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Healthy Living 04-10-19

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AN ANTON MEDIA GROUP SPECIAL

HealthyLiving ealthy APRIL 10 - 16, 2019

Autism Awareness * Not all products and/or services may be covered. Contact your carrier for details. † On average, patients compliant with the Medi-Weightloss® Program lose 6.4 pounds the first week and 14 pounds the first month. Rapid weight loss may be associated with certain medical conditions and should only be considered by those who are medically appropriate. For Florida patients only: THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED FEE SERVICE, EXAMINATION OR TREATMENT. © 2017 Medi IP, LLC. All Rights Reserved.

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2C Healthy Living • April 10 - 16, 2019

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MSK Nassau

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No Longer Hidden

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Northwell employee no longer shies away from his autism

ean Culkin tried to ignore his autism for as long as possible. Diagnosed at 2 years old, it wasn’t until Culkin started college that he realized he had to face many of the symptoms from autism that he had never fully addressed. “The beginning of my college career was a low stage in my life,” said Culkin. “I didn’t want any support systems at school because I wasn’t comfortable with being autistic and I wasn’t comfortable with people knowing that I had it.” Now Culkin, a research coordinator at Monter Cancer Center in Lake Success, speaks publicly about coming to terms with autism. He addressed an audience on April 1, the start of World Autism Awareness Month, at the “Not Defined by Autism” event hosted by the N-Able Business Employee Resource Group (BERG) at Zucker Hillside Hospital in Queens. “I want to be able to help people

structure for himself through the school’s resource programs, but his biggest concern was transitioning from college into the workforce. After completing a successful two-month internship at Northwell Health, he was offered full-time employment at Monter, where he has spent the past two years. “Northwell Health’s inclusion internship recognizes the skills and strengths that these students bring. They just need the opportunity,” said Cheryl Davidson, senior director, Workforce Readiness. “Sean is an inspiration because he’s going out to the public and telling people, there’s hope for you, there are opportunities for you, there are services for you,” added Carmine Sean Culkin is a laboratory coordinator for clinical research at Northwell’s DeSena, director of psychiatric Monter Cancer Center. rehabilitation, at Zucker Hillside. “It’s the goal of really connecting to so they aren’t ashamed of autism,” as an intern through Adelphi people and knowing where to enter a Culkin said. “So people don’t have to University’s Bridges to Adelphi hide from it.” program for students with a spectrum doorway for services.” —Submitted by Northwell Health Culkin began working at Northwell disorder. He was able to provide

SPRING IS A TIME FOR NEW BEGINNINGS! Spring is upon us! The days are getting longer and the temperatures are warmer—it’s a perfect time to visit The Amsterdam Retirement Community. The lifestyle at The Amsterdam captures the energy and vibrancy everyone hopes for in retirement. With a fully equipped fitness center, daily exercise classes, heated indoor swimming pool, billiards parlor, card room, movie theater, library, art studio, woodworking shop, full-service salon, convenience store, restaurantstyle dining and a full schedule of daily activities, there is truly something for everyone here. Located in the heart of Long Island’s North Shore, The Amsterdam at Harborside is a not-for-profit continuing care retirement community which offers the best of independent living with assistance and healthcare if ever needed, all under one roof.

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Is The Amsterdam at Harborside right for you? Call 516-472-6636 today and schedule your personal tour. Limited openings available.


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4C Healthy Living • April 10 - 16, 2019

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Five Autism Charities To Donate To BY DAVID GREUNER

specialsections@antonmedia

he 12th annual World Autism Awareness Day occurred on April 2, kicking off Autism Awareness Month, an entire month dedicated to spreading awareness about Autism Spectrum Disorder (ASD). According to www.autism speaks.org, ASD “refers to a broad range of conditions characterized by challenges with social skills, repetitive behaviors, speech and nonverbal communication.” Presently, autism affects approximately 1 in 59 children in the United States alone. Early diagnosis and early intervention are crucial in helping those with autism reach their full potential, and support services are necessary throughout their entire lifespans. You can show your support in so many ways: spend some quality time with someone you know who has autism, pledge to “go blue” to increase global understanding and acceptance of people with autism, participate in one of hundreds of walks scheduled

1. AANE (Asperger/Autism Network)

AANE works with individuals, families and professionals to help people with Asperger Syndrome or similar autism spectrum profiles build meaningful, connected lives. They provide “information, education, community, support, and advocacy—all in an atmosphere of validation and respect.” This organization is one of the first Asperger-focused organizations in the United States. Visit www.aane.org for more information.

2. OAR (Organization for Autism Research)

Eighty-seven percent of funds raised by OAR go directly to research and services. The Organization for Autism

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Research strives to make a difference in the daily lives of persons with autism and their families. OAR publishes a series of guidebooks, maintains supportive websites, offers scholarship opportunities for undergraduate students and provides resources specifically for military families impacted by autism. Visit www.researchautism.org for more. For more than 50 years, the Autism Society of America “envisions a world where individuals and families living with autism are able to maximize their quality of life, are treated with the highest level of dignity, and live in a society in which their talents and skills are appreciated and valued.” They provide education, advocacy, information, support, and community at national, state and local levels through their strong nationwide network of affiliates. They are one of the few organizations to have members on the autism spectrum serving as active members of their board directors and in other leadership positions. Visit www.autism-society. org for more information.

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during the month of April, or contribute your time and/or money to a deserving charity that works with those affected by autism. Here are five of many charities (in no particular order) that you can donate to this Autism Awareness Month to show your support:

Grandparents of a child with autism founded Autism Speaks in 2005. According to their website, Autism Speaks is “dedicated to promoting solutions, across the spectrum and throughout the life span, for the needs of individuals with autism and

their families through advocacy and support; increasing understanding and acceptance of people with autism spectrum disorder; and advancing research into causes and better interventions for autism spectrum disorder and related conditions. Autism Speaks enhances lives today and is accelerating a spectrum of solutions for tomorrow.” Visit www.autismspeaks. org for information.

5. Autism Science Foundation

Founded in 2009, the Autism Science Foundation is a nonprofit corporation organized for charitable and educational purposes. Their Dr. David mission is “to support Greuner autism research by providing funding and other assistance to scientists and organizations conducting, facilitating, publicizing and disseminating autism research.” In addition, the Autism Science Foundation “provides information about autism to the general public and serves to increase awareness of autism spectrum disorders and the needs of individuals and families affected by autism.” They believe that outstanding research is the best gift that they can offer their families. Visit www. autismsciencefoundation.org for more information. Go blue this April and show your support of those affected by autism. Dr. David Greuner is the cofounder and head doctor of NYC Surgical Associates.


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6C Healthy Living • April 10 - 16, 2019

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Liver Cancer 101

ultrasounds, CAT scans or MRIs. A biopsy usually is not necessary. PET scanning is not useful in primary liver cancer. If HCCs are found when they are small, they can be treated with very good success rates. If HCCs are found when they are large, their prognosis is much worse. This is the reason that people at risk for HCC should have screening imaging studies performed every six THE SPECIALIST months. David Bernstein, MD The current treatments for hepatocellular include surgery, liver transplantation, B and non-alcoholic fatty chemoembolization, radio freliver disease, in which HCC quency ablation and chemocan arise without cirrhosis. therapy. The best treatment is Therefore, all patients with cirrhosis regardless of etiology surgical resection but unfortunately, this option can only and all patients with hepatitis be recommended in patients B and fatty liver, even in the absence of cirrhosis, should be without cirrhosis or in those screened for primary liver can- with cirrhosis whose lesions are peripherally located in the cer. Liver cancer is frequently asymptomatic and diagnosed liver and have well preserved at the same time as cirrhosis is liver function. Liver transplantation is a very good options diagnosed. and people with cirrhosis HCC is diagnosed on and liver cancer should be imaging studies, such as

evaluated for transplantation. Once a cancer is diagnosed, there are options that can be employed to shrink or kill the tumor. These options, such as radiofrequency ablation or transarterial chemoembolization, are performed by a radiologist and are generally outpatient procedures which are very effective. Usually people undergo these procedures to keep the tumor in check while waiting for a liver transplant. In those patients where the tumor is too large for liver transplantation or in those people with multiple tumors within the liver that preclude transplantation, chemotherapy is available. While

overall results of chemotherapy have been disappointing, several new agents have been recently introduced which may improve survival. The epidemic of liver disease in the United States, especially hepatitis C and fatty liver disease, is leading to a significant rise in primary liver cancers. The medical community has made tremendous strides in treating these cancers. Not long ago, being told you had liver cancer was a death sentence, but now it is simply a bump in the road to a long healthy life. Hopefully, the progress in treating these tumors will continue to advance.

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Primary liver cancer, also called hepatocellular carcinoma (HCC) or hepatoma, is a cancer that arises from within the liver. It is the solid organ tumor whose incidence is rising most rapidly in the United States directly related to both hepatitis C and fatty liver. HCC should not be confused with metastatic cancer to the liver. Metastatic cancer to the liver means that a cancer from another organ such as the lung or colon has spread to the liver. HCC occurs in people with underlying liver disease that has generally progressed to advanced fibrosis or cirrhosis. Any liver disease which has progressed to cirrhosis places an individual at risk for liver cancer. These include conditions such as hepatitis C, hepatitis B, fatty liver disease, alcoholic liver disease, primary biliary cholangitis, hemochromatosis and autoimmune liver disease. There are, however, two common conditions, hepatitis


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Understanding Pelvic Floor Disorders spasms in the pelvis. If you’re having symptoms that indicate the possibility of a PFD, contact your healthcare provider. Your condition may be able to be diagnosed during an exam, or you might require additional tests, such as urodynamic testing or cystoscopy. There are both surgical and non-surgical treatment options for PFD. For many women, non-invasive techniques and treatments, such as biofeedback, pelvic muscle strengthening and electrical stimulation of the pelvic floor, can reduce symptoms. For others, surgical options, including minimally-invasive procedures like transvaginal prolapse repair and laparoscopic or robotic surgery, can restore function and structure to the pelvic floor. Because PFD can involve the bladder, colon, rectum, muscles, skeletal system and nerves, a multidisciplinary approach to treatment often is needed to ensure the best outcome. At the Pelvic Health Program at Northwell’s Katz Institute for Women’s Health, we’ve integrated sub-specialties, including urogynecology, urology, colorectal surgery, gastroenterology,

physical therapy and behavioral health, to streamline and improve treatment for these conditions. “Pelvic floor disorders often aren’t siloed in one specific type of care,” said Dr. Harvey Winkler, System Chief, Division of Female Pelvic Medicine and Reconstructive Surgery, Urogynecology at Northwell Health. “This can make it difficult for patients to navigate their treatment. Through our collaborative approach at the Pelvic Health Program, patients receive multidisciplinary care, ensuring they receive the optimal treatment from the right specialist or team of specialists.” While not all PFD can be prevented,

there are ways to reduce your risk of developing one. Prevention strategies include regular exercise, specifically pelvic floor exercises, such as Kegels, staying hydrated, maintaining a healthy diet that includes plenty of whole grains, vegetables and fruit and not smoking. The Women’s Pelvic Health Program is dedicated to providing the very best treatment for pelvic floor disorders. Call the Katz Institute for Women’s Health Resource Center at 855-8505494 to speak to a women’s health specialist. —Submitted by the Katz Institute for Women’s Health

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ne in three women in the U.S. suffers from pelvic floor disorders (PFDs). These disorders impact women of all ages and may be caused by various factors. The pelvic floor, which consists of a hammock-shaped group of muscles, connective tissues and nerves that support organs and help their function, can become weak or injured, causing a variety of disorders. While both men and women have pelvic floors, women are more prone to muscle weakening or connective tissue tears due to trauma to the pelvic area, childbirth or deterioration with age. Obesity, genetics and lifestyle also can increase the risk of developing PFD. While these disorders can seem scary, they’re not life-threatening, and they’re highly treatable. In fact, approximately one in three women will experience a pelvic floor disorder during her lifetime. Symptoms of PFD include involuntary loss of urine, involuntary loss of stool, “dropped” bladder, uterus or rectum, a feeling of pressure in the vagina, constipation or the need to strain to have a bowel movement and muscle


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8C Healthy Living • April 10 - 16, 2019

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Put Some SPRING in Your Step! Be Be Be Be

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Science Spotlight

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ccording to researchers, receptors, such as Toll-like receptors hemophagocytes, a newly iden- (TLR), which are known to trigger tified population of phagocytes, cytokine production. However, the may have a direct impact on patients role of TLR in specifying myeloid cell with a variety of autoimmune diseases. development remains poorly underMany acute inflammatory disorders stood. The researchers hypothesized and infections are associated with a re- that TLR signaling may drive a unique duction in the number of mature blood cell in the body that is apparent at sites cells—termed cytopenias—including of infection and has a macrophage anemia and thrombocytopenia. phenotype. However, the mechanisms “Findings implicating leading to these disease an important role for New manifestations are not the transcription factor phagocyte well understood by the interferon regulatory 5 scientific and medical (IRF5) in development plays role in community. The ingesof hemophagocytes autoimmune tion of bacteria or other may have direct impact material by phagocytes on patients with a variety disease in red blood cells, platelets of autoimmune diseases,” and leukocytes can be a major said Barnes. contributor to acute cytopenias. Hemophagocytes are responKnowing this, Betsy J. Barnes, PhD, sible for anemia associated with professor and head of the Laboratory inflammation and infection, which of Autoimmune and Cancer Research shows that specialized phagocytes at the Feinstein Institute, along with required for inflammation-induced collaborators at Benaroya Research cytopenias develop in situations of Institute and University of Washington acute inflammation and possibly in Seattle, conceived that specialized autoimmune diseases. phagocytes may develop in these inflammatory conditions in response —Submitted by The Feinstein to the signals of pattern recognition Institute for Medical Research

Central Island Healthcare Guides Residents Through VIRTU-WELL Reality Residents at Central Island Healthcare recently experienced virtual reality when VIRTU-WELL Reality visited the facility. VIRTU-WELL is the first therapeutic program of its kind using custom-configured technology to deliver high-quality virtual reality experiences to older adults who live in healthcare facilities. These virtual reality journeys are therapeutic and person-centered and can be adapted to the specific needs of residents. Residents experienced touring Italy and Hawaii, driving a race car, singing in a choir and going on a trip to Austria. Residents were amazed at how realistic these journeys were. Resident superlatives such as fantastic, beautiful, gorgeous and striking were used to describe these expeditions. “We are continually seeking innovative ways to care for our residents via modern technology that provide positive outcomes,” said administrator Arthur Boden. Virtual reality tours may be effective in reducing pain, decreasing depression, combating boredom, providing entertainment and lessening stress. —Submitted by Central Island Healthcare


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Healthy Living • April 10 - 16, 2019 9C

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10C Healthy Living • April 10 - 16, 2019

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Spring Cleaning For Your Body S

pring cleaning is all about moving out with the old, and in with the new. Now that the holidays are over and the warmer months are upon us, this is the perfect time to focus on personal wellness and good nutrition. Gradually phasing out bad habits can add more clarity to your life and lead to healthier choices. Here are a few natural spring cleaning tips to help get you back on track this season:

Plant-Based Eating

You don’t have to become a vegan or vegetarian to reap the benefits of a plant-based diet. Trying to prioritize fresh fruits, vegetables, whole grains and plant-based protein sources (ie: beans, lentils, unsalted nuts, etc) are the fundamentals of a nutritious diet. This may be an ideal time to start cutting back on red and processed meats. We know that excess red meat consumption is associated with a higher risk of developing certain cancers, including breast and colorectal cancers. Red meat contains heme iron; although iron is crucial to good health, this type of iron has its own toxicity and can act to promote the formation of carcinogenic compounds

CHOOSING HEALTH Stefani Pappas

in the body. Plus, red meat is oftentimes accompanied by unhealthy sides.

Hydration

Almost 60 percent of your body is made up of water. This vital nutrient provides life to every single one of your cells, not only keeping you alive but also helping your body perform optimally each and every day. We know that caffeinated beverages such as coffee, tea and soda can be more dehydrating in the body. If you are drinking a lot of caffeine on a regular basis, slowly wean off and decrease by one cup each week. Try to get the majority of your hydration in with H2O. Infuse your water with a few slices of lemon, lime and orange. Proper hydration can help your kidneys filter waste from the blood and excrete it in the urine, keeping your body

consult with a physician before beginning any exercise Exercise regimen. Even gentle exercise Physical activity has and meditation can provide countless health benefits and benefits of stress relief and can help boost circulation in serenity. the body. Regular exercise can Is there something that promote fat loss and weight you have been wanting to management, which can low- do for your health, but keep er your risk of certain diseases on putting it off? Have you and medications in the future. thought about starting spin Incorporate a minimum of 30- classes, but things just keep 45 minutes of exercise at least getting in the way? Maybe you three times per week to help have researched a little bit stimulate your metabolism about meal prep, but haven’t and optimally build enduractually taken the plunge to ance and strength. Always start preparing your foods

cleansed from the inside out.

ahead of time. If something comes to mind, the change of the season is a great time to act on those new healthy habits. Take a chance and reap the benefits of a healthy life. Stefani Pappas, MS, RDN, CSO, CDN, CPT, is a Clinical Dietitian and Certified Personal Trainer. She provides private nutrition counseling at her office in Great Neck. Visit her website www.stefhealth tips.com for more information or call 516-225-1745 to schedule an appointment.

Free Breast Cancer Support Groups T

he Adelphi NY Statewide Breast Cancer Hotline & Support Program in Garden City offers new ongoing support groups on a weekly and monthly basis. All groups are facilitated by a social worker or master level social work intern and are sponsored by the Adelphi NY Statewide Breast Cancer Program and supported by grants from the Alpern Family Foundation and the NYS Department of Health. Groups meet at Adelphi School of Social Work in Garden City.

For information about these and other ongoing groups and to sign up, call Erin Nau, Counseling and Education Coordinator, at 516-8774314, or the Breast Cancer Hotline at 800-877-8077.

New Groups

Support Group for Friends and Family of People Diagnosed with Breast Cancer Mondays, 6-7:30 p.m. Breast cancer can bring up various emotions and concerns for everyone in the lives of those diagnosed. This group is designed to address those needs. Any person who is experiencing stress and anxiety for a loved one with breast cancer or wants the opportunity to

talk with others in a similar situation their feelings in a safe supportive should attend. environment. Support groups meet online weekly. Support Group for Men with Breast Cancer Monthly Group Tuesdays, 6-7:30 p.m. Touchstone Book Group Men who are diagnosed with Last Monday of the month; 6-7:30 breast cancer can meet with p.m. other men to discuss their unique This group is for any breast cancer challenges. survivor who has received their last treatment more than 18 months Ongoing Group ago. The group will meet monthly to Online Young Women’s Support discuss a book that focuses on cancer Group, Under 40 and coping. Discussing a book with Wednesdays, 6-7:30 p.m. characters on similar journeys can Women under the age of 40 who elicit empathetic conversations about our own journeys, and connect are diagnosed with breast cancer us to other survivors. have unique needs. This support —The Adelphi NY Statewide Breast group will focus on those concerns Cancer Hotline & Support Program while allowing the members to share


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Healthy Living • April 10 - 16, 2019 11C

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12C Healthy Living • April 10 - 16, 2019

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DISCOVER THE FINEST IN ASSISTED LIVING

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