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RheumatoidArthritisDeborah Norville'spersonal connectionto RA

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Today’s seniors can be fully educated by loan officerson the positives and the negatives of a reversemortgage as it may relate to them. The power of areverse mortgage to help homeowners enhance theirliving situation is remarkable. It helps convert a gruelinglifestyle to a fulfilled lifestyle. Couples or individuals who

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Are Reverse Mortgages Bad?

Welcome Spring!

PublisherGia Ricottone

EditorPamela Smith

Art DirectionAdvertising Dynamics & Art Inc.

Advertising SalesDorothy RicottoneMary TyszDawn Peck

Generations MagazinePO Box 961 | Port Jefferson Sta., NY 11776

ph. 631.473.0388www.generationsmagazine.com

C O N T R I B U T O R SDeborah NorvilleTerry Shapiro, DMDJonathan BostwickKathy SavageCarmella CellaSimon E. Prince, MDMark Adelman, MDNatalieWeinstein, Allied ASIDDale Koppel, PhDPamela Smith

The contents of Generations Magazine may not be reproducedwithout the publishers written consent.

Generations Magazine provides information of a general naturewith the understanding that neither Generations Publishing nor its

affiliates are engaged in rendering medical advice orrecommendations. Information provided should not be considered

a substitute for a consultation with a licensed physician.

Publisher’sCorner


Gia Ricottone - Publisher

Welcome Spring!Dear Reader,

Staying healthy and aging well should be your first priority.In this issue we have outlined a number of health issues that you

wanted to knowmore about. Rheumatoid Arthritis occurs often betweenthe ages of 30-50; read about the symptoms, cause and availabletreatments for this debilitating disease. Aortic Aneurism, have you beentested? Get the facts on exposing a silent killer. Finally, read 10Ways toPrevent Kidney Disease, a malady which is on the rise and morecommon than you think.

Experts have told us time and again that exercise is essential for somany reasons. A very simple way to get your daily exercise is walking.ReadWalkingYourWay to Health and get started. You may even chooseto walk one of our many lovely golf courses. Turn the pages to Golf onLong Island, where we have provided a list of some of the most beautifuland challenging public golf courses available to you right here at home.So grab your clubs (if you haven’t already) and get out on the green.

How has your season changed? Your makeup color palette seasonthat is. Do you know what season you are? Have some fun with ourbeauty article, Your Season of Color.

Our financial focus this issue is whether to convert your IRA accountto a Roth IRA account - the advantages and restrictions.

And if you’re hungry, our recipes include three great salads you couldserve for lunch or dinner.

I hope you enjoy this issue and spring on Long Island!


Hearing Loss...You should hear what you’re missing!

Hearing loss is not just an ailment of old age. It canstrike at any age, at any time, even during childhood.

Many people are aware that their hearing has deterioratedbut are reluctant to seek help. Many do not want toacknowledge the problem, embarrassed by what they seeas a weakness, or feel they can “get by” without the use ofa hearing aid. And, unfortunately, too many wait yearsbefore getting treatment.

Time and time again, research demonstrates thenegative impact that untreated hearing loss has oncommunication; so much so that there can be seriousimplications affecting professional and personal lives, andat times, lead to isolation and withdrawal.

The signs of hearing loss can be subtle and emergeslowly, or they can be significant and come on suddenly.Either way, there are common indications. You shouldsuspect hearing loss if you experience any of the signsbelow.

Socially:• require frequent repetition• have difficulty following conversations involving morethan 2 people

• think that other people soundmuffled or like they'remumbling

• have difficulty hearing in noisy situations, likeconferences, restaurants, or malls

• have trouble hearing children and women• have your TV or radio turned up to a high volume• answer or respond inappropriately in conversations• have ringing in your ears• read lips or more intently watch people's faces whenthey speak with you

Emotionally:• feel stressed out from straining to hear what others aresaying

• feel annoyed at other people because you can't hear orunderstand them

• feel embarrassed to meet new people or frommisunderstanding what others are saying

• feel nervous about trying to hear and understand• withdraw from social situations that you once enjoyedbecause of difficulty hearing

Medically:• have a family history of hearing loss• take medications that can harm the hearing system(ototoxic drugs)

• have diabetes, heart, circulation or thyroid problems• have been exposed to very loud sounds or singleexposure to explosive noise

If you recognize any of the symptoms listed above, youshould have a baseline hearing evaluation. Please contact theprofessionals at Island Better Hearing at (631) 271-1018 or visitwww.islandbetterhearing.com

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cover articles

crosswordsolutionpuzzle on page 37

You can enter to win by visitingwww.generationsmagazine.comand clicking on "Giveaways"

See page 33 for details12 Rheumatoid ArthritisDeborah Norville’s personalconnection to RA

20 Walking andWellnessAdd years to your life

26 Golf on Long IslandTop rated public courses

30 Your Season of ColorFind your color palette

departmentsHealth & Wellness

18 Hearing Health

32 Silent KillerAortic Aneurysms

36 10Ways to PreventKidney Disease

Lifestyle & Entertainment14 Finding Mr./Mrs. Right

Online Dating

33 GiveawaysClick & Win

37 Crossword Puzzle (answer on pg. 8)

Beauty & Fashion29 Healthy Nail Care

House & Home24 Decorating &

Reinventing Your Life

23 RecipesSoup is Good for the Soul

Money & Investment28 Financial Focus

Converting to a Roth IRA

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When I was in my Oral and Maxillofacial Surgeryresidency program in the late 1980s, dental implants werethe “new thing.” Very few people knew about dentalimplants and it was difficult for patients to findinformation about them. Through the early 1990s dentalimplants were gradually becomingmore accepted. It wasstill difficult convincing general dentists to give theirpatients the option of using dental implants to replacemissing teeth. They didn’t want to try something“experimental” on their patients. Now, as we move intothe second decade of the 21st century, the use of dentalimplants is widely accepted. It is hard to find someonewho hasn’t heard of dental implants. Information iswidely available, especially through the internet. Dentalimplants have become an integral part of dentistry. Now,almost every patient who needs to have teeth replacedshould be given the option of having dental implants.

Dental implants have passed the test of time. Once

they are placed in the jaw, they can last a lifetime. Veryrarely does a dental implant need to be replaced. Howmany times have you had crowns or bridges remadebecause the supporting teeth developed problems? Andfull dentures need to be replaced every 5 to 10 yearsbecause they become loose and don’t stay in well. It’s notuncommon for a dentist to say tome, “I sawMrs. Smith inmy office recently and the implants you placed 10 yearsago are still holding up fine!”

So, if you are missing teeth, whether it’s one tooth,several teeth or all your teeth, you should consider usingdental implants to replace them. They provide a time-tested, long-lasting way of supporting crowns anddentures.For further information call Dr. David Miller at 631-499-7266for your complimentary consultation to find out how you canbenefit from dental implants.

Dental Implantsare Here to StayUsing dental implants to replace missing teeth and tosupport dentures is a very important part of dentistrytoday. But it took some time for it to be this way.

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Residential services, personal care assistance andmedical supervision are valuable features of thislifestyle. And if needs increase, a unique Medicaid-funded Assisted Living Program (ALP) is in place forthose who qualify. With onsite Board certifieddoctors and registered nurses, Amber Court offers acontinuum of care that goes beyond traditionalassisted living.

Maturing is a natural process that extends over alifetime. When an environment adapts to meet theevolving needs of older people, they aremore likely toremain in familiar surroundings. “Aging in place”allows comfort and continuity throughout thosechanges. Each Amber Court Assisted LivingCommunity is designed to help residents managenew challenges with grace, dignity and success.

The friendly ambiance of Amber Court feels like awarm embrace. A devoted, experienced team ofprofessionals provides nurturing support whileappreciating each resident’s individuality. Thiscustom-tailored, responsive approach defines AmberCourt where enthusiasm, commitment, anddedication are its hallmarks. Add to that astimulating recreation program and hotel-likesetting, and the result is a vastly improved quality oflife.

Amber Court Communities are family owned andmanaged. Since1968, founders Alfred and JudithSchonberger have brought unmatched quality careto seniors. A second generation of familymembers isat the helm of every location. They are a visible dailypresence upholding long established values andtraditions. Their active participation assures thepreservation and continuation of an outstandinglegacy.For more information, call the Long Island RegionalDirector, Robin Marks. She can be reached at:516.334.3838 or by email:[email protected].


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TTwo prospective patients came into theoffice recently with the same complaint.Both had lost all of their teeth andwere wearing worn-out and ill-fittingdentures. Their dentures were loose;they had trouble eating foods theywould have liked; their faces had thatsunken-in look and they were in pain.

Their previous dentists recom-mended implants to stabilize thedentures. The problem was that asthey were both retired and on fixedincomes they could not affordimplants. What to do? Yes, implantsare a wonderful service and haverevolutionized what we can do toimprove lives. I love implants! But dueto the laboratory and materials costsinvolved, they are expensive.

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other dentists. I make new, custom-fitted dentures for my patients andexplain to them that if the newdentures don't fit and function well,we can then add implants. Myexperience is that the denture patientdoes very well with the new denturesand often decides not to add theimplants. Implants are always anoption but they don’t have to be thefirst option. I believe that patients likethese can be well served with well-fitting dentures.

CALL TODAY FOR A FREE CONSULTATIONand find out how you can achieve the healthy, good looking smile you have always wanted!

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My connection to rheumatoid arthritis (RA) is a very personal one. Mymom suffered fromRA. Shewas diagnosedwhen I was ten and the larger partofmy childhoodwas colored by the stark reality thatmymother had a chronic,debilitating disease. In just a few short years, she went from being theenergetic, outgoing mother of four helping run the family business and thelocal Girl Scout cookie sale, to being bedridden because of joint damage.My mom was diagnosed with RA in the 1970s when very little was

understood about rheumatoid arthritis. We knew it wasn’t the ‘other’ kind ofarthritis, osteoarthritis, but beyond that it was pretty much an informationvoid. These were the days before the internet so there was nowhere to turn formomor our family to do our own research, to learnmore about the disease, orwhat kinds of questions we should have asked her doctors.I have wondered if thingsmight have been different if we had been better

informed and were better advocates for my mom. That’s why I was happy tobe a part of NewWay RATM, a new online talk show focused on topics relevantto anyone dealing with rheumatoid arthritis. The show takes a whole lifeapproach to RA and features interviews with experts on topics relevant to

someone livingwith a chronic condition - nutrition, fitness, relationshipsand work/career issues. I only wish something like this existed whenmymomwas sick.

There were few effective treatments when my mother wasdiagnosed, but I do wish that she could have known theencouraging news about exercise and how to move when youhave a flare-up. If she’d heard straight talk about how tonegotiate relationships when RA is part of the equation or theconnection between nutrition and inflammation— I can onlyimagine how encouraging that might have been. People forgetthat the physical symptoms are only one aspect of RA. Withchronic diseases, there ismuchmore tomanage than just achesand pains.

It’s during the month of May that we celebrate Mother’s Day,always a bittersweet Sunday for me me to celebrate since mymother is no longerwithme. May is alsoNational ArthritisMonth.The goal is to increase awareness of arthritis and to help thegeneral public better gain a better understanding which canbenefit both those with arthritis and people who are not afflictedwith the disease.Most likely there is a person out there who’s recently learned

they have RA and is wondering, ‘What now?’ There is a familymember filled with misgivings about the future. New Way RAacknowledges the incredible difficulties that this conditionpresents, the experts in the show offer viewers newways and newperspectives on how to livewith this disease, rather than allowingthe disease to limit you. I hope that viewers will not only havean expectant attitude, but they will also be proactive in askingthe right questions – of their doctors, of friends and family,even of themselves.

If you or someone you know is dealing with RA, Iencourage you to visit www.NewWayRA.com towatch thefull show,order aDVDand get some ideas for betterwaysto live with RA.

Arthritis is one ofthose diseases everyone’sheard of and think they

know all about. Chances are,unless you have personal

experience, either directly orthrough a family member,

your ‘knowledge’ is probablymostly misconceptions,misinformation, and old

wives tales.

Arthritis

by Deborah Norville

?What is rheumatoidarthritis?Rheumatoid arthritis, or RA, is a systemic inflammatory diseasethat causes pain, stiffness, swelling, and loss of motion in thejoints. It is an autoimmune disease — one of many in which,for unknown reasons, a person's immune system attacks his orher own body tissues. In rheumatoid arthritis, the immunesystem attacks the synovium, which is the tissue that lines thejoints. This causes an inflammation that can eventually lead tothe destruction of the synovium and the joint.

Rheumatoid arthritis occurs in all typesof people. But there are several

characteristics that many patients share:� The disease often begins when people are

between the ages of 30 and 50.

� Rheumatoid arthritis is about three times morecommon in women than in men.

� People who have close relatives with rheumatoidarthritis may be at increased risk of developingthe disease.

What are the symptoms of rheumatoidarthritis?The symptoms of rheumatoid arthritis vary from personto person and can mimic those of other inflammatoryjoint conditions, sometimes making the diagnosisdifficult. Common RA symptoms include:

� Tender, warm, swollen, and stiff joints, often firstnoticed in the hands and feet and usuallysymmetrical; for example, both wrists areaffected at the same time.

� Stiffness and pain that are usually worse afterwaking in the morning and last at least an hourbefore improving with use and motion.

� Tiredness, low-grade fever, weight loss, and ageneral feeling of malaise that may develop evenbefore the onset of joint symptoms.

� Systemic effects on other parts of the body, suchas the tear and salivary glands, lungs, heart, andblood vessels.

� Soft lumps called rheumatoid nodules thatrange in size from a pea to a walnut, which occurin 20 to 30 percent of people with RA.

How is rheumatoid arthritis diagnosed?A primary care physician may be able to diagnose RA

by eliminating other conditions. But a specialist called arheumatologist is better trained to detect the signs andsymptoms of RA and would be more knowledgeableabout the latest treatments.

What’s the cause of rheumatoid arthritis?Researchers have yet to uncover the cause or causes

of rheumatoid arthritis. However, it’s thought that acombination of factors triggers RA, including abnormalactivity of the immune system acting against the body —called an autoimmune response — genetic susceptibility,and some environmental or biologic triggers, such asviral infections or hormonal changes.

What’s the treatment for rheumatoidarthritis?

RA patients use a combination of treatments to relievepain, improve mobility, and slow down or perhaps evenstop damage to the joints. A treatment plan may include:

� Lifestyle modifications: exercise, stressreduction, healthful eating

� Medications including non-steroidal anti-inflammatory drugs (NSAIDs), steroids,disease-modifying anti-rheumatic drugs(DMARDs), and biologic therapies

� Physical therapy

� Surgery to repair damaged joints

� Alternative and complementary therapies suchas acupuncture, massage, or biofeedback forpain control

Is there a cure for rheumatoid arthritis?There is no cure for rheumatoid arthritis — but with

the right treatment, the disease most often can be well-managed. The key to living comfortably with RA isadhering to your treatment plan and communicatingwith your doctor about symptoms and treatment sideeffects.


“Life’s too short,” I told them.“Why wait?” I was right. As I mademy way through thousands ofprofiles and met hundreds – yes,hundreds – of men, I learned howto make the most of online dating,achievemy goals, and come out ontop. I developed skills and createdstrategies that really worked. I metmyMr. Right. It tookme three years

to meet him, but – no, make thatand - I had the best time! You can,too – if you follow these five tips.

Tip Number 1: Be realistic. It’snot going to happen overnight.Youhave to kiss a lot of amphibiansbefore you meet your prince (orprincess). You’re going to meetmore people you don’t like thanpeople you do like. You’re goingto be rejected. There will be timesthat you want to give up. But ifyou’re realistic, you won’t bedisappointed, and you’ll keepgoing until youmeet yourMr. (Ms.)Right.

Tip Number 2: Be positive. Youdon’t have to try to convinceyourself that every person youmeet will be someone you want tosee a second time, but you can stillmake sure that you come awayfrom a first encounter with at leastone positive thing to say about it,even if it’s that the coffee was good.

Tip Number 3: Treat onlinedating like a second job. If you goabout it half-heartedly, it won’twork. You have to give it your all. Ifyou go about it passively, it won’twork. You cannot wait for others tocontact you. You have to make theinitial move. Now, I know this isoften hard for women, especiallyolder women, who think that menare supposed to make the firstmove. Wrong! If you don’t take itseriously, it won’t work. You can’tsay, “Well, these aren’t great photosof me, but who cares?” The photoshave to be the best photos you canpossibly take. And notice, I said,“Photos.” Not “Photo.” You have topost more than one photo (three isa perfect number) AND they haveto be recent AND at least one ofthem has to be a full-body photo.No matter what your body type is.And you have to write a dynamiteprofile, which takes time too.

Tip Number 4: Have funwith it.Remember, you can be seriousabout something, but still have funwith it.

Tip Number 5: Never give up.Here’s my theory: Everyone has anumber. It’s like playing the slot

machines. Put enough money in,and you’ll eventually win. That’show it is with online dating. Dateenough and you’ll eventually meetthe winner. Of course, you don’tknowwhat your number is; so, youdon’t know how many of thoseamphibians you’re going to have tokiss. Yes, it took me three years –and over 100men - tomeet myMr.Right. But it only took him fourmonths – and 12 women - to meetme. I believed that themoremen Imet, the sooner I’d get toMr. Right.Now, don’t get me wrong. I’m notsaying that I went out with ‘justanyone.’ I only went out with menwho seemed interesting to me,based on their profiles, andphysically appealing, based ontheir photographs. And isn’t thatthe beauty of online dating? Thereare so many people to choosefrom. You just have to be theone to do the choosing (See TipNumber 4).

Follow these five tips, and youcan live happily ever after, too. Youcan make it happen.

Dale Koppel, PhD Is the author of“The Intelligent Woman’s Guide toOnline Dating: And She Lived HappilyEver After.” Visit her website:www.theintelligentwomansguide.com.

Five Tips for FindingMr./Ms. RightJust three months shy of the big Six-O, I found myself suddenlysingle.My seemingly perfect marriage of 25 years was over.What’sa girl to do? Twelve days later, ignoring my girlfriends whothought I was moving too fast, I joined an online dating service.

Here’s my theory: Everyone has a

number. It’s like playing the slot

machines. Put enoughmoney in,

and you’ll eventually win. That’s

how it is with online dating. Date

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With all the toxins we ingest, from processedfoods to medication overload, it is important toeducate ourselves on prevention and alternativetherapy. Detoxifying our bodies through colonicirrigation has significant health benefits and canoffer life changing results.

The benefits of this procedure supersede those oflaxative teas and or pills. Many people have their ownvision on how they imagine this process taking place.Others have tried the procedure andmaybe felt awkwardor uncomfortable. A new system, called ColenzHydrotherapy, is now available and allows each guest tocleanse as if they were in the privacy of their own home.This gentle yet effective way to remove toxins from ourbody is safe enough for children from seven years of ageto adults in good health to 100 years of age!

What is Colenz Hydrotherapy?Colon Hydrotherapy is a safe

and gentle flow of warmpurifiedwater into our large intestineswithout using pressure. TheColenz device is FDA registeredand no medical prescription isrequired. This revolutionarycolon cleanser is easy to use andvery comfortable. Each sessionlasts 40 minutes and should bedone in series of three, in orderto cleanse each section of thelarge intestines. This should

then be followed up each season.This method cleanses the entire colon without stressingthe individual. This system is also known as a closedsystem which means the waste material is eliminatedthrough the machine avoiding any offensive odor. Thisnon invasive treatment will leave you feeling light andenergetic.

Who needs Colon Hydrotherapy?Each and every individual can benefit from colon

hydrotherapy. Colon cancer is the second leading cancerkiller in theU.S. The therapy is particularly important forpeople with a history of colon cancer or any digestivedisorder in their family. Also, those who are exposed totoxins such as coffee, alcohol, illicit drugs, cigarettesmoke, occupational toxins, processed foods fromdiningout, additives to foods andmedications and people whoare overweight or suffering from constipation. Somecommon symptoms that indicate youwould benefit fromthe therapy are headaches, bad breathe, poorconcentration, fatigue, body aches, lack of sexualresponse, indigestion, and irritability.

Take this brief questionnaire below to determinewhether you should consider colon hydrotherapy.

1. Are you overweight? � yes � no

2. Does your diet consist of processedfoods? � yes � no

3. Do you feel tired or fatigue throughoutthe day? � yes � no

4. Are youmoving your bowels regularly (at least 3 timesper day) � yes � no

5. Do you experience gas, bloating, indigestionconstipation or diarrhea? � yes � no

6. Does colon cancer run in your family? � yes � no

If you answer yes to any of these questions we can helpeducate you on improving your overall health and wellbeing. Results will vary from person to person. AtCleansing Concepts our goal is provide nutritionalinformation and effective services to help you reachoptimal health.For further information please contact us at516.640.5322 or www.cleansingconceptsinc.com.

Speaking Out about Colonic Hydrotherapy

Who needs ColonHydrotherapy?

Each and everyindividual can benefit

from colonhydrotherapy. Coloncancer is the second

leading cancerkiller in the U.S.


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A person’s quality of life can improve remarkablywith better hearing skills. Sound is one of themajor channels by which we come into contactwith the world around us.

Hearing well allows us to communicate with ourfamily and friends and keeps us in contact with thesounds of life that surround us 24 hours a day.

Studies have shown that persons with a managedhearing loss have half the number of visits to doctors andenjoy better social, emotional, and physical well being.These are good reasons to have your hearing lossmanaged.

Symptoms of Hearing LossSome people may have a hearing problem without

realizing it.If hearing loss is ignored or untreated, it can

deteriorate. But hearing loss that is identified early canbe helped through treatment.

If you answer "yes" to three or more of thesequestions, you could have a hearing problem and mayneed to have your hearing checked by a doctor.

Do I have a problem hearing on the telephone?� yes � no

Do I have trouble hearing when there is noise in thebackground?� yes � no

Is it hard for me to follow a conversation when two ormore people talk at once?� yes � no

Do I have to strain to understand a conversation?� yes � no

Do many people I talk to seem to mumble or not speakclearly?� yes � no

Do I misunderstand what others are saying and respondinappropriately?� yes � no

Do I often ask people to repeat themselves?� yes � no

Do people complain that I turn the TV volume up toohigh?� yes � no

Do some sounds seem too loud?� yes � no

For further information about the latest technologies andhearing instrument options, call Smithtown Hearing Services(631) 265-3727 or Sayville Hearing Services (631) 750-6377.

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Over 550 independentlyowned and operated

Offices worldwide

The truth is, caring for a loved one can quicklybecome more than one person can handle.

Before it becomes too much, call Comfort Keepers.We provide an extensive range of in-home care thathelps people maintain quality and independentlives in the comfort of their own home.More thana caregiver, a Comfort Keeper provides care andcompassion to those who often need it most.

To find out how Comfort Keepers can providethe kind of care that can make a difference in yourhome and family; call us. We would be happy toarrange a free in-home visit to help you learn more.

www.ComfortKeepers.com

Help is Here, to ProvideIn-Home Care for a Loved One

SERVICES• Companionship• Cooking, LightHousekeeping

• Errands, Shopping• IncidentalTransportation

• Laundry• Recreation, Crafts• Grooming, Dressing,Guidance

• MedicationReminders

Call: 516-827-4270E-mail: [email protected]

516.565.4800

Nassau Extended Care is one of the finest facilities in Nassau County. It is unique inthat it offers not only skilled nursing but it also has a Medical Model Adult Day HealthCare Program in a home-like setting with a warm and caring staff, many of whom haveworked here for over 10 years.

We offer the following services:• 280-Bed Skilled Nursing Facility• Medical Model Adult Day Health Care

Program• 24-Hour a Day Admissions• Orthopedic Rehabilitation Program

Six Days a Week• Short Term Rehabilitation (Physical,

Occupational, & Speech Therapy)

• Comfort Care• Tracheostomy Care• Intravenous Therapy• Post Acute and Surgical Wound Care• Hemodialysis• Gastrostomy Tube Feedings• Hospice & Respite Care

For additional information or to schedule a tour, please contact the Admissions Department.1 Greenwich St. • Hempstead, NY 11550 • Fax: 516.486.5212

The #N40 & N37 buses stop in front of the nursing facility

Licensed by the New YorkState Department of Health

Walking andWellnessHowwould you like to add a few years toyour life expectancy?You cando this andsomuchmore bymaintaining a walkingprogram.

Being one of the simplest and safest aerobicexercises you can do, walking will help youstrengthen your bones, control your weight, andcondition your heart and lungs. Consistency inyour routine is one of the most important factorsin developing a healthy physical activity program.Research has shown that people who walkapproximately 20-25 miles per week outlivethose who don’t walk by several years.

Walking uses up oxygen, causing your body toburn stored fat. For example, you’ll expend about100 calories by walking a mile. That might notseem like a lot at first, but just think about it. Mostpeople average just under 3 miles through thecourse of their day. If you add an enjoyable morn-ing jaunt or a brisk evening walk you could easilymove 4 miles a day. If you walk 4 miles 4 times aweek, you can burn 1600 calories! That’s half apound of fat gone. Add more steps to your daywhile making sure not to eat more calories thanyou use, and your body can’t help but trim down.

Another benefit to walking is that it strength-ens muscles, which tones and shapes your body.The increased muscle mass boosts your metabo-lism. This means you burn calories long after youstop moving. And you don’t have to get all of yourwalking in at once. If you don’t have time for longwalks, find pockets of time throughout your dayfor short jaunts.

Whether you’re strolling through a mall,hiking through a park, or walking your dogaround the neighborhood, walking lifts yourspirits, clears your mind, and improves yourhealth – all without fancy equipment, scheduledclasses, or a high price tag.

Walkyour wayto good

health


MaximizeYourWalkAny form of walking burns calories and improves muscledefinition.However, to get themost from your walk, concentrateon thesemain points:Choose distance over speed. It’s better to walk at a steady pace than walk tooquickly and have to quit early. As your fitness level improves, you can speed upgradually.

Go for the hills. To help build your muscles, alternate inclines. Try walking upstairs, bleachers, or hills.

Warm up slowly.Walk the first few minutes at an easy pace to get your bodyprepared. If your start is too brisk, you risk burning only the immediate sugarsupply in your body rather than the stored fat you want to lose.

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Q u i c k f a c t sabout walking:On average, every minute ofwalking can extend your life by1.5 to 2 minutes. That’s about a 2for 1 trade-off!

Walking an extra 20 minutes eachday will burn off 7 pounds ofbody fat per year.

Longer, moderately-paced dailywalks (40 minutes at 60% to 65%maximum heart rate) are best forlosing weight.

Shorter, faster walks (20-25minutes at 75% to 85% maximumheart rate) are best for condition-ing your heart and lungs.

“Whether you’re strolling through

a mall, hiking through a park, or

walking your dog around the

neighborhood, walking lifts your

spirits, clears your mind, and

improves your health”


Amazingly, transformationsgenerally occur in both (homeand client, that is) with one fol-lowing swiftly on the heels of theother. “How can that be," you ask.The answer is a simple one wordexplanation - change. If peopleare willing to change their homes- modernize, update, pare down,open space and find a new, yettimeless style, they will next lookat themselves with the same crit-ical eye.Formany years I have believed

with all my heart that your sur-roundings deeply affect you, forgood or bad, knowingly or not. A

nurturing and empow-ering home is your safehaven if it is clean, or-ganized, and main-tained. What you putinto it will return to youtenfold, and I’mnot onlytalking about money.Change often comes

when homeowners havelived in their home 25-

30 years, or they are relocating todownsize or create anotherlifestyle. This is a golden oppor-tunity and most folks seize it. Idid, which only proves that some

of us in the decorating game ac-tually practice what they preach.About 11 years ago my hus-

band and I sold our home in Nis-sequogue and purchased a condonear Smith Haven Mall. Goingfrom almost 4500 square feet to1950 square feet was a bit of achallenge, but by utilizing spaceto itsmax, we achieved our goals.Ample storage and entertainingspace in a warm and inviting at-mosphere, a floor plan incorpo-rating a master bedroom on themain floor, and no exteriormain-tenance, were the things we werelooking for and got.I look back now& laugh at the

moving process with my dearpack rat “can’t have enough tools”husband and 30 + years of stuff.Many dumpsters later and 50boxesmarked“Bernie’s importantstuff” safely stored in our old barnat the office (yet to be openedmore than a decade later), we en-tered the next phase of life.We settled in, made new

friends, walked to the mall, themovies, the supermarket andadapted to the changes. One hugechange was in Bernie who now,after 35 years, embraced “neat

and orderly,” if not completely or-ganized (hey, you can’t haveeverything). It was so funny towatch as he became the “re-formed clutterer” atmy seminars.I, too, took a good long look at

myself and decided it was time toshape up in my new surround-ings. Blessed with “tall” genes, Icould hide a few pounds easily,but the few had turned to toomany. As a 43rd wedding an-niversary present to myself, Ihired a personal trainer, started ahealthier eating regime, changedmy hairstyle and turned back theclock. (No-no face lifts!) Bernie,too, adoptedmy eating habits andfinally had the scale heading inthe right direction.Anyone can be motivated to

change. Sometimes, unfortu-nately, it’s when bad things hap-pen health-wise. I’d rather see itoccur for a happy reason like en-tering a new stage of life in yourhome whether you’re staying ormoving. Take a picture of your“80s” house & put it in a memorybox. Thenmake a plan to create anew lifestyle for the “you” of to-day. Your home is a great place tobegin and the rest will follow. Iknow.

Next time, we will focus onmaking your home a fun desti-nation for friends, family andmost of all - you.

Oh - WhatDecorating Can DoWhen Re-inventing Your Life

By NatalieWeinstein

Allied ASIDFor further information on

Interior Design pleasecontact NatalieWeinstein at

631- 862-6198 orwww.natalieweinstein.com.

Today’s boomer and boomer- plus homeowners are myfavorite clients. It’s so much fun to see people re-inventthemselves as I renovate and decorate their homes.



Over 550 independentlyowned and operated

Offices worldwide

The truth is, caring for a loved one can quicklybecome more than one person can handle.

Before it becomes too much, call Comfort Keepers.We provide an extensive range of in-home care thathelps people maintain quality and independentlives in the comfort of their own home.More thana caregiver, a Comfort Keeper provides care andcompassion to those who often need it most.

To find out how Comfort Keepers can providethe kind of care that can make a difference in yourhome and family; call us. We would be happy toarrange a free in-home visit to help you learn more.

www.ComfortKeepers.com

Help is Here, to ProvideIn-Home Care for a Loved One

SERVICES• Companionship• Cooking, LightHousekeeping

• Errands, Shopping• IncidentalTransportation

• Laundry• Recreation, Crafts• Grooming, Dressing,Guidance

• MedicationReminders

Call: 516-827-4270E-mail: [email protected]

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Salads have always been a favorite of mine. Using a variety of ingredients,

flavors and textures are what produce interesting and tasty main meals.

The dressing can be bottled or your own. Add fruits, cheeses, fish, beans

andmeats, even your leftovers (grilled chicken, chopped steak, turkey or

ham, eggs and veggies) and you have created another meal.

SaladsHealthy and light, salads are a quick andnutritious meal any night of the week.

Caribbean Turkey andCouscous Salad� 1 1/2 tsp curry powder, divided� 1 tsp ginger root, fresh, grated� 1 tsp olive oil� 1 cup uncooked couscous, plain-variety

� 1/3 cup plain fat-free yogurt� 1/4 cup cilantro, fresh, chopped� 2 Tbsp reduced-caloriemayonnaise

� 2 Tbsp mango chutney� 2 Tbsp water� 10 oz cooked turkey breast, torninto thick shreds or cut into bite-size pieces

� 1 cup grapes, red, seedless, halved� 1 cup pineapple, fresh, diced� 3/4 cupmangoes, fresh, diced� 12 pieces lettuce, Boston-variety� 1/4 cup scallions, sliced� 1 1/4 oz cashews, unsalted,roasted, coarsely chopped (about4 tbsp) (optional)

Bring 1 1/2 cups of water, 1 teaspoon of currypowder, ginger and oil to a boil in a smallsaucepan. Add couscous; remove from heatand let stand, covered, until water isabsorbed and couscous is tender, about 5minutes. Transfer couscous to a large bowland fluff with a fork to separate grains; placein refrigerator for a few minutes to chillslightly.

Meanwhile, in a small bowl, stir yogurt,cilantro,mayonnaise, chutney, remaining 1/2teaspoon of curry powder and 2 tablespoonsof water together until blended. Pour overcouscous; toss to coat.

Add turkey, grapes, pineapple and mango tocouscous mixture; toss to mix and coat.Apples ormelon also work well in this recipe.

Greek SaladTop with strips of grilled chicken,lamb or beef

� 2 Tbsp olive oil, extra virgin� 2 Tbsp water or chicken broth� 1 tsp lemon zest� 2 Tbsp fresh lemon juice� 1/4 tsp table salt� 1/4 tsp black pepper, freshlyground

� 3 Tbsp dill, or mint, fresh,chopped

� 3 Tbsp scallions, sliced� 1 1/2 cups tomatoes, ripe, diced(about 7 small tomatoes)

� 1 1/2 cups cucumbers, diced,seedless (about 1/2 largecucumber)

� 8 medium olives, Kalamata,pitted, chopped

� 6 cups lettuce, Romaine,shredded

� 1/4 cup crumbled feta cheese

In a medium bowl, whisk together oil,water, lemon zest, lemon juice, salt andpepper until blended; stir in dill andscallions. Add tomatoes, cucumber andolives; toss to mix and coat.

White Bean and SalmonSalad with Lemon DressingSalmon and beans pairwonderfully with citrus in this no-cook meal.

� 15 oz canned white beans,drained and rinsed

� 16 oz canned salmon, pink,flaked with a fork, bonesremoved

� 1 small red onion, diced� 1 bunch arugula, stemsremoved, chopped

� 1/4 cup parsley, fresh, chopped� 1 tsp lemon zest� 1 tsp thyme, fresh, chopped� 3 Tbsp fresh lemon juice� 1 Tbsp olive oil� 1/2 tsp table salt� 1/2 tsp black pepper, freshlyground

Combine all ingredients in a large bowl;mixthoroughly and serve.



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Golf on Long Island

Some of the most beautiful andchallenging golf courses in the countryare right here on Long Island. 125

public and private courses make it a golfer’sparadise and a destination favored by bothprofessional and amateurs alike. We havehighlighted some of the best public courses onthe island for all to enjoy.

Bethpage BlackFarmingdale, NY, 11735(516) 249-0701Host of the 2002 & 2009 U.S. Open, Bethpage StatePark represents the best public golf the U.S. has tooffer. Consistently ranking among the top courses inthe country, this course is a true test of golf, availableto the average player and pro alike.

Oyster Bay Golf CourseWoodbury, NY, 11797(516) 677-5980Situated on 121 acres, Oyster Bay’s 18-hole, par 70championship golf course features narrow fairways,water holes, and sand and grass bunkers, as well as adriving range and putting green. A turn-of-the-century mansion clubhouse offers three restaurants.

Lido Beach Golf CourseLido Beach, NY, 11561(516) 889-8181Sculpted from land between the Atlantic Ocean andReynolds Channel, Lido’s traditional links style offerschallenging play in the midst of breathtaking beauty.This championship caliber course stretches over6,900 yards and plays to a par 72.

Harbor LinksPortWashington, NY, 11050(516) 767-4816Designed with preserving the existing ecologicalenvironment in mind, the course’s features include anatural wetlands and habitat boxes for birds. Varietycomes into play on this course with one hole on abluff, three holes offering split fairways and a pair ofholes with a distinctive western look.


Timber Point Golf CourseGreat River, NY, 11739(631) 581-2401Located at the junction of the Connetquot Riverand the Great South Bay, golfers are treated tomagnificent vistas of the south shore. In additionto the great views, the course plays over a variety ofterrain comprising of both park and links landsettings. The ever-shifting shore breeze guaranteesa stern test and a round that never quite plays thesame way twice.

Tallgrass At ShorehamShoreham,NY, 11786(631) 209-9359This 18-hole, par 72 Scottish links-style coursemeasures just over 6,500 yards from the back tees.Constructed on more than 150-acres of Long Islandfarmland, Tallgrass boasts wide-open fairways andwell manicured greens, and strategically placed potand waste bunkers.

Montauk Downs State Park Golf CourseMontauk,NY, 11954(631) 668-1100This legendary championship course with spec-tacular views of the ocean is built on rolling terrainswith many fairways, greenside white sand bunkers,deep punishing rough and 5 waterholes. Most ofthe greens are elevated, undulating and wellbunkered. The almost constant wind of the Atlanticocean and Block Island sound makes this coursevery difficult.

Golf Injury PreventionMany injuries occur early in the season before properconditioning has taken place. Such injuries may affect softtissues including tendons, muscles and ligaments, as wellas the joints of the upper body. Attention to technique iscritical to avoid injury, which can result from over-swinging, twisting the spine, an incorrect grip or hittingthe ground during the forward swing.

To avoid back injury:Rotate the shoulder and hip about the same degreeduring the backswing.

Keep the spine vertical during the follow-through,avoiding any hyperextension of the spine.

To avoid shoulder and elbow injury:Shorten the length of the backswing, ending with theclub head at a 1 o’clock rather than 3 o’clock position.

Strengthen rotator cuff and scapular muscles toprevent overuse or tearing injuries.

Strengthenmuscles of the chest and back, whichgenerate the power of the swing.

Study themechanics of proper swing with a pro.

Slow the velocity of the swing in order to produce lessshock to the arm when the ball is struck.

To avoid hand, wrist and elbow injuries:Select larger and softer club grips.

Use a neutral grip to hold the club.

Select irons with larger heads and lower vibration.

Graphite shafts can lessen vibration.

Select the correct club length.

Strengthen forearmmuscles through exercise.

Physical conditioning of appropriate muscles alongwith careful attention to correct technique tends to limitinjury.

Hitting practice balls with shorter irons is a good meansof loosening the muscles and avoiding strains.

Additionally, a consistent warm-up routine and core-strengthening exercises should be part of an overallapproach to injury-free enjoyment of the game.


But it’s possible that you could take an even biggerstep—by converting your IRA to a Roth IRA. And youmayhave two especially good opportunities to make thisconversion in 2009 and 2010.

Beforewe examinewhy thismaybe so, let’s take a quicklook at the differencesbetween a traditional IRAand a Roth IRA. Dependingon your income level, yourcontributions to atraditional IRA may be taxdeductible; regardless ofyour income, your earningsgrow tax deferred. With aRoth IRA, yourcontributions are neverdeductible, but yourearnings grow tax free,provided you’ve had youraccount for at least five yearsand you don’t start takingwithdrawals until you’re 59-1/2. However, if yourmodified adjusted gross

income exceeds certain levels ($120,000 per year if you’resingle and $176,000 per year if you’remarried and filing ajoint return), you can’t contribute to a Roth IRA.

Here’s another distinction between the two types ofIRAs:With a traditional IRA, youmust start taking requiredminimum distributions (RMDs) when you reach 70-1/2.But if you own a Roth IRA, you are never required to takedistributions, so you can let your money grow as long asyou can afford not to touch it.

Which IRA is “better”? There’s no one right answer foreveryone. Generally speaking, though, the combination ofpotential tax-free earnings and no RMDsmightmake theRoth IRA an attractive choice formost people. Additionallyyou have access to the money you put into the Roth tax-free and penalty-free at any time, as long as you are notwithdrawing earnings. So, if youhave a traditional IRA, youmight wish to convert it to a Roth — if you can. If youradjusted gross income is more than $100,000, you can’tmake the conversion in 2009. Also, keep inmind that anyconversion will require you to pay income taxes on yourpre-tax contributions to your traditional IRA and anygrowth in your account’s value.

If youmeet the income limits for a conversion in 2009,you might want to consider doing so, because your taxobligation for a Roth conversion might be lower in 2009

than it would have been in previous years. Following lastyear’s steepmarket decline, the value of your IRAmay bedown significantly — and, generally speaking, the lowerthe value, the lower the tax bill upon conversion.Furthermore, if your income is somewhat dependent onthe state of the economy, you could end up with lowerearnings in 2009—another factor that could lessen the taximpact of a Roth IRA conversion.

Even if you don’tmake the conversion in 2009, though,you may still want to consider this move next year.Beginning Jan. 1, 2010, you can convert your traditional IRAto aRoth IRA regardless of your income level. Furthermore,the income taxes dueon conversion canbe spreadover twoyears — 2011 and 2012.

So contact your financial and tax advisors to determineif a Roth IRA conversion is appropriate for you. Over thenext two years, you’ve got a good window of opportunityto make this move — so you’ll want to act before thatwindow closes.This article was written by Edward Jones. For furtherinformation, please contact Jonathan Bostwick, EdwardJones Financial Advisor, member SIPC. (631) 928-2034,[email protected].

Do you regularly contribute to a traditional IRA?If so, you’re taking an important step towardbuilding financial resources for retirement.

Which IRA is“better”? There’s noone right answer foreveryone. Generallyspeaking, though,the combination ofpotential tax-freeearnings and no

RMDsmight makethe Roth IRA an

attractive choice formost people.

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TimeMay Be Right to Convert to Roth IRA


It’s important to have

healthy nails. And, like

everything else, you have

to work at it. These five tips

can help you keep your nails

looking their best!

tips tohealthy nails5

beauty focus

1

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• Keep your nails dry and clean - You can prevent bacteria from growing underthe nails by cleaning your nails regularly and thoroughly drying your handsand feet after bathing. It’s also important towear rubber gloveswhen cleaningwith soap and water.

• Don’t bite your nails or pick at your cuticles - These habits can damage thenail bed. Even aminor cut alongside your nail can allow bacteria to enter andcause an infection.

• Moisturize your nails frequently - Just like your skin, nails need moisture.During the day, be sure to rub lotion into your nails when moisturizing yourhands.

• Never pull off hangnails – it will almost always result in ripping living tissue.Instead, clip hangnails, leaving a slight angle outward.

• Watch for problems - If you have a nail problem that doesn’t go away on itsown, make an appointment with your doctor to get it checked.


Choosing the right color palettefor makeup and wardrobe.

Think back to your early twenties.You are strolling through the cos-metic department of your favoritestore in the mall and the perky girlbehind the counter beckonsinvitingly, “Would you like to findout what season you are?”

With a twinge of curiosity andpossibly even excitement, you headover to the counter during which timeyou are spritzed by the equally perkyperfume tester. The makeup sales-girl then eyes you intently as you sitin the chair awaiting her sage advice.With a smile, she then declares confi-dently, “you are definitely a spring!Go with corals, peaches, teals andperiwinkles! “

And so you did. For years, in theback of your mind those wordsaffected your choice of makeup andclothes. You limited yourself for fearof going outside your “season.”

Sound familiar? It happened to allof us. Now, we are older and definitelyneed to update our thinking! The sea-son determination is made to reflectwhich colors best suit your naturalhair and eye color and skin tone. Thecolors we wear in both clothing andcosmetics need to compliment ournatural tones. The problem we face aswe age is that those natural toneschange, and that means we need tochange how we compliment them. Atforty-something, although we mightstill be that “spring” or “autumn”, wesimply cannot wear those teal andcoral shades in the same way we did

in our twenties. We need to updateour techniques.

Let’s look at skin tone first. Exam-ine your face honestly. Has your skintone lightened a bit over the years?Have age spots appeared, are wrin-kles visible, have your lips becomeslightly thinner, maybe your eyecircles become a bit darker? Any orall of these are common with age.Foundations need to cover our flawsbetter, but also need to be shearer sothey don’t appear heavy. Using asponge to blend foundations andcover ups is essential. You don’t wantmakeup caked in a laugh line or eyewrinkle. That will actually age yourface more than the wrinkle itself.Also, try a moisturizing bronzer.Bronzers can add a tint of color with-out looking harsh or heavy on theskin. Make sure they blend naturallyinto the color of skin in the neck area.Nothing looks worse than the “chinline” after foundation is applied, atany age.

The season color choices youhave held onto since that fateful dayin the mall can still hold true. Ingeneral, the best advice for any coloris…blend. Look at the colors in yourseason, and wear them with an easier,more blended look. If you are aspring, then enjoy the teal shadows,but lighten the impact. Apply thecolor sparingly, and blend it out into agradual fade. Line the eye, but blendinto a thinner hint of color at the lash-line. Avoid iridescent colors. Abrightly shimmering eye shadow is adefinite no. The only place for a light

5 tips to healthy nails

Kathy Savage has trained atthe Vidal Sassoon Academy and

is the owner of ChristopherStreet Salon located in

Commack. The salon offers hair,nail and skin care services. Inthe next issue of GenerationsMagazine, look for Kathy’s tipson how to improve your skin

care. For immediateinformation, contact

Christopher Street Salon at631-499-1990.

Your Season ofColor by Carmella Cella


iridescence would be a small amount just under thebrow for highlighting purposes. For your lips, go with asheer lip color as opposed to the thick, opaque lipstickproducts. As for blush products, apply your blush, be it acream or powder, with a lighter hand to lightly tint thecheeks. Another issue to update is hair color. If your haircolor has changed drastically, youmight want to reevalu-ate your season choices. If you have gone from dark tolight, or added reds to your hair, you have changed yourpalette considerably. Make sure your makeup colorchoices reflect your hair color now – not back then.Thereis no reason to avoid color after forty. On the contrary,rediscover your season colors and wear them with newvibrancy.

Now the fun part…let’s find your season. The seasoncolors fall into two categories…warm and cool. Springand autumn season colors are warm, and summer andwinter season colors are cool.

Spring - pale, softer colors are best.Hair color: flaxen, honey or strawberry blonde, any

shade of red, light auburn, golden brown ormedium gray.Eye color: shades of blues or greens or a golden

brown.Skin tint: creamy ivory, peachy pink or peachy beige,

freckles if a redhead, golden beige or golden brown, likelyto have rosy cheeks.

Springs look best in chocolate browns, light blues,medium violets, clear reds, peaches and yellows. Avoidblack, white, burgundy or anything too dark. Best eyeshadow colors are apricots, golden browns, browns, aqua,teals, blues and greens. Lip colors should be peach, coral,pinks, and red (not too dark). Avoid browns and purples.Blush tints are warm pink, peach, and coral. Jodie Fosteris a spring.

Autumn - rich, golden, spicy,earth colors are best.

Hair color: golden blonde, copper, red, brown (usuallywith a golden or red highlight)

Eye color: brown or green, flecks of goldSkin tint: golden or peachy beigeAutumns look best in orange, dark red, gold, yellow,

teal, creamy white, green, periwinkle, beige, turquoise,dark brown, bronze. Avoid black, navy, gray, pink,burgundy, purple and red. Eye shadow colors are beige,apricot, brown, copper, muted greens and smokyturquoise. Lip colors are brick red, orange, red coralpeach, rust, mocha and brown shades. Avoid frostedshades and tawny peaches. Sophia Loren is an autumn.

Winter - sharp, intense, rich colors are best.Hair color:dark brown, medium brown, often lacking

highlights.Eye color: brown, deep hazel, gray, possible blue or

greenSkin tint: beige, no pink undertonesWinters look best in grays, blacks, whites, royal, true

or icy blues, emerald greens, light yellows, reds, navy blue,pinks, royal purple. Avoid orange, gold, brown, tan, ivoryor peach. Eye shadow colors are gray, blue, smoked blue,mauve and ash tones. Lipstick colors are burgundy, blue-red, plum and red. Avoid oranges, red browns or anybrowns. Blush tints for winter are rose, light burgundyandmauves. Elizabeth Taylor is a winter.

Summer - soft neutrals and pastels,muted colors are best.

Hair color: flaxen, light, medium blondes, very lightbrowns.

Eye color: blues, greens, aqua, soft hazel.Skin tone: pinkish beige, fair with visual pink in skin.Summers look best in rose, light burgundy, lemon

yellow, lavender, sky blue, white, blue green and cocoabrown. Avoid black, green, orange, gold and purple. Eyeshadow colors are ash blue, turquoise,mauve, light brownand plum. Lipstick colors are burgundy, plum, brown andclear red. Avoid orange red, light pinks, red brown. Blushtints for summer are pinks and shades of rose. MichelePfeiffer is a Summer.

Now that you’ve found your season once again, havefun with the colors. The worst thing we can do as wemature is give in to that neutral, colorless way of think-ing. There are wonderful ways to celebrate the colors thatlook best on you. Remember, fabulous at forty, fantasticat fifty, sensational at sixty…. you get the idea!

b e a u t y f o c u s


Protecting Yourself from AbdominalAortic Aneurysms

Exposing a Silent Killer:

While diseases like prostate cancerand heart disease have becomehousehold concerns, abdominalaortic aneurysms (AAA), the 10thleading cause of death inmen age 55and older, have been overshadowedby more prominent diseases for fartoo long. It’s time we pull back thecurtain and take a closer look at thisserious disease and how it can beboth detected and prevented.

An AAA, which is one of theconditions associatedwith vascular disease, is a bulgethat develops in the body’s main blood vessel, theaorta. As the aneurysm expands within the aorta, thechances of it rupturing increase. However, AAAsgenerally develop without noticeable symptoms.Often times, people do not realize they have ananeurysm until it ruptures, giving the disease its“silent killer” status. In fact, the survival rate forpatients with ruptured AAAs is only 20 to 50 percent.

It is suspected that AAAs are passed down fromgeneration to generation as they are most commonin patients with a family history of aneurysms. Menare also more likely than women to develop an AAA.Whenwomen exhibit aneurysmal disease, it is usuallycorrelated with a very strong genetic predispositionto the condition. Although the condition isasymptomatic, maintaining a healthy lifestyle canreduce your chances of developing an AAA. Offeringanother reason to limit high cholesterol foods,maintain a moderate amount of exercise, and avoidcigarettes, elevated cholesterol and high bloodpressure have also been proven to increase thelikelihood of developing a potentially fatal AAA.

AAAs may be detected during a routine medicalexamination. Sometimes during a physical exam, aphysician may be able to feel an AAA below yourribcage or above your belly button. Currently, AAAsare most commonly detected incidentally during x-rays being performed for other reasons. For example,patients with kidney stones, back pain, orgastrointestinal problemswill often undergo aMRI orCAT scan and it’s during these tests that an aneurysmis identified. However, because even experiencedphysicians can sometimes miss an AAA, at-risk

patients should consider an ultrasound screeningspecifically for AAA. This short, noninvasiveexamination of the aorta can easily identify nearly allAAAs. In fact, Medicare advises and reimburses AAAscreening at the time of enrollment formaleMedicarebeneficiaries age 65+ who have a history of smokingwww.vascularweb.org/professionals/Government_Relations/National_Aneurysm_Alliance_SAAAVE_Bill/index.html

If you are diagnosed early with an AAA, it willtypically be evaluated on a periodic basis todetermine its rate of growth. Once it reaches a size atwhich the risk for rupture is increased (approximately5 cm in diameter), intervention is oftenrecommended. A physician may offer two types ofintervention. Traditional, open surgical repair hasbeen used to treat AAA for more than 50 years withsuccess. However, in the last 10-15 years, aminimallyinvasive approach that uses stent grafting has gainedpopularity in repairing the AAA to prevent rupture.This procedure, called endovascular aneurysm repair(EVAR), is typically done during an overnight stay inthe hospital and involves two small incisions in thegroin. A covered stent is introduced through the groinand into the aorta. Once in place, the stent serves asa liner to the aneurysm, similar to placing a tube inside of a damaged tire to prevent the tire frombursting.

It’s important to remember that by makingsimple lifestyle choices, you can reduce your risk ofdeveloping an AAA. Moreover, even though patientswith AAA typically do not show any symptoms, thecondition is easy to detect with minimally invasiveultrasound technology. As with all serious medicalconditions, if you are at high risk for aneurysms, orsuspect you might have an AAA, you should beevaluated by your internist or your vascular surgeon.

Dr.MarkAdelman is the Chief ofVascular Surgeryfor NewYork University LangoneMedical Center.

by Dr. Mark Adelman


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“Who GetsGrandma’s YellowPie Plate?”Personal property - all our stuff - is an issue that is getting moreplay these days, thanks to Oprah and her shows about hoarding.More and more often, there are stories in the newspaper and on TVabout the crisis of “stuff” in people’s lives and homes.

Dealing with the issues that surround personal property isusually postponed until there is a crisis or an immediate need arises.The transfer of personal property is often considered secondary tothe titled assets such as homes, bank accounts, cars, and stockportfolios. But for families, the process of the disposition of personalproperty is often more heart-wrenching and can be fraught withemotional responses from the participants.

There are various resources available to helpindividuals and families deal with the issues, in advanceof a crisis. One resource is the workshop and workbookdeveloped by Marlene Stum of the University ofMinnesota Extension Service.

Marlene’s research project with hundreds ofMidwestern families identified several steps andconcerns. From that research, she developed theworkbook and worksheets to help clarify the issues.The first thing to remember is that this is a sensitiveissue and there are no magic formulas for transferringproperty. It is important to recognize and acknowledgethat within any family there may be long-standingconcerns and expectations that will affect even the desire tostart the discussions. However, remember that by starting with “I”statements and indicating that beginning this discussion isimportant to you, it will get the process started.

You may choose to meet together or individually, just to getstarted. Remember to stay on topic, listen carefully and clarify anyconcerns and finish the conversation. You have set the stage to moveforward with more discussions and actually get into the decisionprocess as well.

Please keep in mind that your “stuff” is your “stuff.” It does notbelong to anyone else until you choose. Take some time and thinkabout your goals as well. You may even want to write them down asthey come to mind. Ask yourself - do you want to contribute tosociety and donate to your alma mater, a university, a museum, localcharity, or philanthropic organization? Do you want to preservefamily rituals and memories? Do you want to preserve familysecrets? Do you want to improve family relationships? Do you haveother goals that are important? Do you have co-owners who need tobe consulted? What is the most important outcome for you?

Need helpdeciding“who getswhat?”If you havequestions,TransitionsUSA canhelp. Located inHuntington, NY wecan be reached at631.421.3781.



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Evidence suggests that kidney disease is on therise in our country. Recent statistics, provided byNational Kidney Foundation,are quite disturbing.

� More than 30million Americans, including children,suffer from Kidney disease.

� 1 in 9 Americans will eventually develop some formof kidney disorder in their lifetime.

� More than 7,000 of our fellow Long Islanders areundergoing intense kidney replacement therapy,known as dialysis.

� The number of Americans waiting for kidneytransplant continues to increase. A new name isadded to the waiting list every 12 minutes.

Sadly, most people are in denialwhen it comes to their kidney diseaserisk. Here is why: there is no pain, nosymptoms, no sense of discomfort inthe body, whichmeans that there is noreason to be concerned and no need tosee a doctor. Before being diagnosedmost patients don’t even realize theyhave a problem.

Our kidneys are vital organs. I hopemy suggestions below will serve as aguide to your kidney health and helpyou maintain a productive lifestyle for

years to come.

1. Keep track of your cholesterolHigh levels of cholesterol lead to heart disease, stroke

and kidney disease. That’s why you should closelymonitor and control your cholesterol level. I suggest youembrace a healthy diet, proper exercise, and if necessary,use medications prescribed by your physician.

2. Develop a weight loss programSignificant weight gain can lead to a decreased kidney

function. To shed those extra pounds it is crucial todevelop a healthy exercise routine combined with anappropriate diet. You don’t have to engage in lengthy orstrenuous activity. Quite often, housekeeping duties,gardening, playingwith your kids or walking your dog canmake a difference.

3. Quit smokingSmoking can cause chronic kidney disease (CKD) and

it increases your heart rate and blood pressure. Usingtobacco products can result in hardening and narrowingof the arteries. This, in turn, puts you at risk forcardiovascular disease.

4. Stay well-hydratedIt’s essential to develop an appropriate hydration

strategy and drink plenty of water. Don’t consume toomuch, 8 cups of water is usually a norm, but individualneeds may vary.

5. Embrace a healthy low-calorie diet

Watching your diet is oneof the most importantaspects of preventing kidneydisorder. Most people whosuffer from chronic kidneydisease have an enhancedreaction to salt. Reduce saltand sodium intake andeliminate high fat diets fromyour diet. Those with moreadvanced cases of CKD should limit phosphorus-richfoods, such as milk, whole grains, dried beans, organmeat, chocolate, cola drinks, etc.

6. Control your diabetesDiabetes is themost frequent cause of End Stage Renal

Disease (ESRD). That’s when the loss of Kidney functionprogresses to the point where you need dialysis ortransplantation. If you carefullymonitor your blood sugarlevels, you are more likely to prevent the onset of smallblood vessel disease which leads to progressive CKD.

7. Avoid certain over-the-counter medicationsBeware of certain medications that can worsen your

kidney function.Even common over-the-counter pills, such as non-

steroidal anti-inflammatory drugs (NSAIDs), includingibuprofen, or some herbs and supplements, can facilitatekidney ailments.

8. Have your blood pressure checked regularlyHigh blood pressure is the second most common

cause of ESRD. It can lead to heart attack, heart failure,stroke, or kidney disease. I highly recommend regularmonitoring of your blood pressure and aggressive therapy.

9.Watch for symptoms of anemiaIf you regularly experience fatigue, headache,

shortness of breath, or dizziness, youmight be anemic. Ifleft untreated, anemia can contribute to kidney disease.

10. Follow-up with your Kidney SpecialistThe only way to find out if you have kidney disease is

to get examined by a qualified physician. Checking kidneyfunction is a simple procedure, requiring a physical examand blood and urine testing. Studies indicate that closelymonitoring your kidney function with a nephrologistincreases the longevity of your kidneys and prevents theneed for dialysis.

Concluding Thoughts:Kidney disease is a chronic condition. It does not go

away and tends to get worse over time. Fortunately, it canbe treated and deterioration may be prevented. Thesooner you find out about your condition, the sooner youcan initiate treatment and get back to living a healthy andproductive life.

10Ways to PreventKidney DiseaseBy Simon E. Prince MD

Dr. Prince of North ShoreNephrology in Manhasset NY is a board-certified nephrologist, specializing inchronic kidney disease and hypertension.For further info please call (516) 365-5570or visit www.nsneph.com



So you really think you are too old for cosmeticdentistry? Well, you should know that cosmeticdentistry can brighten a smile of any age.My eldest patient is 96 years old and she is still proud of

her smile. I recently added composite bonding to her twofront teeth and removed some yellow fillings – relativelyinexpensive and a one visit procedure. Depending on yourage and health, several cosmetic dental procedures areavailable, ranging from teeth bleaching and bonding tomorecomplex procedures consisting of porcelain veneers, ceramiccrowns and implants.A simplewhitening procedure can brighten teeth that are

yellow or gray from age. There are several options rangingfrom drugstore brighteners to custom dental trays or in-office whitening, depending on your budget and the qualityof whitening desired.Composite bonding is another procedure that can be

used to close a space between teeth, to repair chipped teethor to replaceworn-out silver fillings. The compositematerialis chemically bonded to the tooth and polished tomatch theremaining tooth surface.For a more long-lasting solution, the modern porcelain

veneer offers the most esthetic result. Porcelain veneers arethin shells of ceramic that bond to the teeth. The porcelainveneer does not discolor and requires less tooth reductionthan conventional crowns.

If a tooth is too damaged for acomposite or porcelain veneer then anesthetic crown may be the answer.Today we have all-ceramic crowns andZirconia crowns that are more life-likethan the porcelain-to-metal crowns inuse for the past 30 years.People are always embarrassed to

smile if it is only to uncover a missingtooth. Today the dental implant is adurable replacement that functions likethe missing tooth.A less costly option to replace a

missing tooth is the bonded bridge forareas of light function or the conventional bridge, both ofwhich can be fabricated of all-ceramic materials.Some cosmetic procedures are elective, but other times

the unsightly teeth are symptomatic of underlying dentaldisease. So a cosmetic proceduremay also be an investmentin your dental health and might even be covered by yourdental insurance.Teeth bleaching, composite bonding, porcelain veneers,

all-ceramic crowns, bridges and implants are all cosmeticprocedures, sometimes just different ways to solve aproblem. Talk to a highly trained cosmetic dentist andexplore what is the right solution for you!

Cosmetic Dentistry at any Age

byTerry S. Shapiro, D.M.D.

20 Old Post RoadEast Setauket, NY 11733

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ACROSS1. Stubble remover6. Western friend10. Sight14. Open-mouthed15. “... sting like __“16. Mrs. Charles17. Scouting mission18. Stocking flaws19. Coagulate20. Hindu retreats22. Sink24. Achieve26. Largest of the

Dodecanese27. Frog’s place29. Rob of “Melrose

Place”31. “Vive le __!”32. Fifty-fifty34. barkers38. What I love, in

song41. Beat in a gunfight43. Galileo, e.g.44. Intelligence

46. Actress Farrow47. “__ Kick out of

You”49. Tasmania’s

capital52. Young salmon55. Logging on

requirement57. Short drama59. Starts of tourneys62. One of Bart’s

sisters63. Mother of Zeus65. Mixture of metals66. Actor-songwriter

Novello67. Uncool type68. Actor Alain69. Watch over70. Slacken71. Outlet

DOWN2. A lot of time3. Father of John

the Baptist

4. Seaport on theDouro river

5. Soprano Scotto6. Zoroastrian7. __ Dhabi8. Cleave9. Camel country10. Contained11. Unbroken12. Inclined13. “Bullitt” director21. Won a game of

chess23. Treasure

container25. Maiden name

preceder27. Snare28. Pueblo Indian30. Convince with

smooth talk33. Outlet35. Bony-plated

beast36. Hideaway37. Quite a hit

39. storage area40. Divine

messenger42. Lead down the

aisle45. __ de Cologne48. Ageless, in poesy50. Mountain

nymphs51. Military quarters52. Vamoose

53. Still in the game54. Stonecutter56. Digging tool58. “Take __ Train”60. Othello, for one61. Congenial song

ending64. Conversational

stopgaps

Crossword

Puzzle solutionson pg. 8


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Non-SurgicalSKIN TIGHTENING

$399TO START

Non-SurgicalFLANK REDUCTION

$399TO START

Non-SurgicalCELLULITE REDUCTION

$399TO START

Non-SurgicalLASER HAIR REMOVAL

$99TO START

Non-SurgicalVEIN REMOVAL

$299TO START

Non-SurgicalFACE LIFT

$399TO START

Non-SurgicalNECK LIFT

$249TO START

Non-SurgicalWRINKLE REDUCTION

$199TO START

Non-SurgicalSKIN REJUVINATION

$99TO START

Non-SurgicalACNE/SCAR REMOVAL

$199TO START

Non-SurgicalEYELID LIFT

$299TO START

Non-SurgicalUNDER EYE TREATMENT

$299TO START

generations magazine spring 2010

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