may/june 2010 tomorrow · 2014. 2. 4. · sun-exposed part of the skin. much less often, melanoma...

Frequently Asked questions About Children And surgery. see pAge 8.

a healthy tomorrow

i n F o r m At i o n F o r A h e A lt h y l i F e st y l e to dAy

m Ay / J u n e 2 010

Celebrate Moms with a FREE

Love Notes Book. See page 3.

Prevent Skin Cancer■ FAmily And Aging

■ reCipe: Frozen rAspberry pops

■ improve your sleep

prevent skin CAnCer

2 | loma linda university medical center | www.lomalindahealth.org 1-877-558-6248

How can i Prevent Melanoma?using sunscreen can help prevent melanoma.

melanoma is a cancer that most often starts in a mole located in a sun-exposed part of the skin. much less often, melanoma can start in other organs or in other tissues, such as the inside of the mouth.

melanoma can be one of the most preventable types of cancer. the key action to take is to protect yourself from the sun. to do that, take these steps:■ stay out of the sun, especially between 10 a.m. and 4 p.m.■ use sunscreen with at least 15 sPF (sun protection factor).■ apply sunscreen 15 to 30 minutes before going in the sun.■ reapply sunscreen every two hours or more often if you’re in water.■ Wear clothing that protects you from the sun.■ Wear sunglasses that have uv-absorbing lenses and protect the skin around and between the eyes.■ avoid tanning beds and sunlamps.■ Know your skin and what your moles normally look like. Get yourself checked regularly by a doctor.

But even if you can’t avoid melanoma, you can take steps to try to catch it in the earlier stages, when it is easier to treat. that’s why it’s important to know how to recognize the signs and symptoms of melanoma.

Call 1-877-LLUMC-4U today and receive a free sunscreen provided by Loma Linda University Cancer Center.

self-exams help

Foil skin Cancer

Cases of melanoma, the most serious type of skin cancer, have been on the rise. but a work-based program in California cut its employees’ odds for high-risk skin cancer by 69 percent. self-examination was a hallmark of the program. to conduct your own skin self-exam, follow these tips from the national Cancer institute:■use a full-length and a handheld mirror to check your skin.■Check all parts of your body. don’t forget your feet, scalp, and fingernails.■look for new moles that look abnormal and moles that have changed in size, shape, color, or texture. Also, watch for sores that don’t heal.■report any findings to your doctor.

Frozen Raspberry Yogurt Pops 1½ cups fresh raspberries(1 6-oz. container) 1 cup fat-free light vanilla yogurt

mash berries in a small bowl. stir in yogurt. divide into four pops and refrigerate. Paper cups work fine. Freeze at least two hours. serve with a smile.

Makes four pops. Each contains about 52 calories, <1 g fat (0 g saturated fat, trans fat, and cholesterol), 25 mg sodium, 11 g carbohydrate, 3 g dietary fiber, 6 g sugars, and 2 g protein.

1-877-558-6248 www.lomalindahealth.org | loma linda university medical center | 3

By Subhas Gupta, md,

cm, Phd, Frcsc, Facs

chief of surgical services

chairman, Professor

and residency director

the department of Plastic

surgery, loma linda university medical center

Finally, that knowledge has some value as it may give vital clues and

help us battle what used to be the inevitability of aging with new advanced techniques.

a recent study by the Plastic surgery research team from loma linda university medical center found that mothers and daughters who have similar facial appearances age in similar patterns.

the Plastic surgery team used 3-dimensional cameras and computer modeling to examine the faces of 40 mother-daughter pairs and found that

everyone says you look Just Like Your Mom …

heAlthy Aging

Celebrate Your MotherReceive a free book, Love Notes. Book quantities are limited to the first 100 callers. Call 1-877-LLUMC-4U today!

the signs of aging, particularly volume loss in the lower eyelid, are nearly identical for both moms and daughters. in short, lookalike mothers and daughters may not just have the same features, but also share the way their skin sags as it ages.

so, how could this information be helpful to you?

the similarities could help guide a surgeon in enhancing the features of a patient, including pinpointing the areas where restoring volume by injecting fillers—such as Juvederm or restylane—may be most beneficial.

this information is particularly helpful for women who are between their mid-30s and 50, when minimally invasive techniques are ideal for maintaining a youthful look.

Women could also help keep their youthful appearance naturally by eating healthy, protecting themselves from the sun, and not smoking.

The research team is continuing to enroll mother-daughter pairs, and may be reached by calling 1-877-LLUMC-4U or via e-mail at infoLLUPlasticSurgery.com.

the plastic surgery research team at loma linda university medical Center has determined that mothers and daughters who share similar facial features age in the same way. the graphic above shows one of the 40 mother-daughter pairs whose pictures were taken with 3-dimensional cameras and computer modeling to help with the study.

high levels of

multivitamins

up the risk for

serious prostate

Cancer

many adults take a multivitamin for its potential health benefits. but too much of a good thing can be bad. nearly 300,000 men ages 50 to 71 were asked about their multivitamin use over the past year. they were then followed for five years. those who took the vitamins more than seven times per week had a higher risk for more serious prostate cancer. risk was even higher among those with a family history of prostate cancer. but there was no link between the vitamins and early prostate cancer.

do the men in your life think much about their prostate

health? they should. about one in six men will be diagnosed with prostate cancer during his lifetime. older men are especially at risk. But in its early stages—when cancer is most treatable—prostate cancer often doesn’t cause any symptoms. Fortunately, most men who are diagnosed don’t die from the disease. this Father’s day, encourage your loved ones to get screened.

Screening Optionsstarting at age 50, men should discuss the advantages and limitations of prostate cancer screening with their doctors. african-americans and men with family histories of prostate cancer should begin talking with their doctors at age 45. Whether a man could benefit from screening will depend on his family history, age, personal preference, and other factors.

if he decides to be screened, he will have two tests every year:■Prostate-specific antigen (PSA) blood test: Psa is a substance made by the prostate. a higher than normal level of Psa in the blood means an increased chance of prostate cancer.


encourage the men in your life to Get Screened

men’s heAlth

■Digital rectal exam (DRE): a doctor feels for cancer on the prostate. a hard or bumpy patch may be cancerous. even if Psa levels are normal, a dre may be able to find cancer.

Risk Factorsthough researchers are still uncertain about what causes prostate cancer, they do know that some men are at a higher risk for getting the disease than others.

Here are three unavoidable risks:■Age: the risk for prostate cancer increases with age. more than 64 percent of all diagnosed prostate cancers are found in men ages 65 and older.■Family history: the risk for prostate cancer doubles if a man has a father or a brother with the disease.■Race: african-american men are at greater risk for prostate cancer compared to men from other racial/ethnic groups.

Call 1-877-LLUMC-4U to receive a prostate cancer risk assessment booklet or to find out if our free prostate cancer screening is right for you.

Green Leafy Vegetables Protect Against Colon Cancermen who ate the most green leafy vegetables enjoyed a lower risk of developing colorectal cancer. don’t confine those nutritional powerhouses to salads. good cooking greens include kale, collard greens, mustard greens, swiss chard, and broccoli rabe. try steaming or microwaving, then sautéing, before adding them to soups, stews, or casseroles.American Journal of Epidemiology, vol. 166, no. 2.


news you CAn use

Hernias occur when the stomach, intestines, or other organs in

your abdomen poke through a tear or weak spot in the muscle. a hernia might feel like a lump in your groin or belly. the bulge often hurts or gets bigger when you cough, lift something heavy, or strain to go to the bathroom.

some people are born with hernias. others develop them because they are overweight, lift heavy objects, have chronic coughs or constipation, or play sports involving fast twists and turns such as hockey and tennis. your organs can also push through a scar if you’ve had surgery on your abdomen.

Identifying a Herniathe different types of hernias occur in different areas of the body:■Groin hernias are more commonin men.■Women are more likely to have femoral hernias. these occur on the upper thigh.■Babies often have umbilical hernias. these form when the muscles around the belly button don’t join properly.

that lump Might Be a Hernia■Hiatal hernias can cause heartburn or acid reflux disease. they develop when the stomach bulges upward through a wall of muscle into the chest.

Treatment Stops the Paintalk with your doctor if you think you have a hernia. some hernias, including groin hernias in men, don’t need to be treated until they begin causing pain.

surgery is often needed to relieve symptoms. it also prevents what is called a strangulated hernia. this rare but serious complication occurs when the misplaced organ loses its blood supply and dies.

your surgeon will move the organs back to the right spot. then he or she may sew a piece of mesh or a tissue graft into the muscle. most hernia operations are successful. Few people get another hernia later.

Call 1-877-LLUMC-4U to make an appointment with a primary care doctor for a checkup.


FoCus on sleep

research has shown that not getting enough sleep can have a negative

effect on your health. lack of sleep may lead to weight gain over time, and it may be a factor in developing high blood pressure. Poor sleep can also impair thinking, reaction time, and mood. so take care of your body and mind by getting sound slumber. needs vary, but most people require between seven and eight hours every night.

Here are some tips for getting the rest you need:■Establish a regular sleep schedule. Go to bed at the same time every night and get up at the same time every morning. resist the urge to stay up late or sleep late some days. if you can, choose not to work night shifts and avoid making changes to your work schedule.■ Develop a relaxing pre-sleep routine. take a warm bath, which can help make you feel tired. listen to calming music. read a book. do something that helps you unwind.■Observe some basic “don’ts.” don’t take naps after 3 p.m.; exercise within five or six hours of bedtime; or eat

large meals or drink a lot of liquids, use caffeine or nicotine, or drink alcohol. each of these may keep you from falling asleep or sleeping well.■Create a restful environment. make your bed comfortable. Keep the temperature low in your bedroom at night. Block out disturbing light or noises. set up your tv and computer in a different part of the house so that they don’t distract you from sleeping. if pets disrupt your sleep, keep them out of the room.■If you can’t sleep, get up. don’t lie in bed for more than 20 minutes trying to fall asleep. instead, get up and do something relaxing. once you feel as though you might be able to sleep, head back to bed.

if you have trouble sleeping or don’t feel rested after sleep despite trying these steps, talk with your doctor. He or she may recommend medication or natural remedies. therapy techniques, such as relaxation training and learning to replace sleep-related worries with more positive thoughts, may also help.

simple steps to Improve Your Sleepphysical Activity

Can help you

sleep better,

live longer

many people with heart disease have difficulty sleeping. what’s worse, not getting enough rest can actually increase heart problems. Fortunately, research has shown that exercise does more than boost heart health—it can even help you sleep better. in one study, heart failure and chest pain patients who engaged in regular moderate or vigorous exercise slept better than lower-activity groups.

less than two-thirds of American adults meet exercise recommendations, according to the Centers for disease Control and prevention. Among other things, regular physical activity can:■decrease your risk for health problems like stroke, diabetes, certain cancers, and depression■regulate your weight■improve your mobility■boost your bone strength■ Control your blood pressure■ increase your life span

warm weather naturally leads people outdoors, so spring is the perfect time to get active. if you have a green thumb, head out to the garden. gardening counts as exercise. but be sure to take precautions. if you are not careful, gardening can lead to heat-related illness and injuries.

Call 1-877-LLUMC-4U to schedule a consult with a sleep specialist.

Head Injury & Trauma Spinal

Support Group (HITSS)

Fourth Monday of each month,

6 to 7:30 p.m.

All survivors and family members welcome. Call for details.

Adult Heart Transplant

Support Group

Third Sunday of each month,

2 to 4 p.m.

An informal group for anyone who has had or may need a heart transplant. Family and friends are welcome. Call for details.

Hopeful Hearts of Loma Linda

Third Wednesday of each month,

5 to 6 p.m.

Open forum of support and discussion for families with children with congenital heart defects. Call for details.

Lupus and Rheumatic

Support Group

Third Thursday of each month

Call for details and to register.

Mended Hearts

Fourth Friday of each month,

11 a.m. to 1 p.m.

For all heart patients and their families. Call for more details.

Breastfeeding Support Group

Call for details.

“Hopeful Journey: walking

the path of loss and hope”

First and third Mondays of each month,

9:30 to 10:30 a.m.

The focus is on remaining healthy

classes & programs


mAy/June 2010

If you do not see a class or event you are looking for, or for more detailed information, call 1-877-LLUMC-4U.

and hopeful for the current pregnancy while still honoring the memory of the baby who died. Call for more details.

Always in My Heart

Second Monday of each month,

7 to 8:30 p.m., fourth Tuesday of

each month, 9:30 to 11 a.m.

A bereavement class for parents who have lost a baby. Call for location, details, and registration.

Classes/Programs Perinatal Institute

Total Care Birth Center

•Preparing for Childbirth•Newborn Care•Sibling Preparation• Breastfeeding Basics•Health and Fitness in Pregnancy• Infant/Child CPR • It’s Time to Eat•Baby Is Home•Baby Bonding Yoga•The Art of Infant Massage•Moms Joining MomsCall for details and to register.

Winning with Diabetes

Morning and evening classes; series of five sessions on types, causes, and self-management. Spanish classes offered every other month. Please call to register.

Free Metabolic and Bariatric

Surgery Program Seminar

Monthly, 6 to 7 p.m.

Call for details and to register.

Center for Health Promotion

•Orientation•Executive Health• International Travel Clinic•Lean Choices•OptifastCall for details.

Prenatal Class

Second Monday of each month,

5:30 to 7 p.m.

English and Spanish classesProviding information for a safe and healthy pregnancy.

Cardiac and Pulmonary

Rehabilitation

Ongoing

7:30 a.m. to 4:30 p.m.

For those with chest pain, heart attack, bypass surgery, or lung disease. Call to register.

Special Events Children’s Day

May 19, 8:30 a.m. to 2 p.m.

Free children’s health fair. Call for details and to register groups of 10 or more.

7+1: Health for Body, Mind &

Soul — Eight Steps for Total

Well-Being

July 14 through 21, 8 a.m. to 5 p.m.

Find out how you can improve and maintain your health, reduce your risks for lifestyle related diseases, reverse disease processes, and much more. Call for more information and to register.

Blood Drives

The Bloodmobile is here most Mondays; please call for times. Sign up in the Children’s Hospital. You can also check Loma Linda times at www.lstream.org.

Support Groups Diabetes Support GroupFirst Tuesday of each month,

6:15 to 7:30 p.m.

Diabetes experts provide educational and resource information each month. No registration; no fee.

Women’s Cancer

Support Group

Tuesdays, 6 to 8 p.m.

This group is for any woman with a diagnosis of cancer. Spouse and family members are welcome. Call for details.

National Nurses Week Is May 6 Through 12Loma Linda University Medical Center and its affiliates are proud to recognize nurses everywhere during National Nurses Week. We salute the commitment of all nurses within our hospitals and nationwide.

For information on available nursing positions at Loma Linda University Medical Center, log on to our Web site at www.lomalindahealth.org and click on “Jobs.”

Don Moores, M.D. has been

chief of the division of

Pediatric surgery and medical

director of Pediatric trauma at

loma linda university

children’s Hospital since 1999.

He is board certified in general surgery, pediatric

surgery, and surgical critical care.

nonprofit org.u.s. Postage

PAIDloma linda university

medical center

Loma Linda University Medical Center11234 anderson st.loma linda, ca 92354-2804

Postmaster: Please deliver between april 19 and 23.

A Healthy Tomorrow is published by loma linda university medical center to provide general health information. it is not intended to provide personal medical advice, which should be obtained directly from a physician. © 2010. all rights reserved. Printed in the u.s.a.

Ruthita J. Fike ceo/administrator

Tammy Veachexecutive director of marketing

Jemellee Ambroseeditor-in-chief

Shelly Mooremanaging editor

Printed on recyclable Paper 964m

a healthy tomorrow

Q & A with a Pediatric surgeon

1. What does a pediatric surgeon do? Pediatric surgeons operate exclusively on children, from newborn infants to teenagers. after being fully trained as general surgeons, pediatric surgeons undergo an additional two years of

specialty training in the unique issues and special considerations involved in caring for children. Pediatric surgeons take care of everything from common problems, such as appendicitis and hernias, to complex cancer surgery, lung surgery, pediatric gynecologic surgery, and trauma care. Pediatric surgeons routinely perform minimally invasive surgery, even in babies and small children.

2. My pediatrician says my child needs an operation. Does it matter where that operation is done? along with specially trained pediatric anesthesiologists, pediatric surgeons working in a children’s hospital can provide the safest and most effective care available, whether your child needs a relatively simple outpatient operation or a complex reconstructive procedure. in addition, that care can be provided in a child-friendly environment with staff who recognize age-specific developmental issues and focus on postoperative pain control.

3. What sort of patient really needs a pediatric surgeon? Pediatric surgeons have special expertise in caring for newborn babies with birth defects involving the intestinal tract or abdominal wall, as well as premature babies with surgical problems. However, pediatric surgeons are prepared to care for children of any age who have general surgical issues.

If your child needs surgery, please ask your pediatrician to refer you to a pediatric surgeon so your child can receive the specialized care he or she needs.

Call 1-877-LLUMC-4U for your free yo-yo sponsored by our Loma Linda University Children’s Hospital Division of Pediatric Surgery (quantities are limited).

may/june 2010 tomorrow · 2014. 2. 4. · sun-exposed part of the skin. much less often, melanoma...

Documents