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Healthy Living 02-13-19

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AN ANTON MEDIA GROUP SPECIAL

HealthyLiving ealthy FEBRUARY 13 - 19, 2019

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DISCOVER THE FINEST IN ASSISTED LIVING

Photos: Lobby, The Bristal at North Hills | Exterior, The Bristal at Garden City | Country Kitchen, The Bristal at Westbury

NEARBY LOCATIONS: EAST MEADOW (516) 597.8940 | GARDEN CITY (516) 274.0255 | JERICHO (516) 231.6677 LAKE SUCCESS* (516) 218.6585 | NORTH HILLS (516) 219.8440 | WESTBURY (516) 274.0065 * A Memory Care Only Community

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FOR A LIST OF ALL LOCATIONS IN THE TRI-STATE AREA, VISIT:


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8 Heart-Healthy Swaps

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id you know that February is Heart Health Month? Heart disease is the number one killer worldwide, even before cancer. A silent killer, heart disease can often sneak up and catch us by surprise. The good news is that making healthy choices and managing your health conditions can help prevent heart disease. If you are due for a check-up, call your doctor today to schedule your physical. If you have a family history of heart disease, it may be a good idea to meet with a cardiologist as well. In addition to medical management, there are several healthy lifestyle habits and good nutrition practices that can help you live a heart healthy life.

Ditch white bread, try Ezekiel bread

White, refined carbohydrates are processed and contain virtually no heart-healthy fiber. Ezekiel bread is truly as healthy as bread gets. This sprouted grain bread is packed with healthy nutrients and fiber. Dietary fiber has been shown to help improve blood cholesterol levels and lower risk of developing heart disease. Plus, fiber helps to keep us full and encourages healthy weight management.

Ditch mayo, try avocado

Avocados are incredibly nutritious and are loaded with heart-healthy monounsaturated fatty acids. You can use avocado virtually anywhere you would use mayo. Try adding it as a spread to a sandwich or wrap, or substituting avocado in a creamy dressing.

vinaigrette only takes a few minutes, and can be made with whole, natural, real ingredients. Choose an olive oil base for healthy fats, and incorporate herbs and spices for added flavor.

Ditch chips, try popcorn

CHOOSING HEALTH Stefani Pappas

Ditch candy, try dark chocolate

Who else needs an excuse to eat chocolate? Dark chocolate is packed with healthy flavanols that can protect your heart. Dark chocolate specifically contains almost three times more flavanol-rich cocoa solids than milk chocolate. Opt for one to two squares for a sweet fix.

Instead of chips high in sodium and saturated fat, opt for light popcorn to satisfy that crunchy snack fix. Popcorn is a whole grain, and those who eat plenty of whole grains tend to be leaner and have a lower risk of heart disease. Try air popping popcorn kernels at home, or purchase light popcorn that is already prepopped. Avoid excess butter and add-ins that defeat the purpose of eating this whole grain.

Ditch fried foods, try air frying

Fried foods are often laden

Ditch store-bought with saturated fat, trans fat dressing, try home- and excess sodium. People who eat fried foods are at made vinaigrette

Have you ever looked at the ingredients lists for storebought dressings? They are often loaded with excess sodium, sugar and additives. Making your own homemade

increased risk of developing several diseases, including heart disease. If you crave the fried food texture, opt for an air fryer instead. Air frying can deliver a crispy texture with virtually a fraction of the fat of fried foods. Some air frying favorites include sweet potato fries or air-fried crispy chicken.

Ditch soda, try seltzer

Soda and other sweetened beverages have been linked to heart disease, obesity and type 2 diabetes. If you are hooked on soda, try to start slowly reducing your intake every week. There are a variety of naturally flavored seltzers on the market that are

Ditch salt, try spices

Excess sodium intake can lead to increased blood pressure, causing the body to hold onto fluid. High blood pressure is a major risk factor for various cardiovascular problems, including heart attack and stroke. Place the salt-shaker in the back of the pantry, and bring your spice rack front and center. Experiment with different herbs and spices to provide flavor without all the excess sodium. Try sodium-free seasoning blends, or incorporate aromatic spices such as cumin or cinnamon into your meals. free of calories and sugar, but still provide that carbonated bubbly goodness. Swap one soda for seltzer a few times a week and wean off slowly. 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, NY. Visit her website www. stefhealthtips.com for more information or call 516-225-1745 to schedule an appointment.


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Long Islanders Invited To 18th Annual ‘Go Red For Women’ Luncheon M en and women from across Long Island will be getting their red outfits and accessories ready for the American Heart Association’s 18th annual Long Island Go Red for Women luncheon. Heart disease and stroke are the number one and number five causes of death of women. For more than a decade, women have been fighting heart disease individually and together as part of the Go Red for Women movement. Cardiovascular diseases cause one in three women’s deaths each year, killing approximately one woman every minute. Since 1984, more women than men have died each year from heart disease and stroke. An estimated 43 million women in the U.S. are affected by cardiovascular diseases. When you get involved in supporting Go Red for Women by advocating, fundraising and sharing your story, more lives are saved. The Long Island American Heart Association’s Go Red for Women luncheon will take place

on Wednesday, Feb. 27, at the Crest Hollow Country Club in Woodbury from 9 a.m. to 2 p.m. The luncheon is nationally sponsored by CVS Health, while Bradley & Parker, Petro Home Services and Mt. Sinai/South Nassau Community Hospital serve as the Long Island Life Is Why sponsors. The event will feature an elegant luncheon reception, silent auction, networking opportunities and moving survivor stories as well as educational breakout sessions presented by

recognized and credentialed healthcare professionals, providing women with information, resources and hope to take action and live a longer, stronger life. This year’s luncheon will honor the employees of Voxx International Corporation, Asia Lee and Stephen T. Greenberg, MD, Greenberg Cosmetic Surgery and Dermatology. Kathy Munsch will receive the Lifetime Achievement Award from the American Heart Association. The

honorees are committed to raising support and creating awareness about heart disease and stroke especially, as it pertains to women. Maria A. Grasso, senior executive vice president, chief operating officer and corporate secretary of Flushing Financial Corporation and Flushing Bank, will chair of the luncheon. Guests will also hear from Yvonne Fleming, who was the first to receive a heart transplant at NSUH. Tamsen Fadal from PIX 11 will emcee the event. The American Heart Association Go Red for Women Luncheon is attended by both women and men from business, health, education, local and state government. Local media sponsors include PIX 11, Long Island Business News, Cox Media and Connoisseur Media. For information about sponsorship opportunities, ticket or table reservations or other questions, visit www. longislandgoredluncheon.heart.org. —Submitted by the American Heart Association

Drop off in our lobby

150 Sunnyside Blvd Plainview, NY

Through Feb. 28th, 2019. Clothing to be donated to the Long Island Volunteer Center.

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Donate a used prom dress, shoes or other accessories to a high school student in need


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The Road To Recovery S

id Jacobson JCC has successfully received in the field of addiction, as well as providing direct funding to launch the A.C.T. for Recovery clinical addiction services both agency-based and (Aftercare Community Transition) Program, in private practice made Leinwand the perfect which seeks to support and assist individuals who candidate for this position. are on the path to recovery from addiction, as “Addiction doesn’t discriminate,” she said. “The well as their respective families. The program will opioid crisis is impacting families across a range of be led by the JCC’s newly hired licensed clinical socioeconomic and religious communities.” social worker and certified addiction specialist, SJJCC also hosts monthly NERA LI (Northeast Cindy Leinwand, LCSW, CASAC. Recovery Alliance Long Island) support Services will include: individual/ groups for Concerned Persons, special family counseling, support groups, events to educate those impacted by spiritual support, vocational substance abuse, and offers opportucoaching and social/recreational nities for health and wellness, career opportunities to support health services and more to provide support, and wellness. education and growth opportunities to “In response to the current opithose facing addiction challenges. oid crisis and ongoing challenges To learn more about the A.C.T. for of addiction within the Jewish Recovery Program and other support community, Sid Jacobson JCC programs offered by SJJCC, visit www. found it imperative to develop an sjjcc.org/supportgroups or contact Cindy Leinwand, Addiction Cindy Leinwand, Addiction Specialist aftercare recovery program,” said Michelle Laser, LCSW, Director of Specialist Social Worker at Sid Jacobson JCC, 516-484-1545 Social Services, Sid Jacobson JCC. ext. 211 or cleinwand@sjjcc.org and “A.C.T. provides a community safety net for those Michelle Laser, Director or Social Services at Sid seeking to re-engage in healthy living, vocational Jacobson JCC, 516-484-1545 ext. 200 or mlaser@ productivity and spiritual wholeness.” sjjcc.org. Leinwand is the A.C.T. for Recovery Program’s Addiction Specialist Social Worker. Her expertise —Submitted by SJJCC

An Award For Anton

The Alzheimer’s Association Long Island Chapter recognized the outstanding contribution of their 2018 Walk to End Alzheimer’s media sponsor, Anton Media Group. Ann Healey, communications manager for the chapter, presented an award to Anton Media president Frank Virga and Senior Account Manager Sal Massa. The 2018 Nassau County Walk to End Alzheimer’s took place on Sept. 15, at Eisenhower Park in East Meadow.

Complimentary Plastic Surgery Brunch at the Garden City Hotel Learn with Dr. Shain Cuber, Dr. Sean Alemi and Dr. Andrew Jacono Saturday, March 23rd, 11am - Door Prizes for Free Treatments and Gift Bags!

Please join us at our informational brunch to learn about the latest innovations in non-invasive and minimally invasive facial and body plastic surgery procedures that will have you looking great for the summer and as young as you feel. Dr. Cuber will discuss body contouring procedures including non-invasive and surgical procedures such as CoolSculpting®, Non-Surgical Fat Reduction, Non-Surgical Body Contouring with ThermiTight®, Mini-Liposuction, Abdominoplasty, Tummy Tuck, Breast Augmentation/ Breast Lift, Brazilian Butt Lifts and more.

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Dr. Jacono will discuss the newest non-surgical facial rejuvenation procedures including Ultherapy, ThermiTight®, and Fraxel as well as injectable procedures including Kybella®, and injectable fillers Voluma, Juvederm, Restylane and Sculptra. Minimally invasive procedures such as Stem Cell Facelifts with Facial Fat Transfers, Mini-Facelifts under local anesthesia, and 10-minute pinch eyelid lift procedures will also be discussed.


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Northwell Goes Red For Women’s Heart Health families if we’re not taking care of our own health.” Echoing that sentiment was Evelina Grayver, director of the Coronary Care Unit (CCU) at North Shore University Hospital. For her, the key to good health comes from knowing the signs of illness and working hard to prevent future medical problems. “I often think about how much better it would be if people would make a point to see me on the first floor, so I don’t have to see them in the CCU later on,” said Grayver. Kathy Khodadadi couldn’t agree more. An employee of the health system, Khodadadi shared her story of prevention with the audience. Last year, during a health presentation at Northwell, Khodadadi realized she might be at risk for heart issues because she didn’t take time for herself. “I rarely took any of my prescribed medications on a regular basis, or made time to exercise,” she said. “I was the last on the list.” This realization brought her to

Grayver; follow-up tests revealed the presence of blockages. Luckily, no stents or surgery were required, but the news served as a wake-up call to action. “Now, I exercise regularly and watch my diet,” said Khodadadi. “For me, the key to getting healthy was to really want to make changes. I’m leading a much healthier life now.” Finally, the audience heard from Yvonne Fleming, the first patient to undergo heart transplantation surgery at NSUH. The day was meaningful for Fleming, who is looking forward to celebrating her first anniversary with a new heart on Feb. 19. “I remembering telling my surgeon, Dr. Brian Lima, just before what turned out to be a three-hour surgery that I promised to do my part, and all he had to do was his part,” she said. “I knew it would turn out just fine.” One week later, Fleming took a triumphant first walk from her hospital bed to the nurses’ station. She reported that those few steps “were the proudest moments of my life.”

Yvonne Fleming (left) and Dr. Evelina Grayver celebrate during Go Red for Women event These days, Fleming is back to her favorite activities—dancing, enjoying friends and family, and speaking about the power of hope. “In just a few days, I’m going to celebrate my first anniversary with this new heart of mine,” she said. “I do everything I can to honor this heart…I feel very blessed.” Heart disease is the number one killer of women in the United States, but 80 percent is preventable. “Build a strong relationship with your doctor—and with yourself,” said Grayver. “Just remember...it’s time to take care of me.” —Submitted by Northwell Health

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t was a sea of red as hundreds of Northwell Health staff members gathered together for the annual “Go Red for Women” celebration. In honor of American Heart Month, the Katz Institute for Women’s Health sponsored the joyous event, featuring special guest speakers, a wellness fair, dance troupe and a special appearance by Beats & Eats by DJ CHEF, the “only entertainer who simultaneously cooks and DJs for events worldwide.” Adam Auerbach, MD, medical director of Sandra Atlas Bass Heart Hospital, emphasized the health system’s gratitude to Bass, “without whom the dream of a beautiful heart hospital would not have been possible.” Stacey Rosen, MD, who serves as vice president of Women’s Health, also expressed her gratitude to Bass, and then urged women to heed the warning signs of illness before it’s too late. “We live in a time when science understands that the symptoms of heart attack are different in women,” she said. “We can’t take care of our


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$8.5M Recovery Unit Completed At North Shore’s Katz Women’s Hospital N

orth Shore University Hospital (NSUH) recently opened a new patient recovery area and operating room in the labor and delivery unit of Katz Women’s Hospital. The $8.5 million upgrade to the women’s hospital’s third floor added 5,000 square feet to an eightbed, post-anesthesia recovery unit and a new labor and delivery operating room containing three infant resuscitation bays, which helps reduce the time to transport newborns to the hospital’s neonatal intensive care unit (NICU). Originally opened in 2011, the three-story Katz Women’s Hospital at NSUH features 73 single-bed rooms, postpartum and high-risk antepartum units for prolonged hospitals stays, a 51-bed NICU and nursery. The hospital delivered more than 6,800 babies in 2018—collectively, Northwell’s 11 hospitals with maternity units delivered more than 39,200 babies in 2018, representing 17 percent of all babies

Northwell Health donor Saul Katz, right, gets a tour of the Katz Women’s Hospital’s new operating room at North Shore University Hospital from Dr. Michael Nimaroff, the health system’s senior vice president and executive director of obstetrics and gynecology.

born in New York State and 1 percent of births nationally. The NSUH project is part of a more than $212 million investment that Northwell Health is making in expanding and renovating maternity units at six of the health system’s hospitals on Long Island, in New York City and Westchester County. “Northwell’s commitment to the care of women and newborns is evidenced by our substantial financial investment into our maternity services and programs which set a new standard of care for our patients,” said Michael Nimaroff, MD, senior vice president and executive director of obstetrics and gynecology at Northwell Health. “We are upgrading our maternity units to be private rooms, which allows babies to stay with their mothers for the majority of their stay, encouraging breast feeding and recognizing the importance of bonding between mother and baby.” —Submitted by Northwell Health

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Got Milk Thistle?

ilk thistle. It seems like everyone with liver issues is taking milk thistle. People have heard through the grapevine that this herb is the cure-all for all liver diseases, especially hepatitis C. If you search the Internet, you will find innumerable posts touting the benefits of milk thistle, in many different combinations. I find this phenomenon fascinating. So, what is the real scoop on this over-the-counter herbal product? Well, in reality, despite all these claims, there are no scientific studies to support its use in any liver diseases except perhaps in alcoholic liver disease, where it may make people feel better but does nothing to the liver. Those that feel better have also stopped drinking, so no one can be sure if it is the milk thistle or the alcohol cessation causing the overall symptomatic improvement. Interestingly, how

can hundreds of thousands of people be wrong or be misled? Maybe it is great marketing. In the United States, more than one billion dollars is spent annually on herbal remedies. The actual amount spent on milk thistle in the United States is unknown, but Germans spend more than $180 million dollars a year on silymarin and its derivatives. Early European settlers to the Americas first introduced silymarin to the United States. It has been in use in Europe for more than 2,000 years, since the ancient Greeks noted its effectiveness in curing snakebites. It was not until the 16th century that milk thistle was widely touted as a cure for jaundice and other liver disorders. It has been used sporadically ever since. Silymarin acts as an anti-oxidant that stabilizes plasma membranes, as does vitamin E and a whole host of other

various products. There have been many studies using silymarin to treat liver disease. Most of these studies, however, are flawed due to multiple uncontrolled variables such as the varied content of silymarin used in the studies, small study sample sizes, varied severity of liver disease included in the trials and inadequately defined THE SPECIALIST endpoints, to name a few. These small studies, however, David Bernstein, MD have led to the following unsubstantiated and unprovanti-oxidants. In the United en conclusions. Silymarin States, silymarin is classified as appears to hasten recovery food supplement, not a drug, from acute hepatitis. It shows so its use and testing does not no benefit when used to treat fall under the strict jurisdicdrug-induced liver disease. Its tion of the Food and Drug benefits are questionable in Administration. Therefore, alcohol-induced liver disease all milk thistle preparations although some studies report are not created equal as the improvement in liver enzymes actual silymarin content of with its use. There are no large any particular preparation published studies evaluating may vary and there may be its effect on eradicating the different types of silymarin in hepatitis C virus.

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BRIEF CLINICAL HYPNOSIS

So where do we stand on silymarin? Although we cannot state whether there is any clear benefit from its use in liver disease, there is one thing that we know about milk thistle. We can unequivocally state that silymarin, when not combined with other products, is generally safe. Many people who take it appear to derive symptomatic relief and this is a good effect, even if it is a placebo effect. Does it really matter if someone feels better? Regardless, many people will argue that milk thistle is natural so it must be good for us. That is a tough sell as, please remember, poisons such as arsenic, curare and belladonna are also natural as they are derived from plants. Whether you choose to take milk thistle or not, it is important to have realistic expectations of what it can and cannot do. The choice is yours.


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Health Disparities In The Black Community BY Sharon Paul

specialsections@antonmediagroup.com

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ebruary is American Heart Month—and an excellent time to review heart health risks and guidelines especially among members of the African American and Latino communities. Untreated and longstanding high blood pressure can lead to hypertensive heart disease (HHD), which includes heart failure, coronary artery disease and other conditions. HHD is the leading cause of death associated with high blood pressure for all Americans. High blood pressure also puts people at risk for experiencing a stroke. Each year, approximately 100,000 home care patients in the U.S. report a prior stroke, and a recent study at the Visiting Nurse Service of New York Center for Home Care Policy & Research further shows that, at start of care, recurrent stroke risk is high for many patients and, in particular, African Americans due to uncontrolled blood pressure. As a registered nurse providing care at home for highrisk patients with chronic heart failure, hypertensive heart disease and post-stroke, I know how important it is to work with these vulnerable patients and their families to help them make lifestyle changes and link them to continuous, responsive hypertension care. Here are a few guidelines for closing hypertensive heart health disparities in the African American community.

difference in your health. Learn how to read food labels and become especially mindful of salt and sodium intake, which can have adverse effects on hypertension and diabetes, respectively.

Sharon Paul, RN

Move a Little Just 15 to 30 minutes of light physical activity three to five days a week can help reduce your risk for stroke and heart disease. Small steps can lead to big progress if you just add a little activity to your life: walk to the mailbox or the corner bodega every day, get off one stop early and walk a few extra blocks if you ride the bus or subway, do stretches and “hall laps” at home if you need to in order to get started.

Keep a Health Journal Manage Your Diet This one can be the most challenging especially when your cultural eating habits conflict with healthy eating recommendations. It’s important to manage your cholesterol levels by reducing your daily fat intake gradually over time. Talk to your doctor or home health provider about establishing dietary goals that support healthy blood pressure. Even small changes to your diet can make a big

Take the time to write down all of your medications and any changes your doctor makes to each prescription. Don’t forget to write down over-thecounter medications you take too, from baby aspirin to vitamins. Note how you feel each day, especially on days when you feel a little groggy, tired, sad or confused. This way you have a record of your health so every health professional on your care team can understand your full medical history at any time. Sharon Paul, RN, is from the Visiting Nurse Service of New York.

When Permanent Teeth Never Come BY DONNA GENTILE

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elcoming the arrival of your child’s teeth is one of the pleasures of parenthood. But what happens when your child’s teeth don’t arrive? According to the National foundation for Ectodermal Dysplasia, 20 percent of adults have one to two teeth that never develop. Congenitally missing teeth are a result of a genetic trait passed down through families. Besides cosmetic effects, these missing teeth can cause dental problems. Early recognition and intervention by the right team of dental specialists is the key to good oral health. There are typically three options when a permanent tooth is missing: Preserve the baby tooth; replace the missing tooth or, close the space using orthodontics. These methods are not always interchangeable and the best choice for any particular patient will be decided based on the condition of the teeth, the bite, the amount of crowding and a number of other variables. Oftentimes, it is the lateral incisor or the second premolar that is missing.

Missing lateral incisor Lateral Incisors are the teeth that sit on either side of your two front teeth. One way to overcome the aesthetic and functional defect of a missing lateral incisor is to shift the canine tooth into the lateral position. Depending on the overall size and shape of the remaining dentition, this may be all that is needed. Some minor modifications to the canine tooth and voila! However, usually this

is only a temporary solution. When age is appropriate, the orthodontist will move the canine teeth back into its original position. Space is created for a dental implant or a fixed partial denture to replace the missing tooth. The final outcome is an aesthetic, symmetrical, well-balanced smile. The later modality of treatment should be started in the late teens/early 20s. The face continues to grow in a downward forward motion well past puberty. Placement of a fixed restoration too soon can lead to a tooth that looks too short or out of position. Many patients in the transition stages of treatment wear removable retainers with replacement teeth in them. This gives the appearance of a full smile while allowing for late stage growth.

Missing second premolars The second premolars are the teeth right in front of your molars. When these adult teeth are missing, we try to maintain the “baby tooth” as long as possible. It will preserve the space in the arch needed for the ideal tooth replacement. When the child is of the appropriate age, a dental implant

or fixed bridge can be used. Careful inspection is important, eventually the “baby” tooth may become ankylosed, meaning it fuses with the bone. In this situation, the tooth will not erupt to the height of the surrounding adult teeth. This will create an imbalance in the alignment of the opposing and adjacent teeth leading to many dental complications such as wear, fracture and root problems. In summary, congenitally missing teeth are more common than one may think. Routine dental visits will detect this condition early. The sooner intervention occurs, the better the outcome. Understandably, a great deal of stress is associated with spending childhood and youth missing teeth. Proper coordination between dental specialists such as orthodontists and prosthodontists will ensure a smooth the transition from one phase of treatment to the next.

Donna Gentile, DDS, is a Prosthodontic Attending at Interfaith Medical Center, and clinical assistant professor at Stony Brook School of Dental Medicine. Her practice is located in Massapequa, NY.


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