MODEL HOME Heidi Klum on Managing Her Family and Career PG

WEBMDMAGAZINE The Comeback A SERIES FROM THE EDITORS OF

SEE PAGE 16

July/August 2015 / $4.95 SUPERBUGS: FOOD WHAT FITNESS YOU NEED Tomatoes TO KNOW 3 Ways MEN’S PG. 36 pg. 52 HEALTH

Why Doing Your FAMILY Chores Matters PARENTING pg. 15

Are You Ready for a Rescue Pet? BY THE pg. 28 NUMBERS

Vaccination Facts & Stats HEALTHY pg. 60 BEAUTY

The 411 on LIVING Face Brushes HEALTHY pg. 21

Bone Up on Osteoporosis pg. 14 MODEL HOME Heidi Klum on managing her family and career PG. 30 JULY AUGUST 2015

V E R T I S E M E A D N T

TAKE THE LEAD IN

* Your Health

WEBMD.COM TURN TO PAGE 41 JULY/AUGUST 2015 Contents FeatureS

Pg. 30

Pg. Download WebMD Magazine for Free 36 on the App Store and Google Play.

Role Model Of course Heidi Klum may have I have days been born with good where I think genes, but the supermodel I“’ve looked turned TV personality better! But turned clothing designer is the first to say she’s not time isn’t superhuman. The Project stopping Runway host and mom for any“ one, of four kids has a simple and I’m secret to staying fresh comfortable and energized: sleep. She in my own reveals how she gets a good night’s rest and how skin. she manages her family in between.

Code in every issue

Red Pg. 4 Superbugs are a serious Editor’s Note problem in hospitals around the world—and misuse of antibiotics is Pg. 64 a main reason why. We Take 10 take a look at the most LL Cool J doesn’t serious and urgent threats pay lip service to his health. The actor and and what you can do to rapper opens up about protect yourself. how he stays fit, what he eats, and how 36 64 he’s helping kids stay healthy, too.

JULY/AUGUST 2015 2 W ebMD.com Cover photograph by Robert Erdmann/August Images Contents JULY/AUGUST 2015

HEALTHY START HOT TOPICS: How much good can a good steam session do for you?

Pg. Could eating whole grains lead to a longer life? Does drinking coffee 6 protect your heart? Find out and get more news you can use. LIVING HEALTHY WEBMD ON THE STREET: Our experts school a teacher and ocean adventurer who aims to make the grade in health. • Women’s Health: Pg. Bone up now on what you can do to help prevent osteoporosis down the road. • the comeback: As part of our new series with Sports 11 Illustrated, WebMD takes an in-depth look at a pro baseball pitcher’s injury, treatment, and recovery. • Men’s Health: What does doing your household chores have to do with your daughter’s career path?

Pg. Find out.

HEALTHY BEAUTY 18 YOU ASKED: Get a leg up on summer with expert tips and product picks. • Your Smile: Brush up on the facts about enamel erosion to keep your mouth healthy. • Beauty Smarts: A power tool for your face? We go Pg. deep on a top beauty craze: cleansing brushes. Plus: Aisle Do and 23 Beauty 411 FAMILY & PARENTING PREGNANCY: Actor and mom Jaime King, who’s expecting baby No. 2,

Pg. expands her reign to include kids’ clothing design. Plus: What you need to know about trying for a baby when you’re 35 and older. • Baby Talk: A little small talk can go a long way toward building your baby’s 52 language skills. • Kids’ Health: Is your teen in harm’s way? Learn about self-injury and how you can help. • Pet Health: Are you on a rescue mission? Find out what you need to know before adopting a pet.

Food & Fitness in season: Any way you slice ’em, tomatoes are a delicious way to celebrate summer. Try our three easy recipes. • Off the Menu: Cooking isn’t Greek to Zoi Antonitsas. The Seattle-based chef dishes on her favorite summer recipes. • Work It Out: Take your workout to the mat. Yoga is good for the mind, body, and soul. • Fitness Challenge: When it comes to working out, two is better than one. Try these moves with your partner or friend to double the benefits.

webmd CHECKUP July is Juvenile Arthritis Awareness Month. • Health Highlights: Manage Pg. your psoriasis with expert tips. • By the Numbers: We take a closer look at immunizations. • Living Well: Learn how to protect yourself from a repeat 58 episode of melanoma. • My Story: A reader comes out of the dark and shares his journey with depression. • Health Check: Do you have summer survival skills? Take the quiz to find out.

W ebMD.com 3 JULY/AUGUST 2015 Editor’s

WEBMD MA DOWNLOAD THIS ISSUE ON YOUR TABLET FOR note FREE FROM THE APP STORE OR GOOGLE PLAY!

GAZINE

Healthy November/December 2014 / $4.95 MEET THE Years WEBMD MEN’S FOOD HEALTH HEALTH FITNESS HEROES Martha Stewart The 411 on Eating Seasonal Sweet PG. 70 Disorders HEALTHY Potato Recipes pg. 22 BEAUTY pg. 93 Martha Stewart transformed domesticdom Beat Winter Dry duties iinto an art form. FAMILY nto an art form.estic Skin Woes Today, she presides PARENTING pg. 33 dollar empireover that a multienc presides Is a Scheduled magazines, TV shows, andmillion- hom C-Section Safe? LIVING goods. Giv ompasses pg. 50 HEALTHY considers philaen her successes, Stew e responsibility. “Givingnthropy back a personal Prediabetes: Are art part of a good life, and it makes me LIVING You at Risk? feel good,” sh WITH pg. 25 is just In 2007, withe asays. $5 million dona Alzheimer’s tion, she opened the Martha Disease Stewart Ce pg. 108 Sinai Hospitalnter in for Ne Living at Mount The center lls a need for quality senior healt w York City. 10,000 baby hboomers care at a time when day—a phenomenon Stewar “the silver tsun turn 65 each She dedicatedami.” the facility tot calls mother, Martha Kostyra, who die in 2007 at age 93 her example of growing. “She ol was a good FUTURE well,” she says. To promote gra d aging, the ce d and being approach, pairinter o ers a holistic ceful FOCUS cal care with alternativeng traditional medi- Michael J. Fox is like yoga a Today, thend center tai chi. gets more therapies t working to nd a cure 10,000 annual patient visits

NOVEMBERD ing it one of for Parkinson’s han facilities in the the co largest outpatient, mak- PG. 60 adults. Stewart credits t disease untry for older notch care to Moun “The doctors ar he top- ECEMBER 2014 t Sinai’s sta . such wonderfulI S people and V E R T E M E D N T e so superior and are hard atA their prac an ongoing and growing suc work so TAKE THE LEAD ticeIN to make this What would her mother thi

* the center? “ cess.” WEBMD.COM Your Health TURN TOShe’d PAGE 81 be thrilled.”nk of Reviewed by Michael W. Smith WebMD Chief Medic

al Editor

W ebMD .COM 76 NOV DEC

Photograph by Andrew Eccles/Aug

ust get out the vote Each year, WebMD recognizes Americans who are doing extraordinary things for the health and wellness of the nation—Health Heroes. This year marks the ninth time the awards will be presented in categories such as Advocate, Scientist, and Prodigy. And like last year, you also have the opportunity to pick a winner. The nominees for People’s Choice will be announced soon, and we’ll feature the winner in the November/December Summer is here and we’ve got you issue. Cast your vote starting August 10 at webmd.com/healthheroes. covered. Whether it’s protecting your skin or taking advantage of the season’s bounty of fresh tomatoes, this issue is packed with tips and tricks for living easy in the hottest months. Access Now! We even cover the bases of that Download the free Digimarc quintessential summer sport—baseball. 1 Discover app, available at iTunes As part of our new series with Sports and Google Play. Look for this Illustrated, WebMD looks at Los Angeles icon on pages Angels starting pitcher Garrett Richards Open the app. Hold your device throughout and how he recovered from injury. His 2 4 to 7 inches away from the the magazine. ruptured patellar tendon kept him off activated icon (shown at right) to scan it. Your phone will alert you the field for months. Find out how he got when Digimarc Discover recognizes back in the game on page 16. the image. Also in this issue (page 30), get to know the sunny outlook of TV personality Your browser will open to display Heidi Klum. Project Runway is just one 3 a webpage where you can access of her many projects. The star dishes on WebMD articles, videos, slideshows, her eating habits, what she keeps in her and more content or download fridge, and reveals what she’s learned WebMD apps. about body image and beauty over the course of her very successful modeling career. She talks to us about her busy We Want to Hear From You! life as a working mother of four young children and shares her secret to keeping Like WebMD! it all in check. facebook.com/webmd Here’s to keeping it in check and Tweet us! staying cool. twitter.com/webmd

Download WebMD Pin with us! Magazine pinterest.com/webmd/ for Free webmd-magazine

ory Miller g ory on the Kristy Hammam App Store and : Gre : Google Play. Email the editors! Editor in Chief webmdmagazine

Top lef t Top [email protected] [email protected]

JULY/AUGUST 2015 4 W ebMD.com 111 eighth ave., suite 700, new york, n.y. 10011

Editor in chief vice President, Consumer NEW YORK Kristy Hammam sales development Claudia Fern Robyn Mait Levine [email protected] Editorial director 212-624-3728 Colleen Paretty associate publisher Vanessa Cognard Senior Editor Patria Rodriguez Sylvia Davis Director, Business [email protected] Operations 212-417-9542 webmd.com senior director, Mathew Reynders editorial John Schaetzle Stephanie Snipes VIce President, Circulation [email protected] Paul Bar 212-624-3787 webmd.com art director Noel Triplett Senior director, marketing west coast Kathleen Cusack Nicole Jones chief Medical editor [email protected] Michael W. Smith, MD sales operations analyST Kisha Jackson 213-718-5550 Medical editors Brunilda Nazario, MD; SOUTHEAST Courtney Cofield Hansa Bhargava, MD; Advertising sales Arefa Cassoobhoy, MD, MPH WNP Media chicago [email protected] contributing writers Tracy Kennedy 770-569-8188 Christina Boufis, Sonya [email protected] Collins, Heather Hatfield, 312-416-9275 Jodi Helmer, Ayren Jackson- Cannady, Katherine Kam, Anna Novinger Lauren Paige Kennedy, [email protected] Shelley Levitt, Matt McMillen, 312-416-9278 Erin O’Donnell, Gina Shaw, Stephanie Watson

Chief executive officer chief financial officer vice president, Finance David J. Schlanger Peter Anevski James McCann president co-general counsel & director, policy & Steven L. Zatz, MD secretary governance executive vice president, Doug Wamsley Theresa Saladino chief of Consumer strategy co-general counsel Chief Communications Lisa Ryan Howard Michael Glick Officer executive vice president, Senior Vice President, Adam Grossberg consumer sales and Marketing product marketing Yiatin Chu Michael Fogarty

Editorial, design, production management

Editor at large art director production artist Kim Caviness Melissa H. Miller Brenda M. Waugh Deputy editor photo editor Copy editor Andrea Gabrick Katie Ellsworth Sharon K. Congdon managing editor production director senior vice president, Rebecca Scherr Connie Otto marketing services Bookings director Production manager Joanne LoPinto Wendy Zipes Hunter Judi Sheffer Senior marketing manager [email protected] advertising traffic manager Laura Cassella Tommy Dingus

Customer Service & subscriptions Medical Professionals To manage your subscription, go to WebMD.com/magazine/subscribe. Readers Download WebMD Magazine on your iPad or Android device for free. Go to the App Store® (apple.com) or Google Play™ (googleplay.com). Comments? Questions? Go to CustomerCare.WebMD.com or “Contact Us” at the bottom of every page on WebMD.com.

WebMD Magazine is distributed to doctors’ offices throughout the U.S., online at WebMD.com, and by download from the App Store or Google Play.WebMD Magazine is not responsible for advertising claims. WebMD Magazine (ISSN 1553-9946), Vol. 11, No. 5, is published by WebMD, LLC and may not be reproduced in whole or in part without written permission of WebMD, LLC. All editorial content is reviewed by our board-certified physicians, is for informational purposes only, and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. WebMD does not endorse any specific product, service, or treatment. Always seek the advice of your health care provider with any questions regarding a medical condition and never disregard professional medical advice or delay seeking it because of something you have read in WebMD Magazine. If you think you have a medical emergency, call your doctor or 911 immediately. © 2015 WebMD, LLC. All rights reserved. healthy start

G etty I mages HotTopics! facts and news you can use zymczak/

gnieszka S gnieszka Nearly 80% of all

mages; A G etty I mages; drowning victims are

arrall/ male. Why? Boys and 33 men often overestimate minutes their swimming ability. mages; Don F Don G etty I mages; Average Source: CDC amount of time Another reason to try breastfeeding: preschool kids Nursing for a year or more may lower your risk play outside for certain types of breast cancer. nn Johnson/ A nn L acey G etty I mages;

./ Source: Pediatrics Source: Journal of the National Cancer Institute t d tock L tock A new step to improve your longevity: Walk for just two minutes every hour as part of your daily routine (that’s in addition to the recommended 150 minutes of exercise weekly). Got a firm S M aximilian images; ackert/getty Source: Clinical Journal of the American Society of Nephrology handshake? A new study correlates Summer is tick season, a strong hite P W hite G etty I mages; grip with but about half of Americans a reduced surveyed said they don’t risk of check regularly for ticks in heart

ley P hotography/ Bra d ley attack and warm weather. stroke. Source: Ticks and Tick-borne Diseases Source: The Lancet d Davi I mages; G low Fittest cities in America: Of Americans who buy organic, 72% Washington, D.C. say they do so for health or nutrition Minneapolis-St. Paul reasons, while 69% say San Diego San Francisco environmental or ethical Sacramento, Calif. concerns influence their choice.

ing L awrence/ K ing left: top from clockwise Source: American Fitness Index Source: Mintel

JULY/AUGUST 2015 6 W ebMD.com healthy Start

Peanut Better? You’ve probably heard Heart Smart that almonds and other That cup of joe might do more than help get you going in the nuts are great for your morning. In a study of more than 25,000 healthy young and middle-aged health. Peanuts (which are men and women, coffee drinkers were less likely to show early signs technically legumes, not of heart disease than their peers. Researchers measured calcium deposits in nuts) may pack a healthy people’s arteries—a precursor to future heart disease. Those punch, too. Among more who drank a cup or more of coffee a day were less likely to have arterial than 70,000 white and African-American adults, calcium than those who drank no coffee. While one cup brought benefits, those who ate about people who drank three to four cups daily were least likely to show early two-thirds of an ounce of signs of heart disease.

nuts per day—including Source: Heart G etty I mages peanuts—were 21% less likely to die for any reason during the five-year study .com period. Whites who ate Hot Hits nuts were 38% less likely What’s trending on to die of heart-related WebMD.com right now* problems, while African- 50% High-fiber foods Americans had a 23% of young people How does tretinoin work? reduced risk. This was ages 12–35 turn regardless of other heart their headphones up Psychopath vs. sociopath risk factors like smoking too high. If you can’t Garcinia cambogia for and obesity. Nuts may weight loss F ernahl/ M ichael images; N agel/getty Dave G etty I mages; hear conversation around help the heart through Symptoms of their antioxidant and anti- you, the music is too loud. fibromyalgia inflammatory nutrients. Source: World Health Organization Urinary tract infections Johnson/ une Source: AMA Internal Medicine Is chocolate good for you? mages; R I mages; G low Better-butt exercises of school kids choose Benefits of pu-erh tea Juicing benefits oo d collection/ a fruit in the cafeteria Signs of thyroid problems at lunch. That’s up What is the hemoglobin 12% since 2012. A1c test? *as of May 1, 2015 66% Source: Childhood Obesity F left: top from clockwise

W ebMD.com 7 JULY/AUGUST 2015 top: Exactostock/Glow Images; Thinkstock Images did it,too. Whenitcametoquitting Looking tomake ahealthy change? healthy changewhentheirpartner Do itasateam!Astudyfound that them. They were 15% to20% more married and cohabitating people married andcohabitating healthy partner waspartner onthejourney with smoking or starting toexercise,smoking orstarting likely toloseweight ofa aspart Start to make thechangewhen their were far more likely tomake a people were 40% more likely cause aninteraction that weakens aprotein common Researchers discoveredResearchers that for medication erectile new treatments for cancerand Alzheimer’s disease. dysfunction with combined aderivative ofananti- to cancer, Alzheimer’s viraland and some disease, erectile dysfunctionerectile couldoneday leadthe way to team thanontheirown.team Dream team bacterial infections. Attacking this protein could inflammatory prescription pain medication can inflammatory painmedication prescription potentially slow or stop some of these diseases. potentially slow ofthesediseases. orstop some Source: JAMA Internal Medicine Prescription drugs forPrescription and arthritis New Hope New Source: DNA Biology and Cell healthy Start Jump start

We don’t want to scare you, but you might think otherwise when you come upon our “superbugs” story (page 36)—all that red and those swarm- ing petri dishes! Well, we do want to catch your attention. We want you to understand why the next time you’re sick and think you need an antibiotic—or 56% your doctor thinks you need an antibiotic—you should say, “Wait a minute.” Whole Truths That’s because health People who eat whole grains could live longer. experts across the Researchers followed more than 100,000 adults country worry more for about 25 years, tracking their eating habits, every day about what whether they died, and how. For every 28-gram they call “multidrug- serving of whole grain the participants ate per resistant bacteria”—new strains day, they cut their overall death risk during the of moms of babies and of germs that defy study period by 5%. And each daily serving of toddlers discuss multiple antibiot- whole grains cut heart-related death risk by 9%. ics and continue to child health and Whole grains, such as whole wheat, rye, brown thrive—sickening and parenting issues on even killing people in rice, and oats, contain the bran, the endosperm, some cases. and the germ. Packaged foods that contain whole social media. (Some The problem is grains have a whole grain seal. 34% of dads do.) most serious in hospi- Source: JAMA Internal Medicine Source: University of Michigan tals, where so-called superbugs can transmit from patient to patient. But it starts Full Steam Ahead earlier, when people G etty I mages Here’s a steamy tip for heart health: Hit misuse or overuse the sauna. Researchers followed 2,300 antibiotics. Our story reports middle-aged men for 20 years. Those on the top five grow- who went for a steam more than once ing superbug threats, a week were less likely to die of heart how they happen, problems than the once-a-weekers. and why they are so E strine/ Darryl G etty I mages; Two to three steam baths per week worrisome—but we also tell you what you cut risk of death from heart problems M oore/ ara by 25%. Men who hit the sauna four can do to steer clear of a superbug infec- to seven times a week were 50% less tion in the first place.

likely to die of heart disease and 63% Good advice, once T G etty I mages; less likely to die of sudden cardiac you get past the arrest than the weekly steamers. scary part. The greatest benefits came from sessions lasting more than 19 minutes. Researchers aren’t sure exactly how Colleen Paretty saunas benefit the heart, but they may Editorial Director be good for the body’s circulation. [email protected]

Source: JAMA Internal Medicine H arrison/ H ayley top: from clockwise

W ebMD.com 9 JULY/AUGUST 2015 Take Control of Your Allergies.

■ Helps you to control your allergy symptoms by showing you the trigger levels in your area before you start the day.

■ Prepares you for each day with personalized allergy and weather forecasts.

■ Includes: Timely Alerts, Allergy Forecast, Allergy 101, Personalized Content. living healthy

Future Tense If you had a crystal ball and could see that you and your partner were unhappy or split up in the future, how surprised would you be? Pay attention to how you answer that—your level of surprise (or lack thereof) could be useful information. Empirical studies have found that this kind of “pre- hindsight” can help you reach your goals in life. And, in this situation, help you put your relationship on a path toward a happier future, says Leslie Becker-Phelps, author of WebMD’s Relationships blog. “Pre-hindsight is about applying rational thinking to your emotional awareness. It can help you see when your relationship is already on a path to unhappiness by making you aware that you wouldn’t be surprised by its failure. Use this awareness to your advantage. You can improve your chances of a happier future by listing all the reasons you think the relationship might fail. Then the two of you can work together to address those problems. For instance, if you are basically leading separate lives, you can choose to prioritize your relationship. You might find ways to connect (even briefly) through the week and make plans to spend more time together on the weekends.”

Photograph by Fstop/Glow Images JULY/AUGUST 2015 11 W ebMD.com LIVING Star of HEALTHY

HAIR GAME the Sea “Sun, chlorine, and saltwater can We pound the pavement be very damaging to the hair. You can protect it by applying a to get expert answers primer. I recommend Bumble and Bumble Hairdresser’s Invisible to your pressing health Oil Heat/UV Protective Primer. It contains ingredients like coconut, questions argan, and sweet almond oils, which penetrate the hair follicle Photograph by Rob Andrew and add moisture to help with dry, brittle hair.”

SKIN DEEP Debra Jaliman, MD assistant professor of dermatology at “People with diabetes have poor Mount Sinai School of Medicine and author wound healing and cell renewal. of Skin Rules: Trade Secrets From a That’s why sun protection is Top New York Dermatologist key to prevent skin cancer. One sign to look for is a growing or changing mole. A third of MEAL PLAN melanomas develop in moles people have had their entire “Because you have diabetes, lives. Also, look for sores that it is critical to match your don’t heal. Finally, watch out for carbohydrate intake with insulin. a ‘sunspot’ that gets very dark or Physical activity can reduce your develops jagged borders.” insulin needs. Talk to a dietitian to make sure your meal plan includes the right mix of nutrients and that you’re eating enough calories, protein, and carbs before and after your workouts. Mohiba K. Tareen, MD Fuel up with healthy plant foods medical director, Tareen Dermatology, like beans, nuts, whole grains, Roseville, Minn. soy, fruits, and vegetables.”

Kathleen Zelman, MPH, RD, LD WebMD director of nutrition

GLAND STAND WEBMD ON THE STREET “An undertreated or underactive thyroid can slow your metabolism Erin Spineto and absorption of nutrients, and a ect insulin levels. You may not Middle School Teacher, 38 absorb insulin as well, which can Carlsbad, Calif. lead to higher blood sugar. Or your body might hold onto insulin longer instead of removing it, Erin Spineto was diagnosed with which can lower blood sugar. type 1 diabetes in college, but Check your blood sugar more she’s never let it slow her down. often and adjust your insulin or The science teacher and mother thyroid medication as needed.” of two regularly sails, competes in triathlons, and swims long distance. She helms the Sea Peptide Salties, a group of people with type 1 who are “dedicated to sharing the mes- Brunilda Nazario, MD Want to be the next sage that adventure helps bring WebMD lead medical editor WebMD on the Street motivation to manage diabetes.” star? Tweet us your health issues at Among their recent adventures was @WebMD. We might a 12.5-mile swim around Key West, come to your city! Fla. Exercise helps Spineto manage the condition, but intense bouts can make her blood sugar spike high or dip low. “What can I do to prevent these peaks and valleys?” Her asthma also ares up during workouts. “I’ve tried di erent asthma medicines, but some, like steroids, dramatically raise my blood sugar levels.” Spineto’s underactive thyroid complicates matters further, and she wonders how uctuating thyroid hor- mone levels might a ect her blood sugar. Hours spent outside in the sun raise another health concern: skin cancer. “I’m always checking my skin for signs, but what speci c changes should I look for?” The sun and Read more saltwater are also hard on her hair. expert advice “How can I still look like a woman, in our free rather than a beat-up surf dude, at tablet app! the end of the day?” She’s adopted a vegan diet, which has helped her trim down and lowered her need for insulin. “I just want to make sure I get enough nutrition for my very active lifestyle.”—Stephanie Watson

THE OPINIONS EXPRESSED IN THIS SECTION ARE OF THE EXPERTS AND ARE NOT THE OPINIONS OF WEBMD. WEBMD DOES NOT ENDORSE ANY SPECIFIC PRODUCT, SERVICE, OR TREATMENT. Check out Super Foods for Your Bones, a slideshow at living WebMD.com. healthy Learn How on page 7

WOMEN’S HEALTH Strong Hold Bone up on what you can do to help prevent osteoporosis

By Sonya Collins

Women are about four Get enough vitamin D. times as likely as men Your body needs it to absorb to develop osteoporosis. calcium. Your bare skin While you may think the without sunscreen produces risk of developing the vitamin D when it absorbs condition is years away, your sunlight. “Though it’s not chance to prevent it is now. always possible, especially Bone loss, or decreasing in the North, you should bone density, is part of aging try to get about 10 minutes for both men and women. of sunlight per day without But because women typi- sunscreen,” Filer says. cally have lower bone mass Few foods, besides fatty to begin with, bone loss can fish like salmon and mack- have greater consequences. erel, contain vitamin D When you lose too much naturally. Many foods with bone, the bones can become added calcium have added weak and break easily. vitamin D, too. Check the Osteoporosis, meaning labels. If you don’t take in porous bones, causes at least enough vitamin D from one fracture in as many as sunlight or your diet, you half of women older than might need a supplement. age 50, studies show. Ask your doctor. Wanda Filer, MD, a family Exercise. Do about 30 physician at Family First minutes of weight-bearing Health in York, Pa., suggests exercise each day and work a few ways you can maintain on muscle strength two optimal bone health. 50 have a bone density test Women younger than 50 to three times per week. Ask your doctor about and that all women 65 and require 1,000 milligrams of Weight-bearing exercise a test. Your doctor mea- up get the test. The test is calcium per day. After 50, simply requires you to bear sures calcium levels in no more complicated than you need 1,200 milligrams the weight of your own your blood during routine an X-ray. You lie on a table, a day. Aim to get all your body. “Walking, stair- physicals, but this is not an usually fully clothed, while calcium from food. Only use climbing, or Pilates will put indication of bone health. a machine scans your hip supplements to make up a little stress on the bones Short of a fracture, no early bones and lower spine to the rest. Too many calcium and keep them strong,” says symptoms will tell you your estimate potential bone loss. supplements can cause Filer. Muscle-strengthening bones are low on calcium, Get enough calcium. kidney stones, especially in exercise includes lifting but a bone density test will. “As you get older, your body people who have a personal weights, lifting your own This test checks for osteopo- may leach calcium out of or family history of them. body weight (with push-ups, rosis and estimates your risk your bones to maintain Plus, “if you follow a low- for example), and using g e s of breaking a bone. blood calcium. So you fat, high-calcium diet, you resistance bands. The National Osteopo- might have no symptoms, get other health benefits, rosis Foundation recom- while your bones are such as blood pressure con- Reviewed by mends that women who becoming increasingly trol, in addition to maintain- Arefa Cassoobhoy, MD, MPH WebMD Medical Editor have broken a bone after age brittle,” Filer says. ing bone health,” Filer says. I ma s en/Getty Soren Henrik

W ebMD.com 14 JULY/AUGUST 2015 Check out Cleaning and Organizing Tips for Parents, a slideshow at WebMD.com.

Learn How on Page 7

MEN’S HEALTH Gender Bender Can doing household chores affect your daughter’s career path? The answer is yes

By Matt McMillen

Dads, did you know that doing your part with the dishes, laundry, and other household tasks might help your daughters see unlim- ited opportunities for their future? In a recent study published in the journal Psychological Science, researchers reported that fathers who did their fair share of domestic chores raised daughters who were more likely to dream of careers not limited by stereotypical gender roles. “We wondered whether the division of labor at home might have implica- tions for children’s developing gender identities because of what they’re actually seeing their parents do,” says Alyssa Croft, lead author of the study and a PhD candidate in social psychology at the University of British Columbia in Vancouver. Croft and her colleagues interviewed more than 300 children between the ages of 7 and 13 be when they grew up. dresser. And dads, Croft was surprised as well as at least one of their parents. The researchers found that daugh- to discover, made a bigger difference To evaluate parents’ attitudes about ters whose parents both preached and than moms in the daughters’ responses. gender roles in the home, they asked practiced gender equality—meaning “Potentially, the signals dads send each parent who they felt should be they divided chores and child-rearing to their daughters are being picked up responsible for child care, laundry, duties equally—aspired to careers that more strongly than those from their vacuuming, and other domestic duties. are nontraditional for women or are mothers,” says Croft, who had expected Then, to determine if their attitudes more stereotypically gender-neutral, the children would be more likely to matched their actions, the researchers like veterinarian, rock star, or scientist. base their choices on their same-gender asked parents to describe how much In households where tradition held parent’s behavior and attitudes. they contributed to household tasks. sway, girls limited themselves to more The career goals of the boys in the Finally, the researchers turned to the stereotypically feminine choices such as study did not reflect their parents’ gen- children, asking what they wanted to stay-at-home mom, teacher, or hair- der role beliefs. The co-authors specu- late that boys are rarely encouraged to g e s EXPERT TIP pursue traditionally female roles in the “The words you say about gender equality are super important way that many girls are. /Getty I ma /Getty to your daughter, but you also need to walk the walk to send the strongest signal.”—Alyssa Croft, PhD candidate Reviewed by Hansa Bhargava, MD WebMD Medical Editor Liam N orri s Liam

JULY/AUGUST 2015 15 W ebMD.com living healthy

and Of f the Sidelines In this installment of The Comeback series, WebMD takes a look at a professional athlete’s injury, treatment, and recovery from a ruptured patellar tendon By Matt McMillen

Last August, Los Angeles Angels starting pitcher Garrett Richards collapsed in agony. A spike in his cleat caught near first base as he tried to tag the Boston Red Sox’s Brock Holt, and his knee buckled. The next day, an MRI detailed the damage: Richards, then 26, had ruptured his patellar tendon. His season was over. He wouldn’t return until the spring, following surgery and nine grueling months of rehab. “Ruptures of the patellar tendon most often result from a forceful contraction of the muscle during a fall or when landing poorly from a jump,” says UCLA orthopaedic surgeon and sports medicine specialist David McAllister, MD. The tendon connects the bottom of the patella, or kneecap, to the top of the tibia, or shin. When completely torn, you can’t straighten your leg. “People who have a complete tear have so much discomfort that they usually go right to the emergency room,” says McAllister, physician for UCLA’s football and men’s basketball teams. “These injuries, which cause significant pain and disability, do not heal on their own. They almost always need surgery.” Richards’ injury was a freak accident, the now-recovered player told the Los Angeles Times days after it happened. But it’s an injury that can happen to anyone who is active and engaging in sports or exercise. In fact, men in or approaching middle age run the high- est risk. “Men in their 30s and 40s are by far the most common demographic,” McAllister says. “My suspicion is that the activities of a 30-year-old can still be pretty high level, but their tissues are not as strong as they once were.”

W ebMD.com 16 JULY/AUGUST 2015 Explore this series more with videos and articles at WebMD. com/getbackinthegame. Learn how on page 7

Lewis G. Maharam, MD, agrees. “In “Rehab will focus on slowly getting nonprofessional athletes, these injuries mobility back and strengthening the happen most often among aging ath- muscle,” McAllister says. “The knee’s letes, as their tendons and ligaments going to be stiff and weak after the become more brittle and they don’t injury and the surgery.” Like Richards, spend the time to keep flexibility as scorecard you can expect to be out of the game a major part of their program,” says for nine months to a year following Maharam, former medical direc- surgery, he says. tor of the New York City Marathon Play It Safe Smaller tears heal faster and may Bad luck, missteps, and and author of Running Doc’s Guide to freak accidents: These only require a combination of rest Healthy Running: How to Fix Injuries, cause most major tears. and physical therapy. Maharam says You can prevent them only Stay Active, and Run Pain-Free. by sidelining yourself. a relatively new treatment—platelet- In his private practice, Maharam However, you can protect rich plasma (PRP) injections—can also your patellar tendon from sees more partial tears of the patel- more minor injuries. Here’s help. For PRP, doctors draw some of lar tendon than complete tears—most how, according to your blood and modify it to increase often from running, tennis, and golf. Lewis G. Maharam, MD. the concentration of platelets, a blood “Full thickness tears happen in the Stretch. “Make stretching and component that promotes clotting. heat of competition, due to the power flexibility part of your exercise Though experts don’t know exactly or force exerted on the tendon,” program,” Maharam says. how it works, PRP seems to accelerate Maharam says. “They’re more common the repair process. However, Maharam among professionals because pro ath- Warm up. At least every other says health insurance does not cur- day, do warm-up exercises letes have more power in their legs and such as jumping jacks or a rently cover the procedure. they’re more ballistic in their runs.” light jog. You want to raise the Whatever the degree of your injury, But partial tears can seriously trip temperature of your muscles, you will likely make a full recovery—if you up. When they occur, Maharam tendons, and ligaments a half you stick to your treatment plan. “Suc- says, the pain shoots through you like a degree. You’ve reached that cess depends greatly upon how serious point when you start to break a a bullet. Though they don’t always sweat. Follow this with several the patient is in his rehab and how require surgery, recovery can take minutes of stretching. serious he is in following his doctor’s months, depending on the size of directions,” Maharam says. the tear. Make it a habit. Do this routine Go to your appointments, find the Like full tears, partial tears often even on days when you don’t time for physical therapy, stay away plan to run, play tennis, or pick occur due to a sudden, severe misstep— up a basketball. That’s how you from the sport that caused the injury:

g e s a stumble as you run down a flight of achieve flexibility and prevent If you do this for the recommended

I ma stairs, an awkward twist as you pivot, a injury, Maharam says. duration, you’ll likely be as good as w o

l /G fumbled landing after a jump shot—but new when your doctor clears you to gg chronic overuse can also create small “If you haven’t made a regular play. Otherwise, you risk re-injury. practice of stretching, tears. Those who are deskbound during it won’t help if you do it right That could mean more surgery and a Gra ci ll a the week but overactive on their days before you play.” much more bench time. ; Pri s ; off are particularly prone to such inju- “The longer you’re out, the harder g e s ries, Maharam says. it is to get the flexibility back, to get Partials require surgery when back the ability to perform at the /Getty I ma /Getty s approximately a third or more of the For the first six to eight weeks level you were at before the injury,” aria g tendon tears. The procedure, says after the operation, you can expect Maharam says. Za McAllister, takes about an hour and is to use crutches and wear a brace that not very complicated; a surgeon simply immobilizes the knee. After that initial Reviewed by Michael W. Smith, MD, CPT WebMD Chief Medical Editor eft: M ic h ae l l eft: sews the tendon back together. period, the physical therapy begins.

JULY/AUGUST 2015 17 W ebMD.com Dry Spell Is your hair dry as the Sahara, especially during the summer? Fortunately, there is a quick fix, says David Todd, owner and lead stylist at David Frank Salon in Scottsdale, Ariz. Start with realizing what you don’t want to do, he says. “Putting conditioner on wet hair is like putting lotion on wet hands—it doesn’t work.” Hair strands are like tubes filled with protein. When they get dry, the protein gets stiffer. Hydrating hair is about pumping moisture into that part of the hair. Start with a moisturizing conditioner; contrary to popular belief, one infused with oil won’t flatten your strands. Wash your hair as usual, then get out of the shower and towel dry your hair before applying the conditioner. Leave it on for about 10 minutes, then get back in the shower to rinse well. This smooth move makes the conditioner super- concentrated so that it seeps into hair follicles, instead of sitting on the surface, Todd says. Note too that oil and water don’t mix, so getting most of the water out of your hair first allows the product’s nourishing oils to penetrate the hair.

Photograph by Self Images/Glow Images july/august 2015 18 W ebMD.com healthy beauty You Asked Leg Work Banish stubble, cellulite, and varicose veins—just in time for shorts season—with expert tips and product picks

By Ayren Jackson-Cannady

5 3 1

Rough Stuff 5 Lush Rub Rub Rub Shower Scrub ($21.95) “Exfoliate once or twice a week Hold Firm After Glow to remove the dead skin that piles up 1 Bliss FatGirlSlim Skin Firming 3 Jergens Natural Glow Daily on the surface of the legs. But don’t get Cream ($36) “Products infused with Moisturizer ($8.19) “For a more natural too overzealous with the scrubbing, as caffeine, like this body cream you mas- tan look (without getting a harmful sun- that can irritate skin. You can use an sage into trouble spots twice a day, can tan), this body lotion is a good one to over-the-counter scrub like this sea salt- temporarily constrict blood vessels and try. It builds up a subtle glow in a very based one. Or, make your own—I love minimize the appearance of cellulite for slow, gradual fashion while moisturizing mixing sugar with coconut oil to create a few hours.” skin with vitamin E.” a DIY scrub.”

Sock It to Me Look Sharp Mousse Is Loose 2 Celeste Stein Compression Socks 4 Schick Quattro TrimStyle Razor 6 St. Tropez Self Tan Bronzing ($19.99) “Gravity, pregnancy, and ($12.49) “Use a sharp, multi-blade razor Mousse ($42) “Don’t even think about genetics can all lead to varicose veins. like this to shave with the grain. Shaving baking in the sun unprotected to get a Compression socks or snug-fitting against the grain may result in a close little color on your legs—always wear stockings can help prevent them. To shave, but you also increase the risk of an SPF of at least 30 when outdoors. reduce their appearance, try to read ingrown hairs. Bonus: This one comes Instead, try this tinted self-tanner that or watch TV with your legs propped with a waterproof, battery-powered lets you see exactly where you apply so up on a level above your heart, which bikini trimmer on one end.” you can avoid surprising streaks. The helps them drain. If they become result: a quick beautiful bronze without painful or bothersome, see a vascular any orange hue.” surgeon for treatment.” Whitney Bowe, MD clinical assistant professor of the opinions expressed in this section are of the experts dermatology, Icahn School of Medicine Reviewed by Karyn Grossman, MD and are not the opinions of WebMD. WebMD does not at Mount Sinai Medical Center WebMD Skin Care Expert endorse any specific product, service, or treatment.

W ebMD.com 19 july/august 2015 Photograph by Ted Morrison Check out Tooth Enamel Erosion and Restoration, an article at WebMD.com. Learn How on page 7

YOUR SMILE Protect and Serve We scratch the surface on enamel erosion and how to prevent it

By Jodi Helmer

“Enamel is a big mouth buzzword in dentistry matters right now,” says Mark S. Dorothy J. Stewart, Wolff, DDS, PhD, dentist DDS, suggests asking your and associate dean for dentist these three pre-doctoral clinical questions at your next appointment: education at New York University College of What is my dental Dentistry. “People realize health status? that enamel erosion is a Ask about areas of big problem.” concern and tips for improving your Enamel keeps teeth from home oral care breaking when you chew, routine. “If you ask protects the sensitive inner this straightforward layers of your teeth, and question, you’ll get acts as a barrier against a straightforward answer,” Stewart says. plaque. While it’s one of the strongest substances in the Is this treatment body, it’s not immune to optional or essential? wear. “Once enamel erodes, Some treatments you can’t undo the dam- will improve your smile while others age,” Wolff says. When the are essential for good protective coating starts to oral health. Knowing disappear, problems ranging which procedures from an increased risk for your dentist considers cavities and tooth decay to “We brush our teeth to enamel. A 2014 study found crucial (and why) can help you make good chipped teeth can crop up. that permanent damage make them whiter, but decisions about your Often, increased sensitiv- brushing too hard has the to the tooth enamel occurs dental care. ity to hot and cold is one opposite effect,” Wolff says. within the first 30 seconds of the first signs of enamel “A hard-bristled toothbrush after high-acidity foods and Who should I call erosion. The reason: The wears down the enamel and drinks come into contact if I have a dental emergency? tissue beneath the enamel, with the teeth. the yellow layer of dentin “Dental emergencies called dentin, is sensitive. starts showing through.” Several toothpastes and don’t always happen When enamel wears, dentin To protect enamel, Wolff mouthwashes promise to during office hours,” is exposed, and hot or cold suggests a soft-bristled tooth- repair and protect enamel. Stewart says. Knowing foods and drinks can cause a brush and drinking lots of Wolff says these products who to call if you have a toothache on the painful reaction. water, especially after meals, encourage remineralization weekend or dental ges Other signs of enamel wear to rinse enamel-eroding bac- of teeth, which can reduce trauma in the middle of

y I m a y include white spots or trans- teria from your mouth. further degradation of the the night ensures you’ll lucent areas on the teeth and Cutting back on sugary enamel. “You’ll get some of always have access to uneven edges that are more or acidic foods and bever- the calcium back into the quality care. prone to cracking or chip- ages such as soda, fortified tooth structure,” he says. ping. Your teeth might also water, sports drinks, and But you probably won’t Reviewed by Eric Yabu, DDS WebMD Oral Care Expert ett C ool i d ge /G J eff r e y start to look yellow. fruit juices can also preserve notice a difference.

july/august 2015 20 W ebMD.com healthy beauty What’s the Best Way to Brighten Your Skin? Take the quiz at WebMD.com. Learn How on page 7

beauty smarts Clean Sweep cleansing brushes: how do they work and do you need one?

By Liesa Goins

Brush hour Dermatologist Papri Sarkar, MD, shares her tips for using a cleansing brush.

Remove makeup first. If you wear a heavy layer of foundation, the brush can’t clean as well. In some cases, washing with makeup on can cause irritation and breakouts. Use makeup remover or a cleansing towelette first.

Use a gentle cleanser. Look for something that is right for your skin type and lathers for the best clean. Avoid scrubs with abrasive particles.

Do maintenance. Change the brush heads according to the brush’s instructions. Power tools make home improve- circular motion and others move back Accumulated dirt and ment projects easier, but can the and forth, but it’s the repetitive motion bacteria could cause same be said of your skin care routine? of the bristles combined with cleanser breakouts. In recent years several motorized that makes them work,” says New York Limit yourself. Since the cleansing brushes have appeared on City dermatologist Neal B. Schultz, brush exfoliates, using it the market with promises of a deeper MD, founder of DermTV.com. more than daily might be too cleaning and more radiant skin. The motor and bristles enable harsh for your skin. Save it for “For many of my patients, the these tools to clean dirt and makeup evening cleansing so you can cleansing brushes are great,” says from skin and more effectively exfoli- rinse the day’s dirt, sweat, oil, and makeup down the drain. Papri Sarkar, MD, a dermatologist in ate than washing by hand, but Sarkar Brookline, Mass., and secretary of the says the tools have more compelling Know when to stop. At New England Dermatological Society. benefits. “Since they deliver constant the first sign of redness or “Cleansing is one of the most crucial pressure and many have timers, these irritation, turn the device off. steps in a skin care regimen,” she says, brushes are a more standardized way Give your skin a few days to recover before testing to see so a device that can make cleansing to clean than just using your hands,” if you can tolerate the brush more effective can be a powerful tool she says. Not only does she appreci- once or twice a week. for healthy skin. ate the thoroughness, but Sarkar likes The brushes typically use a battery- that people seem to be more excited to operated motor that moves the brush use the brushes because they are novel. Reviewed by Mohiba K. Tareen, MD WebMD Skin Care Expert head in a repetitive motion. “Some use Another perk: The brushes exfoliate so

W ebMD.com 21 july/august 2015 Photograph by Ted Morrison effectively that any skin care products you apply after washing are absorbed more easily. The amped-up cleansing is especially effective for those with acne, Sarkar says. But sensitive or aging skin Beauty 411 may need a more gentle approach: “If Do “anti-aging” hair your skin is red or irritated, a brush products work? may not work for you.” That depends on how you define anti-aging for hair. Schultz warns that overuse is a Once a hair exits your scalp, common problem. “It’s even possible it is no longer a living thing. to have first-degree burns from too So, while any product applied aggressive cleansing,” he says. to the hair itself may improve The brushes range in price from its appearance, it won’t reverse or stop the aging about $20 to $200, so what’s the differ- process because the hair ence? They may use different bristles is not alive. If you do come or have a more powerful motor, but the across a hair product that $200 brushes are not necessarily 10 claims anti-aging benefits, make sure the instructions times as effective as the $20 options, say to apply near the scalp—it Schultz says. may be able to penetrate Sarkar says to look for a cleans- into the root (that is, the ing brush with bristles rather than an living part of hair), where oscillating head because the brushes the hair stem cells are. Look for protein-based products tend to be less abrasive than those that speed up the growth of models with flat pads. “I like the Clari- new hair by softening and sonic,” she says. “The sonic technology strengthening it. is great for cleansing and the brush is —Rebecca Kazin, MD dermatologist at Washington Institute the most effective and gentle I’ve tried of Dermatologic Laser Surgery, so far.” Washington, D.C.

Aisle Do strengthen the skin and help fight irritation and redness in condi- PRODUCT PICK tions like rosacea. Niacinamide is CeraVe Facial Moisturizing also a great antioxidant and anti- Lotion PM ($12.99) inflammatory that helps treat the signs of aging such as pigmentation EXPERT and fine lines. This is a product I Jeremy Green, MD board-certified dermatologist and clinical recommend to my acne patients. assistant professor at the University of The lightweight feel and noncom- Miami department of dermatology edogenic formula make this lotion an appealing option for those with “I like a light moisturizer—with the oily skin or who worry about break- warm weather in Miami, I don’t want outs. I use this on top of a retinoid anything that feels heavy or greasy. at night, and after I shave in the This CeraVe lotion has hyaluronic morning, I apply it to hydrate and acid for moisture and contains soothe. I like that it’s really doing ceramides and niacinamide that something healthy for my skin.” family & parenting pregnancy Royal Family By Kara Mayer Robinson Hart of Dixie star Jaime King is no stranger to the spotlight. A model before her acting career took off, King’s image graced the pages of A-list fashion magazines from Vogue to Harper’s Bazaar. Now that her TV series has ended and she’s become a mom—she and husband Kyle Newman, a film director, have a 1-year-old son, James Knight, and a baby due this summer— she takes a stab at a dream that’s closer to home: designing a collection of baby clothes for Sapling Child, an organic clothing line. King reveals how pregnancy taught her to celebrate life, family, and her body and to let perfection go.

Photograph by Justin Campbell JULY/AUGUST 2015 23 W ebMD.com family& parenting How do you feel about being pregnant? It’s such a sacred thing. For those nine months, it’s just you and your baby. It’s so wonderful to have that con- nection. It’s really profound and fun. Even when you’re vomiting and you feel exhausted or irritable, it’s always a joyful day.

Did you feel the same way during your first pregnancy? Yes. I have severe endometriosis and PCOS [polycystic ovary syndrome], so getting pregnant was a challenge. There are certain things about endometriosis that are challenging, like bad cramps, heavy bleeding, and all these things that aren’t sexy to talk about. I feel it’s very important that it’s not taboo for other women who have these diseases. That’s why I’m open about it and also why I love pregnancy so much.

You have a husband, toddler, baby on the way, acting gigs, a new fashion collection. How do you stay balanced? My No. 1 thing is meditation. There was a book I read when I was 19 years old that totally changed my life. It’s called Spiritual Warrior. It teaches you about meditation in an active way. No matter what, you can find 10 minutes. And walking—I love walking. That’s a great activity if you’re a busy parent. Being active doesn’t have to mean schlepping to the gym and judging yourself because you don’t want to go. You can get out and go for a 15-minute walk and enjoy the fresh air.

What’s your favorite family activity? The simple moments. I love it when we go to our favorite coffee shop. We King’s new get our coffees and get James a snack clothing line, Sapling Child, or treat, then walk out and right there launches in is the library. Next to the library is an August. Read the full incredible park. It’s the best of every Q&A with world. It’s time for the three of us, as a Jaime King in our free unit, to be together and bond. tablet app! Reviewed by Hansa Bhargava, MD WebMD Medical Editor

W ebMD.com 24 JULY/AUGUST 2015 Photograph by Justin Campbell Read Getting Pregnant After 35: What Are Your Chances? at WebMD.com.

Learn How on page 7

PREGNANCY Family Time? Age does matter when it comes to trying for a baby. Here’s what you need to know

By Stephanie Watson

Are you 35 or older and thinking about having your first child? Join the 20% of new mothers who have done the same. Although you can give birth to a healthy baby well into your 30s, and even into your 40s, these pregnancies do come with a few extra risks. “Women are born with all the eggs they’ll ever have. So the egg you ovulate [release] when you’re 40 has been around twice as long as the egg you ovulate when you’re 20,” says Leonardo Pereira, MD, associate professor and division chief of maternal- fetal medicine at Oregon Health & Science University. mothers also face twice the plans. “I recommend that Older eggs are more risk for stillbirth, although Ask Your older moms have a precon- prone to genetic “mistakes” the odds are still very slim: 11 OB/GYN ception consult,” Pereira that lead to chromosome to 21 in every 1,000 births to What extra pregnancy says. During this visit, your problems such as Down syn- women 40 and older. risks might I face OB/GYN will look at factors because of my age? drome. At 25, your chance Waiting can also make it that could affect your preg- of having a baby with Down harder to get pregnant in the What can I do prior to nancy, such as your weight, syndrome is about 1 in 1,250. first place. About a third of pregnancy to ensure blood sugar, and blood pres- At age 35, that increases to 1 couples in which the woman my baby is healthy? sure, and thyroid and kidney in 400. By age 45, your odds is 35 or older have fertility function. Also consider visit- What can I do during are 1 in 30. problems. Your partner’s ing a genetic counselor to go pregnancy to ensure As you get older, you’re age can make a difference, my baby is healthy? over your family history. also more likely to have too. Although men produce Waiting to get pregnant pregnancy complications new sperm throughout their What risks are can also have benefits. like gestational diabetes and lives, research shows older associated with Older moms are more likely labor and delivery in high blood pressure, simply dads may be more likely to to breastfeed than their older women? because diabetes and high have children with autism younger counterparts. They blood pressure become more and other mental health Which screening tests also tend to be more finan- ge s common with age. Older conditions. should I have during cially and mentally stable. These stats shouldn’t my pregnancy? “You have much more of an change your decision to appreciation of how hard it’s Reviewed by Should I see a genetic Nivin Todd, MD get pregnant after 35, but counselor? going to be to raise a child,” e tty I m a e ly/G Daz WebMD Pregnancy Expert

they should factor into your Pereira says. P e t er

JULY/AUGUST 2015 25 W ebMD.com family& parenting

baby talk Word Play Talk is not cheap When it comes to language development. quantity and quality count

By Heather Hatfield

Talking Points Denise Fournier Eng, MA, shares tips for talking to your baby.

Use big words. Children don’t perceive language as easy or hard—only meaningful or not meaningful. If they’re interested, the word has meaning.

Use your voice to your advantage. Make your conversations lively and engaging, and vary your pitch and noise level when speaking.

Be descriptive. Colors, shapes, and Babies and toddlers need lots of sleep, “Parents do a lot of ‘What’s that?’ ‘Say sizes bring your playtime, and love. They also need a cup.’ Or yes or no questions,” Eng says. conversation to life. parent who can carry on a conversation, and “These don’t get you to conversation. Use your daily that doesn’t mean baby talk. Vocabulary and You need give-and-take to keep conversa- routines. Diaper communication skills should start early in life, tion alive.” changes, baths, driving with a steady stream of meaningful dialogue. Skip the monologue, and allow your child in the car, getting Denise Fournier Eng, MA, a speech- time to respond with his own sounds and dressed—all are great language pathologist at Boston Children’s expressions. At the same time, build on your times to talk. Hospital, explains that moms and dads word base. Rather than repeating the same Read books. This is need to make talking and building an ever- boring words, get descriptive. “If your child different than talking expanding vocabulary an important part of loves flowers, talk about flowers,” Eng says. to your child, but the parenting. “The brain looks for and expects “But then explain one is a gladiolus and brain takes it all in, and reading complements language,” Eng says. “It needs language another is an amaryllis.” your conversations. to develop higher-level learning, problem- Props can help start a conversation with solving, and social skills.” your child, but avoid the plugged-in variety: Take a break. You don’t The benefits of regular dialogue with your TV and technology are poor substitutes for need to talk every waking moment you child are clear: Research shows that by age conversation, Eng explains. By age 3, 86% are with your child. 4, kids exposed to a high volume of language to 98% of the words a child uses are words Make conversations could have heard up to 45 million words. And learned from his or her parents. meaningful and ge s I m a the breadth of a child’s vocabulary at pre- Without the benefit of a strong word base, valuable for you both. w school age predicts reading comprehension kids may not be able to make up the differ- ank/Glo and language skill and development at ages ence. “We don’t know yet if kids who start Reviewed by Hansa Bhargava, MD ook b

9 and 10. So how can a parent graduate from school far behind their peers in terms of B r WebMD Medical Editor

baby talk to conversation that can teach? vocabulary can bridge the gap,” Eng says. de Ja

W ebMD.com 26 JULY/AUGUST 2015 Read Teens, Cutting, and Self-Injury, an article at WebMD.com.

Learn How on page 7

KIDS’ HEALTH In Harm’s Way Is your kid at risk for cutting? Learn about self-injury and how you can help

By Lauren Paige Kennedy

for the past five years, the media landscape has shifted dramatically. Today’s teens interact with their peers online through smartphones and other devices, and swap images on photo-sharing sites. It can be an opportunity to display cuts and burns like badges. “Healthy kids who are not prone to self-harm don’t self-harm. But kids who feel alienated search out others who are alienated.” Social networks, Lader says, “may normalize this behavior. Kids think: Everyone’s doing it. What’s the big deal?” Lader urges parents to You’ve likely heard Helping Hand director of the treatment stay vigilant for signs of about “cutting,” the Self-injury expert program SAFE (Self-Abuse self-injury: bloody towels disorder where people cut, Wendy Lader, PhD, Finally Ends) Alternatives, or stashes of razors, unex- shares tips for burn, or otherwise mutilate parents. who has spent three decades plained cuts and burns, and their bodies—without the studying self-injury. attire far too warm for the intent to kill themselves— Do take the disorder Lader and her colleagues season (such as long sleeves when they feel emotionally seriously. While self- first documented this effect and pants in July to hide injury is not in itself overwhelmed. suicidal, “it’s when media stories about cuts on arms and legs). Once a hidden psychiat- a significant risk their research emerged in The right response is ric disorder, self-injury is factor” and “may be a the 1990s. “We knew there key. “The best reaction is no longer in the shadows. gateway for suicide,” was this hidden popula- empathy,” Lader says. “Don’t According to several recent Lader says. tion who thought they were force-check your kid’s body independent studies on the Don’t focus on the crazy,” Lader says. “They for injuries. It creates a subject, an estimated 2 mil- quantity of injuries sent letters thanking us” power struggle. Don’t take lion Americans, the majority or how a child has for bringing the problem to away sharp objects. A kid of them teens, self-harm. done it. Instead, light. “By then, the genie was has to learn how to live with This includes a reported 8% “find out why your out of the bottle,” she adds, these objects.” Instead, ask child is struggling of U.S. children ages 8 to 12 emotionally.” explaining that while some your teen why he or she feels and about one-fifth of the kids discover the behavior on the need to self-harm. Don’t ge s country’s adolescents and Don’t make threats their own, “there is evidence judge. And don’t wait to seek young adults. such as limiting time that popular media makes professional help. But where do kids get the with a boyfriend or self-harm more available.” removing a laptop. e ttym a I ona/G idea? “The contagion effect Instead, reinforce While the latest research Reviewed by

Ju w is clear,” says Wendy Lader, love, concern, and shows self-injury rates have Hansa Bhargava, MD WebMD Medical Editor

Arief PhD, president and clinical confidentiality. held steady in the U.S.

JULY/AUGUST 2015 27 W ebMD.com Read How to Prepare for family& a New Dog, an article at parenting WebMD.com. Learn How on page 7

Adopt or Not? Pet expert Joanne Yohannan suggests asking these questions before sealing the adoption deal.

Where did the animal come from? “Dogs from puppy mills often PET HEALTH live in bad conditions and have a lot of medical issues, so they wind up in shelters,” Gimme Shelter Yohannan says. “Also, Are you ready to rescue? Find out what makes a good it’s often not the fault of the animal [that it match and other questions to ask needs a new home]. By Lauren Paige Kennedy Did the previous owners move away? Divorce? Was there a death in the family? Is adopting a rescue No matter where you find tricky acclimation period, Could the animal not animal really as simple your rescue pet, Yohannan which Yohannan warns can be housebroken? as driving to your local advises you give serious take days, weeks or, in some Asking why the animal shelter, perusing a parade of thought to the type of ani- cases, months or years. was relinquished provides you with cute pups and kittens, and mal you want to adopt. “Have patience,” she important clues.” bringing one home? Ask yourself about your says. “Your animal might be According to Joanne commitment level, she says. overwhelmed by the changes What have you noticed Yohannan, senior vice presi- “Are you looking for a family and the shelter experience. about this animal? dent of operations at North companion? A dog to run If after time you find the “Ask: Is the dog easy to walk on a leash?” Shore Animal League Amer- with? Are you older or a animal is simply not com- Yohannan suggests. ica, much more thought and couch potato who might not ing out of its shell, contact “Does the cat get research should go into such be able to handle a dog that your shelter and ask to work along with dogs? Is this an important commitment. needs a lot of exercise or has with their counselors and animal good with kids? First, don’t be discour- issues? It’s important to be trainers, who will have tips Is it shy or outgoing?” aged if it’s not love at first honest with yourself.” to help you help your dog or What is the animal’s sight. “Many people expect While many rescue ani- cat. Almost all animals will schedule? Adopters to find the perfect match in a mals take to their new homes eventually relax and bond “should try to keep a single visit to a shelter,” says and owners immediately, with their new families.” new dog or cat on its Yohannan, whose organiza- others initially struggle and Should you feel at all hesi- regular feeding and walking routine as tion places roughly 18,000 display a range of behavioral tant, Yohannan urges you to much as possible” to animals each year. “Expect problems, from wetting “consider fostering a shelter help the transition go ge s to make multiple visits, and carpets to anxiously hiding animal in your home first.” smoothly, she advises. at more than one animal beneath beds. Or they may This allows for a test run and

shelter. The right match is not be fully socialized with to figure out whether a new Reviewed by e tty I m a c i a/G key.” So what makes for a other pets or kids. Adopters animal will click with your Will Draper, DVM WebMD Pet Health Expert r Ga ony good match? need to be prepared for this kids or another pet. T

W ebMD.com 28 JULY/AUGUST 2015 WHO WILL BE THE 2015 PEOPLE’S CHOICE? Cast your vote starting August 10th at webmd.com/healthheroes

As Seen in Healthy Years WebMD Magazine

Martha Stewart

Martha Stewart transformed domestic duties into an art form. Today, she presides Martha Stewart over a multimillion- dollar empire that encompasses magazines, TV shows, and home WebMD Health Hero goods. Given her successes, Stewart considers philanthropy a personal responsibility. “Giving back is just 2014 People’s Choice Award Winner part of a good life, and it makes me feel good,” she says. In 2007, with a $5 million donation, she opened the Martha Stewart Center for Living at Mount Sinai Hospital in New York City. The center lls a need for quality senior health care at a time when 10,000 baby boomers turn 65 each day—a phenomenon Stewart calls “the silver tsunami.” She dedicated the facility to her mother, Martha Kostyra, who died in 2007 at age 93. “She was a good example of growing old and being well,” she says. To promote graceful aging, the center o ers a holistic approach, pairing traditional medical care with alternative therapies like yoga and tai chi. Today, the center gets more than 10,000 annual patient visits, making it one of the largest outpatient facilities in the country for older adults. Stewart credits the top- notch care to Mount Sinai’s sta . “The doctors are so superior and are such wonderful people and work so hard at their practice to make this an ongoing and growing success.” What would her mother think of the center? “She’d be thrilled.”

Reviewed by Michael W. Smith WebMD Chief Medical Editor

W e b M D . C O M 76 N O V D E C Photograph by Andrew Eccles/August

#HealthHeroes Supermodel, super mom, super mogul—that about sums up Heidi Klum. The world-famous beauty has long since left the runway, but with her many projects—TV shows, a clothing line—and raising her four kids, she’s still always on the run. Her secret to getting it all done and looking good? Sleep. She shares her snooze secrets and more ROLE By Rebecca Ascher-Walsh

MODELphotography by Robert Erdmann/August Images The POWER of a Good Night’s Sleep Getting enough sleep makes us better workers, parents, and friends, but here are even more reasons to take to our beds.

Increased libido According to a recent study, Heidi Klum longer sleep duration is related to greater sexual desire the following day, and the likelihood of sexual activity with a partner improves by 14% when women sleep an hour longer than average. “Levels of testosterone and estrogen are lower with sleep deprivation,” explains sleep expert Michael Breus, PhD.

Improved athletic performance SheRULES. dominates the airwaves, celebrating her 14th season A Stanford University study showed that varsity basketball players improved sprint times in August hosting Project Runway, for which she has won and shooting accuracy and an Emmy, her 10th season hosting Germany’s Next Topmodel, reported better physical and mental well-being during and her third season as a judge for America’s Got Talent. And she practices and games when reigns over her domestic front as a single mom to four children. they got extra sleep. Higher marks A Belgian study demonstrated that students who logged at But Klum, 42, is quick to say she is not superhuman, though she’s clearly All in the Family least seven hours of sleep a night earned grades that were a human with a blessed gene pool (she was a top model before she got in Klum is equally passionate—and disciplined— 10% higher than those of the business of judging them) and inimitable energy level. She happily about being a hands-on mother to her children their cramming peers. posts makeup-free pictures on social media as well as hashtag reports of Leni, 11, Henry, 9, Johan, 8, and daughter Lou, her occasional jogs, #IknowI’mslow! and #tryit! 5. Divorced in 2012 from their father, the musi- Fewer sick days “It doesn’t hurt for people to see how I wake up in the morning and that cian Seal, Klum says family remains her prior- In a Carnegie Mellon University study, people who slept less the world of modeling is one of illusion,” she says of her selfies. “And when ity regardless of career and social demands. “It than seven hours at night were I post photos of my running it’s because I’m not afraid to show what a snail always comes first,” she says. “I have four kids, almost three times as likely to I am. But I’m doing this for myself, and maybe other people will say, ‘Hey, and I’m a working mom, so a lot of the times my get a cold. Other studies have I run slow, too, so maybe I can get on a treadmill.’” friends get the short end of the stick. And you linked sleep deprivation to Klum’s encouragement of her fans is a reaction to the criticism she do need an adult life. But we’re all juggling more an increased risk for certain cancers and faster heard at the beginning of her career. Raised in Germany by her mother, than ever, so my friends understand.” tumor growth. a hairdresser, and father, a cosmetics company executive, Klum won a For Klum, that means when she walks in modeling competition at 18. “As a model you’re always being judged, with the door at the end of the day, she leaves her A more efficient people saying things like, ‘You should lose weight,’” she says, “and when phone and bag on the table. Family dinners are metabolism I started in 1992, the look was ‘heroin chic.’ I was too healthy and happy a nightly affair. “They’re important,” she says. “Higher cortisol levels due to sleep deprivation mean a bigger for everyone. You get a thick skin pretty fast. I realized that at the end of “It’s about sitting around casually and just talk- appetite,” Breus says, “and the day I have to be happy with myself, and people are going to like me or ing, whether it’s about school or using it as time the metabolism slows down not like me.” to teach children about social media or about because the body is trying to She may have felt unwelcome in the world of high fashion, but Victoria’s the world we’re living in. I try to do my best,” preserve energy.” Factor in Secret embraced her lush look (she was an “Angel” for more than a decade) she says, “But then, every mom does.” the additional effect on the hormones that signal when it and she became a regular Sports Illustrated swimsuit model before deftly Still, Klum is aware that her family is not typi- is time to eat and time to stop, sliding into TV. “We all have to find our space and what we’re good at,” she cal. “My kids already know that all parents are “and you’ve got a recipe says. “For instance, I tried acting, and I’m not good at it. But I’ve always different,” she says, and that includes her par- for disaster.” tried to be creative about what my next step should be, and while I never enting style. “I’m a little more relaxed about cer- knew where I would be today, I did work for it, and I always give 100%.” tain things. My kids will say, ‘Why are you lying

W ebMD.com 32 JULY/AUGUST 2015 JULY/AUGUST 2015 33 W ebMD.com Read 10 Things to Hate About Sleep Loss, an by the pool without a top on?’ and I don’t do that Sleeping Beauty article at WebMD.com. when their friends are around, but when it’s just Klum says she exercises, but without much scheduled time for fitness. “I’ll Learn how on page 7 us, sure. I say, ‘What’s important is you’re a good run occasionally to raise my heart rate, and I bought this circle on TV that person and a nice person. But we do have rules.” you squeeze between your thighs to keep the muscles from getting loose Edicts include eating only at the table, using and then squeeze in front of your chest, which is good for your arms and Her energy level, she says, is inherited from good table manners, and focusing on nutrition. boobs. But I feel like my whole life is exercise. I’m never just sitting around her mother, a frequent guest in the house. “My “For the first two years when I was making fruit on the couch.” mother will come visit from Germany and I’ll and vegetable smoothies for them, I would line Klum is vigilant about getting enough sleep, which she says is the say, “Why don’t you have a vacation day? We their piggy banks up on the table and pay them secret to her sanity. She’s in bed by 9 p.m., whenever possible, a lesson she have five acres, a pool, a garden…if you’re from each a quarter for finishing,” she says with a learned the hard way. “I would put my kids to bed and fall asleep next to a small town in Germany, being in L.A. is like a laugh. “But I haven’t bribed them in years, and them and then wake up at 11 p.m. and have to get to sleep again. You can’t holiday. But no,” Klum says. “She has to be orga- now it’s just a part of their lifestyle.” And while do that every day—getting up at 6 a.m. and making breakfast and drop- nizing my kitchen, or she’s in my closet making ping kids at school and then going to the studio. If I don’t get sleep, I can’t piles of things to throw out.” function,” she continues, “let alone be sparkly. People don’t hire me to be Klum’s delighted for the help with the closet— grungy; they want me to be happy and energized, and I can’t be perky on she says keeping it clean is almost as crucial as five hours of sleep.” sleep when it comes to feeling attractive. “What “PEOPLE ARE Sleep expert Michael Breus, PhD, author of Good Night: The Sleep happens is you start to accumulate the sweat- Doctor’s 4-Week Program to Better Sleep and Better Health, praises Klum for pants and baggy jeans and schlumpy shirts and her routine and for knowing the amount of sleep that’s right for her. “The granny underwear that make you feel comfort- SURPRISED I body craves consistency and if you vary what time you go to bed by even able, and if they’re there, you wear them. So a 30 to 45 minutes, your body will try to shift your whole clock,” he says. few years ago I got rid of those things to start “Everyone has a different and specific amount of sleep that they need.” to really enjoy the pretty things that are in my EAT AS MUCH The best way to determine that amount, Breus says, is to start with your closet.” Her appreciation of beautiful lingerie necessary wake time and then count back. “The average sleep cycle is 90 eventually led her to design her own brand of minutes long, and a night’s sleep consists of five of them,” he explains, “So underwear, Heidi Klum Intimates. AS I DO.” if you need to get up at 6 a.m., try going to sleep at 10:30 p.m. Do that for It’s difficult to imagine Klum would need a the children are expected to eat the same food as a week, and if you can wake up without an alarm, within five to 10 minutes sartorial boost to feel gorgeous, but she insists, the adults—“it’s good to help them develop their of when you need to get up, that’s the right bedtime for you.” If you’re still “Of course I have days where I think I’ve looked palates”—Klum is willing to cater occasionally hitting the snooze button, “start moving bedtime back by 30 minutes.” better! But time isn’t stopping for anyone, and to their individual tastes. “Sometimes we do As part of Klum’s nighttime routine, she keeps “a book next to my I’m comfortable in my own skin. What are you eggs, but Henry wants hard boiled, Johan wants bed where I can write down what I want to do the next day, because my going to do—sit there and moan about another fried, Leni wants egg whites, and Lou wants soft head is full of too many things, and now that I’m getting older I am get- wrinkle? Be happy you’re alive, be happy that boiled. It can feel like a restaurant, but they are ting forgetful,” she says with a laugh. “And sometimes when I lie in bed you’re getting older,” she says. all different people and it’s not a big deal.” writing things down I do fall asleep. But I think we are given as much as “So we don’t always feel amazing about our- The refrigerator is always stocked with cut- we can handle, and if I couldn’t handle it all, I would stop juggling all selves. Roll with it! It’s always good to open your up vegetables—“everyone can pick their favorite these things.” eyes in the morning and say, ‘This is a good day.’ ” dressing to put on them”—and Klum empha- sizes the importance of cooking as a family. “Monday is chicken soup day, which is beautiful because it’s about a ritual,” she explains. “We have a fresh chicken, and we cut up the vegetables, and when we’re traveling the kids are jone- Heidi’s Hit List sing for that chicken soup. And Leni now makes Heidi Klum has spent her adult life being paid to look good, pancakes better than I do because we’ve always and she’s picked up plenty of tips she’s happy to share. made them together.” Come clean. “To have Glow from within. “Your skin is a Mix it up. “I never like the word As for Klum’s eating habits, “People are sur- beautiful skin you must cleanse mirror of what’s going on in your ‘diet’ because I don’t think it’s prised that I eat as much as I do, but it’s because properly,” Klum says. “Take body,” she says. “If I break out, good to eat the same things,” what I eat is healthy,” she says. “Breakfast is a off your makeup at the end it has a lot to do with something she says. “It’s all about variety. big bowl of yogurt with fruit or oatmeal and a of the day.” I ate.” Eat your greens and then a mixture of things.” smoothie; snacks are hard boiled eggs and what- Get moving. “Raise your Be consistent. “Nothing is ever healthy food is in the house.” When she’s heart rate occasionally,” she a quick fix,” Klum says. “The When all else fails, cover up. not at home, “I can get jittery and need to eat says. “It takes me an hour to best thing is to have a healthy “We all have nights where we quickly, so my bag always has protein bars or jog four miles, but I’m not in lifestyle. See what you can cut stay out too late. The next almonds in it.” competition with anyone.” out or replace with other things. day, just think about how Maybe you don’t need three much fun you had having an venti lattes a day.” adult night and get through it. Reviewed by Michael W. Smith, MD WebMD Chief Medical Editor Sunglasses help.”

W ebMD.com 34 JULY/AUGUST 2015 JULY/AUGUST 2015 35 W ebMD.com By Kelli Miller Red CODE Superbugs REDare a serious problem and misuse of antibiotics is the biggest reason why. We take a look at the most common superbug threats—and how you can protect yourself

W ebMD.com 36 JULY/AUGUST 2015 JULY/AUGUST 2015 37 W ebMD.com Watch The White House’s Plan to Fight Superbugs, a Be Your video at WebMD.com. Own Learn how on page 7 Advocate Superbugs sound scary, but a bit Which superbugs are the most wor- of caution and a dose of common more resistant to current drugs, Biondi have a breathing tube are at a risome? According to the 2015 White sense can help lower your risk of says. Untreated, gonorrhea can lead to higher risk. House report, these are among the infections. Eric Biondi, MD, infertility in men and women. It also Why is it a concern? growing superbug threats. suggests asking your doctor increases the risk for HIV and other Doctors call it a “signifi- these questions. imaginbeing ill in the hospitale STDs. Rarely, gonorrhea can cause life- cant” hospital germ; every Urgent Threat: 1. When do I really need an threatening blood infections. year about 12,000 people with a spreading bacterial Carbapenem-Resistant antibiotic? Antibiotics kill get the infection in hospi- Enterobacteriaceae (CRE) bacteria, such as the kind that Urgent Threat: tals. Multidrug-resistant What is it? The CRE family of cause strep throat. So you might Clostridium difficile (C. diff) acinetobacter is consid- infection and your need one if you have a bacterial bacteria are found normally in your infection. But that’s not always What is it? C. diff is a type of bacte- ered a “survivor” because doctors can’t stop it. gut. But many types are resistant to the case. Sometimes, a doctor ria that can live in your intestines. Usu- it forms a protective shield all antibiotics, including carbapenem, may suggest “watchful waiting” ally, it does no harm. But some things against antibiotics, and is This so-called “superbug” scenario is bacteria that can’t be treated using two which is usually the last resort. E. coli for a few days first. Remember, can cause it to overgrow, triggering seri- tough to treat because it can not science fiction. In fact, it’s now an or more, says Brian K. Coombes, PhD, is an example. antibiotics do not kill viruses. They ous problems. easily spread between people. won’t work for colds or the flu. urgent, worldwide problem that calls associate chair in the biochemistry How do you get it? Healthy people How do you get it? Most people Specifically, the bacteria “can develop for—and is prompting—swift action. and biomedical sciences department usually don’t get this type of infection. 2. Why are you prescribing an who get a C. diffinfection are receiving antibiotic resistance more rapidly than Every year, about 2 million Ameri- of McMaster University in Hamilton, Most cases are in people who are in the antibiotic? Some doctors feel medical care for an illness. The biggest many other bacteria…and cause serious cans get sick from a superbug, accord- Ontario. Any species of bacteria can hospital or a medical care facility, such pressured to prescribe antibiotics risk factor is taking antibiotics. While illness and infect the sickest patients,” ing to the CDC, and about 23,000 turn into a superbug. as a nursing home. The bacteria can be “just in case.” But taking too many antibiotics may cure the bacteria that Coombes says. These illnesses include antibiotics increases the chances die. Earlier this year, an outbreak of Misusing antibiotics (such as taking hard to remove from medical tools that that they won’t work when you cause an illness, the drugs can also dangerous lung, brain, and urinary carbapenem-resistant enterobacteriaceae them when you don’t need them or not doctors, surgeons, and nurses place really need them. That’s because knock out the healthy bacteria in the tract infections. Most are resistant to (CRE) linked to contaminated medi- finishing all of your medicine) is the into the body, such as catheters, breath- bacteria are everywhere, and each digestive tract. Then C. diff takes over. multiple antibiotics. cal tools sickened 11 people at two Los “single leading factor” contributing to ing tubes, or viewing scopes, even after time these germs come in contact Why is it a concern? A C. diff infec- Angeles-area hospitals. Two died, and this problem, the CDC says. The concern cleaning. That’s what happened in Cali- with an antibiotic, they learn tion can cause life-threatening diarrhea. Serious Threat: better defenses against the drugs. more than 200 others may have been is that eventually doctors will run out of fornia, after doctors unknowingly used Always ask your doctor what the About 14,000 people a year die from it, Methicillin-Resistant Staph- exposed. antibiotics to treat these bacteria. contaminated endoscopes on patients. medicine is supposed to do for mostly older adults. In severe cases, a ylococcus aureus (MRSA) The White House recently released “What the public should know is that Why is it a concern? These bac- you right now and how likely it is patient may need surgery to remove part What is it? This is a type of bacte- a comprehensive plan outlining steps the more antibiotics you’ve taken, teria can cause life-threatening blood to improve your symptoms. of the infected intestine. ria that can’t be treated with penicil- to combat these drug-resistant the higher your superbug infections. “There are no effective treat- Particles of the bacteria, called lin. Many healthy people have staph 3. When did you last wash your bacteria. The plan identifies risk,” says Eric Biondi, ments,” Coombes says. Some research hands? Handwashing is the best spores, can be left behind in bathrooms, on their skin and in their nose and it three “urgent” and sev- MD, a pediatric hos- shows that up to 50% of patients who way to keep germs from spread- on linens, or on clothing. They can be doesn’t make them sick. But they can eral “serious” threats. pitalist at Univer- are sick from CRE die because of it, ing. If you don’t see your doctor passed from person to person. In the spread it to others. Our infectious disease sity of Rochester according to the CDC. or nurse wash her hands or use past, doctors used antibiotics called flu- How do you get it? This infection experts explain what Medical Center sanitizer before touching you, oroquinolones to treat C. diff. But these usually affects people who are in the ask if she did. You want to make some of these super- in New York, who Urgent Threat: sure she doesn’t carry or transmit drugs don’t always work. From 2000 to hospital, often after surgery. But new bugs are, and when runs a program to Neisseria Gonorrhoeae G etty I mages germs from a previous patient. 2007, deaths spiked 400% when a new strains have emerged outside medical

you need to worry. decrease unnec- What is it? This strain of bacteria sass/ drug-resistant strain of C. diff appeared. settings, for example among athletes, But first, a ques- essary antibiotic causes gonorrhea, a sexually transmit- 4. Does your hospital track including in schools. tion: What is a super- use. Also, “the more ted disease (STD). superbug infections? This is Serious Threat: The infection can spread easily a good question to ask when bug? The media coined encounters you have How do you get it? Anyone who has comparing hospitals, but it may Multidrug-Resistant with skin-to-skin contact, and the risk the term to describe bacte- with the hospital set- sex can get this infection. It commonly not be easy to get an answer. Acinetobacter is higher if a person has a cut. It can ria that cannot be killed with ting, the higher your super- spreads during oral, anal, or vaginal K rig h t: I mages. G low Many hospitals do keep tabs on What is it? This bacteria thrives in infect a wound and spread to surround- multiple antibiotics. “It resonates bug risk.” contact. If you are pregnant, you can superbug infections that develop soil and water, and can also live on the ing tissues and the blood. because it’s scary, but in fairness, there “Superbugs should be a concern to pass this infection to your baby during in patients who are already sick skin for days. It doesn’t always make a Why is it a concern? Although in the hospital. These are called is no real definition” of a superbug, everyone,” Coombes adds. “Antibiotics childbirth. nosocomial infections. Outpatient person ill. But a superbug strain doc- MRSA can cause life-threatening lung says Stephen B. Calderwood, MD, pres- are the foundation on which all modern Why is it a concern? Every year, clinics are less likely to track tors now worry about is Acinetobacter and blood infections, encouraging ident of the Infectious Diseases Society medicine rests. Cancer chemotherapy, hundreds of thousands of people get any superbug infections since baumannii. signs point to an improved outlook. of America. organ transplants, surgeries, and child- gonorrhea. Some people do not have confirming one can take time. How do you get it? People outside “MRSA is a major problem, although Instead, doctors often use phrases like birth all rely on antibiotics to prevent symptoms, which means they can the hospital usually don’t get sick from there are pretty good drugs to treat it “multidrug-resistant bacteria.” That’s infections. If you can’t treat those, then spread it without knowing. Gonor- this germ. Patients who are already ill now,” Calderwood says. Thanks to bet- because a superbug isn’t necessarily we lose the medical advances we have rhea used to be treatable with antibi- Reviewed by Hansa Bhargava, MD and in the hospital for another reason ter medical procedures, rates of life- WebMD Medical Editor

resistant to all antibiotics. It refers to made in the last 50 years.” otics, but the bacteria are becoming 61/ E nd W est work/istock; A rt His page: previous can pick up the superbug. Those who threatening MRSA are declining.

W ebMD.com 38 JULY/AUGUST 2015 JULY/AUGUST 2015 39 W ebMD.com Less Guessing. More Control.

Simple, Affordable Diabetes Management You need more than just the right gear to manage your diabetes. You need the right information. With ReliOn®, you get both: a wide range of dependable, accurate products you can trust at prices you can afford, with or without insurance, plus online support that’s easy to understand.*

Visit ReliOn.com today for our full product line and lifestyle support.

INSIDE expert tips & smarts from

outdoor Actor Fun Judith Light back-to-school prep spreads the grilling word about recipes the flu See the Light

Ask the

Pharmacist! Start the school year off right. Turn to page W6 health information from Take the lead in your health

Pharmacy

ear Walmart Customer, This issue will give you everything Dyou need to enjoy the rest of your summer and to be prepared for back to school. Enjoying every day of summer is important. We encourage you and your kids to get outside for some fun family activities. Check out page W5 for some cool outdoor ideas the whole family will love. I welcome you to try the delicious outdoor grilling recipes on page W11 that will have everyone referring to you as top chef. Plus, our comprehensive back-to-school P. W8 checklist on page W9 will help parents See the Light make sure they have everything their Judith Light, who stars in this summer’s comedy-drama children need to be prepared and excited Transparent, spreads the word about flu prevention to kick off the new school year. before the season even starts I hope you enjoy the rest of your summer and find this issue helpful! Sincerely,

Labeed Diab President, Walmart Health & Wellness

P. W5 P. W9 P. W11 Outside the box prep school the flip side Get your kids into Stress less this Fire up the grill the great outdoors back-to-school every night with with these fun season with tips to recipes made for activities ease the transition summer

cover photograph by Lindsey Byrnes

This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

JULY/AUGUST 2015 W3 Relief you need at a low price. That’s Equate. “From pain relievers to allergy relief, I recommend Equate products to my Walmart customers. Walmart believes in providing aordable, high quality products so you can live better. In fact, we have over 250 Equate products at $4 or less. Compare and save with Equate.”

Cecilia Chan, Walmart Pharmacist

™

Use as directed.

Compare to Advil® Ibuprofen Compare to Tylenol® Caplets Active Ingredient Compare to Benadryl® Allergy Caplets Active Ingredient Ultratab® Active Ingredient Take the lead in your health health information from Outside the Box Get your kids away from the TV and into the great outdoors this summer By Gina Shaw Reviewed by Hansa Bhargava, MD, WebMD Medical Editor

ummertime! You’d think your kids would be Smore than ready to get outside and play. But let’s face it—even on a beautiful summer day, kids are sometimes more tempted by TV, video games, and tablet screens than the great outdoors. Try these expert tips for inventive summer fun that will lure them outside (be sure to apply sunscreen first). Skip the playground. “You can get into a rut, going to the same parks and playgrounds pretty close to home,” says Liza Sullivan, executive director of the Chicago-based Alliance for Early

Kids can be excellent weeders and dandelion diggers. Make it a game— the biggest pile wins.

Childhood. So she explored nature centers and forest preserves with her twins, now 7. “It was magical to see how their play changed. It became much more rich and open-ended.” On one trip to the forest, her kids started acting out Sleeping Beauty along the trail. want to locate your play kitchen reasonably Do a photo scavenger hunt. Carrie Brainerd, close to the hose—because the two indispensable an Ohio mom of two daughters, sends them out ingredients for a mud pie kitchen are dirt and with a list of things to find and photograph in water. Also, make sure your kids are old enough their neighborhood. “They come back with some for this one (younger ones might be tempted to Get more really fun videos and slideshows,” she says. taste their creations). healthy living Put them to work. If you’re gardening, give Take the indoors out. Take your favorite tips and info at children a small trowel, hoe, or rake of their indoor activities—books, paints, Play-Doh—and webmd.com/ askthepharmacist own. Kids can be excellent weeders and dande- plop them down on a blanket in the backyard. Or lion diggers. Make it a game—the biggest pile of even better, says Sullivan, the front yard. “It’s a weeds wins. good way to draw other kids in the neighborhood Build a mud pie kitchen. Using old benches, to join you.” crates, and other backyard leftovers, set up a Go retro. Teach your children a game from countertop where your kids can assemble mud your own childhood, like Red Rover, Simon Says, pies. Outfit it with your banged-up kitchen or Duck, Duck, Goose. They’ll enjoy spending utensils. (Dollar stores and thrift stores are other time with you—and you’ll have fun sharing your good sources for mud kitchen equipment.) You’ll growing-up memories with them. Mor sa I mag e s /Ge tty This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

W5 JULY/AUGUST 2015 ADVERTISEMENT BACK-TO-SCHOOL QUESTIONS With a Walmart Pharmacist I always recommend generics because they Q. When is the best have the same active ingredients as brand- name products. Also, now is a good time to time of year to get get rid of any expired products, too. a flu vaccine? Q. When do I need A. October. Peak flu season is October through March. If you’ve missed October, it’s still to schedule my kids’ important to get a flu vaccine before March. back-to-school People with certain conditions should get their physicals/ flu vaccine earlier than October. Most retail immunizations? pharmacies offer low-cost flu vaccines with Corey Dunn or without insurance, which is much faster PharmD A. Scheduling immunizations around your than scheduling a doctor’s appointment. The Store 486, Bonner Springs, KS kids’ birthdays is a great way to remember best time to get a walk-in flu vaccine at your and keep records organized. For junior high pharmacy is in the middle of the afternoon. and high school kids in athletics, schedule Q. When I am physicals between May 1 and August 15. Q. How much sleep shopping for my is recommended for back-to-school Q. How can I tell if my my kids and myself needs, what are some kid has allergies, a to ensure we are well must-have products cold, or the flu? rested and at our best to pick up from the A. Allergies seasons usually occur in the for the school year? pharmacy? fall or spring. The most common symptoms are sneezing, runny nose, and itchy eyes with A. Elementary school-age children need A. Back-to-school is the perfect time no fever present. You can treat allergies with 10 to 12 hours. Studies have shown that teens to stock up the home medicine cabinet. a non-sedating antihistamine. For a cold, the greatly benefit from 10 hours of sleep per night, These are the essentials: ibuprofen and most common symptoms are sore throat, too. Adults need 7 to 9 hours. Adequate sleep acetaminophen for fever and pain; an congestion, and sometimes a low-grade fever. helps the body fight off infections, recover from antihistamine for allergic reactions; an It’s important to note that antibiotics do not injury, and makes us more emotionally stable. antibiotic ointment and bandages for minor help colds—colds are a viral infection, and In the evening, set a wind-down time an hour cuts and scrapes. Also, I suggest head lice they typically will last 7 to 10 days. For flu, the before sleep with no television or phone. shampoo for grade school-age children; and trademark sign is the sudden onset of a 101°F The light stimulation from those can make an antifungal cream for kids in athletics. to 105°F fever and body aches. it hard to fall asleep.

Your local Walmart Pharmacy employs pharmacists who are available every day to help you manage your health and wellness. The pharmacy not only carries branded prescription medications, but also offers a generic prescription program and low-cost diabetes supplies.Visit your local Walmart Pharmacy today. Walmart.com/Pharmacy

It’s important to take your medications as prescribed. Don’t miss a dose. Walmart can help you better follow the schedule. Ask your doctor about Walmart’s reminder packs today. Available for over 50 generic medications, and only at Walmart.

Not a substitute for the diagnosis, treatment, and advice of a physician. Consult your doctor for guidance before changing or undertaking a new diet or exercise program.

Walmart ATP Advertorial JulAug_CC_rev1.indd 1 6/4/15 10:12 AM Avoid the midnight run. A well-stocked medicine cabinet will give you the assurance you have what you need when you need it. And Equate will help you ﬁll it for less.

Equate products are subject to the same manufacturing standards mandated by the FDA as the leading national brands. Use as directed.

Check your OTC ™ products for the labeled expiration WALMART date. Replace if PHARMACIST TIP expired. Take the lead in your health health information from See the Actor Judith Light’s latest role helps spread the word about the flu Light f you’re 65 or older, Judith Light has a message for you: Get a flu shot. Since last Liv Ullmann. Between 1977 and 1983, she September, the actor, who divides her career between stage and screen, has played the won two Emmy awards for her role on role of spokeswoman for the National Council on Aging’s Flu + You campaign, and she the daytime soap One Life to Live. For the Iwants everyone to pay attention. next eight years, she starred as Angela “I’d had the flu and I saw that other people around me were getting the flu, and I Bower on the ABC sitcom Who’s the Boss? thought, why are we not more educated about our health?” Light says. Light has co-starred in numerous other Light, 66, also had something to learn. A co-star on the Golden TV programs, including NBC’s Ugly Betty Globe-winning Amazon Prime TV series Transpar- and Law & Order: Special Victims Unit. ent, Light did not know that a stronger flu vaccine This summer, she will rejoin the cast for seniors existed. Available for five years now, of Transparent, a comedy-drama about the higher-dose vaccine may provide extra an L.A. family whose patriarch starts the protection for older people. That’s impor- gender transition from male to female, tant, because people older than 65 often from Mort to Maura, to film its second have more severe symptoms and a much season. Light, who plays Mort/Maura’s higher risk of dying from flu complica- ex-wife, couldn’t be happier to be a part tions, according to the CDC. of it. “When this came my way, I just “If you’ve gotten the flu, you know thought this is incredibly perfect,” says what it feels like,” says Light, who Light, a longtime advocate for gay, lesbian, came down with it twice in 2013, and transgender causes. the year before she joined the cam- When Light’s not working, she’s walk- paign. “It’s just dreadful.” ing. “New York City really is my gym,” And in her line of work, the flu she says. “I say that all the time, but it’s can have dreadful consequences: true. I walk everywhere.” Walking, which “If you’re doing a show and she supplements with yoga, qigong, and there’s no understudy, you either weights, does more than boost her fitness. go on or the show closes.” It aids her acting. Light says she gets the vac- She follows a mostly vegan, gluten-free cine as part of her larger efforts diet, but admits to being a grazer, eating to embrace preventive medicine. sporadically and on the run rather than “My doctor in Los Angeles empha- relaxing at the table. It’s a habit that she’s sizes preventive care,” she says. “He’s working to change. trained me for years to appreciate that Light, who earlier this year celebrated it’s better to take care of something 30 years of marriage to writer/actor before it happens.” Robert Desiderio, says she’s busier than Light, who won a Tony Award for ever, and she’s also at her happiest. best actress in a play in both 2012 and “I love where I am right now. I love my 2013, made her Broadway debut in 1975, in life. I love my career. I wouldn’t go back to a revival of Ibsen’s A Doll’s House starring my 20s for anything.”

By Matt McMillen Reviewed by Brunilda Nazario, MD, WebMD Lead Medical Editor Photograph by Lindsey Byrnes

This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

JULY/AUGUST 2015 W8 Take the lead in your health health information from Prep School Stress less this back-to-school season with tips to ease the transition By Stephanie Watson Reviewed by Arefa Cassoobhoy, MD, MPH, WebMD Medical Editor

hen summer begins to wind down, you Wrealize the sounds of swimming pool splashes will soon give way to the hum of school bus motors. But no matter how much you look forward to sending your budding scholars back to class, the weeks of prep it takes to get them there can be stressful for them—and you. Here’s how to ease the summer-to-school transition and wave off the first school bus with your sanity still intact. Get into a new routine. “Kids like consistency and routines, and going back to school represents a break in routine,” says Rebecca Branstetter, PhD, a child and adolescent psychologist in the San Francisco Bay Area and author of the blog Notes From the School Psychologist. Her advice? “Start mimicking the school routine a couple of weeks before school starts.” Shift bedtimes and wake times back 15 minutes each day to avoid a grumpy first school morning. Go over expectations for the school year. If your children are just starting elementary school, Branstetter suggests doing age-appropriate work- sheets together at a set time each afternoon to get them ready for daily homework assignments. Do a run-through. A new school can be scary Make a list. Long lines and incessant begging for kids, so a practice run-through can make the (“Can I get this, please?”) during back-to-school unknown familiar. Before the first class bell rings, shopping excursions can wear down even the most walk or drive the route with your children. Get patient parent. To avoid both stressors, head to familiar with the school building and play on the the stores early in the day and firm up your shop- playground, Branstetter says. You might even ask ping list with the kids ahead of time. “Tell them in to meet with teachers ahead of time. advance that you won’t be deviating from that list,” A few social introductions is another way to Get more Branstetter advises. If one big shopping trip seems ease pre-school jitters if your child is starting healthy living too overwhelming, break it up into several excur- a new school. “Look for opportunities to have tips and info at sions or make some of your purchases online. play dates or interactions in the month before webmd.com/ Have a back-to-school checkup. The start of school with kids who will be in the same grade askthepharmacist the school year is the perfect time for an annual level. They can start to build some friendships,” physical exam, where your pediatrician can make Branstetter says. sure your child is healthy and developmentally up Listen closely. “If there’s any inkling of school to speed. The visit may include a sports physi- phobia or your child says, ‘I’m not going back to cal, which can pinpoint any limitations or health school, I don’t want to go back to school, you can’t issues that might get in the way of after-school make me,’ listen,” Branstetter says. Work with athletics. Your doctor should also check that your teachers and staff in advance to help ease any child’s vaccinations are up-to-date. strong negative feelings about returning to school. vi d Fr a nk l in/Ge tty I m ag e s D a This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

W9 JULY/AUGUST 2015 ADVERTISEMENT Walmart Pharmacy News low More Than prices Just Walmart Pharmacy offers quick, convenient prescription services and more—online, in stores, and on mobile.

Your neighborhood pharmacy

Convenience Services Transfer & Save Walmart Pharmacy gives you easy Did you know Walmart offers a Transfer a prescription from any ways to get your prescription. range of services including Walmart pharmacy. You can pick Sign up at your local Walmart, immunizations, pet medications, up your prescription from any visit walmart.com/pharmacy, or and more? We accept commercial Walmart store nationwide or have download the free mobile app at insurance, including Medicare, it conveniently shipped to you.2 walmart.com/mobileRx. and no appointment is necessary. Visit walmart.com/pharmacy • Walmart Mobile App • Immunizations or ask your pharmacist to find • Free Home Delivery1 • Specialty Pharmacy out how. • Automatic Refills1 • Next Day Service • Text/Email Message Notifications • Medication Therapy Management • Rx Express Pay • Pet Medications • Durable Medical Equipment

Walmart offers hundreds of prescriptions at $4 for a 30-day supply.3 We carry all the major brand drugs, as well as effective generic options. Walmart Pharmacy accepts most major $4 prescription insurance plans. Visit your Walmart Pharmacy to see if we accept your plan.

1 Availability of Auto Refill and Home Delivery may be restricted by your insurance plan. Please ask your Walmart pharmacist for information on any such restrictions/limitations or consult with your insurance plan representatives. 2 Due to state regulations, some prescriptions cannot be transferred between pharmacies. A Walmart pharmacist will contact you if there are any issues. Please allow one extra business day for your order while the pharmacist attempts to contact your pharmacy. 3 Prescription Program includes up to a 30-day supply for $4 of covered generic drugs at commonly prescribed dosages. Higher dosages cost more. Prices for some drugs covered by the Prescription Program may be higher and may vary in some states. Restrictions apply. See walmart.com or your Walmart Pharmacist for details.

Walmart Pharmacy News Advertorial JulAug.indd 1 6/2/15 3:31 PM Take the lead in your health health information from The Flip Side Fire up the grill every night with easy recipes made for summer By Kerri-Ann Jennings Reviewed by Hansa Bhargava, MD, WebMD Medical Editor

ighting up the grill brings the campfire to Lyour weeknights, giving your family a chance to come together and turning even the simplest meals into a special occasion. Grilling is also a healthy way to cook. Vegetables and lean pro- teins (such as salmon, shrimp, chicken, tofu, and lean beef ) take on a smoky flavor, and the high heat brings out the natural sweetness of corn on the cob and summer fruit. It’s time to get grilling with these recipes.

Jerk Salmon and Mango Kebabs Makes 6 servings Sweet and savory jerk seasoning gives salmon a Caribbean flair. Grilling mango brings out the natural sweetness of the fruit. Serve with rice or Grilled Corn Salad.

Ingredients Directions Grilled Corn Salad Jerk seasoning 1. Prepare grill for 1 tsp ground allspice medium heat. In a Makes 6 servings Grilling gives corn a smoky sweet flavor that pairs perfectly with fragrant 1 tsp ground cumin small bowl combine tarragon and tangy balsamic reduction. You can find balsamic reduction ¼ tsp dried thyme jerk spice mixture. already prepared, or simply simmer balsamic vinegar until reduced by half. ½ tsp garlic powder 2. Beginning and ¼ tsp cayenne pepper ending with salmon, 1 ⁄8 tsp cinnamon thread salmon and Ingredients Directions Per serving ¼ tsp salt mango chunks onto 6 6 ears of corn 1. Prepare grill for 159 calories, skewers. Brush with oil 2 tsp olive oil medium-hot heat. 3 g protein, 21 g Kebabs and season with spice 1 pint grape Brush a little olive oil on carbohydrate, 1½ lbs salmon, mixture. Grill, turning tomatoes, sliced each ear of corn. Grill 9 g fat (2 g cut into chunks occasionally, until fish 1 ripe avocado, diced corn, turning often, saturated fat), 3 cups mango chunks is opaque throughout, 1 tbsp chopped fresh until lightly charred, 5 g fiber, 5 g sugar, 2 tsp canola oil 5–8 minutes. tarragon about 10 minutes. 103 mg sodium. salt to taste 2. Prop each ear of Calories from pepper to taste corn on a cutting fat: 49% Per serving 2 tbsp balsamic board and with a 212 calories, 23 g reduction sharp knife cut down protein, 11 g (or to taste) along the cob to strip carbohydrate, 9 g fat the kernels. (1 g saturated fat), 3. Transfer grilled corn 50 mg cholesterol, kernels to a serving 1 g fiber,7 g sugar, 148 mg sodium. bowl. Add tomatoes, Get more avocado, tarragon, Calories from fat: 37% salt, pepper, and healthy living balsamic reduction tips and info at and lightly toss. webmd.com/ askthepharmacist o-S y mond s /S t o c kfood Sh au n C at This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart.

W11 JULY/AUGUST 2015 Less Expense. More Freedom.

Simple, Affordable Diabetes Management With a full range of dependable diabetes products, plus simple tips, info, and recipes online, ReliOn® lets you spend less time worrying about diabetes so you can spend more time on the things that matter most to you.

Visit ReliOn.com today for total lifestyle support.

ReliOn® Prime Test Strips 50ct. $ SAVE MORE WITH 9 OR WITHOUT INSURANCE

in season Big Red By Erin O’Donnell

Recipes by Kathleen Zelman, MPH, RD, LD

For tomato lovers, this is the best season of the year: when warm, sunny days make fresh tomatoes ripe and plentiful. Tomatoes offer a bonanza of nutrients along with their glorious flavor. One medium tomato contains just 27 calories but 30% of an adult’s daily value for vitamin C and more than 25% for vitamin A (both disease-fighting antioxidants), along with vitamin K, magnesium, and folate. “It’s really a great mixture of nutrients we could use a bit more of,” says Alice Bender, RDN, associate director of nutrition programs at the American Institute for Cancer Research. Tomatoes are also a top source of the antioxidant lycopene, which research suggests helps protect against multiple

ebbie wahl D ebbie t: cancers. As a bonus, a fresh tomato is a satisfying choice for weight loss. “It’s packaged with a lot of water and some fiber, takes up room on your plate, and helps fill you up,” Bender says. Turn the page to enjoy the season’s harvest with our tomato recipes. s Styli Food

Photograph by Dan Whipps july/august 2015 52 W ebMD.com Food & Serve tomatoes with a fitness little fat (say, a drizzle of olive oil) to help your body absorb and use the antioxidant lycopene.

Short Stack These layered creations highlight the best of summer’s bounty. Two stacks make a terrific veggie entrée. For the prettiest stacks, select an eggplant roughly the same diameter as the tomatoes. The recipe calls for balsamic syrup, a tangy-sweet condi- ment you can find in large grocery stores and gourmet shops.

Tomato Veggie Stacks Makes 8 servings Ingredients 1 medium eggplant, peeled and cut into 8 slices 2 large yellow peppers, each seeded and cut into 4 pieces 1 large ear of corn, husked 2 tbsp extra virgin olive oil, divided The tomato is in half native to South America and was 2 large beefsteak or heirloom domesticated in tomatoes, each cut into 4 slices The name of this Mexico. ¼ tsp sea salt fruit comes from the Aztec word freshly ground pepper to taste “tomatl.” ½ lb part-skim mozzarella cheese, cut into 8 slices 16 fresh basil leaves, plus more for garnish 1 ripe, peeled avocado, cut into 16 thin slices Souper Star 1 tbsp balsamic syrup This zesty chilled soup is the ultimate summer lunch or supper (served with a crusty roll). It’s a delicious way to eat lots of fresh produce in one meal. Directions 1. Preheat grill to medium high. Gazpacho With Shrimp and Avocado Brush eggplant, peppers, and corn with olive oil. Grill vegetables 5–8 Makes 6 servings Directions minutes, turning occasionally, until Ingredients 1. In a food processor, pulse first five they are tender and grill marks ingredients to chop coarsely. Add appear. Remove veggies from grill, 3 stalks celery tomato juice and pulse until mixture and cut corn kernels from cob. 2 scallions (reserve green tops is finely chopped. 2. Sprinkle tomato slices evenly with for garnish) 2. Transfer mixture to a large bowl. Stir salt and pepper. 1 english cucumber, peeled and in tomatoes, olive oil, vinegar, lemon 3. Arrange stacks: Layer eggplant, seeded juice, cilantro, Worcestershire, and peppers, tomatoes, mozzarella 1 large red bell pepper hot sauce. cheese, basil leaves, and avocado, 3 cloves garlic 3. Ladle soup into six bowls. Garnish and sprinkle with corn kernels. 4 cups low-sodium tomato juice with shrimp, yogurt, avocado, and 4. Drizzle stacks with balsamic syrup 1 lb ripe tomatoes, diced green onion tops, and serve. and remaining olive oil, and gar- 1 tbsp olive oil nish with remaining basil leaves. 2 tbsp balsamic, red wine, Per serving Serve at room temperature or chill or sherry vinegar 203 calories, 20 g protein, 17 g carbohydrate, in the fridge until ready to serve. 1 tbsp fresh lemon juice 7 g fat (1 g saturated fat), 146 mg cholesterol, 3 tbsp chopped fresh cilantro 5 g fiber, 9 g sugar, 238 mg sodium. Calories Per serving 2 tsp Worcestershire sauce from fat: 38%

186 calories, 9 g protein, 15 g carbohydrate, ½ tsp hot sauce (optional) wahl D ebbie t: 11 g fat (4 g saturated fat), 18 mg cholesterol, 1 lb steamed or grilled shrimp, peeled Reviewed by Hansa Bhargava, MD 5 g fiber, 5 g sugar, 254 mg sodium. 3 tbsp nonfat Greek yogurt WebMD Medical Editor

Calories from fat: 51% 1 medium avocado, peeled and diced s Styli Food

W ebMD.com 53 july/august 2015 Photography by Dan Whipps Toast With the Most This addictive appetizer is a time-honored way to enjoy ripe tomatoes. The bread is lightly toasted in a grill pan (or on the grill), and then rubbed vigorously with whole garlic cloves for a Mediterranean-style flavor boost.

Tuscan Bruschetta Directions Per serving Makes 8 servings 1. In a small bowl, combine cherry 181 calories, 10 g protein, 22 g carbohydrate, tomatoes, olive oil, balsamic vinegar, 6 g fat (2 g saturated fat), 10 mg cholesterol, Ingredients salt, and pepper. Toss to combine, 4 g fiber, 4 g sugar, 288 mg sodium. Calories 1 pint mixed yellow and red cherry and set aside to marinate at room from fat: 23% tomatoes, cut in half temperature. 1 tbsp extra virgin olive oil 2. In another small bowl, combine 1 tbsp balsamic vinegar ricotta cheese, lemon zest, and ¼ tsp sea salt chives, and whisk to a creamy freshly ground pepper to taste consistency. Set aside. 1 cup part-skim ricotta cheese 3. Heat a griddle pan to medium high. 1 tsp lemon zest Place bread slices in the pan and 1 tbsp finely chopped chives toast two minutes per side or until Botanically speaking, lightly browned. Remove toasted the tomato is a fruit. But 8 slices whole grain ciabatta, in Arkansas it’s the state baguette, or country bread, cut bread from the heat, and rub whole fruit and vegetable. 1-inch thick garlic cloves on one side of each 2 cloves garlic, peeled slice. 2 tbsp chopped fresh basil leaves 4. Assemble the bruschetta: Top each piece of toast with a layer of ricotta cheese, followed by cherry tomatoes and a sprinkle of chopped basil. Serve immediately.

Tomatoes gain weight as they ripen, even after they’ve been plucked .com from the vine.

What’s Cooking! Thousands of people turn to WebMD.com for meal inspiration every day. Here are the most-clicked recipes.*

Lemon Dill Chicken

Garden-Stuffed Potatoes

White Chili

Sesame Chicken Cucumber Noodle

Creamy Chopped Cauliflower Salad

*May 1, 2015

The average American eats about 22 pounds of tomatoes a year, mostly in the form of ketchup and tomato sauce.

july/august 2015 54 W ebMD.com Food & fitness

off the menu Zoi Antonitsas Executive Chef, Westward Seattle

By Matt McMillen

Zoi Antonitsas worked her first “My food’s a contemporary inter- restaurant job at age 16, and she pretation of traditional Greek dishes,” cut and burned herself nearly every day Antonitsas says. “I like to take those in the kitchen. “It was ridiculous, but I dishes and elevate them.” That’s just loved cooking,” says Antonitsas, “even what she’s done with the minted pea when all my friends were out having fun soup recipe she shares here. Served and I was there at the restaurant at 10 chilled, it’s the perfect dish on a hot p.m. scrubbing away.” summer evening. The energy, creativity, and challenge The signature dish at Westward is of cooking professionally pulled her in, braised lamb shoulder with herb and and she’s come a long way from her days onion salad, tzatziki, and flatbread, as fledgling prep cook. Twenty-two years which Antonitsas describes as an upscale after that first summer job, Antonitsas, take on the gyro sandwich. It never 38, was named a Food & Wine Best New leaves the menu, which otherwise shifts Chef of 2015 for the Mediterranean- frequently as it follows the seasons. inspired food she cooks at Westward. “We’re constantly inspired by what’s She also competed in the fourth season available,” Antonitsas says. “The minute of Bravo’s Top Chef. local asparagus is available, it’s on the Open seven days a week, Westward menu. Same with rhubarb and tomatoes.” demands most of Antonitsas’ physical But it’s the bounty of the sea that and mental bandwidth, but she says she really drives the restaurant. “We have has recently learned to give herself some incredible seafood here. Oysters, clams, time off. “I like to get in the car and go not out of shape is the nature of the busi- mussels, fresh sardines, crab, black on a ferry ride to one of the San Juan ness. I’m constantly on my feet and mov- cod—the list goes on and on and on. I Islands with my dogs, to be out in nature ing for eight to 12 hours.” feel very lucky, because seafood is my and disconnect a bit,” she says. Antonitsas’ father is Greek, and as she favorite thing to eat and cook.” Her primary exercise is her daily walk grew up, she learned to love the flavors with her dogs. She also credits her job of the foods he often cooked: lamb, lem- Reviewed by Hansa Bhargava, MD WebMD Medical Editor with keeping her fit: “The reason I’m ons, seafood, olive oil rather than butter.

Minted Pea Soup Garnish 3. Blend until very smooth Makes 4 servings ras el hanout (or substitute and pass through a sieve. curry powder) 4. Season with salt and pep- Ingredients yogurt per and a drop of lemon 2 cloves garlic, sliced extra virgin olive oil juice to taste. Garnish with 2 spring onions or shallots, mint leaves a pinch of ras el hanout, thinly sliced a drizzle of yogurt, olive 3 tbsp extra virgin olive oil Directions oil, and a few small mint ¼ cup white wine 1. In a large stainless pot, leaves. Serve hot or cold. 6 cups low-sodium toast garlic and onions vegetable stock in olive oil. Deglaze with Per serving 2 cups frozen or fresh white wine and reduce by (not including garnishes) blanched English peas about half. 198 calories, 6 g protein, ¼ cup mint leaves 2. Add vegetable stock and 18 g carbohydrate, 11 g fat (2 g salt bring all to a simmer. Add saturated fat), 6 g fiber, 9 g sugar, pepper peas and mint. Remove 218 mg sodium. Calories from

fat: 49% r d f lota a r ah 1 lemon from heat. s

W ebMD.com 55 july/august 2015 Read Can’t Do Yoga? Think Again, an article at WebMD.com. Learn how on page 7

work it out Strike a Pose Want to improve your balance, flexibility, muscle tone, and more? locate your inner yogi

By Kara Mayer Robinson

Yoga is more than a powerful way to relax—it can transform your body, says Travis Eliot, a registered yoga teacher in Santa Monica, Calif. “Yoga has the potential to increase fat loss, develop muscle tone, and build flexibility, leading to a more lean- looking physique.” If flexibility and balance are what you’re after, even the gentlest forms of yoga will do the trick. Many types also help you build muscle strength and endurance. If you want to work on your cardio fitness, yoga can do that, too, as long as you opt for a more rigorous form. Hatha, Integral, and Iyengar yoga Choose one of these gentle forms of yoga if you want to target flexibility, balance, strength, and relaxation. In a recent study, people who did Hatha yoga for eight weeks had better balance, improved flexibility, a boost in endurance, and an upsurge in strength. Hatha yoga is filled with poses that Go to the Mat strengthen your chest, abs, and core. more because the room is kept at a To maximize your results, ”Many poses, like the Forearm Plank try these tips from yoga higher temperature. and the Boat Pose, build tremendous instructor Travis Eliot. You’ll reap the benefits of the gen- core strength,” Eliot says. “Others, tler types of yoga—flexibility, balance, Max out. The more you like the Plank and Chaturanga, build strength, and relaxation—plus you’ll get practice yoga, the more changes strength throughout your upper body.” you’ll see in your body. Start with a cardio workout. Moves like Sun Salu- And the Warrior III and Half Moon three sessions per week. After tation A and Sun Salutation B increase poses are great for improving your flexi- about a month, bump it up to your heart rate and build stamina. bility and balance. For even bigger gains, five or more. One caveat: If your goal is to build hold your poses for 30 seconds. muscles, weightlifting will give you bet- Mix it up. Each style of yoga Power, Ashtanga, Vinyasa, has unique benefits. Try to vary ter results. If you want to lose weight, Bikram, and Hot yoga Try a more your yoga practice to target good nutrition and a healthy lifestyle intense form of yoga for a more dramatic different areas of your body and are also key. “Often someone who prac- transformation, Eliot says. “If you’re fend off boredom. tices yoga regularly starts to make more

looking for muscle tone and fat loss, optimal choices when it comes to being g e s Be mindful. Use your yoga Power yoga is best,” he adds. sessions to let go of tension and healthy,” Eliot says.

Expect to do longer strings of poses stress. As a part of your fitness i m a g low / routine, yoga can be a powerful with fewer breaks. You’ll move more g e s and do more challenging poses. If you way to manage stress, think Reviewed by Michael W. Smith, MD, CPT more positively, and feel good. WebMD Chief Medical Editor i m a o choose Bikram or Hot yoga, you’ll sweat he r

july/august 2015 56 W ebMD.com Food & fitness

fitness challenge Power Couple

working out with a partner doubles the benefits. try these moves with a friend or spouse Q “I’d love to exercise at home. By Jodi Helmer What equipment will give me a great workout without taking up much space?”

If you’ve never thought about including a partner in your workout, Jennifer Cohen, a Kario Brooks, 33, health care Los Angeles-based certified personal trainer and author of Strong Is the New Skinny: analytics consultant, Atlanta How to Eat, Live, and Move to Maximize Your Power, wants to change your mind. “When you move together and support each other during a workout, it adds an element of closeness” if you’re a couple, she explains. “It’s also a great activity to keep you both motivated to stay healthy and fit.”

A “You don’t need a lot of space or equipment to do strength training at home. High Five Triceps Dip Buddy Lunges Outfit your home with these Cohen likes adding a high “This move is harder than With Squat three small pieces. five to a traditional push-up it looks,” Cohen says. “You 1. Suspension trainer. The because it engages the core, 1. one partner gets into a have to rely on your partner builds balance, and adds wall squat (feet hip-width to support you and help ropes hang over a door and intensity to the move. apart, knees bent and keep your balance.” use body weight to build core over the ankles—being strength, balance, and flex- 1. Facing each other on 1. Start by facing each careful not to extend ibility. Use it to do push-ups, the floor, get into the knees over toes—and other, feet hip-width bicep curls, and squats. standard push-up posi- back straight, using the apart, toes almost touch- tion (hands squared wall for balance). Aim to ing. Keeping elbows bent 2. Resistance bands. Look under your shoulders with get the thighs and torso at 90 degrees, hold on to for bands in several different your body in a straight as close to 90 degrees each other’s elbows. weights for multiple levels line from shoulders to 2. one partner steps for- as possible. of resistance. Use heavier toes). To make the move 2. with his or her back to ward with the right foot, bands for leg/core moves easier, bend your knees the partner in the wall bending the right knee and place them on the squat, the other partner to 90 degrees (the left and lighter bands for floor, cross your ankles, bends down, reaches knee will move toward arm workouts. and raise your feet off back, and places his or the ground but shouldn’t 3. Gliding disks. These the floor. touch), while the other her palms on the partner’s look like mini Frisbees that 2. Keeping your back knees. partner steps back with are small enough to stand straight and abs engaged, 3. while your partner holds the left foot, bending the bend your elbows and the wall squat, bend your right knee to 90 degrees. on. Adding a gliding move- lower your chest toward elbows and lower your 3. Return to the standing ment to strength-training the floor. bottom toward the floor. position, pushing through moves to boost intensity 3. Push back up to the the heel of the knee bent 4. engage your triceps and and resistance.” starting position and, at push back up to the start- at 90 degrees as you rise. the top of the push-up, ing position. 4. Repeat with the opposite use your right hand to 5. do 15 reps. leg. high-five your partner’s 6. Swap positions with your 5. do 15 reps. left hand. partner and repeat steps Ryan Halvorson, personal trainer; 4. do up to 20 reps, alternat- 1 to 5. Reviewed by director of team training at Bird ing hands for high fives. 7. aim to do three sets in Rock Fit, La Jolla, Calif.; and Michael W. Smith, MD, CPT on lee on contributing editor at IDEA Health & s each position. WebMD Chief Medical Editor ja Fitness Association

W ebMD.com 57 july/august 2015 CheckupTaking care, living well

July is Juvenile Arthritis Awareness Month Nearly 300,000 children in the U.S. have arthritis or a related condition. When children younger than 16 have arthritis, doctors call it juvenile arthritis (JA). Arthritis comprises more than 100 types of diseases, including several variations of JA, that damage joints, bones, muscles, and cartilage. Research- ers don’t know what causes most JA; some studies point to genetics. Most types of arthritis are autoimmune diseases, in which the body’s immune system, designed to attack harmful cells in the body, destroys healthy cells instead. With JA, a child’s joints are affected, causing inflammation, pain, and limited mobility. But JA isn’t simply a “children’s version” of adult arthritis. It’s unique in some ways. Children with g e s arthritis, unlike adults with the disease, are at risk of growth problems that affect height. Doctors might try several medications before e/Getty Im a g e/Getty they find one or a combination that stops or reduces inflammation. With medication, most children go

obert L aber obert through periods without pain or symptom flare-ups. R

Remission, defined as six months or more without symptoms, is the goal of treatment. Many children e; in s et: c e; go into remission on medications, while others can stop them entirely. Some doctors believe that pre-

e Sour c ien e scribing the most aggressive drugs as early as possible increases the chance F R PS/S of remission and decreases the risk of irreversible damage. ff c ina-Go Race car driver Todd Peck, who had JA, displays the Arthritis Foundation’s “Kids Get Arthritis, Too” logo on his car. Actor Jennie Garth’s daughter has JA.—Sonya Collins e Cal d e Mervyn & F R PS Clark R ay Dr.

JULY/AUGUST 2015 58 W ebMD.com Checkup

Reviewed by Arefa Cassoobhoy, MD, MPH, WebMD Medical Editor

Health Highlights Psoriasis Tips for managing and living with your condition

By Matt McMillen Consult an expert Know your mood 1 Psoriasis can be misidenti- 6 Depression often affects peo- fied. See a dermatologist to ple with psoriasis. Talk to your confirm the diagnosis and the doctor if you’ve been down, proper treatment. can’t sleep, or lack energy.

Pay attention to Turn to meditation 2 joint pain 7 Stress often triggers psoriasis Swollen and painful joints flares. Practice mindfulness may signal psoriatic arthritis. for a few minutes each day to See your dermatologist right help yourself relax. away to prevent joint damage. Follow your heart Be patient with 8 Psoriasis boosts the risk of 3 medication heart disease, so eat well, Prescription creams may take exercise, and see your doctor. weeks to make a difference, so keep using them as directed. Stay hydrated 9 Drink plenty of water Try new treatments throughout the day to help 4 If your medicine no longer ease psoriasis symptoms. helps, ask your doctor to prescribe something different. Get together 10 Talk with friends and family, Keep cool or join a support group like 5 Chill your moisturizers in the National Psoriasis Founda- fridge for extra itch relief. tion’s TalkPsoriasis.org.

EXPERT TIPS

Abby S. Van Voorhees, MD Doris Day, MD Colby C. Evans, MD chair of medical board, dermatologist, Lenox Hill Hospital, dermatologist, Evans Dermatology, National Psoriasis Foundation New York City Austin, Texas

“Psoriasis can be associated with obesity, “Moisturizing is so critical. Use a good, “Excessive alcohol consumption, so exercise and other strategies to rich cream to get results. The best time especially of beer, tends to worsen maintain your best weight should be a to apply: right after your shower to lock psoriasis. Limit or eliminate drinking for lifelong effort.” in moisture.” several weeks to see if it helps.” g e s

“Having trouble getting moisturizer on “Manage your stress by thinking good “Take care in the sun. Small amounts of g etty i m a your back? Put your moisturizer on a large thoughts. It may sound silly, but giving sun (10 to 30 minutes depending on your t/ strip of saran wrap and rub it on like you yourself a reason to laugh every day complexion) can improve psoriasis, but h m i d sc were drying your back with a towel.” really helps.” sunburns can make it worse.” s tho m a

W ebMD.com 59 JULY/AUGUST 2015 Checkup

Reviewed by Hansa Bhargava, MD, WebMD Medical Editor

by the numbers Immunizations Facts and figures about top health issues

By Heather Hatfield 2 million- in 3 million 1Number of5 children Deaths prevented every year as a result of immunizations worldwide still unprotected against vaccine-preventable diseases Number6 of diseases1 children can be 732,000 vaccinated against Deaths prevented by vaccines 90%-99% Effectiveness of vaccines in preventing diseases 21 29% MILLION Deaths in children Hospitalizations prevented under age 5 that are 1955 1979 by vaccines vaccine-preventable Year polio vaccination Year polio was started in the U.S. eradicated in the U.S. 322 million Among children born 1994–2013 in the U.S., number of 25,000 illnesses prevented by vaccines over a lifetime Estimated polio cases in the U.S. each year before vaccination started $1.38 TRILLION 3 million 4 million Societal cost savings as a result Measles cases- in the U.S. of preventing 322 million illnesses each year before vaccination started

Sources: American Academy of Pediatrics, CDC, College of Physicians of Philadelphia, UNICEF, World Health Organization c k to i s

JULY/AUGUST 2015 60 W ebMD.com Watch How to Do a Melanoma Check, a video at WebMD.com. Checkup Learn how on page 7 Reviewed by Arefa Cassoobhoy, MD, MPH, WebMD Medical Editor

living wELL Melanoma How to protect yourself from a repeat episode of skin cancer

By Christina Boufis

Tina Miller, 46, always means it has UVA protec- worshipped the sun. “I tion as well,” which shields used to go to tanning salons, you from the ultraviolet rays and planned my vacations that penetrate deeper layers where I could lie out on the of the skin. “The last thing beach,” she says. But three to check is that it has some years ago, she was diagnosed water resistance, especially with melanoma, the if you plan to spend a long deadliest form of skin time outside.” cancer. “I never thought it Dress sun-smart. would happen to me.” But it “Wear a hat and sunglasses, did—and will to nearly especially if you’re going to 74,000 Americans this year, be around sand or water, according to the American because they’ll reflect Cancer Society. And “once ultraviolet light from the you’ve had one skin cancer, ground,” Lin says. Consider you’re at risk for developing wearing sun-protective more,” says Janet C. Lin, clothing, in which sunscreen MD, a dermatologist at materials are built into the Mercy Medical Center in fabric, she says. One or two Baltimore. How can you pieces should be enough to protect yourself if you’ve get you through the season. already had skin cancer? As for Miller, she had Examine your skin two lymph nodes removed, monthly. Do it on the first but luckily the melanoma day of every month, so you’ll hadn’t spread. During one of remember, Lin advises. draw a line down the middle E is for evolving. “Watch her recent twice-yearly skin “After your shower, stand in of the mole, the two halves for any changes in the exams, her dermatologist front of the bathroom mir- should look the same” in a appearance, shape, size, found and removed another ror. Get a small handheld healthy mole. and color of your moles over precancerous mole. mirror to look at those diffi- B is for border. Borders time,” Lin explains. “I feel very fortunate cult-to-find areas like your in normal moles should be Read sunscreen labels. that [the cancer] was found back,” she says. Examine smooth, not uneven, ragged, “You need to put on at least early. I wear a hat all the yourself head to toe. What or scalloped. an SPF 30,” Lin says. “The time and slather myself with to look for? Any changes C stands for color. “You second thing to look for sunscreen. I don’t make it a in moles, such as bleeding, want to make sure your is broad spectrum. That priority to be tan.” crusting, or itching, or any moles are one uniform color new growths, Lin says. and similar in color to each Know your ABCDEs, so other,” Lin says. ? ASK your Doctor g e s 1. How often should I have my skin checked? you can recognize the warn- D is for diameter, which in 2. Do I need to tell other family members to have skin exams? wIm a ing signs of melanoma. healthy moles should be the 3. Do I need to wear sunscreen every day? “A stands for asymmetry,” size of a pencil eraser 4. How should I apply sunscreen? How much should I apply? Stein/Glo Lin says. “If you mentally or smaller. 5. How can I make sure I get enough vitamin D if I avoid the sun? Chri s

JULY/AUGUST 2015 61 W ebMD.com Checkup

Reviewed by Arefa Cassoobhoy, MD, MPH, WebMD Medical Editor

my story Out of the Dark A reader shares his journey with depression

By Daniel Collins WebMD.com community member

At 28, I was diagnosed with major depression with OCD, obsessive-compul- sive disorder. Looking at my family history, I discovered depression runs in my family. To me, depression is like a volcano: It’s always been there, but then there are eruptions. I remember one episode when I was in my 20s. I had no friends, no social life, certainly no relationships. I was living with my parents. One day I called a 900 number for phone sex but hung up immediately. I felt I had done something that violated my personal nature. That act served as a trigger, releasing the volcanic erup- tion that seemed to consume me. My mind started to intellectual issue but an Daniel’s words you to focus on your oppo- spiral. I thought I’d become emotional one. of wisdom nent in front of you. And I addicted to these numbers I couldn’t stand the pain began community theater, and have to move to a place a minute longer, so I went “We need mental which I still do today. All checkups just as where there was no phone to see a psychiatrist. I these factors started to come much as we need access. Looking back, all that started taking medication physical checkups. together to unlock the door to sounds ridiculous. But imag- and going to therapy, and See your primary care a more normal life. ine a song you can’t get out of realized I needed to make doctor. That’s a good I have much more confi- your head. Now imagine that lifestyle changes. place to start.” dence and a stronger inner it’s a horrible song, some- I had a weight problem— sense of self. I think marriage “Get outdoors. I found thing too painful to hear and the only thing that felt it was very good for helps with that, too. Last it will not stop. Not even a comforting was to eat. Very me physically and year, at 52, I got married. I’m moment. That can make you slowly, I changed the way I mentally to get out very lucky to have married feel pretty depressed. approached food. I cut out into nature.” somebody who has a similar I started scouring books salt, avoided late-night eat- history and has walked the “Tap into your support on depression and mental ill- ing, and stayed away from system. If you don’t same path I have. ness. My father said, “You’re junk food and candy bars. have one, start You don’t see too many not going to read your way I also took up fencing. creating one. The men talking about depres- out of this,” and I realized It was therapeutic—both worst thing you can sion. But for me, it’s not so do is hole up he was right because what because I felt better after different from a broken leg. at home.” was happening wasn’t an exercise and because it forces You need help fixing it.

W ebMD.com 62 JULY/AUGUST 2015 Photograph by Jonathan Timmes Checkup

Reviewed by Hansa Bhargava, MD, WebMD Medical Editor health check QUIZ Do You Have 1. Tanning gradually is the best way to prevent sunburn and Summer protect your skin. Survival Yes No Skills? 2. Dark-colored clothes are better than light-colored ones if you’re headed outside in the sun. Yes No

3. Cool, clammy skin could be a sign that you’re overheated. Yes No

4. Drinking a big glass of iced tea while you work outdoors on hot days can help prevent dehydration. Yes No

Answers: 1. No. The longer you’re exposed to the sun, the more your skin can be dam- aged. The smarter move is to apply an SPF 30 or higher sunscreen to all exposed skin about 30 minutes before you go outside, and reapply it at least every two hours. 2. Yes. Dark, tightly woven fabrics protect your skin from the sun better than light-colored One reader’s family lake trip clothes. You can also buy UV-protectant ended with red skin all clothing, or products that add UV protec- around. “We are all in a lot of tion to your clothing in the washing machine. 3. Yes. It might seem counterintui- pain,” BabyShaie lamented to tive, but cool, clammy skin is a symptom of WebMD’s parenting community. heat exhaustion—a condition caused by your “Does anyone know how to get the body overheating. Other signs are weakness, increased thirst, and nausea. Get inside heat out of a sunburn, maybe a where it’s cool and drink some water. With- home remedy?” A moisturizing out treatment, heat exhaustion can lead to lotion or hydrocortisone cream more serious heatstroke. 4. No. Although you want to drink often when outside, the can soothe the burn. Next time, fluid to choose is plain water. Caffeinated you’re better off preventing singed tea, as well as coffee and soda, can cause skin in the first place, because it more fluid loss and dehydrate you faster. can lead to premature aging and skin cancer. Do you know how to Sources: protect your skin from the sun Johns Hopkins Medicine, Nemours Foundation, Skin Cancer Foundation, and avoid other outdoor summer WebMD Skin Problems & Treatments hazards, like heatstroke? Health Center

? ASK your Doctor g e s 1. What’s the best way to apply sunscreen? 2. Will a higher SPF protect me more? 3. What can I do, besides using sunscreen, to shield my skin from UV rays?

au/Getty Im a N au/Getty 4. What should I do if I think I have heatstroke? R al f Take 10 10 QUESTIONS LL Cool J Rapper, Actor Lip Sync when it comes to your Battle, which overall health. I should 1 you host, has sleep a few more been a huge hours a night than I hit. What do you think usually do. draws people to fake singing? It’s a silly Is there thing we all do, anything whether we’re singing 8 about health in the shower or lip you wish you syncing in our cars or had known 20 years getting dressed in the ago? No. I treated morning. It’s part of myself well, and I’m who we are as human OK where I’m at. I beings, the love of wasn’t living hard, I music. When the wasn’t a party animal, celebrities come on, and I think that really they choose whatever helped my career song from whatever longevity. I was up till 5 genre they like, and a.m. yesterday, but I their passion trans- wasn’t partying. I was lates. It resonates. watching The Tudors.

If you could What do you challenge like to do 2 anyone to 9 during your a lip sync downtime? battle, who would I read my scripts, I you choose? I try not Read the watch documentaries, to give it too much full Q&A with I read something to thought. I try to stay LL Cool J in keep my mind sharp in host mode. But it our free tablet on some level. I rarely could be anybody. It app! The second do anything that’s a season of wouldn’t matter who Lip Sync complete and total it was. That’s the fun Battle waste of time. of it. returns July 9 on Spike. Your Jump You’ve played and Ball an ex-Navy 10 summer 3 SEAL Sam Has fitness Do you have a treat myself and have program for Hanna on always been favorite something more fun, kids in Queens just NCIS: Los Angeles for 4 important to 5 workout more pleasurable, I’ll had its 11th anniver- 6 seasons now. How you? I’ve routine? do cream of wheat. I sary. Why is it so do you stay in shape always loved exercise. You’ve got to mix it up have my cheat days important to you? for it? It’s a very It was a part of or your body gets used on the weekend every I know what it’s like physical show, with a growing up in Queens to it, so I try not to fall now and again, but I to be there and have lot of fight scenes. [New York] and seeing in love with any work- only go crazy once or absolutely nothing With my character, I guys running around out routine. But I like to twice a year. to do in the summer, don’t try to lose with tank tops on. I do sprints combined and when you have weight. I work to put was always inspired to with weights. What's your nothing to do, it can on muscle. I run be in shape and be the best health lead to mischief. So outside and on the best I could be. I What’s your 7 habit? Being we give these kids treadmill. I use the wanted to be bigger, diet like? happy for an opportunity to do elliptical machine; I stronger, faster. It’s 6 I do chicken other people, being something. This is a jump rope, and I do a about making choices, breasts, fish, grateful, having faith in hugely important thing lot of sprints to about choosing what’s vegetables. In the God and being joyful to me, and I’m very elevate my heart rate. right even when you morning, I have inside. Your spirit passionate about it. I also do weights. don’t want to. oatmeal. If I want to carries a lot of weight —Matt McMillen

W ebMD.com 64 JUly/August 2015 Photograph by Kwaku Alston/Corbis Outline