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September 2012 / $4.95 a top chef’s five fast Weeknight What you Meals need to pg. 46 know about your kids’ Vaccines pg. 52
Healthy Beauty
Anti-Aging Living Product Picks Healthy pg. 23
Bad Boss Family & Survival Guide Parenting pg. 15 Viva First-Year Baby Milestones Fitness pg. 31 & Exercise Viola! The No-Gym Workout Food & The award-winning Davis pg. 65 Recipes takes her career—and her life’s 3 Ways to work—up another notch pg. 40 Men’s Cook Cod Health pg. 57
Life-Saving Advice Bone pg. 19 Health
Living With Osteoporosis pg. 71 Contents september 2012 september 2012 Contents Features Healthy Start Wire: Can waist size predict diabetes? How does cooking with gas affect your home’s air quality? Find out and get more health news you can use. Plus: the Pg. Pg. hottest health reads • Personal Best: Actor Elisabeth Shue shares her best 7 beauty, food, and workout secrets. • Up Close: We make a spectacle of eyeglasses. Pg. 40 Living Healthy WebMD on the Street: Our experts help a mom who doesn’t get enough sleep but gets plenty of breakouts. • Women’s Health: Why do we forget? Our experts Pg. explain. • Men’s Health: Learn the four things every guy must do for better 46 Pg. Download WebMD health. • Mind Matters: Do you know the eight signs of a healthy relationship? the Magazine for Free! Get your free 15 • Work it Out: How to handle a toxic boss. 52 iPad subscription in the App Store. Healthy Beauty You Asked: Experts offer their top anti-aging product picks. • Beauty Smarts: Pg. What you need to know about salon hair-straightening treatments. • Your Smile: This Way Up Get the scoop on how to get a better grin. • Plus: Beauty 411, Dirty Secret, Aisle Do, and I Tried It. Actor Viola Davis won’t 23 back down. As her accolades Family & Parenting pile up, the two-time Oscar I’m living Pregnancy: The joys and challenges of motherhood the third time around—actor Pg.
nominee tells us how her my life Melissa Joan Hart explains it all. • Plus: pregnancy myths and facts. • Baby talk: childhood inspired her lat- with pur- Milestones to watch for your baby’s first year. • Kids’ Health: What to do if you get est role and her work with 31 the dreaded lice notice this school year. • Fit Kids: Learning how to make friends
Upward Bound. pose,“ and is key to developing a solid sense of self-esteem. • Pet health: Transform your when you fighting Fido into a calm canine. • Plus: taming hot spots.
High Five do that, Pg. One of the more hectic things“ fall Food & Recipes things about back-to-school Three Ways to Cook…Cod. Make this versatile and flavorful fish a regular part in line in of your weeknight menu. • Off the Menu: Award-winning chef Cathy Whims season is getting dinner 57 shares her favorite at-home meal. • Learning to Love…Rhubarb. One reader on—and your family the exact order they shares how she got her husband to enjoy this misunderstood fruit. • Kids in the around—the table. Chef Kitchen: Chef Lizzie tries her hand at a sweet recipe from first lady Michelle Pg. Chris Scott helps you should. Obama’s cookbook. • Plus: the top five recipes at WebMD.com do that with five easy-to- make weeknight meals that 65 Fitness & Exercise require just a handful of Peeke Fitness: Our exercise guru Pamela Peeke, MD, asks: Think you can tone ingredients. Plus, he shares your trouble zones and skip the rest? Think again. Spot reduction is a myth. • Fitness challenge: Can’t make time for the gym? These moves for your abs his strategies to get your in every issue kids cooking, too. and glutes will keep you fit and toned.
Pg. 5 Calling Editor’s Note the Shots Knowing which vaccinations kids need and when can be Pg. 75 confusing. Our parents’ Take 10 WebMD Checkup Chef and author guide to vaccines makes it Health Highlights: It’s Healthy Aging Awareness Month. Get look-and-feel- Rocco DiSpirito dishes Pg. crystal clear. good tips for today and the years ahead. • Living With…Osteoporosis. How on why he’s stepped to boost your bone and overall health. • By the Numbers: A closer look at out of his kitchen and onto the set of Now 69 prediabetes. • my story: One reader shares his heart health story and how Eat This!, his latest TV he lives better today. • Health Check: Could you have a sleep disorder? show and his new book by the same name.
Cover Photograph by Gilles Bensimon/Trunk Archive W ebMD.com 2 September 2012 September 2012 3 W ebMD.com Editor’s note editor in chief vice president, publisher Clare Martorana Heidi Anderson
Executive Editor associate publisher Colleen Paretty Dawn Carey
Senior Editor group vice president of sales operations hello, redesign! Susan Davis Jonathan Katz
webmd.com senior director, editorial senior director, Circulation No7 Lift & Luminate range living healthy FAMILY & Stephanie Snipes Jonathan Deaner VISIBLY LIFTEDhealthy beauty PARENTING
WebMD.com Vice PResidents of product YOUNGER22 On the Street 34 You Asked 49 Baby Talk A Florida mom’s Expert picks to What to expect in senior director, Marketing LOOKING top health fixes fight fine lines the first 12 months Tara Wacks 24 36 Women’s Health Beauty Smarts 50 Kids’ Health Why we forget, The scoop on How to head and tricks for salon hair PREGNANCY off lice Kimberly Kovacs, Katherine Leopold total recall straighteners 51 Fit Kids S K I N 26 Men’s Health 38 Your Smile Friendships are Guy talk that may All trademarks are owned by Société des Produits Nestlé S.A., Vevey, Switzerland. © 2012 Cosmetic key to self-esteem save your life Matters of I N 4 WEEKS. dentistry options 52 Pet Health Associate Director, Strategic DevelopmenT 27 Mind Matters Train your fighting Eight signs Beauty Extras the Hart Fido to be a you’re in the right I Tried It, Aisle calm canine webmd.com art director relationship Do, Dirty Secret, How does she put her magic touch on Beauty 411 31 Work It Out motherhood? Actor Melissa Joan Hart How to survive explains it all Neha Dakwala-Shah a toxic boss John Kay By Stephanie Watson business manager chief Medical editor John Krzeminski
Michael W. Smith, MD Joy Off You Glow Face the day—every day—with Ride Gerber cereals are babies’ #1 food for iron. sales operations analyST Kisha Jackson Be your best self today gorgeous skin and hair and every day Iron is vital for babies’ growth and brain development. But around the middle of their first year, their natural iron stores get depleted. Gerber® cereals can help. In fact, Medical editors just two servings a day provide babies under 1 year with 90% of the daily value for iron.
Advertising sales READER TIP EXPERT TIP EXPERT TIP “Enjoy a hug from a friend or a walk in “ Invest your skin care dollars in products Swear you’re craving a certain food? “We haven’t been Brunilda Nazario, MD; Louise Chang, MD; nature as much as you would a vacation.” you leave on your skin, like a good able to find scientific information to substantiate —Monamia, WebMD community member antioxidant cream.”—Jessica Wu, MD [cravings].”—Anna Maria Siega-Riz, PhD, RD For $2 off, visit www.ShopBootsUSA.com and use WBMD9 at checkout Hansa Bhargava, MD; Laura J. Martin, MD Alisa Feiner, [email protected], 212-624-3897 Photograph by Stephanie Rausser September 2012 21 W ebMD.coM Photograph by Patric Shaw/Trunk Archive September 2012 33 W ebMD.coM Photography by Robyn Twomey SEPTEMBER 2012 43 W ebMD.COM Pete Holfelder, [email protected], 646-674-6825 BTI20120069_PROMO_v03_00.indd 1 7/31/12 1:52 PM M3558_A.indd 1 6/18/12 11:57 AM
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Good Catch Cod is the official state fish of TM Meghan Rice, [email protected], 312-416-9276 Give the behind-the-scenes cod the Massachusetts. MOVE TO COMFORT Matt McMillen, Erin O’Donnell, Monica Kass starring role it deserves 76 Off the Menu 82 Fitness Challenge TAKING CARE, LIVING WELL spent our summer reimagining the cover- A Portland chef A no-gym By Erin O’Donnell shares her fave workout that really Checkup at-home meal delivers: moves for abs and glutes 76 What’s Cooking! The most-clicked Head for Rogers, Gina Shaw, Stephanie Watson 83 Peeke Fitness recipes right now Spot reduction is September is Sickle Cell Disease Awareness Month, west coast at WebMD.com to-cover content and design of our print a myth, but here’s and for actor LARENZ TATE, that means spreading Learning to Love the Hills what you can do 77 A reader trans- Fall is the perfect time to get the word about a chronic disease that disproportionately forms her hubby’s a ects the African-American community. dislike of rhubarb outside. There’s no better season to kick-start your fitness routine Elise Perlmutter, [email protected], 424-248-0616 78 Kids in the Kitchen Chef Lizzie bakes a “It’s really impor- and iPad app editions and are delighted White House treat tant to know if you carry the dis- ease,” says Tate, 37, who recently costarred on FX’s Rescue Me and in BET’s made-for-TV movie Gun Hill, to bring you our new magazine. which premieres this month. As many as 100,000 people in the United States have the disease, which causes red blood cells to resemble sickles or crescents. The misshapen cells can reduce blood ow, Editorial, design, production management We listened to you and organized the which starves vital organs of oxygen and can lead to chronic fatigue and intense pain. Many people who don’t 111 eighth ave., suite 700, new york, n.y. 10011 have the disease carry a gene for it. Screening is essential, a message Tate will spread magazine into sections that reflect the this month via Facebook and Twitter (@LarenzTate). “If Editorial Director Kim Caviness you can prevent the disease, you can really make a di er- ence in someone’s life,” says Chief executive officer Cavan M. Redmond top-trending topics on WebMD.com: Tate.—Matt McMillen
EXPERT TIP 86 Health Highlights 87 Living With 92 By the Numbers 93 My Story 94 Health Check “I love cod because it’s so easy to cook and has a mild Deputy editor EXPERT TIP It’s Healthy Learn about Get a closer look A WebMD com- Could you have Andrea Gabrick flavor most people like. I never fry it but give it a Aging Awareness osteoporosis and at prediabetes: the munity member a sleep disorder? crunch by dipping cod pieces in milk then a flour/ “ Exercise won’t turn fat into muscle. Month. Find how to strengthen facts, the figures, opens up about Take the quiz cornmeal mix coating and bake it in a 450ºF oven for Fat deposits only go away if you lose expert advice. your bones. and more. heart disease. to find out. Living Healthy, Healthy Beauty, Family 8–10 minutes.”—Kathleen Zelman, MPH, RD, LD weight.”—Pamela Peeke, MD
fruit.com GETTY IMAGES FLEGLER STANLEY DR. chief financial officer Anthony Vuolo Fruit of the Loom, Inc. © 2012 associate editor Rebecca Scherr Photography by Johnny Miller SEPTEMBER 2012 73 W ebMD.COM Photograph by Scott Markewitz/Getty September 2012 81 W ebMD.coM SEPTEMBER 85 W ebMD.COM & Parenting, Food & Recipes, Fitness & FOL0014 V_WebMD_8nx10n.indd 1 7/26/12 8:57 AM chief Operating officer & Chief technology officer Exercise, and WebMD Checkup, covering Assistant editor Chloe Thompson William E. Pence Food & Recipes Fitness & Exercise WebMD Checkup health conditions from A to Z. Bookings director Wendy Zipes Hunter executive vice president, consumer services Greg Mason [email protected] 954-344-0912 Every section connects readers with co-general counsel & secretary DougWamsley experts who offer tips for all the healthy art directors Glenn Pierce, Melissa H. Miller living decisions we make in our daily lives. co-general counsel Michael Glick House Proud Creative Direction Redesign Priest + Grace Our new format runs the gamut from When first lady Michelle senior vice president, pharmaceutical sales photo editor Katie Ellsworth important health headlines and nutritious Obama unveiled her new Dorothy E. Kelly Gemmell recipes to A-list celebrity health stories. book at the White House production director Connie Otto in June, WebMD was senior vice president, Consumer Market Sales Don’t forget to download WebMD the there, gathered around Production manager Jerry Parks Tracy Roy Hankin Magazine on your iPad for free from the the intimate fruit-and- advertising traffic manager Jennifer Morgan vice president, Finance James McCann App Store. Our September tablet issue is veggie-laden picnic table on the South Lawn. And production artist Brenda M. Waugh vice president, best practices John Hopkins loaded with interactive extras, including expert questions for your doctor, beauty we were there for the Copy editor Sharon K. Congdon vice president, editorial & programming White House’s recent shopping lists, videos, slideshows, and
Kristy Hammam K insey/Veer Town Hall discussions marketing director Rebecca Loveridge online tools. about health care senior director, pR Katherine Hahn marketing coordinator Kara Batt Thanks for taking this healthy journey reform and its impact Customer Service & subscriptions with all of us at WebMD. Tell us what on women’s health and Professionals To manage your subscription, go to WebMD.com/magazine/subscribe. you think about our new look. I’d love to seniors. Our experts are Readers Download a free subscription to WebMD the Magazine on your iPad. Go to the App Store (www.apple.com). joining the conversation Comments? Questions? Go to CustomerCare.WebMD.com or “Contact Us” at the bottom of every page on WebMD.com. hear from you! at some of the highest levels around some of the WebMD the Magazine is distributed to doctors’ offices throughout the U.S., online at nation’s most important WebMD.com, and by download from the App Store®. WebMD the Magazine is not responsible for health-related issues, Download WebMD advertising claims. WebMD the Magazine (ISSN 1553-9946), Vol. 8, No. 6, is published by WebMD, LLC the Magazine and may not be reproduced in whole or in part without written permission of WebMD, LLC. All editorial content which means even more for Free! Get is reviewed by our board-certified physicians, is for informational purposes only, and is not intended to be a substitute informed health informa- your FREE iPad for professional medical advice, diagnosis, or treatment. WebMD does not endorse any specific product, service, or Clare Martorana tion for you. Read about subscription in the treatment. Always seek the advice of your health care provider with any questions regarding a medical condition and never Editor in Chief App Store. disregard professional medical advice or delay seeking it because of something you have read in WebMD the Magazine. If you our White House trip and
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W ebMD.com 4 September 2012 September 2012 5 W ebMD.com No7 Lift & Luminate range healthy start VISIBLY LIFTED webmd wire HotTopics! YOUNGER facts and news you can use
LOOKING Pets Living Healthy Food & Recipes The American It’s Food Kennel Club Safety recently Month. recognized the S K I N Russell 73percent terrier as I N 4 WEEKS. its 175th breed. Source: The American Kennel Club of adults wear Fitness & Exercise sunglasses, but only September In 1920 a is National cotton buyer for Yoga Month. Johnson & 16.5 million Johnson created Healthy Beauty Americans ready-made per cent The 58percent Each year, practice bandages number to use on the 1 in 6 yoga. 18% of spa cuts and burns have their Americans are over his new wife children wear gets sick from age 55 locations suffered while them. eating and 72% are grew from learning to cook. Source: The Vision Council contaminated women. Source: Band-Aid food. Source: Yoga Health Foundation, 4,140 in Yoga Journal/Harris Interactive 1999 to Source: CDC 19,900 in Research shows 2010. that even just Source: International Spa Association one friend can help prevent depression in a child. Checkup Source: Cambridge Journals
Family & Parenting 2.5 billion More than 1 in 7 The number of times the average person’s Number of heart beats in 70 years 500Estimated 79 million Source: Cleveland Clinic: “Heart Facts” students in the people with number of United States carry bacteria types backpacks. Alzheimer’s on common Source: The American who live alone. 40% 32% Occupational Therapy Association As many as of American have visited or surfaces in women have would visit a offices in three half don’t used or would professional major U.S. cities have an use an at-home for non-invasive (Men’s offices were appointed anti-aging anti-aging more contaminated caregiver treatment. than women’s.) treatments. Source: 2012 Alzheimer’s Disease Source: Mintel Consumer Market Research Source: PLoS ONE Facts and Figures
September 2012 7 W ebMD.com
BTI20120069_NOPROMO_v03_00.indd 1 7/31/12 1:55 PM healthy Start Sole Mates Tempted to try bare- good reads foot running? You may run faster and with less fatigue, research shows, but you can still get hurt. One study found treadmill runners didn’t breathe as hard or feel as tired when barefoot. In another, Life Saver competitive runners What’s the secret to blow- shaved 19 seconds off ing out 100 candles on their mile times when your birthday cake? A Lean Slate On the Run wearing “barefoot” positive personality helps, Ever wonder how so Who knew so many running shoes. But a says a study of 243 U.S. survey of 109 runners many chefs cook, eat, people across the ages, centenarians. That means: Dark found 18 reported an and repeat but some- from Aristophanes to Be optimistic, easygoing, injury when they ran sociable, and conscientious. Secrets how don’t pack on the Alanis Morissette, have barefoot. So run care- Don’t bottle up your feelings Can’t sleep? You might be pounds? Smart Chefs Stay had so much to say fully if you decide to or talk ill of others. However, afraid of the dark. So say Slim: Lessons in Eating about the pleasures (and ditch the shoes. the researchers added, researchers who studied and Living From Amer- the pain) of time spent sleep habits in 93 college Source: American College of while personality offers Sports Medicine 2012 meeting; the ica’s Best Chefs by People literally pounding the clues to longevity, the big- Big Fan students. Almost half who studies have not appeared in a peer- reviewed journal magazine senior editor pavement? 1,001 Pearls of gest predictor of whether Cooks, take note: Gas stoves can generate lung-irritating levels of said they slept poorly also you’ll make it to the century said they feared the dark. Allison Adato reveals Runners’ Wisdom: Advice mark is whether you had nitrogen dioxide and other indoor pollutants. But turning on the fan and Researchers confirmed their Cat Cora’s tricks to and Inspiration for the cooking on back burners can cut pollutant levels by about half, a study parents who lived to 100. fear of things that go bump Every 6 get her kids to eat the Open Road, edited by Bill Source: Aging shows. The study looked at seven kinds of ventilation systems. None in the night with sleep lab experiments that measured same food she does and Katovsky, founder of the worked perfectly but all worked better over the two back burners of a Minutes how Eric Ripert cooks Natural Running Center, four-burner stove. Why? Many ventilation systems extend over just the their “startle” response. How often Therapy for phobias like a young child chicken in his toaster is ideal for when you back half of the stovetop, missing the front burners. fear of the dark may help oven. Other renowned need inspiration. Train- Source: Environmental Science & Technology is treated you snooze better, the chefs share recipes, how ing, form, recovering 15% researchers suggested. in a U.S. of Americans lost they order smart in res- from injury, racing, and Source: Associated Professional Sleep emergency a dog or a cat in the Societies 2012 meeting; the study has not room for a taurants, and more. motivation—it’s all here. past five years. Waist Not appeared in a peer-reviewed journal Think you won’t develop stair-related diabetes if you’re not super- injury. heavy but have some extra .com Source: Pediatrics
85% padding around the waist? of those lost Turns out you could still be at N iamwhan/Veer Suntorn ; Hot Hits dogs and cats higher risk, especially if you’re What’s trending on were found. a woman. New research finds WebMD.com right now* Source: The American Society that some overweight (but for the Prevention of Cruelty not obese) people with BMIs 1. How Can I Lose My to Animals Belly Fat? (body mass index, a measure Crash Text of weight related to height, 2. The Health Benefits together with waist size) of 25 of Sex Just thinking about texting may make young drivers more likely to 29.9 with very large waists 3. Bath Salt Dangers to crash, a study suggests. Researchers ranked 384 college students (35 inches and up for women; on four aspects of “problem” cellphone use: anticipation of 40 inches and up for men) have c e 4. Healthy Hair: How calls or texts; phone use interfering with normal activities; strong the same risk of diabetes as to Get It s G etty c oolidge jeffrey I mage yno c lub/Veer; emotional reaction to a phone; and recognizing problematic phone obese people. The researchers 5. How Much Vitamin D looked at diabetes, waist, and rt + Commer + A rt Do I Need? / use. Students with higher rankings were more likely to have had a BMI data on more than 28,500 c /Veer; crash—especially those who often anticipated calls or texts or people living in eight European 6. Help for Heat who had an emotional response to a phone. countries. Exhaustion Low Profile Source: Pediatric Academic Societies 2012 meeting; the studies have not appeared in a peer-reviewed journal Source: PLoS Medicine 7. Mineral Makeup 101 Most Americans get enough vitamins and minerals in their diet. 8. What to Do for Bee But some are short four key nutrients: Vitamin D Nearly 1/3 of Stings African-Americans and 12% of Hispanics have low levels, compared 9. Swollen Ankles to 3% of whites. Iodine Women ages 20 to 49 have borderline low 49% of Americans 35 and older say they are “pretty happy.” levels. Iron Nearly 1 in 10 women ages 12 to 50 comes up short. 10. Top Dog Phobias Good relationships with family, friends, and pets are key drivers of happiness. *as of July 1, 2012 Vitamin B6 One in 10 people over age 1 was deficient. s Verte E dmond left: top from ck wi s e c lo Source: AARP Research & Strategic Analysis, June 2012 L ewi s Stephen M iri/Veer; Karam left: from Source: CDC, Second National Report on Biochemical Indicators of Diet and Nutrition in the U.S. Population
W ebMD.com 8 September 2012 September 2012 9 W ebMD.com healthy Announcing Start Personal Best Elisabeth Shue The Flu Vaccine With The CSI star shares her healthy living habits The 90% Smaller Needle
“To get the point, scan here.”
Actual needle size
Fluzone Intradermal vaccine works just under the skin and helps give you the fl u protection you need. So ask your health care provider about the fl u vaccine Stress S.O.S. “I’ve been practicing with the 90% smaller needle. and relying on Transcendental Trailer Stash Meditation for those “When I’m on set, I always moments when I feel frantic keep a crunchy snack on or anxious. I just stop for 20 hand—rice cakes with IMPORTANT SAFETY INFORMATION minutes to calm myself. I apple spread or almond also unwind by hitting Indication butter. I drink lots of water, Fluzone Intradermal vaccine is an inactivated infl uenza virus vaccine given to people 18 through 64 tennis balls.” sometimes with Emergen-C powdered supplements, and years of age for active immunization against infl uenza disease caused by infl uenza virus subtypes I also like Honest Tea.” A and type B contained in the vaccine.
g es Safety Information Redness, fi rmness, swelling, and itching at the injection site occur more frequently with Fluzone “I’d really like to Intradermal vaccine than with Fluzone vaccine. Other common side effects to Fluzone Intradermal go into the wilderness, vaccine include pain, headache, fatigue, and muscle aches. Side effects other than those listed above may occur. Fluzone Intradermal vaccine should not be administered to anyone with a severe some uncharted allergic reaction to any vaccine component, including eggs, egg products, or to a previous dose of ole/Getty ima D ole/Getty Jody g es; territory, with no one any infl uenza vaccine. Tell the doctor if you have ever experienced Guillain-Barré syndrome (severe else around for miles.” muscle weakness) after a previous dose of infl uenza vaccine. If you notice any other problems or Fair Play symptoms following vaccination, please contact your health care professional immediately. “I don’t wear much makeup ever, and that requires Elisabeth ima tockbyte/Getty Vaccination with Fluzone Intradermal vaccine may not protect all individuals. some acceptance that I’m Shue stars this month in the S / v eer; For more information about Fluzone Intradermal vaccine, talk to your health care professional and not perfect. I do have horror flick House decent skin. I’m usually in a at the End of see complete Patient Information. rush, but I always wear a hat the Street. and sunblock when I play g M cklo g es; You are encouraged to report negative side effects of prescription drugs to the FDA. Visit tennis. In my 30s, I was www.fda.gov/medwatch or call 1- 800-FDA-1088. neurotic about getting older and put on some kind of night cream every night.” Elisabeth Shue, 48, makes it look sublimely simple to
keep it all together. “All” includes her second season as ima W isbauer/Getty te v e
Julie Finlay on CBS’ mega-hit CSI: Crime Scene S g es; Investigation, which premieres Sept. 26, and her role in Visit Fluzone.com or these stores to fi nd out where to get Fluzone Intradermal vaccine or call 1.877.9.FLUZONE for more information. Please see the Patient Information on the adjacent page. last month’s dramedy Hope Springs, opposite Tommy Workout Wit Lee Jones and Meryl Streep. This month, the Harvard “Tennis has helped me alum and mom of three plays the mother of Jennifer through my midlife crises. Lawrence’s character in the horror thriller House at the It’s linear, and I can measure In the Bag End of the Street. And in October, she’s in the surfing progress, plus it helps me “I always keep mascara in saga Chasing Mavericks opposite Gerard Butler. Shue focus. I love competing, love my purse. I use mine until the challenge—pretty perfect. they’re dried up and there’s doesn’t have much free time, but she says, “When I do, You have to be brave, and nothing left, then I go I’ll be more involved in KIPP schools for students in you can feel your personality
right to Rite Aid for more.” underserved communities.”—Stephanie Stephens come out on the court.” ima Vespa/Getty Jeff center: top from clockwise SANOFI PASTEUR. Discovery Drive. Swiftwater, Pennsylvania 18370. www.sanofipasteur.us MKT25320 © 2012 Sanofi Pasteur Inc. 7/12 Printed in USA
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September 2012 issue 086-SPFLUP22951 T2-10012A-4 P.O. 16180 A Page 4C Bleed Bleed: 8.625˝ x 11.125˝ Trim: 7.25˝ x 10.5˝ Standard Safety: 7˝ x 10˝
NEW YORK — 2012
PLUGGED IN STUDIOS 1675 Broadway 212-474-5508 Client: KTG Plugged In Studios #: T2-10012 Font Specs: Futura, Gothic 720, SANOFI Pasteur - PANTONE - Colors. Job #: 086-SPFLUP22951 Date: July 24, 2012 Helvetica Neue, LavosHandy, Univers eps, T2-10012 Target-Available.ai, PO #: 16180 Proof Level: 4 T2-10012 Wag_Logotype_Red.eps Job Name: Print Materials Page #: 1 of 1 Pick up from: Art: T2-10012 c167492_C_Comp_ Descr.: Two Magazine Mechanicals Location: Clients Creative v5_LYRD.psd, T2-10012 circle no blue. A.D.: Alex Spak Folder/File: Fluzone: psd, T2-10012 GLASSES POSTER Copywriter: Jill Dannenberg T2-10012A-4 Standard.indd Logos: T2-10012 1925476_Color B.jpg, T2-10012 c167492_Q_v2_LYRD. Originator: Tara Cory-Ringston Created by: jl, as, sb, as, sb, jl Exploratory_7.24.12.psd, T2-10012 psd, T2-10012 6h6plu_default_Fluzone_ Proofread by: cobrandedlogo2-01.eps, T2-10012 Intradermal_Mag_Publication (2).eps FluzoneID_logoTaglineB 7-2-12. Output: Lasers eps, T2-10012 RA LOGO STACKED Program: InDesign CS5 REVE#175C78.eps, T2-10012 168440_T2-10012A-4 Standard_8v1 T:6.875”
“Pinkeye” is a top search healthy Page 6 of 6 term at WebMD.com Start Patient Information Sheet UP CLOSE Fluzone® Intradermal Influenza Virus Vaccine See It Through Please read this information sheet before getting Fluzone Intradermal vaccine. This summary is not intended to an in-depth look at take the place of talking with your healthcare provider. If you have questions or would like more information, eyeglasses please talk with your healthcare provider.
What is Fluzone Intradermal vaccine? Fluzone Intradermal is a vaccine that helps protect against influenza illness (flu).
Fluzone Intradermal vaccine is for people 18 through 64 years of age.
Vaccination with Fluzone Intradermal vaccine may not protect all people who receive the vaccine.
Who should not get Fluzone Intradermal vaccine? You should not get Fluzone Intradermal vaccine if you: • ever had a severe allergic reaction to eggs or egg products. • ever had a severe allergic reaction after getting any flu shot. • are younger than 18 years of age. • are 65 years of age or older.
Tell your healthcare provider if you have or have had: • Guillain-Barré syndrome (severe muscle weakness) after getting a flu shot. • problems with your immune system as the immune response may be diminished.
How is Fluzone Intradermal vaccine given? T:9.5” Fluzone Intradermal vaccine is a shot given into the skin of the arm.
What are the possible side effects of Fluzone Intradermal vaccine? The most common side effects of Fluzone Intradermal vaccine are: • pain, redness, swelling, hardness, and itching where you got the shot • muscle ache • tiredness • headache
These are not all of the possible side effects of Fluzone Intradermal vaccine. You can ask your healthcare provider for a list of other side effects that is available to healthcare professionals.
Call your healthcare provider for advice about any side effects that concern you. You may report side effects to the Vaccine Adverse Event Reporting System (VAERS) at 1-800-822-7967 or http://vaers.hhs.gov. A pregnancy registry is available for Fluzone Intradermal by contacting Sanofi Pasteur Inc. at 1-800-822-2463.
What are the ingredients in Fluzone Intradermal vaccine? Fluzone Intradermal vaccine contains 3 killed flu virus strains. Stone Age Ready to Wear Looking Glass World View Inactive ingredients include formaldehyde, and octylphenol ethoxylate. The first known vision aid, The first wearable eyeglasses, Eyeglass lenses were More than 150 million invented around 1000 A.D., which had quartz lenses in traditionally made of glass, Americans use corrective was called a “reading stone.” settings made of bone, but today most lenses glasses, and the nation Manufactured by: The glass sphere served metal, or leather, were are plastic because they are spends more than $15 billion Sanofi Pasteur Inc. as a magnification tool invented in 1284 in Italy. safer and lighter. annually on eyewear. Swiftwater, PA 18370 USA when placed on top of reading materials. 20/20 Presidential Pair Golden Eye Eyeglasses correct vision, President Thomas Jefferson A company called CliC It Takes Two which can be classified as wore custom-made Gold created possibly the most Benjamin Franklin developed nearsighted (myopia), farsighted glasses from a Pennsylvania expensive reading glasses bifocals—eyeglasses (hyperopia), abnormal optician, based on Jefferson’s in the world, which sold for MKT25459 6221 with conjoined lenses for curvature of the cornea hand-drawn specifications. $75,000. Only 300 pairs of the more than one vision (astigmatism), or weakened Each pair took about two 18 karat gold glasses correction—in the 1780s. by age (presbyopia). weeks to make. were made.—Chloe Thompson
Photograph by Ted Morrison September 2012 13 W ebMD.com
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living Coast-to-Coast Care healthy Picking the hospital that’s right for you
South NaSSau How to 16 On the Street CommuNitieS hoSpital★ A Florida mom’s top health fixes New York Choose South Nassau Communities Hospital is one of the region’s 18 Women’s Health largest hospitals, with 435 beds, more than 900 physicians, Why we forget, and more than 3,000 employees. Located in Oceanside, Your and tricks for total recall N.Y., the hospital is an acute-care, not-for-profit teaching Hospital hospital that provides state-of-the-art care in cardiac, cancer, 19 Men’s Health orthopedic, bariatric, pain management, mental health, and Guy talk that may emergency services. Care save your life
1. 20 Mind Matters Eight signs Ensure Insurance you’re in the right Start your hunt with a master list of relationship hospitals in your area or specialty ★ needed, and then find out which ★ 21 Work It Out ones take your insurance. Call your How to survive insurance provider for guidance, or visit the website and do a simple a toxic boss search. If you are paying out of pocket, meet with a financial coun- selor to work out a payment plan ahead of time. 2. Do Your Homework If you need a specialized surgery, ensure that the hospitals on your list can accommodate you and have a good track record. “Hospital report cards” are often available from your state’s health department as public record. Check that the hospital is accredited by the Joint Joy Commission (jcaho.org) for patient and quality standards. 3. Ride Picture Perfect Be your best self today Visit the hospital and take a look and every day SaNford health★ around. Do they offer private or Iowa, Nebraska, North Dakota, south Dakota, MINNesota semi-private rooms? Are they comfortable? Do the patients look Sanford Health is an integrated health system headquartered content, well fed, and well taken in Fargo, N.D., and Sioux Falls, S.D., and is the largest rural care of? A clean and welcoming not-for-profit health care system in the nation with locations environment can make or break a first impression. Note the nurse-to- in 112 communities in five states. In addition, Sanford Health patient ratio. Typically, one nurse READER TIP is developing international clinics in Ireland, Ghana, Israel, can care for three to six patients in “Enjoy a hug from a friend or a walk in and Mexico. a non-ICU environment. nature as much as you would a vacation.” —Monamia, WebMD community member
Photograph by Stephanie Rausser/Trunk Archive September 2012 15 W ebMD.com living healthy
Can’t Sleep Tight Zits and Wrinkles Sleep is not just about quantity but There are three things I can’t live also quality. Stick to a sleep/wake without. 1. Sunscreen For acne-prone schedule. Go to bed and wake at the patients, I suggest a mineral blocker same time every day, including on sunscreen in a light gel formulation. the weekends. Your body will like the 2. Vitamin C It helps neutralize free consistency. And eliminate caffeine by radical damage, brightens skin, and is 2 p.m. Caffeine has a half-life of up to vital to collagen synthesis. 3. Retinols 10 hours and can keep you in a lighter They stimulate exfoliation to prevent sleep stage at night without blocked pores and encourage your knowing it. collagen and elastin production.
Michael Breus, PhD, ABSM Mohiba K. Tareen, MD author, The Sleep Doctor’s Diet Plan founder, Tareen Dermatology, and clinical assistant professor of dermatology, University of Minnesota, and Columbia University
No Time for Mealtime The USDA’s MyPlate nutrition icon is what a healthy meal should look like: Half the plate is filled with fruits and vegetables, one quarter with grains, and the other quarter with lean protein. When you’re planning meals, think of filling in the blanks. And remember: If your pantry (and freezer) is prepared, you don’t have to be. Shop for healthy basics such as canned beans and tomatoes, whole grain pasta, brown rice, quinoa, and canola and olive oil.
Carolyn O’Neil, MS, RD coauthor, The Dish on Eating Healthy and Being Fabulous!
The Mother webmd on the street
Want to be our next WebMD on the Street star? Email us your Niki O’Brien health issues at webmdmagazine Litigation Support Analyst, 39 Load [email protected]. We might come to Winter Park, Fla. We pound the your city! pavement to get Ask any working mom, “How expert answers to your are you?” and you’re likely to hear “Tired!” That’s certainly pressing health questions true for O’Brien, mom to 22-month-old Avery. “I am always tired no matter how Photograph by Jensen Larson Photography much sleep I get,” she says, “and I never wake up feeling refreshed.” O’Brien and her husband, Paul, also have two other sweet but unruly “kids,” Workout Woes dogs Finnegan and Diesel, Create a weekly exercise plan. who keep the couple on their Write down which days of the toes. There’s just not enough week and what time of day you’ll time in the day to get every- exercise, the minutes of activity, thing done, she says, especially and the activity you’ll do, then when it comes to cooking and check in each week and modify as necessary. Keep it realistic so working out. “I’m always run- you’ll commit and do it. ning out of ideas for healthy meals (and exercise routines) that don’t require a ton of time.” But perhaps one of her most nagging health issues is her skin. “I’m almost 40 and Richard Weil, MEd, CDE I still get breakouts regularly! exercise physiologist and director, On top of that, my skin is New York Obesity Research Center Weight Loss Program, St. Luke’s starting to lose elasticity.” Roosevelt Hospital Center, NYC Boost your diet with help from the Brain Foods That Help You Concentrate slideshow. living 3,160+ convos healthy in WebMD’s Women’s Health .com community
Women’s Health
from webmd.com focus of our research right now—under- Forget About It Q &A standing what causes Feel like you’ve had too many “Last week, a the individual vari- “senior moments” lately? Here’s why friend introduced ability of memory,” By Colleen Oakley me to a potential says Gazzaley. client for my business. Ten What can you do? minutes into our Try to limit inter- conversation, I couldn’t remem- ference. “You can’t ber her name. always shut off the Why would I world, but you can forget something so important?” learn how to focus your attention on the task at hand,” says Gazzaley. So if you go into the kitchen Laurie Rowland 32, chef/caterer, to write something Smyrna, Ga. down on your grocery list, don’t answer men’s Health your cellphone or let EXPERT your mind wander ANSWER to a meeting that “The short Man Up answer? You morning. “Mentally weren’t really rehearse what you’re From one guy to another, advice that just might save your life paying attention. Maybe you were doing, and hold it in By David W. Grotto, RN, LDN focused on how mind, until you’re fin- exciting it would ished with the task,” be to have a new client or were he says. Guys, here’s some good-for-you are nearly two and a half times more cholesterol), diabetes, heart disease, trying to make a You can also train advice. In the name of health and likely to die in a car accident (though and dying earlier than they should. good impression, You walk into the kitchen establishes a new network. Mem- but your brain your brain to recall wellness, put four to-dos on your list. this stat may be challenged by the great Look in the mirror, and check where with purpose, then stand in ory glitches occur when there’s a wasn’t concen- information by prac- Go see a doctor. Men are more “equal-opportunity-gender-equalizer” you’re wearing your pants. Do they still the doorway wondering what you break in that network.” trating on the ticing. “Our brains likely than women to put off their yearly of texting while driving). So, slow fit as long as you are wearing them task at hand—in went in there to do. Add to your What causes the break? Interfer- this case, have plasticity, or the checkups. In fact, fewer than half of down…you’ll get there when you get under a belly overhang? You’re not grocery list? Look for your keys? ence, which impairs your ability to remembering her ability to get better men ages 45 to 64 had a physical exam there. Don’t drink and drive, don’t text fooling anyone. name. The next Get a glass of water? Who knows? focus. Interference can be any- time you meet at something when last year. Men are wired differently, and drive, and don’t eat and drive. Put the fork down between mouth- Your mind is completely blank. thing from your cellphone ringing someone new, challenged,” says that’s for sure. If we don’t see the Admit you’re not in shape. Men fuls—and remember that it’s OK not to background chatter at a res- really pay atten- Gazzaley. “I often “Though we jokingly refer to tion—and then doctor, then nothing is wrong with us. who are overweight or obese often to finish what’s on your plate. Fill these as ‘senior moments,’ they taurant to your mind wandering. repeat the name test my memory so Can’t have high cholesterol if you never underestimate their weight, according and eat one plateful per meal. Still happen to everyone—from the “We’ve found that when a person to consolidate the that it continues to have it checked, right? Time is ticking, to a survey of 3,500 people done by hungry? Load up on more salad—but information in very young to the very old,” says is exposed to interference, their your brain.” get better.” Try this: guys—your heart should be too. Make researchers from the University of go easy on the dressing. If you still Adam Gazzaley, MD, PhD, found- ability to recall info, even over very Next time you go to an appointment with your doctor today. Illinois. Men tend to gain weight in their can’t seem to figure out how to eat, ing director of the Neuroscience short periods of time, declines the grocery store, Do fewer stupid things. Men are gut—a very dangerous place because see a registered dietitian who can Imaging Center at the University significantly,” says Gazzaley. don’t make a list, and risk-takers. This can be a good thing in belly fat puts men at greater risk of help draft a food plan that’s delicious of California, San Francisco. Some people can maintain see how many you business but a not-so-wise thing when metabolic syndrome (a group of health and still includes man-sized—but not Gazzaley has spent years their networks in the face of Adam Gazzaley, can remember. “Four your life is at stake. Men are five times problems that include high blood Andre-the-Giant-sized—portions. MD, PhD researching memory issues using interference—you know, those founding director, or five is my sweet more likely than women to drown. Men pressure, high blood sugar, and high And finally, move! Cheering for brain-imaging technology. “Your friends who never forget a face Neuroscience Imaging spot,” he says. “Nine your favorite sports team does not Center, University /v ee r brain works as a series of networks, or always remember everybody’s of California, is pushing it.” READER TIP count as physical activity. Go on a bike with different areas communicat- birthday. Why is that? “Some San Francisco ride or a brisk walk with your family. bis /Cor Reviewed by o g r aphy “For the last seven years I have had an annual complete physical. y t ing with each other at all times,” people are better at maintaining Patricia A. Farrell, PhD I have meds to review and tests to be done. Usually takes upwards of an hour he says. “When you’re trying to or reactivating their networks WebMD Mental Health from nose to toes.”—ruasbizze2, WebMD community member Reviewed by Michael W. Smith, MD B e rr Expert WebMD Chief Medical Editor Do ug remember something, your brain than others, and that’s the main ph o o cea n
W ebMD.com 18 September 2012 September 2012 19 W ebMD.com Men, what do women want? Check out the 19 Secrets Women Wish You living Knew slideshow. healthy .com
mind matters
time. The boss’s need to talk at Love Lessons Trower for hours on end was her way of expressing a basic human Are you in a healthy relationship? Look for these 8 hallmarks desire, says Trower, who reluc- By Leslie Becker-Phelps, PhD tantly broke her own hardline Stay rule of not getting sidetracked Strong from “mountains of work” and Hone these listened to her boss. The tac- skills for tic worked, creating a path for coping with a Maintaining an inti- thoughts and vulnerable difficult boss. Trower to move forward. mate relationship is feelings. You are at ease To cope when a difficult boss an art. No one would ever with depending on each Practice basic threatens to hold you back, first say it’s easy, but it is doable. other (also called interde- self-care. ask yourself honestly and objec- Ground yourself Keep in mind that every pendence) while maintain- with positive tively, “Now that I’m living this situation is different and, ing your separate needs thought patterns, job, how do I give it permission luckily, there is no single and identities. regular exercise, to be exactly as it is?” If you’re a and plenty of rest. path to a strong and mutu- Individual self-worth Work It Out “comfort-seeking” person, keep ally rewarding relationship. You each have a sense of In tough times, in mind that you’ll never find self-care is non- How do you know if your self-worth that is separate negotiable. the perfect workplace or perfect romantic partnership is a from, though supported anything. “Whatever you don’t healthy one? Here are eight by, your relationship. In a Who’s the Boss? Set boundaries. tolerate will show up for you signs that a relationship is healthy relationship, part- You are—even if you have a not-so supervisor. Other people can somewhere else. Patterns repeat working well. ners don’t have to choose How to survive a toxic manager only affect you if themselves,” Trower says. you allow them Emotional support You between feeling close and By Stephanie Stephens to do so. It’s your For example, maybe you’re and your partner can take being able to be themselves. responsibility to so upset that you obsess over refuge in your relationship Effective, caring con- “filter” and manage every little thing your boss does. during times of distress or flict management You You couldn’t wait to get that job—and now you can’t wait negative thoughts. That won’t help improve your need, and feel a sense of talk about distressing events to leave, thanks to your boss. It’s a situation that is, unfor- Focus on aligning work satisfaction. “You’ll live with your reality, comfort and relief from con- or aspects of your relation- tunately, commonplace. Nearly half of employees surveyed by not complaining. in hatred for most of your wak- necting with each other. ship in a mutually respect- the national administrative staffing firm Office Team say they’ve ing, even sleeping, hours,” says Acceptance and love ful way. You attend to each worked for an unreasonable boss. Optimize Trower. “You don’t go to your Both you and your partner other’s distress, helping ease Maybe yours is a micromanager or a bully. Or an insensitive, communication. job to fall in love with everyone, feel fully accepted and loved it, and then move on to solv- abusive, or just plain dysfunctional person—supervising you in a Imagine being but to use talents and abilities available and for who you are. This is true ing the problem as a team. job you had hoped might lead to more meaningful work or greater receptive to your as best you can to achieve an even when you disagree. Take your time and care- accomplishments. Believe it or not, your response to the situation boss’s comments, outcome. Any goodness, smile, Appreciation You both fully consider each of these may be the ticket to getting both. and sharing your or camaraderie is icing on the value your relationship and signs. Are they character- “At first, you have ‘boss love’ and then you have a rude awak- own needs in a cake.” So let people be people, consider it a priority. You istic of your relationship? ening,” says work-life expert Tevis Rose Trower, founder of Bal- non-contentious including your boss, knowing way. Create a kind devote enough time to nur- that these activities are not act in ways that support the Do they suggest ways you ance Integration Corp. in New York City. She’s been there herself, of “verbal agree- they won’t change. ture and enjoy it. destructive, such as a spouse relationship. You also trust can improve it? Or does and says you can squeeze lemonade from that lemon of a job you ment” to effectively “Your real job is to make Security You both feel being so involved in a hobby each other to be emotionally reviewing them reinforce can’t afford to quit. But you’ll need to make some changes, just as support your yourself as adaptable, respon- supported as you explore or other pursuit that he has available when needed. just how happy you are and Trower once did with a problematic manager. boss—so you can sive, intelligent, and skillful in your individual goals no time for the relationship. Comfort with intimacy how much you have to be “This boss held court and psychoanalyzed my life while I was both get the job as many situations as possible,” done. Try saying: “I outside the relationship. Trust You and your You are both comfortable grateful for? The answers pinned to the chair across her mahogany desk,” Trower recalls. want to be good at Trower says, and that includes images It’s important, however, partner trust each other to with sharing your intimate to these questions will tell Instead of retreating, Trower took the high road, learning “to hold this. One thing that your relationship—good, bad, or
you a great deal about how etty /G the boss in compassion” even when she monopolized Trower’s will help me is this.” in between—with the person who healthy—or unhealthy—your happens to be your boss. EXPERT TIP relationship is. C ha r d “Then you can choose where
aime EXPERT TIP “When people get caught up in pleasing others or just focus on doing, they you ultimately want to be.” r fi l e ce /M aste become disconnected from themselves and others. By being conscious of “You may share the same values with your boss, but you may also Reviewed by r; J Vee r; o/ Reviewed by your thoughts, feelings, and beliefs, you’re more in touch with what makes Patricia A. Farrell, PhD have a personality conflict. Even so, never lay so many expectations u r So Patricia A. Farrell, PhD WebMD Mental Health Expert that you make yourself sick.”—Tevis Rose Trower, MA you you. Then you can genuinely open up.”—Leslie Becker-Phelps, PhD WebMD Mental Health Expert I mage h o ch 2 w
W ebMD.com 20 September 2012 September 2012 21 W ebMD.com A Healthy Way to Look and Feel Beautiful
Get the latest information from leading 24 You Asked Gets kthine alantde sbt einaufotrym eaxtpioenrt sf ronm p lreoadduincgts s, kin Expert picks to fight fine lines andn ubteriatiuotny, etxrepaetrmtse onnts p arondu mctosr,e n. utrition, trea tments and more. 26 Beauty Smarts The scoop on salon hair straighteners
28 Your Smile Visit WebMD.com and search “healthy beauty” Cosmetic dentistry options healthy beauty
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A Healthy Way to Look and Feel Beautiful Get the latest information from leading skin and beauty experts on products, nutrition, treatments and more. EXPERT TIP “Invest your skin care dollars in products you leave on your skin, like a good antioxidant cream.”—Jessica Wu, MD Vertical Format, Black Vertical Format, CMYK
Photograph by Patric Shaw/Trunk Archive September 2012 23 W ebMD.com Watch How to Look Younger, one of our most-viewed beauty videos, for healthy more expert tips. beauty .com You Asked
Anti-Aging Aisle Do WE consult two top derms for their product picks PRODUCT PICK Aveeno Ultra- to help fight fine lines in your 30s and 40s Calming Foaming Cleanser ($7)
from webmd.com EXPERT Jessica Wu, MD, assistant clinical pro- fessor of dermatology, Q &A University of Southern California “How can I keep my fine hair from “I keep this next to falling flat after every sink at home styling?” Protect and Serve C Clearly and use it to wash La Roche-Posay Anthelios 60 Ultra Light Avalon Organics Vitamin C Renewal Vitality both my face and my Sunscreen Fluid ($29.95) “One of the most Facial Serum ($24.95) “I often suggest hands. The foam dis- stable sunscreens on the market, this is what complementing sunscreen with a serum infused solves oils, makeup, I use when I am going to be outdoors on a with antioxidants to prevent damage from UV and sunscreen eas- Julia DiNardo really hot day or for a long time. The light that gets past the sunscreen. This super- ily, and because it’s 31, reporter, lightweight formula helps block the ultraviolet concentrated serum works because it is rich soap-free it doesn’t Queens, N.Y. rays responsible for skin cancer and most in antioxidants, including vitamin C, lemon dry out my skin. Power Plant Eye Opener of the visible signs of skin aging, including bioflavonoids, and white tea. Smooth on a thin The ingredients SkinCeuticals Phyto+ ($78) “Now that you’ve Neutrogena Healthy Skin Brightening brown spots and dull skin.” layer under sunscreen each morning.” include feverfew, a EXPERT entered your 30s, you may start to notice brown Eye Perfector SPF 25 ($13.99) “Protect chamomile-like herb ANSWER spots or discoloration on the skin. This gentle your peepers with this eye cream rich in whose inflamma- product, which contains natural lightening antioxidants, shea butter, and glycerin. It has “Hair can lose tory and antioxidant volume if the pH agents kojic acid and arbutin, is great for those a flow-through brush applicator that helps properties reduce is too low, it’s redness.” who want to brighten dark areas without using deliver the perfect amount of formula to weighed down the controversial ingredient hydroquinone, lighten dark circles and diminish fine lines.” from waxes in which some countries have banned because products, or scalp of safety concerns.” oil has built up. Take a photo with Two products can your phone! help: a volumiz- ing shampoo with a higher pH, Shopping List which opens the hairs’ cuticle, Skin Ceuticals and a volumizing Phyto+ conditioner.” Neutrogena Healthy Skin Brightening Eye Perfector SPF 25
R elastin Eye Silk Paul Cucinello
creative director, Night Light Brush Up Neutrogena Chris Chase Salon, Rapid Wrinkle Repair Night New York City Philosophy Help Me Retinol Night Clarisonic Mia Sonic Skin Cleansing System Treatment ($45) “Retinoids are the most ($119) “Exfoliation improves the penetration Moisturizer important night product to use, and of active ingredients in anti-aging products La Roche-Posay while prescription products are the most and brightens dull and discolored skin Anthelios 60 Smooth Operator Sleep Smart effective, I turn to this over-the-counter while minimizing the appearance of pores. Ultra Light retinol when my skin gets too flaky from the Chemical exfoliation products with salicylic, Sunscreen Fluid Relastin Eye Silk ($69) “Products that contain Neutrogena Rapid Wrinkle Repair Night Rx—it brightens skin and makes pores appear glycolic, or lactic acid are great for normal collagen-building ingredients like peptides Moisturizer ($21.99) “In your 40s, as estrogen Avalon Organics smaller. The active ingredients in retinoids or oily skin, but this gentle electronic Vitamin C help keep skin plump and youthful. This one is levels start to taper, you may see more and retinols also help prevent acne brush, which mechanically removes flaky Renewal Vitality made with a special zinc complex that skin dryness and fine lines. Be sure to keep relapses while evening skin tone and skin, is great for all skin types, especially Facial Serum increases elastin production and puts the skin moisturized 24/7. This is my favorite smoothing fine lines.” sensitive complexions.” spring back into skin. For an added pick-me-up, inexpensive retinol (a must-have for aging the opinions expressed Philosophy Help in this section are Me Retinol Night I keep mine in the fridge.” skin). In addition to a non-irritating retinol, it’s of the experts and are not the opinions Treatment packed with hyaluronic acid to smooth skin, of WebMD. WebMD does minimize fine lines, and even out color and not endorse any Mary Lupo, MD Clarisonic Mia Debra Jaliman, MD specific product, Reviewed by Karyn Grossman, MD Sonic Skin texture while you sleep.” service, or treatment. professor of dermatology, Tulane University dermatologist, New York City WebMD Skin Care Expert Cleansing System School of Medicine, New Orleans
W ebMD.com 24 September 2012 September 2012 25 W ebMD.com Is your hair healthy? Take Test Your Hair Straightening Smarts, WebMD’s second healthy most-popular beauty quiz, to find out. beauty .com
Beauty Smarts
that claimed to be “formaldehyde-free” Straight Up contained as much as 10% formal- dehyde content—100 times the level What you need to know OSHA considers safe. about salon hair- “The amount of formaldehyde in some smoothing treatments of these products is really scary,” says By Shelley Levitt Alexandra Scranton, director of science and research for Women’s Voices for the Dirty Secret Earth, a nonprofitenvironmental health I love trying on Tara Kennedy’s state of mind on advocacy agency. “These are levels you’d makeup, but I don’t any given day had a lot to do with associate with guys wearing HAZMAT use those tiny plastic the state of her strawberry-blond hair. suits, not with a beauty salon.” swabs at beauty counters. Am I going Thick with tight curls, it expanded to The greater risk is likely to salon to bring home some- Little Orphan Annie dimensions on workers rather than to customers like thing besides a great even slightly humid days. Taming it Kennedy, who straighten their hair Curl Power Want to embrace your curls? new shade of gloss? took the 32-year-old lawyer from Long every few months. But the FDA advises Island more than an hour and a half consumers to “limit exposure” to prod- It’s quite possible. To a dermatologist, that’s and a dozen styling products. “By the ucts that contain formaldehyde. And Choose the right cut. the shower. Squeeze To avoid what San out extra water, then like strolling through time I left for work, I’d feel exhausted be sure to choose a salon that does the Diego hairstylist Don immediately apply a a public restroom. and exasperated,” she says. service in a well-ventilated area. “Do Bewley describes as leave-in conditioner Those tubes and your homework. Ask the salon for the “curly hair that looks or styling product jars resemble petri exact name of the product they use and like a topiary,” ask for that contains silicone. dishes, teeming with microbes and bacte- Google that name along with ‘material a cut that gives your “Your hair is most Salon frizz-fighters work by breaking ringlets a structured submissive while it’s ria. The viruses that safety data sheet,’ ” Vater says. silhouette. That still wet,” says stylist cause herpes and pink apart bonds in your hair, then gluing them Or try one of the new smoothing treat- means long layers— Natasha Sunshine, eye thrive on moist, back together in a new pattern. ments that swap out formaldehyde for no shorter than six owner of Byu-ti Hair inanimate objects— gentler ingredients. Rather than break inches, save for a few Therapy salon in making a pot of lip gloss, foundation, or the hair’s disulfide bonds, they bend or face-framing pieces— Santa Monica, Calif. / veer and a sharp line at eye shadow a perfect That changed two years ago when she suspend them, leaving hair frizz-free the ends. Do the twist. breeding ground. spent $350 and three hours in a beauty and shiny but not stick-straight. Take small sections Even if the sales- of your damp hair people are careful salon on a keratin hair-smoothing treat- Homestudio ; Vater sees this as an advantage: Use moisturizing ment. “Now, twice a week I wash my hair, “You’re not stuck with one-note hair that products. and wrap around about wiping off testers after custom- blow-dry it for five minutes, and flat-iron fide bonds, or linked sulfur atoms, form It also cuts down dramatically on at- won’t hold a curl,” he says. “Instead, you Well-hydrated hair is your fingers, twirling less likely to soak up away from your face, ers use them, they it for 12,” she says. “It’s straight, shiny, the “steps” of those amino acids. The home blow-drying time. have volume at the roots, and you can
h ive /T Arc k run humidity. Build a frizz- Sunshine suggests. may not be aware of and soft whatever the weather. I love it!” more disulfide bonds your tresses have, However, something else happens w achieve broken waves or soft spiral curls defense by using a Then keep your hands all the passing shop- Whether they’re called “keratin and the more erratically they arrange during the final step that, federal health Sha if you want.” moisturizing shampoo off while your hair air- pers who dipped a tric finger into a product smoothing” or “Brazilian” treatments, themselves, the curlier your hair. reports warn, can be a hazard. When the Pa and conditioner in dries into soft, shiny or swept it onto their salon frizz-fighters work by breaking The salon process works like this: heat from the 450-degree flat iron hits curls. lips, cheeks, or hands. apart certain bonds in your hair, then After a deep-cleansing shampoo, a styl- the hair, it releases fumes that contain .com Have a go-to style. So, a disposable gluing them back together in a sleek ist applies a straightening solution to the formaldehyde, a colorless, smelly gas I Tried It! On days when you tester is a good new pattern, says John Vater, a long- hair. Next, he blow-dries the hair straight linked to everything from headaches don’t have time for defense against con- time colorist who owns Spa Adriana, a and meticulously flat-irons it at a high to teary eyes and skin rashes. What’s I don’t always have time to moisturize after curl control, pull tamination. Just make I shower. So when I read about Dove Visible sure that lipstick salon in Huntington, N.Y. temperature. That creates a waterproof more, the Occupational Safety & your waves into a Care Renewing Crème Body Wash ($7.99), in tight braid with a tube or blush brush If you magnified a strand of hair a seal that helps hair strands maintain Health Administration (OSHA) found “Out to Dry” in the Nov/Dec 2011 issue, I had nickel-sized mix of is wiped with alcohol few hundred times, you’d see amino their new shape for three to six months. that many straightening treatments to try it. It was the middle of winter—the per- hair gel and leave-in and dried before acids arranging themselves in what fect time to test it—and it’s been in my shower conditioner. “It’s more you try. Have you tried a ever since. It cleanses and delivers silky skin chic and modern than looks like a ladder if the hair is straight, product you read READER TIP the minute I towel off. And the clean, fresh a slick ponytail,” says Joshua Zeichner, MD or a spiral staircase if it’s curly. Disul- about in our pages? director of Cosmetic “I use about a teaspoon of anti-frizz smoothing creme (whatever is on sale) h ive /T Arc k run Let us know. We just scent is mild enough to not interfere with my stylist Tina Dizon, w and Clinical Research, and work through my ends and the wavy parts, but not close to my scalp might feature you in an favorite perfume, an absolute must for a body owner of The Private
Sha Department of Reviewed by Karyn Grossman, MD upcoming issue! wash.—Chloe Thompson, assistant editor because my hair is so oily.”—EleanorAnne, WebMD community member Room, a Beverly Hills, Dermatology, Mount WebMD Skin Care Expert tric
Pa Calif., salon. Sinai Hospital, New York
W ebMD.com 26 September 2012 September 2012 27 W ebMD.com Watch: Snap-On Teeth. This video explains why cosmetic surgery healthy isn’t the only fix for your smile. beauty .com
Beauty 411 What’s the difference between Retin-A and retinol? Both are retinoids— derivatives of vitamin A that promote faster skin cell turnover. And when symptomchecker it comes to treating skin issues from acne to aging, there’s a reason you hear about them a lot—they’re some of the Now better than ever! most proven, effective, and powerful weapons • Save symptom lists for yourself and loved ones. available. Retinoids come in • Detailed information based on possible conditions. Your Smile prescription forms and in a range of over-the- • Print reports to share with your doctor. counter products. Prescription-level Grin and Bare It retinoids fall into these groups: tretinoin (includ- Hate smiling for photos? Your dentist can help ing the brands Retin-A, By Stephanie Watson Retin-A Micro, Renova, and Atralin), tazarotene (such as the brand Tazorac), and adapalene Many people consider their smile one last for years if you maintain it by using your (such as the brand Dif- of their best assets. But what if you’re trays about once a month. ferin). They prevent the embarrassed to smile? For broken or chipped teeth, you have buildup of dead cells in Chipped, crooked, or discolored teeth can several options. Bonding fills in chips and the pores and follicles do more than ruin a picture-perfect moment. gaps with a hard, tooth-colored material. and promote the growth of healthy cells. Com- “Beauty is based on symmetry, and having More durable are crowns, porcelain “caps” mon side effects include teeth that are asymmetrical, crowded, or that slide over the entire damaged tooth, or dryness, redness, irrita- misshapen throws off that symmetry,” says veneers, thin pieces of porcelain laminate tion, and skin peeling
Kellee N. Stanton, DDS, who has a practice that cover only part of the tooth. Your dentist as well as increased /V eer in Eagan, Minn. She says misaligned teeth can also reshape your smile by removing some sensitivity to the sun. With regular use, you can al press even keep some people from achieving their of the gum lying over your teeth, a procedure expect to see results as personal and professional goals. What do you called gingivectomy. D igit ; soon as two weeks. ges do if you’re unhappy with your smile? To save money, you could combine cosmetic Drugstore aisles teem y im a y You could start by whitening, one of the dentistry with orthodontics. First you wear with products that con- most popular cosmetic dentistry procedures. braces to straighten your teeth, then your tain retinol. But unless vitamin A is listed as one “It makes such a big difference,” Stanton dentist only has to restore the few teeth of the top five ingredi- ett e l y/G Daz says. “Crooked or misshapen teeth that are that braces can’t fix instead of cosmetically
ents and the product is P eter ;
whitened can dramatically improve your altering your whole smile. packaged in an airtight ges opaque bottle, what smile.” You can whiten your teeth at your If you’re considering cosmetic dentistry, ask im a y dentist’s office or use trays with a professional- your dentist to give you a preview of your post- you’re getting might not be all that effective. strength gel at home. The results are often procedure smile with a digital simulation. —Ava Shamban, MD, dramatic, lightening teeth by several shades, assistant clinical professor of Reviewed by Eric Yabu, DDS, WebMD Oral Health Expert
Stanton says. A dentist-whitened smile can dermatology, UCLA ett indi a/G uni q ue ly
W ebMD.com 28 September 2012 family & It’s Never Been Faster or Easier parenting to Keep Your Family Healthy
35 Baby Talk What to expect from 6–12 months
36 Kids’ Health How to head Pregnancy off lice
37 Fit Kids WebMD Friendships are Check symptoms, access drug key to self-esteem information, get first aid essentials WebMD the Magazine Matters of and local health listings. Now enjoy WebMD the Magazine 38 Pet Health Available for: Android, iPhone, iPad, Kindle Fire wherever you are with a FREE Train your fighting subscription right on your iPad. Also the Hart Fido to be a access to bonus celebrity content, calm canine WebMD expert extras and more. How does she put her magic touch on Available for: iPad motherhood? Actor Melissa Joan Hart explains it all By Stephanie Watson
WebMD Baby Access hundreds of articles and WebMD Pain Coach videos developed and approved by The essential app for people WebMD doctors. Track sleeping, living with chronic pain, featuring feeding, growth, and more! Create over 1,000 doctor-approved a baby book to capture all of the tips and articles, symptom and precious moments. treatment trackers, and more. Available for: Android, iPhone Coming in Summer 2012. Available for: iPhone EXPERT TIP Swear you’re craving a certain food? “We haven’t been able to find scientific information to substantiate [cravings].”—Anna Maria Siega-Riz, PhD, RD
Photography by Robyn Twomey September 2012 31 W ebMD.com Keep yourself sane and family& your baby healthy with the free WebMD Baby App. parenting Download it today! “Go see as
many movies as well as extra iron for your increased as you can Pregnancy blood volume. before the baby Start exercising. “It’s a myth that comes. You it’s too late to begin exercising during Hart & Soul pregnancy,” says Marjorie Greenfield, won’t see an MD, division director of General Ob adult movie stetrics and Gynecology at Univer You’re mom to Mason, 6, and sity Hospitals Case Medical Center in again for Braydon, 4. How is preg Cleveland and author of The Working five years.” nancy with baby No. 3 different? Woman’s Pregnancy Book. And while I was pretty scared the first two times. it’s probably not a good time to learn I’m not as scared this time around, how to inline skate or play soccer, brisk which is a relief. I’m so excited. And walking is fine, she says. somehow, I’m much more secure that ACOG recommends at least 30 min we can handle it. utes of exercise on most days of the week, which can help with everything You’re in your third trimester— from improving sleep to protecting how are you feeling? against gestational diabetes. But what I can’t complain because I’ve had totally ever you do, “don’t work out so hard you healthy pregnancies every time, but I’m can’t talk. Don’t bang your tummy,” just massively uncomfortable. This one Greenfield says. “As long as you follow is a little bit more hormonal. There was the rules, do whatever [exercise] feels a lot more nausea in the beginning. I got right to you,” whether that’s running, really big really quickly. At three months brisk walking, or swimming. I felt like I was in my ninth month. Pregnancy “But we don’t recommend hot yoga,” she adds. “Getting overheated is not Are you going to find out the good for you.” No matter what exercise baby’s sex? Belly Busters you’re doing, “if you start feeling really No. We want to keep it a secret this hot, you have to stop.” time. I’ve always wanted to do that. But Eat for two? Skip your workout? The truth Stay hydrated. While you don’t the first time my curiosity got the better about prenatal nutrition and fitness need to down lots of extra water during of me, and the second time the ultra By Christina Boufis pregnancy—six to eight glasses a day sound technician pretty much gave it is fine—you do need to stay hydrated. away. This time I wanted it my way. Make sure you don’t get dehydrated You’ve heard all kinds of things “It’s really not that much,” says Anna when exercising, says Greenfield. Melissa What are your labor plans? about what you should and Maria Siega-Riz, PhD, RD, professor And skip the sweetened drinks. “A Joan Hart The first one was very medical [pitocin shouldn’t do to stay healthy and fit of epidemiology and nutrition at the lot of women don’t realize that sweet stars in ABC Family’s to induce labor and an epidural for when you’re pregnant. To separate fact University of North Carolina’s Gillings ened beverages—juices, sweet teas, Melissa pain relief]. And the second one was from fiction, we asked our experts for School of Global Public Health. and Frappuccino-type coffee drinks— & Joey. very natural. I wasn’t hooked up to any their fitness and nutrition tips. As al Take your vitamins. When you’re have a lot of calories and added sugar,” thing. I actually labored at home for ways, check with your doctor about pregnant, you need increased amounts Siega-Riz says. “So it’s really easy to about 10 hours. And I hope to do that which guidelines are right for you. of certain vitamins and minerals, such gain weight.” again this time. Eat for one. You need to add only as folic acid and iron, says Siega-Riz. Keep your balance. As you progress about 300 calories a day to your diet, Prenatal supplements ensure you’re in your pregnancy, “you have to be cau How do your sons feel about starting in the second trimester, ac getting the 400 to 800 micrograms of tious about things that involve balancing their new sibling? cording to the American College of Ob folic acid needed to help prevent neu because your center of gravity is differ The boys are so excited. They’ve stetricians and Gynecologists (ACOG). ral tube birth defects like spina bifida, ent and you may not adjust so quickly,” decided they want a boy now but Greenfield says. While you don’t have to before that, they wanted a girl because forego bike riding, for example, you may Mason especially loves little girls. READER TIP have to go slower or adjust your workout. “My doctor told me the best medicine for swollen feet and ankles is a swimming pool. I have been going to the pool nearly every Reviewed by Hansa Bhargava, MD Reviewed by Sara DuMond, MD WebMD Medical Editor day.”—Beckie_33, WebMD community member WebMD Baby Care Expert gra ph y/Veer P hoto Ocean
W ebMD.com 32 September 2012 September 2012 33 W ebMD.com Check out the Simple Tips to Keep Baby’s Skin Healthy slideshow and say bye-bye to bumps and rashes. family& parenting am .com track bedtime baby talk am Stage Coach read parenting tip track Does your baby seem to change by the minute? Here are some milestones diaper change to watch for by the end of his first year am By Gina Shaw MORNING ROUTINE The App Touching
read baby am care article the Lives of track While your baby spent his first six months getting Katherine A. Connor, MD, a pediatrician at the Harriet Lane nap control of his big, floppy head and his midsection, Clinic of Johns Hopkins Children’s Center in Baltimore. take photo of favorite toy New Parents he’ll spend the next six perfecting the use of his increasingly What happens next? Plenty. While all babies develop at dexterous fingers and learning to get mobile. “Babies tend to their own pace, “there is a wide range of normal,” Connor says. am develop from the top down and from the middle out,” explains Here are some of the changes in your baby’s first year.
feeding read nutrition tip Gross Motor Fine Motor Language Social am Perfect!!! A May sit up on his Transfers objects Babbles in a way Responds by looking learn favorite words “Perfect for every new own—without being from one hand to that can sound toward you or create parent that wants to track their newborn!” 6 propped—if you the other. tantalizingly like real smiling at you when pm note Months get him into a words—“mama,” you say his name.
OUT AND ABOUT Jason • April 22, 2012 sitting position. “dada,” “baba.”
read pediatrician article May support whole Begins to scoop up Imitates sounds you Begins to really pm weight on legs. May try smaller objects using a make to him, like enjoy eye contact track to move forward. This “rake grasp,” sweeping raspberries, babble and games like note 7 may take the form of with all the fingers. talk, and laughter. peek-a-boo. Everything I Needed & More! Months scooting or rocking. record video and pm pictures with family “Love the journal & baby book! Gets into a sitting May play with picking Some babies start using Begins to understand Must buy for parents!” position on his own. up and dropping “mama” and “dada” to that things still exist chart growth Jamie • April 24, 2012 Also, babies who do objects. Transfers refer to people. Don’t when he can’t see 8 crawl usually start objects from be surprised if she calls them—and the start of Months pm read sleep article around now. hand to hand. mom “dada” for awhile. separation anxiety.
Gets from sit- May have a “rake” Uses a lot of gestures, Stranger anxiety has
s i m age y ting to crawling grasp, that is, picking like pointing, shaking kicked in. Babies who create Amazing App!
pm note G e tt position. May pull up objects with all four head, and nodding, were happy going to 9 self up to stand- fingers engaged. to communicate. a trusted sitter may Months “This is the only app I’ve ever utilized good enough ing position. suddenly melt down. track
DOCTOR’S APPOINTMENT to cause me to spend my time writing a favorite toys
review. Incredibly useful with my new son!” in d ia/ uniquely ; May stand on his Uses an evolving Uses “mama” and/or Likes games— pm Chase • April 25, 2012 own, just for a few pincer grasp—a “dada” regularly. especially those
record s i m age y seconds or may still couple of fingers and involving finding feeding 10 just pull self to a thumb—to pick up something that’s G e tt
/ Months standing position. small things. hidden. pm record insight May begin “cruising”— Puts objects into May hold babble Learns what “no” Love This App!! l d Die bo o rge using furniture to move a container, conversations with means, though that ; G e ; 11 around while upright. such as balls in a you, complete doesn’t mean that pm Months May try to stand on bucket, and takes with intonations. he’s going to listen or
“Easy to use!!! Lots of great information!!” s i m age y track own for a few seconds. them out again. Talk back! remember next time.
MelissaSue1106 • April 30, 2012 G e tt bedtime / PARENT TIME May be cruising or may Has probably devel- Begins using another Responds to simple r d a ffo
share article t pm take a few tentative oped a good pincer word or two besides requests, like “Give on facebook first steps. Most babies grasp. Can pick up “mama” or “dada.” Daddy the ball.” : Siri S Siri : 12 don’t walk until after small objects with Months top this point. thumb and forefinger.
om Reviewed by Hansa Bhargava, MD, WebMD Medical Editor
Trackers Articles BabyBook f r
September 2012 35 W ebMD.com Get 5 Simple, Fun Ideas for Family Fitness from the family& Raising Fit Kids center. parenting .com
Kids’ Health Fit Kids Have you ever worried about your child making friends? Or were you upset because another child Head Case Pal Around rejected your child’s friendship? It’s back-to-school season—and that can mean lice. Want to help your kids develop self-esteem? I found myself in this situation when Here’s what to look out for Friendships are key my 6-year-old daughter came home By Stephanie Watson By Hansa Bhargava, MD, WebMD Medical Editor from school crying one day. She told me that her best friend had decided she Fourth grade had first treatment doesn’t kill didn’t want to play with her anymore. barely started when all of the lice, and you’ll need My “mom instinct” was to somehow I got a call one early to apply a second treatment jump in and protect her. We’ve all had September day from the seven to 10 days later. painful interactions with friends at school nurse. “Your son has Meanwhile, wash all the some point, and to see your child go lice,” she said. “Come pick sheets, towels, clothing, through something similar—it’s heart him up right away.” combs, and brushes your breaking. I took it personally. All I could think was, child recently touched in hot But then I had an aha moment. As a “Those dirty creatures on my water (at least 130 degrees parent, I’d spent a lot of time and en child—in my house?” Fahrenheit), and vacuum ergy making sure she was getting good In fact, dirt has nothing carpets and furniture. Check grades, playing sports, taking music to do with lice, says everyone else in the house. lessons. Learning about friendships Paradi Mirmirani, MD, Don’t like the idea of hadn’t come into focus until now. As a a dermatologist at the treating your child with pediatrician, I know that figuring out Kaiser Permanente Vallejo chemicals? You may have how to build friendships and handle Medical Center in California. heard about trying to relationship change is important—even “It’s really not an issue of suffocate the bugs with olive for young kids. I realized I couldn’t cleanliness. It’s an infestation oil, mayonnaise, or petroleum shield her. that’s related to close contact, jelly. But no evidence Research backs up the importance of which we have in schools.” proves this works, maybe this aspect of growing up. Some studies Mirmirani’s three kids picked because lice are pretty hardy show that kids as young as kindergar up lice at their school a creatures. Studies show they teners know what it means to be lonely couple of years ago. can survive several hours of and to feel boredom and sadness. More Kids are particularly easy smothering natural remedies. studies are needed, but many child psy targets for lice, thanks to With most lice treatments, chologists suspect children who feel the size of their hair shaft. you’ll also need to go through loneliness may be affected over the long “Lice are more easily able your child’s hair with a term, possibly with lower self-esteem to cling to hair that’s finer fine-toothed comb to get and an increased likelihood of being a and thinner in diameter,” Itching is a reaction to the clinging to the hair shaft rid of nits, and reapply the lonely adult. One study looked at 242 Mirmirani says. Plus, lice’s saliva, which they close to the scalp. Most kids treatment in about a week to students in sixth grade. Those who did children are big on sharing— inject while feasting on have only about 10 live lice on kill any newly hatched eggs. not have friendships reported being hats, towels, you name it. blood from under the skin. their head at any given time, Not in a nit-picking sadder and feeling less self-worth than That’s probably why there are When you look closely at but their scalp can be home mood? Call a lice removal their peers. 6 million to 12 million cases your child’s head under a to several hundred eggs. company—such as Hair “Not every child has to be popu of lice in children each year. bright light, you’ll spot light What’s a parent to do? Two Whisperers in Los Angeles or lar, nor can every child be popular,” The telltale sign of lice is brown, sesame seed-sized things—treat your child and The Texas Lice Squad—and Kenneth Rubin, PhD, professor of itching, especially behind bugs darting around. Those clean house. An over-the- they’ll come pick the little human development at the Univer the ears, on the scalp, and are the lice. Or, you may just counter medicated shampoo critters out of your child’s sity of Maryland, says in his book The at the nape of the neck. see their eggs, called nits, or rinse with permethrin hair for you. They’ll also Friendship Factor: Helping Our Children (brands include Nix and Rid) show you how to prevent Navigate Their Social World—and Why It s i m age usually wipes out lice pretty future outbreaks. er f ile st Matters for Their Success and Happiness. ow READER TIP /Ma EXPERT TIP G l effectively. The FDA also / More important is for kids to practice “I encourage parents to come to school and volunteer. “Your child learns from watching you. She pays attention to the recently approved a comb- Reviewed by way you interact with your friends and to your attitudes about handling relationships, which teaches U nli m i t e d
Students are so proud and it may help ‘renew s Im age
Hansa Bhargava, MD s free lice shampoo, Sklice them when they’re not around.”—Hansa Bhargava, MD them to negotiate and be empathetic,
interest.’ ”—orin34, WebMD community member WebMD Medical Editor ual Hy b ri d (ivermectin). Sometimes, the Vi s and forms their views on fairness.
W ebMD.com 36 September 2012 September 2012 37 W ebMD.com People are talking in Hot on Pinterest: the Pet Health community WebMD’s Foods Your right now. family& Dog Should Never Eat slideshow parenting pet health .com Hot Stuff Get the scoop on a common skin infection Cat Scratch Both my dog and cat have to get your pet to a veterinarian, who Fever “hot spots” on their can clip away the hair around the spot Drew Weigner, DVM, skin. What are these and (which allows it to air out and makes ABVP, hospital director how can I prevent them? it easier to apply medicine), clean it, of The Cat Doctor feline specialty clinic in Hot spots, also known as acute and then prescribe antibiotic creams Atlanta, offers tips for moist dermatitis, are warm, and tablets. The vet can also test your managing aggressive painful skin infections, usually pet for antibiotic-resistant strains of cat behavior. 1 to 4 inches across that often have staph. Depending on where the spot pet health Face facts. pus and a foul odor. The more your is, your dog or cat may need to wear a “Play aggression is pet chews or licks the spot, the worse special collar until the area is healed. common and not the infection becomes. Allergies, flea To prevent future hot spots, keep Scrap necessarily a bad and mite bites, stress, and pre-existing your pet on year-round flea control, thing, especially for kittens,” says Weigner. infections (for instance, an ear or anal brush fur frequently, and treat any Happy “What’s not normal is gland infection) are common causes of underlying skin allergies. Also injuring others.” Look hot spots. Not grooming your pet often be sure to thoroughly dry Got an aggressive pup? Transform your at your cat’s face to see enough can also cause hot spots—dead thick-coated dogs after they fighting Fido into a calm canine if she’s playing or being hair traps moisture against the skin. have been bathed, gone swim aggressive. A cat with By Lisa Zamosky turned-back ears and Because hot spots can turn into ming, or gotten wet in the whiskers and dilated antibiotic-resistant, possibly life- rain.—M. Duffy Jones, DVM, WebMD Everyone gets a little riled up when usually there is one—it’s just unrecognized,” eyes that’s crouching threatening staph infections, be sure Pet Health Expert they feel threatened, and dogs are no Miller says. down and hissing is exception. “Aggression serves a purpose for Watch for subtle changes in your pet’s telling you to beware. dogs,” says Katherine Miller, PhD, director demeanor, such as sudden stillness, looking Play around. of anti-cruelty behavior research for the out of the corner of his eye instead of directly “Many cats cross the line from play to ASPCA’s anti-cruelty behavior team. “Dogs at something, lowering his head, or hunkering aggression because respond to real or perceived threats to their down. Quickly divert your dog’s attention they’re bored,” says body, territory, or resources, such as food when any of these things happens—warning Weigner. Play with your or toys.” But if every passing animal or signs often occur a split second before a dog’s cat for 30 minutes approaching stranger sends your dog into a behavior escalates. twice a day. fit of barking, growling, and snapping, some You can also head off aggression at the Hands off. behavior therapy may be in order. pass by respecting what your dog’s body Using your hands as If your dog is still a puppy, you’re in luck. language is telling you. “Don’t impose your toys encourages cats to treat them as prey What Will Help According to Miller, socializing a dog while will on the dog,” Miller says. Pushing your and leaves you open it’s young is the best way to discourage pup to play nice with a small child or another to cat bites, which aggressive behavior as an adult. Expose your animal, even as he’s pulling away, is a recipe always require a trip
/Veer You Lose Weight? pet to different types of people and places so for disaster. to the doctor, Weigner s says. Instead, get in he doesn’t react to them as a threat later on. When a normally placid dog becomes Haa y the habit of using kitty t If he’s past his puppy prime, a little aggressive, visit a vet to rule out medical teasers such as toys WebMD Food & Fitness Planner retraining might be the best way to mellow causes for the sudden change. If your dog is that look like out your pooch. One key to managing still fighting mad after following these fishing poles In just a few clicks, customize a plan to help you reach your steps, Miller says, seek help from a or laser aggressive outbursts is to see them coming. weight and fitness goals. Studies have shown that people “People say a dog didn’t give any warning, but certified dog trainer or behaviorist. pointers.
e: Mar i t e: oppos Mazur/Veer. ; who keep a food journal lose twice the weight than those who rely on diet and exercise alone.*
EXPERT TIP s i m age y
“Keep treats on hand during walks and offer one up before your G e tt Best of all, it’s free. So start planning today. dog lunges at the neighbor’s pooch. Or throw something tasty into his bowl if your dog growls when you get close while he’s Reviewed by William Draper, DVM eating.”—Katherine Miller, PhD WebMD Pet Health Expert e N e w ell/ L enne tt e
*American Journal of Preventive Medicine, August 2008 W ebMD.com 38 September 2012 his Way Up Viola Davis just won’t back down—and neither will her career. As the actor’s accolades pile up,she reflects on why her latest role is so personal and the joys of becoming a mom later in life By Rebecca Ascher-Walsh
Photograph by Gilles Bensimon/Trunk Archive
September 2012 41 W ebMD.com character go on a life journey,” Davis says of her role. “I think she is a person we are all familiar with, especially when you reach midlife. By the time you’re my age, life has gotten to 2 you. You are at a fork in the road, and you’re trying to find out what makes you tick again.”
Out of the Past Raised with five siblings in Central Falls, R.I., by her mother, Mary, and father, Dan, a horse trainer, Davis grew up in ab- ject poverty, much like the children portrayed in Won’t Back Down. “We lived in a condemned apartment building for 1 years. We were on the third floor, and for the first two flights you would have to find a space on the stairs to put your foot 1. Davis with co-stars Emma because all the stairs had holes in them. If you stepped in the Stone and octavia spencer in the help, which was nominated wrong place, you would have fallen into the basement. By the for best picture in 2012. 2. Davis, time you got to the third floor, it was as if you had climbed on the red carpet at the 84th Mount St. Helens. I didn’t understand what having a home Annual academy awards in Los angeles, was nominated for was about. It was just a shelter.” best actress in a leading role 3. Academy award-winner Meryl Streep and davis attend the As a teenager, Davis knew she wanted to be an actor and g es; for The help. 15th annual screen actors was encouraged by Upward Bound (www.ric.edu/upward_ guild awards party in los bound), a program that helps guide underprivileged youths, angeles. 4. davis gives the emotionally and academically, through high school and into keynote address at providence college’s 2012 commencement college. Thanks to its support, she attended Rhode Island ceremony in her home state of hoever said, “You College, where she majored in theater before enrolling in rhode island. can have it all—you just can’t have it all at one time,” has the lauded Juilliard School. To return the favor, Davis and
never met Viola Davis. In the last year alone, the 47-year-old her sister, Deloris, another Upward Bound graduate, began ima Deley/Getty A n d rew M arc g es; actor has soared professionally and personally. Named one a scholarship fund in 1988 for Upward Bound students of Time magazine’s 100 Most Influential People in the World, attending Rhode Island College. One of its most esteemed she also celebrated two Screen Actors Guild awards, a Golden donors is Meryl Streep, who contributed $10,000 after she Globe nomination, and her second Oscar nomination, thanks won the Oscar for best actress this year over Davis, her co- to her stunning turn in The Help last year. And she became star in the 2008 drama Doubt. a mother for the first time when she and her husband, actor “The program taught me social and academic skills,” says Julius Tennon, adopted a baby girl named Genesis. Davis. It also gave her a perspective that altered her forever. “I No one could be more surprised by her success—or stam- always felt like my childhood was very harsh and dark, and that ina—than Davis herself, who sounds just like any other ex- I had kind of a corner on the market of suffering. Then I went ima W inter/Getty K evin O utline; C orbis 7 3 hausted new mother trying to balance family and career with to Upward Bound and started sharing stories with people who a semblance of self-preservation. “I’m tired all the time,” she had escaped the Khmer Rouge, and saw people whose families 5 says with a laugh. “There’s no space in my brain anymore. I had been shattered, people who had post-traumatic stress from d or/ A fana uven
don’t have time to be creative or to focus on myself. But I’m which they would never recover. And suddenly, I understood R g es; also more alive than I have ever been.” what it meant to define yourself in terms of the world, to live a She’s busier, too, at an age when most leading ladies see life beyond yourself. The worst moments in life don’t define who their careers begin to slow down. Davis has completed three you are, and no matter what, you can still thrive.” movies since The Help, including this month’s Won’t Back Psychologist David Crenshaw, PhD, clinical director of the Down. Co-starring Maggie Gyllenhaal, she plays a teacher Children’s Home of Poughkeepsie in upstate New York and fighting to transform an inner-city school. “You can see the a faculty associate at Johns Hopkins University, agrees that 4 6 5. davis poses for a portrait 7. davis and her husband of nine during the 2009 santa barbara “I now understand the importance of love. years, actor julius tennon, at film festival. 6. oscar winner
uckner/Getty ima B uckner/Getty M ichael obinette/Dreamworks; the L.A. premiere of doubt, for denzel washington and davis which she was also nominated during the curtain call at the And for me, the most important things are my husband for an academy award for best opening night of the broadway and my daughter. Because they make me feel needed. supporting actress. revival of Fences in 2010. verett C ollection Germana/ E verett M ichael C orbis; They make me feel like the space I’m taking up on this / ob K in g ob R earth is important. That I’m important.” R Dale top: from clockwise
W ebMD.com 42 September 2012 September 2012 43 W ebMD.com What do you know about happiness? Take the Happiness Quiz to test your emotional intelligence quotient. people can flourish despite the worst childhoods. C“ hildren my exhaustion has pushed me into early menopause!”—she .com are far more resilient than we often think,” he says. “Research says the positives far outweigh the negatives. “I definitely demonstrates that resilience is part of normal adaptation of understand why people do it when they’re younger,” she says. human beings, enabling people to survive and even thrive in “But the good thing about having a child at this age is I’ve the face of harsh conditions.” been doing what I’ve been doing for 23 years, so I’m on the great at barbecue. We cook a lot of Southern food, both fatten- downward swing of things professionally. I don’t mean that ing and healthy.” One of Davis’ proudest accomplishments is negatively, but I’m at a precipice. That’s why my husband and learning to cook Thanksgiving dinner. “We did it for the first Lessons in Self-Confidence I have started a production company, because I’m opening time when we had just had Genesis,” she says. “We invited 20 After Davis graduated from Julliard in 1993, she went on to my life to a whole new arena of passion.” people, and they stayed all night and we loved it.” win two Tony awards for performances on Broadway and to Davis also has a new capacity for empathy and compassion. In these domestic moments, Davis is able to celebrate all star in such films as Out of Sight, Antwone Fisher, and Doubt, “I’m more forgiving of people,” she says. “I’ve never been a that she’s achieved and how far she has come. “I think the for which she received her first Academy Award nomination. gossipy woman, but I find that I don’t go there at all anymore. biggest thing is the past doesn’t define who you are,” she says. She also worked regularly in television, with recurring ap- Part of it is that I’m tired all the time,” she laughs. “But the “And you’re bigger than any circumstance in your path. Life pearances on NBC’s Law & Order: Special Victims Unit and real reason I can’t gossip anymore is I’m so aware of the is going to continue being what it is, and the only thing you Showtime’s United States of Tara. person we’re talking about being someone else’s child.” have the power to change is how you approach it—in spirit, in But even as Davis achieved stardom, confidence remained By clearing out the emotional and social clutter, “I’m living faith, and in love.” elusive. Even now, she says, “I definitely don’t thinkI ’m great at my life with purpose, and I think when you do that things fall what I do. There are times when I don’t even feel competent.” in line, and they fall in line in the exact order they should,” She has come far though, she says. Her father’s death in she says. “I now understand the importance of love. And 2006 particularly helped her focus on the things that truly for me, the most important things are my husband and my The Path to Adult matter. “Once my husband and I were evacuated from our daughter. Because they make me feel needed. They make me home in California because of fires, and they tell you to take feel like the space I’m taking up on this earth is important. Happiness the most important things in life and get out,” she remem- That I’m important.” A loving, stable childhood is certainly preferable bers. “My husband and I took some hummus and a can of to the alternative, but it may not be a predictor of sardines and some chocolate, and I said to him, ‘Should we success—or even happiness. “A relatively new term Nurturing by nature get the insurance papers?’ And he said, ‘No, take the food has been used in resilience studies—post-traumatic resilience—that describes trauma survivors with a and get out.’ If you knew you had only five minutes left, you For all the richness of her life, one thing Davis lacks is enough positive post-traumatic mental health adjustment,” learn what’s important. It was like that when my dad passed. time alone. To take care of herself, she carves out time to ex- says psychologist David Crenshaw, PhD. What makes Anything you thought was important fades away. Anything ercise or relax while Genesis is sleeping. “I definitely try to the difference between those who thrive as adults and that angered you or destroyed you is forgotten, and the only work out,” she says. “I like zoning out and giving my brain a those who don’t? thing that is left is pure, pure love. Because at the end of the break because it’s constantly in motion, and I find that exer- Ties that bind “The resilience research strongly points day, nothing else matters.” cise is the easiest way to do that.” to the protective influence of parents and other It’s a lesson that Davis has continued to learn with the If she’s making a film, Davis goes to the gym and hops on supportive relationships in the lives of children and adoption of her daughter. While she acknowledges there are the treadmill. In Los Angeles, she prefers to take walks in the adolescents,” says Crenshaw. Mentors can be family downsides to being a parent later in life—“I’m convinced hills behind her house. “If my husband is around, he makes members, teachers, or members of the community, me work harder and do weights,” but they are crucial for children to weather turbulent childhoods. she says. Davis’ other favorite indulgence is sneaking away to A spiritual life “One of the most amazing demonstra- a day spa for a massage. “And tions of resilience in children is a study of former Ugan- Viola’s Time-Out I love, love, love Jacuzzis—late dan child soldiers who had experienced unspeakable at night because that’s the only horror and were forced to witness and commit atroci- Any working woman is hard-pressed to invite her friends over, Davis relishes ties, yet 27% showed no signs of post-traumatic stress find enough “me” time. Add a child to having company. “I love people coming time I have where I can read.” disorder,” says Crenshaw. The trait that almost doubled the mix, and the task can become next into the house and cooking for them,” Her favorite way to relax is the odds of the soldiers’ emotional resilience: A belief in to impossible. As Viola Davis prepares to she says. “It makes me feel like I’m really just hanging out at home with a spiritual force, or that God had not abandoned them. celebrate her daughter’s first birthday, at home.” she shares her self-restoration secrets. her husband, daughter, and friends. Lots of friends. “We love Success at school “Positive experiences related to Embrace the good in getting older. “I school can also exert a major impact,” Crenshaw says. Get a massage. Davis’ biggest luxury is don’t have the energy I used to have to cook, and we have gatherings “Some children who otherwise face extreme adversity squeezing in a massage. “Sometimes, when I was 20,” she says, “But I’m on the at our house all the time,” she in their home life but do well in school may show resil- you need some pampering, and you can’t path of enjoying things like friendships says. “I just love anything that ience as a result of their success in school.”—RAW always do it for yourself!” and being able to gain 20 pounds and not worry about it.” makes me feel normal and bor- Work it out. Whether she’s walking or ing! We usually invite about 50 hitting the treadmill at the gym, Davis Inspire yourself. With little time to read, people with their kids, and we makes sure to exercise regularly. “I still Davis, who belongs to a nondenomina- sit around and eat and talk. My gain weight, but for me, it’s the easiest tional Christian church with her husband, husband is from Texas, so he’s “I’m on the path of enjoying the sweetest things way just to zone out.” reaches for the Bible or the works of Joseph Campbell, whose best-sellers in life. And I appreciate the wisdom I can Share the wealth. After growing up in include Follow Your Bliss. “I’m always Reviewed by Louise Chang, MD WebMD Medical Editor a home where she felt too ashamed to quoting Campbell,” she says.—RAW bensimon/trunkg illes archive impart to Genesis now that I am not so fearful.”
W ebMD.com 44 September 2012 September 2012 45 W ebMD.com High five The only thing more hectic than back-to-school season is getting dinner—and your family—to the table. Chef Chris Scott shares five easy-to-make weeknight meals with just a handful of ingredients
by Erin O’Donnell Photography by Tara Donne
W ebMD.com 46 September 2012 Chef Chris Scott offers kids cooking lessons at his café/market and community gathering spot, 5. Uncover couscous. Fluff and then roll over. Place Brooklyn Commune. with a fork, and add crêpe, folded side down, parsley. Add olive oil and in a baking dish lightly pepper to taste. coated with cooking 6. Spoon one serving of spray. Repeat until all couscous on each plate crêpes are assembled. and top with a piece Top crêpes with remaining Back to school of salmon. cheese. means back to routines that help kids succeed, 4. Bake 20 minutes, or like monitoring their homework and getting Per serving: until cheese melts. Serve them to bed at a reasonable hour. Chef Chris 428 calories, 23 g protein, immediately. 41 g carbohydrate, 13 g fat Scott believes in another routine: introducing (3 g saturated fat), 5 g fiber, Per serving: kids to the kitchen. 257 mg sodium. Calories 171 calories, 19 g protein, Scott, 44, is co-founder of Brooklyn Commune, from fat: 27% 7 g carbohydrate, 8 g fat a café and market in Brooklyn, New York. He and (4 g saturated fat), 50 mg cholesterol, 1 g fiber, his wife, Eugenie Woo, began the venture in late A frittata is a hearty dish Monday with plenty of protein. 320 mg sodium. Calories 2010 to foster community around good food. The Eggs are also a good source from fat: 41% café is a hot spot for busy families who stop in Mini Turkey Meatloaf of bone-building vitamin D. Makes 6 servings Serve with a tossed green to eat wholesome sandwiches and salads at large salad with lots of colorful communal tables, pick up containers of home- Ingredients chopped veggies. Thursday made soup and granola to go, or get involved in Meatloaf Chicken and Broccoli community events such as planting a vegetable ½ cup onions, diced Wednesday Frittata garden at a local women’s shelter. ½ cup celery, diced Makes 4 servings Dad to daughters Elana, 15, and Pearl, 10, Scott 1 lb lean ground turkey Savory Stuffed Crêpes breast Makes 4 servings Ingredients also leads monthly cooking classes for local kids ½ cup nonfat sour cream ¾ cup chopped broccoli ages 9 to 15. “We teach them fundamentals, like ½ cup whole wheat Ingredients florets how to make rice, how to roast a chicken,” he says. breadcrumbs 8 oz fresh mushrooms, 6 eggs He remembers the pride he felt when he learned 1 egg sliced 1 cup low-fat milk to make scrambled eggs as a child, and wants 2 tbsp finely chopped 4 oz fresh baby spinach ¾ cup cooked, diced fresh thyme (optional) 1 tbsp chopped fresh chicken breast more kids to have that experience. “The simpler 2 tbsp finely chopped thyme (optional) ½ cup shredded low-fat it is, the more comfortable they feel,” he says. “I fresh parsley (optional) 8 premade crêpes cheddar cheese want to give them the confidence to go home and salt and pepper to taste 8 (1-oz) slices lean turkey salt and pepper try cooking for their friends and family.” breast Directions Scott cut his teeth in various restaurant kitch- Glaze (optional) 1 cup shredded low-fat 1 cup low-sodium, no- Monterey Jack cheese 1. Preheat oven to 375ºF. ens in Philadelphia, then trained at the French sugar-added ketchup 2. To blanch broccoli florets, Culinary Institute in New York City. Recently, he’s ¼ cup molasses Directions bring a small pot of water shown off his skills as a contestant on the Food 1 cup balsamic vinegar 1. Preheat oven to 350ºF. to boil. Place a medium Network’s Chopped. But his passion is sharing the 3 tbsp Dijon mustard 2. Lightly coat a pan with bowl of water and ice on joys of food and cooking with young people. The salmon cooking spray. Over a nearby counter. Add Directions delivers a big dose medium heat, sauté mush- florets to boiling water 30 Kids who are proficient in the kitchen are less of heart-healthy 1. Preheat oven to 375ºF. omega-3 fats. rooms about 5 minutes, seconds to 1 minute, until likely to fear vegetables or new ingredients, Scott 2. If using optional glaze, until they release their they’re bright green. Im- says, and “can begin to enjoy healthy, delicious, whisk all glaze ingredients liquid. Add spinach and mediately drain broccoli natural foods. Not only that, they also develop together and set aside. sauté lightly 2 minutes and place in ice water. Bake about 45 minutes or 3. Sauté celery and onions Tuesday Directions until wilted. Season with When cool, drain well. a wonderful sense of community as they see the until internal temperature over medium heat, in Seared Salmon With 1. In large bowl, combine thyme, if desired, and 3. In a medium bowl, whisk connection between the people who grow the reaches 155ºF. pan sprayed with cook- Couscous couscous and cranberries. remove from heat. eggs and milk thoroughly. 6. Brush meatloaves with food, those who prepare it, and those who sit at ing spray, until soft and Makes 6 servings 2. In a small saucepan, heat 3. Place one crêpe on a Add chicken, broccoli, remaining glaze, if using. the table and share the meal.” He says helping translucent. Remove from vegetable broth to boiling. clean counter. Add 1 slice cheese, and a pinch of Bake for an additional 10 his grandmother slice apples for pie taught him heat and allow to cool Ingredients 3. Add hot broth to cous- of turkey, a sprinkle of salt and pepper. minutes. slightly. 2 cups whole wheat cous and cranberries. Stir cheese, and a spoonful 4. Pour egg mixture into an about the power of food to bring people together. 7. Remove from oven, and 4. In large mixing bowl, couscous to ensure all grains are of the mushroom and oven-safe, nonstick To help bring your own family together this fall, let rest 15 minutes before spinach mixture. Fold 10-inch skillet sprayed
combine ground turkey, images ¼ cup dried cranberries moistened. Cover tightly serving. y Scott whipped up five simple recipes, one for each sour cream, breadcrumbs, 1 cup low-sodium with plastic wrap and let sides in to make a with cooking spray. weeknight, made up of only five or six main ingre- egg, ½ cup glaze (if using), vegetable broth stand 10–15 minutes. rectangular pillow shape 5. Bake 25–35 minutes, or dients. These dinner options not only taste great, celery and onions, and Per serving: 1 lb salmon filet, cut into 4. Meanwhile, season optional fresh herbs. 271 calories, 23 g protein, 6 pieces salmon pieces with salt but also are fun for young, aspiring chefs to make. READER TIP Season with salt and 39 g carbohydrate, 2 g fat ½ tsp salt and pepper. Sear fish in (1 g saturated fat), 83 mg pepper to taste a preheated pan sprayed “My hubby is now grilling more, and I’ve commis-
pepper. Mix well. p hers/gett Photogra y e 5. Shape into 6 mini meat- cholesterol, 2 g fiber, 20 g ¼ cup finely chopped with cooking spray over sioned my 18-year-old daughter to cook one meal a Reviewed by Kathleen Zelman, MPH, RD, LD loaves. Place loaves in a sugar, 224 mg sodium. fresh parsley medium-high heat, about week.”—butterflygarden, WebMD community member WebMD Nutrition Expert
9�13-inch baking dish. Calories from fat: 7% A r & Yasmin 1 tbsp olive oil 3 minutes per side.
W ebMD.com 48 September 2012 September 2012 49 W ebMD.com Scott likes to top his savory stuffed crêpes with homemade black bean salsa.
Pantry Staples Want to help your kids make healthy food choices? Keep these ingredients on hand.
Popcorn kernels Air-popped corn is the perfect do-it-yourself project for kids: They have to prepare the popper, measure out the kernels, and wait for the corn to pop. “It’s so much better than having them just open a bag” of pre- made snacks, chef Chris Scott says. Kids learn that the best eats take a bit of effort, and “when they Get the Best finally sit down with this snack, they feel a little bit proud.”
Dried fruit Protection for Fresh fruit is one of the best snacks for kids, but dried fruits such as cranberries, raisins, and Your Family. mango strips can be a convenient alternative. Packed with beneficial antioxidant compounds and fiber, dried fruit is “definitely a better • Easy-to-understand vaccine charts for alternative to candy or each family member. other junk,” Scott says. until center is firm. Cut 1 large onion skewers to coat evenly. But dried fruit has plenty • Detailed information on the vaccine into wedges and serve 3 or 4 cloves garlic Refrigerate 1 hour (or of sugar, so make it an and the disease it prevents. immediately. 2 sprigs each of fresh overnight). occasional treat. herbs, such as parsley, 6. Place skewers on baking • Email reminders when a vaccine is Per serving: cilantro, or mint sheet and roast in oven Dry yeast due so everyone is on schedule. 181 calories, 21 g protein, ¼ cup olive oil about 25 minutes or until It’s a key ingredient in an 2 g carbohydrate, 9 g fat ½ tsp salt chicken reaches an inter- all-time favorite: home- (3 g saturated fat), 342 mg pepper to taste nal temperature of 165ºF. made pizza. Kids love cholesterol, 241 mg sodium. Serve immediately. the hands-on process of Calories from fat: 47% Directions mixing, kneading, and 1. Preheat oven to 400ºF. Per serving: punching dough and 2. Cut chicken breasts and 274 calories, 35 g protein, then layering on top- Friday vegetables into 1-inch 6 g carbohydrate, 11 g fat pings. Scott also uses cubes. (2 g saturated fat), 87 mg dry yeast to make bread Chicken and Veggie Kabobs 3. Thread 6 skewers with cholesterol, 2 g fiber, 3 g for sandwiches and soft Makes 6 servings alternating pieces of sugar, 249 mg sodium. pretzels—a great week- chicken and vegetables. Calories from fat: 37% end project for families. Ingredients 4. Finely chop garlic and 2 lbs boneless, skinless herbs, and combine with a images chicken breasts generous quantity of olive Make a delicious meal in no y time with inspired ideas from the 2 red peppers (or other oil (¼ cup oil was used G ett Healthy Recipe Finder. vegetables, such as for nutrient data). Season zucchini or grape with salt and pepper. .com
tomatoes) 5. Pour herb-oil mixture over A r d ito/ Peter
W ebMD.com 50 September 2012 A Parent’s Guide to Vaccines
Calli ngB y Heather Hatfield the SHOTS Knowing which ones kids need and when can be confusing. Our expert clears it up
September 2012 53 W ebMD.com pneumonia, as well as bone and 6 to 18 months of age, and joint infections that with a booster between 4 The tears and screaming, cause septic arthritis, or and 6 years. Side Notes as upsetting as they are, are well worth the effort. A simple prick of inflammation of the joints. Why: Polio is a virus that The side effects of vaccines are usually few the skin provides children with lifetime protection against diseases “Infants are born with an can cause paralysis and, and far between, and generally mild. If they like chickenpox, meningitis, and hepatitis. With a schedule starting immunity to Hib they get eventually, death by para- do happen, here’s what parents might see. If at birth and lasting into childhood, millions of kids in the United from their mother,” Glodé lyzing the muscles that help you’re concerned, call your doctor. says. “But that natural im- a person breathe. It infected States are vaccinated each year, usually before school begins in Hepatitis B munity is gone by 6 months. thousands of people a year Soreness where the shot was given, fever. the fall. Mary Glodé, MD, a professor of pediatrics and chief of the Then, through exposure, in the United States before infectious diseases section at the University of Colorado School of you gain immunity again vaccination began in 1955, Rotavirus Medicine and Children’s Hospital Colorado, explains which vaccines around age 5 or 6.” successfully eliminating the Irritability, mild diarrhea, vomiting kids should be getting and when—starting with the first shot babies disease in this country. But Diphtheria-Tetanus-Pertussis (DTaP) receive only hours after birth. Pneumococcal because polio still exists Fever, fussiness, vomiting, lack of appetite for Disease elsewhere around the world, a few days, fatigue When: “There are roughly it’s important kids are pro- Haemophilus Influenzae Type B 100 different strains of the tected, Glodé explains. Soreness where the shot was given, fever Hepatitis B also cause fever, loss of again between 4 and 6 years Haemophilus pneumococcus bacteria that When: The hepatitis B appetite, and dehydration. of age. Immunity lasts at Influenzae Type B can cause infection in chil- MMRV Pneumococcal Disease Drowsiness, soreness where the shot was vaccine is a three-dose The vaccine does its job least 10 years. When: The haemophilus dren,” Glodé says. “First, When: The MMRV given, fever, fussiness series. Before newborns well. Studies show that dur- Why: This one shot pro- influenzae type b bacteria, the PCV vaccine covered vaccine is given at leave the hospital, they are ing a baby’s first year, the tects against three danger- known as Hib, vaccine is seven of these strains, but 12 to 15 months of Polio given a shot in case their vaccine prevents more than ous diseases. Diphtheria is a given at 2 and 4 months of it was updated in 2010 to age, then again at Soreness where the shot was given mothers have the disease, 85% of severe rotavirus in- respiratory disease that can age, and again at 6 months cover 13 of the most severe 4 to 6 years. MMRV which can transmit to a fections and more than 75% lead to breathing problems if a third dose is necessary strains—so now it’s called Why: It’s a mouthful— Fever, seizure caused by fever, child during birth, says of all rotavirus infections. and, potentially, paralysis, (this depends on the brand PCV 13.” measles, mumps, rubella, mild rash, swollen glands Glodé. Second and third heart failure, and death. of vaccine used). The final The PCV, or pneumococ- and varicella. And you Hepatitis A doses are usually given one Diphtheria-Tetanus- Tetanus is a bacterial infec- dose is given at 12 to 15 cal conjugate vaccine, is don’t want your child to be Soreness where the shot was given, month and six months later. Pertussis (DTaP) tion that can cause muscle months, and protects a child given in four doses at 2, 4, infected with any of them. headache, loss of appetite, fatigue Immunity lasts for more When: “This was the first spasms that tear muscle until his own immunity and 6 months, with a final Measles can cause rash, Flu than 20 years. combination vaccine made,” tissues or fracture the spine. kicks in several years later. dose at 12 months or older. cough, and fever and lead to Low fever, muscle aches. Very Why: Hep B is a virus says Glodé. “The purpose Pertussis, known as whoop- Why: The Hib bacteria Why: A bacterium called ear infections, pneumonia, rarely (one or two in a million that can damage the liver, was to simply minimize the ing cough, is a highly conta- causes meningitis, an Streptococcus pneumoniae and possibly death. Mumps people), Guillain-Barre syndrome, causing infection and scar- number of times a pediatri- gious respiratory infection infection of the membranes can cause blood infections, can cause fever, headache, which can cause nerve damage ring, and increasing cancer cian needs to poke a child.” that causes coughing so covering the brain and pneumonia, and pneumo- and swollen glands and lead risk. Kids with hep B are at DTaP follows a five-dose powerful and prolonged that spinal cord that can lead to coccal meningitis (like men- to deafness, meningitis, high risk of becoming seri- schedule: at 2, 4, 6, and a child may stop breathing deafness and death. It’s also ingitis, this infection causes and swelling of the testicles ously sick—about 90% of 15 to 18 months, and then during an episode. one of the bacteria behind swelling and irritation of or ovaries. Rubella causes infected infants eventually the membranes covering the rash, fever, and sometimes Why: Hepatitis A is a have asthma or a compro- develop lifelong infection, brain and spinal cord). It’s arthritis. Finally, varicella, liver disease that can cause mised immune system can and 25% die from liver particularly dangerous for or chicken pox, can cause jaundice and severe diar- get the flu vaccine in nasal disease. kids under 2 with develop- rashes, itching, fever, and rhea; one in five of those spray form. ing immune systems. The fatigue, leading to skin infected needs to be hospi- Why: The flu shot con- Rotavirus Safety First bacterium has become re- infections and scars. In rare talized. While kids aren’t at tains killed flu virus, and When: There are two sistant to some antibiotics, cases it can cause encephali- significant risk of becoming each version protects against Vaccines have come a long way since the first one was developed for smallpox brands of the rotavirus so the PCV vaccine is more tis, an infection of the brain. seriously ill from hepati- the three most likely strains more than 200 years ago. Today, research shows they are safer than ever. vaccine, one that requires With side effects usually both mild and infrequent, the advantages far out- (2) G etty G eorgios/veer (3); important than ever. tis A, adults are, Glodé says. to infect people that year, two doses and one that weigh the risks in terms of protecting a child’s health for years to come, says Hepatitis A Vaccinations in children are based on research of the most requires three—at ages Mary Glodé, MD, a professor of pediatrics. “Vaccines must go through rigor- k byte/ toc Polio When: The hep A vaccine aimed partially at protect- active strains worldwide, 2 months, 4 months, and ous testing before they become available to the public,” she says. When: This is given as a is given between ages 1 and ing older family members Glodé says. When scientists Though vaccines as a possible cause of autism has been a topic of dispute 6 months, if necessary. All shot over four doses, at 2, 4, 2, and again 6 months later. and caregivers. get the strains right, research for years, study after study has found no such link. “Autism is a very serious are given as a liquid by disease that needs to be studied, but the evidence connecting it to vaccines shows, the vaccine can pre- Flu mouth. just isn’t there,” says Glodé. S images; k /glow toc vent the flu in more than 70% S Use the Vaccine Tracker tool to record and man- Why: Rotavirus is the Countless studies back the health benefits of vaccinations. These findings age your entire family’s vaccination history. Also When: Once a year, starting of healthy, young people. No. 1 cause of vomiting and help parents make what most, if not all, kids’ health experts say is the right check out WebMD’s special report on vaccines. at 6 months, kids should be choice: protection through vaccines. diarrhea among children vaccinated against influenza. Reviewed by Hansa Bhargava, MD .com WebMD Medical Editor worldwide. The virus can Kid page: previous Kids 2 and older who do not
W ebMD.com 54 September 2012 September 2012 55 W ebMD.com Food What Will Help You Lose Weight? & Recipes WebMD Food & Fitness Planner Three Ways to cook In just a few clicks, customize a plan to help you reach your weight and fitness goals. Studies have shown that people who keep a food journal lose twice the weight than those who rely on diet and exercise alone.* 60 Off the Menu Good Catch Cod is the official state fish of A Portland chef Best of all, it’s free. So start planning today. Give the behind-the-scenes cod the Massachusetts. shares her fave starring role it deserves at-home meal By Erin O’Donnell 60 What’s Cooking! The most-clicked recipes right now at WebMD.com
61 Learning to Love A reader trans- forms her hubby’s dislike of rhubarb
62 Kids in the Kitchen Chef Lizzie bakes a White House treat
EXPERT TIP “I love cod because it’s so easy to cook and has a mild flavor most people like. I never fry it but give it a crunch by dipping cod pieces in milk then a flour/ cornmeal mix coating and bake it in a 450ºF oven for 8–10 minutes.”—Kathleen Zelman, MPH, RD, LD
*American Journal of Preventive Medicine, August 2008 Photography by Johnny Miller September 2012 57 W ebMD.com Food Cod belongs to & Recipes the same fish family as haddock and pollock. Directions 1 2 1. Rinse and drain quinoa. In a 4-quart 3 Mediterranean Delight heavy-bottom pan, bring 3 cups Life of the Party South of the water to a boil over high heat. Add Border Cod is a lean fish, so it gets dry if quinoa and salt; reduce to simmer. This salad is especially good Pair cod tacos with fresh, overcooked. These packets ensure with fresh corn and tomatoes, In the world of sea- Cover and cook about 15–18 minutes, crunchy coleslaw for a new moist fillets. until water is absorbed and quinoa but canned plum tomatoes food, cod is a quiet twist on taco night. is tender. and frozen corn work as well. cousin. Other fish, espe- Mediterranean Cod 2. Heat grill to medium-high. Sprinkle cially salmon and tuna, get Cod Tacos With Packets With Quinoa cod fillets with garlic powder, salt, Sizzling Cod With Confetti all the attention as standout Jalapeño Coleslaw Makes 6 servings pepper, and lemon zest. Combine Vegetable Salad Makes 6 servings Makes 6 servings sources of heart-healthy Ingredients olive oil, capers, onion, parsley, lemon juice, and white wine in a omega-3 fatty acids. But Ingredients Ingredients 1 ½ cups quinoa medium bowl. Place one fillet on the the humble cod is unfairly ½ tsp salt ½ cup fat-free center of each piece of foil, and top 3 ears corn, husked 6 (5-oz) cod fillets forgotten, says Elisabetta mayonnaise with onion mixture. Bring edges of ¼ cup chopped shallots 1 tsp garlic powder Politi, RD, MPH, CDE, 2 tbsp low-fat milk foil together and fold and crimp them 2 large tomatoes, diced LDN, nutrition manager 1 tbsp white vinegar dash of salt ¼ cup fresh basil 1 tsp pepper to seal packets, leaving room for of the Duke Diet & Fit- ½ tsp sugar expansion. 6 5-oz cod fillets 1 jalapeño, seeded 1 ½ tsp grated lemon zest ½ tsp salt 3. Place foil packets on grill. Cook, ness Center. “I sometimes and minced 1 tbsp extra virgin olive oil 1 tsp freshly ground covered, for 10–15 minutes or until think we emphasize the 1 (14-oz) bag 1 tbsp capers, drained pepper fish flakes easily with a fork. Remove omega-3-rich fish so much coleslaw mix 1 large Vidalia (or other sweet) 3 cups fresh baby from grill. Carefully open packets and that we forget that eating cooking spray onion, thinly sliced spinach leaves, washed The “codfish wars” ¼ cup chopped fresh, flat-leaf serve over quinoa. refers to fishing 6 (5-oz) cod fillets 1 tbsp white balsamic fish in general is a great parsley confrontations between dash of salt Per serving: vinegar strategy to control your Iceland and the ½ tsp black pepper juice of 1 lemon 2 tbsp extra virgin olive oil weight and also [help] pre- United Kingdom in the ⅓ cup dry white wine 317 calories, 31 g protein, 31 g 1950s and 1970s. 12 (6-in) corn tortillas 1 to 2 fresh lemons, vent heart disease,” Politi 1 red onion, thinly (can substitute chicken stock) carbohydrate, 6 g fat (1 g saturated fat), cut in wedges says. “Cod is a great choice.” sliced 6 (12�18-in) sheets heavy-duty 60 mg cholesterol, 4 g fiber, 317 mg aluminum foil sodium. Calories from fat: 17% Directions Cod does deliver a small 1 tomato, diced ¼ cup fresh cilantro, 1. With a sharp knife, cut dose of omega-3s but Pantry Picks chopped The Vikings were corn kernels off the cob. protects the heart in other Our three cod recipes are especially easy to whip up when 1 to 2 limes, cut in wedges among the first Coat a large grill pan with Europeans to ways. “When we eat fish, we you have the right ingredients on hand. WebMD cooking spray, and heat Directions harvest cod. tend to eat fewer calories director of nutrition Kathleen Zelman, MPH, RD, LD, suggests over medium-high heat. these kitchen staples that will make meal prep a snap. and less saturated fat, which 1. Make coleslaw: Combine Add corn and shallots and the first five ingredients sauté 4–5 minutes, until is linked to a lower risk of Soft shell: Most kids love the do-it-yourself in a large bowl, whisk to corn is tender and shallots heart disease,” Politi says. routine of taco night, and soft tacos and blend, and toss with cole- are translucent. Place corn Cod has just 30 calories per wraps are an easy way to slip extra nutrition slaw mix to thoroughly mixture in a bowl, add ounce, a fraction of the calo- into a meal. Zelman likes tasty Mission combine. Set aside. tomatoes and basil, and ries in red meat or chicken White Corn Tortillas and La Tortilla 2. Coat a large, nonstick grill toss gently. Factory Smart & Delicious White Whole pan with cooking spray 2. Sprinkle cod fillets evenly (a 3-ounce serving has 90 Wheat Soft Wraps. and heat over medium- with salt and pepper. Coat calories, plus 19 grams of high heat. Sprinkle cod skillet again with cooking protein and only 1 gram of Olive the Flavor: Zelman uses extra virgin fillets with salt and pepper. spray, return to medium- fat). Another bonus: Cod olive oil for its heart-healthy monounsatu- Add to pan and cook 3 high heat, and add fish. is a smart choice if you’re rated fats and protective antioxidant and minutes on each side or Cook 3–4 minutes on each anti-inflammatory compounds. She recom- until flaky. Remove fish side or until flaky. watching your cholesterol mends Goya Extra Virgin Olive Oil, Whole from pan. 3. To serve, place ½ cup fresh because it has almost no Foods 365 Everyday Value Extra Virgin 3. Warm tortillas, then place spinach on each plate. saturated fat. Olive Oil, and Partanna. cod, onions, and coleslaw Top with a cod fillet and With a mild taste, cod is on each. Garnish with tomato-corn mixture, and the perfect backdrop for Ancient Goodness: Quinoa is a nutritional tomatoes and cilantro. drizzle with white balsamic powerhouse that’s easy to prepare (boil Fold tortillas in half and vinegar and olive oil. Serve a variety of flavors and it it like rice). It’s not only protein-rich—it serve with lime wedges. with lemon wedges. cooks in minutes. “It’s a contains all nine essential amino acids you great choice if you want to need for good health. Zelman likes Ancient Per serving: Per serving: Harvest Quinoa and the regular and red 291 calories, 30 g protein, 221 calories, 28 g protein, prepare a healthy meal in Cod is a good source no time,” Politi says. varieties from Eden Foods. 38 g carbohydrate, 3 g fat of protein, omega-3 15 g carbohydrate, 6 g fat (1 g saturated fat), 62 mg fatty acids, and vitamins (1 g saturated fat), 60 mg cholesterol, 6 g fiber, 8 g B6 and B12. Cod liver cholesterol, 2 g fiber, the opinions expressed in this section are of the experts and oil is one of the best Reviewed by Carolyn O’Neil, MS, RD are not the opinions of WebMD. WebMD does not endorse any specific sugar, 258 mg sodium. 4 g sugar, 293 mg sodium. WebMD Nutrition Expert product, service, or treatment. sources of vitamin D. Calories from fat: 9% Calories from fat: 24%
W ebMD.com 58 September 2012 September 2012 59 W ebMD.com Food Autumn Ragout With & Recipes Poached Eggs Whims’ Stalk Show Makes 4 servings Wisdom Rhubarb’s ruby red, pink, and green striped coloring Her go-to makes it one of the prettiest comfort food garden sights from spring “Spaghettini with a to fall. Nutritionally, rhubarb simple clam sauce. has a lot going for it, More than the sum of especially when it’s not over- its parts, it reminds sugared in recipes. It’s low in me of being on the calories (a half cup raw has seaside in Italy.” 15) and is a source of vitamin C as well as fiber—one cup Ingredients What she eats of cooked rhubarb has 2.2 3 tbsp extra virgin olive oil when she wants to grams, about the same as a 1 red onion, sliced lose five pounds slice of whole wheat bread. 4 cloves garlic, peeled “One or two appetizer- It also provides calcium, a and minced size salads for dinner, respectable 105 milligrams 1 Japanese eggplant, cut and the next day per cup of raw rhubarb. into half-inch cubes I feel thinner.” Studies show that eating 1 small zucchini, cut into rhubarb can help lower half-inch cubes Where she gets her LDL or “bad” cholesterol 1 red or yellow bell best menu ideas because of its mix of soluble pepper, cubed “A lot of things inspire (8%) and insoluble (66%) 2 heirloom tomatoes, me, primarily the fiber. One big caveat: Don’t peeled, seeded, diced seasons and what’s eat the leaves cooked or salt and pepper to taste available from the raw. They contain a toxic 8 fresh basil leaves, torn farmers markets that chemical you don’t want in 4 farm-fresh eggs supply the restaurant.” your rhubarb dishes. ⅓ cup Parmigiano- Reggiano cheese, grated The one lesson Taking Sides every home cook Rhubarb is good stewed Directions should learn into sauces, compotes, 1. In a large skillet, heat olive “Don’t be afraid of ketchups, and even off the menu oil over medium heat. a little salt. Add salt “rhubarbecue” sauce. As a 2. Sauté onion until translu- to the pasta water. If side for grilled meat, oven- cent, about 6 minutes. you add a perfectly crisp 2 slices nitrate-free 3. Add garlic and sauté seasoned sauce to bacon and blot with paper Cathy Whims about 3 minutes. unseasoned pasta, towels. Cook 1 medium 4. Add eggplant and zucchini you will lose so much learning to love chopped onion in a skillet Chef/Owner and sauté until wilted. of the flavor you’ve with 1 tbsp bacon drippings Nostrana; Oven and Shaker 5. Add bell pepper and sauté worked for.” until soft. Add 1 cup Portland, Ore. a couple more minutes. chopped rhubarb, 3 tbsp maple syrup, 1½ tbsp red 6. Add tomatoes, salt, and .com How I Got My Husband pepper. Bring to a boil, wine vinegar, and a pinch of allspice and thyme. “I’m not Italian, but I feel like I’ve chosen a great cover pan, and reduce Simmer 5 minutes until cuisine,” says Cathy Whims, chef/owner of Portland’s heat, simmering about 20 What’s to Love Rhubarb minutes. Season with salt Cooking! soft. Mix with crumbled acclaimed Nostrana restaurant. “It’s very healthy and Kim Ode, 57, reporter, bacon and serve. and pepper to taste. Stir Thousands of people turn seasonal and rewarding,” adds the four-time nominee for best in basil. to WebMD.com for meal Minneapolis chef in the Northwest by the James Beard Foundation. 7. With the back of a wooden inspiration every day. Did You Know? When she’s not at Nostrana or her other restaurant, Oven spoon, make four evenly Here are the most-clicked recipes.* and Shaker, Whims, 55, shops for her menus at the Sunday spaced indentations in Kim Ode’s husband, John, isn’t big on desserts. So she always assumed that’s why Although rhubarb is the vegetables, each large botanically Hillsdale Farmers’ Market in southwest Portland. And when enough to hold an egg. 1. Oven Fish and Chips he declined all the rhubarb pies and tortes she liked to make. But when she came classified as a she’s at home, “I reach for some fresh eggs and whatever veg- 8. Break 1 egg into each home with the news that she’d be writing a book about rhubarb, “the truth came out,” vegetable, in 1947 the 2. Potato Salad With U.S. Customs Court etables I have on hand. I love baked asparagus with a poached indentation, cover pan, Sugar Snap Peas Ode laughs. “John just winced at the thought of all that rhubarb!” and simmer until eggs are in Buffalo, N.Y., ruled egg and Parmesan cheese on top. In Italy, especially south- and Creamy Tarragon His dislike for rhubarb was partly textural: Cooked rhubarb can be slightly viscous, rhubarb was a ern Italy, they call this type of cooking cucina povera, or the just set. Vinaigrette stringy, and loose. But he also objected to the overly sweetened taste of rhubarb in des- 9. Top with grated cheese cooking of the poor,” she says. “It’s very economical—a lot of and serve immediately. 3. Mixed Beet Salad serts. On its own, rhubarb is extremely tart, Ode says, so rhubarb recipes usually pile vegetables and leftovers, and staples like grains and greens, With Basil on the sugar to compensate. fruit since that’s how it with just a little meat.” Per serving: As Ode started testing recipes, she found that while it still took a little sweetness to tame 4. Crab-Stuffed was mainly used. This fall, you can try one of the simple yet satisfying stews 270 calories, 12 g protein, rhubarb’s pucker, the resulting pickles, sauces, and compotes were solidly in the savory Zucchini images w 17 g carbohydrate, 18 g fat o graph y t that simmer on Whims’ stovetop at home (see recipe at o camp, winning John over. His favorite? Shrimp in Kimonos, a seafood version of pigs-in- (5 g saturated fat), 193 mg 5. Lemon-Dill Chicken P h o right). Eggplant, zucchini, bell peppers, tomatoes, and gar- cholesterol, 4 g fiber, 9 g a-blanket in which shrimp is paired with a rhubarb-rosemary-ginger-onion compote in Reviewed by alls V lic come together in a basil-scented dish that celebrates the sugar, 236 mg sodium. *as of July 1, 2012 l G eir /G & crisp-fried wonton bundles. “Even after a year full of every rhubarb recipe test imaginable, Carolyn O’Neil, MS, RD WebMD Nutrition Expert T iina season and its star vegetables.—Matt McMillen Calories from fat: 60% Jo hn John tells me I can make that recipe for him any time,” Ode says.—Monica Kass Rogers
W ebMD.com 60 September 2012 September 2012 61 W ebMD.com Watch Chef Lizzie serve up healthy food tips, recipes, and Food more at fit.webmd.com. & Recipes “I know it can .com be hard to stay symptomchecker healthy at
school, but if White Chocolate Cherry you plan out Carrot Cookies Now better than ever! Makes about 2 dozen your lunch • Save symptom lists for yourself and loved ones. and have Ingredients 1 ¾ cups all-purpose flour • Detailed information based on possible conditions. healthy snacks 1 tsp baking powder ½ tsp salt • Print reports to share with your doctor. on hand, you 1 cup (2 sticks) unsalted can do it!” butter, at room temperature 1 ¼ cups packed light brown sugar 1 tbsp mild honey 2 tsp pure vanilla extract 2 large eggs 1 cup dried cherries (can substitute dried cranberries) ¼ cup toasted chopped macadamia nuts (optional; can substitute pecans or walnuts) 2 oz white chocolate, chopped into small pieces, or white chocolate chips 1 cup finely grated carrots
Directions 1. Preheat the oven to 350°F. Place the rack in the center of the oven. 2. Sift together the flour with the baking powder and salt. Set aside. 3. In the large bowl of an electric mixer, beat together the butter, brown sugar, honey, and vanilla until smooth. Add the eggs and mix until well combined. Scrape down the bowl. Kids in the Kitchen 4. On low speed, add the cherries, nuts, and chocolate. Scrape down the bowl. 5. Stop the mixer and add one-third of Executive Treat the flour mixture. Turn to low speed and combine. Stop the mixture again, Chef Lizzie gets inspiration from add the rest of the flour mixture, and the White House combine on low speed. 6. Add the carrots, and mix on low speed until incorporated. The batter Chef Lizzie, WebMD.com’s resident chef on the Fit Kids websites (created will be stiff. 7. Using a small ice cream scoop or with our partner Sanford Health), is passionate about getting kids excited heaped tablespoon, drop batter about food, cooking, and healthy eating. “I think it’s important for kids to know in mounds, 2 inches apart, onto a that fruits and vegetables are best for you when they come straight from the parchment-covered cookie sheet. ground to your table! My backyard is too shady to grow a garden, so I visit my 8. Bake for 12 to 14 minutes, remove local farmers market to stock up on fruits and veggies.” from the oven, and allow the cookies to cool completely before removing For a back-to-school treat, we invited Lizzie to make a recipe from Michelle them from the cookie sheet. Obama’s American Grown: The Story of the White House Kitchen Garden and Gardens Across America. “When I first saw the cookie recipe, I thought it sounded Per serving (one cookie): really unique and interesting,” she says. “I’ve never tried dried cherries or 193 calories, 2 g protein, 25 g carbo carrots in a cookie before! I was really excited to make them and they are really hydrate, 10 g fat (6 g saturated fat), 36 mg cholesterol, 1 g fiber, 17 g sugar, delicious. They’re tart, from the cherries, but still sweet and light. I thought the 84 mg sodium. Calories from fat: 46%
carrots were an awesome addition because I personally love carrots, and I always agwell B
try to incorporate fruits and veggies into my meals and snacks.” Recipe by White House Executive Chef Bill Yosses I ain
W ebMD.com 62 September 2012 fitness & exercise
66 Peeke Fitness Spot reduction is a myth, but here’s what you can do Head for 67 Fitness Challenge A no-gym workout that really delivers: moves the Hills for abs and glutes Fall is the perfect time to get outside. There’s no better season to kick-start your fitness routine
Get started at fit.webmd.com today. fit is designed to teach healthy habits in a fun way with kid-friendly recipes, videos, and games. EXPERT TIP “Exercise won’t turn fat into muscle. Fat deposits only go away if you lose weight.”—Pamela Peeke, MD
Photograph by Scott Markewitz/Getty Images September 2012 65 W ebMD.com Break a sweat in the backyard or the basement. Check out the 1,777+ followers: No-Gym Workout slideshow. fitness & WebMD’s Fitness exercise Pinterest board .com
Peeke Fitness Fitness Challenge On the Spot Here’s the ugly truth: You can’t zero in and zap body fat By Definition By Pamela Peeke, MD Are you crunched for time? Here’s how to sculpt your abs and glutes
Gender and age. Young women have fat deposits in the chest, hip, thigh, and buttock Abs Glutes regions, which create their pear- and hourglass- Forget the tummy tuck. This exercise Try this exercise to tone your shaped bodies and prepare them for pregnancy targets your trouble spots and helps butt. Not only will your glutes, the build up muscle. Combine with cardio a large muscles in your buttocks, look great and breastfeeding. Later, during perimeno- minimum of 30 minutes, three times a week in a pair of jeans, but this move will pause, a combination of hormonal fluctuations Q (beginners can take three brisk 10-minute improve your posture and balance, too. and lifestyle changes (in other words, being “I’d love to feel more walks, working up to a 30-minute workout). You’ll also look—and feel—stronger. more sedentary) results in fat accumulating toned, but I don’t have This exercise and cardio will whittle your in the abdominal area instead, creating a more time to hit the gym. Are waistline—no surgery required. apple-shaped body. there simple exercises I Men, on the other hand, are born with a can do on my own to greater number of fat cells—as well as more get results?”
active fat-storing and fat-burning enzymes—in Deb Moore, 52, college professor the belly area. So they are more prone to gaining Little Rock, Ark.
Be realistic about the factors affecting your shape, and accept that you may Bicycle Crunch never have the ‘perfect’ body. 1. lie on your back, bend your knees, and raise your legs until your knees are over your hips, calves are parallel to the floor, and feet are in the air. and shedding fat in the abdomen. But once men Squat reach 40, their levels of the male hormone tes- 2. Cradle your head in your hands and 1. Stand in front of a chair, facing away tighten your abs as you lift your head Most people would love to drop weight So you can’t spot- tosterone decline, making it easier for them, too, A from the chair, feet parallel and hip- and shoulders off the floor. in one body part or another, whether it’s reduce. Does that to pack on the pounds. “It only takes a few width apart, and bend slightly forward a bouncing belly or thunder thighs, bounteous mean you’re doomed? Genetics. Look at yourself in a full-length minutes, three times from the waist. Not at all. Follow my 3. Exhale and twist your left shoulder butt or trembling triceps. Men and women often mirror. Now look at other members of your fam- per week, to keep your toward your right knee while extending three M’s. 2. Keeping your spine straight, inhale and embark on sit-up, push-up, leg-lift, and squat ily. If you store fat where they store fat, it will abs and glutes looking your left leg. lower your body toward the chair as if campaigns to reduce “spots” of fat on their bod- Mouth be harder to reduce those “spots.” That doesn’t their best—no gym you were going to sit down. ies. I’m sorry to have to tell you this, but there’s Eating nutritious mean you shouldn’t try to tone those areas. It membership required,” 4. Inhale and return to the start position, keeping your head and shoulders foods and watching 3. Touch the edge of the chair with your no such thing as spot reducing. just means you may not be able to achieve, say, a says Joan Pagano, elevated off the floor. If you understand why your “spots” are where portions will help board-flat stomach or rail-thin thighs. American College of glutes (but do not sit), keeping your you lose weight and knees over your ankles. they are, and you’re willing to undertake an sculpt your figure. Additional factors. Pregnancy, medical con- Sports Medicine-certified 5. Do 20 times, then repeat on the other side. overall fitness program, you can become toned, ditions, weight-loss history, and other factors health and fitness 4. Exhale, squeeze your glutes, and return fit, and healthy. But even then, you may not be Muscle also determine where you gain and lose weight. specialist and author to the start position. able to get rid of those spots entirely. Why? Be- Strength training Many women end up with a “jelly-belly” after of Strength Training cause where you store fat is highly influenced builds muscles and pregnancy, for instance, the magnitude of which for Women. She offers 5. Repeat 10 to 12 times. boosts metabolism. by your GAGA quotient—that is, Gender, Age, depends on how much weight they gained, how these moves to tone your Genetics, and Additional factors. Mind many children they had, and their skin elasticity. trouble spots. Stress can lead to Bottom line. When you’re setting your unhealthy eating. Nip READER TIP fitness goals, be realistic about the factors EXPERT TIP that cycle in the bud affecting your shape, and accept that you may “I like to weight train two to three times with meditation or “The bicycle crunch engages all four abdominal groups. a week to guard against injury.” yoga, dancing, and never have the “perfect” body. But you can Instead of doing three different exercises, I can get the e s im ag /Glow —triathalon9, WebMD community member plenty of sleep. still work to have a fit, healthy body and a fit, s same results with one.”—Joan Pagano, fitness expert h M cKible s h
healthy attitude. Somo Jo
W ebMD.com 66 September 2012 September 2012 67 W ebMD.com CheckupTaking care, living well
September is Sickle Cell Disease Awareness Month, and for actor Larenz Tate, that means spreading the word about a chronic disease that disproportionately affects the African-American community.
Get help. “It’s really impor- Give help. tant to know if you carry the dis- ease,” says Tate, 37, who recently costarred on Give help. FX’s Rescue Me and in BET’s made-for-TV movie Gun Hill, Get help. which premieres this fall. As many as 100,000 people in the United States have the disease, which causes red blood cells to resemble sickles or crescents. The misshapen cells can reduce blood flow, which starves vital organs of oxygen and can lead to chronic fatigue and intense pain. Many people who don’t have the disease carry a gene for it. Screening is essential, a message Tate will spread this month via Facebook and Twitter (@LarenzTate). “If you can prevent the disease, you can really make a differ- ence in someone’s life,” says Tate.—Matt McMillen
70 Health Highlights 71 Living With 72 By the Numbers 73 My Story 74 Health Check It’s Healthy Learn about Get a closer look A WebMD com- Could you have Aging Awareness osteoporosis and at prediabetes: the munity member a sleep disorder? Visit WebMD.com and search “community” Month. Find how to strengthen facts, the figures, opens up about Take the quiz expert advice. your bones. and more. heart disease. to find out. Available for: Android,Community iPhone, iPad s G etty image Flegler/ Stanley Dr.
September 2012 69 W ebMD.com Checkup Checkup
Reviewed by Laura J. Martin, MD, WebMD Medical Editor Practicing tai chi reduced the risk Health Highlights of falls in older adults by almost half. Living With September is Healthy Aging Month Osteoporosis 55% of people Here are FOUR ways to Protect and Stay at your peak with these tips 50 and strengthen your bones older have osteoporosis or By Christina Boufis Get moving Take a hike reduced bone 1 Exercise regularly to 6 Brisk daily walks this mass. maintain a healthy body September can bolster both If you’re one of the 34 million Americans (both and brain. your heart and lungs. women and men) who are at risk for the disease, you know that strengthening and protecting your bones Stay social Sleep well is crucial. Osteoporosis means porous bones that weaken 2 Take a class, volunteer, 7 Talk to a sleep specialist and can fracture with even minor incidents. But “you can play games, see old friends, if you don’t sleep soundly live with osteoporosis for a long, long time and never have and make new ones. through the night. complications such as fractures—if you take certain pre- “I have one cautions,” says Felicia Cosman, MD, osteoporosis expert Bulk up Beat the blues patient with and medical director of the clinical research center at 3 Eat beans and other 8 If you’ve been down for osteoporosis who Helen Hayes Hospital in West Haverstraw, N.Y. Keep your high-fiber foods for digestive a while, see a doctor. never exercised bones strong with Cosman’s four suggestions. and heart health. Depression can be treated. in her life, embarked on a Move It Add some spice Don’t forget gym program, and “Aerobic activity as well as strength training—using weight 4 Add herbs and spices to your 9 To aid your memory, felt dramatically machines, free weights, or elastic bands or just [doing] meals if medications dull make lists, follow routines, calisthenics—can increase bone strength and reduce the your taste buds. slow down, and organize. better after a few risk of falling by improving balance and coordination,” she years. She was says. (If you’ve had a major fracture, check with your doc- Stay balanced More tips much stronger, tor before doing any exercise.) 5 Practice yoga or tai chi 10 Search “50+: Live Better, had better balance, to improve agility and Longer” at WebMD.com to and reduced her Say Cheese prevent falls. be happier and healthier. number of falls. Get plenty of calcium, a major building block of bone She really helped tissue. “Calcium gives bone its hardness and is very im- herself.” portant for bone strength.” Aim for 1,000 milligrams of s G etty image / —Felicia Cosman, MD dietary calcium per day if you’re younger than 50 or a man ss
EXPERT TIPS o
R age 50 to 70. Women age 50 and older and men age 71 and older need a total of 1,200 milligrams daily, according to s Jame ; the National Osteoporosis Foundation. That translates to three servings of high-calcium foods like milk, yogurt, cheese, or calcium-fortified citrus juice or cereal. Gary W. Small, MD Carla Perissinotto, MD, MHS Elizabeth Eckstrom, MD, MPH s G etty image professor of psychiatry and biobehavioral assistant professor of medicine, division director of geriatrics, Oregon Health & Science sciences, David Geffen School of Medicine at of geriatrics, department of medicine, University, Portland, Ore. Don’t Fall for It
UCLA, and director, UCLA Longevity Center University of California, San Francisco CK4B- R F/ TO
; S ; Go through your home and remove tripping hazards Follow a Mediterranean diet to like throw rugs, curtain cords, and electrical wires. Keep Take a daily brisk walk with a Every few months, review your help prevent memory impairment and hallways and bathrooms well lit, and install safety handles friend—you’ll get an aerobic workout, over-the-counter drugs with your doctor heart problems. I love salmon s G etty image and the conversation will for any potentially unsafe ingredients. covered with fresh thyme and lemon / Did You Know? on the bathtub. Ask someone else to retrieve hard-to-reach ss exercise your brain and reduce stress. I do this for my parents whenever o items, Cosman advises.
slices and grilled on a plank. R Postmenopausal women who used free I visit their home. weights or walked with weighted vests To help control the urge to overindulge, I do tai chi three days a week, and it Take the Test just imagine eating that sweet treat. Try yoga. All types help maintain increased their bone dramatically improves my balance. Talk to your doctor about when and how often you should Research shows the fantasy dessert will physical and emotional health. My Seniors can do it too and cut their risk mineral density about 1% over 12 months. satisfy you, and you’ll actually eat less. favorite is Kundalini yoga, which focuses of falls by almost half. have bone density tests and take bone-building medication.
on meditation and strengthening. s Jame rig h t: top f rom
W ebMD.com 70 September 2012 September 2012 71 W ebMD.com Photograph by Horacio Salinas/Trunk Archive Keep your ticker in tip-top shape. Track your successes with the Checkup Healthy Heart Checklist. Checkup .com Reviewed by Brunilda Nazario, MD, WebMD Lead Medical Editor Reviewed by Laura J. Martin, MD, WebMD Medical Editor
by the numbers for two weeks because the changes in airplane cabin pressure could induce a Q PREDIABETES heart attack. facts and stats on top health conditions When I got home, I went ASK to the local emergency room. By Heather Hatfield your The staff took chest X-rays Doctor then immediately ordered an ambulance to take me to Total health care costs for diabetes in the U.S.* Number of people who have prediabetes and 1. Do I need another hospital. Two of my to lower my know it: in (the other 13 don’t know it) 1 14 arteries were 99% blocked, a cholesterol? How? third was 80% blocked, and I had other blockages further 2. How does stress affect my down my arteries. It seemed heart and $218 billion impossible—three weeks Your increased Amount of excess overall health? earlier I had felt fine. But a Estimated number of Total health care costs to cover prediabetes risk of heart attack weight loss that could secondary system of blood 3. Is it safe for me people in the U.S. who or stroke if you have prevent diabetes vessels had grown around my to exercise? have prediabetes* prediabetes if you have heart and was doing the work prediabetes* $25 billion of the blocked arteries. I had 4. Do I need to lose weight? triple bypass surgery the fol- % lowing day. Reduced risk of developing 5. Will I get a heart Afterward, when my wife attack? How 79 diabetes over three years 50 asked about my prognosis, will I know if I’m if you follow a healthy food % my story 58 the doctor responded with having one? and exercise program million a stony silence. I knew then I had to be committed to Open Heart 7% my recovery. I work as a Length of time Reduced risk of Amount of exercise that could of your body mass, or a reader’s personal cardiac computer programmer and larry’s life diabetes diagnosis developing reduce your risk of diabetes if comeback story lessons am quite methodical, so I may be delayed diabetes over you have prediabetes 15 lbs. By Larry Wagner set up a recovery program. “Use a heart rate through lifestyle or three years if you WebMD.com community member minutes days if you weigh 200 Week by week I built up monitor so you medication take medication can avoid doing 30 a day X 5 a week pounds my strength, starting with intervention could be to prevent too much. At I had no inkling I had But while there, the angina walking to the kitchen, as long as prediabetes first, you should heart disease until De- went from mild to severe. then walking down the not be breathing Age you should ask your doctor cember 2005, when I had two The pain would come and block, and then using my much harder about diabetes screening if minor episodes of mild an- go, but on three separate treadmill, rowing machine, than you do dur- % your weight is normal and you ing a warm-up.” gina (pain in the chest area). occasions the pain was the and [exercise bicycle]. I 31 have no risk factors My primary care physician most massive thing I could monitored my heart rate “Don’t be in a hurry. Recovery ran an electrocardiogram but imagine. Every little motion and wrote down everything takes time. Most I did and how it affected Number of tests saw nothing abnormal. I was made it worse. I was sweating people with available to screen for an athletic, lean 53-year-old and could not move. A local my heart and breath. I also heart disease who ate nutritious foods. He doctor gave me medication researched journal articles on think they can’t 10 prediabetes: 3 YEARS decided I was just stressed to bring my blood pressure heart disease, nutrition, and do anything * The CDC’s National Diabetes Fact Sheet, 2011 45 physical. Or they and gave me the go-ahead to down and stop the angina. exercise rehab. try to recover go to Nicaragua on vacation. But I couldn’t fly home By spring 2009, I could EXPERT TIP too fast and get play badminton for three injured.” “I’ve found that patients lose weight more reliably Correlating those numbers with your weight or EXPERT TIP hours without breaking. By “Eat foods that once I insist they track their daily food intake. A blood sugar levels also helps you see how different “Pedometers, food diaries, and scales are food record forces you to see what and how much foods affect your body. Plus, counting something— 2010, I could play full-court are high in associated with positive changes in behavior. basketball. I was the only one antioxidants and you’re eating. Writing down what you eat and such as calories—lets you ‘budget’ for the rest of They work when we have trouble getting adding up the numbers makes you accountable. the day to reach your goal.”—Michael Dansinger, MD over the age of 20, and I was low in fat.” motivated.”—James Beckerman, MD oy not run off the court. Julie T Julie
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QUIZ Rocco DiSpirito Chef/Author 1. Do you have trouble going to sleep or staying This month a week, I bike a fast asleep? you’re 20-plus miles. And I 1 launching a do resistance training Yes new cook- three to four times No book, Now Eat This! a week. Italian: Favorite Dishes From the Real 2. Do you snore Your show Mamas of Italy—All targets loudly and/or Under 350 Calories, 7 families and heavily? and a new TV series, your food Now Eat This! How do Yes truck stops at schools. you juggle it all? It’s Why are kids such an No not easy. It’s like important audience? expediting in a Cooking changed my 3. Are you excessively restaurant kitchen, life for the better when sleepy or do you where every three I was 11. I want to seconds you have to impart that to kids. health check lack energy in the make value judgments Plus, with obesity daytime? on time priorities. I’ve being such a Yes got books, the TV widespread problem, I Could You show, a food truck, No want to give kids the catering, and I have to resources and skills to Have a Sleep prioritize based on make healthy choices. 4. Do you have deadlines and the Disorder? trouble with people I work with. But What three concentration or I always leave time for food lessons my family. My bigj1624, a WebMD sleep disorder com- memory loss? 8 should every munity member, is short on sleep. “For 86-year-old mother child learn? lives next door, and I about the last two years I sleep no more than Yes Sugar is bad. Learn No show up at her place DiSpirito’s how to cook. Healthy 6 hours a night,” bigj writes. “Lately it’s been every night at 7 p.m. new Now Eat and delicious are not about 4 to 5 hours. I’m tired all day long no mat- This! cookbook and TV series mutually exclusive. ter what. Can someone please give me some in- 5. Do you fall asleep Why is healthy launch this Read more while driving, in cooking so month. sight into what might be going on?” bigj could about what Did the food important to have a sleep disorder, which shouldn’t be taken meetings, while 2 Rocco’s cooking you grew you? Getting up on lightly. Could you have one, too? reading a book, up in our free 9 out of the day-to-day or while watching iPad app! influence restaurant business your approach to television? gave me time to think cooking and eating? Yes about my health. I had I love Italian food. It’s ASK your Doctor 20% body fat and No delicious and healthy Q weighed 216 pounds. foods, but they also ing it as something What can’t and fresh. Growing up, When I agreed to do a used to be high in fat healthier. Often these you resist there wasn’t a dinner 1 3 charity triathlon in and calories, so I took were dishes that no 5 regardless of that didn’t have six 2006, I couldn’t walk one had really kinds of vegetables. Do my sleep problems Will a sleep medication those out as much as I the calorie a mile. So I started to could. I quit refined considered changing count? Great wine, indicate I may have a help? Are prescription Answers: If you answered eat better and sugar cold turkey. And in a long time. Some, wine so good that it Which sleep disorder? sleep medications yes to any of the above questions, you may have exercise. I got down I dropped 10 pounds in like lobster bisque, changes your outlook of your If so, what type? habit-forming? insomnia or another type to 170 and 10% body two weeks. wound up better than on life. But I don’t drink 10 revamped, of sleep disorder. Talk to fat, and eventually the originals. That was often. I save it for a low-calorie your doctor or consult a did an Ironman. How did this very satisfying: to special occasion. recipes get the most 2 4 sleep specialist. affect you reduce the calories, converts? Hands Are my sleep Should I see a How did you 4 profession- yet retain the flavor. It’s Do you have a down, the fried problems caused by sleep specialist? transform ally? It was a a type of cooking I had regular chicken, the macaroni s G etty image an underlying medical Will I need to undergo Source: / 3 your diet? culinary challenge, never done before. I exercise and cheese, and my condition? overnight testing? The WebMD Sleep Disorders I have always taking apart a classic was incredibly sur- 6 routine? I do a black-bean brownie
Health Center eaten high-quality dish and then rebuild- prised by the results. lot of biking. Five times cupcakes.—Matt McMillen P u sh ni k h an Jonat s I mage Still
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