Issuu

A Supplement to Times Beacon Record Newspapers

FOCUS ON

HEALTH JUNE 9, 2016

INSIDE... • SUN SAFETY • RETIREMENT OPTIONS • SUMMER SKIN CARE

139916

PAGE S2 • FOCUS ON HEALTH • JUNE 09, 2016

JUNE 09, 2016 • FOCUS ON HEALTH • PAGE S3

Focus on HealtH

TIMES BEacon rEcord nEWSPaPErS PUBLISHER Leah S. Dunaief GENERAL MANAGER Johness Kuisel

ART AND PRODUCTION DIRECTORS Beth Heller Mason Wendy Mercier

MANAGING EDITOR Phil Corso

INTERNET STRATEGY DIRECTOR Rob Alfano

EDITOR Heidi Sutton

BUSINESS MANAGER Sandi Gross

ADVERTISING DIRECTOR Kathryn Mandracchia

BUSINESS OFFICE Meg Malangone

CIRCULATION MANAGER Courtney Biondo SUBSCRIPTION MANAGER Ellen Recker ADVERTISING Elizabeth Reuter Bongiorno Laura Johanson Marshall Keel Robin Lemkin Jackie Pickle Judy Sedacca Michael Tessler Minnie Yancey

Times Beacon record newspapers are published every Thursday. Address: PO Box 707, Setauket, NY 11733. Telephone: (631) 751–7744. Email address: desk@tbrnewspapers.com; fax: (631) 751–4165; website: www.tbrnewsmedia.com. Entire contents copyright 2016.

What’s inside… 4 . . . . . . . . . . . Tips to keep your family healthy this summer 5 . . . . . . . . . . . Exploring chemical peels and Botox 7 . . . . . . . . . . . Maximizing your odds of health longevity 8 . . . . . . . . . . . Benefits of advanced health care directives 9 . . . . . . . . . . . High cholesterol linked to prostate cancer 10 . . . . . . . . . Preparing a home for elderly residents 11 . . . . . . . . . . Shopping for an assisted living facility 12 . . . . . . . . . Common causes of poor vision 13 . . . . . . . . . Make wellness a priority this season 14 . . . . . . . . . Five steps for fewer mosquitoes 15 . . . . . . . . . Protecting your family from bites and itch 16 . . . . . . . . . The heart screening you should do now 17 . . . . . . . . . Oral health impacts overall health 18 . . . . . . . . . Cooking for your heart 19 . . . . . . . . . The facts on sunburns and sun poisoning

142753

PAGE S4 • FOCUS ON HEALTH • JUNE 09, 2016

FOCUS ON HEALTH

Offering exclusive 3D digital fitting technology • Eye exams • Designer frames • Prescriptions filled • On-premises lab • Same-day service

Swamped this summer?

Most insurance accepted

Seven tips to keep your family healthy

2194 Nesconset Highway (in the Red Lobster shopping center) Stony Brook, NY 11790-3500 • (631) 246-5468

Andrew N. Polan, F.N.A.O.

Lovelier Legs Jerry G. Ninia, MD, RVT, FACPh Fellow American College of Surgeons

We provide office-based treatment for Varicose Veins and Spider Veins Specializing in: • Injection-Compression Sclerotherapy • Foam Sclerotherapy • Ultrasound - Guided Sclerotherapy • Ambulatory Phlebectomy

Now Accepting Medicare Patients

Plus ELVeS™ (Endo Laser Vein System) The latest procedure for minimally invasive vein treatment. Uniquely Effective For: Replacing vein stripping. Expert Spider Vein Treatment

Va r i c o s e Ve i n Ce n te r Most MediCal insuranCe aCCepted ©141571

As seen on Cable TV

port JeFFerson

405 East Main Street • 474–1414 Visit our Website at www.mdvein.com

American College of Phlebology

he sunny days of summer are here and school may be out, but your family is still as active and busy as ever. It’s easy to get caught up in a hectic schedule of activities, but don’t let the summer hustle keep you from a healthy lifestyle. Enjoying the summer is about balance and planning. These tips will help your family stay happy, healthy and ready to tackle anything the summer months throw your way.

Fuel up with breakfast Set the tone for the rest of your day with a good-for-you breakfast. A complete breakfast gives you and your family the energy needed to take on the busy summer schedule. There are plenty of easy breakfast recipes that let you eat while you’re running out the door. Try peanut butter or avocado on toast, hard boiled eggs or a fruit smoothie for a quick, satisfying meal.

Set a summer schedule Create a master calendar to hang up in your kitchen. This should include everyone’s daily activities for the summer so nothing is forgotten. Take a look at the calendar at the beginning of each week to get a sense of what’s to come.

Remain active Encourage your kids to get outside by planning a weekly outdoor activity as a family. From hiking, biking, a game of tag, skating and swimming, find something your family loves doing together. You can also get some extra steps in by taking an after-dinner walk around the block each night.

Snack healthy Kids love to snack, especially when they’re home for the summer. Stock up on easy go-to snacks like pretzel crisps, fresh fruit, and granola bars so you’ll be ready when their stomachs start to growl. pretzel Crisps dipped in peanut butter or hummus create a filling, wholesome snack. They’re packed in resealable bags, making pretzel crisps the perfect portable snack for the car rides between swim practice and summer camp and everything in between.

Stay hydrated Instead of that third cup of coffee, you might want to be more conscious of your water intake. You and your family will need to stay hydrated in the summer heat, so always be sure everyone has a bottle of water with them. If there’s a bottle within arm’s reach, you’re more likely to sip using little conscious effort.

Make a point to unplug While it’s important to let your kids stay connected to friends and peers during the summer, you should also be aware of your family’s technology use. For example, you could make a pact to put away devices at dinnertime and two hours before bedtime. Find an approach to regulating technology that works for you.

Stick with stellar sleeping habits Your kids will likely want to stay up later in the summer, but make sure they’re still getting adequate sleep. Work as a team to make sleep a family priority.

Visit www.tbrnewsmedia.com

JUNE 09, 2016 • FOCUS ON HEALTH • PAGE S5

FOCUS ON HEALTH

Peels or Botox — which one is right for you?

ummer is a perfect time to find ways to rejuvenate our body, mind and spirit. Botox and chemical peels are two options to consider if you want to improve the look of your skin.

Botox

Botox is the most popular cosmetic treatment in the United States, but is it right for you? Doctors have been using Botox, a brand name of a toxin produced by the bacterium Clostridium botulinum, for years to treat wrinkles and facial creases. Most often used on forehead lines, crow’s feet, and frown lines, Botox blocks signals from the nerves to the muscles. The injected muscle can’t contract, which makes the wrinkles relax and soften. The procedure, which takes seven to 14 days to take full effect, is over in minutes and does not require anesthesia as the Botox is injected with a fine needle into specific muscles with only minor discomfort. The effects from Botox will last three to six months. As muscle action gradually returns, the lines and wrinkles begin to reappear and need to be treated again. The

Botox is injected into the muscle with only minor discomfort. lines and wrinkles often appear less severe with time because the muscles are shrinking. Temporary bruising, headaches and eyelid drooping are the most common side effects. Unfortunately, Botox is not covered by insurance when used for cosmetic purposes.

Chemical Peels

Chemical peels can improve the skin’s appearance and can be

done on the face, neck, or hands. The procedure is used to treat certain types of acne, reduce fine lines under the eyes and around the mouth, treat mild wrinkles caused by sun damage and aging, improve the appearance of mild scars and reduce age spots, freckles, and dark patches on the skin. Chemical peels are performed in a doctor’s office or in a surgery center as an outpatient procedure.

The skin is cleaned thoroughly and then applied with one or more chemical solutions to small areas of your skin. That creates a controlled wound, letting new skin take its place. Most people feel a burning sensation that lasts about five to 10 minutes, followed by a stinging sensation. Putting cool compresses on the skin may ease that stinging. You may need pain medication during or after a deeper peel. The new skin is usually smoother and less wrinkled than the old skin. After a chemical peel, skin is temporarily more sensitive to the sun, so sunscreen and a hat should be worn every day. Depending upon the type of chemical peel, a reaction similar to sunburn occurs following the procedure. Peeling usually involves redness followed by scaling that ends within three to seven days. Mild peels may be repeated at one to four-week intervals until you get the look you’re after. Medium-depth and deep peeling may result in swelling as well as blisters that may break, crust, turn brown, and peel off over a period of seven to 14 days. Mediumdepth peels may be repeated in six to 12 months, if necessary.

Did you know? If you want great skin, avoid sun damage by staying indoors between 10 a.m. and 2 p.m., when the sun’s burning rays are the strongest and protect your skin with clothing, a hat and sunscreen when you go outside. After treatment, you may need bandages for several days on part or all of the skin that was treated.

This procedure is considered cosmetic and is rarely covered by insurance. However, a chemical peel that is used to improve certain types of scars or to treat precancerous growths may be covered by insurance.

Your Health, Our Care Serving the Community 30 Years

RESPEC T

COMPASSION

massage therapy • physical therapy acupuncture

Set up an appointment for a Free Consultation & trial treatment to feel how this can benefit you.

DIGNIT Y

benefits: Reduce muscle tension • Promote healthy circulation Heal adhesions and sores • Reduce stress and blood pressure Improve mobility and flexibility • Detoxify • Reduce pain

MOST InSurance accepTed No Fault Cases and Workman’s Comp

instant online gift certificates available at

www.atlantishn.com

Saint James 584-2323

Shoreham 744-3661

Ronkonkoma 467-2770

Skilled Nursing Center • Head Injury Rehabilitation Unit Alzheimer’s/Dementia Unit • Subacute Care Adult Day Health Care • Social Day Care 35 SUNKEN MEADOW ROAD, KINGS PARK www.stjohnland.org • 631-269-5800

PAGE S6 • FOCUS ON HEALTH • JUNE 09, 2016

THIS Year DO YOU Want To reverse Disease? Want To Lose Weight? Feel Concerned You’re Locked Into Your Genes?

IF YOU THInk IT’S TOO LaTe TO CHanGe, reaD THe COmmenTS FrOm mY prOUD paTIenTS beLOW: The results I have achieved working with Dr. Dunaief have been quite remarkable. My primary goal was to reduce average blood pressure to acceptable levels. This was accomplished in a little over 3 months. Coincidentally I was able to reduce my overall cholesterol from 250 to 177 with a much improved LDL/HDL ratio in 4 months. In addition I lost over 30 lbs and went from 24% body fat to 17.7%. I have some good days but mostly great days and I’m very happy with the results and look forward to even more improvement in the future. —D.L., age 64

“My pain has subsided considerably. But, I must tell you that I don’t think I would have made it this far without your help. I was a mess when I first saw you, but you gave me a new sense of strength, new knowledge about nutrition and just a better regard for myself.” ~ Nurse Practitioner/ IBS and ulcerative colitis sufferer, age 62

“My cardiologist was so impressed with my results. By following Dr. Dunaief’s advice, I’ve been able to stop all three of my blood pressure medications. My heart palpitations, which were limiting my activities, have dramatically reduced in frequency, my energy levels have increased and I have lost 15 pounds in two months.” ~ Nurse, age 62 “I feel awesome after eating the diet, especially in the morning. I can’t believe how much has improved with such small changes. My cholesterol is normal, and my triglycerides dropped dramatically - almost 200 points! My blood pressure medication was stopped, yet my blood pressure is the best it has ever been.” ~ E.M., age 44

“…just wanted to share the…great news – I passed my fitness test and achieved my highest score ever! Thank you for all your support and help. You know how important this was for me. I’m so pleased with the results.” ~ Military Surgeon, age 43

You Can Change, At Any Age!

David M. Dunaief, M.D. is an internist specializing in Integrative Medicine.

• Nutrition – High Nutrient Intake • Fitness • Stress Management • Cardiac and Stroke Risk Assessment Available – Non-Invasive Procedure • Intensive Obesity Counseling may be Eligible for Medicare Reimbursement Call For An Appointment Today

Medical Compass MD

NEW LOCATION: 47 Route 25A, Setauket NY (Next to Capital One Bank & Across From Drive-thru) 631.675.2888 drdunaief@medicalcompassmd.com Visit our website www.medicalcompassmd.com

David M. Dunaief, M.D. Clinician, Author and Speaker 

Preventing and Reversing These Conditions and Diseases: Diverticular Disease Irritable Bowel Syndrome Fibromyalgia Alzheimer’s Disease Dementia Parkinson’s Disease Depression and Mood Disorder Menopause Asthma Allergies Macular Degeneration Uveitis/Scleritis Optic Neuritis Chronic Obstructive Pulmonary Disease  Trained with

Joel Fuhrman, M.D., Best Selling Author of

Eat To Live 

Dr. Dunaief has written over 80 medical research articles that have been published in the Times Beacon Record Newspapers

JUNE 09, 2016 • FOCUS ON HEALTH • PAGE S7

FOCUS ON HEALTH

Maximizing your odds of healthy longevity

hen asked which was more important, longevity or healthy aging (quality of life), more people choose the latter. Why would you want to live a long life but be miserable? Well, it turns out the two components are not mutually exclusive. I would like you to ponder the possibility of a third choice, “all of the above.” Would you change your answer and, instead of making a difficult choice between the first two, choose the third? I frequently use the example of Jack LaLanne, a man best known for popularizing fitness. He followed and preached a healthy lifestyle, which included diet and exercise. He was quite a motivator for many and ahead of his time. He died at the ripe old age of 96. This brings me David to my next point, Dunaief, M.D. which is that the number of 90-yearolds is growing by leaps and bounds. According to the National Institutes of Health, those who were more than 90 years old increased by 2.5 times over a 30-year period from 1980 to 2010 (1). This group is among what researchers refer to as the “oldest-old,” which includes those age 85 and older. What do these people have in common? According to one study, they tend to have fewer chronic morbidities or diseases. Thus, they tend to have a better quality of life with greater physical functioning and mental acuity (2). In a recent study of centenarians, genetics played a significant role. Characteristics of this group were that they tended to be healthy and then die rapidly, without prolonged suffering (3). Another benchmark is the amount of health care dollars spent in their last few years. Statistics show that the amount spent for those who were in their 60s and 70s was significantly higher, three times as much, as for centenarians in their last two years (4). Factors that predict one’s ability to reach this exclusive club may involve both genetics and lifestyle choices. One group of people in the U.S. who lives longer on average than most is Seventh-Day Adventists. We will explore why this might be the case and what lifestyle factors could increase our potential to maximize our healthy longevity. Exercise and diet may be key components of this answer. Now that we have set the tone, let’s look at the research.

Exercise For all those who don’t have time to exercise or don’t want to spend the time, this next study is for you. We are told time and time again to exercise. But

cluded that lower animal protein may be wise at least during middle age. The Adventists Health Study 2 trial reinforced this data. It looked at Seventh-Day Adventists, a group whose emphasis is on a plant-based diet, and found that those who ate animal protein up to once a week had a significantly reduced risk of dying over the next six years compared to those who were more frequent meat eaters (8). This was an observational trial with over 73,000 participants and a median age of 57 years old.

Inflammation

Studies have shown that 5 to 10 minutes of daily running can have a significant impact on life span. how much do we need, and how can we get the best quality? In a recent study, the results showed that five to 10 minutes of daily running, regardless of the pace, can have a significant impact on lifespan by decreasing cardiovascular mortality and all-cause mortality (5). Amazingly, even if participants ran less than six miles per week at a pace slower than 10-minute miles, and even if they ran only one to two days a week, there was still a decrease in mortality compared to nonrunners. Here is the kicker: those who ran for this very short of amount of time potentially added three years to their life span. There were 55,137 participants ranging in age from 18 to 100 years old. An accompanying editorial to this study noted that more than 50 percent of people in the United States do not meet the current recommendation of at least 30 minutes of moderate exercise per day (6). Thus, this recent study suggests an easier target that may still provide significant benefits.

Diet A long-standing paradigm is that we need to eat sufficient animal protein.

However, there have been cracks developing in this façade of late, especially as it relates to longevity. In a recent observational study using NHANES III data, results show that those who ate a highprotein diet (>20 percent from protein) had a twofold increased risk of all-cause mortality, a four times increased risk of cancer mortality and a four times increased risk of dying from diabetes (7). This was over a considerable duration of 18 years and involved almost 7,000 participants ranging in age at the start of the study from 50 to 65. However, this did not hold true when the protein source was from plants. In fact, a high-protein plant diet may reduce the risks, not increase them. The reason for this effect, according to the authors, is that animal protein may increase insulin growth factor-1 and growth hormones that have detrimental effects on the body. Interestingly, those who are over the age of 65 may benefit from more animal protein in reducing the risk of cancer. However, there was a significantly increased risk of diabetes mortality across all age groups eating a high animal protein diet. The researchers therefore con-

You may have heard that inflammation is the basis for more than 80 percent of chronic disease. But how can we quantify this into something tangible? In the Whitehall II study, a specific marker for inflammation was measured, interleukin-6. The study showed that higher levels did not bode well for participants’ longevity (9). In fact, if participants had elevated IL-6 (>2.0 ng/L) at both baseline and at the end of the 10-year follow-up period, their probability of healthy aging decreased by almost half. The takeaway from this study is that IL-6 is a relatively common biomarker for inflammation that can be measured with a simple blood test offered by most major laboratories. This study involved 3,044 participants over the age of 35 who had not had a stroke, heart attack or cancer at the beginning of the study. The bottom line is that, although genetics is important for longevity, so too are lifestyle choices. A small amount of exercise, specifically running, can lead to a substantial increase in healthy life span. While calories are not equal, protein from plants may trump protein from animal sources in reducing the risk of mortality from all-causes, from diabetes and from heart disease. This does not necessarily mean that one needs to be a vegetarian to see the benefits. IL-6 may be a useful marker for inflammation, which could help predict healthy or unhealthy outcomes. Thus, why not have a discussion with your doctor about testing to see if you have an elevated IL-6? Lifestyle modifications may be able to reduce these levels.

References:

(1) nia.nih.gov. (2) J Am Geriatr Soc. 2009;57:432-440. (3) Future of Genomic Medicine (FoGM) VII. Presented March 7, 2014. (4) CDC.gov. (5) J Am Coll Cardiol. 2014;64:472-481. (6) J Am Coll Cardiol. 2014;64:482-484. (7) Cell Metab. 2014;19:407-417. (8) JAMA Intern Med. 2013;173:1230-1238. (9) CMAJ. 2013;185:E763-E770. Dr. Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.

PAGE S8 • FOCUS ON HEALTH • JUNE 09, 2016

FOCUS ON HEALTH

Establishing advanced health care directives has many benefits

ealthy adults may give little thought to injuries or illnesses. When the going is good, it is easy to forget about the less pleasant side effects of aging. However, putting off these conversations and decisions can lead to unnecessary obstacles in the years to come.

Advanced health care directives can be invaluable resources for family members and friends who will be responsible for managing a person’s plans should they become unable to make their own decisions. Various organizations, including AARP, offer resources on advanced planning and the options available to adults looking to plan their estates.

Health care proxy Appointing a health care proxy ensures that there will be someone there who has the legal authority to make health care decisions for you if you are no longer able to speak for yourself. This may be a spouse, child, relative or close friend. The Mayo Clinic suggests choosing a person who can be trusted to make decisions that adhere to your wishes and values and to be your advocate if there are disagreements about your care. Be sure to have a candid discussion with your health care proxy in which you go over the types of medical care you wish to receive and any ways you would or would not like your life prolonged. It helps to keep the proxy up-to-date on any medical conditions you may have so that he or she can make the most informed decisions on your behalf. Having a health care proxy does not mean you are giving up your right to make medical decisions. It’s a fail-safe in the event you are unconscious or cannot direct medical care.

Living will An advanced health care directive enables you to create specific written instructions for future health care, known as a living will. The living will should include wishes regarding life-sustaining medical treatments and resuscitation if you are no longer able to speak on your own behalf. It also can spell out whether you want to remain in a hospital or receive palliative care at home for a terminal illness. A living will can be changed if/when your wishes or circumstances change.

Legal and medical advice Although legal advice is not required for an advanced directive, it can be helpful to iron out the legalities of your directives. Speak with your doctor about your desires and needs. A physician can help you form a coherent directive that is in line with your wishes. Remember, an advanced directive is not reserved for the elderly. Any consenting adult age 18 or older can benefit from a living will and other documentation.

Answers to Word Search on page S16

140298

JUNE 09, 2016 • FOCUS ON HEALTH • PAGE S9

FOCUS ON HEALTH High cholesterol linked to prostate cancer recurrence

igh cholesterol poses a significant threat to human health, and now there is another reason for men to get their cholesterol levels in check, as high cholesterol has now been linked to increasing a man’s risk for prostate cancer recurrence. A recent study funded by the National Institutes of Health linked triglycerides and cholesterol to the recurrence of prostate cancer. Among men who underwent surgery for prostate cancer, those with high cholesterol and triglyceride levels in their blood were more likely to develop prostate cancer again, says the research. The study also found that relatively simple changes can greatly reduce one’s prostate cancer recurrence risk. Findings suggest that normalization, or even partial normalization, of serum lipid levels among those with an abnormal cholesterol profile can reduce the risk of prostate cancer recurrence. Men with triglyceride levels of 150 mg/DL or higher were 35 percent more likely to have a prostate cancer recurrence. Similarly, those with total cholesterol levels above

200 mg/DL were linked to a 9 percent higher recurrence instance for every 10 mg/DL increase. Men can take various steps to lower their cholesterol, which can be a multi-pronged process, and can work in concert with their physicians to develop an effective plan. The following are some effective ways to lower one’s cholesterol.

Make dietary changes. Many different changes to your diet can impact cholesterol levels. Choosing healthier fats is a start. Instead of eating an abundance of saturated fats, such as those found in red meat and dairy products, select foods with monounsaturated fats found in olives and peanuts. Eating whole grains and opting for fruits and vegetables over meats and refined carbohydrates also can lower your cholesterol.

Exercise. Moderate daily physical activity can help raise high-density lipoprotein, or HDL, which is often referred to as “good cholesterol.”

Such activity also may help lower bad cholesterol levels.

Lose weight. The Mayo Clinic advises that losing as little as 5 to 10 percent of your body weight can help you significantly reduce your cholesterol levels.

Consider niacin. Some studies say niacin (vitamin B3) may be more effective at lowering bad cholesterol than medication. Niacin can be found in liver, meat, peanuts and other nuts, and whole grains.

Consider medication. People who are at a high risk of heart disease and who have poor cholesterol numbers may need to take medication. Doctors can work with you to find the right combination of treatment. Lowering cholesterol has a number of health benefits, and preventing prostate cancer recurrence can now be added to that list.

... W e ’r e O p e n Dr. Ann Nasti, D.M.D. is happy to announce her association with

Yoga Nutrition

Stony Brook Dental Associates

Holistic Wellness

Individuals, Families and Special Needs YOGA

Private, Semi-Private and Small Group Classes

Clinical Associate Professor Associate Dean for Clinical Education Director Year 4 General Practice Program Director Discover Dental School Scholars Program SUNY Stony Brook School of Dental Medicine

Children, Teens, Adults & Special Needs

NUTRITION Holistic Health Coaching For Women and their families

WEIGHT LOSS, MOBILITY & BALANCE

A community where every body belongs

Discover Your Body Within: Yoga & Nutrition

Stony Brook Dental Associates is a private practice of general dentists and specialists. We are here to help you, your family and friends with all of your dental concerns.

Wednesday 7 pm - 9 pm for 6 weeks. Begins June 22

YOGA & NUTRITION PACKAGES 6 Sessions per month

BOOK A CLASS OR PACKAGE WITH THIS AD & RECEIVE 20% OFF

New patients welcomed!

Weekly Community Education Night Every Monday 7 - 8:30 pm Nutrition Classes Every Tuesday Night Special Event Wellness Workshops

For appointments, questions and accepted insurances, please call (631) 632–8971 or (631) 632–8919.

Come meet us! 301 EAST MAIN STREET PORT JEFFERSON, NY 11777 Sullivan Hall, #170, Stony Brook, NY

631-403-4847

www.ItTakesAVillageWellness.com

PAGE S10 • FOCUS ON HEALTH • JUNE 09, 2016

FOCUS ON HEALTH

Serving our community for over 90 years Family owned and operated

Personalized services arranged for all faiths We specialize in preplanning and cremation options

U ©115315

934 New York Avenue Huntington Station, New York 11746 Phone: 631-427-1123, Fax: 631-385-2306 www.MAConnellFuneralHome.com

How to prepare a home for elderly residents

We know that behind every serious injury is someone’s life story... Let us tell your story. Call 631-495-9435 to speak with Mark.

Convert a room on the first floor into a bedroom. While this may not apply to all seniors, some men and women struggle with stairs as they age, and that can make it difficult for them to fully participate in a household. Homeowners with an extra room to spare can convert a room on the first floor of their homes into a bedroom so seniors won’t have to climb up and down stairs throughout the day. That ease of accessibility to the primary floor of the house encourages seniors to be active participants in a household. If possible, choose an area that is close to a first-floor bathroom.

Mark T. Freeley, Esq. Selected as one of the Top Attorneys in North America

Make bathrooms safer.

www.NorthShoreInjuryLawyer.com 144 Woodbury Road, Woodbury, NY 11797 Attorney AdvertIsing

Like us on

pon reaching retirement age, new retirees may face decisions regarding their living arrangements. Some seniors may opt to stay put, while others may want to downsize their homes to save money and relieve themselves of the burdens of maintaining larger homes. But those are not the only situations in which seniors find themselves. Some seniors realize they can no longer care for themselves without assistance. In such instances, seniors may opt for assisted living facilities or choose to move in with a relative, such as a grown son or daughter. While assisted living facilities are designed to meet the needs of the elderly, families welcoming seniors into their homes may need to take on some home improvement projects to ensure their homes are as safe as possible for elderly residents.

The National Institute on Aging says that more than one in three seniors over age 65 fall each year, and 80 percent of those falls take place in the bathroom. Slippery tile floors can make it difficult

for seniors to navigate bathrooms safely, and bathtubs and shower stalls present additional challenges. Install grab bars on bathroom walls and next to toilets to provide support. In addition, consider installing a shower chair or bench and removable shower nozzle in the shower or tub so seniors can sit down while they bathe and rinse without having to stand up on slippery surfaces. Make sure any mats around bathtubs and sinks are nonskid to reduce the risk of falls even further.

Install an extra phone line or two. While kids and adults between the ages of 18 and 50 may never use the landlines in their homes, many seniors still rely on traditional telephones as their primary means of communicating with the outside world. Install extra landlines in your home, including in seniors’ bedrooms, so they can more readily access the phone should they fall and need to call for emergency help. Phones in seniors’ bedrooms may also provide some additional privacy to seniors who don’t want to carry on phone conversations in busy areas of the home, such as the kitchen or living room. Such lines may also reduce feelings of isolation.

Make stored items accessible. When storing groceries, books, magazines, or other items seniors are likely to use, choose locations that are accessible to seniors. Avoid storing items on the top shelf of pantries, bookcases or entertainment centers, as seniors with limited mobility may not be able to reach them. Many seniors move in with their adult children to make their golden years safer and more enjoyable and manageable. Such a change in living arrangements may necessitate some changes on the part of homeowners so they can ensure their homes are safe for seniors.

JUNE 09, 2016 • FOCUS ON HEALTH • PAGE S11

FOCUS ON HEALTH

Shopping for an assisted living facility

he decision to move yourself or a family member to an assisted living facility can be difficult. When men and women begin to experience difficulty with everyday activities, such as bathing, dressing or getting around, families may need to explore assisted living facilities. Millions of people in North America reside in assisted living facilities. The majority of residents in senior living are those who may need assistance with one or two daily activities, but who are otherwise mobile and self-sufficient. Families faced with moving relatives into assisted living facilities can consider the following pointers to find facilities their loved ones will enjoy. • Consider the arrangements and services offered. Some facilities offer single rooms, while others provide apartment-style living. Most assisted living facilities provide a variety of services, such as housekeeping, laundry, exercise and wellness classes and social activities, for their residents. Investigate the offerings at each home you visit, looking for a facility that best suits your loved one’s needs. • Inquire about staff and their schedules. It is important to know how

Assisted living facilities can meet the needs of people who cannot live independently but do not require the around-theclock care of a nursing home.

many staff members a facility has and how many people are working at any given time. Do staffing schedules differ at night? If a resident has a particular rapport with one staff member, can he or she be requested? Look for a facility that is well-staffed and adept at

dealing with elderly men and women. • Learn about individual service plans. Many assisted living facilities create individual service plans, or ISPs, for their residents to ensure individualized care is given. These plans are important for the safety and comfort

of residents and also can help maximize a person’s independence. Some communities offer memory care programs for those with Alzheimer’s disease or other cognitive disorders. • Consider the security in place. A good assisted living facility has a 24hour support system in place and immediate access to care. Rooms may be equipped with emergency phones that can be accessed day or night. Many homes have check-in desks so that residents are accounted for when going on outings and for announcing guests. • Check on licensing. In the United States, each state has its own licensing requirements for assisted living facilities. Confirm a facility is licensed and that it meets the expectations of the local regulatory agency. In addition, check with the Better Business Bureau to see if any complaints have been filed against the home.

They say 70 is the new 50 We would agree!

How do you picture the perfect retirement? At Jefferson’s Ferry the opportunities are unlimited. With a variety of amenities and superb service, Jefferson’s Ferry will exceed your expectations. From beautiful views to an ideal location, the residences at Jefferson’s Ferry represent community living at its finest.

MUNITY NG

Call 631-675-5550 today for a personal tour!

Scan with Smartphone LeadingAge

Qualit First

One Jefferson Ferry Drive • South Setauket, NY 11720 www.jeffersonsferry.org 138805

PAGE S12 • FOCUS ON HEALTH • JUNE 09, 2016

FOCUS ON HEALTH

LASER VISION CORRECTION SPECIAL $800 OFF* COMPLETE EYE CARE FOR THE ENTIRE FAMILY Now Available in 2 Locations

Specializing in the latest

Bladeless Laser Vision Correction SPECIALISTS ON STAFF IN:

Corneal Disease • Glaucoma Retinal/Diabetic Eye Care • Refractive Cataract Surgery

OUR SERVICES INCLUDE: • DMV Vision Screenings • Glaucoma treatments that can reduce or eliminate the need for expensive drops • Refractive Cataract surgery with premium lenses which can eliminate the need for glasses for distance AND reading • Advanced treatments for Macular Degeneration to help preserve your sight • Cosmetic treatments to help you look and feel your very best Congratulations to Dr. Basilice for being nominated for Castle Connolly’s Top Doctor Award VINCENT P. BASILICE, M.D. Medical Director Board Certified Ophthalmologist and Surgeon Available for new patients

Michael Conners, M.D., Ph.D. • Alex Llinas, M.D., Ph.D. • Alex Schaﬀer, O.D.

STONY BROOK TECHNOLOGY CENTER • (631) 751–2020

Common causes of poor vision

8 Technology Drive, Suite 107, East Setauket, NY 11733

WADING RIVER PROFESSIONAL CENTER • (631) 209–4200 6144 Route 25A, Bldg. A, Suite 6, Wading River, NY 11792

www.TOCeye.com Evening & Saturday Appointments Available

ision loss is a common condition, as the World Health Organization notes that more than 285 million people across the globe suffer some type of visual impairment. Many people can effectively counter their vision problems with prescription lenses, but others may have a more significant issue, such as low vision.

Like us on

ASK ABOUT OUR FREE LASER VISION CORRECTION CONSULTATION AND 24 MONTH INTEREST FREE FINANCING *Not to be combined with any other discount. Discount is off full fee for both eyes.

are

Pro

Jefferson Obstetrics and Gynecology nal Women’s C o i s s Would like fe to welcome with a personal touch

The Kellogg Eye Center defines low vision as a reduced level of vision that cannot be fully corrected with conventional glasses. Those with low vision have some useful sight and are not considered completely blind. However, low vision can interfere with performance of daily activities, and some people with this condition are classified as “legally blind.” Symptoms of low vision include difficulty recognizing objects at a distance or problems with differentiating colors. Yet, not everyone dealing with these symptoms has low vision. Specialized testing can determine if a person has low vision or another condition. Many conditions can impact sight and contribute to vision loss. Here’s a look at some of the more common ones.

Jacqueline Pandolﬁ, N.P. to our practice

• Obstetrics • Gynecology • Menopause • Advanced Laparoscopic Surgery

Glaucoma

• 3-D Ultrasound • Natural Hormone Replacement

Abigail Rockett W.H.N.P.-C

Wendy Farrar R.N. N.P.C., M.S.

A person with glaucoma may gradually lose peripheral vision. Early symptoms, such as a subtle loss of contrast, may be unnoticeable. Eventually, glaucoma may cause tunnel vision, which occurs when a person can only see through a small window.

Dreux R. Patton M.D.

Dreux R. Patton M.D. • Theodore L. Goldberg M.D. Board Certiﬁed OB-GYN’s

12 Medical Drive • Suite A

225 Montauk Hwy • Suite 112

(Off Rte 347, just east of Rte 112)

(In Monarch Shopping Center)

631.331.4400

MORICHES

Macular degeneration

631.878.5322

Hospital afﬁliations with J.T. Mather, St. Charles & Stony Brook DAY AND EVENING HOURS AVAILABLE

Prenatal Nutr ition Class Open to All Patie nt

We participate with most insurance plans, including: Aetna, Blue Cross/Blue Shield, Cigna, Emblem Health, HIP, Oxford, NYS Empire Plan, Medicare, United Health Care and others!

s ©139920

PORT JEFFERSON STATION

Macular degeneration is the leading cause of vision loss, affecting more than 10 million people in the United States alone, according to the American Macular Degeneration Foundation. The AMDF offers that

macular degeneration is caused by the deterioration of the retina’s central portion, known as the macula. The macula is responsible for focusing central vision in the eye, and it contributes to one’s ability to read, drive a car, recognize faces or colors and see objects in fine detail.

Retinal detachment An increase of floaters or sudden flashes of light in vision may be indicative of retinal detachment or a tear in the retina. When caught promptly, a detached retina may be repaired. However, if left untreated and the detachment reaches the macula in the center of the retina, vision loss may be irreparable. The National Eye Institute says those with extreme nearsightedness, those who have had cataract surgery or those with a family history of retinal detachment are at a high risk.

Diabetic retinopathy Blurring or patchy vision loss can be a side effect of high blood glucose levels. Not all people with diabetes will develop vision problems, but it is common enough to warrant attention.

Cataracts According to The Mayo Clinic, a cataract is a clouding of the normally clear lens of the eye. Cataracts develop when aging or injury changes the tissue that makes up the eyes’ lenses. Clouded vision can make it more difficult to read or drive. Over time, cataracts may obscure vision so much that they require surgical repair. Routine eye examinations can bring potential vision disturbances to light and facilitate faster treatment. Eye doctors also can make suggestions about lifestyle changes, including the use optical devices to improve sight.

JUNE 09, 2016 • FOCUS ON HEALTH • PAGE S13

FOCUS ON HEALTH

Make wellness a priority this season

By Joanne Lehmann, LPn

ummer is finally here and for many that means being more active and enjoying the outdoors. However, as we age, this is not always easy. To live our lives to the fullest, it helps to understand the importance of the following factors that contribute to one’s well-being. The following apply to virtually every age group, especially seniors — good nutrition, intellectual stimulation, physical health, safety and security and socialization. While life-care retirement communities like Jefferson’s Ferry include these elements in their programs and living environments, those who live at home can do the same.

Good Nutrition A healthy diet feeds our brains and our bodies and helps maintain physical strength and overall well-being. Keep your cupboards stocked with easy to prepare, healthful food like peanut butter, eggs, canned fish, low-fat cheese and whole-grain crackers. Try to limit salt, sugary drinks and caffeine and regularly enjoy fresh fruits and vegetables. If you can’t use fresh, frozen is the next best option. If it’s hard to get out to the stores or you have difficulty carrying groceries, delivery services like Peapod are a lifesaver. Drink plenty of water. Dehydration raises blood pressure and can cause headaches and/or dizziness. Also, sharing a meal with another person can add immeasurably to the overall benefit of good nutrition.

Intellectual Stimulation Boredom or lack of stimulation can affect our mental and physical health. New ideas spark conversation, further investigation and fire our synapses. Check with your local library, school district and other community centers regarding daytime and evening book and film discussions, performances, guest speakers, field trips and other opportunities for ongoing intellectual growth and stimulation.

Physical Health Maintaining peak health is a balancing act of physical activity and access to preventive medical care and information. Passive exercise such as walking is extremely beneficial, as is just getting out and moving around. Even everyday activities that don’t seem like exercise, such as light yard and housework, and crafts that work the dexterity of your fingers, arms, legs and trunk are good. The more you use it, the more you have it. Swimming is another good choice as it doesn’t cause stress on the joints, supports the body and provides resistance training. Other activities that are fun and physically active should also be on your weekly calendar. Golf, tennis and dancing, for example, keep you active yet don’t feel like exercise. Tai chi is another excellent, low-impact ex-

Staying physically and mentally active is extremely important as we age. ercise — its passive movements are gentle on the joints. Massage is a wonderful way to stimulate blood flow and ease tension. Aromatherapy is also calming and conducive to a healthful environment. When enjoying outdoor activities, be sure to cover up and use appropriate sunscreen. Medications can make you hypersensitive to the sun.

Safety and Security The importance of implementing precautions to help prevent falls, accidents and other mishaps cannot be overstated. A fall can be permanently life altering. Most falls occur in the evening in the bedroom or bathroom. Make sure you have adequate light during the day and night. There should be clear pathways and minimal clutter throughout the home, doors should be able to fully open, scatter rugs removed and all wires secured. Even a magazine, newspaper or a pair of shoes left on the floor can be dangerous. Another common cause of falls is tangled bedding, so beware of heavy and multiple blankets. Installing grab bars next to the toilet and in the shower/bathtub is always a good idea, as is limiting liquids

in the evening to cut down on nighttime trips to the bathroom. Make sure to always wear proper, well-fitting shoes or nonskid slippers, and avoid walking around in socks. If you use a mobility device, make sure you’re using it as directed by a health care professional. It’s a good idea to have your gait and balance evaluated by a professional, even if you feel you’re walking well. Medicare generally provides some coverage for a PT evaluation on the recommendation of your doctor. If you’re on a call system, keep it on your person at all times — it won’t do you any good if it’s in another room. It’s also important to have your health care provider review your medications, since certain combinations can contribute to falls by reducing mental alertness or causing a drop in blood pressure.

Socialization Connecting with others in our community plays a huge role in our overall well-being. Isolation, on the other hand, can have the opposite effect. Our local libraries and communities offer lots of opportunities to get out and get social.

From card games to theater and shopping trips, volunteer opportunities, movies and book groups, there’s something for everyone. Here’s to healthy living and a wonderful summer season ahead!

Joanne Lehmann, LPN, is the Wellness Nurse Manager for Independent Living Residents at Jefferson’s Ferry Lifecare Retirement Community in South Setauket.

PAGE S14 • FOCUS ON HEALTH • JUNE 09, 2016

Warning: Zika virus is here The Zika virus has caused concern in South America, the Caribbean and now throughout the U.S. Just last week, a baby girl with Zika virus-related microcephaly was born in Hackensack, N.J. The mother was visiting from Honduras. This is the second known case of a baby born with Zika-related birth defects in the United States, with the first from Hawaii. According to the World Health Organization, as many as four million people worldwide could be infected before the end of 2016. The Center for Disease Control states that the Zika virus disease is caused by the Zika virus, which is spread to people

primarily through the bite of an infected Aedes mosquito. The most common symptoms are fever, rash, joint pain, and conjunctivitis (red eyes). The illness is usually mild with symptoms lasting for several days to a week after being bitten. People usually don’t get sick enough to go to the hospital, and they very rarely die of Zika. For this reason, many people might not realize they have been infected. However, Zika virus infection during pregnancy can cause a serious birth defect called microcephaly, as well as other severe fetal brain defects. Once a person has been infected, he or she is likely to be protected from future infections.

FOCUS ON HEALTH

Catch ‘em before they bite Five steps for fewer mosquitoes

M Conditions we treat: • Peripheral Arterial Disease (PAD) • Varicose and Spider Veins • Deep Vein Thrombosis (DVT) • Venous Insuﬃciency and Ulcers • Dialysis Access Creation and Maintenance • Abdominal Aortic Aneurysms • Carotid Artery Disease and Stroke

osquitoes cause more human harm than any other living organism, according to the American Mosquito Control Association. Not only do these buzzing insects induce itchy red bites, but some species are also responsible for the spread of the Zika virus (see sidebar on left). Don’t let pesky mosquitoes keep you from enjoying the summer months. Follow these steps to decrease mosquitoes and increase your peace of mind.

Remove sources of standing water Mosquitoes only lay their eggs in standing water, so be mindful of any place where water could pool near your home. Children’s toys, buckets, shovels, plastic covers and old containers can contain standing water and are some of mosquitoes’ favorite places. Other likely spots include water caught in garbage cans, near gutter downspouts and other poorly drained areas. Preventing mosquitoes starts with habitat reduction.

Ahmad F. Bhatti, MD RVT FACS Office: 631.524.5960 Fax: 631.524.5963

Properly maintain your pool

If you have outdoor pet bowls, fountains, birdbaths, rain barrels or flower pots, be sure to empty or replace the water in them at least once per week to break the mosquito breeding cycle. Keeping these water sources clean will prevent any mosquito larvae from having time to develop.

Mosquitoes will use any source of water to lay their eggs, even an in-ground swimming pool if it’s not properly cared for. This offers a large area of water to fill with eggs. Keep up with your pool’s water treatment plan, filters and water circulation to keep the mosquitoes away. Additionally, plastic kiddie pools also need to be checked for signs of insect activity.

Protect yourself

Check screens and entry points

Wear long-sleeved shirts and long pants when possible. When outside use EPA-approved mosquito repellents that contain DEET, picaridin or oil of lemon-eucalyptus. If you are traveling outside the U.S., it is especially important to wear effective insect repellents and protective clothing. Mosquito-borne diseases that may be rare in the U.S. are common in many foreign countries.

At about one-quarter to one-half of an inch in their adult stage, mosquitoes are small enough to fit through almost any entrance of your home. This means they can sneak in unannounced through the tiniest cracks in your home or garage. Check the seals on your doors, windows and porches, and make sure everything is properly screened off for a mosquitofree environment.

Change water sources weekly

We Accept Medicare & Most Major Insurances

Change the water in birdbaths frequently to prevent mosquito larvae from developing.

JUNE 09, 2016 • FOCUS ON HEALTH • PAGE S15

FOCUS ON HEALTH

Protect your family from bites and itch this season W arm days mean picnics, ball games a nd outdoor adventure. Unfortunately, all that sun and fun can introduce a greater risk of skin woes for you and your family. “Whether you’re playing catch in the back yard or pitching a tent in the woods, you can help prevent certain issues from occurring, and if they do, be prepared by having a remedy on hand that can offer your family instant healing and relief from itching, burning and discomfort,” says Dr. Angela Lamb, dermatologist. With that in mind, here are some tips to prevent and treat the itch and irritation of the season:

COVER UP More bare skin means more risk of bug bites and stings and exposure to rash-causing plants such as poison ivy and poison oak. When possible, wear long sleeves and long pants. Loose-fitting, light colors can keep you cool on warmer days, even when covered up. When you get home, check clothes for ticks before heading inside.

BE AWARE Be savvy outdoors and teach your family to avoid poison ivy, oak and sumac. If you spend time in areas where these plants grow, cover up and avoid contact. When you get home, be sure to wash skin and clothing that may have been exposed to the sap of these plants.

Be sure to check for ticks after a walk in the woods.

TREAT AILMENTS Even with preventive measures in place, bites, stings, scrapes and allergic reactions do happen. Make sure you’re prepared to treat discomfort. For bites and stings, Lamb recommends a counterirritant, which stops itch and offers a skin protectant for temporary relief and faster healing. There are kids’ formulas that provide a gentle

alternative for young ones or anyone with sensitive skin. Many contain soothing baking soda and offer an easyto-apply, portable remedy for bites from a wide variety of insects. For instant and permanent relief from itching and pain associated with hives, rashes and redness, insect bites, minor scrapes and allergic reactions from poison

ivy, oak and sumac, Lamb recommends any steroidfree anti-itch products for the whole family. These range from a maximumstrength gel and spray with antihistamine as the active ingredient or a cream formula with baking soda for those who have sensitive skin. These products contain vitamin E and tea tree oil to heal and moisturize the skin

while reducing redness and inflammation. So, get the bikes dusted off, the baseball mitts oiled and the camping gear out of the garage — family fun this season is all about taking advantage of the outdoors. But don’t let skin irritations get in the way of your good time. Take precautions and arm yourself with treatments for all your skin problems.

Spotting Lyme Disease

ases of Lyme disease have been trending upward at an alarming rate, doubling nationwide between 1995 and 2014. According to WebMD, public health officials report between 30,000 and 36,000 cases of the disease a year (although experts believe the number is closer to 300,000). The ticks are most active in May, June and early July. Lyme disease is an infection that is transmitted through the bite of a tick infected with a bacterium called Borrelia burgdorferi. Ticks typically get the bacterium by biting infected animals, like deer and mice. Most people who get tick bites do not get Lyme disease. Not all ticks are infected, and the risk for contracting the disease increases the longer the tick is attached to the body. The Centers for Disease Control and Prevention recommend that if you’ve been walking in the woods, in tall grass, or working in the garden, check your skin afterward, ideally in the shower or bath. That way, you’ve removed your clothes, which may carry ticks, too. If you do find a tick, remove it with a pair of fine-tipped tweezers as soon as possible, pulling upward with steady pressure. If parts of the tick remain in the skin, also try to remove them with the tweezers. After it’s out, clean the bite area with rubbing alcohol or soap and water. According to WebMD, you are not likely to get infected if you remove the tick within 36 to 48 hours. Some people have an allergic reaction to ticks, so they’ll notice a bite right away. Symptoms mimic the flu — fever, chills, headache, fatigue and muscle and joint aches. The appearance of a “bulls-eye” rash — the kind with a spot in the middle and a ring around it — is a clearer warning sign. The rash shows up in almost all people infected with Lyme and begins at the site of the tick bite after three to 30 days (but on average, appears in about seven days) and gradually expands. It isn’t itchy or painful. The rash is a pretty good indication that you may have been bitten. At this stage of the illness, treatment with the antibiotics amoxicillin, tetracycline, cefuroxime or doxycycline, usually for 10 to 21 days, will likely be successful. If you’re treated early in the infection stage, a full recovery is likely.

PAGE S16 • FOCUS ON HEALTH • JUNE 09, 2016

FOCUS ON HEALTH

ABDOMEN ALVEOLI ANGINA ANGIOPLASTY AORTA ARTERY ATHEROSCLEROSIS BIOPSY BLOOD PRESSURE BRADYCARDIA BYPASS CARDIAC

CARDIOVASCULAR CHOLESTEROL CIRCULATION DIASTOLIC DIURETIC EDEMA ENDOCARDIUM ENZYME HOMOCYSTEINE HYPERTENSION HYPOTENSION

INFARCT ISCHEMIA LUMEN PALPITATION PLAQUE SATURATED SEPTUM SHUNT STENT THROMBUS VEIN

THE HEART SCREENING YOU SHOULD DO NOW

id you know a simple test of your legs may be able to tell you if you have a higher risk for heart disease? The test is quick, painless and noninvasive. A health professional fits pressure cuffs around your ankles and upper arms, and uses a small ultrasound device to measure the systolic blood pressure in your limbs. It is simple and painless. The disease is called Peripheral Arterial Disease or PAD.

See page S8 for the answers to the Word Search.

Why is this important?

New Patients Welcome Most Insurance Accepted 7 South Jersey Ave. Setauket, NY 11733

Three Village Family Medicine

631.689.2700

Heart disease is the leading killer of Americans of all age groups, races and genders. Detecting heart disease risks early is important in order to live an active and healthy life for as long as possible. Yet the general public remains largely unaware of PAD as indicator of heart blockages. A recent study by University of California researchers, published in the journal Circulation Research, found a strong link between PAD and coronary artery disease and stroke. PAD occurs when fatty deposits build up in the small arteries outside the heart, and it usually affects the arteries that supply blood to legs and feet, according to the American Heart Association. The condition can not only cause tissue damage in the affected area, it could be a sign of chronic blockages throughout the arteries in a person’s body. About 8 million Americans have PAD, according to the Centers for Disease Control and Prevention. Shockingly, the CDC says that 40 percent of people who have PAD may have no symptoms at all, and so may be unaware

Common PAD risk factors include: Smoking Being overweight or obese Diabetes A sedentary lifestyle High cholesterol High blood pressure Family history Age they have the condition. This is why it is important to get screened. You may not have any idea that you are at risk. Having a screening may give you a hint at what lies in your future — in time to do something about it. People who do have symptoms may feel muscle pain in the calves, hips and thighs while doing any kind of exercise that involves leg muscles — such as walking or climbing stairs, or experience cold legs, wounds that heal poorly or slowly, and burning, tingling or numbness in the legs. Because you can have PAD and experience no symptoms, many people may be unaware they have it — and that they’re at greater risk for developing heart disease. While health insurance may cover a PAD test for people who show symptoms of the disease, health experts recommend that anyone with certain risk factors should be screened.

JUNE 09, 2016 • FOCUS ON HEALTH • PAGE S17

Focus on HealtH

Oral health impacts overall health

healthy mouth is good for more than just a pretty smile. Oral health can affect the entire body, making dental care more than just a cosmetic concern.

Many people know that poor oral hygiene can lead to gum disease, tooth decay and even lost teeth. But are you aware that failing to brush or visit the dentist regularly also can lead to more serious health issues? Recent research suggests that there may be an association between oral infections, particularly gum disease, and cardiovascular disease and preterm birth. Gum disease also may make diabetes more difficult to control, since infections may cause insulin resistance and disrupt blood sugar. Your mouth also can serve as an infection source elsewhere in the body. Bacteria from your mouth can enter the bloodstream through infection sites in the gums. If your immune system is healthy, there should not be any adverse effects. However, if your immune system is

compromised, these bacteria can flow to other areas of the body where they can cause infection. An example of this is oral bacteria sticking to the lining of diseased heart valves. Other links have been found between oral health and overall health. In 2010, researchers from New York University who reviewed 20 years of data on the association concluded that there is a link between gum in-

flammation and Alzheimer’s disease. Researchers in the UK also found a correlation. Analysis showed that a bacterium called Porphyromonas gingivalis was present in brains of those with Alzheimer’s disease but not in the samples from the brains of people who did not have Alzheimer’s. The P. gingivalis bacterium is usually associated with chronic gum disease and not dementia.

Researchers also have found a possible link between gum disease and pancreatic cancer. Harvard researchers found that men with a history of gum disease had a 64 percent increased risk of pancreatic cancer compared with men who had never had gum disease, based on studies of men from 1986 through 2007. While oral health issues may lead to other conditions over time, symptoms also may be indicative of underlying conditions of which a person is unaware. Inflammation of gum tissue may be a warning sign of diabetes. Oral problems, such as lesions in the mouth, may indicate the presence of HIV/AIDS. Dentists may be the first people to diagnose illnesses patients don’t even know they have. An important step in maintaining good overall health is to include dental care in your list of preventative measures. Visit the dentist for biannual cleanings or as determined by the doctor. Do not ignore any abnormalities in the mouth and maintain good oral hygiene, as taking care of your teeth promotes overall health.

10 tips for fresh breath Try these simple steps to make your mouth feel fresh and clean. ■ Brush your teeth at least twice a day. ■ Floss every day. ■ Use alcohol free mouthwash with ingredients like menthol, eucalyptol or thymol. ■ Scrape your tongue. ■ Avoid foods that sour your breath (onions, garlic). ■ Drink plenty of water. ■ Eat crisp fruits and vegetables, such as celery and apples. ■ Drink green or black tea instead of coffee. Both contain polyphenols, which prevent the growth of bacteria. ■ Skip after-dinner mints and chew gum instead. ■ Kick the tobacco habit.

PROTECT YOUR VISION FROM DIABETES! (DIABETIC RETINOPATHY)

EARLY DETECTION IS KEY TIPS TO PREVENT DIABETIC RETINOPATHY

KNOW THE FACTS The most common eye disease among diabetics The leading cause of blindness in American adults SIMULATION OF DIABETIC EYE DISEASE

Protect your vision with a yearly comprehensive dilated eye exam

Control blood glucose levels Don’t smoke Keep blood pressure stable Eat a healthy diet Move for at least 30 minutes a day

Come see the OCLI difference. Schedule your eye exam today at our East Setauket or Port Jefferson location.

SETTING THE STANDARD IN EYE CARE

Most insurance plans accepted

4 Technology Drive, Suite 150 East Setauket, NY 11733 631.941.1400

125 Oakland Avenue, Suite 101 Port Jefferson, NY 11777 631.828.7100

OCLI.net

East Setauket

Daniel Garibaldi, MD Jack Oats, MD

Daniel Kiernan, MD Anzhelika Vaccaro, MD

Ketan Laud, MD John Wittpenn, MD

Port Jefferson

Daniel Garibaldi, MD Anzhelika Vaccaro, MD

Raymond Mariani, OD John Wittpenn, MD

Jack Oats, MD

Raymond Mariani, OD Peter Wong, MD

142212

PAGE S18 • FOCUS ON HEALTH • JUNE 09, 2016

FOCUS ON HEALTH

DiD yOU kNOw? 80 percent of Americans are not getting the recommended servings of fruit in their diet.

Like the whole fruit it comes from, fruit juice is filled with nutritious vitamins and minerals bodies need. Did you know juice is a top contributor of Vitamin C, potassium and magnesium in the diet? Drinking a glass of juice is an easy way to get those important nutrients your body is craving.

Drinking juice has a protective effect on your teeth. That’s right — juice is not the culprit behind cavities in young children, and the thought that drinking juice may cause cavities is wrong. Scientific studies have not only found no association between 100 percent juice intake and dental cavities, one study even found fewer cavities when children drank 100 percent juice more than twice a day.

Warm Tomato & Kale Pasta

Cooking for Your Heart

Is personal attention to your health important? Dr. Jurasits identifies the root causes, looking at the whole person,

to identify and treat your illness/disease. Contact our oﬃce today and...

Transform to a healthier you

903 Main Street • Port Jeﬀerson, NY 11777 631.509.6888

Call to reserve your seat at our next Educational Seminar to learn more about Functional Medicine and our practice.

YourHealth@IntegrativeHealingWellness.com IntegrativeHealing7.wix.com/wellness

Here’s to keeping the swing in your step.

hen it comes to heart health, the type of fat in the diet matters. In fact, in the newly released 2015-2020 Dietary Guidelines for Americans, the emphasis is no longer on eating a low-fat diet but instead choosing quality fats. This includes replacing saturated fats that are known to contribute to heart disease with unsaturated fats, including polyunsaturated fats, like those in corn oil. Corn oil has more than five times the amount of polyunsaturated fats compared to olive oil. Replacing saturated fat with heart-healthy polyunsaturated fats can reduce the risk of heart disease. What’s more, corn oil’s neutral taste complements the natural flavors of foods, making it perfect for stir-frying, sautéing, grilling and even baking.

Warm Tomato & Kale Pasta YIELD: Makes 8 servings INGREDIENTS: •

The Joint Replacement Center The caring professional staff of the Joint Replacement Center, led by James Nicholson, MD, and Fazel Khan, MD, have spent years fine-tuning their skills to help you enjoy your favorite activities and keep the swing in your step. If you have joint pain that prevents you from doing the things you love, take a step in the right direction. Call Stony Brook Orthopaedic Associates at (631) 444-4233 today for an appointment. Visit lihipandknee.com for information about hip and knee conditions, or attend a free seminar to learn about hip and knee problems and their treatments. To register, call (631) 444-4000.

• • • • • •

DIRECTIONS:

The Joint Replacement Center follows IHI (Institute for Healthcare Improvement) guidelines for employing the best practices in joint replacement surgery, which decreases joint replacement surgical-site infections.

lihipandknee.com 139463

Stony Brook University/SUNY is an affirmative action, equal opportunity educator and employer. 16031335H

• • • • •

12 ounces uncooked whole grain rotini pasta 2 tablespoons corn oil 1/3 cup chopped onion 2 cups cherry tomatoes, halved 2 cups chopped kale 1/2 cup no-salt or reduced sodium vegetable broth 1/4 cup lime juice 2 teaspoons chili powder 1 teaspoon garlic salt 1/2 teaspoon crushed red pepper 4 ounces feta cheese, crumbled 2 tablespoons chopped fresh cilantro

Cook and drain pasta according to package directions. Set aside. Heat oil in large skillet over mediumheat until hot. Add onion; cook and stir until tender, about 3 minutes. Stir in tomatoes, kale, vegetable broth, lime juice, chili powder, garlic salt and crushed red pepper. Cook 7 to 10 minutes, stirring occasionally. Combine hot pasta, tomato mixture, feta cheese and cilantro in a large serving bowl. Toss lightly and serve.

Quinoa & Sweet Potato Chili YIELD: Makes 3 quarts INGREDIENTS: • • • • • • • • • • • • • • •

1 tablespoon corn oil 1 cup chopped onions 1/2 cup chopped bell pepper 1 jalapeño, seeded and finely diced 3 tablespoons chili powder 1 teaspoon ground cumin 1/2 teaspoon black pepper 1 quart unsalted chicken OR vegetable broth 4 cups sweet potatoes, peeled and cubed 2 teaspoons minced garlic 2 cans (15 ounces each) no-salt added diced tomatoes 1/2 cup quinoa 1 can (15 ounces) no-salt added OR reduced salt black beans, rinsed and drained 2 cups frozen corn green onions, chopped cilantro or sliced jalapeños for garnish

DIRECTIONS: Heat Dutch oven or large pot over medium-high heat and add oil. Add onion, bell and jalapeño peppers and cook for 2 to 3 minutes until vegetables are softened. Add chili powder, cumin and black pepper and cook for 1 to 2 minutes until spices are aromatic. Add chicken broth, sweet potatoes and garlic. Bring soup to a boil; reduce heat to medium and cover. Cook for 15 minutes. Add tomatoes, quinoa, black beans and corn and cook an additional 15 to 20 minutes until potatoes and quinoa are tender. Serve with fresh green onion, cilantro or jalapeños for garnish.

JUNE 09, 2016 • FOCUS ON HEALTH • PAGE S19

FOCUS ON HEALTH trip to the beach with your family is an enjoyable way to spend a day. With warm waves lapping at your feet, a picnic basket and a good book to enjoy, hours relaxing at the seaside tend to pass by quite quickly. While such days are often comfortable and relaxing, if you aren’t careful, your family may be at risk of sunburn and sun poisoning. Sunburns are never a good thing, but sun poisoning is even more severe and the symptoms can become quite serious and uncomfortable. Despite what the term “sun poisoning” implies, the sun does not poison the body. Rather, the term describes sensitivity to sunlight that results in a wide range of symptoms that can affect the skin and body as a whole. Sun poisoning can occur when one has a sun allergy, called solar urticaria. This is very rare. However, the greatest number of sun poisoning cases are simply a severe form of sunburn. Depending on the pigmentation of a person’s skin and the severity of the sun, sunburn can occur in mere minutes. Many people can get a sunburn within 15 minutes of being in the sun. The sun’s rays are most potent between the hours of 10 a.m. and 3 p.m., making the majority of the day a prime time

for skin damage. Although sunburn can occur quite quickly, many people do not realize anything has occurred right away. That’s because sunburn symptoms can be delayed. It may take a few hours for redness to appear and discomfort to set in. Staying in the sun too long without wearing adequate protection, whether it be a wide-brimmed hat, protective clothing or ample amounts of sunblock,

can lead to sunburn. Over time, sunburn can progress to sun poisoning. Symptoms of sun poisoning include a severe sunburn accompanied by blisters on the skin. Pain and tingling may occur, as well as swelling where the sun touched the body intensely. Sun poisoning may cause fever and chills, nausea, dizziness, and dehydration and electrolyte imbalance as the body’s immune system attempts to kick into action.

The best treatment for sun poisoning is prevention. Avoid blazing sun whenever possible and use sunblock and reapply frequently if you must be out in the sun for any duration of time. Otherwise, some cases of sun poisoning can be relieved with the application of cool compresses or by taking cool (not cold) baths. Application of aloe gels also can alleviate discomfort, in addition to taking a pain relieving NSAID pill. If at any point a fever occurs and spikes to more than 104 F, or if there is extreme pain and vomiting, head to the emergency room. Doctors may have to quickly reduce swelling and inflammation and administer fluids intravenously to get the body back on track. Keep in mind that blisters from sun poisoning can get infected, so it is advisable to keep the skin clean and avoid picking at or popping blisters. Discuss any concerns about severe sunburn with a doctor. Frequent sunburns can be linked to accelerated skin aging and can put a person at a higher risk for skin cancer. Sun poisoning and sunburns are nothing to take lightly. These conditions are easy to prevent by being smart about sun exposure.

medical rehabilitation in a hotel like setting a tRaditioN of exCelleNCe iN health CaRe

a center for after-hospital specialty care

391 North Country Road Smithtown NY 11787 (631) 361-2020 http://www.smithtowncenter.com 138476

Understanding sun poisoning and sunburns

PAGE S20 • FOCUS ON HEALTH • JUNE 09, 2016

138814