a healthy tomorrow

ja n / f e b 2 013

Surgery May Help THoSe wiTH DiabeTeS. See page 8.

Learn the Ropes to Hit the Slopes ■ Eating DisorDErs ■ Living with CanCEr

■ CLassEs anD Programs

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

free 2013 Health and wellness

Calendar See page 2 for details.

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Call today and receive Your FrEE Copy of the 2013 health and wellness Calendar! This calendar will keep you informed about special dates, events, and advice for your healthy lifestyle. Call 1-877-LLUmC-4U to receive your copy.

i can’t believe another year has passed! now that the holidays are over i look forward to getting back into a routine and recommitting to not only my personal health and wellness but my families as well. With so many everyday pressures it is hard to find time to be proactive about our health but we can do it by encouraging each other, sharing information, and

making small changes that will lead to big health benefits. in this issue of A Healthy Tomorrow, you will find a few articles that show some simple quick tips to help keep you on a healthy track. look to page 2 to find how 22 minutes a day can help improve your heart health. also on page 2 make sure you call and request our health and wellness calendar that will help you keep track of upcoming appointments, events, and health screenings. of course, it’s all about balance. all work and no play can take a toll on your physical and emotional health. look to page 4 to learn how to have fun and stay safe on the ski slopes this year. Keeping yourself and your family healthy certainly takes work. Here at loma linda university medical Center (llumC), we have been hard at work to keep up the quality health care that you have come to expect from us. last summer, llumC was given the highest ranking in riverside and san Bernardino counties by the U.S. News & World Report for its Best Hospitals list. recognition was received in 11 specialities, up from seven in 2011. Cancer; cardiology and heart surgery; diabetes and endocrinology; ear, nose and throat; gastroenterology; gynecology; nephrology; orthopedics; pulmonology; urology and geriatrics were all named high performing. Hospitals that are ranked as “high performers” are considered to be the best place to get first-rate care especially when a patient’s condition is serious or needs demanding procedures. i am proud of the hard working men and women here at llumC who are the reason for this great distinction. thank you for your continued support of this newsletter. We believe that the first step in living a healthy and full life is to have the right information to help you make smart choices. We wish you and your family a happy and healthy 2013.

ruthita J. Fike, maCeo/administrator to e-mail us a question, topic, or story idea, write to healthytomorrow@llu.edu.

researchers found that people who spent two-and-a-half hours a week in moderate activity reduced their risk for heart disease by 14 percent. That’s just 22 minutes per day.

not sure what qualifies as moderate or vigorous exercise? use our guide below to pick an activity you enjoy.

moderate Physical activities ■ leisure activities: brisk walking, roller skating, canoeing ■ Sports and games: golfing, badminton, downhill skiing, frisbee ■ around the house: pushing a power mower, gardening, washing a car

vigorous Physical activities ■ leisure activities: running or jogging, fast cycling, jumping rope ■ Sports and games: Singles tennis, soccer, basketball ■ around the house: pushing a hand mower, carrying heavy items up a flight of stairs

Get the motivation you need to move with a FrEE stopwatch! Call 1-877-LLUmC-4U to enter the drawing.

Do You have 22 minutes a Day for heart health?

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understanding Eating Disordersmost americans understand that

being overweight is a serious health risk that may require some changes in what and how much they eat in order to peel off some pounds. at first glance, people with eating disorders who lose significant amounts of weight may appear to have similar concerns. But, in fact, their reasons for losing weight and the methods they employ are vastly different. in most cases, people with eating disorders lose weight, not to improve their health, but almost as a side effect of using the control of food to compensate for feelings and emotions they find overwhelming. they also have an obsessive drive to be thin, in most cases, and as a result develop abnormal eating habits that threaten their well-being. even though restrictive dieting can trigger eating disorders, they arise from a combination of behavioral, emotional, psychological, interpersonal, and social factors that are generally perceived to be beyond a person’s control. the following answers to common questions about eating disorders can help you understand and seek help for these complex conditions.

Q: what are the most common eating disorders?a: Anorexia nervosa. People with anorexia nervosa severely restrict calories to the point of starvation. they are obsessed with being thin, have intense fear of fat and food, and have an unhealthy distorted body image. they may refuse to eat at all or only eat tiny amounts of food that has few calories. individuals suffering from anorexia nervosa are under weight and experience high amounts of body distortions; i.e., seeing fat in areas where no fat exists.■ Bulimia nervosa. individuals suffering from bulimia nervosa binge on huge quantities of food, then engage in

behaviors to compensate for calorie intake; i.e., vomiting, laxative use, excessive exercising. individuals suffering from bulimia nervosa continue this cycle of binging and purging and may also diet excessively in between binges. individuals suffering from bulimia nervosa aren’t necessarily extremely thin and may often seem to be of normal weight.■ Binge-eating disorder. individuals suffering from binge-eating disorder consume excessive amounts of food while feeling a lack of control and disregarding feelings of fullness. Binge eaters may feel guilty or ashamed after a binge and go on an extreme diet as a result. Binge eaters may be of normal weight, overweight, or obese. although historically eating disorders have been a female dominated group of disorders, research is showing more and more reported instances of men suffering from eating disorders.

Q: what causes eating disorders?a: they have multiple causes, including having family members with the disorders, perfectionist parents who demand high academic and social achievement, intense peer pressure to be thin, and a distorted body image. eating disorders also often have a trigger, such as sexual abuse, rape, being teased about body image, or participation in gymnastics or other sports that demand a low weight or certain body type. the disorders also tend to kick in during times of intense developmental change, such as puberty, leaving home for school, or having a baby. Whether it’s heading off to college or getting married, change can be emotionally unsettling, causing people who are susceptible to eating disorders to latch on to something they can control, such as what and how much they eat.

in addition, cultural pressures in the media that idolize celebrities for being thin contribute to women’s internalization of unrealistic body images.

Q: who needs help?a: anyone suffering with an eating disorder would benefit from a professional multi-disciplinary team. eating disorders rarely go away on their own, and leaving them untreated can have serious consequences. successful treatment requires a team approach with a psychotherapist for individual and group counseling, a dietitian to help the person reinstate a healthy diet, and medical supervision to monitor vital signs and prescribe medication, as needed. if you’re experiencing any of these problems, or if you think you could have an eating disorder, seek help. the sooner these disorders are diagnosed, the easier they are to treat.

Loma Linda University Behavioral Medicine Center’s Eating Disorder Program is the only Joint Commission certified program in San Bernardino County. If you or someone you know are experiencing symptoms of an eating disorder please call 1-877-LLUmC-4U.

SporTS SafeTy

learn the ropes to Hit the Slopes

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skiing and snowboarding are great ways to have fun and stay in shape. still, injuries send thousands of people a

year from the slopes to doctor’s offices and emergency rooms. these suggestions can help reduce your risk for injury. Get ReadyPreparing your body and equipment for the rigors of snow sports is a must:■ Get in good physical condition before you hit the slopes. you’ll increase your enjoyment and decrease your odds of getting hurt.■ Buy or rent gear that’s right for your weight, height, and ability. Have your bindings set, adjusted, maintained, and tested by a shop that follows the guidelines of the american society of testing and materials.■ Purchase outer clothing that resists water and wind. Choose warm base layers to wear under protective outer layers. Be sure to add a hat or headband, as well as gloves or mittens.■ Wear quality eye protection, such as goggles designed for snow sports (with good uv protection).■ don’t forget to wear sunscreen. We often underestimate the strength of the winter sun.■ Buy a helmet specifically designed for skiing and snowboarding. to get the proper fit, ask an experienced store employee to help you pick the best helmet for your head

shape. Helmets can reduce head injuries by 30 to 50 percent and make the difference between a major or minor injury. On the SlopesPaying attention and staying in control are the keys to a safe day on the slopes. you should also:■ Check your bindings each day before clicking into your gear■ Put your helmet on and buckle the chin strap. remember, helmets are more likely to protect you at slower speeds.■ take a warm-up run. that can prepare you mentally and physically for the challenges ahead.■ mind your fluids. drink plenty of water to avoid dehydration. don’t drink alcohol or take drugs.■ avoid deep snow and tree wells. the best way to do so is to stay on groomed trails. if you ski or board in deep powder, make sure you’re with a partner who at all times remains in sight and close enough to dig you out if you fall in deep snow.■ respect your limits. most injuries happen at the end of the day, when skiers and boarders are fatigued. Remember: skiing and snowboarding in control are more fun and safer for everyone.

For more information on orthopedic surgery, please call 1-877-LLUmC-4U.

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Lemon-Walnut Green Beans

8 cups small green beanscooking spray2 cups sliced green onions1/3 cup chopped walnuts1½ tbsp. chopped fresh or ¾ tbsp.

crushed dried rosemary5 tbsp. fresh lemon juice1½ tbsp. grated lemon rind 1. arrange green beans in a steamer

basket over boiling water. Cover and steam eight to 12 minutes or until crisp-tender.

2. Plunge beans into cold water to stop the cooking process; drain.

3. spray a sauté pan with cooking spray. over medium-high heat, add green onions and sauté until tender.

4. add green beans, walnuts, rosemary, and lemon juice; cook, stirring constantly, until thoroughly heated. sprinkle with lemon rind.

Yield: eight servings, about 1 cup per personeAcH SeRviNg pRovideS: 80 calories, 4 g total fat, 0 g saturated fat, 0 mg cholesterol, 10 mg sodium, 11 g total carbohydrate, 5 g dietary fiber, 3 g sugar, and 3 g protein

Call today for a FrEE kids backpack full of fun toys and prizes from the Department of pediatrics. while supplies last. 1-877-LLUmC-4U.

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Fighting cancer can be rough on your body. But there are ways to

combat treatment side effects, such as nausea and hair loss. Cancer treatments can be lifesavers. But there’s often a price to pay, as these therapies can cause side effects. the following are ways to ease four common treatment-related symptoms.

foCuS on CanCer

Living with Cancer: taking the edge off treatments

For more tips, talk with your doctor.

Coping with Hair LossChemotherapy can trigger temporary hair loss, from thinning to baldness. some cancer patients find this side effect the most unpleasant one of all. you may be able to minimize hair loss by using a mild shampoo, a soft

hairbrush, and low heat on your hair dryer. the national Cancer institute suggests going with a shorter hairstyle, which can make hair look fuller. or you may want to cover your head with a scarf, wig, or hairpiece. Easing nauseato prevent and treat nausea and vomiting, ask your doctor about prescription antiemetic medications, such as ondansetron. also, be kind to your upset stomach by eating bland foods, such as toast, boiled potatoes, and canned peaches. Reducing Fatigueto combat therapy-related fatigue, the national Cancer institute offers the following suggestions:■ Go for a short walk. exercise can make you feel less tired.■ ask for help with tasks that are too tiring.■ limit naps to one hour so that you can sleep well at night. Preventing infectionsmany anticancer drugs make it harder for your immune system to fight off infections. But you can help stave off infections with a few smart steps:■ Wash your hands frequently.■ Politely refrain from visiting with family and friends who have colds, the flu, or other infectious illnesses.■ Quickly clean cuts and scrapes with soap, warm water, and an antiseptic.

For information on the comprehensive approach to care at the Loma Linda University Cancer Center, call 1-800-78-CanCEr.

stroke support group Fourth Wednesday of each month, 3 to 4:30 p.m. Stroke survivors, their families, and caregivers receive information on a variety of topics. Patients can share ways of dealing with challenges. women's Cancer support group Tuesdays, 6 to 8 p.m. Educational and supportive group for women with cancer. All ages and all cancer types/diagnosis are welcome.

Classes/Programs Birth and Beyond Education Classes• Preparing for Childbirth• Moms Joining Moms• Family Yoga• Mothers’ Breastfeeding Circle• It’s Time to Eat Call for details and to register. Cancer Cooking Classes Cancer wellness series Informational and educational meetings designed to assist patients, caregivers, and family members during cancer treatment. Cardiac rehab, Pulmonary rehab and smoking Cessation Program Covered by most insurances. Call for more information. Dental implant study Qualified individuals receive fee reductions. Call for more information. Drayson Center wellness Clinic, the Full Plate DietLose weight with the healthiest diet on the planet! Call for more information and to register.

classes & programs jan/FEB 2013

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

FrEE metabolic and Bariatric surgery Program weight Loss seminarThursdays, 6 to 7 p.m. Call for details and to register. headache ClinicDepartment of neurologyTreatment of headaches, including migraines, oral and facial pain, and much more. irritable Bowel syndrome Clinical trialLoma Linda University Department of Gastroenterology is conducting a clinical research study to find an effective treatment for diarrhea predominant irritable bowel syndrome. Lupus research studyLoma Linda University is conducting a clinical research study for lupus patients with fatigue. nutrition talk Cancer CenterSecond Thursday of each month, 10 a.m. and 5 p.m.Provides information for cancer patients and interested parties on the role of nutrition in risk reduction, healthy foods, managing weight, and other aspects. Prenatal ClassSecond Monday of each month,5:30 to 7 p.m.English and Spanish classesproviding information for a safe and healthy pregnancy. sickle Cell Education series adult group meetingSecond Thursday of each month6:30 to 8:30 p.m. the Power of Choice for health, well-being, and Longevity8 a.m. to 5 p.m.Learn how choices play a role in health.

walnuts and healthy aging study Open to men and women ages 65 to 75 years old. Call for more details.

winning with DiabetesA series of five sessions on types, causes, and self-management. Morning, afternoon, and evening classes are offered. Spanish classes available.

Behavioral Medicine Center Programs Balance Program A group program designed to address the issues of depression and anxiety along with overeating. Care Partner support groupEvery Monday (except holidays) 3:30 to 5 p.m. Compassionate, dignified, and supportive environment for individuals who provide caregiving to loved ones with dementia. Chronic Pain and medication Dependency Program A specialized program to address the unique needs of a chronic pain patient by addressing all aspects of the individual’s mind, body, and spirit so the individual can reclaim their life through hope, healing, and serenity.

Center for Health Promotion Comprehensive wellness Evaluations By appointment only. An in-depth evaluation of your health and wellness is provided followed by targeted interventions. weight orientationTuesdays, 3:30 to 4:30 p.m.Call for dates.

Support Groups always in my heartSecond Monday of each month, 7 to 8:30 p.m.Fourth Tuesday of each month, 9:30 to 11 a.m. A bereavement group for parents who have lost a baby. Diabetes support group First Tuesday of each month, 6:15 to 7:30 p.m.Diabetes experts provide educational and resource information each month. Divorce recovery group Wednesdays, 7 to 9:30 p.m. Supporting separated and divorced people in moving from brokenness to wholeness. Please call to register. head injury and trauma spinal support group Fourth Monday of each month, 6 to 7:30 p.m.Survivors or family members welcome; call for more details. heart transplant adult support group Third Sunday of each month, 2 to 4 p.m.Excellent exchange of current and future information for pre-transplant, post-transplant, and assist device patients and their family.

hopeful journeyPlease call for time and location. A support group for women who are pregnant following the death of a baby. The group focuses on dealing with fears and anxieties while moving forward in hope.

Lupus and rheumatic support groupThird Thursday of each month, 5 to 6 p.m.Education and support. mended heartsFourth Friday of each month, 3 to 4:30 p.m.For all heart patients and their families. Call for more details. www.facebook.com/llumc | 1-877-558-6248 www.lomalindahealth.org | loma linda university HealtH | 7

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Postmaster: Please deliver between december 17 and 21.

A Healthy Tomorrow is published by loma linda university Health system to provide general health information. it is not intended to provide personal medical advice, which should be obtained directly from a physician. © 2012. all rights reserved. Printed in the u.s.a.

Ruthita J. Fike Ceo/administrator

Tammy Veachexecutive director of marketing

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a healthy tomorrow

surgery may improve Diabetesresearchers reviewed the outcomes of

more than 8,000 obese people with type 2 diabetes who underwent bariatric surgery. they found that nearly 87 percent experienced major improvements in diabetes control after surgery. in fact:■ the majority of participants no longer required diabetes medication. they had normal blood sugar levels without it.■ others needed lower diabetes medication dosages or had more normal blood sugar levels■ these results were still true for most people two years after surgery Effectiveness Differs with Surgery typethe findings show that some types of bariatric surgery are more effective at reducing diabetes than others. For example:■ Biliopancreatic diversion/duodenal switch eliminated diabetes symptoms in as many as 95 percent of patients. this procedure involves removing the lower stomach and bypassing the upper small intestine.■ Gastric bypass and gastroplasty resolved diabetes symptoms in about 80 percent of patients. Both procedures make the stomach smaller by stapling off a small pouch for holding food. Gastroplasty also uses a band to delay food from leaving the pouch and increase feelings of fullness.

■ laparoscopic gastric banding resolved symptoms in 57 percent of patients. Gastric banding involves placing a band around the upper stomach, creating a small pouch to store food. the types of bariatric surgery that were most effective at improving diabetes symptoms were also most effective at helping patients lose weight. overall, participants lost 64 percent of excess weight with surgery. However, other published studies indicate that the surgery itself—not just the weight loss—may be a key to diabetes treatment. that’s because diabetes symptoms can disappear within days after having bariatric surgery, before the patient has lost significant weight. While this link is encouraging, more research is needed before any scientific conclusions can be made. Surgery not ‘Cure-All’ for Diabetesthe study’s authors note that more focused research must be done to understand the connection between diabetes and bariatric surgery. their study was based on data from more than 600 existing studies that reported results in different ways and had follow-up results for fewer than half of participants. Keep in mind, not everyone is a candidate for bariatric surgery or for each surgery type. there are a number of factors to consider besides how

surgery might impact your diabetes. talk with your doctor to learn more about:■ Whether you’re a candidate for bariatric surgery■ the approach that’s right for you■ Benefits and potential risks and side effects of the surgery

To attend a FrEE weight-loss surgery seminar or for more information on the Metabolic and Bariatrics Surgery program at Loma Linda University Heart and Surgical Hospital, call 1-877-558-5877.