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November/December 2015 / $4.95 THE 2015 WEBMD HEALTH BY THE HEROES NUMBERS PG. 34 Physical FAMILY & Therapy PARENTING pg. 62

Is Your Holiday Home Safe? LIVING pg. 22 HEALTHY

Why Giving Back HEALTHY Is Good for You BEAUTY pg. 11

Anti-Aging Gift Guide MEN’S pg. 17 HEALTH Men and Osteoporosis FOOD & pg. 16 FITNESS

Cranberry Recipes pg. 54 CLOSE’S CALL Glenn Close works to NOVEMBER/DECEMBER 2015 change minds about mental illness PG. 28

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

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WEBMD.COM Your Health TURN TO PAGE 43 NOV/DEC 2015 Contents FEATURES

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Close’s SINCE IT’S

Call SUCH AN Glenn Close has earned ISSUE IN numerous awards and MY“ FAMILY, nominations for her IT’S NOT roles in TV, movies, and SURPRISING theater. But now, in her “ most important role as THAT I’D sister and advocate, she BE ON THE raises awareness to change SPECTRUM OF the stigma tied to mental DEPRESSION illness with her nonprofit SOMEWHERE. Bring Change 2 Mind. This year, we honor Close as the WebMD Health Heroes People’s Choice award winner. IN EVERY ISSUE

Greater Pg. 4 EDITOR’S NOTE Good Our 2015 Health Every year, WebMD Heroes winners celebrates Americans who change the health Pg. 72 landscape in our country. TAKE 10 This year, we honor Ron Howard knows winners in four categories: about sea changes—in his latest movie and scientist, prodigy, in life. He reflects on advocate, and People’s his career, long-lasting Choice. Meet the 2015 34 72 marriage, and healthy WebMD Health Heroes. lifestyle.

Cover photograph by Richard Phibbs NOV/DEC 2015 2 W ebMD.COM Contents NOV/DEC 2015

HEALTHY START HOT TOPICS: Can spicy food really help you live longer? Do rude co- workers make you rude, too? What can you do to prevent the flu? Find Pg. out and get more news you can use.

07 LIVING HEALTHY WEBMD ON THE STREET: Our experts take the reins and deliver the gift of healthy tips to Santa Claus. • WOMEN’S HEALTH: Did you know Pg. volunteering can boost your health? • MIND MATTERS: The key to keeping your memory sharp is a better vocabulary. Here’s how improve yours. • MEN’S HEALTH: Osteoporosis isn’t just for women. Bone up on 0011 how it affects guys, too.

HEALTHY BEAUTY Pg. YOU ASKED: Need gift ideas for the beauty mavens on your holiday list? Look no further than our expert’s anti-aging gift guide. • BEAUTY 0017 SMARTS: The expert’s guide to makeup removal. • YOUR SMILE: Do you have chronic dry mouth? • PLUS: Dirty Secret, Beauty 411, and Aisle Do.

Pg. FAMILY & PARENTING PET HEALTH: Sophia Bush to the rescue! The actor opens up about her 0022 puppy loves. • PREGNANCY: Baby is getting ready, but are you? Check off these five to-dos before the big arrival. • KIDS’ HEALTH: Do you spoil your kids with gifts? How to change the focus this holiday season. • PET HEALTH: Can your four-legged friend get the flu? Know the Pg. symptoms and find out if your pooch is at risk. • BABY TALK: Candles, 0054 lights, and trees, oh, my! Baby-proof your house for the holidays. FOOD & FITNESS IN SEASON: Get bogged down in the kitchen. We've got three cranberry recipes that will add sparkle and nutrition to your holiday table. • OFF THE MENU: Georgia chef Hugh Acheson puts vegetables in the spotlight year-round. • WORK IT OUT: How to score a discount on gym memberships. • FITNESS CHALLENGE: Three fitness gifts that will help you start the year off on the right foot.

WEBMD CHECKUP Crohn’s disease and ulcerative colitis awareness • HEALTH HIGHLIGHTS: Live healthy Pg. with type 2 diabetes. • BY THE NUMBERS: A closer look at COPD. • ADVOCACY: A Q&A with Seth Rogen and his wife Lauren about Alzheimer’s awareness. • MY STORY: A 60 reader shares how she overcame postpartum depression. • LIVING WELL: Learn what to do when you have TMD. • SEASONAL HEALTH: Caring for your baby with a cold or the flu. • HEART HEALTH: Heart rate myths debunked. • BY THE NUMBERS: A closer look at physical therapy. • HEALTH CHECK: Take this quiz on back pain. • TEST YOUR SMARTS: A quiz on adult incontience. • HEALTH HIGHLIGHTS: Keep your home and family safe this season.

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WATCH OUR EXCLUSIVE VIDEO WITH GLENN CLOSE! Good Morning America co-anchor Robin Roberts, host of our 2015 WebMD Health Heroes awards ceremony on Nov. 5, sat down with this year’s People’s Choice winner, Glenn Close. They discuss how Close’s own personal experience with her sister led her to found Bring Change 2 Mind, a nonprofit group dedicated to ending the stigma surrounding mental illness. The term hero tends to be used a great deal, but it’s not a word we take lightly when referring to our WebMD Health Heroes award winners. The inspiring group of individuals featured in Access Now! this issue are giving of themselves, often making great sacrifices, to not only help Download the free Digimarc others but also to improve health care for 1 Discover app, available at iTunes all of us. and Google Play. Look for this Each of our 2015 award winners icon on pages Open the app. Hold your device throughout has worked to help those affected by 2 4 to 7 inches away from the the magazine. conditions of the often uncharted activated icon (shown at right) to territory of the mind. Our scientist scan it. Your phone will alert you winner, Dr. Bennet I. Omalu, discovered when Digimarc Discover recognizes a disease of the brain caused by repeated the image. head trauma and was the first to identify it in a former NFL player. Our prodigy, Your browser will open to teenager Kenneth Shinozuka, invented 3 display a Web page where you can access WebMD articles, videos, a device to help track the movements of slideshows, and more content or Alzheimer’s patients. Advocate winner, download WebMD apps. Ronald “Jake” Clark, founded a program to help veterans crippled by PTSD. And our People’s Choice winner, Glenn Close, works to help everyone have a CONNECT WITH US! better understanding of mental illness. Subscribe to a newsletter! Turn to page 28 to read the compelling webmd.com/newsletters stories of Close, and our other three Like WebMD! winners. Download WebMD facebook.com/webmd Wishing you much joy this holiday Magazine season. for FREE Tweet us! on the twitter.com/webmd App Store and Google Pin with us! Play. pinterest.com/webmd/ webmd-magazine

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in one place. EDITORIAL, DESIGN, PRODUCTION MANAGEMENT EDITOR AT LARGE ART DIRECTOR PRODUCTION ARTIST n Access hundreds of articles Kim Caviness Melissa H. Miller Brenda M. Waugh and videos developed and DEPUTY EDITOR PHOTO EDITOR COPY EDITOR Andrea Gabrick Katie Ellsworth Sharon K. Congdon approved by WebMD doctors. MANAGING EDITOR PRODUCTION DIRECTOR SENIOR VICE PRESIDENT, Rebecca Scherr Connie Otto MARKETING SERVICES n Manage schedules for BOOKINGS DIRECTOR PRODUCTION MANAGER Joanne LoPinto sleeping, feeding, diaper Wendy Zipes Hunter Judi Sheffer SENIOR MARKETING MANAGER changes and growth. [email protected] ADVERTISING TRAFFIC MANAGER Laura Cassella Tommy Dingus n Create a digital baby book and CUSTOMER SERVICE & SUBSCRIPTIONS share photos and videos, plus MEDICAL PROFESSIONALS To manage your subscription, go to WebMD.com/magazine/subscribe. tag them with milestones. READERS Download WebMD Magazine on your iPad or Android device for free. Go to the App Store® (apple.com) or Google Play™ (googleplay.com). Comments? Questions? Go to CustomerCare.WebMD.com or “Contact Us” at the bottom of every page on WebMD.com.

WebMD Magazine is distributed to doctors’ offices throughout the U.S., online at WebMD.com, and by download from the App Store or Google Play.WebMD Magazine is not responsible for advertising claims. WebMD Magazine (ISSN 1553-9946), Vol. 11, No. 8, is published by WebMD, LLC and may not be reproduced in whole or in part without written permission of WebMD, LLC. All editorial content is reviewed by our board-certified physicians, is for informational purposes only, and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. WebMD does not endorse any specific product, service, or treatment. Always seek the advice of your health care provider with any questions regarding a medical condition and never disregard professional medical advice or delay seeking it because of something you have read in WebMD Magazine. If you think you have a medical emergency, call your doctor or 911 immediately. © 2015 WebMD, LLC. All rights reserved. WebMD IS HONORED TO CELEBRATE THE 2015

Individuals Working to Improve Health and Wellness in America

ADVOCATE RONALD “JAKE” CLARK Creator and Executive Director Save A Warrior, Malibu, California

PEOPLE’S CHOICE GLENN CLOSE Award-winning Actor and Activist Founder, Bring Change 2 Mind, San Francisco, California

PRODIGY KENNETH SHINOZUKA Senior, Horace Mann School, Bronx, New York

SCIENTIST BENNET I. OMALU, MD, MBA, MPH Forensic Pathologist, Neuropathologist, Epidemiologist Chief Medical Examiner, San Joaquin County, California Associate Clinical Professor of Pathology, University of California, Davis

webmd.com/healthheroes #HealthHeroes

Proudly SuPPorted by

Photography: Ronald “Jake” Clark and Kenneth Shinozuka by Thomas Alleman; Glenn Close by Richard Phibbs; Bennet I. Omalu, MD, by Robert Houser

HealthHeroes.Ad.revised1.indd 1 10/14/15 3:54 PM HEALTHY START HOTTOPICS! FACTS AND NEWS YOU CAN USE

Traveling Most this holiday 7–10 DAYS: popular snack season? HEALING purchased Watch out for during the TIME holidays: candy. bedbugs— FOR A CHOCOLATE 75% of exterminators TATTOO RANKS NO. 1 Source: American Skin Association among candy report finding these pests AMERICA’S MOST buyers, PET-FRIENDLY followed by in hotels. CITIES: CINCINNATI candy Bedbugs live ST. LOUIS COLORADO canes. in every state, SPRINGS, COLO. Source: NPD Group TAMPA, FLA. and they can RICHMOND, VA. eat seven times their More than half in own weight of Americans in blood. say they try to avoid soda (diet

1 3 NUMBER and regular) OF and sugar. PEOPLE Source: WalletHub Source: Gallup 8 MILLION WITH Number of lives HIGH saved since 40%-90% BLOOD of people tobacco control PRESSURE who wear contact lenses efforts launched IN THE do not care for in the 1960s U.S. them correctly. Source: American Lung Source: National Heart, Source: National Pest Source: CDC Association Lung, and Blood Institute Management Association

65.7 million Americans— 29% of 9,340 adults—care Estimated number of for a sick, TRICYCLE ACCIDENTS treated disabled, in U.S. emergency rooms or elderly from 2012 to 2013 loved one. Source: Family Caregiver TOMAS RODRIGUEZ/GETTY IMAGES; ZIGA LISJAK/GETTY IMAGES; SCOTT HANCOCK/GLOW IMAGES; ZIGA LISJAK/GETTY IMAGES LISJAK/GETTY ZIGA IMAGES; HANCOCK/GLOW SCOTT IMAGES; LISJAK/GETTY ZIGA IMAGES; RODRIGUEZ/GETTY TOMAS FROM TOP LEFT: LEW ROBERTSON/GLOW IMAGES; FUSE/GLOW IMAGES; PK-PHOTOS/GETTY IMAGES; SBAYRAM/GETTY IMAGES; IMAGES; SBAYRAM/GETTY IMAGES; PK-PHOTOS/GETTY IMAGES; FUSE/GLOW IMAGES; ROBERTSON/GLOW LEW LEFT: TOP FROM Source: Pediatrics Alliance

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IN

2NUMBER3 OF AMERICANS STEP TO IT It’s time to stand up WHO ARE for yourself. In an OVERWEIGHT experiment, adults ages OR OBESE 36 to 80 wore activity trackers that detected Source: JAMA Picky Eaters when they were sitting, “Yuck!” is typical dinnertime talk standing, or stepping, when kids are at the table. But 24 hours a day for seven if your child is super picky, that days. Those in the study might not be because she’s just who stood up or moved around the most had being willful. A recent study of kids several signs of better ages 2 to 6 finds that finicky eaters heart health. Replacing may be more sensitive than other two hours sitting per children—and not only to food day with standing can significantly lower tastes and textures. In the study, the blood sugar and bad FLU FIGHT pickiest eaters were more likely to cholesterol while raising The flu will try to knock show signs of anxiety, depression, good cholesterol. you off your feet this and attention deficit hyperactivity Replace that sitting with stepping, and you could season. Don’t go down disorder then and later in life. If you without a fight. First, see all those results get a flu shot, which have concerns about your choosy plus a smaller waist and will slash your chances child, talk with your pediatrician. lower body mass index. of getting sick. Then Source: Pediatrics Source: European Heart Journal wash your hands often IMAGES VINE/GLOW TERRY IMAGES; ALBA/EYEEM/GETTY ROCIO IMAGES; HAGIWARA/GLOW BRIAN LEFT: FROM and keep them away from your eyes, nose, BRAIN BOOST and mouth—that’s how For people at risk for Alzheimer’s disease, exercise can help boost brain health. Adults ages 55 to 89 with mild cognitive impairment—a risk factor for viruses get in. If you do Alzheimer’s—were divided into groups that did either high-intensity aerobics get the flu and your doc- or low-intensity stretching. They exercised 45 to 60 minutes, four times a tor prescribes antivirals, week. After six months, the aerobic group had reduced levels of tau, take them. They can an abnormal protein that builds up in the brains of people with make your symptoms Alzheimer’s. Blood flow increased in the memory and processing milder and your centers of their brains, and attention, planning, and sickness shorter. organization tasks improved. Source: CDC Source: Alzheimer’s Association

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JUMP START

As we have since 2006, we celebrate another exemplary group of WebMD Health Heroes in this issue. You’ll meet this year’s honorees, starting on page 34, and learn what our SPICE 2014 winners have been up to since they FOR LIFE were honored. You Bring on the spice! It can also read about might prolong your life. the inspiring candi- Researchers in China dates in the People’s tracked nearly 500,000 Choice category. adults ages 30 to 79 for All make vital con- seven years. During those Copy That tributions that reach years, those who ate hot, When a co-worker gets sick, and improve the lives spicy foods once a week you know you could be next. The same of so many people— or more were less likely this is what we mean is true when a co-worker is rude. In an to die prematurely than by “health hero.” We those who didn’t. Overall experiment, business students practiced negotiating are so proud of each death risk was reduced with partners. When the students rated their partners as and every one. and so was the risk of rude, they were more likely to perceive their next partner as Our Health Heroes death from heart and impolite, too. Then they responded rudely in return. selection team works respiratory diseases and Bad manners can even infect bystanders. In another test, the better part of cancer. And the more business students watched a video of either a rude or each year to find, spice, the better. Those research, evaluate, neutral professional interaction. Later they responded to who ate spicy foods every and finally select day were the least likely neutral-toned client emails. Those who had seen the uncivil each winner—with to die during the study. interaction were more likely to reply with hostility. the exception of Source: British Medical Journal Source: Journal of Applied Psychology the People’s Choice honoree, who really belongs to you when you vote for your Number of times per .com favorite celebrity decade adults age 30 and health advocate Hot Hits each August. older get the flu. Kids get What’s trending on We’ll start our it about every other year. WebMD.com right now* search for the 2016 Source: PLOS Biology Vitamin B12 Health Heroes candidates early in What happens in a 2 concussion? the new year, and as always, we welcome FAT ZAP Fast weight loss your suggestions. If After menopause, maintaining a healthy Asperger’s Syndrome you know of some- one doing something weight can be difficult. Unfortunately, extra What do retinoids do? body fat after “the change” can increase your extraordinary in risk for breast cancer. Longer workouts might Strep throat health or medicine, drop me a line. be the key to staying lean. In a study of 400 Healthy fats Meanwhile, happy, previously inactive, postmenopausal women, How do you get warts? healthy holidays, those who exercised for 40 minutes a day lost more fat than those who got the nationally Immune-boosting foods recommended 20 minutes a day. Although Cold feet both groups lost the same amount of weight, Exercise for beginners the ones who worked out longer lost more Colleen Paretty Symptoms of depression total fat, belly fat, and inches off their waist. Editorial Director Source: JAMA Oncology *as of Oct. 1, 2015 [email protected] CLOCKWISE FROM LEFT: TIM HAWLEY/GETTY IMAGES; BALLY SCANLON/GETTY IMAGES; DNY59/GETTY IMAGES; FUSE/GLOW IMAGES FUSE/GLOW IMAGES; DNY59/GETTY IMAGES; SCANLON/GETTY BALLY IMAGES; HAWLEY/GETTY TIM LEFT: FROM CLOCKWISE LIVING HEALTHY Nature’s Call A walk through the woods may be a boon for your mental health. A new study suggests that spending time in a natural setting can keep negative thoughts at bay and ward off mental illness. In the study, published in Proceedings of the National Academy of Sciences, people who took a 90-minute walk through a natural setting reported fewer negative thoughts than those who strolled in an urban environment. You can benefit from connecting with nature in many ways, says Ellen Albertson, PhD, a psychologist and certified Wellcoach. Walk through a park, forest, or botanical garden. Plant a small tree. Go birding. Lay out a blanket and gaze up at the stars. The trick is to be mindful. “Leave your cellphone at home or in your car, find a place you are drawn to, relax, and observe your surroundings,” Albertson says. Smell the trees. Observe the changing leaves. And don’t let a dip in temperature hold you back. Dress in layers. Proper footwear, a hat, and gloves will keep you warm and dry.—Kara Mayer Robinson

Photograph by Sean De Burca/Corbis NOV/DEC 2015 11 W ebMD.COM LIVING Santa’s HEALTHY

BREATH DEFENSE Secrets “The first thing you should do is make sure you brush and floss after We pound the pavement to every meal, as the greatest source of bad breath is gum disease. get expert answers to your Brushing or scraping your tongue could also temporarily help reduce pressing health questions bad breath. And, with your long holiday hours, be sure to stay well Photograph by Chuk Nowak hydrated, since dry mouth can be a cause of bad breath.”

HEALTHY HABIT Eric Yabu, DDS “If a child looks sick, don’t get Lim and Yabu Advanced Technology too close. Flu and cold viruses Dentistry, Oakland, Calif. can spread when a child talks or coughs and droplets land on you, or you breathe them in. Get in the habit of not touching your face so germs on your fingers don’t enter your eyes, ears, or mouth. And use an alcohol-based hand rub between each child to keep everyone healthy.”

Arefa Cassoobhoy, MD, MPH WebMD medical editor

HAPPY MEAL WEBMD ON THE STREET

“Temptations are at their peak when you’re hungry. Resist the Tom Valent cookies by fueling up with a healthy meal before you get to Santa, 65 work, and stash snacks to keep Midland, Mich. up your energy level throughout the day. Best bets include protein and fiber to keep you feeling full Want to be the next Some boys want to be firemen or for several hours. Try Greek yogurt WebMD on the Street doctors when they grow up, but topped with whole grain cereal, star? Tweet us your Tom Valent had other ambitions. health issues at berries, and nuts; a veggie omelet @WebMD. We might “Santa used to come to our house and whole grain toast; or an apple come to your city! every year,” he says. “Man, I got and chunky peanut butter.” excited. It was a wonderful part of my childhood. I thought if I could make people happy doing that, it would be a great thing.” In his 20s he donned the signature red suit and white beard, playing Santa for his Kathleen Zelman, MPH, RD, LD friends’ children and at a local mall. WebMD director of nutrition Today, he teaches other aspiring Santas the tricks of the jolly trade as dean of the Charles W. Howard Santa Claus School—the world’s oldest continuously operating Santa school. Valent wants to give every child an unforgettable visit, but he could do without the germs they LIFT TICKET sneeze and cough into his beard. “I get a flu shot each year. What else “I recommend having a step near can I do to avoid getting sick?” The you so the children can be as high proximity also makes oral hygiene and close to you as possible before you lift them. Have the parents put a priority. “The kids who sit on my children on your lap whenever they lap get very close to my face. How can. When you sit for long periods, do I keep my breath fresh?” he use lumbar or low-back support. asks. Though Santa is known for Put padding on your thighs and sit his rotund belly, Valent wants to the children on alternate legs.” stay healthy to perform at his best. When kids bring him cookies—as they often do—“How do I avoid the temptation?” Lifting children onto his knee is another hazard that puts strain on his back and knees. Mary Ann Wilmarth, Still, he wouldn’t trade the job for PT, DPT, OCS anything. “It’s a great privilege,” he CEO, Back2Back Physical Therapy, says. “People love Santa. He’s the Boston most well-known character in the world.”—Stephanie Watson

THE OPINIONS EXPRESSED IN THIS SECTION ARE OF THE EXPERTS AND ARE NOT THE OPINIONS OF WEBMD. WEBMD DOES NOT ENDORSE ANY SPECIFIC PRODUCT, SERVICE, OR TREATMENT. Make healthy habits stick. Get the WebMD app for on- demand healthy living tips. LIVING LEARN HOW ON PAGE 4 HEALTHY

FEELING GOOD HERE ARE THE BEST WAYS TO GET THE MOST OUT OF VOLUNTEERING, SAYS WOMEN’S HEALTH STEPHEN POST, PHD:

Help others get through something Help Wanted you’ve gone through. Studies show RESEARCH SHOWS THAT VOLUNTEERING IS GOOD FOR YOUR HEALTH recovering alcoholics By Lisa Marshall are twice as likely to stay sober when they help other recovering If you’ve ever served Thanksgiving to explain why. One NIH study of 19 people alcoholics, and dinner at a homeless shelter, rung the found that merely cutting a check to charity chronic pain sufferers bell for the Salvation Army, or written a lights up the mesolimbic reward system (the see their pain check to a favorite charity, you probably same brain region that fires when we eat, decrease when they recall the calm glow of satisfaction social have sex, or receive money), igniting a flood help someone with a similar condition. scientists call the “helper’s high.” But of dopamine and other feel-good chemicals. do such acts of generosity have lasting physi- When that generosity is practiced face-to- Do what you’re cal benefits? face, levels of oxytocin (the calming hor- good at. When Yes, says Stephen G. Post, PhD, a profes- mone released when a mother nurses her volunteers feel like sor of preventive medicine at Stony Brook infant) and pain-killing endorphins also they’re just in the way, the experience can University and author of The Hidden Gifts rise, Post says. backfire and boost of Helping: How the Power of Giving, Com- Meanwhile, as we shift our minds away their stress. Choose a passion, and Hope Can Get Us Through Hard from our own troubles to focus on oth- volunteer opportunity Times. Recent studies show people who vol- ers’ needs, levels of stress hormones like where you can make a unteer regularly have healthier hearts, less ­cortisol—long known to be hard on the real contribution. chronic pain, and bolstered immune sys- cardio­vascular system—fall. One 2013 study Mean it. Those tems. They battle addiction better and are of 1,654 older adults found that those who who contribute to less likely to suffer dementia with age. They volunteered at least 200 hours per year were organizations they’re also live longer. “The science is exploding,” 40% less likely to develop high blood pres- passionate about see Post says. “We have begun to discover that sure than non-volunteers. stronger physiological responses. there is something going on, physiologically, An evolutionary reason may explain why “Motivation matters,” in this process of helping others that makes our reward centers light up when we help Post says. “When people not only feel happier but also report someone else. Working in a team, Post people are genuinely greater health.” and others say, could very well have helped altruistic in their As far back as 1988, an informal analysis us survive as a species. Some even sug- actions, they have a better response.” of 1,700 female volunteers found that 68% gest women’s innate tendency to “tend and reported a sense of calm after volunteer- befriend” rather than fight or fly in times of ing, akin to what they got from exercise. crisis could, by buffering stress hormones, Reviewed by Decades later, studies used magnetic reso- partially account for why women live longer Brunilda Nazario, MD WebMD Lead Medical Editor

NANCY HONECUTT/GETTY IMAGES HONECUTT/GETTY NANCY nance imaging (MRI) to track brain activity than men.

NOV/DEC 2015 14 W ebMD.COM LIVING HEALTHY

MIND MATTERS Word Play WANT TO KEEP YOUR MEMORY SHARP? IMPROVE YOUR VOCABULARY

By Kara Mayer Robinson

Learning new words POP QUIZ may do wonders for QUIZZING YOURSELF ON YOUR NEWLY your brain. A recent study ACQUIRED WORDS suggests having a rich CAN CEMENT THEIR MEANINGS AND HELP vocabulary can ward off YOU OWN THEM FOR cognitive decline. Many GOOD. TRY THESE TESTING TIPS FROM experts agree that activities SHARON GREEN. that engage your mind may keep you sharper longer. Make flashcards. As Boosting your word count you discover a new can be fun and easy. Try word, write it on a flashcard. On the these tips from Sharon back, jot down the Green, who teaches vocabu- definition. You can lary at Niagara University also write down the in upstate New York. phonetic spelling. Read the news every Ask a friend or family member to quiz you. day. Whether it’s your local newspaper or The New York Plug them in. Make a Times digital edition, the list of new words and more words you expose type them into a word yourself to every day, the quiz or game website like quizlet.com. You’ll better. Don’t skip over get custom-made words you don’t recognize. quizzes and games to Try to use the context to test your knowledge. decode the meaning. Or Read the definition and— Listen to smart people. Keep at it and do it highlight the word and look presto!—you’ve got it. You can even up the ante by often. it up in a dictionary when Read for fun. You may tuning into television and Get a calendar. Get a you’re done. not realize it when you’re radio shows with a higher tear-off, word-of-the- Visit a vocab website. doing it, but reading is a bar. “As I listen to NPR on day calendar. Before Vocab sites are packed with great way to upgrade your my daily commute to work, you glance at the new words, challenges, speech. Green says many I often hear words that definition, try to make an educated guess at games, and quizzes. You avid readers pick up new I’ve taught to my college the meaning. Collect can even sign up to have a words all the time, with- students,” Green says. the torn-off pages. At new “word of the day” deliv- out being told what the In fact, Green discov- the end of the week or ered to your inbox. Some meanings are. “Repeated ered that letting her teen month, quiz yourself to try: m-w.com/game, exposure to a word through daughter tune into Brit- on the meanings. vocabulary.com, dictionary. regular reading gives you ish sitcoms exposed her to Use it in a sentence. com, and learning.blogs. a feel for how and when to more SAT-worthy vocab After you learn the nytimes.com/category/ use the word,” she explains. words than typical Ameri- meaning of a new word-of-the-day. Talk to smart people. can shows. word, use it in a Leaf through a dic- “Look for opportunities to Use your new words. sentence. Write it down on paper or find tionary. Seriously, this talk with people who use a Last but not least—when a way to work it into can be fun. You may be broader vocabulary,” Green you pick up a new word, conversation. surprised how many words says. As you hear a wider use it! “This is vital,” Green jump out at you that you’re range of words, you auto- says. The rule of thumb: If Reviewed by familiar with but don’t matically absorb them and you use it three times, it’s Hansa Bhargava, MD, WebMD Medical Editor quite know the meaning of. store them for later use. yours. IMAGES MILES/GLOW BILL

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MEN’S HEALTH Strong Hold MAKE NO BONES ABOUT IT—OSTEOPOROSIS ISN’T JUST FOR WOMEN

By Matt McMillen

Many men might says Wolf-Klein, who think of osteoporosis also recommends lifting as a woman’s disease, if they weights—a reasonable think about it at all. Don’t amount and not to excess. make that mistake and put Talk to your doctor about yourself at risk of broken the right exercises for you. bones—or worse. Eat right. “Nutrition,” “If a man falls and breaks Wolf-Klein says, “is a key- his hip, he’s more likely than stone of prevention.” For a woman to have a major bone protection, that means complication from it, includ- calcium and vitamin D, often ing death or being confined in supplement form. Men are to a wheelchair,” says Gisele much less likely than women Wolf-Klein, MD, director of to take such bone-health geriatric education at North boosters. Before popping Shore-LIJ Health System in supplements, though, check New Hyde Park, N.Y. with your doctor. “Doses The bone-thinning dis- need to be individualized,” ease affects up to 2 million Wolf-Klein says. “There’s no aging men, while as many as cookie-cutter standard.” 13 million men have its pre- Wear proper shoes. If cursor, osteopenia, or low you have brittle bones, falls bone-mineral density. Wolf- can be disastrous. “Before Klein recently co-authored you engage in any kind of a study that showed men osteoporosis runs in your Such medications can activity, such as walking rarely get screened for family or if your father, weaken developing bones. on cobblestones, climbing osteoporosis, which indi- uncles, or grandfathers had Strengthen your mountains, running, what- cates that many doctors unexplained bone breaks. bones. To help prevent ever it may be,” Wolf-Klein also may not be aware of its “That is very relevant, as osteoporosis, do weight- says, “it’s imperative that impact on men. is information about any bearing exercises to build you have the proper footwear Fortunately, you can do a past fractures that you up your bones. “Walking is to prevent a fall that could lot to both prevent and live have had,” Wolf-Klein says. fabulous and so is running, result in a fracture.” Check better with osteoporosis. Also, make sure your doctor provided you run in the your shoes to be sure the Here’s how: knows if you took steroids right kind of shoes so you soles are still in good shape. Share your history. for asthma or other ailments don’t jar your bones, your Replace or resole them as Tell your doctor if as a child or young adult. joints, your tendons,” necessary. Says Wolf-Klein: “You have to have a pair of EXPERT TIP shoes that you can trust.” “If as a young person you had a diet that did not include milk or other calcium-rich foods, please share that with your doctor, who can determine Reviewed by Michael W. Smith, MD —Gisele Wolf-Klein, MD if that puts you at risk for osteoporosis.” WebMD Chief Medical Editor HENRIK SORENSEN/GETTY IMAGES SORENSEN/GETTY HENRIK

W ebMD.COM 16 NOV/DEC 2015 Sensitive Subject More than half of women describe their skin as sensitive, adhering to what they believe is a gentler beauty regimen that includes all-natural and organic products. But according to dermatologist Annie Chu, MD, some of the products or ingredients people with delicate complexions apply may be the root cause of any irritation. What people are sensitive to is unique to each person, she says. Some of the natural or botanical extracts in organic products can cause allergic reactions. Lemon essence, orange extract, and even certain essential oils make some users’ skin turn red and itch. “The example I use for my patients is that poison ivy is almost a universal skin sensitizer, yet it is ‘organic and natural.’” The bottom line: Just because a label says gentle, natural, or organic doesn’t mean it is appropriate for sensitive skin. If you don’t want to abandon an all-natural or organic skin care routine, just be sure to do a patch test on the back of your hand before slathering a product all over your face or body.

Photograph by Image Source/Glow Images NOV/DEC 2015 17 W ebMD.COM HEALTHY BEAUTY

YOU ASKED Luxe List WHAT TO GET THE BEAUTY MAVENS ON YOUR LIST THIS YEAR? A TOP DERMATOLOGIST SHARES SPLURGE-WORTHY ANTI-AGING GIFT IDEAS

By Ayren Jackson-Cannady

Brush Hour 1 NARS Kabuki Ita Brush ($55) “Inspired by Japan, where it is used in dance theater, this is the ultimate contouring brush. Although it does not have any plumping or lifting ingre- 2 4 dients, it has an anti-aging purpose, which is to make cheekbones appear more prominent and raised with the use of blush and contouring.”

Glow Away 3 2 Chanel Le Blanc Brightening Moisturizing Lotion ($67.50) 1 “Derived from akoya pearls in Japan, this is another alternative for bringing ­radiance to the skin. This product, in addition to being glam, happens to be extremely hydrating, making it perfect for layering in a morning or nighttime routine.” 5 Face Off 3 Fresh Black Tea Instant Perfecting ­ Mask ($92) and Sugar Face Polish ($62) “Together, this gift-worthy duo transforms dry skin in a flash. The mask is infused with antioxidants that leave skin empowered to fight off the free radicals that wreak havoc on skin (read: wrinkles, splotches, and sagging). The brown-sugar face polish gently exfoli- 7 6 ates without irritation.”

Hair Apparent 4 Dove Quench Absolute Crème Lip Service Tight Shift Serum ($5.98) “When it comes to 6 Yves Saint Laurent Rouge Volupté 7 Chanel Le Lift Masque de anti-aging, we often forget about hair Shine Lipstick ($36) “This high-shine Massage ($100) “For those who want a health. This holiday season, drop a few lip lacquer is infused with fruit extracts nonprocedural approach to anti-aging, bottles of this gem into a cute box with and antioxidants that smooth and studies show that the main ingredient in a bow on it. The lightweight serum uses soften the lips. It comes in a slew of this face mask, morning glory extract, dimethicone and fruit oils to nourish colors, but to make teeth look brighter leaves skin more supple than before. strands and tame frizz on the go.” and whiter choose one like this (Rouge It gets bonus points for smelling and in Danger) with blue undertones.” feeling so elegant.” The Real Peel 5 Tata Harper Resurfacing Mask ($55) “This all-natural, made-in-Vermont Mona A. Gohara, MD Reviewed by Karyn Grossman, MD associate clinical professor of face mask uses beta hydroxy acid to WebMD Skin Care Expert dermatology, Yale School of work like a gentle peel to decongest Medicine pores and leave you looking refreshed THE OPINIONS EXPRESSED IN THIS SECTION ARE OF THE EXPERTS AND ARE NOT THE OPINIONS OF WEBMD. and revitalized.” WEBMD DOES NOT ENDORSE ANY SPECIFIC PRODUCT, SERVICE, OR TREATMENT.

W ebMD.COM 18 NOV/DEC 2015 Photograph by Ted Morrison Take the Avoiding Common Makeup Mistakes quiz at WebMD.com. HEALTHY LEARN HOW ON PAGE 4 BEAUTY

Dirty Secret

“I hardly ever ­condition my hair. Will I regret that?”

Yes, you probably will wish you used condi- tioner more frequently. Most shampoos use BEAUTY SMARTS detergents to help cleanse hair of grit and grime. These same detergents can strip Once Removed away the sebum from A FOOLPROOF GUIDE TO MAKEUP REMOVAL AND your hair, exposing the cuticle and making it HOW TO TARGET STUBBORN FORMULAS susceptible to damage By Liesa Goins like split ends and break- age. Using conditioner repairs and prevents this For many women, the holiday season free with a low acid concentration, says damage by smoothing means social gatherings that call for a Dennis Gross, MD, a New York City derma- the cuticle and replacing more festive makeup look. And while you tologist. “Be wary of harsh makeup removers the moisturizing oils you may focus on the application, removing any containing alcohol if you have sensitive skin, wash away during the traces of mascara and red lipstick are just and cleansers containing alpha hydroxy acids shampoo process. If time is an issue, as important. “If you don’t thoroughly might be too strong to use around the eye don’t worry—you don’t remove your makeup before going to bed, area,” he says. Gross suggests witch hazel for necessarily have to con- you can irritate skin, clog pores, and cause its gentle astringent properties. dition with every single acne,” says Gervaise Gerstner, MD, a To speed the cleansing process along, he wash. Use the feel of dermatologist in New York City. “Plus, any suggests wetting your hands and applying a your strands as a guide. If it’s time to wash your makeup left around the eyes can cause non-foaming cleanser to dry skin. This will hair and it feels dry and inflammation and redness.” ensure the product adheres to makeup, dirt, brittle, pile on the condi- Gerstner advises a two-step approach to and oil on the skin, allowing for a more thor- tioner. If your hair feels your cleansing routine when you’ve got a ough cleansing. extra oily or greasy, you full face of makeup to remove. First, use Here’s how to target stubborn makeup may be able to get by with just a shampoo. products designed to dissolve the mascara formulas: and foundation you’ve applied; then wash Edward Tricomi master hair stylist and your face with your favorite cleanser. “If Foundation co-founder, Warren-Tricomi you’re really tired, it’s OK to squeeze the Cream-based foundations can be harder to Salons, New York City routine into one step—as long as you do one remove than liquid foundations because they or the other,” she says. often contain mineral oil or wax that can Reviewed by When it comes to selecting an all-purpose Mohiba K. Tareen, MD WebMD Beauty Expert

LEFT: MARTIN MISTRETTA/GETTY IMAGES; SKOBRIK/GETTY IMAGES SKOBRIK/GETTY IMAGES; MISTRETTA/GETTY MARTIN LEFT: makeup remover, look for one that’s alcohol- (continued on page 20)

NOV/DEC 2015 19 W ebMD.COM HEALTHY BEAUTY

(continued from page 19) a makeup and special effects artist in BEAUTY 411 New York City. “I gently press it into What does charcoal in skin settle into the skin, says Jake Aebly, a the lashes for five to 10 seconds and care products do? makeup artist in New York City. You gently wipe.” You may be used to finding can use a cleanser or a wipe to remove charcoal in your backyard grill the majority of the pigment, but follow Glitter or your water filter. The carbon with micellar water (a cleansing prod- Those tiny glitter particles tend to derivative has even been used in medicine to help prevent toxic uct that doesn’t need to be rinsed) on cling to your skin. “Water won’t do substances from being absorbed a cotton round to eliminate every last the trick, but a natural oil or oil-based in the gastrointestinal tract. And trace of your foundation, he suggests. makeup remove will grab glitter,” now it’s showing up in skin care as Blum says. She uses coconut oil that a way to “detox” the skin. Long-Wear Mascara and she removes with a makeup wipe or But you’re not rubbing briquettes on your face. The charcoal in facial Eye Makeup cotton pad. “You want to use a fresh products is a cosmetic-grade “Black eyeliner and mascara are side of the cotton or wipe every time version that is further refined to always the toughest to remove,” you swipe or you’ll just redistribute remove impurities. The concept Gerstner says. You want to avoid the glitter particles.” is the same as charcoal’s medical tugging or rubbing the eye area, she application—the particles are supposed to pull dirt, oil, and other cautions. This skin is very fragile, Long-Wear Lip Color impurities from the surface of and aggressive cleansing can lead to To kiss your long-lasting lipstick good- your skin. puffiness and irritation and even cause bye, you’ll need to exfoliate because The thinking is that because your lashes to fall out. She suggests the pigments sink into the skin, Blum charcoal has the ability to bind oils dipping a cotton swab in eye makeup says. She uses a petrolatum-based and non-water soluble toxins to its surface it can also pull harmful remover to target eyeliner and areas balm like Vaseline or Aquaphor to agents from your pores. Many of intense pigment. loosen the lipstick. “I apply a thick companies have claimed that Mascara also requires a gentle layer and let it sit for a few minutes,” charcoal can absorb minerals, touch. “Soak a cotton pad in a dual- she explains. Then she uses a very soft impurities, and other harmful phase eye makeup remover—the oil toothbrush to lightly remove the pig- substances from skin, but little independent evidence shows that cuts through pigment while the water ment. Gerstner says a washcloth will charcoal does much of anything phase soothes skin,” says Jenn Blum, also do the trick. when delivered in a cosmetic cream. So the claims are just marketing in most cases. The reason is that charcoal will bond to AISLE DO love it because it has all the hydrat- whatever is close, so if you add it ing benefits of oils without feeling PRODUCT to a cream, gel, or liquid, it is going greasy—dry skin soaks it right up. to just absorb the ingredients in PICK I can apply it after the shower and Bio-Oil ($11.99) the formula and won’t be able to get dressed immediately, thanks absorb anything from the skin. to a technology that reduces the EXPERT However, if charcoal is in powder thickness of the oils, making them Whitney Bowe, MD form, as some facial masks offer, dermatologist, assistant professor of absorb more easily into the skin. it could possibly help with oil dermatology at Mount Sinai Medical The chamomile extract is soothing, absorption. Center, New York City and the vitamin E is a powerful If you’re looking for a proven antioxidant that helps replenish way to remove dirt and oil, look for “One of my favorite products to rec- the lipids in skin. It is also a cost- products containing salicylic acid. ommend for dry, scaly skin during the friendly option. Definitely one of winter is Bio-Oil. My patients (and I) my new favorites!” —Perry Romanowski, MS

DREAM PICTURES/GLOW IMAGES PICTURES/GLOW DREAM cosmetic chemist, Chicago

NOV/DEC 2015 20 W ebMD.COM Read Treatment for Dry Mouth, an article HEALTHY at WebMD.com. BEAUTY LEARN HOW ON PAGE 4

YOUR SMILE Dry Spell? HOW TO TELL IF DRY MOUTH IS CHRONIC AND WHAT TO DO ABOUT IT

By Jodi Helmer

You know the feeling: ASK YOUR Your lips are chapped DOCTOR and your mouth is as dry as IF YOUR MOUTH OFTEN the Sahara. No matter how FEELS DRY, ORAL CARE EXPERT VIDYA SANKAR, many times you swallow or DMD, SUGGESTS run your tongue across the ASKING YOUR DENTIST THESE QUESTIONS. roof of your mouth, you can’t find relief. Could my medications Dry mouth is common, be to blame? The especially if you’re dehy- Special Care Dentistry drated, nervous, or under Association notes that dry mouth is a side stress. According to some effect of more than estimates, up to 46% of 500 medications. If Americans have dry mouth, you take a drug that which can cause a dry, sticky causes dry mouth, ask or burning feeling in the about changing the medication or dose to mouth; chapped lips; a dry, ease the symptoms. rough tongue; difficulty swallowing; mouth sores; Can I change my and oral infections. habits to reduce my If the condition, called symptoms? Tell your dentist if you smoke, xerostomia, is chronic, it drink caffeinated can wreak havoc on your beverages, or use oral health because plentiful alcohol (and remember, salvia in the mouth is impor- some mouthwashes tant for preventing cavities contain alcohol). A few tweaks to your daily and other problems, explains habits could make dry Vidya Sankar, DMD, associ- Medication side effects are increasing the risk for dry mouth disappear. ate professor and director one of the biggest causes of mouth. Smoking can also be of the oral medicine clinic dry mouth. Several drugs, a trigger: Inhaling chemicals How can I find relief? at the University of Texas including antidepressants, in cigarettes causes inflam- Many products relieve dry mouth symptoms. Health Science Center. blood pressure medications, mation of the salivary ducts Ask your dentist to When you eat, saliva and diuretics, affect saliva and reduces moisture. recommend an oral bathes your teeth, wash- production. Cancer patients The treatment for dry spray, gel, or rinse ing away sugar and debris. undergoing chemotherapy or mouth depends on the to help boost saliva Without adequate moisture radiation frequently have dry cause. When the condition production. in the mouth, food debris mouth. It’s also a symptom is temporary and related to Do I have cavities? remains on your teeth and of diseases like diabetes, stress or dehydration, Less saliva production acidity builds up in your HIV and AIDS, and an Sankar recommends makes you more prone mouth, increasing the risk autoimmune disease called chewing gum, sucking hard to cavities. Filling of decay. A dry mouth also Sjögren’s syndrome. candy, or sipping water. For cavities helps prevent further damage. causes bad breath and If medical issues are ruled those who have underlying

boosts your risk of develop- out, your habits could be to conditions, medications Reviewed by ing oral bacterial infections, blame. Sankar notes that (prescription and over-the- Eric Yabu, DDS WebMD Oral Care Expert

Sankar says. caffeine decreases saliva, counter) are available. IMAGES SOURCE/GLOW IMAGE

W ebMD.COM 21 NOV/DEC 2015 FAMILY & PARENTING

PET HEALTH Canine Cop By Melanie D.G. Kaplan

Best known as Detective Erin Lindsay on NBC’s police drama Chicago P.D., and previously Brooke Davis on CW’s long-running series One Tree Hill, Sophia Bush describes herself as “the dog version of the crazy cat lady.” She’ll stop strangers on the street to chat about their dogs and has yearned to rescue pups for most of her 33 years. The Los Angeles native—who starred in the remake of the classic horror film The Hitcher, the independent comedy Table for Three, and the feature film Chalet Girl—has earned multiple Teen Choice awards and has been recognized for her philanthropic work.

Photograph by Cory Tran NOV/DEC 2015 22 W ebMD.COM FAMILY& PARENTING

NBC’s ­Chicago P.D. airs on Wednesdays this season.

Did you grow up with dogs? of a Weimaraner and is the sweetest What are some of the silliest things When I was born, Bouncer, my man who ever lived. No matter how you do with your pups? mom’s Doberman, was my protector. He many dogs you have in your life, you Half the time people come over and slept by my crib every night, and I grew have one that’s a soul mate dog, and for look for me, and they realize I’m on the up rolling around with him my whole me, that’s Patch. Penny is 6 years old, floor with the dogs or in the dog bed. I childhood. I wanted to rescue every dog and she has these massive ears, which had a nozzle on a hose in the tub so I I saw. makes me think she is part pharaoh could give the dogs a full beauty shop hound and part red pit bull. She looks shampoo. They don’t love to get baths, What was your first rescue? like Rosie, the red pit bull I grew up but they like the after-bath routine—the I was 6, and my tennis teacher’s dog, with. Griffin is 3 years old, and he’s a aggressive rubdowns and little mas- who wasn’t spayed, got out one night. blue-nosed pit and maybe part mastiff sages. If I’m bathing them in the winter, They found her a few hours later, and or Great Dane. He has a perfectly ginor- I blow-dry them. when they realized she was pregnant, mous square pit head, and his body is they decided to give the puppies up horse-sized. He has a heart-shaped spot Do they join you for exercise? for adoption. I begged and pleaded to on his belly. Patch is so old now. He used to be able adopt one, and my dad said, “Absolutely to leap 6 feet in the air and run all day not.” But my mom saw how upset I Do you live alone with the dogs? long. I’m worried that Penny will run was, and eventually my dad gave in. His My two best friends live with me, which until she actually keels over. And Griffin name was Jake. There were many more is great because the dogs are a lot to is just so big. So they’re not all on the rescues after that, but he was the first manage. Everyone wanted to hold same page for exercise. My workouts one I managed to finagle. We never had ­Griffin when he was a puppy, and he are my own, but if I’m not home, I have fewer than three dogs in the house. My still thinks he’s a lapdog. He just wants an amazing woman who takes them for parents were troupers. to lie on top of you or sit on your feet at hikes in the canyons. all times. We love him, but we obvi- Now you have three pit bull mixes? ously have to set rules when guests are Reviewed by They all came from the shelter. Patch over, because not everyone is into being Will Draper, DVM WebMD Pet Health Expert is 13 years old, has one eye, is the color mounted by a giant dinosaur dog.

W ebMD.COM 23 NOV/DEC 2015 Photograph by Cory Tran Get the WebMD Baby App to track growth and capture your baby’s special moments. FAMILY& LEARN HOW ON PAGE 4 PARENTING

PREGNANCY Game Plan BABY IS ON THE WAY. CHECK THESE 5 TO-DO’S OFF YOUR LIST

By Barbara Brody

While you’ll learn much of what you need to know about parent- ing “on the job,” taking a few extra steps now can help you feel less fraz- zled later. Here are five key moves to make before your water breaks. Take a breastfeeding class. Yes, it’s natural, but most new mothers don’t realize just how difficult and painful breastfeeding can be in the beginning, says Catherine Keith, CNM, a certified nurse and midwife with WestMed Med- ical Group in White Plains and Scars- dale, N.Y. Learning what to expect can ASK YOUR DOCTOR at Northern Westchester Hospital in help moms who want to breastfeed get Mount Kisco, N.Y. He recommends through those first few weeks more How will I know when I’m going scheduling these meetings during your into labor? Make sure you know smoothly and up the odds of success. what to look for and when to third trimester. If you don’t have the time or desire to head to the hospital. Build your support system. take a class, at least chat with friends Babies are wonderful—but they’re also and family members who’ve done it. What are the signs of hard work. “Don’t wait until you’re Investigate child care options. postpartum depression? Most crashing and burning to ask for help,” women don’t see their health Will you be staying home with your care providers for a post-baby Solomon says. She advises making baby? Signing up for day care? Hir- checkup until their baby is 6 arrangements for whatever support ing a nanny? “Life happens, so it pays weeks old, but a lot can happen you might need ahead of time, espe- to be flexible,” says Hana Solomon, in that time. Know when you cially if you’re predisposed to postpar- MD, a board-certified pediatrician in should call for help sooner, tum depression because of a history of especially if you have a history of Columbia, Mo., and contributor to The anxiety or depression. anxiety or depression. Mommy MD Guide to Your Baby’s First Brace yourself for a bumpy ride. Year. Give child care some thought now. What should I know about birth Remember: Everything your baby is Some popular day care centers have control? Sex may be the last about to encounter will be brand-new months-long waiting lists. thing on your mind right now, to him or her, and it might take some but planning ahead can help you Find a pediatrician. A hospital avoid another pregnancy before time to adjust. “The first three months pediatrician will likely check on your you’re ready. Breastfeeding or a can be hell,” Keith says, “but then the baby right after you give birth, but prior history of fertility problems clouds will part.” Whether a baby has you’ll need to start checkups with isn’t a guarantee that you won’t terrible gas, trouble sleeping, or just your own doctor shortly after you conceive unexpectedly. cries nonstop for no reason at all, par- head home. Not sure whom to choose? When and how can I reach you? ents are rarely at fault. “Many pediatricians offer a prenatal No question is too small or too meeting, with no fee or obligation,” says silly to ask. Find out how to best Reviewed by Nivin Todd, MD WebMD Pregnancy Expert

HERO IMAGES/GLOW IMAGES IMAGES/GLOW HERO Peter Richel, MD, chief of pediatrics contact your doctor and the staff.

NOV/DEC 2015 24 W ebMD.COM Watch How Much Screentime Is Too Much for Kids, a video FAMILY& at WebMD.com.

PARENTING LEARN HOW ON PAGE 4

KIDS’ HEALTH Present Tense UNWRAP THE MEANING BEHIND GIFT-GIVING AND FIND OUT HOW MUCH IS TOO MUCH

By Lauren Paige Kennedy

Intuitively, parents It all depends on the moti- understand what brings know what happens vation behind the presents, HAPPY TALK them happiness. Gift- when they overindulge their says Seema Desai, MD, giving should not be fueled children with too much board-certified psychiatrist Not only do kids through a sense of guilt or stuff. Yet while many and assistant clinical profes- develop better coping obligation—or manipulation skills when they’re not parents steadfastly resist sor in the departments of overindulged—they’re on the part of the kid. their kids’ constant pleas child, adolescent, and adult happier, too, according It’s really important that for toys, digital devices, and psychiatry at NYU School of to a recent Children’s it comes from a place of smartphone apps during Medicine. Worlds study that compassion and generosity. much of the year, they feel “In our culture, the surveyed children The same series of gifts with across 15 countries, pressured to deluge their holidays are a time for rich and poor. Some different motivations have progeny with presents celebration, tradition, and, highlights from different effects—and these during the holiday season. yes, gift-giving,” Desai says. the study: motivations can affect the Is all this gifting good for “What’s important is for outcome for the child, too.” kids? Can there be negative parents to reconnect with Kids are happy, even In other words, bombard- without “stuff”: Kids consequences? their own values, and to ages 8 to 14 were ing a child with presents to asked whether they make her happy during this had access to nine festive season without any things (good clothes, a larger connection to some- computer, the Internet, thing meaningful—spiritual a mobile phone, their own room, books, a or otherwise—may leave both family car, a music giver and receiver feeling player, and a TV) and empty. Desai is a big believer about how happy they in rewarding kids with gifts felt. Relative happiness that leave a sense of accom- was very high among all the children, with plishment or are tied to a poorer Romanian greater achievement. She children the happiest encourages parents to help of all. Wealthier English their kids engage in “social kids ranked lower: 13 activities that cultivate kind- out of 15. ness, gratitude, service, and …but the grownups generosity and foster a sense aren’t: Interestingly, of connection and meaning.” when the adults in She also advises linking these same countries gifts, as much as possible, were similarly polled, a direct correlation with positive behaviors— between material and reminds parents that a possessions and little deprivation can be a happiness occurred. good thing. Wealthy Norway ranked the highest with life satisfaction; Reviewed by impoverished Ethiopia Hansa Bhargava, MD WebMD Medical Editor

ranked last. IMAGES GREWEL/GLOW STEFANIE

W ebMD.COM 25 NOV/DEC 2015 Check out 25 Most Popular Dog Breeds and Their Health Issues, a FAMILY& slideshow at WebMD.com. PARENTING LEARN HOW ON PAGE 4

PET HEALTH Down Dog CANINE FLU IS REAL AND DANGEROUS. IS YOUR POOCH AT RISK?

By Stephanie Booth

You’ve heard of flu outbreaks making people sick, but did you know they can happen to dogs, too? Dogs can catch canine influenza, which not only causes them to feel bad but can be dangerous as well. If you know what to look out for, you can keep your dog from getting sick, or help him feel better if he does. The disease usually isn’t fatal. But “canine influenza can cause more serious illness than the average respiratory infection,” says Cynda Crawford, DVM, PhD, of the University of SYMPTOM dog coughs or sneezes on If your pet shows any CHECK Florida College of Vet- you, the virus can survive on signs that he’s sick, keep him WHAT ARE THE erinary Medicine. In some SYMPTOMS OF your skin for two minutes away from other dogs. Avoid cases, the flu can turn into DOG FLU? BARRY N. and on your clothes for a dog parks, kennels, or any KELLOGG, VMD, SENIOR pneumonia, a more danger- VETERINARY ADVISER day or longer. other place where he’ll be ous disease. Puppies and TO THE HUMANE All ages and sizes of dogs around a lot of other dogs, SOCIETY VETERINARY older dogs are more likely to MEDICAL ASSOCIATION, are equally at risk. But says Amesh Adalja, MD, an get severely ill once they’re DESCRIBES WHAT TO “dogs with ‘smushed-in’ infectious diseases expert at infected. LOOK FOR. faces like pugs, French bull- the University of Pittsburgh If your dog is exposed “Just like when dogs, and Pekingese may Medical Center and School to an influenza virus, the people get the flu, have a tougher time dealing of Medicine. Most dogs get chance he’ll become sick is you can expect your with the flu,” Crawford says. better in two to three weeks. “close to 100%,” Crawford dog to sneeze, “Because of the anatomy of A canine influenza vac- says. “The vast majority of have a runny nose, their respiratory tract, any cine is available, so if you and cough,” dogs in the U.S. have not Kellogg says. respiratory illness takes a live in an area where an out- been previously infected or harder toll on them.” break of dog flu happens, vaccinated against dog flu.” Other symptoms are If your dog does come or your pet often comes into Dog flu is very conta- tiredness and lack of down with the flu, what can close contact with other gious. Your pup can catch appetite. you do? Just like humans, dogs, ask your veterinar- it when an infected dog Some dogs also dogs need rest and fluids. ian about the shot. It won’t sneezes or coughs on him. develop a fever of Make sure your pet has a necessarily prevent the Since the virus also can live 104° to 106°F. quiet, comfortable place to flu but will reduce severe on objects, he could get recover and plenty of water symptoms. it by putting an infected But you may not know to drink. Your vet may pre- your dog has the virus. ball or toy in his mouth. Up to 20% of dogs with scribe antibiotics if your dog Reviewed by People can give their dogs gets a bacterial infection Amy Flowers, DVM the flu don’t show any WebMD Pet Health Expert

the virus, too. If an infected symptoms. along with the flu. IMAGES TUNART/GETTY

W ebMD.COM 26 NOV/DEC 2015 Check out Baby Proofing Essentials, a slideshow at FAMILY& WebMD.com. PARENTING LEARN HOW ON PAGE 4

BABY TALK Safe House COULD DECKING THE HALLS MEAN DANGER FOR YOUR LITTLE ONE? LEARN HOW TO BABY-PROOF FOR THE HOLIDAYS

By Colleen Oakley

We know—your holiday to-do list is already a mile long. But one thing that may not be on it and should be? Baby- proofing your home. If you have little ones toddling around, extra care around the holidays is a must. “The holidays are the time of year when you introduce all kinds of new objects into your home,” says Josefina S. Jacinto, MD, chief of pediatrics at Orange Coast Memorial Medical Center in Fountain Valley, Calif. “These new objects change the dynamic of your space. It changes the dynamic for babies, too.” To help keep everyone mistletoe, holly, Jerusalem ASK YOUR these, place them up high), safe, follow these tips. cherry, and poinsettias can PEDIATRICIAN Holtzman says. “Be care- Choose LED holiday cause illness if eaten. “The What toys are age- ful with icicles and tinsel, appropriate for my lights. “The slightly more berries look like food to little baby or child? too. If a baby gets hold of expensive LEDs are safer children,” Ilarraza says. these items, she may put than incandescent lights Make sure they’re not within What holiday foods are them in her mouth and they because of their lower oper- a toddler’s grasp. safe for him to try? may contain lead and tin, or ating temperature,” Jacinto Anchor your tree. A tree block her airway.” What are your says. That means they’re less grabbed by a child can easily holiday hours? Do a quick cleanup. of a fire hazard—and curious topple, so place it in a wide, “After opening presents, fingers touching the bulbs sturdy stand and anchor it to Do you have a immediately discard gift won’t get burned. ensure the tree doesn’t fall nurse hotline in case wrap, plastic bags, foil paper, Monitor the menorah. over, says Debra Holtzman, I have a question tape, gift bags, and ribbons, when the office is “Keep all candles out of a author of The Safe Baby: A closed? as they can pose strangu- child’s reach and away from Do-It-Yourself Guide to Home lation, suffocation, and the edge of a table,” says Safety and Healthy Living. What vaccinations choking hazards for young Courtney Ilarraza, founder Decorate wisely. Use should I make sure children,” Holtzman says. of Baby Bodyguards, a only noncombustible or holiday guests are up Beware of holiday buf- to date on? professional baby-proofing flame-resistant materi- fets. Popular holiday snacks service. “And never leave a als and avoid decorations like candies, nuts, and candle burning unattended.” that are sharp, breakable, Reviewed by popcorn can pose a choking Put plants out of reach. or weighted or have small Hansa Bhargava, MD hazard for kids under age 4. WebMD Medical Editor

Holiday plants such as removable parts (if you have Keep these out of reach. IMAGES HESTER/GETTY ADAM

W ebMD.COM 27 NOV/DEC 2015 CLOSE’S

Growing Callup, Glenn Close didn’t see the signs of mental illness in her younger sister. But later in life, the struggle became all too clear and she saw a new role for herself. Close established a nonprofit to abolish the stigma associated with the disease. We talk to the WebMD Health Heroes People’s Choice award winner about her family’s history of mental illness and her hope for change

BY GINA SHAW PHOTOGRAPH BY ANDREW ECCLES/AUGUST

W ebMD.COM 28 NOV/DEC 2015 NOV/DEC 2015 29 W ebMD.COM STOP THE Stigma LEARN HOW YOU CAN HELP CHANGE MIND-SETS ABOUT MENTAL ILLNESS.

In flashes Educate yourself. Start 1 with “Mental Health Myths and Facts” from the of childhood memory, Department of Health & Human Services website, mentalhealth.gov/basics/ actor Glenn Close can still see her myths-facts. younger sister, Jessie, anxiously picking Start talking at 2 home. “If you have issues in your own family, at the skin between her forefinger and have the courage to start there,” actor Glenn Close thumb. Many children have nervous says. habits—but Jessie’s seemed different. Speak out. “Look to 3my sister, who put her whole reputation on the line to help those of us who have mental illness with no thought of herself “She’d worry that skin until it with her but not ‘with her,’ and what it might do to was all bleeding and crusty,” you know? So Jess really fell her career, because the she recalls. “Today, that through the cracks.” prejudice is so rampant in kind of anxiety and hurt- our society,” says Jessie Close, who lives with ing yourself would be a SISTER bipolar disorder. big red flag. But I was STRUGGLES young, she was young, During the next few Choose your words. and our parents weren’t decades, Jessie Close’s 4Words like “crazy,” around that much. And life became increasingly “nuts,” “schizo,” and “luna- tic” may seem insignifi- that kind of thing was turbulent. She began drink- cant—but they perpetuate never talked about in our ing heavily and doing drugs stigma. When you talk family.” in her teens. She had five failed about someone with men- Close, 68, whose collection of marriages, three children, and lots tal illness, don’t say, “He’s awards over her 40-year career in film, tele- of affairs. “I had my first psychotic break schizophrenic” or “She’s bipolar.” People are not vision, and theater includes three Emmys, when I was 21,” Jessie recalls. “I was living defined by their disease. three Tonys, and half a dozen Oscar nomina- in Washington, D.C., and going to school. I Instead, say, “He’s living tions, always felt protective of Jessie, who is felt this prickling on my scalp and I turned with schizophrenia” or six years younger. But she didn’t always have around and looked, and I was sitting on my “She has bipolar disorder.” the opportunity to act on those protective bed looking at me. It scared me so much I Help create safe instincts. In 1954, when Jessie was a baby, couldn’t leave the apartment until I ran out 5spaces. “Are there their father, a surgeon, joined a cult called of food.” places in your area where Moral Re-Armament and uprooted his wife But despite the family’s history of mental people with mental health and four children to the group’s headquar- illness—one uncle had schizophrenia and issues can go for sup- ters in Switzerland, where the family lived another committed suicide—no one realized port? If there aren’t, try to do something about it,” in a hotel. that Jessie might be struggling with her own Glenn says. “I was always fascinated and charmed mental illness until she was diagnosed with by Jessie. She had such imagination; she bipolar disorder in 2004, at the age of 51. By Take the pledge. was so funny and original. I guess I kind of then, she had come within inches of taking 6Take BC2M’s pledge considered myself her guardian. But when her own life. to stand up against the stigma of mental illness. we were in that big hotel, we were all in “It was New Year’s Eve 2001,” she says. Then spread the word to different rooms, and you don’t live together “I was really drunk, and that was when the friends, family, and others

like you do when you’re in a family. I was urges to kill myself became impossible to HALLMAN DAN LEFT: in your social networks.

Right: Photograph by Armando Gallo/Corbis W ebMD.COM 30 NOV/DEC 2015 NOV/DEC 2015 31 W ebMD.COM Read Coping With the Stigma of Mental Illness, an article at WebMD.com. her book,” Glenn says. (Resilience: Two Sisters and a Story of ­toolbox project” at Indiana University LEARN HOW ON PAGE 6 Mental Illness was published in January 2015.) “We didn’t have (IU), designed to change attitudes a tradition of checking up on each other—that wasn’t one of about mental illness (with the hashtag the tools in our toolbox. What you have as a child is what your #stigmasucks). Glenn, very hands- ignore. My husband was asleep, all my kids were home in caregivers give you.” on with the organization, went to the bed, and I went out to his truck and his gun was there and I Glenn says she has forgiven her parents for any blame that campus this year to hear presentations was just going to be done with it. With my life. But then I all anyone from the outside might expect her to assign them. from students who had designed cam- of a sudden pictured my children’s faces and realized what “They were dealing with things I understand very deeply. puswide activities and events aimed at they would have to deal with if they found me. It would be a They had their own lack of tools in their toolbox. Things can reducing stigma. lifelong curse.” go from generation to generation until somebody says, ‘Wait. “The winners were three girls who She found the strength to quit drinking and started going Let’s stop.’ ” came up with a big campus kickball to Alcoholics Anonymous—but “the bipolar disorder contin- Jessie’s own struggle was difficult enough. Even harder tournament called Kick Stigma in the ued its nasty work in my brain.” was watching her son, Calen Pick, battle schizoaffective dis- Balls,” she laughs. Once the program Three years later, the sisters were visiting their parents order—a combination of schizophrenia and mood disorder has matured at IU, BC2M will pack- when Jessie pulled Glenn aside as she was about to leave. symptoms. He, too, spent time in McLean Hospital, nearly age, market, and distribute it free of “I told her that I had a voice in my head, telling me to kill two years, before getting his disease under control. charge to interested colleges and uni- myself over and over again,” she recalls. “The week after that, “He used to be the leader of the pack. He was drop-dead versities nationwide. I was at McLean Hospital in Boston. My sister takes things in gorgeous, and the girls just flung themselves at him,” Jessie The organization aims even younger, hand.” (The Harvard-affiliated psychiatric hospital was the recalls. “But when it became evident he had a mental illness, with LETS (Let’s Erase the Stigma) setting for Susanna Kaysen’s memoir, Girl, Interrupted, and everyone was out of there. I said to Glenn, ‘Never give me BC2M, a campus club for high school Sylvia Plath’s novel, The Bell Jar.) another birthday or Christmas present. Just do something students similar to a chess or drama It’s taken time, and many adjustments to her medications, about the stigma and prejudice toward those of us who have club. A preliminary evaluation pub- but today, Jessie successfully manages her illness and travels mental illness.’” lished in 2014 found that students who the country speaking about mental health. participated in a LETS club for at least Even though Glenn stepped in and made sure her sister CALL TO ACTION a semester had dramatically improved got the help she needed, she says she didn’t yet fully under- Jessie’s plea inspired Glenn to launch Bring Change 2 Mind attitudes about mental illness and were stand what Jessie had gone through. “There are a lot of (BC2M) in 2010, a U.S.-based nonprofit organization working more willing to befriend others with things I didn’t learn about, really, until I read the galleys of to change attitudes about mental illness through public edu- mental illness. A randomized study cation and partnerships. She assembled will test the program’s effectiveness at an advisory team of scientific experts in 27 high schools in northern California mental illness who help design and evalu- and has just launched this fall semester ate BC2M’s programs. “Goodwill for good- with thousands of students taking part. will’s sake isn’t enough. We have to evalu- Glenn, who starred in the long-run- GLENN’SClose-Up ate what we’re doing,” Glenn says. “We ning TV legal thriller Damages, is now ACTOR AND MENTAL HEALTH ACTIVIST GLENN CLOSE need to know if we’ve made real change, if shooting a new Damian Harris film, LAUGHS AT THE IDEA THAT SHE HAS ADVICE TO OFFER we’ve moved the needle.” “I was always fascinated Wilde Wedding, with Patrick Stewart ABOUT LIVING­ A HEALTHY LIFE—BUT THEN OFFERS UP A FEW “The No. 1 challenge in mental health and her Dangerous Liaisons co-star John THOUGHTS AFTER ALL. care is stigma,” says one of BC2M’s scien- and charmed by Jessie. She Malkovich, and preparing for a concert tific advisers, Stephen P. Hinshaw, PhD, a performance of Sunset Boulevard in GET A PUPPY! “I lost my two old beloved dogs this year, and it was so hard,” she says. “Now I have this puppy. His name is Pip, and he’s a professor and former chair of psychology had such imagination; she London. The actor says she has had her Havanese, and he’s just unreasonably cute. Biking and having a dog, those at the University of California, Berkeley own struggles with mild depression. are my two best health habits.” and author of The Mark of Shame: Stigma was so funny and original.” “It’s something I’ve been aware of Mental Illness and an Agenda for Change. of for a long time. It’s like you spin STRETCH. “I’m getting to that point in my life where my tendons and “It’s because of the rather ‘unspeakable’ your wheels and sometimes everything bones get sore, so I try to do a lot of core things: planks, stretches, sun salutations.” nature of mental illness that funding lev- BC2M has developed a series of public service announce- seems absolutely impossible, and I take a very low dose els for research and treatment remain ments about mental illness, appearing everywhere from bus- of an antidepressant. Since it’s such an issue in my family, MEDITATE. “Just the idea of taking 20 minutes a day and gently trying to low.” States have cut more than $1.6 bil- stop shelters and taxicabs to Yahoo!, Sports Illustrated, and it’s not surprising that I’d be on the spectrum of depression calm your system has a big effect. It’s kind of surprising!” lion in general funds from their state TV Guide. Calen, Jessie, and Glenn appeared together in one somewhere.” mental health agency budgets for mental of the PSAs, “Schizo,” a powerful video that opens like a hor- She likes to say that “mental illness is a family affair”—and KEEP TEMPTATION AWAY. “My favorite thing in the world are Oreos, but I can’t buy them. I’ll eat the whole box. When I was on Broadway this health services since 2009, according to the ror film and ends with the family together in the kitchen. by that, she doesn’t just mean family history and genetics. past year I would bring Oreos to our little green room. Then I found this arti- National Association on Mental Illness. The latest campaign, “Stronger Than Stigma,” features the “It’s about the support and love that anyone dealing with cle online that said Oreos trigger the same area in your brain that cocaine “People know more about mental illness unique challenges that men face when talking about men- mental illness desperately needs from their family,” she says. does. I printed it out and put it up on the wall!” than they did decades ago—surveys have tal health. On print ads and billboards—like one towering “So many cultures and families don’t want the neighbors shown that,” Hinshaw says. “But at the same above the ads for Broadway shows Matilda and Kinky Boots in to know. They think it will be a reflection on them, and that’s GET TO THE GARDEN. “I’ve been hugely spoiled by wonderful veg- etables straight from the garden. You can just plant tomatoes in little pots time, attitudes including ‘social distance’— New York City’s Times Square—a multiracial group of men how stigma starts.” practically anywhere. They don’t take up much space, and you’ll have these how close you might want to be to someone declare, “We’re talking about mental health. Are you?” Reviewed by Hansa Bhargava, MD, WebMD Medical Editor fantastic fresh tomatoes.” with mental illness—have not budged.” BC2M is also now piloting a new peer-to-peer “college

Photograph by Timothy White/Trunk Archive NOV/DEC 2015 33 W ebMD.COM MIND MATTERS -

limit head injuries. research Omalu’s the has transformed look at—and we way And play—football. in Concussion , a new work film about his opens in Decem- that Smith Will actor ber, Still, Omalu. he plays “I humble. remains - be glori to want don’t Naively, he thought the National National the he thought Naively, In September leg 2002, when SCIENTIST MD, MBA, MPH MBA, MD, Steelers center Pittsburgh endary Omalu’s on lay Webster Mike County, Allegheny table at the office, something Pa., coroner’s rang story of his death about the was a heartcause The official false. about heard but Omalu had attack, erratic behavior—the ­Webster’s outbursts incoherent and violent led him to ramblings. Intuition brain. Webster’s deep into delve tau, of clumps he found There, common in protein an abnormal Alzheimer’s brains of elderly the seen in a before patients, but never “I just player. football 50-year-old He Omalu says. it,” believe couldn’t - trau chronic condition the named CTE. or encephalopathy, matic welcome League would Football it launched Instead, his discovery. “It discredit to hisan attack work. - experi painful lonely, a very was Omalu recalls. ence,” But as the CTE grew, with of players lineup the face to forced NFL was the rules to stricter instituting issue, to be placed on want fied. I don’t pedestal.” any Bennet I. Omalu, I. Bennet in Nigeria, Bennet up I. Growing Omalu dreamed of becoming a ambi- other had pilot. His parents be a him to wanted tions—they enrolled doctor—so he reluctantly in medical on school. settled He death turning pathology, forensic call- a higher into investigation good a very “I realized it was ing. truth,” seek me to the for platform he says. Photography by Robert Houser Photography BY STEPHANIE WATSON STEPHANIE BY

advocate. Meet the 2015 WebMD Health Heroes Health 2015 WebMD Meet the advocate.

winners in three categories: scientist, prodigy, and categories:scientist, winners prodigy, in three Every year, WebMD celebrates Americans who change change celebrates Americans who WebMD year, Every the health landscape in our country. This year we honor we This year landscape in our country. health the

GREATER GOOD SOCKS & BONDS passion to helpthepassion elderly using “so that other generations don’t have to suffer through same the with dementia outofbed. steps right) grandfather—with onhis error for Shinozuka can Science inActioncan Science Award at hopes to onedayhopes develop cures under bathroom tiles floor that a household witha household three genera- to and design build Alzheimer’s, began Kenneth Shinozuka grew up in (he holdsitup, over eye, his at bed. “The moment “The bed. grandparents would among be tion won the Ameri - Scientific He the tested wearable sensor the floor,saw I the saw himget outof for Alzheimer’s and dementia A few years later, Shinozuka’s 17-year-old senior high school sends an alert to acaregiver’s analert sends Kenneth Shinozuka invented it—but “that process cept never stores—he reached his foothis on landed a year oftrial and tions, and heworriedtions, that his he had an idea: Place sensors he hadPlacesensors anidea: the Google Science Fair. Science the Google The solution.” Ittook solution.” was only 6years oldwhen he night, Shinozuka 100% success—and at senior atsenior 100% success—and send an alert to acaregiver’s analert send the prototype—a injured infalls eachyear. So implanted inmeavery firm pressure sensor wornpressure sensor inside wristwatch falls. ifsomeone smartphone when someone smartphone when someone In 2014, Shinozuka’s inven- His “smartHis bathroom” con- the millions ofolderadults to wander. One a sock thata sock immediately grandfather, who has PRODIGY technology,” hesays. pain my family did.” care facilities. Photography Alleman Thomas by WARRIOR’S WAY - - reenlisted the Army in 1983 and Army the till 1988. After served Secret the with stints Service, Los Angeles Department, Police FBI, he ­ and really in 2002. “9/11 I felt me. struck to try compelled to at some level,” serve time, But this he says. differ service felt WebMD Chief Medical Editor WebMD Michael W. Smith, MD Michael W. by Reviewed In 2012, Clark pawned two Rolex Rolex two pawned In 2012, Clark have 260 warriors than More ADVOCATE ent. Clark returned home empty, empty, home returned Clark ent. he struggled And self-destructive. of so many understand why to commit were veterans his fellow do ‘How “I wondered, suicide. ting Afghanistan and Iraq survive you he back home?’” kill yourself and this solve “I decided to I had says. problem.” Save create to $12,000 for watches a Malibu, Calif.-based A Warrior, recover helps veterans that program stress disorder. post-traumatic from program residential The weeklong journey on a healing veterans takes includes meditation, ropes that counsel and - courses, horse therapy, detox.” calls it “war Clark ing. most program; were the completed No entered. they when suicidal suicide— has committed graduate hopes He to a 100% success rate. population at-risk of the more reach be of those one to like “I’d one day. side of winning on the who’s guys not to like it’s what I know suicide. be here.” to want Ronald “Jake” Clark “Jake” Ronald hardscrabble a pretty “I came from Clark Ronald “Jake” background,” - institutional was mother “My says. childhood, and most ized of my for with his challenges had father my my I spent alcohol. and gambling - years in an orphan first of couple early those by Toughened age.” enlisted Clark in 17-year-old years, Photography by Thomas Alleman Photography YOU VOTED! PEOPLE’S CHOICE WHERE ARE THEY Once again this past August, WebMD Every year since 2006 we’ve honored a group of outstanding people who asked you to choose from among work to find cures, raise awareness, encourage research, get treatment to four celebrity health advocates for people in need, and so much more in the areas of health and wellness. the 2015 People’s Choice Health Here we check in with last year’s winners to see what they’ve been NOW? Hero award. When voting closed doing in the time since their WebMD awards. on August 31, we named actor and mental health awareness advocate Carson Daly Harold Koplewicz, MD Frank Papay, MD Martha Stewart Glenn Close the winner—she’s our 2014 WebMD Health Hero 2014 WebMD Health Hero 2014 WebMD Health Hero 2014 Health Hero cover story this issue, page 28—but PHILANTHROPIST ACTIVIST SCIENTIST PEOPLE’S CHOICE the other candidates are equally In 2014, NBC’s Today show Some call cluster head- Martha Stewart presides committed to improving health and invited its anchors to aches “suicide headaches,” over a multimillion-dollar support worthy causes for because the pain is so empire that encompasses wellness. Meet them here. its Shine a Light program. severe they’ve driven some magazines, TV shows, and Carrie Fisher Carson Daly jumped at the people to consider tak- home goods. Given her Star Wars fans know Carrie Fisher as chance. “I wanted to do ing their own lives. “It’s successes, Stewart considers Princess Leia, but in real life the actor Zarin Ibnat Rahman 2014 HEROES UPDATE HEROES 2014 something with kids and described as having a hot philanthropy a personal Michael J. Fox and writer has fought forces more power- hunger.” Daly partnered bore put into your eye,” 2014 WebMD Health Hero responsibility. In 2007, with a 2014 Health Hero ful than the Dark Side. She’s turned her with KidsGardening.org says Frank Papay, MD, the PRODIGY HALL OF FAME HONOREE personal struggle with bipolar disorder and to transform a school Cleveland Clinic plastic sur- drug abuse into a chance to raise awareness and combat geon who helped pioneer In 2012, 16-year-old Zarin For the past 17 years, the stigma of mental illness. In 2001, she received the More than 17 million children a new surgical approach to Ibnat Rahman studied Michael J. Fox has been a Purdy Award from the National Alliance for the Mentally Ill, for making strides to end discrimination against people in the U.S. have a psychi- treat cluster and migraine whether too much screen tireless advocate for Par- with mental health problems. atric disorder, and nearly headaches. Papay was time interferes with teens’ kinson’s disease awareness two-thirds don’t get any also part of the team that sleep, mood, and academic and research. In 2000, he help, says child and adoles- performed the first near- performance. Her findings? Christina Applegate launched the Michael J. Emmy award-winning actress Christina cent psychiatrist Harold S. “The kids who were sleep- Fox Foundation for Parkin- Applegate’s foundation, Right Action for Koplewicz, MD. “Somebody deprived had more screen son’s Research, which has Women, promotes the early detection of has to speak up for these usage,” she says. They were raised more than $450 breast cancer and offers help to women kids, because left untreated, also drowsier and moodier $5 million donation, she million to help wipe out this who can’t afford screenings. Applegate was their lives are really dimin- during the day, and scored opened the Martha Stewart devastating disease. The diagnosed with the disease in 2008 and opened up about playground in Crown Heights, ished.” In 2009, Koplewicz lower on mental tests. Rah- Center for Living at Mount foundation has also sup- her double mastectomy on a 2014 Entertainment Tonight Brooklyn, into a garden. “This and philanthropist Brooke man’s research earned her Sinai Hospital in New York. ported the development of special. In 2013, Right Action for Women partnered with particular area of Crown Garber Neidich co-founded the top Addiction Science The center fills a need for groundbreaking treatments, Asics America to produce a line of pink products, which support the group’s efforts to help women get screened. Heights is a concrete jungle. the Child Mind Institute, a Award at the 2013 Intel quality senior health care at working with pharmaceuti- There’s no green space nonprofit dedicated to chil- International Science and a time when 10,000 baby cal companies to make new Jeff Gordon anywhere,” he says. Today, dren’s mental health care. Engineering Fair. Now a boomers turn 65 daily—a drug compounds, and to NASCAR Cup driver Jeff Gordon doesn’t win the garden is an outdoor So far, the organization has total face transplant in the sophomore at Harvard Uni- phenomenon Stewart calls speed these new therapies to only on the racetrack. He’s also a champion classroom where kids learn treated nearly 5,000 kids. U.S. His next projects? Using versity, Rahman is studying “the silver tsunami.” Today, market through clinical trials. philanthropist. The Jeff Gordon Children’s the importance of nutritious “It’s going to be the science artificial intelligence to help neurobiology and psychol- more than 10,000 patients His significant contributions Foundation funds medical research and eating. “When they build it, we develop here and share patients understand medical ogy, and plans to go to medi- visit annually, making it one as an activist, philanthropist, cancer treatment programs for kids. In it’s amazing how much more with the world, and the new procedures—and develop- cal school. She’s also joined of the largest outpatient and “honorary scientist” have 2011, the group helped launch the Butaro Cancer Center of they can be convinced to like treatment approaches, that ing goggles to help sur- a research team working to facilities in the country for given hope and a voice to Excellence, a cancer care program in rural Rwanda. In 2011, it.” He hopes to start a green are really going to change geons see tumors inside the understand how stem cells in older adults. “It’s a good people living with the dis- Gordon became spokesman—and driver—for the AARP’s movement, encouraging kids the lives of these kids.” body during operations. the brain affect diseases like prototype for other hospitals ease and their families. Drive to End Hunger campaign, raising money to feed everywhere to dig their fruits amyotrophic lateral sclerosis around the United States,” hungry seniors.

and vegetables. (ALS) and schizophrenia. STROHMEYER DAMIAN MASTROIANNI; ROGER DITTMAR; JESSE STEPHENS/AUGUST; JUSTIN LEFT: FROM IMAGES SPELLMAN/GETTY JIM IMAGES; WEISS/GETTY ANGELA IMAGES; LAVERIS/GETTY JASON SLAVIN/AUGUST; RANDALL ECCLES; ANDREW LEFT: FROM Stewart says.

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INSIDE expert tips & smarts from

HEALTHY HOLIDAY Nick Jonas FOODS spreads the word MEDICINE CABINET about living with CHECKLIST type 1 diabetes Beyond Brothers

Pick up an extended copy of TAKE THE LEAD IN Your Health EXCLUSIVELY AT YOUR LOCAL WALMART Take the lead in your health health information from Meal Plan How to savor and survive the holiday season with your waistline intact BY KERRI-ANN JENNINGS REVIEWED BY HANSA BHARGAVA, MD, WEBMD MEDICAL EDITOR

he holidays are a time to celebrate. But being Tin celebration mode for a month can mean letting your healthy habits slide. With these tips, you can get the most out of the holidays without a lasting, er, reminder.

Smart swaps Instead of potatoes, use cauliflower and cele- riac—these two white, nonstarchy vegetables make great substitutions for more calorie-dense mashed potatoes. Steamed cauliflower pressed through a ricer can stand in 100% for mashed potatoes, while swapping up to half of the pota- toes for flavorful celery root slashes carbs. Instead of cream, use low-fat evaporated milk, a full-bodied stand-in for heavy cream. Try it in pumpkin pie, “creamy” casseroles, and mashed potatoes. Instead of butter, use broth. Low-fat, low-sodium chicken or mushroom broth can infuse dishes with lots of flavor and keep them moist without adding many calories. Use broth and you’ll more fully enjoy the splurges. Hearty to steam green beans, bind stuffing for stuffed veggie- and bean-packed stews and chili satisfy mushrooms, or caramelize onions. your belly (and your taste buds) for daily fare. Save richer casseroles and desserts for the truly GET MORE Dining strategies special occasions. healthy living Eat your calories, don’t drink them, says Be carb conscious. Starchy foods—think tips and info at Lezlie Sparks, MS, RDN, LD, a certified diabe- stuffing, buttery Parker House rolls, sweet webmd.com/ tes educator at The Medical Center of Plano potato casserole—make up the bulk of holiday askthepharmacist in Texas. Favor calorie-free drinks, such as fla- fare, but if you want to curb calories and carbs vored sparkling water or unsweetened iced tea, be selective about the ones you pile on your and be mindful and moderate about alcoholic plate. Leave room for your favorite starches and beverages. skip the ones you’re not as into. Be realistic. This is not the time to try to Don’t skip meals. “Saving up” for a big meal lose weight or start a new strict diet. Instead, or party by skipping breakfast and lunch might aim to maintain your weight—and remember to seem like a smart idea, but it often backfires— exercise regularly. you might ravenously overeat when you finally Eat right…most of the time. Decadent give yourself the chance, Sparks says. Instead, dishes stop being a treat when you have them focus on eating regular, healthy meals, and day in and day out. Keep the majority of your snack on a piece of fruit or some raw veggies November and December meals super healthy before going to a party. PREVIOUS PAGE/COVER: PHOTO BY GABRIEL OLSEN/GETTY IMAGES; KIDSTOCK/GLOW IMAGES PREVIOUS PAGE/COVER: This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart. w2 NOV/DEC 2015 ADVERTISEMENT Walmart Pharmacy News low More Than prices Just Walmart Pharmacy offers quick, convenient prescription services and more—online, in stores, and on mobile.

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

Walmart Pharmacy News Advertorial JulAug.indd 1 6/2/15 3:31 PM Take the lead in your health health information from See the Light How to cope with seasonal affective disorder

BY CHRISTINA BOUFIS REVIEWED BY AREFA CASSOOBHOY, MD, MPH, WEBMD MEDICAL EDITOR

uring winter, for about 5% of the U.S. popula- Dtion, shorter and darker days bring a form of depression known as seasonal affective disorder (SAD). Symptoms include lack of energy, over- sleeping and overeating, difficulty concentrating, and feelings of isolation and loneliness, says Sheela Raja, PhD, clinical psychologist and assistant pro- fessor at the University of Illinois at Chicago. Though statistics vary, as many as one in 10 people may develop a mild form of SAD during the winter months. Women are four times more likely to be affected than men. What can you do if the shorter days darken your mood? Raja offers some tips. Get natural light. Go outside even for a few minutes, ideally within the first hour of waking up, Raja says. “It may sound counterintuitive, especially if you live in a northern climate where it’s dull and dreary outside, but getting natural light actually does make a difference in helping regulate melatonin.” Melatonin is a natural hor- mone that helps you sleep. Can’t make it out in the morning? “Get outside for 10 or 15 minutes at lunchtime,” she says. Keep moving. “Exercise definitely helps,” Raja says. “We have so much evidence about how exer- cise helps people control their mood.” seasonal depression worse. “Schedule some time Aim for moderate physical activity, such as to do things you enjoy or get support from people brisk walking, for 30 minutes, three to five times around you,” Raja says. Exercise is a great stress a week. “It’s great if you can exercise outdoors, buster. For others, a vacation helps. “Some people though that’s not always possible,” Raja says. Out- find that going somewhere and getting a little doors, you’ll be exposed to more natural light. break from that lack of sun—even if it’s for a few GET MORE Set a bedtime routine. Though many people days—helps to break the cycle,” she adds. healthy living with SAD tend to report they sleep too much, Talk to your doctor. Treatment is avail- tips and info at studies suggest quality of sleep may suffer even able. You may feel better with light therapy, or webmd.com/ if you spend more time in bed, Raja says. For your doctor may recommend medication or talk askthepharmacist refreshing zzz’s, keep your bedroom cool and therapy or a combination. With light therapy, dark, set a bedtime routine with regular sleep and you sit in front of a light box—about 100 times wake times, and banish electronics from the bed- brighter than the lamps in your home—for about room. The light from these devices may interfere 30 minutes each morning, which may help reset with your ability to sleep properly, Raja says. your sleep-wake cycle, Raja says. Check with your Find ways to de-stress. Stress can make doctor to see if this treatment is right for you. SARA LYNN PAIGE/GETTY IMAGES PAIGE/GETTY SARA LYNN This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart. w4 NOV/DEC 2015 Less Expense. More Freedom.

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support system is always helpful,” Jonas says. “I’ve met a lot of young people with diabetes who’ve told me how important it was to them to have groups that helped them. My situation was different, but if I hadn’t been touring Beyond and performing all the time, I would have gone to groups as well.” To help create communities that encourage such connections, Jonas co- founded Beyond Type 1 earlier this year. The goal: to use social media and special BROTHERS events to bring together the wide range of people who live with the disease, and to Singer Nick Jonas spreads the word provide education, build awareness, and about living with type 1 diabetes raise funds for research. “It’s one of those Singer Nick Jonas has made the stage his home since he was 7 years old, first on his own and then with his two older brothers, Kevin and Joe, in the hit boy band things that affects the Jonas Brothers. Now, he’s a solo performer once more, with two dance chart- you every single topping singles and a No. 1 self-titled album released last year. day and every But for 10 years now, Jonas, 23, has shared the spotlight with type 1 diabetes. minute of the day.” He’s been an outspoken advocate for diabetes awareness since shortly after he was diagnosed at age 13. Jonas does more than make music. He’s “The priority at first was getting a grip on the To maintain healthy blood glucose levels, people also appeared on screens both large and diabetes itself so that I could get to the point where with type 1 must monitor those levels closely and small. He has several Disney Channel I felt comfortable speaking about it,” Jonas says. “I inject or inhale insulin or rely on a pump to do it for roles under his belt, and, since 2014, he’s knew pretty quickly after my diagnosis that that them three to four times per day. co-starred in DirecTV’s Kingdom. This was something I wanted to do.” Nick Jonas is no different. Like everyone else fall, he has a recurring role on Fox’s new From the start, he had the support of his family, with diabetes, he must keep a constant watch on horror comedy Scream Queens. friends, and people he performed and toured with. his disease. He wears a continuous glucose moni- To stay in shape for screen and stage, That helped him cope, but he says it wasn’t easy. “I toring system, which tracks his glucose levels. With he works with a trainer in Los Angeles. wasn’t alone, but there weren’t a lot of people to look a sensor placed just under his skin, the device sends “I do lots of different exercises that work to and say, ‘Wow, they’re doing what they want to do readings to his phone as well as to his caregivers. “I different parts of my body,” Jonas says. “I while living with this disease,’ ” Jonas recalls. “But I have great tools,” he says. get my cardio burn on while I’m lifting.” quickly met people who encouraged me and helped Still, life with diabetes is difficult. And when Jonas starts a typical day with turkey me to tell my story. That was a good thing.” Jonas goes on tour, as he did in September and bacon and avocado for breakfast. He eats More than 1 million U.S. children and adults have October, he often feels the burden of his condi- a salad for lunch, then chicken and broc- type 1 diabetes. The disease, which usually devel- tion. “It can be really challenging,” he says. “It’s coli for dinner. “I’m a terrible cook, so ops in the teen years, destroys insulin-producing one of those things that affects you every single day bad, but I love to eat,” he says. “If I had cells in the pancreas. Without insulin, the body and every minute of every day. Some moments, of my way, I would eat Italian food every can’t regulate blood glucose levels. Unchecked, course, are tougher than others.” day. But I can’t do that.” diabetes can cause blindness, heart disease, kidney Jonas encourages everyone with diabetes to And while he often finds it difficult to failure and other life-threatening complications. connect to other people with the disease. “Having a slow down, his ideal day sounds truly relaxing: a round of golf, a good nap, and BY MATT McMILLEN then hanging with friends. “That’s per- REVIEWED BY BRUNILDA NAZARIO, MD, WEBMD LEAD MEDICAL EDITOR fect,” he says. “It’s all about keeping it PHOTO BY BILL BERNSTEIN/CORBIS OUTLINE low-key.”

This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart. This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart. w6 NOV/DEC 2015 NOV/DEC 2015 w7 Take the lead in your health health information from Vanity Fare Got guests? Stock your medicine cabinet with these staples this holiday season BY JODI HELMER REVIEWED BY HANSA BHARGAVA, MD, WEBMD MEDICAL EDITOR

loated? Constipated? Hung over? Nauseous? B Feeling ill during the holidays can turn merrymaking into misery—especially for guests who left home without packing medications to ease their symptoms. “During the holidays, we all overindulge a little,” says Donna M. Feudo, BSPharm, RPh, adjunct clinical assistant professor in the Ernest Mario School of Pharmacy at Rutgers University. To address complaints ranging from digestive upset and headaches to allergies and minor inju- ries, Feudo suggests stocking the medicine cabinet in the guest bathroom with these essentials: • Heartburn relief such as antacids • Digestive aids to ease diarrhea, indigestion, and nausea • Acetaminophen, ibuprofen, or aspirin for fever reduction and pain relief. (Remember, to avoid the risk of Reyes syndrome, children under 12 should never be given aspirin.) • Antihistamines (for allergic reactions) • Antibacterial ointment (for cuts or scrapes) • Bandages in several sizes • A dosage spoon, dropper, or cup to measure doctor if your guests have a fever (a temperature liquid medications above 100.4°F or 38°C). “A fever is a red flag • Thermometer that there is an infection or underlying illness Already have some of these items on hand? that needs to be looked at,” Feudo says. Check the expiration dates to make sure the prod- Symptoms won’t subside: Regardless of the ucts are still safe for your guests to take. illness, see a doctor if symptoms are persistent If you need help deciding which over-the- and OTC medications offer no relief. Feudo counter remedies to choose, ask a pharmacist. advises reading medication labels for warn- GET MORE Expert advice will help you feel more confident to ings—most list the number of days to take the healthy living handle illnesses that happen during the holidays. medication before seeking medical attention. tips and info at But when should you call a doctor? Over-the- “You have to respect those recommendations,” webmd.com/ counter remedies might be effective antidotes Feudo says. askthepharmacist to a headache or heartburn but even the most They’re taking other medications: It’s a well-stocked medicine cabinet can’t ease serious good idea to get medical advice before taking symptoms. A call to the doctor is in order if your OTC medications to ensure they won’t interact guests have these issues: with prescription drugs. Call the pharmacy They have a fever: Feeling chilly but warm to before taking a pill or other medication from the the touch? Check your thermometer and call a medicine cabinet. RYAN MCVAY/GLOW IMAGES MCVAY/GLOW RYAN This content is selected and controlled by WebMD’s editorial staff and is funded by Walmart. w8 NOV/DEC 2015 B:8.625" LT:8.375" ST:7.375" S:6.875"

Recommended by the CDC for adults 65+

WHAT IF ONE PIECE LT:10.875" B:11.125" ST:10.5" OF KALE COULD HELP S:10" PREVENT DIABETES?

Wishful thinking, right? But there is one step that can help protect you from another serious disease, pneumococcal pneumonia. The PREVNAR 13® vaccine.

Over age 50? Your risk of getting pneumococcal pneumonia is higher. It’s a serious disease that could put you in the hospital. Symptoms include coughing, fever, chest pain, and difficulty breathing. One dose of the PREVNAR 13 ® vaccine can help protect you. Even if you’ve already been vaccinated with another pneumonia vaccine, PREVNAR 13 ® may help provide additional protection. Immune response may be lower if given within one year after another pneumonia GET THIS ONE DONE. vaccine. If you are 50 or older, ask your doctor or pharmacist if PREVNAR 13 ® is right for you.

® INDICATION FOR PREVNAR 13® • In adults, immune responses to Prevnar 13 were reduced ® when given with injected seasonal flu vaccine • Prevnar 13 is a vaccine approved for adults 50 years of age • In adults, the common side effects were pain, redness, or swelling and older for the prevention of pneumococcal pneumonia and at the injection site, limitation of arm movement, fatigue, headache, invasive disease caused by 13 Streptococcus pneumoniae muscle pain, joint pain, decreased appetite, chills, or rash strains (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) ® • Ask your health care provider about the risks and benefits of • Prevnar 13 is not 100% effective and will only help protect Prevnar 13 ®. Only a health care provider can decide if against the 13 strains included in the vaccine Prevnar 13 ® is right for you IMPORTANT SAFETY INFORMATION You are encouraged to report negative side effects of vaccines to the US Food and Drug Administration (FDA) and Centers for • Prevnar 13 ® should not be given to anyone with a history of ® Disease Control and Prevention (CDC). Visit www.vaers.hhs.gov severeallergic reaction to any component of Prevnar 13 or or call 1-800-822-7967. any diphtheria toxoid–containing vaccine ® • Adults with weakened immune systems (eg, HIV infection, Please see Important Facts for Prevnar 13 on the adjacent page. PREVNAR 13 is a registered trademark of Wyeth LLC. Manufactured by Wyeth Pharmaceuticals Inc. leukemia) may have a reduced immune response Marketed by Pfizer Inc. PSA741806-01 © 2015 Pfizer Inc. All rights reserved. June 2015

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BEFORE STARTING PREVNAR 13® Tell your health care provider or your child’s health care provider about all medical conditions, including: • Previous allergic reactions to other vaccines IMPORTANT • Especially tell the health care provider if your child or you FACTS are taking medicines that can weaken the immune system, such as steroids (eg, prednisone) and cancer medicines, or are undergoing radiation therapy • If you are pregnant or nursing, or if you plan to become pregnant Prevnar 13® (pronounced “Prev • nar 13”) Generic Name: Pneumococcal 13-valent Conjugate Vaccine WARNING

(Diphtheria CRM197 Protein) • A temporary pause of breathing following vaccination has been observed in some infants born prematurely. Decisions about when to give Prevnar 13® to infants born prematurely should be based on consideration of the individual infant’s medical status, and the potential benefits and possible risks of vaccination ® WHO SHOULD RECEIVE PREVNAR 13® (Pneumococcal • The safety and efficacy of Prevnar 13 when given to 13-valent Conjugate Vaccine [Diphtheria CRM Protein])? persons with a weakened immune system (such as HIV 197 infection, damaged spleen, cancer, or kidney problems) ® • Prevnar 13 is approved for adults 50 years and older for is not known. Children or adults with a weakened immune the prevention of pneumococcal pneumonia and invasive system may have a reduced response to Prevnar 13® disease caused by the 13 vaccine strains

• Prevnar 13® is a vaccine also approved for children 6 WHAT ARE THE POTENTIAL SIDE EFFECTS? weeks through 17 years of age for the prevention of • In adults, the common side effects were pain, redness, or invasive disease caused by the 13 strains of Streptococcus swelling at the injection site, limitation of arm movement, pneumoniae included in the vaccine, and for children 6 fatigue, headache, muscle pain, joint pain, decreased weeks through 5 years for the prevention of ear infections appetite, chills, or rash caused by 7 of the 13 strains • The most commonly reported serious adverse events in • Prevnar 13® is not 100% effective and will only help protect children were bronchiolitis (an infection of the lungs) (0.9%), against the 13 strains included in the vaccine gastroenteritis (inflammation of the stomach and small LT:10.875" ST:10.5"

intestine) (0.9%), and pneumonia (0.9%) S:10" Adults 50 years and older: • In children 6 weeks through 17 years, the most common side ® • A single dose of Prevnar 13 is recommended for adults effects were tenderness, redness, or swelling at the injection aged 50 years of age and older site, irritability, decreased appetite, decreased or increased sleep, and fever. Most commonly reported side effects in Children 6 weeks through 5 years of age: children 5 years through 17 years also included hives • Prevnar 13® is recommended for children 6 weeks through 5 years of age WHAT SHOULD I KNOW ABOUT RECEIVING PREVNAR 13® WITH OTHER VACCINES? • Prevnar 13® is given as a 4-dose series at 2, 4, 6, and 12 to ® 15 months of age • In adults, immune responses to Prevnar 13 were reduced when given with injected seasonal flu vaccine • Transition schedule: Children who have received 1 or • When given within 1 year following pneumococcal ® more doses of Prevnar (Pneumococcal 7-valent Conjugate polysaccharide vaccine, immune response to Prevnar 13® Vaccine [Diphtheria CRM197 Protein]) may complete the may be lower 4-dose immunization series with Prevnar 13® • Catch-up schedule: Children 15 months through 5 years of ADDITIONAL IMPORTANT INFORMATION ® age who are considered fully immunized with Prevnar may • The safety and effectiveness of Prevnar 13® when used in ® receive 1 dose of Prevnar 13 to elicit immune responses to children less than 6 weeks of age is not known the 6 additional strains • In a study in which children received acetaminophen prior to • The immune responses from the transition or catch-up Prevnar 13®, immune responses to some strains in the vaccine schedules might be lower for the 6 additional strains (types were lower compared with responses among children who 1, 3, 5, 6A, 7F, and 19A) than if your child had received the received acetaminophen after vaccination only as needed full 4 doses of Prevnar 13® • Ask your health care provider about the risks and benefits of Prevnar 13®. Only a health care provider can decide if Children 6 years through 17 years of age: Prevnar 13® is right for you or your child • In children 6 years through 17 years of age, Prevnar 13® is given as a single dose NEED MORE INFORMATION? WHO SHOULD NOT RECEIVE PREVNAR 13®? • This is only a summary of important information. Ask your Children or adults who have had a severe allergic reaction health care provider or your child’s health care provider for to any component of Prevnar 13® or any diphtheria toxoid– complete product information containing vaccine should not receive Prevnar 13® • Go to www.Prevnar13.com or call 1-800-666-7248

PREVNAR and PREVNAR 13 are registered trademarks of Wyeth LLC. Manufactured by Wyeth Pharmaceuticals Inc. © 2015 Pfizer Inc. All rights reserved. June 2015. Marketed by Pfizer Inc. Rx only Based on LAB-0469-12.0 (May 2015)

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for the entire eld of view to be in focus, important to look 20 feet away for 20 seconds. which may be great while playing sports Also, it is helpful if you can create an ergonomically or in certain professions. Contact lenses friendly workstation by lowering and tilting may not be an ideal choice if you have dry the monitor to reduce glare on the screen, or sensitive eyes; glasses won’t irritate these check lighting levels, and adjust your seat. conditions. “Colored” contact lenses are another Use preservative-free lubricating drops option, and they’re available at an a ordable for your eyes and blink often. If necessary, price. In fact, contact lenses in general are more you may want to consider computer glasses, Dr. Priya Bhuta, OD a ordable now. Discuss the options with your as opposed to the over-the-counter readers Doctor of Optometry optometrist and learn how to properly maintain that may exacerbate your symptoms over time. Naples, FL them to get their best use. Q. What foods or Q. How often should Q. What health history vitamins are best for I visit the doctor for is important to share maintaining optimum eye exams? with my doctor? eye health? A. I highly recommend an annual eye A. It is extremely important to share exam, regardless of age. More frequent all of your current health status, medications, A. Lutein and zeaxanthin, found in dark eye exams may be necessary if the patient medical history, and speci c family health green leafy vegetables, eggs, and orange has pre-existing conditions, such as diabetes, history with your optometrist. Conditions such peppers, are important nutrients for good or has undergone vision-correcting surgery. as diabetes, hypertension, arthritis, and stroke eye health. Omega 3s in  axseed, cold-water are just a few major health conditions that sh, and walnuts help improve eye health and Q. What should impact vision. protect retinal function. Black currants and I consider when blueberries are high in anthocyanins. Vitamins Q. What advice would A (apricots, cantaloupes, carrots, mangoes, selecting between red peppers, sweet potatoes), C (broccoli, you give for people glasses and contacts? Brussels sprouts, oranges, red peppers, who work at a computer strawberries), and E (almonds, peanut butter, A. Consider need, comfort, and all day? spinach, sun ower seeds) are some of the convenience. Glasses could be likened best eye-healthy nutrients. to jewelry for the face and require less A. The most common advice is to follow maintenance. Whereas contact lenses allow the 20-20-20 rule. Every 20 minutes it is

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Walmart ATO Advertorial_Nov/Dec_CC 101215.indd 1 10/12/15 10:56 PM FOOD & FITNESS

IN SEASON Berry Good By Erin O’Donnell

Recipes by Kathleen Zelman, MPH, RD, LD

Legend says the Pilgrims served cranberries at the first Thanksgiving, and these tangy, scarlet gems have appeared on holiday tables ever since. But researchers say they deserve year-round attention. “Among berries, cranberries have a pretty unique profile of different phytochemicals shown to have health benefits,” says Catherine Neto, PhD, co-director of the Cranberry Health Research Center at the University of Massachusetts Dartmouth. Those plant chemicals include A-type proanthocyanidins, or PACs, which research shows can prevent bacteria from sticking to cells in the urinary tract, and ursolic acid, an inflammation-fighting compound. Cranberries also offer eye-protective lutein and wound-healing vitamin C. And preliminary research by Neto suggests the berries may play a role in colon cancer prevention. She recommends eating the whole fruit and skin in foods such as cranberry sauce or sweetened dried cranberries. But don’t get bogged down in

FOOD STYLIST: DEBBIE WAHL DEBBIE STYLIST: FOOD the same old recipes—see our creative cranberry ideas on the next few pages.

Photograph by Dan Whipps NOV/DEC 2015 54 W ebMD.COM FOOD & FITNESS The top cranberry- growing states are Wisconsin, Massachusetts, New Jersey, Oregon, and Washington.

French Twist A clafouti is a French dessert with a custard-like texture. The creamy sweetness pairs well with cranberry and orange, creating a festive end to a holiday meal.

Cranberry Orange Clafouti Makes 6 servings Ingredients 1¼ cup whole milk 1 cup sugar, divided 3 large eggs Cranberries grow near 1 tbsp vanilla extract the ground in sandy bogs and marshes. ⅛ tsp salt Growers often flood ½ cup flour bogs to harvest the 2 cups fresh cranberries, chopped fruit; cranberries float to the top. 2 tsp finely grated orange zest powdered sugar and whipped cream for garnish (optional)

Directions 1. Preheat oven to 350°F. 2. In a blender or food processor, combine milk, ½ cup sugar, eggs, vanilla, salt, and flour. Coat an 8-cup glass baking dish with cooking spray. Pour about half the egg mixture into the pan and bake 7–10 minutes. 3. Remove pan from oven and sprinkle cranberries, orange zest, and remaining sugar on top of the custard. Pour remaining egg mixture over the first layer. Bake 45 minutes until firm. Do not over-bake; this will make the dish chewy. Serve warm or at room temperature topped with powdered sugar and whipped cream if desired.

Per serving (does not include whipped cream and powdered sugar) 255 calories, 6 g protein, 48 g carbohydrate, 4 g fat (2 g saturated fat), 111 mg cholesterol, 2 g fiber, 38 g sugar, 105 mg sodium. Calories from fat: 15%

(continued on page 56)

BREAKFAST 411

In many cultures—think Middle Eastern, rich vegetables and whole grains, setting Mexican, Asian cuisine—savory staples the tone for a healthy day. Get started start the day. Jonathan Chovancek, with some of Chovancek’s easy breakfast executive chef of Café Medina in ideas: Vancouver, British Columbia, is a big proponent of savory breakfasts. His No. ■ Make an omelet with farmers market 1 reason? Delicious taste. Case in point: vegetables. “Great-tasting eggs poached and served ■ Sauté leftover brown and wild rice from over a warm quinoa and tomato salad dinner; top with eggs and a pinch of with African spice and local goat cheese cheese. is super healthy and delicious.” ■ Instead of granola, add equal parts cooked quinoa and red lentils to your As Chovancek notes, healthfulness also yogurt and fruit bowl. ranks as a reason to start savory. Savory —Kerri-Ann Jennings breakfasts lend themselves to nutrient- NATASHA BREEN/THINKSTOCK (2) BREEN/THINKSTOCK NATASHA

W ebMD.COM 55 NOV/DEC 2015 FOOD & FITNESS

Cranberries are a native American fruit.

The Right Stuff Cranberries and apples Directions provide color and flavor 1. Preheat oven to 325°F. in this tasty alternative to 2. In a large nonstick skillet traditional stuffing. over medium-high heat, melt butter and olive oil. Cranberry Apple Stuffing Add onions and cook 10 minutes; remove from Makes 8 servings pan. Add celery to pan Ingredients with ¼ cup chicken stock and cook until soft. 4 tbsp unsalted butter 3. Beat eggs in a large 2 tbsp olive oil mixing bowl. Add bread, 2 large onions, chopped apple juice, and 1–2 cups 6 celery stalks, chopped chicken stock; stir to 3 cups low-sodium combine and let sit about chicken stock, divided 10 minutes or until bread 2 eggs softens. Add onion, celery, 8 slices whole wheat apples, cranberries, and bread, toasted and spices. Toss to combine. cubed Add more chicken stock if Cranberries are 4 slices white bread, needed. part of the plant toasted and cubed family that includes 4. Place stuffing in a roasting ½ cup apple juice blueberries and pan coated with cook- lingonberries. 2 apples, peeled, cored, ing spray. Bake 60–90 and chopped minutes, covered with alu- 1½ cups fresh cranberries, minum foil for the first 20 chopped Nutty Idea minutes, then uncovered ⅛ tsp sea salt This scrumptious side dish may outshine the turkey (and for the remaining time, freshly ground pepper to turning pan every 20–30 convert a few Brussels-sprout skeptics). It features a combo of taste minutes until golden beloved holiday ingredients—cranberries, pecans, and maple 2 tbsp chopped fresh brown. Serve immediately. syrup—and offers plenty of fiber with the caramelized flavor. thyme 2 tbsp chopped fresh sage Per serving Cranberry Brussels 2. In a large bowl, combine ¼ cup chopped fresh 281 calories, 10 g protein, 34 g Sprouts With Pecans Brussels sprouts with parsley carbohydrate, 13 g fat (5 g Makes 6 servings olive oil; toss. Place saturated fat), 68 mg cholesterol, sprouts on baking sheet 5 g fiber, 11 g sugar, 335 mg Ingredients and roast 15–20 minutes. Perfectly ripe sodium. Calories from fat: 40% 3. Remove sheet from cranberries bounce 2 lbs Brussels sprouts, when dropped. Growers trimmed and halved oven. Sprinkle ­shallots, use a device called 1 tbsp extra virgin olive oil maple syrup, and cran- a “bounce board” to berries over sprouts and sort fresh berries from ¼ cup finely minced shallots rotten ones. 2 tbsp maple syrup return to oven for an 1 cup fresh cranberries additional 10 minutes or ¼ cup balsamic vinegar until sprouts are golden 2 oz pecan halves, toasted brown and cranberries ¼ tsp sea salt are soft. freshly ground black 4. Transfer the mixture ­pepper to taste to a serving bowl. Add vinegar, pecans, salt, Directions and pepper, and toss 1. Preheat oven to 400°F. to combine. Serve Spray a rimmed baking immediately. sheet pan with cooking spray. Per serving 186 calories, 6 g protein, 23 g carbohydrate, 10 g fat (1 g Reviewed by saturated fat), 7 g fiber, 10 g Hansa Bhargava, MD sugar, 138 mg sodium. Calories WebMD Medical Editor

FOOD STYLIST: DEBBIE WAHL DEBBIE STYLIST: FOOD from fat: 43%

Photography by Dan Whipps NOV/DEC 2015 56 W ebMD.COM Craving more recipes? FOOD & Sign up for The Daily Bite FITNESS newsletter at WebMD.com. LEARN HOW ON PAGE 4 OFF THE MENU Hugh Acheson CHEF, RESTAURATEUR, AND AUTHOR ATHENS, GEORGIA

By Matt McMillen

When Hugh Acheson role secondary to the roasted wants comfort food, or whipped sweet potatoes, he makes a salad: bitter Brussels sprout leaves, leek greens, radishes, sliced dill bread pudding, and the pickles, and feta, finished abundance of turnips he with a classic French offers to his 12 or so guests. vinaigrette. A native of Canada, “I’m not the kind of Acheson, 44, has made the person who will sit down South his home since the and eat a huge amount of 1990s, when he moved to ice cream,” says the chef Athens with his wife, Mary and judge on Bravo’s Top Koon. The couple have two Chef, fresh from his garden daughters, Beatrice, 13, and where he’d been plucking Clementine, 11, and both basil leaves. “I’d rather eat have taken to the kitchen salad. That’s just the way with zeal. I’ve always been.” Acheson himself first Acheson’s love of veg- cooked professionally at age etables—and other things 15. “It became this endless that grow—goes beyond the topic that I could focus in on salad bowl, as he attests in and learn more about. We all his latest cookbook, The hope to find an occupation Broad Fork: Recipes for the that thoroughly excites us Wide World of Vegetables and every day.” Fruits. His holiday table Yes, he serves a baked caponata, the classic Sicil- Reviewed by demonstrates his preference ham and the obligatory tur- ian condiment (see recipe Hansa Bhargava, MD as well. key, livened up by his take on below). But the meat plays a WebMD Medical Editor

Directions tablespoon of olive oil. Spaghetti 1. Preheat the oven to 325°F. Add bell pepper and Squash 2. Cut the spaghetti squash celery, and lightly sweat in half lengthwise. for 5 minutes. Add the Caponata Remove the strings and honey and vinegar to the Makes 4 servings seeds. Drizzle the inside pan, raise the heat to high, of the squash halves with and reduce liquid by half, Ingredients 1 tablespoon of olive oil, about 2 minutes. Remove 1 spaghetti squash and season with salt and from the heat and set (about 1 lb) black pepper. aside to cool. 2 tbsp olive oil 3. Place seasoned squash, 5. Using a fork, very care- cracked pepper, if desired. kosher salt cut side down, in a roast- fully flake the squash Serve at room tempera- freshly cracked black ing pan and roast 45 strands out of the shells ture, or store for up to one ­pepper, to taste minutes or until cooked onto a cutting board. week in a sealed container ½ red bell pepper, diced through. Remove squash Chop squash into shorter in the fridge. 1 stalk peeled celery, from the oven, flip over, strands and put them thinly sliced and set aside to cool to in a large bowl. Add the Per serving 133 calories, 1 g 2 tbsp honey room temperature. pepper-celery mixture, protein, 17 g carbohydrate, 8 g 3 tbsp cider vinegar 4. Place a medium sauce- currants, and capers. Mix fat (1 g saturated fat), 1 g fiber, 2 tbsp dried currants pan over medium heat well, and adjust seasoning 10 g sugar, 439 mg sodium.

2 tbsp capers, drained and add the remaining with more kosher salt and Calories from fat: 52% ALLEN RINNE HALL; B. EMILY TOP:

W ebMD.COM 57 NOV/DEC 2015 Watch 3 Things to Keep in Your Gym Bag, a video at WebMD.com. FOOD & LEARN HOW ON PAGE 4 FITNESS

WORK IT OUT Price Fix GYM MEMBERSHIPS CAN BE EXPENSIVE—BUT THEY DON’T HAVE TO BE. SCORE A DEAL WITH THESE TIPS

By Kara Mayer Robinson

Want to give some- before making a decision,” one—or yourself—the Vidulich says. gift of fitness without Use personal dis- spending a fortune? Score a counts. To encourage a major deal on a gym healthy lifestyle, many membership with these large companies offer insider tricks from New discounts on gym member- York City exercise physiolo- ships, Vidulich says. “Ask gist Kate Vidulich, ACSM. your human resources She spent 10 years working department if they have in gyms as a membership any affiliations with local consultant and personal clubs. If not, ask if they’d trainer and shares the inside be willing to set one up.” scoop on getting the You may also be eligible for goods—for less. a discount through your Boost your trials. Many insurance provider, ware- gyms will give you a free house club, or automobile trial before you sign on the association. dotted line. But don’t limit Request a family rate. yourself to just one. Test Many fitness facilities will out several gyms before cut a deal when a bunch you commit. “Sign up for of people join at the same a few different three-day, Join at the end of the to use facilities at off-peak time, Vidulich says. Ask the seven-day, or 14-day trial month. “Membership hours only. If you’re a part- manager if she’ll give you a offers near work or home,” consultants typically have timer or you’re hooked on special package rate if you Vidulich says. “You could quotas they’re trying to one specific class, ask for a sign up with a few family even trade in a trial offer for meet,” Vidulich says. They 10-visit pass and pay as you members or friends. a discounted first month.” may need to sell a certain go, Vidulich says. Get a referral. Some Negotiate. “Don’t be number of memberships Watch for coupons. gyms reward members with afraid to ask for a better every month. If the end of Some gyms post coupons or a referral fee if they recruit deal,” Vidulich says. the month is approaching promo codes on Facebook a friend. Find out where In the world of gym and they haven’t met their or Twitter. You can also your pals work out and do memberships, she says, goals, they may be more keep your eye on local a trial run. If you like it, everything’s negotiable. Ask willing to make you a deal. daily-deal websites like ask for a discount. “Gyms recruiters to waive the ini- Pay for what you use. Groupon, LivingSocial, and are more willing to offer tial fee. See if they’ll match Ask the gym if you can pay Gilt. You’ll pay a lot less a better price if you know or beat a competitor’s less to use less. You may get and you’ll likely get a short- current members,” Vidulich rates. If they don’t slash a lower rate if you pass on term package, which can be says. “Your friend will be your price, ask them to extras you don’t use, like the a boon if you’re not sold on handsomely rewarded, too.” sweeten the deal by tossing lap pool, sauna and steam one gym. in ­something for free, like room, or exercise classes. “You can get a five-pack Reviewed by personal training sessions Some gyms cut their mem- or 10-pack to try different Michael W. Smith, MD, CPT WebMD Chief Medical Editor

HERO IMAGES/GLOW IMAGES IMAGES/GLOW HERO or guest passes. bership fee if you’re willing facilities in your area

NOV/DEC 2015 58 W ebMD.COM Want more tips like this? Sign up for the Living Better FOOD & newsletter at WebMD.com. FITNESS LEARN HOW ON PAGE 4

FITNESS CHALLENGE Wish List

GIVE—OR GET—THE GIFT OF FITNESS Q WITH THIS HOLIDAY GUIDE “I’m an avid walker, but By Jodi Helmer when winter arrives, I’m not sure how to safely maintain This holiday season, you might be the lucky recipient of a few fitness gifts to help you my routine. How can I pre- achieve your goal of shaping up in the new year. But why wait? Put those get-fit gifts to pare to walk in unpredict- good use now. able weather?”

“It’s great to start working on resolutions so you can hit the ground running in January,” Marnie Feusting, 51, says Tom Holland, MS, CSCS, exercise physiologist and author of Beat the Gym. “The bonus: assistant secretary, Urbana, Ill. Exercise will help reduce holiday stress!” Holland shares exercises to make use of three popular fitness gifts. Repeat the whole cir- cuit three times, three days per week.

A Resistance Bands: Light Hand Weights: Stability Ball: “With some preparation, Bicep Curls Overhead Crunches you can keep up a walk- Shoulder Press ing routine all winter long. The constant tension of the Doing crunches on the Start with the right gear. resistance band and slow, This move works the stability ball amps up the controlled movement helps shoulder muscles, building move. “The ball is unstable, Dress in layers: A moisture- keep the muscles engaged. the strength you’ll need so you have to work harder wicking base layer, an If you need more tension to to heft luggage into an and engage core muscles insulating layer (like fleece), increase resistance, Holland overhead bin for travel. to stay balanced,” Holland and a water- and wind-proof suggests spreading your feet explains. Beginners may Once you can easily do 15 layer on top work well. Add farther apart; if there is too reps, increase the weight of want to start with more of much tension, take one foot the dumbbells. their upper bodies on the a hat and gloves. If it’s icy, off the band. ball. As you gain strength, try products that slip over 1. Stand with one foot move farther back on the your sneakers to improve 1. Stand with both feet on slightly in front of the ball to make the move more your grip on the pavement the middle of a resistance challenging. other and knees slightly and keep you from slipping. band, holding one handle bent. in each hand. 2. Hold a 3- to 5-pound 1. Lie with your back on Your regular routes may be 2. With hands at your sides, dumbbell in each hand, the ball, your feet spread more dangerous during the palms facing forward, arms bent and hands just wider than shoulder winter. Look for alternate slowly bend your elbows about shoulder height, width on the ground, routes such as a track or and bring both handles and hands folded across palms facing forward. paved path. You can also up toward your shoulders. 3. Slowly press the weights your chest. 3. After a brief pause, slowly up over your head until 2. Exhale, tighten your take your walking workout lower your hands to the your arms are fully abdominals, and lift your indoors in the winter.” starting position. extended and the weights upper body up toward the 4. Do 10 repetitions. are almost touching ceiling. over your head. 3. Pause, squeeze your 4. Slowly lower your arms abdominals, and slowly Reviewed by lower back down to start- and return to the starting Michele Stanten, ACE-certified Michael W. Smith, MD, CPT position. ing position. WebMD Chief Medical Editor fitness instructor, walking coach, and

5. Do 10–15 repetitions. 4. Do 10–20 repetitions. author of Walk Off Weight LEE JASON

W ebMD.COM 59 NOV/DEC 2015 CheckupTAKING CARE, LIVING WELL

Bringing awareness to Crohn’s disease and ulcerative colitis Crohn’s disease and ulcerative colitis are the most common forms of inflammatory bowel disease. People who live with these conditions have ongoing inflammation in their intestines that leads to diar- rhea, abdominal pain, and bloody stool. Doctors don’t know what causes inflammatory bowel diseases. Current studies explore the role of bacteria that live in the intestines. Researchers want to know whether specific genes and certain bacteria interact to trigger development of the disease. Crohn’s can hit any part of the intestinal tract, from the mouth to the rectum. People with this dis- ease change their diet and take medicine for as long as it helps them. As the disease progresses, medica- tions may no longer be enough. People who don’t get relief from medicine or who develop other prob- lems related to their condition might need surgery. Ulcerative colitis affects only the colon. In most cases, medicine and dietary changes bring sub- stantial relief. If they don’t, surgery to remove the colon may be an option. Doctors may also recom- mend this procedure for more severe forms of the condition or for those who develop other compli- cations. People who have colitis for more than 20 years might have surgery to eliminate their risk of colon cancer. NBC News correspondent Cynthia McFadden has Crohn’s disease. She raises awareness about the condition through the Crohn’s & Colitis Foundation of America. Television actors Gregory Itzin (The Mentalist, 24) and Amy Brenneman (Reign, Private Practice) have colitis. Both have recorded public service announcements about the disease. —Sonya Collins COLORED MRI OF THE SMALL INTESTINE OF A 10-YEAR-OLD WITH CROHN’S DISEASE: SCIENCE SOURCE; INSET: JIM SPELLMAN/GETTY IMAGES SPELLMAN/GETTY JIM INSET: SOURCE; SCIENCE DISEASE: CROHN’S WITH 10-YEAR-OLD A OF INTESTINE SMALL THE OF MRI COLORED

NOV/DEC 2015 60 W ebMD.COM Checkup

Reviewed by Brunilda Nazario, MD, WebMD Lead Medical Editor

HEALTH HIGHLIGHTS NOVEMBER IS DIABETES AWARENESS MONTH HOW TO LIVE HEALTHY WITH TYPE 2 DIABETES

By Matt McMillen Watch the sodas Take the test 1 Too many sugary drinks can 6 Schedule an a1c test at least boost your blood glucose, twice a year to help you according to the American track your blood glucose Diabetes Association. over time.

Go tobacco-free Keep it fresh 2 Protect yourself against 7 To make fitness fun, elevated cholesterol, blood try new activities and pressure, and blood glucose, recruit friends to as well as lung cancer. join you.

Relax more Go away 3 Curb stress through positive 8 Travel with diabetes in mind thinking before it worsens and see your doctor at least your diabetes. a month before your trip.

Be fit Be prepared 4 Exercise will help you control 9 Always keep three days of your blood sugar and drop diabetes supplies on hand in pounds, so ask your doctor case of emergency. what workout is right for you. Educate yourself Track health with tech 10 Learn all about the disease 5 Get an app (ask your doctor at WebMD’s Diabetes or diabetes educator). Health Center.

EXPERT TIPS

Maria E. Pena, MD Sethu K. Reddy, MD Jane Chiang, MD director, Center for Weight Management, director, Adult Diabetes Section, senior vice president, Medical and Community Lenox Hill Hospital, New York City Joslin Diabetes Center, Boston Affairs, American Diabetes Association

“See an ophthalmologist or optometrist. “Enjoy food and life, but keep everything “Find ways to be active throughout your Every person with diabetes should see one in moderation. Portion control is critical. day. Take the stairs instead of the elevator. at least once a year for a dilated-eye exam Often, it’s not what we eat that’s the prob- Walk around your home while talking on to look for signs of diabetic nerve damage lem. It’s how much. Also, be sure to get up the phone or watching TV. Park farther (also known as retinopathy), which can to date with all vaccinations and flu shots from the store because the extra lead to blindness.” at the appropriate time.” steps help.” ANGELIKA SCHWARZ/GETTY IMAGES SCHWARZ/GETTY ANGELIKA

W ebMD.COM 61 NOV/DEC 2015 Checkup

Reviewed by Brunilda Nazario, MD, WebMD Lead Medical Editor

BY THE NUMBERS COPD FACTS AND STATS ABOUT TOP HEALTH ISSUES

By Heather Hatfield 52% 2 1 15 million #3Chronic obstructive pulmonary disease (COPD) people in the U.S. of people is the third-leading cause of death in the U.S. have been diagnosed who die from COPD with COPD. are women. almost 6.3% another estimated of people in the 150,000 U.S. have COPD. people die as a result of COPD each year. 12 143,000 million Women13 who smoke x are 13 might have COPD of people who die from COPD are age 55 or older. times as likely to die from and not know it. COPD as women who have never smoked. 12 x 80% Men who smoke are 12 times of COPD deaths are caused as likely to die from COPD Smoking is the No. 1 risk by smoking as men who have never factor for COPD. smoked.

1 in 5 people over age 40 who are $50 billion hospitalized are The annual cost of COPD is almost $50 billion a year, according to the most recent data. diagnosed with COPD.

Sources: CDC, American Lung Association, COPD Foundation, NIH ISTOCK

W ebMD.COM 62 NOV/DEC 2015 Checkup

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

ADVOCACY YEAR BY YEAR A Q&A WITH ACTOR SETH ROGEN AND WIFE, LAUREN, ON ALZHEIMER’S AWARENESS

By Kara Mayer Robinson

Last November, actor What do you hope more and comedian Seth people will understand? Rogen talked with WebMD Lauren: Alzheimer’s is Magazine about his efforts to a disease [that] is not raise awareness of Alzheim- a natural part of aging. er’s disease through Hilarity People, and often people for Charity, an organization of my generation, don’t he founded with his wife, think it will affect them. Lauren Miller Rogen. We An estimated 13.8 million circled back for an update people will have Alzheimer’s about their advocacy and by 2050, according to the progress with Alzheimer’s Alzheimer’s Association. research and funding during I’ll be close to 70 years old the past year. then. My generation and all the millennials behind us What’s new with will have a huge problem ­Hilarity for Charity? on our hands because the Seth: In October, we held cost to our nation will be an our fourth annual Hilarity estimated $1 trillion. for Charity Variety Show, at which we hosted James What’s the bottom line Franco’s bar mitzvah. He on Alzheimer’s research talked about having one for and funding—have we made progress? “Our hope is that by accelerating through the Alzheimer’s Seth: Currently there is no Association International known way of slowing, stop- awareness, it will bring us Research Grant Program. ping, or reversing the dis- closer to a cure.” ease. In the United States, Lauren, your mother has someone develops Alzheim- years, and we think this one more than $200,000. lived with early-onset er’s every 67 seconds, yet no was able to live up to all of We also launched a Alzheimer’s for more one survives. Unless we get his boyhood expectations virtual support group for than 10 years. Any new serious about research, this and raise much-needed people under 40 and the insights to share? already expensive public funds for Alzheimer’s. Alzheimer’s and Dementia Lauren: I’ve learned so health crisis will overwhelm Care Relief Grant Program much. Seeing my mom our health care system. Lauren: Our college-based with Home Instead Senior decline over 10 years is so initiative, Hilarity for Char- Care, which has already difficult. Of course it feels Lauren: We really feel the ity U, has expanded across awarded more than 8,000 awful—and I was angry and disease is starting to get the country. Each year, the hours of in-home care to felt sorry for myself, my the public attention it so school that raises the most those who need it most. We mom, and my family. But desperately commands. Our money wins a special cam- also funded research grants focusing on the facts, and hope is that by accelerating pus visit from us. To date, focused on early-onset and what I could do, changed awareness, it will bring us the program has raised detection of the disease my attitude completely. closer to a cure. FAYE SADOU/CORBIS FAYE

NOV/DEC 2015 63 W ebMD.COM Check out What Is Postpartum Depression, a Checkup slideshow at WebMD.com. LEARN HOW ON PAGE 4 Reviewed by Michael W. Smith, MD, WebMD Chief Medical Editor

MY STORY BABY STEPS A READER SHARES HOW SHE SURVIVED POSTPARTUM DEPRESSION

By Kate Ferguson WebMD.com community member

I was 29 when my first Then I found the right child was born eight therapist and began years ago. I had a healthy working with her, reading pregnancy and delivery, and books, taking medication, I’d been working as a and sleeping better and, therapist throughout my as part of my healing, pregnancy. I felt a tremen- got training in treating dous love for my baby, but perinatal mood disorders almost immediately, even so I could advocate for when I was still in the and treat other women hospital, I had a sense of in my practice. Within time moving very slowly. eight weeks, I felt so much During the next six better. By the time my weeks, I watched the daughter had her first minutes every day and birthday party, I felt like counted them down. I had myself. I remember being a general feeling of dread able to bake a cake and because every day felt like laugh and experience joy. a long, slow slog. I felt over- It was like surfacing from whelmed and lost interest underwater. in things I liked before. I I went on to have two more healthy pregnancies “I had a general feeling of dread therapist, savvy in mental and babies. After their health, but we didn’t study births, I had a postpartum because every day felt like a long, postpartum depression or plan with my husband, slow slog.” perinatal mood disorders in and I had educated my school. family members about this loved my baby, but I wasn’t to a heavy feeling of hope- It wasn’t until I came form of depression. I also enjoying life. lessness because I was not across a website on postpar- went back on medication. I also felt very anxious better. So I started trying to tum depression and anxiety Today I’m vigilant about and couldn’t sleep. I’d sleep get help. that I understood. I called my own mental health and for about three hours a I went to two therapists, my husband and said, “I self-care. I also feel a lot of night, then I’d roam the my midwife, and my inter- have postpartum depression gratitude for what I went house worrying about what nist, and said, “I don’t feel and anxiety. That’s what’s through because it brought I was going to do when the right.” None of them could wrong with me.” me to where I am today. sun came up. My daugh- really help me. I wasn’t ter also had colic, and I the “typical” woman with thought, “Well, anybody postpartum depression: I would feel this way if they appeared put together and ? ASK YOUR DOCTOR 1. Could I have postpartum depression or anxiety? had a colicky baby.” fit. I had a healthy baby I 2. What are the symptoms? But when my daughter felt attached to. I was trying 3. Have you treated women with postpartum issues before? started getting better, my to go back to work a couple 4. What treatment do you suggest? feelings of dread gave way of hours a week. I was a 5. Where can I find additional resources for help?

W ebMD.COM 64 NOV/DEC 2015 Photograph by Gregory Miller How Much Do You Know About Jaw Pain? Take the quiz at WebMD.com. Checkup LEARN HOW ON PAGE 4 Reviewed by Eric Yabu, DDS, WebMD Oral Care Expert

LIVING WELL TMD WHAT TO DO WHEN YOUR JAW HURTS

By Christina Boufis

Take a moment to says. Find a therapist who notice your jaw. Are specializes in the head, your teeth clenched? Jaw neck, and jaw, and one who muscles tense? If you’re can evaluate your posture, like most people, you he adds, as “posture has a probably don’t think much big influence on the jaw.” about your jaw—until Run hot or cold. “If you something hurts. have inflammation, ice or “Many people are totally heat can be helpful,” Keith unaware that they tense up says. “Heat helps tissues their jaws, tap their teeth to heal, relaxes muscles, together, or clench, grit, and helps blood flow into or grind their teeth,” says the muscles,” he explains. David Alexander Keith, “Some people find ice is DMD, a professor of oral better because it freezes the and maxillofacial surgery at area.” Others find alternat- Harvard School of Dental ing heating pads and icing Medicine who practices their jaw area most effec- at Massachusetts General tive, he explains. Hospital. Consider a night Problems related to the guard. “Most of us clench muscles of the jaw—those or grind our teeth at night,” that open and close the Keith says. “And this is mouth and help you speak one of the most common and chew—are called tem- pain that is often difficult sandwich, and limit chewy reasons people develop poromandibular disorders to treat. things like nuts. Cutting problems with their jaw or TMD, not TMJ, which If you have mild TMD, your food into smaller joints, so night guards are is the name of the jaw joint here’s what you can do: pieces is easier on the jaw. usually recommended.” itself, Keith explains. Set a timer. Use your Find a physical This removable, custom- And though research- smartphone or watch, or therapist. “Physical fitted device fits between ers aren’t sure what causes put a sticker on your com- therapy is a great way of your upper and lower teeth the condition, more than puter to remind yourself rehabilitating the muscles, to keep you from grinding one in 10 people in the to check in every hour and improving the range of your teeth against each United States have some see how relaxed your jaw is, motion of the jaw joint, other. Talk to your dentist form of TMD, according to Keith says. “If you notice and settling down any to see if a night guard is NIH, and women are more your jaw is tense or your inflammation,” Keith right for you. affected than men. teeth are clenched together, Another baffling aspect this is a good opportunity of TMD is that while many to relax the jaw.” people develop mild forms Eat soft foods. While ? ASK YOUR DOCTOR 1. Why do I have TMD? of jaw pain that usually get you want to maintain a 2. What foods can I eat? better with home treat- healthy diet, Keith says, 3. What exercises can I do to help? ment, some develop more avoid opening your mouth 4. Should I wear a night guard? severe and longer-lasting wide for a big bagel or 5. How can I relax my jaw? LAFLOR/GETTY IMAGES LAFLOR/GETTY

NOV/DEC 2015 65 W ebMD.COM Checkup

Reviewed by Dan Brennan, MD, WebMD Baby Care Expert

SEASONAL HEALTH COLD CALL WHAT TO DO WHEN YOUR BABY HAS THE SNIFFLES OR THE FLU

By Ellen Greenlaw

When your baby is to a teaspoon throughout sick with a cold, some the day as needed. You can simple remedies can make use honey before bed, too. him feel more comfy. Our Studies show it works better experts suggest ways to do than cough syrup to ease that this cold and flu season. hacking at night. Make sleep easier. Your For coughing spasms, baby’s stuffy head, runny try the mist from a warm nose, or cough can keep shower. Sit with your baby in him awake. Use a humidi- a steamy bathroom. fier or cool-mist vaporizer Ease a fever. You don’t to add needed moisture to need to treat every high the air in baby’s bedroom. temperature. “If your child That helps keep his nasal is drinking and doesn’t seem passages moist and reduces too uncomfortable, it’s fine nighttime coughing and to leave the fever be,” says stuffiness. Be sure to clean Claire McCarthy, MD, a the device regularly so mold primary care pediatrician at doesn’t grow. Boston Children’s Hospital. Raise your baby’s head. “But if she’s uncomfortable, But do this only if he is 7 not drinking, or otherwise months or older—younger acting ill, bringing down infants should always lie the fever may help her feel flat in bed with no pillows, better.” Check with your doctor and formula are the best about whether you should Babies need plenty to drink when options. Older babies can use acetaminophen or ibu- they’re sick. Fluids help thin also have water, juice, or profen for a fever. He or she small amounts of rehydra- can recommend the right mucus, making it easier to clear. tion solutions. dose, especially if your child Reduce coughing. Offer is younger than 2. Don’t blankets, or towels. If your ing,” says Wendy Sue Swan- small amounts of warm, use ibuprofen for infants baby is older, lift the head son, MD, a pediatrician at clear fluids to help thin younger than 6 months. of his crib a few inches. You Seattle Children’s Hospital. mucus for older babies. Try One note of caution: can also place books under Give fluids. Like grown- one to three teaspoons of Don’t give cough and cold the legs, or roll up a towel ups, babies need plenty to warm apple juice or water medicine to kids younger and put it under the head of drink when they’re sick. Flu- four times a day while the than 4. If your child is the mattress. ids help thin mucus, making cough lasts. between 4 and 6, talk to “This keeps the mucus it easier to clear. If your child is older than your doctor about whether draining in the right direc- For babies younger than 12 months, you can also use you can give medicines to tion and helps ease cough- 6 months, breast milk honey. Offer a half teaspoon relieve symptoms. BRIGITTE SPORRER/GLOW IMAGES SPORRER/GLOW BRIGITTE

NOV/DEC 2015 66 W ebMD.COM Checkup

Reviewed by James Beckerman, MD, WebMD Heart Health Expert

HEART HEALTH TICKER TOCK DO YOU KNOW WHAT IT MEANS TO SKIP A BEAT? FIVE HEART RATE MYTHS DEBUNKED

By Kara Mayer Robinson

Ever wonder if your seconds before settling back heart is ticking just to normal. Even the weather, right? Sometimes you may like high temperatures or think it beats too slowly, or humidity, can raise it. you might worry it’s racing If you take thyroid medi- too fast. The truth is, you’ve cation, a fast pulse may be a likely heard a lot of things sign you’re taking too much. about your pulse that are Talk to your doctor. flat-out wrong. It’s time to set the record straight. Myth: If my heart rate is normal, my blood Myth: A normal heart ­pressure is fine. rate is 60 to 100 beats Sometimes your heart rate per minute. and your blood pressure go That’s the old standard. hand in hand. For example, Many doctors think it should when you exercise, or get be lower. About 50 to 70 angry or scared, they both beats per minute is ideal, go up. But they’re not says Suzanne Steinbaum, always linked. If your heart MD, director of women’s rate is normal, your blood heart health at Lenox Hill pressure may not be. It Hospital. could be too high or too low, Recent studies suggest a and you may not know. heart rate north of 76 beats Even if your heart rate per minute when you’re up. Or it may seem like a seems fine, get your blood resting may be linked to a HEART FLUTTER brief flutter or a pounding pressure checked regularly. higher risk of heart attack. Many things can cause in your chest. The better shape you’re palpitations, such as: “Most of the time these Myth: If my heart rate in, the slower your heart • Alcohol sensations are not life- is slow, it means I have a rate will be when you don’t • Caffeine threatening,” says Apoor weak heart. • Exercise move around. “It might be Patel, MD, a cardiologist at Not necessarily. A slow • Stress OK to have a resting heart • Dehydration North Shore-LIJ Medical heart rate can be a sign that rate of 80, but it doesn’t • Medication PC in Manhasset, N.Y. you’re healthy and fit. An mean you’re healthy,” • Fever athlete’s heart muscle is in ­Steinbaum says. • Thyroid disorders Myth: If my pulse is fast, better shape, so it doesn’t • Smoking I’m stressed out. have to work as hard to keep • Dietary supplements Myth: An erratic heart like goldenseal, Stress is just one factor up a steady beat. rate means I’m having a oleander, that can raise your pulse. In general, Patel says, heart attack. motherwort, or Your heart rate may also slow rates are only a prob- When your heart beats in ephedra speed up when you exer- lem if you also pass out, feel But if palpitations are an irregular pattern, you’re cise, get excited, or feel dizzy, are short of breath, a new symptom, or if having what’s called palpi- you have chest pain or anxious or sad. or have chest pain. See your tations. You may feel as if trouble breathing, call When you stand up, your doctor if you have any of it skipped a beat or speeds your doctor. pulse may go up for 15 to 20 those symptoms. PETER DAZELEY/GETTY IMAGES DAZELEY/GETTY PETER

NOV/DEC 2015 67 W ebMD.COM Checkup

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

BY THE NUMBERS PHYSICAL THERAPY FACTS AND STATS ABOUT TOP HEALTH ISSUES

By Heather Hatfield $13.5 billion Amount spent on outpatient physical therapy services in the U.S. 54 MILLION Number of people in the U.S. who have some type of physical disability

CO -PAYS OF 88 MILLION $10–$75 Number of outpatient Cost of physical therapy physical therapy visits in the session if you have U.S. in one year health insurance 71% 9.6 of physical therapy visits are for issues related to the lumbar spine, shoulder, or knee

of anterior cruciate ligament (ACL) injuries $50–$350 can be prevented as Cost of physical therapy a result of a physical Average number of session if you don’t have therapy-based physical therapy sessions health insurance 41% training program needed per person within 24–48 hours Length of time after a stroke occurs that physical therapy typically begins 40 nine DAYS of the66% 700,000 people in the U.S. MILLION Average time between who have a stroke, survive, and require Number of people in the U.S. 18 and older first and last physical rehab, including physical therapy who receive physical therapy in one year therapy session

Sources: American Physical Therapy Association, Healthcare Cost, Journal of the American Physical Therapy Association, National Institute of Neurological Disorders and Stroke, University of Chicago, World Confederation of Physical Therapy ISTOCK

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Reviewed by Arefa Cassoobhoy, MD, MPH, WebMD Medical Editor QUIZ 1. To avoid further injury, call a Newsletters doctor right away if your back is in pain. The latest in Yes No health and wellness 2. Plenty of bed rest and relaxation delivered to your inbox. is the best cure. Yes No

3. Heat or cold can help some people with low back pain. Yes No

4. Surgery can help all types of back pain. HEALTH CHECK Yes No

WHAT’S Answers: 1. Yes, but only in certain circum- stances. Try self-care for a couple of days if YOUR BACK pain is persistent yet mild. But don’t hesitate to call your doctor if pain is severe or if you PAIN IQ? have a fever. Call 911 if you have back pain with chest pain, you fell or suffered a severe About 80% of Americans blow, you are vomiting, or you have weak- have low back pain at ness, tingling, or numbness in your legs. some point—pain that ranges 2. No. Don’t stay in bed more than a couple of days. Getting up and moving about some from mild aches to jaw-gritting will speed your recovery. 3. Yes. Right after spasms. Many aren’t sure what the injury, cold from an ice pack or other to do when it hits. “A little while source can be applied for 10 to 15 minutes. Repeat every two hours as needed for the ago, I was cleaning my shower. first two or three days. After that, heat from Suddenly I felt a searing pain a hot pack or other source can be applied in my lower back and I went to for 15 to 20 minutes at a time. Warm baths may also help. 4. No. Surgery usually helps my knees,” nikkiporter­ writes only certain types of back pain, such as pain n Pick from over 40 topics to the WebMD back pain com- caused by a pinched nerve, a compressed munity. “I painfully made it to spinal cord, or too much movement between n Subscribe for FREE the vertebrae (spinal bones). Doctors con- my couch where I am lying now, sider surgery a last-resort treatment. n Read at home or on the go but I am unable to get comfort- able. What treatment should I do right now? Hospital? Ice? SOURCES: American Academy of Orthopaedic Surgeons, Heat?” Do you know how to National Institute of Neurological Disorders and treat back pain? Stroke, WebMD Back Pain Health Center

? ASK YOUR DOCTOR 1. What can I do to prevent my back pain from getting worse? To subscribe visit 2. Why is my back vulnerable to pain and injury? Is there anything I can do webmd.com/newsletters to prevent it? 3. What are my treatment options? Will I need medication or surgery? 4. If you advise surgery, what are the risks? How long does it generally take to recover? YAGI STUDIO/GETTY IMAGES STUDIO/GETTY YAGI

NOV/DEC 2015 69 W ebMD.COM Checkup THIS CONTENT IS CREATED BY WEBMD’S EDITORIAL STAFF AND IS Reviewed by Brunilda Nazario, MD, WebMD Lead Medical Editor BROUGHT TO YOU BY WALGREENS.

TEST YOUR SMARTS ADULT INCONTINENCE DO YOU KNOW HOW TO MANAGE URINARY URGES AND LEAKAGE? TAKE THIS QUIZ TO FIND OUT

When you constantly rush to the bathroom or leak urine with every cough or laugh, you might think you’re the only one dealing with this embarrassing dilemma. Yet incontinence isn’t as lonely a condition as you might imagine—up to a quarter of Americans deal with it. Most don’t get help, though treatments can usually put a stop to the issue.

1. When you’re training 2. Which of these 3. Which injected 4. What drink should your bladder, which of exercises is best medicine might you avoid if you these should you do to if you have help control have overactive hold off the urge to go? incontinence? overactive bladder? bladder? a. Hop from one foot a. Pilates a. Steroids a. Water to the other b. Aerobics b. Lidocaine b. Diet soda b. Squeeze your pelvic c. Weight lifting c. Botulinum toxin c. Milk floor muscles c. Eat a piece of fruit

ANSWERS 1. b. Bladder training helps you 2. a. One study found Pilates to 3. c. Injections of botulinum 4. b. Both the caffeine and the gradually increase the amount be as effective as pelvic floor toxin (Botox) calm the overac- artificial sweetener in diet soda of time between bathroom muscle exercises (Kegels) for tive bladder muscle, just as they can irritate your bladder and visits. When you feel the urge improving bladder control. relax forehead wrinkles. Studies trigger the urge to go. Soda is to go, one way to control it is to Although this treatment isn’t show Botox reduces the strong also a diuretic, so it makes your tighten your pelvic floor muscles yet proven for incontinence, it’s need to urinate in people with body produce more urine. Don’t as hard as you can. This shuts off a better exercise option than incontinence. stop drinking, but do switch to the urethra and stops you from aerobics and heavy weight water. Though it sounds coun- leaking. lifting, which put stress on your terintuitive, dehydration can bladder. irritate your bladder even more, making incontinence worse.

SOURCES: International Urogynecological Association, Neurourology and Urodynamics, Cleveland Clinic Journal of Medicine, American Urogynecologic Society, WebMD Incontinence & Overactive Bladder Health Center JANA LEON/GETTY IMAGES LEON/GETTY JANA

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

HEALTH HIGHLIGHTS HOME SAFETY TIPS FOR KEEPING YOUR FAMILY SAFE AND SOUND

By Matt McMillen

Not too hot Out of reach 1 Set your water heater to 6 Cook on the back burners 120ºF or the manufacturer’s so little hands can’t recommended temp. reach up and touch a hot surface. Outdoor dangers 2 Check your yard for poison- Bath check ous plants, a real danger for 7 Don’t leave your children. Get info at your child alone in the local poison center. bath, even in very shallow water. Prime-time safety 3 Mount your flat-screen Safety zone TV on the wall and put 8 Keep anything that older, heavier sets on low, can burn at least 3 feet secure furniture. from your fireplace or space heater. Smoke signals 4 Place interconnected smoke Smoke free alarms in every bedroom and 9 Tell smokers to step on each floor of your house. outside so they don’t If one sounds, they all sound. pollute your home’s air.

Slip proof Clean sheets 5 Put nonslip mats or strips 10 Wash all bedding weekly in the shower and bath to to reduce allergens, prevent falls. such as dust mites.

EXPERT TIPS

Benjamin Hoffman, MD Samira L. Brown, MD Donald Teater, MD medical director, Doernbecher Tom Sargent pediatric specialist, Ochsner Health Center for medical adviser, National Safety Council; Safety Center at Oregon Health & Children, New Orleans ­medical director, Mountain Area Recovery Science University Center, Asheville, N.C. “If you use a humidifier in your home, be “Think about the 10-second rule. If you sure it is a cool-mist humidifier, since the “Watch your step: Falls among older would not trust your child alone with an warm mist can cause burns. Also, be sure adults have increased 112% since 1999. item for 10 seconds, then she should never to clean it according to the manufacturer’s Make sure to install handrails in your be able to get to it. Crawl around the room instructions to prevent mold or home, clean up spills, secure electrical to identify hazards. Pay special attention bacteria buildup.” cords, and remove throw rugs.” to medicines, poisons, and cleaning supplies.” GARRY WADE/GETTY IMAGES WADE/GETTY GARRY

W ebMD.COM 71 NOV/DEC 2015 TAKE 10 10 QUESTIONS Ron Howard Director/Actor/Writer Your new What do you movie, In the do to stay fit? 1 Heart of the 7 I like to play Sea, opens in basketball December. What and ride bikes. Long drew you to this true walks are great, and story? I’ve always Cheryl and I try to do been fascinated by that no matter where seafaring adventures. we are. But this powerful, emotional survival Do you have a story is also the origin health story for Moby-Dick. 8 philosophy? This is the real event It gets back that inspired Herman to the basics: diet, Melville. The story is fitness, sleep. You’ve engrossing on so got to work toward many different levels. that, and you’ve got to factor peace of mind Did it ever into it, no matter how feel like you you achieve it. Getting 2 had taken on up early and having the great the place to myself for white whale your- a while—that’s some- self? It was definitely thing I like to do. one of the most logistically compli- You put cated and physically Cheryl in challenging movies 9 each of your that I’ve done. But it movies, was also thrilling to right? She’s my good have a physical luck charm! Some- adventure while In the Heart times it’s pretty hard making a movie. The of the Sea to spot her. It’s kind of challenge of creating opens in like Where’s Waldo? the world and the theaters on But she’s in there, I whale in a historically Dec. 11. guarantee you. I’m authentic and superstitious about it cinematically power- now, so when she ful way borrowed on problems and exciting journey for You and shows up on set in every movie-making different talents that the audience. With Cheryl costume, I breathe a experience I’ve ever you want to shape the right story, that 6 celebrate little easier. had. It’s a movie I and harness in service could take place your 40th don’t think I could of the story. inside of my office. anniversary in June. What do have tackled even a Share your secret? you do on decade ago. You shot this Your wife has I think there can be 10 your days in the Canary said that some guiding prin- off? I like You’ve made 4 Islands. Do 5 you’re most ciples to success in going to the movies. I a lot of you have to at home on a marriage, but each make time to catch 3 different travel far from home movie set. Do you marriage is its own, up with my kids movies over for a good story? It’s agree? Either on set discrete relationship whenever and the years. Does it get not about a particular or in my own house that works on its own wherever I can. And easier? This is my place. It’s about an with Cheryl and the terms, so I can’t offer when I just have a 23rd feature film, but exciting combination family—those are the much advice. Mostly, little block of time, I every project is more of characters and two places that I I feel grateful that love to grab Cheryl or less like starting story that I believe is understand the best it works and keeps and jump in the car from scratch. You going to be an and where I feel the working. It’s the big and go exploring. have a different set of interesting and most comfortable. blessing of my life. —Matt McMillen

W ebMD.COM 72 NOV/DEC 2015 Photograph by Maarten de Boer/Getty Images