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ORONA • JACKSON HEIGHTS • ELMHURST • EAST ELMHURST • WOODSIDE • SUNNYS

2012 Spring & Summer Editi Queens Coun

Michael Ahdoot, MD

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2012 Spring & Summer Edition Queens Coun

Greetings:

2012 is an exciting year for the great borough of Queens.SITEL MEDICAL PAGESthis year launches its first ever SITEL MEDICAL PAGES, a full and comprehensive Guide toYour Health & Wellness Journey.

Sitel Marketing has been in business here in New York for over a decade providingmarketing, and publishing services. The SITEL MEDICAL PAGES was created to fill a voidand service one of the most basic and important needs of thousands of people in our localneighborhood, information about Healthcare and we identify who some of the localproviders are.

Here at SITEL MEDICAL PAGES we recognize how challenging it can be to researchor review other publications to find a needed service amongst thousands of pages of adsand listings. SITEL MEDICAL PAGES was created to simplify and streamline the process ofchoosing a Health & Wellness provider like a physician, dentist, pharmacy, chiropractor,

podiatrists, optician, vitamin shop, assisted living, or other health care service.

This guide is unique, not only do we provide local information we also haveinformative reports on healthy living that can help you make the decisions you need to livea healthier life. We encourage you to browse our publication and visit the health providersthat have supported this guide and enabled us to bring it to you free of charge.

Sincerely,

Carina E. Mejía Marketing Director

Catherine Lewis Marketing Assistant

“A Guide For your Health & Wellness Journey”

ORONA • JACKSON HEIGHTS • ELMHURST • EAST ELMHURST • WOODSIDE • SUNNY



CreditsSitel Medical Pages

Publisher & Founder / CEO Steven RosenPenny Burns

Editor-in- Chief Lina Silverman, Lic. Ana Josefa Gil Mat

Associate Editor Nilda Tapia McKenna

Graphic Designers Andromeda JonesCésar Agramonte

Marketing Director Carina Mejía

Assistant Marketer Catherine Lewis

Contributing writers:

Dr. Renan Macias, MD- NeurologyDr. Marissa T. Santos, MD- Internal Medicine

Dr. Michael Ahdoot, MD- OphthalmologyDr. Binod K. Verma, D.D.S- Oral ImplantologyDr. Ruben Diaz, D.D.S, Dra. Aisel L. Felix, D.D.S.Western Queens Consultation Center- MentalHealth Organization

Editorial & advertising o ces

Sitel Medical Pages37-25 56th Street Suite 2 Woodside, NY 11373 Tel. 718 506-7888 • 718-606-1833Fax 718-606-2839www.sitelmedicalpages.com

REPRINTS AND COPYRIGHT PERMISSIONS:No part of this periodical may be rreproduced without the consent of SitelMedical Pages Magazine. To do so without permission is prohibited. To inquireabout printing information contact 718-506-7888.

ISSN# 0-9745005-6-9www.sitelmedicalpages.comCOPYRIGHT©2012 SITEL MARKETING & LITERATURE INC. ALL RIGHTS

Thank youThe editorial sta of SITEL MEDICAL PAGES wishesto express our heartfelt appreciation to all the spon-sors of our 2012 Health & Wellness Guide. SITEL MEDI-CAL PAGES was created to simplify and streamline theprocess of choosing a Health & Wellness provider likea physician, dentist, pharmacy, vitamin shop, or otherhealth care service. It was our goal to provide the lo-cal community with this and to provide medical anddental providers with a forum to promote their busi-ness and services. This publication does just that.

The providers listed in the guide are all local andinterwoven within the fabric of our neighborhood. They are committed to the health and welfare of ourcommunity and have supported a medium to informand educate. We hope you enjoy this publicationwhich is provided free of charge. Here’s to healthierand happier community. Thank you.

GraciasEl equipo editorial de SITEL MEDICAL PAGES deseaexpresar las gracias a todos los que han hecho posi-ble este útil proyecto: “Guía de Salud y Bienestar SitelMedical Pages”. La misma ha sido creada para simpli-

car el proceso de elegir un proveedor especi co; yasea un médico, un dentista, una tienda de vitaminas,un terapeuta, o cualquier profesional del área de lasalud. Nuestra meta ha sido orientada a promover ennuestra comunidad todos los servicios médicos y de

salud. Estamos seguros de que Sitel Medical Pagescumple su cometido.Ofrecemos un listado de varios de nuestros

proveedores localizados en cada comunidad dondecircula nuestra guía; además hacemos un gran esfu-erzo para que esta guía sirva de medio informativoy educativo sobre importantes temas de salud. No-sotros esperamos que usted y su familia disfruten lapresente publicación que circula gratis por toda lavecindad. ¡Aquí encontrará usted la mejor forma detener una comunidad saludable y feliz!



38-21 Bell Blvd., Bayside NY 11361

718-423-9300

ALLERGY & ASTHMAFAMILY CARE CENTER

Allergy and immunology deals with problems causedallergies and other disorders of the immune system. allergist-immunologist evaluates, diagnoses, and managdisorders of the immune system. Some conditions that t

specialist will treat include asthma, rhinitis, eczema, anlergic reactions to drugs, foods and insect bites.

Alergia e inmunología.Como lidiar con problemas causados por las alergiaotros trastornos del sistema inmunológico.Evaluacion alérgico-inmunologícaDiagnósticos de los trastornos del sistema inmunológicTratamientos especializados: asma, rinitis, eczema, yreacciones alérgicas a medicamentos, alimentos y pica

ras de insectos.

• Perennial and seasonal allergies

Aalergías perennes y estacionales

• Allergic eye diseases

Enfermedades alérgicas oculares

• Asthma evaluation and management

Evaluación del asma

• Allergy shots (immunotherapy)

Vacunas antialérgicas (inmunoterapia)

• Sinusitis and related Sinus conditions

Sinusitis y síntomas relacionadas

• Pet allergies / Alergias a las mascotas

• Insect allergy testing and management

Pruebas de alergia a los insectos

• Mold Allergies/ Alergias al moho

• Hives / Urticaria

• Contact skin conditions

Póngase en contacto con enfermedades de la piel

• Eczema

• Food allergies / Alergias a los alimentos

• Medication allergies

Alergias a los medicamentos

• Latex allergies / Alergias al látex



It is not always easy to recognizewhen your child may be strugglingwith social and emotional aspectsof life such as friends, bullies,and keeping up with school work.

Children’s Social

and EmotionalHealth

Checking on your child’s emotional health is important, just as important as having their visionand hearing tested or their yearly physical exam with your family doctor. Your child’s social andemotional health can affect how prepared they are for school, their ability to connect with friends

and family, and their ability to bounce back when faced with life’s setbacks.

Research tells us thatwith early interven-tion, we are morelikely to:

Improve schoolperformance and per-sonal relationshipswith family andfriends

Keep problemsfrom affecting emo-tional, intellectual, orphysical development

Provide relief fromsymptoms earlierrather than later, andpossibly prevent long-term problems

When kids go through hard

times or periods of transition,such as trouble with peers, fam-ily difficulties or problems inschool, they might feel moresupported if they talk to a thera-

pist.

They may be feeling sad, angry,or overwhelmed by what's beenhappening and need help sorting

out their feelings, finding solu-tions to their problems, or justfeeling better. That's when ther-apy can help. Regular counsel-ing with a licensed mentalhealth therapist can promoteemotional and social well-beingand can help you and your childget the support you may need.

Where do I go for help?

Catch mental health prob-lems before they become

problems to improve chil-dren’s over all well being.

Many pediatric offices provide or work withMental Health Clinics tooffer social emotionalscreenings.

Speak to your child’sschool guidance counselor or Pediatrician to obtain areferral to your local Men-tal Health Clinic/ Behav-ior Health Facilities.

Contact your insurancecompany for informationon local behavior healthfacilities.



WESTERN QUEENS CONSULTATION CEA Licensed OMH Facility Sponsored by Mental Health Providers of Western Queens,

www.mhpwq.org

JACKSON HEIGHTS OFFICEBruson Building

74-09 37th AvenueSuite 315

Jackson Heights, NY 11372Tel: 718.672.1705

718.779.2263Fax: 718.672.2027

We are a community-based, mental healthagency serving individuals, children and fami-lies. We are committed to offering the highestquality services for those in emotional needs.We have made it a priority to provide a comfort-able setting in which our clients will feel a senseof respect and caring.

SERVICES

Adult PsychotherapyChild Psychotherapy

Adolescent PsychotherapyMarriage & Family Counseling

Group TherapyPsychiatric Evaluation/Consultation

Medication EvaluationCommunity Education

Professional Development WorkshopsFree Children’s Social & Emotional Screenings

SUNNYSIDE OFFICE44-04 Queens Blvd.

2nd FloorSunnyside, NY 11104

Tel: 718.706.1663Fax: 718.706.0635

Western Queens Consulation Center es una agen-cia de salud mental al servicio de las personas, losniños y las familias de nuestra comunidad. Esta-mos comprometidos a ofrecer la más alta calidadde los servicios para las personas con necesi-dades emocionales. Nuestra prioridad es propor-cionar un cómodo entorno en el que nuestros cli-entes se sientan atendidos con respeto y cuidado.

SERVICIOSPsicoterapia para adultosPsicoterapia para niños

Psicoterapia para adolescentesTerapia de familia y de pareja

Consejería para padres solterosTerapia de grupo

Consulta y evaluación psiquiátricaEvaluación de medicina

Educación de la comunidadTalleres para el desarollo profesional

Evaluaciones sociales y emocionales ofrecidas gra



Index10 Things You Never Knew About Heart Disease.................................................................................................................................................10 Datos Sorprendentes Sobre Las Cardiopatias........................................................................................................................................................Al Kosto Pharmacy..........................................................................................................................................................................................................Alberto L. Rozo, DO.......................................................................................................................................................................................................

Allergy & Asthma Family Care Center........................................................................................................................................................................Alzheimer’s Disease.......................................................................................................................................................................................................Breast Cancer...................................................................................................................................................................................................................Buckle Up for Life..........................................................................................................................................................................................................Clinic Nueva Esperanza...................................................................................................................................................................................................Community Prevention Alternatives............................................................................................................................................................................Como Harcerse Una Mamogra a..................................................................................................................................................................................Consejos Para una Vida Segura Y Saludable................................................................................................................................................................Corona Vision..................................................................................................................................................................................................................Dentista Hispano..............................................................................................................................................................................................................Diabetes and Gum Disease.............................................................................................................................................................................................Diabetes and Pneumonia: Get the Facts.......................................................................................................................................................................Dr. Marissa T. Santos, Article...........................................................................................................................................................................................Dr. Michael Ahdoot, Article...............................................................................................................................................................................................Dr. Renan Macias, Article..............................................................................................................................................................................................Elmcare Pharmacy...........................................................................................................................................................................................................Elmhurst Pediatric Dentistry............................................................................................................................................................................................Enfermedad de Alzheimer................................................................................................................................................................................................Facts on Colon Cancer...................................................................................................................................................................................................Family Dental Rego Park..............................................................................................................................................................................................Flu Vaccine Facts & Myths...........................................................................................................................................................................................Functional Physical Therapy Rehab, P.C............................................................................................................................................................H & L Counseling Services, Inc................................................................................................................................................................................Healthy Teeth for Happy Smiles.................................................................................................................................................................................Help Me Mom!...............................................................................................................................................................................................................Hugo Ledesma, Cardiologist............................................................................................................................................................................................How to get a Mammogram?...........................................................................................................................................................................................ISmile Dental Care..........................................................................................................................................................................................................Jackson Heights Orthodontics...........................................................................................................................................................................................Jorge Pina, LMHC...........................................................................................................................................................................................................Know the Facts about High Blood Pressure.....................................................................................................................................................................Lo Que Debe de Saber Sobre La Diabetes y La Pulmonia.....................................................................................................................................Marissa T. Santos, MD....................................................................................................................................................................................................My Pyramid: Steps to a Healthier You..........................................................................................................................................................................New Rochelle Dental Studio..........................................................................................................................................................................................Novo Dent Dental Studio..............................................................................................................................................................................................Oral Implantology....................................................................................................................................................................................................................Progressive Ophthalmology.............................................................................................................................................................................................Pro Health Pharmacy.......................................................................................................................................................................................................Renan Macias, MD..........................................................................................................................................................................................................

Re-Nu Rejuvenation & Wellness..................................................................................................................................................................................Shake the Habit...............................................................................................................................................................................................................Sitel Medical Pages........................................................................................................................................................................................................Sterling Medical & Dental Marketing.............................................................................................................................................................................Steven Bernhard, DO.......................................................................................................................................................................................................Still Smoking?.................................................................................................................................................................................................................. Tips for a Safe and Healthier Life.................................................... ................................. ................................. ................................. ...................... Todavia Fumando?...................................... ................................. ................................. ................................. ................................. ................................. .Victory Pharmacy .........................................................................................................................................................................................................Wash Your Hands...............................................................................................................................................................................................................Well Care..........................................................................................................................................................................................................................Well-Child Visits are Important!......................................................................................................................................................................................Western Queens Consultation Center..............................................................................................................................................................................Woodside Medical Practice, P.C.......................................................................................................................................................................................



Metro PlusNeighborhoodAf nityEyemedHealth-Plus

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DOCTORS OF OPTOMETRY

Dr. Pezhman HourizadehDr. Jane Isakova

Dr. Kathleen JohnsonDr. Jessica Handler

CORONA VISION40-04 Case Street

Elmhurst, NY 11373T: 718.685.2445

(89-26 Roosevelt Ave.)

CORONA VISION103-06 Roosevelt Ave.Corona, NY 11368T: 718.424.1333

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Healthy Teeth for

Happy Smiles Oral Health Tips for Parents and Care givers

Healthy Teeth forHappy Smiles



Eruption of teeth • Usually between 6 and 7 months of age, your infant’s baby

(primary) teeth will begin to appear. Although this is therst visible sign of teeth, they began forming before your

child was born. The rst teeth to appear probably will be

the front teeth, either on the top or bottom.• By age 2 to 3 years, your child probably will have all 20 primary (baby) teeth.

Healthy primary (baby) teeth Fluoride in drinking water is most important for a lifetime of healthy teeth. The rststep towards healthy teeth is to ask your dentist or doctor if your baby’s drinkingwater has enough uoride. If it does not, you should give your baby uoride each dayfrom 6 months of age.

Proper use of the bottle is the next step in preventing dental problems.• Bottles are used to feed babies who are not yet able to drink from a cup.• Feed only formula, breast milk, or water from a bottle.• Offer the bottle only at feeding times. Do not let baby carry a bottle

around at other times. A bottle is not a toy or paci er.• Sleeping times are not feeding times. Do not put baby to bed with a bottle.• Putting the baby to bed with a bottle may increase the chance of tooth

decay and ear infection.

The first steps to ensuring your child’s oral health is taking care of your own oral health.

Keep your mouth healthy • Cavity-causing bacteria can be passed from parent or caregiver to baby.

• Visit your dental provider regularly.• Brush and oss your teeth regularly.• Avoid sharing toothbrushes and eating utensils.

A message to expectant mothers • Baby’s teeth are forming around the fourth week of pregnancy.• Take prenatal vitamins.• Establish a dental home. Visit your oral healthcare provider regularly.• Brush and oss your teeth daily.

• Be cavity-free at the time of delivery.• Do not smoke. It causes gum disease which may lead to an early delivery.• Eat a variety of foods from each of the food groups.



Care of teeth begins early in life Birth – 1 year

• Wipe baby’s gums and teeth with a damp cloth orgauze daily.

• Ask your dentist or doctor about giving your childuoride to build strong teeth.

1 – 2 years • Gently brush child’s teeth with a soft toothbrush after

meals and at night.• First dental visit for oral exam and preventive health

education no later than 12 months of age.

2 – 3 years • Take child to dentist for uoride and sealant

preventive care.• Brush and oss child’s teeth after meals and before bed.• Begin to teach child to brush teeth with soft brush

using a very small dab (pea-sized) of uoridatedtoothpaste.

• Avoid sweet snacks.

3 – 6 years • Take child to dentist regularly for uoride and sealant

preventive care.• Help child brush and oss teeth after meals and

before bed.• Avoid sweet snacks.

• Encourage brushing after eating.

6 years and up • Remind child to brush and oss teeth after meals and

before bed.• Encourage brushing after eating sweets or sticky foods.• Take child to dentist regularly for uoride and sealant

preventive care.

The baby who goes to bed with a bottle can get painful toothdecay. This is called “baby bottle tooth decay” or “early childhoodcaries.”

• The sugar in formula, milk, juice and sweeteneddrinks can decay the teeth if it stays in the baby’smouth during sleep.

• Do not add sugar, syrups, sweeteners, soft drinks,or honey to the bottle or paci er.

• If baby needs a bottle at night, ll with plain water; oroffer a blanket, stuffed animal, or favorite toy at sleeptimeinstead of a bottle.

• “Baby bottle tooth decay” can be very serious.

Early Childhood Caries (ECC) Baby bottle tooth decay

Time for a cup When your baby is ab le to sit well, begin offering waterfrom a small cup.

• Be patient…it will take your baby time to learn todrink from a cup.

• As baby gets used to drinking from a cup, offer formula,breast milk or juice in a cup.

• Take bottles away gradually. Most babies will notwant to give up the bottle all at once.

• Babies should be drinking from a cup by their rstbirthday.

• By eighteen months of age, the bottle should no longerbe used.

Department of Health ServicesDivision of Public Health

P-44078 (Rev. 05/09)

Good Nutrition Age appropriate nutritious foods and beverages are needed forhealthy teeth and gums.

• Encourage good eating habits. Choose a variety of foods from each of the food groups. Set regular mealsand snack times.

Good snacks might include: popcorn, cheese, fruit, anddry cereal (low sugar).

• When your child is thirsty, offer water. Avoid sweet drinkssuch as soda pop, Hi-C, Kool-aid, Tang and fruit punch.

• Brush after eating, especially after eating those foods whichstick to the teeth.

• Help your child control a “sweet tooth.”

Avoid: candy, cookies, cake, pastries, Jello, doughnuts, granolabars, baby desserts, raisins/dried fruit, peanut butter, syrup,honey, jelly/jam, crackers, soft bread.

Protect teeth with fluoride

and sealants • Fluoride will help strengthen teeth and protect them from

decay. If water in your area does not contain enoughuoride, ask your dentist or doctor about giving your childuoride drops or tablets.

• Topical uoride applications such as uoride varnish helpto prevent cavities starting at 9 months. Speak to a dentalhygienist, dentist, nurse or medical doctor for advice about

uoride applications.

• Sealants will prevent decay on the biting parts of back teeth.A thin, plastic coating will seal out food and germs thatcause decay. Ask your dentist or dental hygienist if yourchild needs sealants.

Approximate Age of Eruption Primary (Baby) Teeth

A tip for what you might do about it:

Offer a clean, smooth object suchas a rubber or plastic ring to helpcut teeth and relieve possible gumsoreness. This is preferable to usingfood as a paci er.

Use a bib to help keep clothes cleanand dry. The salivary glands are justbeginning to function to help yourchild digest solid foods.

Don’t urge your child to eat justbecause he/she is crying. He/she willeat when he/she is hungry. Your childmay need extra love and attentionduring teething.

Teething may or may not be associatedwith the following:

Signs of teething

Your baby is changing and growing in many other ways at the same time teething happens. Parents who see fever, stuffy or runny nose, cough, rash or changes in bowel movements at the same time as teething may think it’s all due to teething. These conditions are probably not related to teething, but should be reported to your baby’s doctor if they continue.

Biting or chewing on anything, includingngers.

Drooling, excess salivation.

Restlessness, fussiness, loss of appetite.

central incisor 8-12 monthslateral incisor 9-13 monthscuspid 16-22 months

rst molar 13-19 monthssecond molar 25-33 months

second molar 23-31 monthsrst molar 14-18 months

cuspid 17-23 monthslateral incisor 10-16 monthscentral incisor 6-10 months

Upper Teeth

© American Dental Association

Lower Teeth



E l m h u r s t P e d i a t r i c D

e n t i s

t r y

E l m h u r s t F a m i l y D e n t i s

t

E l m h u r s t E y e C a r e

especialista dental para niño Pediatric Dental Specialist

Se Habla Español

79-11 41st Ave., #A-107 • Elmhurst, New York 11373Tel: 718-205-2888 • Fax: 718-205-2855

(across from Elmhurst Hospital)

Most insurance acceptedincluding Medicaid, Metroplu



MyPyramid.gov

www.EatSmartMoveMoreNC.com



Dr. Renan Macias,M.D. a neurologist,has been in privatepractice for over37 years. He attendedmedical school in Ec-uador where he grad-uated from the Uni-versity of Guayaquilin 1968; then he

came to the United States to get his medical internshipat Booth Memorial Medical Center, Flushing, NY in1971; later on he started the neurology residency train-ing for 3 years at Kingsbrook Jewish Medical Center,Brooklyn VA Hospital and Kings County Hospital. Hehad special training in digital electro diagnostic testingsuch as Electroencephalogram (EEG), Electromyogram

(EMG), Nerve Conduction (NCV), Evoked Potentials:Visual, Auditory, Somatosensory and sleep studies.Dr. Macias is currently a full-time physician in privatepractice and does neurology consulting at The BrooklynHospital Center, 121 DeKalb Avenue Brooklyn, NewYork 11201; he obtained the New York State license in1975; maintains af liations with the American Acad-emy of Neurology, the American Medical Association,New York State Medical Society, and Medical SocietyCounty of Kings. So if you suffer with persistent mi-graine headaches, sleep disorder (insomnia), memorydif culties, fainting spells, seizures, strokes, double vi-sion, neck pain, back pain, any injuries sustained in acar accident or work related accident; please feel free tomake an appointment to visit with Dr. Macias at (718)592-0449 or send an e-mail to [email protected] requesting further information. •

Dr. Marissa T. San-tos has been in prac-

tice for 17 yearsnow and is BoardCerti ed in InternalMedicine. She hashospital privilegesat Long Island Jew-ish Medical Centerand New York Hos-

pital of Queens. She specializes in the treatment of Dia-betes, Hypertension, Asthma, Cholesterol and CancerPreventive Screening for Men and Women includingPap Smear, Prostate test, referrals for Colonoscopy and

Mammogram and In-House Bone density test for Os-teoporosis and Sonograms. She treats patients from as

young as 15 years old and above and accepts most in-surances including Commercial and Private insurances,Medicare , most Medicaid plans, and Self pays at a dis-counted rate. She works with the following specialists onpremises: Cardiologist, Gastroenterologist, OrthopedicSurgeon, General and Breast Surgeon, Podiatrist, Urolo-gist, Neurologist , Physical Therapists and a Certi edand Licensed Physician Assistant Mario Nova. The of-

ce is uent in English, Spanish, Tagalog, and Russianwith convenient of ce hours 6 days a week, includingevenings and Saturdays. Dr. Santos’ goal is to spreadhealth screening awareness for a healthier community. •

Dr. Marissa T. Santos Internal Medicine

Dr. Renan Macias Neurologist



New of ce opening soon at69-14 41St. Ave., STE C1, Woodside, NY 11377



Dra. Marissa T. San-tos ha ejercido suprofesión durante

los últimos 17 años;ella está certi cadapor la Junta de Me-dicina Interna. Ha te-nido el privilegio detrabajar en el LongIsland Jewish Medi-cal Center y en New

York Hospital of Queens. Dra. Santos está especiali-zada en tratamientos de diabetes, asma, hipertensión,colesterol y tratamiento preventivo contra cáncer de lapróstata; así como en mamografía, papanicolaou, prue-bas de densidad de los huesos y sonogramas. Ella ofrece

sus servicios médicos a personas con edad de 15 años enadelante, ya sea a través de los más importantes segurosmédicos comerciales o de forma privada, a los que de

manera personal cubren sus costos de salud; tambiénrecibe los planes de Medicare y Medicaid.Dra. Santos trabaja con los siguientes especialistas:

cardiólogos, gastroenterólogos, ortopedas, cirujanos,pediatras, urólogos, neurólogos, terapeutas; y con MarioNova, asistente certi cado y licenciado en tratamien-tos físicos. El personal de su o cina presta atenciónen inglés, español, tangalo y ruso durante seis días ala semana, y eventualmente los domingos. Promover lasalud en su comunidad es la meta primordial de la Dra.Santos. •

Dr. Renán Macías,MD; es un neurólogoque ha desempeñadoel ejercicio médicoprivado por más de37 años. Asistió a laescuela de medicinaen Ecuador, donde segraduó en la Univer-

sidad de Guayaquil en1968, y luego llegó a

los Estados Unidos para realizar en 1971 su internadomédico en Booth Memorial Medical Center, Flushing,Nueva York; más tarde se especializó en neurología,capacitación que alcanzó tras tres (3) años en Kings-brook Jewish Medical Center, Brooklyn VA Hospitaly en el Hospital del Condado de Kings. También, ob-tuvo el Dr. Macías una formación especial en formatodigital de pruebas electro diagnóstico, como Electro-encefalograma (EEG), electromiograma (EMG), con-

ducción nerviosa (NCV), potenciales evocados: visu-ales, auditivas, somato sensoriales y los estudios delsueño. Actualmente es un médico dedicado tiempocompleto a la práctica privada y ofrece consultas deneurología en el Centro Hospitalario de Brooklyn, 121de DeKalb Avenue Brooklyn, Nueva York 11201. En1975 obtuvo, el Dr. Renán Macías, la licencia paraejercer en Nueva York; actualmente es miembro de laAcademia Americana de Neurología, de la American

Medical Association, New York State Medical Societyy la Sociedad Médica del Condado de Kings. Así quesi usted sufre de migrañas persistentes, trastornos delsueño (insomnio), di cultades de memoria, desmayos,convulsiones, derrames cerebrales, visión doble, dolorde cuello, dolor de espalda, las lesiones sufridas en unaccidente automovilístico o accidente de trabajo, porfavor no dude en hacer una cita para consultar al Dr.Macías; contáctele al (718) 592-0449 o envíe un e-mail a [email protected]. Si desea,solicite información adicional. •

Dr. Renan Macias Neurólogo

Dra. Marissa T. Santos Medicina Interna



Diabetes is a disease in which the body is unable to properly use andstore Glucose. This causes glucose to back up in the blood stream caus-ing blood sugar to rise high.

There are two types of diabetes - Type I ,Type II,Type I - Also called Juvenile Diabetes (Body stops producing Insulin )Type II Diabetes - Also called Diabetes Mellitus.Gestational Diabetes - female patients who develop diabetes while preg-nant, is called Gestational Diabetes. These patients are more likely todevelop full blown diabetes later in life. Diabetes patients are more likely to develop Periodontal disease, whichin turn can increase blood sugar and diabetes complications. A studyfrom the Journal of Periodontology found that poorly controlled Tyle IIdiabetes patients are more likely to develop periodontal disease than wellcontrolled diabetes.

Gum disease is an in ammatory process in which micro-ulcerations areproduced in the inner lining of the gums, which can travel to the arteriesand start the same in ammatory condition and can cause heart disease andstroke.

Gum disease can also cause Osteoporosis, Premature birth in pregnantwomen.

Silent signs of Gum disease(1) Red swollen tender Gums(2) Bleeding while brushing, ossing or eating hard food(3) Gums that are receding or pulling away(4) Loose or separating teeth(5) Pus between gums & teeth(6) Soreness in mouth(7) PersDental implant resistent bad breath(8) A change in the way teeth t together when patients bite(9) Change in the t of partial denture What you should doThere are many new treatments available to control and help reverse Gum disease.Keep your mouth healthy. See your dentist twice in a year. For complimentary consultation you cancall us at (718) 699-8268 and visit our web - www.familydentalregopark.com

Diabetes and Gum Disease

Dr. B.K. Verma, DDS, MAGD

Master Fellow and DiplomatInternational College of OralImplantology

19



10 Reasons to Quit

1. Live a healthier life.Smoking causes heart disease, stroke, lung and othercancers, and many other diseases. Your health startsimproving the minute you quit.2. Live a longer life.Cigarettes really are “eating you alive.” Smokers killed by tobacco die about 14 years sooner than non-smokers.3. Be free of addiction.

Nicotine is one of the most addictive substancesknown.4. Improve the health of people around you.Second-hand smoke kills. It causes cancer, heart dis-ease, and other illnesses. Children whose parentssmoke are more likely to have bronchitis, asthma, earinfections, and pneumonia.5. Save money.Smoking a pack a day costs more than $3,200 a year. Youcould do a lot with that cash.6. Feel better.Get rid of your cough, breathe easier, and stop feelingsick all the time. Look better, too: Quitters have youngerskin, whiter teeth, and more energy.7. Quality of life. Your clothes, car, and home won’t stink. Food will taste better.8. Have a healthy baby.Babies of women who smoke are more likely to be sick or die, and to be born too small or too soon.9. Better sexual and reproductive health.Men who smoke can have trouble getting and keepingan erection. Women who smoke have more dif culty getting and staying pregnant.10. Stop feeling like an outcast.There are fewer and fewer places where smoking isallowed. Most smokers have already quit. You can, too.

10 Ways to Make It Easier

1. Prepare yourself.Make a list of your reasons for quitting and read itoften.2. Pick a quit date.Get rid of ashtrays and lighters, and throw out allcigarettes.3. Have a smoke-free car and home.It is healthier for others and will help you resist

smoking.4. Get support and encouragement.Tell your family, friends, and coworkers that you arequitting and ask for their support.5. Get a quit buddy. Ask a smoker to quit with you, or nd someone whohas already quit who you can talk to for support.6. Notice what triggers cravings. Alcohol, coffee, and stress can make you feel likesmoking. So can seeing others smoke; ask smokers youknow not to light up in front of you.

7. Consider using medications.The nicotine patch or gum, and medications such asZyban (bupropion) and Chantix (varenicline) greatly reduce cravings and double your chance of success. Talk to your doctor.8. Help yourself cope.Drink a lot of water to help with cravings. Exercise torelieve stress and improve your mood and health – a brisk walk often does the trick.9. Get your mind off smoking.Talk to a friend when you feel like smoking. Get busy with a simple task, eat a healthy snack, take a walk, orchew gum.Avoid places and situations you associatewith smoking.10.Stay away from that rst cigarette!Having even one can make you start back up. Cravingswill lessen the longer you don’t smoke.

Still Smoking?Cigarettes are eating you alive.



10 razones para dejar de fumar

1. Viva una vida más sana.Fumar causa enfermedades del corazón, derramecerebral, cáncer de pulmón y otros tipos de cáncer, y muchas otras enfermedades. Su salud empieza a mejo-rar en el momento en que deja de fumar.2. Viva una vida más prolongada.Los cigarrillos realmente “están acabando con su vida”.Los fumadores que mueren por causa del tabacomueren cerca de 14 años antes que los no fumadores.

3. Libérese de la adicción.La nicotina es una de las sustancias conocidas másadictivas.4. Mejore la salud de las personas que lo rodean.El humo de segunda mano mata, causa cáncer, en-fermedades del corazón y otras enfermedades. Losniños cuyos padres fuman tienen más probabilidadesde tener bronquitis, asma, infecciones en los oídos y neumonía.5. Gane dinero.Fumar un paquete diario cuesta más de $3,200 al año.

Usted podría hacer mucho con ese dinero.6. Siéntase mejor.Deshágase de la tos, respire mejor y deje de sentirseenfermo todo el tiempo. También luzca mejor:quienes dejan de fumar tienen una piel más joven,dientes más blancos y más energía.7. Calidad de vida.Su ropa, su auto y su casa no olerán mal. La comidatendrá mejor sabor.8. Tenga un bebé sano.Los bebés de mujeres que fuman tienen más probabi-

lidades de enfermarse o morir, y de nacer demasiadopequeños o demasiado pronto.9. Mejor salud sexual y reproductiva.Los hombres que fuman tienen problemas para con-seguir y mantener una erección. Las mujeres que fu-man tienen más di cultad para quedar y permanecerembarazadas.10.Deje de sentirse rechazado.Cada vez hay menos lugares en donde se permite fu-mar. La mayoría de fumadores ya han dejado de fumar.Usted también puede.

10 maneras de lograrlo más fácilmente

1.Prepárese.Haga una lista de sus motivos para dejar de fumar y léala con frecuencia. 2.Escoja una fecha para dejar de fumar.Deshágase de ceniceros y encendedores, y bote todoslos cigarrillos.3. Tenga un auto y una casa libre de humo.Es más saludable para otros y le ayudará a resistir eldeseo de fumar.

4. Busque apoyo y ánimo.Cuéntele a su familia, amigos y compañeros de trabajoque está dejando de fumar y pida su apoyo.5. Consiga un compañero para dejar de fumar.Pida a un fumador que deje de fumar con usted, o en-cuentre a alguien que ya ha dejado de fumar con quienusted pueda hablar para pedir apoyo.6. Identi que qué provoca las ansias de fumar.El alcohol, el café y el estrés pueden hacer que ustedsienta ganas de fumar. Lo mismo puede suceder al verfumar a otros; pídale a los fumadores que conoce que

no enciendan cigarrillos frente a usted.7. Considere tomar medicamentos.El parche o chicle de nicotina, y medicamentos talescomo Zyban (bupropion) y Chantix(varenicline) redu-cen mucho el deseo de fumar y duplican su oportuni-dad de éxito. Hable con su médico.8. Ayúdese a manejar la situación.Beba mucha agua para reducir las ansias. Haga ejerci-cios para liberar el estrés y mejorar su estado de ánimo y salud – una caminata rápida con frecuencia lo logra.9. Elimine su deseo de fumar.

Hable con un amigo cuando tenga ganas de fumar.Ocúpese en una tarea sencilla, consuma un refrigeriosaludable, salga a caminar, o mastique chicle. Evite lu-gares y situaciones que asocie con el hábito de fumar.10. ¡Aléjese del primer cigarrillo!Fumar aunque sea un cigarrillo puede hacer que vuelvaa empezar. Las ansias se disminuirán entre más tiempodeje de fumar. Si usted puede dejar de fumar por 3 me-ses, probablemente dejará de fumar por completo.

¿Todavía fumando?Los cigarillos están acabando con su vida.


http://slidepdf.com/reader/full/sitel-medical-pages 23/6823www.elmcare.net



Shakethe Habit

...some simple tips to

lower salt in your dietSalt – you’ve likely heardthat we eat too much of it.But what’s the issue?

Salt is about 40% sodium. While sodium is needed

to regulate water balance and blood pressure,consuming too much may:• raise blood pressure and increase our risk for

heart disease and stroke;• increase our risk for other diseases like stomach

cancer and osteoporosis.

Healthy adults should have less than 2300 mg of sodium daily

(equal to 1 tsp salt), but most Canadians are consuming about

3500 mg every day.

Sodium is found in many of the foods we eat. About 80% comesfrom processed and packaged foods, fast foods and restaurant

meals. Many staples we eat on a daily basis provide a lot of

sodium. Check food labels – you might be surprised at the sodiumlevel of some of these foods.

Find more healthy tips and recipes at healthcheck.org



Here’s how you can reduceyour sodium intake:

• Try to cook at home as often as you can. By preparing more home-cooked meals, you can have better control of your sodium intake.

• Eat more vegetables and fruit – these are naturally low in sodium.• Reduce your intake of processed meats, gravies, sauces, seasoned

rice and pasta, bouillon and canned soups.

• Drain and rinse canned vegetables and beans.

• Buy plain meats, poultry and fish rather than pre-seasoned orbreaded types.

• Have a “no added salt” rule at the table – 3 dashes of salt providesabout 20% of the recommended daily intake.

• Season foods with herbs and salt-free spices, lemon, vinegar,garlic and onion.

• Cook rice, pasta and hot cereal without adding salt to thecooking water.

• Some bottled salad dressings can be high in sodium and fat.Make sure you check the Nutrition Facts table to compareproducts and make a wise choice. A good alternative is tomake your own dressing; that way you control all of theingredients and can season it with fresh herbs and spices.

• Eat fewer salty snack foods such as salted crackers and pretzels,and instead choose low-sodium snacks such as fresh fruit, cut-upvegetables with low-fat, low-sodium dip, and unsalted nuts anddried fruit.

• Condiments such as pickles, relishes and soy sauce can also behigh in sodium.

• Read the ingredient list. Look for ingredients that contain sodiumsuch as salt, baking soda, baking powder, monosodium glutamateand soy sauce. Foods that contain these ingredients will likely behigh in sodium, particularly if they are high on the ingredient listor listed multiple times.

• Check the Nutrition Facts table on food packaging and compareproducts – choose foods with a lower % Daily Value (%DV). Also,look for the Health Check™ symbol – foods that carry thissymbol are lower in sodium.

• When eating out, try to avoid foods that have been marinated,pickled, smoked, breaded, brined or served in au jus, teriyakisauce or broth. These foods tend to be higher in sodium. Askyour server for nutrition information before ordering your meal,and consider the lower-sodium options. Look for Health Checkitems, as they are lower in sodium.

Find more healthy tips and recipes at healthcheck.org



Joaquin CharrisRegistered Physical Therapist

e-mail: [email protected]

81-31 Baxter Ave. Suite CDElmhurst, NY 11373

Se habla español

on the corner of 41 Ave. &Baxter Ave. by the back

entrance of Elmhurst Hospital

Phone: 718.424.5151 • Fax: 718.424.9119

• MOST INSURANCES ACCEPTED• WORKER’S COMPENSATION • NO FAULT ACCIDENTS• ACCUPUNCTURE AVAILABLE

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Facts&Myths

Department of Healthand Human Services

Centers for Disease Controland Prevention

Influenza (flu) is a serious disease of thenose, throat, and lungs, and it can lead to

pneumonia. Each year about 200,000 people in the U.S. arehospitalized and about 36,000 people die because of the flu.Most who die are 65 years and older. But small children lessthan 2 years old are as likely as those over 65 to have to goto the hospital because of the flu.

“The flu isn’t a serious disease.”MYTH

FACTS

“The flu shot can cause the flu.”MYTH

For more information, ask your healthcare provider or call800-CDC-INFO (800-232-4636) Website www.cdc.gov/flu

The flu shot cannot cause the flu. Some peopleget a little soreness or redness where they get the

shot. It goes away in a day or two. Serious problems from theflu shot are very rare.

“The flu shot does not work.”

“You must get the flu vaccinebefore December.”

MYTH

“The side effects are worse than the flu.”MYTH

“Only older people need a flu vaccine.”MYTH

MYTH

Most of the time the flu shot will prevent the flu. Inscientific studies, the effectiveness of the flu shot

has ranged from 70% to 90% when there is a good matchbetween circulating viruses and those in the vaccine. Gettingthe vaccine is your best protection against this disease.

The worst side effect you’re likely to get from a

flu shot is a sore arm. The nasal mist flu vaccinemight cause nasal congestion, runny nose, sore throat andcough. The risk of a severe allergic reaction is less than1 in 4 million.

Adults and children with conditions like asthma,diabetes, diabetes, heart disease, and kidney disease need toget a flu shot . Doctors also recommend children 6 monthsand older get a flu shot every year until their 5th birthday.

Flu vaccine can be given before or during the fluseason. The best time to get vaccinated is October

or November. But you can get vaccinated in Decemberor later.

FACTS

FACTS

FACTS

FACTS

FACTS



¿Qué es la gripe (Influenza)?La gripe es una enfermedad de la nariz, la garganta,

y los pulmones. Lo puede dejar a usted enfermopor una semana o más con tos, fiebre, dolores

corporales, y otros síntomas. Puede provocar neumonía y empeorar problemas existentes desalud como diabetes, asma, y cardiopatía.

¿Por qué hay que vacunarse?Cada año en los Estados Unidos mueren alrededor de 36.000 personas por causas relacionadas conla gripe. Vacunarse contra la gripe es la MEJORmanera de protegerse contra esta enfermedad.

¿Quienes deben vacunarse?● Toda persona mayor de 6 meses puede beneficiarse

con la protección de una vacuna contra la gripe● Los Centros para el Control y la Prevención de

Enfermedades (Center for Disease Control eningles, o CDC) recomienda que las siguientes per-sonas sean las primeras en vacunarse cada año,

ya que presentan alto riesgo de complicacionesserias a causa de la gripe:

● Personas de 50 años o más● Personas de cualquier edad que hayan sufrido

un infarto o que sufran de cardiopatía, asma,enfisema o bronquitis crónica, diabetes,

infección por el VIH/SIDA, trastornossanguíneos, enfermedad en los riñones oque tengan el sistema inmunológico débil

● Bebés de 6 meses o más hasta su5to. cumpleaños

● Mujeres embarazadas● Personas que vivan en hogares para ancianos

ó vivienda con servicios de asistencia● Personas que presentan condiciones de

salud donde es difícil respirar o tragar ● Los CDC también recomiendan la vacuna contra

la gripe a quienes cuidan o viven con cualquier persona mencionada anteriormente. Esto incluyea los profesionales de la salud. Vacunarse contrala gripe ayudará a evitar que la enfermedad setransmita en la casa o en el trabajo

¿Como funciona la vacuna contra la gripe?La vacuna ayuda a su organismo a combatir los

virus que causan la gripe. Enseña a su sistema

inmunológico a identificar este virus, y así éstepreparado para luchar contra la gripe en caso deexposición al virus.

¿Qué tan efectiva es la vacuna contra la gripe?La mayor parte del tiempo, la vacuna previene lagripe. De acuerdo a estudios médicos la vacuna esefectiva entre el 70% y el 90% de las personas sanasmenores de 65 años, cuando coinciden bien los

virus que circulan y aquellos que se hallan en la vacuna. La vacuna puede ser menos eficaz en laspersonas mayores o personas con sistemasinmunológicos débiles. Sin embargo, estas personastambién se benefician al vacunarse, porque ayuda aprevenir las enfermedades severas, hospitalización,

y muerte a causa de la gripe.

¿Qué efectos secundarios tiene la vacuna?Los efectos secundarios más frecuentes son dolor

y enrojecimiento de la zona donde se inyecta la vacuna. Estos síntomas desaparecen a los pocosdías. Otros efectos secundarios, como la fiebre odolores corporales, son muy poco comunes. En losestudios clínicos, no se observaron diferencias enlas reacciones entre personas que recibieron la

vacuna contra la gripe y las personas que recibieronun placebo. La probabilidad de que ocurra una

reacción alérgica grave es una en un millón.¿La vacuna puede causar la gripe?No. Los ingredientes de la vacuna no pueden causar lagripe. El virus que contiene la vacuna es destruido.

¿Cuando hay que vacunarse?Los meses ideales para vacunarse son octubre

y noviembre. En la mayoría de los años, no esdemasiado tarde vacunarse en diciembre.

¿La vacuna puede protegerme contra losresfríos y otras enfermedades respiratorias?

No. La vacuna contra la gripe sólo protege contrael virus de la gripe que contiene la vacuna.

¿Que es la vacuna nasal contra el gripe?La vacuna nasal es rociada dentro de la nariz dela persona, en lugar de ser inyectada. La vacunanasal está aprobada para las personas saludablesde 5 a 49 años de edad que no estánembarazadas. Es una vacuna segura y efectiva.

Preguntas y Respuestas sobre la gripe (In fluenza) y la Vacuna contra la gripe (la vacuna contra la In fluenza)

Para obtener más información, consulte a un profesional dela salud o llame al 800-CDC-INFO (1-800-232-4636)

Página de Internet: www.cdc.gov/flu

Preguntas y Respuestas sobre la gripe (in uenza) y laVacuna contra la gripe (la vacuna contra la in uenza)

28



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1. Laughter is therapeutic. Doctors from the University of Maryland Schoolof Medicine found that watching a funny movie for even 15 minutes can increaseyour blood flow. Remember to laugh every day—it can keep your heart happyand healthy.

2. Heart disease is the leading cause of death of American women. A recent sur vey found that fewer than one in five physicians knew that morewomen than men die each year from the disease. Be your own health advocate.

Ask your doctor to check your blood pressure and blood cholesterol level.

3. Chest pain isn’t the only warning sign of a heart attack. Symptoms for most heart attacks include mild chest pain, some shoulderdiscomfort, or shortness of breath. Other signs can be nausea, lightheadedness,

or breaking out in a cold sweat. If you experience these symptoms, call 911.It could save your life.

4. Know your numbers. If you’re over 20, you should know your blood cholesterolnumber. If it’s high, there are treatments (including medication and exercises)that can help. You should also get your blood pressure and your blood sugar levelschecked regularly.

5. Less is more. Researchers found that people tend to eat everything on their plate.Since maintaining a healthy weight is important for heart health, watch those calories!Measure out your servings and use smaller plates for automatic portion control.

6. Restaurant portions are getting larger—and so are we. The average pastaportion 20 years ago was two cups. Today your plate is loaded with twice as much.Have an appetizer as your meal, share an entree, or ask the waiter to wrap up halfof the meal to go.

7. Diabetes, a major risk factor for heart disease, is affected by what you eat . Research has shown that eating more fruits, vegetables, and fibercan actually change the blood’s sensitivity to insulin within as little as two weeks.So listen to what your mother told you and eat your veggies!

8. Walk ing can save your lif e. A recent study found that a sedentary 40-year-oldwoman who begins walking briskly half an hour a day, four days a week, can enjoyalmost the same low risk of heart attack as a woman who has exercised regularlyher entire life. Start walking! Your heart will love you for it.

9. Even children can suffer from hypertension. About five out of every 100children have higher than normal blood pressure. Make sure to get your children’sblood pressure checked when they visit their doctor.

0. Childhood obesity is becoming an epidemic. The percentage of overweightchildren has increased substantially in the past two decades. Get your family offthe couch and reduce the amount of time spent in front of computer and TV screens.Walking, biking, or playing active games are great ways to spend some qualitytime together.

1

30



1. La risa es el mejor remedio. Unos médicos de la Facultad de Medicina

de la Universidad de Maryland descubrieron que el ujo sanguíneo aumentacon pasar tan sólo 15 minutos viendo una película cómica. Ríase todoslos días: mantendrá el corazón sano y contento.

2. En Estados Unidos, las cardiopatías (enfermedades del corazón)son la primera causa de muerte entre las mujeres. Según unaencuesta reciente, menos de uno de cada cinco médicos sabía que másmujeres que hombres mueren cada año de cardiopatías. Encárgueseusted de cuidar su propia salud. Pídale al médico que le mida la tensiónarterial y el colesterol.

3. El dolor de pecho no es el único signo de infarto. Entre los síntomasmás comunes de infarto (es decir, ataque de corazón) se incluyen los doloresleves del pecho, la sensación de malestar en el hombro, o la falta de aire.Otros posibles signos son náuseas, mareos o sudores fríos. Si usted llegaa tener estos síntomas, marque el 911. Le podría salvar la vida.

4. Conozca sus cifras. Si ya cumplió los 20 años de edad, debe sabercuál es su concentración de colesterol. Si ésta es elevada, existen tratamientos(entre ellos, medicamentos y ejercicios) que podrían ayudarle. Tambiénes importante que se haga medir la tensión arterial y la concentración deazúcar en la sangre (glucemia).

5. El que come menos vive mejor. Según los investigadores, la gentesuele comer todo lo que haya en el plato. Para tener un corazón sano, esimportante mantener un peso saludable. ¡Ojo con las calorías! Mida bienlas porciones y sírvaselas en platos más pequeños para evitar el exceso.

6. Las porciones que se sirven en los restaurantes son cada vezmás grandes… igual que nosotros. Hace 20 años la porción media deespaguetis era de dos tazas. Hoy en día está al doble. Se recomienda comerun aperitivo en vez de un plato fuerte, compartir un plato fuerte con alguienmás, o pedirle al mesero que le prepare la mitad de la comida para llevárselaa casa.

7. La diabetes, que gura entre los principales factores de riesgode las cardiopatías, tiene mucho que ver con lo que se come. Las investigaciones han demostrado que se puede mejorar la sensibilidad dela sangre a la insulina con tan sólo dos semanas de comer más frutas, hortalizas,legumbres y bra. Cuánta razón tenía mamá: ¡hay que comerse las verduras!

8. Caminando se puede salvar la vida. Según un estudio reciente, unamujer de 40 años que pase la mayor parte de sus días sentada pero que empieca caminar a paso ligero durante media hora al día, cuatro días a la semana,

tendrá casi el mismo riesgo reducido de infarto que una mujer que haya hechoejercicio en forma constante durante toda la vida. ¡Póngase a caminar! Verá queel corazón se lo agradece.

9. Hasta los niños sufren de hipertensión. Aproximadamente cinco decada 100 niños tienen la tensión arterial superior a la normal. Haga revisarla tensión arterial de sus hijos cuando acudan al médico.

0. La obesidad infantil se vuelve epidemia. La proporción de los niñoscon sobrepeso ha aumentado signicativamente en los últimos 20 años. Hagaque sus hijos se levanten del sofá y no los deje pasar tanto tiempo frente ala computadora o al televisor. Para pasar juntos un rato agradable, pueden darun paseo a pie o en bicicleta, o hacer juegos de actividad física.

31



Hugo LedesmaCardiology and Internal Med

37-26 76th StreetJackson Heights, NY 11371

Tel: 718.507.2300

Fax: 718.507.1351

By appointment only



Diabet esAnd

Pneumonia:Get t he Fact sDid you know that a pneumococcal (new-mo-Koc-kal)shot (or pneumonia shot) can be a lifesaver if you havediabetes? People with diabetes are about 3 times morelikely to die with flu and pneumonia. Yet, only one thirdof them ever get a simple, safe pneumonia shot.

Pneumonia is a serious illness for anyone, but if you havediabetes, you are more likely to be sicker longer, go tothe hospital, or even die. One pneumonia shot can helpprotect you against getting sick.

WhShould Get

oThe

PneumoniaShot ?

A pneumonia shot is recommendedfor anyone aged 2 or older who,because of chronic health problems

(such as diabetes) or age, hasa greater chance of gettingand dying with pneumonia.

Ext raProtectionA pneumonia shot can also protect

you against other infectionscaused by the same bacteria.

Consider the risks everyone faces:

O 1 out of 20 adults who get pneumonia (a lunginfection) dies

O 2 out of 10 adults who get infection of the blood(bacteremia) die

O 3 out of 10 adults who get infection of the covering of the brain (meningitis) die

About 10,000 people die each year because of thesebacterial infections. A pneumonia shot, however, canhelp protect you against getting these illnesses. In fact, itis about 60% effective in preventing the most seriouspneumonias, meningitis, bacteremia, and death.

I s TheShotSafe ?

The pneumonia shot is very safe. It doesnot contain any live bacteria, which

means there is no way to get

pneumonia from the shot.People may have mild rednessor swelling in the arm where

the shot was given. This goes away in a day or two.

Wh

ereAnd When

To Get A Shot

A pneumonia shotis availablethrough yourdoctor’s office,your community

health clinic, hospitals,and some worksiteprograms. You can get itanytime during the year. Formost people, one shot is enoughprotection for a lifetime. Peopleunder 65 who have a chronicillness or a weakened immunesystem should ask their doctorabout getting another shot 5—10years after their first one.

Will I nsuranceCover The Shot ?

The pneumonia shot is covered by Medicare Part B andby some other health insurance plans.

Remember…You may already be planning to get a flu shot this fall—

another lifesaver for people with diabetes.Ask your doctor about getting a

pneumonia shot atthe same time.



Lo que debe saber

sobre la

diabetesy la pulmonía:¿Sabía usted que si padece de diabetes, la vacunaneumocócica (llamada vacuna contra la pulmonía) le puedesalvar la vida? Las personas que tienen diabetes tienen casitres veces más probabilidades de morir con complicacionesde la gripe y la pulmonía. Sin embargo, solamente un terciode las personas que padecen de diabetes se protegenvacunándose con esta simple y segura vacuna contra lapulmonía.

La pulmonía es una enfermedad seria para cualquiera, pero

si usted tiene diabetes, la enfermedad puede ser prolongada,tal vez necesite hospitalización y hasta puede causar lamuerte. Una vacuna contra la pulmonía le puede ayudar aprotegerse contra esta enfermedad.

¿Quiénse debe vacunarcontra lapulmonía?

La vacuna contra la pulmonía esrecomendada para toda persona

mayor de 2 años quetenga problemascrónicos de salud

(como la diabetes) o quesean mayores de edad

(ancianos), estas personas tienen más probabilidades depadecer y morir de pulmonía.

Protecciónadicional…

La vacuna contra lapulmonía también lepuede proteger contra

otras infecciones causadaspor la misma bacteria. Considere los riesgos que todosenfrentamos:

O Uno de cada 20 adultos que contrae la pulmonía(infección de los pulmones) muere

O Dos de cada 10 adultos que contraen infección en la

sangre (Bacteriemia) muerenO Tres de cada 10 adultos que contraen infección en lamembrana que cubre el cerebro (meningitis) mueren

Casi 10,000 personas mueren cada año a causa de lasinfecciones de esta bacteria. Sin embargo, una vacuna contrala pulmonía le puede ayudar a protegerse de contraer estasenfermedades.

¿Es segura

estavacuna?

La vacuna contra la pulmonía es biensegura. La vacuna no contieneninguna bacteria viva. Esto significa

que no hay manera decontraer la pulmonía pormedio de esta vacuna.

Es posible que las personas vacunadas experimentenenrojecimiento o inflamación en el brazo donde la vacunafue administrada. Esto desaparecerá en uno o dos días.

La vacuna contrla pulmoníapuede estardisponible en elconsultorio de sumédico, las

a

clínicas de saludcomunitarias,los hospitales y a veces por mediode campañas de salud en eltrabajo. Usted puede obtener estavacuna cuando lo desea durante elaño. Para la mayoría de laspersonas, una dosis es protecciónsuficiente para toda la vida. Se lesrecomienda a las personas mayoresde 65 años que padecen de unaenfermedad crónica o tienen unsistema inmunológico débil quepregunten a su médico si se debenvacunar dentro de 5 o 10 añosdespués de esta primera vacuna.

¿Dóndeycuándo

debo acudir para recibir estavacuna

¿Cubrirá el costo de estavacunael seguro médico?

La vacuna contra la pulmonía está cubierta por el MedicareParte B y por algunos planes de seguros de salud.

Recuerde… Usted podría estar planeandovacunarse contra la gripe este otoño, ésta es otra vacuna

que podría salvar la vida de las personas que tienendiabetes. Pregunte a su médico si se puede

vacunar contra la pulmonía almismo tiempo.



(718) 446-4278



Alzheimer’s Disease is the most common type of dementia. Dementiaoccurs as a result of changes in the brain that affect a person’s ability tothink and remember. It can become severe enough to affect dailyactivities.

Alzheimer's Disease is not a normal part of aging. No one knows whatcauses Alzheimer’s Disease, but much research is being done. You maybe more at risk if you had a family member with the disease.

SignsThe signs start slowly and can vary or worsen over time. A personcannot control the signs. Treatment can help, but it does not cure thedisease.

Signs may include:

• Memory loss, especially about recent events

• Confusion about time and place

• Poor judgment

• Trouble learning new information

• Changes in being able to do such things as drive, handle money, takemedicine, cook, dress and bathe

Your CareYour doctor may order tests to check your brain such as a CT scan, aMRI or a PET scan. Your doctor may also:• Use tests to eliminate other causes of memory loss and confusion

• Look at the pattern of memory loss and the person’s awareness of thechanges

Alzheimer’s Disease

• Get a list of medicines and information from the family• Do a physical exam

• Check the person’s mental status by asking memory and thinkingquestions

There is no cure for Alzheimer's Disease, and it will not go away.Medicines may help with some of the signs or delay the progress of thedisease. Other medicines can treat problems with sleeping, depression ornervousness. Exercise, good nutrition and social activity are alsoimportant.

Talk to your doctor or nurse if you have questions or concerns.



La enfermedad de Alzheimer es el tipo más común de demencia. Lademencia ocurre como resultado de cambios en el cerebro, que afectan lacapacidad de pensar y recordar de una persona. Puede agravarse losuficiente como para afectar las actividades diarias.La enfermedad de Alzheimer no es una parte normal del envejecimiento.Nadie sabe por qué se produce, pero se están realizando muchasinvestigaciones al respecto. Usted puede tener un mayor riesgo si tieneun familiar con la enfermedad.

SignosLos signos comienzan lentamente y pueden variar o empeorar con eltiempo. La persona no puede controlar los signos. El tratamiento puedeayudar, pero no cura la enfermedad.

Los signos pueden incluir:• pérdida de la memoria, sobre todo de hechos recientes;• desorientación sobre el tiempo y el espacio;• criterio deficiente;• problemas para aprender información nueva;• cambios en la capacidad para realizar tareas como conducir, manejar

dinero, tomar medicamentos, cocinar, vestirse y bañarse.

CuidadosSu médico puede indicar pruebas para controlar su cerebro, como porejemplo una tomografía computarizada, una resonancia magnética o una

gammagrafía por emisión de positrones. Su médico también puede• usar exámenes para descartar otras causas para la pérdida de memoria

y desorientación;• evaluar el patrón de la pérdida de memoria y la conciencia de la

persona acerca de los cambios;

Enfermedad de Alzheimer

• obtener una lista de medicamentos e información de parte de lafamilia;

• realizar un examen físico;• evaluar el estado mental de la persona a través de preguntas de

memoria y de pensamiento.

No existe cura para la enfermedad de Alzheimer, y tampoco desaparecepor sí sola. Los medicamentos pueden ayudar con algunos signos yretrasar el progreso de la enfermedad. Otros medicamentos pueden tratarlos problemas del sueño, depresión o nerviosismo. El ejercicio, la buenanutrición y la actividad social también son importantes.

Hable con su medico o enfermera si tiene alguna pregunta o inquietud.



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PH (718) 478-1526 • FX (718) 429-0738

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Buckle Up for Life! Abróchese por su vida! Infants – Infantes

Use a rear-facing car seat to at least age 1year and 20 pounds.Use una silla de seguridad viendo hacia atrás hasta queel niño tenga 1 año y pese 20 libras.

Toddlers - Niños de 2 añosUse a forward-facing car seat until theharness no longer fits.Use una silla de seguridad viendo hacia el frente hastaque el cinturón ya no le sirva.

Preschool & older -Preescolares o niños de más edad

Use a booster seat until your child weighsbetween 80-100 pounds and is about 4’ 9”tall.Use una silla aumentadora hasta que el niño pese entre

80 a 100 libras y mida cerca de 4’ 9”.Teens and Adults - Adolescentes y adultos

Buckle up with lap and shoulder belt.Abróchese con la correa del hombro y regazo.

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PROVIDER OF QUALITY PRODUCTS & SERVICES FOR DENTISTS & DENTAL LABS

Service You Deserve!

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Well-Child Visits areImportant!

Las Visitas de Buena Salud sonImportantes!

Routine medical visits help keep your childhealthy and up-to-date on immunizations.

Visits may be scheduled every2 - 4 months during infancy.

Las visitas médicas de rutinas ayudan a mantener a su niño sano y a tener las inmunizaciones al día.

Las visitas pueden ser de 2 a 4 meses durante lainfancia.




Fast Facts

Colorectal Cancer Screening Saves Lives

l Of cancers affecting both men and women, colorectal cancer isthe second leading cancer killer in the United States.

l In 2007 (the most recent year for which statistics are currentlyavailable), 53,219 people (27,004 men and 26,215 women)in the United States died of colorectal cancer.

l Colorectal cancer also is one of the most commonly diagnosedcancers in the United States. In 2007, 142,672 people in theU.S. (72,755 men and 69,917 women) were diagnosed withcolorectal cancer.

l Screening is recommended for men and women beginning at age 50.

l Colorectal cancer often can be prevented. Screening helps ndprecancerous polyps so they can be removed before they turninto cancer.

l

Screening helps nd colorectal cancer early, when treatment canbe most effective.

l You may be at increased risk for colorectal cancer if you or aclose relative have had colorectal polyps or colorectal cancer,if you have in ammatory bowel disease or if you have certaingenetic syndromes. If you think you are at increased risk, askyour doctor at what age and how often you should be screened.

Datos básicos

Las pruebas de detección de cáncer colorrectal salv

l Entre los tipos de cáncer que afectan tanto a hombres comomujeres, el cáncer colorrectal es la segunda causa de muertpor cáncer en los Estados Unidos.

l En el año 2007 (últimas estadísticas disponibles) 53.219personas (27.004 hombres y 26.215 mujeres) en los Estados

Unidos murieron de cáncer colorrectal.l También el cáncer colorrectal es uno de los canceres que m

se diagnostica en los Estados Unidos. En el año 2007, 142.6personas en los EE.UU (72.755 hombres y 69.917 mujeres)fueron diagnosticadas con cáncer colorrectal.

l Las pruebas de detección se recomiendan para hombres ymujeres a partir de los 50 años.

l A menudo, el cáncer colorrectal es prevenible. Las pruebas detección ayudan a encontrar pólipos precancerosos para qupuedan ser removidos antes de que se conviertan en cáncer.

l Las pruebas de detección ayudan a encontrar cáncercolorrectal en sus primeras etapas, cuando el tratamientopuede ser más e caz.

l Su riesgo de tener cáncer colorrectal puede ser mayor de lonormal si usted o un pariente cercano ha tenido póliposcolorrectales o cáncer colorrectal, si tiene enfermedadin amatoria intestinal o si tiene algún síndrome genético.Si piensa que su riesgo es mayor de lo normal, pregúntelea su médico a qué edad y con qué frecuencia debería hacerslas pruebas de detección.

Facts on Colon Cancer



DENTISTA HISPANO

Dra. Aisel L. Felix, DDS Dr. Ruben D. Diaz, DDS

Se habla español

(718) 505-093440-10 National Street

2do Piso Corona, NY 11368

• Limpieza

• Coronas

• Dentaduras• Extracciones

• Odontológica

• Estética



KNOW THE FACT S ABOUT

High Blood PressureWhat is high blood pressure?

Blood pressure is the force of bloodagainst your artery walls as it circulatesthrough your body. Blood pressurenormally rises and falls throughout theday, but it can cause health problems if it stays high for a long time. High bloodpressure can lead to heart disease andstroke—leading causes of death in theUnited States. 1

Are you at risk?

About one in three U.S. adults—anestimated 68 million—has high blood

pressure.2

Anyone, including children,can develop it.

Several factors that are beyond your control can increase your risk for high

blood pressure. These include your age, sex, and race or ethnicity. But

you can work to reduce your risk by eating a healthy diet, maintaining ahealthy weight, not smoking, and beingphysically active.

What are the signs and symptoms?

High blood pressure usually has no warning signs or symptoms, so many people don’t realize they have it. That’s

why it’s important to visit your doctor regularly. Be sure to talk with your doctor about having your blood pressurechecked.

How is high blood pressure diagnosed?

Your doctor measures your bloodpressure by wrapping an in atable cuff

with a pressure gauge around your arm to squeeze the blood vessels. Then

he or she listens to your pulse with astethoscope while releasing air from thecuff. The gauge measures the pressure inthe blood vessels when the heart beats(systolic) and when it rests (diastolic).

How is it treated?

If you have high blood pressure, your doctor may prescribe medication to treat

it. Lifestyle changes, such as the oneslisted above, can be just as important astaking medicines. Talk with your doctor about the best ways to reduce your riskfor high blood pressure.

1 CDC: Deaths: Final Data for 2008. www.cdc.gov/nchs/ data/nvsr/nvsr59/nvsr59_10.pdf

2 CDC: Vital signs: prevalence, treatment, andcontrol of hypertension—United States, 1999–2002 and 2005–2008. www.cdc.gov/mmwr/preview/ mmwrhtml/mm6004a4.htm?s_cid=mm6004a4_w



KNOW THE FACT S ABOUT

High Blood Pressure

l Be physically active. Visit CDC’sPhysical Activity Web site for moreinformation on being active.http://www.cdc.gov/physicalactivity/ index.html

l Limit alcohol use. See CDC’s Alcoholand Public Health Web site for more

information.http://www.cdc.gov/alcohol

l Don’t smoke. CDC’s Of ce on Smokingand Health Web site has informationon quitting smoking.http://www.cdc.gov/tobacco

l Prevent or manage diabetes. VisitCDC’s Diabetes Public Health Resourcefor more information.

http://www.cdc.gov/diabetes

For More Information

Learn more about high blood pressure atthe following Web sites:

l Centers for Disease Control andPrevention’s Division for Heart Diseaseand Stroke Prevention:http://www.cdc.gov/dhdsp/index.htm

l American Heart Association:http://www.americanheart.org

l National Heart, Lung, andBlood Institute:http://www.nhlbi.nih.gov

Blood Pressure Levels

Normal systolic: less than 120 mmHgdiastolic: less than 80 mmHg

At risk (prehypertension)

systolic: 120–139 mmHgdiastolic: 80–89 mmHg

High systolic: 140 mmHg or higherdiastolic: 90 mmHg or higher

What blood pressure levels are healthy?

To determine whether your bloodpressure is normal, your doctor examines

your systolic and diastolic pressures, which the gauge measures in millimetersof mercury (abbreviated as mmHg).

Can high blood pressure be prevented?

You can take several steps to maintainnormal blood pressure levels:

l Get your blood pressure checkedregularly.

l Eat a healthy diet. Tips on reducingsaturated fat in your diet are availableon the Web site for CDC’s Divisionof Nutrition, Physical Activity, andObesity. http://www.cdc.gov/nutrition/

everyone/basics/fat/saturatedfat.html

l Maintain a healthy weight. CDC’sHealthy Weight Web site includesinformation and tools to help you lose

weight. http://www.cdc.gov/healthyweight/ index.html



Dra. Aisel L. Felix, DDS Dr. Ruben D. Diaz, DDS

Se habla español

(914) 633-5601199 North Avenue

New Rochelle, NY 10801

• Limpieza

• Coronas

• Dentaduras• Extracciones

• Odontológica

• Estética

New Rochelle Dental Studio, PC



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Jackson Heights, NY 11372

Mireya GutierrezSupervising Pharmacist

Edward Gutierrez ChadidManager

(718) 651-1177



U.S. Department of Health and Human ServicesCenters for Disease Control and Prevention

Tips for a Safe and Healthy LifeTake steps every day to live a safe and healthy life.Eat healthy.

• Eat a variety of fruits, vegetables, and whole grains every day.• Limit foods and drinks high in calories, sugar, salt, fat, and alcohol.• Eat a balanced diet to help keep a healthy weight.

Be active.• Be active for at least 2½ hours a week. Include activities that raise your

breathing and heart rates and that strengthen your muscles.• Help kids and teens be active for at least 1 hour a day. Include activities

that raise their breathing and heart rates and that strengthen their

muscles and bones.Protect yourself.

• Wear helmets, seat belts, sunscreen, and insect repellent.• Wash hands to stop the spread of germs.• Avoid smoking and breathing other people’s smoke.• Build safe and healthy relationships with family and friends.• Be ready for emergencies. Make a supply kit. Make a plan. Be informed

Manage stress.• Balance work, home, and play.• Get support from family and friends.• Stay positive.• Take time to relax.• Get 7-9 hours of sleep each night. Make sure kids get more, based on

their age.• Get help or counseling if needed.

Get check-ups.•

Ask your doctor or nurse how you can lower your chances for healthproblems based on your lifestyle and personal and family health historie• Find out what exams, tests, and shots you need and when to get them.• See your doctor or nurse as often as he or she says to do so. See him or

her sooner if you feel sick, have pain, notice changes, or have problems with medicine.

For more information about these tips, visit: www.cdc.gov/family/tipsCenters for Disease Control and Prevention, O ce of Women’s Health

404-498-2300 (tel) • [email protected] (e-mail)CS115665



Departamento de Salud y Servicios HumanosCentros para el Control y la Prevención de Enfermedades

Consejos para una vida segura yTome medidas a diario para vivir sano y seguro.Coma alimentos saludables.

• Coma diariamente frutas, verduras y granos integrales variados.• Limite el consumo de bebidas con muchas calorías, azúcar, sal, grasa o alcoh• Consuma una dieta balanceada que le ayude a mantener un peso saludable.

Manténgase activo.• Realice actividad física al menos dos horas y media a la semana. Incluya

actividades que aumenten las frecuencias cardíaca y respiratoria y quefortalezcan los músculos.

• Anime a los niños y adolescentes a que practiquen ejercicio al menos una horal día. Incluya actividades que aumenten la frecuencia cardíaca y respiratoria

que fortalezcan los músculos y huesos.Protéjase.

• Use cascos, cinturones de seguridad, ltro solar y repelente de insectos.• Lávese las manos para detener la propagación de los gérmenes.• Evite el cigarrillo y el humo del tabaco de otras personas.• Mantenga relaciones sanas y seguras con familiares y amigos.• Prepárese para enfrentar emergencias. Mantenga listo un kit de provisiones.

Prepare un plan y manténgase informado.

Controle el estrés.• Procure un equilibrio entre el trabajo, el hogar y las actividades recreativas.• Busque el apoyo de familiares y amigos.• Mantenga una actitud positiva.• Tómese tiempo para relajarse.• Duerma de 7 a 9 horas por la noche. Asegúrese de que los niños duerman má

de acuerdo a su edad.• Busque ayuda o atención sicológica si la necesita.

Hágase sus chequeos.• Pregunte a su médico o enfermera cómo puede reducir el riesgo de problema

de salud teniendo en cuenta su estilo de vida y antecedentes personales y familiares.• Entérese de los exámenes, análisis y vacunas que necesita, y cuándo se

requieren.• Hágase los chequeos con la frecuencia que le indique su médico o enfermera

Haga una cita médica tan pronto se sienta enfermo o con dolor, note cambioso experimente problemas con algún medicamento.

Para obtener más información visite: www.cdc.gov/family/tips (en inglés) www.cdc.gov/spanish/temas/vida.html (en español)

CS115665 Centros para el Control y la Prevención de Enfermedades, O cina de Salud de la Mujer404-498-2300 (teléfono) • [email protected] (correo electrónico) CS 118681 12/08


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Take care of yourself! Your loved ones need you.How to get a mammogram

See your doctor todayabout a mammogram!

A mammogram is a low-dose X-ray picture of the breast that can detect breast cancer at anearly stage when it can best be treated. A mam-mogram can detect a lump that is too small foryou or your doctor to feel.

How is a mammogram done?You stand in front of the X-ray machine.The technician taking the picture willplace your breast between two X-raypanels. The plates gently press yourbreast and make it at. Youwill feel pressure onyour breast for a fewseconds. You will havetwo pictures taken of each breast. Each X-raytakes less than a minute.

How do I get amammogram?Ask your doctor today about areferral for a mammogram. You willthen make an appointment with amammography center approved by the U.S.Food and Drug Administration. Your doctor ornurse should be able to help you nd one. Youcan also call the American Cancer Society at1-800-227-2345.

What should I do on the day of my

mammogram appointment?Wear a top and pants or a skirt so that youonly have to undress from the waist up.

Do not wear any deodorant, perfume,lotion or powder under your arms or onyour breasts. These things can make

shadows on your mammogram.

What happens

after mymammogramappointment?After your mammo-gram, a radiologist willreview your results. Tellthe facility the name of the doctor who should

receive your results and ask foryour own copy. If you do not getthe results within 10 days, call thefacility.

Other tipsTry to schedule your mammogram at the same facility each year or ask that your mammo-gram lms be sent to your new facility.If follow-up exams or procedures are recommended, schedule them promptly.About 93 percent of women have normal results. You should continue to have a mammo-gram every year along with monthly breast self-examinations and yearly breast exams byyour doctor.



¡Consulte a su médico hoysobre una mamografía!

¡Cuídese! Sus seres queridos la necesitan.Cómo hacerse una mamografía

La mamografía es una imagen del pecho produci-da por bajas dosis de rayos X que puede detectarel cáncer del seno temprano, cuando es el mejormomento para tratarlo. La mamografía puededetectar un bulto demasiado pequeño para queusted o el médico lo sienta.

¿Cómo se hace una mamografía?Hay que pararse delante de la máquina derayos X. El técnico que toma la imagencolocará su pecho entre dos panelesradiográ cos. Estas placas apri -

etan el pecho suave-mente y lo aplastan.Sentirá presión en elpecho durante varios se-gundos. Se le tomarán dosimágenes de cada pecho.Cada radiografía tarda me-nos de un minuto.

¿Cómo consigo una

mamografía?Pídale a su médico hoy una orden parauna mamografía. Después programará una citacon un centro de mamografía aprobado por laFood and Drug Administration de los EstadosUnidos. Su médico o enfermera puede ayudarle aencontrar un centro. También puede llamar a laSociedad Americana del Cancer al 1-800-227-2345.

¿Qué debo hacer el día de lamamografía?

Use un pantalón o una falda con una blusapara que sólo tenga que desvestirse de lacintura para arriba.No use desodorante, perfume, loción o polvodebajo de los brazos ni en los pechos. Esas

cosas pueden producir sombras en lamamografía.

¿Qué pasadespués de lamamografía?Después de lamamografía, unradiólogo examinará losresultados. Dígale a lao cina donde se hace lamamografía el nombre

del médico que debe recibir losresultados y pida una copia parausted. Si no recibe los resultados

en 10 días, llame a la o cina.

Ayudas adicionalesTrate de programar la mamografía en el mismo lugar todos los años, o pida que se envíen laspelículas de su mamografía a su nuevo proveedor de atención médica.Si se recomiendan exámenes o procedimientos de seguimiento, prográmelos enseguida.Alrededor del 93 por ciento de las mujeres tienen resultados normales. Debe seguir hacién-dose mamografías cada año. También debe examinarse los pechos cada mes e ir a la o cinadel médico cada año para que él los examine.



Dr. Michael Ahdoot

Dr. Michael Ahdoot esun cirujano oftalmólo-go certi cado, a liadoa la Associate AdjunctSurgeon en la prestigi-osa New York Eye andEar In rmary, así comoen los hospitales en

Long Island y Queens. Realiza su práctica médica demanera integral con la naturaleza y se destaca tantopor sus excelentes servicios médicos y quirúrgicosde los ojos; como en la estética facial. Realizó, enel Monte Sinaí, especialidad de Cirugía de Cataratay Refractiva. El Dr. Ahdoot también se especializó

en la cirugía de cataratas sin puntos, con implan-tes de lentes de alta calidad, y en todos los bladlessláser con Lasik para corrección de la visión; y en eltratamiento del ojo seco y la super cie de los trastor-nos oculares, junto con el glaucoma diabética e hi-pertensiva, degeneración macular y todos los demásaspectos necesarios para el cuidado de los ojos. Otraespeciliadad con la que destaca el Dr. Ahdoot es enel rejuvenecimiento facial estético con Botox y Juve-derm. Haga una cita y observe usted mismo por quésomos “Sunnyside” de Long Island City, pioneros dela más novedosa y completa práctica oftalmológicapara el cuidado de los ojos de la familia, la catarata yla cirugía de LASIK. No se limite a ver... ¡Vea mejor! •

Dr. B.K. Verma Oral Implantology

Dr. B.K. Verma informaque dispone de excelentestratamientos nuevos paracontrolar y ayudar a re-vertir la enfermedad delas encías, la cual actual-mente muchos adultospadecen; y consiste en un

proceso in amatorio que puede causar enfermedadescardíacas y accidentes cerebrovasculares. La enferme-dad periodontal puede causar osteoporosis y nacimientoprematuro en mujeres embarazadas; y los pacientes condiabetes tipo 2 son más propensos a desarrollarla. Laenfermedad de las encías puede iniciar con una simple

gingivitis, la cual si no es tratada puede pasar a la peri-odontitis, donde las encías se despegan de los dientespor causa de graves daños en los tejidos y en los huesosdonde estos se incrustan, y de no tratarse, en el peor delos casos, puede provocar la pérdida de los dientes. ElDr. Verma, también realiza implantes dentales, proced-imiento que permite que el diente se vea natural, ya quela parte de la raíz del diente se sustituye en el hueso porla raíz de titanio u otro bio-material compatible. Estosimplantes dentales pueden durar toda la vida si se man-tienen adecuadamente, para lo cual el Dr. Verma brindauna excelente asesoría. Para más información y consultagratuita contáctelo al (718) 699 8268 y/o visite la web -www.familydentalregopark.com •



BreastCancer

Basic description A breast cancer is a cancerous tumor that develops from cells in the breast. The most common sign of breast cancer is a new lump or mass; however, most breast lumps are benign. Other physical signs include a generalized swelling of part of a breast(even if no distinct lump is felt), skin irritation or dimpling, nipple pain or retraction, redness or scaliness of the nipple or breastskin, or a spontaneous discharge other than breast milk.

OpportunitiesPrevention We do not know how to prevent breast cancer, but it is possible for a woman of average risk to reduce her risk of developing the disease. Lifestyle factors, such as reducing alcohol use, breast-feeding, engaging in regular physical activity, andstaying at a healthy weight are a ll associated with lower risk. Studies have also shown that estrogen-blocking drugs, such astamoxifen and raloxifene, can reduce the risk of developing breast cancer in some high-risk women. However, some risk factorscannot be changed, such as age, race, family history of disease, and reproductive history.

Detection The earlier breast cancer is found, the better the chances for successful treatment. A mammogram can oftenshow breast changes that may be cancer before physical symptoms develop; however, some cancers that are not seen on amammogram may still be felt by a woman or her health care provider. For this reason, the American Cancer Society recommendsthe following guidelines for finding breast cancer early:• Women age 40 and older should have a mammogram every year and should continue to do so for as long as they are in good

health.• Women in their 20s and 30s should have a clinical breast exam (CBE) by a health professional at least every 3 years. After age

40, women should have a CBE every year.• Women should know how their breasts normally look and feel and report any breast change to a health care prov ider right

away. Breast self-examination (BSE) is an option for women starting in their 20s.• Screening MRI is recommended for women with an approximately 20% to 25% or greater lifetime risk of breast cancer,

including women with a strong family history of breast or ovarian cancer, those with a known breast cancer gene mutation,and women who were treated for Hodgkin disease.

Treatment Treatment is most successful when breast cancer is detected early. Depending on the situation and the patient’schoices, treatment may involve breast conservation surgery or mastectomy. In both cases, lymph nodes under the arm may also

be removed. Women who have a mastectomy have several options for breast reconstruction.

Other treatments are radiation therapy, chemotherapy, hormone therapy, and monoclonal antibody therapy. Often 2 or moremethods are used in combination. Patients should discuss all treatment options with their doctors.

Who is at risk?Gender Being a woman is the greatest risk factor for breast cancer; however, men also candevelop breast cancer.

Age The risk of developing breast cancer increases with age. About 2 out of 3 invasivebreast cancers are found in women age 55 or older.



Other risk factors Breast cancer risks are higher among women with a family history of the disease. Having a first-degreerelative with breast cancer increases a woman’s risk, while having more than one first-degree relative who has or had breastcancer before the age of 40 or in both breasts increases a woman’s risk even more. However, it is important to remember that

most women with breast cancer do not have a first-degree relative with the disease. Studies also show that 5% to 10% of breastcancer cases result from inherited mutations of the BRCA1 and BRCA2 genes. Women who carry these rare mutations have alifetime risk of developing breast cancer as high as 80%. Additional risk factors include:

• Post-menopausal hormone therapy (especially combined estrogen and progesterone therapy)

• Overweight or obesity, especially excessive weight gain after menopause

• More than one alcoholic drink daily

• Physical inactivity

• Long menstrual history

• Never having children or having first live birth after age 30

• Previous chest radiation to treat a different cancer

• Previous history of breast cancer or certain benign breast conditions

Quality-of-life issuesFrom the time of diagnosis, the quality of life for every cancer patient and survivor is affected in some way. They may be affectedsocially, psychologically, physically, and spiritually.

Concerns that patients and survivors most often express are fear of recurrence; chronic and/or acute pain; sexual problems;fatigue; guilt for delaying screening or treatment, or for doing things that may have caused the cancer; changes in physicalappearance; depression; sleep difficulties; changes in what they are able to do after treatment; and the burden on finances andloved ones. Women with breast cancer often feel uncertainty about treatment options and have concerns about their fatigue,sexuality, and body image.

Bottom lineNearly all breast cancers can be treated successfully if foundearly. Today, the most effective ways to detect breast cancer

early are to have yearly screening mammograms starting atage 40 and to have regular clinical breast exams by a doctoror nurse. Although risks for getting breast cancer includethings that cannot be changed, some things that may reducea woman’s risk of getting breast cancer can be controlled;these include being physically active, staying at a healthyweight, and limiting alcohol use.

©2007, American Cancer Society, Inc.No.300202-Rev. 11/11

Models used for illustrative ur oses onl .

Breast Cancer

Breast cancer in the UnitedStates: 2011 estimates

• New casesWomen: 230,480Men: 2,140

• DeathsWomen: 39,520Men: 450

• 5-year relative survival rate forlocalized stage: 98%

• 5-year relative survival rate for allstages combined: 89%



Wash Your HandsEl Lavado de las Manos

Rub soap all over your hands.Make a lot of lather andbubbles.Pasa el jabón por toda tu mano. Has

mucha espuma y burbujas. Rub all over, under, andbetween fingers.Estrégate toda la mano. Arriba,abajo y entre los dedos.

Use a clean towel or paper towel to dry your hands.Usa una toalla de papel limpiapara secarte las manos.

Put the used paper towel in the trash can.Pon el papel que usaste para secarte las manos enla basura.

Rinse your hands under running water.Enjuágate las manos debajodel agua.


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