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28 fitness tummy-trimming workout tips straight 31 parenting story do timeouts really work? How to tame 32 pets your Lank locks 5 signs you should visit the vet 26 50 cancer colorectal cancer tests the 51 mind Could your kid be depressed? C-list 52 sleep 10 Cancer how good is your sleep? symptoms never to ignore 54 heart 46 ID your heart-failure smarts 58 diabetes do you know your a1c? 57 allergies what is allergic asthma? Madfor Christina Hendricks Embraces her curves, life, and Career on her own terms 40 Trim: 8.375" Trim: .375" Safety: 8.375" Trim: Safety: .375" Safety:

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October 2011 contents ® features webmd.com the Magazine

wellness wellness 40 Queen Christina You know her as gorgeously curvy, Queen fiesty Joan on Mad Men, and now Christina Hendricks is expanding her

Most famous as repertoire with two new movies: I Don’t curvalicious Joan on Mad Men and Christina Know How She Does It, co-starring Sarah starring in two new By Rebecca Ascher-Walsh movies, Christina WebMD Contributing Writer Jessica Parker, and the thriller Drive, Hendricks reveals her secrets for s Joan Harris (née Holloway), the corseted, curvy, take-no-prisoners secretary-in-chief in AMC’s hit series Mad Men, opposite Ryan Gosling. Hendricks tells enjoying life on Christina Hendricks has crashed a vase over someone’s head to get attention. In real life, the star has wowed audiences and critics simply by being herself, a talent whose her own terms range is matched only by her extraordinary energy and beauty. and putting first AThis fall she has two new movies—the comedy I Don’t Know How She Does It, co- WebMD contributing writer Rebecca starring Sarah Jessica Parker, and the thriller Drive, opposite Ryan Gosling and Carey things first, Mulligan. And she’s recently resumed filming the fifth season ofMad Men, which has earned her an Emmy nomination for Outstanding Actress in a Drama Series, a no matter the Critics’ Choice Television Award, and legions of fans who either want to be Joan or Ascher-Walsh how she stays fit and date her. At press time, she was up for her second Emmy nomination. demands of her Hendricks, 36, has made Hollywood’s coveted “A list,” and she’s done it on her va-va-voom own exacting terms, heralded equally for the mastery of her craft and her looks. grounded on and off the set and why Esquire voted her America’s Most Beautiful Woman last year, but she’s a self-professed acting career homebody who’d rather be knitting than posing on every red carpet in town. She’s idealized enough physically to have earned her own Barbie doll, but she makes women feel good about themselves. this Idaho-born beauty would rather

Reviewed by be home cooking than striking a pose Louise Chang, MD WebMD SENIOR MEDICAL EDITOR on the red carpet. PLUS: Christina’s October 2011 | WebMD the Magazine 55 tips for learning to love the skin you’re Cover photo By perry hagopian/Contour By getty images in.

cancer cancer 10 Symptoms 46 7 9 Women Should 8 Never Ignore 1 10 A bit of bloating and feeling fatigued 6 is normal for women, but if both get 10 5 out of hand, pay attention, health 3 cancer 4 experts say. WebMD contributing writer symptoms Christina Boufis reports on the top 10 women should never ignore 2 symptoms women should keep on their

radar screen when it comes to cancer By Christina Boufis, WebMD Contributing Writer When Caryl Engstrom, 49, found a lump in her awareness and prevention efforts. PLUS: right breast, she knew immediately something was wrong. Despite a normal mammogram two months earlier and recent breast exams by her internist and gynecologist, who found nothing amiss, Engstrom Three simple ways to reduce your risk knew she needed to call her doctor immediately. “I just had a gut feeling. It was a sizable lump and just didn’t feel right to me.” Engstrom’s suspicions turned out to be correct when a biopsy revealed Reviewed by Brunilda Nazario, MD today. she had stage 2 breast cancer, a finding that surprised everyone, she says. WebMD LEAD MEDICAL EDITOR

60 WebMD the Magazine | October 2011 October 2011 | WebMD the Magazine 61

Target Pharmacies are not located in all Target stores, hours vary by location, services of pharmacist may not be available at all times when Target stores are open. Safety: .375" Free translation services available. © 2011 Target Stores. The Bullseye Design and Target are registered trademarks of Target Brands, Inc. All rights reserved. 101310 October 2011 | WebMD the Magazine 1

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TRACKING NUMBER 101310 JOB TARPHAM11065 CD Guy Seese / Kathy Hepinstall AE Jennifer Richardi PUB WebMD TITLE Target Healthcare – Over AD Nate Miller AB Amy Carleton ISSUE October CLIENT Target CW Brian Murphy PHOTO Grant Delin / Kyle Pero BLEED 9.25"w x 11.125"h FILE M11065_Over_8.375x10.875_101310 SA Alisha Henson ILLUS n/a TRIM 8.375"w x 10.875"h OFFICE USA–Portland SM Michael Frediani DESIGN Nate Miller SAFETY 0.375" each side ECD Susan Hoffman / Mark Fitzloff PM Brian Mork COLOR Amy Corcoran / Kyle Pero / Saskia Thomson GUTTER n/a

USAGE Usage is 2 years, North America, all print mediums including consumer and trade print, OOH, retail, POP, PR, collateral, direct mail, internet/digital and industrial. Photographer retains copyright. Client/agency owns concept. Usage expires after 2 years from first run date. ® departments editor’s note from the executive editor

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Editor’s Note take the test you can take 3 to your doctor Giving back. We celebrate those two words in each issue of WebMD the Magazine, and Healthy Start assessments, quizzes, and reference this month is no different. Our cover star, Mad Men’s Christina Hendricks, might just be the most drop-dead Kick off fall in good-for-you ways. information on every page 9 ­gorgeous secretary in the annals of television, but off the set she couldn’t be more down- cancer home (she’d rather be knitting than on the red carpet, loves spaghetti and meat sauce, and WebMD Wire Colorectal cancer tests 50 she de-stresses in the bathtub). She also spends quality time with sick children through the What’s the germiest part of your Living Well 10 26 Latisse Wishes Foundation, an offshoot of Make-a-Wish Foundation, which she first heard house and can TV really shorten your life? 26 You Asked No need to forgo your mind flat iron. Keep your locks smooth, 51 is your child depressed? about when she was age 7—a classmate who was ill got to meet a Exam Room shiny, and strong with expert product favorite TV star. Hendricks acted on that childhood memory years later. sleep (For her story, see page 40.) Fuzzy logic: cotton balls. picks and tips. 17 52 are your sleeping habits good? Director Patty Jenkins (who directed the award-winning Monster in

medical file PEOPLE AND PAGES 2003) also drew on past memories, specifically of her grandmother and Medical Take Five diet Top director Patty Jenkins joins close friend, while making Pearl, one of the films in the anthology Five, A-listers to spotlight breast cancer What’s your drive-through iQ? Director Patty Jenkins connected naturally to her new short Health Matters File film, Pearl, one of five intertwined vignettes in the Lifetime Original Movies anthology, Five. The film quintet premieres Oct. 10 as part 53 of Lifetime TV’s “Stop Breast Cancer for Life” initiative (www. mylifetime.com/my-lifetime-commitment/breast-cancer). 28 18 “No matter who you are, no amount of information ensures part of Lifetime TV’s “Stop Breast Cancer for Life” initiative, which debuts prevention,” Jenkins says. “It’s almost hard to find somebody who hasn’t had a family member or friend with breast cancer.” 28 fitness Monster director Patty Jenkins, 40, has had both. Her grandmother, Patsy Roth, now in her 80s, was initially diagnosed at age 42 and underwent a double mastectomy. (Today, Roth’s cancer is slow-growing and she is other- wise healthy.) And in mid-June, Jenkins’ close friend, trailblazing film producer and Stand Up To Cancer co-founder Laura Ziskin, died from breast cancer at age 61. The Five film project allowed Jenkins to Academy Award-winning director Patty Jenkins directs a short film about October 10. Taking an honest look at women’s perceptions of the disease breast cancer in the Lifetime Original Movies anthology, Five. positively channel emotions about losing Ziskin, she says. heart Jenkins joins the project’s8 other directors (and Hollywood Each 20-minute film follows its title character—Charlotte, Chey- Waist Away Say bye-bye to Jenkins on making A-listers), Jennifer Aniston, Alicia Keys, Demi Moore, and Penelope anne, Lili, Mia, and Pearl—from diagnosis through various stages of Spheeris, who each made a film based on a story arc developed treatment and coping. Pearl, played by actor Jeanne Tripplehorn, is by Marta Kauffman, co-creator of the hit TV sitcom Friends, which the chronological link: She loses her mother to breast cancer in the co-starred Aniston. Jenkins is best known for her 2003 independent first film, then grows up to become an oncologist who treats the crime drama, Monster, which led to an Oscar for best actress for its other four lead characters, then faces breast cancer herself. test your heart-failure smarts star, Charlize Theron. Five’s rich cast also includes Rosario Dawson, Bob Newhart, and is Jenkins’ way of giving back to those who have been touched by breast Collectively, Five explores breast cancer’s effects on relationships real survivors. Jenkins wants the film to inspire through its charac- and women’s perceptions of the disease, which is the second most ters, to entertain without forcing the educational component. “It stubborn belly fat with expert 54 one of Five movies common cancer among U.S. women after skin cancer. According to was so intriguing to look at breast cancer like this, with humor and the National Breast Cancer Foundation, some 200,000 new cases are drama, not in a heavy-handed way yet encompassing the full spec- diagnosed annually, and 40,000 women die of the disease every year. trum of emotions with different points of view.”—Stephanie Stephens

BODY KNOWLEDGE HEALTHY READ cancer—which, she notes, is just about everyone. (See page 18.) Some books morph into icons, standing for Collective, is written by a team of editorial choices, cosmetic surgery, environmental so much more than the information between and medical contributors and, at 900 pages health, and changes in the health care bulge-busting tips. about breast cancer. the covers. Our Bodies, Ourselves surely strong, looks every bit the women’s health system. Real women weigh in with stories makes the grade. bible I remember from my about relationships as well as trauma and First published 40 years ago, first copy in the 1970s. abuse. Clearly, this is female sexual health sex when abortion was illegal, birth Basics about anatomy, not just in medical but political, cultural, and control was not widely available, childbearing, menopause, personal terms, too. and texts about women’s and sexual health in Yet the book is meant to be inclusive, not Kathy Bates tells us how she got a wake-up call about the importance sexuality and reproductive women’s later years are just empowering for women. “We believe health were scarce (and often still here (updated with that enhancing reproductive health…can play a significant positive role in all our 29 sleep And: the new Our written by men), OBOS was a the benefit of four decades’ revelation, if not a revolution. worth of research). lives,” the editors write, one that will “better Could you have herpes? The updated 9th edition, Newer topics explore safe nurture all women, men, and children. We published this month by the sex, body image, gender encourage you to explore this book with Boston Women’s Health Book identity, greater birth control curiosity and vision.”—Colleen Paretty SUSAN B. LANDAU 55 of not taking things in life for granted when she found out she had ovarian Bodies, Ourselves. 18 WebMD the Magazine | October 2011 Take Heart Not enough zzz’s? Too many? Both can affect your cardiac pain cancer—but only after a friend pointed out how unwell she looked. Today, Ask the Experts health. 56 are your knees at ease? the actor is active with the Ovarian Cancer National Alliance, which helps women pay attention to their bodies and their health, especially when it Is there such a thing as 30 mind 21 allergies comes to the subtle symptoms of this cancer. (See page 59.) male postpartum depression? And an Quiet Gain Can practicing the ancient What is allergic asthma? Finally, a different kind of “giving back”: Nan Forte, the editor in expert’s tips to stop smoking. art of transcendental meditation boost 57 your health? diabetes chief and founding editor of this magazine, has moved on to a new opportunity in online travel six years after this publication’s launch and 13 years after joining WebMD. My WebMD 31 parenting Do you know your a1c? 58 We created WebMD the Magazine because we care enormously about you, sitting in your Meet a WebMD community In or Out? We ask top child-raising 22 doctor’s office with a thousand questions on your mind. Nan understood that more is not member who won’t let asthma stop her. experts about the pros and cons of WebMD Checkup using timeouts. 59Oscar winner Kathy Bates necessarily better when it comes to health information. How do you make sense of it all? Click Here 32 pets on her new post-ovarian cancer To that end, she wanted to create a truly helpful waiting room companion, something that would focus, guide, and inspire you to make the most of your visit and help you make bet- 24What’s new on WebMD.com now. What’s Up, Doc? The top five signs health regimen on and off the set of it’s time to call the vet. Harry’s Law and The Office. ter health and wellness decisions for you and your family, every day of your life. On behalf of the entire WebMD staff, I’d like to say: Thank you, Nan. We are smarter (and healthier!) thanks to you. We will continue to give back generously with every new 34Healthy Eats issue of the magazine. 29 34 Anatomy of a Carrot The healthy lowdown on Bugs Bunny’s favorite veggie. 31 35 How I Learned to Love Mushrooms How one reader Colleen Paretty overcame her fear of fungi. Executive Editor, WebMD the Magazine 38 Three Ways to Cook Salmon Think pink for dinner tonight with three easy ways to cook this omega- 3-rich fish.

2 WebMD the Magazine | October 2011 October 2011 | WebMD the Magazine 3 Spell Check Time Spent Time Date

“ I’m taking charge of my fight against RA. Sig Mac Op QC Editing Copywriting Art Director Art Buying Account Traffic Production DQC I talked to my doctor about something different.” BY AREA23 PREPARED Linda J. Living with RA since 1989 Publications: Health WebMD the Magazine Good Housekeeping Ladies’ Home Journal Woman’s Day AARP Redbook Arthritis Today Arthritis Self-Management ADVERTISEMEN T THIS

For adults with moderately to severely active RA after at least one anti-TNF treatment has been used and did not work well. This information does not take the place of talking to your healthcare had a previous reaction to ACTEMRA. Patients should not take ACTEMRA

provider about either your medical condition or your treatment with if they are allergic to it or any of its ingredients. Client: Genentech Product: Actemra Job#: 6GNT-ACPT-R6170-A Colors: 4C Sizes: Bleed: 17” x 11.125” Sm Trim: 15.75 x 10.5” Live: 15” x 9.5” gutter: .375” Left and right A Size ACTEMRA. Talk with your healthcare provider if you have any questions Common side effects with ACTEMRA in patients with RA include upper ACTEMRA IS THE FIRST AND ONLY TREATMENT TO BLOCK THE ACTION OF IL-6. This is one of the substances about your treatment with ACTEMRA. in the body that can contribute to the signs and symptoms of rheumatoid arthritis (RA), including pain, swelling and joint damage. respiratory tract infections (common cold, sinus infections), headache and INDICATION increased blood pressure (hypertension). ACTEMRA is a prescription medicine called an interleukin-6 (IL-6) receptor Patients must tell their healthcare provider if they plan to become pregnant inhibitor. ACTEMRA is used to treat adults with moderately to severely or are pregnant. It is not known if ACTEMRA will harm an unborn baby. ACTEMRA HAS BEEN PROVEN TO WORK for some people who had previously used anti-TNF treatments that did active rheumatoid arthritis (RA) after at least one other medicine called a Tumor not work well such as Enbrel® (etanercept), Humira® (adalimumab) and Remicade® (infliximab) Genentech has a registry for pregnant women who take ACTEMRA. Patients Necrosis Factor (TNF) antagonist has been used and did not work well. who are pregnant or become pregnant while taking ACTEMRA must contact — In a 6-month study, about half the patients taking ACTEMRA reduced the signs and symptoms of RA (also known as ACR20) IMPORTANT SIDE EFFECT INFORMATION the registry at 1-877-311-8972 and talk to their healthcare provider. ACTEMRA STOPS JOINT DAMAGE: In a 1-year study, the progression of joint damage stopped for most patients • Some people have serious infections while taking ACTEMRA, Patients must call their healthcare provider for medical advice taking ACTEMRA at the 8 mg/kg dose in combination with methotrexate including tuberculosis (TB), and infections caused by bacteria, about any side effects. Patients or caregivers may report side fungi or viruses that can spread throughout the body effects to the FDA at 1-800-FDA-1088. Patients or caregivers may ACTEMRA CAN CAUSE SIDE EFFECTS • Some people have died from these infections also report side effects to Genentech at 1-888-835-2555. Other serious side effects of ACTEMRA include tears (perforation) of the Please see the Brief Summary of Prescribing Information on following stomach and intestines, changes in blood test results (including low pages. Please see full Prescribing Information, including Boxed Warning Read Linda’s story at ACTEMRA.com or call (800) ACTEMRA and speak with a nurse, live. neutrophil count, low platelet count, increase in certain liver function and Medication Guide, for additional important safety information. tests and increase in blood cholesterol levels), hepatitis B infection becoming an active infection again and nervous system problems.

Brand names mentioned above are registered trademarks of their respective companies. Serious allergic reactions, including death, can happen with ACTEMRA. These Genentech sponsors Ambassadors and compensates them for their time and expense in presenting their stories. reactions may happen with any infusion of ACTEMRA, even if they did not © 2011 Genentech USA, Inc. All rights reserved. ACT0000319600 occur with an earlier infusion. Patients must tell their doctor if they have

R6170_2011_JA_VerA_FR1.indd 1 5/10/11 4:33 PM

ACTEMRA® (AC-TEM-RA) is an increased chance for getting 8 weeks after you start receiving Pregnancy Registry: Genentech anti-inflammatory drugs (NSAIDs) Common side effects of (tocilizumab) certain kinds of fungal infections ACTEMRA, and then every 6 months has a registry for pregnant women and prescription steroids, as instructed ACTEMRA include: This information does not take the (histoplasmosis, coccidiomycosis, after that. Normal cholesterol levels are who take ACTEMRA. The purpose by your healthcare provider. • upper respiratory tract infections place of talking to your healthcare or blastomycosis). These infections important to good heart health. of this registry is to check the health • Keep all of your follow-up (common cold, sinus infections) provider about either your medical may happen or become more 4. Cancer. of the pregnant mother and her appointments and get your blood • headache condition or your treatment with severe if you use ACTEMRA. Ask ACTEMRA may decrease the activity baby. If you are pregnant or become tests as ordered by your healthcare pregnant while taking ACTEMRA, • increased blood pressure ACTEMRA. Talk with your healthcare your healthcare provider, if you do of your immune system. Medicines provider. (hypertension) provider if you have any questions not know if you have lived in an area that affect the immune system may talk to your healthcare provider about What are the possible side effects where these infections are common. how you can join this pregnancy Tell your healthcare provider if you about your treatment with ACTEMRA. increase your risk of certain cancers. with ACTEMRA? have any side effect that bothers you • have or have had hepatitis B. Tell your healthcare provider if you registry or you may contact the What is the most important registry at 1-877-311-8972 to enroll. ACTEMRA can cause serious side or that does not go away. These are information I should know about After starting ACTEMRA, call your have ever had any type of cancer. effects, including: not all of the possible side effects of ACTEMRA? healthcare provider right away if you See “What are the possible side • plan to breast-feed or are breast- feeding. You and your healthcare • See “What is the most important ACTEMRA. For more information, ACTEMRA can cause serious side have any symptoms of an infection. effects with ACTEMRA?” for more information I should know about ask your healthcare provider or ACTEMRA can make you more likely information about side effects. provider should decide if you will effects including: take ACTEMRA or breast-feed. You ACTEMRA?” pharmacist. 1. Serious Infections to get infections or make worse any What is ACTEMRA? • Hepatitis B infection in people Call your doctor for medical advice about infection that you have. should not do both. ACTEMRA is a medicine that affects ACTEMRA is a prescription medicine Tell your healthcare provider who carry the virus in their blood. side effects. You may report side effects 2. Tears (perforation) of the to FDA at 1-800-FDA-1088. your immune system. ACTEMRA called an Interleukin-6 (IL-6) receptor about all of the medicines you If you are a carrier of the hepatitis B can lower the ability of your immune stomach or intestines. inhibitor. ACTEMRA is used to treat: virus (a virus that affects the liver), You may also report side effects to • Before taking ACTEMRA, tell your take, including prescription and non- system to fight infections. Some people • Adults with moderately to severely prescription medicines, vitamins and the virus may become active while Genentech at 1-888-835-2555. have serious infections while taking healthcare provider if you have had active rheumatoid arthritis (RA) after you use ACTEMRA. This happens diverticulitis (inflammation in parts of herbal supplements. ACTEMRA and ACTEMRA, including tuberculosis (TB), at least one other medicine called other medicines may affect each other with other biologic medicines used to the large intestine) or ulcers in your treat RA. Your doctor may do blood and infections caused by bacteria, a Tumor Necrosis Factor (TNF) causing side effects. Check fungi, or viruses that can spread stomach or intestines. Some people antagonist has been used and did tests before you start treatment with

Especially tell your healthcare provider Time Spent Spell throughout the body. Some people taking ACTEMRA get tears in their not work well. ACTEMRA and while you are using stomach or intestine. This happens if you take: ACTEMRA. Tell your healthcare South San Francisco, CA Date

have died from these infections. Who should not take ACTEMRA? • any other medicines to treat your 94080-4990 Sig • Your doctor should test you for TB most often in people who also provider if you have any of the take nonsteroidal anti-inflammatory Do not take ACTEMRA if you are RA. You should not take etanercept following symptoms of a possible © 2011 Genentech USA, Inc.

before starting ACTEMRA. Mac Op QC Editing Copywriting Art Director Art Buying Account Traffic Production DQC drugs (NSAIDs), corticosteroids, or allergic to tocilizumab, or any of the (Enbrel®), adalimumab (Humira®), All rights reserved.

hepatitis B infection: BY AREA23 • Your doctor should monitor you ingredients in ACTEMRA. Talk to your ® ACT0000319600 methotrexate. infliximab (Remicade ), rituximab — feel very tired — fevers closely for signs and symptoms of doctor if you have any questions. ® ® • Tell your healthcare provider right (Rituxan ), abatacept (Orencia ), TB during treatment with ACTEMRA. ® — skin or eyes — chills away if you have fever and stomach- What should I tell my healthcare anakinra (Kineret ), certolizumab

look yellow PREPARED You should not start taking ACTEMRA provider before receiving (Cimzia®), or golimumab (Simponi®), — stomach area pain that does not go away, and — little or no discomfort if you have any kind of infection unless a change in your bowel habits. ACTEMRA? while you are taking ACTEMRA. your healthcare provider says it is okay. ACTEMRA may not be right for you. Taking ACTEMRA with these appetite — muscle aches 3. Changes in certain laboratory — vomiting Publications: Health WebMD the Magazine Good Housekeeping Ladies’ Home Journal Woman’s Day AARP Redbook Arthritis Today Arthritis Self-Management Before starting ACTEMRA, tell test results. Your healthcare provider Before receiving ACTEMRA, tell your medicines may increase your risk — dark urine your healthcare provider if you: should do blood tests before you healthcare provider if you: of infection. — clay-colored — skin rash ADVERTISEMEN T • think you have an infection or have • have an infection. See “What is the • medicines that affect the way bowel start receiving ACTEMRA and every THIS symptoms of an infection such as: 4 to 8 weeks during treatment to most important information I should certain liver enzymes work. Ask your movements — fever, sweating, or sores on check for the following side effects of know about ACTEMRA?” healthcare provider if you are not • Serious Allergic Reactions. or chills your body ACTEMRA: • have liver problems sure if your medicine is one Serious allergic reactions, including of these. death, can happen with ACTEMRA.

• low neutrophil count. Neutrophils • have any stomach-area (abdominal) Client: Genentech Product: Actemra Job#: 6GNT-ACPT-R6170-A Colors: 4C Sizes: Bleed: 17” x 11.125” Sm Trim: 15.75 x 10.5” Live: 15” x 9.5” gutter: .375” Left and right — muscle aches — diarrhea or A Size — cough stomach pain are white blood cells that help the pain or been diagnosed with Know the medicines you take. Keep a These reactions can happen with list of them to show to your healthcare any infusion of ACTEMRA, even if — shortness — burning when body fight off bacterial infections. diverticulitis or ulcers in your stomach you urinate • low platelet count. Platelets are or intestines provider and pharmacist when you get they did not occur with an earlier of breath a new medicine. infusion. Tell your healthcare provider — blood in phlegm or urinating blood cells that help with blood • have had a reaction to tocilizumab or more often than clotting and stop bleeding. any of the ingredients in ACTEMRA How will I receive ACTEMRA? right away if you have any of the — weight loss normal before • You will receive ACTEMRA from a following signs of a serious allergic • increase in certain liver function reaction: — warm, red, — feel very tired healthcare provider through a needle or painful skin tests. • have or had a condition that affects your nervous system, such as placed in a vein in your arm (IV or — shortness of breath You should not receive ACTEMRA if or trouble breathing • are being treated for an infection your neutrophil or platelet counts are multiple sclerosis intravenous infusion). The infusion will • get a lot of infections or have too low or your liver function tests are • have recently received or are take about 1 hour to give you the full — skin rash infections that keep coming back too high. scheduled to receive a vaccine. dose of medicine. — swelling of the lips, • have diabetes, HIV, or a weak Your healthcare provider may stop People who take ACTEMRA should • For RA you will receive a dose of tongue, or face immune system. People with these your ACTEMRA treatment for a not receive live vaccines. People ACTEMRA about every 4 weeks. — chest pain conditions have a higher chance for period of time or change your dose taking ACTEMRA can receive non- • If you miss a scheduled dose of — feeling dizzy or faint infections. of medicine if needed because of live vaccines ACTEMRA, ask your healthcare • Nervous system problems. • have TB, or have been in close changes in these blood test results. • plan to have surgery or a medical provider when to schedule your Multiple Sclerosis has been contact with someone with TB You may also have changes in other procedure next infusion. diagnosed rarely in people who take • live or have lived, or have traveled to laboratory tests, such as your blood • have any other medical conditions • While taking ACTEMRA, you may ACTEMRA. It is not known what certain parts of the country (such as cholesterol levels. Your healthcare • plan to become pregnant or are continue to use other medicines effect ACTEMRA may have on some the Ohio and Mississippi River valleys provider should do blood tests to pregnant. It is not known if ACTEMRA that help treat your RA such as nervous system disorders. and the Southwest) where there check your cholesterol levels 4 to will harm your unborn baby. methotrexate, non-steroidal

R6170_2011_JA_VerA_FR1.indd 2 5/10/11 4:33 PM ® healthy start good for you this month webmd.com the Magazine

EXECUTIVE Editor • Colleen Paretty Vice President, publisher • Heidi Anderson [email protected] • 847-998-4773 Deputy Editor • Kim Caviness october Associate Publisher • Dawn Carey Senior Editors • Susan Davis, Andrea Gabrick [email protected] • 212-624-3901 Fall into healthy habits Assistant EDITOR • Chloe Thompson Advertising Sales

chief Medical Editor • Michael W. Smith, MD, New YOrk Board Certified, Internal Medicine Patria Rodriguez-Cervantes • [email protected] • 212-417-9542 lead Medical Editor • Brunilda Nazario, MD, Board Certified, Alisa Feiner • [email protected] • 212-624-3897 Free Internal Medicine, Endocrinology and Metabolism Pete Holfelder • [email protected] • 646-674-6825 Wheelin’ senior Medical Editor • Louise Chang, MD, Patti Mrozowski • [email protected] • 212-624-3750 Need a great cardio workout Board Certified, Internal Medicine CHICAGO this fall? Hop on your bike. fit tip Medical Editors • Hansa Bhargava, MD, Board Certified, Pediatrics; Carol Matthias • [email protected] • 312-416-9277 “If you bike each day for a Laura J. Martin, MD, Board Certified, Internal Medicine Meghan Rice • [email protected] • 312-416-9276 half hour, you reduce your risk of heart disease by 50 percent or greater,” says WebMD fitness expert WEBMD.com executive editor • Sean Swint West Coast Pamela Peeke, MD. The cardio-intensive workout “cooks calories and stays fun at Elise Perlmutter • [email protected] • 424-248-0616 BookIngs Director • Wendy Zipes Hunter the same time,” Peeke adds. Want to keep your routine indoors? Consider [email protected] • 954-344-0912 MARKETING spinning classes, which Peeke says can help burn more than 600 calories an Contributing Writers • Christina Boufis, Daniel J. DeNoon, Vice President, Marketing • Fred Latasa hour while toning and strengthening quads. Jennifer Dixon, Heather Hatfield, Katherine Kam, Lauren Paige Kennedy, Susan Kuchinskas, Matt McMillen, Erin O’Donnell, Business & Marketing senior Director • Jonathan Deaner Monica Kass Rogers, Gina Shaw, Stephanie Watson Business Development Director • James Miller Wrap It Up community EditorS • Leona Perry, Kathy Williams Integrated Marketing Senior Director • Lisa Dominici skin care Whether you’ve got birthdays coming Art Directors • Glenn Pierce, Melissa H. 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Waugh Professionals • To manage your subscription, go to Mary Ruth Buchness, MD, WebMD WebMD.com/magazine/subscribe or call 800-322-2971, ext. 12073, You can also send personalized copy editor • Sharon Congdon to leave a toll-free message skin care expert. “Avoid paints not “Happy Birthday” messages from Readers • specifically made for the face,” she management of Editorial, Design, and Production Comments? Questions? Go to CustomerCare.WebMD.com notable celebs such as Colbie Caillat, or “Contact Us” at the bottom of every page on WebMD.com cautions, adding, “Water-based Keith Urban, and Lady Antebellum any 1129 20th Street, N.W., Suite 700 [face] paints are much easier to day of the year. Washington, D.C. 20036 • 202-331-7700 ® remove than oil-based.” Buchness also recommends searching for fragrance-free paints, and to start Roast Chief WebMD the Magazine is distributed to doctors’ offices throughout the United States. Patient names healthy may have been changed to protect privacy. The information herein is meant to complement 111 Eighth Ave., Suite 700, New York, N.Y. 10011 with a completely bare face. To Bring the summer heat into your kitchen eats and not replace advice provided by a licensed health care professional. WebMD the Magazine is remove, she says, don’t scrub; use not responsible for advertising claims. WebMD the Magazine (ISSN 1553-9946), Vol. 7, No. 7, is Chief Executive Officer • Wayne Gattinella this fall. WebMD nutrition expert Carolyn published by WebMD, 111 Eighth Ave., Suite 700, New York, NY 10011. Send returns to: WebMD. a non-exfoliant such as Cetaphil Roasting brings CHief operating OFFICER, O’Neil, MS, RD, says, “ To change your subscription (address, number of copies received or to stop delivery), contact Gentle Skin Cleanser ($9.49) or WebMD, Magazine Subscriptions, 111 Eighth Ave., Suite 700, New York, NY 10011; or send to Chief Financial Officer • Anthony Vuolo out the nutty and naturally sweet [email protected]. Printed in the U.S.A. All rights reserved under International Dove’s White Beauty Bar (8-pack CHief TECHNOLOGY OFFICER • William E. Pence flavors of fall and winter vegetables, such and Pan-American Copyright Convention. This magazine may not be reproduced in whole or in part for $9.84). as beets, cauliflower and Brussels sprouts.” without written permission of WebMD. ©2011 WebMD, LLC. All rights reserved. WebMD’s mission Executive Vice President, is to provide objective, trustworthy, and timely health information. Our website and magazine provide general counsel, & secretary • Doug Wamsley To roast, place a layer of the sliced veggie credible content, tools, and in-depth reference material on a wide variety of health topics, all of on a baking sheet, sprinkle spices, and which are reviewed by our board-certified physicians. Any opinions expressed are of the experts Senior Vice President, Legal • Michael Glick and are not the opinions of WebMD. WebMD does not endorse any specific product, service, or drizzle olive oil; bake at 375°F to 425° treatment.The content of each WebMD the Magazine “Spotlight,” while funded by an advertiser, is Senior Vice President, sales & sales operations • Dorothy E. Kelly Gemmell selected by and solely under the editorial control of the WebMD editorial staff. The ­content in WebMD F for 15 to 30 minutes. For a flavorful the Magazine is intended for informational use only; it is not intended as Senior Vice President and General Manager • Clare Martorana alternative drizzle, O’Neil combines maple a substitute for professional medical care. Never disregard professional senior Director, Public Relations • Katherine Hahn is t s / G etty Image ; Carol i ne P ur er/ T y Mi lford/ G etty Image s ; Chr is Ste i n/ Command ng A rt is e from top r i ght: c kw c lo medical advice or delay in seeking it because of something you have syrup and citrus juices. read in WebMD the Magazine. Get more tips for staying fit and healthy this fall. WebMD.com

8 WebMD the Magazine | October 2011 October 2011 | WebMD the Magazine 9 ®

wirethe health news beat at WebMD.com The five highest Food scores were: 16 Montana 15 Maine 14 Hawaii Fail 13 Idaho, Oregon, Utah, Vermont, West Virginia Limited access to healthy foods in most U.S. 12 Arizona, Delaware, states may be fueling the childhood obesity New Mexico, Washington epidemic, according to a new CDC report. The report shows that 32 states and the Drinking by District of Columbia scored at or below The five lowest the national average for the Modified scores were: Example? Retail Food Environment Index, which 8 Georgia, Illinois, rates community access to retailers, such Mississippi, New Jersey, Getting teens “used to” alcohol by as supermarkets, that sell healthy foods New York, North Dakota, allowing them to drink in the home may like fresh fruits and vegetables. Previous South Dakota lead to higher—not lower—drinking rates studies have linked poor access to healthy 7 Massachusetts, Texas and alcohol-related problems, a recent foods—or easy access to convenience 6 Alaska, Connecticut study suggests. stores and fast-food restaurants with few 5 Rhode Island House of Germs The researchers surveyed 1,945 healthy options—to childhood obesity. 4 District of Columbia Think the germiest thing in your house is the toilet bowl? Think again—it might be the seventh-grade students and their parents Based on a range from zero (no food retailers that sell healthy food) to 100 sponge you’re using on your cereal bowls. over a three-year period. Slightly less than Source: CDC Gee / Ge tty Imag es The nonprofit NSF International interviewed 22 families about where they think the most half of the group came from the United c (only food retailers that sell healthy food), u l M a germs reside in their homes and tested 30 everyday items for bacteria, yeast, and mold. The States, where many parents take a zero- P the national average score was 10. findings? People don’t understand where the real germ hot spots are. tolerance approach to teen drinking. The For instance, most thought their toothbrush holder was the germiest item in the house. rest were from Australia, where parents But the germiest room is the kitchen, the germiest item is the kitchen sponge, and the tend to introduce teens to alcohol gradu- germs are, well, really germy. In fact, 77% of the kitchens, sponges, and dishrags tested posi- ally, in hopes it will help teach respon- tive for coliform, bacteria that can be a sign of fecal contamination. sible drinking. Kitchen sinks (the second-germiest item in the house), countertops, and cutting boards The results were striking. In seventh also harbor nasty bacteria. Still, toothbrush holders do collect their share of germs—often grade, 59% of the Australian students had from bacteria that swirl through the air after the toilet is flushed. Bathrooms are the second- used alcohol vs. 39% of the American stu- germiest room in the house, and toothbrush holders are the third-germiest item. dents. In eighth grade, two-thirds of the How to keep things cleaner? Microwave sponges for two minutes every night or use Australian students were drinking vs. one- dishcloths, which can be washed in hot water and bleach every couple of days. Wipe down third of the American students. By ninth sinks daily with a disinfectant cleaner, and wash sink strainers once a week in the dish- grade, the ratio was 71% to 45%, and washer. Clean toothbrush holders in the dishwasher or in hot soapy water one to two times more than a third of the Australian stu- a week, and close the toilet lid before flushing. dents reporting having a drinking-related

Source: NSF International problem (such as getting sick or passing out) vs. one-fifth of the U.S. students. In both countries, the younger the students were when they started drinking, 9 billion the more likely they were to have prob- The number of pieces lems with alcohol, but those who drank of candy corn that under the watchful eye of parents had higher rates. In other words, a more per- will be produced this missive approach to alcohol appeared to year—enough to encourage drinking but didn’t necessarily circle the moon teach safe, responsible drinking. nearly 21 times Source: Journal of Studies on Alcohol and Drugs ma s t e r fi l ; J P G een woo d / Ge tty Imag es ise f rom top l ef t: clockw

10 WebMD the Magazine | October 2011 ® wire

It’s almost a cliché to think that playground bullies learn their Mind Over Matter craft in the home. But now new research shows that both bul- If willpower is your chosen weight-loss method, you might want to think really hard lies and victims of bullying are more likely to be exposed to about just how strong yours is. According to recent research, we put food in our violence at home. r In a study of more than 5,500 Massachusetts youths, 44% of la mouths whether we’re hungry or not. A researcher and food psychologist at Cornell Li o middle school students and 31% of high school students said ving with Bip University, who used some rather novel study techniques, believes that “mindless eat- ing” is one of the top sources of Bully they had been involved in or affected by bullying in 2009. The study also found that bullies, victims of bullying, and bullies/ weight gain in the United States. For instance, when offered fresh victims (students who had been in both roles) were more likely and stale popcorn in extra large and to be exposed to violence at home—including being hurt by large containers, the researcher found, another family member or witnessing violence—than kids not people ate 45% more fresh popcorn involved with bullying. and 34% more stale popcorn from the The study found that kids who had been in both the bully and victim role were the most likely to have been exposed to M larger container—even when they had y family violence, followed by kids who had been bullies only L already eaten dinner. i fe beat and then kids who had been victims only. As a result, the In another experiment, 30 people W researchers say, school-based anti-bullying programs need to ith were served soup out of a “bottom- Bi include both families and other community members. polar less” bowl that was pressure-fed under the table and slowly refilled from the bottom without their knowing. Another 30 The study also showed that bullies/victims are more likely people ate soup in regular bowls. The people with bottomless bowls ate 73% more than to abuse drugs or alcohol and are at higher risk for depression those with regular bowls but they didn’t report feeling any more full. and/or suicide. Girls are more likely to be victims than boys; With these study results in mind, the researcher provided tips for more mindful boys are more likely to do the actual bullying. eating, including: On a more positive note, other researchers have found that students who receive social support from adults are more resil- B  Serve meals on salad plates rather than large dinner plates. ip ient in the face of bullying, so it’s important that parents listen, o  Keep healthier foods at eye level in the cupboard and refrigerator. la empathize, and get involved. r  Avoid eating in front of the television, where you’re likely to lose Source: CDC Morbidity and Mortality Weekly Report in H en ry Kin g/ Ge tty Imag es Focus track of how much you’ve consumed. Source: American Psychological Association meeting Good Health News Scanning the news headlines, you might think this country’s overall health is going to pot. But not all health news is bad. The CDC reports the country made some serious strides toward improving public health in the first 10 years of this century. The top achievements include:

 Making advances in the prevention of infectious diseases, like AIDS and tuberculosis

 Improving motor vehicle safety (by creating safer roads and requiring seat belts and child safety harnesses)

 Fighting tobacco use  Reducing the incidence of heart disease and stroke A personalized video experience e / Ge tty Imag es at  Preventing lead poisoning only at WebMD.com.  Reducing the number of cancer deaths Tune in for candid interviews, expert  Preventing birth defects Improving public preparedness for bioterrorism, flu epidemics insights and timely information. All for  you and your loved ones. Anytime you As a result of these improvements, CDC researchers say, Americans are living longer. need. Surrounded by support. In fact, from 1999 to 2009, the death rate in the United States declined from 881.9 per 100,000 population to 741 deaths per 100,000, a record low. Bipolar TV SEARCH Source: CDC Ch r is Winds or/ Ge tty Imag es ; Russe ll T top:

©2011 WebMD, LLC. All rights reserved. B:8.625”

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® wire An importAnt messAge from medicAre TV time out Pick the You know you’re not getting anything done when you’re sit- ting around watching the boob best health care tube, right? Now research shows you may also be short- ening your life. The research, conducted in for you. Australia, found that watching six hours or more of TV per day can shorten life expec- tancy by nearly five years. Put Breathing another way, every hour of TV watching as an adult may Room take 22 minutes off your life. And that means TV watching Elderly women who have sleep- is as bad for you as not get- disordered breathing, a condition ting exercise, being obese, and that causes disruptions in both sleep smoking cigarettes. and oxygen levels, are more likely to While the study involved develop memory problems or demen- Australian data, the find- tia, a new study shows. B:11.125”

ings should hold true for S:10” Previous studies had already linked the United States, too, the sleep-disordered breathing, which researchers say, where Ameri- affects up to 60% of the elderly, to cans watch an average of four increased risk of high blood pressure, hours of TV per day. Make an apples to apples comparison of hospitals, nursing homes, heart disease, and diabetes. And some researchers had found an association Source: British Journal of Sports Medicine and more — with the Quality Care Finder. between the disorder and cognitive impairment. But this was the first one to link lower oxygen levels during Confused about when you should schedule your next mammogram? sleep as a contributing factor. Small wonder, given that recommendations have changed so many times over the In the study, researchers evalu- last few years. But this summer, the American Congress of Obstetri- Use Medicare’s online Quality Care Finder and get the information you need: ated 298 women, average age 82, for cians and Gynecologists (ACOG) issued a new guideline that should sleep-disordered breathing. Then, five clarify your options. • Compare Hospitals on the quality of their care years later, the researchers tested the According to the guideline, women in their 40s should • Find Nursing Homes based on their services and compare their star ratings women’s memory. By the end of the have a mammogram every year, just as women in their 50s • Find Home Health Agencies based on their services and compare their study, 45% of women with sleep- should. ACOG had previously recommended women in quality of care disordered breathing had developed their 40s have mammograms every one or two years. • Get personalized comparisons of Medicare health and drug plan costs memory problems or dementia, com- Breast ACOG says it changed its guideline because breast and benefits pared with 31% of those without the cancers tend to grow more quickly in younger women. • Find and compare Dialysis Facilities based on quality sleep disorder. Other health organizations, including the American Cancer • Search Doctors by medical specialty, training, foreign languages spoken, The researchers believe that decreased Society and the American College of Radiology, also rec- and more oxygen levels (vs. frequent wakings) are test ommend annual mammograms for women in their 40s. associated with a higher risk of mild ACOG no longer recommends that women do routine memory problems or dementia. Fortu- monthly breast self-exams but does advise annual clinical nately, therapy, such as continuous posi- breast exams by a health care professional for those age 40 and go to www.medicare.gov/qualitycarefinder tive airway pressure, for sleep-disordered older, and one to three years for women age 20 to 39. It adds that breathing already exists. women should be aware what their breasts normally look and feel like. Source: ACOG Source: JAMA low Imag es ; An t h o n y Strack/ Ge tty B l end / G low l ef t:

14 WebMD the Magazine | October 2011

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215 Park Av. South, Saved At: 8-30-2011 5:50 PM By: mgobel / mgobel Printed at: 100% Print #: 1 Round #: 1 2nd Level NY, NY, 10003 212.206.1005

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Client: Sawyer Miller Bleed: None Inks: Cyan, Magenta, Yellow, Black Creative Director: Product: CMS Trim: 8.625” x 11.125” Fonts: Interstate (RegularCondensed, BlackCondensed, Art Director: Black, Regular, Light) Job #: M0707B Safety: 7.375” x 10” Copywriter: Images: 88695871.tif (CMYK; 246 ppi, 247 ppi; 121.49%, Job Title: Quality Care Gutter: None Account: 121.29%), DHHS_LOGO_blk [Converted].eps (11.8%), QCFmark.eps (37.96%), 57283440_30.tif (CMYK; 298 ppi; Studio: Publications: Health Magazine, Women’s Health, Web MD 100.5%) Print Production: exam room A closer look at everyday objects

COTTON BALLS

Ancient History Bottle Stop Cotton has been grown and made into The material inside medicine bottles looks fabric for at least 7,000 years. like cotton, but it is likely made of rayon or polyester.

Word Up Makes Scents The English word “cotton” comes Adding a few drops of from the Arabic fragrance to a cotton ball or word “qutn.” two and placing inside the vacuum bag can freshen a room while you vacuum.

Work a Round Cotton balls are another version of cotton pads, which Diet Don’t are typically square in shape, A dangerous fad diet, once while balls are wads of cotton. popular with models, reportedly involved eating only gelatin-soaked cotton balls—based on the theory that the fiber in the balls Soft Sell would suppress the appetite. Cotton pads were first invented (Eating only cotton balls in the early 1970s as a substitute leads to severe digestive for cotton swabs, marketed as problems.) a good tool for applying and removing makeup.

Eye Prop Experts recommend using a cotton swab Au Naturel to apply eye makeup, An “organic” label on especially if you wear cotton ball packages contact lenses, to means the cotton plant avoid dirt or bacteria was not treated with from your fingers harmful pesticides or getting into the synthetic fertilizers. eyes.—Chloe Thompson Ted Morrison

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advertisement medical file people and pages

An important correction from calcium, cannot sit or stand for at least 60 minutes, Take Five or are allergic to BONIVA or any of its ingredients. Top director Patty Jenkins joins B ON I VA for women with BONIVA can cause serious side eects including problems with the esophagus; low blood calcium; A-listers to spotlight breast cancer postmenopausal osteoporosis bone, joint, or muscle pain; severe jaw bone problems; and unusual thigh bone fractures. Director Patty Jenkins connected naturally to her new short You may have seen an ad about BONIVA for film, Pearl, one of five intertwined vignettes in the Lifetime Original the treatment and prevention of postmenopausal Before starting BONIVA, tell your doctor if you Movies anthology, Five. The film quintet premieres Oct. 10 as part osteoporosis that may have given you the wrong have problems with swallowing, stomach or of Lifetime TV’s “Stop Breast Cancer for Life” initiative (www. mylifetime.com/my-lifetime-commitment/breast-cancer). impression. Our ads stated that “A er one year digestive problems, have low blood calcium, plan “No matter who you are, no amount of information ensures on BONIVA, 9 out of 10 women stopped and to have dental surgery or teeth removed, or have prevention,” Jenkins says. “It’s almost hard to find somebody who reversed their bone loss.” e FDA has found kidney problems. hasn’t had a family member or friend with breast cancer.” that there is not enough evidence to support Jenkins, 40, has had both. Her grandmother, Patsy Roth, now in Stop taking BONIVA and tell your doctor right her 80s, was initially diagnosed at age 42 and underwent a double this statement and wants us to clear up any away if you have pain or trouble swallowing, chest mastectomy. (Today, Roth’s cancer is slow-growing and she is other­ misunderstanding you may have had about pain, or severe or continuing heartburn, as these wise healthy.) And in mid-June, Jenkins’ close friend, trailblazing these ads and make sure you have the correct may be signs of serious upper digestive problems. film producer and Stand Up To Cancer co-founder Laura Ziskin, died information about BONIVA. from breast cancer at age 61. The Five film project allowed Jenkins to Academy Award-winning director Patty Jenkins directs a short film about Call your doctor immediately if jaw problems or breast cancer in the Lifetime Original Movies anthology, Five. positively channel emotions about losing Ziskin, she says. BONIVA has not been proven to stop and reverse hip, groin, or thigh pain develops; or if you have Jenkins joins the project’s other directors (and Hollywood Each 20-minute film follows its title character—Charlotte, Chey- bone loss in 9 out of 10 women and is not a cure symptoms of low blood calcium such as spasms, A-listers), Jennifer Aniston, Alicia Keys, Demi Moore, and Penelope anne, Lili, Mia, and Pearl—from diagnosis through various stages of for postmenopausal osteoporosis. BONIVA has twitching, cramps in your muscles, or numbness or Spheeris, who each made a film based on a story arc developed treatment and coping. Pearl, played by actor Jeanne Tripplehorn, is T:9.75” by Marta Kauffman, co-creator of the hit TV sitcom Friends, which the chronological link: She loses her mother to breast cancer in the been shown to help increase bone mass and help tingling in your ngers, toes, or around your mouth. co-starred Aniston. Jenkins is best known for her 2003 independent first film, then grows up to become an oncologist who treats the reduce the chance of having a spinal fracture Follow the dosing instructions for once-monthly crime drama, Monster, which led to an Oscar for best actress for its other four lead characters, then faces breast cancer herself. (break). We encourage all patients to discuss their BONIVA carefully. star, Charlize Theron. Five’s rich cast also includes Rosario Dawson, Bob Newhart, and Collectively, Five explores breast cancer’s effects on relationships real survivors. Jenkins wants the film to inspire through its charac- treatment with their healthcare provider. Only your e most common side eects are back pain, and women’s perceptions of the disease, which is the second most ters, to entertain without forcing the educational component. “It doctor can determine if BONIVA is right for you. heartburn, stomach area pain, pain in your arms common cancer among U.S. women after skin cancer. According to was so intriguing to look at breast cancer like this, with humor and and legs, diarrhea, headache, muscle pain, and the National Breast Cancer Foundation, some 200,000 new cases are drama, not in a heavy-handed way yet encompassing the full spec- What is B O N I VA ? diagnosed annually, and 40,000 women die of the disease every year. trum of emotions with different points of view.”—Stephanie Stephens u-like symptoms. BONIVA is a prescription medicine used to treat You are encouraged to report negative side eects or prevent osteoporosis in women a er menopause. Body KNowledge healthy read of prescription drugs to the FDA at www.fda.gov/ BONIVA helps increase bone mass and helps reduce medwatch or by calling 1-800-FDA-1088. Some books morph into icons, standing for Collective, is written by a team of editorial choices, cosmetic surgery, environmental the chance of having a spinal fracture (break). so much more than the information between and medical contributors and, at 900 pages health, and changes in the health care Talk to your doctor for more information or if you the covers. Our Bodies, Ourselves surely strong, looks every bit the women’s health system. Real women weigh in with stories It is not known how long BONIVA works for the have questions about your treatment. makes the grade. bible I remember from my about relationships as well as trauma and treatment and prevention of osteoporosis. You First published 40 years ago, first copy in the 1970s. abuse. Clearly, this is female sexual health Please read additional important risk information when abortion was illegal, birth Basics about anatomy, not just in medical but political, cultural, and should see your doctor regularly to determine if for BONIVA on the next page. control was not widely available, childbearing, menopause, personal terms, too. BONIVA is still right for you. and texts about women’s and sexual health in Yet the book is meant to be inclusive, not If you have any questions about the e ectiveness sexuality and reproductive women’s later years are just empowering for women. “We believe or safety of BONIVA, please call Genentech at health were scarce (and often still here (updated with that enhancing reproductive health…can Important Risk Information for B O N I VA written by men), OBOS was a the benefit of four decades’ play a significant positive role in all our 1-800-4BONIVA or visit boniva.com. revelation, if not a revolution. worth of research). lives,” the editors write, one that will “better You should not take BONIVA if you have certain The updated 9th edition, Newer topics explore safe nurture all women, men, and children. We problems with your esophagus (the tube that published this month by the sex, body image, gender encourage you to explore this book with Boston Women’s Health Book identity, greater birth control curiosity and vision.”—Colleen Paretty connects your mouth and stomach), low blood Su s an B. Landau

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Medication Guide known how long BONIVA works for the • If you take too much BONIVA, call your ask the experts Your questions answered BONIVA® [bon-EE-va] treatment and prevention of osteoporosis. doctor. Do not try to vomit. Do not lie down. (ibandronate sodium) TABLETS Yo u should see your doctor regularly to What are the possible side effects of determine if BONIVA is still right for you. BONIVA? Read the Medication Guide that comes It is not known if BONIVA is safe and BONIVA may cause serious side effects. with BONIVA before you start taking it and effective in children. • See “What is the most important Who should not take BONIVA? information I should know about new information. This Medication Guide Do not take BONIVA if you: BONIVA?” does not take the place of talking with • Have certain problems with your The most common side effects of your doctor about your medical condition esophagus, the tube that connects your BONIVA are: or your treatment. Talk to your doctor if you mouth with your stomach • Back pain have any questions about BONIVA. Down Dad Does postpartum depression affect only moms? • Cannot stand or sit upright for at least • Heartburn What is the most important information 60 minutes • Stomach area (abdominal) pain I should know about BONIVA? • Have low levels of calcium in your blood • Pain in your arms and legs BONIVA can cause serious side effects • Are allergic to BONIVA or any of its • Diarrhea including: ingredients. A list of ingredients is at the • Headache 1. Esophagus problems • Muscle pain 2. Low calcium levels in your blood What should I tell my doctor before • Flu-like symptoms Q  My husband has been mopey and My 10-year- (hypocalcemia) taking BONIVA? You may get allergic reactions, such as 3. Bone, joint or muscle pain grouchy since our baby was born. I don’t old son cracks Before you start BONIVA, be sure to hives or, in rare cases, swelling of your know what’s up. How can I talk to him? his knuckles. Is it true 4. Severe jaw bone problems talk to your doctor if you: face, lips, tongue or throat. Tell your doctor (osteonecrosis) • Have problems with swallowing if you have any side effect that bothers that it causes ­arthritis? 5. Unusual thigh bone fractures • Have stomach or digestive problems you or that does not go away. These are A Your husband’s dark moods could just be Ten-year-old boys love to make 1. Esophagus problems. Some people • Have low blood calcium not all the possible side effects of BONIVA.  who take BONIVA may develop • Plan to have dental surgery or teeth For more information, ask your doctor or a result of the same fatigue and roller-coaster noises with their body, so problems in the esophagus (the tube removed pharmacist. emotions that you’re feeling now. But he could it’s not surprising your son is that connects the mouth and the • Have kidney problems Call your doctor for medical advice about stomach). These problems include • Have been told you have trouble side effects. You may report side effects also be going through the male version of post- intrigued with the sound of a absorbing minerals in your stomach or to FDA at 1-800-FDA-1088. partum depression. Researchers now believe that good knuckle pop. But you can esophagus, which may sometimes bleed. intestines (malabsorption syndrome) How do I store BONIVA? some 10% of new fathers develop this. put your fears aside—the idea • It is important that you take BONIVA • Are pregnant, or plan to become • Store BONIVA at room temperature, exactly as prescribed to help lower pregnant. It is not known if BONIVA can 59°F to 86°F (15°C to 30°C). The symptoms in men can be different from that knuckle cracking leads to Q I’m finally ready to quit smoking. Do your chance of getting esophagus  harm your unborn baby. • Keep BONIVA in a tightly closed those for women. Men may get irritable, even arthritis is FALSE. you have any tips for making it easier? problems. (See the section “How • Are breast-feeding or plan to breast-feed. container. should I take BONIVA?”) It is not known if BONIVA passes into Keep BONIVA and all medicines out of aggressive, when they’re depressed. They can also “There have been a few • Stop taking BONIVA and call your your milk and may harm your baby. the reach of children. engage in destructive behaviors, like drinking studies on this,” says Dimitrios A  We all know that being tobacco-free is doctor right away if you get chest pain, Tell your doctor and dentist about all the General information about the safe and new or worsening heartburn, or have medicines you take, including prescription effective use of BONIVA. more alcohol or having extramarital affairs. But Pappas, assistant professor of essential to a healthy life. In fact, the most recent trouble or pain when you swallow. and non-prescription medicines, vitamins, Medicines are sometimes prescribed the root of the problem tends to be the same. medicine at Columbia Uni­ report from the Surgeon General details how any 2. Low calcium levels in your blood and herbal supplements. Certain medicines for purposes other than those listed in a (hypocalcemia). BONIVA may lower While men don’t have the same dramatic hor- versity’s College of Physicians exposure to tobacco smoke is harmful. Here are may affect how BONIVA works. Especially Medication Guide. Do not use BONIVA for T:9.75” the calcium levels in your blood. If you tell your doctor if you take: a condition for which it was not prescribed. mone shifts that women experience after birth, and Surgeons. “None of them some pointers for quitting. have low blood calcium before you start • antacids Do not give BONIVA to other people, even other stressors, including financial worries, mari- shows any change in the Make it your idea. I talk about smoking ces- taking BONIVA, it may get worse during • aspirin if they have the same symptoms you have. treatment. Your low blood calcium must • Nonst It may harm them. tal changes, and sleep deprivation can all trigger occurrence of arthritis between sation every day. But I can tell which way things be treated before you take BONIVA. Most medicines This Medication Guide summarizes depression in men. people who habitually crack their are going to go pretty quickly by asking just one people with low blood calcium levels do Know the medicines you take. Keep a the most important information about not have symptoms, but some people may list of them and show it to your doctor BONIVA. If you would like more Postpartum depression generally knuckles and those who do not.” simple question: “Do you want to quit?” People have symptoms. Call your doctor right and pharmacist each time you get a new information, talk with your doctor. You lasts for about a year if left untreated. But here’s something cool who truly want to quit are generally successful. away if you have symptoms of low blood medicine. can ask your doctor or pharmacist for But if your husband is showing you can tell your son: The “pop” Those who don’t find it more challenging. calcium such as: How should I take BONIVA? information about BONIVA that is written • Spasms, twitches, or cramps in your • Take BONIVA exactly as your doctor tells for health professionals. some of these signs, he should get that comes when you compress Make it convenient. Ashtrays, matches, or muscles you. For more information, go to: treated now. Depressed fathers may your knuckles isn’t from bone lighters can all trigger your desire to smoke. • Numbness • BONIVA works only if taken on an www.myboniva.com or call 1-888-692-6648 toes, or around your mouth empty stomach. What are the ingredients in BONIVA? be unable to relate to and care for snapping on bone. It happens When you plan your quit date, make sure that Your doctor may prescribe calcium and • Take 1 BONIVA tablet after you get up Active ingredient: ibandronate sodium children appropriately, which because, as the bones are these reminders are out of the way, too. vitamin D to help prevent low calcium for the day and before Inactive ingredients: lactose monohydrate, levels in your blood while you take food, drink, or other medicine. povidone, microcrystalline cellulose, research shows negatively stretched apart, a gas bubble Don’t avoid medication. Understandably, BONIVA. Take calcium and vitamin D as • Take BONIVA while you are sitting or affects their child’s forms and then pops. many people seek a natural approach to lifestyle your doctor tells you to. standing. emotional and While such joint cracking changes. But research data confirms: It’s very hard 3. Bone, joint, or muscle pain. Some • Do not chew or suck on a tablet of people who take BONIVA develop severe BONIVA. titanium dioxide, talc, polyethylene glycol physical develop- doesn’t lead to arthritis, medical to quit on your own. Nicotine addiction is an bone, joint, or muscle pain. • Swallow BONIVA tablet with a full glass ment. Encourage journals do contain reports acquired medical condition. Talk to your doctor 4. Severe jaw bone problems (6-8 oz) of plain water only. (osteonecrosis). Severe jaw bone • Do not take BONIVA with mineral water, him to talk to of people who injured their about smoking cessation aids. They can double problems may happen when you take coffee, tea, soda, or juice. his doctor or ligaments while cracking their your chances of quitting successfully. BONIVA. Your doctor may examine After swallowing BONIVA tablet, wait at your mouth before you start BONIVA. least 60 minutes: some kind of knuckles. At least one study Quitting isn’t easy—that’s why so many Your doctor may tell you to see your • Before you lie down. You may sit, stand Distributed by: counselor so also found the grip of people people try it several times before succeeding. But dentist before you start BONIVA. It is or walk, and do normal activities like important for you to practice good mouth Genentech USA, Inc. he can get who habitually crack their with a goal in mind, smoking accessories out of reading. A Member of the Roche Group care during treatment with BONIVA. • Bef help if he knuckles may weaken over sight, and the help of some medications, you can 5. Unusual thigh bone fractures. Some 1 DNA Way except for plain water. South San Francisco, CA 94080, USA needs it. the years. finally kick the habit. people have developed unusual fractures • Before you take other medicines, in their thigh bone. Symptoms of a fracture including antacids, calcium, and other This Medication Guide has been may include new or unusual pain in your supplements and vitamins. approved by the U.S. Food and Drug hip, groin, or thigh. Call your doctor right Do not lie down for at least 60 minutes Administration. away if you have any of these side effects. after you take BONIVA and do not eat Roy Benaroch, MD James Beckerman, MD What is BONIVA? Issued: January 2011 WebMD CHILDREN’S HEALTH EXPERT WebMD HEART HEALTH EXPERT Ima g es; Peter Dazeley/Getty es Cultura/Glow left: BONIVA is a prescription medicine used BONIVA is a registered trademark of 60 minutes after you take BONIVA. Roche Therapeutics Inc. to treat or prevent osteoporosis in women • If you miss a dose of BONIVA, do not after menopause. BONIVA helps increase take it later in the day. Call your doctor for © 2011 Genentech Inc. All rights reserved. bone mass and helps reduce the chance Get expert answers to all your health questions. WebMD.com instructions. BON0000311300 of having a spinal fracture (break). It is not October 2011 | WebMD the Magazine 21 #1961 DSM WebMD ad r1.qxd:#1366 DSM WebMD ad 9/1/11 3:50 PM Page 1

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By Gracie Terzian Flying High WebMD.com community member I think my mother was more worried about my going to college two years ago than I was. I have had asthma since I was very young. It was worse when I was younger. I used to have to use an inhaler before I ran the mile in PE class. And one time I had a big role in a play, and I developed pneumonia. My asthma got really bad. I remember using my nebulizer—a machine that creates a medicated inhalable mist—backstage before I went on. And I hid cough drops on the backs of set pieces to help me get through. Now I’m 20. I’m a third-year student at the University of Virginia, majoring in drama. I’ve gotten good at keeping my asthma under control. It mostly only acts up when I’m sick, YES especially when I have a cold or a cough. You can control diabetes... The biggest thing I’ve had to learn is to carry an inhaler with me wherever I go. That can be hard to remember. My you have diabetes, you healthier, happier living. 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Step into a future that’s better because that keeps your system calmer, making it less likely like Diabetes Self-Management. It and brighter. Send for to erupt into asthma. Know what you’re allergic to. Take pre- will have an immediate, powerful a free issue of Diabetes Self- ventive steps, whether it’s wrapping your bedding in allergy- impact on your life. That’s not just Management with the attached protective covering or avoiding dust and mold. For me it has a promise--that’s a guarantee. you may not have realized existed. postage-paid order card. meant doing daily nasal irrigation and starting up immuno- Diabetes Self-Management gives Practical suggestions for improv- Or if the card is missing, call therapy shots again. I think I’ve learned to take a little better you the first totally rational, work- ing communication with your doc- (800) 234-0923, mention code care of myself than other people my age do. able, positive approach for con- tor. Techniques for simple, pain- L1110W. There’s no cost, commit- I would also say to stay positive and don’t hold back. I’m trolling diabetes. How does it less blood glucose monitoring. ment, or obligation whatsoever! Gracie Terzian, very active. I take lots of dance classes, and I’ve even started work? It gives you access --access to Answers to questions about diet 20, keeps her the information and strategies and exercise. Strategies for pre- asthma under studying aerial acrobatics. Last summer I helped out at Theatre for a New Audience in New York City, and this fall I’m intern- that, until now, have been so hard venting complications. control and to find, so hard to tailor to your Tips for saving big money on lives a healthy, ing at [NBC’s] Saturday Night Live. active life. Being fit is a key part of prevention, and that’s not a bad specific needs. medical supplies. New ways to make injections safer and easier. Andrew Kist thing at all. Plans, strategies, New ideas for coping with anxiety FREE options! and anger. Read more stories and share your own in our community. WebMD.com With Diabetes Self-Management, A life that’s better, freer, happier! SAMPLE ISSUE! you’ll discover ideas and options is about 22 WebMD the Magazine | October 2011 Diabetes Self-Management click here highlights at Webmd.com WALK AS IF YOUR LIFE Family Affair WebMD has partnered with the White DEPENDS ON IT. House on the “Joining Forces” initiative to support military members and their families. Learn more and what you can WALK do for their health and well-being. Pack BECAUSE It In Those 100-calorie snack SOMEONE’S packs might seem like a LIFE DOES. smart way to keep your noshing in check, but they’re often low in nutrients as well as calories. For healthier and more filling ways to munch, check out WebMD’s “25 Super Snacks with 100

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Head Lice symptomchecker top symptoms include  Intense itching  Live lice on the scalp SEARCH  Eggs (“nits”) on hair shafts near the scalp This time of year, head lice (pediculus humanus capitis) epidem- ics often sweep through schools and day care centers. The tell-tale Michael C. Hall itching is the result of the scalp reacting to the saliva of the lice, who feed on the blood of their hosts. While highly contagious, lice don’t jump or fly from head to head. Instead they spread by crawling dur- SEARCH ing head-to-head contact or through sharing of personal items, such as hats, hairbrushes, and combs. They can also cling to bedding. (The tiny, whitish nits aren’t mobile at all, by the way, as they are Register at lightthenight.org stuck to hair shafts.) Treatments include nonprescription lice-killing to help in the fight shampoo, picking the nits and lice off by hand (or with a special GO comb), and laundering bedding, pillows, and clothes in hot water. against blood cancers. WATCH VIDEO If the nonprescription shampoos don’t help, you might have missed Key in your symptoms The Leukemia & Lymphoma Society® is the some nits or your child might still be exposed to someone with lice. Sometimes multiple treatments, or prescription lice treatments, are world’s largest voluntary health agency FIND THE ANSWER dedicated to fighting blood cancers. required to kill all the nits, larvae, and adult lice. Learn more at www.LLS.org. : Ar iel Sk elle y/G ett y I mages ; Ke v i n Su mme r s /G le f t livingwell expert a’s to your beauty q’s

2 Defying Act Keep styles light and locked down Stephanie Pohl says: with Sebastian Straight Talk A. Healthy hair starts in the shower. Clean Start 1 Shaper Zero Thin, straight hair can benefit a ton from Pump up your strands Gravity. Give flyaways and split ends the brush-off with sudsing up with a volumizing strand cleanser with Pureology Q. I flat iron my PureVolume Shampoo. these expert tips and product picks for straight hair straight hair regularly. such as Pureology PureVolume Shampoo ($27), which is free of sulfates and contains What can I do to mini- a soy, oat, and wheat protein complex that mize dryness and split ends? helps repair dry, damaged locks. Since your Jessica Dolese, 25, real estate agent, Florham Park, N.J. strands are straight (and probably fine), you might feel you can skip conditioning them, George Gonzalez says: 3 but that’s not the case. Always condition your Magic Potion Davines Wizard A. The long-term effect of unprotected, ends (the driest part of your hair) when No.1 Finest Oil 2 Washed Up excessive flat ironing is split ends and color you wash; just try to keep the conditioner Non Oil fights Burt’s Bees Super fading, but with products and a few key away from your roots because they produce flyaways and static. Shiny Grapefruit & techniques, you can stop damage before it starts. their own natural oils that help moisturize 1 Sugar Beet Shampoo For starters, avoid shampoos with sodium the scalp. is a gentle way to Place Holder cleanse. lauryl sulfate, which can strip and dry out To give your straight strands control Garnier Fructis your hair. Instead, use a super-moisturizing without weighing them down or making Style Sleek & Shine cleanser like Burt’s Bees Super Shiny Grape- them look greasy, stock up on lightweight Anti-Humidity fruit & Sugar Beet Shampoo ($8), which is hairsprays such as Sebastian Shaper Zero Hairspray keeps straight styles in sulfate-free and contains soy protein to repair Gravity ($16.95), a soft-hold spray that check. damaged strands. In addition to your daily locks in loose styles while maintaining 4 conditioner, you should also use a condition- the bounce. If your hair is thin, it’s best to Press Club Before ironing, prep hair with ing mask once or twice a week if your hair apply products with a light hand. To fight Rusk Design Thermal Flat Iron is very dry or damaged. Infused with blue flyaways, I suggest Davines Wizard No.1 Spray with Argan Oil. agave and shea butter, Ojon Dry Recovery Finest Oil Non Oil ($22), a combo of Intensive Hydrating 2-Minute Hair Mask sweet almond proteins that helps nix static 3 End Game ($29.50) will boost moisture levels to repair during blow-dry sessions and adds shine Tame tips with John the cuticle layer of your hair. while keeping strands light and airy. It’s important to use a pre-heat spray to Frieda Full Repair Perfect One of the biggest mistakes people make Women with straight hair often damage protect your locks from wear and tear. Ends Deep Infusion. is not using products to seal and protect their hair with high-heat styling tools— their hair. Spray each section with a thermal flat irons, blow-dryers, or curling irons. protector like John Frieda Frizz-Ease Hair Because straight strands can be fragile, Serum Thermal Protection ($9.99) it’s important to use a pre-heat spray Home Blown before flat ironing. Afterward, apply a little to protect your locks from wear and Do you leave the salon thinking your hair will never look this good again (until your next 5 John Frieda Full Repair Perfect Ends tear. Particularly before flat ironing, prep appointment)? You can get salon-worthy blowout results at home. Zahir Ziani, Red Door Protect & Serve Deep Infusion ($9.99) to the tips to help hair with Rusk Design Thermal Flat Iron Spas’ national creative director, shares his steps for success. John Frieda Frizz-Ease block humidity-induced frizz and prevent Spray with Argan Oil ($16). Infused with 1. Pre-dry your hair with a blow-dryer set to low heat to remove excess moisture, or let your Hair Serum Thermal split ends and flyaways. Finally, use a light UVB sunscreens and silicones, the spritz locks air-dry for a few minutes. Protection seals and hairspray like Garnier Fructis Style Sleek & protects and conditions while adding tex- smooths tresses. 2. Apply an anti-frizz/smoothing product to soften hair and make it more manageable. Shine Anti-Humidity Hairspray ($4.29) to ture, sheen, and soft hold to straight, fine keep straight strands smooth all day long. strands.—Ayren Jackson-Cannady 3. Divide your hair into four to six sections, securing each with a clip. Using a round brush, hold your hair taut to avoid any frizzing and begin blow-drying in the back, and finish in the George Gonzalez, front. Before you’re done with each section, blast it with a shot of cool air to close the hair Stephanie Pohl, Owner, George the Salon, cuticle (it opens when heated) and boost shine. freelance stylist at The Spa celebrity hairstylist, Damage Control 4 at Harpo, Chicago Los Angeles 4. Apply a non-greasy shine serum, such as Citré Shine Anti-Frizz Serum, to the ends.

Add Ojon Dry Recovery Intensive Hydrating Chung lee Chung lee 2-Minute Hair Mask to your weekly routine. 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.

26 WebMD the Magazine | October 2011 October 2011 | WebMD the Magazine 27 Reviewed by pet matters Audrey Cook, BVM&S healthy dogs and cats WebMD Pet Health Expert

Medical Teaching Hospital. But a pet that vomits litter box, such as into the sink or on bedding or has diarrhea several times a day, is lethargic, or and furniture. What’s Up, Doc? has blood in its vomit or stool needs a veterinar- ian’s attention. Constant Coughing Chronic coughing may be The top 5 signs that it’s time to call the vet Likewise, pets that stop eating for more than related to heart disease, heartworms, or various 24 hours need vet care. Cats who won’t eat need lung diseases. Or a dog may have kennel cough, What our sick pets can’t say in words, Cats and immediate vet attention because without nutrition an infectious tracheobronchitis that causes a harsh, they show through physical symptoms. And pet dogs can they can develop fatty liver disease. hacking cough. For most dogs, kennel cough owners often are the first ones to notice, simply is mild—a nuisance that goes away within two because “they see their pets every day and realize vomit Pee Problems Increased urination may signal weeks. But for puppies, kennel cough can progress when they’re not their regular selves,” says Mark without diabetes, or liver, kidney, or adrenal gland disease. to fatal pneumonia. Stickney, DVM, director of general surgery services being ill. Too little urination, or straining to urinate, often at Texas A&M University College of Veterinary But a pet signals a urinary tract problem or bladder stones. Itchy Incidents Fleas, ticks, mange mites, and ear Medicine and Biomedical Sciences. Cat owners take note: In male cats, crystals or mites are common reasons for dog or cat hair loss What should you look for? WebMD asked sev- that vomits inflammatory debris can plug up the urethra so and itching on the skin or around the ears, as are eral experts to identify five red flags that should several that the cat can’t urinate, which can become life- endocrine problems, staph infections, fungal or prompt a call or visit to the veterinarian. times a day threatening within 24 hours. yeast infections, and a host of other causes. needs vet “It’s a hard thing to pick up because the only Digestive Dilemmas Cats and dogs can vomit thing you might see is the cat making multiple Mobility Maladies Stiff dogs may have hip or spine without being ill. “A puppy who’s…playful and attention. trips to the litter box and just sitting there,” arthritis, disc disease, ruptured ligaments, or hip dys- has been outside eating leaves and junk and vom- Meadows says. plasia. Many of these conditions—and those detailed its and then goes back about his life” doesn’t Or cats that strain to urinate might change above—can be treated so that pets can maintain their much worry Julie Meadows, DVM, assistant pro- their habits and start urinating outside of their mobility and quality of life.—Katherine­ Kam fessor for clinical medicine in community practice at the University of California, Davis Veterinary r /Getty I mag e s Betty S ch luete Learn more signs that your pet might be ill. WebMD.com Reviewed and recipes by Kathleen Zelman, MPH, RD, LD healthyeats WebMD Director of Nutrition nutritious and delicious How I Learned to Love Anatomy of a CARROT Candice Opper, 32, student, DePaul University College of Law, Chicago Mushrooms

Orange Rx Crunch With Punch Carrots were first grown as medicine, A medium-size carrot has 25 calories, 6 grams of carbs, not food, for a variety of ailments. and 2 grams of fiber. The veggie is also an excellent source of vitamin A, providing more than 200% of your daily Mushrooms. Candice Opper grew requirement in just one carrot. Long Story up thinking of them as slippery little stealth Carrots can be traced back about bombs with a funky taste and flabby texture, 5,000 years through historical hidden in everything from her dad’s canned documents and paintings. spaghetti sauce to her mom’s tuna Lost Cause noodle casserole. Even worse No one knows when the were “mushrooms fried in first carrots appeared Beta Best a ton of butter until nearly Carrots are loaded because many people mistook them for black and served with with beta-carotene, overcooked steak,” says a compound that is parsnips, a close Opper, who attempted to naturally converted relative of the carrot. healthy recipe to vitamin A when feed them to her dog. consumed. The deeper The dog, it turns out, orange the carrot, the “only liked broccoli,” says Cooking With ’Shrooms more beta-carotene What’s Up, Doc? Opper, who resorted to Although you’ll find them in the produce aisle, mushrooms aren’t really you’re getting. Mel Blanc, the voice picking the fungi out of any vegetables, but the nutrition-packed fruit of fungi. of the iconic cartoon dish she found them in: “A lot Revered from ancient times by Eastern cultures for their health benefits, character Bugs Bunny, of my early mushroom memories mushrooms may have several natural antiviral and immunity-boosting proper- Taste the Rainbow reportedly did not involved canned mushrooms, which already ties. Naturally low in calories and sodium and high in dietary soluble fibers associ- like carrots.—Chloe We think of carrots as orange, but they can also be had an unpleasant, overprocessed texture, or ated with lowering cholesterol and boosting heart health, mushrooms are also white, yellow, red, and purple. Thompson fresh mushrooms that had been cooked to mineral-rich in potassium and selenium. Findings from the American Insti- death,” she says. tute for Cancer Research show that even the common “button” mush- Still, because her vegetarian inclinations rooms have promising anti-cancer properties. healthy recipe led her to forgo meat for eight years, she was Among the other ’shroom varieties: enoki mushrooms, tiny, white destined for dozens of mushroom meet-ups, dots on slender white stems, are sweet and crisp. Flat-topped shiita- Carrot Quinoa Makes 8 servings Directions Per serving: prompting her to try—and try again. Opper’s kes are rich and smoky. And black-gilled portabellas, which can be Ingredients 266 conversion moment came during a restaurant 6 inches or more across, are the most meaty. Grain Medley 1. Heat medium saucepan over medium heat. Add calories,10 g olive oil and quinoa and stir 3 to 4 minutes to protein, 38 g meal when she discovered that “mushrooms 1 tbsp olive oil toast quinoa. carbohydrate, tasted pretty good if they were properly pre- ➜ Won’t-Miss-the-Meat Enchiladas 2 cups dry quinoa, rinsed and drained 2. Add carrots, onion, red pepper, garlic, and 9 g total fat (1 g saturated pared.” First, she tried a vegetarian portabella- Need to convince a meat-loving family that a mushroom entrée can satisfy? 1½ cup carrots, diced (about 3 medium) 1 tbsp parsley. Stir 3 to 4 minutes. fat), 2 mg patty burger and thought it tasty. Next, she Try these enchiladas. For the filling, chop one large onion and 6 cloves garlic 1 large onion, diced 3. Add chicken stock and bring medley to a sim- cholesterol, encountered stuffed mushroom caps, “and I and sauté in 1 tbsp olive oil and 2 tbsp water until transparent. Finely chop 8 oz each 1 large red bell pepper, diced mer. Reduce heat to low, cover, and cook for 15 5 g fiber, 5 g sugar, was in love!” crimini, portabella, and oyster mushrooms. Add to onions along with 2 tbsp chopped 1 tbsp garlic, minced minutes or until quinoa is tender and liquid is Now, she can’t get enough. “I eat mush- parsley and cook until mushrooms have released all liquid and are almost dry. Lightly absorbed. 171 mg ½ cup chopped fresh parsley, divided sodium. rooms whenever they appear,” sliced raw in salt and pepper to taste. Grate 2 cups low-fat mozzarella or Jack cheese. Spray a small 2½ cups unsalted, nonfat chicken stock 4. Remove saucepan from heat, let sit 5 minutes, Calories from salads, simmered in stews, tossed in stir-fries, skillet with olive oil, and heat—one at a time—a package of corn tortillas. Fill each then fluff with fork. fat: 28%. pinch salt and pepper or minced, shaped, and cooked like burgers. with a few spoons of mushroom filling and a sprinkling of cheese. Roll and place 2 oz dry roasted salted pistachio kernels, 5. Garnish with pistachios and parsley. The bad memories of flabby fungi are just in baking dish, seam-side down. Top with remaining cheese and heat at 400°F until

chopped ue Jea n Im ages/ G etty age w ic z / S toc kF oo d K r oege / Gr oss/ S toc kF oo d ; Tr acey Kusie B l that: memories.—Monica Kass Rogers bubbly. Serve with salsa, pico de gallo, and fresh chopped cilantro.

Seeing orange? Get more carrot recipe ideas. WebMD.com Unearth more ways to cook with mushrooms. WebMD.com

34 WebMD the Magazine | October 2011 October 2011 | WebMD the Magazine 35 Reviewed and recipes by WebMD and Sanford Health proudly announce Kathleen Zelman, MPH, RD, LD healthyeats WebMD Director of Nutrition nutritious and delicious Three Ways to Cook Salmon Think pink for dinner more often—your body will thank you The destination that helps you and Celtic myth tells the tale of your family achieve the fit lifestyle Fionn MacCumhaill, a poet’s apprentice including: who absorbed all the wisdom of the world by eating just a drop of oil from • FOOD: Nutritional Fitness a special salmon. Turns out Fionn was • MOVE: Physical Fitness on to something: We’re all wise to eat salmon—especially that marvelous fish oil. • MOOD: Emotional Fitness Vibrantly colored, tenderly textured, and • RECHARGE: Behavioral Fitness richly flavored, salmon is loaded with the omega-3 fatty acids EPA and DHA. Learning and living a healthy lifestyle is a family affair. fit is designed with that in Multiple studies suggest that these polyunsaturated fats help boost the mind with worksheets, videos, and games customized for different ages. There’s immune system, help reduce the risk of also a section just for parents. heart disease, and are especially beneficial for a developing fetus, nursing infants, and young children. Kids are complicated. Getting your family healthy doesn’t have to be. The American Heart Association recommends at least two servings a week of fish, preferably oily fish such as salmon. Salmon is one of a few fish rich in omega-3s (1.2 to 1.9 grams per serving, compared with almost none for chicken, pork, and beef). Salmon is also an excellent source of protein, vitamin B12, and selenium, with good amounts of vitamin B6, thiamin, and niacin. Salmon’s characteristic rosy color, which ranges in hue from pale pink to orangey-red, comes largely from astaxanthin, a naturally occurring pigment salmon ingest from microalgae in their diet. Research on astaxanthin suggests that it, too, points to potent protection for the immune system. Because salmon is a rich fish, the best preparation methods are those that add little or no fat, such as the following three recipes. Cook up your own poetic homage to one of the healthiest fish in Vibrantly colored and richly the sea.—Monica Kass Rogers flavored, salmon is loaded with omega-3 fatty acids. Klaus A rras/Ge tt y Ima g es Klaus

October 2011 | WebMD the Magazine 37 Reviewed and recipes by Kathleen Zelman, MPH, RD, LD healthyeats WebMD Director of Nutrition

Salmon Pantry Picks

No matter how you prepare it, versatile salmon cooks up quickly and plays well with a variety of ingredients you’ll want to have on hand for the recipes on page 52. WebMD’s director of healthy recipe healthy recipe healthy recipe ­nutrition, Kathleen Zelman, MPH, RD, LD, suggests these staples for healthy, tasty results.

➜ Salmon Cakes With ➜ Spicy Citrus Grilled Salmon ➜ Pecan-Crusted Salmon Greek Gift Sweet Success Lemon Dill Yogurt Sauce and Asparagus Salad Higher in protein, more firmly textured, and more Brown sugar—unrefined or partially refined sugar tart than regular yogurt, Greek yogurt is great for crystals from which all of the molasses has not Makes 4 servings Makes 4 servings Makes 4 servings cooking. Try Fage Total Classic Plain, Total 2% been spun off—is a cooking essential, favored for Plain, or Total 0% Plain. Other options? Voskos its rich, caramel taste. There are a lot of “unrefined” ingredients ingredients ingredients Greek Plain Non-fat and Plain Low-fat options, sugars out there that are technically brown sugars: Salmon cakes 4 4-oz salmon filets 4 4-oz salmon filets Chobani Non-fat Greek and Low-fat (2%) Greek, turbinado, demerara, and muscovado, to name a 1 lb cooked, flaked salmon 1 tbsp brown sugar salt and pepper to taste and Stonyfield’s Oikos Plain Organic Greek yogurt. few. But they are all pretty much the same, says ¼ cup panko breadcrumbs 1 tsp cumin 1 tbsp Dijon mustard Zelman. All sugars, except maple, go through the 1 egg, slightly beaten ½ tsp chili powder 1 tbsp honey Mayo League same kind of processing. So choose what you like, ½ cup light mayonnaise dash salt and ½ tsp pepper 2 tbsp panko breadcrumbs The reason there’s little flavor difference between just use a little. Some options: C&H Golden Brown Juice of 1 lemon cooking spray 2 tbsp chopped pecans regular and light mayonnaise is that mayo makers Sugar, India Tree Demerara, Billington’s Natural 2 tsp Dijon mustard 12 spears asparagus 1 tbsp chopped parsley achieve lightness by whipping mayonnaise with Demerara, and Florida Crystals Demerara. 1 small red onion, finely minced 4 cups mixed salad greens (arugula, fresh lemon cut in wedges air and water. Light mayos made with canola or olive oil are best, but all vegetable oil-based Cool Condiment 2 tbsp chopped flat leaf parsley spinach, baby lettuce) mayonnaises are fine. Zelman’s go-to brand? Mustard—that magical yellow mix of seed, vinegar, dash hot sauce 1 orange, peeled, sliced into wedges Directions Hellmann’s Mayonnaise Dressing With Extra and spice—works wonders in recipes by adding cooking spray 1 cup cherry tomatoes, sliced in half 1. Sprinkle salmon with salt and 2 tbsp feta cheese pepper. Virgin Olive Oil. She also recommends Hellmann’s flavor without fat and with very few calories. If Canola Cholesterol Free Mayonnaise, Duke’s Light you’ve had only “plain” yellow, it’s time to branch 2 tbsp chopped walnuts Sauce 2. Place salmon skin side down on Mayonnaise, Kraft Mayonnaise with Olive Oil, and out. Here is what you’d find in Zelman’s refrigerator: ½ cup nonfat plain Greek yogurt baking sheet. Miracle Whip Light Mayonnaise. Maille Dijon is a delicious classic, French’s Sweet Salad dressing 1 tbsp lemon juice 3. Combine mustard and honey, and & Zesty adds a touch of sweet to spicy mustard, 1 tsp lemon zest ¼ cup extra virgin olive oil brush on salmon. Panko Picks Inglehoffer Stone Ground is handy when you 1 tbsp fresh dill 1 tsp orange zest Uniquely light, crisp, and perfect for baking want added texture, and Gulden’s Spicy 1 oz orange juice 4. Mix topping of breadcrumbs, Brown adds a real kick of great spicy flavor. 1 tbsp chopped parsley pecans, and parsley and sprinkle or breading salmon, Japanese-style panko ½ cup seeded, chopped cucumber 1 oz lemon juice over salmon, pressing down into breadcrumbs are finely ground without seasonings 1 tbsp sherry vinegar honey mustard coating. or fat. Less dense than regular breadcrumbs, Directions salt and pepper to taste panko crumbs have only 100 calories per half cup. 5. Bake salmon at 400°F 10–15 They also let the foods they’re served with stand 1. In a large bowl, combine all salmon Directions minutes or until flaky. cake ingredients and mix well. Form out without masking flavor. Try Asian Gourmet into four patties. 1. Combine brown sugar, cumin, chili 6. Serve with lemon wedges. Japanese-style Panko Breadcrumbs or Kikkoman powder, salt, and pepper. Rub blend Japanese-style Panko Breadcrumbs. For a little 2. Spray a large skillet and heat over on fish; cover and chill 30 minutes. boost of fiber and whole grains, Zelman likes medium heat. Sauté patties 3–4 min- Ian’s Whole Wheat Panko Breadcrumbs. utes on each side until golden brown. 2. Grill asparagus on rack coated with cooking spray for 5–7 minutes. Grill 3. Make sauce by combining all fish, skin side up, 5 minutes each side. ingredients. The opinions 3. Toss greens with dressing and arrange expressed on this 4. Serve each salmon patty with the on four dinner plates. Top with grilled page are of the lemon dill yogurt sauce. experts and are salmon and garnish with orange, not the opinions asparagus, tomatoes, feta, and walnuts. of WebMD.

Per serving: 397 calories, 30 g protein, 13 g Per serving: 265 calories, 29 g protein, 9 g w Ima g es ar d Sh oo t er/ St oc k foo ; S ara Da ni elsso n / F collec ti o /Glo WebMD does carbohydrate, 25 g fat (5 g saturated fat), 134 mg carbohydrate, 12 g fat (1.6 g saturated fat), 78 mg not endorse any

Per serving: 471 calories, 27 g protein, 35 g fat : Ho w cholesterol, 1 g fiber, 5 g sugar, 377 mg sodium. (7 g saturated fat), 68 mg cholesterol, 3 g fiber, cholesterol, 0.4 g fiber, 282 mg sodium. Calories from specific product, service, or Calories from fat: 56%. 9 g sugar, 204 mg sodium. Calories from fat: 66%. fat: 42%.

from lef t Te d M orr i so n treatment.

Find more omega-3-rich salmon recipes. WebMD.com

38 WebMD the Magazine | October 2011 wellness

queen

Most famous as curvalicious Joan on Mad Men and Christina starring in two new By Rebecca Ascher-Walsh movies, Christina WebMD Contributing Writer Hendricks reveals her secrets for s Joan Harris (née Holloway), the corseted, curvy, take-no-prisoners secretary-in-chief in AMC’s hit series Mad Men, enjoying life on Christina Hendricks has crashed a vase over someone’s head to get attention. In real life, the star has wowed audiences and critics simply by being herself, a talent whose her own terms range is matched only by her extraordinary energy and beauty. and putting first AThis fall she has two new movies—the comedy I Don’t Know How She Does It, co- starring Sarah Jessica Parker, and the thriller Drive, opposite Ryan Gosling and Carey things first, Mulligan. And she’s recently resumed filming the fifth season of Mad Men, which has earned her an Emmy nomination for Outstanding Actress in a Drama Series, a no matter the Critics’ Choice Television Award, and legions of fans who either want to be Joan or date her. At press time, she was up for her second Emmy nomination. demands of her Hendricks, 36, has made Hollywood’s coveted “A list,” and she’s done it on her va-va-voom own exacting terms, heralded equally for the mastery of her craft and her looks. Esquire voted her America’s Most Beautiful Woman last year, but she’s a self-professed acting career homebody who’d rather be knitting than posing on every red carpet in town. She’s idealized enough physically to have earned her own Barbie doll, but she makes women feel good about themselves.

Reviewed by Louise Chang, MD WebMD Senior Medical Editor

October 2011 | WebMD the Magazine 41 wellness

Hendricks’ power doesn’t just come from her skill or because she thumbs a per- Be nice to yourself! We all need to look in the fectly manicured finger at the idea of size 2 beauty. It’s also due to her stalwart belief mirror and see the things that are beautiful in ourselves, that a life well lived—professionally and personally—entails confidently embracing and to remind ourselves of what those things are. Love oneself and the world. Says I Don’t Know lessons How She Does It director Douglas McGrath, “You expect to meet a heart-staggering, Learn to adore your man-killing wonder woman, but she’s so company matches up to $250,000 in Solid Beginnings body exactly as it is friendly and sweet, with a wonderful, droll donations to the Make-A-Wish Foundation. Hendricks attributes her down-to-earth intelligence and sense of humor.” (Latisse is an FDA-approved medication to values to her parents and the nurturing Actor Christina Hendricks is a power- “My mother always made me feel like promote eyelash growth in a condition environment of her childhood home in ful role model in reminding us that we could accomplish anything,” says Hen- called eyelash hypotrichosis.) In just Twin Falls, Idaho. “It was just a nice place,” learning to accept—and even love— dricks of the now-retired therapist. (Her two years, the campaign has raised $1.5 she says. our bodies isn’t an impossible task. father worked for the U.S. Forest Service; million to help grant wishes to critically It was there she developed her ease with ., SMPSP Two negative forces stand between her brother, Aaron, is a graphic designer in ill children. her own looks, mirrored by the attitudes us and the mirror, says Amy Pizer, PhD: Los Angeles and the producer and host of Hendricks first became familiar with the of those around her. “I never even heard “an unrealistic media ideal and our the Web podcast GeeksOn, on which Chris- organization when she was 7 years old and people talk about body types,” says the overly critical internal voice.” She offers tina has appeared.) “If we wanted to try a sick classmate was granted her wish to actor. “When I was in high school, I would a few tips to help you begin to change something new or had an interest in some- meet Erik Estrada, star of the then-popular read magazines, but I was just looking at thing, she was always incredibly excited TV series CHiPs. “I’ve admired Make-A-Wish the clothes and the hair,” she insists. A MC; Ri ch a rd F o r e m an J o w l eft: your thinking: for us and had positive feedback. And I ever since, so I’m honored to be involved “Even now, it’s never been a focus in my ❥ Give Praise Where Praise Is Due think that affected every part of my life and with them,” she says. As with other com- life. I’ve always been fit, I’ve always been “Appreciate the functionality of your Hendricks with career and how I’ve carried myself. I always mitments in her life, her involvement is active, and I’ve always been healthy, but body and all the healthy things it can felt like I could do anything.” passionate: In Los Angeles, “Christina came I’ve just tried to live my life the way I live Jon Hamm, aka Don Draper, on do,” says Pizer. By shifting the think- And everything. In addition to her and spent an afternoon with seven of the it. It’s nice that I’ve gotten a lot of positive Mad Men. ing from “Everything’s sagging” to nonstop career, she’s also found time to kids, and she had the best connection with feedback about it lately,” she says with a “This body carried a baby,” or “This give back, signing on as spokesperson them,” says foundation spokesperson Brent smile, her voice both higher in pitch and d o r /Co rb i s O ut l ine. Be age: Ruven A fana for the Latisse Wishes Challenge (www. Goodrich. “The kids were hopping on her quieter than Joan’s, “but I’m just doing body is strong,” you’re practicing a cognitive technique called “reframing.” latissewisheschallenge.com), in which the lap, and she was so interested in them.” what I normally do.” pr eviou s p Her role on Mad Men has only helped her internalize those voices. “We are bom- get her message across: Far from eschewing barded with images that make us feel sub- ❥ Be Your Own Friend “We always the figure-flaunting costumes (corsets and standard, so when you look in the mirror, compare ourselves to others,” says garter belts required), Hendricks praises try to hear friends’ voices. What do they Pizer, “but we rarely talk as harshly their sexiness and how they make her feel. say? That you have a beautiful smile, or Indeed, Hendricks seems to avoid the trap you glow? Listen to that voice until it is to a friend as we do to ourselves.” so many people find themselves in when integrated into your own healthy voice.” Hearing a friend’s voice in your head it comes to judging themselves by their instead of your own can stop self- appetite or a cultural standard. “Be nice to Christina’s Daily Routine scrutiny and even make you smile. yourself!” she says. “We all need to look in With 15-hour workdays and constant ❥ Redirect When you’re stuck in a the mirror and see the things that are beauti- travel, Hendricks finds that keeping up negative thought, “ask yourself, ‘Why ful in ourselves, and to remind ourselves of a healthy routine—let alone a “normal” what those things are. And it’s nice to have life—requires great discipline. A dancer am I looking at this body part so much the people around us remind us, too.” until she was 19 years old, Hendricks never when I have so many other things to Amy Pizer, PhD, a psychotherapist in worried about getting additional exercise do?” Instead, make a list of what you New York City who praises Hendricks’ or watching what she ate. Now, “I have to value about yourself. healthy attitude, notes, “No matter what, constantly remind myself to check in and ❥ Take a Step Back “Do things that you can look in the mirror and find some- be good to myself, to take vitamins and remind you that appearance is the thing you like. We have images of what exercise,” she admits. “I’d always be happy we ‘should’ look like that aren’t realistic. to just snuggle in bed with a book.” least important part of being a good Instead of focusing on what you don’t like, Hendricks practices caring for herself or valued person,” says Pizer. “Nur- practice focusing on finding things, or one from the moment she awakens, beginning ture your friendships, do community thing, that you do.” with a soothing soak even if she’s required service—anything that makes you feel Hendricks on the set of Mad Men, left, and with Ryan Gosling in Drive. Having loved ones’ admiration is help- on set at dawn. “I’m not a shower person,” good about yourself.”—RAW

Fr ank Oc kenfe ls / A MC ful as well, says Pizer, especially if we can she says, “so I always start my day with a

42 WebMD the Magazine | October 2011 October 2011 | WebMD the Magazine 43 wellness

relationships are, but we always get in woman who otherwise has few regrets, touch with each other and make time to thanks to discovering the secret to her Christina’s get together and catch up.” own happiness. “I want to be a great actor One place you won’t find Hendricks is and a great wife and a great friend, and Shortcuts to out at Hollywood’s hot spots. “When I’m that’s what I focus on,” she says. not working or having to go to events, I’m “I don’t sit around and think about at home,” she says with a laugh. There, she myself too much.” curls up with a book or a ball of yarn. “For S erenity me, knitting is meditative.” Working 15-hour days doesn’t have Until recently, when her schedule to result in climbing the walls at the became too unpredictable, Hendricks also I’ve just tried end of them. Christina Hendricks treasured weekly accordion lessons, which shares her surefire tips for feeling she began in her early 30s. “I do have to to live my life the say that I have ignored it over the last year good, despite the daily pressure of way I live it. It’s nice to-do lists and stressors. and a half, and I’m ashamed of that,” she says. “It’s hard to find time to take a lesson Unplug Just because the world seems every week. But it’s something I love, and that I’ve gotten a lot of wired for Wi-Fi doesn’t mean you have music is incredibly important to me. If to use it. Hendricks spends her time you practice an instrument, suddenly it’s positive feedback Hendricks with on airplanes lost in books. “Reading a four hours later and you are completely her husband, about it lately. novel is such a treat for me,” she says. de-stressed. I want to get back to that.” Geoffrey Arend. The effects of learning music may have Skip the Shower Beginning each greater health benefits than simply eas- day with a bath is a soothing way bath.” And she indulges in one comforting 15 pounds in Italy thanks to indulging in ing tension. A recent study conducted at to awaken and doesn’t need to take cup of coffee. “I don’t really like the taste local fare, she has embraced her natural the University of Kansas Medical Center any more time than a shower. When of it, but I love the smell. It’s about having body weight ever since. showed that adults ages 60 to 83 who had it comes to de-stressing, “A hot bath something aromatic and warm in my hand That means that rather than follow a played a musical instrument for at least 10 helps for sure,” says Hendricks. first thing in the morning.” strict diet, she eats foods that please her, years performed better on memory and Hendricks is especially conscientious although with a healthy bent. For example, brain function tests than those who had Sleep In Given the opportunity, Hen- about getting enough sleep and drinking the couple make soups to keep in the not. Brenda Hanna-Pladdy, PhD, author of dricks catches up on sleep. “If you let water. “Those two things really affect me fridge for snacking. At the same time, she the study and now assistant professor of me sleep for 14 hours, I will do so with- daily. I like a lot of sleep, but when I travel, allows room for trying new foods and neurology at Emory University, suggests out hesitation!” she says with a laugh. I can’t do that, so I know I will have to make cooking techniques. that studying music creates alternate con- up for it later. I just try to stay balanced.” “My husband got a deep fryer for his nections in the brain that help compensate Indulge in Your Comfort Food “For Hendricks’ most potent weapon is sim- birthday, so we experimented with that, for diminishing functions as we age. me, it’s spaghetti with red sauce,” ple in theory: Everything in moderation. To but I’m not a big fan of fried food,” she The importance of additional neural says Hendricks. “It’s not that hard maintain her famous figure, she does sit- says. “Our new thing is we’ve gotten a pathways can be likened to having alter- to make, and it’s one thing you can ups and push-ups in her trailer if she has a smoker, and he’s making his own bacon.” native routes when driving on a traffic- order from room service that they down moment on the set. Hendricks also relishes a savory plate of jammed highway: “If you don’t have won’t mess up.” And on a regular basis, she and her hus- pasta now and then: “Spaghetti in red sauce another way to get where you need to band of two years, actor Geoffrey Arend, is always comforting.” go,” says Hanna-Pladdy, “you just sit in Find a Hobby You Can Enjoy at Home schedule workouts together with a trainer, the traffic jam.” Hendricks chills out by knitting, turning what might otherwise be a “have Domestic Diva For those like Hendricks who come to which she calls “relaxing and medita- to” into a “love to.” Hendricks says during For Hendricks, a happy and healthy life music later, says Hanna-Pladdy, “our study tive,” as well as by listening to music these sessions she does weight training means a solid home base with her family shows the most important element is the and practicing her accordion. and uses a BOSU ball. and close friends. “When my husband and length of time the person studied music, “It makes it so much more fun and I aren’t working, we are always together,” rather than the age they started. So if one Stay Connected The less time you makes the time go by so much faster Hendricks says. “He’s my best friend.” began in one’s mid-30s and studied until have to catch up with friends and because we’re encouraging each other. And More complicated to schedule but age 65, that’s a significant amount of family, says Hendricks, the more you my husband is ridiculously funny, so he’s just as crucial to her happiness is time time.” probably need them—especially if making jokes the whole time we’re work- with her women friends. “I couldn’t Perhaps even more important: “Music they’re hands-on. Says the actor, “My ing out, and we’re getting time together.” do anything without my girlfriends,” engages both hemispheres of the brain, husband is good at rubbing my shoul- Before turning to acting in her mid- she says. “They’re the best things in it’s not a drug, it has no side effects, and ders when I need it!”—RAW 20s, Hendricks modeled in New York and my life. We’re all so busy, so we have to it’s enjoyable.” If Hendricks wishes she

Europe and says that after happily gaining remind ourselves how important those Fr ank Oc kenfe ls / A MC a b ove:Ja s on Me rr itt/ G etty Im age . Rig h t: had more time to play music, she is a Want to de-stress for success like Christina? WebMD.com 44 WebMD the Magazine | October 2011 cancer

7 9 8 1 10 6 10 5 cancer 3 symptoms 4 women should never ignore 2

By Christina Boufis, WebMD Contributing Writer

When Caryl Engstrom, 49, found a lump in her right breast, she knew immediately something was wrong. Despite a normal mammogram two months earlier and recent breast exams by her internist and gynecologist, who found nothing amiss, Engstrom knew she needed to call her doctor immediately. “I just had a gut feeling. It was a sizable lump and just didn’t feel right to me.” Engstrom’s suspicions turned out to be correct when a biopsy revealed Reviewed by Brunilda Nazario, MD she had stage 2 breast cancer, a finding that surprised everyone, she says. WebMD Lead Medical Editor

46 WebMD the Magazine | October 2011 October 2011 | WebMD the Magazine 47 cancer

Though almost 65% of women over 40 Unexplained Weight can cause blood loss—can result in fatigue. have had a mammogram in the last two Persistent and progressive Gain or Loss “Fatigue can be a serious problem and years, according to the CDC, cancer isn’t 6 “If you suddenly put on 5 it’s easy to ignore,” says Runowicz, who always caught by screening tests. pounds, I wouldn’t worry,” says notes your doctor will most likely do a Moreover, when women do suspect symptoms—you wake up Runowicz. But gaining excess weight month physical exam and order blood tests to something, fear sometimes prevents them to month—especially if you usually main- evaluate your thyroid and rule out a thy- from seeing a doctor right away, says Beth Y. every morning and feel tain a normal weight and watch what you roid condition. Karlan, MD, director of the Women’s Cancer eat—can be due to an accumulation of fluid Research Program at Cedars-Sinai’s Samuel something worrisome—are worth in the belly related to ovarian cancer and Skin Changes Oschin Comprehensive Cancer Institute in warrants seeing your doctor, she explains. Keep an eye on any changes Los Angeles. Or women minimize or misin- calling your physician about. Unexplained weight loss of 10 pounds 10 you notice on your skin all over terpret symptoms that could indicate cancer. or more “may be the first sign of cancer,” your body, and call your doctor “They say, ‘Oh, this bloating is nothing. It according to the American Cancer Society, right away if anything concerns you. can wait,’” says Karlan. “There’s this idea Dimpling of the skin over the breast, “But it’s not always that,” says Karlan. Red and is most often associated with pancre- Sores in the mouth that don’t heal— that if you look into it, if you acknowledge particularly if it looks like the skin on an or dark blood in your stool warrants a visit atic, stomach, esophagus, or lung cancer. especially if you smoke or drink alcohol— the symptoms, then something is going to orange, “is something to be worried about,” to your doctor, she says. But weight loss in women is often caused may be a sign of oral cancer and should be change in your life, and you don’t want it says Karlan. Such dimpling is most often Your doctor will likely do a rectal exam by a hyper-active thyroid, says Runowicz. examined by your physician. to change. associated with inflammatory breast cancer, and order a colonoscopy if you’re 50 or Expect your doctor to order a thyroid test In particular, note any sores or irritated “But warning signs do not mean can- a rare, usually aggressive cancer character- older and perhaps even if you’re younger. Ways to first to check for this common disease. skin in the vaginal area. “A nonhealing vul- cer,” she adds. “Even if you have all of ized also by swollen, hot, red breasts. var lesion could be a sign of vulvar cancer,” them. There are many other benign diagno- Expect your doctor to do a breast exam Discharge Minimize Persistent Cough says Runowicz. Changes in moles or pig- ses or physiological changes that can also and medical history, followed by a mam- A foul or smelly vaginal Any persistent cough—one that mented lesions on the vulva can also signify cause warning signs.” For instance, you can mogram or sonogram and perhaps a biopsy, 4 discharge could be a sign of Your 7 lasts more than two or three weeks cancer. “Vulvar melanoma can frequently be have bloating, low back pain, and pelvic depending on the results of both tests. cervical cancer, says Runowicz. 3 and is not due to an allergy or up- overlooked and can have a very aggressive pressure and just have fibroids, says Karlan. The discharge may contain blood and may Cancer Risk per respiratory infection or one that produces course,” says Karlan. A simple biopsy can But if your symptoms are “persistent and Irregular Bleeding occur between periods or after menopause. Know thyself. Make a family health blood in the sputum—needs to be checked be done in your doctor’s office if necessary. progressive,” she says, “meaning you wake Once you hit menopause It’s best not to self-treat a discharge with tree. “Know your family history,” says by your doctor. If your cough may be caused up every morning and feel something and 2 (defined as 12 months without over-the-counter medications, she advises. cancer researcher Beth Y. Karlan, MD. by smoking or being exposed to second-hand The Bottom Line it has you worried—even for two weeks in a period), any postmenopausal An exam is necessary to determine if the smoke, get it checked out. “Smoking is the Watch for all of these symptoms, but “Know what you’re at risk for,” so you a row—it really is worth calling your physi- bleeding is a warning sign, says Runowicz. discharge is due to an infection or some- number one cancer killer of women,” says remember: While it’s important to be on the cian and having it checked out.” “Any bleeding, staining, little drops on thing more serious. can focus on screenings and preven- Karlan. Yet you don’t have to be a smoker to alert for physical changes, “We don’t want Regular checkups and screenings such your underwear, or big clots are abnormal tions. Moreover, you’re just as likely to be at risk; the majority of lung cancers that to [cause] too much alarm,” says Karlan. as Pap smears and mammograms, as well and should be immediately investigated,” Bloating inherit your risk of breast and ovarian occur in nonsmokers also occur in women. “Don’t be afraid,” she says. If you notice as knowing your own body, are all crucial she says. Such bleeding could indicate “Ovarian cancer is the No. 1 cancer from your father’s side of the Expect your doctor to order a chest X-ray and something different about your body, get it for good health, Karlan adds. something as benign as an endometrial 5 killer of all the reproductive- family as from your mom’s, she adds. perhaps a CT scan. checked out. Most likely it’s not cancer, but Which changes are worth bringing polyp or something more serious like organ cancers,” says Karlan. “For if it is, she says, “cancer is treatable, often it’s to your doctor’s attention? We’ve asked endometrial or cervical cancer. years it’s been known by the misnomer Check your BMI. Make it a habit Change in curable, and clearly having a diagnosis earlier experts about the signs and symptoms you Bleeding that is uncharacteristic for of the silent killer, and we really need to to know your body mass index, and Lymph Nodes will allow you to have the most benefit pos- most want to keep on your radar screen. you—spotting outside of your nor- put that aside. Ovarian cancer clearly has keep it under 25—the dividing line 8 “If you feel hard lymph nodes sible from current health care advances and mal menstrual cycle or heavier peri- symptoms.” The four most frequent are in your neck or under your arm, to live as full a life as prior to a diagnosis.” for being overweight, says Karlan. Breast Changes ods—should be looked into, says Karlan. bloating; feeling that you’re getting full you should be seen by a doctor,” advises Caryl Engstrom agrees. “It’s all about early “If you feel a lump, you Around menopause, abnormal bleeding earlier than you typically would when Regular exercise can lower blood- Runowicz. Swollen, firm lymph nodes are diagnosis. At the stage I was diagnosed, it was 1 shouldn’t ignore it, even if your is often attributed to hormonal shifts, eating; changing bowel or bladder habits, estrogen levels, which helps cut your often the result of an infection. However, completely treatable,” she says. Getting confir- mammogram is normal,” says though more serious problems could be such as urinating more frequently; and low risk of breast cancer. lymphoma or lung, breast, head, or neck mation she had breast cancer was “the worst Carolyn Runowicz, MD, herself a breast the cause, which is why all abnormal vagi- back or pelvic pain. cancer that has spread can also show up as part.” The treatment—a mastectomy, chemo- cancer survivor and professor of obstetrics nal bleeding should be evaluated. Expect It’s not unusual to have one or two of Schedule screenings. “Make sure an enlarged lymph node. Expect a physical therapy, and radiation—“wasn’t that difficult,” and gynecology at Florida International to receive a transvaginal sonogram and these symptoms occasionally, particularly you get a colonoscopy if you’re 50 or exam and possibly a biopsy. she adds. “I found it all very manageable.” University’s Herbert Wertheim College of perhaps a biopsy. after a big meal. But pay attention if you older,” says obstetrics and gynecology Today, two years after being diagnosed Medicine and past president of the Ameri- have two or more symptoms occurring professor Carolyn Runowicz, MD. And Fatigue and treated, Engstrom is in remission, despite can Cancer Society. If your nipple develops Rectal Bleeding daily for more than two weeks. “If they’re schedule regular Pap smears (starting Although fatigue can be hard to having what turned out to be a very fast- scaliness or flaking, that could indicate Colon cancer is the third most persistent and progressive,” says Karlan, “call 9 quantify, the American Cancer growing cancer—and, more important, three years after first intercourse or no Paget disease of the nipple, which is asso- 3 common cancer in women. your physician.” Society defines it as “extreme tired- despite recent screenings that revealed noth- ciated with an underlying cancer in about One of the hallmarks is rectal Expect a pelvic exam, transvaginal sono- later than age 21) as well as mam- ness that does not get better with rest.” If ing amiss. For her, picking up the phone right 95% of cases. Any milky or bloody nipple bleeding, which many people attribute to gram, and perhaps a CA-125 blood test to mograms after 40, according to the you’re persistently fatigued, see your doctor. away was the best thing she could do for her

discharge should also be checked out. hemorrhoids, the most common cause. check for cancerous cells. Pete r D a zele y / G ett Ima ge s Ima ge s . Right: ge: Blen d / G low pr eviou s pa American Cancer Society.—CB Leukemia, colon, or stomach cancer—which health—and her life.

48 WebMD the Magazine | October 2011 October 2011 | WebMD the Magazine 49 cancer mind The Did you know? Colorectal cancer One Day doesn’t always Canker Sore show symptoms. Signs sometimes Patch include blood in the The mucoadhesive patch covers the stool, unexplained canker sore forming abdominal pain a protective gel-like Colorectal cancer tests or cramps, and Is your child depressed? bandage. unexplained weight loss. Vaindioux, a member of WebMD’s colon and rectal cancer Children’s depression symptoms are not always the same as adults’. community, has questions about screenings for the disease. Take the case of barbie68505, whose 11-year-old son “throws a “I was wondering if 44 (for me) and 46 (for my wife) fit” whenever he’s asked to do something by screaming, crying, and is too early to start having a colonoscopy performed as throwing himself on the couch. “I want to know if this is anger simple colon cancer prevention,” he writes. “I read about issues, depression, or is it partly because of his age?” she asked other less invasive tests, which are not as accurate, and uestions WebMD’s parenting community recently. “What am I to do?” Though I don’t know which way to go.” Are you up to speed on Q for your doctor it would take a behavioral specialist to diagnose this boy for sure, screening tests for colon cancer? angry outbursts are indeed a symptom of depression in children. Do Based on my personal history, when and how Flexible Sigmoidoscopy: A doctor inserts a thin, flexible, you know the other signs? lighted tube called a sigmoidoscope into your rectum and 1often should I start screening? lower part of your colon to examine the lining for abnormali- 1 Frequent sadness, crying 5 Major change in sleeping or What colorectal cancer symptoms should I ● ● ties. Usually done every five years.  Yes  No eating habits watch for? 2  Yes  No Colonoscopy: A doctor inserts a thin, flexible, lighted tube 2 Hopelessness, feelings of called a colonoscope into your rectum and colon. The colono- ● What kinds of things can I do to decrease my risk worthlessness or guilt 6 Increased anger, agitation, scope is attached to a video camera and monitor. During the ● of colorectal cancer?  Yes  No and irritability procedure, the doctor can remove polyps and biopsy suspi- 3 • Eliminates most Canker  Yes  No cious lesions. This test is done at least every 10 years, starting What treatment options are available if I am ●3 Apathy, low energy, Sores in just one day* at age 50. loss of interest in activities 7 Excessively irresponsible diagnosed with colorectal cancer? ● • Immediate pain relief Double Contrast Barium Enema: An X-ray image of the 4 that used to be enjoyable behavior or unusual defiance ­rectum and entire colon. This test is done every five years,  Yes  No  Yes  No • Shields from irritants starting at age 50. ●4 Difficulty concentrating or 8 Thinking or talking about ● • Eat/Drink pain-free for CT Colonography: Also called a “virtual colonoscopy,” the CT cancer newsletter making decisions suicide or death colonography is a less invasive procedure that allows technol- up to 12 hours  Yes  No  Yes  No ogists to take multiple X-ray pictures to create a very detailed Sign up for the latest news * (J. Pharm Sci. Dec., 2004; Drugs in R & D 2008) image of the inside of your colon. This test should be done and lifestyle management Answer: All of the above are common symptoms of depression in children and teens. In teenagers,­ every 5 years, starting when you are 50. tips—delivered directly to depression can be tough to diagnose, given the emotional highs and lows that characterize these turbulent years. But persistent sadness that interferes with daily functioning is a red flag. Fortu- Recommend Fecal Occult Blood Test or Fecal Immunochemical Test: your email inbox! Go to nately, depression is treatable. If you spot these signs, call your child’s doctor right away. Using a test kit that your doctor provides for home use, you’ll WebMD.com and search Canker Cover collect small amounts of stool from three bowel movements for “newsletters.” with confi dence! to be tested for hidden blood. This test should be done every Available at most drug stores year starting at age 50 for those at average risk. children and depression SEARCHRCH Free trial sample: If any of the tests that are not colonoscopies show something abnormal, a 1-800-448-1448 colonoscopy needs to be done. CankerCover.com SEARCHRCH Source: National Institute of Diabetes and Digestive and Kidney Diseases, the Mayo colorectal cancer screening Source: National Institutes of Health, the American Academy of Child and Adolescent Psychiatry, the FDA, Clinic, the American Cancer Society, and the Cancer Health Center the National Youth Violence Prevention Resource Center, and the Depression Health Center

50 WebMD the Magazine | October 2011 sleep diet Did you know? Did you know? During middle age, sleep patterns alter: We wake up more than in our younger years. 2 Average number of Do you have good What’s your times kids sleep habits? drive-through IQ? ages 11 to 18 visit fast food restaurants schraderj4, a member of the WebMD sleep disorders Now that it’s fall, kids’ activities are in full swing. And community, doesn’t have a problem falling asleep. Her some nights, dinner may have to come from a drive- every week problem, she posted recently, “is STAYING asleep! I through. How to make it healthy? In WebMD’s diet sleep for about an hour at a time, sometimes a little community, Trepilicious recently suggested that people more or less. It affects everything in my life now eat more slowly: “It takes 20 minutes for your body to as I am always tired, can’t remember things I’ve uestions realize that it’s full. You could’ve gobbled down 2 Big uestions known for years, can’t concentrate on simple tasks.” Q for your doctor Macs in [that] time. Those burgers alone are a full Q for your doctor schraderj4 may have a problem with her sleep habits, day’s worth of calories!” How healthy are your fast also called “sleep hygiene.” Do you know how the What are some things I can do to improve food choices? Is my weight unhealthy? What are the guidelines following factors can affect your sleep? 1my sleep? 1for a healthy weight level? 1 Do you choose chicken over beef? 1 Do you watch TV, eat, or discuss emotional issues ● ● Do I have health or psychological problems that  Yes  No Should I have my cholesterol levels checked? in bed? 2might be affecting my sleep? 2How frequently?  Yes  No ●2 Do you substitute mustard for mayonnaise on What are the common types of sleep disorders? Do I need to limit sodium to control high 2 Do you drink fluids after 8 p.m.? your sandwich? ● Could I have one? blood pressure?  Yes  No 3  Yes  No 3 ●3 Do you smoke or drink alcohol before sleeping? Do I need to see a sleep specialist? What can I ●3 Do you order a small serving of fries instead What other steps should I take to eat more  Yes  No 4expect at that appointment? of medium? 4nutritious foods?  Yes  No ●4 Do you exercise before bedtime?  Yes  No sleep well ●4 Do you skip the soda in favor of water or low-fat milk? weight control ●5 Does your pet sleep with you? newsletter  Yes  No newsletter  Yes  No Sign up for the latest news Sign up for the latest news Answers: If you answered “yes” to any question, you may need to improve and lifestyle management Answers: If you answered “yes” to these questions, you’re on your way to and lifestyle management your sleep hygiene. 1.1. Use your bed only for sleeping or sex; associating it tips—delivered directly to healthier fast food. 11.. Grilled chicken sandwiches—not fried or breaded— tips—delivered directly to with other activities can make it harder for you to fall asleep. 2.2. Stop drink- are a better choice than beef patties, which contain lots of saturated fat. ing fluids after 8 p.m. so that you don’t wake up to ­urinate. Don’t consume your email inbox! Go to 22.. Mustard has almost no calories or fat, compared with 100 calories per your email inbox! Go to caffeine in coffee, tea, sodas, or medications for six to eight hours before WebMD.com and search tablespoon of mayo. Even better, hold the sauces and ask for extra lettuce WebMD.com and search bedtime.­ 3.3. Nicotine is actually a stimulant. Alcohol may help you fall and tomato. See if you can get a whole-grain bun, too. 33.. With small fries asleep, but it can disrupt your sleep. 4.4. Exercising regularly makes it easier for “newsletters.” instead of medium, you save 130 calories and 10 grams of fat. An even for “newsletters.” to fall asleep and contributes to sounder sleep, but do it at least five hours healthier choice is to order a small salad. 44.. A soda adds 10 calories per before bedtime. 5.5. Keep pets out of your bed so they don’t wake you or trig- ounce, so do the math: A 32-ounce soft drink packs 320 empty calories. ger allergic­ reactions. If you improve your sleep habits and still don’t sleep well, talk with your doctor. SEARCHRCH SEARCHRCH Source: National Sleep Foundation; the National Heart, Lung, and Blood Institute; and sleep fast food the Sleep Disorders Health Center Source: Diet and Nutrition Center

52 WebMD the Magazine | October 2011 October 2011 | WebMD the Magazine 53 HEART sex Did you know? Did you know? Symptoms don’t always correlate with One out of six how weak the heart is. Americans You may have many ages 14 to 49 symptoms with a years has a mildly weakened genital HSV-2 test your smarts heart—or none ­infection. about heart failure with a severely Could you have herpes? damaged heart.

The words “heart failure” are scary—and not many Genital herpes is one of the most common STDs in people understand them. Take the case of nmsherl, America. But few people understand what it is or how to whose husband died at the age of 71. The day before protect themselves (or others). “I’ve only had three sexual he died, she told WebMD’s heart disease community, he partners,” Brits2891, an 18-year-old who was recently “complained of feeling like he had the flu…in his words, diagnosed, writes in the WebMD sexual conditions and ‘Felt like he had been hit by a truck.’ Is this a common STDs community. “I know you don’t have to sleep uestions around to get it.” How much do you know about herpes? uestions feeling with CHF?” Fatigue is one symptom of CHF Q for your doctor Q for your doctor (congestive heart failure), but others need to be present as 1 The symptoms of genital herpes are easy to spot. well. How much do you know about heart failure? What was the cause of my heart failure? Is there a ● How do I know if I have genital herpes? What are  True  False 1treatable, underlying illness? 1the signs to watch for? ●1 Heart failure means that your heart has stopped ●2 Women are more likely to become infected than men. working. How severe is my heart failure? What can I do to  True  False What medications can help suppress my  True  False 2manage it properly? 2symptoms? Do I need to take medication regularly? ●3 You can only get genital herpes if your partner has ●2 There is only one type of heart failure. What should I do if my symptoms suddenly start genital herpes. What are some of the possible complications of  True  False 3to worsen?  True  False 3genital herpes? 4 Once you have genital herpes, you have it forever. ●3 Swollen ankles are a common symptom. What is a cardiac rehabilitation program? Should I ● How can I avoid getting genital herpes? Can I enroll in one?  True  False prevent herpes breakouts?  True  False 4 4 ●5 As long as you don’t have any sores, you can’t spread a ●4 Heart attack can lead to heart failure. herpes infection.  True  False  True  False heart health sex newsletter newsletter Answers: 1.1. False. Many people don’t realize they have genital herpes because they develop no symptoms. Those who do typically have blister-like sores Answers: 1. False. Heart failure means that your heart can’t pump enough Sign up for the latest news around the genitals or rectum that can take several weeks to heal. Most genital Sign up for the latest news blood to meet your body’s demands for oxygen and nutrients. It’s a serious herpes is caused by herpes simplex virus type 2 (HSV-2) but it can also be problem that requires medical care, but some people can live with the and lifestyle management and lifestyle management caused by type 1 (HSV-1). 2.2. True. About 1 in 5 women ages 14–49 has condition for several years. 2. False. Two major types exist. Systolic heart tips—delivered directly to HSV-2, compared with one in nine men. Researchers think this may be tips—delivered directly to failure develops when the heart muscle can’t contract forcefully enough to because the infection passes more easily from men to women than vice versa. pump adequate amounts of blood. In diastolic heart failure, the heart’s walls your email inbox! Go to your email inbox! Go to 3.3. False. Cold sores, which usually develop on the mouth and lips, are usually stiffen and thicken so that the heart can’t relax and fill normally with blood. WebMD.com and search WebMD.com and search caused by HSV-1. But the rate of genital herpes infections caused by HSV-1 3. True. Common symptoms include swelling of ankles, feet, legs, and for “newsletters.” has nearly tripled since 1988, because more and more teens are having oral for “newsletters.” sometimes the lungs and abdomen; shortness of breath or trouble breathing; sex. 4.4. True. No treatment can cure genital herpes. But antiviral medications coughing; and fatigue. 4. True. Heart failure stems from many conditions can reduce your outbreaks and shorten the length of your outbreak. 5.5. False. that damage the heart, including heart attack, coronary artery disease, high You can spread genital herpes even if you don’t have any sores. But you blood pressure, diabetes, and heart valve disease. can reduce the chances by not having sex when you have sores, using latex condoms correctly and consistently, and getting tested. SEARCHRCH SEARCHRCH Source: National Heart, Lung and Blood Institute; the Centers for Disease Control and heart health herpes Prevention; and the Heart and Vascular Health Center Source: Guide to Herpes

54 WebMD the Magazine | October 2011 October 2011 | WebMD the Magazine 55 pain allergies Did you know?

Being Are your knees at ease? overweight What is allergic asthma? or obese is a leading Spartanx35 tweaked a knee about a year ago and it’s still cause of knee pain. For 50% of adults with asthma, allergens are a trigger. “This allergy causing trouble. Her doctor recommended icing it down season is different—everyone says so,” mathchickie wrote recently and getting a knee brace. She also wrote to WebMD’s to another member of the WebMD asthma community, who was fitness & exercise community for some tips:“I don’t commenting about an increase in allergy and asthma symptoms. want to start back up working out only to make my “Pollen counts are much worse, and peak pollen is lasting longer.” knee worse by doing something I shouldn’t be doing.” uestions Do you know the kinds of allergens that can trigger asthma? In addition to seeing a doctor, do you know how to treat Q for your doctor knee pain? ●1 Cockroaches and dust mites ●4 Mold spores and pollen What’s causing my knee pain: injury, overuse,  Yes  No  Yes  No Change of activities: Hurting knees need time off. Stop 1arthritis, or another problem? running or doing ­anything that worsens the pain. Instead, ●2 Stress and anxiety ●5 Pet dander stay fit with water workouts, swimming, walking, biking, What are my treatment options? Which pain  Yes  No  Yes  No and other activities that don’t put pounding pressure on 2reliever is best for me? knee joints. Also, weight training builds muscle strength, ●3 Cold air and dry air ●6 Smoke which helps support the knee. What kind of exercise should I do? How many  Yes  No  Yes  No times a week and for how long? Pain relievers: Over-the-counter drugs such as acetamino- 3 Answers: Cockroach droppings, mold spores, pollen, and pet dander are all common triggers for phen can ease pain, while ibuprofen and naproxen reduce allergic asthma. Although smoke, stress, and cold air can trigger an asthma attack, this is not an What can I do to prevent my knee pain from allergic reaction. Specifically, smoke and cold air can trigger an asthma attack by irritating the pain and swelling. (Take only the recommended dose and lining of the airways. Doctors are unsure how stress causes asthma attacks. for no longer than 10 days in a row without checking with 4getting worse? your doctor.) Pain-relieving gels, salves, or creams that allergies contain capsaicin may also relieve discomfort. newsletter Ice packs: Apply ice packs for 15 to 20 minutes at a time, chronic pain Sign up for the latest news four times a day, to keep swelling and pain down. newsletter and lifestyle management Compression: To reduce swelling and provide extra sup- Sign up for the latest news tips—delivered directly to port, compress your knee gently by wrapping it with an and lifestyle management your email inbox! Go to elastic bandage. tips—delivered directly to WebMD.com and search your email inbox! Go to for “newsletters.” Elevation: Limit swelling by elevating your knee above your heart level. WebMD.com and search for “newsletters.” If knee pain persists after three days, call your doctor. allergies and asthma SEARCHRCH

SEARCHRCH Source: Arthritis Foundation, the Centers for Disease Control and Prevention, knee pain Source: American Academy of Allergy, Asthma, and Immunology; the Asthma Foundation of America; the and the Arthritis Health Center National Institutes of Health; and the Allergies Health Center

56 WebMD the Magazine | October 2011 October 2011 | WebMD the Magazine 57 DIABETES WebMD checkup 10 questions about your life and well-being Did you know?

About 7 million people with diabetes in the United States ACtor don’t know Kathy Bates they How is your health now? have it. My health is very good. I’ve got a lot of energy. I feel really positive and happy to be at work.

Do you know your A1c? You’re an Oscar and Golden Globe winner, you’re in three movies this year, and you’re in two TV series—The Office and Harry’s Law, both on NBC—plus you do work for the Ovarian Cancer National Alliance. How do you manage to do all that and still If you have diabetes, you’ve probably heard about the find time to exercise? HbA1c test—or A1c. But you may not know what it is. Thankfully, Harry’s Law has a huge set, and I’m on my feet Here’s a good definition fromDavidHueben , who posts walking all day. Of course, in the courtroom we’re always on regularly in WebMD’s diabetes community: “The A1c our feet making closing arguments and cross-examinations. I can be used to approximate an average glucose level find it to be a really good workout. for the previous 90 days (heavily weighted to the end uestions This year, you also shot a movie, A Little Bit of Heaven, about of the testing period).” The higher your glucose levels, Q for your doctor a woman who discovers she has cancer. How did this storyline the higher the number, as this chart shows. resonate with you since you’ve had the disease yourself? Do I have to have my A1c level tested regularly? If Kate [Hudson] lost quite a bit of weight for the movie, and A1c Test Results Guide 1so, how often? her makeup was certainly reminiscent to me of my own face. HbA1c test results (%) My own complexion got very white and I lost all my hair. It What do my results mean? What do I need to was sometimes hard to look at. 5 6 7 8 9 10 11 12 2keep an eye on? What’s your favorite healthy food? Target Suboptimal Poor Do I need to make a change in my medications One of the things I eat on set for a quick protein snack is beef jerky. I’m trying to balance my carbs and proteins. Average Plasma Glucose (mg/dL) 3to achieve better control? In your video interview for the Ovarian Cancer National Alliance For people without diabetes the normal range of A1c (ovariancancer.org), you said going through the experience of What do you do for relaxation? values is less than 6.5%. If you have diabetes, you should Are there ways that I can improve my blood fighting ovarian cancer was the best thing that ever happened to I love to read and play with my three dogs. I also love my aim for an A1c result of less than 7%. The difference seems 4glucose readings? you. Why is that? iPad and being online and seeing what’s going on in the small, we know, but it’s important: Even a 1% rise in A1c It helped me see that I’m lucky, and I feel grateful to have the world. I don’t tweet and I don’t do Facebook, but I like surf- opportunity to continue working, to have relationships with ing the Web. test results increases your risk of diabetes-related compli- friends, to travel, to have a good relationship with my family. All cations, including eye disease, heart disease, nerve damage, diabetes the things we begin to take for granted in our daily lives. Do you find yourself recommending a healthy personal kidney disease, and stroke. practice to your friends? Your doctor will use this test, along with your home newsletter You advocate listening to your body and heading to the doctor if I don’t really proselytize—it’s more the other way. Everybody blood glucose monitoring, to develop the best diabetes Sign up for the latest news anything strikes you as wrong. Before the cancer, did you tend to at work has their own idea of what keeps them going, and treatment for you. Some doctors are also beginning to use and lifestyle management ignore what your own body was telling you? most of it involves something that tastes really terrible. So I’m the test to diagnose diabetes, not just manage it. tips—delivered directly to You get to the point where you don’t want to go to the doctor. afraid I’m on the receiving end of those kinds of tips and not You tell yourself you don’t want any bad news. [In 2003] I was the one who hands them out. Ideally, if you have diabetes you’ll take the test every your email inbox! Go to three months or so. But no worries, this is an easy one: in Europe and a friend said, “You know, you don’t look well.” I WebMD.com and search What is the one piece of health advice you would give to Just a quick blood draw and you’re done. was very flushed and very tired, and I kept thinking it was the for “newsletters.” heat. Finally I decided I was not feeling right and I went back other women?

home and saw the gynecologist. Don’t let your weight get out of control. Once that happens, es you go on diets and you get a yo-yo effect with your weight. ma G How have your health habits changed since? That’s the one health problem that I have fought all my life,

Source: National Institutes of Health, American Academy of Family I’ve tried to eat better. I try to get more exercise. It’s not always and that I wish I had been able to get a handle on when I

diabetes SEARCHRCH i D Dipasupil/Getty Physicians, National Diabetes Information Clearinghouse, and the easy—it’s a constant battle, but I do the best I can. was younger.—Linda Formichelli Diabetes Health Center

58 WebMD the Magazine | October 2011 October 2011 | WebMD the Magazine 59