time. Let them know about your diagnosis and treatment.

For further information visit Ivohealth’s website or download Ivohealth’s free Cancer and Oral Care booklet. The Cancer Association of South Africa website also has excellent resources.

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Your Wellness Matters

Issue 27

October 2022

BREAST CANCER AWARENESS THE IMPORTANCE OF EARLY DETECTION Supplied Content

Every year, in October, South Africa and the world is flooded with pink ribbons in remembrance of Breast Cancer Awareness Month. But breast cancer is more than just wearing a pink ribbon and going to a Fun Run. Breast cancer is one of the deadliest diseases facing women across the globe.

Locally, from 2017 to 2022, medical scheme Profmed found that 10% of female members who claimed breast cancer pay-outs had passed on from the disease.

Unfortunately, breast cancer cannot be prevented. However, Clinical Executive at Profmed Medical Scheme, Justine Lacy, “Detecting breast cancer early increases your chance of survival, as more treatment options are available.”

For this reason, Lacy recommends self-examination and routine mammograms as the foundation of every woman's life. “Women between the ages of 40 and 54 years should make an appointment for a mammogram at least once a year, and those 55 years and over should continue getting mammograms every 1 to 2 years. Beyond that, women of all ages should be performing a self-examination at least once a month to be safe,” says Lacy.

Lacy advises women not to be complacent about their health. "Don't wait until you

show symptoms to take action. Take responsibility for your health and schedule a mammogram as soon as possible."

For her, it all starts with education. Justine Lacy is keen to provide her insights regarding: • Signs and symptoms of breast cancer • Prevalence of breast cancer in South Africa • Breast cancer trends according to Profmed statistics • What to do when you are diagnosed • Various treatment options are available • What to expect when you go for a mammogram Earlier this month, we chatted with Justine and she had the following additional advice: 1. What are the signs and symptoms of breast cancer?

The signs and symptoms of breast cancer are subtle and not always obvious. This is the reason why it is imperative, as women that we are meticulous when it comes to regular self-examination of our breasts and going for our annual checks. This is the only way that we can pick up a problem early and treat it timeously.

One of the earliest symptoms is a new lump in the breast or under the arm – if it’s under the arm it’s usually indicative of swollen

lymph nodes which is a sign that something is amiss.

Other early signs would almost always be local and involve the breast and/or nipple area. These signs would include changes to the skin such as redness, flaking, thickening, or dimpling. Breast size may change and there may be swelling, pain and discharge.

Some of the signs of more advanced breast cancer are fatigue, weight loss and loss of appetite to name but a few.

2. What is the breast cancer trend according to Profmed statistics?

Profmed’s reporting is consistent with the national statistics. Of all the types of cancer in our female membership, breast cancer has the highest prevalence, and its treatment often comes at a high price.

In the 2021 period, Profmed had a total of 943 distinct claiming beneficiaries with a cancer diagnosis. What’s astounding is that 50% of these members had or currently have breast cancer.

In Profmed, breast cancer leads in the Top 5

Continued on page 19

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October 2022

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BREAST CANCER AWARENESS THE IMPORTANCE OF EARLY DETECTION

Oncology Diagnoses based on cost, as well as coming in first in the Top 10 Cancers based on the No. of Beneficiaries.

We can also reveal that approximately 10% of our members with a breast cancer diagnosis pass away. This illustrates the sad reality of cancer diagnosed too late. This matter needs to be taken very seriously as it is affecting ourselves, our sisters, and our mothers.

3. What should you do when you have been diagnosed

Once your doctor has diagnosed your breast cancer, they will establish the extent of your cancer.

You are likely to be referred to an oncologist specialising in breast cancer if you haven’t already got one. Depending on the approach that your oncologist wants to take, you may need more tests and even surgery.

The stage at which your cancer is diagnosed will determine both your prognosis and the best treatment options. Sometimes, this information may not be evident until after you’ve undergone breast cancer surgery.

Let’s not forget about the psychological ramifications of such a diagnosis. After find-

ing out you have breast cancer, you may feel shocked, upset, anxious or confused. These are normal responses, but it is important to find support and talk about your treatment options with your doctor, family and friends and to seek as much information as you need.

There are also many organisations such as CANSA that you can approach for support.

CANSA, the Cancer Association of South Africa has a toll-free line and are also available on various social media platforms.

Profmed offers a specific trauma counselling programme that provides members with access to counsellors 24 hours a day. We also provide mental health benefits to our members which vary depending on the option you choose.

4. What can you expect when you go for a mammogram?

Simply put, mammography is usually carried out in the radiology department, the same place where scans and x-rays are done. It is a process that uses low-energy X-rays to examine the human breast for diagnosis and screening. The goal being early detection of breast cancer, which is typically through detection of characteristic masses or microcalcifications.

When you go for a mammogram, you'll be asked to undress above the waist and a radiographer or technician will give you a gown to wear. You'll then be asked to stand in front of a special X-ray machine. You'll be assisted to place each breast, one at a time on a plastic platform, and the radiographer will lower a plastic plate that presses down on your breast. The whole process lasts less than 5 minutes and really isn’t half as daunting as one imagines it to be.

Usually, an ultrasound is done following a mammogram which then allows your radiologist to examine the lymph nodes under each arm, as well as the breast tissue for anything that the mammogram may have missed It is recommended that women with dense breast tissue should have both a mammogram and breast ultrasound each year and my experience is that radiology departments usually do this in tandem. Dense breast tissue is not abnormal or harmful.

However, cancer can “hide” in dense tissue because they look the same on a mammogram image. On an ultrasound, diagnostic radiologists can see what they can't see on the mammogram.

Justine Lacy is the Clinical Executive at Profmed.

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Your Wellness Matters

Issue 27

October 2022

HELP SAVE LIVES THIS BREAST CANCER AWARENESS MONTH Tsolofelo Mhabe

A simple R30 transfer will help PinkDrive get the mammogram machine they urgently need October is Breast Cancer Awareness Month, an annual campaign to raise awareness about the impact of breast cancer. This month’s theme for the national awareness day is ‘Rise’ – with a strong message to ensure every woman has access to the screenings she needs, and the support she deserves.

The South African NPO, PinkDrive, works tirelessly all year round to promote awareness and early detection of Breast Cancer, and screening for gender-related cancers in the general population of South Africa, focusing on their driving message: “Early detection will help to a prolong life.”

This year, PinkDrive is asking South Africans to ‘Rise’ to the challenge of helping them acquire the desperately needed new mammography machine for their famous Mobile Women’s Health Unit. This mobile clinic provides screening and education for gender-related cancers including breast, cervical and prostate cancer to traditionally underserviced communities in South Africa, and they need our help.

According to Noelene Kotschan, CEO and Founder of PinkDrive, a simple online payment of just R30 will help them meet their funding goal for this much-needed equipment. “Just one new mammography machine will make an enormous difference, and you can be a part of that difference by

visiting our website and helping us to reach the goal of 100 000 people making a R30 donation – which will cover the R3 million cost of the machine.” Participants will be entered into a draw on 31 October to win two return air tickets with Lift, and two nights stay at the Taj Cape Town.

Kotschan goes on to explain that they are challenging corporates to donate R50 000 or more, and in return, PinkDrive will hold an activation with that company’s branding in a community of their choice. Corporates who donate R100 000 will also be offered a branded activation in their chosen community, as well as have their branding placed on the Mobile Women’s Health Units for one full year. “Vuma is an example of an organisation that has been a sustainable and committed partner to PinkDrive, which has been invaluable to our efforts to bring much needed health care services to underserviced communities,” says Kotschan.

Lianne Williams of Vuma says individuals and organisations shouldn’t underestimate how much of a difference their donation can make. “Every cent that PinkDrive receives is a cent they didn’t previously have, and it goes towards changing – or even saving - someone’s life. We urge South Africans to come together and ‘Rise’ up, to bring critical screening and diagnostics to communities across the country. If we do this together we can help eliminate preventable illness and death,” she concludes.

About Vuma Vuma is a leading South African fibre provid-

er that has passed more than over 1,5 million homes, with at least a future 2 million homes-passed anticipated in emerging markets, since its operations began in 2014.

Vuma connects South African communities to high-speed, fit-for-purpose internet through open-access fibre broadband.

Working with more than 60 Internet Service Providers (ISPs), Vuma’s value extends beyond infrastructure and empowers ordinary individuals and communities across South Africa to do more, see more, and dream of more.

Guided by its philosophy of ‘if we can, we must’, Vuma strives to drive transformation and break communication barriers. The brand has connected more than 600 registered primary and high schools in the regions where it operates, to free 1Gbps fibre broadband internet. This supports hundreds of thousands of young people and their teachers through access to the boundless opportunities of the internet, in collaboration with its partner ISPs. Among Vuma’s accolades are: South Africa’s Best Fibre Provider in 2019 at the MyBroadband Conference and Expo; Fastest Growing Broadband Provider in 2020 and Best Broadband Provider in 2021 by the International Business Magazine Awards; the Global Economics Award for Fastest Growing Telecommunications Company 2021; and Best Fibre Provider for 2021 by MyBroadband.

Vuma’s CEO, Dietlof Mare, was awarded Telecom CEO of the Year 2020 South Africa as well as Telecom CEO of the Year 2021 South Africa by the International Business Magazine Awards.

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October 2022

Your Wellness Matters

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Your Wellness Matters

Issue 27

October 2022

MTBPS: CURING PUBLIC HEALTH BACKLOGS AND CRITICAL FUNDING PRESSURES CAN SAVE LIVES Refiloe Nomdada

During the 2022 Medium Term Budget Policy Statement, Finance Minister Enoch Godongwana announced that, as the immediate pressure from the pandemic eases, more resources will be added to the country’s health sector so that it can address accumulated backlogs such as for surgery, oncology, antiretroviral treatment and tuberculosis screening and treatment. He also shared that additional funds will be provided to alleviate critical funding pressures in areas such as healthcare personnel, medicine, laboratory services, medical supplies, and critical goods and services.

Nabiella de Beer, Communications Manager at DKMS Africa, a non-profit organisation dedicated to the fight against blood cancer and blood disorders welcomes Finance Minister Enoch Godongwana’s announcement.

“For many patients diagnosed with blood cancer and blood diseases, a blood stem cell transplant from a matching donor is their best chance for survival. But, for far too long, the state has been too overburdened to carry these out, resulting in countless unnecessary deaths. By alleviating backlogs and critical funding pressures, patients could now get a second chance at life.”

She points out that the additions of funds and recourses are crucial because every 72 minutes, someone is diagnosed with blood cancer in South Africa. “As access to medical treatment is a basic human right, the fact that Government is placing focus on bolstering these areas in healthcare will make a significant difference to lives of those living

with cancer, a leading cause of death in South Africa.”

However, de Beer explains that for those accessing state care, the costs can still be quite unattainable. “This is combined with the fact that the state will only cover stem cell transplants from a family member despite there only being a 30% chance of a patient finding a genetic match within their families, it would be great to see further assistance provided from Government to those needing to access treatment as well as funds being extended.”

Having said this, she adds that we can’t expect the government to act on their own which is why private public partnerships are so essential. “At DKMS Africa, we work closely with the government to ensure all our patients receive the medical care they need.

However, without stem cells we would not be able to provide stem cell transplants which is why we need to South African public to mobilise and register as a donor.”

“This is especially important as even though we are a part of a global registry of stem-cell donors, but unfortunately, those of African descent are underrepresented,” de Beer continues. “There is a dire need for blood donors from ethnically diverse backgrounds as Black, Coloured, Indian and Asian blood cancer patients only have a 19% chance of finding a match, despite representing more than 80% of the SA population.”

De Beer highlights that registering as a

Nabiella de Beer, Communications Manager at DKMS Africa

stem-cell donor is easy and pain-free. “All that is required is for three DNA swabs to be taken from the inside of the potential donor’s mouth and cheeks. After this, the donor is given a full doctor’s examination, which includes taking a blood sample. They are then asked to donate stem cells 30 days later.

If you are between the ages of 18 and 55 and in good health, you can register to become a donor at https://www.dkms-africa.org/register-now.

“There can be no greater gift than the gift of hope you will be giving someone suffering from a life-threatening blood disease by donating stem cells and together we can all make a difference,” she concludes.

Partner Content

Issue 27

October 2022

Your Wellness Matters

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Your Wellness Matters

Issue 27

October 2022

OSTEOPOROSIS NOW AFFECTS ONE IN FIVE MEN Refiloe Nomdada

Osteoporosis – a disease which leads to brittle and weak bones – doesn’t just pose a threat to women, but to millions of men as well.

Ahead of World Osteoporosis Day (20 October), a prevention-minded pharmaceutical company that specialises in men’s and women’s health, is increasing awareness of the disease specifically among men to help reduce fractures in SA’s aging male population.

Nicole Jennings, spokesperson for Pharma Dynamics, says of the country’s 4.3 million men that are over the age of 50, nearly a million are likely to develop osteoporosis.

That’s roughly, one in five men.

“For years, osteoporosis hasn’t been properly treated in men, despite a third of all hip fractures worldwide befalling them.

“The high incidence of hip and vertebral fractures in men, as well as the impact it has on their quality of life, highlights that osteoporosis is not only a woman’s disease and that it should be screened for and treated the same as for women.

“It is something which is routinely checked when women reach menopause, since the drop in oestrogen levels results in bone loss.

However, all men over the age of 50 should be screened,” she encourages.

According to the International Osteoporosis Foundation, ageing populations and urbanisation are primarily responsible for the rise in osteoporosis cases. Since 1950, ten times the number of older men have developed the disease. By 2050, an estimated 900 million

men are likely to suffer from it.

Jennings explains there are two types of osteoporosis, namely, “primary osteoporosis”, which is typically caused by age-related bone loss and “secondary osteoporosis”, which could be related to either vitamin D deficiency, inadequate calcium intake, an overactive thyroid, low levels of testosterone, use of medication that alters bone metabolism, like glucocorticoid medications or hormonal treatments for prostate cancer.

“Unhealthy lifestyle factors also play a role.

These include poor diet, alcohol abuse, smoking and not getting enough exercise. A family history, low body mass index (BMI) or smaller bone structure also play a part in osteoporosis risk.”

To limit your risk of osteoporosis, Jennings recommends the following action:

1. Consume foods that are rich in calcium and vitamin D. If you’re not sure of your dietary intake, ask your doctor or pharmacists about using supplements. Daily sun exposure is another healthy way of getting enough vitamin D. 2. Do 30-40 minutes of weight-bearing exercises, like weight training, hiking, stair-climbing, walking, jogging etc at least three to four times a week.

3. Limit alcohol consumption to no more than two units per day.

4. Quit smoking immediately as it increases your risk of a fragility fracture and hip fracture by 29% and 68% respectively.

5. Go for a screening to assess your risk. If you fall into a high-risk category, take your medication as prescribed. While osteoporosis

cannot be completely reversed, men (and women) can incorporate healthy habits as part of their daily routine to improve bone health.

Jennings says medications like alendronate, which belongs to a class of non-hormonal medicines known as bisphosphonates can help to rebuild bone and reduce the risk of fractures.

“It’s equally important to avoid activities that involves twisting your spine or bending forward from the waist that could lead to fractures. The risk of falling should also be decreased, especially at home or wherever you spend the most of your time.”

Some of the ways you can make your home safer include:

1. Installing handrails on both sides of the stairs, as well as in bathrooms near the toilet, in the bath and shower.

2. Good lighting is a must at the top and bottom of the stairs, as well as long passageways.

3. Keeping all walkways tidy and clear of clutter.

4. Installing non-slip tiles and/or fixing carpets to the floor.

5. Replacing broken or uneven tiles and paving inside and outside the house.

6. Store frequently used items in an easy to reach place.

For more info on osteoporosis and the treatment thereof, visit the section on bone and joint health at https://www.mydynamics.co.za/condition/bone-and-joint-health/osteoporosis/.