Florida Health News - October 2010

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PAIDWEST PAlM BCH, Fl

PERMIT NO. 1340

FLORIDA HEALTH NEWSP.O. Box 213424

Royal Palm Beach, FL 33421

OCTOBER ISSUE • 2010 www.floridahealthnews-online.com

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Dr. Maharaj featured guest at Cell ScienceSystems. PAGE 5

Lizbeth Benacquisto for State SenatePAGE 10

Office Opening of Palm Beach Brain & Spine PAGE 13

Number of diabetic Americanscould triple by 2050

The Centers forDisease Control andPrevention estimate

that 1 in 10 havediabetes now, butthe number couldgrow to 1 in 5 or

even 1 in 3 by mid-century ifcurrent trends

continue. PAGE 7

Walking 6 to 9 Miles a WeekMay Help Save Memory PAGE 12

FLORIDAHEALTHNEWS-ONLINE.COM2 OCTOBER ISSUE • 2010

CONTRIBUTING ARTICLESU.S. Department of Health and Human Services,

ARA Content, Hispanic PR Wire, Centers for Disease Control and Prevention,METRO Editorial Services, Family Features,

© SEA PUBLICATIONS, INC.ALL RIGHTS RESERVED.Printed in United States.

By Dr. Mark Schor

Board Certified in Internal Medicine

Obama’s Health Care Reform Brings Back Interest In Hospitals Buying Up Physician Practices

CONTACT USP.O. Box 213424

Royal Palm Beach, FL [email protected]

SALES & ADVERTISINGGrace Edwards

Phone: (561) [email protected]

Michael AntoinePhone: (561) 685-3245

[email protected]

PUBLIC RELATIONSPhone: (561) 267-5232

[email protected]

GRAPHIC DESIGNSergio Aguilar (561) 716-5054

[email protected]

Florida Health News is a newspaper published every month in Palm Beach county and surrounding areas. Copyright 2010, all rights reserved by SEA Publications, Inc. Contents may not be reproduced in any form without the written consent of the publisher. The publisherreserves the right to refuse advertising. The publisher does not accept responsibility for advertisement error beyond the cost of the advertisement itself. All submitted materials are subject to editing.

Ican remember the craze in

the early 1990’s when there

was a trend for hospitals and

healthcare systems to buy

physician practices. Remember all

the talk about MSOs? (Medical

Service Organization). But after

this initial wave, there was a big

crash, as most of these practices

lost money.

Yet interest has revived. A gro-

wing numbers of physicians are

selling their medical practices to

hospitals and health systems. This

is creating a noticeable reduction

in the number of private practices

in the United States.

For example, Crouse hospital of

Syracuse NY has bought the

area’s biggest primary care doc-

tors’ practice, Internist Associates.

This practice has 15 doctors, five

nurse practitioners and 90 em-

ployees who care for about 40,000

patients. Its doctors have become

employees of a new subsidiary

created by Crouse, Crouse Med-

ical Group PLLC,

Experts say the deal may be just

the first in a wave of medical prac-

tice acquisitions by hospitals all

over the United States and could

foreshadow big changes in the

way Americans receive health

care.

Why The New Interest?A major focus of national health

care reform is to integrate what is

now a largely fragmented health

care system where there’s often

little or no communication among

doctors, hospitals and other health

providers caring for the same pa-

tients. To accomplish this, the

Obama government wants doctors,

hospitals and other providers to

share payments and financial in-

centives for improving care and

cutting costs. “Getting a more in-

tegrated delivery system is going

to be the way future care will be

delivered and paid for,” said Dr.

Paul Kronenberg, Crouse’s CEO

and a former partner in Internist

Associates. “The goal is to get pri-

mary care doctors and the hospital

working more closely together to

care for patients.”

With Medicare and other payers

looking to bundle costs and tie re-

imbursement to quality, hospitals

are buying up physician practices

to put all the players on the same

team. With physicians as employ-

ees, hospitals can more easily

align financial incentives around

quality measures to meet payer

goals. Hospitals offer physicians

access to sophisticated electronic

medical record (EMR) systems

and practice management that

takes the coding, billing and in-

surance headaches out of the

physician’s purview. A large prac-

tice within a hospital system also

means physicians spend fewer

nights and weekends on call.

Young physicians, for whom qual-

ity of life is a high priority, find

this arrangement more attractive

than independent practice.

It’s not just young physicians. Es-

tablished physicians are shopping

their practices around to the local

hospitals because they would

rather be employees than in pri-

vate practice.

What Can Go Wrong?Remember that by the late 90’s

MSO deals were falling apart,

with hospitals saying the now

salaried doctors were not working

hard enough, and the doctors say-

ing that the hospital administra-

tors mismanaged the practice by

driving away loyal staff and telling

them how to practice medicine.

History can repeat itself. If hospi-

tals pay too much for a practice,

don’t get revenue from ancillary

services, don’t provide incentive

for physicians to work hard, try to

use a hospital system for physi-

cian billing, and offer hospital

level benefits to employees that

were costing the practice less,

these physician office buyouts will

fail again.

But this time around hospital ad-

ministrators are smarter. So are

physicians. Obama’s heath care

reform pressures can make it

work this time if the practice ac-

quisition is gone about with more

realistic expectations and viable

strategies.

Jeff Atwater for Chief Financial Officer

Amarnath Vedere, M.D., Jeff Atwater, Krishna Tripuraneni, M.D., Dr. Javed Mohammed and Dr. Arun Thenappan.

Dr. Tanuja Vedere, Dr. Raj Bansal, Jeff Atwater, Dr. Kishore Dass, Dr. Shekhar Sharma and Mohan Pillai.

Padma Chigurupati, Farrah Javed and Dr. Lori Hansen. Jeff Atwater, Dr. Shekhar Sharma, Dr. Amarnath Vedere, Dr. Kishore Dass and Dr. Krishna Tripuraneni.

Jeff Atwater, Dr. Lori & Dr. Arthur Hansen.

On Sunday October 24, 2010 a reception was held for Jeff

Atwater for Chief Financial Office at the home of Dr.

Krishna Tripuraneni. Jeff Atwater's philosophy of balanced

budgets, fiscal discipline and tax cuts has helped keep

Florida's budget balanced even in a time of deep economic crisis.

“When Florida families have had to tighten their belts, it's time for

government to do the same,” says Atwater. Under his leadership, the

Senate cut a record amount of government spending.

Jeff Atwater has been an active member of the community serving on

several advisory boards such as United Way of Palm Beach County,

Boy Scouts of America, 5-Star Magnet Program of Palm Beach Gardens

High School and Roger Dean Stadium. He also served on the Board of

Directors of the Northern Palm Beaches Chamber of Commerce and

the Children’s Home Society of Broward County.

FLORIDAHEALTHNEWS-ONLINE.COM OCTOBER ISSUE • 2010 3

Arthur Hansen DPM, M.S.

You counted to make

sure all ten were there,

your baby’s toes, that

is; and then you com-

mented on how they looked like

your spouses. Those little feet

were, and still are, precious! They

will carry your child through

school and every activity he can

pronounce. They will proudly

sport the loudest sneakers avail-

able at Foot Locker. They will

carry him into adulthood, hope-

fully without limitations.

The truth is foot health in kids of

all ages is sorely neglected unless

the problem becomes so severe

that the child limps or complains

of pain. This can lead to all sorts of

little problems that can turn into

big ones if not caught early. Par-

ents need a bit of a foot health

primer, so below are some com-

mon foot problems in children and

how they should be treated.

Keep an Eye on those FeetMost serious foot problems are

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caught fairly quickly after a baby

is born. The really bad things con-

genitally are picked up almost im-

mediately, so where the parents

become important in diagnosing

foot problems is when the child is

at least 3 or 4 years old. Up to

about age 4, kids just pick their

feet up and put them down.

Around age 4 is when they de-

velop a heel/toe gait. This is when

foot problems can begin to mani-

fest themselves. Some things to

look for:

• Limping

• A child not participating at the

level that is normal for their age or

grade range because their legs get

tired

• Any discrepancy between the

feet, such as one foot turning out

more than the other or one foot

flatter than the other

While the parent needs to start be-

ing vigilant when the child is

about 4 years old, that doesn't

mean that foot problems can't oc-

cur or start beyond that point. Here

is a list of common foot problems

that can occur through adoles-

cence.

Flat FeetUsually, pediatric flatfoot – also

known as flexible flatfoot – isn't a

problem and often resolves itself

by age 10 or 12. However, it

should be evaluated and monitored

both to be sure it resolves itself

and to be sure that it is not causing

the child any foot or leg pain or

causing the child to adjust his gait,

which can lead to other problems.

Treatment is usually pretty simple

and is merely a question of the

proper support, unless it does not

resolve itself. In the latter case,

surgery may be indicated.

Heel PainAlso referred to as Sever's Dis-

ease, heel pain is very common in

children aged 8 to 12. We are see-

ing more and more of this condi-

tion now that it's become common

for children to do a sport 12

months of the year. Depending

upon the severity, a hiatus from

sports may be necessary to give it

a rest. This is most commonly seen

in boys, but as girls become more

active in athletics, they are also

presenting with more foot prob-

lems. Also, the habit of putting

one's shoes on without untying

them is stressful for the foot and

heel and should be avoided.

Tarsal CoalitionAs the term "coalition" implies,

this is when two or more bones in

the foot are joined. The condition

presents as a flatfoot, but usually

just on one side and the foot is

rigid rather than flexible. This is

most commonly seen from age 8

through the teen years. It's a more

serious situation than the tradi-

tional flatfoot, and can alter the

way a child walks and can lead to

stiffening of the foot, difficulties in

gait and early arthritis.

In-ToeingWhen I was a kid this was referred

to as being "pigeon toed," and my

baby brother (now 35!) was in

braces from age 3 to 5 to "cure"

his pigeon toes.

Most of the time, children will out-

grow this but on occasion need

some ‘help’ to promote a straighter

gait.

HyperhidrosisMore commonly known as

sweaty;smelly feet, this is not nec-

essarily a hygiene issue. It's merely

that some people's feet sweat more

than others, and that perspiration

causes them to smell. Controls in-

clude changing socks more fre-

quently and using an antiperspi-

rant on the feet. If that doesn't do it,

there's a stronger medication that a

podiatrist can prescribe. It's im-

portant to treat this condition, be-

cause it can lead to other problems

from the constant moisture, in-

cluding the next two.

WartsWarts are very common in ado-

lescence, especially in those with

hyperhidrosis. It has been esti-

mated that 90 percent of kids with

warts also have hyperhidrosis.

Warts can be difficult to get rid of

because they are caused by a virus.

They can be painful if they are on

a weight-bearing surface. They

can also get too near a nerve and

cause pain.

Athlete's FootAgain, hyperhidrosis can exacer-

bate this. It is a fungal infection of

the skin on the feet. As for treat-

ment, there are a number of topical

treatments for athlete's foot.

Ingrown ToenailThis can be serious if left un-

treated because it can become in-

fected, and a big cause of infec-

tion in teenagers and adults is

bathroom surgery. In other words,

when they try to dig out an in-

grown toenail, it becomes in-

fected. In a case where a child is

also diabetic, this can be a disas-

ter. Long term infections of in-

grown nails can lead to bone in-

fections requiring surgery and

long term intravenous antibiotics.

Think about how much your child

depends on his feet to get him

where he's going. When you do,

it's easy to see how taking good

care of the feet now can only help

your child out later.

Ten Little Toes.....

Interactive Video GamesLinked to InjuriesSports injuries arecommonplace, but injuriesfrom playing interactivevideo games such asNintendo Wii are now onthe rise, new researchshows, with even childrenwho are bystanderssometimes getting hurt.

However, one expert said

the odds of being in-

jured while playing an

interactive video game,

or of being injured while watching

someone else play, are small and

probably not a serious problem.

"It would not appear right now that

interactive games put anybody at

more risk than traditional gam-

ing," said Dr. Judy Schaechter, as-

sociate chair of pediatrics and di-

rector of the Injury Free Coalition

for Kids at the University of Mi-

ami Miller School of Medicine,

who was not involved in the study.

In fact, interactive games may be

more beneficial than traditional

video games, she added. "I am

happy to get people up and mov-

ing. I prefer them to do an inter-

active game if it means that they

are physically moving."

Schaechter noted that most of the

bystander injuries were among

young children. "Know where the

children are," she said. "Remem-

ber it's only a game."

And Schaechter still believes it's

better to go outside and play a

truly interactive game with chil-

dren that's "more healthful, better

for relationships and doesn't lead

to those kind of injuries."

The results of the study were to be

presented Monday at the Ameri-

can Academy of Pediatrics Na-

tional Conference and Exhibition

in San Francisco.

For the study, a team led by Dr.

Patrick O'Toole, from the division

of orthopedics at the Children's

Hospital of Philadelphia, used the

National Electronic Injury Sur-

veillance System to collect data

on all video game-related injuries

from January 2004 to January

2009.

During that time, the re-

searchers identified 696 video

game-related injuries. Among

these, only 92 injuries were tied

to interactive video games, in-

cluding 49 among males and 43

in females.

Compared with traditional video

games, those playing interactive

video games were more likely to

injure their shoulder, ankle or

foot. In addition, they were also

more likely to have cuts or

bruises, strains or sprains, O'-

Toole's group found.

However, the 65 reported

seizures, the eight reported

cases of eye pain or visual dis-

turbance, and 23 of the 24 cases

of neck injuries were all among

those playing traditional video

games, the researchers found.

Injuries to bystanders occurred

in both traditional and interac-

tive video games, but happened

significantly more often with

interactive games.

"This study details injuries sus-

tained while participating in in-

teractive and traditional video

games," O'Toole said in a state-

ment. "Younger children under

the age of 10 should be super-

vised while video games are be-

ing played to prevent bystander

injuries, which are more com-

mon with interactive games."

When expectant mothers

get a flu vaccination,

they not only protect

themselves throughout their preg-

nancy but may also help safeguard

their babies against flu for the first

few months of life.

A study published online in the

Archives of Pediatrics & Adoles-

cent Medicine found that when

women were vaccinated in the sec-

ond or third trimester of preg-

nancy, their babies were signifi-

cantly less likely to get the flu,

and the babies' blood showed evi-

dence of antibodies to the flu.

"Influenza infection among young

infants can be a serious illness,"

said the study's senior author, Dr.

Katherine O'Brien, a pediatrician

and professor in the department of

international health at Johns Hop-

kins Bloomberg School of Public

Health in Baltimore.

"There are several ways of pro-

tecting young infants against in-

fluenza. One is to assure that those

in contact with young infants are

immunized for influenza. Other

ways are to practice good hygiene

and hand washing, as well as

keeping infants away from people

who are known to be ill. And, this

study shows if the pregnant

mother is immunized during preg-

nancy, it affords protection to the

infant," she noted.

Infants under 6 months old are

more likely to be seriously ill or to

die from flu infections than older

children, according to background

information in the study. But, the

Mom's Flu Shot MayProtect Baby After Birth

4 OCTOBER ISSUE • 2010 FLORIDAHEALTHNEWS-ONLINE.COM

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More U.S. Kids Getting Hurt Using All-Terrain Vehicles

Among U.S. children

younger than 18, hos-

pitalizations for all-ter-

rain vehicle (ATV) in-

juries increased 150 percent

between 1997 and 2006, new re-

search shows.

The most dramatic increases in in-

jury rates occurred in the South

and Midwest and

among teens aged 15 to

17. Males in that age

group have the high-

est rate of ATV-re-

lated hospitalization,

but females aged 15 to

17 had the sharpest rise -

- 250 percent -- in ATV hospital-

izations during the study period.

"All-terrain vehicles are inherently

dangerous to children," lead author

Stephen M. Bowman, an assistant

professor at the Johns Hopkins

Center for Injury Research and Pol-

icy, said in a Hopkins release.

"While manufacturers are required

to label vehicles with

engine sizes greater

than 90cc as inap-

propriate for

c h i l d r e n

y o u n g e r

than 16,

our data in-

dicate that a

growing number of

children are receiving serious

injuries due to ATV use, sug-

gesting that parents are unaware

of these recommendations or

are choosing to ignore them,"

he said.

The analysis of national data

also showed that rates of hospi-

talizations for ATV-related

moderate to severe traumatic

brain injury tripled between

1997 and 2006.

The researchers called for a re-

newed effort by public health

officials, the ATV industry and

the U.S. Consumer Product

Safety Commission to tackle

the issue.

influenza vaccine isn't ap-

proved for children under 6

months of age.

Young babies may acquire anti-

bodies against some strains of

influenza from their mothers'

blood, but this immunity may

not match the currently circulat-

ing strains of flu often covered in

the current year's vaccine.

To assess whether a vaccine

given to the mother would pro-

vide any immunity to her off-

spring, the researchers fol-

lowed 1,160 mothers who gave

birth during one of three in-

fluenza seasons.

The researchers found a 41 per-

cent reduction in the risk of lab-

confirmed flu infection in ba-

bies whose mothers received

the influenza vaccine. Babies

born to mothers who received

the flu immunization also had a

39 percent decreased risk of be-

ing hospitalized because of flu.

When the researchers tested

blood samples from the infants,

they found that babies whose

moms had been vaccinated had

higher levels of antibodies

against the strains of flu in-

cluded in the vaccines than ba-

bies whose mothers chose not

to be immunized.

O'Brien said she believes these

findings can be generalized to

other populations. "There's no

reason to believe this wouldn't

be an important strategy for

protecting all infants," she said.


The South Florida Bone Marrow StemCell Transplant Institute under themedical direction of Dr. Dipnarine

Maharaj provides treatment forpatients using chemotherapy and

autologous stem cell transplant.

THE SOUTH FLORIDA BONE MARROW STEM CELL TRANSPLANT INSTITUTE10301 Hagen Ranch Road, Suite 600, Boynton Beach, Florida, 33437.

Please call 561-752-5522 to make an appointment. Visit www.bmscti.org for more information.

SOUTH FLORIDABONE MARROW STEM CELLTRANSPLANT INSTITUTE AT BETHESDA HEALTH CITY

Have you or a loved one been recently diagnosed with ahematological cancer such as leukemia, Non-Hodgkin’slymphoma, or multiple myeloma? Do you know that thechances of developing a hospital-acquired infection are higherin patients diagnosed with a hematological malignancy? Do you know that there is a completely outpatient treatmentcenter for patients with these kinds malignancies in the Stateof Florida fully operational in this location since 2001?

Dr. Dipnarine Maharaj Featured Guest at Cell Science Systemsto discuss Reducing Inflammation and Risk for Cancer

Speech to focus oninflammation,cancer andhealthy stem cells

Deerfield Beach, FL –

Dr. Dipnarine Maharaj,

MD, FACP of The

South Florida Bone

Marrow/Stem Cell Transplant In-

stitute was the featured speaker at

Cell Science Systems / The AL-

CAT Laboratories on Monday,

October 18, 2010. The topic of his

speech was How to Reduce In-

flammation and Risk for Cancer

by Collecting and Storing Healthy

Stem Cells. It highlighted the im-

portance of how stem cell therapy

can benefit patients.

Roger Deutsch, President and

CEO of Cell Science Systems, and

author of the book, Your Hidden

Food Allergies Are Making You

Fat, also spoke at the dinner dis-

cussion. “We were delighted to

have Dr. Maharaj as our guest to

lecture about this increasingly im-

portant topic. It is a valuable ad-

dition to any regenerative integra-

tive medical practice” said

Deutsch.

Dr. Maharaj is dedicated to refin-

ing Bone Marrow Stem Cell trans-

plant treatments in order to

achieve the highest quality of care

possible. Dr. Maharaj is also an

accomplished author and frequent

speaker. He has published several

Michelle Mohamed of ALCAT andDr. Maharaj.

Robyn Maharaj from the Instituteand Lee Rolnick of ALCAT.

Roger Davis Deutsch, ALCAT founder and CEO with several participants.

scientific papers in journals such

as, Biology of Blood and Marrow

Transplantation, British Medical

Journal, and, The Lancet. “I chose

to study Hematology/Oncology to

make a real difference in the qual-

ity of cancer care and to help

change people’s lives for the bet-

ter. My education helped shape me

as a doctor and as a person. But for

me, learning never ends. My pa-

tients are far too important” stated

Maharaj.

Dr. Maharaj has extensive experi-

ence in performing outpatient

bone marrow / stem cell trans-

plants since 1995. He has demon-

strated that the majority of patients

can be treated safely with mini-

mal complications on a totally out-

patient basis. This has been

achieved by close monitoring and

early intervention through all

phases of the treatment by the

same staff. Patients who receive a

totally outpatient bone marrow /

stem cell transplant return home

following treatments and remain

with family and loved ones.

Every day, lives are changed as a

result of the South Florida Bone

Marrow / Stem Cell Transplant In-

stitute. Under the direction of Dr.

Dipnarine Maharaj, The South

Florida Bone Marrow / Stem Cell

Transplant Institute offers a full

range of outpatient treatments for

many hematologic cancers includ-

ing: Non-Hodgkin’s Lymphoma,

Hodgkin’s Lymphoma, Leukemia,

and Multiple Myeloma. There are

also other treatments such as im-

munotherapy for cancers. Patients

are cared for by a team of highly-

skilled professionals with exten-

sive training and experience in

treating cancers that react favor-

ably to stem cell transplants. This

specialized approach helps pa-

tients whose cancer has shown lit-

tle or no response to other methods

of treatment.

Cell Science Systems., Corp.

(CSS), located in Deerfield Beach,

Florida, is a life sciences company

and the worldwide market leader

in food sensitivity testing as the

manufacturer of the ALCAT Test.

ALCAT identifies cellular reac-

tions to over 350 foods, chemicals

and herbs. These inflammatory re-

actions are linked to chronic health

problems like obesity and dia-

betes, as well as skin, heart, joint,

and digestive disorders. CSS is ex-

panding research into the area of

cellular activity related to nutri-

tion, immune function and other

aspects of regenerative medicine.

For more information on Cell Sci-

ence Systems visit www.ALCAT.

com. For more information on The

South Florida Bone Marrow /

Stem Cell Transplant Institute visit

www.BMSCTI.org.

Dr. Dipnarine Maharaj discussing about how to Reduce Inflammation and Risk for Cancer by Collecting andStoring Healthy Stem Cells.


A Message from Nancy G. BrinkerFounder and CEO of Susan G. Komen for the Cure®

My sister Suzy was

born in Peoria, Illi-

nois, in the fall of

1943. The very mo-

ment the American dream was

about to come true. She was three

years old when I was born. Mom

says Suzy peeked over the edge of

the bassinet and said, “Well! She’s

quite a character!” We were best

friends from that moment on.

Suzy and I grew up watching our

parents put faith into action. We

learned the importance of volun-

teering and people coming to-

gether with a purpose. Suzy was

the queen bee of the neighbor-

hood—very sweet, but she had her

mischievous streak. When Suzy

was grounded, I was the hostage

negotiator. When Suzy exceeded

her curfew, I was the peace envoy.

When Suzy died, my life’s work

was born.

Millions of people know the name

Susan G. Komen. Her name has

become an icon for breast cancer

awareness. But I wanted you to

know the real Suzy—the Suzy I

loved—a bright little girl, the

homecoming queen in her dress

with pink ribbons, the young

woman who loved art and longed

to see the world, the dedicated

mother who fought for every last

moment with her children. Her

death set a dramatic series of

events in motion, but first and fore-

most, I wanted to share her life.

This was a real woman, just like

your sister, your daughter, your

best friend.

When Suzy was diagnosed with

breast cancer in her early thirties

we faced this thing with such lim-

ited information. There were no

websites, no support groups, very

limited treatment options. The les-

sons learned are so important.

We are the CEOs of our bodies.

From the beginning, Susan G.

Komen for the Cure® has sought

to empower women with knowl-

edge, access to care, and better

treatment that comes from a wider

understanding of this disease.

Working as a team with your

physicians and caregivers, you can

develop a strategy that works for

you.

Just before Suzy died, she said,

“Promise me, Nanny. Promise me

you’ll change it so other families

won’t have to go through this.” I

told her, “I promise. If it takes the

rest of my life.” I didn’t realize at

the time that it actually would.

However, in the wake of all the

work left to be done, I am re-

minded daily how much family

matters. I am blessed to have my

mother by my side who remains

sharp and spry at the age of 89.

Along with my son, Eric, who

now serves on the Susan G.

Komen for the Cure® board of

directors.

What started as a small group of

committed women in my living

room in Dallas has grown to a

movement that reaches around the

world. Our local Affiliates—from

Illinois to Italy—are peopled with

remarkable volunteers. The Susan

G. Komen Race for the Cure®

marches on, tens of thousands

strong. These are the people who

redefined grassroots while our cor-

porate partnerships redefined

cause related marketing. We lit up

the White House in pink. We lit up

the great Pyramids in pink. To-

gether we changed the culture and

science of breast cancer in Amer-

ica. Now we’re reaching out to

women around the world.

You can join us in the global

movement to end breast cancer

forever. Learn more at komen.org.

On October 22th,2010 was held aHappy Hour to raisemoney for Save theTata’s, on WhiteHorse Tavern,sponsored by SouthFlorida RadiationOncology, All 4 OneHome Care &IndependentImaging. Save theTata’s was raising money for themaking Strides against BreastCancer, A 5K non competitivewalk sponsored by The AmericanCancer Society.As Celebrity Bar Tenders were:Dr. J. Zeltzer, Dr. ShekharSharma, Dr. Kishore Dass, Dr. Anthony Addesa, Ravi Patel,Brian gross and Dr. ArthurHansen.

Celebrity Bartender Night


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Number of diabetic Americans could triple by 2050

Many obesepeople see noneed to loseweight

NEW YORK – A substan-

tial proportion of obese

people don't think they're

too fat, new research shows.

Among more than 2,000 obese

Dallas County residents surveyed

in 2000-2002, 14 percent of

African Americans and 11 percent

of Hispanics -- but just 2 percent

of whites -- believed that they did

not need to lose weight, Dr.

Tiffany M. Powell of the Univer-

sity of Texas Southwestern Med-

ical Center in Dallas and her col-

leagues found.

People who misperceived their

body size were happier with their

health, and felt healthier, than

those who did recognize their obe-

sity; they were also more likely to

think they were at low risk of de-

veloping high blood pressure or

diabetes or having a heart attack

during their lifetimes. In fact, two-

thirds of people with body size

misperception thought they were

at low risk of becoming obese.

The study "points to really a lack

of understanding about the effects

of obesity," Powell told Reuters

Health. At the same time, she

added, "you walk a fine line, be-

cause you don't want people to

necessarily have an unhealthy

body image, but you also want

people to understand that they

need to lose weight."

It's possible, according to Powell,

that heavy people's self-percep-

tions are changing because over-

weight and obesity are becoming

so much more common. "There is

this tendency that if everyone

around you looks a certain way,

you either want to look that way or

you're comfortable looking the

way you are," Powell said.

The Centers for Disease

Control and Prevention

estimate that 1 in 10

have diabetes now, but

the number could grow to 1 in 5 or

even 1 in 3 by mid-century if cu-

rrent trends continue.

"This is alarming," said Ann Al-

bright, director of the CDC's Di-

vision of Diabetes Translation.

The agency's projections have

been a work in progress. The last

revision put the number at 39 mi-

llion in 2050. The new estimate

takes it to the range of 76 million

to 100 million.

An estimated 24 million Ameri-

cans have diabetes currently.

The new CDC calculation ac-

counts for people who have dia-

betes but are undiagnosed — a

group that wasn't figured into ear-

lier estimates, explained Edward

W. Gregg, chief of the CDC

branch that handles diabetes epi-

demiology and statistics.

Also, the researchers used new

population growth estimates for

the elderly and minorities, who

have higher rates of Type 2 dia-

betes, he said.

One more factor: Diabetics are liv-

ing longer, thanks to improve-

ments in medical care, he added.

Diabetes is a disease in which the

body has trouble processing sugar.

It was the nation's seventh leading

cause of death in 2007.

In the classic form of diabetes, tra-

ditionally diagnosed in children or

young adults, the body does not

produce enough of a hormone

called insulin to help sugar get into

cells. That's Type 1 diabetes.

Another form of diabetes, Type 2,

now accounts for about 95 percent

of cases. In that kind, the body's

cells resist insulin's attempts to

transport sugar. Type 2 is most

common in people who are over-

weight and obese, in people 60

and older, and in African-Ameri-

cans and other minority groups.

The growth in U.S. diabetes cases

has been closely tied to escalating

obesity rates. Recent CDC data

suggests obesity rates may have

recently leveled off. But the new

estimates should hold up even if

obesity rates remain static, CDC

officials said.

The new estimates were published

by the journal Population Health

Metrics.

ATLANTA – As many as 1 in 3 U.S.adults could have diabetes by the year2050, federal officials announced in adramatic revision of earlierprojections.

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Shekhar V. Sharma, M.D.

Board Certified in Internal Medicine

Dr. Sharma has relocated his office in Belle Glade to 1200 South Main Street,

Suite 101 (opposite the Old Glades GeneralHospital). Dr. Sharma will be seeing patients

at this location along with his nurse practitioner Grace VanDyk.

He is currently accepting New Patients

and the office accepts most insurances

Please call 561-996-7742for an appointment.

Should you see the doctor o not???

You wake up in the

morning. It is your

40th birthday and you

feel you may be over

the hill as they say!! If you are a

woman you should think of having

a mammogram at the age of 40 as

this is recommended by the United

States Preventive services Task

Force and the American Cancer

Society. The ACS also recom-

mends an MRI for women who

are at a high risk of having breast

cancer. Part of the downside of an-

nual mammograms is identifica-

tion and testing of suspicious

lumps and masses that end up be-

ing non cancerous. Sometimes

these extra tests are patient di-

rected, and at other times these

tests stem from a physician’s fear

of a lawsuit threat.

If you are a male you would defi-

nitely want to have a Prostate Sur-

face Antigen Test or PSA Screen-

ing. Men who want to be screened

for prostate cancer should also

have a digital rectal examination

once a year.

After the age of 40 one should

think of running, jogging, or brisk

walking to maintain and improve

cardiovascular fitness. As long as

you have a strong heart it is never

too late to start an exercise pro-

gram. As we grow older our mus-

cle fiber shrinks in number and

size. This may result in a decrease

in cardiovascular endurance,

strength, balance and coordination.

Even most athletes experience a

decline around the age of 40.

If you are 40 plus female and you

are undergoing early menopause

and there is a family history of os-

teoporosis, and you have had a

fracture in your adult years, I

would recommend a Bone Min-

eral Density Test (BMD). The U.S.

Preventive Services Task Force

recommends a Bone density Test

for all 65 and older at least once a

year.

At 50 years of age a lot of people

are not aware that this is an age

one has to have a screening

colonoscopy to rule out colon can-

cer. Annual Physicals are a must

and this entails drawing blood for

lab tests. These lab tests should

screen for diabetes mellitus, hy-

percholesterolemia, kidney and

liver diseases and anemia. Tests

for various ailments that match the

complaints can be done by your

physician. An annual physical

exam also screens for hyperten-

sion. This is why your primary

care physician is the captain of

your health and will guide and di-

rect you to having a healthy life.

Chronic Pain Part of Life forMany Americans, Survey FindsExperts call this aserious, unaddressed

public health issue.

Nearly 70 percent of

Americans say that

they or someone they

care for experienced pain in the

previous 30 days, a recent sur-

vey shows.

Release of the American Os-

teopathic Association (AOA)

poll is part of its public educa-

tion campaign to encourage

people with chronic pain to

seek help and resources.

More than 76 million Ameri-

cans live with pain every day,

and chronic pain affects more

Americans than cancer, dia-

betes and heart disease com-

bined, according to the group.

"Chronic pain is a very serious

and unaddressed public health

issue, and many people are re-

luctant to speak to their physi-

cian for fear of feeling hope-

less, or simply not knowing how

to initiate the conversation," Dr.

Robert I. Danoff, of Aria Health

System in Philadelphia, said in an

AOA news release.

"It is important for physicians and

their patients to work together to

address the issue of pain."

Among the other survey findings:

48 percent of respondents don't

believe that proper treatment can

ease chronic pain.

41 percent believe pain is a normal

part of aging, and 10 percent sim-

ply ignore the pain.

36 percent would refuse doctor-

recommended or doctor-pre-

scribed pain medication for fear

of becoming addicted.

34 percent believe pain medica-

tions that cause side effects are

worse than pain itself.

31 percent would not speak to a

doctor about their pain for fear

they could not afford treatment.

Only 18 percent would speak to a

specialist if they were suffering

chronic pain.


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Andrew Schaller for County Commissioner District 6

Afundraiser was

held for Andrew

Schaller at the

Polo Country Club

on October 20th 2010.

Andrew Schaller is running

for County Commissioner,

District 6 as an independent

candidate. His goal is to make

sure other citizens seeking the

representation of the District

6 Commissioner have the

quality representation they

deserve and positive results

they desire.William Grear, Mayor Bowen, Andrew Schaller, David Swift and Michelle demone.

Angela Baker and John Walsh.

Laura Hanley, Heather Landstrom and Cheryl Carpenter-Kilmak.

Dr. Shekhar Sharma, Dr. McClellan, Grace Edwards and Dr. Dana Desser.

Brandon Allert, Chris Schwartzwalde, Tina & Alan Seymor.

Bryan Artigas and Shephany Demaria.

Elzie Dawson, Giluio Panzano and Cheryl Glass.Mike Stone, Mayor Bowen, Michael Sexton, David Swift, Andrew Schaller, Dr. Shekhar Sharmaand Giluio Panzano.

Cindy Bovay and Felicia Sauers.


Lizbeth Benacquisto for State Senate

Mrs. Cheryl & Victor Genchi, Dr. Shekhar & Ranjita Sharma, Jeff Atwater and Lizbeth Benacquisto. Craig Cuden, Lizbeth Benacquistoand Dr. Ellis Webster.

Eric and Erin Nova.Deanna Miller and Beth Berkowitz.Amber Ackerman, Dr. JoshuaAckerman and Bobbi Ackerman.Amber Ackerman, Dr. JoshuaAckerman and Bobbi Ackerman.

Louis Morgenier, Kevin & Gina Staten.

Dr. Bill and Sherine Hansen.

Dr. Kishore Dass, Bland Eng, Ravi Patel and Sharon Mineo.

Dr. Lori Hansen, Mohan Pillai, Lizbeth Benacquisto, Sharon Mineo, Staciand David Martin.

Lizbeth Benacquisto and Dr. BennyMenendez.

Maria Becker, Lizbeth Benacquisto, Dr. Eddie Becker, Heidi and Dr. MartinHarland

Bland Eng, Dr. Arthur Hansen, Lizbeth Benacquisto, Dr. Lori Hansen andHarvey Montijo.

Jyetsna and Arvind Ajinkya.

Cheryl and Dr. Victor Genchi and Dr. Chandra Venugopal. Jhawed Khayoumi, Katiann Susichand Holly Gordon.

Barbara Tarantino and HeatherCarmichael ARNP.

Therese Andrews and Dr. DianeReisinger.

Sharifa & Dr. Ishan Gunawardenewith Lizbeth Benacquisto.

Dr. Anthony and Mrs. Adessa.Anand Patel, Mina Patel, Ravi Patel, Lata Patel and Kiran Patel.

On Friday October 1,

2010 a reception was

held for Lizbeth Be-

nacquisto for State

Senate at the home of Dr. Shekhar

and Ranjita Sharma.

Lizbeth Benacquisto was first

elected Wellington Councilwoman

in 2002 to represent the Village of

Wellington, and was re-elected

through the conclusion of her term

in 2010. She is running to repre-

sent State Senate District 27; the

seat Senator Dave Aronberg is va-

cating to seek the office of

Florida’s Attorney General.


Soy May Reduce BreastCancer Recurrence: StudyBut benefit wasonly seen inpostmenopausalwomen and thetrial was small.

For women past menopause

who have had breast can-

cer, a higher intake of soy

may help reduce the risk of the

disease's recurrence, a new study

of Chinese women suggests.

The same link was not found in

premenopausal women with

breast cancer, whatever their soy

intake, the study authors said.

The study, while called intrigu-

ing by U.S. experts, was not

large and included only women

with breast cancer receiving care

in China. It's not known if the

results would apply to other

groups of women, said Marji

McCullough, a spokeswoman

for the American Cancer Society.

"Chinese women may have

been likely to have a lifelong

high consumption of soy," she

said. "We don't know whether

starting on a diet high in soy af-

ter a breast cancer diagnosis

would have the same effect as

eating a lifelong diet high in

soy."

For the study, Dr. Qingyuan

Zhang of the Cancer Hospital

of Harbin Medical University in

Harbin, China, evaluated 524

women who had undergone

breast cancer surgery between

August 2002 and July 2003.

They were receiving endocrine

therapy such as anastrozole

(Arimidex) or tamoxifen to re-

duce cancer recurrence risk.

The researchers measured the

women's dietary intake of soy

isoflavones at the start of the

study, and then followed them

for about five years to see if

breast cancer recurred.

For the premenopausal women,

soy had no apparent effect on the

risk of subsequent breast cancer.

But postmenopausal women

with the highest intake of soy --

more than 42.3 milligrams of soy

isoflavones a day -- had a 33 per-

cent reduced risk of cancer re-

currence. For patients receiving

anastrozole and whose breast

cancer was estrogen receptor-

positive and progesterone recep-

tor-positive, the risk reduction

link was even stronger.

The study findings were pub-

lished in CMAJ (the Canadian

Medical Association Journal).

Vigilance Against Skin CancerMay Lead to Lack of Vitamin D

People with a genetic pre-

disposition to basal cell

carcinoma -- the most

common form of skin

cancer -- may trade one health risk

for another, a new study suggests.

Because people with basal cell ne-

vus syndrome (BCNS) tend to de-

velop multiple basal cell skin can-

cers in early adulthood and so take

more precautions against sun ex-

posure, they may also run a higher

risk of being deficient in vitamin

D, report researchers in the Octo-

ber issue of Archives of Derma-

tology.

"We found that patients with skin

cancer who practice very good

photoprotection [sun protection]

have lower vitamin D levels," said

Dr. Jean Tang, lead author of the

study. "This makes sense because

they're avoiding sunlight and sun is

required to synthesize vitamin D."

But having healthy levels of the

nutrient may be necessary to pro-

tect against cancer, broken bones,

heart disease and even some au-

toimmune diseases.

The study authors looked back at

the medical records of 41 patients

with BCNS who had previously

been involved in a trial to see if the

non-steroidal anti-inflammatory

drug Celebrex (celecoxib) might

prevent against basal cell carcino-

mas. According to the authors,

Celebrex is not known to affect

vitamin D levels in the body.

These individuals were matched

against 360 men and women who

did not have the cancer syndrome

but who were of similar ages, sim-

ilar weight, similar UV (ultravio-

let) exposure and who lived in

similar geographic areas

Eighty percent of the BCNS pa-

tients said they used sunscreen

every day, avoided the sun during

its hottest hours in the middle of

the day and wore long-sleeved

clothing.

And in this sample, 56 percent of

participants with BCNS had too-

low levels of vitamin D -- three

times as many as in the control

group.

"Most likely," said Tang, "the fact

that skin cancer patients avoid

sunlight is probably the number-

one contribution to why they have

low vitamin D levels, because the

major difference between the two

groups was that the skin cancer

patients were practicing good pho-

toprotection."

But at this point, the evidence for

a link between sun protection and

vitamin D deficiency is still an in-

direct one, said Dr. Vijay Trisal, an

assistant professor of surgical on-

cology at City of Hope Cancer

Center in Duarte, Calif., who was

not involved in the study.

He also noted that a large number

of people both with and without

histories of skin cancer have vita-

min D levels that are deficient.

Rather than basking in the sun or

trading long-sleeved shirts for

sleeveless, the authors suggest that

wider screening of vitamin D lev-

els would be a first step in resolv-

ing this problem. Vitamin D sup-

plementation for those who are

deficient could follow, said Tang,

who is assistant professor of der-

matology at Stanford University

Medical Center.

Right now, the recommended

daily allowance of vitamin D is

400 international units, but the In-

stitute of Medicine is currently re-

visiting those numbers. A new re-

port is expected at the end of

November, Tang said.

The bottom line, according to

Trisal: "It's easy to get adequate

doses of vitamin D by taking a

tablet."

But the sun-sourced nutrient can be obtainedthrough a supplement, experts note.


Walking 6 to 9 Miles a WeekMay Help Save Memory

Walking about six miles a

week appears to protect

against brain shrinkage in

old age, which in turn helps

stem the onset of memory problems and

cognitive decline, new research reveals.

"We have always been in search of the

drug or the magic pill to help treat brain

disorders," noted Kirk I. Erickson, an as-

sistant professor of psychology at the Uni-

versity of Pittsburgh and the study's lead

author. "But really what we are after may

be, at least partially, even simpler than

that. Just by walking regularly, and so

maintaining a little bit of moderate physi-

cal activity, you can reduce your likeli-

hood of developing Alzheimer's disease

and [can] spare brain tissue."

A report on the research, which was sup-

ported by the U.S. National Institute on

Aging, is published in Neurology.

Erickson and his colleagues began track-

ing the physical activity and cognitive (or

thinking) patterns of nearly 300 adults in

1989. At the start, all participants were in

good cognitive health, they averaged 78

years old and about two-thirds were

women. The researchers charted how

many blocks each person walked in a

week.

Nine years later, they were given a high-res-

olution MRI scan to measure brain size. All

were deemed to be "cognitively normal."

But four years after that, testing showed

that a little more than one-third of the par-

ticipants had developed mild cognitive

impairment or dementia.

By correlating cognitive health, brain

scans and walking patterns, the research

team found that being more physically ac-

tive appeared to marginally lower the risk

for developing cognitive impairment.

But more specifically, they concluded that

the more someone walks, the more gray

matter tissue the person will have a

decade or more down the road in regions

of the brain -- namely the hippocampus,

the inferior frontal gyrus and the supple-

mentary motor area -- that are central to

cognition.

And among the more physically active

participants who had retained more gray

matter a decade out, the chances of devel-

oping cognitive impairment were cut in

half, the study found.

However, the researchers stressed that the

relationship between walking and gray

matter volume appears to apply only to

people who regularly walk relatively long

distances that equal about six to nine

miles a week.

Walking more than the six- to nine-mile

range, however, did not have cognitive

benefit, the study found.

"That's because the size of our brain re-

gions can only be so large," Erickson said,

adding that the opposite isn't true. "So

with no exercise, there can be significant

deterioration and decay with age."

However, he added, "what we often tend

to think of as an inevitable component or

characteristic of aging -- memory decline

and brain decay -- is clearly not in-

evitable. There's plenty of evidence now,

and this study is part of that, that shows

that we can retain our brain tissue and re-

tain our memories well into late adulthood

by maintaining an active and engaged

lifestyle."

Dr. Steven V. Pacia, chief of neurology at

Lenox Hill Hospital in New York City, de-

scribed the study's finding as both "in-

triguing" and an "undoubtedly positive

message to send to the public."

"My first reaction to studies like this is

that only in America do we have to prove

to people that it's good to walk," he said

with a chuckle.

"But it stands to reason that being active

as we age is going to have a beneficial ef-

fect on the brain, just as being inactive is

going to have a negative impact," Pacia

noted. "Because the brain lives in the en-

vironment of the body."

But there may be a catch. "This is just an

observational study," Pacia noted. "And

while we may assume that the relationship

between the brain and activity is a preven-

tion-of-atrophy issue -- just like it is with

muscle and bone -- this study doesn't actu-

ally prove that. We don't yet know enough

about the use-it-or-lose-it notion with re-

spect to brain and exercise. So we do need

more research to look at that."

Brain's gray matter doesn't seem to shrinkwith this amount of exercise, study finds.


PALM BEACH

GASTROEnTEROLOGy

COnSULTAnTS, LLC

Call Us Today If You Suffer From Any Of The Following:

At Palm Beach Surgery Center we provide a safe and friendly enviroment, with a highly qualified and dedicated staff.A variety of procedures such as colonoscopy, endoscopy, gastroplications, ERCP, Liver Biopsy, 24 PH Monitoring/BRAVO

can be done at our facility thus avoiding the need for hospitalization.

Two Convenient Locations:

www.wellingtongastroenterology.com

WELLINGTON1157 South State Road 7Wellington, Florida 33414

561.795.3330

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561.996.5600

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Office Opening of Palm Beach Brain & Spine

On October 7th 2010

Dr. Amos Dare and

Dr. Faris Fakhoury

opened their new

location for Palm Beach Brain

and Spine at 1447 Medical Park

Bolevard Suite 101 on the

campus of Wellington Regional

Medical Center.

Dr. Dare has over ten years

experience in all types of brain

& spine surgery. Dr. Dare’s

specialty is using minimally

invasive neck & lower back

spine surgery.

Photos by Grace Edwards


8 Instant energizers - any time of day!

1Have bran for breakfast

Eating a morning meal rich

in fiber may make you

more alert during the day. A

Cardiff University study found

that subjects who ate a high-fiber

cereal in the morning showed a

10% reduction in fatigue, lower

incidence of depression, and

better cognitive skills. One theory:

Fiber helps slow down the

absorption of food in the stomach,

which keeps your blood sugar

levels steady to sustain energy

levels for a longer period of time.

2Order a small latte—

and sip it slowly

Experts say it's best not to

rely too heavily on

caffeine, but if you're an

unapologetic java junkie, try

spreading your intake out more

evenly over the day. Mini

servings of caffeine (8 ounces of

coffee or less) every few hours

keep you awake, alert, and

focused for longer than a single

jumbo one would, according to

sleep experts. "When you

quickly drink a large coffee, the

caffeine peaks in your

bloodstream much sooner than if

you spread it out over time," says

Harris R. Lieberman, PhD, a

research psychologist with the

US Army Research Institute of

Environmental Medicine.

3Gulp some water

"Half of the people who

come to me complaining

of fatigue are actually

dehydrated," says Woodson

Merrell, MD, executive director

of the Continuum Center for

Health and Healing at Beth Israel

Medical Center in New York

City. Staying hydrated is one of

the simplest ways to keep

energized and focused. A recent

study of athletes found that 92%

felt fatigued after limiting fluids

and water-rich foods for 15

hours; they also had lapses in

memory and reported difficulty

concentrating. Aim to drink

every hour or two so you don't

feel thirsty.

4Or steep a cup of tea

A recent report found that

pairing caffeine and the

amino acid L-theanine,

both present in tea, decreased

mental fatigue and improved

alertness, reaction time, and

memory. What's more, black

varieties can help you recover

from stress, according to

researchers at University College

London. In their study, adults

who drank tea four times a day

for 6 weeks had lower levels of

the stress hormone cortisol after

a tense moment, compared with

those who drank a tealike

placebo.

5Take a 10-minute walk

A short stroll can

invigorate the rest of your

day, suggests research

presented to the American Heart

Association. Women who walked

briskly for 70 minutes a week (or

10 a day) reported 18% more

energy than their sedentary peers

after 6 months. They also felt

more clearheaded and confident,

had fewer aches, and hoisted

groceries and climbed stairs more

easily.

Having a low-energy day? Sometimes the problem is lack ofsleep, but even if you’re well rested, certain diet or exercisehabits or other lifestyle choices can bring on a slump. Andsurprisingly little things—like the size of your Starbucksorder—can hurt or help your energy levels. Make some ofthese tweaks to recharge your batteries and power throughyour day.

6Copy your kid's lunch

... If it's a banana and

peanut butter sandwich.

Bananas pack potassium,

a mineral your body needs to

convert sugar in your blood into

energy, says energy expert Susan

Lark, MD, author of The

Chemistry of Success: Six

Secrets of Peak Performance.

The peanut butter is high in

magnesium, which gives your

cells much-needed energy. Aim

for 320 mg of magnesium and

4,700 mg of potassium daily.

Other good sources of potassium

and magnesium: fruits,

vegetables, beans, and nuts.

7Cue up your iPod

Feeling dazed at your

desk? Consider listening

to music while you work.

One study found that employees

who donned headphones while

they worked were 10% more

productive than without them.

8Order the seaweed salad

If your go-to Japanese

appetizer is miso soup or

edamame, consider

rotating seaweed salad into the

mix. It's packed with iodine, a

chemical that helps maintain

sufficient levels of the thyroid

hormones that regulate your

weight, energy level, and

mood—and a new study finds

you may not be getting enough

of it. We tend to get our biggest

dose of iodine from table salt,

but among 88 randomized

samples of common iodized salt

brands, 47 didn't contain the

FDA's recommended iodine

concentration, say scientists from

the University of Texas at

Arlington.

Adults should get 150 mcg of

iodine daily (220 mcg if you're

pregnant, 290 mcg if

breastfeeding). Iffy on the

seaweed? Other food sources

include fish and yogurt.

Can Vitamin B12 Reduce Alzheimer's Risk?Finnish studyhints at a link,but experts callthe trial smalland preliminary.

People who eat a diet rich

in vitamin B12 may be

protecting themselves

from Alzheimer's dis-

ease, a small, preliminary study

suggests.

The findings add to the debate

about whether vitamins can re-

duce the risk of developing

Alzheimer's disease. While this

new study appears to support

the role of vitamins, other studies

have yielded mixed results, the re-

searchers said. "Previous studies

have reported that vitamin B12 de-

ficiency is a common condition in

the elderly," said lead researcher

Dr. Babak Hooshmand, a research

assistant with the Aging Research

Center at the Karolinska Institute

in Stockholm, Sweden.

"Our results indicate that vitamin

B12 and related metabolites may

have a role in Alzheimer's disease,

but more research is needed before

we can get conclusions on the role

of vitamin B12 supplements on

neurodegenerative diseases such

as Alzheimer's disease," he added.

The report is published in the issue

of Neurology.

For the study, Hooshmand's group

looked at homocysteine levels in

the blood of 271 Finns 65 to 79

who did not have dementia at the

beginning of the study.

The team looked at homocysteine

because high levels of this protein

have been linked to stroke. The

researchers also looked at levels of

holotranscobalamin, which is the

active protein of vitamin B12 and

lowers blood levels of homocys-

teine, the researchers said.

During seven years of follow-up,

17 people developed Alzheimer's.

The researchers found that for

each small increase of homocys-

teine, called a micromolar, the risk

of Alzheimer's disease rose 16 per-

cent. However, with each small in-

crease in vitamin B12, called a pi-

comolar, the risk of Alzheimer's

dropped 2 percent.

The results remained constant af-

ter the researchers compensated

for other factors, such as age, sex,

education, smoking, blood pres-

sure and weight.

Vitamin B12 is found in eggs,

fish, poultry and other meats. A

balanced diet -- not supplements

-- is the best way to get the vi-

tamin B12 you need, Hoosh-

mand said.

Alzheimer's expert Greg M.

Cole, a professor of medicine and

neurology at the University of

California, Los Angeles, said

"this new study is too small to say

that it adds a lot to the association

of Alzheimer's disease and de-

mentia with high homocysteine."

"But it is interesting that higher

B12 appears protective given

the recently published report

that B vitamin supplements ap-

peared to reduce brain shrink-

age," he said.


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Americans Charity Tennis Tournament

Acharity

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Tournamen

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at Breakers West

Country Club on Sep

11,2010 to support our

Veterans.Some of the

sponsors were Ameri

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and CornerStone

Funding Group. All

proceeds were donated

to the West Palm

Beach VA Medical

Center.

All participants played tennis while they made possible supported our Veterans.

Dr. Shekhar Sharma, Alex Ringwald and Neal Sharma.Javier Baquero of Cornerstone Funding Group.Deanna Miller, Danielle D’Nardo, Justin Miller, Isa Sawiq andBeth Berkowitz.

Matt Lantz, Dr. Gene Shieh and Dr. Kishore Dass.

Jack Lu and Dr. Alex Mirakian.AmeriHome Healthcare table sponsor.

Sandra Joul and Adriana Romay of Chase Bank.

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Perfecting the art

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our Physicians

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Make sure you ask for

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