a healthy
tomorrow
In f o r m at i o n f o r a H e a lt h y L i f e s t y l e T o d ay
Life After a
Stroke
■Living with
a Congenital
Heart Defect
■Recipe:
Vinaigrette
Salad Dressing
FREE 2011
Health and
Wellness
Calendar
See page 2 for
details.
Keep Nails Healthy. See page 4.
j a n / f e b 2 011
co m m un i t y care
As 2011 approaches, we look
forward to a new year filled with
the promise of good health and
good living. With our new
hospital in Murrieta set to open
around March of next year, we are
eager to provide the kind of health
care that Loma Linda is known
for, directly to the communities of
Murrieta and surrounding cities.
We are proud to announce
that Loma Linda University
Medical Center has been named
as the most preferred hospital in
the Riverside and San Bernardino
ration
area for the 15th year in a row. The National Research Corpo
this
(NRC), through their Consumer Choice Award, awarded
have
distinction. It identifies hospitals which health care consumers
ts
marke
300
over
in
chosen as having the highest quality and image
throughout the U.S. The study is the nation’s largest and most
al
comprehensive of its kind. No other study used to measure hospit
than
ses
respon
performance and preferences contains more consumer
rdino
NRC ’s. We are very proud of this honor and thank the San Berna
rt.
and Riverside communities for their suppo
In this first issue of 2011, look for a range of health topics from
(back
congenital heart defects (pg. 3), healthier eyes (pg. 5), and stroke
g nails
keepin
about
talk
page) to our Health & Beauty section where we
healthy and the basics of the HPV vaccine.
Thank you for continuing to welcome us into your home by
supporting this newsletter. A Healthy Tomorrow is written and
se to
published with you and your family’s need in mind. We promi
and
you
keep
to
ation
inform
continue to provide you helpful tips and
d.
beyon
your loved ones healthy and happy this coming year and
Self-Care
To-Do List
■ Re-evaluate your New Year’s
resolutions. Come up with
one or two sensible, achievable
goals for the rest of the year.
■ Help the environment.
Buy products with minimal
packaging; recycle cans,
bottles, and paper.
■ Keep your refrigerator
stocked with healthy, readyto-eat snacks such as washed
grapes, sliced carrots, nonfat
yogurt, and applesauce.
■ Add your items here:
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
Ruthita Fike
CEO/Administrator
To e-mail us a question, topic, or story idea, write to
[email protected].
Don’t let the year pass you by! Call today and receive your free copy of the 2011 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.
2|
loma linda university medical center
| www.lomalindahealth.org 1-877-558-6248 | www.facebook.com/llumc
new s you c an u s e
What Can
Cause Fatigue
and How to
Combat It
Living with a Congenital
Heart Defect
C
ongenital heart defects (CHDs)
occur when the heart or blood
vessels near the heart do not develop
normally before birth. This condition
occurs in about nine of every 1,000
infants. More than 1 million adults in
the U.S. have CHD. With advances
in the diagnosis and treatment of
CHD, many young people with CHD
are now living well into adulthood.
Adult CHD
A new subspecialty within cardiology
is emerging as the number of adults
with CHD grows. If you’re an adult
and have CHD, it’s very important to
transition to the appropriate type of
cardiac care in order to maintain your
best possible health. While adults with
simple CHD can receive care from an
adult cardiologist, those with more
complex CHD require more complex
care. These individuals should be
followed by physicians who understand
and are experienced in the treatment of
CHD at a center that specializes in
adult CHD.
Planning Ahead
For adults with CHD, guidance is
necessary for planning key life issues.
These include things such as college,
employment, insurance, activity, lifestyle,
family planning, pregnancy, chronic care,
and disability. It’s crucial to be wellinformed about your specific congenital
heart condition. Talk with your doctor
about expectations for your long-term
outcome and potential complications and
risks. This is an important part of the
successful transition from pediatric care
to adult CHD care. Parents should pass
on the responsibility for this knowledge
and accountability for ongoing care to
their young adult children. This will help
ensure a successful transition to adult
specialty care.
Tired? You’re not alone.
Fatigue is a common
complaint. What can you
do to fight fatigue? First,
make sure you’re getting
enough sleep. Here are
more helpful tips:
■ Eat a variety of healthy
foods and don’t skip meals.
To boost energy and
concentration, eat a
breakfast containing protein
and lots of carbohydrates.
■ Let yourself rest, and say
“no” more often if you’re
overburdened.
■ Exercise moderately for
20 to 30 minutes a day.
■ Plan fun activities—
boredom can cause fatigue.
When should you be
concerned about fatigue?
If it’s unusually heavy, lasts
for more than a few weeks,
or if it’s constant and
interferes with your life, see
your doctor.
Loma Linda University International
Heart Institute offers an Adult
Congenital Heart Disease Clinic. For
more information or for a physician
referral, please call 1-877-LLUMC-4U
(558-6248).
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|3
h e a lt h a n d beauty
What Parents
Should Know
About the HPV
Vaccine
Nearly half a million women in
the world are diagnosed with
cervical cancer each year. But
your daughter doesn’t have to
be one of them. A new vaccine is
now available that targets
human papillomavirus (HPV).
Different strains of HPV cause
about 70 percent of all
cervical cancer cases. It’s also
responsible for about 90
percent of genital warts.
The HPV vaccine is given
as a series of three shots over
six months. Experts strongly
recommend it for all girls
ages 11 to 12. Why so young?
Because HPV is spread through
sexual contact. It’s important
that your daughter receive
the immunization before she
becomes sexually active. If
your daughter is older than
age 12 and hasn’t received a
vaccination, it’s recommended
that she have a catch-up vaccine
before turning 18. Experts also
recommend the vaccine for boys
ages 9 to 18 to protect against
genital warts caused by the virus.
If you have questions about
the HPV vaccine, talk with your
child’s doctor. Together you can
decide if it’s right for her or him.
To learn more about the
vaccine, make an appointment
at Loma Linda University Family
Medical Group by calling
1-877-LLUMC-4U (558-6248).
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loma linda university medical center
All About Your Nails
N
ails are made of a protein called
keratin that’s also part of your
skin and hair. Your nails grow about
0.1 mm each day, but the actual rate
depends on your age, health, genes, and
the season. Men’s nails grow faster than
women’s.
Common nail problems include:
■ White spots indicate that the
matrix, the area where the nail joins
the finger or toe, has been injured.
These do not need treatment and will
eventually grow out.
■ Splinter hemorrhages look like thin
vertical lines beneath the nail. They can
be caused by nail injury, and certain
medications or diseases. Ask your
doctor if you have questions.
■ Ingrown nails occur at the corner of
the nail that curves to meet the skin.
These are caused by poorly fitting
shoes or improper nail trimming. To
avoid them, trim your nails straight
across. If the ingrown nail is painful,
see your doctor.
■ Fungal infections can cause
discoloration and separation of the nail
plate from the nail bed. These can be
difficult to treat.
■ Bacterial infections cause pain and
redness. They can be caused by nail
injury, or exposure to water or
chemicals.
To help keep nails healthy:
■ Take breaks from polish so you can
inspect your nails.
■ Wear rubber gloves if you use harsh
chemicals or soap and water for long.
■ Moisturize nails with lotion
occasionally.
■ Keep nails short, clean, and dry.
■ Avoid nail-biting.
■ See a doctor if a change in nail
appearance lasts more than a few days.
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eye h e a lth
Focus on Healthier Eyes
B
lindness and other visual
impairments are expected to rise
sharply in coming years as the U.S.
population ages—yet we can prevent
or treat at least two out of five cases.
The major causes of visual disability
among U.S. adults include these diseases:
■ Cataracts
■ Diabetic retinopathy
■ Glaucoma
■ Age-related macular degeneration
(AMD)
Best Steps for Protection
You may be surprised to learn that
much of the same advice you hear
about preventing heart disease,
diabetes, cancer, and lung disease
also applies to protecting your vision.
Some of the best things you can do
to prevent or control disabling eye
diseases include the following:
■ Have periodic eye exams. A
comprehensive evaluation is vital to the
early detection of problems that could
lead to serious vision loss and blindness
if left untreated. This is especially true
if you have diabetes. Many eye diseases
have no symptoms in their early stages,
making eye exams critical.
■ Keep blood lipids under control. A
standard blood test can determine the
levels of cholesterol and other lipids (fat)
in the bloodstream. High lipid levels
may raise your risk for cataracts and
other eye diseases.
■ Rein in high blood pressure. Longterm hypertension raises the risk for
vision loss from a number of causes.
■ Quit smoking. Smoking is a major
cause of heart disease and lung
disease—and it has been linked to
AMD, cataracts, and diabetic
retinopathy, among other eye diseases.
■ Adopt a healthy lifestyle. A healthy
diet, regular exercise, and weight control
can help prevent or manage diabetes
(and its related vision threats) and may
reduce your risk for AMD.
Your doctor can help you determine
which risk factors you may need to
address. He or she can also help you
create a doable plan for managing those
risks.
The Loma Linda University Health
Care Department of Ophthalmology is
the leading provider of eye care in the
Inland Empire. Call 1-877-LLUMC-4U
(558-6248) for more information.
Vinaigrette Salad
Dressing
●● 1 bulb garlic, separated and
peeled
●● ½ cup water
●● 1 tbsp. red wine vinegar
●● ¼ tsp. honey
●● 1 tbsp. virgin olive oil
1. Place the garlic cloves into a
small saucepan, and pour in
enough water (about ½ cup) to
cover them.
2. Bring water to a boil, then
reduce heat and simmer until
garlic is tender, about 15
minutes.
3. Reduce the liquid to about 2
tablespoons, and increase the
heat for three minutes.
4. Pour the contents into a small
sieve over a bowl and, with a
wooden spoon, mash the garlic
through the sieve into the bowl.
5. Whisk the vinegar into the
garlic mixture. Incorporate the
honey and oil.
Yield: four servings. Serving size: 2
tablespoons. Each serving provides: 33
calories, 3 grams total fat, less than 1 grams
saturated fat:, 0 mg cholesterol, 0 mg sodium.
Source: National Heart, Lung, and Blood
Institute/National Institutes of Health
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|5
h e a lt h y m ind a nd body
How to Sneak
Exercise into
Your Day
Can’t find half an hour a day
to exercise? Just take short
exercise breaks whenever you
can. It all adds up. Here are
some suggestions from health
experts:
■ Strengthen your thigh
muscles the next time you’re
in the kitchen. Put your hands
on the counter and squat
repeatedly.
■ Leave your free weights near
the TV and do some lifting
while you watch your favorite
shows.
■ To improve your balance,
stand on one foot then the other
while talking on the phone.
■ To boost balance and
strength, lean slightly forward
and rise from your chair
without using your hands.
■ Try to walk a few extra steps
every day. Buy a pedometer,
an inexpensive tool that counts
your steps.
Try our Wellness Calculators at
www.lomalindahealth.org.
Calorie Burner Calculator is a
great way to find out how your
activity can help you maintain
a healthy weight.
How Much Do You Know
About Eating Disorders?
1. Eating disorders—disturbances in
eating behavior—include:
a. Anorexia nervosa
b. Bulimia nervosa
c. Binge eating
d. All the above
2. When are people most likely to
develop eating disorders?
a. Adolescence or young adulthood
b. Childhood
c. Middle age
d. After age 55
3. What are the symptoms of
anorexia nervosa?
a. Low body weight
b. Fear of gaining weight
c. Extreme dieting and exercising
d. All the above
4. What are some symptoms of
bulimia nervosa?
a. Binge-eating large amounts of food
b. Purging after eating
c. Excessive exercise
d. All the above
5. What are some signs of a bingeeating disorder?
a. Dieting to lose weight
b. Frequently eating large amounts of
food
c. Feeling a loss of control about the
amount they eat
d. B and C
6. What medical problems can eating
disorders cause?
a. Heart failure and irregular
heartbeats
b. Peptic ulcers
c. High or low blood pressure
d. All the above
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loma linda university medical center
7. How can eating disorders be treated?
a. Individual and family psychotherapy
b. Surgery
c. Behavioral therapy
d. A and C
Answers
1. D—ALL THE ABOVE.
2. A—ADOLESCENCE OR YOUNG
ADULTHOOD. However, they can
appear during other life stages as well.
3. D—ALL THE ABOVE.
4. D—ALL THE ABOVE.
5. D—B AND C.
6. D—ALL THE ABOVE. These
disorders can also be fatal.
7. D—A AND C. Prescription
medication may help.
For more information, visit
www.llubmc.org.
How Much Do You Know
About Eating Disorders?
Loma Linda University
Behavioral Medicine Center
is the only hospital-based
outpatient eating disorder
program in San Bernardino
County. We are committed to
providing exemplary care. For
more information, please call
1-877-LLUMC-4U (558-6248).
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classes & programs
jan/feb 2011
If you do not see a class or event you are looking for, or for more detailed information, call 1-877-LLUMC-4U.
Support Groups
Diabetes Support Group
First Tuesday of each month,
6:15 to 7:30 p.m.
Diabetes experts provide
educational and resource
information each month.
Adult Heart Transplant
Support Group
Third Sunday of each month,
2 to 4 p.m.
For anyone who has had or may
need a heart transplant. Family and
friends are welcome.
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.
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.
Head Injury & Traumatic
Spinal Cord Injury Support
Group
Fourth Monday of each month,
6 to 8 p.m.
All survivors and family members
welcome. Call for details.
Classes/Programs
Second Monday of each month,
Evening Eating Disorder
Program
Birth and Beyond
Education Classes
• Preparing for Childbirth
• Baby Is Coming
• Sibling Preparation
• Breastfeeding Basics
• Health and Fitness in Pregnancy
• Infant/Child CPR
• It’s Time to Eat
• Baby Is Home
• Life With Baby
• Baby Bonding Yoga
• The Art of Infant Massage
• Moms Joining Moms
Call for details and to register.
Nutrition Talk
Cancer Center
5:30 to 7 p.m.
Mondays, Tuesdays, and Thursdays,
English and Spanish classes
Providing information for a safe
and healthy pregnancy.
Cardiac and Pulmonary
Rehabilitation
3:15 to 7:30 p.m.
Second Thursday of each month,
Behavioral Medicine
Center Programs
10 a.m. and 6 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.
Winning with Diabetes
A series of five sessions on types,
causes, and self-management.
Spanish classes available.
Free Metabolic and Bariatric
Surgery Program
Weight Loss Seminar
Monthly, 6 to 7 p.m.
Call for details and to register.
18th Annual Foundation Gala
Prenatal Class
7:30 a.m. to 4:30 p.m.
For those with chest pain, heart
attack, bypass surgery, or lung
disease. Call to register.
Headache Clinic
Department of Neurology
Treatment of headaches, including
migraines, oral and facial pain, and
much more!
Children’s Behavioral Health
Program
Designed to meet the needs of
children and adolescents who are
struggling with behavioral issues
including addictions, schoolrelated difficulties, self-harm, and/
or depression.
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.
To meet the unique needs of
adolescents and young adults
who suffer from anorexia or
bulimia, we are now offering an
early evening Intensive Outpatient
Eating Disorder Treatment
Program.
Center for Health
Promotion
Executive Health
By appointment only.
A complete medical history and physical with assessment of potential risk factors.
Weight Management
Orientation
3:30 to 4:30 p.m. Call for dates.
International Travel Clinic
Wednesdays, 1:30 to 4:30 p.m.
Come for travel immunizations,
prescriptions, and general
immunizations.
Wholistic Medicine
First Tuesday of the month, 6 to 8 p.m.
A free introduction—is it right
for me?
Thursday, March 10, 2011
National Orange Show Events Center
For more information and sponsorship
opportunities, please contact the
foundation office at 909-558-3557.
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|7
a healthy
tomorrow
Loma Linda University Medical Center
11234 Anderson St.
Loma Linda, CA 92354-2804
Postmaster:
Please deliver between December 27 and 31.
Nonprofit Org.
U.S. Postage
PAID
Loma Linda University
Medical Center
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 Veach
Executive Director of Marketing
Jemellee Ambrose
Editor-in-Chief
Samantha Orcasitas
Managing Editor
Printed on Recyclable Paper 964M
Life After a Stroke
S
trokes affect the mental, physical,
and psychological functioning of
approximately 795,000 Americans
annually. But some people who have a
stroke—a blood clot that blocks an
artery or a blood vessel to the brain—
can benefit from rehabilitation.
Stroke rehab can help people regain
as much independence as possible and
achieve the best quality of life. The goal
is to help a person relearn skills lost
when a stroke damages part of the
brain. Rehab can include physical,
speech, and occupational therapy and
exercises to help the person control
movements and relearn how to walk,
eat, and dress. Rehab can take place
at an inpatient or outpatient unit, a
nursing facility, or at home.
Therapeutic Goals
Stroke rehab may include some or all
of the following:
■ Therapy for communication
disorders. After a stroke, many people
have problems speaking, listening,
writing, or comprehending speech.
Speech-language pathologists also help
stroke survivors improve their ability
to swallow.
Physical therapy. Therapists can
help improve strength, function,
coordination, and balance. Rangeof-motion exercises help patients
regain mobility.
■ Occupational therapy. An
occupational therapist can help stroke
survivors relearn everyday activities,
such as eating, going to the bathroom,
and getting dressed.
■ Psychological therapy. Depression is
common after a stroke. Counselors and
support groups can help.
■
Keys to Recovery
The degree of recovery varies widely,
depending on the amount of damage
the stroke caused and to which part of
the brain. It also depends on the skill
of the rehabilitation team, how soon it
gets started, and the cooperation of
friends and family. The most important
element of stroke rehab is focused,
repetitive practice carefully directed by
a therapist.
Getting your life back after a stroke
can be hard work and a slow process.
However, daily practice, a positive
attitude, and strong motivation are the
keys to recovery.
To learn more, please visit
www.lomalindastroke.org.
Stroke Center
The Joint Commission has just
awarded Loma Linda University
Medical Center a Certification of
Distinction as a Primary Stroke
Center. Loma Linda University
Medical Center is now
recognized as the only Joint
Commission Certified Stroke
Center in the San Bernardino
and Riverside Counties.
The Stroke Center at Loma
Linda University Medical
Center (LLUMC) provides
stroke patients with the full
continuum of treatment. From
stabilizing emergency patients
to providing specialized
rehabilitation at the East
Campus, we are leading the
Inland Empire in stroke care.
For more information, please
call 1-877-LLUMC-4U (558-6248).