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FIND CLASSES AND EVENTS IN THE BACK OF THIS ISSUE

HEALTHY LIVING FOR YOUR FAMILY spring 2009 $2.95

5 screenings

women canâ€™t afford to skip

tips for a healthy pregnancy are your joints in good order?

ageless wonder helen mirren reveals her secrets

brought to you by:

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to lifelong health and happiness

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Stir up something good for your

While many factors affect heart disease, diets low in saturated fat and cholesterol may reduce the risk of this disease. *Except for the small amount naturally occurring in yeast extract.

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Just add water and enjoy Campbell’s Healthy Request condensed soups. 98% fat free, low in cholesterol, no MSG* and heart-healthy levels of sodium. 10 delicious flavors. M’m! M’m! Good! For you.

contents special

know your enemies

Learn the top ﬁve health risks women are facing today and what you can do to prevent them.

features

spring 4 6

four ways to foil cancer Take a closer look at key screenings that could save your life.

have a healthy pregnancy Learn how prenatal care helps keep moms and babies safe and healthy throughout their nine-month journey.

8 9 14

smooth move Keep your joints healthy for a lifetime with these simple suggestions.

no more excuses A mammogram can save your life. So why wait? Overcome your reasons for avoiding a checkup.

cracking the case Learn how cholesterol may be robbing your health—and how to arrest the damage. domino effect Left unchecked, diabetes spurs a cascading array of serious health conditions—but you can take control.

21 32 38 40

a grand plan The latest know-how to keep your grandkids safe when you’re called to baby-sitting duty.

freeze, food! Make your next microwaveable meal more nutritious with these five frozen-meal fixes.

home, clean home Germs thrive on hot spots in your house. Here are ways to evict them for good.

rx for success Take this short quiz to discover which hospital career is right for you in the booming healthcare field. your lovely bones (and joints) This decade-by-decade guide will help maintain the building blocks of your body during every stage of your life.

departments 2

opening thoughts This spring, get your house and your health in order.

HA1 health advisor Health and wellness classes, programs and support groups for a healthy mind, body and spirit.

on the cover

British actress Helen Mirren radiates vitality and proves age is a state of mind. Follow her lead to stay healthy however many candles are on your birthday cake.

COVER PHOTOGRAPH BY LARSEN & TALBERT, ICON INTERNATIONAL

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opening thoughts

spring into good health

A FAMILY HEALTH MAGAZINE BROUGHT TO YOU BY SHADY GROVE ADVENTIST HOSPITAL AND WASHINGTON ADVENTIST HOSPITAL, MEMBERS OF ADVENTIST HEALTHCARE President & CEO, Adventist HealthCare Inc. William G. “Bill” Robertson

President, Shady Grove Adventist Hospital Dennis Hansen

get your house and your body in good working order this season

President, Washington Adventist Hospital Jere Stocks

PRODUCTION

Dennis Hansen

Jere Stocks

Editorial V.P./Creative Director: Beth Tomkiw Executive Editor: Tom Weede Editors: Michael Berg, Shelley Flannery, Sam Mittelsteadt, Matt Morgan, Amanda Myers, Kari Redfield, Jill Schildhouse

Each spring brings new opportunities to start anew. From cleaning out the closets to jump-starting a new exercise routine, spring offers yet another chance for a new beginning, focusing on the things that are important to you. In this issue of Vim & Vigor, you’ll read stories and tips to help you meet your health goals this season, including: • A guide to understanding cholesterol and what role it plays in your heart health • The connection between diabetes and other chronic conditions such as obesity and heart disease, with advice on how to manage the condition • Health Advisor, a comprehensive listing of community health and wellness classes and information This spring, and throughout the year, our commitment is to provide whole-person healthcare to you and your family. As members of Adventist HealthCare—a not-for-proﬁt network of providers that includes hospitals, home health agencies, nursing and rehabilitation centers, and other healthcare services—we have been providing healthcare services to the community for more than 100 years. As always, it is our mission to demonstrate God’s care by improving the health of people and communities through a ministry of physical, mental and spiritual healing. To good health,

Copy Editor: Cindy Hutchinson

Design Managing Art Director: Lisa Altomare Art Directors: Erica Brooks, Maggie Conners, Monya Mollohan, Kay Morrow, Tami Rodgers, Keith Whitney

Production Senior Production Manager: Laura Marlowe Ancillary Production Managers: Tanya Clark, Angela Liedtke Imaging Specialist: Dane Nordine Prep Specialists: Julie Fong, Sonia Washington

Circulation V.P./Database Marketing: Patrick Kehoe Postal Affairs & Logistics Director: Joseph Abeyta

CLIENT SERVICES V.P./Sales and Product Development: Chad Rose, 888-626-8779 V.P./Strategic Marketing: Heather Burgett Group Publisher: Russell Cherami Strategic Marketing Team: Brady Andreas, Robyn LaMont, Barbara Mohr, Andrea Parsons, Jaime Ward

ADVERTISING SALES Advertising Sales Representatives New York: Phil Titolo, Publisher, 212-626-6835 Phoenix: Soliteir Jaeger, Associate Publisher, 888-626-8779 Mail Order: Bernbach Advertising Reps, 914-769-0051

ADMINISTRATION Vim & Vigor Founder: J. Barry Johnson Chairman: Preston V. McMurry Jr. President/Chief Executive Officer: Christopher McMurry Chief Financial Officer: Audra L. Taylor President/Custom Media: Fred Petrovsky

Dennis Hansen President Shady Grove Adventist Hospital

Jere Stocks President Washington Adventist Hospital

9901 Medical Center Drive, Rockville, MD 20850 www.ShadyGroveAdventistHospital.com

7600 Carroll Ave., Takoma Park, MD 20912 www.WashingtonAdventistHospital.com

find us online

If you receive more than one copy of Vim & Vigor, or if you do not wish to receive this publication, please call 301-315-3044.

Additional health information is available anytime online. To learn more about our hospitals or health topics that interest you, please visit www.ShadyGroveAdventistHospital.com and www.WashingtonAdventistHospital.com.

Vim &Vigor,TM Spring 2009, Volume 25, Number 1 is published quarterly by McMurry, McMurry Campus Center, 1010 E. Missouri Ave., Phoenix, Arizona 85014, 602-395-5850. Vim & Vigor TM is published for the purpose of disseminating health-related information for the well-being of the general public and its subscribers. The information contained in Vim & Vigor TM is not intended for the purpose of diagnosing or prescribing. Please consult your physician before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines. Vim & Vigor TM does not accept advertising promoting the consumption of alcohol or tobacco. Copyright © 2009 by McMurry. All rights reserved. Subscriptions in U.S.: $4 for one year (4 issues). Single copies: $2.95. For subscriptions and address changes, write: Circulation Manager, Vim & Vigor,TM McMurry Campus Center, 1010 E. Missouri Ave., Phoenix, Arizona 85014.

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enemies

women, do you know your top ﬁve health risks? the answer might surprise you

know your

4 steps to better health

nowledge is power when it comes to staying healthy. It’s all about lowering the risk of disease. But which diseases cause women the most problems? They might not be what you think. Here are the top ﬁve causes of death for women in the United States as compiled by the Mayo Clinic. ❋ NO. 1: HEART DISEASE It’s true. Many women think breast cancer is the top threat to their health. But heart disease causes more deaths in women than all forms of cancer combined. ❋ NO. 2: CANCER It’s breast cancer, right? Wrong. According to the American Cancer Society, the most common cause of cancer death in U.S. women is lung cancer. Nearly 66,000 women in the United States died of lung cancer in 2002. Breast cancer is second

(40,000 deaths) and colorectal cancer is third (28,000). ❋ NO. 3: STROKE Almost two-thirds of the 167,000 people in the United States who die of stroke each year are women. ❋ NO. 4: CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) COPD comprises a group of chronic lung conditions, including bronchitis and emphysema. About 62,000 women die of COPD each year. ❋ NO. 5: DIABETES Diabetes claimed the lives of almost 69,000 people in the United States in 2000. More than half of them were women. Use this knowledge to go over your risk factors for these diseases with your doctor.

Getting healthier isn’t as hard as it sounds. You can get there with four simple steps. 1. Eat right. Eat more fruits, vegetables, and whole-grain breads and cereals. Skip fried and fast foods. 2. Exercise more. Be active every day. Walk more, take the stairs and turn chores into exercise. 3. Keep your weight down. Start by losing five pounds if you’re too heavy. Steps 1 and 2 will help with this. 4. Quit smoking. Don’t try to quit alone. Join a support group.

battle back

Fight these leading causes of death in women by learning more about cardiovascular and other diseases. Visit www. AdventistHealthCare. com/wellness for expert advice, heart-healthy quizzes, an illustrated health encyclopedia, in-depth reports, classes and more.

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four

ways to foil cancer

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ladies, there are some things you just can’t put off any longer—like the four recommended screenings that could save your life

❋ ❋ ❋ ❋ When was the last time you stopped to think about getting screened for cancer? No doubt you’ve got other priorities in your busy life. But the fact is that being screened for breast, cervical and colorectal cancers could save your life— and allow you to stay as busy as you like. Here is a quick guide to the screenings a woman needs to stay well:

CERVICAL CANCER SCREENING How: The Pap test and pelvic exam. During a pelvic exam, the doctor feels for abnormalities in the size and shape of the uterus, ovaries, etc. A sample of cells from the cervix is taken during the Pap test to check for unusual changes. Who: All women beginning three years after ﬁrst sexual intercourse, but no later than age 21. When: Every year to age 30, then every two to three years if past Pap tests were normal.

BREAST CANCER SCREENING

Who: All women beginning at age 40. Women at high risk should begin screening earlier as recommended by a physician. Ask your doctor about your risk factors. When: Every year.

BREAST CANCER SCREENING How: Clinical breast exam. A physical examination of the breasts by a physician to feel for lumps or other abnormalities. Who: All women beginning at age 20. When: Every three years during your 20s and 30s; every year beginning at age 40.

COLORECTAL CANCER SCREENING How: Fecal occult blood test (FOBT), ﬂexible sigmoidoscopy or colonoscopy. The FOBT is a lab test to detect blood in the stool. Sigmoidoscopy and colonoscopy use a tiny camera to view the inside of the colon. Colonoscopy offers a longer view and enables physicians to remove polyps before they become cancerous. Who: All women—and men, too. The American Cancer Society advises everyone at normal risk to start getting tested regularly at age 50. When: Fecal occult blood test every year and sigmoidoscopy every ﬁve years or colonoscopy every 10 years. Discuss the screening options with your physician.

HPV testing: who needs it?

Experts have discovered that a common sexually transmitted disease called human papillomavirus (HPV) is responsible for most cases of cervical cancer. Although many women have some form of HPV during their lives, only rarely does it actually trigger cancer. The test for HPV can be done at the same time as a Pap test. Experts don’t recommend Visit www.AdventistHealthCare.com/experts to find a physician; regular HPV testing until women submit questions to our cancer care expert, Debra Pollak, executive direcreach age 30. Ask your doctor if tor of Shady Grove Adventist Hospital’s and Washington Adventist Hospital’s cancer care services; and find screenings near you. you need an HPV test.

How: Mammogram. A mammogram is a special X-ray of the breast tissue. It’s currently the most reliable way to detect cancer while it is still in its early stages and easier to treat.

find dr. right go

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healthy

have a pregnancy

prenatal care plays a key role

mothers-to-be and their babies

in ensuring a healthy start for

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It’s a special time for a woman when she discovers she is pregnant. Feelings of joy, happiness and excitement are sometimes mixed with a little fear and uncertainty. But there is one thing for certain that women need to know and understand: Pregnancy is a serious matter and should be treated accordingly. Exercise, good nutrition and prenatal care are the keys to a healthy pregnancy. Although no one can guarantee that every woman who follows that advice will have a problemfree pregnancy, it’s in your best interest to take care of yourself so that you are doing your part to have a healthy baby.

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When it comes to medical care and pregnancy, the earlier you start getting help, the better off you and your baby will be. Dating the pregnancy is one of the most important things in beginning good prenatal care so that your physician can get an estimate of the due date. This gives the best chance to identify factors in the mother’s health that can affect her or the baby.

❋ a developmental deal The obstetricians who treat and admit patients at Shady Grove Adventist Hospital and Washington Adventist Hospital suggest that a woman make an appointment as soon as she discovers she’s pregnant so that she can schedule her prenatal checkups, usually on a monthly basis, and begin to change lifestyle habits that could bring harm to the fetus. They also recommend mothers-to-be eat a well-balanced diet, which includes a vitamin supplement that contains folic acid. An expectant mom’s daily intake of folic acid should be at least 400 micrograms. Because everything a woman takes into her body, whether through her environment or diet, affects the developing baby, pregnant women should take certain precautions such as: Drink up. Be sure to get plenty of ﬂuids. Wear gloves when using cleaning products. Skip the nail salon. Be cautious about how many times you have your nails done because repeated exposure to acetone vapors can be harmful. Don’t consume alcoholic beverages. Alcohol consumption is linked to birth defects. Don’t smoke. The negative effects of tobacco on an unborn fetus are well documented. Limit your caffeine intake. Caffeine has been shown to increase the chance of miscarriage.

❋ get fit and happy Happy one day, sad the next and then happy again, pregnant women experience a roller-coaster ride of emotions. One way to deal with the blues and emotional ups and downs is exercise. Exercise is important for pregnant women because it tends to make them feel better and helps prepare them for the rigors of childbirth. After all, a woman can’t be too ﬁt for the workout she will endure when she goes into labor. Exercise is also a good way to improve a woman’s cardiovascular tone. Swimming, for example, is excellent because it offers a lowimpact cardiovascular workout. It is suggested that women engage in aerobic activity that increases the heart rate to between 120 and 140 beats per minute for at least 20 minutes, three days a week. Using a treadmill or stationary bike is an ideal method for enhancing cardiovascular ﬁtness during pregnancy. Experts advise against inline skating or bicycling. (Always check with

your doctor before beginning any exercise program when you are pregnant.) It’s normal to be a little anxious when you discover you are expecting. Remember, you can help your delivery be as safe and healthy as possible by following a prenatal plan of action.

your fighting weight

Good nutrition is a crucial step in having a healthy baby. A pregnancy takes about 300 extra calories a day to maintain, and an average-sized woman can expect to gain between 25 and 35 pounds. Just remember to eat foods in moderation, and use some common sense when putting portions on your plate. It is recommended that a pregnant woman should increase her daily food portions to include: Breads and other whole grains: At least six to 12 servings; include brown rice and whole-wheat bread or pasta. Vegetables: At least three to five servings; include green leafy and yellow vegetables. Fruits: At least two to four servings; include oranges, grapes and bananas. Milk and milk products: At least four to six servings; include cheese as often as possible. Meat and protein foods: At least three to four servings; include red meats and fish. Water: At least six to eight glasses each day.

expecting? expect to be expecting?

Schedule a complimentary birth consultation with Shady Grove Adventist Hospital’s birth advisor to help you prepare for your birth. Call 240-826-6643 or e-mail shine@adventisthealthcare.com to schedule your appointment today. You can also find a top-notch OB/GYN who delivers at Shady Grove Adventist Hospital or Washington Adventist Hospital by visiting www.AdventistHealthCare.com/docs.

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smooth move ensure healthy

joints for years to come

WHEN YOU WERE IN YOUR TEENS AND YOUR 20s—even your 30s—you may have felt invincible. You ran and jumped with ease, and you never thought twice before stepping off a curb. And stairs—you probably took them two at a time. Nowadays, it might be a different story. Your joints crack with the smallest movements, and your knees ache after a long walk with the dog. And the stairs—you get tired just looking at them. After decades of use, your joints might be telling you they need a break. In fact, baby boomers are now at prime risk for arthritis. Surprisingly, more than half of those affected by the condition are younger than 65. Although you can’t stop the beat of time, you can help your body slow its impact. The Arthritis Looking to stay active? Be sure to check Foundation offers out the Joint Center Boot Camp class listing the following tips in Health Advisor on page HA7, or visit www. for maintaining AdventistHealthCare.com/calendar. healthy joints: Stay active. Exercise is important for building stronger muscles and ligaments to support your joints, but also helps ﬁght fatigue and improve your attitude. To relieve pressure and better protect your joints, try low-impact activities such as walking, warm-water exercise and yoga. Shed the extra pounds. Every extra pound you gain puts four times the stress on your knees. According to the Centers for Disease Control and Prevention, 66 percent of adults with doctor-diagnosed arthritis are overweight or obese. On-the-job time counts. If you work with a computer, mind your posture and make sure your monitor and keyboard are properly placed. For jobs with heavy lifting, adjust your techniques and use your largest and strongest muscles, namely your legs. Dig in to dairy. Snack on your favorite source of calcium. Along with milk, don’t be afraid to branch out to other dairy products, such as yogurt and cheese, as well. Other good sources of calcium include broccoli, salmon and kale. See your doctor if you experience stiffness, pain or swelling in your joints or heat and redness around your joints lasting longer than two weeks. These symptoms are signs of arthritis.

info

get moving

fight arthritis with colorful foods

Did you have a glass of orange juice this morning? If so, you did your body a favor for a surprising reason: Brightly colored fruits and vegetables, such as oranges, may help you avoid rheumatoid arthritis. The key is in those amazing antioxidants. This particular one is called beta-cryptoxanthin—a carotenoid that creates the deep orange and yellow colors in plant foods. A recent study suggests that cryptoxanthin can reduce inflammation in the body, and that can mean a much lower risk of developing arthritis. A daily glass of orange juice can give you enough of these protective compounds. Other colorful foods such as bell peppers, papayas and pumpkins offer similar benefits.

stop suffering from joint pain

For more information about joint services, call Judy Mardirossian, Shady Grove Adventist Hospital joint program coordinator, at 240-826-7591; or Toni Clark, Washington Adventist Hospital orthopedic program coordinator, at 301-891-5050. To find an orthopedic physician near you, visit www. AdventistHealthCare.com/docs.

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cracking the case learn more about cholesterol to keep this bandit at bay by julie wlodychak

as a lawyer, Kathy Ingber

knew the importance of gathering evidence and presenting her best argument based on the facts—and her health was no different. Ingber suspected her family history of heart disease would make her heart health a tougher case than most, but she was determined to win. photolibrary

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So Ingber, 47, began cholesterol screenings in her late 20s with Elizabeth Ross, M.D., a cardiologist and spokeswoman for the American Heart Association (AHA), because she knew it would be criminal not to catch one of the main contributors to heart disease—high cholesterol. “If someone looked at my family, they wouldn’t think that we have high cholesterol,” Ingber says. vim & vigor • s p ri ng 2009

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“We’re in very good physical shape but still have a prevalent history of heart disease.” Ross has been monitoring Ingber for 20 years and now screens her cholesterol numbers twice annually. “Having confidence in your physician is important,” Ingber says. “She’s helped me develop lifestyle habits to keep my cholesterol numbers in a healthy range.”

k the big three Learning about cholesterol is the first step to becoming heart-healthy. The fatty substance, found in your blood, is actually necessary for cell formation and hormone regulation. But too much of it can increase your risk of coronary heart disease and heart attack, according to the AHA. To maintain healthy cholesterol levels, the AHA says you have to “know your numbers.” But what does that mean? “It’s important for

patients to check blood pressure, blood sugar and cholesterol, because they are the three major risk factors that can be improved and will decrease the risk of future heart disease,” Ross says. Your total cholesterol level is composed of three parts: Low-density lipoprotein (LDL). This is the “bad” cholesterol. When too much of it circulates in the blood, it starts to clog arteries and can increase the risk of heart attack and stroke. High-density lipoprotein (HDL). This is the “good” stuff; high levels of it protect against heart disease. HDL carries cholesterol away from your arteries and to your liver, where it is removed from your body. Triglycerides. A type of fat found in your blood, triglycerides in normal amounts are OK. But a high level increases your

1 2 3

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S:7”

Meet LOVAZA

S:10”

If you have diabetes, high cholesterol or high blood pressure, there’s a good chance you have very high triglycerides. LOVAZA is the only triglyceride-lowering prescription medicine made from a natural ingredient -- omega-3 fish oil. It’s FDA approved, highly effective and concentrated. And you can only get it from your doctor. Ask your doctor if LOVAZA is right for you • Visit LOVAZA.com or call 1-877-LOVAZA1 Important Safety Information for LOVAZA (omega-3-acid ethyl esters): LOVAZA, along with diet, helps to lower very high triglyceride levels. If you are allergic to fish, you should not take LOVAZA. Talk to your doctor about any medications you are taking, especially those that may increase your risk of bleeding. ®

Possible side effects include burping, infection, flu-like symptoms and upset stomach. See the Patient Information Leaflet on next page. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

LOVAZA is a registered trademark of GlaxoSmithKline.

If you don’t have prescription coverage, visit pparx.org, or call 1-888-4PPA-NOW (1-888-477-2669)

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A PRESCRIPTION MADE FR M NATURE

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PATIENT INFORMATION LOVAZA ( lĹ†-vÄ…-zÄ‡ ) (omega-3-acid ethyl esters) Capsules Read the Patient Information that comes with LOVAZA before you start taking it, and each time you get a refill. There may be new information. This leaflet does not take the place of talking with your doctor about your condition or treatment. ÂŽ

What is LOVAZA? LOVAZA is a prescription medicine for adults called a lipid-regulating medicine. LOVAZA is made of omega-3 fatty acids. Omega-3 fatty acids are natural substances that your body needs. They are found naturally in some plants and in the oil of certain fish, such as salmon and mackerel. LOVAZA is used along with a low-fat and lowcholesterol diet to lower very high triglycerides (fats) in your blood. Before taking LOVAZA, talk to your healthcare provider about how you can lower high blood fats by: s LOSING WEIGHT IF YOU ARE OVERWEIGHT s INCREASING PHYSICAL EXERCISE Treatment with LOVAZA has not been shown to prevent heart attacks or strokes.

step by step

LOVAZA has not been studied in children under the age of 18 years.

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What should I tell my doctor before taking LOVAZA? Tell your doctor about all the medicines you take, including prescription and non-prescription medicine, vitamins, and herbal supplements. LOVAZA and certain other medicines can interact causing serious side effects. Especially tell your doctor if you take medicines: s TO REDUCE CLOTTING n KNOWN AS ANTICOAGULANTS or blood thinners. These include aspirin, warfarin, coumarin and clopidogrel (PLAVIX). Tell your doctor if you are allergic to fish. LOVAZA may not be right for you. Who should not take LOVAZA? Do not take LOVAZA if you: s are allergic to LOVAZA or any of its ingredients. What are the possible side effects of LOVAZA? s 4HE MOST COMMON SIDE EFFECTS WITH ,/6!:! are burping, infection, flu symptoms and upset stomach. Talk to your doctor if you have side effects that bother you or that will not go away. You may report side effects to FDA at 1-800-FDA-1088. These are not all the side effects with LOVAZA. Ask your doctor or pharmacist for a complete list. LOVAZA is a registered trademark of the 'LAXO3MITH+LINE GROUP OF COMPANIES 0,!6)8 IS A REGISTERED TRADEMARK OF 3ANOFI 3YNTHELABO Distributed by:

wal king for 30 minutes a day can

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vim&vigor

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Find out more about cholesterol and how it can affect you by visiting www.Adventist HealthCare.com/wellness.

know your numbers

BORDERLINE

HIGH RISK

less than 200 mg/dL

200 to 239 mg/dL

240 mg/dL or higher

60 mg/dL or higher

(considered average) 50 to 60 mg/dL for women, 40 to 50 mg/dL for men

less than 50 mg/dL for women, less than 40 mg/dL for men

less than 100 mg/dL

130 to 159 mg/dL

160 mg/dL or higher

less than 150 mg/dL

150 to 199 mg/dL

200 mg/dL or higher

TOTAL

DESIRABLE

HDL

Blood pressure, blood sugar and cholesterol are the three major risk factors of heart disease, says Elizabeth Ross, M.D., of the American Heart Association (AHA). Healthy and risky cholesterol counts are included in this AHA chart. Keep in mind, these numbers simply provide a guideline. Your optimal cholesterol counts could differ based on your own heart-health history. Be sure to talk to your doctor about questions and concerns. To find a physician near you, call 800-642-0101.

LDL

If you have a strong family history of heart disease, your physician may suggest that cholesterol screenings start in childhood. In general, though, the AHA recommends that everyone older than 20 have what’s called a “fasting lipoprotein profile” every five years. Although it sounds complicated, it’s a simple blood test that you take after not eating for about 12 hours. Although many communities offer this important screening as a service, Ross encourages you to see your regular physician so he or she can monitor your heart-health history. In addition to regular screenings, there are other effective ways to ensure healthy cholesterol levels: WATCH YOUR WEIGHT. “We know that if someone is overweight and they lose weight, their bad cholesterol will come down,” Ross says. GET MOVING. Studies have shown that as little as 30 minutes of heart-pumping exercise a day can help lower bad cholesterol and boost the good stuff while also helping your heart work more efficiently. QUIT THE STICKS. “As soon as you stop smoking, your good cholesterol levels will go up,” Ross says. EAT LESS FATTY (read: cholesterol-heavy) foods. Because cholesterol is produced naturally in your body, you should consume fewer than 300 milligrams per day from food, according to the AHA. Things like doughnuts, chips and french fries, which contain saturated or trans fats, are especially unhealthy. Avoid them whenever possible. Even though Ingber’s career as a lawyer is demanding and stressful, she makes it a point to

check your cholesterol IQ

CHOLESTEROL

❋ prevention is key

stay active and to visit her physician regularly. “It’s never too early to start screening your cholesterol, adjust your diet, increase your exercise and take medication if necessary,” she says. “The earlier you start screening, the better.”

TRIGLYCERIDES

chances of developing heart disease and is associated with an increased overall cholesterol level. During a screening, your physician will measure your total cholesterol, HDL, LDL and triglyceride levels. When levels of the good variety are too low and the bad variety too high, your risk of a heart attack goes up. Elevated triglyceride levels are a risk factor for metabolic syndrome and heart disease. “Maintaining healthy cholesterol levels is different for each person,” Ross says. “Not everyone comes into this world with the same risk.” Adults with total cholesterol levels of 240 or higher are considered in the danger zone by AHA standards. “An optimal total cholesterol level is considered less than 200,” Ross says.

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without proper care,

mino e

diabetes can lead from one complication to another

by amy lynn smith magine a long line of dominos, standing tall. Now give the ﬁrst one a teensy nudge. Click, click, click, click, click, click, click—they all tumble. That’s diabetes when left unchecked. “Diabetes isn’t a single disease,” says Ann Albright, Ph.D., R.D., president of Health Care & Education for the American Diabetes Association. It starts in the pancreas, she explains, a vital organ that, among other things, regulates insulin production. Insulin is a hormone that helps cells process and store blood sugar (or glucose) for energy—and your body needs a precise amount. People with diabetes have trouble regulating the hormone, and that can lead to wide variety of health complications. Type 2 diabetes in particular, the most common form of this disease, is linked to a variety of serious conditions, six of which we’ve highlighted here. Fortunately, it’s manageable. If you eat sensibly, exercise, maintain a healthy weight and take medications regularly, you can control diabetes. And by controlling it, you minimize the risk of your own diabetes domino effect.

❋ heart disease It’s common for people with diabetes to also have high blood pressure and high cholesterol—both of which are signiﬁcant risk factors for heart disease, says Albright. Diet and exercise are the ﬁrst line of defense against these risk factors, and, for some people, medication is necessary, too.

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effect

❋ kidney disease Over time, high levels of blood sugar can make the kidneys work too hard and lead to kidney disease, according to the American Diabetes Association. Regular kidney function tests are extremely important, because kidney disease can be treated when it’s detected early.

❋ eye problems People with diabetes are more likely to develop glaucoma and cataracts. They’re also at risk for diabetic retinopathy, which is caused by blocked or damaged blood vessels. All these eye conditions can become serious, but they’re treatable when found in their early stages, making regular eye exams crucial.

❋ erectile dysfunction Many men with diabetes can develop erectile dysfunction (ED), or impotence, when poorly controlled diabetes damages blood vessels and nerves in the penis. “Sugar-coated blood travels through the body and damages the blood vessels that feed the organs,” says Albright. Fortunately, many treatments are available for ED.

❋ dental health issues High glucose levels in saliva help bacteria grow. The bacteria attacks tooth enamel, causing decay and contributing to gum disease. Daily brushing and ﬂossing and regular visits to the dentist can keep oral health problems at bay.

❋ unhealthy body weight When a person is overweight, the pancreas struggles with insulin balance. The result? A higher risk of type 2 diabetes. And an unhealthy body weight can make diabetes much harder to manage, says Albright. Obesity also increases the risk of heart disease, cancer, stroke and arthritis, among other diseases.

recognize the signs of stroke

stroke-savvy?

How much do you know about stroke? To take our online stroke quiz and find out more about our designation as a primary stroke center, visit www.ShadyGroveAdventist Hospital.com/stroke.

The most life-threatening consequences of diabetes are heart disease and stroke. Make sure you know the warning signs of an attack: • Sudden weakness or numbness of the face, arm or leg, especially on one side of the body. • Sudden confusion, trouble speaking or understanding speech. • Sudden trouble seeing in one or both eyes. • Sudden trouble walking, dizziness or loss of balance or coordination. • Sudden severe headache with no known cause. If you or a loved one is experiencing these signs, call 911 immediately.

PHOTOLIBRARY

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I’m

wim o o t t jus

py.

I only want to have fun!

no more exc u there is an alarming trend: 1.1 million fewer women are getting annual

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—and surprising— statistic recently released by the Centers for Disease Control and Prevention: The number of women getting mammograms is decreasing. Although the decline sounds small— a drop of 1.8 percentage points between 2000 and 2005—it translates to 1.1 million fewer women choosing to get this potentially lifesaving test. “We don’t know if this is a continual decrease, but it was significant enough that we really need to pay attention to it,” says Jackie Miller, M.D., medical officer with the CDC, division of cancer prevention and control. More than 40,000 women die from breast cancer every year, and it remains one of the most commonly diagnosed cancers. But getting regular mammograms has been shown to reduce the mortality rate of breast cancer by 20 to 35 percent in women ages 40 to 69. Now CDC researchers, including Miller, are focusing their attention on why fewer women are making their annual mammogram appointments. Here, she identifies three common reasons, and provides advice for turning this trend around.

mammograms. why?

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a false sense of security

Scary fact No. 2—not only are fewer women getting mammograms, but the ones who aren’t should know better. “We found the women who were of a higher education level were the ones with the decreasing number of mammograms,” Miller says. “We have a concern that they’re getting complacent, feeling too safe.” It’s true that new medications, new treatment options, and more advanced technology to detect and ﬁght breast cancer are making the news as much as, if not more than, mortality rates do. Miller says she worries this is giving women a sense of false hope that breast cancer isn’t as much of a threat as it once was.

But, Miller adds, regardless of the options women now have to ﬁght the disease, early detection remains the most important weapon—and the earlier, the better.

the ‘ouch’ factor

Another possible deterrent— discomfort—could factor into why women don’t return for their annual mammogram. At least one study recently showed that reducing the discomfort women expect to feel during the procedure was a motivator to return. The study out of St. Luke’s Mountain States Tumor Institute in Boise, Idaho, tested an over-the-counter anesthetic called lidocaine gel to reduce the pain some women feel during mammograms. “We set out to determine if either Tylenol, Advil or lidocaine, alone or in combination, would have any impact on women [who were] expecting discomfort,” says Colleen Lambertz, the study’s main author and a nurse practitioner at the institute. In the study of 418 women, it was found that Tylenol and Advil had no effect while lidocaine signiﬁcantly reduced discomfort. “It’s primarily used for dermatology procedures, like laser hair removal, to numb the skin,” Lambertz says. But when applied to the breasts an hour before a mammogram, some women found it did wonders. “I had several [participants] call me afterwards with similar comments. It was the ﬁrst time they’d had a mammogram with no pain,” she adds. While using lidocaine gel in conjunction with mammograms is new, other options to ease discomfort have been in place for a while. The MammoPad, approved by the FDA in 2001, is a squishy, white, one-time-use foam pad that is invisible to X-rays. Soft and warm, the pad has had remarkable results for women who have used it as a buffer between breast and metal plate. Other options experts recommend to reduce discomfort include scheduling

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your mammogram during the ﬁrst week after your menstrual cycle when breast tenderness should be at its lowest. Also, avoid caffeine the week before your mammogram as it may increase breast tenderness. No matter what methods you use to help you through it, the few minutes a mammogram lasts is worth what it can do to help save your life, notes Miller.

rising gas prices play a part

Believe it or not, gas prices might inadvertently be affecting the mammogram rate. “Nationwide, we saw a 6 percent decrease in mammograms from 2004 to 2005 in areas that were rural, areas of poverty,” Miller says. “When we have gas prices through the roof, women have to make cuts somewhere.” What’s more, Miller worries mammograms may not be conveniently

Breast cancer

located for everyone. “Some women aren’t going to travel over an hour to get a mammogram, especially if they have children,” she says. Fortunately, a trend toward mobile mammography in rural areas is taking off. Furnishing the same high-quality mammograms as in doctors’ ofﬁces, the self-contained mobile units can travel practically anywhere to perform tests on-site. The Agency for Healthcare Research and Quality found that using mobile units helped increase mammography rates by 15 percent among low-income elderly women and 50 percent among some minority populations.

isn’t just a woman’s disease.

1,990 men developed breast cancer in 2008*. who make excuses, Miller urges them to think of the alternative. “Some women think if they don’t have any symptoms, if they don’t feel anything, then they’re OK. Mammography can save a woman’s life.”

take charge The National Cancer Institute recommends women 40 and older get a mammogram every one to two years. The American Cancer Society recommends women get one every year. For those

breast cancer myths—busted!

There are, unfortunately, misconceptions about breast cancer. Getting your facts straight could save your life. Myth: Breast cancer only affects older women. FALSE. Breast cancer can occur at any age. To age 39, one woman in 231 will get breast cancer (less than a 5 percent risk); from ages 40 to 59, the risk is 4 percent; from ages 60 to 79, the risk is one in 15 women, or nearly 7 percent. Myth: Using antiperspirants causes breast cancer. FALSE. “I’ve never seen any evidence to show this,” says Debra Pollak, executive director of Shady Grove Adventist Hospital’s and Washington Adventist Hospital’s cancer care services. Neither the active ingredient in antiperspirants nor a reduction in underarm perspiration has been shown to affect breast cancer risk. Myth: I’m at high risk for breast cancer and there’s nothing I can do about it. FALSE. Women at high risk can take steps to reduce, although not Experts recommend women of all ages eliminate, their chances of getting the disease. These include lifestyle perform monthly breast self-examinations. changes (stopping smoking, exercising regularly), medication and, in Visit www.AdventistHealthCare.com/ cases of very high risk, a pre-emptive mastectomy. wellness for a step-by-step guide on “There are chemo-preventive medications shown to be somewhat how to perform a self-exam. effective for high-risk women,” says Pollak, who also recommends annual MRIs along with mammograms for those at a higher risk.

I ’ m go i n

g to cal

l my d o

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don’t miss a month

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*Estimated by The American Cancer Society

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12/23/08 6:06:09 PM

“I’m an on-the-go woman. A once-a-year osteoporosis treatment fits my life.” “I’m Jane. I’ve got osteoporosis. After work at the botanical garden, I often go swimming. And I love going out at night with my friends to hear jazz. I’m always on the go.”

Discover

Reclast is a prescription medication that treats postmenopausal osteoporosis. •

One intravenous (IV) dose a year helps strengthen bones and protect them from fracture, when taken with daily calcium and vitamin D

•

No other osteoporosis treatment is approved to help protect from fracture in more places: hip, spine, even other bones

•

IV given by a doctor or nurse for no less than 15 minutes once a year

Ask your doctor if Reclast is right for you. 1-866-Reclast • www.reclast.com

Important information:

You should not take Reclast if you’re on Zometa® (zoledronic acid) Injection as it contains the same ingredient; if you have low blood calcium, kidney problems, or are allergic to Reclast or Zometa. Or you’re pregnant, plan to become pregnant or nursing. It’s important to drink fluids before getting Reclast to help prevent kidney problems. The most common side effects are flu-like symptoms, fever, muscle or joint pain and headache. Tell your doctor if you have dental problems because rarely, problems with the jaw have been reported with Reclast. Discuss all medicines you’re taking, including prescription and non-prescription, vitamins and herbal supplements. If you develop severe bone, joint or muscle pain, numbness, tingling or muscle spasms, contact your doctor. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. If you don’t have prescription coverage and can’t afford your medicines, log onto www.pap.novartis.com or call 1-800-245-5356.

Reclast. Year-long protection for on-the-go women.

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Please see next page for important product information.

12/9/08 1:33:12 PM

Important Patient Information WHAT IS RECLAST? Reclast is a prescription medication used to treat osteoporosis in women after menopause. If your doctor prescribes Reclast, you will be given one intravenous (IV) treatment of Reclast for at least 15 minutes to help reduce the risk of osteoporosis-related fractures for twelve months.

WHO SHOULD NOT USE RECLAST? Anyone who has low blood calcium, is allergic to Reclast, or takes Zometa® (zoledronic acid) Injection should not take Reclast.

WHAT SHOULD I BE AWARE OF BEFORE TAKING RECLAST? • Reclast contains the same active ingredient found in Zometa. Therefore, if you are being treated with Zometa, you should not take Reclast.

WHAT SHOULD I BE AWARE OF BEFORE TAKING RECLAST? (continued) • Rarely, jaw bone problems have been reported in patients treated with drugs in this class, including Reclast. Your doctor should give you a routine oral exam prior to prescribing Reclast. • If you are pregnant, Reclast may cause harm to your baby. Therefore, you should not take Reclast if you are pregnant, plan to become pregnant or nursing. • Infrequently, severe incapacitating bone, joint, or muscle pain may occur. Tell your doctor if you experience any of these symptoms.

WHAT ARE THE MOST COMMON SIDE EFFECTS OF RECLAST? The most common side effects include:

• You should take calcium and vitamin D daily as directed by your doctor.

• • • •

• If you have low blood calcium, have had parathyroid, thyroid, or intestinal surgery, or have malabsorption syndrome, talk to your doctor.

Most occur in the days following treatment. A mild pain reliever such as ibuprofen or acetaminophen may reduce these symptoms.

• Patients with kidney problems should not take Reclast. Your doctor may perform a simple blood test to check your kidney function before administering Reclast.

For a complete list of Reclast’s possible side effects, ask your doctor.

384999ig_A Client: Novartis (NV) Product: Reclast (REC) Job #: M07NV002

Print/Export Time: 3/7/08 10:17 AM Print Scale: 100% User Name: erick.wilson Proof #: 3 PM: A. Rabinowitz InDesign Version: CS2 Version Code: None

flu-like illness fever muscle or joint pain headache

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Ad #: 10-R3 Headline: Important Patient Information... Visual: Patient Information Space/Color: 1/2 Pg Hz Non-bleed Publication: Various Generic Pubs 2008

Bleed: None Trim: 7 in x 4.5 in Live: None Gutter: None

WHAT SHOULD I KNOW ABOUT TAKING RECLAST WITH OTHER MEDICATION? • You should not take Reclast if you are taking Zometa. • Tell your doctor about any antibiotics that you are currently taking. Certain antibiotics called aminoglycosides may lower your blood calcium for a long period of time. • You should tell your doctor if you take diuretics.

STILL HAVE QUESTIONS? This is only a summary of important information. Ask your doctor for more complete product information, or • Call 1-866-RECLAST, or • Visit www.reclast.com.

os teoporosis affects 55 percent of Americans older than 50. Are you

one of them? Talk to your AD: S. Frenk doctor today about a bone CW: J. Fields CD: None mineral density test. Created by Interface AP: P. Urquhart PP: M. Angiuli

Graphics, a division of McCann Erickson

Document Name: IG_M07NV002_10R3_PI.indd Document Path: Retouching:Volumes:Retouching:-Work In Progess:Novartis:IG_M07NV002_10AR1_11R1:IG_ M07NV002_10R3_PI.indd Font Family: Times (Roman), Helvetica (Medium) Ink Name: CMYK Link Name: M07NV002_10R3.pdf, NVS K.ai, Reclast_Logo_BW.ai

bad to the bone? FdVVSP0800_19-20.indd 2

(Re-clast) ™

vim&vigor

12/9/08 1:33:29 PM

a grand

plan next time you babysit, keep the grandkids safe with these 21st-

century updates

It’s your right as a grandparent to spoil your grandkids, indulging their whims and wishes to your heart’s content. Cookies? Sure! Ice cream, too? OK, but don’t tell your mother. Just one more story before bedtime, puuleeeeease? Why not! What a delightful change from the responsibilities of raising your own family. Of course, babysitting isn’t all sweets and story time. There are important changes in child care that will help grandparents ensure the little ones’ safety. Before volunteering to babysit, Debra Holtzman, author of The Safe Baby: A Do-It-Yourself Guide to Home Safety (Sentient Publications, 2004), urges every grandparent to learn the latest regulations. “It’s essential that you’re up-to-date, most importantly to avoid potential hazards but also to give your children—now the parents— ease of mind. They’ll want you to babysit, because their children will be in safe hands.” Whether you babysit in your grandchildren’s home or your own, these are the top safety updates.

by donna shryer

illustration by lisa perrett

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all for one

every age For emergency situations that could touch a grandchild of any age, here’s what you need to know. • CPR refresher In 2005, the American Red Cross improved and streamlined CPR guidelines, so it’s time for a refresher course. One significant simplification involves more common steps for adult, child and infant CPR (excluding newborns), which makes the lifesaving procedure easier to learn, remember and perform. To find a class, contact your local Red Cross chapter by going to redcross.org or calling 877-356-3226. • Detecting gas Carbon monoxide detectors showed up in the early 1990s, and many older homes still don’t have them. “Everyone should have a carbon monoxide detector, especially if kids are around,” says Chrissy Cianflone, director of program operations for Safe Kids Worldwide. “Children can’t metabolize the gas, so poisoning affects them more rapidly than adults.”

baby talk

newborn to 1 year The important safety updates for newborns to 1-year-olds spotlight sleep time. • Sleeping soundly Your pediatrician advised laying babies tummy-down in the crib or on their side. Since 1992, the American Academy of Pediatrics has recommended only one safe sleeping position for infants: on their backs. The academy says that since babies sleeping on their sides are more likely to accidentally roll onto their stomachs, increasing the risk of sudden infant death syndrome, the side position is not as safe as the back and is not recommended. • Cradle and all Those adorable crib accoutrements are now no-nos. “The only thing that goes in the crib is a mattress, fitted sheet and the baby,” Cianflone advises. “That means no toys, pillows, extra sheets or blankets. Every potential suffocation hazard must be removed.” Even a crib bumper is under debate, Cianflone adds, but for now the advice is to make it taut and remove it once the baby stands, so it doesn’t become a “step” to climb out of the crib.

safety by the numbers

You probably gave babysitters the family physician’s phone number to cover every problem. Today, you dial 911 in case of emergency, and you’ll need additional information as well. Use this guideline to create your own emergency list. Emergency: 911 Mom’s Cell: Police: Mom’s Work: Fire: Dad’s Cell: Ambulance: Dad’s Work: Pediatrician: Health Insurance Company: Family Doctor: Group/Policy #: Dentist: Policyholder’s Name: Poison Control Hotline: 800-222-1222 Policyholder’s ID #: Pharmacy:

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walking wonders 1 TO 3 YEARS

Safety improvements for 1- to 3-year-old toddlers key in to their favorite pastime—putting everything in the mouth. • MOVING MEDS Your medicine cabinet once held little more than aspirin, but now, thanks to modern medicine, you probably have several pill bottles. This means taking extra precautions. Holtzman recommends storing drugs in a locked closet and flushing expired medication down the toilet. “One-third of all pediatric poisoning traces back to a grandparent’s medication,” she says, “so you really need to be careful.” Another big change concerns Ipecac syrup. The American Association of Poison Control no longer recommends keeping it in the house, and in case of poisoning, call the Poison Control Hotline, 800-222-1222. • CHOKING HAZARDS You probably have toddler toys and furniture in the attic, and Cianflone urges grandparents to keep them there. Everything a little one sits or sleeps in has recently undergone rigorous safety upgrades. As for playtime, Cianflone warns, “older toys weren’t subject to today’s lead paint and choking hazard regulations.”

child’s play

5 YEARS AND OLDER For grandkids 5 years and older, the big news is all about outdoor safety.

• SUPERVISING PLAYTIME Along with the baby boomers came the suburbs—quiet communities where children played freely. “Back in the day, that was ﬁne, but it’s not OK now,” Cianﬂone says. “You need to actively supervise grandchildren under 12, and anyone under 10 should not cross the street by themselves. They can’t appreciate yet how fast a car is moving or how close it is.” • HEAD FIRST Bike helmets certainly weren’t around when you raised a family, but today 21 states and the District of Columbia require that children on a bike or trike wear one. “Even if your state doesn’t have this law, every child over 12 months should wear a helmet when on a bike, skateboard or skates,” Holtzman says. “And if Grandma bikes along with the kids, she needs to set a good example and wear one too!”

be prepared

In partnership with Montgomery County Fire and Rescue, Shady Grove Adventist Hospital and Washington Adventist Hospital are offering a free File of Life card to help you be prepared in case of an emergency. See the card insert in this issue for more details.

furry friend or foe?

The family dog or cat grew up with children, and a pulled tail was par for the course. Your pet today, however, probably grew up in a very quiet home. To prepare your furry friend for visiting grandchildren, Debra Holtzman, author of The Safe Baby: A Do-It-Yourself Guide to Home Safety, recommends asking your veterinarian for suggestions. You can also purchase a tape with baby noises and play it for your pet. You—and only you—might try giving your pet treats while the grandkids sit nearby. “You don’t want to miss out on a chance to babysit,” Holtzman adds. “So if you have even the slightest reservation, bring your pet to a neighbor’s home when grandkids stay the night. It’s a simple solution that removes a lot of potential safety hazards.”

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by john tomkiw academy award-winning actress

helen mirren sets the new standard for healthy aging. there’s much we can learn from this breathtaking brit

dame L

ast summer, the world of popular media was forever turned upside down—countless

newspapers, tabloids and websites put aside their youth-obsessed coverage of in-the-moment starlets to feature photos of 63-year-old Academy Award-winning actress Dame Helen Mirren romping in the Mediterranean surf off the coast of Italy. In a ﬁre-engine-red bikini. And she looked, in a word, fabulous.

PHOTOGRAPH BY LARSEN & TALBERT, ICON INTERNATIONAL

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❋ on aging: “I’ve never been worried about getting older, but I do recognize that I’ve been incredibly lucky. I’ve been able to keep working ... and how cool is that? I’m still here, and I’m surging ahead at the moment. But that happened because I’ve always thought of myself as constantly learning.”

Going global: Dame Helen Mirren accepts a Golden Globe award for her performance in The Queen. “It was one of the best nights of my life,” she told the BBC.

❋ on the media’s perception of beauty: “I think it’s completely iniquitous to have incredibly skinny girls on the [fashion] runway. A lot of the girls are horrifically thin and of course they have a problem. Mostly, the fashion industry chooses to turn a blind eye.” ❋ on dieting: “I don’t mind if my weight fluctuates by 10 pounds. Life’s too short.” ❋ on nutrition: “My mother knew about healthy food. ... We had homemade whole-wheat bread, we were the first in Britain to eat natural yoghurt, and wheat germ was put on everything. Our meals always included fresh vegetables and our cakes were homemade.” Sources: More Magazine; The Daily Telegraph; Woman & Home; In the Frame: My Life in Words and Pictures, by Helen Mirren (Atria, 2008)

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Within hours, forums across the Internet were burning up bandwidth, with frat boys suggestively expressing their praise, girls commenting that now they have to work even harder, and empowered women of all ages saying, “You go, girl!” And all because Mirren didn’t cave to wearing the heretofore age-appropriate muumuu or beach wrap on her jaunt. But then again, Mirren has been drawing attention—and sparking debate—for years … first through her voracious acting style and a headlong passion for her roles, then for her Golden Globe-, Emmy- and Oscar-winning performances. Now, she seems a spokeswoman for growing older gracefully—with style, dignity and, yes, a sexiness that women half her age can’t muster on their best days.

photograph by bob long/getty images

more from dame helen

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Stay with PLAVIX and help stay

PR TECTED If you take PLAVIX, continue to do so because your risk of a future heart attack or stroke never goes away. Help stay protected with PLAVIX. See important product information on the following pages. Pill may not be actual size. sanofi-aventis U.S. LLC

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If you’ve been here before, PLAVIX could help keep you from coming back.

PLAVIX can help save lives for those who’ve had a heart attack caused by a completely blocked artery. Clots that block off arteries are the main cause of heart attack. And now that you’ve had a heart attack you are at a greater risk of having another that can be fatal. That’s why your doctor may put you on PLAVIX along with your

other heart medicines. Taking PLAVIX with your other heart medicines goes beyond what other heart medicines alone can do to keep blood platelets from sticking together and forming dangerous clots.

IMPORTANT INFORMATION: If you have a stomach ulcer or other condition that causes bleeding, you should not use PLAVIX. When taking PLAVIX alone or with some other medicines including aspirin, the risk of bleeding may increase so tell your doctor before planning surgery. And, always talk to your doctor before taking aspirin or other medicines with PLAVIX, especially if you’ve had a stroke. If you develop fever, unexplained weakness or confusion, tell your doctor promptly as these may be signs of a rare but potentially life-threatening condition called TTP, which has been reported rarely, sometimes in less than 2 weeks after starting therapy. Other rare but serious side effects may occur.

Ask your doctor how PLAVIX can help increase your protection against future heart attack, stroke, and even death. Or visit www.plavix.com or call 1-888-260-4336. See important product information on the following page.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Protection that helps save lives.

FdVVSP0900_27-8_Plavix.indd 1

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Geriatrics: When taking aspirin with PLAVIX the risk of serious bleeding increases with age in patients 65 and over.

WHO IS PLAVIX FOR? PLAVIX is a prescription-only medicine that helps keep blood platelets from sticking together and forming clots. PLAVIX is for patients who have: • had a recent heart attack. • had a recent stroke. • poor circulation in their legs (Peripheral Artery Disease). PLAVIX in combination with aspirin is for patients hospitalized with: • heart-related chest pain (unstable angina). • heart attack. Doctors may refer to these conditions as ACS (Acute Coronary Syndrome). Clots can become dangerous when they form inside your arteries. These clots form when blood platelets stick together, forming a blockage within your arteries, restricting blood flow to your heart or brain, causing a heart attack or stroke. WHO SHOULD NOT TAKE PLAVIX? You should NOT take PLAVIX if you: • are allergic to clopidogrel (the active ingredient in PLAVIX). • have a stomach ulcer • have another condition that causes bleeding. • are pregnant or may become pregnant. • are breast feeding. WHAT SHOULD I TELL MY DOCTOR BEFORE TAKING PLAVIX? Before taking PLAVIX, tell your doctor if you’re pregnant or are breast feeding or have any of the following: • gastrointestinal ulcer • stomach ulcer(s) • liver problems • kidney problems • a history of bleeding conditions WHAT IMPORTANT INFORMATION SHOULD I KNOW ABOUT PLAVIX? TTP: A very serious blood condition called TTP (Thrombotic Thrombocytopenic Purpura) has been rarely reported in people taking PLAVIX. TTP is a potentially life-threatening condition that involves low blood platelet and red blood cell levels, and requires urgent referral to a specialist for prompt treatment once a diagnosis is suspected. Warning signs of TTP may include fever, unexplained confusion or weakness (due to a low blood count, what doctors call anemia). To make an accurate diagnosis, your doctor will need to order blood tests. TTP has been reported rarely, sometimes in less than 2 weeks after starting therapy. Gastrointestinal Bleeding: There is a potential risk of gastrointestinal (stomach and intestine) bleeding when taking PLAVIX. PLAVIX should be used with caution in patients who have lesions that may bleed (such as ulcers), along with patients who take drugs that cause such lesions.

Stroke Patients: If you have had a recent TIA (also known as a mini-stroke) or stroke taking aspirin with PLAVIX has not been shown to be more effective than taking PLAVIX alone, but taking aspirin with PLAVIX has been shown to increase the risk of bleeding compared to taking PLAVIX alone. Surgery: Inform doctors and dentists well in advance of any surgery that you are taking PLAVIX so they can help you decide whether or not to discontinue your PLAVIX treatment prior to surgery. WHAT SHOULD I KNOW ABOUT TAKING OTHER MEDICINES WITH PLAVIX? You should only take aspirin with PLAVIX when directed to do so by your doctor. Certain other medicines should not be taken with PLAVIX. Be sure to tell your doctor about all of your current medications, especially if you are taking the following: • aspirin • nonsteroidal anti-inflammatory drugs (NSAIDs) • warfarin • heparin Be sure to tell your doctor if you are taking PLAVIX before starting any new medication. WHAT ARE THE COMMON SIDE EFFECTS OF PLAVIX? The most common side effects of PLAVIX include gastrointestinal events (bleeding, abdominal pain, indigestion, diarrhea, and nausea) and rash. This is not a complete list of side effects associated with PLAVIX. Ask your doctor or pharmacist for a complete list. HOW SHOULD I TAKE PLAVIX? Only take PLAVIX exactly as prescribed by your doctor. Do not change your dose or stop taking PLAVIX without talking to your doctor first. PLAVIX should be taken around the same time every day, and it can be taken with or without food. If you miss a day, do not double up on your medication. Just continue your usual dose. If you have any questions about taking your medications, please consult your doctor. OVERDOSAGE As with any prescription medicine, it is possible to overdose on PLAVIX. If you think you may have overdosed, immediately call your doctor or Poison Control Center, or go to the nearest emergency room. FOR MORE INFORMATION For more information on PLAVIX, call 1-800-633-1610 or visit www.PLAVIX.com. Neither of these resources, nor the information contained here, can take the place of talking to your doctor. Only your doctor knows the specifics of your condition and how PLAVIX fits into your overall therapy. It is therefore important to maintain an ongoing dialogue with your doctor concerning your condition and your treatment. Distributed by: Bristol-Myers Squibb/Sanofi Pharmaceuticals Partnership Bridgewater, NJ 08807 PLAVIX® is a registered trademark. PLA-OCT07-B-Aa

Bleeding: You may bleed more easily and it may take you longer than usual to stop bleeding when you take PLAVIX alone or in combination with aspirin. Report any unusual bleeding to your doctor.

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Publication: Vim & Vigor

testing, testing

“Forget looks!” she told The Independent in London. “My mother told me an amazingly wise thing, which is that you should never worry about getting older. “When you’re 16, you think 28 is so old! And then you get to 28 and it’s fabulous. You think, then, what about 42? Ugh! And then 42 is great. As you reach each age, you gain the understanding and experience you need to deal with it and enjoy it,” she added in an interview with All Headline News.

easing up on yourself So, with age comes a certain perspective. “The wonderful thing about getting older is that you chill about things, things that used to torture you … don’t torture you anymore,” Mirren told The Independent. And that, she says, offers you a confidence not appreciated when you’re in your 20s. According to Mehmet C. Oz, M.D., coauthor of You: Staying Young (Free Press, 2007), that type of confidence can reinforce the notion that people can be vital at any age. “Our definition of healthy aging has been defined by whether you look like you’re 20,” he says. “And the reality is most people should think ‘I look good for my age,’ which is a more rational approach.” That means people need to focus on healthy living to ensure vitality as they get older. And it’s never too early to start.

Older Americans underestimate the value of medical tests, says Judy Lichty, Adventist HealthCare’s regional director for health and wellness. “Baseline tests are needed not so you can schedule your next surgery,” she says, “but rather so your doctors have a baseline number they can use if you get sick in the future. We all have different ‘normal’ values—just like we all have different shoe sizes. So learn what is normal for you and save yourself a lot of unnecessary testing [if] you do get sick.” Here are tests to work into regular rotation: EYE EXAM. The chance of vision-related diseases increases as one ages. Get an eye exam every one to two years. RECTAL EXAM. It can provide clues to colon problems. Schedule one annually after age 50. SKIN CHECKS. Have a comprehensive examination of your skin for signs of skin cancer once a year. FASTING BLOOD SUGAR TEST. Can determine if diabetes is a threat. The American Diabetes Association recommends screenings for people 45 or older. FOR MEN (AFTER AGE 50; 45 FOR BLACKS). PSA-prostate exam. When coupled with a rectal exam, this blood test can detect prostate cancer in men. FOR WOMEN (AFTER AGE 50). Thyroid hormone test. Aging can cause the thyroid to go out of whack, resulting in a number of maladies.

top-of-mind tips

Get screened for cancer, cardiac and vascular health at our community health screenings. Visit www.AdventistHealthCare.com/ calendar to find a location near you.

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fresh perspective First, Oz thinks Americans need to change their overall perception of aging. “The number-one myth is people think that avoiding disease is the same thing as avoiding aging,” he says. “The real enemy is not cancer or heart disease … it’s frailty.”

keys to healthy aging Oz’s recommendation? A focus on one certain vitamin, diet, exercise and passion. First up: a dose of D. “Eighty percent of people living in northern cities are deficient in vitamin D,” Oz says, “because they don’t get enough sun exposure. Vitamin D is the numberone tool to prevent cancer. … It’s extraordinarily important in immune function. Ten or 15 minutes of sun exposure in good light gives you about 10,000 units of vitamin D.”

Next: diet. Oz says people should focus on naturally occurring antioxidants in foods to slow aging effects, as well as fight cancer and other oxidation-based damage to bodily functions. “The most important antioxidants are the ones found in colorful foods,” he says. “They include citrus fruits, blueberries, blackberries, raspberries, peppers, leafy green vegetables.” Oz also recommends daily, vigorous exercise as another important element in aging healthfully. “I’m talking about something that has a weight-bearing element to it,” he says. “The reason that’s important—it gives the right combination of actions that allows you to maintain muscle strength.” He thinks walking is ideal. “If you can’t walk a quarter mile in five minutes, your chance of living over the next three years is significantly less than someone who can,” he says. Start with half an hour per day. Oz also singles out yoga as an aging-friendly pursuit, because it uses a person’s own weight as a form of resistance and helps to hone balance. Finally, aging gracefully requires passion, as in: a great attitude about aging—as evident in Mirren’s nonchalance about age lines and the like. “It’s not just a matter of living longer; you have to live better,” Oz says. “It’s not a matter of living to age 90—which I think most people should be able to do if they’re in reasonable shape—but [people] have to feel good while they’re doing that. “If you ask an 85-year-old who looks like a million bucks why they do the physical things they do, [they’ll say] it’s because they like how it makes them feel,” Oz says. “They’re not doing it to live longer—that’s a side benefit of their actions.” So, find what you like to do. Go biking. Or hiking. Or bowling or dancing or rowing. Or perhaps you can swim in a fire-engine-red bikini in the Mediterranean Sea, trailed by a phalanx of paparazzi.

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Just because a drug is sold without a prescription doesn’t mean it isn’t serious medicine. Sometimes different over-the-counter or prescription medicines can contain the same active ingredient. So when you take more than one medicine at the same time, it’s possible to take too much of the same active ingredient. Read the label carefully to ﬁnd out exactly what you’re taking. When in doubt, ask your doctor or pharmicist.

It’s simple. Read the label. www.nclnet.org

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www.fda.gov/cder

12/4/08 11:08:36 AM

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home

by jill schildhouse

clean home home is not only where your heart is; it’s where

the germs are. find out where they’re hiding and how to displace these unwanted houseguests Home. The word conjures up thoughts of a safe haven from the rest of the world. A place where you can be yourself—you can drink straight from the orange juice carton, invoke the five-second rule when food drops on the floor and sneeze without politely covering your mouth. But should you engage in such risky behavior and subject your family to the consequences? “We are exposed to millions of germs a day,” says Charles Gerba, Ph.D., a professor of environmental microbiology at the University of Arizona and a member of the American Academy of Microbiology. “It’s always a gamble. You never know when you’re going to touch the wrong thing at the wrong time.” While germs seem to lurk in every nook and cranny, they thrive on specific hot spots. But have no fear—following our advice will help keep these germs from making you sick.

laundry

You throw a load of laundry into the washing machine and then head out to run errands. You come back three hours later and throw your clean clothes in the dryer. But wait— they aren’t clean anymore! “Bacteria thrives in warm, moist places like the washing machine,” says Thomas Weida, M.D., who serves on the American Academy of Family Physicians board of directors. “Be sure to dry your clothes quickly to avoid bacteria formation.” Weida also recommends washing whites in hot water, using bleach, to kill the most bacteria. “Wash underwear separately from the rest of your clothes,” he says. “Every pair of underwear contains about a gram of feces, and you don’t want this transferring to other clothes.” vim & vigor · s p ri ng 2009

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hands

The best friend a germ ever had are your fingers, Gerba says. “The average adult puts his hands to his nose, mouth or eyes 18 times per hour,” he says. “And kids, who are more intimate with their environments, do it 30 to 50 times per hour.” Touching your face increases your risk for spreading germs that can make you ill. And it doesn’t help that people are exposed to more germs now than ever. “People spend more time indoors, sharing space with more and more people,” Gerba explains. “Shopping malls, cruise ships, we import more foods and travel more frequently.” This extra germ exposure results in more germs concentrated in more places. It may sound simple, but washing your hands or using a sanitizing gel when soap and water aren’t available is an easy solution to stop the spread of germs.

kitchen sink and countertops

Why are inspectors so vigilant about visiting restaurants to check for health code violations? Because an unclean kitchen is the quickest way to make a lot of people sick. A lot can go wrong in a kitchen—the crosscontamination of raw and cooked foods, meats not being cooked thoroughly, and improperly refrigerated items spoiling. Gerba cites the kitchen as the germiest spot in the house. Why? He estimates that 30 percent to 100 percent of meat contains salmonella or campylobacter—bacteria that cause food-borne illness. This means that hands must be washed after handling these foods, and surfaces they touched must be disinfected. Weida suggests using bleach and water to disinfect all surface areas, including the sink, countertops and cutting boards.

gadgets

Sharing is the skill you were forced to learn as a little kid, because it’s the right thing to do. But is sharing really as nice as it seems, or would you be better off playing by yourself in the corner? The phone, computer keyboard, TV remote control and video game controls—these are just some of the items your entire family shares. And that means multiple sets of germ-laden hands are touching them. Weida explains that passing these items from one family member to the next spreads germs, such as Staphylococcus aureus, which frequently live on the skin or in the nose. “Wipe these items down with a disinfectant wipe once or twice a week,” he suggests. “And during cold season, do this even more frequently.”

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If you have COPD, including chronic bronchitis, emphysema, or both, ADVAIR 250/50 may help. ADVAIR works differently than other COPD medications. It is the only COPD product with an anti-inflammatory and a bronchodilator working together to help improve lung function. Talk to your doctor and find out if ADVAIR is right for you.

Get your first full prescription FREE.† Go to advairCOPD.com or call 1-800-504-2218. It is not known how anti-inflammatories work in COPD.

Important Information: ADVAIR DISKUS 250/50 is approved for adults with COPD, including chronic bronchitis, emphysema, or both. You should only take 1 inhalation of ADVAIR twice a day. Higher doses will not provide additional benefits. People with COPD taking ADVAIR may have a higher chance of pneumonia. Call your doctor if you notice any of the following symptoms: change in amount or color of sputum, fever, chills, increased cough, or increased breathing problems. ADVAIR may increase your risk of osteoporosis and some eye problems (cataracts or glaucoma). You should have regular eye exams. Thrush in the mouth and throat may occur. Tell your doctor if you have a heart condition or high blood pressure before taking ADVAIR. Do not use ADVAIR with long-acting beta2-agonists for any reason. ADVAIR does not replace fast-acting inhalers for sudden symptoms. *Measured by a breathing test in people taking ADVAIR 250/50, compared with people taking either fluticasone propionate 250 mcg or salmeterol 50 mcg. Maximum effects may take several weeks. Your results may vary. †

Restrictions apply. See advairCOPD.com for eligibility rules. Please see accompanying important information about ADVAIR DISKUS 250/50. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

If you smoke and want to quit, you can learn more at way2quit.com.

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ADVAIR helps signiﬁcantly improve lung function so you can breathe better.*

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Important Information This brief summary does not take the place of talking to your healthcare provider about your medical condition or treatment. What is the most important information I should know about ADVAIR DISKUS? • In patients with asthma, long-acting beta2-agonist (LABA) medicines, such as salmeterol (one of the medicines in ADVAIR DISKUS), may increase the chance of death from asthma problems. In a large asthma study, more patients who used salmeterol died from asthma problems compared with patients who did not use salmeterol. It is not known whether fluticasone propionate, the other medicine in ADVAIR DISKUS, changes your chance of death from asthma problems seen with salmeterol. Talk with your healthcare provider about this risk and the benefits of treating your asthma with ADVAIR DISKUS. • ADVAIR DISKUS does not relieve sudden symptoms. Always have a fast-acting inhaler (short-acting beta2agonist medicine) with you to treat sudden symptoms. If you do not have a fast-acting inhaler, contact your healthcare provider to have one prescribed for you. • Do not stop using ADVAIR DISKUS unless told to do so by your healthcare provider because your symptoms might get worse. • ADVAIR DISKUS should be used only if your healthcare provider decides that another asthmacontroller medicine alone does not control your asthma or that you need 2 asthma-controller medicines. • Call your healthcare provider if breathing problems worsen over time while using ADVAIR DISKUS. You may need different treatment. • Get emergency medical care if: - breathing problems worsen quickly, and - you use your fast-acting inhaler, but it does not relieve your breathing problems.

Who should not use ADVAIR DISKUS? Do not use ADVAIR DISKUS: • to treat sudden, severe symptoms of asthma or COPD • if you have a severe allergy to milk proteins. Ask your doctor if you are not sure.

GlaxoSmithKline Research Triangle Park, NC 27709 ADD:3PI

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How do I use ADVAIR DISKUS? Do not use ADVAIR DISKUS unless your healthcare provider has taught you and you understand everything. Ask your healthcare provider or pharmacist if you have any questions. • Children should use ADVAIR DISKUS with an adult’s help, as instructed by the child’s healthcare provider. • Use ADVAIR DISKUS exactly as prescribed. Do not use ADVAIR DISKUS more often than prescribed. ADVAIR DISKUS comes in 3 strengths. Your healthcare provider will prescribe the one that is best for your condition. • The usual dosage of ADVAIR DISKUS is 1 inhalation twice a day (morning and evening). The 2 doses should be about 12 hours apart. Rinse your mouth with water after using ADVAIR DISKUS. • If you take more ADVAIR DISKUS than your doctor has prescribed, get medical help right away if you have any unusual symptoms, such as worsening shortness of breath, chest pain, increased heart rate, or shakiness. • If you miss a dose of ADVAIR DISKUS, just skip that dose. Take your next dose at your usual time. Do not take 2 doses at one time. • Do not use a spacer device with ADVAIR DISKUS. • Do not breathe into ADVAIR DISKUS. • While you are using ADVAIR DISKUS twice a day, do not use other medicines that contain a LABA for any reason. Ask your healthcare provider or pharmacist if any of your other medicines are LABA medicines. • Do not change or stop any of your medicines used to control or treat your breathing problems. Your healthcare provider will adjust your medicines as needed. • Make sure you always have a fast-acting inhaler with you. Use your fast-acting inhaler if you have breathing problems between doses of ADVAIR DISKUS.

Call your healthcare provider or get medical care right away if: • your breathing problems worsen with ADVAIR DISKUS • you need to use your fast-acting inhaler more often than usual • your fast-acting inhaler does not work as well for you at relieving symptoms • you need to use 4 or more inhalations of your fast-acting inhaler for 2 or more days in a row • you use 1 whole canister of your fast-acting inhaler in 8 weeks’ time • your peak ﬂow meter results decrease. Your healthcare provider will tell you the numbers that are right for you. • you have asthma and your symptoms do not improve after using ADVAIR DISKUS regularly for 1 week What are the possible side effects with ADVAIR DISKUS? • See “What is the most important information I should know about ADVAIR DISKUS?” • Patients with COPD have a higher chance of getting pneumonia. ADVAIR DISKUS may increase the chance of getting pneumonia. Call your healthcare provider if you notice any of the following symptoms: - increase in mucus (sputum) production - change in mucus color - increased breathing problems - fever - increased cough - chills • serious allergic reactions. Call your healthcare provider or get emergency medical care if you get any of the following symptoms of a serious allergic reaction, including: - rash - swelling of the face, mouth, and tongue - hives - breathing problems • increased blood pressure • chest pain • a fast and irregular heartbeat • headache • tremor • nervousness • weakened immune system and a higher chance of infections • lower bone mineral density. This may be a problem for people who already have a higher chance of low bone density (osteoporosis). • eye problems including glaucoma and cataracts. You should have regular eye exams while using ADVAIR DISKUS. • slowed growth in children. A child’s growth should be checked often. Other common side effects include: • hoarseness and voice changes • throat irritation • thrush in the mouth and throat • respiratory tract infections Tell your healthcare provider about any side effect that bothers you or that does not go away. These are not all the side effects with ADVAIR DISKUS. Ask your healthcare provider or pharmacist for more information. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. Ask your healthcare provider or pharmacist for additional information about ADVAIR DISKUS. You can also contact the company that makes ADVAIR DISKUS (toll free) at 1-888-825-5249 or at www.advair.com. ADVAIR DISKUS, DISKUS, FLOVENT, and SEREVENT are registered trademarks of GlaxoSmithKline. Norvir and Kaletra are registered trademarks of Abbott Laboratories.

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What is ADVAIR DISKUS? • ADVAIR DISKUS contains 2 medicines: - ﬂuticasone propionate (the same medicine found in FLOVENT®), an inhaled corticosteroid medicine. Inhaled corticosteroids help to decrease inflammation in the lungs. Inflammation in the lungs can lead to asthma symptoms. - salmeterol (the same medicine found in SEREVENT®), a LABA. LABA medicines are used in patients with asthma or chronic obstructive pulmonary disease (COPD). LABA medicines help the muscles around the airways in your lungs stay relaxed to prevent symptoms, such as wheezing and shortness of breath. These symptoms can happen when the muscles around the airways tighten. This makes it hard to breathe. In severe cases, wheezing can stop your breathing and cause death if not treated right away. Asthma ADVAIR DISKUS is used long term, twice a day, to control symptoms of asthma and to prevent symptoms such as wheezing in adults and children ages 4 and older. Chronic Obstructive Pulmonary Disease (COPD) COPD is a chronic lung disease that includes chronic bronchitis, emphysema, or both.ADVAIR DISKUS 250/50 is used long term, twice a day, to help improve lung function for better breathing in adults with COPD. ADVAIR DISKUS 250/50 has been shown to decrease the number of flare-ups and worsening of COPD symptoms (exacerbations).

What should I tell my healthcare provider before using ADVAIR DISKUS? Tell your healthcare provider about all of your health conditions, including if you: • have heart problems • have high blood pressure • have seizures • have thyroid problems • have diabetes • have liver problems • have osteoporosis • have an immune system problem • are pregnant or planning to become pregnant. It is not known if ADVAIR DISKUS may harm your unborn baby • are breastfeeding. It is not known if ADVAIR DISKUS passes into your milk and if it can harm your baby • are allergic to any of the ingredients in ADVAIR DISKUS, any other medicines, or food products • are exposed to chickenpox or measles Tell your healthcare provider about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements. ADVAIR DISKUS and certain other medicines may interact with each other. This may cause serious side effects. Especially, tell your healthcare provider if you take ritonavir. The anti-HIV medicines Norvir ® (ritonavir capsules) Soft Gelatin, Norvir® (ritonavir oral solution), and Kaletra® (lopinavir/ritonavir) Tablets contain ritonavir. Know the medicines you take. Keep a list and show it to your healthcare provider and pharmacist each time you get a new medicine.

June 2008

Client Name: GSK / Advair COPD

9/22/08 8:16:49 AM

wash your hands

sponges, rags and mops

In an effort to keep you from ﬁnding a mess on the kitchen ﬂoor, your son cleaned up his spilled soda with your kitchen sponge. Your husband used that same sponge to wash down the cutting board after preparing a chicken dinner. And unknown to you, you’re now using that sponge to wash pots and pans. “Sponges, rags and mops simply move germs around,” Gerba says. “Bacteria grows in these warm, moist objects. In fact, studies show that bachelors have the cleanest homes—maybe not the neatest homes— because they don’t clean. They aren’t moving germs around from one area to another.” No, this is not an excuse to stop cleaning. Instead, try switching to disinfectant wipes that can be thrown away after each use, using mop heads that can be thrown in the washing machine for easy cleaning, and putting your sponge in with a dishwasher load to kill germs.

teach your children well

Because it’s important to start good habits young, visit www.Adventist HealthCare.com/germs with your children for a fun and interactive game to help you teach your kids the proper ways to wash their hands.

Your grandmother knew best. When she told you to wash your hands before dinner, she was doing the whole family a favor. Hand washing is one of the simplest, easiest and most effective ways to prevent getting or passing on many germs, according to the National Institute of Allergy and Infectious Diseases (NIAID). But this practice often goes overlooked. “Good hand-washing practices will reduce your chances of catching the cold or flu by 50 percent,” says Michael Anne Preas, executive director of infection control at Shady Grove Adventist Hospital. “That said, only one-fifth of the people who wash their hands are doing so adequately.” The NIAID suggests washing your hands before preparing or eating food, after coughing or sneezing, after using the bathroom and after changing a diaper. To properly wash, scrub your hands for at least 15 seconds (about the time it takes to recite the alphabet) with soap and water. When soap and water aren’t available, Preas suggests reaching for hand-sanitizer gel. Hand sanitizer with at least 60 percent alcohol has proved effective in reducing germs. But it’s still best to use soap and water if your hands are visibly soiled or after using the restroom.

bathtub and toilet You’ve had a long day at work. All you want to do is come home and soak in the tub. But when you’re done, where do you think all those germs you cleaned off your body go? Staphylococcus aureus, bacteria that cause skin infections, thrive in moist, warm areas like your bathtub. “When you’re done with a bath or shower, wipe it down with bleach and then dry it,” Weida says. “Bacteria doesn’t like it dry.” Another obvious germy bathroom spot is your toilet. “Flushing a toilet causes the germs inside the bowl to become airborne,” Gerba warns. “The toilet bowl surface, ﬂush handle and ﬂoor surrounding the toilet are often contaminated with E. coli.” It’s important to clean these areas with bleach often and to keep items such as your toothbrush as far away as possible. vim & vigor · s p ri ng 2009

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s s e s u cc

V. Damp, ert and author healthcare career guidance exp okhaven, 2006), of Health Care Jobs Explosion! (Bo lthcare career says it takes to ﬁnd out which hea might be suitable for you. stry u d n i medical school re s a But don’t think you have to go to b c o h j t l w this high-demand ea n ne for 10 years to take advantage of o i the h l l i the fastest job 3m d ﬁeld. Many of the careers with o d t a z i d of additional r qu co u l u growth only require a few years o e the-job train6. tak rowth education—some even offer on1 g 0 h 2 g i imited,” says h by h c ing. “Opportunities are pretty unl i h s range from ver w u Damp. Educational requirement o y r d i s co o s, “which opens st f e high school to advanced degree b s i r he adds. caree it up to anyone and everyone,” what the future may hold: see ready to So sharpen your pencil and get

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by kathryn stewart

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do good, feel good

lunteering is career isn’t for you, vo If a full-time hospital tion. About wellness and satisfac t os bo to y wa nt lle an exce lunteers, and n adults currently vo ica er Am ree th in e on good cause may nating your time to a studies show that do fits. reap huge health bene lf-esteem, shown to improve se Volunteering has been rease endorphin d blood pressure, inc an es rat t ar he e uc red uce stress, and immune systems, red production, enhance . combat social isolation ,” says Stephen r do tend to be happier tee lun vo o wh ple eo “P l Humanities, the Center for Medica of r to ec dir ., .D Ph st, Po Brook University and Bioethics at Stony Compassionate Care Good People od Things Happen to and author of Why Go high.’” ’s the classic ‘helper’s (Broadway, 2007). “It ence in it take to make a differ How much time does o to three hours e average person, tw your health? “For th of well-being,” ed to sustain a sense a week is what you ne Post says.

answer key MOSTLY A’S Your attention to detail would make you an excellent health technician. Depending on your interests, there are numerous careers to choose from. The careers vary widely in patient contact, ranging from dental hygienists and emergency medical technicians (direct contact) to laboratory technicians and medical records and health information technicians (minimal contact). Some technicians work in the hospital supporting health practitioners while others work in laboratories making or repairing health equipment. Similar career paths with huge potential for growth are medical transcription and billing.

MOSTLY B’S Your analytical abilities and interest in advanced equipment

would make you a skilled health technologist. By operating the tools physicians use to diagnose and treat patients, health technologists play a key role on the healthcare team. Speciﬁc positions include clinical laboratory technologist, cardiologic technologist and surgical technologist, among many others.

MOSTLY C’S Your comfort with direct contact with others and willingness to help mean you could have a successful career in nursing. Registered nurses and certiﬁed nurse assistants have some of the most varied jobs in the hospital: They record symptoms and medical histories, administer treatments, educate patients about their condition, and provide support to patients and family.

With less educational investment, you also could pursue becoming a licensed practical nurse, nurse aide or nurse assistant.

MOSTLY D’S Your interest in a patient’s long-term development would make you a caring therapist. Therapists set plans for patients who are disabled or recovering from injury or illness. Types of therapy are occupational, physical, respiratory and recreational (as in music therapy and art therapy). Some respiratory therapists can ﬁnd positions with an associate’s degree. With less educational investment, you could also pursue becoming a therapy aide or assistant.

MOSTLY E’S Your interest in counseling patients in healthy habits could lead

you to a successful career as a dietitian. Dietitians plan meals in a variety of settings, from hospitals to schools to sports teams. Related careers with a nutritional health focus are health educators and registered nurses. With less educational investment, you also could pursue a career as a dietetic technician.

start here

Visit www.Adventist HealthCare.com/ volunteer to find out how you can make a difference by volunteering at Shady Grove Adventist Hospital or Washington Adventist Hospital.

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hereâ€™s what you need to know to build and maintain these important body parts throughout your lifetime

teens

40s

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20s

your

lovely bones (and joints)

50s

They’re a marvel of divine engineering. Your bones make up only about 15 percent of your total weight, but they’re strong enough to support your entire body. Given the role they play in keeping you mobile, caring for your bones—and the joints that connect dem bones into a framework—is critical. By knowing how the body changes throughout life, possible red ﬂags and healthy strategies, you’ll be able to maintain strong bones and joints well into those Golden Years.

❋ the teens ON THE INSIDE: Throughout the teen

by alison prato photography by giulio sciorio

years, new bone tissue is added faster than existing bone is absorbed. As a result, bones become larger and heavier (until about age 30 when a person reaches peak bone mass). WATCH OUT: “As a teen you really have to build a strong skeleton,” says Nicholas DiNubile, M.D., author of Framework—Your 7-Step Program for Healthy Muscles, Bones, and Joints (Rodale Books, 2005). Because of this, teenagers need to focus on healthy eating and drinking habits. While calcium is essential for strong

bones, only 14 percent of girls and 36 percent of boys get the recommended 1,300 milligrams of calcium daily, according to the USDA. Compounding that problem, today’s teens drink twice as much soda as dairy or calcium-fortiﬁed beverages. Other cautions: Teens can experience arthritis and Osgood-Schlatter disease, an inﬂammation of the tendon near the kneecap that usually occurs during a major teenage growth spurt. HEALTHY ADVICE: To build bone mass and joint strength at a young age, kids need to be active, according to DiNubile. “Teenagers need to embrace activity vim & vigor · s p ri ng 2009

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teens

every day— in the right way. That means sedentary kids need to get moving, and the ones who are overactive need more balance,” he says. On the nutrition front, getting four servings of dairy products fortified with vitamin D provides the calcium needed for sturdy bones.

k your 20s and 30s on the inside: From childhood into your 20s, your bones continue to grow because new bone tissue formation outweighs bone loss. “By your late 20s, your bones are as strong and thick as they will ever be,” says Joy Petrusha, a Chicago-based licensed nutritionist and exercise therapist. “Build as much bone as possible now and you’ll lower your chances of osteoporosis.” That’s because after age 30, both men and women begin to lose a small amount of bone mass each year. watch out: A risk of arthritis increases, as 8.7 million Americans between ages 18 and 44 who have the condition can attest. Joints in patients

with arthritis lose their normal cushion, making them stiff and painful. If you experience such pain, it could be a telltale sign of arthritis. See your doctor pronto! healthy advice: “Exercise is the closest thing to a fountain of youth that we have,” says DiNubile. “There are so many tremendous benefits for your body. It doesn’t have to be planned exercise in the gym. Just getting moving is important.” Eating right is also essential. According to a report in the Journal of the American College of Nutrition, dietary protein—specifically, protein obtained from meat—is a key nutrient for bone health. Also, keep an eye on that coffee habit and those after-work happy hours. Too much caffeine and alcohol can inhibit calcium absorption.

k your 40s

eat your calcium

Everyone knows that dairy products are high in calcium. But here are some other foods that will help you build strong, healthy bones, according to the University of Arizona Cooperative Extension.

Black beans Amount: 1 cup = 46 milligrams calcium Tip: An excellent meat substitute, a serving of black beans contains 15.2 grams of protein. So add to salads, soups and other hearty dishes instead of beef.

Fortified orange juice Amount: 1 cup = 300 mg calcium Tip: Replace that second or third cup of morning java with a refreshing (and healthier) serving of O.J.

on the inside: “Your body’s soft tissues, such as ligaments, are made of collagen,” says DiNubile. “With age, the collagen fibers can dramatically change.” Additionally, during perimenopause, bone density changes, and women typically lose more bone mass than they

20s &

30s

Tofu Amount: One cup = 40 mg calcium Tip: Tofu takes on the flavor of whatever it’s added to; mix it into lasagna for a surprising treat.

Oysters Amount: 3 ounces = 80 mg calcium Tip: Fans of this popular shellfish insist upon eating servings raw. But beginners can ease into the experience by ordering baked, broiled or stewed varieties—all healthy and safe alternatives.

Almonds Amount: 1 ounce = 75 mg calcium Tip: Keep a handful of this heart-healthy snack in a plastic bag in your purse or office.

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S:6.875 in

BONIVA did more than stop my bone loss. It worked with my body to reverse it.*

BONIVA is a prescription medication for the management of postmenopausal osteoporosis. Important Safety Information: You should not take BONIVA if you have low blood calcium, cannot sit or stand for at least 60 minutes, have severe kidney disease, or are allergic to BONIVA. Stop taking BONIVA and tell your doctor right away if you experience difficult or painful swallowing, chest pain, or severe or continuing heartburn, as these may be signs of serious upper digestive problems. Follow the dosing instructions for once-monthly BONIVA carefully to lower the chance of these events occurring. Side effects may include diarrhea, pain in the arms or legs, or upset stomach. Tell your doctor and dentist about all the medicines you take. Tell them if you develop jaw problems (especially following a dental procedure) or severe bone, joint, and/or muscle pain. Your doctor may also recommend a calcium and vitamin D supplement. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. *Bone density measured at the lumbar spine after 1 year of treatment.

Individual results may vary.

†

Bone density measured at the lumbar spine, total hip, or trochanter; 3 out of 4 at the femoral neck.

Please read Patient Information on the next page.

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Ask your doctor if BONIVA is right for you. And for a free trial offer, call 1-800-418-9608 or visit tryBONIVA.com

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Wh I fi When first got osteoporosis, i I was hoping h i to make k my bones b stronger. I thought h h I could ld stop my bone b loss, but I didn’t know it was possible to do more. Then my doctor told me once-monthly BONIVA works with your body to help stop and reverse bone loss. In fact, studies show after one year on BONIVA, 9 out of 10 women reversed their bone loss.† And my test results proved I did, too.*

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Messner ms88599a Proof #1

Patient Information BONIVA® [bon-EE-va] (ibandronate sodium) TABLETS Rx only Read this patient information carefully before you start taking BONIVA. Read this patient information each time you get a refill for BONIVA. There may be new information. This information is not everything you need to know about BONIVA. It does not take the place of talking with your health care provider about your condition or your treatment. Talk about BONIVA with your health care provider before you start taking it, and at your regular check-ups. What is the most important information I should know about BONIVA? BONIVA may cause serious problems in the stomach and the esophagus (the tube that connects your mouth and stomach) such as trouble swallowing, heartburn, and ulcers (see “What are the possible side effects of BONIVA?”). You must take BONIVA exactly as prescribed for BONIVA to work for you and to lower the chance of serious side effects (see “How should I take BONIVA?”).

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Client Name: GSK–Boniva

BONIVA MAY CAUSE: • pain or trouble swallowing (dysphagia) • heartburn (esophagitis) • ulcers in your stomach or esophagus (the tube that connects your mouth and stomach)

is a bone disease that is quite common in women after menopause. At first, osteoporosis has no symptoms, but people with osteoporosis may develop loss of height and are more likely to break (fracture) their bones, especially the back (spine), wrist, and hip bones. Osteoporosis can be prevented, and with proper therapy it can be treated. Who is at risk for osteoporosis? Talk to your health care provider about your chances for getting osteoporosis. Many things put people at risk for osteoporosis. The following people have a higher chance of getting osteoporosis: Women who: • are going through or who are past menopause (“the change”) • are white (Caucasian) or Asian People who: • are thin • have a family member with osteoporosis • do not get enough calcium or vitamin D • do not exercise • smoke • drink alcohol often • take bone thinning medicines (like prednisone) for a long time General information about BONIVA Medicines are sometimes prescribed for conditions that are not mentioned in patient information. Do not use BONIVA for a condition for which it was not prescribed. Do not give BONIVA to other people, even if they have the same symptoms you have. It may harm them. Store BONIVA at 77°F (25°C) or at room temperature between 59°F and 86°F (15°C and 30°C). Keep BONIVA and all medicines out of the reach of children. This summarizes the most important information about BONIVA. If you would like more information, talk with your health care provider. You can ask your health care provider or pharmacist for information about BONIVA that is written for health professionals. For more information about BONIVA, call 1-888-MY-BONIVA or visit www.myboniva.com. What are the ingredients of BONIVA? BONIVA (active ingredient): ibandronate sodium BONIVA (inactive ingredients): lactose monohydrate, povidone, microcrystalline cellulose, crospovidone, purified stearic acid, colloidal silicon dioxide, and purified water. The tablet film coating contains hypromellose, titanium dioxide, talc, polyethylene glycol 6000 and purified water.

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What is BONIVA? BONIVA is a prescription medicine used to treat or prevent osteoporosis in women after menopause (see “What is osteoporosis?”). BONIVA may reverse bone loss by stopping more loss of bone and increasing bone mass in most women who take it, even though they won’t be able to see or feel a difference. BONIVA may help lower the chances of breaking bones (fractures). For BONIVA to treat or prevent osteoporosis, you have to take it as prescribed. BONIVA will not work if you stop taking it. Who should not take BONIVA? Do not take BONIVA if you: • have low blood calcium (hypocalcemia) • cannot sit or stand up for at least 1 hour (60 minutes) • have kidneys that work very poorly • are allergic to ibandronate sodium or any of the other ingredients of BONIVA (see the end of this Patient Information for a list of all the ingredients in BONIVA) Tell your health care provider before using BONIVA: • if you are pregnant or planning to become pregnant. It is not known if BONIVA can harm your unborn baby • if you are breast-feeding. It is not known if BONIVA passes into your milk and if it can harm your baby • if you have swallowing problems or other problems with your esophagus (the tube that connects your mouth and stomach) • if you have kidney problems • if you are planning a dental procedure such as tooth extraction Tell your health care provider (including your dentist) about all the medicines you take including prescription and non-prescription medicines, vitamins, and supplements. Some medicines, especially certain vitamins, supplements, and antacids can stop BONIVA from getting to your bones. This can happen if you take other medicines too close to the time that you take BONIVA (see “How should I take BONIVA?”). How should I take BONIVA? • Take BONIVA exactly as instructed by your health care provider. • Take BONIVA first thing in the morning at least 1 hour (60 minutes) before you eat, drink anything other than plain water, or take any other oral medicine. • Take BONIVA with 6 to 8 ounces (about 1 full cup) of plain water. Do not take it with any other drink besides plain water. Do not take it with other drinks, such as mineral water, sparkling water, coffee, tea, dairy drinks (such as milk), or juice. • Swallow BONIVA whole. Do not chew or suck the tablet or keep it in your mouth to melt or dissolve. • After taking BONIVA you must wait at least 1 hour (60 minutes) before: - Lying down. You may sit, stand, or do normal activities like read the newspaper or take a walk. - Eating or drinking anything except for plain water. - Taking other oral medicines including vitamins, calcium, or antacids. Take your vitamins, calcium, and antacids at a different time of the day from the time when you take BONIVA. • If you take too much BONIVA, drink a full glass of milk and call your local poison control center or emergency room right away. Do not make yourself vomit. Do not lie down. • Keep taking BONIVA for as long as your health care provider tells you. BONIVA will not work if you stop taking it. • Your health care provider may tell you to exercise and take calcium and vitamin supplements to help your osteoporosis.

• Your health care provider may do a test to measure the thickness (density) of your bones or do other tests to check your progress. What is my BONIVA schedule? Schedule for taking BONIVA 150 mg once monthly: • Take one BONIVA 150-mg tablet once a month. • Choose one date of the month (your BONIVA day) that you will remember and that best fits your schedule to take your BONIVA 150-mg tablet. • Take one BONIVA 150-mg tablet in the morning of your chosen day (see “How should I take BONIVA?”). What to do if I miss a monthly dose: • If your next scheduled BONIVA day is more than 7 days away, take one BONIVA 150-mg tablet in the morning following the day that you remember (see “How should I take BONIVA?”). Then return to taking one BONIVA 150-mg tablet every month in the morning of your chosen day, according to your original schedule. • Do not take two 150-mg tablets within the same week. If your next scheduled BONIVA day is only 1 to 7 days away, wait until your next scheduled BONIVA day to take your tablet. Then return to taking one BONIVA 150-mg tablet every month in the morning of your chosen day, according to your original schedule. • If you are not sure what to do if you miss a dose, contact your health care provider who will be able to advise you. Schedule for taking BONIVA 2.5 mg once daily: • Take one BONIVA 2.5-mg tablet once a day first thing in the morning at least 1 hour (60 minutes) before you eat, drink anything other than plain water, or take any other oral medicine (see “How should I take BONIVA?”). What to do if I miss a daily dose: • If you forget to take your BONIVA 2.5-mg tablet in the morning, do not take it later in the day. Just return to your normal schedule and take 1 tablet the next morning. Do not take two tablets on the same day. • If you are not sure what to do if you miss a dose, contact your health care provider who will be able to advise you. What should I avoid while taking BONIVA? • Do not take other medicines, or eat or drink anything but plain water before you take BONIVA and for at least 1 hour (60 minutes) after you take it. • Do not lie down for at least 1 hour (60 minutes) after you take BONIVA. What are the possible side effects of BONIVA? Stop taking BONIVA and call your health care provider right away if you have: • pain or trouble with swallowing • chest pain • very bad heartburn or heartburn that does not get better

BONIVA is a registered trademark of Roche Therapeutics Inc.

Common side effects with BONIVA are: • diarrhea • pain in extremities (arms or legs) • dyspepsia (upset stomach) Less common side effects with BONIVA are shortlasting, mild flu-like symptoms (usually improve after the first dose). These are not all the possible side effects of BONIVA. For more information ask your health care provider or pharmacist. Rarely, patients have reported severe bone, joint, and/or muscle pain starting within one day to several months after beginning to take, by mouth, bisphosphonate drugs to treat osteoporosis (thin bones). This group of drugs includes BONIVA. Most patients experienced relief after stopping the drug. Contact your health care provider if you develop these symptoms after starting BONIVA. Rarely, patients taking bisphosphonates have reported serious jaw problems associated with delayed healing and infection, often following dental procedures such as tooth extraction. If you experience jaw problems, please contact your health care provider and dentist. What is osteoporosis? Osteoporosis is a disease that causes bones to become thinner. Thin bones can break easily. Most people think of their bones as being solid like a rock. Actually, bone is living tissue, just like other parts of the body, such as your heart, brain, or skin. Bone just happens to be a harder type of tissue. Bone is always changing. Your body keeps your bones strong and healthy by replacing old bone with new bone.

Osteoporosis causes the body to remove more bone than it replaces. This means that bones get weaker. Weak bones are more likely to break. Osteoporosis

This advertisement prepared by:

12/9/08 1:06:06 PM

build. According to Miriam E. Nelson, Ph.D., author of Strong Women, Strong Bones (Perigee Trade, 2006), that’s because estrogen production declines during this period and bodies tend to absorb less calcium as they get older. Couple that with the fact that our skin produces less vitamin D—essential for strong bones and the absorption of calcium—as we age, and the 40s decade can mean a signiﬁcant shift in bone health. WATCH OUT: A lot of adults experience common “tight” joint spots, including around the hamstrings, lower back, calves and front of shoulders. So, that hobbling you experience right out of bed in the morning may be a warning sign: Get more calcium! And vitamin K. According to studies cited in the journal Nutrition, vitamin K increases bone mineral density and reduces fracture rates. HEALTHY ADVICE: With age, you need to spend more time working on ﬂexibility, so start a good daily stretching program. “Regular exercise keeps your body young. Motion is lotion,” DiNubile says. Weight-bearing exercise is also key at this life stage to stimulate bone and muscle growth. And you may need to take vitamin D and calcium dietary supplements.

❋ your 50s and beyond ON THE INSIDE: During this decade, bone mass and density are lost at a more rapid rate. That, and the fact that bones lose calcium and other minerals, may cause bones to break more easily. Joints will become stiffer and less flexible, and fluid in the joints may decrease, causing cartilage to rub together and begin to erode. Calcification (aka mineral deposits) may also build up in joints. WATCH OUT: Osteoporosis and osteoarthritis are common problems for older women. Inflammation, pain, stiffness and deformity may result from a breakdown of the joint structures. HEALTHY ADVICE: Amp up on nutritious foods. “Avoiding pro-inflammatory processed foods high in sugar and fat and including foods high in antioxidants such as blueberries and green tea is recommended,” says Petrusha. Lycopene—derived from tomatoes in sauces and the fruit itself—also shows promise in fighting osteoporosis. A study by Leticia Rao, Ph.D., of the University of Toronto showed that lycopene stimulates cells important to bone formation and prevented cells involved in bone absorption from doing their job.

50s

And hit the weights. According to a study published in Medicine & Science in Sports & Exercise, progressive resistance training—resistance in the form of weights or bands—has a direct, positive effect on bone density.

bone up

To learn more about the symptoms and available treatment for osteoporosis, go to www.AdventistHealthCare. com/wellness.

a weighty issue

40s

Regular weight-bearing exercise throughout your lifetime can help maintain your bone strength, but what qualifies as weight-bearing exercise? “Any activity you do on your feet that works your bones and muscles against gravity,” says Joy Petrusha, a Chicago-based licensed nutritionist and exercise therapist. No matter your age, you should spend 30 minutes each day on weight-bearing exercise, according to the National Osteoporosis Foundation. Here are some options:

weight-bearing, high-impact aerobics:

weight-bearing, low-impact aerobics:

• Dancing • High-impact aerobics classes • Hiking • Jogging/ running • Jumping rope • Stair climbing • Tennis

• Elliptical training machines • Low-impact aerobics classes • Stair-step machines • Walking (treadmill/outside) vim & vigor · s p ri ng 2009

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tips for making

❋❋ ❋

5 popular microwaveable entrees

❋ ❋❋

❋

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reefodo fze meal-worthy

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by s helle y flannery

❋

iorio c s o i ul photography by gi

It may sound like the perfect meal: grilled shrimp and angel hair pasta tossed in a delicious cream sauce. And all it takes is four minutes in the microwave. Ah, but then you peel back the plastic cover and discover— surprise!—it looks nothing like the picture on the box. Not to mention that this miniature impostor packs an obscene number of calories, which leaves you wondering, are prepared frozen meals ever a good idea? Frozen meals can have a place as part of a healthy diet. You just have to know what to look for—and look out for—when choosing them.

The good news is that there are lots of options. “Manufacturers have more than kept up with providing quick and easy choices,” says John La Puma, M.D., author of ChefMD’s Big Book of Culinary Medicine (Crown, 2008). Here, we take a look at ﬁve popular frozen foods and tell you whether they’re meal-worthy.

❋

❋ ❋ ❋

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the classic tv dinner Banquet Chicken Fingers Meal: Breaded chicken patties, macaroni and cheese and a fudge brownie What’s wrong with this picture: Let’s forget for a vim & vigor · s p ri ng 2009

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the breakfast sandwich Jimmy Dean Croissant Sandwich: Sausage, egg and cheese

What’s wrong with this picture: Even

though the package claims the sandwich is “Meal Size!” it’s not much of a meal at all. Sure, it offers a decent amount of protein (13 grams), but that’s about it. And at 430 calories and 29 grams of fat (9 of which are saturated and 3.5 are trans), it’s hardly worth it. Frozen-food fix: If it’s portability you’re after, go for an egg burrito. Scramble one whole egg, two egg whites, and prechopped peppers and onions. Roll it into a whole-wheat tortilla with low-fat shredded cheese and salsa, and you have a complete breakfast you can eat en route.

❋

the diet meal Healthy Choice Roasted Chicken:

❋

White meat chicken in homestyle sauce, peach crisp, vegetable medley and mashed potatoes What’s wrong with this picture: Diet meals may provide too-few calories to the average adult. This meal contains a mere 290 calories and 7 grams of fat. “That just isn’t enough for most people,” La Puma says. Frozen-food fix: This option contains good elements: protein, vegetables and fruit, but needs beeﬁng up. Add a whole-grain roll and a glass of low-fat milk.

clean up your diet

Looking to learn how to eat healthily? Visit www.AdventistHealthCare.com/ calendar to sign up for nutrition classes and other healthy-living programs.

pizza pocket ❋ the Hot Pockets Pepperoni & Sausage Pizza:

Pepperoni and sausage mixed with mozzarella cheese and marinara sauce, encased in a crispy, cheesy crust

What’s wrong with this picture: In addition to the 340 calories and 17 grams of fat (7 of which are saturated), each pocket contains 650 milligrams of sodium. While this is under the 800 milligrams La Puma recommends as a max per meal, if you eat more than one pocket or supplement with more food to feel full, you’ll end up ingesting too much sodium for one meal. And if high blood pressure is a concern, you shouldn’t have more than 1,500 milligrams per day. Frozen-food fix: If it’s pizza you’re craving, make your own with store-bought pizza dough and tomato sauce, topped with shredded cheese and vegetables. Add a side salad for bonus nutrition.

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5 ❋

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You don’t have to swear off frozen foods. “Some frozen entrees actually can be healthy as the center of your meal,” says Jamie Futterman, registered dietitian at Washington Adventist Hospital. Just check the label before popping one in the microwave. Futterman suggests looking for: • Less than 4 grams of saturated fat • No trans fat • More than 15 grams of protein • Less than 800 milligrams of sodium • More than 5 grams of fiber Pick a selection that includes lots of vegetables—for example a stir-fry, a roasted vegetable pizza or a pasta primavera. Since many of us do not meet our goals for vegetable intake on a daily basis, frozen meals can be used to help make up the difference.

moment that there’s nothing green in this entree, and instead focus on the fact that the brownie dominates the picture. While the meal does provide 18 grams of protein, it also comes with 460 calories and 20 grams of fat (4.5 of which are saturated). Frozen-food fix: If it’s comfort food you’re after, choose a diet entree of macaroni and cheese and add pregrilled chicken strips and a side of vegetables. Perhaps most importantly, “make sure to eat it on a real plate,” La Puma says. “Then you get a sense of actually having a meal.”

❋

label logic

the stir-fry Contessa Orange Chicken: Lightly

battered chicken, long-grain rice, broccoli florets, baby corn, red bell peppers, carrots, water chestnuts and an orange glaze sauce What’s wrong with this picture: At 350 calories and 9 grams of fat per serving, this may sound like a healthy option. But a serving is only a cup and a half of uncooked ingredients, so it may be difficult to pass on seconds. Also, fiber is only 3 grams per serving. Frozen-food fix: Round out this entree with extra vegetables and brown rice. Sprinkle slivered almonds on top for extra protein.

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health advisor

3/09-5/09 health and wellness classes, programs and support groups for a healthy mind, body and spirit

s = Shady Grove Adventist Hospital, 9901 Medical Center Drive, Rockville w = Washington Adventist Hospital, 7600 Carroll Ave., Takoma Park a = Adventist HealthCare, 1801 Research Blvd., Rockville r = Adventist Rehabilitation Hospital of Maryland, 9909 Medical Center Drive, Rockville

k special events s w Cancer Screening Day

special events health and faith maternal/child health education classes cardiac and vascular programs cancer care programs and screenings community lectures youth health and education

HA1 HA2 HA2 HA4 HA5 HA6 HA6

nutrition classes fitness and weight management self-improvement first-aid/CPR classes support groups

HA6 HA6 HA7 HA7 HA7

Doctors and nurses help perform various screenings, such as colorectal, prostate (PSA and DRE), skin, oral, bladder and thyroid. Where: Shady Grove Adventist Hospital Outpatient Surgery Center When: 3/29, 9 a.m.-1 p.m. Cost: FREE Info: 800-542-5096, preregistration required

to register, call 800-542-5096 • health advisor • s p ri ng 2009

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health advisor Where: Washington Adventist Hospital Short Stay Unit When: 3/8, 9 a.m.-1 p.m. Cost: FREE Info: 800-542-5096, preregistration required

s Spring Cardiac and Vascular Checkup If you are older than 50, are a smoker or have diabetes, you are eligible for the following screenings: ankle brachial, carotid artery, aortic aneurysm and more. Where: Shady Grove Adventist Hospital, Outpatient Surgery Center When: 4/26, 1-4 p.m. Cost: FREE Info: 800-542-5096, preregistration required

k health and faith Faith Community Nursing and Health Ministry Support

Classes, support meetings, education and support on parish nursing and integrating health and faith where you live and worship. Info: 301-315-3141 or 301-891-6102 Friendship Support Groups for the Bereaved in your Congregation Setting

A workshop for community congregations presented by the pastoral care department.

Cost: FREE Info: 301-891-5265 Hospital Visitation Workshop for Clergy/Laity

A workshop on providing appropriate spiritual support among patients and their family members within a healthcare setting. Cost: FREE Info: 301-891-5265

k maternal/ child health education classes Detailed descriptions of our classes are available online at www. AdventistHealthCare. com. Please register for any of our Maternal/ Child Health Education classes by calling the registrar at 800-542-5096.

before your baby arrives s w Maternity Tours This guided tour provides information for expectant parents about our maternity services, and includes a tour of the birth suites and mother/baby unit. Where: Shady Grove Adventist Hospital, Mother/Baby Unit Lobby When: Wednesdays, 3/4, 3/18, 4/1, 4/15, 4/29, 5/6, 5/13, 5/20, 6/3, 6/10, 6/17, 7/1, 7/8, 7/15, or 8/5, 7-8 p.m.; and Sundays (please call registrar for specific dates), 2-3 p.m. Cost: FREE

Where: Washington Adventist Hospital When: Sundays, 4/5, 5/3, 6/7, 7/12, 1-2:30 p.m.; and Saturdays, 4/25, 5/30, 6/20, 7/25, 1-2:30 p.m. Cost: FREE a w Comprehensive Childbirth and Infant Care Series

Available in six-week, three-day and two-day formats and includes information on preparation for labor and birth, pain management, postpartum care for mom, and infant care. Six-Week Series Where: Adventist HealthCare When: Sundays, 5/17-6/28 (skip 5/24) or 7/12-8/16, 7-9 p.m.; Tuesdays, 5/5-6/9, 5/26-6/30, 6/16-7/21 or 7/28-9/1, 7:30-9:30 p.m.; Wednesdays, 5/20-6/24 or 7/22-8/26, 7:30-9:30 p.m.; or Thursdays, 5/14-6/18 or 7/9-8/13, 7:30-9:30 p.m. Cost: $140 per couple Info: If you register for a breastfeeding class when you register for this course, the breastfeeding class will be FREE. Where: Washington Adventist Hospital When: Wednesdays, 4/22-5/27, 6/10-7/15 or 7/29-9/2, 7-9:30 p.m. Cost: $130 per couple Info: Your free breastfeeding class is included in these dates.

Three-Day Series When: Saturday mornings, 3/28, 4/4 and 4/18 (skip 4/11); 5/2, 5/9 and 5/16; 5/30, 6/6 and 6/13; 6/20, 6/27 and 7/11 (skip 7/4); or 7/18, 7/25 and 8/1, 9 a.m.1 p.m. Saturday afternoons, 3/28, 4/4 and 4/18 (skip 4/11); 5/2, 5/9 and 5/16; 5/30, 6/6 and 6/13; 6/20, 6/27 and 7/11 (skip 7/4); or 7/18, 7/25 and 8/1, 2-6 p.m. Or Sunday afternoons, 3/8, 3/15 and 3/22; 4/19, 4/26 and 5/3; 5/31, 6/7 and 6/14, 2-6 p.m. Cost: $150 per couple Info: If you register for a breastfeeding class when you register for this course, the breastfeeding class will be FREE.

Info: If you register for a breastfeeding class when you register for this course, the breastfeeding class will be FREE.

Two-Day Course When: Sundays, 4/19 and 4/26, 5/17 and 5/31 (skips 5/24), 6/21 and 6/28, or 7/19 and 7/26, 10 a.m.-5 p.m. Cost: $150 per couple

a Refresher Childbirth Class

a w Express Childbirth Class

This four-hour class provides just the basics for labor and birth. Where: Adventist HealthCare When: 3/29 or 5/31, 2-6 p.m. Cost: $65 per couple Where: Washington Adventist Hospital When: Wednesdays, 4/29-5/6, or 6/17-6/24, 7-9:30 p.m. Cost: $65 per couple Info: Split into two 2.5-hour sessions at this location only

For those who have taken a childbirth class in the past four years and simply need a brief refresher.

HA2 to register, call 800-542-5096 • w ww. S h ad y G rove Adve nt i st H o spit a l. com • health advisor • spring 2009

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Where: Adventist HealthCare When: 3/29 or 6/7, 9 a.m.-noon Cost: $40 per couple a w Caesarean Birth Class

For those who are expecting to give birth by Caesarean. Where: Adventist HealthCare When: 4/13 or 6/8, 7:30-9:30 p.m. Cost: $40 per couple Where: Washington Adventist Hospital When: Arranged Cost: $40 per couple or $100 as a private class Info: 301-891-5305 a w Customized Private Childbirth Class This class meets your special needs—scheduling difficulty, bed-rest restrictions, VBAC preparation and more. Where: Adventist HealthCare or in your own home When: Arranged Cost: $60 per hour

Where: Washington Adventist Hospital When: Arranged Cost: $50 per hour Info: 301-891-5305 a w Breastfeeding Class This program presents accurate, up-to-date information to get you off to the best start with breastfeeding. Where: Adventist HealthCare

When: Saturdays, 4/18, 4/25, 5/2, 5/16, 5/30, 6/6, 6/13, 7/11, 7/18 or 7/25, 9-11:30 a.m.; Sunday mornings, 4/19, 5/3, 6/7 or 7/12, 9-11:30 a.m.; or Mondays, 3/2, 4/6, 5/4, 6/1 or 7/6, 7-9:30 p.m. Cost: $35 per couple, but FREE when registering at the same time for the Comprehensive Childbirth and Infant Care Series. Where: Washington Adventist Hospital When: Saturday, 6/27, 10 a.m.-12:30 p.m.; Wednesday, 4/8, 5/27 or 7/15, 7-9:30 p.m. Cost: $35 per couple, but FREE when registering at the same time for the Two-Day Childbirth and Infant Care Series. Info: Already included in the Six-Week Childbirth Series (this location only). a w Baby Care Basics Class

Learn how to care for

your newborn during the first few weeks. (See Comprehensive Childbirth and Infant Care Course for details.) Where: Adventist HealthCare When: 3/16, 5/18 or 7/20, 7-9:30 p.m. Cost: $35 per couple Where: Washington Adventist Hospital When: Wednesday, 5/20 or 7/8, 7-9:30 p.m. Cost: $35 per couple w Baby Care For Adoptive Parents

A private class customized for the expected age of your baby at the time of adoption. When: Arranged Cost: $100 per couple Info: 301-891-5305

s Fatherhood 101 Classes

Helps expectant or new dads meet the challenges of fatherhood. When: 3/7, 5/2 or 7/11, 1-3:30 p.m. Cost: $20

BLISS Marriage and Parenting Seminar for Expectant Couples

Offers techniques to create winning relationships as couples prepare for their baby’s arrival. Cost: FREE Info: BLISS at 202-2652547, www.getbliss.com

s w Infant Safety and CPR

This course covers childproofing, CPR, rescue breathing and airway management techniques applicable to babies up to 1 year old. A “Friends & Family” attendance card will be given to each participant upon completion. Where: Shady Grove Adventist Hospital When: Sundays, 4/5, 4/19, 4/26, 5/3, 5/10, 5/17, 5/24 or 5/31, 10 a.m.-noon Cost: $35 per person, $50 per couple Where: Washington Adventist Hospital When: Saturdays, 4/25, 5/30 or 6/27, 10 a.m.noon Cost: $35 per person, $50 per couple

s So, You’re Going to be a Grandparent? Information on how to be a helpful grandparent to the family with a new baby. When: Monday, 3/2, 7:30-9:30 p.m. Cost: $20 per person, $25 per couple

sibling classes The following classes prepare big brothers and big sisters for the arrival of a new baby to their families.

s Brother and Sister Class (ages 3 to 6) Where: Shady Grove Adventist Hospital When: 3/4, 3/18, 4/1, 4/15, 5/6, 5/20, 6/3, 6/17, 7/1 or 7/15, 5:30-6:30 p.m. Cost: $12 for first child, $8 for each additional child

s Hey! What About Me? Class (ages 5 to 10)

Where: Shady Grove Adventist Hospital When: 3/4, 4/1, 5/6, 6/3 or 7/1, 4-5 p.m. Cost: $12 for first child, $8 for each additional child Info: Children 10 and older may attend adult Wednesday evening tours. w Sibling Preparation Class (ages 3 to 9) Where: Washington Adventist Hospital When: Sundays, 5/3 or 6/7, 3-4:30 p.m. Cost: $25 for family with one child, $35 for two.

after baby arrives a w Lactation Services

Lactation consultation, breast-pump sales and rentals, and weekly

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health advisor breastfeeding support groups. Where: Adventist HealthCare Info: 301-279-MOMS (6667) Where: Washington Adventist Hospital Info: 301-891-4TLC (4852) a w BEST Program: “Breastfeeding, Education, Support and Togetherness” An informal group for breastfeeding information, support and assistance with challenging situations. Where: Adventist HealthCare When: Most Wednesdays, 2-3:30 p.m. Cost: FREE Info: 301-279-MOMS (6667)

Where: Washington Adventist Hospital When: Most Tuesdays, 2-3:30 p.m. Cost: FREE when you deliver at Washington Adventist Hospital Info: 301-891-4TLC (4852) a Discovering Motherhood Classes

This program provides an educational support group for new moms and their babies. When: Fridays, 3/204/17 (skip 4/10), 4/245/15, 5/29-6/19, 6/26 -7/24 (skip 7/3), or 7/31-8/21, 10 a.m.noon Cost: $45

a Going Back to Work Breast-Pump Class

When: 4/8 or 6/10, 810 a.m.

Information on how to continue pumping when returning to work. When: Thursdays, 3/12, 4/16, 5/14, 6/11 or 7/9, 2-3 p.m. Cost: FREE

Where: Damascus Senior Center, 9701 Main St., Damascus When: 4/22, 9:30-11:30 a.m.

w Infant Massage Classes can be arranged for parents and care givers of a newborn up to 4 months old. Where: Washington Adventist Hospital Info: 301-891-5305

k cardiac and vascular programs

Where: Marilyn J. Praisner Community Center (Fairland), 14906 Old Columbia Pike, Burtonsville When: 4/29, 9:30-11:30 a.m. Where: Gaithersburg Senior Center, 80 A Bureau Drive, Gaithersburg When: 5/20, 10 a.m.noon

•VAP (Vertical Auto Profile): Expanded cholesterol test including all of the lipid profile plus information that can help identify inherited and hidden heart disease risks; $65, $61 for seniors (55-plus); only order this or the lipid profile test • Homocysteine: Vascular fitness test; $95 • HsCRP: Tests highsensitivity C-reactive protein for cardiovascular risk; $45 • Blood pressure monitoring: FREE • Glucose: Basic screening for diabetes (12 hours of fasting is recommended); $8

s w Community Screenings Affordable heart-health screening blood tests and private consultation with a medical professional— nurse practitioner, physician’s assistant or medical doctor—1-4 minutes, to help identify your personal risks to heart disease. Where: Shady Grove Adventist Hospital, Tower Willow Room (emergency entrance) When: 3/4, 5/6, 8-10 a.m. Where: Rockville Senior Center, 1150 Carnation Drive, Rockville When: 3/27, 5/27, 10 a.m.-noon Where: Washington Adventist Hospital, Conference Center, 7620 Carroll Ave., Takoma Park

• Heart Smart: VAP and glucose; $69

• Heart Risk Special: VAP, homocysteine and HsCRP; $199 • Diabetes Check: Glucose and A1c; $42 BodyGemTM

Measures resting metabolic rate to help achieve personal weight management and nutrition goals. Cost: $60 Info: 301-315-3133

s r w Monthly Blood Pressure Testing Where: Gaithersburg Upcounty Senior Center, 80 A Bureau Drive, Gaithersburg When: 3/25, 4/22, 5/27 and 6/24, 9:3011:30 a.m. Cost: FREE Info: 301-258-6380 Where: Shady Grove Adventist Hospital, Cafeteria When: 4/15, 5/20 and 6/17, 11:30 a.m.-1:30 p.m. Cost: FREE

Screening Description and Fees

• Lipid Profile: Basic cholesterol test—total cholesterol, HDL, LDL, VLDL, triglycerides, cholesterol/HDL ratio (12 hours of fasting recommended); $35, $31 for seniors (55-plus); only order this or the VAP test

for known diabetics; $40

Where: Adventist Rehabilitation Hospital of Maryland, Lobby When: 4/14, 5/12 and 6/9, 12:30-2:30 p.m. Cost: FREE

Antigen (PSA): Prostate cancer; $40 • Body-Fat Analysis: Tests percentage of body fat; $10

Where: Washington Adventist Hospital, Lobby When: 4/2, 5/7 and 6/4, 11:30 a.m.-1:30 p.m. Cost: FREE

Heart Screening Packages

Where: Takoma Park Community Center, Senior Room, 7500 Maple Ave., Takoma Park

• A1c: Blood sugar test • Prostate-Specific

• Sweetheart: Lipid

profile and glucose; $38

HA4 to register, call 800-542-5096 • w ww. S h ad y G rove Adve nt i st H o spit a l. com • health advisor • spring 2009

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When: 4/22, 5/27 and 6/24, 9:30-11:30 a.m. Cost: FREE Info: 301-258-6380 Congestive Heart Failure Discussion Group

When: 4/6 and 6/15, 7 p.m. Cost: FREE Info: 301-279-6662

s w Introduction to Cardiac Rehabilitation and EECP

Where: Shady Grove Adventist Hospital Cardiac Rehab Center, 9715 Medical Center Drive, Suite 130, Rockville When: By appointment Cost: FREE Info: 301-279-6662 Where: Washington Adventist Hospital Cardiac Rehab When: By appointment Cost: FREE Info: 301-891-6016

Group discussion for patients, and the families of patients, with these devices. When: 3/9 and 5/11, 7 p.m. Cost: FREE Info: 301-279-6662

s Heart-to-Heart Support group for individuals adjusting to life with heart disease. Spouses are welcome. Where: Shady Grove

For adults living with leukemia, lymphoma, myeloma or other blood cancer. In cooperation with The Leukemia & Lymphoma Society. When: 1/21, 2/18 and 3/9, 6-9 p.m. Cost: FREE Info: Sharon Francz at 240-826-6136, sfrancz@ adventisthealthcare.com

k cancer care programs and screenings Many of the programs are free to the commu nity, although some programs may have eli gibility requirements.

s w Colorectal Cancer Screening Program

Adventist HealthCare partners with Montgomery County Health Department to provide free colorectal cancer screening services to eligible residents ages 50 or older. Info: 301-315-3507 or 301-315-3147

s w Montgomery Internal Cardiac Defibrillator and Pacemaker Discussion Group

s Hematology Support Group

Adventist Hospital Cardiac Rehab Center, 9715 Medical Center Drive, Suite 130, Rockville When: Third Thursday of each month, 7-8 p.m. Cost: FREE Info: 800-542-5096

County Cancer Crusade Coalition Meeting

Monthly meeting to discuss community needs for various cancer screenings. Info: 301-315-3507 or 301-315-3147 a w Look Good ... Feel Better A program for women undergoing cancer treatments that is cosponsored with the American Cancer Society and the National Cosmetology Association. Learn how to

enhance your self-image and look your best. Where: Adventist HealthCare When: 5/4, 10 a.m.-noon Cost: FREE Info: 800-542-5096 Where: Washington Adventist Hospital When: 6/8, 10 a.m.noon Cost: FREE Info: 800-542-5096 r Focus on Healing through Movement and Dance

The Lebed Method® is a medically based, therapeutic program that helps to increase flexibility, increase energy and promote a positive self-image. Cost: $120 for six sessions Info: 240-864-6200

s Moving Forward Breast Cancer Support Group

This monthly support group is open to all breast cancer patients and their families.

Where: Shady Grove Adventist Hospital, Tower Willow Room When: 3/17, 4/21 and 5/19, 6:30-8 p.m. Cost: FREE Info: Sharon Francz at 301-279-6136, sfrancz@ adventisthealthcare.com

s w General Cancer Support Group

This monthly group is open to all cancer patients and their families. Where: Shady Grove Adventist Hospital When: Tower Willow Room 3/9 and 5/11 and Tower Maple Room 4/13, 6:30-8 p.m. Cost: FREE Info: Sharon Francz at 240-826-6136, sfrancz@ adventisthealthcare.com Where: Washington Adventist Hospital, Conference Room A, LL2 When: Fourth Tuesday of each month, 6:308 p.m. Info: Melina Talavera at 301-315-3147

Leukemia, Lymphoma, Myeloma and Blood-Related Cancer Support Group

For adults coping with leukemia, lymphoma, Hodgkin’s disease and myeloma. In cooperation with The Leukemia & Lymphoma Society. When: Third Wednesday of each month, 6:30-8 p.m. Cost: FREE Info: Sharon Francz at 240-826-6136, sfrancz@ adventisthealthcare.com

s Colorectal Cancer Support Group

Where: Shady Grove Adventist Hospital When: First Tuesday of each month, 6-9 p.m. Cost: FREE Info: Sharon Francz at 240-826-6136, sfrancz@ adventisthealthcare.com

s Women’s GYN Cancer Support Group Where: Shady Grove Adventist Hospital

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health advisor When: First Thursday of each month, 6-9 p.m. Cost: FREE Info: Sharon Francz at 240-826-6136, sfrancz@ adventisthealthcare.com

s Lung Cancer Support Group

Where: Shady Grove Adventist Hospital When: Fourth Monday of each month, 6-9 p.m. Cost: FREE Info: Sharon Francz at 240-826-6136, sfrancz@ adventisthealthcare.com

s How to Be Your Personal Cancer Navigator This program will give you the tools to navigate through this difficult time, including topics on how to advocate, organize, ask questions and find resources in your community. Where: Shady Grove Adventist Hospital

k community lectures Long-Life Lecture Series

Where: Long Branch Community Center, 8700 Piney Branch Road, Silver Spring When: 11 a.m.-noon 4/14: Functional Fitness, Training Your Body to Handle Real-Life Situations 5/5: Adaptive Equipment to Make Your Home and Your Life More Manageable 6/9: Dermascan—Come Get a Skin Assessment in Time for Summer Cost: FREE Info: 301-431-5708 (Spanish translation available)

Here—Smoking Cessation 6/23: Men’s Health— Helping You Live Longer, Healthier Lives Cost: FREE Info: 301-681-1255 Healthy Living Lecture Series

Tests that Help You Assess Your Risk to Heart Disease Where: Holiday Park Multiservice Senior Center, 3950 Ferrara Drive, Wheaton When: 5/20, 1:15-2:15 p.m. Cost: FREE Info: 240-777-4999

k youth health and education Baby-sitting

Meet and Motivate Lecture Series

Where: Margaret Schweinhaut Senior Center, 1000 Forest Glen Road, Silver Spring

This two-session class for children ages 11 to 15 covers accident prevention and basic care for infants and children. Both sessions required for certificate. When: 4/11 and 4/18 or 5/17 and 5/24, 10 a.m.noon Cost: $30 Info: 800-542-5096

s Teen CPR Companion to Baby-sitting

Cost: FREE Info: Sharon Francz at 240-826-6136, sfrancz@ adventisthealthcare.com

When: 10:30-11:30 a.m. 4/28: IBS—Irritable Bowel Syndrome 5/26: No Smoke

Rescue breathing, CPR skills, management of choking and automated external defibrillator training for all ages will be taught to teens ages 13 to 16. An American Safety Health Institute card will be given upon completion. Where: Shady Grove

Adventist Hospital When: 3/28, 4/25 and 5/30, 2-5 p.m. Cost: $60 Info: 800-542-5096

s Home Alone Prepares 8- to 11-yearolds and their parents for children spending brief periods alone at home. Children must attend with a parent or guardian. Where: Shady Grove Adventist Hospital When: 4/25 and 5/23, 10 a.m.-noon Cost: $10 for child and parent Info: 800-542-5096

k nutrition classes a Nutrition and Diabetic Counseling

Individual consultation with a registered dietitian for all nutrition needs. Where: Adventist HealthCare Cost: $75 per hour Info: 800-542-5096 w a Weight Management An eight-week program built around eating habits, nutrition and physical activity. Where: Washington Adventist Hospital, Cafeteria Conference Room A When: Mondays, 3/235/11, 6-8 p.m. Cost: $140

Where: Adventist HealthCare When: Thursdays, 3/265/14, 6-8 p.m.

a w Food for Life: Nutrition and Cooking Classes

These classes are for cancer survivors and individuals interested in healthy food choices to help prevent cancer. Presented by Cancer Project. Donation is recommended: $20 per class, $50 for entire series. Where: Adventist HealthCare, Clarksburg Room, Third Floor When: 6:30-8:15 p.m. 5/6: Flavoring Fiber and Maintaining a Healthy Weight 5/13: Discovering Dairy Alternatives and Replacing Meat 5/20: Fueling Up on Low-Fat Foods and Planning Healthy Meals 5/27: Antioxidants and Phytochemicals and Immune-Boosting Foods Info: 800-542-5096 Where: Washington Adventist Hospital, Cafeteria Conference Room A or B When: 6:30-8:15 p.m. 4/23: Fueling Up on Low-Fat Foods and Planning Healthy Meals 4/30: Flavoring Fiber and Maintaining a Healthy Weight 5/7: Discovering Dairy Alternatives and Replacing Meat 5/14: Antioxidants and Phytochemicals and Immune-Boosting Foods Cost: $20 per class, $50 for entire series

HA6 to register, call 800-542-5096 • w ww. S h ad y G rove Adve nt i st H o spit a l. com • health advisor • spring 2009

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k fitness and weight management w Beginner T’ai Chi This Chinese coed exercise program helps improve balance and coordination, flexibility and range of motion, and strength. Where: Washington Adventist Hospital, Conference Center When: Thursdays, 4/2-6/4, 6:30-7:30 p.m. Cost: $120 Info: 800-542-5096, preregistration required Yoga for Beginners

Learn yoga exercises to ease tense muscles, tone the internal organs and improve flexibility of joints and ligaments. When: Tuesdays, 4/146/2, 6:30-7:30 p.m. Cost: $80 per session Info: 800-542-5096 for location; preregistration required; please bring your own mat Intermediate Yoga

Introduces challenging inverted poses to enhance and hold familiar poses. When: Thursdays, 4/166/4, 6:30-7:30 p.m. Cost: $80 per session Info: 800-542-5096 for location; preregistration required; please bring your own mat r SugarLoafers Walking Club

A walking club for those interested in keeping fit through walking. Where: Adventist

Adventist Hospital When: First Wednesday of each month, 1:303 p.m. Cost: FREE Info: 800-642-0101

5/3, 5/10, 5/17, 5/24 or 5/31, 10 a.m.-noon Cost: $35 per person, $50 per couple Info: 800-542-5096 Life-Support Classes

Where: Adventist Rehabilitation Hospital of Maryland When: Thursdays, 78 p.m. Cost: $120 for six sessions Info: 240-864-6200 Rehabilitation Hospital of Maryland When: Second Tuesday of each month (except July), 7:15-9 p.m. Cost: FREE Info: Jackie at 301977-6870; Maribeth at 301-946-5496 or gam mie0612@verizon.net

k selfimprovement w Stress Management Class can be taken individually or as a four-part series. Where: Washington Adventist Hospital, Cafeteria Conference Room A When: Thursdays, 6/46/25 6/4: Learn How to Manage Your Anger 6/11: Learn How to Handle Everyday Worries 6/18: Simplify Your Life 6/25: Learn to Relax Cost: $20 per session, $50 for entire series w Freedom from Smoking

This eight-session program combines support-group meetings

with a positive behaviorchange approach to show you how to become a nonsmoker. Where: Washington Adventist Hospital, Lisner Building Room 2 When: 5/6, 5/13, 5/20, 5/27 (Quit Day), 5/29, 6/3, 6/10, 6/17 and 6/24, 6-7:30 p.m. Cost: $50 Info: 800-542-5096, preregistration required

s Stop Smoking for Good!

This class will provide techniques to keep you smoke-free. Where: Shady Grove Adventist Hospital, Cardiac Rehab Center, 9715 Medical Center Drive, Suite 130, Rockville When: Thursdays, 7-8 p.m. Cost: FREE Info: 301-279-6662

s r Are You Suffering from Arthritis or Joint Pain?

Learn about the surgical procedure, hospital stay and rehabilitation program. Where: Shady Grove

k first-aid/ CPR classes s w American

The Adventist Healthcare Life Support Training Center offers American Heart Association BLS, ACLS and PALS courses. Info: https://extranet. adventisthealthcare. com/EI/lifesupport

k support groups

Health and Safety Institute Basic First Aid

For cardiac support groups, see page HA4.

Learn how to treat firstaid emergencies. Where: Washington Adventist Hospital, Lisner Building Room 1 When: 4/27, 5/26 or 6/25, 6-9 p.m. Cost: $45 Info: 800-542-5096, preregistration required

r Alcoholics Anonymous Where: Adventist Rehabilitation Hospital of Maryland When: Sundays, 7:3010 p.m. Info: 202-966-9783

Where: Shady Grove Adventist Hospital, Tower Oak Room When: 4/7 or 6/10, 6-9 p.m.; or 5/9, 10 a.m.-1 p.m. Cost: $45 Info: 800-542-5096, preregistration is required

s Infant safety and CPR

A fellowship for family members and friends whose lives have been affected by someone else’s drinking. Where: Adventist Rehabilitation Hospital of Maryland When: Sundays, 6:30-7:30 p.m. Info: 202-635-2023

Rescue breathing, CPR skills and management. A “Friends & Family” attendance card will be given to each participant upon completion. Where: Shady Grove Adventist Hospital When: 4/5, 4/19, 4/26,

r Amputee Support Group “Ability with Mobility” for amputees and caregivers. Where: Adventist Rehabilitation Hospital of Maryland

r Al-Anon/ Alateen

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health advisor When: Last Thursday of each month, 6-8 p.m. Info: Sandy at 240-864-6200 r BRAIN INJURY SUPPORT GROUP For brain injury survivors, caregivers and their families. Where: Adventist Rehabilitation Hospital of Maryland When: Second and fourth Thursday of each month, 7 p.m. Info: Tom at 301-294-9205; Brain Injury Association at www.biamd.org DIABETES DINING CLUB

Info: 800-542-5096

s w EMPTY ARMS, ACHING HEARTS For those experiencing pregnancy loss, miscarriage, stillbirth or infant death. New Spanish-speaking group available. Where: Shady Grove Adventist Hospital, Chapel When: First Thursday of each month, 7-9 p.m. Info: 301-279-6112 Where: Washington Adventist Hospital, Conference Room A When: Third Thursday of each month, 7-9 p.m. Cost: FREE Info: 301-891-5265

When: Fourth Sunday of each month, 6:308:30 p.m. Where: Temple Beth Ami, 14330 Travilah Road, Rockville When: Second Monday of each month, 6:308:30 p.m. LAPAROSCOPIC BAND SUPPORT GROUP

Where: Institute for Genomic Research, 9712 Medical Center Drive, Rockville When: First and third Thursday of each month, 6:30-8:30 p.m. Info: 301-251-4128 GRIEF CARE

This mutual support group meets for six consecutive weeks for those experiencing loss. Info: 301-891-5265 or 301-279-6112

Tower Willow Room When: First Saturday of each month, 12:302:30 p.m. Info: Fran at 301-699-3012 Where: MD Metropolitan MS Support Group, 303 Adclare Road, Rockville When: Second Tuesday of each month, 7 p.m. Info: Judi at 301-990-8797

DIVORCE CARE

This eight-week support group is for those healing from divorce. Cost: FREE Info: 301-891-5265

s HEPATITIS SUPPORT GROUP

Where: Shady Grove Adventist Hospital When: First Tuesday of each month, 7-8 p.m. Info: Jay at 301-717-7820

s LUPUS SUPPORT

r MONTGOMERY COUNTY STROKE ASSOCIATION SUPPORT GROUP

For stroke survivors and caregivers and their families. Where: Adventist Rehabilitation Hospital of Maryland When: Second Wednesday of each month, 7-9 p.m. Cost: FREE Info: 301-869-1580, www.onehealthylife.org

GROUP

s GASTRIC BYPASS SUPPORT GROUP Where: Shady Grove Adventist Hospital, Willow Room

Sponsored by the Lupus Foundation of Greater Washington. Where: Shady Grove Adventist Hospital,

r THE COMMUNITY APHASIA GROUP

For those interested in working on their communication skills in a

comfortable group setting. Where: Adventist Rehabilitation Hospital of Maryland Cost: $120 for six-week class Info: Sandi Lancaster at 240-864-6200 or slancas2@adventist healthcare.com

s NARCOTICS ANONYMOUS SUPPORT GROUP Where: Shady Grove Adventist Hospital When: Saturdays, 7:30-8:30 p.m. Info: 800-543-4670 OPERATION RUNAWAY

For runaway youths and their parents/guardians. Where: Potomac Ridge Behavioral Health Center, 14901 Broschard Road, Rockville

When: Wednesdays, 6:30-8:30 p.m. Info: 301-251-4545 or 800-204-8600

s SICKLE CELL ANEMIA

Where: Shady Grove Adventist Hospital When: First Saturday of each month, 12:30-2:30 p.m. Info: Beatrice at 301-972-2442 r SPINAL CORD INJURY SUPPORT GROUP For spinal cord injury survivors and caretakers. Where: Adventist Rehabilitation Hospital of Maryland When: Third Thursday of each month, 6-8 p.m. Info: Carolyn at 240-864-6154

learn more online

Detailed descriptions of our classes are available online at www.AdventistHealth Care.com. To register for any of our spring classes and events, call the registrar at 800-542-5096.

HA8 to register, call 800-542-5096 路 w ww. S h ad y G rove Adve nt i st H o spit a l. com 路 health advisor 路 spring 2009

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12/23/08 6:16:31 PM

Publication: Vim & Vigor

Bowflex® TreadClimber® 3-in-1 fi tness machine The Bowflex® TreadClimber® 3-in-1 home fitness machine combines the features of the three best cardio machines — ellipticals, steppers, treadmills — into one amazing 30-minute workout! You will look better, feel better, and enjoy a healthier lifestyle in just 6 weeks — guaranteed!†

Bowflex® TreadClimber® TC6000

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The Bowflex Bowflex® TreadClimber® machine burns up to 2 times more calories than a treadmill at the same speed*!

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*On approved Bowflex™ credit card purchases. The advertised payment is based on a promotional minimum payment of 1.5% of purchase price. The amount of your total Minimum Monthly Payment will depend on additional purchases and account balances. See Cardholder Agreement and Disclosure Statement for details. †100% Satisfaction Guarantee includes full refund of purchase price, less shipping and handling. Call for complete details. ©2008 Nautilus, Inc. All rights reserved. Bowflex, the Bowflex logo, TreadClimber, Bowflex Advantage, Why run when you can walk, and Get the Body You Want In Half The Time are either trademarks or registered trademarks of Nautilus, Inc. PSP09VIMVIGFUL

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Issue Date: Spring 2009

Get the Body You Want – in Half the Time !

12/9/08 PM 12/8/08 12:58:00 2:28:05 PM

Shady Grove Adventist Hospital 9901 Medical Center Drive Rockville MD 20850

Non-Profit Org. US Postage

PAID

Vim & Vigor

Need a Physician for You and Your Family? We can help. Shady Grove Adventist and Washington Adventist hospitals’ physician referral program is a free service dedicated to matching you with a doctor that’s just right for you. You’ll be matched with physicians based on your insurance, location, physician’s specialty and more. You will also have access to physician proﬁles so you can learn more about the physician you choose to care for you and your family. Visit www.AdventistHealthCare.com/doctors to ﬁnd your doctor today.

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12/23/08 6:18:10 PM