good healthgood healthfocusing on b o d y / m i n d / f i t n e s s

Breast cancerwarrior

and has earned the distinction of being New York State’s pre-eminent breast cancer activist. In 1996, Geri was awarded the First Annual New York State Innovation in Breast Cancer Early Detection and Research Award. Barish is no stranger to the pain and torment of cancer: she is a three-time breast cancer victim and survivor . Her son, Michael, lost his life at a young age from complications of Hodgkin’ s Lymphoma in 1986. Barish promised Michael that she would dedicate her life to finding the causes and cures for breast cancer, and she has done so to this day. As President of “1 in 9”, Barish spearheaded negotiations of New York State’s Pesticide Registry Law, which created an accessible data-

base to determine whether there is a relationship between pesticide use and breast cancer. Among her accomplishments: in March 1997, she spoke in Albany for the bipartisan “Mastectomy Bill”, which passed in both the Senate and Assembly and signed into law by then Governor George Pataki. Her appointment as Executive Director of Hewlett House fulfills a dream and vision Barish had when she began her own struggle with breast cancer. Barish vowed a long time ago, that given the opportunity, no one would have to go through what she did - to battle this dreadful disease alone. Hewlett House, in Hewlett, is a multi-purpose, professionally staffed facility in a home-likesetting, for cancer victims and their family and friends. It is a central place offering information, counseling and meetings; where a pot of coffee is always on the stove and a listening ear available. Barish’s dedication and perseverance has resulted in increased national funding, the

implementation and overseeing of the Long Island Breast Cancer Study Project, which is the firstscientific symposium held on Long Island todetermine whether there was a need for a separate Long Island study of breast cancer; and theestablishment of the ongoing Michael Scott Barish Human Cancer Grant at Cold Spring Harbor Laboratory for research into genetic mutations that could cause breast cancer , lymphoma and leukemia. “Over the past 20 years we have been able to secure funding both on a national level and in Albany for more research and new technology ,” Barish says. “While we have come very far, we still have along way to go. “ Barish explains that it is essential foreveryone to understand breast cancer if we are to reduce the risk of getting this disease. “It is very important for people to understand

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and has earnYork Statactivist. IFirst Anin BreaResearc Baristormenbreast son, Mfrom LympMiclife breth spY

UNDERSTANDINGBREAST CANCERKnowledge is the first step in overcoming the disease

Continued on page 3

Geri Barish has been at the forefront in the battleagainst breast cancer on Long Island since 1988,

A Special Advertising Section

Geri Barish leads the fight on Long IslandBy Karen Bloom

OCTOBER 20, 2011

DO MEN GETBREAST CANCER?Be aware of the common symptoms

Continued on page 3

SERVICESAND SUPPORTAssistance during and aftertreatment is just a phone call away

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Family members can help reduce an aging relative’s risk of cancer by encouraging healthy lifestyle changes, according to W insome Bent, RN, Executive Director of the Bristal Assisted Living Community of North Hills.

“About 77 percent of people diagnosed with cancer are 55 or older, but lifestyle changes can benefit the health of senior family members,” says Bent.

Educate seniors about the benefits of exercise. Increasing physical activity can lower a person’s chances for many cancers, including breast, endometrial, prostate, colorectal and lung cancers.

Encourage seniors to do activities they enjoy and that will keep them active. Gardening, golfing, playing tennis and swimming are all great choices. According to Bent, “many seniors, especially those living alone, don’ t cook much. A poor diet might keep seniors from getting the nutrients they need to maintain a healthy body and lower their risk of cancer.”

Learn about healthy diets for adults older than age 50. Share information on how many calories they should be getting daily and the types of foods they should be eating.

“Quitting smoking is the most important thing anyone can do to improve their health. It’ s never too late to quit,” says Bent. “Avoiding secondhand smoke can greatly improve a senior’s health.

The Bristal Assisted Living Communities have facilities in East Meadow , East Northport, L ynbrook,North Hills, North W oodmere, Westbury and Massapequa. For information on The Bristal Assisted LivingCommunities, visit www.thebristal.com. The Bristal Assisted Living Communities • 631-580-6420

Staying cancer-free as we age

The Bristal Assisted Living Communities

offer tips to keep senior citizens cancer-free.

oph·thal·mol·o·gy noun \- äf (l) mäl j \ is the branch of medicine that deals with the anatomy, phys-iology and diseases of the eye. The word ophthalmol-ogy literally means “the science of eyes”. Richard A. Luck, DO, an Ophthalmologist, is a medical doctor who specializes in advanced eye and vision care. Trained to provide the full spectrum of eye care, from performing complex and delicate eye sur -gery to prescribing glasses and contact lenses. Dr. Luck is Board Certified in Ophthalmology and Fellowship trained in Anterior segment surgery . He has been in practice for the past 11 years serving the Inwood and Rockaways communities and now moved his practice to a spacious, more comfortable and state of the art facility to better serve his old and new patients. Centrally located at 1504 Broadway in Hewlett, the office is easily reachable by car or public transpor -tation from Lynbrook, Valley Stream, all the Five Towns and still the Rockaways! Plenty of free parking is available.

Dr. luck is affiliated with both Winthrop University Hospital, having served as the past Chief of Consult Service in the Department of Ophthalmology, and at St. John’s Episcopal Hospital in Far Rockaway as Assistant Program Director for residents in their Oph-thalmology Residency, teaching residents, medical students and physician assistants. Dr. Luck is also an active adjunct Professor for Touro University, Physician Assis-tant Program, and Medical school, in Manhattan. Dr . Luck is skilled at diagnosing and treating most forms of eye diseases. Common complaints such as cataracts, dia-betes, high blood pressure, double-vision, dry eye, infections, and itch-ing are confidently and effectively

managed. He has a special interest in treating glaucoma, also known as the “Silent Thief of V ision.” In-office retinal imaging and visual field evaluation helps to ensure proper diagnosis and management of the disease. With one of the only specialized lasers in the Five Towns and surrounding areas and Rockaways, called the SLT Laser, Dr. Luck can selectively and painlessly treat the drainage areas of the eyes and lower the pres-sure in the eyes. In a five-minute procedure, Selective Laser Trabeculoplasty can help lessen dependency on glaucoma drops, postpone the need for additional medication, or remove the need for them at all, mak-ing the patients’ life easier. Dr. Luck sees adults as well as children, and accepts most insurance plans. His office can be reached at 516-371-1550. Call today and see how good it feels to see!Dr. Richard A. Luck • 1504 Broadway, Hewlett516-371-1550

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UNITY NEWSPAPERS

healthAQ&&

Understanding breast cancer

Can breast cancer spread to other parts of my body? What does this mean formy family? Such questions are common, and it’ s perfectly all right and even beneficial for women diagnosed with breast cancer to ask as many questions as possible to better understand the disease. Though each individual’ s experience with breast cancer is unique, upon diagnosis the doctor will determine which stage that cancer is in. Determining the stage of the cancer is based on:• The size of the cancer.• If the cancer is invasive or noninvasive.• Whether or not the cancer is in the lymph nodes.• If the cancer has spread to other parts of the body . Upon diagnosis, the doctor will also discuss if the cancer is local, regional or distant. Local means the cancer is confined to the breast, while regional means the cancer has spread to the lymph nodes, most likely those in the armpit. If the doctor says the cancer is distant, that means it has been found in other parts of the body . If the tumors involve the breast skin, the underlying chest structures, have changed the breast’s shape, and enlarged the lymph nodes, the doctor will then likely determine the cancer is locally advanced or regionally advanced. Survival rates have increased dramatically over the last 30 years. Much of this is thanks to research, but increased awareness of breast cancer has also played a role in the significantly improved survival rates. Part of that awareness includes taking steps as a young woman to reduce risk for breast cancer. Steps such as adopting a healthier diet, learning about family history with breast cancer and undergoing routinecheckups can greatly improve a woman’ s chances of beating breast cancer . Survival rates depend on a host of factors, including the stage of the cancer at diagnosis. Women who understand the stages of breast cancer and the role they play in surviving the disease might be more inclined to take steps that reduce their risk.Stage 0: Though the best breast cancer diagnosis is no diagnosis at all, women

diagnosed with stage 0 breast cancer can breathe somewhat easy . Stage 0 means the cancer is noninvasive and there is no evidence that the cancer cells or the noncancerous abnormal cells have spread beyond the part of the breast where they originated.

Stage I: A stage 1 diagnosis means the cancer is invasive, and the cancer cells are beginning to invade normal cells around the breast tissue. However, a stage 1 diagnosis means the lymph nodes have not been invaded.

Stage II: Stage II is divided into the subcategories of IIA or IIB. A stage IIA diagnosis can mean any of the following:

• No tumor has been found in the breast, but cancer cells are in the lymph nodes under the arm.

• The tumor in the breast is 2 cm or smaller and has spread to the lymph nodes under the arm.

• The tumor in the breast is between 2 to 5 cm but has not spread to the lymph nodes under the arm.

A stage IIB diagnosis means the cancer is invasive and:• The tumor is between 2 to 5 cm and has spread to the lymph nodes under the arm.• The tumor is larger than 5 cm but has not spread to the lymph nodes under the arm.Stage III: Similar to stage II, a stage III diagnosis will be divided into subcategories. But stage III breast cancer will be diagnosed as IIIA, IIIB or IIIC. In stage IIIA breast cancer:• No tumor is found, but cancer has been found in the lymph nodes under the arm;

these lymph nodes will be clumped together or sticking to other structures or the cancer may have spread to lymph nodes near the breastbone.

• The cancer is any size and has to spread to the lymph nodes under the arm, which are clumped together and sticking to other structures.

A stage IIIB diagnosis means:• The cancer may be any size and has spread to the skin of breast and/or the chest

wall.• The cancer may have spread to the lymph nodes under the arm, where they will be

clumped together or sticking to other structures; or the cancer may have spread to the lymph nodes near the breastbone.

Symptoms of stage IIIB breast cancer can include reddening of a significant portion of the breast skin, swelling of the breast and a warm feeling at the touch. A stage IIIC diagnosis means:• There may be no sign of cancer in the breast.• If the there is a tumor, it can be any size and may have spread to the chest wall and/

or the skin of the breast.• The cancer has spread to the lymph nodes above or below the collarbone; and the

cancer may have spread to the lymph nodes under the arm or near the breastbone.Stage IV: A stage IV diagnosis means the cancer has spread beyond the breast and

local lymph nodes to other organs of the body . This can include the skin, bones, liver, lungs, distant lymph nodes, or even the brain.

A stage IV diagnosis might be a recurrence of a previous breast cancer, but it’s also possible to get a stage IV diagnosis at first diagnosis.

Awareness and knowledge a friend when preparing to fight the disease

When diagnosed with breast cancer , women are often fi lled with questions. What is the survival rate?

Breast cancer basics: Knowledge is the first stepin overcoming the disease The American Cancer Society (ACS) estimates that 230,480 new cases of breast cancer will occur among women in the United States during 2011, with approxi-mately 2,140 new cases expected in men. Breast cancer is the second leading cause of cancer death in women, exceeded only by lung cancer . The chance that breast cancer will be responsible for a woman’ s death is about 1 in 36 (about 3 percent), according to the ACS. Death rates from breast cancer have been declining since about 1990, with larger decreases in women younger than 50. These decreases are believed to be the result of earlier detection through screening and increased awareness, as well as improved treatment. For 31 years here on Long Island, the Adelphi NY Statewide Breast Cancer Hotline & Support Program (800-877-8077) has been answering questions from people concerned about breast cancer. Stay aware, be informed, schedule the appropriate mammograms, and continue to spread the word that early detection saves lives.

Here are the most frequently asked questions.

Q - How many women develop breast cancereach year?

A - It is estimated that in 2010, 207,090 new cases of breast cancer were diagnosed in the United States. New cases in New Y ork State were estimated at 14,610. Women have a one in eight chance of developing breast cancer over the course of her lifetime. More women in the United States are liv-ing with breast cancer than any other cancer (excluding skin cancer).

Q - What are the factors that put a woman at higher risk for breast cancer?

A - The two most significant risk factors are being female and getting older. The majority of women diagnosed with breast cancer have no other known risk factors.

Q - As a Hispanic woman, should I be concerned about breast cancer?

A - More Hispanic women are diagnosed at a later stage than Caucasian, when cancer is harder to treat.

Q - Am I at risk for breast cancer?A - All women are at risk of developing breast cancer .

Speak to your health care provider who will talk with you about your family history and your own individual risk factors.

Q - As an African-American woman, should I be concerned about breast cancer?

A - Yes, although the incidence of breast cancer is lower in African –American women than white women, the mortality or death rate is higher.

Q - Am I more at risk of developing breast cancer as I age?

A - Age is the number one risk factor for breast cancer. Older women are much more likely to get breast cancer than younger women. Most breast cancers (about 80 percent) occur in women ages 50 and older. About 5percent of all breast cancer cases occur in women under the age of 40. It is recom-mended that women start annual mammography at age 40.

Q - Can exercise reduce my risk for breast cancer?A - Several studies indicate that women who exercise at

moderate to vigorous levels (3-4 hours per week) may reduce their risk level.

Do men get breast cancer?

B reast cancer in men is rare, but it

does happen. After all, men have breast tissue, too. The overall ratio of female to male breast cancer in the U.S. is

100 to 1, according to the American Cancer Society. Of the 2,140 men who are expected to be diagnosed in the U.S. 2011, 450 will die from the disease. Because breast cancer is much more common in women, many men do not realize they can develop this disease. This can delay diagnosis and as a result, some cancers are not found until they have progressed to a later stage. However, when cancer is found at the same stage among men and women, the survival rates are similar. Because the male breast is much smaller than the

female breast, it is more likely the disease will spread to the chest wall. For this reason, it is important to find the cancer early for successful treatment. See your doctor right away if you have any lumps or changes in your chest area.Be aware of the common symptoms of male breast cancer:• A lump in the chest area• Skin dimpling or puckering• Nipple changes The annual incidence of breast cancer for men increases steadily after age 35. It frequently occurs between 60-70 years old. A small study regarding male breast cancer found that the average time between first symptom and diagnosis was 19 months, or over a year and a half. That’ s a very long time! This is probably because people don’t expect breast cancer to happen to men, so there is little to no early detection.

A man’s risk No matter how small, the risk is still there. It’ s important to be aware of the known factors that increase a man’s risk of breast cancer. These are: • A genetic condition such as Klinefelter’ s syndrome that is associated with high estrogen levels• Family members (male or female) with breast cancer , especially with a BRCA2 mutation• Chronic liver disorders, alcoholism and obesity• Getting older As with all cancer early diagnosis can make a life-saving difference. W ith more research and more public awareness, men will learn that – just like women – they need to go to their doctor right away if they detect any persistent changes to their breasts.

GOOD HEALTH is an advertising supplement to the HERALD Community Newspapers. Copyright © 2011 Richner Communications, Inc.Published by Richner Communications, Inc. 2 Endo Blvd., Garden City, NY 11530 (516) 569-4000 • www.liherald.com

PublishersCLIFFORD RICHNERSTUART RICHNER

Executive EditorJOHN C. O’CONNELL

Section EditorKAREN BLOOM

Editorial DesignerJEFFREY A. NEGRIN

Vice President of SalesRHONDA GLICKMAN

Account Executives MIMMA BARONE

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Cover DesignJEFFREY A. NEGRIN

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T here are three types of weight: “good,” “bad,” and

“artificial” and knowing the difference is key to maintaining your health and your sanity on the scale.

Good Weight: is the weight of your organs, tissue, bones and most importantly the lean muscle mass on your body. Lean muscle mass requires more energy (or calories) to maintain, giving your body the ability to break down larger caloric levels. This will give you an appearance of being leaner.

Bad Weight: are the stores of fat we carry around the midsection, hips, thighs and buttocks. This is the weight we want to lose and keep off. And whether you have 10 or 100 pounds to lose, it is going to require some effort and discipline. The tough part is getting started and staying motivated.

Artificial Weight: occurs when we retain fluids, experience decreased bowel movements or experience metabolic changes. This is not real weight, as it will fall off as quickly as it came on. Don’ t get obsessed with the number on the scale comparing one day’s weight to the next; this will only serve to sabotage and discour -age you. Look at your total weight and inches lost, not the minor fluctuations day to day.

Increasing Good Weight: Starting a strength training routine can be extremely intimidating. T o begin, Dr. Bo Rosenblat’s advice is to start small and start slow. Some light training will not turn you into the Incredible Hulk but it will give the definition and tone you are looking for . Try lighter weights at first and perfect your form. A trainer at your gym or an inexpensive DVD can help. Most importantly , beconsistent. 10-15 minutes per day , three days a week will yield tremendous results.

Decreasing Bad Weight: The one truth of weight-

loss is: you must exert more calories than you consume. Exercise will build lean muscle mass, improve car-diovascular and circulatory function, but it won’t coun-terbalance your morning doughnut! Focus on the four elements of your meal plan: (1) Type of Food, (2) Portion Size, (3) Method of Preparation and (4) Schedule of Eating. Try journaling for a few days using these elements to create an honest picture of how you truly eat. This will help you identify the habits that

sabotage your weight-loss. Decrease Your Artificial Weight: Weigh yourself in the morning, undressed, before eating or drinking and after using the bathroom. This will be the most accurate representation of your weight. If you see a gain, ask yourself: when was my last bowel movement, have there been any changes to my meal plan, sleep or stress levels? The answers will help identify your weight gain triggers. Spicy and salty foods or carbonated beverages may be the cause. Caffeine is also a lesser -known bloat trigger. So be conscious of your habits, big and small. For a quick fix, increase your water intake, to aid in bowel movements and help flush your body of excess sodium. Finally, instead of getting obsessed with small fluctuations on the scale, get obsessed with what youcan control: your meal plan (the types of food youchoose, the portions you consume, how that food isprepared and when the food is eaten) and your activitylevel and the number on the scale will fall into placeaccordingly. Dr. Bo Rosenblat, Chief Physician for Dr. Bo’s Diet, is a board-certified medical doctor with office locationsin Hewlett, Great Neck, Brooklyn and Manhattan.For more information about Dr. Bo’s Diet, call 516-284-8248.

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The “trio of weights”: The Good, The Bad, and The Artificial

The tough part is getting started and staying motivated.

More than 3.5 million skin cancers in over two million people are diagnosed annually.

Each year there are more new cases of skin cancer than the combined incidence of cancers of the breast, prostate, lung and colon. Nearly 800,000 Americans are living with a history of melanoma and 13 million are living with a history of nonmelanoma skin cancer, typically diagnosed as basal cell carcinoma or squamous cell carcinoma. One in five Americans will develop it in the course of their lifetime and between 40 and 50 percent of Americans who live to age 65 will have skin cancer at least once.

Skin cancer develops primarily on areas of sun-exposed skin, including the scalp, face, lips, ears, neck, chest, arms and hands, and on the legs in women. But it can also form on areas that rarely see the light of day — your palms, beneath your fingernails, the spaces between your toes or under your toenails, and your genital area.

Skin cancer affects people of all skin tones, including those with darker complexions. When melanoma occurs in those with dark skin tones, it’s more likely to occur in areas not normally considered to be sun-exposed. Prevention is worth a pound of cure, so here are some things you can do: seek the shade (especially between10 a.m. and 4 p.m.), do not burn, avoid tanning and UV tanning booths, cover up with clothing (including a broad-brimmed hat and UV-blocking sunglasses), and most importantly use a broad spectrum (UV A/UVB) sun-screen with an SPF of 15 or higher every day and for extended outdoor activity . Use a water-resistant, broad spec-trum sunscreen. Keep newborns out of the sun. Sunscreens should be used on babies over the age of six months.

Examine your skin head-to-toe every month and see your physician every year for a professional skin exam.Dr. Sirota Rozenberg • 11 Irving Place, Woodmere • 516-295-5571

Understanding skin cancer

Skin cancer is the most common form of cancer in

the United States.

Skin cancer affects people of all skin tones.

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It is considered an insidious and silent disease because it has no signs or symp-toms until a serious injury or fracture occurs. You may not know you have the disease until a small bump or fall causes you to break a bone. NSC connects you to a stronger health-ier you!Just The Facts Osteoporosis affects 200 million indi-viduals worldwide. Eighty percent of patients are women One out of two women and one out of four men over age 50 will break a bone in their lifetime due to osteoporosis. It can strike at any age but the older you are, the greater your risk. Those who are sedentary have high-er risks for developing osteoporosis.An Ounce Of Prevention Nutrition. Eat right. Proper intake of calcium and Vitamin D help make your bones strong. For additional guidance, call our registered dietician for your free consultation (516-596-1011). Stop smoking and don’ t drink alcohol excessively. These “habits” limit calcium absorption, which increases your risk.

Exercise. Exercise not only helps build muscle and endurance, it also builds and maintains bone density . The most comprehensive program combines weight bearing exercises and resistance exercise. As we age, concerns about performing the right type of exercise grow . The physical therapists of Nassau Sports Care will design an exercise program that combines postural strengthening, balance training and bone strengthening to provide you with an ideal, personalized program. You will exercise in a safe and nur-turing environment supervised by licensed health care professionals. And, your exercise program may even be covered by insurance. W e have partnered with a nationwide company and are the only providers on Long Island for this program. Visit us at www.nscpt.com to learn more. We know what it takes to build strong healthy bones for individuals of all ages. Call us today and let us walk with you on your health and wellness journey. John Krupa has been a licensed physical therapist for 25 years and is the owner of Nassau Sports Care Physical Therapy. Providing personalized hands on care since 1991, NSC is a multi-location physical thera-py wellness & fitness center. For more health and wellness information, sign up for our FREE no obligation bi-monthly newsletter at www.nassausportscare.com or call us at 516-596-1011.Nassau Sports Care Physical Therapy • 516-596-1011

Osteoporosis: The silent disease

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comprehensive Breast Health Services Program providing the expert, advanced, compassionate care that will ease patients’ fear and fill them with hope and confidence during their breast cancer journey. Dr. Hodyl and her team use targeted surgical techniques that aim to preserve as much of the healthy breast and surrounding areas as possible. This includes sentinel lymph node biopsy and lymph node dissection for early stage breast can-cer; single channel balloon brachytherapy tech-niques; breast-conserving surgery (commonly known as lumpectomy); and mastectomy. After surgery, other treatments such as chemotherapy , hormonal therapy, and/or radiation treatments may be needed. Dr. Hodyl offers oncoplastic surgery , which is a combination of breast cancer surgery with a cosmetic procedure. It is an option for patients with certain tumors that may not have been amenable for breast conservation previously. For more information about South Nassau’s Breast Health Services Program or to schedule an appointment, call 1-877-South Nassau. South Nassau Communities Hospital, Oceanside • 877-South Nassau

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Osteoporosis is a condition in which bones lose calcium and become porous making it more

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SERVICES AND

SUPPORT

Assistance during and after treatment is just a phone call away

Adelphi NY Statewide Breast Cancer Hotline and Support Program Anyone – in New York State – with breast cancer concerns can call the Adelphi NY Statewide Breast Cancer Hotline and Support Program’ s toll free number, (800) 877-8077, and speak with someone who has “been there.” The more than 100 highly trained volunteers offer emotionalsupport, information and referrals, all free. Social work staff provides professional services. Locally the program offers support groups, individual and family coun-seling, plus educational forums and workshops. A newsletter , Update, is published quarterly and Sisters United in Health/Hermanas Unidas en la Salud, reaches Latinas and African-American women, along with breast health information for young women. The program was established in 1980. Anyone who is worried about breast cancer should call the hotline for help. “Y ou are not alone” is the hotline’s motto.

Workshops Informative workshops and lectures are presented periodically through-out the year. Upcoming program include:

Nutrition for Breast Cancer Survivors – What You Can Do To Stay Healthy – Tuesday. Nov. 1, 7-8:30 p.m. A panel of experts will cover current recommendations for weight man-agement and maintaining muscle and bone health during and after breast cancer treatment at this free forum. They will explore foods and nutrients that have received attention in the media and help sort through this often-confusing information. Participants will find out how to interpret food

labels, discover new tips to plan meals and learn the latest information that will help to promote overall good health and control weight. Bellydancing for Breast Cancer Survivors Tuesday, Nov. 16, 7-8 p.m. Aviva Khadra, a performer/choreographer , and director of the Harem Belly Dance Studio in Baldwin, leads this bellydance class for survivors This captivating and beautiful art form can be a refreshing alternative to tradi-tional exercise Get ready for a magic carpet ride that will enhance your confidence, boost your sensuality and add fun to your workout! Both programs are held at Adelphi University’ s Alumni House, 154 Cambridge Avenue, Garden City. Admission is free but pre-registration is required. Call (516) 877-4325 for information and to register.

Support Groups Adelphi NY Statewide Breast Cancer Program The Adelphi NY Statewide Breast Cancer program offers many support groups for Long Island women. There is no cost for any group; however pre-registration is required. Groups meet at Adelphi University School of Social Work, Garden City. Individual counseling is also available. For infor -mation or to sign up, call Sandi Kafenbaum, LCSW , at (516) 877-4314, or the Breast Cancer Hotline at (800) 877-8077.

• For Women Newly Diagnosed with Breast Cancer A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Women Post-Treatment A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Single Women with Breast Cancer A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Young WomenA Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.also Thursday mornings 10:30 a.m.-noon.

• For Women with Breast CancerA daytime group will meet weekly for eight weeks, 11a.m.-12:30 p.m. tentatively beginning on January 20.

• For Women with Metastatic Breast Cancer A daytime group that meets weekly, Mondays, 1:30-3 p.m.

• For Women with Metastatic Breast Cancer A daytime group that meets weekly, Thursdays, 1:30-3 p.m.

Hewlett House 1 in 9’s Hewlett House offers free breast cancer and other cancer support groups, and classes. All services are free and confidential. Pre-registration is required. Call the Hewlett House 516-374-3190. Groups and Classes are held at Hewlett House 86 E Rockaway Rd, Hewlett. Visit the website at www.1in9.org

• Cancer Support GroupAn ongoing group that meets Tuesdays 11:15 am-12:15 p.m. For those in need of support for all cancer-related illnesses. Group members of dif-ferent ages and with different types of cancer come together each week to support one another.

• Newly Diagnosed Breast Cancer Support (in treatment)For those recently diagnosed with breast cancer meets Tuesdays, 12:30-1:30 p.m.

• Thriving Through and Beyond CancerGroup meets Tuesdays and Wednesdays, using misfortune to grow and regenerate new solutions as a couple or family.

• DiscussionsAn informal, ongoing chat for people whose lives have been touched by cancer, meets Wednesdays, 1-2:30 p.m.

• Cancer Support Group for Bilateral SurgeryFor women who have had bilateral surgery, double mastectomy, meets Wednesdays, 5:30-6:30 p.m.

• Yoga/Stress ReductionFor all cancer-related illness, meets Mondays, 1:30-2:30 pm.

• Decoupage Art ClassHeal through art, Tuesdays 1-2:30 p.m.

• Reiki ClinicLearn about and experience this simple healing technique, by appointment.

• Crochet ClassA group designed to help cancer patients draw strength from each other and enjoy togetherness in a circle of friendship., meets Thursdays,11 a.m.-1 p.m.

• Four Weeks To A Healthier You Take control of your diet, meets Thursdays, 2:30-4 p.m.A nutrition series, Series on Nutrition by Donna Miller-Small, Reiki Master Teacher & Practitioner.

• Breast Cancer Exercise ProgramFor those patients who are finished with treatment, meets Saturdays, 11 a.m.-noon.

Additional groups for families, adolescents, bereavement, and private counseling are available upon request. All services are free and confidential. Pre-registration is required. Other support groups and services are available through area hospitals, and such community resources as the Peninsula Counseling Center and Barry and Florence Friedberg JCC.

No one need face breast cancer alone. There are myriad of services available throughout the area that offer support, assistance and

friendship, beginning with diagnosis and continuing through recovery.

By Karen Bloom

“You are not alone.” The supportive volunteers and staff at the Adelphi NY Statewide Breast Cancer Hotline and Support program, along with Hewlett House and other local organizations, are ready to assist patients and survivors.

7

October 20, 2011 — Good Health – HERALD COMM

UNITY NEWSPAPERS

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Rodolfo Valentin Salon, Spa & Hair pieces is proud to beentering into a partnership with Hewlett House 1 in 9 and the North Shore Hebrew Academy in a Wig Donation Program for women under treatment for certain kinds of cancer..

The Salon has donated more than 1,000 wigs to be allocated to women in extreme fi nancial duress. Screening for acceptance into these programs will be done thru 1 in 9 and North Shore Hebrew Academy only.

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Diabetes is one of the leading causes of blindness among Americans. Many patients with diabetic eye problems have no symptoms, but if left untreated, diabetes can lead to serious visual loss, explains Dr. Edward Stroh. Many diabetics notice blurred vision when their blood sugar fluctuates either high or low . Diabetes can also damage the small blood vessels throughout the retina, resulting in lack of oxygen to the retina. The damaged blood vessels leak, producing fluid in the retina. The diagnosis of diabetic eye disease is made by examination and may require photographs, fluorescein angiography and/or OCT to detect dia-betic retinopathy. There are new advances for treating diabetic retinopathy including laser techniques, medication, injections, or even surgery for severe cases. Blindness due to diabetic eye disease can be preventable. Strategies for preventing diabetic retinopathy include control of blood sugar and blood pressure, avoiding smoking, early detection, and early treatment as well as maintaining regularly scheduled visits. Dr. Stroh is a retina specialist in Rockville Centre who specializes in Diabetes and Retinal Disorders. He has published numerous articles and frequently lectures at national meetings. Dr . Stroh is a member of many organizations, including The American Academy of Ophthalmology , Vitreous Society and Association for research in Vision and Ophthalmology. He can be reached at 516-536-9525 for appointments, consultations and second opinions. Dr. Edward StrohRetina Consultants of Long Island • 165 N. Village Ave., Suite 203, Rockville Centre • 516-536-9525

Approximately14 million Americans

have diabetes mellitus, but many don’t know they are affected.

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And at Mercy Medical Center , it’s easy to arrange state-of-the-art screening and diagnostic mammograms as part of convenient, comprehensive breast health services. Mercy’s Bishop McGann Center for Oncology and Imaging provides coordinated multidisciplinary screening, diagnosis, treatment and follow-up care at a single location, utilizing the most advanced imaging and minimally-invasive techniques for the diagnosis of benign and malignant breast disease.

Available procedures include the latest low-radiation digital mammography, non-invasive ultrasound and stereotactic breast biopsy, with expert, sensitive radiologists and imaging technologists, as well as highly skilled breast surgeons. Mercy offers next-day screening appointments, and same-day results. Radiologists are available to read images in real time, order additional views if needed, and consult with their physicians as needed. All images and reports are available to patients’ physicians via computer, through a state-of-the-art Picture Archiving Communication System. And we make it easy to transfer films and records of previous screenings at other facilities. Mercy’s Department of Radiology and Imaging is accredited by the American College of Radiology . And recentamenities upgrades at the McGann Center provide a spa-like atmosphere

with a spacious, airy reception area designed to pro-vide patients with a bright, cheerful environment, along with a new private waiting area for W omen’s Imaging patients.Mercy Medical Center516-62MERCY • www.MercyMedicalCenter.info

Comprehensive breast healthservices at Mercy

Mercy utilizes the most advanced imaging and minimally-invasive techniques for the diagnosis of benign and malignant breast disease.

Mammography is the most effective screening test for the early detection

of breast cancer available to women today.

Advances inDiabetic eye disease

Breast reconstruction

Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy. Although breast reconstruction can rebuild your breast, the results are highly variable. A reconstructed breast will not have the same sensation and feel as the breast it replaces. V isible incision lines will always be present on the breast, whether from reconstruction or mastectomy. Certain surgical techniques will leave inci-sion lines at the donor site, commonly located in less exposed areas of the body such as the back, abdomen or buttocks.Beauty for life Breast reconstruction can be a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other condition. The creation of a new breast can dramatically improve your self-image, self-confidence and quality of life. Although surgery can give you a relatively natural-looking breast, a reconstructed breast will never look or feel exactly the same as the breast that was removed.Is it right for me? Breast reconstruction is a highly individualized pro-cedure. You should do it for yourself, not to fulfill some-one else’s desires or to try to fit any sort of ideal image, advises Dr. Martin E. Kessler , of The Plastic Surgery Group in Rockville Centre, and chief of the Division of Plastic Surgery at South Nassau Communities Hospital. Breast reconstruction is a good option for you if:• You are able to cope well with your diagnosis and

treatment• You do not have additional medical conditions or other

illnesses that may impair healing• You have a positive outlook and realistic goals for

restoring your breast and body image Breast reconstruction typically involves severalprocedures performed in multiple stages. It can begin at the same time as mastectomy , or be delayed until you heal from mastectomy and recover from any additional cancer treatments. It’s important that you feel ready for the emotional adjustment involved in breast reconstruction. It may take some time to accept the results of breast reconstruction.

Helping you become whole again

Choosing breast reconstruction

is about feeling normal and healthy, even though you’ve lost your breast or part of your breast.

14 questions you should ask when choosing a surgeon you can trust Plastic surgery involves many choices. The first and most important is selecting a surgeon you can trust. Use this checklist as a guide during your consultation.1) Are you certified by the American Board of Plastic Surgery?2) Were you trained specifically in the field of plastic surgery?3) How many years of plastic surgery training have you had?4) Do you have hospital privileges to perform this procedure?

If so, at which hospitals?5) Is the office-based surgical facility accredited by a nationally-

or state-recognized accrediting agency, or is it state-licensed or Medicare-certified?

6) Am I a good candidate for this procedure?

7) What will be expected of me to get the best results?8) Where and how will you perform my procedure?9) What surgical technique is recommended for me?10) How long of a recovery period can I expect, and what kind

of help will I need during my recovery?11) What are the risks and complications associated

with my procedure?12) How are complications handled?13) What are my options if I am dissatisfied with the outcome?14) Do you have before-and-after photos I can look at for this

procedure and what results are reasonable for me?

9

October 20, 2011 — Good Health – HERALD COMM

UNITY NEWSPAPERS

SOUTH NASSAU COMMUNITIES HOSPITAL | ONE HEALTHY WAY, OCEANSIDE, NY 11572 | 877-SOUTH-NASSAU | WWW.SOUTHNASSAU.ORG

To schedule an appointment with Dr. Hodyl, call 877.SOUTH.NASSAU or visit www.southnassau.org for more information.

Christine Hodyl, DO, FACSDirector of Breast Services

“When I was diagnosed with stage 3 breast cancer at 27, Dr. Hodyl not only helped

save my life … she changed it forever.”Dr. Christine Hodyl’s caring approach to lifesaving breast cancer surgery had a life-changing impact on survivor

Kristine Smart, who is now studying to become a radiation oncology nurse because of her experience. A leading

breast surgeon, Dr. Hodyl removes the tumors alongside a team of plastic surgeons, conserving as much of the

breast as possible and providing immediate post-mastectomy reconstruction, giving patients hope and renewed

dignity with the utmost in personal, compassionate care.

Kristine SmartBreast cancer survivor & radiation oncology nursing student,West Hempstead

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Nutrition for lifeMediterranean diet may help fight breast cancer

New research suggests women looking to prevent breast cancer after menopause may want to consider dietary changes, including adopting Mediterranean eating habits, to reduce their risk. According to information published in the American Journal of Clinical Nutrition, Greek post-menopausal women who rated highly in terms of researching scores in their consumption of foods that fit with a Mediterranean diet were 22 percent less likely to develop breast cancer during the study than others. Although the diet is not a cure-all for breast cancer, researchers estimate that if all women in their study population had closely adhered to a traditional Mediterranean diet, about 10 percent of the 127 postmenopausal breast cancers in the group would have been avoided.

It has long been believed that a Mediterranean diet has many positive effects on personal health. Although studies have only been conducted on breast cancer thus far, there is also hopeful evidence that the diet may reduce the risk for other cancers, including colon and stomach cancer, as well as reduce the chances for heart disease.

What is a Mediterranean Diet? Nations in the Mediterranean region, including Italy, Greece, Turkey, and Spain, have historically had lower rates of heart disease and some cancers, including breast cancer, compared with other European countries and the United States. Researchers believe there is a correlation between the foods Mediterranean people eat and the rates of cancer and other illnesses. A traditional Mediterranean diet is rich in seafood, heart-healthy fish, vegetables, whole grains, legumes, nuts, and olive oil. It is relatively low in dairy and red meat products. According to the Mayo Clinic, most if not all major scientific organizatio ns encourage healthy adults to adopt a diet similar to the Mediterranean diet to prevent major chronic diseases.

Those who want to follow a Mediterranean diet can consider the following guidelines.• Base every meal on the consumption of fruits, vegetables, grains, olive oil, beans, nuts, legumes, seeds, herbs, and spices.• Consume fish and seafood often, at least two times per week.• Enjoy moderate portions of poultry, eggs, cheese, and yogurt daily to weekly.• Reduce and limit consumption of meats and sweets. Experts say that if the Mediterranean diet does have a preventative nature toward breast cancer and other illnesses, it is likely due to the antioxidant components of the diet. The Mediterranean diet is rich in antioxidants, which protect cells from damage that may lead to diseases. The diet also helps to promote a health body weight, which is instrumental in keeping the body in top form and helping with immune system function. To get started on the path of healthy Mediterranean eating, enjoy this recipe for Eggplant Dip.

Eggplant DipIngredients:1 medium eggplant2 tablespoons lemon juice1/4 cup extra-virgin olive oil1/2 cup fi nely chopped red onion¼ cup plain Greek yogurt1 small red bell pepper, fi nely chopped1 small chile pepper, such as jalapeno,

seeded and minced (optional)2 tablespoons chopped fresh basil1 tablespoon fi nely chopped fl at-leaf parsley1/4 teaspoon cayenne pepper, or to taste1/4 teaspoon salt

Directions: Position oven rack about 6 inches from the heat source; preheat broiler.Line a baking pan with foil. Place eggplant in the pan and poke a few holes all over it to vent steam. Broil the eggplant, turning with tongs every 5 minutes, until the skin is charred and a knife inserted into the dense fl esh near the stem goes in easily, 14 to 18 minutes. Cool on a cutting board until ready to handle. Put lemon juice in a medium bowl. Cut the eggplant in half lengthwise and scrape the fl esh into the bowl, tossing with the lemon juice to help prevent discoloring. Add oil and stir with a fork until the oil is absorbed. (It should be a little chunky.) Stir in yogurt, onion, bell pepper, chile pepper (if using), basil, parsley, cayenne and salt. If the eggplant has a lot of seeds it may be bitter. Add a dash of salt to sweeten the dip. Serve with whole-wheat crackers, wedges of toasted pita, or fresh vegetable slices.

11

October 20, 2011 — Good Health – HERALD COMM

UNITY NEWSPAPERS

Martin E. Kessler, M.D., F.A.C.S.Martin E. Kessler, M.D., F.A.C.S.Cosmetic Surgery

Plastic & Reconstructive SurgerySurgery of the Hand

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• Diplomate American Board of Plastic Surgery• Respected Leader in Plastic & Reconstructive Surgery• Castle Connolly Top Doctors 1998-2010

Facial Enhancement• Face, Neck & Eyelid Lift• Endoscopic Brow Lift• Rhinoplasy• Ear Surgery

Breast Surgery• Breast Enlargement• Breast Lift• Breast Reduction• Breast Reconstruction

Body Contouring• Liposuction• Abdominoplasty (tummy tuck)

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October 24, 2011 6:00pmJackson’s Restaurant6005 Jericho TurnpikeCommack, NY 11725

Please RSVP by October 23, 2011

November 1, 2011 6:00pmAmicale

872 E. Jericho TurnpikeHuntington Station, NY 11746

Please RSVP by October 31, 2011

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HypnosisCan Help!

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Health insuranceexchangesA small business benefit

W hile some deride the 2010 federal health reform law as “Obamacare,” one component should be consid-

ered separately from the rest – the Small Business Health Options Program (SHOP) Exchange. SHOPs could help small businesses create new jobs, expand employer-based coverage, and recycle more revenue through the local economy. They could also reduce the growing Medicaid enrollment; every worker enrolled in commercial health insurance through the SHOP is one less potential Medicaid enrollee. New York’s small businesses are trapped in a dysfunctional and unsustainable small group health insurance market. This constrains their growth and diminishes their ability to compete in the labor marketplace. A SHOP Exchange could act as these firms’ benefits management depart-ment, making them less susceptible to losing their trained and experienced staff seeking coverage and reclaiming the time and manpower spent managing these benefits. SHOP exchanges represent a rare opportunity to bring value, order and simplicity to small group health insurance markets. Even if health reform is overturned by the Supreme Court, most states would do well to continue with their plans for a SHOP. They could even be structured as non-profit, private sector entities. Recently released federal SHOP rules propose a framework friendly to small employers and attractive to employees, while maximizing state flexibility . Workers can be allowed to choose plans that meet their budget and health needs while allowing employers relief from the onerous task of administering and managing health benefits. State lawmakers who reject these innovative marketplaces abdicate its design and operation to a yet unknown federal model. If history is any guide, federal interference is a consequence that states would do well to avoid. A bill creating a robust, small business-friendly SHOP has been negotiated by our state leaders in Albany , but is stalled in the Senate. Failure to pass this legislation means forgoing federal dollars to help our state’ s small businesses and local economies. Using a SHOP to reduce the burdens associated with health care benefits is not only smart health policy, but sound economic policy as well. Since the 1970’ s, small businesses have led the nation out of every economic downturn by creating new jobs and hiring unemployed workers. They are likely to do so again if provided the opportunity . Vincent C. Ashton is Executive Director of HealthPass New Y ork, a non-profit, commercial health insurance exchange for small businesses in downstate New York.

By Vincent C. Ashton

Looking your best

M aking the choice to have a mastectomy is rarely easy. But many

find it is the best way to remove the risk for breast cancer and go on with their lives. Getting used to dressing your body after a mastec-tomy takes a little patience. A study published in the journal Cancer found that, in New Y ork State alone, the number of women who had a double mastectomy after discovering cancer in one breast more than doubled between 1995 and 2005, increasing from 295 to 683 during that time. Having a part of the body removed brings on many changes. Some women feel liberated by the thought of being cancer-free. Others mourn the loss of a part of their identity and femininity. Whatever the case, after some of the physical healing takes place, women must adapt to a new body. Many women who have undergone a mastectomy find that using a breast form – a type of prosthesis – can make feeling more confident possible. These forms may be attached directly to the breast wall with a bit of skin-safe adhesive or fit inside of a bra. Some mastectomy bras are also built with the form already in the cups, similar to a padded bra. It is important when choosing a bra to be sure it is supportive and firm-fitting to alleviate the risk of gapping or the breast form shifting or coming out entirely . There are stores that specialize in post-mastectomy bra fittings and prostheses to help navigate the new world of these products.

After a well-fitting bra and breast form is selected, a woman can start shopping for clothing. Many prostheses can be purchased to mimic the size and shape of the original breast. Then existing cloth-ing in one’s closet may fit and little new shopping is needed. However , scarring or perceived attention to the area may cause some women to feel anxious. Following these guidelines can help.• Avoid form-fitting tops that draw

attention to the bust.• Look for scoop or boat neck shirts

instead of deep V-neck tops.• Choose shirts and dresses with sleeves or thick straps in terms of

tank tops to cover a supportive bra.• Select solid-color tops paired with print skirts to draw

the eye away from the top half of the body.• When selecting a swimsuit, look for styles that are cut

high under the arms and at the neckline. Athletic styles are usually higher-cut.

• Use accessories like shawls or shrugs to cover up per -ceived problem areas.

• Layer clothing, like a vest over a shirt.• Splurge on a lacy bra to help you feel more feminine

and sexy.• Avoid boxy or oversized shirts, which will only broad-

cast that you’re trying to hide something. Above all, realize that problem areas may be notice-able only to you. Most likely , others will not detect by outward appearances that you even had surgery.

Fashion tips after a mastectomy

Shopping for clothing after a mastectomy may require some patience and self-confi dence after recovering from breast cancer surgery.

13

October 20, 2011 — Good Health – HERALD COMM

UNITY NEWSPAPERS

For exceptional care, call (516) 374-9300

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• Social Work/Discharge Planning • Long Term Care

• Hospice Care • Glatt Kosher • Daily Minyan

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W hat happens when a familyseemingly has everything, yet the one thing they are desperate

for eludes them? Genesis Fertility & Reproductive Medicine, the brainchild of Dr. Richard Grazi, is not a promise of happiness or a secret to prenatal success; what it is though, is a beacon of hope when to some it seems there is none left. To none that end, Dr. Grazi has brought his expertise in infertility to the 5 Towns community by establishing a satellite office at 1175 West Broadway in Hewlett. Dr. Grazi is smart, soft-spoken, and very sure. When asked why he chose this field, he immediately replied, “You must know that it is far and away the greatest field of medicine.” I laughed, and yet he did not. “I’m serious. Just by virtue of the human drama that we need to deal with every day and how, with God’s help, we create new families, mine is a field unlike any other. While it’s not that often that we get to save a person’s life, we do get to change our patients’ lives. We change the whole psychodynamics of the family that hopefully emerges. And that is a difference that is everlasting.” He recalls, “The thought of becoming a doctor came late to me, actually during my post-high school stint in an Israeli yeshiva. I never thought about becoming a gynecologist. But I had an epiphany after my first year of medical school, when the first “test tube baby” was born. The birth of this one baby, and how it was accomplished, all seemed so exciting and fresh. It was something new, scientific but very artful, very out-of-the-box. I was

interested in both genetics as well as surgery, so it was a good combination.” In addition to being on the cutting edge medi-cally, Genesis was also among the first medical practices to use digital charting. “Communication between staff is as important as communication with patients.” Dr. Grazi explains, “For this reason everything here is electronic ... no paper charts. Because there are so many different aspects to the care of each couple, we all need simultaneous access to information. In this way we keep our very anxious patients informed. Genesis is truly a masterpiece, a full service infertility program open 365 days a year, and now conveniently located in our community.Genesis Fertility & Reproductive Medicine1175 West Broadway, Suite 21, Hewlett516-596-8752 • www.genesisfertility.com

The business of hope forInfertile couples

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At Hewlett House, people with cancer , and their families, can become involved in net-working and receive support from people who are going through similar experiences. In 1990, the chance of developing breast cancer for a woman living on Long Island was one in nine. Today, it is one in eight. Howev-er, in parts of Suffolk County it’s one in seven. Progress has been made in fighting this dis-ease. But not enough, since this is clearly an uphill battle. Yet, we believe it’ s one we can win. Hewlett House is open to all who enter without referral and at no cost. It provides an innovative and creative approach to the overall needs of patients and their families and friends. As a non-profit charitable resource center , Hewlett House offers the basic compo-nents of therapy and support, education, and social events. It remains a freestanding center that will not be affili-ated with any other institutions. W e are guided by the following principles: Hewlett House provides means of establishing ties with people going through similar experiences. Through friendship and socialization, Hewlett House enables individuals to live richer lives. We intend to foster public and private partnerships. This helps raise awareness of Hewlett House and enable us to raise money to support its on going programs. Hewlett House fulfills a dream that Geri Barish, Executive Director of Hewlett House and President of 1 in 9: The Long Island Breast Cancer Action Coalition, had while battling breast cancer . She is a three-time breast can-cer survivor and activist whose oldest son, Michael, died in 1986 from complications of Hodgkin’ s Lympho-ma. Geri has been in the forefront in the battle against the high incidence of cancer on Long Island since 1988, and has spearheaded major changes to local, state and federal legislation; resulting in new policies that positively impact people with cancer, help to clean up toxins in our environment and take greater steps towards finding can-cer’s causes and cures. Geri vowed a long time ago that, given the opportunity , she would ensure that no one would have to go through what she had gone through – battling this dreadful disease alone.Hewlett House is available without referral and at no cost.Hewlett House • 86 E. Rockaway Rd., Hewlett • 516-374-3190

Finding hope at Hewlett House

Finally there is a place to go, right here on

Long Island, to avoid the profound isolation, despair and fear often felt by people with cancer.

Hewlett House provides hope and support for cancer patients and families.

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Breast cancer warriorContinued from page 1

when we talk about breast cancer, that it is multi-factual,” Barish says. “People have to understand who they are, where they came from, and their own history.” Environmental issues as well as hereditary issues both impact a patient’s understanding of the disease and outcome. “Y ou should find out as much as you can about your history , both on your mother’s and father’s side,” Barish advises. “There can be correlating cancers that are hormonal and are connected to breast cancer.” “As we know more about genetics we know that many people could have the gene. This does not mean that you will get the disease but it is important for screening purposes. You should be aware of your history . Today we know that among men who have prostate cancer, their daughters are now at a high risk for breast cancer . Prostate is a hormonal cancer.” Noting that breast cancer affects both menand women, Barish emphasizes the importanceof awareness and

education. A lifestyle that stresses modification is essential, she says. “Do everything in modi-fication. What you eat or don’ t eat alone does not give you breast cancer . Statistics are

tricky. I believe that it doesn’t matter if there are 20 statistics or one, because if you are that one, then it is one too many. Eating a healthy diet, exercise and rest does wonders but the picture is bigger.”Above all, be knowledgeable, stay up to date with the latest research, and never lose hope, Barish advises. “Try to put your life in its proper perspective. Always get a second opinion and if you still are unsure get a third. Knowledge is power . Today,

through new technology and research we know so much more then we did years ago. There are over two million survivors today.”Barish lives in Baldwin with her husband Alan, her son Eric, and faithful dog, Sammy.

The Hewlett House was given to John Hewlett by his grandfather, George Hewlett, who came from England in 1636. The House is still in the family.

fication. Whtricky. I bethat one, but the pAbove lose hopsecond

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The Hospital Center’ s 173-bed acute care community hospital encompasses a 200-bed long-term care and rehabilitation center(Peninsula Center for Extended Care and Rehabilitation), which provides compassionate and competent care as well as a very active medical-model Adult Day Health CareProgram. Peninsula Hospital Center offers the diagnostic and therapeutic components found in today’ s forward-thinking hospitals. The Angels on the Bay Pediatric Unit, the Traumatic Brain Injury/Stroke Rehabilitation Unit and the Butterflies by the Sea, Eisenstadt Hospice Inpatient Care Unit, Pain Management Program and Family Health Center all highlight the exceptional care given to all our patients. The excitingprocess of restructuring and charting new directions for an even more exceptional future has begun. In the midst of all the energy moving us into the future, Peninsula Hospital Center remains acommunity-centered hospital that will never lose its focus on what matters most: people. Providing quality healthcare goes well beyond the technology of medicine and comes from the hearts of the people providing the care. There are wonderful new plans for the future of Peninsula Hospital Center – all focused onmaintaining the health of our community.Peninsula Hospital Center • 51-15 Beach Channel Dr., Far Rockaway • 718-734-2000

Peninsula Hospital Center rides a new wave of activity

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UNITY NEWSPAPERS

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T his year in America, more than 184,450 women will be diagnosed with breast cancer . Today, St. John’s Episcopal Hospital advanced the fight

against this pervasive disease by installing a newcutting edge digital mammography system for its patients. This system, a GE Healthcare Senographe Digital Mammography system, provides physicians with clear and precise all-digital images, rather than imageson X-ray film. What’ s more, the system provides the largest field of view currently available, which can be extremely helpful for precision imaging of patients with diverse shapes and sizes. This is a new and powerful technology forthe detection and fight against breast cancer ,”says Kenneth Schwartz, M.D., attending physician, Department of Imaging, St. John’ s. “Digital systems such as the new GE digital mammography system allow us to offer our patients state-of-the-art mammo-grams that are fast and easy. And it gives our referring physicians accurate images to use in diagnosis.” Mammograms are among the best early detection methods, yet 13 million U.S. women 40 years of age or older have never had a mammogram, according to the National Breast Cancer Foundation, Inc. “As a gynecologist, we encourage all women over

the age of 40 to have an annual mammogram and, in some cases, earlier, where there is a strong family history of breast cancer ,” says Mohan Mahadkar, M.D., Chairman of Obstetrics/Gynecology at St. John’s. “We are very pleased tooffer state-of-the-art digital mammo-grams, given by excellent and caring technologists, conveniently in our community,” he added. “This new digital technology will provide both accuracy and increased ease of use for our patients,” says Dr. Schwartz. “Providing outstanding diagnostic equipment for patients is a vital step to good preventive health, and one we take very seriously.” There are many advantages to a

digital system including:• The images are clear and easy to read, and it offers

an excellent view of the breast, especially near the skin line, chest wall and in women with diverse breast tissue types.

• A digital mammography exam usually takes less than half the time of a traditional film-based exam, and there’s less of a chance you will be called back to retake your images.

• Your physician will gain viewing options with the unique ability to enhance certain areas to get a more precise picture of your condition.

• Your breast images can be zoomed in and out, and the contrast can be lightened or darkened. Also, through an inverting feature, black and reverse to white and white to black. This feature helps detect microcalcifications, which is like revealing a grain o f salt in a ball of clay . All these image enhancements help aid in proper diagnosis.

• Digital images can be viewed on workstations anywhere in the world, allowing physicians to compare current images to past images.

For an appointment for digital mammography at St. John’s Episcopal Hospital, call 718-869-7780.

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While the core of herhypnotherapy practice is smoke cessation, weight control and stress management, Terry Biener’s true passion is helping people with fears and panic. Having had these devastating issues herself, which were ultimately healed through hypnosis, her empathy and understanding runs deep. Of the many techniques she has used over the years, she finds Neuro-linguistic Programming (NLP) combined with hypnosis, to be most successful for fears and anxiety. “How many sessions needed depends on both the individual and the problem,” said Ms. Biener. “Since most habits or conditions exist from years of negative re-enforce-ment, one should expect at least a few sessions for long-lasting effect. One-on-one hypnosis, as opposed to group hypnosis, is very different in that sessions can be tailored exactly to the person’s issues, triggers and personality. Motivation and the desire to make the change are important ingredients. And, trust and a good rapport with the hypnotherapist should definite-ly be there.” Ms. Biener believes that people should understand hypnosis and be comfortable with it before trying it. “Ignore what you’ve seen in movies and on stage.

Even if you’ve never been formally hypnotized, you’re probably more familiar with hypnosis than you realize. In fact, a hypnotic trance is a natural state that most of us visit on a daily basis.” A hypnotherapist induces a hypnotic trance to be able to “adjust” the subconscious. Contrary to myths, the person being hypnotized never loses their control. “Hypnosis can be effective with just about anything caused by, or blocked by, the subconscious mind. I’ve been able to help people cope with a loss or

trauma, improve in a sport, concentration, memory, overcome exam anxiety, and release all types of habits. As a former school teacher , I’m comfortable helping children heal self-esteem that’ s been damaged through ADD or ADHD.” A clinical hypnotherapist since 1992, Ms. Biener works with both children and adults, on a one-on-one basis. She holds a variety of certifications though the American Board of Hypnotherapy and the National Guild of Hypnotists. Clients are seen by appointment only. Phone consultations are free and confidential. Terry Biener • 516-791-6174www.easychanges.com

Long Island’s family Hypnosis Solution

Hypnosis is a safe therapy that can benefi t anyone.

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Breast cancerwarrior

and has earned the distinction of being New York State’s pre-eminent breast cancer activist. In 1996, Geri was awarded the First Annual New York State Innovation in Breast Cancer Early Detection and Research Award. Barish is no stranger to the pain and torment of cancer: she is a three-time breast cancer victim and survivor . Her son, Michael, lost his life at a young age from complications of Hodgkin’ s Lymphoma in 1986. Barish promised Michael that she would dedicate her life to finding the causes and cures for breast cancer, and she has done so to this day. As President of “1 in 9”, Barish spearheaded negotiations of New York State’s Pesticide Registry Law, which created an accessible data-

base to determine whether there is a relationship between pesticide use and breast cancer. Among her accomplishments: in March 1997, she spoke in Albany for the bipartisan “Mastectomy Bill”, which passed in both the Senate and Assembly and signed into law by then Governor George Pataki. Her appointment as Executive Director of Hewlett House fulfills a dream and vision Barish had when she began her own struggle with breast cancer. Barish vowed a long time ago, that given the opportunity, no one would have to go through what she did - to battle this dreadful disease alone. Hewlett House, in Hewlett, is a multi-purpose, professionally staffed facility in a home-likesetting, for cancer victims and their family and friends. It is a central place offering information, counseling and meetings; where a pot of coffee is always on the stove and a listening ear available. Barish’s dedication and perseverance has resulted in increased national funding, the

implementation and overseeing of the Long Island Breast Cancer Study Project, which is the firstscientific symposium held on Long Island todetermine whether there was a need for a separate Long Island study of breast cancer; and theestablishment of the ongoing Michael Scott Barish Human Cancer Grant at Cold Spring Harbor Laboratory for research into genetic mutations that could cause breast cancer , lymphoma and leukemia. “Over the past 20 years we have been able to secure funding both on a national level and in Albany for more research and new technology ,” Barish says. “While we have come very far, we still have along way to go. “ Barish explains that it is essential foreveryone to understand breast cancer if we are to reduce the risk of getting this disease. “It is very important for people to understand

Continued on page 4

and has earnYork Statactivist. IFirst Anin BreaResearc Baristormenbreast son, Mfrom LympMiclife breth spY

UNDERSTANDINGBREAST CANCERKnowledge is the first step in overcoming the disease

Continued on page 3

Geri Barish has been at the forefront in the battleagainst breast cancer on Long Island since 1988,

A Special Advertising Section

Geri Barish leads the fight on Long IslandBy Karen Bloom

OCTOBER 20, 2011

DO MEN GETBREAST CANCER?Be aware of the common symptoms

Continued on page 3

HEALTH INSURANCE EXCHANGESA small business benefit

Continued on page 11C

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Family members can help reduce an aging relative’ s risk of cancer by encouraging healthy lifestyle changes, according to Winsome Bent, RN, Executive Director of the Bristal Assisted Living Community of North Hills.

“About 77 percent of people diagnosed with cancer are 55 or older, but lifestyle changes can benefit the health of senior family members,” says Bent.

Educate seniors about the benefits of exercise. Increasing physical activity can lower a person’ s chances for many cancers, including breast, endometrial, prostate, colorectal and lungcancers.

Encourage seniors to do activities they enjoy and that will keep them active. Gardening, golfing, playing tennis and swimming are all great choices. According to Bent, “many seniors, especially those living alone, don’ t cook much. A poor diet might keep seniors from getting the nutrients they need to maintain a healthy body and lower their risk of cancer.”

Learn about healthy diets for adults older than age 50. Share information on how many calories they should be getting daily and the types of foods they should be eating.

“Quitting smoking is the most important thing anyone can do to improve their health. It’ s never too late to quit,” says Bent. “Avoiding secondhand smoke can greatly improve a senior’s health.

The Bristal Assisted Living Communities have facilities in East Meadow , East Northport, L ynbrook,North Hills, North W oodmere, Westbury and Massapequa. For information on The Bristal Assisted LivingCommunities, visit www.thebristal.com. The Bristal Assisted Living Communities • 631-580-6420

Staying cancer-free as we age

The Bristal Assisted LivingCommunities offer tips to keep

senior citizens cancer-free.

Comfort Keepers is a franchise owned by Oceanside resident Judy Geier. Comfort Keepers is a worldwidefranchise servicing Nassau County and surrounding areas. Its main goal is enabling independent living at home with respect and dignity. Comfort Keepers aimsto keep seniors in their own homes while providingnon-medical care andcompanionship. Although elders are the main focus all adults are serviced; this includes pregnant women. The many services provided by Comfort Keepers includes conversation, companionship, mealpreparation, light housekeeping, errand services, grocery shopping, respite or relief for the family , medication reminders, grooming and dressing

guidance, incidental transporta -tion, laundry and lining washing ,recreational activities and crafts ,mail assistance and organization ,periodic review and communica -tion, emergency monitor sys -tems. Caregivers are certified b yThe Alzheimer’s Association o fLong Island. Each is equipped to meet th eneeds of any and all patients. Allcaregivers have cars and hav ebeen subject to criminal an dDMV background checks. I naddition, all employees ar ebonded and insured. A free in-home clien t

assessment is done so that your loved one i sassured the correct caregiver “match” for his/he rspecific needs. Comfort Keepers • 516-442-2300 • fax 516-442-2301Email: CK786@comfortkeepers.com

Comfort Keepers...Expanding to your community

Keeping seniors in their own homes while providing non-medical care and companionship.

A new study in the Journal of Pediatrics reaffirms the growing prob-lem of food allergies among young people. Researchers found that eight percent of children under 18 in the United States have at least

one food allergy. In the past, estimates had ranged from two to five percent, adding to the growing body of evidence that increasingly more children have food allergies. There is increased awareness of food allergies and more doctors are screening for food allergies, but how do you know if you truly have a food allergy? Some patients clearly have evidence of food allergy because of

previous reactions; however there are some patients with positive test results without a known reaction. Young children with eczema, asthma, or seasonal allergies often get tested for foods before they haveactually consumed them. If testing is positive, they are advised to avoid a particular food, however this may not be needed. Patients with seasonal allergies, eczema, and asthma can be misdiagnosed with food allergies. As a mother and an allergist, Dr. Fiorillo-Quinn knows how burdensome it can be to have a family member with food allergies. Patients or caretakers are often worrying: Did I pack the Epipen? Does this food containpeanuts? These concerns lead to increased anxiety and poor quality of life. Allergists can help determine if positive testing translates into true allergy. There are specialized tests that can confirm if a food allergy is truly present. There are also some food allergies that can be outgrown. In certain cases repeat testing and food challenges are performed. This is useful in determining if a patient truly has a food allergy or has outgrown their allergy. Food allergies are common, affect quality of life, and can be severe and potentially fatal. Food allergies are increasing and so has the amount of food allergy testing. It is important to know if your reaction is truly allergic in nature and to confirm that food avoidance is needed. Dr. Fiorillo-Quinn’s office can help you take control of your food allergies and ensure that you have the right diagnosis. Dr. Annette Fiorillo-Quinn • 516-307-9140. Visit my website at: www.longislandallergies.com.

Food allergy: fact or fiction?

Many foods contain peanuts.

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UNITY NEWSPAPERS

healthAQ&&

Understanding breast cancer

Can breast cancer spread to other parts of my body? What does this mean formy family? Such questions are common, and it’ s perfectly all right and even beneficial for women diagnosed with breast cancer to ask as many questions as possible to better understand the disease. Though each individual’ s experience with breast cancer is unique, upon diagnosis the doctor will determine which stage that cancer is in. Determining the stage of the cancer is based on:• The size of the cancer.• If the cancer is invasive or noninvasive.• Whether or not the cancer is in the lymph nodes.• If the cancer has spread to other parts of the body . Upon diagnosis, the doctor will also discuss if the cancer is local, regional or distant. Local means the cancer is confined to the breast, while regional means the cancer has spread to the lymph nodes, most likely those in the armpit. If the doctor says the cancer is distant, that means it has been found in other parts of the body . If the tumors involve the breast skin, the underlying chest structures, have changed the breast’s shape, and enlarged the lymph nodes, the doctor will then likely determine the cancer is locally advanced or regionally advanced. Survival rates have increased dramatically over the last 30 years. Much of this is thanks to research, but increased awareness of breast cancer has also played a role in the significantly improved survival rates. Part of that awareness includes taking steps as a young woman to reduce risk for breast cancer. Steps such as adopting a healthier diet, learning about family history with breast cancer and undergoing routinecheckups can greatly improve a woman’ s chances of beating breast cancer . Survival rates depend on a host of factors, including the stage of the cancer at diagnosis. Women who understand the stages of breast cancer and the role they play in surviving the disease might be more inclined to take steps that reduce their risk.Stage 0: Though the best breast cancer diagnosis is no diagnosis at all, women

diagnosed with stage 0 breast cancer can breathe somewhat easy . Stage 0 means the cancer is noninvasive and there is no evidence that the cancer cells or the noncancerous abnormal cells have spread beyond the part of the breast where they originated.

Stage I: A stage 1 diagnosis means the cancer is invasive, and the cancer cells are beginning to invade normal cells around the breast tissue. However, a stage 1 diagnosis means the lymph nodes have not been invaded.

Stage II: Stage II is divided into the subcategories of IIA or IIB. A stage IIA diagnosis can mean any of the following:

• No tumor has been found in the breast, but cancer cells are in the lymph nodes under the arm.

• The tumor in the breast is 2 cm or smaller and has spread to the lymph nodes under the arm.

• The tumor in the breast is between 2 to 5 cm but has not spread to the lymph nodes under the arm.

A stage IIB diagnosis means the cancer is invasive and:• The tumor is between 2 to 5 cm and has spread to the lymph nodes under the arm.• The tumor is larger than 5 cm but has not spread to the lymph nodes under the arm.Stage III: Similar to stage II, a stage III diagnosis will be divided into subcategories. But stage III breast cancer will be diagnosed as IIIA, IIIB or IIIC. In stage IIIA breast cancer:• No tumor is found, but cancer has been found in the lymph nodes under the arm;

these lymph nodes will be clumped together or sticking to other structures or the cancer may have spread to lymph nodes near the breastbone.

• The cancer is any size and has to spread to the lymph nodes under the arm, which are clumped together and sticking to other structures.

A stage IIIB diagnosis means:• The cancer may be any size and has spread to the skin of breast and/or the chest

wall.• The cancer may have spread to the lymph nodes under the arm, where they will be

clumped together or sticking to other structures; or the cancer may have spread to the lymph nodes near the breastbone.

Symptoms of stage IIIB breast cancer can include reddening of a significant portion of the breast skin, swelling of the breast and a warm feeling at the touch. A stage IIIC diagnosis means:• There may be no sign of cancer in the breast.• If the there is a tumor, it can be any size and may have spread to the chest wall and/

or the skin of the breast.• The cancer has spread to the lymph nodes above or below the collarbone; and the

cancer may have spread to the lymph nodes under the arm or near the breastbone.Stage IV: A stage IV diagnosis means the cancer has spread beyond the breast and

local lymph nodes to other organs of the body . This can include the skin, bones, liver, lungs, distant lymph nodes, or even the brain.

A stage IV diagnosis might be a recurrence of a previous breast cancer, but it’s also possible to get a stage IV diagnosis at first diagnosis.

Awareness and knowledge a friend when preparing to fight the disease

When diagnosed with breast cancer , women are often fi lled with questions. What is the survival rate?

Breast cancer basics: Knowledge is the first stepin overcoming the disease The American Cancer Society (ACS) estimates that 230,480 new cases of breast cancer will occur among women in the United States during 2011, with approxi-mately 2,140 new cases expected in men. Breast cancer is the second leading cause of cancer death in women, exceeded only by lung cancer . The chance that breast cancer will be responsible for a woman’ s death is about 1 in 36 (about 3 percent), according to the ACS. Death rates from breast cancer have been declining since about 1990, with larger decreases in women younger than 50. These decreases are believed to be the result of earlier detection through screening and increased awareness, as well as improved treatment. For 31 years here on Long Island, the Adelphi NY Statewide Breast Cancer Hotline & Support Program (800-877-8077) has been answering questions from people concerned about breast cancer. Stay aware, be informed, schedule the appropriate mammograms, and continue to spread the word that early detection saves lives.

Here are the most frequently asked questions.

Q - How many women develop breast cancereach year?

A - It is estimated that in 2010, 207,090 new cases of breast cancer were diagnosed in the United States. New cases in New Y ork State were estimated at 14,610. Women have a one in eight chance of developing breast cancer over the course of her lifetime. More women in the United States are liv-ing with breast cancer than any other cancer (excluding skin cancer).

Q - What are the factors that put a woman at higher risk for breast cancer?

A - The two most significant risk factors are being female and getting older. The majority of women diagnosed with breast cancer have no other known risk factors.

Q - As a Hispanic woman, should I be concerned about breast cancer?

A - More Hispanic women are diagnosed at a later stage than Caucasian, when cancer is harder to treat.

Q - Am I at risk for breast cancer?A - All women are at risk of developing breast cancer .

Speak to your health care provider who will talk with you about your family history and your own individual risk factors.

Q - As an African-American woman, should I be concerned about breast cancer?

A - Yes, although the incidence of breast cancer is lower in African –American women than white women, the mortality or death rate is higher.

Q - Am I more at risk of developing breast cancer as I age?

A - Age is the number one risk factor for breast cancer. Older women are much more likely to get breast cancer than younger women. Most breast cancers (about 80 percent) occur in women ages 50 and older. About 5percent of all breast cancer cases occur in women under the age of 40. It is recom-mended that women start annual mammography at age 40.

Q - Can exercise reduce my risk for breast cancer?A - Several studies indicate that women who exercise at

moderate to vigorous levels (3-4 hours per week) may reduce their risk level.

Do men get breast cancer?

B reast cancer in men is rare, but it

does happen. After all, men have breast tissue, too. The overall ratio of female to male breast cancer in the U.S. is

100 to 1, according to the American Cancer Society. Of the 2,140 men who are expected to be diagnosed in the U.S. 2011, 450 will die from the disease. Because breast cancer is much more common in women, many men do not realize they can develop this disease. This can delay diagnosis and as a result, some cancers are not found until they have progressed to a later stage. However, when cancer is found at the same stage among men and women, the survival rates are similar. Because the male breast is much smaller than the

female breast, it is more likely the disease will spread to the chest wall. For this reason, it is important to find the cancer early for successful treatment. See your doctor right away if you have any lumps or changes in your chest area.Be aware of the common symptoms of male breast cancer:• A lump in the chest area• Skin dimpling or puckering• Nipple changes The annual incidence of breast cancer for men increases steadily after age 35. It frequently occurs between 60-70 years old. A small study regarding male breast cancer found that the average time between first symptom and diagnosis was 19 months, or over a year and a half. That’ s a very long time! This is probably because people don’t expect breast cancer to happen to men, so there is little to no early detection.

A man’s risk No matter how small, the risk is still there. It’ s important to be aware of the known factors that increase a man’s risk of breast cancer. These are: • A genetic condition such as Klinefelter’ s syndrome that is associated with high estrogen levels• Family members (male or female) with breast cancer , especially with a BRCA2 mutation• Chronic liver disorders, alcoholism and obesity• Getting older As with all cancer early diagnosis can make a life-saving difference. W ith more research and more public awareness, men will learn that – just like women – they need to go to their doctor right away if they detect any persistent changes to their breasts.

GOOD HEALTH is an advertising supplement to the HERALD Community Newspapers. Copyright © 2011 Richner Communications, Inc.Published by Richner Communications, Inc. 2 Endo Blvd., Garden City, NY 11530 (516) 569-4000 • www.liherald.com

PublishersCLIFFORD RICHNERSTUART RICHNER

Executive EditorJOHN C. O’CONNELL

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Cover DesignJEFFREY A. NEGRIN

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Martin E. Kessler, M.D., F.A.C.S.Martin E. Kessler, M.D., F.A.C.S.Cosmetic Surgery

Plastic & Reconstructive SurgerySurgery of the Hand

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• Diplomate American Board of Plastic Surgery• Respected Leader in Plastic & Reconstructive Surgery• Castle Connolly Top Doctors 1998-2010

Facial Enhancement• Face, Neck & Eyelid Lift• Endoscopic Brow Lift• Rhinoplasy• Ear Surgery

Breast Surgery• Breast Enlargement• Breast Lift• Breast Reduction• Breast Reconstruction

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• Asthma• Allergic rhinitis• Eczema/Allergic Skin disorders• Drug, food, and insect allergy• Latex allergy• Urticaria (hives, welts)

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Dr. Fiorillo-Quinn

2940 Lincoln AvenueSuite 200Oceanside, NY 11572

Phone: 516-307-9140Fax: 516-706-6770www.longislandallergies.com

Allergies, Asthmaand Sinus

Do you or your childsuffer from food allergy?

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Dr. Florillo-Quinn is board certifi ed in Pediatric/Adult

Allergy & Immunology.We can help with:

Breast cancer warriorContinued from page 1

when we talk about breast cancer, that it is multi-factual,” Barish says. “People have to understand who they are, where they came from, and their own history.” Environmental issues as well as hereditary issues both impact a patient’s understanding of the disease and outcome. “Y ou should find out as much as you can about your history , both on your mother’s and father’s side,” Barish advises. “There can be correlating cancers that are hormonal and are connected to breast cancer.” “As we know more about genetics we know that many people could have the gene. This does not mean that you will get the disease but it is important for screening purposes. You should be aware of your history . Today we know that among men who have prostate cancer, their daughters are now at a high risk for breast cancer . Prostate is a hormonal cancer.” Noting that breast cancer affects both menand women, Barish emphasizes the importanceof awareness and

education. A lifestyle that stresses modification is essential, she says. “Do everything in modi-fication. What you eat or don’ t eat alone does not give you breast cancer . Statistics are

tricky. I believe that it doesn’t matter if there are 20 statistics or one, because if you are that one, then it is one too many. Eating a healthy diet, exercise and rest does wonders but the picture is bigger.”

Above all, be knowledgeable, stay up to date with the latest research, and never lose hope, Barish advises. “Try to put your life in its proper perspective. Always get a second opinion and if you still are unsure get a third. Knowledge is power . Today,

through new technology and research we know so much more then we did years ago. There are over two million survivors today.”

Barish lives in Baldwin with her husband Alan, her son Eric, and faithful dog, Sammy.

The Hewlett House was given to John Hewlett by his grandfather, George Hewlett, who came from England in 1636. The House is still in the family.

fication. Whtricky. I bethat one, but the pAbove lose hopsecond

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Breast reconstruction

Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy. Although breast reconstruction can rebuild your breast, the results are highly variable. A reconstructed breast will not have the same sensation and feel as the breast it replaces. V isible incision lines will always be present on the breast, whether from reconstruction or mastectomy. Certain surgical techniques will leave inci-sion lines at the donor site, commonly located in less exposed areas of the body such as the back, abdomen or buttocks.Beauty for life Breast reconstruction can be a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other condition. The creation of a new breast can dramatically improve your self-image, self-confidence and quality of life. Although surgery can give you a relatively natural-looking breast, a reconstructed breast will never look or feel exactly the same as the breast that was removed.Is it right for me? Breast reconstruction is a highly individualized pro-cedure. You should do it for yourself, not to fulfill some-one else’s desires or to try to fit any sort of ideal image, advises Dr. Martin E. Kessler , of The Plastic Surgery Group in Rockville Centre, and chief of the Division of Plastic Surgery at South Nassau Communities Hospital. Breast reconstruction is a good option for you if:• You are able to cope well with your diagnosis and

treatment• You do not have additional medical conditions or other

illnesses that may impair healing• You have a positive outlook and realistic goals for

restoring your breast and body image Breast reconstruction typically involves severalprocedures performed in multiple stages. It can begin at the same time as mastectomy , or be delayed until you heal from mastectomy and recover from any additional cancer treatments. It’s important that you feel ready for the emotional adjustment involved in breast reconstruction. It may take some time to accept the results of breast reconstruction.

Helping you become whole again

Choosing breast reconstruction

is about feeling normal and healthy, even though you’ve lost your breast or part of your breast.

14 questions you should ask when choosing a surgeon you can trust Plastic surgery involves many choices. The first and most important is selecting a surgeon you can trust. Use this checklist as a guide during your consultation.1) Are you certified by the American Board of Plastic Surgery?2) Were you trained specifically in the field of plastic surgery?3) How many years of plastic surgery training have you had?4) Do you have hospital privileges to perform this procedure?

If so, at which hospitals?5) Is the office-based surgical facility accredited by a nationally-

or state-recognized accrediting agency, or is it state-licensed or Medicare-certified?

6) Am I a good candidate for this procedure?

7) What will be expected of me to get the best results?8) Where and how will you perform my procedure?9) What surgical technique is recommended for me?10) How long of a recovery period can I expect, and what kind

of help will I need during my recovery?11) What are the risks and complications associated

with my procedure?12) How are complications handled?13) What are my options if I am dissatisfied with the outcome?14) Do you have before-and-after photos I can look at for this

procedure and what results are reasonable for me?

5

October 20, 2011 — Good Health – HERALD COMM

UNITY NEWSPAPERS

SOUTH NASSAU COMMUNITIES HOSPITAL | ONE HEALTHY WAY, OCEANSIDE, NY 11572 | 877-SOUTH-NASSAU | WWW.SOUTHNASSAU.ORG

To schedule an appointment with Dr. Hodyl, call 877.SOUTH.NASSAU or visit www.southnassau.org for more information.

Christine Hodyl, DO, FACSDirector of Breast Services

“When I was diagnosed with stage 3 breast cancer at 27, Dr. Hodyl not only helped

save my life … she changed it forever.”Dr. Christine Hodyl’s caring approach to lifesaving breast cancer surgery had a life-changing impact on survivor

Kristine Smart, who is now studying to become a radiation oncology nurse because of her experience. A leading

breast surgeon, Dr. Hodyl removes the tumors alongside a team of plastic surgeons, conserving as much of the

breast as possible and providing immediate post-mastectomy reconstruction, giving patients hope and renewed

dignity with the utmost in personal, compassionate care.

Kristine SmartBreast cancer survivor & radiation oncology nursing student,West Hempstead

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Sinusitis sufferers require over 18 million office visits and nearly 30 million prescriptions per year . Medications are often effective, but for many of these patients, even multiple courses of increasingly stronger antibiotics may not be enough to relieve their symptoms of facial pain, congestion, headache, and fatigue.

For patients unresponsive to medication, functional endoscopic sinus surgery (FESS) is often the next step toward finding relief. These procedures involve the removal of bone and tissue to enlarge the sinus opening, and while effective, may lead to post-oper-ative pain, bleeding and scarring. Full recovery can take a week or more for some patients.

About four years ago Dr . Louis Rosner started using guidewires and balloon catheters to gently open sinus passages and restore function to diseased sinuses while preserving natural anatomy within the nose. This type of sinus surgery is much like the angioplasty procedure performed by interventional cardiolo-gists and is commonly referred to as Balloon Sinuplasty . Dr. Rosner has now performed over 500 proceduresusing Balloon Sinuplasty devices and has achieved excellent results for his patients.

While not appropriate for every surgical patient, he has found that many sinus sufferers are very goodcandidates for Balloon Sinuplasty. These patients do very well, are extremely happy with the results, and typicallyresume normal activities within a few days. Most importantly , this approach is clinically proven to be extremelysafe. Dr. Rosner is now able to do this procedure in his office under local anesthesia. Most insurance plans arecovering Balloon Sinuplasty done in the office. This may be a great option for someone who cannot or will nottolerate general anesthesia in the operating room and needs to be back to work within a day.

Dr Louis M. Rosner is Chief of Otolaryngology at South Nassau Communities Hospital and maintains aprivate practice in Rockville Centre.Dr Louis M. Rosner, M.D., F.A.C.S • South Shore Otolaryngology P.C.176 N. Village Ave., Rockville Centre • 516-678-0303

Teating chronic sinusitis

Chronic sinusitis is a debilitating disease that affects millions of

people every year.

Millions of people suffer from chronic sinusitis.

T here are three types of weight: “good,” “bad,” and

“artificial” and knowing the difference is key to maintaining your health and your sanity on the scale.

Good Weight: is the weight of your organs, tissue, bones and most importantly the lean muscle mass on your body. Lean muscle mass requires more energy (or calories) to maintain, giving your body the ability to break down larger caloric levels. This will give you an appearance of being leaner.

Bad Weight: are the stores of fat we carry around the midsection, hips, thighs and buttocks. This is the weight we want to lose and keep off. And whether you have 10 or 100 pounds to lose, it is going to require some effort and discipline. The tough part is getting started and staying motivated.

Artificial Weight: occurs when we retain fluids, experience decreased bowel movements or experience metabolic changes. This is not real weight, as it will fall off as quickly as it came on. Don’ t get obsessed with the number on the scale comparing one day’s weight to the next; this will only serve to sabotage and discour -age you. Look at your total weight and inches lost, not the minor fluctuations day to day.

Increasing Good Weight: Starting a strength training routine can be extremely intimidating. T o begin, Dr. Bo Rosenblat’s advice is to start small and start slow. Some light training will not turn you into the Incredible Hulk but it will give the definition and tone you are looking for . Try lighter weights at first and perfect your form. A trainer at your gym or an inexpensive DVD can help. Most importantly , beconsistent. 10-15 minutes per day , three days a week will yield tremendous results.

Decreasing Bad Weight: The one truth of weight-

loss is: you must exert more calories than you consume. Exercise will build lean muscle mass, improve car-diovascular and circulatory function, but it won’t coun-terbalance your morning doughnut! Focus on the four elements of your meal plan: (1) Type of Food, (2) Portion Size, (3) Method of Preparation and (4) Schedule of Eating. Try journaling for a few days using these elements to create an honest picture of how you truly eat.This will help you identify the habits that

sabotage your weight-loss. Decrease Your Artificial Weight: Weigh yourself inthe morning, undressed, before eating or drinking andafter using the bathroom. This will be the most accuraterepresentation of your weight. If you see a gain, askyourself: when was my last bowel movement, have therebeen any changes to my meal plan, sleep or stress levels?The answers will help identify your weight gain triggers.Spicy and salty foods or carbonated beverages may bethe cause. Caffeine is also a lesser -known bloat trigger.So be conscious of your habits, big and small. For aquick fix, increase your water intake, to aid in bowelmovements and help flush your body of excess sodium. Finally, instead of getting obsessed with smallfluctuations on the scale, get obsessed with what youcan control: your meal plan (the types of food youchoose, the portions you consume, how that food isprepared and when the food is eaten) and your activitylevel and the number on the scale will fall into placeaccordingly. Dr. Bo Rosenblat, Chief Physician for Dr. Bo’s Diet,is a board-certified medical doctor with office locationsin Hewlett, Great Neck, Brooklyn and Manhattan.For more information about Dr. Bo’s Diet, call 516-284-8248.

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October 20, 2011 — Good Health – HERALD COMM

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Diabetes is one of the leading causes of blindness among Americans. Many patients with diabetic eye problems have no symptoms, but if left untreated, diabetes can lead to serious visual loss, explains Dr . Edward Stroh. Many diabetics notice blurred vision when their blood sugar fluctuates either high or low . Diabetes can also damage the small blood vessels throughout the retina, resulting in lack of oxygen to the retina. Thedamaged blood vessels leak, producing fluid in the retina. The diagnosis of diabetic eye disease is made by examination and may require photographs, fluorescein angiography and/or OCT to detect diabetic retinopathy. There are new advances for treating diabetic retinopathy including laser techniques, medication, injections, or even surgery for severe cases. Blindness due to diabetic eye disease can be preventable. Strategies for preventing diabetic retinopathy include control of blood sugar and blood pressure, avoiding smoking, early detection, and early treatment as well as maintaining regularly scheduled visits. Dr. Stroh is a retina specialist in Rockville Centre who specializes in Diabetes and Retinal Disorders. He has published numerous articles and frequently lectures at national meetings. Dr . Stroh is a member of many organizations, including The American Academy of Ophthalmology , Vitreous Society and Association for research in Vision and Ophthalmology. He can be reached at 516-536-9525 for appointments, consultations and second opinions. Dr. Edward StrohRetina Consultants of Long Island • 165 N. Village Ave., Suite 203, Rockville Centre • 516-536-9525

Advances in diabetic eye disease

Approximately 14 million Americans have diabetes mellitus, but many

don’t know they are affected.

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Have your eyes examined regularly to check for diabetes damage.

Mammography is the most effective screening test for the early detection of breast cancer available to women today. And at Mercy Medical Center, it’s easy to arrange state-of-the-art screening and diagnostic mammograms as part of convenient, comprehensive breast health services. Mercy’s Bishop McGann Center for Oncology and Imaging provides coordinated multidisciplinary screening, diagnosis, treatment and follow-up care at a single location, utilizing the most advanced imaging and minimally-invasive techniques for the diagnosis of benign and malignant breast disease. Available procedures include the latest low-radia-tion digital mammography, non-invasive ultrasound and stereotactic breast biopsy , with expert, sensitive radiologists and imaging technologists, as well as highly skilled breast surgeons. Mercy offers next-day screening appointments,

and same-day results. Radiologists are available to read images in real time, order additional views if needed, and consult with their physicians as needed. All images and reports are available to patients’ physi-cians via computer, through a state-of-the-art Picture Archiving Communication System. And we make it easy to transfer films and records of previous screenings at other facilities.

Mercy’ s Department of Radiology and Imaging is accredited by the American College of Radiology. And recent amenities upgrades at the McGann Centerprovide a spa-like atmosphere with a spacious, airy reception area designed to provide patients with a bright, cheerful environment, along with a new private waiting area for Women’s Imaging patients.Mercy Medical Center516-62MERCY • www.MercyMedicalCenter.info

Comprehensive breast healthservices at Mercy

Mercy utilizes the most advanced imaging and minimally-invasive techniques for the diagnosis of benign and malignant breast disease.

R ockville Skilled Nursing & Rehabilitation Center is proud to announce the expansion of our rehabilitation program to seven days per week. Now our outstanding rehabilitative services are

available every day of the week and our rehab staff also provides late day and evening assessments for all new admissions. Each resident has the opportunity to start working on his/her goals from the very first day. Our rehab team works diligently to help each resident reach his/her goals in a safe, nurturing and fun environment. Residents and rehab staff members can often be seen“strolling” around the neighborhood enjoying the sunshine while working on important skills such as ambulating on uneven surfaces. Stop by the rehab gym and you are bound to hear music, conversation and laughter at any given time. We invite you to stop in for a tour of our newly renovated short-term rehabilitation unit and meet our outstanding staff.Rockville Skilled Nursing & Rehabilitation Center516-536-8000

Outstanding rehab serviceslead to outstanding results

Working one-on-one with our patients.

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Edward M. Stroh, M.D.Retina Consultants of Long Island

Specializing in Diseases and Surgery of the Retina and Vitreous:

Affiliated with: Mercy Medical Center, Long Island Jewish-North Shore Health System,Winthrop University Hospital, South Nassau Communities Hospital,

and Manhattan Eye, Ear and Throat Hospital

165 North Village Avenue, Suite 203Rockville Centre, NY 11570

536-9525

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P ark Avenue has always been a facility that is progressive and forward thinking. This, in part, can

be attributed to the Administrator, Teresa Pocchia, who is determined to create the finest Extended Care Facility in Nassau County. We not only have long term residents at Park Avenue, we also have a sub-acute rehabilitation center for those not requiring a long length of stay. We treat a variety of medical conditions utilizing our board certified staff physicians and skilled nursing staff. In addition to our existing staff, we are proud to welcome Neurosurgeon, Dr. Mihai Dimancescu of NSPC, (Neurological Surgery, P.C.) to our staff. Dr. Dimancescu has world-wide recognition in the evaluation and management of Coma. He will be creating and coordinating a program to benefit our patients in need of rehabilitation. This program will be of great significance to our stroke patients and those who are rehabilitating from traumatic brain injury. We are in the process of acquiring specialized equipment and staff to carry out this exciting endeavor. Currently the mass suspension harness is one of several pieces of equipment utilized by the reha-bilitation department for the benefit and progress of our patients. W e look forward to working with Dr . Dimancescu and anticipate a wonderful program unique only to Park Avenue Extended Care. Although the facility is only ten years old, it was recently renovated and resembles a modern Manhattan hotel. Park Avenues’ grounds, which include an outdoor enclosed patio and eight floors of beautiful interior, is immaculate. The central lobby reception area for visitors and family is adorned with a white baby grand piano, a large flat screen TV and views of the bay and ocean. We welcome and look forward to any inquiries about our facility, as well as offering tours to those who are considering utilizing Park Avenue for themselves or loved ones.Park Avenue Extended Care Facility425 National Blvd., Long Beach • 516-431-2600

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It can be a very painful and functionally disabling condition. The cause of the arthritis of the knee can be divided into two major groups – inflammatory and noninflammatory. The inflammatory group includes rheumatoid arthritis, gout and psoriatic arthritis. The other and more common cause is degenerative osteoarthritis. This “wear and tear” arthritis occurs as we grow older , especially with a family history of osteoarthritis. Common treatments recommended include Tylenol, Advil, Aleve, and other anti-inflammatory drugs given by your physician. Physical therapy at times produces an excellent response. W eight loss is highly recommended (even a few pounds matter!). Surgery, either done arthroscopically (which is usually temporary and may lead to increasing the arthritis in the future) or as knee replacements, has a place for the severe arthritic patient. An often overlooked but quite effective form of therapy entails injecting the effected knee with a “gel” (previously derived only from chickens, now also made synthetically). A series of injec-tions (brand names include Euflexxa, Synvisc and Orthovisc) lead to significant pain relief in about 50-70 per -cent of people for six months or more. The injections are done in the office and barely take a few minutes to do. These injections should only be given in a non-inflamed knee as it not effective and will be wasted if given in a swollen knee. So remember to keep walking and strive to loose weight. If pain persists, call our office at 516-897-3885. Dr. Sandeep GuptaLong Beach Rheumatology • 759 Lincoln Blvd., Long Beach • 516-897-3885

Arthritis of the knee is a common problem especially in people 40 and older.

Osteoarthritis of the knee

9

October 20, 2011 — Good Health – HERALD COMM

UNITY NEWSPAPERS

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An urgent care/walk-in care is a place where you can go for your healthcare needs when you need the care. The center should be close to you, open late and on the weekends, be easy to access and

accept your insurance. Our newly opened center is special for a number of reasons.First, there is no appointment needed - EVER! Come in and be seen very quickly. There are no referrals needed, even if you have a primary care physician. We accept Medicare and most commercial insurance. This means only paying the co-pay as in a medical office. Insurance accepted includes Aetna, HIP, GHI, Cigna, BCBS, Oxford, United Health Care, Empire Plan, etc. W e treat most common problems and injuries. W e

perform all physicals and fill out most forms needed. We offer low radiation digital x-ray, blood draw, strep test, pregnancy testing, EKG and lung function tests all on site. We have ample free parking and are open late: until 8 p.m. on weekdays; 9 a.m.-3 p.m. on Saturdays/Sundays and holidays. Payment plans are available for patients without insurance. Call us at 516-558-7858 and come in for your all of your healthcare needs. Nassau South Walk-In • 2710 Long Beach Rd., Oceanside • 516-558-7858

Urgent care for every healthcare need

Led by Christine Hodyl, DO, F ACS, Director of Breast Health Services, South Nassau Communities Hospital offers a comprehensive

Breast Health Services Program providing the expert, advanced, compassionate care that will ease patients’ fear and fill them with hope and confidence during their breast cancer journey. Dr. Hodyl and her team use targeted surgical techniques that aim to preserve as much of the healthy breast and surrounding areas as possible. This includes sentinel lymph node biopsy and lymph node dissection for early stage breast cancer; single channel balloon brachytherapy techniques; breast-conserving surgery (commonly known as lumpectomy); and mastectomy. After surgery, other treatments such as chemotherapy, hormonal therapy, and/or radiation treatments may be needed. Dr. Hodyl offers oncoplastic surgery , which is a combination of breast cancer surgery with a cosmetic procedure. It is an option for patients with certain tumors that may not have been amenable for breast conservation previously. For more information about South Nassau’s Breast Health Services Program or to schedule an appointment, call 1-877-South Nassau. South Nassau Communities Hospital, Oceanside • 877-South Nassau

South Nassau’s breast health program provides compassionate, expert care

Osteoporosis is a condition in which bones lose calcium and become porous making it more susceptible to breakage. It is considered an insidious and silent disease because it has no signs or symptoms until a serious injury or fracture occurs. You may not know you have the disease until a small bump or fall causes you to break a bone. NSC connects you to a stronger healthier you!Just The Facts Osteoporosis affects 200 million individuals worldwide. Eighty percent of patients are women One out of two women and one out of four men over age 50 will break a bone in their lifetime due to osteoporosis. It can strike at any age but the older you are, the greater your risk. Those who are sedentary have higher risks for developing osteoporosis.An Ounce Of Prevention Nutrition. Eat right. Proper intake of calcium and Vitamin D help make your bones strong. For additional guidance, call our registered dietician for your free consultation (516-596-1011). Stop smoking and don’t drink alcohol excessively. These “habits” limit calcium absorption, which increases your risk. Exercise. Exercise not only helps build muscle and endurance, it also builds and maintains bone density. The most comprehensive program combines weight bearing exercises and resistance exercise.

As we age, concerns about performing the right type of exercise grow. The physical therapists of Nassau Sports Care will design an exercise program that combines postural strengthening, balance training and bone strengthening to provide you with an ideal, personalized program. You will exercise in a safe and nurturing environ-ment supervised by licensed health care professionals. And, your exercise program may even be covered by insurance. We have partnered with a nationwide company and are the only providers on

Long Island for this program. V isit us at www .nscpt.com to learn more. We know what it takes to build strong healthy bones for individuals of all ages. Call us today and let us walk with you on your health and wellness journey. John Krupa has been a licensed physical therapist for 25 years and is the owner of Nassau Sports Care Physical Therapy. Providing personalized hands-on care since 1991, NSC is a multi-location physical therapy wellness and fitness center . For more health and wellness information, sign up for ourFREE no obligation bi-monthly newsletter at www.nassausportscare.com, or call us at 516-596-1011.Nassau Sports Care Physical Therapy516-596-1011

Osteoporosis: The silent disease

11

October 20, 2011 — Good Health – HERALD COMM

UNITY NEWSPAPERS

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I am offering a revolutionary procedure to help resolve the symptoms associated with sinus disease. Commonly referred to as Balloon Sinuplasty, this minimally invasive, no-cut approach uses guidewires and balloons to gently restore normal function to the sinuses and relieve symptoms associated with chronic sinusitis. For certain patients, I am able to perform this procedure in my offi ce using only local anesthesia. My offi ce patients return to work the following day.

If you are one of the 37 million Americans that suffer with sinus disease, you are familiar with its debilitating effects: intense facial pain, headaches, congestion and fatigue. If you have already been through multiple courses of medications and antibiotics without relief, the Balloon Sinuplasty approach may be appropriate. This approach may either be performed as a hospital out-patient procedure, or offi ce procedure under local anesthesia. Balloon Sinuplasty has been demonstrated to be extremely safe and effective and is covered by most insurance plans.

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Health insuranceexchangesA small business benefit

W hile some deride the 2010 federal health reform law as “Obamacare,” one component should be consid-

ered separately from the rest – the Small Business Health Options Program (SHOP) Exchange. SHOPs could help small businesses create new jobs, expand employer-based coverage, and recycle more revenue through the local economy. They could also reduce the growing Medicaid enrollment; every worker enrolled in commercial health insurance through the SHOP is one less potential Medicaid enrollee. New York’s small businesses are trapped in a dysfunctional and unsustainable small group health insurance market. This constrains their growth and diminishes their ability to compete in the labor marketplace. A SHOP Exchange could act as these firms’ benefits management depart-ment, making them less susceptible to losing their trained and experienced staff seeking coverage and reclaiming the time and manpower spent managing these benefits. SHOP exchanges represent a rare opportunity to bring value, order and simplicity to small group health insurance markets. Even if health reform is overturned by the Supreme Court, most states would do well to continue with their plans for a SHOP. They could even be structured as non-profit, private sector entities. Recently released federal SHOP rules propose a framework friendly to small employers and attractive to employees, while maximizing state flexibility . Workers can be allowed to choose plans that meet their budget and health needs while allowing employers relief from the onerous task of administering and managing health benefits. State lawmakers who reject these innovative marketplaces abdicate its design and operation to a yet unknown federal model. If history is any guide, federal interference is a consequence that states would do well to avoid. A bill creating a robust, small business-friendly SHOP has been negotiated by our state leaders in Albany , but is stalled in the Senate. Failure to pass this legislation means forgoing federal dollars to help our state’ s small businesses and local economies. Using a SHOP to reduce the burdens associated with health care benefits is not only smart health policy, but sound economic policy as well. Since the 1970’ s, small businesses have led the nation out of every economic downturn by creating new jobs and hiring unemployed workers. They are likely to do so again if provided the opportunity . Vincent C. Ashton is Executive Director of HealthPass New Y ork, a non-profit, commercial health insurance exchange for small businesses in downstate New York.

By Vincent C. Ashton

Looking your best

M aking the choice to have a mastectomy is rarely easy. But many

find it is the best way to remove the risk for breast cancer and go on with their lives. Getting used to dressing your body after a mastec-tomy takes a little patience. A study published in the journal Cancer found that, in New Y ork State alone, the number of women who had a double mastectomy after discovering cancer in one breast more than doubled between 1995 and 2005, increasing from 295 to 683 during that time. Having a part of the body removed brings on many changes. Some women feel liberated by the thought of being cancer-free. Others mourn the loss of a part of their identity and femininity. Whatever the case, after some of the physical healing takes place, women must adapt to a new body. Many women who have undergone a mastectomy find that using a breast form – a type of prosthesis – can make feeling more confident possible. These forms may be attached directly to the breast wall with a bit of skin-safe adhesive or fit inside of a bra. Some mastectomy bras are also built with the form already in the cups, similar to a padded bra. It is important when choosing a bra to be sure it is supportive and firm-fitting to alleviate the risk of gapping or the breast form shifting or coming out entirely . There are stores that specialize in post-mastectomy bra fittings and prostheses to help navigate the new world of these products.

After a well-fitting bra and breast form is selected, a woman can start shopping for clothing. Many prostheses can be purchased to mimic the size and shape of the original breast. Then existing cloth-ing in one’s closet may fit and little new shopping is needed. However , scarring or perceived attention to the area may cause some women to feel anxious. Following these guidelines can help.• Avoid form-fitting tops that draw

attention to the bust.• Look for scoop or boat neck shirts

instead of deep V-neck tops.• Choose shirts and dresses with sleeves or thick straps in terms of

tank tops to cover a supportive bra.• Select solid-color tops paired with print skirts to draw

the eye away from the top half of the body.• When selecting a swimsuit, look for styles that are cut

high under the arms and at the neckline. Athletic styles are usually higher-cut.

• Use accessories like shawls or shrugs to cover up per -ceived problem areas.

• Layer clothing, like a vest over a shirt.• Splurge on a lacy bra to help you feel more feminine

and sexy.• Avoid boxy or oversized shirts, which will only broad-

cast that you’re trying to hide something. Above all, realize that problem areas may be notice-able only to you. Most likely , others will not detect by outward appearances that you even had surgery.

Fashion tips after a mastectomy

Shopping for clothing after a mastectomy may require some patience and self-confi dence after recovering from breast cancer surgery.

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Breast cancerwarrior

and has earned the distinction of being New York State’s pre-eminent breast cancer activist. In 1996, Geri was awarded the First Annual New York State Innovation in Breast Cancer Early Detection and Research Award. Barish is no stranger to the pain and torment of cancer: she is a three-time breast cancer victim and survivor . Her son, Michael, lost his life at a young age from complications of Hodgkin’ s Lymphoma in 1986. Barish promised Michael that she would dedicate her life to finding the causes and cures for breast cancer, and she has done so to this day. As President of “1 in 9”, Barish spearheaded negotiations of New York State’s Pesticide Registry Law, which created an accessible data-

base to determine whether there is a relationship between pesticide use and breast cancer. Among her accomplishments: in March 1997, she spoke in Albany for the bipartisan “Mastectomy Bill”, which passed in both the Senate and Assembly and signed into law by then Governor George Pataki. Her appointment as Executive Director of Hewlett House fulfills a dream and vision Barish had when she began her own struggle with breast cancer. Barish vowed a long time ago, that given the opportunity, no one would have to go through what she did - to battle this dreadful disease alone. Hewlett House, in Hewlett, is a multi-purpose, professionally staffed facility in a home-likesetting, for cancer victims and their family and friends. It is a central place offering information, counseling and meetings; where a pot of coffee is always on the stove and a listening ear available. Barish’s dedication and perseverance has resulted in increased national funding, the

implementation and overseeing of the Long Island Breast Cancer Study Project, which is the firstscientific symposium held on Long Island todetermine whether there was a need for a separate Long Island study of breast cancer; and theestablishment of the ongoing Michael Scott Barish Human Cancer Grant at Cold Spring Harbor Laboratory for research into genetic mutations that could cause breast cancer , lymphoma and leukemia. “Over the past 20 years we have been able to secure funding both on a national level and in Albany for more research and new technology ,” Barish says. “While we have come very far, we still have along way to go. “ Barish explains that it is essential foreveryone to understand breast cancer if we are to reduce the risk of getting this disease. “It is very important for people to understand

Continued on page 4

and has earnYork Statactivist. IFirst Anin BreaResearc Baristormenbreast son, Mfrom LympMiclife breth spY

Geri Barish has been at the forefront in the battleagainst breast cancer on Long Island since 1988,

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Breast reconstruction

Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy. Although breast reconstruction can rebuild your breast, the results are highly variable. A reconstructed breast will not have the same sensation and feel as the breast it replaces. V isible incision lines will always be present on the breast, whether from reconstruction or mastectomy. Certain surgical techniques will leave inci-sion lines at the donor site, commonly located in less exposed areas of the body such as the back, abdomen or buttocks.Beauty for life Breast reconstruction can be a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other condition. The creation of a new breast can dramatically improve your self-image, self-confidence and quality of life. Although surgery can give you a relatively natural-looking breast, a reconstructed breast will never look or feel exactly the same as the breast that was removed.Is it right for me? Breast reconstruction is a highly individualized pro-cedure. You should do it for yourself, not to fulfill some-one else’s desires or to try to fit any sort of ideal image, advises Dr. Martin E. Kessler , of The Plastic Surgery Group in Rockville Centre, and chief of the Division of Plastic Surgery at South Nassau Communities Hospital. Breast reconstruction is a good option for you if:• You are able to cope well with your diagnosis and

treatment• You do not have additional medical conditions or other

illnesses that may impair healing• You have a positive outlook and realistic goals for

restoring your breast and body image Breast reconstruction typically involves severalprocedures performed in multiple stages. It can begin at the same time as mastectomy , or be delayed until you heal from mastectomy and recover from any additional cancer treatments. It’s important that you feel ready for the emotional adjustment involved in breast reconstruction. It may take some time to accept the results of breast reconstruction.

Helping you become whole again

Choosing breast reconstruction

is about feeling normal and healthy, even though you’ve lost your breast or part of your breast.

14 questions you should ask when choosing a surgeon you can trust Plastic surgery involves many choices. The first and most important is selecting a surgeon you can trust. Use this checklist as a guide during your consultation.1) Are you certified by the American Board of Plastic Surgery?2) Were you trained specifically in the field of plastic surgery?3) How many years of plastic surgery training have you had?4) Do you have hospital privileges to perform this procedure?

If so, at which hospitals?5) Is the office-based surgical facility accredited by a nationally-

or state-recognized accrediting agency, or is it state-licensed or Medicare-certified?

6) Am I a good candidate for this procedure?

7) What will be expected of me to get the best results?8) Where and how will you perform my procedure?9) What surgical technique is recommended for me?10) How long of a recovery period can I expect, and what kind

of help will I need during my recovery?11) What are the risks and complications associated

with my procedure?12) How are complications handled?13) What are my options if I am dissatisfied with the outcome?14) Do you have before-and-after photos I can look at for this

procedure and what results are reasonable for me?

SOUTH NASSAU COMMUNITIES HOSPITAL | ONE HEALTHY WAY, OCEANSIDE, NY 11572 | 877-SOUTH-NASSAU | WWW.SOUTHNASSAU.ORG

To schedule an appointment with Dr. Hodyl, call 877.SOUTH.NASSAU or visit www.southnassau.org for more information.

Christine Hodyl, DO, FACSDirector of Breast Services

“When I was diagnosed with stage 3 breast cancer at 27, Dr. Hodyl not only helped

save my life … she changed it forever.”Dr. Christine Hodyl’s caring approach to lifesaving breast cancer surgery had a life-changing impact on survivor

Kristine Smart, who is now studying to become a radiation oncology nurse because of her experience. A leading

breast surgeon, Dr. Hodyl removes the tumors alongside a team of plastic surgeons, conserving as much of the

breast as possible and providing immediate post-mastectomy reconstruction, giving patients hope and renewed

dignity with the utmost in personal, compassionate care.

Kristine SmartBreast cancer survivor & radiation oncology nursing student,West Hempstead

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Do men get breast cancer?

B reast cancer in men is rare, but it does happen. After all, men have breast tissue, too. The overall ratio of female to male

breast cancer in the U.S. is 100 to 1, according to the American Cancer Society. Of the 2,140 men who are expected to be diagnosed in the U.S. 2011, 450 will die from the disease. Because breast cancer is much more common in women, many men do not realize they can develop this disease. This can delay diagnosis and as a result, some cancers are not found until they have progressed to a later stage. However, when cancer is found at the same stage among men and women, the survival rates are similar. Because the male breast is much smaller than the

female breast, it is more likely the disease will spread to the chest wall. For this reason, it is important to find the cancer early for successful treatment. See your doctor right away if you have any lumps or changes in your chest area.Be aware of the common symptoms of male breast cancer:• A lump in the chest area• Skin dimpling or puckering• Nipple changes The annual incidence of breast cancer for men increases steadily after age 35. It frequently occurs between 60-70 years old. A small study regarding male breast cancer found that the average time between first symptom and diagnosis was 19 months, or over a year and a half. That’ s a very long time! This is probably because people don’t expect breast cancer to happen to men, so there is little to no early detection.A man’s risk No matter how small, the risk is still there. It’s important to be aware of the

known factors that increase a man’ s risk of breast can-cer. These are: • A genetic condition such as Klinefelter’s syndrome that is associated with high estrogen levels• Family members (male or female) with breast cancer , especially with a BRCA2 mutation• Chronic liver disorders, alcoholism and obesity• Getting older As with all cancerse arly diagnosis can make a life-saving difference. W ith more research and more public awareness, men will learn that – just like women – they need to go to their doctor right away if they detect any persistent changes to their breasts.

Breast cancer warriorContinued from page 1

when we talk about breast cancer, that it is multi-factual,” Barish says. “People have to understand who they are, where they came from, and their own history.” Environmental issues as well as hereditary issues both impact a patient’s understanding of the disease and outcome. “Y ou should find out as much as you can about your history , both on your mother’s and father’s side,” Barish advises. “There can be correlating cancers that are hormonal and are connected to breast cancer.” “As we know more about genetics we know that many people could have the gene. This does not mean that you will get the disease but it is important for screening purposes. You should be aware of your history . Today we know that among men who have prostate cancer, their daughters are now at a high risk for breast cancer . Prostate is a hormonal cancer.” Noting that breast cancer affects both menand women, Barish emphasizes the importanceof awareness and

education. A lifestyle that stresses modification is essential, she says. “Do everything in modi-fication. What you eat or don’ t eat alone does not give you breast cancer . Statistics are

tricky. I believe that it doesn’t matter if there are 20 statistics or one, because if you are that one, then it is one too many. Eating a healthy diet, exercise and rest does wonders but the picture is bigger.”

Above all, be knowledgeable, stay up to date with the latest research, and never lose hope, Barish advises. “Try to put your life in its proper perspective. Always get a second opinion and if you still are unsure get a third. Knowledge is power . Today,

through new technology and research we know so much more then we did years ago. There are over two million survivors today.”

Barish lives in Baldwin with her husband Alan, her son Eric, and faithful dog, Sammy.

The Hewlett House was given to John Hewlett by his grandfather, George Hewlett, who came from England in 1636. The House is still in the family.

fication. Whtricky. I bethat one, but the pAbove lose hopsecond

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Family members can help reduce an aging relative’s risk of cancer by encouraging healthy lifestyle changes, according to W insome Bent, RN, Executive Director of the Bristal Assisted Living Community of North Hills. “About 77 percent of people diagnosed with cancer are 55 or older, but lifestyle changes can benefit the health of senior family members,” says Bent. Educate seniors about the benefits of exercise. Increasing physical activity can lower a person’s chances for many cancers, including breast, endometrial, prostate, colorectal and lung cancers. Encourage seniors to do activities they enjoy and that will keep them active. Gardening, golfing, playing tennis and swimming are all great choices. According to Bent, “many seniors, especially those living alone, don’ t cook much. A poor diet might keep seniors from getting the nutrients they need to maintain a healthy body and lower their risk of cancer.” Learn about healthy diets for adults older than age 50. Share information on how many calories they should be getting daily and the types of foods they should be eating. “Quitting smoking is the most important thing anyone can do to improve their health. It’ s never too late to quit,” says Bent. “Avoiding secondhand smoke can greatly improve a senior’s health. The Bristal Assisted Living Communities have facilities in East Meadow , East Northport, L ynbrook, North Hills, North W oodmere, Westbury and Massapequa. For information on The Bristal Assisted Living Communities, visit www.thebristal.com. The Bristal Assisted Living Communities • 631-580-6420

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offer tips to keep senior citizens cancer-free.

T here are three types of weight: “good,” “bad,” and

“artificial” and knowing the difference is key to maintaining your health and your sanity on the scale. Good Weight: is the weight of your organs, tissue, bones and most importantly the lean muscle mass on your body. Lean muscle mass requires more energy (or calories) to maintain, giving your body the ability to break down larger caloric levels. This will give you an appearance of being leaner. Bad Weight: are the stores of fat we carry around the midsection, hips, thighs and buttocks. This is the weight we want to lose and keep off. And whether you have 10 or 100 pounds to lose, it is going to require some effort and discipline. The tough part is getting started and staying motivated. Artificial Weight: occurs when we retain fluids, experience decreased bowel movements or experience metabolic changes. This is not real weight, as it will fall off as quickly as it came on. Don’ t get obsessed with the number on the scale comparing one day’s weight to the next; this will only serve to sabotage and discour -age you. Look at your total weight and inches lost, not the minor fluctuations day to day. Increasing Good Weight: Starting a strength training routine can be extremely intimidating. T o begin, Dr. Bo Rosenblat’s advice is to start small and start slow. Some light training will not turn you into the Incredible Hulk but it will give the definition and tone you are looking for . Try lighter weights at first and perfect your form. A trainer at your gym or an inexpensive DVD can help. Most importantly , beconsistent. 10-15 minutes per day , three days a week will yield tremendous results. Decreasing Bad Weight: The one truth of weight-

loss is: you must exert more calories than you consume. Exercise will build lean muscle mass, improve car-diovascular and circulatory function, but it won’t coun-terbalance your morning doughnut! Focus on the four elements of your meal plan: (1) Type of Food, (2) Portion Size, (3) Method of Preparation and (4) Schedule of Eating. Try journaling for a few days using these elements to create an honest picture of how you truly eat.This will help you identify the habits that

sabotage your weight-loss. Decrease Your Artificial Weight: Weigh yourself inthe morning, undressed, before eating or drinking an dafter using the bathroom. This will be the most accurat erepresentation of your weight. If you see a gain, as kyourself: when was my last bowel movement, have therebeen any changes to my meal plan, sleep or stress levels ?The answers will help identify your weight gain triggers .Spicy and salty foods or carbonated beverages may b ethe cause. Caffeine is also a lesser -known bloat trigger.So be conscious of your habits, big and small. For aquick fix, increase your water intake, to aid in bowe lmovements and help flush your body of excess sodium. Finally, instead of getting obsessed with smal lfluctuations on the scale, get obsessed with what yo ucan control: your meal plan (the types of food yo uchoose, the portions you consume, how that food i sprepared and when the food is eaten) and your activitylevel and the number on the scale will fall into plac eaccordingly. Dr. Bo Rosenblat, Chief Physician for Dr. Bo’s Diet,is a board-certified medical doctor with office locationsin Hewlett, Great Neck, Brooklyn and Manhattan .For more information about Dr. Bo’s Diet, cal l516-284-8248.

The “trio of weights”: The Good, The Bad, and The Artificial

The tough part is getting started and staying motivated.

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Led by Christine Hodyl, DO, F ACS, Director of Breast Health Services, South Nassau Com-munities Hospital offers a comprehensive Breast

Health Services Program providing the expert, advanced, compassionate care that will ease patients’ fear and fill them with hope and confidence during their breast cancer journey.

Dr. Hodyl and her team use targeted surgical techniques that aim to preserve as much of the healthy breast and surrounding areas as possible. This includes sentinel lymph node biopsy and lymph node dissection for early stage breast cancer; single channel balloon brachytherapy techniques; breast-conserving surgery (commonly known as lumpec-tomy); and mastectomy. After surgery, other treatments such as chemotherapy, hormonal therapy, and/or radiation treatments may be needed. Dr. Hodyl offers oncoplastic surgery, which is a combination of breast cancer surgery with a cosmetic procedure. It is an option for patients with certain tumors that may not have been amenable for breast conservation previously. For more information about South Nassau’s Breast Health Services Program or to schedule

an appointment, call 1-877-South Nassau. South Nassau Communities Hospital, Oceanside 877-South Nassau

South Nassau’sbreast health program provides compassionate, expert care

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E ver wake up in the middle of the nightwondering how you were going to pay the bills? Then you know that a car or

mortgage payment can affect your health! The stress of personal conflicts, work, project deadlines, and the demands of our time and money take a huge toll on our health. Chronic pain and muscle tension can cause you to experience nervousness and irritability. There are three types of stress: emotional, chemical and physical. Financial worries (and other anxieties) fall into the emotional stresscategory. Smoking, alcohol consumption,medication and poor diet can lead to chemical stress in your body . The physical stress of poor posture, improper lifting, sports related injuries, auto accidents, and slips and falls can cause wear and tear on your body. All three types of stress affect your nervoussystem. Like a chain that breaks at its weakest link, stress tends to show up where we are mostvulnerable: our neck; our low back; tightness between our shoulders. Stress can increase thefrequency of headaches and compromise our ability to get enough restful sleep. Chiropractic helps reduce stress by allowing the joints and muscles to move freely , which in turn increases blood flow and reduces neurological irritation. Muscles can then relax and pressure in blood vessels decreases. Chiropractic care provides individuals with a safe, effective way to reduce the symptoms of stress, feel great, and, in turn, be happier . Regular chiropractic care now could be a wise investment for a healthier, happier and financially secure you!If you have any questions, contact Dr . Dana Weissman Timmins or visit www .bellmorechiropractic.com.Dr. Dana offers free consultations!Bellmore Chiropractic & Wellness • 110 Bedford Ave., Bellmore • 516-809-9191

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Nutrition for lifeMediterranean diet may help fight breast cancer

New research suggests women looking to prevent breast cancer after menopause may want to consider dietary changes, including adopting Mediterranean eating habits, to reduce their risk. According to information published in the American Journal of Clinical Nutrition, Greek post-menopausal women who rated highly in terms of researching scores in their consumption of foods that fit with a Mediterranean diet were 22 percent less likely to develop breast cancer during the study than others. Although the diet is not a cure-all for breast cancer, researchers estimate that if all women in their study population had closely adhered to a traditional Mediterranean diet, about 10 percent of the 127 postmenopausal breast cancers in the group would have been avoided.

It has long been believed that a Mediterranean diet has many positive effects on personal health. Although studies have only been conducted on breast cancer thus far, there is also hopeful evidence that the diet may reduce the risk for other cancers, including colon and stomach cancer, as well as reduce the chances for heart disease.

What Is a Mediterranean Diet? Nations in the Mediterranean region, including Italy, Greece, Turkey, and Spain, have historically had lower rates of heart disease and some cancers, including breast cancer, compared with other European countries and the United States. Researchers believe there is a correlation between the foods Mediterranean people eat and the rates of cancer and other illnesses. A traditional Mediterranean diet is rich in seafood, heart-healthy fish, vegetables, whole grains, legumes, nuts, and olive oil. It is relatively low in dairy and red meat products. According to the Mayo Clinic, most if not all major scientific organizatio ns encourage healthy adults to adopt a diet similar to the Mediterranean diet to prevent major chronic diseases.

Those who want to follow a Mediterranean diet can consider the following guidelines.• Base every meal on the consumption of fruits, vegetables, grains, olive oil, beans, nuts, legumes, seeds, herbs, and spices.• Consume fish and seafood often, at least two times per week.• Enjoy moderate portions of poultry, eggs, cheese, and yogurt daily to weekly.• Reduce and limit consumption of meats and sweets. Experts say that if the Mediterranean diet does have a preventative nature toward breast cancer and other illnesses, it is likely due to the antioxidant components of the diet. The Mediterranean diet is rich in antioxidants, which protect cells from damage that may lead to diseases. The diet also helps to promote a health body weight, which is instrumental in keeping the body in top form and helping with immune system function. To get started on the path of healthy Mediterranean eating, enjoy this recipe for Eggplant Dip.

Eggplant DipIngredients:1 medium eggplant2 tablespoons lemon juice1/4 cup extra-virgin olive oil1/2 cup fi nely chopped red onion¼ cup plain Greek yogurt1 small red bell pepper, fi nely chopped1 small chile pepper, such as jalapeno,

seeded and minced (optional)2 tablespoons chopped fresh basil1 tablespoon fi nely chopped fl at-leaf parsley1/4 teaspoon cayenne pepper, or to taste1/4 teaspoon salt

Directions: Position oven rack about 6 inches from the heat source; preheat broiler.Line a baking pan with foil. Place eggplant in the pan and poke a few holes all over it to vent steam. Broil the eggplant, turning with tongs every 5 minutes, until the skin is charred and a knife inserted into the dense fl esh near the stem goes in easily, 14 to 18 minutes. Cool on a cutting board until ready to handle. Put lemon juice in a medium bowl. Cut the eggplant in half lengthwise and scrape the fl esh into the bowl, tossing with the lemon juice to help prevent discoloring. Add oil and stir with a fork until the oil is absorbed. (It should be a little chunky.) Stir in yogurt, onion, bell pepper, chile pepper (if using), basil, parsley, cayenne and salt. If the eggplant has a lot of seeds it may be bitter. Add a dash of salt to sweeten the dip. Serve with whole-wheat crackers, wedges of toasted pita, or fresh vegetable slices.

Health insuranceexchangesA small business benefit

W hile some deride the 2010 federal health reform law as “Obamacare,” one component should be consid-

ered separately from the rest – the Small Business Health Options Program (SHOP) Exchange. SHOPs could help small businesses create new jobs, expand employer-based coverage, and recycle more revenue through the local economy. They could also reduce the growing Medicaid enrollment; every worker enrolled in commercial health insurance through the SHOP is one less potential Medicaid enrollee. New York’s small businesses are trapped in a dysfunctional and unsustainable small group health insurance market. This constrains their growth and diminishes their ability to compete in the labor marketplace. A SHOP Exchange could act as these firms’ benefits management depart-ment, making them less susceptible to losing their trained and experienced staff seeking coverage and reclaiming the time and manpower spent managing these benefits. SHOP exchanges represent a rare opportunity to bring value, order and simplicity to small group health insurance markets. Even if health reform is overturned by the Supreme Court, most states would do well to continue with their plans for a SHOP. They could even be structured as non-profit, private sector entities. Recently released federal SHOP rules propose a framework friendly to small employers and attractive to employees, while maximizing state flexibility . Workers can be allowed to choose plans that meet their budget and health needs while allowing employers relief from the onerous task of administering and managing health benefits. State lawmakers who reject these innovative marketplaces abdicate its design and operation to a yet unknown federal model. If history is any guide, federal interference is a consequence that states would do well to avoid. A bill creating a robust, small business-friendly SHOP has been negotiated by our state leaders in Albany , but is stalled in the Senate. Failure to pass this legislation means forgoing federal dollars to help our state’ s small businesses and local economies. Using a SHOP to reduce the burdens associated with health care benefits is not only smart health policy, but sound economic policy as well. Since the 1970’ s, small businesses have led the nation out of every economic downturn by creating new jobs and hiring unemployed workers. They are likely to do so again if provided the opportunity . Vincent C. Ashton is Executive Director of HealthPass New Y ork, a non-profit, commercial health insurance exchange for small businesses in downstate New York.

By Vincent C. Ashton

Looking your best

M aking the choice to have a mastectomy is rarely easy. But many

find it is the best way to remove the risk for breast cancer and go on with their lives. Getting used to dressing your body after a mastec-tomy takes a little patience. A study published in the journal Cancer found that, in New Y ork State alone, the number of women who had a double mastectomy after discovering cancer in one breast more than doubled between 1995 and 2005, increasing from 295 to 683 during that time. Having a part of the body removed brings on many changes. Some women feel liberated by the thought of being cancer-free. Others mourn the loss of a part of their identity and femininity. Whatever the case, after some of the physical healing takes place, women must adapt to a new body. Many women who have undergone a mastectomy find that using a breast form – a type of prosthesis – can make feeling more confident possible. These forms may be attached directly to the breast wall with a bit of skin-safe adhesive or fit inside of a bra. Some mastectomy bras are also built with the form already in the cups, similar to a padded bra. It is important when choosing a bra to be sure it is supportive and firm-fitting to alleviate the risk of gapping or the breast form shifting or coming out entirely . There are stores that specialize in post-mastectomy bra fittings and prostheses to help navigate the new world of these products.

After a well-fitting bra and breast form is selected, a woman can start shopping for clothing. Many prostheses can be purchased to mimic the size and shape of the original breast. Then existing cloth-ing in one’s closet may fit and little new shopping is needed. However , scarring or perceived attention to the area may cause some women to feel anxious. Following these guidelines can help.• Avoid form-fitting tops that draw

attention to the bust.• Look for scoop or boat neck shirts

instead of deep V-neck tops.• Choose shirts and dresses with sleeves or thick straps in terms of

tank tops to cover a supportive bra.• Select solid-color tops paired with print skirts to draw

the eye away from the top half of the body.• When selecting a swimsuit, look for styles that are cut

high under the arms and at the neckline. Athletic styles are usually higher-cut.

• Use accessories like shawls or shrugs to cover up per -ceived problem areas.

• Layer clothing, like a vest over a shirt.• Splurge on a lacy bra to help you feel more feminine

and sexy.• Avoid boxy or oversized shirts, which will only broad-

cast that you’re trying to hide something. Above all, realize that problem areas may be notice-able only to you. Most likely , others will not detect by outward appearances that you even had surgery.

Fashion tips after a mastectomy

Shopping for clothing after a mastectomy may require some patience and self-confi dence after recovering from breast cancer surgery.

healthAQ&&

Breast cancer basics: Knowledge is the first stepin overcoming the disease The American Cancer Society (ACS) estimates that 230,480 new cases of breast cancer will occur among women in the United States during 2011, with approxi-mately 2,140 new cases expected in men. Breast cancer is the second leading cause of cancer death in women, exceeded only by lung cancer . The chance that breast cancer will be responsible for a woman’ s death is about 1 in 36 (about 3 percent), according to the ACS. Death rates from breast cancer have been declining since about 1990, with larger decreases in women younger than 50. These decreases are believed to be the result of earlier detection through screening and increased awareness, as well as improved treatment. For 31 years here on Long Island, the Adelphi NY Statewide Breast Cancer Hotline & Support Program (800-877-8077) has been answering questions from people concerned about breast cancer. Stay aware, be informed, schedule the appropriate mammograms, and continue to spread the word that early detection saves lives.

Here are the most frequently asked questions.

Q - How many women develop breast cancereach year?

A - It is estimated that in 2010, 207,090 new cases of breast cancer were diagnosed in the United States. New cases in New Y ork State were estimated at 14,610. Women have a one in eight chance of

developing breast cancer over the course of lifetime. More women in the United States ar eing with breast cancer than any other c a(excluding skin cancer).

Q - What are the factors that put a woman at higher risk for breast cancer?

A - The two most significant risk factors are b efemale and getting older. The majority of wo mdiagnosed with breast cancer have no other knorisk factors.

Q - As a Hispanic woman, should I be concerned about breast cancer?

A - More Hispanic women are diagnosed at a lstage than Caucasian, when cancer is hard etreat.

Q - Am I at risk for breast cancer?A - All women are at risk of developing breast ca n

Speak to your health care provider who will with you about your family history and your oindividual risk factors.

Q - As an African-American woman, should I be concerned about breast cancer?

A - Yes, although the incidence of breast cancer is loin African –American women than white wo mthe mortality or death rate is higher.

Q - Am I more at risk of developing breast cancer as I age?

A - Age is the number one risk factor for breast canOlder women are much more likely to get b rcancer than younger women. Most breast ca n(about 80 percent) occur in women ages 50 older. About 5percent of all breast cancer coccur in women under the age of 40. It is re cmended that women start annual mammogr aat age 40.

Q - Can exercise reduce my risk for breast cancer?A - Several studies indicate that women who exerci

moderate to vigorous levels (3-4 hours per wmay reduce their risk level.

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SERVICES AND

SUPPORT

Assistance during and after treatment is just a phone call away

Adelphi NY Statewide Breast Cancer Hotline and Support Program Anyone – in New York State – with breast cancer concerns can call the Adelphi NY Statewide Breast Cancer Hotline and Support Program’ s toll free number, (800) 877-8077, and speak with someone who has “been there.” The more than 100 highly trained volunteers offer emotionalsupport, information and referrals, all free. Social work staff provides professional services. Locally the program offers support groups, individual and family coun-seling, plus educational forums and workshops. A newsletter , Update, is published quarterly and Sisters United in Health/Hermanas Unidas en la Salud, reaches Latinas and African-American women, along with breast health information for young women. The program was established in 1980. Anyone who is worried about breast cancer should call the hotline for help. “Y ou are not alone” is the hotline’s motto.

Workshops Informative workshops and lectures are presented periodically through-out the year. Upcoming program include:

Nutrition for Breast Cancer Survivors – What You Can Do To Stay Healthy – Tuesday. Nov. 1, 7-8:30 p.m. A panel of experts will cover current recommendations for weight man-agement and maintaining muscle and bone health during and after breast cancer treatment at this free forum. They will explore foods and nutrients that have received attention in the media and help sort through this often-confusing information. Participants will find out how to interpret food

labels, discover new tips to plan meals and learn the latest information that will help to promote overall good health and control weight. Bellydancing for Breast Cancer Survivors Tuesday, Nov. 16, 7-8 p.m. Aviva Khadra, a performer/choreographer , and director of the Harem Belly Dance Studio in Baldwin, leads this bellydance class for survivors This captivating and beautiful art form can be a refreshing alternative to tradi-tional exercise Get ready for a magic carpet ride that will enhance your confidence, boost your sensuality and add fun to your workout! Both programs are held at Adelphi University’ s Alumni House, 154 Cambridge Avenue, Garden City. Admission is free but pre-registration is required. Call (516) 877-4325 for information and to register.

Support Groups Adelphi NY Statewide Breast Cancer Program The Adelphi NY Statewide Breast Cancer program offers many support groups for Long Island women. There is no cost for any group; however pre-registration is required. Groups meet at Adelphi University School of Social Work, Garden City. Individual counseling is also available. For infor -mation or to sign up, call Sandi Kafenbaum, LCSW , at (516) 877-4314, or the Breast Cancer Hotline at (800) 877-8077.

• For Women Newly Diagnosed with Breast Cancer A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Women Post-Treatment A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Single Women with Breast Cancer A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Young WomenA Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.also Thursday mornings 10:30 a.m.-noon.

• For Women with Breast CancerA daytime group will meet weekly for eight weeks, 11a.m.-12:30 p.m. tentatively beginning on January 20.

• For Women with Metastatic Breast Cancer A daytime group that meets weekly, Mondays, 1:30-3 p.m.

• For Women with Metastatic Breast Cancer A daytime group that meets weekly, Thursdays, 1:30-3 p.m.

Hewlett House 1 in 9’s Hewlett House offers free breast cancer and other cancer support groups, and classes. All services are free and confidential. Pre-registration is required. Call the Hewlett House 516-374-3190. Groups and Classes are held at Hewlett House 86 E Rockaway Rd, Hewlett. Visit the website at www.1in9.org

• Cancer Support GroupAn ongoing group that meets Tuesdays 11:15 am-12:15 p.m. For those in need of support for all cancer-related illnesses. Group members of dif-ferent ages and with different types of cancer come together each week to support one another.

• Newly Diagnosed Breast Cancer Support (in treatment)For those recently diagnosed with breast cancer meets Tuesdays, 12:30-1:30 p.m.

• Thriving Through and Beyond CancerGroup meets Tuesdays and Wednesdays, using misfortune to grow and regenerate new solutions as a couple or family.

• DiscussionsAn informal, ongoing chat for people whose lives have been touched by cancer, meets Wednesdays, 1-2:30 p.m.

• Cancer Support Group for Bilateral SurgeryFor women who have had bilateral surgery, double mastectomy, meets Wednesdays, 5:30-6:30 p.m.

• Yoga/Stress ReductionFor all cancer-related illness, meets Mondays, 1:30-2:30 pm.

• Decoupage Art ClassHeal through art, Tuesdays 1-2:30 p.m.

• Reiki ClinicLearn about and experience this simple healing technique, by appointment.

• Crochet ClassA group designed to help cancer patients draw strength from each other and enjoy togetherness in a circle of friendship., meets Thursdays,11 a.m.-1 p.m.

• Four Weeks To A Healthier You Take control of your diet, meets Thursdays, 2:30-4 p.m.A nutrition series, Series on Nutrition by Donna Miller-Small, Reiki Master Teacher & Practitioner.

• Breast Cancer Exercise ProgramFor those patients who are finished with treatment, meets Saturdays, 11 a.m.-noon.

Additional groups for families, adolescents, bereavement, and private counseling are available upon request. All services are free and confidential. Pre-registration is required. Other support groups and services are available through area hospitals, and such community resources as the Peninsula Counseling Center and Barry and Florence Friedberg JCC.

No one need face breast cancer alone. There are myriad of services available throughout the area that offer support, assistance and

friendship, beginning with diagnosis and continuing through recovery.

By Karen Bloom

“You are not alone.” The supportive volunteers and staff at the Adelphi NY Statewide Breast Cancer Hotline and Support program, along with Hewlett House and other local organizations, are ready to assist patients and survivors.

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Breast cancerwarrior

and has earned the distinction of being New York State’s pre-eminent breast cancer activist. In 1996, Geri was awarded the First Annual New York State Innovation in Breast Cancer Early Detection and Research Award. Barish is no stranger to the pain and torment of cancer: she is a three-time breast cancer victim and survivor . Her son, Michael, lost his life at a young age from complications of Hodgkin’ s Lymphoma in 1986. Barish promised Michael that she would dedicate her life to finding the causes and cures for breast cancer, and she has done so to this day. As President of “1 in 9”, Barish spearheaded negotiations of New York State’s Pesticide Registry Law, which created an accessible data-

base to determine whether there is a relationship between pesticide use and breast cancer. Among her accomplishments: in March 1997, she spoke in Albany for the bipartisan “Mastectomy Bill”, which passed in both the Senate and Assembly and signed into law by then Governor George Pataki. Her appointment as Executive Director of Hewlett House fulfills a dream and vision Barish had when she began her own struggle with breast cancer. Barish vowed a long time ago, that given the opportunity, no one would have to go through what she did - to battle this dreadful disease alone. Hewlett House, in Hewlett, is a multi-purpose, professionally staffed facility in a home-likesetting, for cancer victims and their family and friends. It is a central place offering information, counseling and meetings; where a pot of coffee is always on the stove and a listening ear available. Barish’s dedication and perseverance has resulted in increased national funding, the

implementation and overseeing of the Long Island Breast Cancer Study Project, which is the firstscientific symposium held on Long Island todetermine whether there was a need for a separate Long Island study of breast cancer; and theestablishment of the ongoing Michael Scott Barish Human Cancer Grant at Cold Spring Harbor Laboratory for research into genetic mutations that could cause breast cancer , lymphoma and leukemia. “Over the past 20 years we have been able to secure funding both on a national level and in Albany for more research and new technology ,” Barish says. “While we have come very far, we still have along way to go. “ Barish explains that it is essential foreveryone to understand breast cancer if we are to reduce the risk of getting this disease. “It is very important for people to understand

Continued on page 2

and has earnYork Statactivist. IFirst Anin BreaResearc Baristormenbreast son, Mfrom LympMiclife breth spY

Geri Barish has been at the forefront in the battleagainst breast cancer on Long Island since 1988,

A Special Advertising Section

Geri Barish leads the fight on Long IslandBy Karen Bloom

OCTOBER 20, 2011

SERVICESAND SUPPORTAssistance during and aftertreatment is just a phone call away

Continued on page 7

BREASTRECONSTRUCTIONHelping you become whole again

Continued on page 3

LOOKING YOUR BESTFashion tips after a mastectomy

Continued on page 6

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October 20, 2011 — Good Health – HERALD COMM

UNITY NEWSPAPERS

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Breast cancer warriorContinued from page 1

when we talk about breast cancer, that it is multi-factual,” Barish says. “People have to understand who they are, where they came from, and their own history.” Environmental issues as well as hereditary issues both impact a patient’s understanding of the disease and outcome. “Y ou should find out as much as you can about your history , both on your mother’s and father’s side,” Barish advises. “There can be correlating cancers that are hormonal and are connected to breast cancer.” “As we know more about genetics we know that many people could have the gene. This does not mean that you will get the disease but it is important for screening purposes. You should be aware of your history . Today we know that among men who have prostate cancer, their daughters are now at a high risk for breast cancer . Prostate is a hormonal cancer.” Noting that breast cancer affects both menand women, Barish emphasizes the importanceof awareness and

education. A lifestyle that stresses modification is essential, she says. “Do everything in modi-fication. What you eat or don’ t eat alone does not give you breast cancer . Statistics are

tricky. I believe that it doesn’t matter if there are 20 statistics or one, because if you are that one, then it is one too many. Eating a healthy diet, exercise and rest does wonders but the picture is bigger.”Above all, be knowledgeable, stay up to date with the latest research, and never lose hope, Barish advises. “Try to put your life in its proper perspective. Always get a second opinion and if you still are unsure get a third. Knowledge is power . Today,

through new technology and research we know so much more then we did years ago. There are over two million survivors today.”Barish lives in Baldwin with her husband Alan, her son Eric, and faithful dog, Sammy.

The Hewlett House was given to John Hewlett by his grandfather, George Hewlett, who came from England in 1636. The House is still in the family.

fication. Whtricky. I bethat one, but the pAbove lose hopsecond

througa

Breast reconstruction

Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy. Although breast reconstruction can rebuild your breast, the results are highly variable. A reconstructed breast will not have the same sensation and feel as the breast it replaces. V isible incision lines will always be present on the breast, whether from reconstruction or mastectomy. Certain surgical techniques will leave inci-sion lines at the donor site, commonly located in less exposed areas of the body such as the back, abdomen or buttocks.Beauty for life Breast reconstruction can be a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other condition. The creation of a new breast can dramatically improve your self-image, self-confidence and quality of life. Although surgery can give you a relatively natural-looking breast, a reconstructed breast will never look or feel exactly the same as the breast that was removed.Is it right for me? Breast reconstruction is a highly individualized pro-cedure. You should do it for yourself, not to fulfill some-one else’s desires or to try to fit any sort of ideal image, advises Dr. Martin E. Kessler , of The Plastic Surgery Group in Rockville Centre, and chief of the Division of Plastic Surgery at South Nassau Communities Hospital. Breast reconstruction is a good option for you if:• You are able to cope well with your diagnosis and

treatment• You do not have additional medical conditions or other

illnesses that may impair healing• You have a positive outlook and realistic goals for

restoring your breast and body image Breast reconstruction typically involves severalprocedures performed in multiple stages. It can begin at the same time as mastectomy , or be delayed until you heal from mastectomy and recover from any additional cancer treatments. It’s important that you feel ready for the emotional adjustment involved in breast reconstruction. It may take some time to accept the results of breast reconstruction.

Helping you become whole again

Choosing breast reconstruction

is about feeling normal and healthy, even though you’ve lost your breast or part of your breast.

14 questions you should ask when choosing a surgeon you can trust Plastic surgery involves many choices. The first and most important is selecting a surgeon you can trust. Use this checklist as a guide during your consultation.1) Are you certified by the American Board of Plastic Surgery?2) Were you trained specifically in the field of plastic surgery?3) How many years of plastic surgery training have you had?4) Do you have hospital privileges to perform this procedure?

If so, at which hospitals?5) Is the office-based surgical facility accredited by a nationally-

or state-recognized accrediting agency, or is it state-licensed or Medicare-certified?

6) Am I a good candidate for this procedure?

7) What will be expected of me to get the best results?8) Where and how will you perform my procedure?9) What surgical technique is recommended for me?10) How long of a recovery period can I expect, and what kind

of help will I need during my recovery?11) What are the risks and complications associated

with my procedure?12) How are complications handled?13) What are my options if I am dissatisfied with the outcome?14) Do you have before-and-after photos I can look at for this

procedure and what results are reasonable for me?

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October 20, 2011 — Good Health – HERALD COMM

UNITY NEWSPAPERS

SOUTH NASSAU COMMUNITIES HOSPITAL | ONE HEALTHY WAY, OCEANSIDE, NY 11572 | 877-SOUTH-NASSAU | WWW.SOUTHNASSAU.ORG

To schedule an appointment with Dr. Hodyl, call 877.SOUTH.NASSAU or visit www.southnassau.org for more information.

Christine Hodyl, DO, FACSDirector of Breast Services

“When I was diagnosed with stage 3 breast cancer at 27, Dr. Hodyl not only helped

save my life … she changed it forever.”Dr. Christine Hodyl’s caring approach to lifesaving breast cancer surgery had a life-changing impact on survivor

Kristine Smart, who is now studying to become a radiation oncology nurse because of her experience. A leading

breast surgeon, Dr. Hodyl removes the tumors alongside a team of plastic surgeons, conserving as much of the

breast as possible and providing immediate post-mastectomy reconstruction, giving patients hope and renewed

dignity with the utmost in personal, compassionate care.

Kristine SmartBreast cancer survivor & radiation oncology nursing student,West Hempstead

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48October 24, 2011 6:00pm

Jackson’s Restaurant6005 Jericho TurnpikeCommack, NY 11725

Please RSVP by October 23, 2011

November 1, 2011 6:00pmAmicale

872 E. Jericho TurnpikeHuntington Station, NY 11746

Please RSVP by October 31, 2011

Novartis MS Education Link

Novartis Pharmaceutical Corporation2011 Novartis 9/11 T_XMG-1099611

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Patricia Melville, NPdiscuss information about multiple sclerosis (MS) and a

prescription treatment option.

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1000 N. Village Ave., Rockville Centre • www.MercyMedicalCenter.info • A Safe Haven For Newborns—Legal Option To Abandonment

CONVENIENT FREE PARKING

Appointments/Physician Referrals:

516-62MERCY

Convenient, comprehensive care—with screening,

diagnosis, treatment and follow-up, all at one location

• Next-day screening appointments – Same-day results

• Easy transfer of films and records

• Spa-like facilities – Expert, sensitive physicians and technologists

• Low-radiation digital mammography – Non-invasive ultrasound

• Accredited by the American College of Radiology

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October 20, 2011 — Good Health – HERALD COMM

UNITY NEWSPAPERS

Edward M. Stroh, M.D.Retina Consultants of Long Island

Specializing in Diseases and Surgery of the Retina and Vitreous:

Affiliated with: Mercy Medical Center, Long Island Jewish-North Shore Health System,Winthrop University Hospital, South Nassau Communities Hospital,

and Manhattan Eye, Ear and Throat Hospital

165 North Village Avenue, Suite 203Rockville Centre, NY 11570

536-9525

Macular Degeneration

Diabetic Retinopathy

Macular Pucker and Macular Holes

Retinal Vascular Occlusions

Flashes and Floaters

Laser Surgery and Phototherapy

Retinal Detachment and Vitreoretinopathy

Retina, Vitreous and Macular Surgery

Uveitis

Penetrating Eye Injuries

Ocular Trauma

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Care Beyond Compare

NORTH WOODMERE477 HUNGRY HARBOR RD 516.336.2600

LYNBROOK8 FREER STREET 516.593.2424

LICENSED BY THE NYS DEPT OF HEALTH. ELIGIBLE FOR MOST LONG TERM CARE POLICIES.

WE WENT WITH THE BEST - THE BRISTAL. When you visit The Bristal – no other community compares. It’s more than luxury living & dining. More than delightful activities. It’s devoted attention, a sterling staff and simply outstanding care. Wrestling with your decision? Call to schedule your visit today! Ask about our Veterans Program!

QUALITY COMMUNITIES BY THE ENGEL BURMAN GROUP

OUR DECISION WASN’T EASY....

ExcitingLow Price!$2,195based on a 30 day month

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thebristal.comThe 2011 annual inspection by the New York State Department of Health, found each community of The Bristal 100% violation-free.

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Advertorials

Diabetes is one of the leading causes of blindness among Americans. Many patients with diabetic eye problems have no symptoms, but if left untreated, diabetes can lead to serious visual loss, explains Dr. Edward Stroh. Many diabetics notice blurred vision when their blood sugar fluctuates either high or low . Diabetes can also damage the small blood vessels throughout the retina, resulting in lack of oxygen to the retina. The damaged blood vessels leak, producing fluid in the retina. The diagnosis of diabetic eye disease is made by examination and may require photographs, fluorescein angiography and/or OCT to detect diabetic retinopathy. There are new advances for treating diabetic retinopathy including laser techniques, medication, injections, or even surgery for severe cases. Blindness due to diabetic eye disease can be preventable. Strategies for preventing diabetic retinopathy include control of blood sugar and blood pressure, avoiding smoking, early detection, and early treatment as well as maintaining regularly scheduled visits. Dr. Stroh is a retina specialist in Rockville Centre who specializes in Diabetes and Retinal Disorders. He has published numerous articles and frequently lectures at national meetings. Dr . Stroh is a member of many organizations, including The American Academy of Ophthalmology , Vitreous Society and Association for research in Vision and Ophthalmology. He can be reached at 516-536-9525 for appointments, consultations and second opinions. Dr. Edward StrohRetina Consultants of Long Island • 165 N. Village Ave., Suite 203, Rockville Centre • 516-536-9525

Approximately14 million Americans

have diabetes mellitus, but many don’t know they are affected.

Have your eyes examined regularly to check for diabetes damage.

And at Mercy Medical Center , it’s easy to arrange state-of-the-art screening and diagnostic mammograms as part of convenient, comprehensive breast health services. Mercy’s Bishop McGann Center for Oncology and Imaging provides coordinated multidisciplinary screening, diagnosis, treatment and follow-up care at a single location, utilizing the most advanced imaging and minimally-invasive techniques for the diagnosis of benign and malignant breast disease.

Available procedures include the latest low-radiation digital mammography, non-invasive ultrasound and stereotactic breast biopsy, with expert, sensitive radiologists and imaging technologists, as well as highly skilled breast surgeons. Mercy offers next-day screening appointments, and same-day results. Radiologists are available to read images in real time, order additional views if needed, and consult with their physicians as needed. All images and reports are available to patients’ physicians via computer, through a state-of-the-art Picture Archiving Communication System. And we make it easy to transfer films and records of previous screenings at other facilities. Mercy’s Department of Radiology and Imaging is accredited by the American College of Radiology . And recentamenities upgrades at the McGann Center provide a spa-like atmosphere

with a spacious, airy reception area designed to pro-vide patients with a bright, cheerful environment, along with a new private waiting area for W omen’s Imaging patients.Mercy Medical Center516-62MERCY • www.MercyMedicalCenter.info

Comprehensive breast healthservices at Mercy

Mercy utilizes the most advanced imaging and minimally-invasive techniques for the diagnosis of benign and malignant breast disease.

Mammography is the most effective screening test for the early detection

of breast cancer available to women today.

Advances indiabetic eye disease

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Health insuranceexchangesA small business benefit

W hile some deride the 2010 federal health reform law as “Obamacare,” one component should be consid-

ered separately from the rest – the Small Business Health Options Program (SHOP) Exchange. SHOPs could help small businesses create new jobs, expand employer-based coverage, and recycle more revenue through the local economy. They could also reduce the growing Medicaid enrollment; every worker enrolled in commercial health insurance through the SHOP is one less potential Medicaid enrollee. New York’s small businesses are trapped in a dysfunctional and unsustainable small group health insurance market. This constrains their growth and diminishes their ability to compete in the labor marketplace. A SHOP Exchange could act as these firms’ benefits management depart-ment, making them less susceptible to losing their trained and experienced staff seeking coverage and reclaiming the time and manpower spent managing these benefits. SHOP exchanges represent a rare opportunity to bring value, order and simplicity to small group health insurance markets. Even if health reform is overturned by the Supreme Court, most states would do well to continue with their plans for a SHOP. They could even be structured as non-profit, private sector entities. Recently released federal SHOP rules propose a framework friendly to small employers and attractive to employees, while maximizing state flexibility . Workers can be allowed to choose plans that meet their budget and health needs while allowing employers relief from the onerous task of administering and managing health benefits. State lawmakers who reject these innovative marketplaces abdicate its design and operation to a yet unknown federal model. If history is any guide, federal interference is a consequence that states would do well to avoid. A bill creating a robust, small business-friendly SHOP has been negotiated by our state leaders in Albany , but is stalled in the Senate. Failure to pass this legislation means forgoing federal dollars to help our state’ s small businesses and local economies. Using a SHOP to reduce the burdens associated with health care benefits is not only smart health policy, but sound economic policy as well. Since the 1970’ s, small businesses have led the nation out of every economic downturn by creating new jobs and hiring unemployed workers. They are likely to do so again if provided the opportunity . Vincent C. Ashton is Executive Director of HealthPass New Y ork, a non-profit, commercial health insurance exchange for small businesses in downstate New York.

By Vincent C. Ashton

Looking your best

M aking the choice to have a mastectomy is rarely easy. But many

find it is the best way to remove the risk for breast cancer and go on with their lives. Getting used to dressing your body after a mastec-tomy takes a little patience. A study published in the journal Cancer found that, in New Y ork State alone, the number of women who had a double mastectomy after discovering cancer in one breast more than doubled between 1995 and 2005, increasing from 295 to 683 during that time. Having a part of the body removed brings on many changes. Some women feel liberated by the thought of being cancer-free. Others mourn the loss of a part of their identity and femininity. Whatever the case, after some of the physical healing takes place, women must adapt to a new body. Many women who have undergone a mastectomy find that using a breast form – a type of prosthesis – can make feeling more confident possible. These forms may be attached directly to the breast wall with a bit of skin-safe adhesive or fit inside of a bra. Some mastectomy bras are also built with the form already in the cups, similar to a padded bra. It is important when choosing a bra to be sure it is supportive and firm-fitting to alleviate the risk of gapping or the breast form shifting or coming out entirely . There are stores that specialize in post-mastectomy bra fittings and prostheses to help navigate the new world of these products.

After a well-fitting bra and breast form is selected, a woman can start shopping for clothing. Many prostheses can be purchased to mimic the size and shape of the original breast. Then existing cloth-ing in one’s closet may fit and little new shopping is needed. However , scarring or perceived attention to the area may cause some women to feel anxious. Following these guidelines can help.• Avoid form-fitting tops that draw

attention to the bust.• Look for scoop or boat neck shirts

instead of deep V-neck tops.• Choose shirts and dresses with sleeves or thick straps in terms of

tank tops to cover a supportive bra.• Select solid-color tops paired with print skirts to draw

the eye away from the top half of the body.• When selecting a swimsuit, look for styles that are cut

high under the arms and at the neckline. Athletic styles are usually higher-cut.

• Use accessories like shawls or shrugs to cover up per -ceived problem areas.

• Layer clothing, like a vest over a shirt.• Splurge on a lacy bra to help you feel more feminine

and sexy.• Avoid boxy or oversized shirts, which will only broad-

cast that you’re trying to hide something. Above all, realize that problem areas may be notice-able only to you. Most likely , others will not detect by outward appearances that you even had surgery.

Fashion tips after a mastectomy

Shopping for clothing after a mastectomy may require some patience and self-confi dence after recovering from breast cancer surgery.

Family members can help reduce an aging relative’s risk of cancer by encouraging healthy lifestyle changes, according to W insome Bent, RN, Executive Director of the Bristal Assisted Living Community of North Hills. “About 77 percent of people diagnosed with cancer are 55 or older , but lifestyle changes can benefit the health of senior family members,” says Bent. Educate seniors about the benefits of exercise. Increasing physical activity can lower a person’s chances for many cancers, including breast, endometrial, prostate, colorectal and lung cancers. Encourage seniors to do activities they enjoy and that will keep them active. Gardening, golfing, playing tennis and swimming are all great choices. According to Bent, “many seniors, especially those living alone, don’ t cook much. A poor diet might keep seniors from getting the nutrients they need to maintain a healthy body and lower their risk of cancer.” Learn about healthy diets for adults older than age 50. Share information on how many calories they should be getting daily and the types of foods they should be eating. “Quitting smoking is the most important thing anyone can do to improve their health. It’ s never too late to quit,” says Bent. “Avoiding secondhand smoke can greatly improve a senior’s health. The Bristal Assisted Living Communities have facilities in East Meadow , East Northport, L ynbrook,North Hills, North W oodmere, Westbury and Massapequa. For information on The Bristal Assisted LivingCommunities, visit www.thebristal.com. The Bristal Assisted Living Communities • 631-580-6420

Staying cancer-freeas we age

The Bristal Assisted Living Communities

offer tips to keep senior citizens cancer-free.

Advertorials

Led by Christine Hodyl, DO, F ACS, Director of Breast Health Services, South Nassau Com-munities Hospital offers a comprehensive Breast

Health Services Program providing the expert, advanced, compassionate care that will ease patients’ fear and fill them with hope and confidence during their breast cancer journey.

Dr. Hodyl and her team use targeted surgical techniques that aim to preserve as much of the healthy breast and surrounding areas as possible. This includes sentinel lymph node biopsy and lymph node dissection for early stage breast cancer; single channel balloon brachytherapy techniques; breast-conserving surgery (commonly known as lumpec-tomy); and mastectomy. After surgery, other treatments such as chemotherapy, hormonal therapy, and/or radiation treatments may be needed. Dr. Hodyl offers oncoplastic surgery, which is a combination of breast cancer surgery with a cosmetic procedure. It is an option for patients with certain tumors that may not have been amenable for breast conservation previously. For more information about South Nassau’s Breast Health Services Program or to schedule

an appointment, call 1-877-South Nassau. South Nassau Communities Hospital, Oceanside 877-South Nassau

South Nassau’sbreast health program provides compassionate, expert care

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October 20, 2011 — Good Health – HERALD COMM

UNITY NEWSPAPERS

SERVICES AND

SUPPORT

Assistance during and after treatment is just a phone call away

Adelphi NY Statewide Breast Cancer Hotline and Support Program Anyone – in New York State – with breast cancer concerns can call the Adelphi NY Statewide Breast Cancer Hotline and Support Program’ s toll free number, (800) 877-8077, and speak with someone who has “been there.” The more than 100 highly trained volunteers offer emotionalsupport, information and referrals, all free. Social work staff provides professional services. Locally the program offers support groups, individual and family coun-seling, plus educational forums and workshops. A newsletter , Update, is published quarterly and Sisters United in Health/Hermanas Unidas en la Salud, reaches Latinas and African-American women, along with breast health information for young women. The program was established in 1980. Anyone who is worried about breast cancer should call the hotline for help. “Y ou are not alone” is the hotline’s motto.

Workshops Informative workshops and lectures are presented periodically through-out the year. Upcoming program include:

Nutrition for Breast Cancer Survivors – What You Can Do To Stay Healthy – Tuesday. Nov. 1, 7-8:30 p.m. A panel of experts will cover current recommendations for weight man-agement and maintaining muscle and bone health during and after breast cancer treatment at this free forum. They will explore foods and nutrients that have received attention in the media and help sort through this often-confusing information. Participants will find out how to interpret food

labels, discover new tips to plan meals and learn the latest information that will help to promote overall good health and control weight. Bellydancing for Breast Cancer Survivors Tuesday, Nov. 16, 7-8 p.m. Aviva Khadra, a performer/choreographer , and director of the Harem Belly Dance Studio in Baldwin, leads this bellydance class for survivors This captivating and beautiful art form can be a refreshing alternative to tradi-tional exercise Get ready for a magic carpet ride that will enhance your confidence, boost your sensuality and add fun to your workout! Both programs are held at Adelphi University’ s Alumni House, 154 Cambridge Avenue, Garden City. Admission is free but pre-registration is required. Call (516) 877-4325 for information and to register.

Support Groups Adelphi NY Statewide Breast Cancer Program The Adelphi NY Statewide Breast Cancer program offers many support groups for Long Island women. There is no cost for any group; however pre-registration is required. Groups meet at Adelphi University School of Social Work, Garden City. Individual counseling is also available. For infor -mation or to sign up, call Sandi Kafenbaum, LCSW , at (516) 877-4314, or the Breast Cancer Hotline at (800) 877-8077.

• For Women Newly Diagnosed with Breast Cancer A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Women Post-Treatment A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Single Women with Breast Cancer A Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.

• For Young WomenA Monday evening group that meets weekly for eight weeks, 7-8:30 p.m.also Thursday mornings 10:30 a.m.-noon.

• For Women with Breast CancerA daytime group will meet weekly for eight weeks, 11a.m.-12:30 p.m. tentatively beginning on January 20.

• For Women with Metastatic Breast Cancer A daytime group that meets weekly, Mondays, 1:30-3 p.m.

• For Women with Metastatic Breast Cancer A daytime group that meets weekly, Thursdays, 1:30-3 p.m.

Hewlett House 1 in 9’s Hewlett House offers free breast cancer and other cancer support groups, and classes. All services are free and confidential. Pre-registration is required. Call the Hewlett House 516-374-3190. Groups and Classes are held at Hewlett House 86 E Rockaway Rd, Hewlett. Visit the website at www.1in9.org

• Cancer Support GroupAn ongoing group that meets Tuesdays 11:15 am-12:15 p.m. For those in need of support for all cancer-related illnesses. Group members of dif-ferent ages and with different types of cancer come together each week to support one another.

• Newly Diagnosed Breast Cancer Support (in treatment)For those recently diagnosed with breast cancer meets Tuesdays, 12:30-1:30 p.m.

• Thriving Through and Beyond CancerGroup meets Tuesdays and Wednesdays, using misfortune to grow and regenerate new solutions as a couple or family.

• DiscussionsAn informal, ongoing chat for people whose lives have been touched by cancer, meets Wednesdays, 1-2:30 p.m.

• Cancer Support Group for Bilateral SurgeryFor women who have had bilateral surgery, double mastectomy, meets Wednesdays, 5:30-6:30 p.m.

• Yoga/Stress ReductionFor all cancer-related illness, meets Mondays, 1:30-2:30 pm.

• Decoupage Art ClassHeal through art, Tuesdays 1-2:30 p.m.

• Reiki ClinicLearn about and experience this simple healing technique, by appointment.

• Crochet ClassA group designed to help cancer patients draw strength from each other and enjoy togetherness in a circle of friendship., meets Thursdays,11 a.m.-1 p.m.

• Four Weeks To A Healthier You Take control of your diet, meets Thursdays, 2:30-4 p.m.A nutrition series, Series on Nutrition by Donna Miller-Small, Reiki Master Teacher & Practitioner.

• Breast Cancer Exercise ProgramFor those patients who are finished with treatment, meets Saturdays, 11 a.m.-noon.

Additional groups for families, adolescents, bereavement, and private counseling are available upon request. All services are free and confidential. Pre-registration is required. Other support groups and services are available through area hospitals, and such community resources as the Peninsula Counseling Center and Barry and Florence Friedberg JCC.

No one need face breast cancer alone. There are myriad of services available throughout the area that offer support, assistance and

friendship, beginning with diagnosis and continuing through recovery.

By Karen Bloom

“You are not alone.” The supportive volunteers and staff at the Adelphi NY Statewide Breast Cancer Hotline and Support program, along with Hewlett House and other local organizations, are ready to assist patients and survivors.

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Martin E. Kessler, M.D., F.A.C.S.Martin E. Kessler, M.D., F.A.C.S.Cosmetic Surgery

Plastic & Reconstructive SurgerySurgery of the Hand

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• Diplomate American Board of Plastic Surgery• Respected Leader in Plastic & Reconstructive Surgery• Castle Connolly Top Doctors 1998-2010

Facial Enhancement• Face, Neck & Eyelid Lift• Endoscopic Brow Lift• Rhinoplasy• Ear Surgery

Breast Surgery• Breast Enlargement• Breast Lift• Breast Reduction• Breast Reconstruction

Body Contouring• Liposuction• Abdominoplasty (tummy tuck)

• Arm Lift (brachioplasty)

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Skin Rejuvenation• Laser Removal of Facial Wrinkles• Botox, Restylane, Juvederm• Dermabrasion for Acne Scarring

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December 1, 2011 6:00pmLombardi’s on the Bay

600 South Ocean AvenuePatchogue, NY 11772

Novartis MS Education Link

Novartis Pharmaceutical Corporation©2011 Novartis 9/11 T_XMG-1099611

Hear

Barbara Bumstead, NPdiscuss information about multiple sclerosis (MS) and a

prescription treatment option.

Please RSVP by November 30, 2011 by calling 800-973-0362