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A Special Advertising Section October 12, 2017

Saluting survivors and making strides toward finding a cure

Included in this weeks

good health

Saluting survivors and making strides toward finding a cure

“When it comes to breast cancer, we treat the person — not just the disease.” NAME: CHRISTINE HODYL, DO, FACS, board-certified surgeon and graduate of New York College of Osteopathic Medicine OCCUPATION: Director of Breast Services SPECIALTY: Breast Surgical Oncology WHAT DRIVES YOU? Giving personalized expert care to women with breast problems. It’s an honor to help women get through what is often a devastating diagnosis. WHAT DOES PATIENT CARE MEAN TO YOU? I often say we are treating the person in front of us and not just the disease. It’s important to me to take the time to have conversations with my patients — they feel much better and are not as scared. WHY CHOOSE SOUTH NASSAU? At South Nassau, we offer a full range of services, from screening mammography to breast cancer surgery and reconstruction. Our oncoplastic surgical techniques are used to treat breast cancer with excellent cosmetic results. We’re also certified by the National Accreditation Program for Breast Centers, making our breast center a center of excellence. Our cancer program has earned the Outstanding Achievement Award from the Commission on Cancer. And we’ve been named one of “100 Hospitals with Great Women’s Health Programs” by Becker’s Hospital Review.

RESERVE YOUR SEAT Join us on Oct. 19, 2017, from 11 a.m.-1 p.m. for a FREE lecture: “The Role of Genetics in Detecting Gene Mutations and New Innovations in Breast Cancer Oncoplastic Surgery.” To register, visit southnassau.org/breastcancerlecture. Nursing Contact Hours, CME and AMA PRA Category 1 Credits™ are available.

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One Healthy Way at about Merrick in cancer Oceanside. For more information ourRoad breast services, call 516-632-3350 or visit Call 877-SOUTH-NASSAU visit southnassau.org. southnassau.org.

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October 12, 2017 — HERALD COMMUNITY NEWSPAPERS — GOOD HEALTH

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good health

Saluting survivors and making strides toward finding a cure

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Advice from survivors on life after diagnosis

By Lyn Dobrin

or 37 years, the Adelphi NY Statewide Breast Cancer Hotline & Support Program has offered New Yorkers coping with breast cancer a resource for emotional support and valuable information. The more than 100 highly trained volunteers offer emotional support, information and referrals, all free. Social work staff provides profes-

sional services. In addition to the Hotline, locally the program offers support groups, individual and family counseling, plus educational forums and workshops. Hotline staffers are readily available to respond to everyone who has concerns about breast cancer. “You are not alone” is their motto.

Many local survivors volunteer with the Hotline. They offer their personal insights in their ongoing effort to support others; sharing their message that it is possible to move on — and even thrive — as you find your own way on this unanticipated journey.

Know your body Alice Soler, Malverne Diagnosed in 1998 Hotline volunteer for 16 years

Randee Adan, Woodmere Diagnosed in 2008 Hotline volunteer for one year

Chris Amatulli, Merrick Diagnosed in 2007 Volunteer for eight years

Trust your instincts.

Breast cancer wasn’t going to define me. It was an obstacle I had to work through to continue the life I love.

It helps to talk to others who have ‘been through it.’

I was diagnosed with breast cancer in 1998. I woke up one morning and had the heebie jeebies…something was not right. I went to my doctor and a sonogram confirmed that, indeed, I had breast cancer in its very early stages. Trust what your body tells you and seek medical care for early diagnosis and early treatment, if necessary. Also, call the hotline; we are there to help.

Myra Taylor, Freeport Diagnosed in 2004 Volunteer for three years

Breast cancer took me by surprise since I received a “normal” routine mammogram result four months prior. During my annual gyn exam my doctor felt something suspicious, which turned out to be “nothing.” However the scan did show two tumors hidden deep in the breast. Were it not for this perhaps I would not have known for another year. The pragmatic side of me took over and I plowed through the diagnostics, consultations, surgery, chemo and hair loss. I work in the medical field and I had the tremendous support and understanding of my colleagues. My family stood behind my strong approach and dealt with the situation similarly. Being comfortable speaking about my experience and eager to help others going through breast cancer brought me to volunteering with the Adelphi Breast Cancer Hotline and Support Program. I have met an incredible group of volunteer women, social workers and staff. Helping a woman either in the community or on the phone with information, understanding or simple compassion is a great feeling.

When a call comes in on the hotline, I am very aware that the caller may be someone who has just recently received a diagnosis of breast cancer and may be dealing with a great amount of fear and anxiety. Sometimes, at the end of the call, I can actually hear a woman breathe a sigh of relief as she realizes that not only is she not alone but she just might be a little better equipped to deal with one more day of facing breast cancer. I know that’s how I felt after the numerous times that I called the hotline during my cancer journey. When I was diagnosed with breast cancer at age 49, I called the Adelphi Hotline seeking answers to questions about my diagnosis, my feelings and my treatment. There was always a survivor at the other end of the phone to either answer my questions or just listen to my fears. They were helpful in matching me up with people who had similar issues. This empowering experience brought me to become a hotline volunteer.

Every day is precious.

My journey with breast cancer hasn’t been easy, but I believe that it has changed me in positive ways. It made me realize that things I used to think were so important really aren’t. I chose to retire at 62 instead of working several more years. After what I had been through, I realized that every day is precious. Publishers ClIffoRd RIChneR StuaRt RIChneR Executive Editor SCott BRInton

Section Editor KaRen Bloom Editorial Designer Cover Design JeffRey a. negRIn

Vice President of Sales Rhonda glICKman

of Operations mIChael Bologna

Sales Manager SCott evanS

Operations Manager RoBeRt KeRn

Good Health is an advertising supplement to the Herald Community Newspapers.

Vice President

That monthly breast self-exam is so important

In addition to scheduling clinical screenings and mammograms, it’s vital to continue to routinely examine and massage your breasts to detect any abnormalities. These breast self-exams can be an important part of early breast cancer detection. Although many women are aware that they should become familiar with their bodies, many are unsure about just how frequently they should conduct breast examinations. Experts at Johns Hopkins Medical center advise adult women of all ages to perform self-examinations at least once a month. That’s because 40 percent of diagnosed breast cancers are first detected by women who feel a lump. Establishing a regular breast self-exam schedule is very important. Begin by looking at the breasts in a mirror. Note the size and appearance of the breasts, and pay attention to any changes that are normal parts of hormonal changes associated with menstruation. Breasts should be evenly shaped without distortion or swelling. Changes that should cause concern include dimpling, puckering or bulging of the skin. Inverted nipples or nipples that have changed position, as well as any rash or redness, should be noted. In addition, the same examination should be done with arms raised over the head. The breasts should be felt while both lying down and standing up. Use the right hand to manipulate the left breast and vice versa. Use a firm touch with the first few fingers of the hand. Cover the entire breast in circular motions. The pattern taken doesn’t matter so long as it covers the entire breast. All tissue, from the front to the back of the breast, should be felt. The same pattern and procedure should be conducted while standing up. Many women find this easiest to do while in the shower. It is important not to panic if something is detected. Not every lump is breast cancer. And bumps may actually be normal parts of the breast, as certain areas can feel different than others. But bring any concerns to the attention of your doctor. Breast self-exams are a healthy habit to adopt. When used in conjunction with regular medical care and mammography, self-exams can be yet another tool in helping to detect breast abnormalities. Doctors and nurses will use similar breast examination techniques during routine examinations.

HERALD COMMUNITY NEWSPAPERS — GOOD HEALTH — October 12, 2017

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ctober brings crisp fall air and plenty of pink in recognition of Breast Cancer Awareness. It’s also a good time for you, your mother or friend to schedule an appointment for a mammogram. We all know that early detection saves lives. Research has demonstrated that mammograms decrease breast cancer deaths by 15 to 29 percent. Not sure what age to begin? The Adelphi Breast Cancer Program recommends, as do many healthcare professionals, that mammograms begin for women starting at age 40, and continuing annually, for early detection of breast cancer. Be your own best advocate. If you aren’t sure

when to start breast cancer screening, speak with your doctor to make an informed decision. Together you can decide on the best approach given your family history, medical history and individual cancer risk. Call your insurance provider if you aren’t sure about your coverage. If you are uninsured, contact the Adelphi NY Statewide Breast Cancer Hotline and Support Program for information on a free or low-cost mammogram. For more information, including how to get a free or low-cost mammogram, call (800) 877-8077 or in español (800) 559-6348.

The Adelphi Breast Cancer Program helped me.

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At Comfort Keepers®, we provide in-home care that helps CARE CARE SERVICESlives seniorsPERSONAL and others live safe, happy, and independent in the •comfort their own homes or• facilities. Bathing, of Grooming, Hygiene Companionship • Toileting PERSONAL CARE SERVICES and Incontinence CareCARE• Meal Preparation •Bathing, Grooming, Hygiene •Companionship • Alzheimer’s/Dementia Care • Incidental Transportation •Toileting and Incontinence Care •Meal Preparation • Transferring and Positioning • Relief Transportation for Family •Alzheimer’s/Dementia Care •Incidental •Transferring and Positioning •Relief for Family • Light Housekeeping •Light Housekeeping

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October 12, 2017 — HERALD COMMUNITY NEWSPAPERS — GOOD HEALTH

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HERALD COMMUNITY NEWSPAPERS — GOOD HEALTH — October 12, 2017

With age should come experience - not fractures. We can teach you how to avoid them.

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Symptoms of osteoporosis The risk of fractures with osteoporosis Solutions to relieve pain Fall prevention tips Physical therapy in prevention and recovery

Osteoporosis and Fractures: How They Are Related Cost:

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October 12, 2017 — HERALD COMMUNITY NEWSPAPERS — GOOD HEALTH

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Eat for life Superfoods that will help take a bite out of breast cancer

educe your risk of breast and other cancers, and reocurrence by including the important cancerfighting foods in your daily diet.

Raw Garlic

Along with the other relatives in the allium family — such as onions, leeks, and shallots — garlic contains powerful antioxidants like allicin, proven to remove free radicals from your body. It also boosts immunity, is nutrient dense, lowers blood pressure and cholesterol levels, improves brain function, and is a natural detoxifier. Chop or crush garlic, allow to rest, then use it raw or in your favorite recipes.

Broccoli

Known as a cruciferous vegetable — related to kale, cauliflower, and cabbage — broccoli is high in phytochemicals and the antioxidants glucoraphanin and indole3-carbinol, which have been proven to reduce the risk of cervical, breast, gastric, and prostate cancers. Naturally anti-inflammatory, good for your bones and heart, and nutrient dense (without the calories), broccoli is a great addition to a healthy eating plan. Since phytochemicals are heat-sensitive enzymes, the benefits of broccoli are best raw or blanched.

loss, and help you burn your body’s fat stores. Strawberries and other dark-colored berries — such as black raspberries, blueberries, boysenberries, and, goji berries —are packed with flavor so you won’t even notice how healthy they are.

Spinach

Though this leafy green is low in calories, it offers incredible health benefits with vitamins, minerals, and omega-3 fatty acids that your body needs to stay strong (just like Popeye). It contains bio-chemicals called flavonoids — at least 13 discovered so far — that soak up damaging free radicals and flushes them out. Particularly rich in folate and fiber — two elements that doctors believe are essential to cancer prevention — make spinach a favorite cancer-fighting food.

Carrots

This well-loved vegetable is a wonderful source of betacarotene, an antioxidant that aids in preventing cell damage and may slow the growth of cancer cells. They contain falcarinol and falcarindiol — natural pesticides in the vegetable that scientists believe are the reason for their cancerfighting abilities. Of course, they’re good for your vision, skin, and as a natural detoxifier as well.

Fish

Green Tea

The catechins found in green tea have made it a superstar in the cancer-fighting food research. They are believed to be more powerful than vitamin C in fighting free radical damage. In multiple lab studies, this delicious beverage has been shown to shrink existing tumors and inhibit the growth of cancer cells. Many experts suggest green tea daily as a natural cancer preventative. As an added benefit, it also reduces your risk of heart disease, lowers your LDL (bad) cholesterol while raising your HDL (good) cholesterol, and lowers your blood pressure.

Strawberries

Always delicious, there are now more reasons for you to eat these delicate fruits. Researchers found that strawberries slow down the growth of cancer cells, protect your body from heart disease, lower inflammation, prevent memory

Fish is a great source of omega-3 fatty acids. That makes it a smart lean protein source — and a great addition to a breast cancer prevention plan, because anti-cancer nutrition recommendations suggest limiting your intake of red meat and processed meats, including bacon and packaged deli meats. Opt for salmon, mackerel, sardines, and tuna — all are rich in omega-3s — as breast cancer diet choices instead.

What’s on the plate always matters Don’t overlook your diet during diagnosis and treatment

Your diet should be part of your treatment plan, It is difficult to know exactly what impact cancer treatment will have on your body. Beyond the physical toll the treatments often have, appetite is commonly affected. As is so often the case, the best defense is a strong offense. Heading into treatment, it is critically important to best prepare your body for the battle ahead. There are many great foods — so called superfoods — that are not only extremely high in nutrition, but also provide sources of much-needed energy for your body. While no one food can ever prevent or cure cancer, certain foods have shown benefit in helping you keep nourished and strong during treatment. Eggs: During cancer treatment your body needs protein in order to rebuild cells, eggs are not only high in protein, but are also a great source of vitamins B, D and E which may help to protect your body from cancer drug toxins. Eggs also contain a high abundance of choline, a nutrient found in the yolk that has been linked to a reduced risk of breast cancer. Ginger: Ginger has shown a tremendous ability to help with nausea — something that affects more than 70 percent of patients during treatment. In fact, studies reveal that ginger may possess anti-inflammatory qualities that actually help in reducing the nausea and

vomiting from chemotherapy. In addition, ginger has been shown to improve the absorption of essential nutrients in the body. Brussels Sprouts (Cruciferous Vegetables): Several studies have linked greater consumption of cruciferous vegetables such as brussel sprouts, broccoli, cauliflower, and turnips with a decreased occurrence of several forms of cancer due to their ability to help your body detoxify. Beans and Legumes: Legumes, a class of vegetables that includes beans, peas and lentils, are a natural on any anti-cancer food list as they provide a great source of B vitamins, antioxidants and valuable protein which aids your body in healing and strengthens your immune system. In addition, legumes are usually very low in fat, cholesterol free, and high in potassium, iron and magnesium. Shiitake Mushrooms: Cultivated the world over for the reported health benefits, shiitake mushrooms contain lentinan, an immune system-stimulating compound that reportedly activates cells and proteins that may inhibit cancerous growths. A great source of iron and minerals, shiitake mushrooms also contain B vitamins, niacin, choline, folate, zinc and manganese. Shiitake mushrooms are also a great source of plant based protein.

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HERALD COMMUNITY NEWSPAPERS — GOOD HEALTH — October 12, 2017

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October 12, 2017 — HERALD COMMUNITY NEWSPAPERS — GOOD HEALTH

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Celebration of Survivorship Annual event offers hope to all as it honors breast cancer survivors

Christina Demosthenous

Margaret Mcgruder-Collins

Michele Pincus

Janet Rossi Zolli

or those patients and their families affected by this life-changing disease, keeping a positive outlook is an important factor in healing and overall well-being. Breast cancer patients and advocates are eager to share their stories and reach others with a positive message of inspiration and hope. That is what the Adelphi NY Statewide Breast Cancer Hotline & Support Program’s annual gala Celebration of Survivorship is all about. The Adelphi program has been a vital resource for people who are coping with breast cancer for over three decades. Every October — as part of Breast Cancer Awareness Month — the program holds its annual Celebration of Survivorship to mark the lives of those who have triumphed over the disease. This year’s event, on Tuesday, Oct. 17, involves four survivors who will tell their inspiring stories at “Faces of Breast Cancer: Stories of Survival.” The women will share what sustained them and how they

moved forward during and after their treatment: Christina Demosthenous was diagnosed in 2005. “This is not the end; it is the beginning,” she says. Demosthenous is an executive assistant with Spencer Stuart, a global executive search and leadership consulting firm. With over 25 years of administrative experience, Demosthenous has always supported high-level executives in financial services and the technology, media and communications fields. She has been a volunteer with the Adelphi program since 2016. Margaret E. McGruder-Collins was diagnosed in 2014. “I am a survivor because cancer could not win this fight,” she says. McGruder-Collins, a registered nurse, comes from a family of fighters — firefighters. Her father is the fire commissioner of the North Amityville Fire Company, her husband is the fire chief there and McGruder-Collins has worked as an EMT in the company. She started the Pink Fire team that participates every year in the

Making Strides Against Breast Cancer Walk. Monies raised support the Fireman Cancer Network that helps families touched by cancer. Michele Pincus was diagnosed in 2008. “Accept your past with no regrets, handle your present with confidence, and face your future with no fear,” she says. Michele Pincus is of counsel to Schroder & Strom, LLP in Mineola where she handles commercial and residential real property tax appeals. She volunteers with Pink Aid Long Island. Pink Aid’s mission is to assist underserved Long Island women survive breast cancer treatment by supporting programs that provide services including breast cancer screening and non-medical expenses such as transportation to treatment, food cards, household bills and recovery garments. She chaired Pink Aid’s Grant Committee and serves on their Advisory Council. Janet Rossi Zolli, M.D., FACP, was diagnosed in 2013. “As a healer and patient I feel I truly

understand the disease and the patient,” she says. Dr. Zolli is a clinician-educator and an Assistant Professor of Medicine at the Hofstra-Northwell School of Medicine. When diagnosed with breast cancer in 2013, she underwent a double mastectomy. Having watched her mother die rapidly from the disease 30 years ago, she decided that she would do all she could to reduce her risk. The event is held in Adelphi’s University Center Ballroom in Garden City. There is no charge, but donations are appreciated. A light supper is provided. Dooer open at 6 pm; speakers begin at 7 p.m. Reservations are required; call (516) 877-4325 or email breastcancerhotline@adelphi.edu. Anyone who is worried about breast cancer should call the hotline for help at (800) 877-8077.

Understanding your risk Many factors are linked to breast cancer risk

very woman wants to know what she can do to lower her risk of breast cancer. Some of the factors associated with breast cancer —being a woman, your age, and your genetics, for example -- can’t be changed. Other factors — being overweight, lack of exercise, smoking cigarettes, and eating unhealthy food — can be changed by making choices. By choosing the healthiest lifestyle options possible, you can empower yourself and make sure your breast cancer risk is as low as possible. Gaining a greater understanding of breast cancer may not prevent the onset of this disease that kills hundreds of thousands of women each year, but it might increase the chances of early detection, which can greatly improve women’s chances of survival. Although we have learned a lot, we still do not understand what causes breast cancer to develop at a certain time in a certain person. It’s likely a combination of risk factors (some of which are still unknown). But why a certain combination of factors might cause breast cancer in one person, but not in another, is still unclear. If you have no history of the disease, there are steps you can take to keep your risk as low as it can be. If you’ve been diagnosed, there are things you can do beyond any treatments you’re receiving to reduce the risk of the cancer coming back or developing a new cancer. And if you are living with advanced-stage breast cancer, you want to do everything you can to slow the cancer’s growth.

Hormonal

Evidence suggests that the longer a woman is exposed to the hormone estrogen (made by the body, taken as a drug, or delivered by a patch), the more likely she is to develop breast cancer. Hormonal factors related to breast cancer risk include: √ Early menarche (before age 13) √ Late menopause (after age 55) √ Never having given birth √ Having a first born child at an older age (after age 30) √ Having never breast fed a child √ Taking hormone replacement therapy (5 or more years, possibly

only if combined estrogen and progesterone) √ Recent oral contraceptive use √ Having taken DES (diethylstilbestrol, a synthetic estrogen used between the 1940s and 1971) during pregnancy √ Obesity after menopause (Fat tissue, especially around the waist, can change some hormones into estrogen.) √ Personal history of breast cancer (Previous breast cancer increases the risk of developing cancer in the other breast.)

Other breast conditions

These breast conditions are associated with an increased risk for developing breast cancer: √ Atypical hyperplasia lobular carcinoma in situ √ Higher breast density (The majority of breast cancer develops in the lobular or ductal tissues, and a high proportion of lobular and ductal tissue appears dense on mammograms making it more difficult to see abnormalities.) √ Radiation therapy (Exposure to high-dose ionizing radiation before age 30 is associated with an increased risk for developing breast cancer.)

Genetic alterations

Known genetic factors explain only a small proportion (five to 10 percent) of breast cancer incidence. Yet those women with specific genetic traits have a 50 percent to 80 percent chance of developing breast cancer in their lifetime. Inherited genetic factors include: √ Family history: A woman’s risk for developing breast cancer increases if her mother, sister, or daughter had breast cancer, especially at a young age, and is higher if more than one first-degree relative developed cancer. √ Breast cancer gene mutations: Women with mutations in breast cancer 1 (BRCA1) and breast cancer 2 (BRCA2) genes tend to have cancers that occur at a younger age. √ Damaged tumor suppressor genes: Women with a damaged tumor prevention gene called p53 tend to develop a breast cancer that is more aggressive.

Having a risk factor does not mean you will get the disease, and not all risk factors have the same effect. Most women have some risk factors, but most women do not get breast cancer.

Personal risk factors

√ High socioeconomic status √ Urban residence √ Tall height √ Genetics √ Excessive alcohol consumption (more than two drinks/day)

Protective factors

These are things you can do to decrease your risk of developing breast cancer: √ Be physically active everyday √ Keep off excess weight √ If you are going to give birth, breastfeed your baby √ Eat 5 or more servings of fruits and vegetables everyday √ Quit smoking √ Follow the precautionary principle and limit exposure to potentially harmful chemicals Courtesy Marin Women’s Study

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HERALD COMMUNITY NEWSPAPERS — GOOD HEALTH — October 12, 2017

Our qualified physicians, nurses and technologists provide full breast examinations and diagnostics in our mobile van and at NUMC.

For patients living outside the NUMC area, our mobile digital mammography van travels the various Nassau County communities, connecting patients with full breast screenings from qualified nurses and technologists. Call NUMC’s Breast Imaging Center for more information.

For screening appointments, call 516.572.6635

Our community. Your health. 516.486.NUMC 2201 Hempstead Tpke., East Meadow, NY

numc.edu Victor F. Politi, MD, FACP, FACEP, President/CEO Michael B. Mirotznik, Esq., Chairman, Board of Directors

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Early detection of breast cancer is critical to saving lives. NUMC’s revolutionary 3D Tomosynthesis Mammography System, together with MRI digital mammography, breast sonography, and stereotatic biopsies, puts the power of multi-dimensional imaging in the hands of our board-certified radiologists. We identify abnormal breast structures at the earliest stages for the best chance of treatment.

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October 12, 2017 — HERALD COMMUNITY NEWSPAPERS — GOOD HEALTH

HEALTH MEMO

HEALTH MEMOS

HEALTH MEMO

Comfort Keepers: Expanding to your community

omfort Keepers is owned by Oceanside resident Judy Geier. Comfort Keepers is a worldwide franchise servicing Nassau County and surrounding areas. Its main goal is enabling independent living at home with respect and dignity. Comfort Keepers aims to keep seniors in their own homes while providing nonmedical care and companionship. Although elders are the main focus, all adults are serviced, including pregnant women. The many services provided by Comfort Keepers include conversation, companionship, meal preparation, light housekeeping, errand services, grocery shopping, respite or relief for the family, medication reminders, grooming and dressing guidance, incidental transportation, laundry and linen washing, recreational activities and crafts, mail assistance and organization, periodic review and communication, and emergency monitor systems. Caregivers are certified by The Alzheimer’s Association of Long Island. Each caregiver is equipped to meet the needs of any and all patients. All have cars and have been subject to criminal and DMV background checks. In addition, all employees are bonded and insured.

A A free in-home client assessment is done so that your loved one is assured the correct caregiver “match” for his/her specific needs. Comfort Keepers 516-442-2300 www.oceanside-786comfortkeepers.com

Smiles happen at Silverman & Associates

t Silverman & Associates we pride ourselves in providing the best dental care in a comfortable and friendly environment! Most of all, our team is proud to offer a wide selection of dental services all at our office. These services range from periodic dental exams, cleanings, x-rays, and implants, to root canals and other surgical procedures. We have three General Dentists — Dr. Barry Silverman, Dr. Matthew Siegel, and Dr. Salvador Gales; an Orthodontist, Dr. Laura Sotomayor — and two Endodontists — Dr. Brian Webber and Dr. William Brownstein. Our team works together to provide comprehensive dental care. Dr. Silverman has been practicing for over 13 years in Bellmore and over 30 years in Bayside. Throughout his career in serving the community, he has always made sure to surround himself with an all-star team who enjoy working together. Our goal is to make going to the den-

tist convenient. That is why we have two locations, are available six days per week, and provide all your dental needs under one roof. Dentistry is a rapidly changing field, so we make sure to stay up to date with the latest dental technologies. These updates include, but are not limited to, the use of digital radiography, lasers, and the Velscope as an adjunctive in our oral cancer screenings. Each state-of-the-art operatory is outfitted with a television to maximize our patients’ comfort. We look forward to having you visit our office and join our dental family. Please feel free to call us at or visit our website. Silverman & Associates 2592 Merrick Rd., Suite C, Bellmore 516-781-9700 43-07 214th Place, Suite B, Bayside 718-225-0515 www.DrSilvermanAssociates.com

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HEALTH MEMO

Today’s Mercy Offers the first Molecular Breast Imaging technology in New York

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New secondary screening method enables early cancer detection in women with dense breast tissue

reast cancer is one of the leading causes of death in women, with 40,000 annual breast cancer deaths in the U.S. alone. Approximately 50 percent of women in the U.S. are reported to have dense breast tissue. Unfortunately, this could have an impact on timely diagnosis of breast cancer. In these cases, a woman may receive negative mammogram results but later be diagnosed with breast cancer. To address this issue, Mercy Medical Center offers LumaGEM Molecular Breast Imaging (MBI). Mercy is the first in New York state to offer MBI. MBI is a groundbreaking method that significantly improves early diagnosis of breast cancer in women with dense breast tissue. The compression required for MBI is also lighter and far more comfortable than a mammogram. It is a proven, effective supplementary screening method, significantly increasing early detection in women. “The acquisition of the Molecular Breast Imaging system will better enable the detection of cancer to save lives,” said Mercy’s Executive Vice President and Chief Administrative Officer Ron Steimel. “This is just the latest milestone in Mercy’s longstanding dedication to the fight against cancer.”

While mammograms may sometimes fail to detect breast tumors due to tissue density, MBI highlights metabolic activity in these tumors, leading to an earlier diagnosis. A clinical study published in the August issue of the American Journal of Roentgenology confirmed MBI’s high incremental cancer detection rate: MBI was able to detect 7.7 cancers per 1,000 women screened that were not found using mammography. Approximately 85 percent of these cancers were node negative, meaning they were detected at an earlier stage and presented a better prognosis. Mercy offers a full range of treatment options, all provided by expert radiologists, technologists and highly skilled breast surgeons in one location. Mercy is a Breast Imaging Center of Excellence by the American College of Radiology and a member of Catholic Health Services of Long Island. For more information, call 516-62MERCY.

516-62-MERCY mercymedicalcenter.chsli.org

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n Nov. 30, 2015, Giovanna Sireno visited South Nassau Communities Hospital’s Center for Women’s Imaging for “a routine mammogram and sonogram,” and was diagnosed with breast cancer. Her radiologist referred her to Christine Hodyl, DO. Led by Dr. Hodyl, director of breast health services, South Nassau’s Center for Breast Health provides patients compassionate, expert care. “When I called, I was transferred to Breast Nurse Navigator Eileen Sino, who comforted and reassured me,” says Giovanna. “A week later I met with Dr. Hodyl, who took her time and explained every step of the surgery.” Giovanna had surgery on Jan. 5, 2016, which was followed by chemotherapy and radiation treatments. Approximately 7½ months later, her cheery outlook had been restored. “My AMAZING team at South Nassau took me by the hand,” says Giovanna. “I call them ‘My Angels.’’’ Accredited by the National Accreditation Program for Breast Centers, the center offers advanced treatments, including Contura™ multichannel and MammoSite® single-channel balloon brachytherapy techniques; breastconserving surgery; or mastectomy. For invasive breast cancer, these procedures may be accompanied by sentinel lymph node biopsy or axillary lymph node dissection. Dr. Hodyl and the center also specialize in oncoplasty, which combines surgical cancer removal with plastic surgery for a superior cosmetic result. Whole-body or “systemic” treat-

South Nassau’s Gertrude & Louis Feil Cancer Center, located in Valley Stream.

Dr. Hodyl performs a biopsy procedure.

ments, such as hormonal therapy, radiation therapy, chemotherapy, or a combination of two of the three, may follow either surgical approach. If early stage breast cancer is present, sentinel lymph node biopsy is used as an alternative to traditional lymph node dissection. To schedule a consultation or for more information about the Center for Breast Health or Gertrude & Louis Feil Cancer Center, call 516-632-3350 or visit southnassau.org. South Nassau Communities Hospital, Oceanside 516-632-3350

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HEALTH MEMOS HEALTH MEMO

ith 20 years behind her as a Clinical Hypnotherapist, Terry Biener, CCH, believes that the key to a successful result is knowing what to say, how to say it, and which techniques to apply once a person is hypnotized. This wisdom can only come from extensive training and experience. “Everyone processes information differently,” said Biener. “There are reasons why a habit or fear has formed, which should be examined before effective treatment can take place.” A thorough intake session is done first. The number of hypnosis sessions recommended varies. Hypnosis sessions are tailored to the person’s triggers and habits. Motivation and willingness to work with suggestions on a conscious level are important. Trust and rapport with the hypnotist is vital too. Biener has recently added Computerized Client-Based Weight Loss to her repertoire. A sophisticated computer program is used to pinpoint personality, mental processing, strengths and weaknesses. Combined with data gathered from the client, she custom designs hypnosis sessions to zero in on imprints that need to be changed. Weight loss workshops, which include group hypnosis, will be offered in the future. Biener’s true passion is helping people with fears and panic. Having experienced phobias and panic attacks herself, which were ultimately healed through hypnosis, her understanding and empathy is profound. By combining Neuro-linguistic Programming (NLP) techniques with hypnosis, she can eliminate or reduce unwanted and sometimes devastat-

ing anxiety. “People should realize they aren’t alone. Phobias can seem irrational since they come from the subconscious—the part of the mind that responds without logic. Most people who have never experienced a phobia simply don’t understand.” Understanding how hypnosis works before trying it is advised. “Ignore what you’ve seen in movies or on stage. A hypnotic trance is actually a natural state we visit frequently; when we’re engrossed a movie, or if we daydream while driving and don’t remember passing certain streets or exits. A hypnotist induces a trance to “reframe” the subconscious part of the mind. A good subject is strong-willed and intelligent. The person being hypnotized never loses control.” Hypnosis can help with trauma, sports, procrastination, self-esteem, stress, anxiety and most habits. As a former New York City teacher, Biener is comfortable working with children. She holds numerous certifications though the American Board of Hypnotherapy and the National Guild of Hypnotists. She has done speaking engagements and group hypnosis sessions for organizations and wellness centers. Clients are seen by appointment only. Phone consultations are free and confidential. Easy Changes Hypnosis is located in Valley Stream. Contact Terry Biener, CCH, at 516791-6174 or visit www.easychanges.com. Terry Biener, CCH • 516-791-6174 www.easychanges.com

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Smile, it’s a New School Year!

HERALD COMMUNITY NEWSPAPERS — GOOD HEALTH — October 12, 2017

Hypnosis evolves with technology

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HEALTH MEMO

NYU Winthrop’s Breast Health Center provides quality, compassionate care information with each other so well.” In one instance, Ms. Hall had to travel from one specialist to another, located just across the street – in the few minutes it took her to walk there; the first office had already communicated absolutely everything necessary for her care plan. “Your mind is spinning in situations like these, and the care at NYU Winthrop made all the difference,” she said. NYU Winthrop’s Breast Health Center provides a collaborative approach to care delivered by a multidisciplinary team of Board Certified specialists who offer risk assessment, diagnosis, evaluation and management of a wide range of malignant and benign breast conditions, as well as the latest treatments in surgery, radiation and medical oncology. Additionally, a licensed Breast Health Center Social Worker and a Breast Nurse Navigator provide personal assistance to patients and their families from pre-diagnosis through treatment and beyond. For more information about NYU Winthrop’s Breast Health Center, call 1-866-WINTHROP or visit www.nyuwinthrop.org. NYU Winthrop 259 1st St., Mineola 866-WINTHROP www.nyuwinthrop.org

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cancer diagnosis isn’t news anyone wants to hear – but for Mary Hall, 53, of Wantagh, the compassionate care she received at NYU Winthrop made all the difference during a difficult time. After being diagnosed with triple negative breast cancer in October 2015, Ms. Hall underwent a double mastectomy and six months of chemotherapy. Though cancer is not an experience she would wish on anyone, Ms. Hall says she had the best experience possible by coming to NYU Winthrop’s Breast Health Center. “My life was in their hands and I had such great care,” said Ms. Hall, who has finished treatment and continues to be monitored by her doctors. Ms. Hall was vigilant about breast exams due to her family history of breast cancer. So when she felt a suspicious lump while waiting for a massage in September of 2015, she called her doctor right away. Her OB/GYN sent her to NYU Winthrop’s Breast Imaging Center, where the findings of her mammogram and sonogram were found to be abnormal. A biopsy performed the next day confirmed Ms. Hall had breast cancer. “I was treated with tremendous compassion and care,” said Ms. Hall, who recalled how quickly the NYU Winthrop team coordinated her care. “There was such good follow-up from the doctors and they shared

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here’s a broad range of news and information about breast cancer out there these days. That creates wonderful opportunities to learn about prevention, treatment, cures and recurrence. But it also means you may run into confusing misinformation and oversimplifications. Here are some popular misconceptions debunked.

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Myth 2. Finding a lump in your breast means you have breast cancer. The Truth: Only a small percentage of breast lumps turn out to be cancer. But if you discover a persistent lump in your breast or notice any changes in breast tissue, it should never be ignored. It is very important that you see a physician for a clinical breast exam. He or she may possibly order breast imaging studies to determine if this lump is of concern or not. Take charge of your health by performing routine breast self-exams, establishing ongoing communication with your doctor, getting an annual clinical breast exam, and scheduling your routine screening mammograms.

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Myth 1. Drinking milk (or dairy) causes breast cancer. The Truth: Several myths persist about the correlation between dairy intake and the increased risk of breast cancer. Over many decades, studies have shown that dairy consumption does not increase the risk of breast cancer.

Myth 3. Men do not get breast cancer; it affects women only. The Truth: Quite the contrary, each year it is estimated that approximately 2,190 men will be diagnosed with breast cancer and 410 will die. While this percentage is still small, men should also check themselves periodically by doing a breast selfexam while in the shower and reporting any changes to their physicians. Breast cancer in men is usually detected as a hard lump underneath the nipple and areola. Men carry a higher mortality than women do, primarily because awareness among men is less and they are less likely to assume a lump is breast cancer, which can cause a delay in seeking treatment. Myth 4. A mammogram can cause breast cancer to spread. The Truth: A mammogram, or x-ray of the breast, currently remains the gold standard for the early detection of breast cancer. Breast compression while getting a mammogram cannot cause cancer to spread. According to the National Cancer Institute, “The benefits of mammography, however, nearly always outweigh the potential harm from the radiation exposure. Mammograms require very small doses of radiation. The risk of harm from this radiation exposure is extremely low.” The standard recommendation is an annual mammographic screening for women beginning at age 40. Base your decision on your physician’s recommendation and be sure to discuss any remaining Continued on page S-13

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October 12, 2017 — HERALD COMMUNITY NEWSPAPERS — GOOD HEALTH

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are felt or seen on imaging.

questions or concerns you may have with your physician. Myth 5. If you have a family history of breast cancer, you are likely to develop breast cancer, too. The Truth: While women who have a family history of breast cancer are in a higher risk group, most women who have breast cancer have no family history. Statistically only about 10 percent of individuals diagnosed with breast cancer have a family history of this disease. If you have a first degree relative with breast cancer: If you have a mother, daughter, or sister who developed breast cancer below the age of 50, you should consider some form of regular diagnostic breast imaging starting 10 years before the age of your relative’s diagnosis. If you have a second degree relative with breast cancer: If you have had a grandmother or aunt who was diagnosed with breast cancer, your risk increases slightly, but it is not in the same risk category as those who have a first degree relative with breast cancer. If you have multiple generations diagnosed with breast cancer on the same side of the family, or if there are several individuals who are first degree relatives to one another, or several family members diagnosed under age 50, the probability increases that there is a breast cancer gene contributing to the cause of this familial history. Myth 6. If the gene mutation BRCA1 or BRCA2 is detected in your DNA, you will definitely develop breast cancer. The Truth: According to the National Cancer Institute, regarding families who are known to

Myth 9. A mastectomy is the best therapy. The Truth: Many women who have a choice in their treatment struggle to decide between conservative and more radical options. Evidence shows that mastectomy rates and prophylactic mastectomy rates are rising regardless of age. Seven large randomized prospective studies with 35 years of follow-up show that the survival between lumpectomy and radiation is the same as mastectomy.

carry BRCA1 or BRCA2, “not every woman in such families carries a harmful BRCA1 or BRCA2 mutation, and not every cancer in such families is linked to a harmful mutation in one of these genes. Furthermore, not every woman who has a harmful BRCA1 or BRCA2 mutation will develop breast and/or ovarian cancer. But, a woman who has inherited a harmful mutation in BRCA1 or BRCA2 is about five times more likely to develop breast cancer than a woman who does not have such a mutation.” For people who discover they have the harmful mutation, there are various proactive measures that can be done to reduce risk. These include taking a hormonal therapy or deciding to take a surgical prevention approach which is to have bilateral prophylactic mastectomies, usually done with reconstruction. Most women will also have ovaries and fallopian tubes removed as well since there is no reliable screening test for the early stages of

developing ovarian cancer. Myth 7. Antiperspirants and deodorants cause breast cancer. The Truth: Researchers at the National Cancer Institute (NCI) are not aware of any conclusive evidence linking the use of underarm antiperspirants or deodorants and the subsequent development of breast cancer. Myth 8. Exposure of the tumor to air during surgery can cause the cancer to spread. The Truth: This is untrue. The idea likely springs from a related highly circulated concern about needle biopsies spreading cancers. There is no evidence in breast cancer or breast disease that air causes spread of cancer or that needle core biopsy causes cancer to spread. In fact, needle core biopsy is the preferred method of diagnosing breast cancer or breast abnormalities that

Myth 10. An underwire bra or a tight bra or sleeping with a bra on can cause breast cancer. The Truth: There is absolutely no proven link between wearing a bra and breast cancer. Although it may cause temporary discomfort, the idea that constant pressure on the breast causes trauma is not true. Nor does it impact the lymphatic system. It is a popular myth that metal underwires (the part that goes underneath the breast providing extra support and uplift), tight or badly fitting bras cause compression in the chest area. This is claimed to cause breast cancer by preventing the lymph system from clearing toxins. Common scientific theory of breast cancer cause, however, is that gene mutations lead to cells dividing suddenly and rapidly (though the cause of the mutation itself is yet unknown). This is not believed to have anything to do with the lymph system. Experts agree that the clothing you choose to wear (including your undergarments!) should have no impact at all on your risk of developing breast cancer. Courtesy National Cancer Institute

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HERALD COMMUNITY NEWSPAPERS — GOOD HEALTH — October 12, 2017

The facts about popular breast cancer myths

Feeling foggy? ‘Chemo brain’ and other treatment side effects

reatments for breast cancer have evolved considerably in recent years. When breast cancer is detected early enough to be categorized as stage 0 or stage I, the five-year survival rate is 100 percent. That’s a testament to the hard work of cancer researchers who continue to develop effective ways to treat and defeat breast cancer. As effective as cancer treatments can be, breast cancer patients may still experience some side effects during treatment. For years people with cancer have worried about, joked about, and been frustrated by the mental cloudiness they sometimes notice before, during, and after cancer treatment. Even though its exact cause isn’t known, and it can happen at any time when you have cancer, this mental fog is commonly called ‘chemo brain’. ‘Chemo brain’ is one of many side effects you may experience. Side effects may depend on which course of treatment you and your physicians pursue. Fear of treatment side effects is common after a diagnosis of cancer, but it may help to know that in addition to treatment to slow, stop, or eliminate the cancer, preventing and controlling side effects is a major focus of your health care team. This is called palliative care, and it is an important part of the overall treatment plan, regardless of the stage of disease.

The numbness may result when nerves in the armpit are cut during surgery, while tenderness or swelling may occur when surgeons have to remove some of the tissue under the surface of the skin. Those who receive radiation therapy may develop irritation or soreness in the armpit because the skin of the armpit is so close to the breast.

Constipation

Some patients experience constipation because their eating and exercise habits change during treatment. Constipation is a side effect of pain medications such as ibuprofen, so breast cancer patients relying on medication to alleviate some of the pain associated with their disease and treatment may experience constipation as a result. Chemotherapy and hormonal therapy are two breast cancer treatments known to cause constipation as well.

Dry skin

During treatment, you may experience dry skin that is uncomfortable and itchy. This side effect has been linked to chemotherapy, radiation therapy and hormonal therapy. Dry skin tends to last as long as patients are in treatment, gradually subsiding once treatment has been completed.

Memory loss

Breast cancer treatments such as chemotherapy, radiation therapy and hormonal therapy may contribute to memory loss. Ovarian removal or shutdown may also result in memory loss. Memory loss may also result from medications taken during breast cancer treatment. If you plan to continue working during treatment, discuss how to manage potential memory loss with your physicians.

Armpit discomfort

According to Breastcancer.org, patients may develop armpit discomfort after lumpectomy, mastectomy or lymph node removal sur-

Endometriosis

Once breast cancer treatment ends, most side effects of treatment go away. However, you may have some long-term side effects and new ones may occur months or even years after treatment ends. geries. This discomfort may be characterized by pain, swelling, tenderness, or numbness.

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Endometriosis occurs when the cells that make up the endometrium, or the lining of the uterus, grow outside of the uterus. Hormonal therapy may stimulate the growth of endometrial cells, triggering endometriosis, which is most often found on or under the ovaries, behind the uterus or on the bowels or bladder. Endometriosis may cause pain, fertility problems or heavy menstrual periods. Physicians who suspect their patients have developed endometriosis may perform a laparoscopy, a surgical procedure in which a small cut is made over the abdomen. Once that cut is made, the surgeon will insert a thin tube equipped with a viewing instrument so he or she can look inside the uterus to determine if endometriosis has developed.

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October 12, 2017 — HERALD COMMUNITY NEWSPAPERS — GOOD HEALTH

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Saluting survivors and making strides toward finding a cure