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VALLEY BAPTIST BRAIN AND SPINE NETWORK A STROKE IS A BRAIN ATTACK - EMBRACE A HEALTHY LIFESTYLE TO HELP PROTECT YOUR BRAIN
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healthy valley®
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SCAN THIS QR CODE TO VIEWONLINE MAGAZINE STAYING SUN-SAFE It’s More Than Sunscreen
Make The First Five Count
FATHERHOOD INITIATIVE
Aging and Low TESTOSTERONE
TIME TO INTERVENE!
Ensuring Good HEALTH
FOR LIFE
ISSUE 68
VALLEY BAPTIST BRAIN AND SPINE NETWORK
A Stroke is a Brain Attack - Embrace a Healthy Lifestyle to Help Protect Your Brain
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1/2 PAGE (NO BLEED)7.5” x 4.75”
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[email protected] | 1430 South DIxie Hwy, suite 315 | Coral Gables, FL 33146 | PH 305-395-4554 www.HealthyMagazine.com
WH
AT
’SINSIDEhv
HEALTHY BODY, MIND & SOUL
FITNES & BEAUTY
HEALTHY KIDS
8. FATHERHOOD INITIATIVE10. HARVEY MANGER-WEIL TEACHES STUDENTS TO ACE THE SAT12. STAY INVOLVED! YOU MAKE A DIFFERENCE IN YOUR CHILD’S LIFE.14. TEACHING HEALTHY RESILIENCY IN CHILDHOOD
36. ADVANCES IN WEIGHT MANAGEMENT40. STOP SMOKING WITH ACUPUNCTURE: A GOOD WAY TO SAVE YOUR LIFE42. CALENDAR COMMUNITY EVENTS
ISSUE 68
16. STEPPING UP TO FATHERHOOD18. STAYING SUN-SAFE IT’S MORE THAN SUNSCREEN25. ENSURING GOOD HEALTH FOR LIFE26. VALLEY BAPTIST BRAIN AND SPINE NETWORK A STROKE IS A BRAIN ATTACK - EMBRACE A HEALTHY LIFESTYLE TO HELP PROTECT YOUR BRAIN28. WHAT WOMEN NEED TO KNOW ABOUT MEN’S HEALTH30. LACTOSE INTOLERANCE32. AGING AND LOW TESTOSTERONE: TIME TO INTERVENE!
PublisherMauricio Portillo
Editor in ChiefClaudia Portillo Del Valle
Marketing DirectorArnaldo Del Valle
Copy EditorLora Incardona
Website DirectorHealthy Media
Graphic DesignHealthy Media
PhotographyHMG
Contributing WritersGuillermo Lazo MDS Murthy Badiga, MD, FACGRoselind H Bardisa, DOMegan Clunan, MA, LMHC, LPCConsuelo Camarillo De G., Lic. Ac. Robert S. Tan, MD, MBACharlotte LibovMaria Luisa SalcinesLora incardonaRubel Shelly
Social Media DirectorFaride Del Valle
Feeling Great!! This month’s publication is dedicated to the men in our lives, but, as always, we bring forth articles for the entire family. With this edition, we intend to craft a clear awareness of men’s health and provide powerful tools that will encourage men to achieve a desirable state of health and greater quality of life. Take heed of the guidance from the medical specialists you’ll encounter within these pages and encourage the men in your life to visit their physicians on a regular basis and have physical exams as recommended, even if they feel well.
As customary, we continued working hard and it’s all worthwhile knowing that you, our readers, appreciate the results as much as we do. Meeting new people and experiencing what their lives are all about has been a wonderful gift. We are all united in a very unique way; we all want to be healthier and we are looking for the tools and techniques to make it happen. And now, let me present to you this month’s cover story—the Neurology Department at Valley Baptist Medical Center, the first stroke center south of San Antonio. The field of neurology is developing quickly and VBMC is on the forefront using the latest findings to treat health issues such as Parkinson’s and Alzheimer’s diseases, even stroke, the number one cause of disability in the world. You will be amazed to read how the highly skilled team of physicians at the Valley Baptist Brain and Spine Network applies neurology to treat common health issues.
Healthy Valley Magazine strives to bring you articles and organizations that aid and contribute to the enhancement of your health. Knowledge is the first measure of prevention and immediate action is the second so take the lead. Nothing is more important than providing a good example for your children, loved ones and community with your own words and deeds. Set high standards and teach by performance. Start by replacing your bad habits with those that will drive to you a healthier life.
I want to thank Men’s Health Network for its support with this month’s issue as well as our doctors, without whom this magazine would not have the success that it has achieved. To the men in our lives, thank you—thank you for taking the responsibility to care and provide for, to lead and to teach your families through love and perseverance. To my husband, who is an extraordinary father and man who has set high standards not only for himself but for his children, thank you, thank you for being my kids’ dad. Enjoy life. Be healthy.
healthy magazine is a free monthly publication. All contents are protected by copyright and may not be reproduced without written consent from the publisher. The material in this magazine is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments. healthy magazine and its contributors accept no responsibility for inaccuracies, and the advertiser is solely responsible for ad content and holds publisher harmless from any error. Printed in Mexico
[email protected] South DIxie Hwy, suite 315Coral Gables, Fl 33146PH 305-395-4554
www.HealthyMagazine.com
Editor in ChiefClaudia Portillo
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HEALTHY VALLEY
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Quality childcare for children of all abilities, 6 weeks to 5 yearsCall for enrollment opportunities, 956-631-9171.
1217 Houston, McAllen, TX 78501 www.rgv.easterseals.com
healthy KIDS
As we celebrate Father’s Day, we can reflect on the many ways that fathers impact our lives. Parents are our first teachers and chil-dren learn from even their earliest experi-ences. Perhaps it is a fishing trip, learning to ride a bike or going to a ball game that makes an impact and creates a life-long memory. Today, families come in all configurations and the role of a father has changed to in-clude non-traditional roles of nurturing, at-tending school functions, going to medical appointments and supporting their young children in learning and growing.
According to fatherhood.gov, research shows that when fathers or non-custodial fa-ther figures are involved in the lives of their children, especially their education, children learn more, perform better in school and ex-hibit healthier behavior. Even when fathers do not share a home with their children, their active involvement is known to have a lasting and positive impact.
Easter Seals RGV, in alliance with the Nurse-Family Partnership at the Women’s Hospital at Renaissance, has strengthened the efforts in identifying and connecting a network of community supports available to families
Fatherhood Initiativeand fathers. The goals of this venture are to support the development of the well-being of children and their families and to encour-age the participation of fathers within Easter Seals’ home visiting programs. The organiza-tion is also working with national fatherhood experts to provide trainings and summits for partner organizations that are focused on father engagement and the best practices used throughout the country in order to ac-tively and effectively engage fathers within our local communities.
Easter Seals is focused on enhancing the opportunities for moms and dads to be en-gaged with their children within Easter Seals’ home visiting programs and to provide re-sources and education to our local partners. As a network, the fatherhood initiative is designed to impact our community system as a whole and ultimately create a seamless system of access to a local network of ser-vices and programs that support the family as a unit. As Easter Seals RGV furthers its efforts to create awareness and engage fathers, home visitors are working directly with families to educate them on the number of ways that
fathers and father-figures can be involved in supporting their children’s education and development at all ages. Studies show that a father’s involvement seems to encourage children’s exploration of the world around them and to build confidence in their abilities to solve problems. Even very young children who have experienced high father involve-ment show an increase in curiosity and in problem solving capacity (Pruett, 2000). Re-search also shows that children with actively involved fathers display less behavior prob-lems in school (Amato, 1999).
Easter Seals understands the importance of a father’s active engagement in his chil-dren’s lives and is relentless in its efforts to convince fathers, and mothers, that effects of quality time spent with their children can-not be underestimated.
Pruett, Kyle D. 2000. Fatherneed: Why Father Care Is As Essential As Mother Care for Your Child. New York: Free Press.Amato, P.R., and Rivera, F., 1999, “Paternal Involvement and Children’s Behavior Problems,” Journal of Marriage and the Family, 61, 375–384.Abramovitch, H. 1997. Images of the “Father” in The Role of the Father in Child Development. M.E. Lamb, Ed., New York: John Wiley & Sons.
8. FATHERHOOD INITIATIVE
10. HARVEY MANGER-WEIL TEACHES STUDENTS TO ACE THE SAT
12. STAY INVOLVED! YOU MAKE A DIFFERENCE IN YOUR CHILD’S LIFE.
14. TEACHING HEALTHY RESILIENCY IN CHILDHOOD
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HARVEy Manger-Weil
Harvey Manger-Weil has launched several successful careers, but his most enduring legacy will likely be his role as “The College Wizard,” because he’s spent three decades training students to excel at the SAT and get into the college of their choice.
By Charlotte Libov
TEACHES STUDENTS TO ACE THE SAT
11HEALTHY VALLEY
Manger-Weil, a successful entrepreneur, has tutored youngsters to conquer this ‘make or break’ exam ever since he was a college student himself. Now, thanks to technology, his business is nationwide as he uses SKYPE to tutor students face-to-face.
“I started out tutoring as a way of making some extra money while at Dartmouth. I had scored near perfectly on my own SAT and I had already begun decoding the SAT system,” said Manger-Weil. Now 55, he spent the next three decades launching one extremely successful business after another, but his SAT tutoring business remains a constant.
He believes his skill at beating the SAT springs from his ability to think “outside the box,” which is also how he succeeds as an entrepreneur. Even though both his parents were teachers, Manger-Weil had no interest in following the family profession. “I credit my success in teaching the SAT to the fact that I’m a non-educator,” he says.
Indeed, linear thinking was never part of his toolbox. “I was always very good at puzzles and figuring things out, but I had no encouragement that my skill set would be good for becoming an entrepreneur. All I ever heard from my parents was “Make sure you have a job to support yourself,’ but it was just my bent to look at things differently.”
In fact, Manger-Weil said he “struggled with rules because I saw them as obstacles preventing me from succeeding as high and fast as I could,” he said. The result? He completed high school in three years instead of four, and was named valectorian for the class ahead of his.
Since then, he’s shined at many different careers, but his true satisfaction comes from his nationwide SAT tutoring business. According to him, he can enable students to achieve remarkable 500, 600 and even 700-point gains in a record amount of time, although he notes that students have to be committed to practice the skills they learn.
The SAT exam dates back to 1926, when a Princeton professor adapted a U.S. Army intelligence test to gain information about college students who had already been admitted there to better guide them. But the test
was quickly embraced as a college admittance test and is now taken by some three million students. Originally, the College Board, which administered it, claimed the exam was an “aptitude” test, thus tutoring was useless. They had to drop that claim after they were proven wrong, and the description of the test was changed from “aptitude” to a tool that evaluates “reasoning.”
Manger-Weil credits his success to years spent “reverse engineering” the SAT in order to unlock its intrinsic nature as well as perfecting methods of quickly communicating strategies of beating the SAT to his students. “A high SAT score isn’t about how smart you are, it’s about how motivated and persistent you are, and whether you have the ability to delay gratification,” he said.
He is also a keen motivator, showing students that the difference between doing well on the test and excelling at it is within their grasp. “A full 20 percent of my students break 2300 (out of a total 2400). The reason that’s so important is that if you do that, you can get into pretty much any school that you want,” he said. But, he warns, “If you only break 2100, that puts you in a much larger group of 25,000-30,000 students, so your choices will be far fewer,” he noted. “The difference between scoring 2100 and 2300 is only 11 questions, so your whole future is determined by only 11 questions,” he added.
Although there are other online SAT services, Manger-Weil takes the preparation concept a giant step further by offering a far more comprehensive program that involves not only SAT tutoring but advising students on the entire college admissions process. This includes inventing one-of-a-kind extracurricular projects for students to complete as well as selecting unique college essay topics to make the entire application stand out. “I don’t just help kids with SAT’s, I give them a roadmap for marketing themselves over every other student, so they can get into places like Stanford, Yale and Harvard. It’s a free service I offer to anyone who signs up to work with me,” he said.
Manger-Weil also works with parents to create “an atmosphere” that motivates students to achieve success. As he puts it, “My goal is to help my students in any way I can to be happy and successful in their lives.”
a high SaT score isn’t about
how smart you are, it’s about how
motivated and persistent you are,
and whether you have the ability
to delay gratification.
Harvey Manger-Weil
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12 HEALTHY VALLEY
Sure, moms are the ones
who breastfeed and they
probably change more than
their fair share of diapers.
But dads play a unique —
and very important role in
their kids’ lives from the
very start.
Children who grow up with
involved fathers do better
in school and are much
less likely to become teen
parents or get involved
with drugs, alcohol, or
crime. They also manage
their emotions better and
are less likely to resort to
violence.
SO WHAT CAN YOU DO TO BE THE BEST POSSIBLE DAD FOR YOUR KIDS?Jump in! Most experts agree that men are just as capable as women of loving and caring for their children. But a lot of dads stay on the sidelines because they think they don’t know how to be a good parent or they’re worried they might do something wrong. Don’t worry about making a few mistakes. The truth is that being a good dad—just like being good at anything else—comes with practice.
Stay involved. “Quality time” is wonderful, but it’s not enough. The more time you spend with your kids, the better you’ll get to know each other—and that’s how good, close relationships are formed. You don’t have to entertain your kids every minute of the day. Fun and games are, well, fun. But what children want and need most of all is to feel loved and to know they’re important to you. So make them part of your life and share with them the things you value most.
Be a partner not a helper. After money, couples argue most about who does what around the house. The more responsibility you take on, the happier your child’s mother will be. The happier she is, the happier you’ll be. And when both of you are happy, you’ll be better parents and your relationship will be stronger and last longer.
Plan for the future. Start saving now for your child’s college education, even if it’s only a few dollars a month. With interest, by the time she’s 18 she’ll have a lot more money than you started with.
DIVORCE OR SEPARATIONYour relationship with your child’s mother may end,
STAY INVOLVED!YOU MaKe a DiFFerenCe in YOUR CHILD’S LIFE.By Maria Luisa Salcines
but your relationship with your child never will. Not being able to see your kids as often as you’d like can make you angry, sad, and frustrated. But no matter how bad you feel, don’t fade away. Divorce is very hard on kids and the impact can last for years.
Here’s how you can make things easier for your children: Encourage your child to talk to you about his/her feelings and make sure they know that the breakup is not their fault. Show them that you love them and that they’re important to you no matter how much time you’re able to spend together.
Never badmouth your child’s mother and never use your children to deliver messages or spy on her. The better you get along with your ex, the better your kids will be able to cope.
Come up with a parenting plan that makes you and your ex happy. But don’t give in too easily. Your kids need you as much as they need their mother. If you don’t get to spend much time with them they’ll think it’s because you don’t love them anymore. If you can’t agree on a plan, try mediation.
Pay your child support. Not paying will hurt your children, not your ex. If she’s preventing you from seeing your children or if you’re having trouble making payments, contact your lawyer or the local child support agency right away.
You’re not alone. It’s not always easy balancing work and family—especially if you’re a single dad. And it’s not always easy to ask for help, but if the pressure and stress get to be too much, that’s what you have to do. Call up a friend, a relative, or check out one of the following resources:
14 HEALTHY VALLEY
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Almost every major life transition requires passing some sort of test before journeying on to the next phase. We cannot drive a car without passing a test; we cannot hold a job without first going through an interview; we cannot get into college without good SAT or ACT scores; we cannot get married without applying for a license and so forth. However, when it comes to having children, there is no test of parental capability and, needless to say, children are not born with a “how-to” handbook.
Parenting would be easier if there were a formula, if we knew with certainty that every eight-year-old would act in a specific way. However, this is definitely not the case. Each child uniquely pushes the boundaries, experiences life and is impacted by outside influences. Parenting is not easy. From day one, we are supposed to know how to parent these little humans into wonderful big humans who have the resilient ability to contribute and thrive in society—a task that we, as parent, may feel we aren’t quite accomplishing.
SO WHERE DO WE BEGIN? Children are said to be resilient. I disagree. Children are not resilient, rather they are absorbent. They absorb all that life throws at them—the good, the bad and the ugly. These little ones may seem flexible because they go with the flow or perhaps do not have much to say about a given experience when, in reality, what they are doing is attempting to work out in their own minds how to make sense of their worlds. As parents and caregivers, one of our key roles is to help children understand what is happening. Those who are able to make sense of what’s going on around them are better able to withstand life experiences.
By Megan Clunan, MA, LMHC, LPC
Teaching HEALTHy RESILIENCy in CHilDHOOD
Teaching resiliency is necessary and prepares children to healthily face all that life may bring.
Children are said to be resilient. I disagree. Children are not resilient, rather they are absorbent. They absorb all that life throws at them—the good, the bad and the ugly. These little ones may seem flexible because they go with the flow or perhaps do not have much to say about a given experience, when in reality, what they are doing is attempting to work out in their own minds how to make sense of their worlds. As parents and caregivers, one of our key roles is to help children comprehend what’s happening. Those who are able to understand are better able to withstand life experiences. Teaching them how to bounce back is necessary and prepares them to healthily face all that life may bring.
The following five (not-so-easy) steps can help ensure that you are leading your children towards healthy resiliency:1. LISTEN AND TALK. When you take a
moment to put down your computer and phone, turn off your television and radio, and stop worrying about tasks that need to be completed and actually communicatively engage with your children, you will find that they have quite a world to show you. Slowing down for just 20 minutes a day to interact face-to-face with your children tells them that you are there for just them and that you care about them. Remember, quality is more important than quantity.
2. PLAY. The language of children is play. They may not have the vocabulary to tell you what is going on so they will often act out their experiences via play. Playing with your children creates attachment bonds that last long into adolescence and adulthood.
3. TEACH EMOTION WORDS. All emotions are okay to feel but children may not have the words for every emotion, therefore may act out in response to feeling something they do not understand. Teach children words by wondering aloud about feelings, for example, “I wonder if you’re feeling frustrated because it is time for bed but you want to watch T.V.,” drawing pictures of faces together or making the faces of different emotions, and helping your children notice body messages, e.g., “When someone stands with clenched fists, what do you think that means?” Teaching emotions encourages self- and other-awareness.
4. ENCOURAGE SELF-REGULATION. Children need to be taught how to self-regulate. In other words, they need to be taught how to calm themselves down. The best way to encourage self-regulation is to provide a safe predictable environment with consistent reassuring interactions. Modeling is elemental as well so be sure you are showing parental strength by calming yourself down even when it may be easier to lose it. Remember, these little ones are watching and absorbing everything!
5. PRAISE. Recognizing what children do wrong is easy. Catching them doing something right and verbally acknowledging their actions isn’t as easy but is essential in encouraging healthy growth. Praise conveys that you see them and that you know they are contributing something of value. Children thrive on hearing that you are proud of them and that they have done something to please you. The more a behavior is praised, the more likely you will see that behavior repeated.
healthy KIDS
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1/2 PAGE (NO BLEED)7.5” x 4.75”
IDEA HIGH SCHOOLS RANK IN TOP 1%
IN THE NATION! GOLD2014
HIGH SCHOOLSBEST
www.ideapublicschools.org
16 HEALTHY VALLEY
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Yesterday was Father’s Day. And I suspect that several of you either heard or read some meaningful things about the importance of being a father. If you are a father, I hope that you got some affirmation and affection from children in whom you have invested much love and nurturing. I hope you felt it appropriate to affirm your father—and found a way to do so. To be a father is a high spiritual calling.
One day doesn’t do justice to good fathers. One day certainly isn’t enough for making the effort to be one. And that brings me to my point.
There is a wondrous transparency in our nation’s president about fatherhood. Barack Obama had precious little time, presence or influence from his father. “I don’t want to be the kind of father I had,” he is quoted as having said to a friend.
The president’s father left a family in Kenya to come to the United States for his education. Once here, he started a second family—only to leave his wife and two-year-old Barack Jr. to return to Africa with another woman. While the boy left behind with his mother was bright, received an excellent education and was driven to achieve, the man at the end of the process goes to great lengths to affirm the importance of men who are sperm donors becoming real fathers to their children.
On Father’s Day 2008, the man who was running for President of the United States said this about
FATHERHOODStepping Up to
fatherhood: “Any fool can have a child. That doesn’t make you a father. It’s the courage to raise a child that makes you a father.”
For this year, the now-president added this: “We need to step out of our own heads and tune in. We need to turn off the television and start talking with our kids, and listening to them and understanding what’s going on in their lives.”
I will leave the psychologists to speculate about the connection between one man’s lack of connection to his own father and his present emphasis on the importance of being one. And this essay certainly isn’t a Democratic or Republican take on his statements for the sake of partisan posturing. It is nothing more nor less than delight in hearing one prominent male leader of our world say something bold and positive about the role too many men appear to disdain.
Hard work is a good thing. Earning a living is honorable. Achieving success and recognition in a field cannot be wrong. But none of these things on which so many men have expended their energies are nearly as valuable or satisfying as the nurturing of a child to be a confident and functional man or woman—and to reap the dividend of love that comes back from that well-formed adult soul.
“Father’s, don’t exasperate your children by coming down hard on them. Take them by the hand and lead them in the way of the Master” (Ephesians 6:4 MSG).
by Rubel Shelly
healthy Soul
16. STEPPING UP TO FATHERHOOD
18. STAYING SUN-SAFE IT’S MORE THAN SUNSCREEN
25. ENSURING GOOD HEALTH FOR LIFE
26. VALLEY BAPTIST BRAIN AND SPINE NETWORK A STROKE IS A BRAIN ATTACK - EMBRACE A HEALTHY LIFESTYLE TO HELP PROTECT YOUR BRAIN
28. WHAT WOMEN NEED TO KNOW ABOUT MEN’S HEALTH
30. LACTOSE INTOLERANCE
32. AGING AND LOW TESTOSTERONE: TIME TO INTERVENE!
BodyMind &Soul
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18 HEALTHY VALLEY
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McALLEN
For more information about cancer prevention, please visit www.TexasOncology.com or call 1-888-864-I CAN (4226).
Dr. Guillermo Lazo is a medical oncologist at Texas Oncology–McAllen, 1901 South Second Street in McAllen, Texas.Guillermo Lazo MD, Texas Oncology–McAllen
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healthy boDy
STAyING SUN-SAFEit’s More Than Sunscreen
By Guillermo Lazo MD, Texas Oncology–McAllen
The official start of summer is June 21, but in Texas, guarding against sunburn or sun damage should be an everyday priority. Summer brings us outdoors more and, with that, more opportunities for sun damage. As an oncologist, I am all too familiar with the consequences of sun exposure. In fact, this year approximately 5,000 Texans will develop melanoma, the most dangerous form of skin cancer. That’s why it’s important to remember the easy steps you can take to stay sun-safe.
How does the sun cause damage? When skin is exposed to the sun, it absorbs UVA and UVB rays that create changes in skin cells. Often, these changes are temporary: the skin tans, burns or freckles. In the long term, these changes can have a lasting impact—wrinkles, premature aging and skin cancer, including melanoma.
People with darker skin tones may not burn as easily as those with fairer skin but this does not prevent long-term sun damage. Everyone can benefit from sun protection. Here’s how:
THINK OLIVER. When it comes to sunscreen, remember the classic Dickens character’s famous request: More, please! Use sunscreen—generously—with at least 30 SPF and reapply at least every two hours. If you’re sweating a lot or swimming, use sweat- or water-resistant sunscreen and reapply more often, every 40 to 80 minutes.
DRESS FOR [SKIN SAFETY] SUCCESS. Sun protection is not just for the beach or pool. The Texas sun shines brightly everywhere so it’s important to dress properly. Wear long pants and shirt sleeves whenever possible—loose-fitting, breathable fabrics are cooler in the Texas heat.
STAY AHEAD OF SUN DAMAGE. Protect your scalp, ears and face with a wide-brimmed hat and shield your eyes with sunglasses. Skin cancer can develop on the scalp and in the folds of the ear, where it may be more difficult to detect. Eyes also can be damaged by UV rays. Corneas can get sunburned like skin, resulting in temporary blindness. Longer term, eyes damaged by UV rays can develop cataracts and possibly eye cancer. Buy sunglasses that protect against UVA and UVB rays and make sure that they’re comfortable and that you like the style so you’ll be more likely to wear them.
DON’T GO TO BED. This is the one time to offer this advice to your children and anyone else. Here we’re referring to tanning beds. A golden brown tan is not worth the risks that come from exposure to additional UV rays from tanning beds.
Despite awareness of sun dangers, skin cancer remains common in Texas. Fortunately, the most prevalent forms of skin cancer often are the most treatable. When caught at the earliest stages, basal and squamous cell skin cancers usually can be treated with outpatient procedures. More serious forms of skin cancer, like melanoma, are rarer but still often curable in its earliest stages.
There’s no overstating the importance of head to toe protection when it comes to sun exposure. The consequences of complacency about skin safety can last long after your stinging, peeling sunburned skin returns to what is “normal.” The inconveniences of basic prevention steps (pardon the pun) pale in comparison to the serious risk of too much sun exposure. To learn more about skin cancer prevention and early detection, visit TexasOncology.com.
When I was diagnosed with colon cancer, I partnered with Texas Oncology. They’re right down the street, and they’re also part of the largest network of cancer specialists, researchers and treatment centers in the country. That gives me access to the combined wisdom of more than 1,600 oncologists. With their help — and the support of my family — I’m ready for this fi ght because Texas Oncology is on my side.
1-888-864-I CAN (4226) • www.TexasOncology.com
HOW TEXANS FIGHT CANCER.
TEXAS ONCOLOGY–MCALLEN1901 South 2nd Street McAllen, Texas 78503956-687-5150
F I G H TC O L O NC A N C E R
YEARS
MORE THAN
Texas Oncology delivers high-quality cancer care with leading-edge technology and advanced treatment options to help patients achieve “More breakthroughs. More victories.” in their fights against cancer. Texas Oncology, a pioneer in community-based cancer care, is an inde-pendent oncology practice with sites of service throughout Texas and southeastern New Mexico. Texas Oncology patients have the oppor-tunity to take part in some of the most promising clinical trials in the nation for a broad range of cancers. In fact, Texas Oncology has played an integral role in gaining Food and Drug Administration (FDA) approval for 29 of the latest cancer therapies.
Dr. Marek is board-certified and specializes in medical oncology and hematology. He currently serves as a director of Texas Oncology and is the medical director for Texas Oncology-McAllen. He has served the Rio Grande Valley for the past 22 years as a medical oncologist and hematolo-gist, has been recognized as a “Super Doctor” in oncology for five years in a row, and was rec-ognized as Doctor of The Year for Rio Grande Regional. Dr. Marek received his medical degree from The University of Texas Medical School at San Antonio. He completed his fellowship at The University of Texas M. D. Anderson Cancer Center.
Billie J. Marek, M.D., FACPMedical Oncolog y/Hematolog y
“I can be part of your team… and together we can fight the battle.”Dr. Restrepo specializes in, medical oncology and hematology. He completed his fellowship at the University of Miami. He also serves on the Breast Cancer Committee of US Oncology and has completed a fellowship in breast cancer treatment. Through the Life Beyond Cancer Funda-tion he established the Texas Oncology–McAllen Breast Cancer Ride/Walk fundraiser to raise funds for Rio Grande Valley cancer patients. To date approximately $30,000 has been donated
to cancer patients in the Rio Grande Valley.
Alvaro Restrepo, M.D.Medical Oncolog y/Hematolog y
Dr. Ratnam has been with Texas Oncology-McAllen for 13 years, which he joined after com-pleting his fellowship at the renowned National Cancer Institute at the National Institutes of Health. He has co-authored several research publications and is passionate about cutting-edge oncology care. He currently serves on the Pharmacy and Therapeutics Committee of US Oncology and chairman of the Credentials Committee for South Texas Health System.
Suresh Ratnam, M.D., FACPMedical Oncolog y/Hematolog y
McAllen 1901 South 2nd Street McAllen, Texas 78503 PH: 956.687.5150 FAX: 956.687.9546www.TexasOncology.com
McALLEN
Dr. Wahid was fellowship-trained in medical oncology and hematology at Columbia Univer-sity College of Physicians and Surgeons in New York. He has been recognized as Physician
of the Year at Rio Grande State Center in Harlingen where he has served as senior attending physician for the past 13 years.
Nurul Wahid, M.D.Medical Oncolog y/Hematolog y
Dr. Litam was fellowship-trained at The University of Texas M.D. Anderson Cancer Center in Houston. He is well known in the community and was in private practice for 27 years before join-
ing Texas Oncology. He has special interest in treating solid tumors.
Joseph Litam, M.D.Medical Oncolog y/Hematolog y
Dr. Shekar specializes in medical oncology and hematology. She completed her fellowship at Johns Hopkins University School of Medicine in Baltimore, Maryland and trained at The Univer-sity of Texas M.D. Anderson Cancer Center.
Nirupama Shekar, M.D.Medical Oncolog y/Hematolog y
Dr. West is a board-certified radiation oncologist. He was a physicist prior to becoming a physi-cian.
Benjamin West, M.D.Radiation Oncolog y
Dr. Lazo specializes in medical oncology and hematology. He completed his fellowship at The University of Texas M.D. Anderson Cancer Center. He is a recipient of several awards includ-ing the American Society of Clinical Oncology Merit Award and is the author of several peer-reviewed medical publications as well as book chapters. He received the highest honors on the professional examination for his medical doctorate degree.
Guillermo Lazo, M.D.Medical Oncolog y/Hematolog y
Dr. Salinas is a board-certified radiation oncologist. He completed his residency training at Me-morial Sloan–Kettering Cancer Center in New York followed by his fellowship at The University of Texas M.D. Anderson Cancer Center.
Rogelio Salinas, M.D.Radiation Oncolog y
“Cancer prevention is a high priority. My aim is to identify individuals who may be at high risk for cancer and work with them to develop a plan to reduce that risk.”
Debbie Gillett is a nurse practitioner.
Debbie Gillett , R .N., N.P.Nurse Practitioner
Dr. Cisneros specializes in hematology and oncology. She completed her residency in internal medicine as well as her fellowship in hematology and oncology at the University of Kansas Medical Center in Kansas City, KS. She is board-certified by the American
Board of Internal Medicine and is a member of the American Society of Clinical Oncology.
Laura E . Cisneros, M.D.Medical Oncolog y/Hematolog y
Dr. Nabeel Sarhill is board-certified in hematology, medical oncology, and internal medicine. He earned his medical doctor-ate from the University of Tishreen Medical School in Lattakia, Syria, and completed his residency in internal medicine at Case Wester Reserve University in Cleveland, Ohio. His fellowship in hematology was completed at the University of Texas Health Science Center in San Antonio, Texas, and his clinical research fellowship in medicine and symptoms management at The Harry R. Horvitz Center for Palliative Medicine in Cleveland, Ohio. Dr. Nabeel Sarhill is a member of the American Society of Clinical Oncol-ogy, American Society of Hematology, Syrian Medical Association, Syrian Ministry of Health, American Board of Hematology, American Board of Medical Oncology, and the American Board of Internal Medicine.
Nabeel SarhillMedical Oncolog y/Hematolog y
Harlingen 2121 Pease Street, Suite 101 Harlingen, Texas 78550 PH: 956.425.8845 FAX: 956.364.6793
Dr. Araneda specializes in medical oncology and is board-certified in internal medicine and medical oncology. He received his medi-cal degree from San Carlos University in Guatemala and completed a medical oncology fellowship at East Tennessee State Universi-ty, Johnson City, Tennessee, as well as a fellowship in bone marrow transplantation at the University of Florida, Gainesville, Florida. He has special interests in breast cancer, gastrointestinal malignancies, hematologic malignancies, and molecular targeted therapy.
Marco A . Araneda, M.D.Medical Oncolog y/Hematolog y
HARLINGEN
Dr. West is a board-certified radiation oncologist. He was a physicist prior to becoming a physi-cian.
Benjamin West, M.D.Radiation Oncolog y
4770 N. Expressway 83, Suite 305A Brownsville, TX 78526 PH: 956-350-3975 FAX: 956-350-3425
2150 N. Expressway 83 Brownsville, TX 78521 PH: 956-548-0810 FAX: 956-548-2239
Dr. Gonzalez specializes in radiation oncology and internal medicine. He is certified by the American Board of Internal Medicine as well as the American Board of Radiology, and is a member of the American Society of Therapeutic Radiation Oncology (AS-TRO), American College of Radiation Oncology (ACRO). He completed his fellowship in radiation oncology at Roswell Park Can-cer Institute, in Buffalo, New York, and also completed a second residency in radiation oncology at Jackson Memorial Hospital/Sylvester Comprehensive Cancer Center, in Miami, Florida. Aside from his medical practice, Dr. Gonzalez is a Christian lay minister and a student of ancient Greek.
Carlos Gonzalez-Angulo, M.D.Radiation Oncolog y
Balesh Sharma, M.D. specializes in internal medicine, medical oncology and hematology. He is board certified by in medical oncology. Dr. Sharma received an M.D. Delhi University in New Delhi, India, in 1990, where he also completed his residency in Anesthesia and Critical Care in 1991. He completed his medical internship at Lincoln Medical Center in New York in 1992-93. Dr. Sharma completed his residency in internal medicine at St. Vincent’s Medical Center in affiliation with Yale University School of Medicine, Connecticut. In 1998, he completed a fellowship in hematology and oncology from University of Texas Southwestern Medical Center in Dallas, and has been in private practice since then.
Balesh Sharma, M.D.Medical Oncolog y/Hematolog y
Dr. Boek is board-certified in internal medicine, medical oncology and hematology. Prior to him joining Texas Oncology, he conducted clinical research as part of the North Central Cancer Treatment group.
Marcelo Boek, M.D.Medical Oncolog y/Hematolog y
BROWNSVILLE
Rebecca is board certified as a Family Nurse Practitioner as well as an Advanced Practice Registered Nurse. She has a varied and extensive background in nursing to include radiation oncology, medical insurance and medical research. Her work as a nurse
practitioner has included pediatrics, general family practice and most recently medical oncology.
Rebecca Garza, R .N., B.S.N., M.S., F.N.P.Nurse Practit ioner
Dr. Doctor specializes in general adult and pediatric urology; urologic oncology; male dysfunction; urinary incontinence and no scalpel vasectomy. Dr. Shamoon Doctor earned his medical degree from Osmania Medical College in Hyderabad, India in 1960. Following graduation, he specialized in general surgery and worked as a general surgeon in Zambia, Africa for five years. He then returned to Canada and specialized in urology. He has practiced urology in Canada and the United States sincce 1974, having practiced in Del Rio, Texas for over 30 years.
Shamoon Doctor, M.D.Urolog y
TEXAS UROLOGYSPECIALIST
1/2 PAGE (NO BLEED)7.5” x 4.75”
1/2 PAGE (NO BLEED)7.5” x 4.75”
WESLACO
Dr. Farray is board-certified in medical oncology, hematology, and internal medicine. He received his medical degree in 1998 from the Universidad Nacional Pedro Henriquez Urena in the Dominican Republic and completed his residency in internal medicine at the Cleveland Clinic Foundation in Cleveland, Ohio. He completed his fellowship in medical oncology and hematology in 2006 at Cardinal Bernardin Can-cer Center/Loyola University Chicago. Dr. Farray ranked first in his medical school class. He is a member of the American Society of Clinical Oncology and American College of Physicians.
Daniel Farray, M.D.Medical Oncolog y/Hematolog y
Weslaco 1330 East 6th Street, Suite 204 Weslaco, Texas 78596 PH: 956.969.0021 FAX: 956.968.9744
Dr. Ghaddar specializes in medical oncology and hematology. He is board-certified by the American Board of Internal Medicine in hematology and medical oncology. He received his medical degree from the American University of Beirut in Beirut, Lebanon. He completed his internship and residency in internal medicine at the Good Samaritan Hospital/John Hopkins University in Baltimore, Maryland. He completed his fellowship in hematology/oncology at The University of Texas MD Anderson Cancer Center in Hous-
ton, TX. He has been in practice with Texas Oncology since 1995.
Habib Ghaddar, M.D., FACPMedical Oncolog y/Hematolog y
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25HEALTHY VALLEY
Besides encouraging the men in your
life to exercise, eat a high-fiber/
low-fat diet, quit smoking, and
do monthly self-exams, the most
important step you can take is to get
them into the habit of getting regular
medical check-ups. Here are several
health maintenance milestones
recommended by leading health
organizations:*
ENSURING GOOD HEALTH FOR LIFE
IN THEIR 20S • A complete physical every three years • Check blood pressure every year • Screening for cancers of the thyroid, testicles, lymph nodes, mouth, and skin every three years • Cholesterol test for total, LDL, and HDL (the good kind) every three years
• Testicular self-exam every month
IN THEIR 30S, ALL OF THE ABOVE, PLUS • A complete physical every two years
IN THEIR 40S, ALL OF THE ABOVE, PLUS • A complete physical every two years
• A baseline prostate-specific antigen (PSA) test and digital rectal exam (DRE) at age 40 for all men.
• A prostate-specific antigen (PSA) test and digital rectal exam (DRE) every year if in a high-risk group. Other men should consult with their health care pro-vider about an annual exam.
• Cancer tests every year • A stool test (for colon and rectal cancers) every year
STARTING AT AGE 50, ALL OF THE ABOVE, PLUS • A sigmoidoscopy or colonoscopy (for colon cancers) every three to four
years or as recommended by your health care provider• A prostate-specific antigen (PSA) and digital rectal exam (DRE) test
every year
Encourage the men in your life to get regular checkups and age-appropriate screenings. Regular checkups improve health and extend life!
We realize that many of the issues we’ve covered here are sometimes hard to talk about, but it’s essential that you talk about them with the men in your life. Take seriously even the smallest symptom of any of the conditions we’ve outlined in this brochure, since they could indicate a more serious – or even life-threatening condition.
If you don’t have a family physician or can’t afford one, look for health fairs and free screening events in your area. Ask your employer, fraternal organization, or place of worship to establish a yearly health fair or screening event. Men’s Health Network can provide advice and guidance for these and other events.
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VALLEy BAP TISTBRAIN AND SPINE NETWORK
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Valley Residents with high blood pressure or diabetes are at risk for stroke. Valley Baptist Stroke Program was 1st in the Valley to be certified by the Joint Commission on Accreditation of Healthcare Organizations
Each year in the United States, more than 795,000 people suffer a stroke—similar to a heart attack but affecting the brain instead of the heart. In fact, stroke is the fourth leading cause of death in the United States—and a leading cause of disability. In the Valley, many people are at high risk for stroke because of diabetes, high blood pressure, high cholesterol levels and obesity.
Stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts. When either happens, part of the brain cannot get the blood (and oxygen) it needs and that part of the brain starts to die.
Stroke is a medical emergency. Dr. Victoria A. Parada, Board-Certified Vascular Neurologist and Clinical Director of
A Stroke is a Brain Attack - Embrace a Healthy Lifestyle to Help Protect Your Brain
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Neurosciences and the Stroke Program at Valley Baptist Medical Center-Harlingen, said that it’s critical for Valley residents to learn the warning signs of stroke—and to call 911 immediately if they or a loved one experiences symptoms.
“Seventy percent of stroke victims don’t reach the hospital within the first three hours after stroke symptoms begin because they lack awareness of the importance of prompt recognition and treatment of symptoms of stroke,” Dr. Parada said. “Every minute spent without treatment means more brain cells die.”
At Valley Baptist Medical Center in Harlingen and Brownsville, a clot-busting medication called tPA is used to reverse strokes when medically indicated—but the intravenous (IV) medication must be given within 3 to 4½ hours from the start of symptoms of a possible stroke, underscoring the importance of calling 911 and getting to the emergency room immediately.
New endovascular stroke procedures, which are performed in specially-equipped “bi-plane” cath labs at Valley Baptist-Harlingen, have increased the time window for stroke treatment in the Valley to eight hours or more with certain patients. Valley Baptist-Harlingen is the only hospital in the Valley that offers these specialized endovascular stroke procedures, which are performed by two specially-trained interventional neurologists, Dr. Ameer Hassan and Dr. Wondwossen Tekle, both of whom completed fellowships in endovascular surgical neuroradiology at the University of Minnesota.
Dr. Hassan said that in some cases the endovascular stroke procedures can be used 12 to 24 hours after symptoms begin, e.g., to treat those who wake up paralyzed or with other stroke symptoms that set in overnight. “This enables us to double the time window for treatment—and to treat many more stroke victims,” Dr. Hassan said. “Basically, we are giving people a chance, people who otherwise would have poor outcomes after a stroke.”
Dr. Ameer E. Hassan – Dr. Wondwossen Tekle – Dr. Victoria Parada – Dr. Felix G. Rivera
“The mission of the Valley Baptist Neuroscience Team is to improve the healthcare of the patients we serve through excellence in patient care, education and research,” Dr. Parada stated. She also stressed that Valley Baptist has “a committed stroke team willing to make every effort to help our patients to restore functioning and prevent disability.”
In the area of medical research, a recent study conducted by six neurologists—including Dr. Hassan and Dr. Tekle at Valley Baptist—suggests that Hispanics in border states may be waiting too long to come to the hospital for treatment of stroke. The research showed that Hispanics in the Valley and elsewhere along the Mexican border are less likely to receive medications to treat strokes and 30 percent more likely to die from “brain attacks” than non-Hispanic patients. Dr. Hassan’s research on stroke was featured during an International Congress of Interventional Neurology conference in Philadelphia, as well as at an International Stroke Conference in Hawaii in 2013. In addition, Dr. Hassan serves as the lead investigator for research that is continuing at Valley Baptist on the use of an anti-platelet drug, Cilostazol, in the prevention of stroke.
In addition to stroke treatment, the neurolo-gists treat a wide range of conditions such as Parkinson’s and Alzheimer’s disease, neu-ropathies, seizures, tremors, problems of muscles and the spine, loss of balance, head-aches, dizziness or loss of memory, arterio-venous malformations (AVM’s), intracra-nial hemorrhages, multiple sclerosis, brain swelling and Guillain–Barré syndrome (GBS).
The neurology group’s office is located at the Valley Institute for Neurological Excellence, 2121 Pease Street, Suite 1D, Harlingen, Texas, on the first floor of Valley Baptist at the Professional Building entrance. They can be reached at (956) 389-4060 for an appointment.
In addition to the neuro-critical care specialists Dr. Hassan and Dr. Tekle, Valley Baptist-Harlingen has a neuro-hospitalist team that includes Dr. Parada, Dr. Felix G. Rivera and nurse practitioner Julio Olmeda as well as Valley Baptist’s Stroke Coordinator, Erlinda Abantao, RN. This team, which also includes a highly-trained neuro ICU staff, works closely with skilled local neurosurgeons such as Dr. Alejandro Betancourt and Dr. Jose Dones, who are also key members of the Valley Baptist stroke team. The Emergency Department staff, including physicians, nurses and others, plays an important role. The Rehabilitation Department is also essential for helping patients regain function after stroke. The Cath lab staff, where the bi-planes are located, are integral to the program’s success. “It truly is a team approach,” agreed the group.
Dr. Rivera, who specializes in treating neuro-muscular disorders and epilepsy, earned his MD from Universidad Autonoma de Guadalajara in Mexico and completed a Neurology Residency at New York Medical College. He noted that many neurological conditions result from unhealthy lifestyles.
“Most of the conditions treated in medicine are more than 80 percent preventable, including heart and brain diseases,” Dr. Rivera stated. “We are what we eat and, unfortunately, many people are not paying attention to eating right and staying active. Eating right and exercising frequently helps our brain to run like a well-oiled machine.”
MAKING A DIFFERENCE BY SERVING AN UNDERSERVED AREA Dr. Hassan urges his patients to exercise at least 30 minutes a day, 5 days a week, and to eat a balanced diet. Dr. Hassan said his grandfather died of a stroke—and he is passionate about helping save the lives of Valley patients by offering advanced stroke procedures previously only available in San Antonio and Houston.
Dr. Tekle noted that every 4 minutes someone dies of a stroke. “I am very concerned even about the younger population in the Valley—people in their 30s and 40s—because we are seeing strokes on a regular basis within this age group,” said
Dr. Tekle. “It is so important to eat a healthy diet, maintain normal body weight, exercise regularly, avoid smoking and limit alcohol intake. If you develop stroke symptoms, call 911 immediately. Stroke treatment is time sensitive! Time is brain!”
Dr. Parada, who did her residency at the University of South Alabama Neurology Department, decided to become a neurologist during her internal medicine rotation, after taking care of a stroke patient. “I found the brain fascinating and I also found it challenging and rewarding to help patients to overcome conditions that would limit or impair their abilities to remain functional and independent. This is why I committed my career to stroke care,” Dr. Parada commented.
KNOW THE SYMPTOMS OF STROKE AND ACT F.A.S.T.Dr. Parada believes it’s important for Valley residents to know the following warning signs of stroke and teach them to others—because with stroke, every second counts:
• Sudden numbness or weakness of the face, arm or leg—especially on one side of the body
• Sudden confusion, trouble speaking or understanding
• Sudden trouble seeing in one or both eyes• Sudden trouble walking, dizziness, loss of
balance or coordination• Sudden severe headache with no known
cause
Dr. Parada was the key leader in Valley Baptist-Harlingen developing the first Primary Stroke Center south of San Antonio, in 2005. Recently, Valley Baptist was re-certified with a “Gold Seal of Approval” for stroke care by a national accrediting organization, the Joint Commission on Accreditation of Healthcare Organizations. According to the Joint Commission, the certification signifies Valley Baptist’s “dedication to fostering better outcomes for patients” and demonstrates that Valley Baptist’s Stroke Program “meets critical elements of performance to achieve long-term success in improving outcomes for stroke patients.”
----------------------------------------------------------------For more information about prevention and treatment of stroke and other neurological conditions, consult your physician and visit www.ValleyBaptist.net/Medical-Services/Brain-and-Spine-Network.
To help assess your risk of having a stroke, go to www.valleybaptist.net/medical-services/brain-and-spine-network/multimedia/stroke-risk-accessment and take a self-assessment today.
28 HEALTHY VALLEY
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In general, men have poorer health habits and a shorter life expectancy than women. This may be because they are more likely to engage in unhealthy behavior and are less likely than women to adopt preventive health measures. But men’s health issues don’t affect only men—they have a significant impact on their family and friends, too. The conditions we’ll be talking about can influence everything from sexual and marital relations to quality and length of life. Unfortunately, a lot of these issues—particularly the ones having to do with sex or masculinity—are very hard for men to talk about.
HERE’S WHERE YOU COME IN... By encouraging the men in your life to take even the smallest symptoms seriously and discuss them with their health care providers, you’ll be helping them take a more active role in their own health care. And by educating yourself about sensitive men’s health issues and passing that information on to your loved ones, you may also be able to save a life.
TESTOSTERONETestosterone is the most important hormone for the normal growth and development of male sex and repro-ductive organs. It’s responsible for the development of male characteristics such as body and facial hair, muscle growth and strength, and deep voice. Normal levels influence sexual function and production of sperm, and promote a healthy sex drive.
Men’s testosterone levels naturally decrease as they age. But if the levels drop below the normal range – whether because of age, injury to the testicles, pituitary gland or hypothalamus, or a genetic disorder – some uncom-fortable and often distressing symptoms may develop, including: • Diminished interest in sex• Regression of secondary sexual characteristics, such as facial hair and
deepening of the voice• Impotence or erectile dysfunction• Depression• Fatigue
What Women need to Know about
MEN’S HEALTHInformation for Women Concerning the Men They Love
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29HEALTHY VALLEY
As many as five million men suffer from testosterone deficiency, often associated with a condition called hypogonadism, but only five percent are being treated. Left unchecked for too long, this condition is linked with significant, long-term health problems, such as loss of muscle mass and even osteoporosis. Fortunately, though, testosterone deficiency is usually very treatable.
Treatment can take the form of testosterone replacement therapy, which helps provide and maintain normal levels of testosterone. Men should ask their doctors whether testosterone replacement therapy is appropriate for them.
PROSTATE The prostate is a walnut-sized gland that manufactures fluid for semen. It’s located just in front of the rectum, an area of the body that men are often embarrassed to talk about.
Prostatitis is a significant health concern for men. While the causes of prostatitis are not well-understood, it is believed that the condition may be caused by a bacte-rial infection or an inflammatory autoimmune response similar to that seen with allergies and asthma. Symptoms may include a discharge, discomfort, pain in the prostate or testicles, or frequent urination. A physician should be consulted for the proper treatment.
The prostate naturally enlarges as men age. Early effects of this growth (called BPH for benign prostatic hyper-plasia) include painful urination or difficulty starting or stopping the stream of urine. Left untreated, BPH can lead to more serious problems, such as urinary tract infections, bladder and kidney damage, kidney stones, or inconti-nence. As symptoms of BPH may be a signal of prostate cancer, men should consult their physician to discuss diagnosis and treatment.
Prostate cancer is the most common cancer in men. Every year, over 200,000 men are diagnosed with this disease, and approximately 30,000 die. But if caught early, through either a digital rectal exam (DRE) or a prostate-specific antigen (PSA) blood test, this disease is often treatable.
In the early stages, prostate cancer usually causes no symptoms. However, as the disease develops, so do the red flags. Men should notify a doctor immediately if they notice any of the following: • Hip or back pain • Difficulty urinating • Painful or burning urination n Blood in
the urine
Every man should consider a baseline prostate-specific antigen (PSA) and DRE at age 40. He should know his number so that he can compare it with his PSA number at his next check-up. Additionally, African Americans, men with a family history of prostate cancer, and men exposed to Agent Orange should consult with their health care provider about yearly PSA tests and DRE exams beginning at age 40.
Treatment options for prostate cancer generally include re-moval of the prostate (prostatectomy), radiation, hormone therapy, immunotherapy, or cryosurgery. Men with local-ized, low-risk prostate cancer might choose active surveil-lance, closely monitoring the cancer to see if it progresses or becomes aggressive, to determine if treatment is needed. Options and the possible side effects of treatment should be discussed with a urologist or other specialist.
TESTICULAR CANCERCancer of the testicle is the most common cancer in men ages 15 to 35. Although it can’t be prevented, thanks to improved treatments and diagnostics, testicular cancer, like prostate cancer, has a very high cure rate if caught early. Early detection is a key to success.Symptoms include: • Lumps or enlargement of either testicle • A feeling of pulling or unusual weight in
the scrotum n Pain or discomfort in the testicle or scrotum
• Dull ache in the lower abdomen • Enlargement or tenderness of the
breasts
The best way to spot testicular cancer is by doing a self-examination. Unfortunately, too few boys and young men know that they should examine their testicles monthly, even fewer know how to do these exams, and too many feel uncomfortable touching themselves “down there.” So ask your loved one whether he knows how to do a testicular exam. If he doesn’t, encourage him to speak to his doctor about the proper way to do one. You may also visit the Men’s Health Library (see “Helpful websites” section of this brochure) and down-load the testicular cancer brochure, which illustrates the self-exam method.
MEN GET BREAST CANCER TOO Most people don’t realize that men have breast tissue and that they can – and sometimes do – develop breast conditions. Gynecomastia, an increase in breast tissue, is the most common. Teenage boys, whose hormones are notoriously out of balance, can sometimes develop gynecomastia. But older men can get it too, often as the result of liver disease and/or drugs used to treat heart conditions, ulcers, or prostate problems.
About one of every 100 breast cancer patients is a man and over 400 men die of the disease each year. Progres-sion of the disease, treatments, and survival rates are the same for men and women, but because men are less likely to recognize (and report) symptoms, they are usually diagnosed only after the disease has spread. Symptoms of breast cancer in men are often confused with a sports or work injury and can include any of the following: • A lump or thickening (often painless) in
the breast that can be felt• Skin dimpling or puckering• Nipple retraction (turning inward)• Redness or scaling of the nipple or breast
skin n Clear or bloody discharge from the nipple
Similar to women, men should ask their doctors how to perform a self-examination to detect early signs of breast cancer.
Erectile Dysfunction /Impotence The most widely-accepted definition of erectile dys-function (ED) is the inability of a man to get or maintain an erection sufficient for his sexual needs or the needs of his partner. ED is incredibly common – most men have it briefly at some point in their lives. But for as many as 30 million men in the United States, ED is a chronic condition.
Although ED becomes more common with age, men of any age can suffer from it. Sadly, they generally refuse to discuss it with either their partners or their doctors. As a result, men feel embarrassed and women often feel that the man in their life doesn’t find them attrac-tive. So if you want to make love and your husband says he has a headache, pay attention: it might be some-thing far more serious.
About 70 percent of the time, ED is caused by an un-derlying health problem, most often diabetes (as many as half of all men with diabetes suffer from ED). ED may also be caused by kidney disease, high blood pres-sure, high cholesterol, and drug or alcohol abuse. The remaining 30 percent of cases are caused by stress, anxiety, depression, or sometimes the medications used to treat those conditions.
In most cases, whether ED is caused by a physical or psychological problem, it’s treatable, which means that it doesn’t have to be a natural or inevitable part of growing older. Treatments include drug therapy, penile implants, vacuum devices that manually create an erection, injections, or other alternatives. Your loved one should talk to his doctor to determine the most appropriate treatment.
30 HEALTHY VALLEY
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By S Murthy Badiga, MD, FACG
Lactose is a sugar
present in milk and milk
products. The small
intestine produces
a digestive enzyme
called lactase, which
is necessary to digest,
or break down, lactose
into simpler absorbable
forms of sugar, glucose
and galactose.
LACTOSE INTOLERANCE
WHAT IS LACTOSE INTOLERANCE?Lactose intolerance is a group of symptoms, such as nausea, bloating, diarrhea and gas, that results after consuming milk or milk products. The symptoms typically occur 1/2 hour to 2 hours after the consumption of dairy. Lactose intolerance happens when there is a lack or reduced levels of lactase enzyme in the small intestine. In individuals with lactase deficiency, there is lactose maldigestion and malabsorption, i.e., lactose is neither digested nor absorbed in the small intestine, and undigested lactose passes to the colon (large intestine) where it is broken down by the bacteria producing liquid and gas. The severity of symptoms depends on the amount of lactose consumed. In fact, many people with lactase deficiency are able to tolerate small amounts of lactose. While lactose intolerance is not dangerous, its can cause discomfort and distress.
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S Murthy Badiga, MD, FACGRenaissance Gastroenterology
5423 S. McColl, Edinburg TX 78539 (956)-362-3636902 S. Airport Dr., Weslaco TX 78596 (956)-973-2446
TYPES OF LACTASE DEFICIENCYThere are four types of lactase deficiency that can lead to lactose intolerance.
Primary lactase deficiency (also known as lactase non-persistence) is the most common type. In this condition, lactase production diminishes over time. This decline usually begins at about 2 years of age. Children with this type of deficiency may not have any symptoms until late adolescence or adulthood. This appears to be genetically inherited.
Secondary lactase deficiency results from injury to the small intestine such as infection, disease, trauma or surgery. Luckily, the lactose intolerance in this situation is often temporary and the symptoms improve as the intestine heals.
Developmental lactase deficiency may occur in premature infants. This condition typically lasts only for a short time after birth.
Congenital lactase deficiency is extremely rare where in the small intestine produces little or no lactase from birth. This is a genetically inherited disorder that causes serious lactose intolerance.
WHO IS AFFECTED BY LACTOSE INTOLERANCE?An estimated 30 to 50 million Americans are thought to have some degree of lactose intolerance. The vast majority of those affected develop lactose intolerance over time as the body’s production of lactase declines. Certain racial and ethnic groups have more predilection for lactose intolerance: about 80% of African Americans, Jews, Mexicans and Native Americans are affected. The rate is even higher in Asians at about 90%. Only 15-20% of Caucasian Americans tend to be lactose intolerant. While there is evidence that lactose intolerance is diminishing, especially in some countries, worldwide about two-thirds are still affected by it.
HOW IS LACTOSE INTOLERANCE DIAGNOSED?The diagnosis is based on medical, family and diet history and a review of symptoms as well as physical examination and tests. Review of symptoms and their relation to foods consumed is very important in suspecting lactose intolerance; however, many conditions, such as irritable bowel syndrome, celiac disease and other malabsorption disorders and inflammatory bowel disease, can cause similar symptoms. Physical examination is done to check for bloating, increased noise of the intestines and to exclude other more serious disorders.
Trial elimination of lactoseGenerally eliminating lactose products from the diet for a short period to see if the symptoms resolve themselves is a quick and inexpensive way to confirm the problem. When needed, specific tests can be ordered to provide more information.
Hydrogen breath test This test measures the amount of hydrogen in a person’s
breath. In normal individuals, only a small amount of hydrogen is detectable in the breath; however, in those with lactose intolerance the undigested lactose produces high levels of hydrogen (due to bacterial break down of the milk sugar in the colon). By having the person consume a known amount of lactose and then obtaining serial breath samples (typically collected in a balloon type container), hydrogen levels are measured.
Stool acidity testUndigested lactose is fermented by the bacteria in the colon resulting in lactic acid and other fatty acids. Consequently the stool in lactose intolerant individuals is acidic after the consumption of lactose. The stool acidity test is utilized in infants and young children to detect lactose intolerance.
HOW IS LACTOSE INTOLERANCE MANAGED?Most people with lactose intolerance can tolerate some amount of lactose in their diet and do not need to eliminate milk or dairy products completely. Avoiding milk and milk products completely may keep people from getting their required amounts of calcium and vitamin D. There is individual variation of how much lactose one can tolerate. It depends on the amount of lactase enzyme produced and the amount of lactose that is consumed. Generally speaking, most people can tolerate at least 12 grams of lactose (1 cup of milk) in one sitting with no or minimal symptoms. They may be able to better tolerate lactose consumption with meals or in smaller amounts throughout the day.
Yogurt and cheesesMany with lactose intolerance can tolerate yogurt and hard cheeses as they contain less or little lactose (because lactose gets fermented in the process of making them). A 1.5-oz serving of low-fat hard cheese has less than one gram of lactose where as one cup of low-fat milk has 11-13 grams of lactose. Low-fat milk, though, cannot be substituted for regular milk for lactose intolerance purpose as it has the same lactose as regular milk, only the fat content is lower.
Lactose-free and lactose-reduced milk and milk products These are widely available in supermarkets. They are identical nutritionally to regular milk products and can be used in place of regular dairy by lactose intolerant individuals.
Lactase productsLactase tablets or drops can be used when milk products are consumed to help digest the lactose. These are not suitable for young children or pregnant and breast feeding women.
Non-dairy milk and milk productsThere is a wide variety of plant-based milk and milk products available in the marketplace including soy milk, almond milk, hazelnut milk and coconut milk. Generally there is less calcium and vitamin D in these products and one should look for products that are fortified.
32 HEALTHY VALLEY
ANDROPAUSE AND THE AGING PROCESS: The aging process leads to low testosterone in men. This process occurs gradually over many years resulting in hypogonadism (low testosterone). Hypogonadism in aging men is called andropause, popularly known as male menopause. Male menopause may be a misnomer as men continue with fertility beyond andropause and not all men become symptomatic with this transition, which typically appears in the fifties.
TRANSITORY SYMPTOMS AND LONG-TERM EFFECTS:The transitory symptoms could include fatigue, loss of libido, memory problems and depression. The long-term effects of andropause affect all men eventually, as progression of andropause can contribute to osteoporosis (bone loss), dementia, frailty, falls, and heart and circulatory problems. Circulatory problems can contribute to erectile dysfunction. If we think about what happens to women as they age without estrogens, we will understand that andropause is truly not a figment!
INTERNATIONAL RECOGNITION IN THE MEDICAL COMMUNITY: We have not paid enough attention to this aspect of aging men’s health in the United States. There is no national body to study andropause, which is a very important physiological phenomenon in aging men. Andropause is also about preventive medicine during the aging process. If andropause were
By Robert S. Tan, MD, MBA
Aging and Low TESTOSTERONE: Time to Intervene!
Andropause affects
approximately 10
million men in the
United States!
not a significant epidemiological societal issue, many countries would have left it alone. The European Menopause Society changed its name to The European Menopause & Andropause Society a few years ago. Our neighbor to the north has an active Canadian Andropause Society. There is a similar organization in the United Kingdom and Australia. Ashamedly, we do not have an American equivalent and yet andropause affects approximately 10 million men in the United States! This figure is projected based on epidemiological studies of hypogonadism in aging men. The estimates could even be higher if we include men who go under diagnosed because of lack of knowledge by doctors and patients.
PUBLIC HEALTH AND COST CONSIDERATIONS: If we pay attention to the preventive health aspects of andropause, we would definitely be able to demonstrate not only improvements in quality of life but also perhaps cost savings in the long term. As it is, the Medicare budget is strained with excess utilization. Addressing andropause issues can mean decreasing osteoporosis, erectile dysfunction, circulatory, heart and memory problems in men.
Preventive aspects of andropause management would include exercise, nutrition, weight management and in some cases hormonal replacement for men. Testosterone is not only about sexuality for men as hormones regulate many functions including bone, brain, heart and circulation.
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36. ADVANCES IN WEIGHT MANAGEMENT
40. STOP SMOKING WITH ACUPUNCTURE: A GOOD WAY TO SAVE YOUR LIFE
42. CALENDAR COMMUNITY EVENTS
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36 HEALTHY VALLEY
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The US Department of Agriculture released data showing that although the trend is improving slightly, Americans still consumed an extra 253 calories a day in 2010 compared to 1978. This adds up to over 92,000 extra calories in a year. This also translates into roughly 26 pounds of stored body fat! Calorie-dense toxic foods that are mostly high in sugar are abundant, cheap and heavily advertised in the United States. Consuming the excess calories not only makes over one-third of the American population obese but it ultimately shortens the average life span by facilitating the development of age-related diseases.
So why is it so hard to shed those surplus fat pounds? Also, why is it so easy to gain those pounds we lose back? Unfortunately, Americans have become addicted to a lifestyle that virtually guarantees chronic age-associated weight gain, especially in the abdominal region. The bright side is that there are scientific data that can allow trained physicians to uniquely recommend patients specific nutrients, drugs and hormones, in combination with a reduced-calorie diet and exercise program, to eradicate these obesity-inducers. It is a known medical fact that weight gain is no longer thought to be derived from the simple equation of calories ingested minus calories burned. In addition to a diet lower in calories (particularly carbohydrates) and an increase in physical activity, there are three general factors that most overweight people should address for long term success. Following these principles will not only achieve a more permanent optimal removal of excess body fat but will also lower the risk for diabetes, cardiovascular disease and even some forms of cancer.
ADVANCES
MANAGEMENTWEIGHTin
1. CONTROL THE RATE OF CARBOHYDRATE ABSORPTION AND RESTORE INSULIN SENSITIVITY: Large meals (particularly those high in sugar or carbohydrates) first overload the bloodstream with calories and later cause a rebound increase in appetite when blood sugar levels drop sharply in response to an excess release of insulin. In addition, insulin receptors on cell membranes lose their functionality. Research suggests that by taking just five grams of soluble fiber before or with each meal results in a significant decrease of the glucose-insulin surge. Some nutrients, such as chromium, magnesium, and fish oil, can help restore insulin sensitivity to our membranes. There are also various specific diet programs, such as the HCG Weight Loss Program, that can also restore insulin sensitivity when followed properly under the supervision of a trained physician.
2. RESTORE YOUTHFUL HORMONE BALANCE: The so called “yo-yo diet effect” attributes to the severe alteration of several hormones and signals that occurs as part of aging. In addition to declining levels of thyroid hormones, estrogen and testosterone, there is also newer science indicating the alteration of command signals that regulate fat cells, or adipocytes. Some of these signals include leptin, adiponectin, and glycerol-3-phosphate dehydrogenase. Disturbances in these signals, which can also be caused by factors such as stress and lack of sleep, will cause increased hunger and facilitate fat storage. There are several supplements, including garcinia mangostana and green coffee bean extract, that have been shown to effectively inhibit fat accumulation.
3. IMPROVE THE BODY’S DETOXIFICATION AND RESTORE ITS RESTING ENERGY EXPENDITURE RATE: Eating plenty of fruits and vegetables; exercising; increasing the amount of water ingested and avoiding refined sweeteners, sugar substitutes and processed foods will all improve the body’s detoxification. At times it may be necessary to follow a physician-supervised detoxification program. This will minimize weight gain from secondary effects such as food sensitivities or the inability to properly absorb essential vitamins and nutrients. Several natural nutrients offer methods to enhance the metabolic rate safely. They include green tea polyphenol, fish oils rich in EPA and DHA, conjugated linoleum acid (CLA), capsaicin and ginger extract.
It is never too late to change your lifestyle to promote better health and get rid of stubborn body fat permanently. Please contact your physician before starting any weight loss program or supplements.
By Roselind H Bardisa, DO
healthy boDy
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38 HEALTHY VALLEY
IN YOUR OPINION, AND/OR EXPERIENCE, IS THERE AN ART TO COOLSCULPTING?
Dr. Kilmer -Patient assessment is much easier that it used to be in that we can treat larger patients than we would tried in the past, thanks to T2T. Multiple cycles and additional sessions over time can visibly recontour the subset of patients in whom single cycles would show little observable effect. In fact, with small areas it is important that there be enough fat to pinch into the applicator or treatment won’t work, and for larger areas it’s performing enough cycles in the right places to get that ‘wow’ effect.
CAN YOU SHARE ANY TIPS FOR MAXIMIZING THE PATIENT EXPERIENCE?
Dr. Bowes -The comfort of Coolsculpting allows patients to relax, and we promote this by offering a television and movies, as well as WiFi in all rooms.
We pamper them with robes, slippers and remote wireless headphones. We offer refreshments and some eat lunch or dinner as they may be staying for a few hours. While we want to convey that it is a medical procedure, pampering is an excellent and relatively inexpensive way to add value for patients, who may return for numerous sessions on their way to transformation, and will hopefullyrefer their friends.
HOW DOES THE RESEARCH AND DATA ASSOCIATED WITH COOLSCULPTING VERIFY ITS EFFICACY?
Dr. Manstein -Begging with our proof-of-concept porcine animal studies through today, we have a growing body of device specific literature that includes more than 20 peer-reviewed papers and abstracts that have firmly established Coolsculpting’s effectiveness and safety. Time has borne out the results of our original studies that showed an average of 25% fat reduction per treated area with a single cycle. Coolsculpting is safe enough that one may theoretically undergo multiple treatments overtime. As well, we have not noted any rebound effects or redistribution of adipose tissue, even with larger amounts being treated at one time. If a patient gains some weight, the general localized effect persists and remains natural looRing.
Dieter Manstein, M.D., Ph.D.DermatologistBowes Dermatology GroupMiami, FL
Suzanne Kilmer, M.D.DermatologistThe Skin Surgery Center ofNorth CaliforniaSacramento, CA
Leyda E. Bowes, M.D.DermatologistBowes Dermatology GroupMiami, FL
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Cigarette smoking is a habit that is difficult to let go because as soon as nicotine is introduced to the human body dependency and tolerance take hold, instigating the deadly habit. In addition, cigarette smoking is considered the key to the vulnerability of addiction to other recreational substances like marijuana, cocaine or heroin. Smoking is acknowledged as a step toward lung cancer, especially if it is a long-term habit, due to the internal acidity that tobacco causes, throwing the human body out of balance.
According to the Centers for Disease Control and Prevention, in 2011, 43.8 million people or 19% of all adults in the US smoke cigarettes. Tobacco smoking is more common with males than with females and it is the leading cause of preventable death in US. If this trend continues, smoking will kill 1 in every 6 people in 2030.
Acupuncture, along with other modalities like hypnosis and good nutrition, can help patients to extend their lifespan by helping individuals who are ready to quit smoking but have not been able to succeed or who do not want to use other nicotine delivery systems.
Acupuncture works by stimulating the release of endorphins and other brain chemicals to ease symptoms like the jitters, irritability and restlessness and by blotting out nicotine cravings due to nicotine withdrawal. Acupuncture treatment also helps to relax and detoxify the body more efficiently.
The University of Oslo in Norway reported in one study that acupuncture treatment was found to significantly reduce the desire to light up. Also, subjects felt that cigarettes tasted worse than before treatment. Acupuncture treatment had actually made the taste of cigarettes disagreeable.
Acupuncture treatment is performed with five hair-thin needles shallowly inserted on the ears and body to assist patients who want to quit smoking. After treatment, patients leave the office with small pellets taped on the acupuncture points of the ears. This way, they can stimulate these same points when a craving occurs. Patients gently press the pellets to stimulate the points to calm and ameliorate the desire to smoke.
Usually acupuncture treatment is based on four to six sessions spaced apart–two the first week and then once a week for the remaining sessions. This will depend on each patient’s readiness for a new life. Some patients may have emotional attachments to quitting. The program can be modified to fit the needs of each individual.
At Behavioral Wellness Center, we offer the opportunity to help you achieve your goal to quit smoking through acupuncture treatment. Call our office to make an appointment and leave smoking in the past.
By Consuelo Camarillo de Gonzalez, Lic. Ac
STOP SMOKING WiTH aCUpUnCTUre: a gOOD WaY TO Save YOUr liFe
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COMMUniTY evenTShvJUNE 14 Childbirth Classes8:00 AM – 5:00 PMRio Grande Regional Hospital: Classrooms 1AB101 E. Ridge Rd.For more information, call 956-661-3110
JUNE 23-27 Project Insight Youth Camp for 8-17 year olds7:30 AM – 4 PM Creative Journal Expressive Arts, team building, nature, creativity, cooking, crafts, field trips, community service activities including all supplies, breakfast, lunch and snacksCost: $100 El Rocio Retreat 2519 South Inspiration Road, Mission For more information and to sign up, contact, Camp Director, Coach Dan Nelson at [email protected] or 956.584.7432 or Co-Director, Elva Villarreal, [email protected] or 956.207.2895.
Every Monday“Doing Healthy Right” Weight Loss Class 12:00 PM and 5:30 PMThe Wellness Center at Renaissance5525 Doctors Dr., EdinburgFor more information, call 956-362-5610.
Every 2nd MondayBariatric Patients Support Group6:00 PM – 7:00 PMRio Grande Regional HospitalClassroom 1A&B101 E. Ridge Rd., McAllenFor more information, please call, Jennifer Trevino, RN at 956-661-3560.
Every 3rd MondayBariatric Patients Support Group6:00 PM – 7:00 PMValley Regional Hospital100 E. Alton Gloor Blvd., BrownsvilleFor more information, please call, Jennifer Trevino, RN at 956-661-3560.
Every 1st WednesdayCar Seat Inspection Station4:00 PM – 5:00 PMEdinburg Children’s Hospital1102 W. Trenton Rd., EdinburgFor more information, call 956-388-6519.
Every TuesdayDiabetes Education Class (call for Spanish class)1:00 PMSponsored by South Texas Health SystemMcAllen Medical Center, 3 East Classroom301 W. Expressway 83, McAllenFor more information, call 956-971-5850.
Every 2nd TuesdayWeight-Loss Surgery Support Group Meetings6:00 PM – 7:00 PMWeight-Loss Surgery Center416 Lindberg Ave., Ste. B, McAllenFor more information, call 956-664-9611.
Every 3rd TuesdaySpanish: Alzheimer’s Support Group 7:00 PM – 8:30 PMSouth Texas Behavior Health Center2101 W. Trenton Rd., EdinburgFor more information, call 956-388-1300.
Every 3rd Tuesday FREE Monthly Cooking Class5:30 PMRGV Diabetes Association2007 W. Owassa Rd., Edinburg For more information, call 956-782-1900.
Every WednesdayCancer Support Group 10:00 AM – 12:00 PMHosted by H.O.P.E. – Helping Other Patients EmotionallyFree to cancer patients and caregiversNew McAllen Public Library, Conf. Rm. B4001 N. 23rd St., McAllenFor more information, call 956-624-3840 or email [email protected].
Every 1st WednesdayLa Leche League 9:30 AM – 11:30 AMSupports and encourages mothers who want to breastfeedEdinburg Children’s Hospital, 2nd Floor Family Room1102 W. Trenton Rd., EdinburgFor more information, call Ann at 956-682-9770.
1st and 3rd WednesdaysBreast Cancer 101 (Support Group)English @ 5:30 PM & Spanish @ 10:00 AMFor women onlyTexas Oncology-McAllen1901 South Second Street, McAllen, TXFor more information, call (956) 687-6169 or send email to [email protected].
Every 1st and 3rd Thursday Juvenile Diabetes Support Group 6:00 PM – 7:00 PMSouth Texas Juvenile Diabetes AssociationEdinburg Regional Medical Center, The Texas Room1102 W. Trenton Rd., EdinburgFor more information, call 956-631-8903 or email [email protected]
1 PAGE AD (BLEED SIZE)8.5” x 11” + 0.25” BLEEDWe know how important time is in diagnosing and treating
stroke. That’s why we’ve made Valley Baptist your destination
for award-winning, around-the-clock emergency stroke care.
We’re an advanced primary stroke center in Brownsville with
an expert stroke team ready to act F.A.S.T.
The American Heart Association and American Stroke Association recognize this hospital for achieving 85% or higher adherence to all Get With The Guidelines® Stroke Performance Achievement indicators for consecutive 12 month intervals and 75% or higher compliance with 5 of 8 Get With The Guidelines Stroke Quality Measures to improve quality of patient care and outcomes in addition to achieving Time to Intravenous Thrombolytic Therapy ≤ 60 minutes in 50% or more of applicable acute ischemic stroke patients (minimum of 6) during one calendar quarter.
Visit us online at ValleyBaptist.net/stroke to learn more and take our stroke risk assessment.
WHEN STROKE STRIKES, ACT F.A.S.T. AND GET TO EMERGENCY CARE.
ACTF.A.S.T.AND GET HELP.
for stroke.DON’T WAIT
Face drooping
Arm weakness
Speech difficulty
Time to call 9-1-1
F
A
S
T
LEARN THE SIGNS OF STROKE
Valley Baptist Medical Center Brownsville • 1040 West Jefferson Street • Brownsville, TX 78520
Valley Baptist Medical Center Harlingen • 2101 Pease Street • Harlingen, TX 78550
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