The Waiting Room Companion Created for Your Doctor’s Office

®

webmd.com the Magazine September 2011 $4.95

13 mind Food Overcoming child abuse smarts 14 heart White House chef’s Boost your heart health 5 lunchbox tips 17 beauty 34 Face up to your mask appeal 23 fitness Fresh The mom-weight connection 24 pets face How to get set for the vet A starter kit for your 27 sleep teen’s skin Why Sleep positions matter 21 40 parenting healthy-eating tips for kids 42 diet rate your heartburn iq 43 allergies is it a cold or allergies? Momon a mission Sarah Jessica Parker on How She Does It: balancing home, career, and working for kids’ health worldwide 28 September 2011 contents ® features webmd.com the Magazine parenting 28 How parenting She How She Does It To the overworked, underappreciated moms A pro at life in the fast lane, A-lister and mom-of-three of the world: Sarah Jessica Parker gets you. No, really. It may be hard to believe that an A-list celebrity just crowned by Forbes as one of the highest-earning women Sarah Jessica Parker brings firsthand experience to in Hollywood (right next to Angelina Jolie) could have any- Does thing in common with, say, a grocery store clerk in Toledo, Ohio, who goes to night school and parents three kids solo. Sarah Jessica Parker her new romantic comedy, I Don’t Know How She Does It. Her life is Prada and most moms’ is Payless. It But it wasn’t always that way. Growing up in a blended is a mom on a mission, family of eight kids, first in Ohio and then in the New Jersey WebMD contributing writer Gina Shaw talks to the suburbs near New York City, she saw her mom and stepfather balancing a new movie, struggle. Indeed, Parker’s first serious paychecks for her act- home life, a far-flung career, ing, when she starred in Annie on Broadway at the age of 13, actor about how she really does do it: balance home, helped supplement the family’s meager earnings. and her longtime UNICEF This month, Parker, 46, stars in a new film, I Don’t Know How work for kids worldwide She Does It, based on the best-seller by Allison Pearson, playing a career, and her work as a UNICEF ambassador to harried mom Parker says she understands very well. The actor and producer, with multiple Golden Globe, Emmy, and Screen By Gina Shaw, WebMD Contributing Writer Actors Guild awards under her belt, is best known for her lead- improve kids’ lives across the globe. PLUS: 4 ways you ing role as Carrie Bradshaw on the HBO drama/comedy series Sex and the City and has appeared in numerous films, including Reviewed by Louise Chang, MD Footloose, L.A. Story, and Smart People. WebMD MEDICAL EDITOR can help SJP help in-need children.

28 WebMD the Magazine | September 2011 September 2011 | WebMD the Magazine 29

Cover photo By Ondrea Barbe/Corbis Outline

®

nutrition HEALTH SMARTS FOR COLLEGE STUDENT PLUS! S BEAT THE P.66 WebMDCampus FRESHMAN Q&ASETH iCarly Preps for ROGENHIS BEST & WORST F DAce back- p. 62 HEALTH HABITS P.69 to-school with healthy lunchbox tips College Actor and musician from White STRESS House chef SMARTS Sam Kass BUSTERS By Erin O’Donnell, WebMD Contributing Writer Miranda Cosgrove WAYS TO BACK-TO-SCHOOL TIME is all about fresh MIRANDA CHILL starts: new notebooks, bright-white kicks, and graduates to the next stage P.60 high hopes for the year ahead. It’s also the per- fect time for new habits, like healthier meals COSGROVE for everyone in the family, especially your iCARLY PREPS FOR COLLEGE kids. The benefits are well-known: Research shows that children who eat well perform bet- of her life and career. P.62 ter in school than kids with poor diets. But how do you make healthy eating a habit in your household? During the school year, it’s hard enough for busy families to find the Take 5 p. 65 Got 5 FALL 2011 time and energy to prepare any meal, let alone SCAN to get your free DigitalWEBMD.COM Edition a nutritious one. And so many kids are picky, preferring French fries over fresh vegetables and hot dogs instead of hummus. minutes? Try these five

Reviewed by Kathleen Zelman, MPH, RD, LD

WebMD DIRECTOR OF NUTRITION IMAGES RICK LEW/GETTY IMAGES; JAMIE GRILL/GETTY FOODCOLLECTION/GLOW healthy ways to recharge 34 WebMD the Magazine | September 2011 your batteries. nutrition p. 66 Freshman 15 How to miss out 34 on this college tradition. Food Smarts Back-to-school means it’s back to packing lunchboxes, parents! Looking for new sandwich ideas and ways to Your newborn and infant care WAITING ROOM COMPANION 2011 September sneak nutrition into the menu? WebMD contributing WebMDBaby webmd.com p. 49 News Feed Decoding your writer Erin O’Donnell turned to Sam Kass, White News feed baby’s hunger signals. House assistant chef and senior policy advisor for Decoding your baby’s hunger signals 49 p. 50 Role Model Laila Ali has many healthy food initiatives, for kid-friendly healthy eating Good night? titles, but the greatest of these 4 sleep myths debunked tips and a week’s worth of school lunch ideas. AND: 52 is mom. Not sure what to offer kids when they get home each Role Good Night? Four sleep p. 52 afternoon? We asked our nutrition expert for a shopping 50 ModelLaila Ali has many titles, but myths debunked mom is the greatest of them all Scan to get FREE aula H i b le/Getty I ma g es aula your

P Digital Edition list of healthy snack ideas. of WebMD the Magazine and WebMDBaby!

September 2011 | WebMD the Magazine 1 ® departments ® webmd.com the Magazine September 2011 webmd.com the Magazine Editor In Chief • Nan-Kirsten Forte, MS

EXECUTIVE Editor • Colleen Paretty Vice President, publisher • Heidi Anderson 16 [email protected] • 847-998-4773 Deputy Editor • Kim Caviness Associate Publisher • Dawn Carey Nan’s Note Health Matters • 4 23 Senior Editors • Susan Davis, Andrea Gabrick [email protected] 212-624-3901 23 fitness Healthy Start Big Problem Why moms really matter in Assistant EDITOR • Chloe Thompson Advertising Sales New YOrk 5 Fall into good habits with ideas the fight against obesity. chief Medical Editor • Michael W. Smith, MD, for your body and mind. Ask the 24 pets Board Certified, Internal Medicine Patria Rodriguez-Cervantes • [email protected] • 212-417-9542 Alisa Feiner • [email protected] • 212-624-3897 Experts Prep School The lowdown on getting your senior Medical Editor • Brunilda Nazario, MD, Board Certified, 14 • • WebMD Five ways to prevent heart dog and cat ready for the vet. Internal Medicine, Endocrinology and Metabolism Pete Holfelder [email protected] 646-674-6825 Patti Mrozowski • [email protected] • 212-624-3750 disease, and the scoop on 27 sleep 6 Wire Medical Editors • Hansa Bhargava, MD, Board Certified, Pediatrics; The role of sleep in your those plastic microwave covers: Strike a Pose How sleep positions affect Louise Chang, MD, Board Certified, Internal Medicine; CHICAGO Laura J. Martin, MD, Board Certified, Internal Medicine preschooler’s growth Are they really safe? your shut-eye. Margaret Posh • [email protected] • 312-416-9277 Meghan Rice • [email protected] • 312-416-9276 chart, a natural way to WEBMD.com executive editor • Sean Swint help manage hot flashes, West Coast BookIngs Director • Wendy Zipes Hunter and the link between sleep 16Healthy Eats [email protected] • 954-344-0912 Elise Perlmutter • [email protected] • 424-248-0616 loss and testosterone. 16 Anatomy of an Avocado 23 Contributing Writers • Christina Boufis, Daniel J. DeNoon, MARKETING The multiple good-for-you benefits Jennifer Dixon, Heather Hatfield, Katherine Kam, Lauren Paige 6 Vice President, Marketing • Fred Latasa Click Here of this fruit that looks like a veggie. Kennedy, Susan Kuchinskas, Matt McMillen, Erin O’Donnell, Monica Kass Rogers, Gina Shaw, Stephanie Watson Business & Marketing Director • Jonathan Deaner What’s new at 10 Business Development Director • James Miller WebMD.com community EditorS • Leona Perry, Kathy Williams right now. Living Well take the test you can take Integrated Marketing Senior Director • Lisa Dominici 17 Art Directors • Glenn Pierce, Melissa H. Miller 17 You Asked What’s the to your doctor Integrated Marketing Director • Tara Wacks WEBMD.COM ART DIRECTOR • John P. Kay Medical difference between masks and assessments, quizzes, and reference Integrated marketing senior manager • Mrinalini Nair 12File peels? Our experts explain which information on every page Production director • Mary Mieszczanski Sales Operations Analyst • Shoshana Davis Founder of Toms shoes have the most benefits and offer Marketing director • Rebecca Loveridge Photo Editor • Nell Whiting Blake Mycoskie gives top picks. diet Marketing Coordinator • Kara Batt Rate your heartburn IQ advertising traffic manager • Jennifer Morgan away vision care, and 21 Head Start Skin care 42 Associate Marketing Coordinator • Beth Demoz singer/songwriter Stewart basics your allergies Production artist • Brenda M. Waugh Francke battles leukemia teen needs to know now. Not sure Is it a cold or is it allergies? Customer Service and Subscription Information 43 copy editor • Sharon Congdon one song at a time. how to get Professionals • To manage your subscription, go to WebMD.com/magazine/subscribe or call 800-322-2971, ext. 12073, her started? Our expert offers a management of Editorial, Design, and Production to leave a toll-free message roundup of product basics. WebMD Checkup My WebMD 1129 20th Street, N.W., Suite 700 Readers • Comments? Questions? Go to CustomerCare.WebMD.com Actor and producer Seth Rogen on 13A WebMD 44 Washington, D.C. 20036 • 202-331-7700 or “Contact Us” at the bottom of every page on WebMD.com community member his new movie, 50/50, drawn from the real-life writes a book to help story of his good friend, cancer survivor, and ® co-producer Will Reiser, how he stays fit after WebMD the Magazine is distributed to doctors’ offices throughout the United States. Patient names others overcome may have been changed to protect privacy. The information herein is meant to complement child abuse. ditching 30 pounds, and the important health and not replace advice provided by a licensed health care professional. WebMD the Magazine is issue his fiancée inspired him to tackle. not responsible for advertising claims. WebMD the Magazine (ISSN 1553-9946), Vol. 7, No. 6, is 111 Eighth Ave., Suite 700, New York, N.Y. 10011 published by WebMD, 111 Eighth Ave., Suite 700, New York, NY 10011. Send returns to: WebMD. To change your subscription (address, number of copies received or to stop delivery), contact Chief Executive Officer • Wayne Gattinella WebMD, Magazine Subscriptions, 111 Eighth Ave., Suite 700, New York, NY 10011; or send to [email protected]. Printed in the U.S.A. All rights reserved under International CHief operating OFFICER, Chief Financial Officer • Anthony Vuolo and Pan-American Copyright Convention. This magazine may not be reproduced in whole or in part without written permission of WebMD. ©2011 WebMD, LLC. All rights reserved. WebMD’s mission CHief TECHNOLOGY OFFICER • William E. Pence is to provide objective, trustworthy, and timely health information. Our website and magazine provide credible content, tools, and in-depth reference material on a wide variety of health topics, all of Executive Vice President, 44 general counsel, & secretary • which are reviewed by our board-certified physicians. Any opinions expressed are of the experts Doug Wamsley and are not the opinions of WebMD. WebMD does not endorse any specific product, service, or Senior Vice President, Legal • Michael Glick treatment.The content of each WebMD the Magazine “Spotlight,” while funded by an advertiser, is selected by and solely under the editorial control of the WebMD editorial staff. The ­content in WebMD Senior Vice President, sales & sales operations • Dorothy E. Kelly Gemmell the Magazine is intended for informational use only; it is not intended as Correction: a substitute for professional medical care. Never disregard professional Senior Vice President and General Manager • Clare Martorana In the June 2011 issue (“Body Shop,” medical advice or delay in seeking it because of something you have 17 p. 62), we misstated the effect exercise read in WebMD the Magazine. senior Director, Public Relations • Katherine Hahn has on HDL (the so-called “good” cholesterol) levels. In fact, regular exercise raises (not lowers) HDL levels. 2 WebMD the Magazine | September 2011 We apologize for any confusion. nan’s note from the editor in chief healthy start good for you this month The Air Cleaning Filters

One Day For many reasons, I view September as the month of change. Change that can be Canker Sore situational or simply in one’s perspective. September True change is marked by both. You may not see Patch How we look and how we feel. What Fall into healthy habits we say and what we do. What we want The mucoadhesive and what we need. them, but they patch covers the This September issue of WebMD the canker sore forming a protective gel-like Magazine is filled with inspiration for Face Off are in the air bandage. change. Consider: You’ve been washing your face forever, but are you Actor Sarah Jessica Parker’s commit- doing it right? How should you really suds up? “Pick ment to improve the health of children a facial cleanser that’s gentle and doesn’t strip you breathe across the globe was instilled in her at a the skin’s barrier,” says WebMD skin care expert very young age. What needs to happen Karyn Grossman, MD, even if you have oily skin. most for kids? Clean water, sanitation, and Her picks include Aveeno Ultra Calming Foaming Cleanser ($7) and Neutrogena’s Oil-Free Acne Wash immunizations are a start to meaningful, skin care Redness Soothing Facial Cleanser ($7.99). long-lasting change. And in her own home, Parker does her best to explain to her three children how other kids’ lives are very different from theirs—and how that can change for the better (see p. 28). Entrepreneur Blake Mycoskie’s Toms initiative has changed the lives of more give back than a million children—with the simple gift of a pair of shoes. Now he’s giving the gift of sight (eyeglasses, cataract surgery, medical treatment) to people in countries Male Call Did you know that prostate cancer is the most like Nepal, Cambodia, and Tibet (see p. 12). common non-skin cancer in America? It will affect Singer/songwriter and cancer survivor Stewart Francke makes a difference in one in six men over the course of his lifetime. September others’ lives by encouraging people with leukemia to register with bone marrow is Prostate Cancer Awareness Month, and there are many registries (see p. 12). ways you can get involved across the country. On the Producer, actor, and funnyman Seth Rogen helped turn a real-life story—his 24th, the Great Prostate Cancer Challenge takes place in friend’s fight with a rare spinal cancer—into the film 50/50, in theaters this month. Charlotte, N.C. Go to Prostate Cancer Foundation’s www. “We had to make something positive out of this,” he says, and he did (see p. 44). blueallover.org to find more awareness events near you. Allergens like mold spores, pollen and even • Eliminates most Canker In my home, change is a frequent topic of conversation: dust mite debris are floating in the air that Sores in just one day* “Do we have to keep changing? I like the way I am,” asks my 13-year-old daughter. ® “Well, when you are a couple years older, you will be a freak if you still act like you are 13!” replies In a Row you and your family breathe. Filtrete Air • Immediate pain relief my 17-year-old daughter. All rowing does is work out your upper body, right? Wrong, says WebMD fitness expert Cleaning Filters from 3M are electrostatically* • Shields from irritants “We don’t have to change,” I say, “but it is fun to learn and try new things…and some of those Pamela Peeke, MD. “It turns you on to new parts of your body,” she says. “You’re exercising charged to attract and capture airborne things will move us forward and change us in ways we like.” all the major muscle groups—abs, back, thighs, glutes, and your legs.” Even better? Row- allergens and microscopic particles like ing is one of the few aerobic activities that improves flexibility and strengthens the “I don’t like to try new things,” says the 13-year-old. household dust, pet dander and smoke • Eat/Drink pain-free for back. Start slow, with 5-10 minutes of rowing until you build endurance, and as with any “Save that until you are 100 years old, my dear!” I say. (And here’s hoping you will not up to 12 hours new endeavor, seek the help of an expert to learn proper technique. from the air passing through the filter. And * (J. Pharm Sci. Dec., 2004; Drugs in R & D 2008) pass away the day after you say it!) they are the best filters at trapping particles Pensive faces glared at me…then, recognition. without restricting airflow.

d e/Getty Ima g es Ima g es; Jeremy M au aflor/Getty Recommend Happy September. fit tip * Electrostatic filters are most effective when the filter is clean and new. ©3M 2011. 3M and Filtrete are trademarks of 3M. Canker Cover Particles not actual size. with confi dence! For illustrative purposes only. Available at most drug stores $ 00 Free trial sample: a g nese Get a 6. mail-in rebate ® 1-800-448-1448 Nan-Kirsten Forte, MS when you buy 3 Filtrete Air Cleaning Filters with a Microparticle Performance Rating (MPR) cVay/Getty Ima g es; Dan i el L M cVay/Getty R yan from top: CankerCover.com Editor in Chief, WebMD the Magazine F rancesco L of 1000 or greater at Filtrete.com/WebMD FilterSeptember your2011 | WebMD world the Magazine 5

3MFI_531_WebMD_ThirdPgVert.indd 1 12/8/10 7:55 AM ® ® wire wirethe health news beat at WebMD.com

Heavy sleepers Sex News Flash How much sleep your preschooler gets may affect her weight by the time she’s EDUCATION Hot flashes and night sweats are among the most common 7 years old, new research shows. symptoms of menopause and, for some women, one of the According to a study at the Dunedin School of Medicine at the University of most bothersome. But researchers recently discovered that Otago in New Zealand, preschoolers who sleep less are more likely to be over- mindfulness training can help women learn to ride out these weight or even obese by the time they’re 7. The study found that sleep influenced Programs supporting gay and bisexual stu- hormonally driven heat waves more calmly. a child’s weight more than either diet or physical activity. In fact, only the moth- dents in high schools can be controversial. In mindfulness training, people learn to become aware of er’s weight had more influence—that is, having an overweight mother raises the But a new study from the CDC shows such the different aspects of an experience, including the sensa- risk that a child will be overweight, too. (See related story on page 31.) programs may be crucial for helping gay tions, thoughts, and feelings associated with it. That aware- To conduct the study, researchers followed 244 children ages 3 through 7, students avoid dangerous—even potentially ness helps them detach from the experience, which can Home measuring their sleep time, physical activity, diet, body mass, and fat distribu- fatal—health behaviors. make it less uncomfortable. Previous studies show mindful- tion. The children slept between 9.5 and 12.5 hours a day (including naps). The study, which analyzed survey results ness training can help women cope with sleep problems, The researchers found that every additional hour of sleep the 3- to 5-year-olds from 156,000 gay, bisexual, and straight high stress, and anxiety. got daily was associated with a half-point drop in the kids’ body mass index by school students, found that gay and bisexual In this study at the University of Massachusetts Medical age 7 (about 1.5 pounds). They also found that children who got less sleep had students were more likely than straight stu- School, 110 perimenopausal and early postmenopausal more body fat than children who got more shut-eye. dents to engage in a range of risky behaviors, women who reported an average of five or more moderate According to the National Sleep Foundation, children ages 3 to 5 need including smoking cigarettes, drinking alco- or severe hot flashes or night sweats per day were divided Work between 11 and 13 hours of sleep a night. hol, using drugs, having unsafe sex, carrying into two groups. One group received mindfulness-based That age-old icon of teen life, the after-school job, may not be so good Source: BMJ guns and getting into fights, and attempting stress reduction training. The other received no training. for teens after all, especially if they work too much, a new study reports. suicide. y/Getty I m ag e s ; Fu e/Getty While the frequency and intensity of their hot flashes and After looking at data collected from nearly 1,800 10th- and 11th- Between 90% and 94% of the students in night sweats didn’t change, women who learned mindfulness grade students in Wisconsin and California, researchers at the University the survey identified themselves as heterosex- stress reduction techniques were 15% less bothered by of Washington found that students who work more than 20 hours a ual, while 1% to 3% identified themselves as their symptoms by the end of the study, compared to a 7% week during the school year are more likely to smoke cigarettes, drink gay, and 3% to 5% said they were bisexual. reduction in those who received no training. alcohol, use drugs, be less engaged at school, and have lower academic Researchers said the results point to a need Twenty weeks after the study, the women who had been expectations than students who work fewer hours or not at all. to provide safe environments for students in trained were 21% less bothered by the symptoms, while the The study also shows that students who spend more than 20 hours general and to improve services for gay and women who were not were 11% less bothered. The women per week on their job report spending less time on homework and bisexual youth in particular, who may be who had been trained in mindfulness stress reduction also more time daydreaming. dealing with stressors such as bullying and reported more general improvement in their quality of life, Not surprisingly, the researchers recommend parents, educators, and discrimination that can lead to poor health stress, and sleep. policymakers limit the number of hours high school students work during the school year. decisions. I m ag e s ; Step h en M . Gr a I m ag e Source/Glow s e f rom top: clockwi Source: Menopause: The Journal of the North American Menopause Society Source: Child Development Source: Morbidity and Mortality Weekly Report Surveillance Summary Miles You may have heard the FDA recently warned consumers not to buy hand sanitizers that claim to kill bacteria and viruses—and to follow the CDC’s advice to use hand sanitizers if no The not-too-impressive number by which water is available. Confused? It’s all in the label. Here’s what you need to know: Americans increased their bicycling The FDA identified four companies between 2001 and 2009. Come on, that claim their hand sanitizers will 5 “kill” MRSA, staph, and other bacteria everyone, on the bike! Handy Advice Source: American Journal of Public Health and viruses. But FDA rules say that manufacturers of over-the-counter antiseptic products can only say they “help reduce bacte- ria that potentially can cause disease,” not that they “kill” germs or other microorganisms.

Bottom line? Wash your hands as often as you can with soap and water. Use hand sanitiz- I m ag e s H s u/Getty I m ag e ; Blen dR F/Glow a M ueller/Getty I m ag e s ; R oy ers when you can’t—but don’t assume they’ll “kill” the germs either. Just know that they’ll help reduce their numbers.

Source: FDA rom top: E v s e f rom top: clockwi

6 WebMD the Magazine | September 2011 September 2011 | WebMD the Magazine 7 110227 Trim: 8 3 L D7228 - AH 40 40

100 100

/ ® 30

8 x 4 7 3% 30 S kin 70 /

8 70 30

70 SKIN-FRIENDLY

S wire S ens Plus- 1 afety: 7 3 100

100 100 Comedians love to joke about how 60

60 /

8 x 4 1 people with Botox can’t show their 100 . /

2 100 100 C emotions because they can’t move their heckerboard Bleed WEBMD 30 /

facial muscles. But a new study shows a 2 Bleed: 8 5

30 No wondern it’s ppreferred 2 to 1 not-so-funny side: Botox injections can * vs. the leadinge Free detergent. Hard Copy inhibit your ability to read others’ 70 ® 2009 70 New ARM & HAMMER Sensitive Skin Plus emotions, too. Scent is our fi rst scented detergent clinically The reason? One way we detect what / Strip 100

8 x 5 1

100 70 30 tested for sensitive skin. It’s the secret to

100 others are feeling is by mimicking their clean,c great-smelling laundry. 60 facial expressions. And if you can’t move 60

/ Control 100 8

100 your own facial muscles, you can’t C

opy mimic others’ expressions enough to S 30 100

Digital

ept 2011 C 30 empathize with them. ode: Dau In the study, led by a psychologist at 70 University of Southern California, people 70 12647-7

P injected with Botox were significantly g AGE1 T ISO hter Revise 100 less accurate at reading others’ emotions 100 70 30 100 than those who had injections of a soft 60

O 60 tissue filler that diminishes wrinkles by 100

*in a nationwide survey; among those with a preference. P LEFT

100 100 d pumping up facial folds, rather than A B paralyzing muscles. C

L A study published last year showed I that Botox injections can make it more CA_LD7228_SkinSensPlus WEBMD_CHKBRD_SEPT2011.indd40 100 40 100 140 70 40 70 40 40 40 70 40 40 70 40 70 40 40 3 10 25 50 75 90 100 8/10/11 4:06 PM difficult for people to feel their own emotions, too.

Source: Social Psychological and Personality Science

110227 Sleep100 40 40 100 10 40 40 20 70 70 70 70 40 70 40 40 0 0 0 0 3.1 2.2 2.2 10.2 7.4 7.4 25 19 19 50 40 40 75 66 66 100 100 100 80 70 70 100 40 40

100 100 DISCOVER WHY PEOPLE WITH Sense Trim: 8 3 LD7228 - AH 30 Young men who pride themselves on 3%

30 SENSITIVE SKIN being able to skip sleep—whether ® / 8 x 4 7 70

it’s to study, party, or play around on 70 30

70 . S

Facebook—might want to change their kin / Our Free detergentts aare spspeeciaally 8

ways when they hear the new research 100 S

S 100 ens Plus- 1 afety: 7 3 showing a link between sleep loss and 100 formulatedd to bbe goood toto youour seensnsittivive 60 sks inn. PlP uus, yyou geg t tthhe frf eseshnhnesess anand

lowered testosterone levels. 60

100

Researchers leading the study mea- 100 clcleaeanniingg booosts of BaBakik ngng Sododa inin 100 / 8 x 4 1 sured testosterone levels in a group of 10 yyoouurr chohoicice ofo scecenntteded or ununssccenentteed.d. / 2 30

**** C healthy young men (average age 24) dur- 30 AAlll ffoor upp to 5050% lleessss. heckerboard Bleed WEBMD /

ing a week of normal sleep (eight hours 2 Bleed: 8 5 70

2009 a night). Then the researchers measured In men, testosterone is crucial for sex- drop in one week is the equivalent of 70 their testosterone levels during a week ual behavior, reproduction, and building aging 10 to 15 years. 100

in which the men had slept 10 hours muscle mass, strength, and bone density. Although the study was small, 100 70 30 100

a night for three nights and five hours Low testosterone levels are associated with researchers believe it suggests that long- / 8 x 5 1 60

60

100 for eight nights. After losing sleep, the low energy, reduced libido, poor concen- term sleep loss could negatively affect men’s testosterone levels were 10% to tration, and fatigue. men’s testosterone levels and well-being.100 / 8 30 100 15% lower than after the normal week of Starting around age 40, testosterone About 15% of adult workers regularly get C 30 opy

sleep. The men also reported declines in levels naturally drop by one to two five hours of sleep or less each night. S e p C t: Holly H a rri s /Getty I m ag e Holly I m ag e s ; top ri gh t: Blen dR F/Glow Source: JAMA 70 mood and vigor. percentage points a year; a 10% to 15% t 2011 ode: Daughter Revise 70 ISO 12647-7 Digital Control Strip

100 THE CLEAN YOU NEED

100 70 30 P 100 8 WebMD the Magazine | September 2011 AT A FRACTION OF THE COST. AGE2 B 60

60

100

100 100 O A B TT O d CA_LD7228_SkinSensPlus WEBMD_CHKBRD_SEPT2011.indd 2 8/10/11 4:06 PM

40 100 40 100 40 70 40 70 40 40 40 70 40 40 70 40 70 40 40 3 10 25 50 75 90 100 M RIGHT C L I 100 40 40 100 10 40 40 20 70 70 70 70 40 70 40 40 0 0 0 0 3.1 2.2 2.2 10.2 7.4 7.4 25 19 19 50 40 40 75 66 66 100 100 100 80 70 70 100 click here highlights at Webmd.com Finally, free yourself from the Pulse back pain. by Colleen Paretty, WebMD Executive Editor SHOT e’ve been busy the last several Wmonths innovating all kinds of new content and tools for you. Here’s a peek CLOCK at a few (one of which has a sweep- Keep your family’s immunization stakes with some serious cash prizes). records up to date with WebMD’s The vaccine tracker tool in our new Vaccine Tracker, an easy-to- Vaccines Center (featured in the big box use, secure tool that helps you at left) arrives just in time for back-to- record and manage everyone’s school. It’s your go-to one-stop destina- vaccination history and sends you tion for personalized vaccine information email reminders to stay on top of vaccine tracker SEARCH for everyone in your family. No more appointments and schedules. Post-its on the refrigerator that fall off and get lost! Need a skin care routine that delivers? Tell-Tail Signs Is every day a Is your pet really sick? Or not eating because he’s being bad hair day? stubborn? Learn how to tell the difference with tips from We gave our our vet experts in our Healthy Pets Community TV videos. Healthy Beauty Center a complete top- to-toe re-do so you can do the same. It’s pet sickness video SEARCH beautiful! Start with the Personal Skin Evaluator, then zero in on Healthy Skin TV segments and Ask the Dermatolo- Sinus Infection symptomchecker gist videos targeted just for you. You’ll top symptoms include find slideshows, how-to articles, and  Pain or pressure around the eyes, the Beauty Community to share with forehead, and upper cheeks others, too. And if you haven’t discovered our  Thick nasal discharge that is green, SEARCH yellowish, or blood tinged Raising Fit Kids site for parents, the Laser Spine Institute’s minimally invasive procedures are the Fatigue chance to win $4,000 and other cash safe and effective alternative to open back or neck surgery.  prizes should get you there. All you have A sinus infection—also called “sinusitis”—is an inflammation of to do is sign up for our Parenting and Each month, more people come to Advantages of our Spine conditions the sinuses and nasal passages often on the heels of a cold or endoscopic approach: commonly treated: SEARCHChildren’s Health newsletter and you’re Laser Spine Institute to relieve their allergies. Some people get sinus infections only occasionally; others entered. Then stick around—Raising Fit back and neck pain than to any other • No lengthy recovery • Spinal stenosis get them chronically, often due to allergies. Other symptoms include Kids is your roadmap for making healthy spine surgery center in the nation. • No fusions or hardware • Sciatica bad breath, fever, cough, tooth pain, and a very stuffed-up feeling. • 91% patient satisfaction • Herniated disc food, fitness, and ways to de-stress and You can find relief by drinking plenty of fluids (to thin the mucus), • Less than 1-inch incision • Degenerative disc disease feel good achievable goals for everyone inhaling hot steam (over a sink or in the shower), and rinsing the • Outpatient procedure • Bone spurs GO sinuses (drugstores carry kits for this). Anti-inflammatory medica- in your family—especially your kids. WATCH VIDEO Like what you see? Have sugges- tions, decongestants, and pain relievers can also help. But a sinus Key in your symptoms infection that doesn’t go away with home remedies may need tions? Share with me at Colleen@ WebMD.net or in the Magazine Com- antibiotics. Rarely, sinus infections that aren’t treated can result in a FIND THE ANSWER brain infection and other serious complications. munity online at WebMD.com. es; Gandee Vasan/Getty Ima g es r e/Getty Ima g es; Gandee Vasan/Getty Rana Fau To schedule your complimentary MRI or CT scan review, call 1-866-293-0570 or visit www.LaserSpineInstitute.com 10 WebMD the Magazine | September 2011 Most insurance accepted. medical file people and pages my WebMD personal stories from Webmd.com members

Yes Eye Can By Chelsea Baum WebMD.com community member Toms founder steps from shoes to vision care Starting Over Until I was 9, it was just my mom and me. We were really poor Blake Mycoskie first glimpsed global poverty while a contestant on CBS’s The and lived in a million different places, but I was happy. When my Amazing Race, zooming around the world in 2002 with his sister Paige (they finished mother started dating, I didn’t mind. I wanted a ­father figure. third on the reality game show). But it wasn’t until a vacation to Argentina in 2006 Everything seemed mostly fine until after the wedding. Over- that the Texan was hit with the need to do something about it. In Tune night, it seemed, my stepfather became physically and emotion- A brief volunteer venture, traveling from village to village to dole out donated Musician Stewart Francke fights ally abusive. We weren’t allowed to go anywhere, see anyone, or shoes to barefoot children, lit a fire in Mycoskie’s heart. As he explains in his new leukemia one song at a time do anything without his permission. The more I challenged him, book, Start Something That Matters, out this month, he didn’t want to just ask friends the worse the abuse became. He would shove me and twist and and family for donations to buy shoes for a few kids until the well of goodwill Singer/songwriter Stewart Francke is no sprain my wrists. He played mind games with my mother, too. ran dry. Mycoskie, 35, wanted to create a model that would keep putting shoes on stranger to receiving awards for the soulful She ended up in a psychiatric hospital. While she was there, he kids in need, as long as they needed them. hard rock he’s been playing since he was sexually abused me. My mother and I went to the police, but there That’s the idea behind Toms (www.toms.com) and its simple “One for One” 19, but this month he’s being honored was no proof; it was his word against mine. I was devastated. model. When you buy a pair of Toms lightweight, casual shoes, the company gives for his musical efforts to aid people with I ran away at 15 and ended up in a foster home for six a pair of shoes to a child. In October 2010, Toms donated its millionth pair of leukemia. A survivor of the disease, Francke is months. Two years later, I left home to become an exotic dancer shoes—and now, the company has moved on to giving away vision care as well, receiving the Civic Leadership Award from the with the help of a fake ID. I was so horrified that I danced with launching an eyewear line this past June. Within two weeks, the first run of glasses Michigan-based Twilight Benefit Foundation. my eyes closed, trying to avoid the leering eyes of men who were had sold out of stores. (Stock has since been replenished.) “This is a large world of caring people,” older than my father. The latest venture started on one of Mycoskie’s many “shoe drops”—he logs Francke says, “and I’m really honored to be A turning point came for me one night when a young woman more than 240 days on the road each year—when he realized that many of the part of this group.” walked into the club in tears. She was asking if anyone had seen children who could finally walk to school in their Toms-supplied shoes couldn’t Not that it’s been an easy role. “I went her boyfriend. Suddenly I realized that this place was hurting see the chalkboard. “I saw through profound suffering and long trials,” relationships. Was I breaking up marriages? It broke my heart. people begging on the street he says. “It changed my music, it changed Soon after, I tried dancing without the help of alcohol or drugs. and the social workers told me my world, it changed everything about me.” For the first time in three years, I felt truly naked, ashamed, they were once employed, but In fact, two of the songs on his latest album, and in shock. I left early, went home, and said a simple prayer: then they developed a cataract Heartless World, are reflections on his disease. “Help.” A feeling of peace came over me. Somehow I knew I’d and couldn’t work so had to The album, which features a guest appearance get the help I needed. start begging,” he says. “I saw by rock icon Bruce Springsteen, was released I began to turn my life around. I stopped dancing, took a the real effects of vision impair- in May. job at Walmart, and finished my last year of high school. I sur- ment in the Third World. Leukemia is a cancer of the bone marrow rounded myself with positive people. A couple from the church “When you buy a pair of that targets white blood cells essential for let me stay with them while I got my act together. They didn’t glasses, you help one person fighting infections. An estimated 43,000 peo- make a lot of money, but they were happy with their lives and get sight: medical treatment, ple in the United States were diagnosed with they treated each other kindly. I observed people like this— prescription glasses, cataract the disease last year. people I admired—then worked to adopt their habits until they surgery, whatever they need,” One of the first things Francke, 53, did became a part of me. For example, I had always been shy, so he explains. Mycoskie was soon when he was diagnosed with leukemia in 1998 I watched outgoing people and learned how they smiled and traveling again, delivering glasses was to create the Stewart Francke Leukemia greeted each other. and watching surgeries in pilot Foundation (www.stewartfrancke.com). It has I’ve had an extraordinarily happy life since then—mostly countries Nepal, Cambodia, and raised nearly $200,000 for organizations such because of the choices I’ve made. Now, at 29, I’m working Tibet. “I tell people: Just find a as the National Marrow Donor Program, which toward my bachelor’s degree in psychology and have two young way to serve in your local com- named him volunteer of the year in 2002. children. I was married for five years, but I’m about to be remar- munity and you’ll experience Now in remission, Stewart’s trips to the ried. I’ve learned to let go of the past—to look back only long avic s the joy. Once you get that bug, hospital are less for himself than for others a Chelsea Baum wrote My enough to help me make better decisions for my future. if it moves you, you’ll know it battling leukemia. “Just being there tells oth- Virtue, My Vice to encourage If you’re scared or abused, talk with someone you trust, think and you’ll start creating more ers ‘You can do it. I was where you are, and I others who have struggled twice before making decisions, and learn to forgive and respect opportunities in your life to made it through. And I’m not just alive. I’m with childhood trauma. yourself. With help, you can overcome obstacles—no matter

do it.”—Gina Shaw truly living.’”—Matt McMillen Dan Bannister how difficult. from left: John Dunn; Kseni J from left: Read more stories and share your own in our community. WebMD.com

12 WebMD the Magazine | September 2011 September 2011 | WebMD the Magazine 13 ask the experts Your questions answered In a few clicks you can help keep your family protected.

Take Heart Help prevent cardiac disease

Q  Heart disease runs in my family. What can I really do now to help prevent it? My friend says I’m getting Q  At work, we’re supposed A  Cut out these five things to greatly reduce your risk: urinary tract infections to use plastic covers to keep the Smoking (or hanging around with smokers). Smok- because I use a microwave clean. Are they safe? ing is the most dangerous—yet most reversible—risk diaphragm. Is she right? factor for heart disease. Quitting smoking and avoiding It’s TRUE. Diaphragm use A  Microwave covers are secondhand smoke today will lower your heart disease can contribute to urinary tract inexpensive, and they’re dishwasher- risk to that of a nonsmoker over time. infections.The reason is that safe and reusable, which makes them Eating trans fats. Synthetically created to extend the urinary tract infections (common even cheaper (and green). Some shelf life of baked goods and snack foods, trans fats can symptoms include burning pain are just a flat sheet of plastic, while raise your level of LDL (“bad”) cholesterol, too. Best bet? and a constant need to pee), get others are dome-shaped. Most brands Check the label for trans fats (also called partially hydro- triggered by bacteria, most often come in several sizes to fit different genated oils) and avoid them entirely. E. coli, which lives in the colon sizes of plates and dishes. Many are Adding salt. Eating a lower-salt diet can lower your and rectum. And diaphragms made of plastic that the FDA has blood pressure by five points, which for many people are used with spermicides, approved for microwave use. can mean one less prescription to buy. “which can kill off the protective Plastic microwave covers are Gaining weight. Processed food, oversized portions, bacteria in the vagina, as well meant to replace the plastic wrap and increased screen time as change the pH balance of the that many people use to cover their have added inches to our vagina,” says Jane Miller, MD, food in the microwave to keep it waistlines and layers of risk an associate professor of urology from splattering. The FDA says that to our hearts. Losing weight at Washington University’s plastic wrap labeled “microwave safe” can help. School of Medicine. “This can is indeed safe. But if plastic wrap— Giving up on medications. increase growth of the kinds of even microwave-safe plastic wrap— No one likes to take bacteria that cause UTIs and touches food, especially food with pills. But blood pressure, bring it closer to the urethra and high fat content, it can melt as well as cholesterol, and diabetes ultimately the bladder.” cause steam burns when unwrapped. medications will also If you have recurring Chemicals can also leach into the reduce your likelihood of infections, you may be better off food if plastic wrap or plastic covers a heart attack. Talk to using alternative birth control make contact with the food being Introducing the your doctor methods, such as an IUD or the heated. The FDA says those chemicals about a Pill. General tips for avoiding aren’t dangerous, but your safest bet

medication bladder infections include: is to check labels carefully and only es Vaccine Tracker g ma regimen Drinking plenty of water, peeing use plastic wrap and covers specifi- I that will when you need to (instead of cally approved for microwaves. New An easy-to-use tool that can help you: work for “holding” it), and wiping from Want an easier solution? Cover aylor/Getty T aul aul

you, then front to back after urinating and your food with a ceramic plate or P

es; • track vaccinations for your entire family stick bowel movements. with a piece of biodegradable wax g ma with it. paper or paper towel. I • prepare for school and sports admissions forms • stay up-to-date with email reminders y Hart/Getty y Hart/Getty k So you can spend your time recording the James Beckerman, MD, FACC Kathleen Zelman, MPH, RD, LD other important stuff, like her first smile.

WebMD heart HEALTH EXPERT WebMD NUTRITION EXPERT GK Hart/Vic top:

Get expert answers to all your health questions. WebMD.com Only at WebMD.com 14 WebMD the Magazine | September 2011 Reviewed by Kathleen Zelman, mPH, RD, LD healthyeats WebmD DiRECtoR of nutRition livingwell nutritious and delicious expert a’s to your beauty q’s AnAtomy of An avocado Mass A-Peel Smooth Sailing Fit Fruit European sailors en route to Avocadoes are a good source of fiber; potassium; and vitamins C, K, the new World used folate, and B6. Half an avocado has 160 calories, 15 grams of heart- Our experts unmask the facts about at-home facial avocadoes in place healthy monounsaturated fat, and 2 grams of saturated fat. treatments and offer product picks Q. Are at-home of butter. masks and peels really Rough Roots effective? What can they the avocado is also known as an alligator pear because of its do for my skin? shape, green skin, and rough texture of the Hass variety. (the Lisa Basalla Mwaikambo, 30, international public health florida avocado has a shiny, smooth surface.) professional, Durham, N.C.

Dr. Herschenfeld says: Go Green 1 Feeding Frenzy Get soft, envy-worthy A. These at-home treatments can be a on Super Bowl Sunday, Americans eat about 8 skin with Peter Thomas great addition to any skin care regimen. Peels, million pounds of guacamole. for Cinco de mayo, Roth Cucumber Gel which contain the same ingredients as der- the tally is closer to 14 million. Masque. matologists’ peels but in lower concentrations, Top Dog gently remove the outermost layer of your skin, there are more than 80 varieties Sour Solution /Sto CK foo D producing a smoother texture and sometimes io S of avocadoes. the most common is to reduce oxidation (browning) of an already-sliced helping even out pigmentation, fade fine lines, the year-round Hass avocado, whose original avocado, sprinkle lemon juice on the exposed flesh and or clean out pores. Masks can provide intensive mother tree still stands in California. refrigerate in a plastic bag.—Chloe Thompson Joff L EE Stu D moisture, absorb excess oil, or deliver antioxi- dant, anti-inflammatory, or acne-fighting treat- ments to the skin. Acne-prone skin can benefit from peels containing salicylic acid; sensitive skin may do better with less irritating lactic acid peels or mild physical peels. Many prod- WALK ucts contain combinations of these active ingredients. AS IF YOUR LIFE A good, at-home peel for

Photograph by Jesse Dylan sensitive skin is Olay Regenerist Micro- DEPENDS ON IT. dermabrasion & Peel System ($24.99), made 4 with lactic acid. Another winner: philosophy Peel Good 2 Smooth Moves the microdelivery peel ($65) provides a Get your skin to look The mildly abrasive gentle physical exfoliation combined with WALK on the bright side Olay Regenerist lactic acid and is great for sensitive or dry skin. with philosophy the Microdermabrasion & A good hydrating mask is the Peter BECAUSE microdelivery peel. Peel System uses lactic acid to exfoliate skin. Thomas Roth Cucumber Gel Masque ($45), which is infused with cucumber, papaya, and SOMEONE’S pineapple enzymes to calm and soften skin. Michael C. Hall For acne-prone skin, Murad Acne Clarifying LIFE DOES. Hit the Spot 3 Mask ($37) contains sulfur to treat acne and Murad Acne Clarifying clay to absorb excess oil. Mask zaps zits with clay Register at lightthenight.org and sulfur. Rachel Herschenfeld, MD, Dermatology Partners, Inc., to help in the fight against blood cancers. Wellesley, Mass. Chung Lee The opinions expressed in this section are of the experts The Leukemia & Lymphoma Society® is the world’s largest voluntary health agency dedicated to fighting blood cancers. Learn more at www.LLS.org. and are not the opinions of WebMD. WebMD does not endorse any specific product, service, or treatment.

16 WebMD the Magazine | September 2011 September 2011 | WebMD the Magazine 17 Job # 0000041562 Filename 41562_41562_M01.indd Last Modifi ed 8-11-2011 5:49 PM User / Pre- ehegdahl / Richard Wang

Client GSK Vesicare Art Director Bill Previdi Bleed 8.625” x 11.125” Path Premedia:Volumes:Premedia:P CMYK repress:41562_41562:PREPRE Create 2-2-2011 1:40 PM Artist Kerry Trim 7.5” x 10.5” SS:41562_41562_M01.indd Proof 2_Final Traffi c Rene Rodriguez Saftey 7” x 9.75”

Fonts Times (Regular; True Type), GerstnerBQ (MediumItalic, Italic; Type 1), Frutiger LT Std (75 Black, 45 Light, 65 Bold, 66 Bold Italic; OpenType), Helvetica Neue LT Std (77 Bold Condensed; OpenType) Art L11VESI0003.psd (Arts_Logos:Glaxo_Smith_Kline:Art:LiveArtwork:Vesicare:2011:L11VESI0003.psd), L11VESI0004.psd (Arts_Logos:Glaxo_Smith_Kline:Art:LiveArtwork:Vesicare:201 1:L11VESI0004.psd), VESIcare_Tag_4C.eps (Arts_Logos:Glaxo_Smith_Kline:Logos:Vesicare:VESIcare_Tag_4C.eps), L11VESI0007.psd (Arts_Logos:Glaxo_Smith_Kline:Art:LiveArtwork: Vesicare:2011:L11VESI0007.psd), L11VESI0006.psd (Arts_Logos:Glaxo_Smith_Kline:Art:LiveArtwork:Vesicare:2011:L11VESI0006.psd), L11VESI0008.psd (Arts_Logos:Glaxo_Smith_Klin

GSK VESIcare – DDG Print Ad Page 4/C Bleed Client Name: GSK - VESIcare B: 8.625” x 11.125” Job Number: 0000041562_M01 T: 7.5” x 10.5” Caption: “Do any of these overactive bladder…” S: 7” x 9.75” (DDG Print ad) Line Screen: 133 AD: B. Previdi x5832 Media: Magazine CW: L. Kaufman x4231 Family Circle, Woman’s Day, This advertisement prepared by: AE: A. Kahn x2495 Ladies’ Home Journal, Better Homes and Gardens, Euro RSCG Worldwide Traf: R. Rodriguez x4408 Health, Cooking Light, People 350 Hudson Street Prod: Z. Feldsher x4330 New York, New York 10014 BILL: Labor, OOP/STUDIO TO JOB NUMBER: 0000041562 B:8.625” T:7.5” S:7” livingwell expert a’s to your beauty q’s Do any of these overactive bladder symptoms sound familiar?

Dr. Alexiades-Armenakas says: Once I get the sudden urge to go to the bathroom, I can’t wait. The biggest difference between masks A. YES NO and peels and products such as cleansers is the 2 Glow Getter duration of application. Cleansers are quick-on/ Step up your routine quick-off, while masks and peels are left on for 1 Bright Side with Boots No7 I worry I might accidentally leak Gently exfoliate dead skin Advanced Renewal and sometimes wear pads. a specific length of time, increasing the amount with Avon Anew Clinical Anti-Aging Glycolic of active ingredients that penetrates the skin. Advanced Retexturizing Peel. Peel Kit and feel the YES NO With peels, the degree to which the glow. bonds between dead skin cells break apart and disappear is determined in part by how Sometimes my bladder symptoms long you allow the acids to work. Due to the get in the way of things I like to do. way peels work, it’s best to use them spar- YES NO ingly. I find the biggest mistake women make is applying peels daily, which makes the skin become over-stressed. Peels can contribute to sun sensitivity, too. I’ve had enough, and I’m ready The FDA has standards for the percent- to do something about my urges and leaks. ages of active ingredients in peels and masks YES NO allowed in over-the-counter products. For B:11.125” T:10.5” example, glycolic acid and salicylic acid S:9.75” (often found in peels) are limited to 10% and 2%, respectively. Be wary of masks or peels If you answered “YES” to any of these, talk to your doctor about with higher percentages, as these should not your symptoms and whether or not VESIcare may be right for you. be dispensed without a doctor’s supervision. Only your doctor can determine if you have overactive bladder. Once-daily VESIcare is proven to treat overactive The Neutrogena Clear Pore Cleanser/ 3 bladder with symptoms of frequent urges and leaks. * That’s because it can help control your bladder muscle, day Mask ($6.49), containing acne-clearing ben- Sheer Porefection and night. So ask your doctor about taking care with VESIcare. zoyl peroxide and clay to decrease oiliness, Neutrogena Clear Pore *Results may vary. can be used as a face wash or a mask. For Cleanser/Mask does double duty. USE AND DOSE acne-prone skin, I recommend DDF Sulfur VESIcare is for overactive bladder with symptoms of urgency, frequency, and leakage. The recommended Therapeutic Mask ($38), which is infused dose of VESIcare is 5 mg once daily. If the 5-mg dose is well tolerated, your doctor may increase the dose with sulfur and purified clay to absorb oil to 10 mg once daily. and clear pores. 4 Fair Clay As for at-home peels, Avon Anew Clinical Give acne-prone skin the star IMPORTANT SAFETY INFORMATION Advanced Retexturizing Peel ($25) blends treatment with DDF Sulfur VESIcare is not for everyone. If you have certain stomach or glaucoma problems, or trouble emptying your Therapeutic Mask. glycolic acid with soothing plant extracts bladder, do not take VESIcare. VESIcare may cause allergic reactions that may be serious. If you experience such as algae, pineapple, and cucumber to swelling of the face, lips, throat or tongue, stop taking VESIcare and get emergency help. Tell your doctor gently exfoliate dull surface skin. right away if you have severe abdominal pain, or become constipated for three or more days. VESIcare Boots No7 Advanced Renewal Anti- may cause blurred vision, so use caution while driving or doing unsafe tasks. Common side effects are dry Aging Glycolic Peel Kit ($24.99), a glycolic Meet Your Mask mouth, constipation, and indigestion. acid-based treatment, smoothes, tones, and With so many different kinds of masks hitting store shelves, dermatologist Macrene Please see Important Patient Information on the following page. brightens skin after a few uses.—Ayren Jackson- Alexiades-Armenakas, MD, PhD, reveals the most effective ingredients. † Cannady • Emollient ingredients, such as hyaluronic acids, ammonium lactate, squalane, FIRST 30-DAY PRESCRIPTION FREE ceramides, glycerin, and dimethicone, help build barriers that keep moisture in the skin. at vesicare.com, or call (800) 403-6565. Macrene Alexiades- • Salicylic acid decreases oil production and helps prevent acne. †Subject to eligibility. Restrictions may apply. Armenakas, MD, PhD, • Clay is infused with silicates that leave a slick residue on the skin’s surface, making it To learn about financial assistance programs for VESIcare, assistant clinical professor, temporarily feel smooth. please call Astellas Reimbursement Services at 1-800-477-6472 You are encouraged to report negative Yale University or go to www.astellasreimbursement.com side effects of prescription drugs to the FDA. Chung Lee VS2749R0/011B-053-3074 Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Unmask more skin-brightening tips. WebMD.com

18 WebMD the Magazine | September 2011 Job # 43204 Filename 41562_43204_M01.indd Last Modified 8-11-2011 5:52 PM User / Pre- ehegdahl / Kevin Flynn

Client GSK-VESICARE Art Director B Previdi Bleed None Path Premedia:Volumes:Premedia:P Black repress:41562_41562:PREPRE Create 6-30-2011 3:38 PM Artist Damian Trim 7” x 9.75” SS:41562_43204_M01.indd Proof 7_Final Traffic rrodriguez Saftey None

Fonts GerstnerBQ (Bold, Light; Type 1), Frutiger LT Std (55 Roman; OpenType), Times (Regular, Bold; True Type)

Art VES_K_L.eps (Arts_Logos:Glaxo_Smith_Kline:Logos:Vesicare:VESIcare Logos_ART:VES_black:VES_K_L.eps)

GSK VESIcare – DDG Print Ad Full Page B/W Non-Bleed 7” x 9.75” AD: B. Previdi x5832 Client Name: GSK - VESIcare CW: L. Kaufman x4231 Job Number: Line Screen: 133 AE: A. Khan x2495 0000041562_0000043204_M01 Traf: R. Rodriguez x4408 Caption: “Do any of these overactive bladder…” This advertisement prepared by: Prod: Z. Feldsher x4330 (DDG Print ad PI) Euro RSCG Worldwide Media: Magazine 350 Hudson Street BILL: Labor/OOP/Studio to: 41562 Family Circle, Woman’s Day, New York, New York 10014 Ladies’ Home Journal, Better Homes and Gardens, Health, Cooking Light, People

T:7”

Reviewed by Karyn Grossman, MD What should I avoid while taking VESIcare? WebMD SKIN CARE EXPERT VESIcare can cause blurred vision or drowsiness. Do not livingwell drive or operate heavy machinery until you know how VESIcare affects you. make the most of your life Brief Summary based on FDA Approved What are the possible side effects of VESIcare? Patient Labeling VESIcare may cause serious side effects including: • Serious allergic reaction. Stop taking VESIcare VESIcare® (VES-ih-care) and get medical help right away if you have: (solifenacin succinate) tablet ° hives, skin rash or swelling severe itching Read the Patient Information that comes with VESIcare ° ° swelling of your face, mouth or tongue before you start taking it and each time you get a refill. trouble breathing There may be new information. This summary does not ° The most common side effects of VESIcare include: Head Start take the place of talking with your doctor about your medical condition or treatment. • dry mouth • constipation. Call your doctor if you get severe stomach Help your teen develop good skin care habits early What is VESIcare? area (abdominal) pain or become constipated for 3 or VESIcare is a prescription medicine for adults used more days. as treatment for symptoms of a condition called • urinary tract infection overactive bladder: • blurred vision If we only knew then what we know on her bedside table. They don’t require • Urgency: a strong need to urinate right away • heat exhaustion or heat stroke. This can happen when now. This expression applies to a lot of things water to nix dirt and day-old makeup. • Leakage: leaking or wetting accidents—also called VESIcare is used in hot environments. Symptoms may in life, including skin care. Laurie Lambert, After each cleansing, she should apply “urinary incontinence” include: 44, a medical assistant from Virginia Beach, a topical treatment serum. “Remind your • Frequency: urinating often decreased sweating ° Va., wants to help her 18-year-old daughter daughter that some of the ingredients in It is not known if VESIcare is safe and effective in children. ° dizziness tiredness develop skin care habits now that will keep topical products have more than one benefit What is overactive bladder? ° ° nausea her skin healthy and glowing for the rest of or function,” Polis notes. For example, the Overactive bladder occurs when you cannot control your increase in body temperature bladder contractions. When these muscle contractions ° her life. Laurie Polis, MD, director of dermato- retinols in products like RoC Retinol Cor- happen too often, or cannot be controlled, you can get Tell your doctor if you have any side effect that bothers logic services at SoHo Skin & Laser Dermatol- rexion Deep Wrinkle Serum ($21.99) are symptoms of overactive bladder, which are urinary frequency, you or that does not go away. urinary urgency, and urinary incontinence (leakage). ogy in New York City, offers this routine that wonderful agents that have anti-acne, These are not all the possible side effects of VESIcare. For will set her down the right path. anti-aging, and pigment- Who should NOT take VESIcare? more information, ask your doctor or pharmacist. It’s never too early or too late to encourage evening properties. Do not take VESIcare if you: • are unable to empty your bladder (urinary retention) Call your doctor for medical advice about side effects. You your child to develop healthy skin care habits, The final—and • have delayed or slow emptying of your stomach may report side effects to the FDA at 1-800-FDA-1088. T:9.75” Polis says. “It’s also important she knows that mandatory step—is (gastric retention) How should I store VESIcare? skin changes throughout life, so skin care to emphasize sun- • have an eye problem called “uncontrolled • Keep the bottle closed. regimens should be adjusted accordingly.” screen application. narrow-angle glaucoma” • Store VESIcare at 59°F to 86°F (15°C to 30°C). • are allergic to solifenacin succinate or any of the • Safely throw away medicine that is out of date or that Start by helping your daughter establish “One of the most ingredients in VESIcare. you no longer need. a twice-daily cleansing ritual, Polis advises. important skin care What should I tell my doctor? Keep VESIcare and all medicines out of the reach “Just as you brush your teeth morning and lessons you can teach Before taking VESIcare, tell your doctor if you: of children. evening, you should wash your face a.m. and your daughter is that • have any stomach or intestinal problems or problems p.m. as well.” The cleanser depends on the anti-aging goes hand- with constipation General information about VESIcare. • have trouble emptying your bladder or you have a Medicines are sometimes prescribed for purposes other goal: Choose anti-acne or weak urine stream than those listed in the Patient Information. Do not use medicated for breakout- • have an eye problem called “narrow-angle glaucoma” VESIcare for a condition for which it was not prescribed. prone skin, moisturizing “Anti-aging goes hand-in-hand with anti-cancer, • have kidney or liver problems Do not give VESIcare to other people, even if they have • have a rare heart problem called “QT prolongation” the same symptoms you have. It may harm them. and gentle for sensitive since both involve sun protection.” • are pregnant or plan to become pregnant. It is not skin, or exfoliating for dull known if VESIcare will harm your unborn baby. This is a summary of the most important information about VESIcare. If you would like more information, talk skin. Chemical exfoliators • are breastfeeding or plan to breastfeed. It is not known containing glycolic or salicylic acid and phys- in-hand with anti-cancer, since if VESIcare passes into your breast milk. You and your with your doctor. You can ask your doctor or pharmacist doctor should decide if you will take VESIcare OR for information about VESIcare that is written for health ical exfoliators—scrubs, facial sponges, or the both involve sun pro- breastfeed. professionals. Clarisonic Mia Sonic Skin Cleansing System tection,” Polis says. A Tell your doctor about all the medicines and For more information, visit www.vesicare.com or ($149)—boost skin-cell turnover, which can moisturizer with broad- supplements you take. call (800)727-7003. help acne, dull skin, and pigment irregularity. spectrum SPF (protects This includes prescription and nonprescription medicines, Rx Only If your teen is a low-maintenance type, against both UVA and UVB vitamins, and herbal supplements. VESIcare may affect Manufactured by: Marketed by: she can try a double-duty product, such as rays) will help keep skin the way other medicines work, and other medicines may Astellas Pharma Technologies, Inc. GlaxoSmithKline Proactiv Solution Deep Cleansing Wash hydrated and protected. affect how VESIcare works. Research Triangle Park Norman, Oklahoma 73072 ($20), which is pumped with 2% salicylic Some teens struggle with sunscreen How should I take VESIcare? North Carolina 27709 Marketed and Distributed by: acid and can be used head to toe. application guidelines: Apply every day (no Sunforgettable Mineral Powder Sun Pro- Take VESIcare exactly as your doctor tells you to take it. Astellas Pharma US, Inc. • Take 1 VESIcare tablet 1 time a day. Deerfield, Illinois 60015-2548 If your teen tends to blow off the eve- matter the weather), apply under makeup, tection SPF 30 Brush ($50), which she can • Take VESIcare with water and swallow the tablet ning wash altogether, leave a pack of gentle use 20 minutes before sun exposure, and tote with her and pull out for fast and easy whole. ©2011 Astellas Pharma US, Inc. & GlaxoSmithKline • You can take VESIcare with or without food. Revised: April 2011 face wipes such as Clean & Clear Makeup reapply every 80 minutes. In that case, con- reapplication throughout the day without • If you miss a dose of VESIcare, begin taking VESIcare 11D031-VES-PBS 011F-051-3755 C h u ng L ee Dissolving Facial Cleansing Wipes ($5.99) sider a brush-on SPF such as Colorescience any liquid mess.—Ayren Jackson-Cannady again the next day. Do not take 2 doses of VESIcare the same day. • If you take too much VESIcare, call your doctor or go to Get more expert skin care tips for you and your teen. WebMD.com the nearest hospital emergency room right away. September 2011 | WebMD the Magazine 21

fitness matters By Pamela Peeke, MD, MPH, FACP WebMD FITNESS EXPERT working out what will work for you

The 3 M’s Big Problem Moms can play a crucial role in helping their The surprising link between women’s thoughts kids avoid obesity by following my three M’s of about obesity and the size of America healthy living: Mind Set realistic goals Last year, the research firmHarris ­ The pregnancy connection. Only 10% of the for your children and Interactive teamed up with the nonprofit health women surveyed by Harris Interactive recognized yourself. Such goals information source HealthyWomen to survey wom- that if a pregnant woman is obese in her first tri- might include being a en’s beliefs about what I call the “O” word—obesity. mester, her child’s risk of becoming obese more healthy weight, having than doubles. Forty-six time for relaxation and play (stress can make percent of the women kids as well as adults only 28% of women assigned weren’t sure, and 11% any responsibility to themselves overeat), and getting believed there was no enough shut-eye (sleep as mothers when it comes to connection. Currently, loss is associated with their children’s weight. one in five women is childhood obesity). obese at the time of her Mouth Pay attention baby’s conception. to the quality and Friends and fam- quantity of what you and ily. Less than a third of your kids eat and the the women surveyed frequency of meals and understood they were snacks. Check out the 57% more likely to Recipe Doctor healthy become obese if their meal makeovers and friend was obese, 40% tools for planning meals and calculating portion if their sibling was, sizes on WebMD.com. and 37% if their spouse was. Muscle Encourage your family to get more Obesity and health. exercise by making sure Most of the 1,037 women surveyed were aware that A full 97% of the women surveyed knew obesity is they have fun in the obesity is a major issue in America. But many didn’t associated with heart disease and diabetes. But only process (think biking grasp how much influence their weight and diet pat- 30% recognized obesity is associated with gall- in the woods, playing terns have on others. Some specific findings: stones and infertility, just 25% were aware it could Frisbee, Mothers as models. Although 87% believed there increase the risk of colon and breast cancer, and or building is a parental role in the cycle of obesity, only 28% only 13% knew of its link to uterine cancer. an obstacle assigned any responsibility to themselves as mothers A lot of women believe obesity is genetic, and course in your when it comes to their children’s weight, and 57% so they think there’s nothing they can do about it. backyard). believed a mother and father have equal influence on But that’s not true. Genetics may load the gun, but Mandatory their child’s potential for obesity. But research shows environment pulls the trigger. exercise turns kids a mother’s obesity has a much greater impact than a And it’s becoming more and more clear that

ow I ma g es ; S toc k b y te / Gett off. Enjoyable father’s. Moms are still primarily in charge of grocery mothers’ lifestyle habits can help save not only exercise shopping and meal preparation. And kids tend to their own lives, but also the lives of their family inspires them.

OJO I ma g es / G l emulate their moms’ eating patterns. and friends.

More than 30% of American kids 2 to 19 are overweight or obese.

Inspire your kids to get fit the fun way. WebMD.com

September 2011 | WebMD the Magazine 23 Reviewed by DID YOU KNOW? pet matters Audrey Cook, BVM&S WebMD Pet Health Expert healthy dogs and cats WebMD also provides tips and tools to keep your pet healthy!

Prep School INSIDE Taking your pet to the vet can be Visitation Rights nerve-racking. Here’s how to get ready Ken Werner, DVM, and Gene Bailey, DVM, DABVP, offer these vet Veterinarian Gene Bailey, DVM, Plaza in Apex, N.C., says records you have on hand visit do’s. DABVP, will never forget the day a Shar-Pei coming to are helpful, but “ultimately having access to com- Dogs should always his Fort Lauderdale, Fla., clinic slipped off its leash plete medical records is essential to quality of care.” be on a leash and cats because the collar was too loose. The dog darted During their lifetime, pets may be seen by mul- in carriers, “with no into the street just as the owner reached the clinic’s tiple veterinarians and at emergency and specialty exceptions. There may front door. The dog spent a day and a half on the hospitals. Such records have information about be other strange animals you’ll find: your pet’s drug allergies, who are not friendly, and they can become anesthetic sensitivities, frightened or may even • Information on pet Pets can be nervous or easily and baseline blood val- fight,” Bailey says. Be frightened by a trip to the vet. ues. Some veterinar- sure collars, harnesses, symptoms and conditions ians make them readily and leashes are secure available. Others require and comfortably snug. signed releases. Make a list of questions • Tried and tested solutions For routine visits, ahead of time. “This bring a list of food goes a long way to to pet behavior problems brands you buy for your helping you avoid getting pet and any medica- sidetracked and making tions along with details the most of the pet’s • From recalls to new about special diets, visit,” Bailey says. medications – the latest treats, and how much Ask for an estimate, food your pet gets each particularly if your pet pet health news day. “A handful doesn’t has a major health issue. mean anything to me,” “We can do so much says Ken Werner, DVM, in veterinary medicine now,” Werner says. “But • Ask a Vet: Access owner of Werner Ani- it’s not uncommon to experts in our WebMD mal Hospital in Morris need an MRI that costs run, and died of a heat stroke shortly after being Plains, N.J. “Use a measuring cup so we compare $1,800 to $2,000 or Pet Health Community found.“Unfortunately, there is not a veterinarian in apples to apples.” other procedures that can practice who has not had something like this hap- Also let your vet know about any change in outstrip what the average pen,” Bailey says. your pet’s water consumption, appetite, playfulness, person can afford.” Pets can be nervous or easily frightened by a energy level, or behaviors and if there has been Know what medications trip to the vet. Making sure your pet is properly vomiting or diarrhea. you have on hand. “If restrained is just one important step for a success- The first veterinary visit is a good time to ask your cat has an ear ful office visit. How else can you prepare? That the preferred method of contact—phone, email, infection and you still depends on whether it’s your first visit to the vet, or text message—if you have follow-up questions. have medication at home you’re back for a routine checkup, or your pet has Bailey says he prefers email for nonurgent ques- [from treating a previous a serious illness. tions because “it allows time to give a thoughtful infection], there’s no If you’re going to a veterinarian as a first-time response as well as to attach reference material.” need for me to dispense more medication, and pet owner, taking your pet to a new vet, or seeing Werner agrees, “The majority of people do not abuse it will save you money,” a specialist, it’s important to bring your pet’s health it and have bona fide questions.” Werner says. records or have them transferred ahead of time. The first visit is also an opportunity to ask how

Bailey, now owner of the Animal Hospital of Peak to reach your vet during emergencies, learn whether h oto s / G etty Ima ge PK-P

Make sure your next vet visit goes smoothly. WebMD.com

24 WebMD the Magazine | September 2011 Reviewed by pet matters sleep matters Michael Breus, PhD, ABSM WebMD SLEEP EXPERT healthy dogs and cats for the rest of the story

the office offers after-hour emergency care, and get contact information for local emergency clinics and poison control. Strike a Pose Way to go Think your pet may have a serious illness? Be pre- Which way should you pared to give an accurate description of the symp- Are you a side, back, or stomach sleeper? How you sleep? Shut-eye expert toms and how long they’ve been going on. “If peo- Steven Park, MD, offers ple don’t give me a history, I’m very handicapped position yourself is key to shut-eye success these tips. because I can talk to these cats and dogs all day and Go with the flow. they’re not going to answer me,” Werner says. Stacey Sanner, 51, a PR consultant in Is side, stomach, or back best? And can you You may have heard Again, taking notes in advance can help. Be alert Seattle and avid runner, is partial to sleeping on her switch to another position if the one you favor may that sleeping on your to things like increased thirst, changes in bowel right side. In her 20s, following a knee injury, she not be best for your health? “You’re naturally going back prevents facial habits, and increased urination. If your vet asks for switched her primary sleep position from her stom- to gravitate toward a position that you feel best wrinkles because nothing a stool sample, ask how much is needed, collect ach to her side and added a pillow between her legs. sleeping in,” says Park. You’ll also tend to choose is pushing against your a fresh specimen, and transport it in a sealed bag. “I have never been able to sleep on my back,” one based on how well you’re able to breathe. “The face, but that doesn’t mean you should change Likewise, if your dog is having a urinary issue, don’t she says. “When I started having lower back trou- smaller the airway in your throat becomes at night, your snooze. Trying to let him relieve himself when you get out of the car ble, my doctor told me, ‘One of the best things the more likely it is you’re going to sleep on your change your natural because the vet will want to get a sample. stomach,” he says. sleep position can harm You’ll also want to find out signs you should Back sleeping is the quality of your sleep, watch for that will help you determine if your pet is a no-no for snorers Dog owners spent $356 per Back sleeping is a says Park. getting better or worse. And be prepared to answer no-no for snorers and those with sleep Mattress matters. questions about your and your family’s ability and household for veterinary care in apnea; side sleeping The condition of your willingness to give recommended medications or and those who have is best because it mattress will often treatments.—Pamela Babcock 2007; cat owners spent $190. h oto s / G etty Ima ge PK-P sleep Apnea. helps keep your air- dictate your sleep ways open. Research position. If you have an suggests sleeping old, worn-out mattress 110220 on the left side can that sags in the middle, relieve heartburn sleeping on your side or symptoms, while stomach is more difficult. Taking sides. 40 40

right-side sleep- 100 100 DESTROYS ODOR SO WELL, ing makes them The majority of ® Americans are side

30 worse. Sleeping on

3% sleepers, but the jury is 30 the left side is also YO still out on which side—

T KL7127 - AH Essentials recommended dur- 70

rim: 8 3 left or right—is more 70 30 70 ing pregnancy to popular. Most people ® improve circulation stick with one position, 100

/ 100 ARMR & HAMMERR 8 x 4 7

100 ® to do is sleep on your side with a pillow between to the heart—good for mom and baby. but that can shift as 60 ESSENTIALS your knees.’” You may want to experiment with different you age, usually due to 60

100 NAATURAL CLUMPING CAT LITTER* / health issues, says Park. 100 8 Bleed: 5 Can sleep posture affect the quality of your positions, but Park advises against switching from 100 sleep and health? Absolutely, says Steven Park, your natural inclination unless there’s a health con- Also, no one stays in 30 The secret to eliminating the toughest one position all night,

30 MD, author of Sleep, Interrupted and clinical assistant dition that calls for it. litter odors on contact? Pure ARM & HAMMER® C and doing so is not at LItter Web MD - professor of otolaryngology at New York Medi- Sanner knows something’s off if she’s shifted Baking Soda plus 100% natural corn fi bers. /

70 good for circulation.

8 x 5 1 cal College in Valhalla, N.Y. Fatigue, sleep apnea, out of her favored position during the night. “I can 2009 70 headaches, heartburn, and back pain are some of tell as soon as I wake up if I’ve had a good night’s 100

/

8 Live: 7 3 the complaints that can be aggravated by improper sleep,” she says. “I feel rested, full of energy, and 100 70 30 100

B2M P r o d u c tion s / G etty Ima ge sleep posture and a bad night’s sleep, Park says. happy.”—Jennifer Soong 60

60

100

S 100 eptembert 2011 - 1 / 8 x 4 1 30 100

30 63% of Americans sleep on their side. Only 14% / 2 70 sleep on their back and 16% on their stomach. CC 70 : DE ISO 12647-7 Digital Control Strip 100 ® Find expert tips for your sleep challenge. WebMD.com / 100 70 30 S SWITCH TO ARM & HAMMERR . YOU’LL NEVER GO BACK. 2 Pa 100 *100% natural corn fi bers. Visit us at armhammerpets.com TR 60

O September 2011 | WebMD the Magazine g

60 27

Y e 100

S 100 C 100 LI A B

40 100 40 100 40 70 40 70 40 40 40 70 40 40 70 40 70 40 40 3 10 25 50 75 90 100 CA_KL7127_AH_Essent_WebMD_Sept2011.indd 1 8/3/11 4:31 PM

100 40 40 100 10 40 40 20 70 70 70 70 40 70 40 40 0 0 0 0 3.1 2.2 2.2 10.2 7.4 7.4 25 19 19 50 40 40 75 66 66 100 100 100 80 70 70 100 parenting how she To the overworked, underappreciated moms of the world: Sarah Jessica Parker gets you. No, really. It may be hard to believe that an A-list celebrity just crowned by Forbes as one of the highest-earning women in Hollywood (right next to Angelina Jolie) could have any- does thing in common with, say, a grocery store clerk in Toledo, Ohio, who goes to night school and parents three kids solo. Sarah Jessica Parker Her life is Prada and most moms’ is Payless. it But it wasn’t always that way. Growing up in a blended is a mom on a mission, family of eight kids, first in Ohio and then in the New Jersey suburbs near New York City, she saw her mom and stepfather balancing a new movie, struggle. Indeed, Parker’s first serious paychecks for her act- home life, a far-flung career, ing, when she starred in Annie on Broadway at the age of 13, helped supplement the family’s meager earnings. and her longtime UNICEF This month, Parker, 46, stars in a new film, I Don’t Know How She Does It, based on the best-seller by Allison Pearson, playing a work for kids worldwide harried mom Parker says she understands very well. The actor and producer, with multiple Golden Globe, Emmy, and Screen By Gina Shaw, WebMD Contributing Writer Actors Guild awards under her belt, is best known for her lead- ing role as Carrie Bradshaw on the HBO drama/comedy series Sex and the City and has appeared in numerous films, including Reviewed by Louise Chang, MD Footloose, L.A. Story, and Smart People. WebMD Medical Editor

28 WebMD the Magazine | September 2011 September 2011 | WebMD the Magazine 29 parenting parenting

to help care for our children and love them. But it’s nice to shut the door and know she says. (Every mother who’s ever missed that it’s just your family. There’s something a childhood milestone will relate to Parker wonderful and private about that. And I like as she walks through the streets of Boston, that the people taking care of my kids get to weeping because the nanny took her son go home to their families and have time with for his first haircut.) “Her life is different them, and tell them what a hard day they had than mine, but I related to a lot of it. I could at our house!” empathize with the conflict within her, about wanting to be well thought of profes- Her Role Model sionally but also to give her children and Juggling career and family, Parker says she husband what they need.” easily relates to Kate Reddy, the frantic, Parker says she’s enormously conscious 3-a.m.-list-making mom and finance execu- of the tough, sunup-to-sundown days tive she plays in I Don’t Know How She Does It. In experienced by so many moms—not, she fact, one of the main reasons she quit the stresses, moms like herself, with perfume daily grind of series television involved with lines and movie premieres and seven-figure Sex and the City was that it took too much time paydays, but mothers like her own. away from her kids. Parker has been a UNICEF “I try very hard not to suggest there’s a “I said yes to the part because it depicted ambassador since 1997. hardship in my life. I’m working by choice, so accurately what it is to be a mother who and I have it so much easier than most wants a life that includes work outside the women I can even imagine, who are doing home, and how complicated those decisions 4 Ways You Can Help Sarah Jessica it with very little financial support and Parker with husband Matthew Broderick and their kids, James Wilkie, 8, and Tabitha and Loretta, 2. are and the consequences of those choices,” resources, or maybe alone, without great Care for Kids Across the World options for child care,” she says. “Having come from where I did as a “The most inspiring people to me are They’re known as the deadly triad. Malnutrition. Dirty water. Infectious disease. Together, child, seeing how hard my mom worked and the ones who don’t have options and how these three plagues take the lives of thousands of children every day in the developing now seeing all the ways mothers work today How to Stop the they make their lives work. It’s the women world. “They all go hand in hand in a sort of vicious cycle,” says ­Deborah Dean, MD, to be good moms in various ways—we all we don’t hear about, working two or three MPH. “By far the biggest cause of preventable deaths in the developing world is infectious want the same things, right? Children that jobs at a time and building rich, wonderful, Mompetition disease, with diarrhea alone accounting for about 17% of preventable deaths in child- are safe and well and taken care of,” she says. healthy lives for their children with almost hood.” (Measles and malaria are two of the other leading killers.) Parker and her husband, actor Matthew Sarah Jessica Parker would like to declare a nothing—that’s the real story.” Every day, 22,000 children under 5 years old around the world die from prevent- Broderick, now have a brood of three—son cease-fire in the Mommy Wars. able causes like these. “Five thousand children die every day just due to lack of access James Wilkie is 8, and twin daughters Tabitha Breastfeeding vs. bottlefeeding? Day care to good, clean, healthy water,” says UNICEF’s Caryl Stern. And once they’re fed, clothed, Helping the World’s Kids and Loretta turned 2 in June. They have a vs. nanny vs. stay at home? Parker thinks we Parenthood also sheds new light on what has and housed, children are still vulnerable in dozens of ways. “Every child deserves a child- nanny for the twins and a babysitter who all just need to give each other a break. “It been a lifelong commitment for Parker— hood, but there are thousands of children being forced into trafficking, slavery, and soldier- picks up James from school if both parents doesn’t surprise me that there’s competition her role as an ambassador for UNICEF ing,” Stern says. But the situation is improving: Just a year ago, the daily death toll from are working, but they don’t have live-in help. among mothers, but I can never quite understand how we can compete and (unicefusa.org). preventable causes was 24,000 children. Indeed, over the last 50 years, UNICEF and its As dozens of paparazzi who constantly chase compare. My house is with my children, and your house is with yours,” she “From my earliest childhood, I always partners have cut child mortality in half through programs in almost 200 countries provid- her through New York City playgrounds can says. What can we do to bring an end to the Mommy Wars—at least on our remember going out trick-or-treating for ing children with health care, clean water, nutrition, education, protection, and emergency attest, Parker is one hands-on mom. own home fronts? UNICEF,” she recalls, noting that her mother relief. But there’s still a long way to go. She laughs when she recalls the relatively Remember that you don’t know everything that’s happening in someone had a passion for the organization that she How can you help support programs that make a difference for children? A few ideas: easy days when James Wilkie was an “only.” else’s life, and they don’t know what’s happening in yours, advises Susan taught her children to share. “Our holiday Organize a Trick-or-Treat for UNICEF event at your children’s school for Halloween. You Newman, PhD, a social psychologist and the author of several books on par- “One child? I could take him anywhere! can get kits, tips, and resources online at youth.unicefusa.org, including handbooks and greeting cards and our only family calendar enting, most recently The Case for the Only Child. “Have confidence in your When we go out alone now, he’s like, ‘Aaah, guidelines for teachers. You can also set up an online fundraising page. were from UNICEF. It’s been a part of my it’s like the old days, Mom!’” she says. (They own decisions, but just because someone else makes different choices, that life forever.” recently took just such an excursion to see doesn’t make her a bad mother.” Give an “inspired gift” (inspiredgifts.org). On your mom’s birthday, honor her by buying a A UNICEF ambassador since 1997, the premiere of the last Harry Potter film.) “Or Consider the source. If people are criticizing your parenting, they might blanket for a child. Parker’s latest effort for the international when I take one of the girls to the grocery have an ulterior motive. The mother-in-law telling you that you need to have a Support Water Aid, an organization whose sole purpose is to improve access to safe water children’s charity involves launching a new store by herself, I can’t believe I just have a second child and that “onlies” are miserable might want more grandchildren, and sanitation throughout the world (www.wateraid.org). The “shop for life” section lets initiative that she says “is trying to change single stroller and no one to chase. But then, but she won’t be the one up at 3 a.m. with a colicky infant. you earmark your donation for useful items ranging from faucets to a composting toilet. the course of the AIDS epidemic that has Find your mom squad. Surround yourself with like-minded moms. You I’ll hear, ‘Where’s Tata? I want to see Tata!’ Help other moms keep their families alive and healthy with CARE, a humanitarian group ravaged developing countries.” At the 10th don’t need a chorus of cheerleaders, but it can be an enormous relief to have “People seem to be very surprised that fighting global poverty that focuses on women, believing they have the power to help whole anniversary conference of the Global Busi-

at least one nonjudgmental “mom friend” who’ll give you a hug and tell you n / G ett y Im age s ; Ma rc e l Th o m a F i lm Magi c Arn a ld o Mag n i/ G ett y Im age s ; Ste ph e Loveki n a d o r /Co rb i s O ut l e. Fr m to p eft: age: Ruve n A fa we don’t want a life with that much outside communities reach self-sufficiency. Its website lets you drag and drop gifts into a personal- ness Coalition on HIV/AIDS, Tuberculosis,

you’re doing fine.—GS te sy of U N I C EF help,” Parker says. “We love that we have ized “CARE package” (www.carepackage.org).—GS and Malaria in June, Parker introduced the Cou r amazing people in our lives who are willing pr eviou s p project—the HIV/AIDS Innovation Fund—

30 WebMD the Magazine | September 2011 September 2011 | WebMD the Magazine 31 parenting to key business leaders involved in promot- Parker stars as a working ing global health. mom in the fast lane in The idea is to bring together top HIV the rom-com I Don’t experts with business and philanthropic Know How She Does It. leaders to provide the seed money needed to identify interventions that cost relatively It works at night, little but have the potential to save many lives—and get those initiatives moving so I can play all day. quickly and flexibly. In 2007, Parker served as the national spokesperson for the launch of the UNICEF Tap Project. During World Water Week in March, restaurants around the country ask patrons to donate $1 or more for their usually free glasses of tap water. “Every bit of that money goes to UNICEF for their clean water program in developing countries,” Parker explains. (The initiative has raised almost $2.5 million so far.) The importance of that commitment—or the size of the challenge—can’t be overstated,

young actresses today. And despite a few Her life is different than mine, setbacks, she’s always managed to reinvent herself as an actor and businesswoman, and but I related to a lot of it. find new and successful roles. “A lot of that is just good fortune. I I could empathize with the conflict within couldn’t suggest otherwise,” she says. “But I’ve tried to be thoughtful and careful about the her, about wanting to be well thought of choices I make. I really believe in a strong work ethic, and people know that when I commit to professionally but also to give her something, I am not interested in having one foot in and one foot out the door.” children and husband what they need. It may sound a bit old-fashioned—espe- cially coming from the woman who embod- ied the glamorous Carrie Bradshaw—but says Deborah Dean, MD, MPH, executive direc- Parker says she struggles with how to Parker worries that such a work ethic is tor of the Children’s Global Health Initiative explain these things to her own, very privi- becoming a thing of the past. at the Children’s Hospital Oakland Research leged children—to instill in them the same “There’s such an interest these days in Institute in California. “Every year, around the values her mother taught her. “I definitely how to become famous or wealthy quickly. Find the FUTURO™ Support that’s right for you. world, 10 million children don’t make it to talk to James Wilkie about it as much as he But you have to work hard, you have to, no FUTURO Night Series Supports are designed for enhanced stability their fifth birthday,” she says. “And more than can handle without starting to roll his eyes,” matter what you do,” she says. “I wish I could and comfort. Developed in collaboration with medical professionals 3 million of those don’t even survive their first she says. “It’s harder to convey to the girls tell younger people today, ‘You will love the and backed by 50 years of 3M health care experience, the wrist two or three weeks of life. That’s astounding.” right now, at just 2. It’s a fine line. You want memories of how hard you worked, and Parker clearly understands the scope of to help a child understand these things in a of pounding the pavement and going from support helps relieve symptoms of Carpal Tunnel Syndrome, the problem, which is what has made her way that doesn’t overwhelm them.” audition to audition, and going to a pay while the foot support is ideal for Plantar Fasciitis. involvement so valuable, says Caryl Stern, For someone who’s jetting off to China phone and digging deep in your pockets for president and CEO of the U.S. Fund for UNI- the next day as the special guest of a figure- a freakin’ quarter to call your messages to see a ny CEF. “She’s made a true commitment, not skating spectacular (James Wilkie’s going what the response was.’ just to her own children but to the world’s along) and who’s been a household name “I talk with my friends who are actors children. As a mom, she’s instilling in her for pretty much her entire adult life, Parker about that part of our past, and we wouldn’t WATCH THE VIDEO NOW own children what it means to give back, and seems remarkably grounded. Despite her want it any other way. It’s the same way no Scan the tag to learn more about this product. calling on other moms to do the same. And early fame, she never blundered through the matter what you do in life. Don’t overlook a n ke nh o rn / Th e Wei ns tei Co mp she has the integrity that she only says what drugs-and-rehab, sex-and-scandal revolving the process when you’re making career Visit futuro.com/coupon and save $3.00. she really believes.” door that seems to be de rigueur for many decisions.” C r aig B l

Get the free app Trade tips with other moms in the parenting communities. WebMD.com for your phone at http://gettag.mobi/ 32 WebMD the Magazine | September 2011 © 3M 2011. 3M, FUTURO and LIVE MORE are trademarks of 3M. nutrition

NEW!

presents

f dAce back- to-school Video Series with healthy lunchbox tips from White Quick and easy House chef smarts Sam Kass tips to manage By Erin O’Donnell, WebMD Contributing Writer your health. Back-to-school time is all about fresh starts: new notebooks, bright-white kicks, and Each series features: high hopes for the year ahead. It’s also the per- • Tips and hints from experts. fect time for new habits, like healthier meals • Printable step-by-step guides. for everyone in the family, especially your • Videos that can be accessible kids. The benefits are well-known: Research shows that children who eat well perform bet- on the go. ter in school than kids with poor diets. But how do you make healthy eating a habit

in your household? During the school year, o w Im a g es it’s hard enough for busy families to find the time and energy to prepare any meal, let alone a nutritious one. And so many kids are picky, preferring French fries over fresh vegetables and hot dogs instead of hummus.

Reviewed by Kathleen Zelman, MPH, RD, LD

WebMD Director of Nutrition Ric k Le w /Getty Im a g es; Ja m ie G r i ll F oo d co ectio n /G l

34 WebMD the Magazine | September 2011 Now Available on Mobile nutrition

White House assistant chef Sam Kass is working with first lady Michelle Obama to help teach kids about healthy eating.

We turned to the White House’s assistant chef and senior policy advisor for healthy food initiatives, Sam Kass, who is passionate about teaching kids and their families to enjoy simple, healthy food. Kass helps us kick off the school year by suggesting fun, wholesome lunches to tuck in your child’s backpack (see our week’s worth of choices on the next page) and sharing what he’s learned about inspiring Americans to make good food choices. Kass, 31, is helping first ladyM ichelle Obama plant the first major vegetable garden at the White House since Eleanor Roos- evelt’s victory garden during World War II, and children were in on the project from the start. Now, kids from local schools visit several times a year to plant veggies, pull weeds, and harvest the bounty—and this process has convinced Kass that kids really can learn to love good food. Kass recalls a group of students dropped by recently to pick and Give Kids a choice in their prepare vegetables. When the kids sat down to snack on platters of raw veggies, he noticed one student had heaped most of the school lunches, says Kass. cauliflower onto her plate, and was chowing down with gusto. Chuckling, he says he actually had to ask her to put some cauliflower “Kids like to feel they have r fi l e y n eaux/Maste back so there’d be enough to share. “She had never seen or tasted the authority to make some it before,” Kass says, “but she was excited about it because she had participated in planting and harvesting it, and so her mind was decisions for themselves.” more open to trying it. “I see this constantly,” Kass says: Kids are most excited about : Bo b Nic h o l s; Jaso n Mo to p nutritious meals if they play a role in getting food to the table.

September 2011 | WebMD the Magazine 37 nutritiontk

“I see this constantly,” Kass says: Kids are most excited Lunchbox about nutritious meals if they play a role in getting Makeover food to the table. Kass’ top 5 healthy school meal ideas White House assistant chef Sam Kass created this lineup of nutritious lunches to send to school with your kids. Each is a mix of flavors, textures, and nutrients, and a few even include cookies! (Just make sure they are a healthy choice with whole grains, if possible, minimal sugar, and no trans fats.) These lunches also need a beverage—your child can get a carton of low-fat milk at school to pair with each weekday meal.

Monday  Turkey wrap made with lettuce and a slice of cheddar cheese on a whole-wheat tortilla, baby carrots, grapes, and two small oatmeal cookies

Tuesday  Whole-wheat pasta tossed with pesto and chopped cooked spinach, applesauce, and two whole-grain crackers

Wednesday  Sliced chicken on whole-wheat bread spread with hummus, small low-sugar yogurt, baby carrots, and two fig bars Chef Sam Kass and first lady Michelle Obama with kids Thursday  Tiny “sandwiches” made with a dollop of in the White House garden. tuna salad between two cucumber slices (kids can assem- ble them at lunch), a quartered orange, two celery sticks Of course, it also helps their appeal if healthy foods taste deli- filled with peanut butter, and two whole-grain crackers cious, especially at school. To that end, Kass has helped establish Friday Cheese quesadilla made with a whole-wheat programs to make cafeteria food taste better. One initiative,  or veggie tortilla, diced tomatoes, red pepper or your child’s launched through the Let’s Move program (letsmove.gov) devel- oped by Michelle Obama, pairs professional chefs across the favorite vegetable, an apple, a banana, and two small nation with their local schools. The pro cooks use their knowl- chocolate chip cookies edge about making food look and taste good to help cafeteria staff plan healthy meals kids are likely to enjoy. For example, Kass says, one chef recently worked with a school to whip up kid-friendly dressings to serve on salads. Some chefs are also helping their schools plant gardens similar to the one at the White House, so students can have a hand in growing the tender lettuces, cool cucumbers, and crisp carrots to add to those salads. Even more kids will eat salads at school this year, thanks to another program that brings salad bars to school cafeterias across the country. Kass believes salad bars are popular with Zouev/ S toc k foo d a n ya students because they give them a choice. “They can decide which fruits and vegetables they want, and which they don’t,” Kass says. “Kids like to feel they have the

authority to make some decisions for themselves.” Bo b Nic h o l s; T f r o m l eft:

Whip up kid-friendly dinners with healthy recipes. WebMD.com 38 WebMD the Magazine | September 2011 MDA_108 MuscCampaign_Nancy_HPV-3_75x10_75.indd 1 www.mda.org 1.800.572.1717 hope. Be thenexttoflex,joininfight. diseases MDAbattles.Together,wecanprovidehelpand Mom wasstruckbyALS,oneofthedevastating my when MDA puttheiramazingstrengthbehindmyfamily Put yourmuscleandstrengthbehindMDA. Difference a Make Muscle a Make MDA MuscleTeam Proud member NANCY O’DELL 4/16/10 2:29:44 PM

by eatinghealthydiets,Kass says. ceed, “thosepeoplereallytake goodcareofthemselves” or moviestarstheyadmire, and pointoutthattosuc- F Here areafewofKass’toptips. meal planningandpreparation. idea, hesays,istoactivelyengagetheminanystageof about gettingkidsinterestedinnutritiousfare.Themain White HousechefSamKass haslearnedathingortwo Y N T Heroic effort. chop andstiringredientswhileyoumakemeals. Chop, chop.Kassrecommendsyouinviteyourchildto it tasteevenbetter. ing whereanappleorearofcorncomesfromcanmake where foodisgrownandmaybemeetthegrower. Know- F that includesherbssheharvests. can helpfeedthefamily. Besuretocomplimentanydish dowsill herbgarden, Kasssuggests.It’sasimplewayshe Seed forchange.Helpyourchildplantandtendawin- chosen themselves. in familymeals.Kidsaremorelikelytoeatfoodsthey’ve your childtoselectherthreefavoriteveggiesinclude arm stand.Visitafarmororchardwithyourchildtosee reedom ofchoice. o u really O can K alk withkidsaboutprofessional athletes getchildrentoeathealthy uring your next grocery run, ask During yournextgrocery I D D I N G

Louise Lister/StockFood

Ted Morrison endorse any specific product, service, ortreatment. service, endorse anyspecificproduct, nottheopinionsofWebMD.and are WebMD doesnot oftheexperts onthispageare The opinionsexpressed Smart S 10 gramsprotein.—Monica Kass Rogers tein &FiberBar, 5 gramsfiberand tastesasgood asacookiebut packs which candy bars. Zelmanalsolikes KashiGoLean’s Oatmeal RaisinCookiehewy Pro- as candy but loadedwith 7gramsprotein plusfiber you won’t findinmost have kidappeal, asKindPlusPeanut such ButterDarkChocolate +Protein,tasty the topingredient. Lookfor barswiththehighest fiberandprotein inflavors that run. Butsomeare fat andsugarbombs. Readnutritionlabels toensure sugar isn’t Fruit, nut, grain, barspromise andcereal ready-wrapped snack nutritiononthe Best Bars syrup.trans fats corn orhigh-fructose oats, theseupdated minisoffer animal-cracker whole-graingoodnesswithout also likes Barbara’s Bakery Wheat Free Oatmeal Snackimals. Madefrom whole Cookies (130calories, 1gramprotein, and6gramsfat, but notransfats). She Zelmansayschocolate? kids canenjoy two toNature Back Chocolate Chunk controlJust practiceportion tokeep numbers reasonable. Doyour kidslove There’s noreason toleave cookies ‘n’ milkoutoftheafter-schoolroster. snack Chocolate andTigersBears,OhMy! Athenos orCedar’s for theirultra-smoothcreaminess and flavor. with protein andfiberthat will keep kidsfulluntildinner,”says. Zelman orpitachips.tortilla Hummus is “super nutritious, naturally fat-free, andloaded Kids love dipping. Serveuphummus withveggies ofbaked orasmallportion Dippity Do tasty, too. and Whole Foods 365Everyday Value Four Cheese, bothlow insaturated fats and likes asMadeinNatureZelman frozen pizzassuch Organic equal. Cheese pizzaisakid-crowd pleaser, versions but notallsnack are created Pizza Face snacking.school MPH, RD, LD, WebMD’s director ofnutrition, whooffers thesetipsfor after- and vegetables, wholegrains, andleanorlow-fat protein, says Kathleen Zelman, overfull andoversugared. they finishtheday. You want themenergized and refueled untildinner, not kidsgrabMaking sure thesnack isahealthy one can make adifference inhow he best snacks to help kids perk up are fresh fruits tohelpkidsperkupare freshThe bestsnacks fruits n a c heese Three-Cheese k S he likes likes he s Sto healthy treats healthy for after schoo after for ckup on September | 2011 WebMD theMagazine l 41 diet allergies Did you know? Did you know? About 25% of adults in Western countries get heartburn at least once a month. Between About 5% and 15% 10 million of adults Americans are have severe Rate your heartburn IQ Is it a cold or allergies? allergic to heartburn. cat dander.

While lots of people get heartburn, most don’t After coming home from work one day, An_190955 understand what it is or the damage it can cause. “I developed a drippy nose, congestion, and popping woke up with strong pain in my lower esophagus,” ears. “What’s going on?” this member of the allergies thact writes on the WebMD common digestive community asked the other members. “Is this disorders community. “I’m sure it’s heartburn. I was allergies? I just got over a cold recently as well.” wondering how long does it usually take to heal the uestions Sometimes, it’s hard to tell the difference between a uestions esophagus?” Want to learn more? Take our quiz. Q for your doctor cold and allergies, but this chart can help. Q for your doctor ●1 I caused my heartburn by eating the wrong foods. What diet or lifestyle changes can I make to Colds Allergies Can a test tell me which plant (or mold) is causing  True  False 1reduce heartburn? Occurrence of Often appear one Occur all at once 1my allergies? symptoms at a time: first sneezing, then a ●2 I can cure heartburn by eating only bland foods. Do I need over-the-counter or prescription Can my allergies be cured? Can they be managed ­medication? runny nose, then so that I am practically symptom-free?  True  False 2 congestion 2 Should I take any tests to check for complications Duration of Generally last from Continue as long as a Are there prescription or over-the-counter ●3 I can take as many antacids as I need to treat it. symptoms seven to 10 days person is exposed to the from heartburn or GERD? allergy-causing agent medications I can take?  True  False 3 3 (allergen) If other treatments fail, is there a surgical Often a yellowish Generally a clear, thin, Are there lifestyle changes I can make to relieve ●4 Heartburn never turns into a serious health problem. Mucus 4procedure that can help? nasal ­discharge, watery discharge 4my symptoms?  True  False due to an infection Sneezing Less common than More common than with with allergies colds, especially when HEALTHY EATING sneezing occurs two or allergies three times in a row Answers: All are false. Heartburn develops when a muscular valve called newsletter newsletter the lower esophageal sphincter functions improperly, allowing stomach Time of year More common More common in spring acid to flow back into the esophagus. This causes a burning-pain sensa- Sign up for the latest news during the winter or fall, when plants are Sign up for the latest news tion. Fatty foods, onions, garlic, chocolate, peppermint, citrus fruits, and and lifestyle management pollinating and lifestyle management tomatoes can worsen heartburn, but food isn’t the root cause—nor will tips—delivered directly to Fever May be Not usually associated tips—delivered directly to a bland diet ease all symptoms. Talk to your doctor about treatments: accompanied with a fever lifestyle changes, diet, over-the-counter and prescription medicines, and, your email inbox! Go to your email inbox! Go to by a fever rarely, surgery. Antacids, a common treatment for heartburn, shouldn’t be WebMD.com and search WebMD.com and search taken indiscriminately and can interact with certain prescription drugs. Chronic heartburn may signal gastroesophageal reflux disease (GERD), for “newsletters.” for “newsletters.” a condition that can damage the esophagus and lead to serious problems, including ulcers and esophageal cancer.

Source: National Institutes of Health, the National Heartburn Alliance, and the heartburn SEARCHRCH Source: American Academy of Allergy, Asthma, and Immunology; Asthma Foundation allergies SEARCHRCH Heartburn Health Center of America; National Institutes of Health; and Allergies Health Center

42 WebMD the Magazine | September 2011 September 2011 | WebMD the Magazine 43 WebMD checkup 10 questions about your life and well-being Healthy CFL - Air purifier and light bulb all in one: Under $10 Seth Rogen ACtor/producer

WebMD has a cameo in the film! Did Will Reiser really check out his symptoms—and odds for survival, from which the film gets its name—on WebMD.com? Will is definitely the type to search online, looking up all sorts HEPA Air Filter: of potential problems. $500-$1,000 Is there a history of cancer in your own family? And do you take any specific health precautions? Not a huge history. Some. I try to eat healthy. And I ingest as few horrible chemicals as possible. And I wear sunscreen!

Your fiancée, Lauren Miller, makes a brief appearance in50/50 , and you were interviewed together on Larry King’s special, Unthinkable: The Alzheimer’s Epidemic. [Miller’s mother currently has the disease.] What do we need to know about this degenerative condition? I think a lot of young people don’t realize Alzheimer’s is some- thing that affects not just our grandparents’ generation [but also] our parents’ generation, and eventually our generation. Now that I’ve seen [Alzheimer’s] firsthand, I think it’s some- thing that can use support. Do you have a hero from the worlds of acting, comedy, or They both purify the air otherwise? I wouldn’t be able to narrow it down to one person. Too hard— Your new film,50/50 , draws from your good friend and I have many heroes. But who’s inspired me? Trey Parker and Matt Which one would you rather invest in? screenwriter Will Reiser’s real-life fight with a rare spinal cancer. Stone consistently do incredibly funny stuff. If there’s anyone I As both producer and co-star, you call it a “passion project.” get jealous of, it’s them. What sets this film apart from your previous work? [Will and I] took the attitude that we had to make something When you were shooting The Green Hornet, you reportedly Make your home air clean & allergy free. Our energy-saving CFLs and LEDs are actually an air positive out of this, something we were proud of. It’s not the dropped 30 pounds for the role. Was it difficult to do, and have purifier and light bulb all in one! Designed with built-in ionizers, they generate healthy negative ions to remove type of movie, when you hear it described, that sounds like the you maintained the weight loss? best idea ever! Let’s say I’ve found a happy middle ground. OK, I’m not eating dust, mold spores, pollen, pet dander and even tobacco smoke from the air — all triggers for indoor allergies. as well as I used to. Now you’re making me feel bad. I feel like Plus, you’ll experience the refreshing and energizing benefits of negative ions essential for high energy and The film has many, many laugh-out-loud moments. How do you I’m talking to my grandmother! make fighting cancer funny without crossing the line? positive mood* — all while using 75% less energy and lasting up to 10,000 hours. And for your convenience, all We never wanted to be funny for the sake of being funny. It had What’s your relationship with exercise now? our CFLs and LEDs work in any home with standard light sockets and fixtures. to be consistent with the story and the characters. When your I use an elliptical machine because I hate running. I hate exercis- perspective is that of a comedy writer, you naturally see funny ing. So I have to do it in ways that I’m tricking myself that I’m things in any situation, and it was about showing those funny not doing it. Anything I can do in front of a television or while things even though it was such a terrible time. playing a video game automatically works better for me. Enter to Win a Free

This movie also earns itself a five-hankie rating. Are you a closet If you were stuck in a hospital bed for six months and you could Lighting Makeover fan of “weepies”? choose anyone from the past or present for a roommate, who Valued at $500 I like a movie that’s both very funny and has a lot of emotional would it be, and why? resonance to it. There aren’t a lot of movies that make you laugh Anyone? Groucho Marx. He’d be funny and interesting to talk Visit purelyproducts.com to enter and save 10% off your online

really hard and make you cry. to, a forefather of modern comedy.—Lauren Paige Kennedy i on Sam Jone s /CPI Synd ic at See the demo on order! Enter code WEBMD at checkout. Offer expires October 15, 2011. how it cleans the air in seconds! purelyproducts.com * These statements have not been reviewed by the FDA and this product 44 WebMD the Magazine | September 2011 is not intended to diagnose, cure, mitigate or prevent any disease. Available at:

Purely_Compare_Ad.indd 1 8/1/11 2:12 PM Your newborn and infant care WAITING ROOM COMPANION Get the Latest Health

Information webmd.com September 2011 from Sent Right to Your Inbox

Receive important news and expert views on 50 News topics including Women’s feed and Men’s Health, Skin & Decoding Beauty, Parenting, Weight your baby’s Loss, Pet Health, and 30 hunger signals health conditions. 49 Good night? 4 sleep myths debunked 52 Always free and your privacy protected. Role Model Laila Ali has many titles, but mom is the greatest of them all 50 ADVERTISEMENT 10:32 p.m. A family is born. ask the experts Your questions answered Dr. Robert Sears 10:41 p.m. A future is protected. One of America’s leading pediatricians answers a question on every expectant parent’s mind. Safe Keeping How to make sure baby stays out of harm’s way Ask

w Images t u ra R F /Glo Q How should I babyproof my nursery? Dr. Sears  A  To start, be sure that your crib’s bars are no more than 2 3/8 Should I bank my inches apart (so your baby doesn’t get caught between them) and Did you that your crib does not have a drop-side rail (so your baby doesn’t

w Images ; Cul : R ad iu s /Glo know? baby’s cord blood? get trapped between the crib rail and the mattress). Keep pillows, blankets, and loose stuffed animals out of the crib until your baby I strongly recommend cord blood is at least 6 months old as they can suffocate her (you can keep her NAP TO IT banking to my patients. One of the warm with thick pajamas when she’s sleeping). Be sure the mattress Letting your baby most compelling reasons to save ion; l e f t yer /CPi S y n d i cat fits snugly against the crib sides. And although they’re adorable, it’s skip naps not cord blood stem cells is that new best to forego crib bumpers. Young babies can suffocate in them, and only will make : Ali s on D older babies step on them to climb out of their cribs. him (and you) research is investigating the use of Your changing table should have four raised sides and a strap to

cord blood to treat conditions like on the c ov er hold baby in. Keep all your supplies within arm’s reach. That way, miserable during brain injury and juvenile diabetes. you won’t have to the day, but also Today, cord blood is used to treat turn away from the will worsen his Q  Once my baby is born, how will changing table, even I know how much food to give her? sleep at night. many serious diseases, including for a second. leukemia and blood disorders. “In their first two Once your baby A  Babies are very good at expressing their As new treatments develop, having gets mobile—by months, babies needs. You just have to learn the signs. cord blood on hand may be invaluable. scooting, rolling, or often don’t Let’s start with hunger. These days, most crawling—be sure have a sleep parents feed their babies on demand, meaning Using your own family’s cord blood the entire room is when they’re hungry. How will you know? has been shown to improve medical babyproofed. Elec- pattern down Newborns signal hunger several ways, includ- outcomes compared to using stem cells SAVING YOUR BABY’S trical outlets need yet,” says Carole ing opening and closing their mouths, sucking from someone outside your family. childproof cov- Kline, MS, RN, on their hands, “rooting” or rubbing their ers, sharp furniture CPNP. “That’s heads against mom’s chest, and crying. If your I am glad we decided to save cord corners should be baby tends to sleep a lot, wake her every two blood for our son, and I feel confi dent CORD BLOOD perfectly normal. MAY BE padded, and cur- hours to make sure she eats. recommending the bank I chose, LIFESAVING tain cords need to Eventually, Your baby’s signals that she’s had enough Cord Blood Registry® (CBR®). be shortened or though, to eat will also be clear. She may turn her head FOR YOUR FAMILY tied around special their sleep away from the breast or bottle, fall asleep, or Parents have only one chance brackets so your start crying if you keep trying to make her with each child to bank his or her consolidates Your baby’s umbilical cord blood is a valuable health resource that may protect your baby can’t strangle eat. Also, if you are nursing, your breasts will cord blood stem cells—at birth. The family in the future, but can only be saved once—at birth. in them. And to keep toward all-night feel softer after she nurses because she’s emp- importance of banking is clear, but the your little one from sleeping.” tying them as she eats. Cord blood stem cells can treat life-threatening diseases, such as leukemia. They are pulling furniture Most babies lose a little weight (up to 10%) fi nancial commitment may deter some also being studied as treatment for life-altering conditions, including brain injury. over on himself as in the first week but gain about 5 to 10 ounces families. Thankfully, various payment he learns to climb, per week through the first month. A baby get- Help protect your loved ones by saving your baby’s cord blood with CBR—the most options allow families to create a anchor all heavy ting enough to eat should have seven or eight experienced family bank and preferred choice of Ob/Gyns. plan that fi ts their budget. I believe pieces to the wall. wet diapers and one or more stools per day. cord blood banking is well worth the investment in your family’s future. Call CBR today for a free information kit Sara DuMond, MD Hansa Bhargava, MD WebMD BABY CARE EXPERT WebMD BABY CARE EXPERT 1-888-770-2271 cordblood.com

Pediatrician Robert Sears, MD, FAAP, Ultimate use of newborn stem cells will be determined by the treating physician who will consider if they are applicable for the condition and Ask the experts all your newborn-care questions. should come from the patient or a suitable donor (like an HLA-matched sibling). There is no guarantee that treatments being studied in the WebMD.com is a noted author, CBR medical consultant, laboratory or in clinical trials will be available in the future. Source for Ob/Gyn claim: Blind survey, GfK Market Measures, 04/07, funded by CBR. and the father of three boys. © 2011 Cbr Systems, Inc. All rights reserved. • 0911 • MA02099.01 September 2011 | WebMDBaby 49

P18217_1a_WebMD_1011.indd P18217x1A_300ucr.tif 08.10.11 P18217x2A_300ucr.tif 133 L/S HP Bleed: 8.625 x 11.125 Trim: 8.375 x 10.875 Live: 7.625 x 10.5 Reviewed by baby care Louise Chang, MD WebMD MEDICAL EDITOR

At 33, Laila Ali has already earned enough titles to fill 10 celebrity résumés: world champion athlete, founder of her own skin and Kroger’s health and wellness initiative, and hair care product line, Dancing With the Stars finalist, the DoSomething.org Healthy Schools Chal- lenge to fight childhood obesity. TV host, author, singer, health and fitness advo- At home, she models the same healthy habits for her kids. cate, philanthropist. But the title she “The main thing I’m prizes most these days? Mom. going to do is lead by example,” she “Being a mom is the role that gives me pregnancy. She’s says. That means lim- the most satisfaction and happiness, and it decided to share iting sugar, salt, and completes my life,” she says as her daughter, her progress in a processed foods and Sydney, born in April, coos in the back- regular people. stocking her fridge ground. “It’s also one of the toughest jobs, com video blog, with plenty of fresh but I wouldn’t have it any other way.” and with Get Fit vegetables. Keeping a Ali has never shied away from tough Challenge posts healthy kitchen isn’t situations. At just 21, she followed her on her website easy with a toddler father, legendary boxer Muhammad Ali, (lailaali.com) so at home, especially a into the ring, forging her own path to other new moms can follow her personal picky eater like Curtis Jr. “He wants to eat sports stardom. diet and exercise plan. “I thought I could macaroni and cheese, rice, or pasta,” Ali says. Ali also follows her father’s lead when motivate and help a lot of people that way,” She’s had to get creative, puréeing vegetables it comes to parenting, but in her own she says of her decision to lose weight in into his spaghetti sauce and juicing carrots way. “My dad has always been very loving such a public forum. into his milk to keep his diet nutritious. Laila Ali has many and nurturing,” she recalls fondly. “I took Although she’s a world-class athlete, Ali that from him, and I’m going to be the wants other new moms to know that even Fighting to Stay Balanced titles, but the same with my kids—except I’m more of a she’s not immune to the challenges of stay- Juggling two kids and a career that’s always disciplinarian.” ing fit with a new baby at home. “I don’t feel spinning in many different directions isn’t greatest of them She has a better perspective on parent- like working out, either. I’m tired. But it’s a easy. Ali keeps a balance in her life by mak- ing now that it’s her second time around. priority and it’s important, so I get it done.” ing sure to carve out a little time for herself Sydney joins older brother, Curtis Jr. (C.J.), Like everyone else, she falls prey to each day. “When Sydney goes to sleep and all is mom 3, who is named after his dad, Ali’s husband junk food cravings—which aren’t made any C.J. goes to sleep, then I have my moment. It and former NFL star, Curtis Conway. easier when her husband brings home cake could just be checking my emails or calling from one of her favorite bakeries. “I’m like, a girlfriend,” she says. Caring for her two Priority Shift ‘Must you bring all that home?’” she says, children has made Ali realize just how pre- During these early months of Sydney’s life, laughing. “I’m on the treadmill working out cious that “me” time is. Role Ali is taking a step back from the spotlight and he’s eating that.” Being a mother has changed her in other to focus on her baby. She’s a full-time mom. ways, too. “Motherhood has made me a lot “The first five months, it’s really important Healthy Habits at Home more patient,” she says. “And I think it’s for me to be there all the time, especially Cravings aside, healthy eating is a priority made me look at things differently. because I’m nursing,” she says. for Ali—and her family. In the public arena, “I don’t sweat the small stuff anymore. While caring for her kids, Ali still has a she has lent her voice to promote a number Certain things don’t really matter. What’s full to-do list, and near the top of it is her of health and wellness causes. She’s teamed most important to me is my children—and ModelBy Stephanie Watson, WebMD Contributing Writer n er /CP i Syn dicatio P hotos b y A liso n Dy goal to lose the 25 pounds left from her up with the Women’s Sports Foundation, their health.”

Trying to balance it all? Get tips from other new moms. WebMD.com

September 2011 | WebMDBaby 51 Reviewed by baby care Sara DuMond, MD WebMD Baby Care Expert

Why Back Is Best over time. That means parents other babies, What’s the safest sleep position for should try to catch some rest according to your baby? From birth to age 1, a during the same odd hours Adesman. healthy baby should be put to sleep around the clock that their new- But more on her back, not her tummy or side. borns are sleeping. “Once babies important, giv- That’s a major change from almost get beyond the newborn period, ing rice cereal to two decades ago, when parents were they start to develop a sense of day and a baby younger than instructed to place babies on their night cycles,” Adesman says. 4 months might not be stomachs so they wouldn’t choke on safe. If the baby’s gastrointestinal system spit-up or vomit. Babies should be isn’t mature enough to digest it, the cereal It’s not a good idea to put a baby Lullaby sleeping through the can cause discomfort or even lead to food on her side, either, because she can night by 3 months. allergies. “It’s better to stick with a plain 2 roll onto her belly. Stomach sleeping & Good Night? If your baby isn’t sleeping for a full old bottle at bedtime and let your baby fell out of favor after doctors realized night by age 3 months, is some- wake up from hunger, not from a tummy a link between the position and sud- thing wrong? No, nothing’s ache,” Adesman says. den infant death syndrome (SIDS). amiss. By 3 months, many 4 myths about Since 1992, when the American babies are sleeping five or It’s important to Academy of Pediatrics began recom- six hours at a stretch— respond immediately mending back sleeping, the rate of babies and much better than the one- to your baby 4 SIDS has fallen dramatically— to three-hour snippets that throughout the by more than 50%. sleep that leave parents bleary-eyed. night—why else But most babies aren’t logging would you every parent seven or eight hours at this point. have a baby “Sleeping through the night is not the monitor? up in the middle of the needs to know adult version,” Adesman says. And if baby There’s no one right night,” Adesman says. doesn’t reach the five- to six-hour range way to put a baby to If a baby cries, but by 3 months, that’s fine, too. Some babies sleep, Adesman says. her diaper is clean, she WebMD Contributing Writer By Katherine Kam, don’t sleep through the night until 4 But some parents are hasn’t spit up, and she months, he says. so anxious about their is in no obvious discom- baby’s well-being or so fort, parents can feel reas- It’s a rite of passage that every parent anticipates: Your new baby is finally Adding rice cereal to eager to help their baby sured she’s OK and then leave It’s never too early to a bedtime bottle helps sleep through the night that they the room. “If a child is presumably sleeping through the night. You’re not the only one harboring this dream. put your baby on a 3your baby sleep longer. overdo the nocturnal attention. “With clean, top and bottom, that child should Sympathetic friends, family, neighbors, and even your pediatrician are lin- 1sleep schedule. At some point, you might hear baby monitors, parents can hear learn to fall back asleep on its own,” ing up to share time-honored guidance on how to get your infant snooz- Not so. If parents are smart, they’ll give up advice to slip a bit of rice every whimper,” Adesman Adesman says. ing peacefully by that magical three-month mark. illusions of control and take their baby’s cereal into the last bottle says. “But there’s no need “What parents shouldn’t be doing is Just one problem: Much of that advice is misleading, erratic sleep schedule in stride during before bedtime. That to respond in a flash to to try to cuddle and nurse the child back says Andrew Adesman, MD, chief of developmental the newborn period, the first month way, your baby suppos- light arousals. to sleep,” he says. Nor should they bottle- after birth. edly will sleep better “One of the big- feed in hopes of transferring their baby to and behavioral pediatrics at the Steven and Alexandra “When we’re talking about because he won’t be gest sources of sleep the crib after she falls back asleep. “Parents Cohen Children’s Medical Center of New York in influencing the sleep of a hungry. problems in infancy is in essence are creating a Frankenstein,” New Hyde Park and author of the book BabyFacts: newborn, that’s pretty much Even some pediatri- well-intentioned parents he says. The Truth About Your Child’s Health From Newborn Through impossible,” Adesman says. cians subscribe to this being overly attentive to Rocking a baby to sleep every night Preschool. “Parents take pride in hopefully trying to “For the first few weeks of life, “rice cereal myth,” Ades- any fuss or noise that a also deprives the infant of learning how get their children to sleep early,” he says. But even newborns are going to be on man says. But while this baby may make,” he says. to fall asleep on her own, Adesman says. their own schedule, and we have practice may sound logical, Once they reach 4 months “If you set up a routine so that your well-intentioned moms and dads can create sleep to respond to it.” there’s no evidence it works. Research of age or older, “babies really need baby never falls asleep without you, problems inadvertently. Take a look at these myths Babies don’t enter the world shows that babies who eat rice cereal to learn the technique of self-calming or you’ll have a long, sleep-deprived haul Do r l i n g K d e rs ley/Getty I m a s ; A lexan dr G b le wski /Getty about baby slumber. with a circadian rhythm. It develops w I m a g e s I m a g e s ; W i ll M c Kella r /Getty I m a g e s ; Sou rc e/Glo Geo rg e Doyle/Getty fr o m top: before bedtime don’t sleep longer than self-soothing when it comes to waking ahead.”

Got another myth that needs debunking? Ask our experts. WebMD.com

52 WebMDBaby | September 2011 September 2011 | WebMDBaby 53 WebMD and Sanford Health proudly announce ®

Health Smarts for college students

The destination that helps you and your family achieve the fit lifestyle Beat the including: p.66 Freshman • FOOD: Nutritional Fitness • MOVE: Physical Fitness • MOOD: Emotional Fitness Q&A • RECHARGE: Behavioral Fitness Seth Learning and living a healthy lifestyle is a family affair. fit is designed with that in mind with worksheets, videos, and games customized for different ages. There’s rogenHis best & Worst also a section just for parents. health habits p.69 Kids are complicated. Getting your family healthy doesn’t have to be. Stress BUsters ways to chill Miranda p.60 cosgrove iCarly preps for college p.62

Fall 2011 WebMD.com Bleed: 8.625” Trim: 8.375” Type Safety: 7.625”

contents ®

Fall 2011 webmd.com

departments

features WIN

58 Healthy Start 60 healthy living $500 What’s good for you this fall. Don’t Worry, Be Happy from WebMD 59 Ask the Experts It really is possible to de-stress your semester. Is it just the flu, or should you go to your SCAN THIS CODE campus health clinic? AND: How much 62 cover story alone time is too much? iCarly Preps for College Type Safety: 10.125”

Bleed: 11.125” Actor and musician Miranda Cosgrove Trim: 10.875” 68 Click Here What’s new at WebMD.com right now. gets ready to graduate to the next stage in her life and career. 69 WebMD Checkup Trim: 10.875” Trim:

Bleed: 11.125” Bleed: OR LOG ON TO 10 questions for funnyman Seth Rogen. 65 healthy living Type Safety: 10.125” Safety: Type Take 5 www.webmd.com/campus/survey Meet This Issue's Got five minutes? Try these five healthy and tell us why you read us.

WebMD Health Experts ways to recharge your batteries. ®

Louise Chang, MD health sMarts for college students WebMD MEDICAL EDITOR 66 food BeAt the p.12 Freshman Beat the Freshman 15 Q&A Patricia A. Farrell, MD How to skip this college tradition. seth WebMD MENTAL HEALTH rogenhis best & worst health habits p. 1 5 EXPERT StreSS BUSterS Brunilda Nazario, MD ways to WebMD SENIOR chill p.11 MEDICAL EDITOR Miranda cosgrove iCArly prepS for College p. 8 Jerry Weichman, PhD WebMD MENTAL Fall 2011 WebMD.coM HEALTH EXPERT SCAN to get your free Digital Edition

Kathleen Zelman, MPH, RD, LD Completing the survey will enter WebMD DIRECTOR you in our sweepstakes to win a OF NUTRITION $500 American Express gift card,

WebMD Campus is published by WebMD, 111 Eighth Ave., or one of five $100 gift cards. Suite 700, New York, NY 10011. To order more copies or to advertise, please contact: WebMD Campus, c/o TMG Custom Media, 1129 20th St. NW, Suite 700, Washington, DC, 20036. The information herein is meant to complement and not replace advice provided by a licensed health care profes- sional. WebMD is not responsible for advertising claims. webmd.com the Magazine

Cover photo Williams & Hirakawa/Nickelodeon No purchase necessary. A purchase will not increase your chances of winning. ©2010 Viacom International, Inc Catch up on health 101. WebMD.com Legal residents of the 50 United States (D.C.) 18 years and older. Void where pro- hibited. Sweepstakes ends 12/31/11. For official rules, prize descriptions and odds disclosure, visit http://www.webmd.com/campus/survey. Sponsor: WebMD LLC, 111 8th Avenue, New York, NY 10011.

ULTA Insertion__WebMD Single Page trim size: 8.375” x 10.875” healthy start good for you this month ask the experts Your q’s answered Only or lonely?

Q  I like to spend a lot of time Smart Ideas alone (hey, I need to study!), but my roommate thinks I’m getting too isolated. Who’s right?

Brain Drain A  Here’s what might be going on. If stress is getting the best of you, Typically, college students become isolated WebMD’s work-life balance coach for one of three reasons: anxiety, stress, Tevis Rose Trower has a radical idea: or depression. Trouble dealing with an Slow down. “Pick a day coming up academic workload, discomfort with a and intentionally take everything off new environment, struggling to find like- your schedule that’s not a ‘must,’ ” she minded people, and trying to adjust to says. Then, give yourself all the time college life can stir up all of these feelings. in the world for what’s left. “When But balancing a social life with academic you go through an activity with ease, obligations and time to yourself is impor- tip it makes you feel more at peace with tant to overall mental well-being. fit yourself,” she explains. healthy eats To figure out if you’re “too isolated,” ask yourself: Do you spend any time with others? Do you feel as though people just don’t “get” you? Are you balancing school Sleeping Beauty Good food obligations with an exploration of the The smorgasbord in the world around you? Does the thought of Gals, whether you skimp on sleep or give back not, now is the time to add eye cream dining hall can be over- Sick 101 trying to start new friendships make you to your beauty routine. The skin around whelming—and the junk so uneasy you feel socially paralyzed? the eyes is thinner than the rest of your food options can be hard Q  If I’m sick or feel really wiped out, how do I know if I should just If your answers are mostly “yes,” try to body, and thins even more with every to resist—but it’s easy to stay in bed or if I need to go to my college health clinic? force yourself to be around others. Col- birthday. To stave off future under-eye make smart and satisfying lege campuses are full of clubs, associa- circles and hollow-looking skin, Lisa choices. WebMD nutrition A  The distinction is not always clear-cut, but some symptoms are a definite sign tions, study groups, and activities where and o Hall /G ett y Images Ginn, MD, a cosmetic dermatologist in expert Carolyn O’Neil, MS, you need to check in with your campus clinic: you might find people similar to you. If RD, suggests these healthy the thought of interacting with strangers Chevy Chase, Md., suggests looking for You have a fever that lasts more than a week. If you have a fever of 102 or higher, go in snack swaps: is overwhelming, try for an activity where an eye cream with vitamins A, C, E, or right away. K—and start using it regularly. you can just observe. Simply being out Grab This You can’t hold down any food. If you have severe diarrhea for more than two days or and about can help elevate your mood. ½ cup hummus (204 cal.) even mild diarrhea lasting a week, it’s probably time to visit the clinic. Constipation for

skin care and six carrot sticks o w Do g P r d uc t io ns /G ett y Images ; more than two weeks or bloody diarrhea is another reason to go. (5 cal. per stick) You’re in pain, such as you’d have with a severe headache, backache, or stomachache. 1 cup unsweetened Get it checked out to (a) make sure it’s nothing serious and (b) find some relief. Head- iced tea (2 cal.) aches with a fever, stiff neck, rash, mental confusion, or signs such as sensitivity to light or Plain hamburger on whole- Take a Break speaking problems are cause for concern. Thinking about Spring Break already? Instead grain bun (394 cal.) of hitting the beach again this year with the You have red, swollen, and hot joints (such as hands, knees, or ankles), which could gang, why not think about using your time Not That indicate a serious infection that needs urgent medical attention. 1 portion of nachos off to make a difference? Organizations like You’ve been “blue” for more than two weeks. Academic stress, homesickness, and social (346 cal.) the United Way’s Alternative Spring Break help issues can lead to depression in students. Unexplained weight loss, difficulty falling asleep, arrange volunteer trips for students to make an 1 cup cola (75 cal.) : R egg i e Casagrande /G ett y Images ; Tho mas B arw ick/G

: Jo rdan Si emens /G ett y Images ; A lex Ca o/G Yell or poor concentration may be signs of depression or other ailments that call for a checkup. impact in challenged regions such as the Gulf Plain cheeseburger on Coast. Find an updated list of sites at www. regular bun (463 cal.) liveunited.org/asb. Brunilda Nazario, MD Jerry Weichman, PhD w i se f r o m t p g h w i se f r o m t p le ock ock WebMD Senior Medical Editor WebMD MENTAL health EXPERT c l c l

College can be stressful! What’s your healthy living IQ? WebMD.com

Fall 2011 | WebMD Campus 59 healthy living

Stop studying. an eyeshade (really!) and talking to your stress—you get the picture. Instead of A marathon study session may seem like resident assistant if rowdy neighbors con- chowing down an entire bag of tortilla a great idea, but you can wear out your sistently keep you up. Also, daytime naps as chips whenever you feel anxious about a willpower and concentration. “Keeping on short as 15 to 20 minutes can help you feel project or exam, Lickerman says, distract task is a very energy-expensive process,” refreshed after a poor night’s sleep. yourself with a nonfood activity you enjoy. Lickerman says. “When you use all your Read your favorite blog or a short maga- energy to keep yourself studying, you can’t Don’t cram (food, that is). zine article, or click on the TV for some use that same energy to control your worry Yes, a small snack can help replenish your news headlines, or get outside for a quick or your stress about it.” This can lead to energy during a study session, but it’s walk around your dorm building. Your freak-outs of major proportions. So when easy to distract yourself from stress with urge for mindless eating should go away you start feeling fatigued, take a break and copious amounts of food, which causes so you can return to studying—without a do something that replenishes you, such as pounds to pile on, which causes more junk-food break. noshing on a light snack or taking a 10- or 20-minute walk outside, before hitting the books again. “When you use all your energy to keep yourself Give your mind a break. studying, you can’t use that same energy to Anxiety pops up when your mind is not on the present moment: You’re trying to study, control your stress about it. but you’re worrying about your next exam. ” Or you’re taking the exam while stressing about something your boyfriend said. Ac- cording to Lickerman, daily meditation for as little as 20 minutes can help you devel- Don’t op your mindfulness muscle. “Meditation seems to have an effect beyond the period when you’re meditating,” he says. Find a quiet place to sit, close your eyes, and focus on your breath, gently bringing your mind back whenever it wanders. worry, Make a list. Does it seem like everything’s stressing you out? “Sometimes it turns out the entire source of your stress is just one thing, and yet because you’re so stressed you feel like be you can’t do the other things,” Lickerman says. The solution? “It’s helpful to pinpoint what exactly is making you feel over- whelmed so your worry doesn’t bleed into other areas.” He suggests compiling a list of everything on your plate. Then rank the happy tasks by which ones are really bugging you In the movies, college is all about ice luges, frat parties, and snoozing in so you can take care of them right away. We’re only half Crossing things off a list has its own stress- class to recover from it all. You know what? Movies lie. reducing reward. Sure, there are parties, but most of the time college is more stress than kidding. It really is fiesta followed by siesta. And the pressure of homework—tons of it—and Get your zzz’s. possible to de-stress You already know that lack of sleep makes exams—lots of them—can take a toll on your mental and physical health. it harder to kick stress to the curb. The WebMD asked Alex Lickerman, MD, interim assistant vice president for your semester question is: How can you catch your eight Student Health and Counseling at the University of Chicago, for some hours when you’re in a dorm full of party- ers, and your roommate considers 3 a.m. smart tips to keep the stress at bay (or at least at a low ebb) throughout By Linda Formichelli prime study time? Keep it simple: Licker-

the semester. WebMD Contributing Writer Stockbyte/Getty Ima g e s id T roo d /Getty Ima g e s Dav man suggests buying a pair of earplugs and

Tame your stress. WebMD.com 60 WebMD Campus | Fall 2011 September 2011 | WebMD the Magazine 61 cover story piCarlyreps for college

hen Miranda Cosgrove’s band went on its Dancing Crazy tour this summer, she fancied it a bit like college. “We’re all on a bus, we watch movies, and it’s kind of like having a sleepover every night,” says Cosgrove, 18, star of the long-running Nickelodeon hit iCarly. “My backup Wsinger’s mom sends cupcakes, and she and I are always telling the guys to pick up their clothes. It’s like being in a dorm.” OK, maybe if you add piles of homework and take away some movies, there’s a hint of dorm life in bus touring. But next fall, Cosgrove will find out for sure. She was accepted to New York University and the University of Southern California and plans to defer her admission until 2012, after she’s finished shooting iCarly. She’s still deciding between the two schools. Her father, who owns a dry-cleaning business, went to USC and proudly showed Cosgrove around when she took her SATs there. But NYU offers the allure of an unfamiliar coast.

By Melanie D.G. Kaplan, WebMD Contributing Writer n al, In c. n ©2010 Viacom In ter atio a/Nickelodeo w Williams & Hiraka

62 WebMD Campus | Fall 2011 cover story healthy living

“I feel like college is all about getting away and figuring out what you want to do Pump up the music. Several stud- and meeting new people,” she says. “I’ve 3ies find that listening to music can help lived in Los Angeles my whole life, and it lower blood pressure, reduce stress, and would be good to get away. But I’d prob- boost mood. The right music has the power ably be in shock at first.” Cosgrove’s mother to change your attitude. So load up your has joked about getting an apartment in MP3 player and create a special playlist Manhattan not too far from her only child. that will make you smile—whether you’re “She’s like, ‘I can do your laundry,’ and I’m Take working or working out. like, ‘Mommmmmm.’” Got five minutes? Known internationally for her role as Sniff a lemon. Carly Shay and for her run on Nickel- 4 For a quick de- odeon’s Drake & Josh, Cosgrove is one of the Here are five healthy ways stressing trick, turn to highest-paid teens on TV. She also lent her an underrated sense— voice to Despicable Me, appeared in an epi- to recharge your sense of smell. sode of CBS’s The Good Wife, and released her Japanese researchers first album with Columbia Records, Sparks found that linalool, a Fly, which debuted at No. 8 on the Bill- substance found in lem- board 200, all last year. Yet Cosgrove—who By Jennifer Soong ons, has anti-inflammatory laughs easily and makes even a stranger on WebMD Contributing Writer properties and may reduce the fight-or- the phone feel like she’s Cosgrove’s BFF— flight stress response. Research shows other still thinks of herself as an average 18-year- scents, such as basil, juniper, and lavender, old. That’s especially true now, as she tran- help lower stress. sitions from her teens to adulthood. “I feel like it’s one of those moments ago. She met a girl her age who was going Unplug. Just because we live in a where everyone is figuring out what they (( College is all through chemotherapy and was moved by 5 wired world doesn’t mean you need want to do,” she says. “It’s kind of a nice their connection. to stay connected every minute of every time. You have a lot of open doors and a about getting She’s returned twice since then to spend single day. Staring at computer screens lot of possibilities. All my friends are going some time with the kids, most recently and electronics all day long can zap your through the same things, so I don’t feel with the cast of iCarly. During the visit, the energy and encourage inactivity. Log off alone in that.” Even Cosgrove’s precollege away and figuring girl she had befriended ran up and hugged your email and Internet (yes, that means fears are typical—she worries about keeping her. “I didn’t know her whole story the Facebook, too). This is especially impor- up academically (having been tutored on out what you first time, but she gave a speech to the cast tant to allow you to unwind and relax and off the set since sixth grade) and fitting and told us what it was like at the hospital. before bed. in socially. want to do and I remember thinking I could totally be Cosgrove plans to study theater or film friends with her. I’m never going to forget

and would like to continue acting after meeting new her.” (At press time, Cosgrove says she Five minutes. True, it’s not a heck of a lot of time, especially with that college, yet she welcomes the break from a (( hopes to go back soon and plans on visit- stack of books staring at you. But it’s just long enough for you to do one career that she fell into as a child. “I couldn’t people. ing children’s hospitals in various parts of thing—and maybe that one thing that will turn your day around. Take five see myself doing anything besides acting,” the country during her summer tour.) and try these five simple ways to lower stress and boost your mood and she says. “But I want to take a step back to with fashion.” While Cosgrove is more of a There was another unforgettable make sure it’s the right path for me.” jeans and sweatshirt girl on workdays, she encounter in Washington, D.C., last Christ- energy levels. You might just find the extra spark you need to tackle all that Finding the right path means does love dolling up in heels and a leather mas, when she performed with other homework. Well—most of it. experimenting in other areas of her life jacket when she’s headed out with friends. artists at the White House. “I was really as well. Take fashion. It’s not easy to admit Downtime often means chilling with her nervous,” Cosgrove says. “And then I got in Hollywood—a place where everyone best friend and next-door neighbor, Nina, to meet President Obama before I went on, Make your bed. Starting off each Clear your desk. You may not seems to have her own look and fave watching DVDs, making up parody songs which made me more nervous.” 1 day with this small ritual can help cre- 2be able to overhaul your dorm closet in designer—that you don’t have a signature on the guitar, or going to a kickboxing class. The president cleverly referenced her ate a calm environment for you in your five minutes, but you can manage to tidy style. But Cosgrove confesses she’s still But to rejuvenate her soul, Cosgrove role as a preppy band manager in School of ard Sh ooter/Getty I ma g es bedroom. Gretchen Rubin, author of The your desk. From stray papers to scattered figuring it all out. leaves movies and music behind and Rock. “It was really funny. He was joking Happiness Project, writes that many people coffee mugs, clutter can make you lose “I’ve gone through phases where I’ve heads to Memphis, Tenn., where she vis- around, and I just thought, this is crazy benefit from making this modest step part focus and can curb productivity. Declutter tried things that didn’t really work, but my its patients at St. Jude Children’s Research that he knew about the movie,” she says, of their routines. By checking it off your your outer environment, and you may feel mom helps me with that,” she says. “We Hospital (www.stjude.org). She made her sounding delightfully awestruck. “And to-do list early on, you’ve got one less lighter on the inside and more motivated

shop together a lot, and she’s really good first trip to the hospital about six years crazy that he knew about me!” n al S tep h a n P ick/ R oba ress/ I co In ter atio Weste n d61/Getty I ma g es; Ho w thing to worry about for the rest of the day. to concentrate on the task at hand.

64 WebMD Campus | Fall 2011 September 2011 | WebMD the Magazine 65 food

grams of carbs. And sugar shouldn’t be the first ingredient. Eating well doesn’t mean denying your- Beat the self everything you love to eat. Just be smart about it. If you go out for burgers, get a small order of fries and don’t supersize your order. And skip the sodas, most of which are loaded with calories. Those are already tough enough to burn off when you spend most of your day sitting at a desk in class or hunched Freshman over books in the library. By Matt McMillen, WebMD Contributing Writer Rule No. 3: Move Speaking of burning calories, work some exercise into your daily routine. Going to the gym is a great move when you can get there, but Grubiak tells stu- dents not to underestimate the good that walking will do for you. Give yourself time to take the long way to class, she says. Use the stairs wherever possible. Don’t feel like leaving your dorm? Dorm Fridge 101 Grubiak recommends surfing the Internet you hit the dining hall. “Starving doesn’t A well-stocked personal fridge can for an aerobics video or getting a workout allow any room for smart choices,” she keep the munchies at bay while with a Nintendo Wii. Some students, she says. says, simply turn on the radio and dance Was fitting into your jeans a lot easier before keeping the nutrition you need The first key move to make at the dining close at hand. Favorites of dietitian around the room or jump rope to work you got to college? Hate to break it to you, but hall is to head straight for the salad bar. Fill Katherine Grubiak, RD, include up a sweat. you and your classmates are experiencing a up half your plate with fresh vegetables. these healthy treats: Exercise not only helps you maintain a Then pick your entrée. Grubiak recom- healthy weight but also provides an excellent time-honored tradition, the Freshman 15—the • Low- or non-fat Greek yogurt, mends dividing the empty side of your a great source of protein counter to stress and anxiety. Both can wreak roughly 15 pounds many students gain during plate equally between protein and carbs. havoc on your diet, causing you to binge on a Fresh fruit their first year at college. In other words, you want a 3-ounce piece • bag of donuts or skip meals altogether. Low- or non-fat milk—the real of meat—that’s about the size of a deck • What to do? “You have to strategize,” says thing, or soy or almond milk Katherine Grubiak, RD, dietitian at UCLA’s of cards—and a cup’s worth of healthy Rule No. 4: drink carbs—think whole grains like brown rice • String cheese Water, that is. You want to make sure you’re Arthur Ashe Student Health and Wellness Cen- or a baked sweet potato. Not a carnivore? • Hummus and veggies (baby getting plenty of water throughout the day. ter. By that, she means you need to put some Three-quarters of a cup of tofu or cooked carrots, broccoli florets) Every part of your body needs it. “Eight effort into eating right, eating enough but not beans, 1.5 ounces of unsalted nuts, 2 to 3 for dipping cups a day is the bare minimum,” says too much, and eating regularly. tablespoons of nut butter, or 3 ounces of Grubiak. Her rule of thumb? Take half your tempeh will get you your protein fix. better have some good food on hand for body weight and drink that many ounces fuel.“That’s the biggest myth: that you of water. So, if you’re 150 pounds, that’s Rule No. 1: Eat Rule No. 2: Snack shouldn’t eat after dinner,” Grubiak says. 75 ounces or about 10 cups a day. Your wa- It might sound counterintuitive, but don’t skimp on the Most dining halls won’t allow you to take “The truth is, your body is constantly uti- ter requirement can also be satisfied with calories you need. Going hungry will only leave you less any leftovers or second helpings with you, lizing calories.” water-heavy foods like soups, watermelon, energized and more prone to overeating later. but Grubiak says they often allow stu- Stock your dorm fridge with healthy vegetables, and beverages. “You want to eat three meals and two to three snacks dents to pocket a few pieces of fruit and snacks (see box). Grubiak also likes protein Grubiak’s final piece of advice: Take to/Getty Ima g e s ; T oo a/Getty a day,” says Grubiak. Breakfast is key, she adds. Some stud- a sandwich or two. Take advantage of that, bars. They provide a steady source of energy advantage of where you are in life. You’re a ies show that having a healthy breakfast helps improve especially if you’re on a two-meal-a-day rather than the short sugar spikes you get student, you’re at college, you’re learning. academic performance, so make it a part of your day, plan. You’ll want to nosh on those takeaway from candy bars and soft drinks. Just realize Make good nutrition a part of that learning every day. items throughout the day. that not all protein bars are created equal. process. Understand the foods that go into Enjoying healthy snacks between meals—Grubiak Snacks are essential at night, too. Grubiak Take a look at the nutrition info and make your body and what they do for—or to— recommends nuts, some fresh fruit, non- or low-fat tells students that if they’re going to be sure the bar you’re buying has at least 7 you. That’s knowledge you can “chew” on

yogurt—means you won’t be tempted to pig out when r ence M outon/Photo Al Lau F r om l e f t: up late—and what student isn’t?—they’d grams of protein and no more than 30 way past graduation day.

Need to lose a few pounds? WebMD.com 66 WebMD Campus | Fall 2011 Fall 2011 | WebMD Campus 67 click here highlights at Webmd.com WebMD checkup 10 questions about your life and well-being Hot Topics NAIL IT What are people like you searching ACtor/producer Looking to spruce up on WebMD.com? * your beauty routine? Seth Rogen 1 Dating do’s and don’ts Get gorgeous from WebMD has a cameo in the film! Did Will Reiser really check head-to-toe with tips— 2 Boost your memory out his symptoms—and odds for survival, from which the from healthy nails to 3 Safe sex film gets its name—on WebMD.com? makeup how-to’s—in Will is definitely the type to search online, looking up all sorts WebMD’s Skin & 4 Adult acne of potential problems. Beauty Center. 5 Cold & flu prevention Is there a history of cancer in your own family? And do you 6 5 foods for better skin take any specific health precautions? Not a huge history. Some. I try to eat healthy. And I ingest as 7 Are you depressed? few horrible chemicals as possible. And I wear sunscreen! 8 Hepatitis C primer for Thought Your fiancée, Lauren Miller, makes a brief appearance in Food 9 Got ADHD? 50/50, and you were interviewed together on Larry King’s Cramming for your next big exam? 10 Allergies and asthma special, Unthinkable: The Alzheimer’s Epidemic. [Miller’s Recharge, fuel up, and get focused * as of August 1, 2011 mother currently has the disease.] What do we need to know with WebMD.com’s list of Brain about this degenerative condition? Foods That Help You Concentrate. I think a lot of young people don’t realize Alzheimer’s is something that affects not just our grandparents’ generation [but also] our parents’ generation, and eventually our genera- brain foods slideshow SEARCH tion. Now that I’ve seen [Alzheimer’s] firsthand, I think it’s something that can use support.

Do you have a hero from the worlds of acting, comedy, or otherwise? I wouldn’t be able to narrow it down to one person. Too Mononucleosis symptomchecker hard—I have many heroes. But who’s inspired me? Trey top symptoms include Your new film50/50 draws from your good friend and Parker and Matt Stone consistently do incredibly funny stuff. Fever screenwriter Will Reiser’s real-life fight with a rare spinal cancer. If there’s anyone I get jealous of, it’s them.  As both producer and co-star, you call it a “passion project.”  Sore throat SEARCH Fit What sets this film apart from your previous work? When you were shooting The Green Hornet, you reportedly [Will and I] took the attitude that we had to make something dropped 30 pounds for the role. Was it difficult to do, and  Swollen lymph glands in the neck to a positive out of this, something we were proud of. It’s not the type have you maintained the weight loss? A year-round viral infection commonly called “mono” or “the of movie, when you hear it described, that sounds like the best Let’s say I’ve found a happy middle ground. OK, I’m not eat- kissing disease,” mononucleosis is spread by saliva, mucus idea ever! ing as well as I used to. Now you’re making me feel bad. I feel (from the nose and throat), and even tears. Teens and young SEARCH like I’m talking to my grandmother! adults are most vulnerable to the disease. Mono can cause T The film has many, many laugh-out-loud moments. How do you fever, malaise, and body aches that last weeks, or head- make fighting cancer funny without crossing the line? What’s your relationship with exercise now? aches and fatigue that can last weeks to months. Both put a We never wanted to be funny for the sake of being funny. It had I use an elliptical machine because I hate running. I hate

Can’t seem to make it a n I m ag e s /Getty ; K evin Summer serious crimp in your lifestyle. The sore throat can be severe v to be consistent with the story and the characters. When your per- exercising. So I have to do it in ways that I’m tricking myself and the tonsils may be covered with a white or gray-green to the gym before or spective is that of a comedy writer, you naturally see funny things that I’m not doing it. Anything GOI can do in front of a televi- coating (you can see this with a flashlight); some people also after class? Amp up your WATCH VIDEO in any situation, and it was about showing those funny things even sion or while playing a video game automatically works bet- develop a faint pink rash or large lymph nodes. predictable fitness routine though it was such a terrible time. ter for me. The real diagnosis, however, comes after a monospot test Key in your symptoms right in your dorm room with the moves featured in WebMD’s “7 Most and other blood work from a doctor. Severe stomach pain may FIND THE ANSWER tion This movie also earns itself a five-hankie rating. Are you a closet If you were stuck in a hospital bed for six months and signal an enlarged or ruptured spleen, which can be a life- Effective Exercises” slideshow. fan of “weepies”? you could choose anyone from the past or present for a threatening emergency. One note: As a virus, mono won’t respond to antibiotics. Best I like a movie that’s both very funny and has a lot of emotional roommate, who would it be, and why? treatment? Rest, plenty of fluids, and fever reducers. Avoid contact sports for at least resonance to it. There aren’t a lot of movies that make you laugh Anyone? Groucho Marx. He’d be funny and interesting to talk

exercise SEARCH Studio MPM /Getty I m ag e s ; Ca s e f rom top: ockwi S a m Jone s / CPI Syndic three to four weeks to protect the spleen. c l really hard and make you cry. to, a forefather of modern comedy.—Lauren Paige Kennedy

68 WebMD Campus | Fall 2011 Fall 2011 | WebMD Campus 69 presents

ADAM LEVINE LEAD SINGER Your MAROON 5 Questions Answered. Top dermatologists answer questions on I REMEMBER BEING THE KID WITH ADHD. skin care, anti-aging and more.

TRUTH IS, I STILL HAVE IT. Only on WebMD.com.

If you had ADHD as a kid, you may still have it. Find out more.

Take an ADHD quiz at

OwnYourADHD.com, WebMD Logo with Tagline PRINT CMYK VERSION

then talk to your doctor. Blue c 100 Black c 0 m 34 m 0 y 0 y 0 k 2 k 100 IT’S YOUR ADHD. OWN IT.

VYV-02455 04/11 Now available on mobile

VYV-02455_WebMD.indd 1 6/24/11 2:25 PM