Global Health Tribune - December 2013

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AROUND wORLD ONCOLOGY News

Global cancer casesreach 14 million

WORLD HEALTH ORGANIZATION SAYS

Cheers! People who drink alcohol outlivethose who abstain, study shows

Focus on Breast Cancer Treatment -Multi Modality Clinics

The datafor 2012shows amarkedrise on the12.7 millioncases in2008.

Jonathan Chung, DC

Can YourFatigue BeDue toCancer?

Ishan Gunawardene, MD

Shekhar V. Sharma, M.D.

What is aPhysicalExam?

James Bond is an 'impotent drunk'By James GallagherHealth and science reporter,BBC News

Vodka martini, "shaken notstirred" - often said as part ofa bad Sean Conneryimpersonation - is one of themost quotable lines fromBond.

Yet Her Majesty's top secretagent's love of the bottlewould leave him impotentand at death's door.

Doctors analysing the IanFleming novels show JamesBond polishes off theequivalent of one and a halfbottles of wine every day.

continued on page 2

CanadianDoctorsExploreNew Theoryof MigraineHeadaches

Acid-Reflux DrugsTied to Lower Levelsof Vitamin B-12

Toy drive to benefitlocal kids battlingcancer a huge success!

Switching toHealthier EatingMay Cost You More

www.GlobalHealthTribune.com December 2013MEDICAL NEWS

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Global Health Tribune is a newspaper published everymonth in Palm Beach County. Copyright 2013, all rightsreserved by SEA Publications, Inc. Contents may not bereproduced without the written consent of the publisher. Thepublisher reserves the right to refuse advertising. Thepublisher does not accept responsibility for advertisementerrors beyond the cost of the advertisement itself. Allsubmitted materials are subject to editing.

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James Bond is an 'impotent drunk'continued from cover page

They say he is not the man totrust to deactivate a nuclearbomb.

Doctors in Derby and Nottinghamsat down to read the 14 Bondnovels in their spare time.

With a notebook at hand theycharted every day and everydrink.

Excluding the 36 days Bond wasin prison, hospital or rehab, thespy downed 1,150 shots ofalcohol in 88 days.

It works out at 92 units a week -about five vodka martinis a dayand four times the recommendedmaximum intake for men in theUK.

The doctors' report in the festiveedition of the British MedicalJournal concluded: "Although weappreciate the societal pressuresto consume alcohol whenworking with internationalterrorists and high stakesgamblers, we would advise Bondto be referred for furtherassessment of his alcoholintake."

Patrick Davies, a consultant inpaediatric intensive care atNottingham UniversityHospitals, told the BBC: "Youwouldn't want this persondefusing a nuclear bomb.

"He's a very glamorous person,he gets all the girls and that'stotally incompatible with thelifestyle of an alcoholic, whichhe is."

He said Bond would be classifiedin the "top whack" of problemdrinkers and would be at highrisk of liver damage, an earlydeath and impotence.

"So he might be practising safesex after all," said Dr Davies.

From Russia with vodkaHe also had a "Drink and LetDrive" habit after consuming 39units in Casino Royale thencrashing in a high-speed carchase and needing two weeks inhospital.

On his biggest bender, Bond had50 units in a single day duringFrom Russia With Love and only13 days in all the novels werefree of the sauce.

Charting James Bond's drinkinghabits with age, he starts offdrinking heavily in CasinoRoyale (1953) before seeminglystarting to get his life in order as

he heads towards Goldfinger(1959).

However, his intake starts to soaragain and peaks at 132 units aweek in You Only Live Twice(1964).

The researchers argue this maybe a response to the death of hiswife a year earlier in On HerMajesty's Secret Service.

They say the study is light-hearted, and did not interfere withtheir day jobs, but raises animportant message about alcohol.

Excessive alcohol consumptionis thought to cause 2.5 milliondeaths every year around theworld.

"The level of functioning asdisplayed in the books isinconsistent with the physical,mental, and indeed sexualfunctioning expected fromsomeone drinking this muchalcohol," the doctors said.

Global cancer cases reach 14 million,World Health Organization says

By James GallagherHealth and science reporter,BBC News

The number of peoplebeing diagnosed withcancer in the worldeach year has leaped to

more than 14 million, the WorldHealth Organization says.

The data for 2012 shows amarked rise on the 12.7 millioncases in 2008.

In that time the number of deathshas also increased, from 7.6million to 8.2 million.

The rising burden of cancer isbeing driven by a rapid shift inlifestyles in the developing world

to more closely reflectindustrialised countries.

Rising rates of smoking andobesity as well as people livinglonger are contributing to the rise.Lung cancer, which is mainlycaused by smoking, was the mostcommon cancer globally, with1.8 million cases - about 13% ofthe total.

The WHO also described a"sharp rise" in cases of breastcancer. Both the incidence andmortality have increased since2008. The disease in now themost common cancer in womenin 140 countries.

Dr David Forman, from theWHO's International Agency for

Research on Cancer, said:"Breast cancer is also a leadingcause of cancer death in the lessdeveloped countries of the world.

"This is partly because a shift inlifestyles is causing an increasein incidence, and partly becauseclinical advances to combat thedisease are not reaching womenliving in these regions."

The WHO said there was an"urgent need" for the advancesmade in detection, diagnoses andtreatment of breast cancer to beimplemented in developingnations.

The WHO predicts the numberof cancer cases will soar to morethan 19 million a year by 2025.

Light Exercise Might Reduce Risk of Kidney Stones

Just a little exercise eachweek -- jogging for an houror walking for about three

hours -- can reduce the risk ofdeveloping kidney stones by upto 31 percent, according to a newstudy.

Researchers looking at data onmore than 84,000postmenopausal women foundthat engaging in any type of lightphysical activity can helpprevent the formation of thesepebbles in the kidneys. Evenlight gardening might curb theirdevelopment, according to thestudy, which was publishedrecently in the Journal of theAmerican Society ofNephrology.

"Even small amounts of exercisemay decrease the risk of kidneystones," said study author Dr.Mathew Sorensen, of theUniversity of Washington Schoolof Medicine. "It does not need tobe marathons, as the intensity of

the exercise does not seem tomatter."

Kidney stones, which havebecome increasingly common,are more prevalent amongwomen. During the past 15years, research has shown thatkidney stones might actually be asystemic problem, involvingmore than just the kidneys.Recent research has linked thestones to obesity, diabetes,metabolic syndrome and heartdisease.

In conducting the study, theresearchers analyzed informationcompiled since the 1990s on thewomen's eating habits and levelof physical activity.

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There’s a Fungus Among Us

December 2013www.GlobalHealthTribune.comTHE FORGOTTEN FOOT

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are ‘perfectly’ broken in, and theones you have had for the pastsix years. Guess what? Someoneelse loves them too; theubiquitous fungus we SouthFloridians have the pleasure ofhosting.

Those oh so comfortable andbroken-in sneakers of oursharbor a warm and moistenvironment, which just sohappens to be one of the mostfavorite places of the fungusTrichophyton rubrum. It thrivesin the sweat and heat inside oursneaks multiplying to causeathlete’s foot.

Since our feet stay in shoes mostof the day, there is no aircirculating and the fungus grows.And once athlete's foot breaksout, scratching the maddeningly

itchy irritations between the toescan cause a break in the skin,allowing a second and even morepainful bacterial infection todevelop. It burns, it itches, and ithurts and since its best not toitch, you can try these treatmentsso you don’t have to suffer:

• Take an antihistamine. Itdoesn't treat the fungus, but anover-the-counter antihistaminecan simmer the irritating needto scratch.

• Wet it and dry it. Use anover the counter astringent, likeDomeboro, to swab theinfected area leaving the gauzepad on the site. As the gauzedries, it will draw moisturefrom the skin, aiding in thefight against infection.

• Toast those tootsies.Afterbathing, dry carefully betweentoes using a clean towel.

• Get creamed.After dryingwell between the toes, apply anantifungal cream. It is best toapply the antifungal cream justprior to bedtime.

• Dust those dogs. Take afew minutes twice-a-day tosprinkle antifungal powder likeTinactin or Lotrimin on yourfeet and in your shoes.

• Sock it to ‘em. If your feetare prone to sweating, take an

extra pair of cotton socks withyou and change them midday.

• Take a shoe break. Insteadof wearing the same shoesevery day—to the office or towork out—give them a 48-hourbreak to allow them to air out.You might even leave them inthe sun to help dry them outcompletely. While your shoesare on a break—and even ondays when they're not—dustthem with an over-the-counterantifungal powder or spray thatcontains an antifungal agentsuch as tolnaftate to kill anybacteria living inside the shoes.

Athlete’s Foot can have anembarrassing side effect, itstinks! Try to control the foot

odor with the followingsuggestions.

• Go natural. Try to wearshoes made only from naturalmaterials like leather.Weatherproof and plastic shoesdon't "breathe," creating theideal environment for hostilefungi.

• Watch what you eat. Likethe spicy stuff? Got a taste forjalapeños and other hot stuff?In some people, spicy foodscan cause odor by making thefeet sweat. It is best to washyour feet soon after spicymeals.

• Throw a tea party. Tannicacid, a substance found in tea,

can help eliminate foot odor.Make some tea, let cool, andthen soak your feet. Tenminutes should do the trick tofight off odor caused by fungusand bacteria.

If after trying the above youcontinue to have itching, burningand pain, make an appointmentwith your podiatrist as you mayneed a prescription strengthantifungal.

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Expert Tips for Those GrievingDuring Holiday Season

The holidays can be atime of sadness andgrief for those whohave lost a loved one,

but there are things people cando to ease those feelings, anexpert advises.

"Personal issues don't magicallygo away because the calendarturns to November or December.Problems with relationships,jobs, finances or health can takeon enhanced importance duringthe supposedly 'merry' holidayperiod," Josh Klapow, anassociate professor in theUniversity of Alabama atBirmingham School of PublicHealth, said in a university newsrelease.

"The death of a loved one duringthe holidays can trigger strongfeelings, even if the deathoccurred several years ago," henoted. "In the case of someonewho died recently, the holidayscan take on a whole newmeaning for their family andfriends."

Klapow offered four ways toease feelings of grief and sadnessduring the holidays:

• Don't expect this holidayseason to be the same as thosein the past. This might lead todisappointment. It is better tocelebrate and grieve at yourown pace.

• It is normal to sometimesbecome overwhelmed withemotions. If you worry aboutfeeling sad at holidaygatherings, try to allow yourselfto grieve and maybe cry beforegoing out. It might make iteasier to get through suchoccasions if your emotionshave been released beforehand.

• Do not feel obligated to attendevents that do not appeal toyou. It is important to acceptsupport from family andfriends, but you should notovercommit yourself. It is bestto give yourself some timealone but avoid becomingisolated.

• If faith is important to you, tryto spend some time with like-minded people. They will oftenshare your desire to pray andtalk about common beliefs.

Pregnancy rates continueto decline in the UnitedStates, a federal reportreleased shows.

The rate reached a 12-year low in2009, when there were about 102pregnancies for every 1,000women aged 15 to 44, accordingto the latest statistics from theU.S. Centers for Disease Controland Prevention.

That rate is 12 percent below the1990 rate of about 116pregnancies per 1,000 women.Only the 1997 rate of 102 hasbeen lower during the past 30years, according to the report.

Experts said two factors aredriving the downward trend:improved access to birth controland decisions by women to putoff childbearing until later in life.

Those trends have caused theaverage age of pregnancy to shiftupward.

Pregnancy rates for teenagersalso have reached historic lowsthat extend across all racial andethnic groups. Between 1990 and2009, the pregnancy rate fell 51percent for white and blackteenagers, and 40 percent forHispanic teenagers.

The teen birth rate dropped 39percent between 1991 and 2009,and the teen abortion ratedecreased by half during thesame period.

Overall, pregnancy rates havecontinued to decline for womenyounger than 30.

"The amount of knowledge thatyoung women have about theirbirth control options is verydifferent compared to a fewdecades ago," said Dr. MargaretAppleton, director of the divisionof obstetrics and gynecology atthe Scott & White Clinic inCollege Station, Texas. "Birthcontrol is more readily availableto women, and they are moreknowledgeable about it."

At the same time, pregnancyrates have steadily increased forwomen aged 30 to 44. The rateincreased 16 percent between1990 and 2009 for women aged30 to 34, for example, and 35percent for women aged 35 to 39.

Dr. Jeanne Conry, president ofthe American College ofObstetrics and Gynecology, saidthe report's findings areconsistent with the trend of

women having children later inlife that has emerged indeveloped countries.

"This may reflect theopportunities for women toestablish educational and careerobjectives," Conry said.

In addition to women havingchildren later in life, they alsoare choosing to have fewer kids,Appleton said, which is drivingdown pregnancy rates.

"More women in the professionalworkforce are delayingchildbearing, and then when theyget around to it, they choose tohave fewer kids," she said. "Ithink you see women choosing tohave one or two childrencompared with four or five,which was more common in the1970s."

Women who hold off onpregnancy have an increased riskof miscarriage and geneticabnormalities in their children, arisk that increases as they growolder, Appleton said. They alsohave an increased risk ofinfertility.

A mother in good health,however, likely will remainhealthy and produce a healthybaby no matter what her age, shesaid.

"If the mom is healthy, [age] isnot likely to affect the child'shealth," Appleton said.

U.S. Pregnancy Rates Continue to Fall

December 2013www.GlobalHealthTribune.comHEALTHCARE NEWS

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Less Physical Activity, More TVfor Today's Moms, Study Finds

Most Americans Don't DealWith End-of-Life Issues

American motherswatch more TV andget less physicalactivity today than

mothers did four decades ago, anew study finds.

"With each passing generation,mothers have becomeincreasingly physically inactive,sedentary and obese, therebypotentially predisposing childrento an increased risk of inactivity,adiposity [body fat] and chronicnon-communicable diseases,"said study leader Edward Archer,an exercise scientist andepidemiologist at the Universityof South Carolina.

"Given that physical activity isan absolute prerequisite forhealth and wellness, it is notsurprising that inactivity is now aleading cause of death anddisease in developed nations,"Archer noted in a universitynews release.

The analysis of 45 years ofnational data focused on twogroups of mothers: those withchildren 5 years or younger, andthose with children aged 6 to 18.The researchers assessedphysical activity related tocooking, cleaning and exercising.

From 1965 to 2010, the averageamount of physical activityamong mothers with youngerchildren fell from 44 hours to

less than 30 hours a week,resulting in a decrease in energyexpenditure of 1,573 calories perweek.

The average amount of physicalactivity among mothers witholder children decreased from 32hours to less than 21 hours aweek, with a reduction in energyexpenditure of 1,238 calories perweek, the researchers found.

The findings mean that mothersin 2010 would have to eat 175 to225 fewer calories per day toprevent weight gain than mothers

in 1965, according to the studypublished in the December issueof the journal Mayo ClinicProceedings.

These significant declines inphysical activity correspondedwith large increases in sedentarypastimes such as watching TV,the investigators noted. Onaverage, sedentary behaviorsincreased from 18 hours a week

in 1965 to 25 hours a week in2010 among mothers with olderchildren, and from 17 hours aweek to nearly 23 hours a weekamong mothers with youngerchildren.

Compared to working mothers,stay-at-home moms had abouttwice the decrease in physicalactivity and much largerincreases in sedentary behaviors,according to the report.

The findings provide importantinsights into the growingproblems of childhood obesity

and diabetes in the United States,the study authors noted in thenews release.

"The confluence of our resultsand other research suggests thatinactivity has increasedsignificantly over the past 45years and may be the greatestpublic health crisis facing theworld today," Archer said in thenews release.

Most Americans do notdeal with end-of-lifeissues and wishes, a

new study indicates.

Researchers analyzed data fromnearly 8,000 people who tookpart in nationwide surveysconducted in 2009 and 2010, andfound that only about 26 percenthad completed an advancedirective, also called a livingwill.

There were significantassociations between completingan advance directive and age,income, education and healthstatus, according to the study inthe January issue of theAmerican Journal of PreventiveMedicine.

Advance directives were morecommon among women, whites,married people and those whohad a college degree orpostgraduate training. Peoplewith advanced directives alsowere more likely to have achronic disease or a regularsource of care.

"For black and Hispanicrespondents, advance directiveswere less frequent across alleducational groups. These dataindicate racial and educationaldisparities in advance directivecompletion and highlight theneed for education about theirrole in facilitating [end-of-life]decisions," Dr. Jaya Rao, who

conducted the study while anassociate professor in thedivision of pharmaceuticaloutcomes and policy at theUniversity of North Carolina,said in a journal news release.

Lack of awareness was the mostcommon reason for not havingan advance directive.

Some previous studies haveshown that health care costs arehighest during the final years oflife, but the use of advancedirectives reduces Medicarespending and the likelihood ofin-hospital death.

"Given the current discussionsabout implementing variousmodels of health care delivery,including the patient-centeredmedical home, [end-of-life]issues need to come to theforefront of planning efforts,"Rao said. "Hopefully, thesefindings will contribute to thecurrent national conversationsabout [end-of-life] care."

December 2013 www.GlobalHealthTribune.comAROUND WORLD

Chinese couple finds they arebrother and sister after DNA test

that he was in love with her husband'smother and got a son out of wedlock. Hethen went on to marry another woman,which resulted in the birth of a girl. Thetwo children grew up in the sameneighborhood in China's Jiangxi provinceand decided to marry a few years back.

Reports from Jiangxi said that people intheir neighborhood often remarked aboutthe striking similarity in theirappearances. There were no objectionsraised, even by the woman's father, whenthey announced plans to marry.

It is not clear if the woman's father wasignorant about the husband's antecedentsor deliberately kept silent even afterknowing the truth. The man's mother hasbeen dead for over 20 years.

By Saibal Dasgupta, TNN

BEIJING: A Chinese marriedcouple have discovered theywere brother and sister after aDNA test, which they took as

part of plans to have a child. The shockingnews revealed by the Furong ForensicCentre of the No. 2 Provincial People'sHospital in Hunan has left the coupleconfused about their next course of action,reports said.

They had approached the center for teststo ensure a safe and successful pregnancy.But tests conducted at the center showedthere was a 99.9% possibility that the twospouses have a biological relationship.

The woman's father had now confessed

Join a Choir, Sing Your Way to Happiness?

Singing in a choir might be good foryour mental health, a new studysuggests.

British researchers conducted an onlinesurvey of nearly 400 people who eithersang in a choir, sang alone or belonged toa sports team. All three activities wereassociated with greater levels of mentalwell-being, but the levels were higheramong those who sang in a choir thanthose who sang alone.The poll also revealed that choral singersregarded their choirs as more meaningfulsocial groups compared to how athletesviewed their sports teams.The study, presented at a meeting of the

British Psychological Society in York,England, did not actually show a cause-and-effect link between singing in a choirand being happy, however."Research has already suggested thatjoining a choir could be a cost-effectiveway to improve people's well-being,"study author Nick Stewart, of OxfordBrookes University, said in a society newsrelease. "Yet we know surprisingly littleabout how the well-being effects of choralsinging are brought about.""These findings suggest that theexperience of using your voice to makemusic may be enhanced when you feelpart of a cohesive social group," he said.

Cheers! People who drinkalcohol outlive those whoabstain, study showsHeather Saul, The Independent

LONDON: A contentious newstudy is suggesting people whodrink regularly live longer thanthose who completely abstain

from drinking.

Research published in the journalAlcoholism: Clinical and ExperimentalResearch found those who did notconsume any alcohol appeared to have ahigher mortality rate, regardless ofwhether they were former heavy drinkersor not, than those who drank heavily.

Instead, "moderate" drinking, defined asone to three drinks per day, was associatedwith the lowest mortality rate.

A team led by Charles Holahan, apsychologist at the University of Texasfollowed 1,824 participants over twodecades. They conceded the gender ratioof participants was disproportionate assixty-three per cent of participants weremale. All of the individuals were agedbetween 55 and 65.

Sixty-nine per cent of the participants whoabstained from drinking alcohol diedduring the 20 year observation period, incomparison to 60 per cent of the heavydrinkers. Only 41 per cent of moderatedrinkers died within this time frame.

These results came even after the teamcontrolled variables such as socio-demographic factors, health andsocial-behavioural factors.

The authors noted: "A model controllingfor former problem drinking status,existing health problems, and key socio-demographic and social-behavioralfactors, as well as for age and gender,substantially reduced the mortality effectfor abstainers compared to moderatedrinkers.

"However, even after adjusting for allcovariates, abstainers and heavy drinkerscontinued to show increased mortalityrisks of 51 per cent and 45 per cent,respectively, compared to moderatedrinkers".

They concluded: "Even after takingaccount of traditional and non-traditionalcovariates, moderate alcohol consumptioncontinued to show a beneficial effect inpredicting mortality risk".

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this review probablyunderestimates the true burden toa person's budget.

She said the academyrecommends the followingnutrient-rich, budget-friendlyfoods:

Beans. They provide fiber,protein, iron and zinc. Dry beansare cheaper but need to besoaked. Canned beans are moreconvenient but should be rinsedto reduce the salt content. Cannedbeans are about 13 cents perquarter-cup serving. Dried beanscost about 9 cents per ounce.

Bananas. They providevitamin B6, fiber, potassium andvitamin C. They make an easygrab-and-go snack or quicktopping for yogurt and cereal.Once they are the ripeness youprefer, place them in the fridge.The peels will turn black, but thebanana itself will keep. Or, peeland freeze for using insmoothies. Cost is about 36 centseach -- much cheaper than acandy bar.

Peanut Butter. One tablespoon ofcrunchy or smooth peanut butterhas around 95 calories, 4 gramsof protein and 8 grams of heart-healthy unsaturated fat. Choosenatural peanut butter, if possible.It does not have added sugars orfats. Cost for 2 tablespoons isabout 27 cents.

For example, a family of four thatis following the USDA's thriftyeating plan has a weekly foodbudget of about $128. An extra$1.50 per for each person in thefamily a day adds up to $42 forthe week, or about 30 percent ofthat family's total food tab.

Rao says it's wouldn't be such abig difference for many middle-class families, though.

She said that "$1.50 is about theprice of a cup of coffee andreally just a drop in the bucketwhen you consider the billions ofdollars spent every year on diet-related chronic diseases."

Researchers who weren'tinvolved in the review had plentyto say about its findings.

"I am thinking that a meandifference in cost of $1.50 perperson per day is verysubstantial," said AdamDrewnowski, director of thenutritional sciences program atthe University of Washington, inSeattle. He has compared the costof healthy versus unhealthy diets.

Dr. Hilary Seligman, an assistantprofessor of medicine at theUniversity of California, SanFrancisco, said healthy food canbe expensive for families in waysthat go beyond its cost at thecheckout. For that reason, shesaid, the strict cost comparison in

Does it really cost moreto stick to a healthydiet? The answer isyes, but not as much

as many people think, accordingto a new study.

The research review combinedthe results of 27 studies from 10different countries that comparedthe cost of healthy and unhealthydiets.

The verdict? A diet rich in fruits,vegetables, nuts and fish costsabout a person about $1.50 moreper day -- or $550 per year --compared to a diet high inprocessed grains and meats, fat,sugar and conv enience foods.

By and large, protein drove theprice increases. Researchersfound that healthy proteins --think a portion of bonelessskinless chicken breast -- were29 cents more expensive perserving compared to less healthysources, like a fried chickennugget.

The study was published onlineDec. 5 in the journal BMJ Open.

"For many low-income families,this could be a genuine barrier tohealthy eating," said study authorMayuree Rao. She is a juniorresearch fellow in the departmentof epidemiology at the HarvardSchool of Public Health, inBoston.

Yogurt. Plain or nonfat yogurtis an excellent source of calciumand protein. It can make a goodsubstitute for sour cream ormayonnaise when you want tocut fat in recipes. To save money,buy yogurt in large tubs insteadof single-serve containers. Buyplain yogurt and add your ownflavorings such as hot chocolatepowder mix or granola/cereal orcanned fruit in its own juice.Cost for 6 ounces is about 60cents.

Whole-Grain Pasta. Itprovides more fiber, protein andvitamins than regular pasta. Planahead as it takes longer to cook.One ounce of dry whole-grainpasta is about 14 cents.

Frozen Peas. Frozenvegetables are an excellentalternative to fresh. They arefrozen at the peak of freshnessand pack important nutrients, andthey won't rot in the crisperdrawer. Frozen peas are full ofprotein, fiber and vitamin A.They're easy to toss into soups,

salads, rice, pasta dishes andstews. They cost about 23 centsper half-cup.Almonds. They're packed withheart-healthy unsaturated fat andantioxidant vitamin E. Savemoney by buying unsalted raw orblanched almonds in bulk. Costfor an ounce of almonds is about55 cents.

Eggs. Protein is one of the mostexpensive components topeople's diets. Eggs are costeffective at about 11 cents peregg and provide a source ofhigh-quality protein. They're alsovery versatile. Have a bowl ofhard-cooked eggs in your fridgeat all times for a quick breakfastor grab-and-go snack, or to addsome protein to a lunch or dinnersalad.

Canned Tuna. It's packedwith protein, heart-healthyomega-3 fats, selenium and Bvitamins. Choose packed inwater instead of oil. Chunk lighttuna has less mercury thanalbacore. Have it on hand forquick meals like tuna saladsandwiches or tuna on greensalads. Tuna cost about 27 centsper ounce. NOTE: The U.S. Food andDrug Administration recommends thatpregnant women, women of childbearingage and children limit their consumptionof canned tuna. The FDA advises thesegroups to eat no more than 6 ounces ofwhite, or albacore tuna, and no more than12 ounces of chunk light tuna, each week.

Switching to Healthier Eating May Cost You More

December 2013 www.GlobalHealthTribune.comONCOLOGY NEWS

Kishore K. Dass, MDBoard-Certified Radiation

Oncologist

Eugene Shieh, MD Radiation Oncologist – South

Florida Radiation Oncology, LLC

Focus on Breast Cancer Treatment - Multi Modality Clinics

At SFRO, our missionis to use state-of-theart technology andtreatment techniques

to deliver the best possible carein order to achieve the bestpossible outcomes for ourpatients. For breast cancer, wehave implementeda multi-disciplinary approach with MultiModality Clinics (MMC’s).Thisapproach is a very beneficial onefor patients because the processbegins at diagnosis.

The benefits of themultimodality clinic include:

1) Patient care is expedited.

2) Prior to starting treatment, thepatient is seen and evaluatedby all specialties, establishingan overall treatment plan. 3)Patient outcomes areoptimized.

Currently, the standard of caretreatment for breast cancer after

breast conserving therapy iswhole-breast external beamradiation therapy.

The alternative option ofaccelerated partial breastradiation (APBI) is beingexplored in a current clinicaltrial, NSABP B-39. This trialwill help determine if APBI willbecome a standard of care optionfor women with newly diagnosedbreast cancer.

According to Dr. Eugene Shieh,board certified radiationoncologist, “For the properlyselected patient, APBI isgenerally very well tolerated andallows for the completion ofradiation therapy in anexpeditious manner of 5 days ascompared to 5-7 weeks withtraditional external beamradiation therapy. .”

The physicians of South FloridaRadiation Oncology havesignificant experience treating women with breast cancer withexternal beam radiation therapyand Accelerated Partial BreastRadiation.

If you are interested in receivingmore information about yourdiagnosis and treatment options,

please contact us at: 1-877-930-7376, or visit ourwebsite at www.sfrollc.com.

Prostate CancerThere has been significant recentdebate regarding prostate cancerscreening and treatment. In 2012241,740 men were diagnosedwith prostate cancer, making itthe most commonly diagnosedcancer of men in the UnitedStates today.

In large part due to prostatespecific antigen (PSA) screening,the number of men diagnosedwith early stage disease hasincreased from 30% in 1989-1992 to 45% from 1999-2001.

Additionally, because ofscreening and early detection,death rates from prostate cancerhave decreased by 4.1% annuallyfrom 1994-2001. Despite theseadvances, in 2012, 28,170 menpassed away from prostatecancer and many more are livingwith metastatic prostate cancerthat is affecting their overallquality of life and may ultimatelytake their lives.

The debate in prostate cancerstems from the notion that PSAscreening has been "toosuccessful" in diagnosingprostate cancer. Some men arebeing diagnosed with very slowgrowing prostate cancers that areunlikely to lead to urinary orbowel problems, bony pain,paralysis, or death.

For these men with “non-lethal”prostate cancer, prostatescreening may lead tounnecessary biopsies, worry, andtreatment with hormonal therapy,surgery or radiation therapy.

These concerns have led to anational debate over whetherPSA screening should beperformed on all men and inwhat age groups it is mostappropriate for. The AmericanUrology Association has issuedguidelines on PSA screening.

These guidelines state that thegreatest benefit for PSAscreening appears to be for menbetween the ages of 55 and 69.However, very importantly, thisdoes not mean that PSAscreening should not be

performed in men younger than55 or older than 69.

Younger men with higher riskfactors such as family history orAfrican American race and menolder than 69 who are in goodhealth should make PSA testingdecisions based on individualdiscussions with their physician.

In our practice, we see manymen younger than 55 and olderthan 69 who are diagnosed,because of PSA screening, withprostate cancers that have a veryhigh risk of spreading andcausing local/regional problemsor death. Without PSA screening,these men would likely havepresented to their doctors withadvanced, incurable disease.

PSA screening definitely savesmany of these men’s lives.For men diagnosed with prostatecancer, treatment options includeobservation, surgery, andradiation therapy. The treatmentdecision is a shared one betweenthe patient and his primary carephysician, urologist and radiationoncologist. Radiation therapyinvolves the usage of highenergy x-ray beams preciselyfocused onto the prostate gland.

Hormonal therapy andbrachytherapy (internal radiationtreatment) may be added for menwith higher risk disease.

Treatment is generally very welltolerated, with limited short andlong term side effects. Men areable to continue to work andenjoy their daily activities.

At South Florida RadiationOncology, we have a caring andhighly skilled team ofphysicians, nurses, and therapistsutilizing the latest intechnologies such as the VarianTrueBeam, Cyberknife, intensitymodulated radiation therapy(IMRT) and RapidArc tomaximize cure rates andminimize side effects.

To learn more, please contact usat: 1-877-930-7376, or visit ourwebsite at www.sfrollc.com.

Graduation Time for the Cancer-Related Fatigue ProgramBy Deborah Lynn

What a marveloustime of year to notonly celebrate theholidays with

family and friends, but to alsocelebrate a new way of life.

For anyone whose life has beenchanged due to cancer, you knowfirst-hand that it not only takes atoll on your mind and body, butthat optimism that once existedhas taken such a beating that ittruly is an uphill battle.

The Cancer-Related FatigueProgram was designed for justthat – boosting your spiritthrough support, motivation,exercise, and learning a healthierway of life. Studies have proventhat there are numerous benefitsto exercising while undergoingyour cancer treatment and thisprogram offers that and so muchmore.

Stephen Sylvester is the directorof the program and along with anincredible team of student-volunteers, Dr. Carisa Pearce ofthe Palm Beach Cancer Institute,and Judy Armstrong from theSouth Florida RadiationOncology Survivorship Clinic –

this program is a completesuccess. It, quite frankly, was alife-altering experience for allthose that participated and onethey surely will never forget.

When you look into the eyes ofeach survivor and student, youimmediately realize that theywere all brought together for areason. Although the students donot receive any type of credit,they still line up to join thisprogram and in doing so, theyhave given from the mostbeautiful place of all – their heart.

As the graduation celebrationwas coming to a close, each

student and survivor offered theirinsight as to what the programmeant to them. As I listened,one thing became abundantlyclear - this program was a gift toeveryone that participated. Notonly did everyone feel loved andaccepted, but one sentiment froma student truly summed it all up,“You changed my life.”

If you would like informationabout the Cancer-RelatedFatigue Program, please contactStephen Sylvester [email protected] orJudy Armstrong at the SFROSurvivorship Clinic at 561-775-7748.

December 2013www.GlobalHealthTribune.com

Focus on Breast Cancer Treatment - Multi Modality Clinics

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Acid-Reflux Drugs Tied toLower Levels of Vitamin B-12

Douglas Corley, a research scientist andgastroenterologist at Kaiser Permanente'sdivision of research in Oakland, Calif.

Corley said, however, that these findingsshould be confirmed by another study."It's hard to make a general clinicalrecommendation based on one study, evenif it is a large study," he said.

Vitamin B-12 is an important nutrient thathelps keep blood and nerve cells healthy,according to the U.S. Office of DietarySupplements (ODS). It can be foundnaturally in meat, fish, poultry, eggs, milkand other dairy products. According to theODS, between 1.5 percent and 15 percentof Americans are deficient in B-12.

Although most people get enough B-12from their diet, some have troubleabsorbing the vitamin efficiently. Adeficiency of B-12 can cause tiredness,weakness, constipation and a loss ofappetite. A more serious deficiency cancause balance problems, memorydifficulties and nerve problems, such asnumbness and tingling in the hands or feet.

Stomach acid is helpful in the absorptionof B-12, Corley said, so it makes sensethat taking medications that reduce theamount of stomach acid would decreasevitamin B-12 absorption.

People who take certain acid-refluxmedications might have an increased riskof vitamin B-12 deficiency, according tonew research.

Taking proton pump inhibitors (PPIs) toease the symptoms of excess stomach acidfor more than two years was linked to a 65percent increase in the risk of vitamin B-12 deficiency. Commonly used PPI brandsinclude Prilosec, Nexium and Prevacid.

Researchers also found that using acid-suppressing drugs called histamine-2receptor antagonists -- also known as H2blockers -- for two years was associatedwith a 25 percent increase in the risk of B-12 deficiency. Common brands includeTagamet, Pepcid and Zantac.

"This study raises the question of whetheror not people who are on long-term acidsuppression need to be tested for vitaminB-12 deficiency," said study author Dr.

Can Your Fatigue Be Due to Cancer?

Fatigue may also be an effect ofpsychological conditions which include;insomnia, depression, anxiety, and panicattacks.

In addition, alcoholism, side effects fromdrugs, sleep medications, narcotics, andcommonly used blood pressuremedications belonging to the beta-blockerfamily can also be a contributing factor.Discuss your symptoms in detail withyour primary care physician so they candetermine the cause through a variety oftests. Those tests may include a completeblood count (CBC), liver and kidneyfunction test, thyroid function test (TSH),as well as various electrolyte tests asdeemed necessary.

If you are feeling tired, there are certainthings that you can do to help you feelmore motivated, those include; resistancetraining and aerobic exercise. When youincrease your performance, it will helpthose with a prevalence of fatigue.Watching what you eat, drink, exercise,how much sleep you get a night, can alsohelp.

As you can see, there are countlessreasons why one might feel fatigued,however if it persists longer than a weekor if you are losing weight, you shouldmake an appointment to see your primarycare physician. If you do not have aphysician, give my office a call at 561-434-1935 to schedule your appointmenttoday.

By Ishan Gunawardene, M.D.

I’m sure we’ve all experienced thatfeeling of being so incredibly drainedthat it would take a fork lift to evenlift you off the couch! Often, it’s

simply just a matter of our minds orbodies being overworked, but it’s thoseother times that can become worrisome tophysicians.

Clinically, fatigue is composed of threecategories; general weakness, physicalfatigue, and mental fatigue.

General weakness occurs when you haveoverworked your muscles. It can be frompushing yourself working out or anotherform of activity when you haven’t workedthose arm or leg muscles in quite sometime.

Physical fatigue can be from a long hardday at work when you repeat the sameactivity over and over again, or byrunning yourself ragged with a crazyschedule.

Mental fatigue drains you mentally andmakes it difficult to complete tasks due tocognitive failure. This can be caused bylack of sleep or even a poor diet.Although all of these are symptoms, theremay be an underlying health-related issuethat exists. If fever is present withfatigue, it shows an infection in the bodyis possible.

Some of the diseases that can causefatigue are an over or under active thyroidgland, infection, bipolar, sinusitis,mononucleosis, sleep apnea, and anemia. Auto-immune diseases, such as Lupus,irritable bowel syndrome (IBS), as well asvarious types of cancer can cause you tobecome tired. New onset or worseningchronic obstructive pulmonary disease(COPD), especially of the heart and liverknown as carditis and hepatitis can alsocause fatigue.


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Dear Deborah is a monthly advice column written by Deborah Lynn witha common sense approach to dating. If you have any questions or

comments, please forward them to:[email protected] as we would love to help.

change their behavior as theyhave likely been exhibiting it foryears. If you get to a point whenyou have had enough, go tohuman resources with yourjournal and discuss the matterwith them. Hopefully, a peacefulresolution can be achieved indoing such. Good luck.

DEAR DEBORAH:What are your thoughts onregifting? I am in so many clubsand each one of them has a grabbag type of gift exchange. Doyou think it’s appropriate torewrap a gift and give it atanother exchange?- Passing it along

Dear Passing it along: There is nothing wrong withregifting items - that is if the newrecipient can honestly use thegift. As a matter of fact, mymother is a member of Red Hatsand Bunco. Some of the ladiesare members of both groups andit was agreed that they can regiftany items they receive fromeither grab bag. With that beingsaid, let me offer a few guidelinesthat will make regifting thatmuch easier. Make sure the itemis new and if you have a pricelimit, please be sure that the giftreflects that dollar amount. Ifyou feel as though an item youreceived is not appropriate toregift, just donate it as someonewill surely enjoy it.

Dear Deborah Vitaly Piluiko, M.D., Cardiothoracic Surgeon, BringsMore Than 20 Years of Minimally Invasive CardiacSurgery Experience to Bethesda Heart Hospital

(Boynton Beach, FL) Bethesda Health, Inc. isproud to announce the addition of Vitaly Piluiko,M.D., cardiothoracic surgeon. Dr. Piluiko joinsBethesda Hospital’s Medical Staff and will practiceat Bethesda Heart Hospital located at 2815 S.Seacrest Blvd., in Boynton Beach, Florida.

Dr. Piluiko is a Board Certified cardiothoracicsurgeon with more than 20 years of experience andtraining.

Fully trained as a CV Surgeon, he moved to theUnited States in 1991 after being invited to serve asa Visiting Physician on the Transplant Service at theTexas Heart Institute in Houston, TX. He was alsoawarded the Intermedics Research Fellowship,where, under the direction of renowned heartsurgeon Dr. Denton Cooley, he performed researchon ventricular assist devices and transmyocardiallaser revascularization. Upon completion of hisResearch Fellowship, Dr. Piluiko went on tocomplete his General and Cardiothoracic SurgeryResidency at Wayne State University in Detroit, MI.

Most recently, Dr. Piluiko served as an AssistantProfessor at Loyola University and surgeon inprivate practice in Chicago. There he introducedminimally invasive methods in the treatment ofheart valve diseases, atrial fibrillation, and lungcancer. He is a member of the Denton A. CooleyInternational Surgical Society, the American HeartAssociation’s Council on Cardiovascular Surgeryand Anesthesia, and the Society ofThoracic Surgeons. He is also a Fellow of both theAmerican College of Chest Physicians and theAmerican College of Surgeons.

About Bethesda Heart HospitalBethesda Heart Hospital is part of Bethesda Health,Inc., a hospital network comprised of flagship non-profit Bethesda Hospital East, a 401-bedcomprehensive hospital and non-profit BethesdaHospital West, an 80-bed, state-of-the-art hospitalin Boynton Beach, Florida. Bethesda Health and itsaffiliates offer an array of healthcare servicesincluding the Bethesda Heart Hospital, BethesdaOrthopaedic Institute, BethesdaCenter for Women & Children, Bethesda Women’sHealth Center, Cornell Institute for RehabilitationMedicine; and the Bethesda Comprehensive CancerCenter.

Vitaly Piluiko, M.D.

DEAR DEBORAH:How do you deal with co-workers that are so competitiveand greedy that they lie andtreat people poorly in anattempt to get others in troubleto benefit themselves?- Climb that ladder of deceit

Dear Climb that ladder ofdeceit: There always seems to be oneperson at any organization thatis all about making themselveslook better at the expense ofanother. Sadly, this is a form ofbullying and it will probablycontinue. I would personallystart a log book and documentany and all of their negativebehavior as well as the time anddate that it occurred. Ifsomeone else was around,document that too. You canalways talk with this individualand let them know that you donot appreciate when theydiscuss you with others –regardless of the circumstances.However, it will probably not

The American Cancer Institute predicts that, despite a healthy lifestyle,

more than 200,000 women in the U.S. will contract breast cancer this

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radiation oncologists renders the most technically advanced treatments

in the field, including protocol based, IMRT, TrueBeam™ and partial

breast irradiation.

Our medical staff — together with you, your specialist and primary

care physician — will collaborate and select the best treatment option

for your particular diagnosis as well as your personal requirements. At

South Florida Radiation Oncology, we recognize that every patient is

an individual, with unique treatment needs and a distinctive lifestyle.

Call South Florida Radiation Oncology and let us take gentle,

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Mike Corvaia has been inhealthcare administration forover ten years and is currentlythe Director of BusinessDevelopment for selectspecialty hospital in PalmBeach. he holds a Bachelor’sdegree from the University ofFlorida and is completing hismaster’s Degree this year inBusiness Administration, withan emphasis on healthcareAdministration.

Please feel free to send anyhealthcare related questions [email protected]

Select Specialty HospitalDo you have a success story?

Ventilator CareJudy Barth was working in heryard when she experienced whatshe thought was heartburn. Thepain increased to the point thatshe called for help. The lastthing she remembers is

scrambling for her insurancecards and passing out. Her nextmemory is one month later whenshe woke up at Select SpecialtyHospital- North Knoxville. Judyhad gone into cardiac arrest andwas admitted to the local medicalcenter where she was treated andstabilized. Doctors wereconcerned that a lack of oxygenmight have affected her brain.Judy had spent almost a monthunconscious and on a ventilatorin the ICU when she wasreferred to Select SpecialtyHospital to get her off theventilator and functioning again.During her two week stay atSelect Specialty Hospital, Judywoke up, got off the ventilatorand beat the odds by discharginghome. She has since returned towork and walks one to two milesevery day.

Wound CareEugene Harris and his wifeJerlean were working on hisantique truck, trying to get it tostart. He was working with thecarburetor when it blew up.Eugene was sent to the burn unitin Memphis in critical conditionwith twenty-four percent of hisbody burned. His family wastold he might not survive. Amonth and a half later, still

unconscious and having survivedseveral life-threateninginfections, Eugene wastransferred to Select SpecialtyHospital in Memphis. He was ona ventilator with pneumonia andrequired dialysis. Eugene waswith Select for nearly twomonths, his wife by his sideevery day. While he was atSelect, he weaned from theventilator and saw his kidneyinjuries resolved. He no longerneeded dialysis. His burnscontinued to heal and he wasdischarged to a rehab facilitywith the goal of returning homeas soon as possible. Almost fourmonths after the accident,Eugene returned home. He saysnow he plans to enjoy the

comforts of home with his wifeof 46 years.

Cardiac CareThirty eight year old MyrtleMason had been struggling forbreath for about a month. Herbody was swollen from fluidretention due to congestive heartfailure and she had been sleepingupright in a chair so she couldbreathe at night. When she couldno longer take it, Myrtle soughtthe help of a physician. She wasadmitted to the local medicalcenter with acute respiratoryfailure and was placed on aventilator. Doctors told herfamily that getting off theventilator would be a long shot

and she might not survive. Then,Myrtle was transferred to SelectSpecialty Hospital- Fort Smith.At Select, the team got her upand moving again. Hercongestive heart disease,diabetes and blood pressure werebrought under control and shewas weaned from the ventilator.Myrtle was originally scheduledto go to rehab, but she surprisedeveryone by walking out of thehospital on her own anddischarging home. It was herson’s 18th birthday. Myrtle feelslike she has learned theimportance of taking care ofherself and is grateful for asecond chance. “They gave memy life back. They were there forme.”

December 2013www.GlobalHealthTribune.comPRACTICE TRENDS

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What is a Physical Exam?

Schools require themannually and if you gethired for a new job,chances are that they will

require one too. Everyoneshould really have a physicalexam every year. But what doesthe term “physical exam”actually mean? It essentiallymeans examining the humanbody from head-to-toe aftertaking a thorough medicalhistory of a person.

Many of you have visited yourphysician annually with variouscomplaints and not knowingwhat was amiss. I have hadmany people visit my officebelieving they were completelyhealthy, have no medicalproblems (as far as they know),and come with the belief that aroutine annual physicalexamination should be just

that… routine. I have seenvarious cases in my practicewhere the patient simply came infor their annual examination asmandated by their insurancecompany and in the process,have a life-changing experiencethat ultimately saved their life.

I feel it is so important for you tohave that annual exam, that I’vedecided to go through a few ofthe many “routine” physicalexaminations that I haveperformed with quite interestingoutcomes. I want you to focuson what it takes for a physicianto complete a physical exam.

Case Study One:

A 40-year-old seemingly healthyyoung man comes into my officewith no complaints, but needs hisannual physical examinationperformed. On taking his fullmedical history, I find that he hasno medical conditions, could notremember having any diseases inthe past, and simply wants hismedical examination performedquickly during his lunch hour sohe can return to work. I startedby asking him about anycomplaints he may have, ofwhich he has none. As I startedtaking his medical history, Iasked him about any medicationsthat he is taking and again, hestated none. As I continue, Iasked about any allergies tomedications, family history

(which was clean), he alsodenied smoking cigarettes,abusing drugs or alcohol, and ofcourse, I question him about hisorgan system. I move on to givehim a thorough head-to-toephysical examination and findnothing wrong. Therefore, uponcompletion of my initial exam, Ifound nothing alarming.

My next course of action is to doa urinalysis, run several bloodtests, and have him return a weeklater to discuss his lab work. Ireceived the report to mycomputer which is where themedical records are stored. Allof his blood work looked good.Those included blood sugar,kidney and liver function, andalso an anemia test. He hadpassed everything except for oneso called minor issue, he had atrace of blood in his urine whichwas microscopic and could notbe seen by the human eye. Iinformed him that he had to getan ultrasound of his kidney dueto the blood in the urine.

When the results came back, itwas determined that he had a

tumor in his kidney which hewas completely unaware of.Later, when I referred him to aspecialist, he found out that hehad kidney cancer. Now, let metell you this – kidney tumors goundetected and are foundincidentally as they grow slowlyand are asymptomatic. However,if you do not find them, they dospread and can cause great harm.Essentially, the kidney with thetumor was surgically removedand he has gone on to lead anormal and healthy life.

Case Study Two:

This case truly has had an impacton me to this day. A young andstrapping 38-year-old man cameinto my office for a full physicalexamination with his onlycomplaint being that he had beentired for the past few weeks afterwork, but he slept and ate well.There was nothing abnormal inhis medical history and again,after completing his physicalexamination, I found nothingabnormal. But, as you arebecoming more and more awareby reading my articles, I do notstop with just a physical exam. Iordered some blood work and anEKG, since he had been tired fora few weeks. His EKG wasnormal. When I reviewed theresults of his lab work, I foundthat he had an elevated bloodsugar level which was in thediabetic range which is fasting

blood sugar levels greater than125mg. After repeating the testagain, we established that the testwas positive and he had diabetesmellitus type 2, which he was notaware of. Because of the findingof diabetes, I ordered a stress testfor his heart because a sizeablenumber of diabetics have silentheart disease. Unfortunately, hisstress test came back positive.Needless to say, he potentiallyhad underlying coronary arterydisease and a cardiaccauterization was performed.

That test revealed he had severethree-vessel coronary arterydisease, which is commonlyknown by the acronym CABG.This gentleman was fortunateenough to survive the surgeryand has led a healthy life since.

Now you can easily see why asphysicians we support annualphysical examinations which canpick up on disease, silent killers,and those other culprits whichcan be life threatening if notfound and treated appropriately.I am quite certain that I couldwrite a book about all of myexperiences since startingmedical school at the age of 19.

I cannot stress enough theimportance of preventivemedicine being good medicine.Unfortunately, I still go by theold British school way of sayingit, “A Stitch in Time Saves Nine.”

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December 2013 www.GlobalHealthTribune.comAROUND WORLD

135 Million People Worldwide Will Have Dementia by 2050: Report

The number of peopleworldwide living withdementia could morethan triple by 2050, a

new report reveals.

Currently, an estimated 44million people worldwide havedementia. That number isexpected to reach 76 million in2030 and 135 million by 2050.Those estimates come from anAlzheimer's DiseaseInternational (ADI) policy brieffor the upcoming G8 DementiaSummit in London, England.

The projected number of peoplewith dementia in 2050 is now 17percent higher than ADIestimated in the 2009 WorldAlzheimer Report.

The new policy brief alsopredicts a shift in the worldwidedistribution of dementia cases,from the richest nations tomiddle- and low-incomecountries. By 2050, 71 percent ofpeople with dementia will live inmiddle- and low-income nations,according to the experts.

Research must become a globalpriority if improvements are tobe made to the quality andcoverage of dementia care. Equalemphasis should be given topolicymaking, health and socialcare service and health systemdevelopment, the reportrecommends.

"At the eve of the G8 DementiaSummit . . . it is not just the G8

countries, but all nations, thatmust commit to a sustainedincrease in dementia research,"ADI executive director MarcWortmann said in a news release.

The G8 Dementia Summit, to beheld Dec. 11, will seek toidentify and agree on a newinternational approach todementia research and policy.

"The absence of dementia publicpolicy renders governmentswoefully unprepared for thedementia epidemic, and there isan urgent need for acollaborative, global action planfor governments, industry andnonprofit organizations likeAlzheimer associations," the ADInews release stated.

More Than 6 Percent of U.S. Teens Take Psychiatric Meds: SurveySlightly more than 6 percent

of U.S. teens takeprescription medications

for a mental health conditionsuch as depression or attention-deficit/hyperactivity disorder(ADHD), a new survey shows.The survey also revealed a widegap in psychiatric drug useacross ethnic and racial groups.Earlier studies have documenteda rise in the use of thesemedications among teens, butthey mainly looked at high-riskgroups such as children whohave been hospitalized forpsychiatric problems.The new survey provides a

snapshot of the number ofadolescents in the generalpopulation who took apsychiatric drug in the pastmonth from 2005 to 2010.Teens aged 12 to 19 typicallytook drugs to treat depression orADHD, the two most commonmental health disorders in thatage group. About 4 percent ofkids aged 12 to 17 have

experienced a bout of depression,the study found.Meanwhile, 9 percent of childrenaged 5 to 17 have beendiagnosed with ADHD, abehavioral disorder marked bydifficulty paying attention andimpulsive behavior.Males were more likely to betaking medication to treatADHD, while females weremore commonly takingmedication to treat depression.This follows patterns seen in thediagnosis of these conditionsacross genders.Exactly what is driving the newnumbers is not clear, but "in my

opinion, it's an increase in thediagnosis of various conditionsthat these medications can beprescribed for," said study authorBruce Jonas. He is anepidemiologist at the U.S.Centers for Disease Control andPrevention's National Center forHealth Statistics (NCHS).But these are stressful times andit is also possible that childrenare becoming more vulnerable tothese conditions as a result. "Therecession and various worldevents might be a contributingfactor," Jonas speculated."Adolescents and children dotake psychiatric medications. It is

not the majority, but it's also notrare," he said. "There are manyways to treat mental healthproblems and mood disorders inadolescents, and medication isjust one of them."A mental-health expert notinvolved with the new studycautioned that psychiatric drugsare not a cure-all."Using psychiatric medication isalways a serious thing. You wantto do it carefully and not usethem inappropriately," said Dr.Glenn Saxe, chair of child andadolescent psychiatry at NYULangone Medical Center in NewYork City.

Upcoming Medicaland Fundraising

EventsDecember 15, 2013January 15, 2014

December 18Susan G. Komen for theCure: Pink Tie GuysReception at Club-Colette inPalm Beach. The event beginsat 6:30pm and all ages arewelcome. For additionalinformation, contact DonnaRoss Dodson at 561-307-8000or by e-mail to

January 9Salvation Army: CandlelightSoiree at The Breakers inPalm Beach. The eventbegins at 7:00pm and all agesare welcome. For additionalinformation, contact BettyBrophy at 561-686-3530 or bye-mail [email protected].

January 11Susan G. Komen for theCure: Perfect Pink Party Galaat Mar-a-Lago Club in PalmBeach. The event begins at7:00pm and all ages arewelcome. For additionalinformation, contact DonnaRoss Dodson at 561-307-8000or by e-mail [email protected].

Toy drive to benefit local kids battling cancer a huge success!

The past Saturday,December 7th theSmoke Inn in thereBoynton Beach Store

held a special event to presentthe Kids Cancer Foundation withall the toys they collected fromtheir 11 stores in the Toy Drivethey did to benefit the KidsCancer Foundation.

They collected so many toys thatthe holidays will not only bebrighter for our young patientsand families but they will beable to help brighten the entire

year for these children. Therewill be toys to celebrateBirthdays, Eno of TreatmentParties or just to give to kidsafter procedures or to justbrighten up their day!

We cannot thank Abe Dababneth,the owner of Smoke Inn enoughfor doing this toy drive to benefitthe Kids Cancer Foundation. Weare so grateful for his support. Aspecial thank you also goes outto all the employees at SmokeInn and everyone who donated atoy to the Toy Drive.

Thanks to individuals like Abeand businesses like Smoke Innwe are able to provide hope andsupport to children and familiesbattling childhood cancer in our

community. Little Warriors needBig Heroes like Abe and SmokeInn.

If you are interested in learningmore about the Kids CancerFoundation or interested inmaking a donation to the KidsCancer Foundation log on to thewebsite: www.kidscancersf.orgor send your checks to: KidsCancer Foundation 246 RoyalPalm Beach Blvd. Royal PalmBeach, FL 33411 or you cancontact Michelle O’Boyle directat: 561-371-1298.

Kids' Movies Deliver Mixed Messages on Eating, Obesity

Popular children's movies,from "Kung Fu Panda" to"Shrek the Third," contain

mixed messages about eatinghabits and obesity, a new studysays.

Many of these animated and live-action movies are guilty of"glamorizing" unhealthy eatingand inactivity, while at the sametime condemning obesity,according to study correspondingauthor Dr. Eliana Perrin, anassociate professor of pediatricsat the University of NorthCarolina at Chapel Hill School ofMedicine.

She and her colleagues analyzed20 top-grossing G- and PG-ratedmovies from 2006 to 2010. Clips

from each movie were examinedfor their depictions of eating,physical activity and obesity.

The findings show that manypopular children's movies"present a mixed message tochildren: promoting unhealthybehaviors while stigmatizing thebehaviors' possible effects," the

researchers said. Among themovie segments that includedeating, 26 percent featuredexaggerated portion sizes, 51percent included unhealthysnacks and 19 percent includedsugar-sweetened beverages,according to the study publishedonline Dec. 6 in the journalObesity.

In terms of activity, 40 percent ofthe movies showed characterswatching television, 35 percentfeatured characters usingcomputers, and 20 percentshowed characters playing videogames.

Unhealthy movie segmentsoutnumbered healthy ones bytwo to one, according to theresearchers. They also found thatnearly three-quarters of the filmsincluded negative weight-relatedmessages.

For instance, a panda who wantsto be a martial arts master is toldhe can't because of his "fat butt,""flabby arms" and "ridiculousbelly." And a donkey is referredto as a "bloated roadside pinata."

December 2013www.GlobalHealthTribune.com

Dr. Jonathan Chung is a Doctor of

Chiropractic who focuses on

Structural Correction and is

primarily concerned with Structural

Shifts of the spine. He graduated

from the University of Central

Florida with a B.S. in Microbiology

and Molecular Biology. Dr. Chung

then went on and received his

doctorate from Life University's

College of Chiropractic. Dr. Chung

is certified in pediatrics from the

International Chiropractic Pediatric

Association, and is a Structural

Chiropractic Researcher who has

been published in scientific peer-

reviewed journals.

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applicable to your structural exam

WHEN THE SPINE SHIFTS• Arm Pain• Carpal tunnel (wrist)• Canal stenosis

• Degenerated Joints• Digestive Disorders

• Disc herniation• Dizziness (Vertigo)

• Dowager’s hump• Fatigue

• Fibromyalgia• headaches• hearing Issues• Itchiness• Low Back Pain

• mid Back Pain• migraine headaches• muscle spasm

• muscle tension• Neck Pain

• Numbness/tingling• Pinched Nerve

• Poor Posture• Rotator Cuff

• shoulder Pain• sinus Conditions• spinal Decay

• strength Issues• thoracic Outlet syndrome

• tmJ Issues• Upper Back Pain

headaches. They also found thatheadache was the 5th leadingcause of emergency room visitsin the US. Because it is socommon, many peopleunderestimate how disabling asevere headache can be. Manyof the patients I see withheadaches talk about how it cancause them to take dozens of sickdays at work and how it impactstheir relationship with friendsand family.

Historically, chiropractors with afocus on correcting the uppercervical spine have seen a greatamount of success in helpingheadache patients, but littleresearch has been done thatexplains why. Last year, a groupof Canadian doctors set out tounderstand why the upper neck issuch a problem for headachesufferers. Their initial resultshave started to change ourunderstanding of headaches andother neurological disorders.

The researchers studied a smallsample of people with chronicmigraine headaches. Theystudied these patients usingmagnetic resonance angiography.Each patient had a neurologistverify their diagnosis and wassent for a study that measuredblood flow going in and out ofthe head. Each patient wasevaluated for a structural shift inthe top bone of the spine calledthe Atlas. The authors noted thatthose with a displacement of the

Atlas had sluggish blood flowout of the skull which caused oldblood and cerebral spinal fluid toback up into the head. Whenthese patients received acorrection of the Atlas, 90%reported improvement inheadache symptoms inconjunction with animprovement venous blood flowleaving the head.

Why does a venous back upcause headaches? Venous bloodis full of metabolic waste anddeoxygenated blood. When youcouple that with the increasedpressure pushing back into thehead, you have a recipe for majorproblems. Although there ismore pressure going back into

the head, the skull will not allowpressure to rise because it is asolid, immovable object. Theend result is the extra venouspressure will lead to softertissues in the head to shrink ordegenerate; namely, brain tissue.

Two years ago, I had a younglady referred to my office by aneurologist in Jacksonville’sMayo Clinic. She was 18 yearsold at the time and had beensuffering with DAILY migrainesafter a fall from a horse when shewas 5. It had forced her intobeing home schooled, with thepossibility of going away tocollege a virtual fantasy. Ourtesting revealed that her Atlaswas the culprit, and within a few

weeks of gentle corrections shewas headache-free and theopportunity to go to a school inCalifornia was now a reality.

On the surface, it seems hard tobelieve that such a small thingcould cause such a majorproblem. After all, it’s just asmall bone, shifted a smallamount, blocking a small amountof fluid. Just remember that itjust takes a small bit ofcholesterol to form a small clot,and tiny microorganisms canwreak some major havoc. Theone thing we should allremember is that we’re talkingabout the health of the brain andspinal cord, and small changescan affect the brain in big ways.

Migraines are themost commonneurologicaldisorder in the

developed world according to a2013 study in the journalHeadache, 16.6% of adults reporthaving migraines or severe

Canadian Doctors Explore New Theory of Migraine Headaches

Physicians are independent practitioners who are not employees or agents of Wellington Regional Medical Center. The hospital shall not be liable for actions or treatments provided by physicians.

ER / Cardiac Program

To read more of Pete’s story, visitWellingtonLivingProof.com

I am living proof.

I was a passenger in my wife’s car when my heart stopped and I lost consciousness. Fortunately, my wife didn’t miss a beat. She drove me straight to the ER at Wellington Regional.

Her quick thinking and the fast response I received at the hospital saved my life. And the sophisticated cardiac treatments the doctors gave me in surgery prevented any disabling effects to my brain and other organs. Sadly, nine out of ten people who experience sudden cardiac arrest die, but not me. I’ve got a lot more living to do! I am living proof that Wellington Regional saved my life.

Pete SaltonstallMiracle Man

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Global Health Tribune - December 2013

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