WEBMD MAGAZINE Contents MAY 2018
FEATURES
32 This Is Me Chrissy Metz opens up about her struggle with anxiety and how she’s learning to love herself 38 Too Blue Excessive exposure to blue light at night can affect more than just your sleep 42 The Fight Against Sepsis Scientists may have found a new treatment for this dangerous disease
“Many of us feel like we’re never good enough—not tall enough, thin enough, smart enough, rich enough, but really, we’re perfect just as we are.” PHOTOGRAPHY: ANDREW MACPHERSON/CPI SYNDICATION MACPHERSON/CPI ANDREW PHOTOGRAPHY:
1 WEBMD.COM WEBMD MAGAZINE Contents MAY 2018
THE BODY ISSUE: INSIDE AND OUT
11 Wear It Well How fitness trackers can enhance your health
13 Fitness Make smart exercise choices as you age
16 Women’s Health Keep post-menopausal bones strong
17 Skin Care Enhance your exfoliation routine
30 Parenting Happy working mom? New research may have the secret
51 Food 101 Brighten up your morning with citrus fruits GETTY IMAGES
2 WEBMD.COM WEBMD MAGAZINE Contents MAY 2018 19
THIS WHITE BLOOD CELL PLAYS A ROLE IN LUPUS 27 PG 52 CHECKUP 14 52 Cutting Edge | What’s new in lupus research
53 Doctor Q&A | Rheumatoid 20 arthritis questions answered 54 By the Numbers | Get the scoop on stroke
55 Who’s Who? | On the job with oncologists
56 Health Highlights | Tips for managing incontinence
57 Living Well | Take control of your LIVING asthma symptoms 12 Men’s Health 14 Mind Matters 58 By the Numbers | Facts and stats How does hepatitis C Myths and about birth control affect men differently? misinformation still surround mental health 26 BEAUTY FAMILY In Every Issue
18 Expert Picks 24 Focused Parenting FOOD 4 EDITOR’S NOTE Facial mists that leave How checking your 46 Good for You 6 UPFRONT your skin refreshed phone affects your kids Crack open an egg for 59 News about video-gaming, being overweight during 19 Anatomy Of . . . 25 Pregnancy breakfast childhood, and more What’s in eye shadow? Know the signs of 47 3 Ways: Oatmeal preeclampsia 59 TAKE 10 20 Beauty Smarts Have this treat savory Actor Marcia Gay Harden Five anti-aging 26 Baby or sweet on her mom’s Alzheimer’s, ingredients to look for in Know how to acting after 40, and more 49 Build a Better skin-care products swaddle like a pro Don’t wait until dinner to 23 Derm Q&A 27 Kids’ Health start Taco Tuesday Expert advice on Spanking can cause 50 1 Tool, 5 Meals atopic dermatitis long-term harm On the Cover Blend your breakfast PHOTOGRAPHY BY: 29 Teen Health this week ANDREW MACPHERSON/ Drug overdoses are CPI SYNDICATION spiking in teens 31 Pets Have a plan for your pets in an emergency 3 WEBMD.COM EDITOR'S NOTE
FROM THE WEBMD TEAM WHAT DO YOU DO EVERY DAY FOR A HEALTHY BODY?
Alyson West, WebMD Manager, Editorial Development Operations
I love to start the day with oatmeal. My bowl is anything but boring. I like to spice it up with dried ginger, sprinkle in pecans and fruit, or top it with Michael Smith, MD, cardamom yogurt. Plus, it keeps CPT, WebMD Chief me full until lunch. Medical Director I keep my daily routine the same. I go to bed and get up about the Christie Majors, same time, exercise in WebMD Social Media Director the morning, eat every two to three hours, As a mother to a toddler, I have and dedicate time little time to focus on myself. I to relaxing my mind try to squeeze in three miles on with deep breathing our office desk treadmills on weekdays exercises or meditation. between meetings. I also meditate every Now all this is a habit— night to shut my brain down. it’s just what I do. hen it comes to your health, the little things Wreally do matter. Whatever your goal, whether it’s losing weight or getting in shape, you can set yourself Special Report: America’s Pain While the opioid crisis up for success by creating daily habits continues to grip the country, that are manageable one small step those in pain watch and worry at a time. Once you’ve mastered one how they’ll get help. A new healthy habit, gradually add another. special report from WebMD, You’re more likely to stick with it than “America’s Pain: The Opioid if you try to take on too much all at Epidemic,” examines the crisis from its origins in the 1980s to once. Since our theme this month is the past few years of mounting “The Body Issue: Inside and Out,” we deaths. The in-depth report asked some of our staffers: What is includes deeply personal stories and videos, a look at the future the one thing you do every day for a of pain management, and insights from key public health experts. healthy body? I hope their answers Search “America’s Pain” on WebMD.com. inspire you. Correction: In the “Off the Charts” story about kids’ vision disorders (July/August Kristy Hammam 2017), we incorrectly cited New Jersey developmental optometrist Barry Tannen as Editor in Chief the specialist who treated Ethan Hopp. Ethan Hopp lives in California and underwent [email protected] vision therapy with a different developmental optometrist in his area.
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WebMD Magazine is distributed to doctors’ offices throughout the U.S., online at WebMD.com, and by download from the App Store.WebMD Magazine is not responsible for advertising claims. WebMD Magazine (ISSN 1553-9946), Vol. 14, No. 3, is published by WebMD LLC and may not be reproduced in whole or in part without written permission of WebMD LLC. All editorial content is reviewed by our board-certified physicians, is for informational purposes only, and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. WebMD does not endorse any specific product, service, or treatment. Always seek the advice of your health care provider with any questions regarding a medical condition and never disregard professional medical advice or delay seeking it because of something you have read in WebMD Magazine. If you think you have a medical emergency, call your doctor or 911 immediately. © 2018 WebMD LLC. All rights reserved. GETTY IMAGES 10 uncoiled. Itcould travel to thesunand How far your DNAwould stretch ifitwere back more than60 times. TIMELY TOPICS The human body afeat is of Inside WorldThe FACTS &STATS Our gut contains billions billions contains gut Our more amazing facts aboutmore facts amazing powerto a40-watt lightbulb. the collection of tissues, cells, and generate enough energy energy enough generate and and organs we call home.and organs we call at Marvel disease. against quickly as asupercomputerquickly as as 30 times calculate brains Our engineering. biological digest food protect to us of microorganisms that do everything from helpeverything us miles billion to 2weeks 10 days taste budsrenew themselves. How often your 10,000 orso Upfront
500 million The numberof You replace outer layer of your entire shed each day. skin cells you skin every two to four weeks. NEWS YOU CAN USE The numberofmovements your eyes make during onehourofreading. 10,000 WEBMD.COM 6 GETTY IMAGES; PHOTOGRAPHY: SHARON SUH; STYLING: MINDY SAAD Let There BeDark INTHENEWS mothers didnot.TheCDCrecommends allwomen agetake ofchildbearing spine andbrain. Itmightprevent autism,too. Inastudyof45,300 children, while pregnant were 73% likely less to develop autismthanthekidswhose COLLEEN PARETTY COLLEEN If you’re pregnant to getpregnant, ortrying your doctor hasprobably told the ones whosemothersthe ones took folic acidand/or supplements multivitamin you to take folic acid,whichcanhelpprevent defects birth certain ofthe Editorial Director webmd.com colleen@ a multivitamin that contains 400 thatcontains mcgoffolica multivitamin aciddaily. Multivitamins forMothers
plan afamily camping tripthissummer. — do? cancer may beamongtheill-effects oftoo muchbluelight.Whatto disruption isjust thetipoficeberg. Obesity, depression, andeven delaying to theshift thenighttimephysiology need,sleep ourbodies street lamps, TVs, and household lightbulbs. Thetoll on our health? By gadgets inourhands(andkids’ hands)butalso from newfangled This potentially harmfullonger-wave lightcomes from theubiquitous sleep disorder specialist tells us. “It’s agrowing publichealth concern.” a profound, deleterious effect onmany aspects ofhumanhealth,” a the more evidence we have thatexcess light at night can have artificial are sounding some pretty alarmingbells.more “The research we do, much so-called bluelight?Numerous health experts now thinkso and Do our busy, post-modern, always-connected lives bathe us in too Turn to “Too Blue” onpage38 to findout.Hint:You mightwant to SOURCE: SOURCE: AmericanAcademy ofNeurology walk, five days aweek for overall better health. minutes ofmoderate exercise, suchasabrisk stop there—adults shouldgetatleast 30 already have mildloss ofthose skills. Butdon’t decline inthinkingskillsfor olderadultswho Just two days ofexercise perweek can helpslow THINK FAST. WALK FAST. JAMA Psychiatry UPFRONT
of women 18to ages 29 surveyed who say they orafemale family member 60 SOURCE: Harvard T.H. ChanSchool have been sexually harassed. PERCENTAGE of PublicHealth %
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7 8 WEBMD.COM SOURCE: CDC later, obesityfor thechild. gestational diabetes for themomand, Overweight pregnancy bringsriskof for premature birthandlow birthweight. pregnancyAn underweight bringsrisk a healthy weight—a BMIof18.5 to 24.9. Only halfofwomen start pregnancy at BABY WEIGHT ofAmericans whotook avacation last year. 6 in SOURCE: Gallup NUMBER 10 10
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interests, andcontinueto play more despitenegative consequences. Gamingreachesconsequences. thelevel ofdisorder when itinterferes withwork,school,relationships, or other responsibilities for ayear. atleast SOURCE: World Organization Health those cells, the chemical those cells,thechemical GAMER DANGER Gut bacteria produce a can shut off genes that that can shutoffgenes certain chemical when chemicalwhen certain wall. According to new Researchers may have more prone to cancer. the gutandmove into they help digest fruits they fruits helpdigest might make thebody research, onceinside How exactly dofruits and vegetables. That and vegetables. That and vegetables lead and vegetables lead found onenew way. cells in the intestinal cells intheintestinal chemical canleave An Apple to better health? a Day… SOURCE:
Nature Communications
GETTY IMAGES SOURCE: sity oftheirtinnitus. in thevolumeandinten- areduction deal reported the oneswhogot thereal fourweeks, ment. After fake versionofthetreat- weeks. Ten othersgot a minutes aday forfour stimulation for20 nerve ple withtinnitusreceived In 10 peo- anexperiment, couldhelp. those nerves stimulation of ly electrical touch.Dai- that interpret withnerves sound meet that interpret nerves point inthebrain where atcondition may a start of peopleworldwide.The quality oflifemillions ing intheears,lowers ring- Tinnitus, aconstant REDUCE THE RINGING Science Translational Medicine
benefit. Caffeinatedbenefit. tea might didn’tdrinks provide same the tea,coffee,tea, iced softand Decaffeinated decades. several followed 1,678older adults for don’t says partake, astudy that velop glaucoma who than those hot teaare 74%less likely to de- Daily drinkers of caffeinated DRINK TEA ANDDRINK SEE TEA type 1diabetes. can raise riskfor (gluten celiacdisease intolerance) and overall ortoo too early late habits. Starting poor eating too late, to whichcanlead allergies, malnutrition,and too soon,whichraisesstart riskfor obesity. Others start recommends 6monthsofage. More thanhalfofbabies the righttime. TheAmericanAcademy ofPediatrics —non-breast milkandnon-formula food anddrinks—at Only oneinthree “complementary starts babies foods” PERFECT TIMINGPERFECT SOURCE: Cost OverBenefit MORE THAN ONE IN THREE WOMEN medical treatment because of the cost. medical treatment becauseofthecost. Journalof theAcademy of NutritionandDietetics About oneinfive mendo. SOURCE : Frontiers inAging Neuroscience every year of age.every Risk increases slightly with causes of vision loss worldwide. Glaucoma is one of leading the tea didn’ticed reap rewards. say. But don’t they know why decaffeinated,the researchers inantioxidants higher be than SOURCE: Temple University Hospital put off
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9 GETTY IMAGES SOURCE: in 89,886women. tracked rosacea cases say researchers, who ciated withobesity, inflammation asso- constant, low-grade could bedueto the healthy weight. This cea thanwomen ofa likely to develop rosa - or more are 48%more body-mass indexof35 obese andhave a Women whoare Red Flag Journal of American AcademyJournal of American of Dermatology 4 ofAmericans whosay they don’t have the timeto doeverything they want. in SOURCE: Gallup NUMBER 10 10 SOURCE: sodium to1,500mgperday isideal. shouldinclude.Fortheir diet adults,limiting most saltcontenthigher than up onfoodswithacumulative years ago. Still,more than9outof10householdsstock did15 buy lesssaltthroughprocessed foods thanthey make,sodium contentinthefoodsthey andconsumers onsaltintake.study Manufacturers arelowering the You’re doingbetter, butyou’re says notthereyet, anew LESSSALTYGETTING JAMA weight before age 6 maintained a more stable weight growing up and were less weight age before weight 6maintainedamorestable growingupandwere less childhood, body-massindex—that’s weight-to-height ratio—continued torise Overweight kids often become overweight adults. But that doesn’t mean their adults.Butthat doesn’t becomeoverweight kidsoften Overweight meantheir who were overweight throughout childhood, the ones who achieved a healthy ahealthy throughoutchildhood,theoneswhoachieved who were overweight lead tolead HIV, says astudy that followed 850people they starting when Teens have drugs, use who symptoms of depression and anxiety, and fate is sealed. Getting kids’ weight under control before age 6 could make all kids’weight age undercontrolbefore 6couldmakefate all issealed.Getting UPFRONT the difference, says of2,717 astudy peopleinFinland.Comparedto see frequentsee violence are more likely risks that to sexual can take likely to be overweight as adults. In kids who were overweight throughout likely asadults.In tobeoverweight throughout kidswhowere overweight WORTH through adolescence for boys and early adulthood for girls. through adolescenceforboysandearlyadulthoodgirls. were were 14until they 32. THE RISK? SOURCE: AIDS WATCH YOUR CHILD’S WEIGHT ever hadsex. Thenumberhassteadily 41 of highschool students whohave declined for thelast 20 years. PERCENTAGE SOURCE: CDC only % SOURCE:
WEBMD.COM Pediatrics 10 GETTY IMAGES with theprogram. So,helpyourtracker helpyou. orstick don’t sharetheresultswithyourdoctor Yet willimproveyourhealthifyou nodevice maymonitors, andthey accelerate weightloss. shows fitnesstrackers makerate heart accurate blood sugar, work?Research andsleep.Dothey rate,also monitorhealthmeasureslike heart walked. Some couch andtellyouhowfaryou’ve years. Wearables youoffthe domorethanget sales offitnesstrackers haveexploded inrecent at That’sof peoplestaring theirwrists. because —STEPHANIE WATSON VISIT A GYM, AND YOU’LL PROBABLY SEE A ROOMFUL they improvethey your health? workouts. during burned But docalories and speed, running monitor steps, their to trackers of people fitness use Millions Keep Track WEARITWELL HEALTHY HABITS
Living MEANINGFUL CHANGE WEBMD.COM 11 BY Matt McMillen LIVING Looking for a doctor? REVIEWED BY Arefa Cassoobhoy, MD, MPH WebMD’s Physician Finder WebMD Senior Medical Director can help. Go to webmd.com/findadoctor.
MEN’S HEALTH Hepatitis C and You The number of people living with chronic hepatitis C in the U.S. may be as high as 4 million, according to the CDC. In some key ways, this contagious liver disease hits men differently than women.
One thing men and women have in common: They’re equally susceptible to hepatitis C, which spreads from one person to another via blood. Needle-sharing accounts for the most cases. Much less common causes include contact with contaminated tattoo and piercing needles, razor blades, and even toothbrushes. Also, says Romero-Marrero, “sexual transmission of hepatitis C is quite uncommon.” The risk increases if you have multiple sexual partners, have a sexually transmitted disease, engage in rough sex, or have HIV. Chronic hepatitis C can be successfully treated, but it first has to be diagnosed. Often, though, the disease has no symptoms that would trigger a visit to the doctor. For men, who are less likely than women to see a doctor for routine care, that could mean living with the disease long enough for it to do real damage before it’s caught. Romero-Marrero recommends that men become more proactive about their health. So, who should get tested? Everyone born between 1945 through 1965, current intravenous drug users, and those who injected drugs in the past, even just once. Get tested if you received a blood transfusion or an organ transplant, especially before 1992, when screening for hepatitis C became routine. People with liver disease or HIV or on kidney ABOUT ONE IN FIVE PEOPLE INFECTED WITH HEPATITIS C DEVELOP SCARRING dialysis should also be screened for hepatitis C. of the liver, or cirrhosis, within 20 to 25 years. This happens more frequently in Visit cdc.gov for more on who’s at risk. men than in women. Men tend to get hepatitis C at a younger age. That allows “Knowing you have the disease before you them more time to develop cirrhosis, which can progress to liver failure and also have any symptoms is, of course, better than boosts the risk of liver cancer. knowing when you’ve already developed Why remains a mystery, says Carlos Romero-Marrero, MD, chief of cirrhosis or other complications,” Romero- hepatology at the Cleveland Clinic, though it may be that women’s higher Marrero says. “We now have medications that levels of the hormone estrogen better protects them from liver damage. can cure hepatitis C in more than 95% of cases.”
4 Tips CHANGE YOUR STAY COMMITTED EDUCATE YOURSELF TALK ABOUT IT IF YOU HAVE OR ARE AT LIFESTYLE If you’re in a stable, Learn as much as you Living with hepatitis RISK FOR HEPATITIS C, Avoid alcohol, eat a monogamous relationship, can about hepatitis C, C increases your LIVER SPECIALIST CARLOS nutritious diet, and stick with it and enjoy it. especially the symptoms risk of depression. ROMERO-MARRERO, MD, maintain a healthy Your risk of spreading the that could indicate Be open with your SUGGESTS SOME STEPS weight to protect disease to your partner you’re approaching doctor about how the YOU CAN TAKE your liver from via unprotected sex is cirrhosis. disease affects you further damage. negligible. emotionally. ILLUSTRATION: JAMES STEINBERG JAMES ILLUSTRATION:
12 WEBMD.COM GETTY IMAGES keeps fallsat bay. Butasyou age, thingsinmind. keep important these withbalanceandcoordination, yourExercise riskofdisease,helps and reduces (and 50 Up) and Fit FITNESS 4 Lessons NEW TONEW EXERCISE. YOU’RE IF FIRST OK DOCTOR’S YOUR GET BUT CALIFORNIA. SARATOGA, IN FITNESS KEEBS CPT, BOROWIEC, KELLY FROM TIPS THESE STAY WITH SAFE AND FIT Start with a light weight, and once you can lift it for 15 reps while maintaining itfor15repswhilemaintaining withalightweight,andonceyoucanlift Start weights may causeinjuries.” Try lunges, squats, andplanks.Dodumbbellcurls: Strength training offsets this,butyouhave tobecareful. year. pound of muscle massevery you reach50, you loseabout one-quarter After Kelly Borowiec,oryoumay endupbenched. choicesarekey,muscle andboneloss.Butsmart says certified personaltrainer EXERCISE IS AN EXCELLENT WAY TO OFFSET AGE-RELATED CHANGES LIKE BUILD STRENGTH five toseven minutes. stretch andwarm upfor Before you exercise, Stretch It Out “Exercises usingbodyweightorlightweightsareideal,” says Borowiec.“Heavy at WebMD.com. WebMD.com. at We Age as Bodies Our quiz the for Search
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gyms do. discount; many they offer asenior older than50. Askif fordesigned people Check outclasses FIND A GYM AGYM FIND videos onlinethat canhelpguideyou. doing itcorrectly,” shesays. You canalsofind mirror oraska trainer ifyou’re notsureifyou’re at amoderate speed,threetimesaweek. of10to15repetitions Aim foronetotwo sets form,thenslowlyincreasetheweight. excellent leaving youwithnegative progress.” says. “An you back alongtime, can set injury your limitsbeyond can be disastrous,” Borowiec intensity—it’sboosting safer. “Pushing yourself it’s joint-friendly,” says Borowiec. in water isgreat foraerobicandresistance—and ing, orwalking.Orjumpinthepool.“Exercising your knees,back,andhips,” says Borowiec. trails, groundlike whichareeasieron dirt softer machine. “Ifyourunordocardiooutside,choose and where. Make choicesabouthowyouexercise— smart it backdown.Switchlegsandrepeat. your knee,holdfor 10 to30seconds,thenbring Bringonelegupwhilebending comfortable. byholdingontoawallorchairtillyoufeel Start Forstretches. kneeholds: standing balance,try to fourtimesaweekhelps. Adding balanceandflexibility three exercises youage, yourrangeAs ofmotionmay shrink. CHOOSE WISELY FOCUS ON FLEXIBILITY Use good formtoavoid injury. inthe “Check Want todialitup? Exerciselonger of instead Try like gentler exercises yoga,Pilates, danc- anelliptical If runningishardonyourjoints,try Try andquadriceps simplehamstring REVIEWED BY BY Kara Mayer Robinson WebMD ChiefMedical Director day ofrest week. each yourself onefull atleast time to recover. Give Your body needs TAKE TIME OFF OFF TAKE TIME
Michael W. Smith,MD, CPT WEBMD.COM 13 BY Lauren Paige Kennedy LIVING REVIEWED BY Patricia A. Farrell, PhD Search for the slideshow How WebMD Medical Reviewer to Recognize and Treat Mood Disorders at WebMD.com.
MIND MATTERS State of Mind A surprising number of Americans still don’t recognize the signs of mental illness or 4 QUESTIONS know how to seek help. Our expert offers guidance and points the way for solutions. PSYCHIATRIST KEN DUCKWORTH, MD, ANSWERS COMMON QUESTIONS ABOUT MENTAL HEALTH for Mental Illness (NAMI) and an adult he says. “There’s no question there are care doctor in the Latino community and child psychiatrist, “which means we genuine mood symptoms in kids, but than to see a therapist? Also yes. But IF I FEEL BETTER, IF I’M BEING have more work to do.” we’re not sure where the borders are. the prevalence of the conditions is not CAN I CONSIDER TREATED FOR According to NAMI, one in five Americans What is a syndrome versus a difficult fundamentally different by race.” MYSELF CURED MENTAL ILLNESS, lives with a mental health condition. This experience? There’s a big demand for OF MY MENTAL CAN I GO TO includes disorders such as depression, mental health services for children, People who abuse drugs or alcohol HEALTH WORK OR ATTEND should only seek help for substance CONDITION? SCHOOL? anxiety, bipolar, attention-deficit disorder, greatly outstripped by the number “We don’t do “Stressful post-traumatic stress disorder, autism, and of child psychiatrists. Kids do have abuse. “Co-occurring disorders, which ‘cures’ in mental situations can binge- and restrictive-eating, as well as less symptoms that are meaningful, and are mental health issues and sub- health. If you’re be difficult for common conditions such as schizophrenia not just because they’re being bullied stance issues together, are common,” doing well, you’re all people, not and psychosis. Alcohol and drug use prob- or questioning their sexuality, which Duckworth says. “At times it’s a matter doing well. The real just those who lems are sometimes, but are not always, are risk factors.” of self-medicating, at times it’s not. question is: ‘What live with mental People using substances may be actively are you doing to illness. People linked to these conditions, Duckworth notes. prevent future with mental health treating, or imperfectly attending to, a He clears up some common misconceptions You’re just sad. occurrence?’” conditions have about mental illness: Get over it. mental health vulnerability.” jobs, go to school, “Depression and are active Only certain people are prone to mental is a real, Those with mental illness are MY TEENAGER members of their illness. Wrong, says Duckworth: “There is HAS BEEN clinical, dangerous. “Most people with communities.” a risk factor for all people. If you get past DIAGNOSED treatable mental health problems are your age 25 without any mental illness, you may WITH problem. neighbors, your spouse, or your- MY SPOUSE IS be less likely to have one. But there’s never DEPRESSION. AM People say self,” says Duckworth. “There’s a big I A BAD PARENT? STRUGGLING a time when you’re out of the woods. There this [about oth- study [called “Violence and Behavior “Mental health WITH A MENTAL are life challenges, such as post-partum HEALTH ISSUE. ers] because at one Disorders,” published in 1975] on conditions are not depression, under-employment in your 40s simply a side effect WHERE DO WE point in their life they people who were discharged from and 50s, and elderly folks who are alone of parenting. While BOTH TURN? were sad and got over it,” a mental hospital who showed the and who’ve lost their support networks. environmental “Start with your Duckworth says. “But you can’t same level of violence as people in primary care Maintaining mental health is dealing with factors can affect extrapolate that. Once a person the community. People with mental a person’s mental doctor, who has human vulnerability.” begins to have symptoms of sleep depri- illness are far more likely to be victims health, so can bio- resources in of violence than to be perpetrators of logical factors, and the community. Mental illness is always triggered by a life vation, loss of appetite, inability to con- violence. A tiny subset just as actively.” And call the event. “Not true. However, it’s often trig- centrate, they’re way past the ‘get over it’ number on the of people who were gered by something,” says Duckworth. “It’s model. Depression is a clinical syndrome back of your violent prior to complicated. A first manic episode in col- that can lead to suicide, alcohol overuse, health insurance having mental DESPITE REAL INROADS TO DISPEL STIGMA AND MISCONCEPTIONS ABOUT lege—the onset of bipolar disorder—might problems with work, and functioning.” card. They are health prob- obligated to mental illness, new research from Michigan State University (MSU) be triggered by sleep deprivation and the Specific races are more prone to lems, and help you. Or visit reveals that many people still lack basic knowledge about mental health breakup of a relationship. But it might have mental illness than others. “There is who are NAMI.org.” conditions, their treatments, and how drug and alcohol abuse can happened anyway. The narrative may give a misdiagnosis problem . . . that skews also not sometimes mask the symptoms of common psychiatric disorders. you a sense of causation, but it’s impossible a lot of epidemiological research,” being The MSU web-based survey, which polled 4,600 people nationally, to know. Take psychosis, which often begins Duckworth says. “But here’s a truth: treated reports that more than half of those who responded did not recog- at age 18 or 19. Was the use of marijuana a Depression, anxiety, and prescription for sub- nize the common signs of anxiety. Most did not know what to do trigger? Maybe. You can’t prove it.” about depression, even when they did recognize the signs of it. A full drug [abuse] are ubiquitous human stance 80% did not believe prescription drug abuse is a treatable Kids and teens don’t problems. Are people in the African abuse, problem, while 32% did not recognize the signs of pre- battle real depression. American community more likely to do scription drug abuse. That’s for adults. see a pastoral counselor from their show an “It’s impressive how little people know,” says Ken “There’s an evolving church? The answer is yes. Are people increased Duckworth, MD, medical director of National Alliance understanding on this,” NEILL GARY ILLUSTRATIONS: more likely to talk to their primary risk.”
14 15 WEBMD.COM WEBMD.COM GETTY IMAGES home a fall-free zone. Secure loose rugs and electrical cords and clear pathways. cords and clear pathways. loose rugs and electrical home a fall-free zone. Secure Fear offalling increasesyourrisk.Releasesomeofthat bymakingyour anxiety family physician at theUniversity ofUtah Health. “You have falls,too.” toprevent youwanttoavoidfracture—whether afirst anotherone. breakorprevent goesosteoporosis withthe territory. for Butyou can control many risk factors IF YOU’RE A WOMAN WHO IS POST-MENOPAUSAL, AN INCREASED RISK OF FACE YOUR FEAR As you age, becomemorefragileAs bones and breaksareharder DOCTOR ASK YOUR “Bone health is important, butthat’s“Bone healthisimportant, ofit,” onlypart says KarlyPippitt, MD, a to heal.Butyou canmake somechanges toavoid injury. Go to webmd.com/findadoctor. Go WebMD’sUse Physician Finder Need a specialist? Good Bones Good risk,” says Karly Pippitt,MD. a day canallincrease your having more thantwo drinks medications, smoking,and “Older age, ethnicity, certain Q for osteoporosis? What’s my risk WOMEN’SHEALTH .
Q bones,” shesays. steroids, canweaken your “Some medications, suchas fracture? increase my riskof medications
Can my LIVING LIVING
history significant? Q your risk,” Pippittsays. osteoporosis, thatraises other family member, had “If your mom,orsome Is my family bone—talk toyourdoctor. alreadybroken a you—maybe becauseyou’ve falls. If you’reprevent not sure what’s right for balance andcoordination, too,allofwhichcan bag offlour. cannedgoods a ordolungesdrip, lift hugging Pippitt. While you watch your morning coffee supermarket rather than pushing a cart,” says at abasket theyou cando,like carrying aboutlittle things “Think seems like astretch. andweightlifting. jogging, gravity,works against suchaswalking, that weight-bearingexercise Think exercise. Like stronger with muscle,bonegets through theNational CouncilonAging. the frontsteps. where you’re unsure—down thedriveway, up that’s beenthat way foryears,” Pippitt says. noticenot that even corner rug with a curled-up thearea.“You haveThen afriendsurvey might about 100IUs percup. fish, like salmon,andmilk.Most milkhas withfattyit allfromfood.Butyoucanstart 1,000 IUs ofvitaminDaday. It’s hardtoget difference withsupplements. also calcium-rich.You canmake upthe Broccoli, arugula,spinach,figs, andtofuare calcium aday. That’s ofmilk. fourcups Women age 51andupneed1,200mgof body makes better use of them that way.” supplements,” Pippitt says, “becauseyour better itfromwhat toget youeat thanfrom Bones liveoncalciumandvitamin D. “It’s MOVE YOUR BODY FEED YOUR BONES Exercise strengthens muscle and improves Exercise strengthens muscleandimproves haveBut youdon’t topumpiron,ifthat coursesoffered outfall-prevention Check walkinginplaces Bring afriendtopractice Women in this age group also need 800 to
REVIEWED BY bone scan? Q average risk. 65 andolderwhohave bone scansfor women age Task Force recommends The U.S. Preventive Services WebMD LeadMedical Director Should Ihave a BY BY
Brunilda Nazario, MD Sonya Collins WEBMD.COM
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BEHIND THE SCIENCE Beauty INSIDE OUT
SKIN CARE Scrub Step Take your daily face-cleansing regimen to the next (velvety smooth) level with a little exfoliation action
To achieve the afterglow typically reserved for esthe- tician offices, follow these simple steps from Nadia Dekhkanova, owner and esthetician at Tribeca Beauty Spa. Start by washing your skin with a salicylic-based cleanser to help loosen old skin cells. Hold a warm washcloth over your skin for one to two minutes before removing the cleanser. Next, use your favorite face scrub with warm water, continuing over the entire face in small circles for up to two minutes. Let the exfoliator sit on your skin for a few seconds before removing with a warm washcloth. While your skin is still a little damp, apply three drops of rosehip oil (found at most natural food stores) over your entire face for a gorgeous, dewy finish. —AYREN JACKSON-CANNADY
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17 WEBMD.COM BY Aryen Jackson-Cannady BEAUTY REVIEWED BY Karyn Grossman, MD WebMD Medical Reviewer
EXPERT PICKS Mist Opportunities Facial mists deliver a nice spritz of hydration 3 for your skin. Spray and go with these picks from Joshua Zeichner, MD, director of cosmetic and clinical research, Mount Sinai Hospital’s department of dermatology.
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1
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1. FLOWER POWER 3. WATER WORKS Glossier Rosewater ($18) La Roche-Posay Thermal “Rosewater offers anti-inflammatory Spring Water ($13) and antioxidant benefits, making “Not your run-of-the-mill water, this the perfect makeup refresher this lightweight mist contains or midday pick-me-up to stash in vitamins, minerals, and antioxidants your bag.” that leave skin feeling instantly 2. COOL IT refreshed and hydrated.” Mario Badescu Facial Spray 4. TROPICAL PUNCH with Aloe, Cucumber, and Herbivore Botanicals Rose Green Tea ($7) Hibiscus Face Mist ($32) “Green tea, which is infused into this “Coconut water, which is rich in spray, is calming—and explains why exfoliating hibiscus extract and this may be particularly popular with skin-repairing copper and potassi- patients who have irritating acne.” um, comingle in this soothing spray.” PHOTOGRAPHY: RICK LOZIER RICK PHOTOGRAPHY:
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. BY Liesa Goins BEAUTY REVIEWED BY Mohiba Tareen, MD WebMD Medical Reviewer
ANATOMY OF… Eye Shadow What’s behind that pop of color on your lids?
SHADOW POWER Ancient Egyptian men and women wore eye shadow as part of a religious practice. They believed enhancing their beauty was a holy pursuit, endowing them with the SAVE YOUR SHADOW protection of the gods and providing Repair a crumbled pan of magical healing powers. shadow with rubbing alcohol. Mix the powder with the alcohol WHAT’S PACKED IN THE and press it back into its case POWDER with a spoon. Once the mixture dries, it will be good as new. The basic recipe for shadow contains filler like talc or mica that serves as the base; binders ANTI-SMEAR CAMPAIGN like zinc or magnesium ensure the Before applying shadow, press powder adheres to your skin; an oil-blotting paper to your lids ingredient such as silica or nylon to absorb oils that can cause helps the powder glide over your creasing and smudging. Then, lids; and without a preservative swipe on a layer of primer and like glycol (a type of alcohol) or close your eyes while it dries so tocopherol (a form of vitamin E), it won’t collect in the crease. your shadow would become a petri dish of bacteria. BRIGHTEN UP POWDER VS. CREAM Increase the intensity of your shadow hue and start with a Adding waxes and oils in the layer of white or champagne shadow base will turn a powder shadow. The lighter base allows formula into a cream version. the pigments to appear more Beeswax, castor oil, jojoba oil, saturated. (The inverse works as shea butter, and silicone may be well—apply a darker brown shade added to change the texture. to tone down your shadow.)
APPLY YOURSELF Start with your eye shadow application so you can easily clean up any powder fallout without disturbing the rest of your makeup. If powder has spilled to your cheek, use scotch tape to gently remove it. GETTY IMAGES BY L iesa Goins BEAUTY REVIEWED BY Mohiba Tareen, MD WebMD Medical Reviewer Search for the Skin & Beauty Newsletter at WebMD.com.
THE SCOOP Out of Line NOT QUITE READY TO GO UNDER THE NEEDLE BEAUTY SMARTS TO MINIMIZE FOREHEAD FINE LINES? FOLLOW THESE DOS AND DONT’S FROM DEBRA JALIMAN, MD, ASSISTANT PROFESSOR OF The Ingredients DERMATOLOGY AT ICAHN SCHOOL OF MEDI- CINE AT MOUNT SINAI IN NEW YORK CITY. for Great Skin When you put together your skin care regimen, make sure these five dermatologist favorites are on the label
WHEN IT COMES TO YOUR SKIN, LESS IS OFTEN MORE. SIXTEEN-STEP The downside is that these min- routines may be popular right now, but all you need are a handful eral sunscreens can look chalky, so Chemical sunscreens have to perform a chemical of basics. “Skin care doesn’t have to be complicated, cost a lot, or opt for a formula containing a tint or reaction before they are active, whereas physical even require a prescription,” says Laurel Naversen Geraghty, MD, fine particles that blend more seam- DON’T FORGET TO DON’T DO FACIAL a dermatologist in Medford, Oregon. Next time you shop for prod- lessly. Geraghty likes La Roche-Posay versions work the minute you apply them. WEAR SUNSCREEN. EXERCISES. ucts, look for these staples that provide essential benefits for a fresh, Anthelios 50 Mineral Ultra Light Wear a broad-spec- Sure, it’s a trend calm complexion. Sunscreen and EltaMD UV Clear exfoliation to help treat hyperpigmenta- is l-ascorbic acid. It works synergisti- trum SPF 30 or that sounds great, above sunscreen but this repetitive Broad-Spectrum SPF 46. tion, and fighting acne. cally with vitamin E and ferulic acid to every day, rain or facial movement SUNSCREEN WITH ZINC OXIDE AND TITANIUM DIOXIDE “As a multi-purpose treatment it’s protect the skin, so look for a formula shine. Sun damage can actually cause If you don’t know the importance of sun protection, you’ve been RETINOL the best bang for your buck and one of with both if possible, Sarkar advises. is cumulative, so wrinkles. Think living in a cave—and don’t need it. But sunscreen is an essential, After sunscreen, the word retinol the most proven, studied ingredients,” Apply a few drops in the morning even just five min- about it—some non-negotiable part of a routine, says Papri Sarkar, MD, a derma- might be the word you hear most from Sarkar says. You can get a prescription after cleansing and before applying utes of unprotect- fillers work by tologist in Boston. Her advice is to opt for the mineral ingredients a dermatologist. “Retinol does pretty from your doctor but you can also find sunscreen. “Vitamin C antioxidants are ed exposure can weakening facial cause sun damage muscles so that zinc oxide and titanium dioxide. “These are the home run ingredi- much everything,” Sarkar says. On retinol in over-the-counter products. well proven and work best if they come and a breakdown the skin overlying ents for sunscreen, not to mention the most effective and safest,” the long list of benefits: stimulating “Adapalene, sold as Differin gel, is an in a serum packaged in a dark drop- of your skin’s col- them is prevented she explains. The reason: Chemical sunscreens have to perform a collagen production to treat fine wrin- especially effective version,” Geraghty per bottle to protect the ingredients lagen and elastin from wrinkling. chemical reaction before they are active, whereas physical versions kles, creating new blood vessels in the says. “It’s marketed for acne but it works from degrading in the light,” Geraghty tissue that leads to work the minute you apply them. skin, encouraging the skin’s natural for skin rejuvenation as well.” If you’re says. Her picks are SkinCeuticals C E forehead wrinkles. new to retinol, Sarkar likes Roc’s Retinol Ferulic and, for less pricey options, The DO SLATHER ON A GOOD Correxion Sensitive Night Cream. Body Shop Vitamin C Boost Instant DO USE AN ANTI- MOISTURIZER. Smoother and Clinique Fresh Pressed AGING CREAM When the skin is VITAMIN C 7-Day System with Pure Vitamin C. WITH PEPTIDES, dry, fine lines are “Vitamin C is an important ingredient to Sarkar likes Timeless 20% Vitamin C+E RETINOL, OR accentuated. So look for,” says Sarkar. This antioxidant Ferulic Acid Serum. ANTIOXIDANTS. keeping it hydrated Aisle Do helps brighten skin, treats pigmentation, Peptides, which is extremely you can find important. The CLEANSING WATER, A and acts as an anti-inflammatory, which ALPHA HYDROXY ACIDS in creams and best time to apply MAKEUP-REMOVER-FACE- PRODUCT PICK PRODUCT PICK PRODUCT PICK makes it an essential part of a skin care Alpha hydroxy acids (AHAs) are great a facial product WASH HYBRID, IS EFFECTIVE, BIODERMA Sensibio H20 ($15) SON AND PARK Beauty Water SIMPLE Water Boost Skin Micellar serums, stimulate regimen, she says. exfoliators to keep skin fresh, says Sarkar. (such as one with GENTLE, AND ALL THE RAGE “Made popular in France, this skin care ($30) Cleansing Water ($10) collagen produc- staple is super easy to use—just apply “While this lavender- and papaya “Harsh detergents and soaps disrupt “Antioxidants work by neutralizing free They loosen the bonds between skin tion. Retinol is a hyaluronic acid) it to a cotton round and swipe across extract-infused water can’t completely the skin’s natural pH and damage radicals—high energy compounds that cells on the topmost layer, so they gently vitamin A deriva- is when you get the face to remove grit, grime, and replace a traditional face wash or the lipid barrier, leading to dry skin, naturally accumulate in the skin due to remove dead, dull skin. Shedding that tive that helps to out of the shower makeup. Since it contains micelles (tiny cleanser, especially for those with rosacea, and other skin issues. Micel- sun exposure, pollution, and other stress- layer has the cosmetic benefit of revealing slough off dead and the skin is still bubbles that strip away oil and dirt), acne or rosacea, you can use this once lar water like this takes a different skin and stimulate ors that can damage skin cells,” Geraghty fresh skin, but exfoliating also allows the moist—this binds you don’t need to rinse. Bonus: It won’t daily on all skin types to conveniently approach by using tiny cleansing collagen produc- the water mole- make your skin flare up, breakout, or cleanse or remove makeup.” molecules that attract dirt and other says. In addition, vitamin C may also help rest of your skin care to work more effec- tion. Antioxidants cules to the outer become irritated.” Gary Goldenberg, MD impurities like a magnet, cleansing to stimulate collagen growth, which helps tively since you’ve removed the obstacle repair free radical layers of the skin. Kasey Adam Spickard dermatologist, Goldenberg Dermatology, without drying the skin.” treat fine lines. of the dead cells. skin cell damage. THE OPINIONS EXPRESSED IN THIS SECTION ARE professional makeup artist, New York City New York City David Pollock OF THE EXPERTS AND ARE NOT THE OPINIONS OF The most effective form of vitamin C AHAs include glycolic and lactic acids WEBMD. WEBMD DOES NOT ENDORSE ANY SPECIFIC beauty chemist, Fort Lauderdale GETTY IMAGES PRODUCT, SERVICE, OR TREATMENT. Continued on page 22 20 21 WEBMD.COM WEBMD.COM Continued from page 21 in a variety of products including cleans- exposure to harsh elements, so you need ers, spot treatments, and lotions. “I like a to replenish them for healthy, calm skin. glycolic acid toner or peel,” Sarkar says. “Ceramides are like the mortar that But use caution and don’t overdo it. holds the cells together and are essen- “AHAs can cause irritation if they’re used tial to skin health,” Sarkar says. They’re excessively or too frequently,” she adds. naturally occurring and easily absorbed, She likes Nip + Fab Glycolic Fix Gentle which makes them more effective. “One Pads. Geraghty picks Paula’s Choice Skin of the most compelling reasons to use Perfecting 8% AHA Lotion and Mario ceramides is that they’re very effective Badescu Glycolic Foaming Cleanser as a adjuncts to very dry skin conditions such few of her favorites. as eczema,” Sarkar says. Look for them in lotions and moisturizers to ensure you’ve CERAMIDES reinforced your skin. A well-moisturized, intact skin barrier is “As much as we are all on the hunt one of the keys to great skin—no matter for new and improved skin potions and what underlying issue you’re trying to miracle creams, the world’s most well- treat, Sarkar says. Ceramides, a type of studied, well-proven, and most effective lipid, are a major component of skin cell ingredients haven’t changed much in walls and help the skin maintain its bar- recent years,” Geraghty says. Her picks: rier function and retain moisture. You CeraVe Moisturizing Cream or Cetaphil lose lipids due to the aging process and Pro Gentle Body Moisturizer.
Dirty Secret “I PLUCK MY GRAY HAIRS, BUT WONDER IF I’M HARMING MY HAIR OR SCALP!”
BAD PLUCK STRAND THEORY SILVER LINING “Plucking gray hairs “Repeatedly pulling “If you have a stray that’s doesn’t do any good and out strands can lead to standing out, you’re better can actually do a whole noticeable thinning. And off using scissors to trim lot of bad. Yanking them worst-case scenario, you will it. Snipping it close to can damage the hair folli- suffer permanent hair loss. the scalp will make it less cle and cause permanent Plucking causes inflamma- visible without harming hair loss. It’s easy to start tion and also sends the folli- the hair follicle. Ask your with a single hair, but it cle into the shedding phase. colorist for the various can quickly become a Over time, the repeated options to mask gray hair bad habit.” stress leads to scarring of if you really can’t stand the the follicle, which prevents sight of them.” hair regrowth.”
—Melissa Piliang, MD, dermatologist, Cleveland Clinic, Cleveland, Ohio BY Kara Mayer Robinson BEAUTY REVIEWED BY Mohiba Tareen, MD Looking for a doctor? WebMD’s WebMD Medical Reviewer Physician Finder can help. Go to webmd.com/findadoctor.
DERM Q&A Rash Decision Our expert sheds light on atopic dermatitis, a common and long-lasting type of eczema
Q How does skin care help? Q How is AD treated? PALM Eczema-prone skin PALM Start with a proper forms microfissures, or tiny moisturizing routine: a microscopic breaks in your gentle wash and effective skin that create inflamma- moisturizer. For flares, tion, itch, and rash. A proper prescription topical steroids moisturizing routine protects or calcineurin inhibitors and repairs your skin barrier, (Elidel, Protopic) calm the so microfissures are less rash. Oral antihistamines likely to form and potential like cetirizine (Zyrtec) or irritants are less likely to fexofenadine (Allegra) ease bother your skin. itching. If it’s infected, your dermatologist may recom- Q How do I know if it’s AD mend an oral antibiotic. If or just a rash? it’s severe, you may take oral PALM Eczema is known immunosuppressives or an as the “itch that rashes.” injection called dupilumab Redness and irritation are (Dupixent). almost always preceded by itching or burning. You Q Will I have it forever? can also look for telltale PALM There’s no cure, but locations: neck, insides there is highly effective of elbows, backs of knees, treatment. You may go lower legs, and hands. through periods of clearance and occasional flares. Good Q When should I see a doctor? skin care and lifestyle ARE YOU PRONE TO A RED, ITCHY RASH? DO YOU OR A FAMILY PALM If it’s bothering you, choices may help. member have asthma? It may be atopic dermatitis (AD), a worsening, or interfering kind of eczema that runs in families and is tied to asthma and with activities, it’s time. A seasonal allergies. dermatologist can develop Many people develop AD during childhood. Some grow out a skin care program and of it, others don’t. If it lingers, you can keep it at bay with proper use medication to treat tools, says Melanie Palm, MD, a dermatologist in Solana flares and reduce the Beach, California. Begin with a good skin-care regimen. chance of exacerbations.
4 Tips SOFTEN SKIN READ LABELS STAY AWAY KEEP COOL GOOD SKIN CARE IS THE KEY TO WARDING OFF Use a gentle moisturizing Look for ingredients like Steer clear of Avoid extreme AND REDUCING ATOPIC body wash and a thera- ceramide 3, free fatty products that may temperatures and DERMATITIS FLARES, peutic moisturizer. acids, and hyaluronic acid. irritate your skin, like excessive sweating, SAYS MELANIE PALM, strong chemicals and which may also irritate MD. START HERE. perfumes. your skin. GETTY IMAGES
23 WEBMD.COM GETTY IMAGES HEALTHY TOGETHER home fromwork. for playtime parentscome right after halfhour anunplugged zone orestablish places. Make thedinnertableano-phone mend setting asidetech-freetimesor typical day. For recom- aquickfix,they their childrenthreeormoretimesona interruptedtimewith that technology displayed. About halfofparentsreported other behavior problemstheirchildren technoference, themoretantrumsand say parentsreported that themoreoften authors callit“technoference,” andthey kids aremorelikely tomisbehave. The their childrentocheckphonesortablets, interrupttimewith parents constantly that when Child Developmentreports in study parenting?Anew distracted driving—buthowabout distracted you think. than more your children may affect interference of technology kind This text”? this let me read How do you say, often “Just honey, aminute, Screen Off FOCUSEDPARENTING YOU KNOW ABOUT THE DANGERS OF —GINA SHAW
Family
SMARTER LIVING WEBMD.COM 24 GETTY IMAGES and baby. Know the warning signs to keep you to baby. yourand and baby signs safe. the warning Know condition for mom life-threatening apotentially preeclampsia, of asign be can pregnancy during bloodRising pressure Pressure Under PREGNANCY 4 Strategies LEVINE, MD, MSCE MD, LEVINE, SAYS LISA RISK, YOUR MAY REDUCE HABITS PREECLAMPSIA, THESE FOR AT RISK YOU’RE IF can affect amother’s liver, kidneys, brain, andlungsababy’s growth. the timeit’s withdelivery, cured It’s afterward. develop butitcanstill adiseasethat Most birth. of orinthesixweeksafter pressure, usuallyduringthethirdtrimester mysterious disorder. diseaseprogram at andheart Pennthe pregnancy Medicine, this explains medicineatmaternal-fetal theUniversity ofPennsylvania of anddirector MD, professorof LisaLevine, MSCE,assistant causes ofpremature birth. LEVINE Q PREECLAMPSIA AFFECTS 5% TO 8% OF ALL PREGNANCIES AND IS ONE OF THE LEADING What ispreeclampsia? webmd.com/findadoctor. to Go help. can WebMD’s Physician Finder adoctor? for Looking It’s adisease specific topregnancy, highblood inwhichwomendevelop
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it at 11 or12 weeks.” myaspirin. Istart patients on preeclampsia as baby be as effective inpreventing nothing has beenshown to “For womenat highrisk, TAKE ASPIRIN FAMILY
numbers.” to keep aneye onyour pressure cuffat home consider usingablood checks withyour doctor, “In additionto regular PRESSURE MONITOR BLOOD developing it? with twins ortriplets. tilization, andmoms have hadin-vitrofer- obese, momswho moms whoare 30s toearly40s, moms intheirlate moms andolder high risk.Soareteen diseasesareat ney or whohave any kid- in apriorpregnancy, pressure ordiabetes with highblood higher risk.Mothers pregnancy, you’re at eclampsia inaprior ofpre- history women watch for? signs should vision, or severe vision, orsevere vision, spotsintheir headaches, blurry pressure. Somehave havejust highblood incredibly difficult. treat ithasbeen finding therapies to itor preventing yet, Since wedon’t know centa insomeway. related tothepla- than itmay be of thecauses,other a firm understanding LEVINE Q LEVINE Q LEVINE Q Who is at risk of Whoisatriskof What warning it? What causes Some moms Somemoms We don’t have If you have a If youhave a REVIEWED BY oftentimes it’s not.” something isn’t right, found that ifmomthinks say something.I’ve “If you don’t feel right, LISTEN TO YOUR BODY BODY YOUR TO LISTEN use this test? use thistest? can and patients long untildoctors of kidney cell.How atype podocytes, that tracks levels of for preeclampsia a new urinetest recently announced happens next? preeclampsia, what shows signsof clotting correctly. mal, orbloodisnot counts arenotnor- properly, theirblood not functioning abnormal, theliveris is that thekidney blood workreveals no symptoms,and thereare sometimes abdominal pain.But its infancy. muchin very still but thisresearchis has alotofpromise, them closely at home. them hospital ormonitor keep theminthe the severity, we’ll then dependingon diagnosed earlier, baby. are Ifthey usually deliverthe close tofull-term,we she’s full-termor is whendiagnosed.If on howfaralongshe Q LEVINE Q LEVINE BY BY Researchers Researchers If a woman If awoman WebMD Medical Reviewer Erin O’Donnell
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GETTY IMAGES belly orsideto sleep. to suddeninfant death syndrome(SIDS)—especially thoseplaced ontheir journal night forbothofyou. to sleepandleadamorerestful environment ofamother’s womb.When doneright,itcaneaseyourbaby afavoredup inablanket—is technique,becauseitmimicsthecomforting fromrockingtolullabies.Swaddling—wrapping baby about everything, WHEN IT COMES TO SOOTHING A FUSSY BABY, PARENTS WILL TRY JUST Yet swaddlinghasbeenlinked tosome seriousrisks.A2016 inthe study Pediatrics foundthat swaddled babiesaremorelikely tosuccumb To or you not If swaddle? to, to plan swaddle Swaddle BabyatWebMD.com. Search forthevideoSeeHowto baby onhisback. Always putaswaddled SLEEP TIME Bundle of Joy learn how do it to safely.learn BABY
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swaddle her? baby’s daycare moves hislegs. sound whenyour baby buttocks andaclicking Signs includeuneven Q for home. swaddling left isbest increased SIDS risk, No. Becauseofthe Q baby’s crib, such as loose blankets or sheets. baby’s or sheets. crib, suchaslooseblankets Moon says. Andmake sure nothingelseisin your babyisabouttoroll—at by2months,” least “Stopswaddlingassoon asitlookslike stomach. on hersideor baby tosleeponherback—never baby’s chest,” Moon adds.Always putaswaddled couple offingers theswaddleand between and legs can move. “Make sure you a can stick side. it underherleft bring therightcorneroverherbodyandtuck body andtuckitunderherrightside.Then overher corneroftheblanket Bring theleft correctly, lay yourbabyface-up onablanket. bothoftheseissues.Toprevent swaddle with theirhipsinthewrongposition. can happenifbabiesarewrapped tootightly doesn’t go allthe way This intothehipsocket. hip dysplasia,inwhichthebaby’s thighbone University of Virginia. Moon, MD, aprofessorofpediatrics at the situation,” says thestudy’s co-author, Rachel escapefromthat can’t moveandthey can’t they they’re swaddledandontheirstomach, because ifbabies end up on their stomach, dysplasia? has hip that my baby warning signs
DOCTOR ASK YOUR
Should Iletmy What are the Keep the blanket loose enoughsobaby’s Keep theblanket hips bundling andgoodCareful timingcan Also ofconcernisanincreasedriskfor riskwithswaddlingiswhen biggest “The
REVIEWED BY WebMD SeniorMedical Director BY BY swaddling? baby, besides I soothemy Q to avoid SIDS? can Itake to try give herapacifier. play calmingmusic, or Try torock your baby, Q your baby’s breathing. crib thatcouldblock other objectsinthe stuffed animals,or put pillows, blankets, your baby’s crib. Don’t Put afirmmattress in Stephanie Watson
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Hansa Bhargava, MD WEBMD.COM
26
27 WEBMD.COM long-term effects on health and relationships and on health long-term effects have negative punishment can corporal Mounting suggests evidence Smoking? New the Spanking Is KIDS’HEALTH at WebMD.com. WebMD.com. at Alternatives to Spanking for Search still allow teachers to paddle their students. allowteacherstopaddle theirstudents. still 68% being of teenshit as report a form of discipline as a child, and 19 states swat a“good, onthebutt say hard” believe still necessary, they issometimes statement formally discouraging it, more than two thirds of U.S. parents bringupspanking. discipline anunrulychildand, chancesare,they’ll ASK A MOM OR DAD IN THE UNITED STATES WHAT THEY DO TO Those statistics arealarmingtomany statistics pediatricians, whopointtosigns Those Twenty theAmericanAcademy yearsafter ofPediatrics (AAP)issueda the slideshow
FAMILY spanking, put As analternative to Take aTime Out distractions. without place aquiet in your child
involving 160,000kids. of75a sweeping2016 studies review improved child behavior,” according to that spanking is associated with later inlife. disease andrespiratory like heart vulnerable tostress-related illnesses profiles, whichcanmake them more age have alteredstress-hormone hit asaformofpunishmentat ayoung found that youngchildrenwhowere havewith familymembers.Andafew andnegative relationships aggression, with depression,antisocialbehavior, frequent spankinginchildhood heavily, orusedrugsinadulthood. more likely toattempt suicide,drink were “abused”) spanked ifnever (even adults foundthat thosewhowere hittheirdate.)they werehit,thegreater theoddsthey a romanticpartner. moreoften (The likely physical to inflict violence on child abuse—weresignificantly more injurious treatment considered tomore ifnotsubjected even who werespanked aschildren— adults, Temple found that those causes problem behaviors later in life.” we cansay that corporal punishment can say that smokingcausescancer, Texas Medical Branch. “As muchaswe and psychologist at theUniversity of says Jeff Temple, PhD, aprofessor also causelong-termharm. in improvingachild’s behavior, itcan causing painbutnotinjury”—ineffective physical force with theintention of punishment—defined as“theuseof that notonlyiscorporalsuggesting Meanwhile, thereis“noevidence Other large have studies associated of8,000Another recentstudy In one2017 of758 study young now,” strong is very evidence “The
GETTY IMAGES 52 andnot“overlysevere.”a last-resort contend itcanbeeffective ifusedas child abuse,andasmallminority still behavior that shouldbeconsidered as flawedstudies for including researchers have criticized past way helpsit.” to that relationship that inno adds anelementoffearandviolence says Sege, “andcorporal punishment intimate relationships later inlife,” forms thetemplate forallofour to looklike, hesays. mixed signalofwhat loveissupposed and away a alsoget fromwrong.They voice that themtowardright steers aninternal todevelop opportunity poor behavior) andmissoutonthe out other ways away to get with lieorfigure (they caught” to “notget learnto corporal punishmentoften Medicine at Tufts Medical Center. the Center for Community Engaged of anddirector expert prevention says Sege, MD, Robert a child abuse learn toregulate theirownbehavior,” term it is ineffective in helping them doing rightthen.Butinthelong are whatprompt themtostop they BY THE NUMBERS Temple, carefully whose study agrees.SomeNot everyone “Our attachment with ourparents Sege says that childrensubjected “Hitting achildwillcertainly punishment. corporal have banned countries that Number of 80 physically punishedby parents. who are spanked orotherwise Percentage ofchildren globally
not tohittheirchildren,” Sege says. issue. Instead, shouldtellparents they pediatricians towaffle aroundthis of thestatement. and time out, says Sege, lead author things like positivereinforcement itandsuggest adviseagainst directly this year, tomore whichisexpected on corporal punishment,dueout working onanupdate toitsstatement continue. since 1988. endorse spankinghasfallenbyhalf of young,middle-incomemomswho one 2016 showingthenumber study favor, at amongwomen,with least is beginning to fall out ofpractice change theirbehavior,” Temple says. may take ageneration people before wasn’t outyet. demonstrating itspotentialharm parents at atime when research fromtheirown learned thepractice “bad parents.” Rather, often they that parents whodo it are not Buthestressescircumstances. harm, firmly opposes it under any found long-termspanking and still between abuse anddistinguished “The AAPdoesnotwant “The ofthiswriting,theAAPwasAs AAPhopesthat trendwillThe Already, the researchsuggests “Again, like just withsmoking, it % 21 percentage was 46%. corporal punishment.In1988, the mothers ofkindergartners whoendorse Percentage ofyoung, middle-income % Sege, MD Jeff Temple, PhD Experts ages? all of children discipline lovingly parents can How like you did last time.’” last did you like time this me hit not did you that appreciate I and frustrated, are you say, realize can ‘I you tantrum a temper of middle the in “Even behavior, says Temple: abad repeating not for also and right thing some doing for child Acknowledge your Sege. says attention,” to get behavior bad to escalate will child a behavior, to good attention paying isn’t aparent “If critical. is attention parent’s a To child, ayoung later. battles these hood can prevent infancy toddler and in routine bedtime and bedtime afirm Setting Sege. says report, problems parents the top discipline morning are among the in up to get refusal and battles Bedtime BEHAVIOR GOOD RECOGNIZE ON EARLY SLEEP PATTERNS GOOD ESTABLISH 5 Tips for Discipline , have some advice. some , have a childwithgood, hard spanking.” “sometimes to necessary discipline respondents who believe itis Percentage ofU.S. survey 68 - - REVIEWED BY % you lower the risk. the lower you more the stop, you er soon The it. guarantee doesn’t it line, the ioral problems down behav of risk increase can it While Temple. says worry, don’t corporal punishment, use already you If “no,” Sege. says option of just saying and eliminates the them feel empowered makes This sweater?” red the or sweater blue the wear rather “Wouldask, you to wear, what them telling of Instead CHILD, STOP CHILD, YOUR YOU SPANK IF OFFER CHOICES next time. next better do can they what and wrong did child the what explain Temple. Always temporarily, says valued possession away a toys) take or by surrounded room distractions (not a a without quiet place in them put tantrum, a throws achild If TAKE AWAY OBJECTS OR OUT TIME USE WebMD Medical Reviewer BY BY Lisa Marshall
Roy Benaroch, MD Robert Robert , and WEBMD.COM 28 - - BY Gina Shaw FAMILY REVIEWED BY Hansa Bhargava, MD WebMD Senior Medical Director
are now available, says Nicholas Chadi, MD, a pediatrician with the Adolescent Substance Use and Addiction Program at Boston Children’s Hospital. “Fentanyl and similar products, which when used in surgery and in patch form to help with pain can be very effective, are increasingly either sold as is on the street or mixed with heroin,” Chadi explains. “Right now, it’s hard to find heroin on the streets that doesn’t have fentanyl mixed with it. Teens will buy pills or powders that include fentanyl and inhale or snort or inject it, but they aren’t aware that it can be so deadly. Just a tiny bit can have a dramatic effect on heart rate and breathing.” From 50 to 100 times more powerful than heroin, as little as a one-quarter milligram of fentanyl can lead to a fatal overdose. What are the warning signs that your child may be using opioids? Some are hard to distinguish from typical teen growing pains, like TEEN HEALTH moodiness, sleeping more, and communicating less. Other signs that are more clearly related to Teen Opioid Use substance use include missing More potent drugs increase the risk that school regularly, grades dropping even a one-time experiment could turn deadly. What can you for no obvious reason, money or do to keep your teen from becoming a statistic? objects disappearing, or unexplained transactions on a credit card. OPIOID USE AMONG AMERICAN TEENS HIT AN ALL-TIME LOW LAST YEAR, ACCORDING “Don’t assume it can’t happen in to the CDC. Just 4.2% of 12th graders reported using narcotics other than heroin, your family,” says Chadi. “Opioid compared with a high of 9.5% in 2004. abuse can happen in any home, But although overall use has declined, the rates of drug overdose deaths involving and it has nothing to do with how opioids among 15- to 19-year-olds has started climbing again (after a significant good a parent you are. Denial and decline between 2007 and 2014), reaching nearly 2.5% in 2015. stigma prevent teens from getting So if fewer teens than ever are abusing opioids, why are more of them dying from appropriate treatment and can put opioid overdoses? The answer has a lot to do with the potency of the drugs that their lives in danger.”
KEEP OPIOIDS OUT OF TALK OPENLY SET CLEAR LIMITS GET HELP 4 Steps THE HOUSE Discuss opioids— Define what is If your child has used opioids HOW CAN YOU KEEP YOUR “If you absolutely need explain what they acceptable behavior the past, or if you have KIDS SAFE FROM OPIOID opioid pain medications, are and why they and what isn’t—things reason to worry that they ABUSE? PEDIATRICIAN keep them under can be dangerous. like what time your may be using them now, NICHOLAS CHADI, MD, lock and key,” Chadi Good resources for teen is expected home find a treatment program. SUGGESTS WAYS PARENTS says. “Access to these this conversation at night and what kind Try the Substance Abuse CAN TAKE ACTION. medications is one of the can be found on the of parties they can and and Mental Health Service biggest risk factors.” American Academy can’t go to. Administration’s treatment
ILLUSTRATION: GARY NEILL GARY ILLUSTRATION: of Pediatrics website. services locator.
29 WEBMD.COM GETTY IMAGES 3 Tips being ahappy to working mother.secret may have found have the to it Researchers all? Trying Act Balancing PARENTING KATRIJN BRENNING, PHD, PSYCHOLOGIST AND WORKING MOM OTHERS, AND A SENSE OF COMPETENCE. FREEDOM OF CHOICE, CONNECTION WITH NEEDS: BASIC THREE SATISFYING IS MOMS THE SECRET TO HAPPINESS FOR WORKING Studies. “Trying mother, to be a perfect partner, a perfect and a perfect attest tothat, especiallyinthefirst You’re days givingbirth. backtoworkafter colleague isamissionimpossible,” says Katrijn Brenning,PhD, professorof career. Sowhat’s tobeingahappyworkingmom? thesecret of motherhood and now trying tobalancethosewiththedemandsofyourof motherhoodandnowtrying measure their tendency toward depression. After theirbabieswerebornand towarddepression.After measure theirtendency COMBINING PARENTING AND A JOB IS HARD—ANY WORKING MOM WILL started day dailyforthefirst care,theworkingmomsansweredquestions started separated fromyourbabyfor thefirst thedemands learning tomeet time,still psychology at GhentUniversitypsychology inBelgiumandleadauthorofthestudy. “Don’t besohardonyourself,” says researchintheJournal new ofHappiness at WebMD.com. WebMD.com. at Your Body and Stress slideshow the for Search In thestudy, to 126workingmothers-to-beansweredquestionnaires
EXPLAINS.
need to do,” shesays. than somethingyou choose to dorather do somethingyou “From timeto time, FREEDOM FAMILY something for you. friend by letting themdo your partner, sibling,or Reaffirm connectionswith the ‘cared-for,’” says Brenning. from beingthecaregiver to “Every now andthen,shift CONNECTION When they had unmet psychological hadunmet When they It canalsogiveyouthefreedomto This, in turn, can This, cause you to feel were lesslikely tobehappy. “Ask and werelesslikely tobedepressed. Theand asenseofcompetence. your needs, too,” says Brenning. your baby. you asfeel a mom.more competent good for the baby, but that satisfy yourself,” Brenningsays, “where choice, connection withothers,choice, connection could I save some energy?” Reducing could Isave Reducing someenergy?” of thebaby’s were demeanor—they of so many competing demands?of somany competing needs, theoppositewastrue. researchers foundthat whenthenew more connected withyourchildand more connected moms’ needsweremet—regardless babies’ temperament and their own five days backat worktoassesstheir feel more competent asaparent. feel morecompetent in abetter mood,hadmoreenergy, symptoms ofdepression,energy study, highlyself-criticalwomen hasthreebasicthat everyone their psychological needs. the demandsonyourselfcanhelp how doyousatisfy themintheface level, mood, and satisfaction with mood,andsatisfaction level, pick howyouspendyourtimewith psychological needs: freedom of
“Choose activities that arenotonly activities “Choose The needsmayThe soundsimple,but Many psychologists agree Cut yourselfsomeslack.In the REVIEWED BY each day.each compliment attheendof goals, andgive yourself a she says. Setachievable ovens are OKsometimes,” “Sticky floors anddirty COMPETENCE WebMD SeniorMedical Director BY
Hansa Bhargava, MD Sonya Collins WEBMD.COM 30 GETTY IMAGES of your pets. carrier for each have a crate or Make sure you On theGo 4 Lessons animalsthat exotic of cats, werestranded byHarvey. dogs,cows,birds, andeven border,” says Wesley ofthousands oftheteam,whichcoordinated Bissett, arescue director Team camein. That’sbehind, alsoinneedofrescue. wheretheTexas A&MVeterinary Emergency theirhomes.ButthroughoutTexas,were forcedtoevacuate wereleft many pets Make your pets includes preparedness sureyour emergency Plan 101 Disaster PETS AN EVACUATION KIT EVACUATION AN DON’T INVOLVE PACKING THAT PETS YOUR PREPARE TO DO CAN YOU THINGS RECOMMENDS FOUR WESLEY BISSETT PET RESCUE DIRECTOR WHEN HURRICANE HARVEY SET OFF WIDESPREAD FLOODING, 780,000 PEOPLE While emergency veterinary response teams do exist in some places to rescue insomeplacestorescue responseteamsdoexist veterinary While emergency “We totheLouisiana fromCorpusChristi hadequipmentandpeopleeverywhere Message Boards WebMD the Pets for Search at WebMD.com. WebMD.com. at from timeto time. by themontrips taking or atall.Prepare them more than20 minutes— who’ve never traveled can getdicey for pets A six-hour carride TO CAR TRAVEL CAR TO USED PET YOUR GET up to date. keep theinformation register thechips,and Microchip your pet, collars cancomeoff. papers are great, but and tags Rabies REGISTER YOUR PET PET YOUR REGISTER FAMILY help you getreunited. of you andyour pet)can photos (especially ones your petduringacrisis, If you getseparated from YOUR PET YOUR OF TAKE APHOTO if your pet is especially stressed bytravel. isespeciallystressed if yourpet or anti-nauseamedications tokeep onhand and icepacks,says Bissett. needtohave anicechest refrigerated, you’ll conditions. Ifthemedicineneedstobe takesthat tomanage yourpet chronic day totwo-week supplyofany medications opener andspoon. to prepareyourpet’s meal,suchasacan and water andanything elseyoumightneed medicine. Remembertopackbowlsforfood afive-dayAssemble supplyoffoodand Plan forfive days newspaper, or make sure those you items. stock potty breaks. out of the car for be ableto get so that you’ll have leashesorharnessesforeachanimal, onecrate,”just says Bissett. peoplewillhave “Sometimes threedogsand needisacrate foreachofyourpets. you’ll them andmovesafely. first The thing you’repets, going toneedaway tocontain If you have toleave yourhousewith withthebasics Start says Bissett. things somucheasierandsafer,” planning. withproper withtheirpets could evacuate animals fromdanger, many morepeople You aboutasedative canalsoaskyourvet In forafive- termsofmedicine,askyourvet For cats andother animalsthat needlitter If youaredrivingtosafety, make sureyou “Having thingsreadyinyourhomemakes BY BY REVIEWED BY those records handy. up to date. Thenkeep make sure vaccines are when they happen, and regularly, treat illnesses Bring your petto thevet HEALTHY PET YOUR KEEP Kerri-Ann Jennings WebMD Medical Reviewer
Will Draper, DVM WEBMD.COM 31 32 WEBMD.COM learnstolove herself. begins tohithermarkand theEmmy-nominated actor “ThisIs Us.” Offscreen, onthehitseries performance andcriticsalike withher viewers Chrissy Metz wows TV is this WebMD Medical Editor Reviewed by Neha Pathak, MD By Kara Mayer Robinson
MILLERGETTY IMAGES MOBLEY / AUGUST IMAGES WEBMD.COM 33 34 WEBMD.COM Person You Are Today, lookscanbe memoir, ThisIsMe: Lovingthe glamorous, it’s complicated. But whileMetz’s lifemay seem This was then women appearontelevision. turning asmorerelatable plus-size of heart,” andMetz hopesthetideis who’s “flawed andfull andcomplex she isgrateful toplay acharacter ing passedoverforcountlessroles, oftheconversation.”part be- After plenty ofyearswhenIwasn’t even moment,” were Metz says. “There formance byanensemble. Guild Award per- foroutstanding she tookhomeaScreenActors Globes andanEmmy. In January, 37, wasnominated fortwo Golden nod. In morethanayear, just Metz, to Kate. feel they gush abouthowconnected approachherto Winfrey—often ing ReeseWitherspoonandOprah a smattering ofcelebrities,includ- isafanfavorite.past, People—even withherweightand struggling character, Kate Pearson, awoman having adazzlingyear(ortwo). Her Is Us,” series“This television Metz is occasionally hastopinchherself. As she explains in her new in hernew sheexplains As toenjoythe “I’m trying just Critics alsohave givenherthe Star ofthewildlypopularNBC hrissy Metz wanted todowas beontheinside.” I feltlike anoutsiderwhenallI picked on.Ialways feltinadequate. of herchildhood.“Ifeltalone and that wereoutofcharacter. clown, doingandsaying things to andmorphedintoaclass othershadachanceherself before she says. Shemadejokes about and ashamed. “Ibecamehardened her andshefeltembarrassed and school didn’t help.Kidsteased plummeted.self-esteem Her forcomfort. eating secretly Metz Shebegan feltneglected. mother didn’tcometoherrescue, her. chastised stantly Becauseher weight toherchores,hecon- fromherpleased witheverything she writesinhermemoir. Dis- my arm,andyanked my wrist,” shoved me,slappedpunched physically andemotionally. “He their footing,” Metz explains. tofind wastrying on, andeveryone wasalotgoing tumultuous. “There daughter—and theirlivesbecame her mother’s husbandandhis new movedinwith in theshuffle,they baby, thenremarried.Somewhere Soon shebecamepregnant,hada tomake endsmeet. but struggled family toGainesville,Florida, own way. Her mothermovedthe than “Dad.” tohimas“Mark”she refers rather largely ignoredbyhim—infact, when shewasababy. Butshefelt and thefamilymovedtoJapan three. Her father wasintheNavy, that remainwithhertoday. inchildhood life andhaddifficulties her withherweightmost struggled Like herTVcharacter, Metz has experiences,” shesays. “Butwedo.” have thesameissuesorthoughts thatare onapedestal—and wedon’t deceiving. “People thinkcelebrities “It wasreallydifficult,” she says childatBeing thechubbiest Metz’s stepfather abusedher When Metz was8,he wenthis Metz uptheyoungest of grew defensive to protect myself,” toprotect defensive for a heart attack.”for aheart roomtobeassessedandtreatedcy “People rushtotheemergen- often versity’s SchoolofMedicine. Geisel Unitant professorat Dartmouth - says GladysFrankel, PhD, assis- know why you’re having them,” frighteningifyoudon’tbe very attack.to thoseofaheart “It can sweating, pain—aresimilar chest ofbreath,palpitations, shortness It attack. wasananxiety but shedidn’t have attack. aheart said,needed toloseweight,they told hernothingwaswrong.She thingsintheworld.”the scariest ambulance,” shesays. “It wasoneof I wasrushedtothehospitalinan thought Iwashaving attack. aheart and shehadtroublebreathing. “I terribly wrong.Her raced heart felt Expendables, whensomething theater settling intowatch The birthday, Metz wasinamovie In September2010, onher30th Then thishappened luck anddownonherself. spent muchofher20sdownon and marriedamansheloved,Metz success) asatalentagent, andmet didn’t panouteither. Idol”—yes, shealsosings—butthat joke. Sheauditionedfor“American friend,thebutt ofa overweight shebooked wereclichés—an Those rarely got auditions,muchlessroles. She but herweightwasanobstacle. atry, Angeles togiveacting to Los challenges. In 2005,Metz moved Symptoms of anxiety attacks—Symptoms ofanxiety doctors abattery oftests, After While shedidfindwork(and With adulthoodcamenew
ARTGETTY STREIBER IMAGES / AUGUST IMAGES US" CASTMATES. WITH HER"THISIS CENTER) POSES METZ (BOTTOM
WEBMD.COM 35 36 WEBMD.COM back, especiallyifyoudon’t deal hood issueshave away ofcoming have asadults.Butchild- anxiety go experiences throughstressful Frankel. Not allchildrenwho ing aremorevulnerable,” says divorce, bullying,andovereat- theirparents’ who’ve experienced thanothers.“Children to anxiety medication. py, relaxation techniques,and of cognitive-behavioral thera- can help,suchasacombination worse overtime.Buttreatments aroundandcangettends tostick relationships, andlife.Anxiety withwork, interferes nia. It often fatigue, headaches,andinsom- andmay involveoverwhelming, and ispersistent ries. Anxiety wor- everyday different from disorder,an anxiety whichis 40 millionAmericanshave Some peoplearemoreprone iscommon.AboutAnxiety CHRIS SULLIVAN PLAYS METZ'S ON-SCREEN LOVE INTEREST IN"THISISUS." forgive andacceptherself. group,andlearnedtosupport ter, day, walked every joineda shift,” shesays.- Sheate bet tohow notto,sothingsstarted I ate aboutmy feelings and seeking outsidehelpaboutwhy reconcile my Istarted past. of herhealth.“Iwasforcedto ate youfeelterrible.” drug.Later one. It’seffective like animmedi- coping strategy, butit’s notan in New York. “Eating canbea sultation Psychological Services ofComprehensiveCon- director thing,” says SanamHafeez, PsyD, way Icouldcope,” shesays. over my feelings.It wastheonly years—emotional eating. “Iate toaddressfor been reluctant came face-to-facewithwhat she’d with them,shesays. Metz decided to take charge “Emotional eating isareal herhealthscare,MetzAfter with pride.“My momisabad- her nameincursive,” Metz says a marker inherhandandwrote held sheactually at Christmas, Isaw “When hersmall victories. She alsolearnedtoappreciate felt empoweredtomanage it. learned moreaboutaphasia,she reality.by thisnew Butasshe and sounds. she communicates withgestures cation. While shecan’t usewords, languagethat communi- affects condition aphasia, apost-stroke stroke. Nowa severe shehas Awards date, Metz’s motherhad geles tobeherdaughter’s Emmy Los An- shewastofly before summer,invaluable. Last just an amazingthing,” shesays. grateful for. It soundssillybutit’s name at fiveto10thingsI’m least outofbed,I Iget journal. “Before say.” asthey persists, themoreit moreyouresist, “The to leanintothefear,” shesays. music, andwalking.“Ilearned herselfwithmeditation,distract feelings ofworry, thencalmand learned toidentify andaccept tapped intoherspirituality. She andYouTube,on podcasts and Untethered Soul,foundadvice inspirational bookslike The to manage itbetter. Sheread resurfaced. ety relationship dissolved,heranxi- friendsnow,They’re butastheir she andherhusbanddivorced. afive-yearmarriage, road. After Soon Metz hitabumpinthe Then this Initially, Metz wasshaken copingskillshaveThese proved agratitudeMetz alsostarted time,shewasdetermined This
COURTESY OF: RON BATZDORFF/NBC/NBCU PHOTO BANK
COURTESY OF: RON BATZDORFF/NBC disorders. Somefacts. have anxietyattacks ordevelop anxiety Like Chrissy Metz,millionsofAmericans ABOUT FACTS + + Women are more Types ofanxiety anxiety disorder. the U.S. have an 19% ofadultsin disorder. About have ananxiety likely thanmen to anxiety disorder. phobias, andsocial panic disorder, anxiety disorder, generalized disorders include enough, richenough,” she says. tall enough,thinsmart we’re good enough—not never herself. “Somany ofusfeellike ofjudging short But shestops and makinghealthierchoices. better relationship withfood her health,like forginga lifestyle changes toimprove strength—and it’s growing. supplyofwillpowerand a new copingskills,Metzpracticing has Today, facingherfearsand after This isnow to have.” strength that Icouldonlyhope ass. Shehasthiswillpowerand Metz on says shefocuses ANDSTATS Anxiety
+ + Most peopledevel- Studies suggest factors. environmental of geneticsand a develops from in families and anxiety runs about 32%. among teenagers— anxiety iscommon fore age21.Infact, op symptoms be- combination
with awe. ‘You sherecalls knowme?!’” Globes.“Iwaslike,Golden introduced himselfat the idolSamRockwellher acting lifetime’s heroes.” Orwhen told Metz she’s “oneofour invited heroverforlunchand sunshine—like whenOprah box ofstrategies. says—she reachesintohertool- when good thingshappen,she does itoften surfaces—which to liveday byday. Whenanxiety month,shetries week ornext we are.” “But really, we’re as just perfect She alsobasksinthe aboutnext Instead ofworrying + + + Riskfactors About31%of Anxietyislinked point intheirlife. anxiety at some adults have had disorders. issues, andeating ADHD, sleep substance use, to mental illness. and parents with anxiety disorders, relatives with means, close limited economic in childhood, widowed, shyness divorced or life events, being include: stressful depression, + Most people impairment. 23% have serious impairment. About have moderate About 34% mild impairment. disorder have with ananxiety work inprogress.” it’s beenaprocess.I’m a still “Most days reallyare.But they corns andrainbows,” shesays. doesn’t meanthingsareuni- “Just becauseI’m onaTVshow Metz’s lifehashighsandlows. Just as it is on “This Is Us,”Just asitison“This IN SEASON TWOIN SEASON OF"THISISUS." METZ, INCHARACTER ASKATE
+ Anxietycan medication. strategies, and management groups, stress- self-help, support psychotherapy, with tools like be managed WEBMD.COM
37 WEBMD CHIEF MEDICAL DIRECTOR REVIEWED BY BY LISA MARSHALL MICHAEL W. SMITH, MD
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BODY CLOCK A HEALTHY CULTIVATE HOW TO thoseraysthe morning,andinstant hit Stepoutsidein clocks, Czeislerexplains. nizer ofhumancircadianrhythms, orbody synchro- important Light isbyfarthemost ‘DARKNESS DEPRIVED’ down that blue,hesays. Just dim the lights at night and tone andlight-at-nightmiologist researcher. a University cancerepide- ofConnecticut not that hard,” says PhD, RichardStevens, what todoaboutthisone,anditisreally there, we are rapidly figuring out exactly of harmful environmental pollutants out now.blesome enoughtowarrant action saymany the results are trou- health experts confirmdon’t causeandeffect). Nonetheless, (whichstudies demonstrate patterns but in animalsorcomesfromlarge population of chronicdisease.” lightscould“contributetotherisk street lamps many intheir citiesareinstalling ultra-bright lightemitting diode(LED) concernsthat thenewment expressing chimedin,issuingastateAssociation - than“bluelight.”human physiology wavelength on light,whichhaslessimpact as nightfalls,dimandchange tolonger International Space Station to ones that, went sofarastoretrofit allthelightson cancer, disease.In andheart October, NASA problems, butalsotoweightgain,depression, to artificial lightat tosleep nightnotjust mountingresearchlinkingexposure explore “As opposedtothemany otherkinds Much ofthe researchsofarhasbeendone June,Last theAmericanMedical
in theevening. age thanthoseexposed tomostbrightlight noon were about1.4 onaver poundsleaner the bulkoftheirbrightlightexposure before sity researchers found thatpeoplewhogot positive, effects alerting oflight by day. environments are toodimtostimulatethe your atwork. desk show Studies mostoffice more ofblue-huedlightateye level—to puton livers 1,000 lux(ameasure oflightintensity) or window. Invest inabrightlight—one thatde- One 2014 studyby Northwestern Univer Pull your desk at the office up to a Pull your attheofficeupto desk Take awalk outsideinthemorning. GET PLENTY OFNATURAL LIGHT BY DAY automatically shift screensautomatically shift on Use f.lux andotherappsthat START POWERINGDOWNAT DUSK ogy has been delayed by hours. hasbeendelayed byhours. ogy to, soourtransition tonighttime physiol- potent wavelength towake up weevolved are bathed bylightsthat sharethat same says. Trouble is, in the modern world, we sleeping,isrestorative, Stevens actually if we are not state, even in this restful grows, andhunger timespent abates. The rise, bodytemperature drops,sleepiness physiology,” inwhichmelatonin levels body beginstotransition to“nighttime lightfades,the As the oppositeoccurs. us hungry. and ghrelinthat wake usupandmake producing hormoneslike cortisol start out drowsiness-inducingmelatonin and sky—signal thebrain pumping tostop length lightemitted byacloudlessblue wavetuned to respond to the short - you, specializedcellsintheretina—finely At dusk, world, inanelectricity-free
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Studies show people exposed to moreStudies show people exposed diseases. fuel weightgainandmetabolic increasingly beenimplicated inhelping by 23%;two hoursdecreaseditby38%. like aphone,suppressed melatonin device, Just fromaglowing onehourofexposure moresensitivetolightat night.be even those readingapaperbook. day thenext than sleep, andfeltgroggier restorative movement(REM) rapid eye days, took longer tofallasleep,hadless five dropby55%after melatonin levels an e-readerat nightsaw theirnighttime study, peopleinasleeplabwhoreadfrom sleep disruption. Inis short-term one lightexposure evening quence ofexcess ness deprived.” Colorado-Boulder researchers A recent studyby University of GO CAMPINGFOR THE WEEKEND Sleep issues aside, light at nighthasSleep issuesaside, light teenagers may suggests Another study conse- documented By farthebest puts it, we are “dark- Stevens As
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GETTY IMAGES in the blood. Female workers night shift known anti-cancer agent—circulating of melatonin—a reducing the overall levels at nightmay alsofuelcancer, by inpart light toexcess chronicexposure suggests says Nelson. onehandofthatand sleepisjust clock,” of disruptiontheentirecircadianclock, is a problem asleepproblem.This not just is getting enoughsleep,notesNelson. “This ifthose workers are impairments, even at nightshowsimilar cognitiveandmood workers tobrightlight chronicallyexposed room workers and oil field ofemergencystudies their infancy, population human brain areonly in light at nighthason the looking at theimpact University. While studies roscience at OhioState ofneu- the department Randy Nelson, chair of author study explains problems,memory symptoms” andhad showed “depressive-like neurons towhither. like transmitters between growth, andcausinghair- promoting brain new cell rotrophic factor, for key mone brain-derived neu- inflammation, ofthehor- decreasinglevels onthebrain, increasing measurable impact thecourseofeightweekshasa eyes—over ness ofachild’s fromthe nightlight3feet to relatively dimlight—aboutthebright- State University exposure showthat even likelynight werealsothemost tobeobese. illuminatedlived intheplacesmost at illumination andfoundthat peoplewho satellite images of nighttimemilitary Health Organization obesity data with of Haifa researcherscomparedWorld as fat.stored risk—oris diabetes blood, boosting in the a result, it rests into fuel. As for themtoturnthoselate-night snacks produce lessinsulin,makingitharder bright lightat nightarehungrierand Research is young, but some studies Research isyoung,butsomestudies animals alsoThe at Ohio conducted Animal studies One March 2016 byUniversity study SHIFTWORKERS TO “IN ASENSE,WITH WE ARE ALL NIGHT ALL OURGADGETS, A DEGREE NOW.” You’ll live longer. scenario: Best-case more refreshed. for whenit’s timetogo tosleep. your window, mask andinvest inaneye lightsshinein black-out shadesifstreet longer-wavelength lights,considerusing bedroom andbathroom withdimmer, screens. Replacethelightsinyour clearofbrightblue the lightsandsteer dinner,after butit’s agood ideatodim darkness. No needtolivebycandlelight an additional three hours of relative night, youshouldmake an effort toget athealth program theLighting director Mariana Figueiro,PhD, lightand GO DARK now,” says Blask. workersare allnightshift toadegree workerswomen nightshift hazardpay. with health risks in mind, now pay die early. SomeEuropeangovernments, than five years were11%morelikely to formorewho worked thenightshift Preventive Medicine , foundthat those published in the AmericanJournal of for CircadianBiology. of the Tulanedirector University Center notesDavid lifetime, Blask,MD, associate cancerduringtheir breast of developing 50%and70%atare between greater risk At a minimum you’ll wake up feeling At a minimum you’ll “In we asense,withallourgadgets, of75,000One recent study nurses, you try to get each to get you try to eighthoursofsleep that, the seven beyond light at night.” health consequencesof sensitive tothenegative may alsomake youless day, it researchsuggests more awake by and alert duringtheday.get amount ofbrightlightwe tomaximize thetry eyes—at night, we should heldclosetothegadgets from light—particularly ing brightblue-hued in additiontominimiz- New York, that stresses Research Center in Troy, Stevens suggestsStevens “It notonlymakes you
BY THE NUMBERS
their bedroom their bed Percentage ofadultswho have at Percentage who ofAmericans least oneelectronic device in Amount by whichbluishbulbs by by sleep withtheirsmartphones to older bulbsthatgive off Percentage ofU.S. workers who work thenightshift orange-yellow light suppress melatonin compared 71 5 89 17.7 x % % % WEBMD.COM 41 The possibility of curing sepsis with a common vitamin has put one of history's greatest killers back in the spotlight.
Sepsis has been in the medical books since Hippocrates. Sometimes, the body’s immune system responds to an infection—most commonly a respi- THE ratory illness like pneumonia—with overwhelming force. That triggers widespread inflammation that can cause blood pressure to collapse or blood clots FIGHT to develop so less blood flow goes to vital organs like the kidneys or liver, starving them of nutrients and oxygen. The drop in blood pressure and decreased blood flow, known as septic shock, can lead to organ failure and death. Sepsis “sets a cascade in motion where the body sets up a self-sustaining feedback loop, where it keeps worsening itself. That damages organs, which leads to more altered inflammation and altered AGAINST organ function,” says Craig Coopersmith, MD, a SEPSIS professor of surgery and critical care specialist at the IT’S PLAGUED HUMANS FOR THOUSANDS OF YEARS, BUT NOW SCIENTISTS MAY BE ON THE VERGE OF NEW TREATMENTS FOR THIS DEADLY DISEASE
BY MATT SMITH REVIEWED BY HANSA BHARGAVA, MD WEBMD SENIOR MEDICAL DIRECTOR GETTY IMAGES 43 WEBMD.COM causes of death for hospital patients, and vitamin B-1 to help fight off organ and his colleagues sorted through a list of somebody gets sore, somebody has particularly those in intensive care. failure and death in people with sepsis. more than 1,200 drugs that can restrain trouble breathing—that suggests that THE WARNING To treat sepsis, doctors have to tackle Among 47 patients who received the caspases, he found about a dozen NSAIDs they’re sick, but may not necessarily not only the underlying infection, but mixture, all but four survived, the doc- on that list. be a flag sticking up that says, ‘I have SIGNS OF Emory University School of Medicine the complications that come from tors reported in a recent study. Those findings, published last year, a bad infection, and I need treatment SEPSIS and a former president of the Society of the body’s immune response, says That study, however, involved a small could help doctors find new drugs to help rapidly,’” Sevransky says. Critical Care Medicine. “What starts as Jonathan Sevransky, MD, who works number of patients in one hospital, and treat sepsis and other problems. But it’s The CDC now focuses awareness INCLUDE: a simple, ‘I scraped my knee and I got with critically ill patients at Emory the authors note that more research is not without risk: Yin notes that NSAIDs on the problem and urges doctors to • Fever, chills, or shivering a simple infection,’ can actually, in rare University Hospital in Atlanta. needed to confirm their findings. “For can cause heart and stomach problems, “Think sepsis.” A similar push is under- circumstances, end up killing you.” Survival often depends on a quick the type of study that it was, it was nicely and those complications kill as many as way by the Society for Critical Care • Breathing difficulty diagnosis, an early dose of the right done,” Sevransky says. But he says a fol- 16,000 people a year. It will take several Medicine and its European counter- • Rapid heartbeat antibiotics and intravenous fluids, low-up study will need to involve more years before NSAIDs are tested to treat part, the European Society of Intensive sepsis in humans. THE RISK OF SEPSIS along with tests to look for an infection patients, some of whom would get the Care Medicine. Those organizations • Disorientation or confusion Meanwhile, other potential anti- The danger is real. In the days before sterile or symptoms of impaired metabolism— treatment and others who wouldn’t. have introduced a three-point test to sepsis drugs failed to live up to their instruments and antibiotics, sepsis was a such as high levels of lactic acid in the Previous research suggests vitamin help identify patients at risk: rapid • Clammy skin initial promise. A drug that targeted a frequent and deadly complication of wounds. blood, a sign that cells aren’t getting C can improve blood flow to tissues in breathing, a drop in blood pressure, protein involved in the body’s immune But today, sepsis still strikes at least 900,000 enough oxygen. Unfortunately, no sim- the body of a sepsis patient, keeping and an altered mental status. response failed in a clinical trial in people a year, and 25% to 50% of them die. ple test can identify sepsis early—some- the cells supplied with nutrients and The CDC recommends that if 2011, while another aimed at improv- “It’s tremendously important, because Coopersmith says certain types of thing that’s particularly dangerous for oxygen and preventing organ failure. you or a family member have ing blood flow in sepsis patients was a lot of people have it,” Sevransky says. infections—including pneumonia, some intensive-care patients, Sevransky says. Other studies have tried to focus on pulled from the market the same year “But it’s not complicated, which is maybe an infection that seems to be forms of streptococcus bacteria and E. “When you look at people who die in restraining the immune overreaction after disappointing results. why people haven’t paid a lot of attention getting worse, see a doctor— coli, urinary tract infections, skin and gut the hospital, between one in three or that causes sepsis. That overreaction “We have simple treatments that to this. It’s really bread-and-butter medi- and ask about sepsis. infections, and the antibiotic-resistant even one in two will die from sepsis,” makes it harder for blood to flow. And work, but so far, none of the fancier cine, but we don’t do as good a job as we’d MRSA bacteria—are more likely than he says. “Sometimes it’s because they it’s possible that non-steroidal anti-in- treatments have worked,” Sevransky says. like to do.” others to trigger sepsis. Infants and peo- have so many other problems that we flammatory drugs (NSAIDs)—a group Yin adds that the pathology of ple older than 65 are more susceptible. can’t solve all the problems and the that includes popular over-the-counter sepsis makes it more difficult to fight But the biggest risk is among people with infection, but sometimes it’s because painkillers like ibuprofen—may be with drugs. Death can occur in 24 to other illnesses like cancer or a disease that we don’t think of it early enough.” able to offset that response, says 48 hours, the underlying infection may suppresses their immune system, he says. Hang Hubert Yin, a biochemist at the be resistant to antibiotics, and organ “Those illnesses predispose people to be University of Colorado. damage that happens can be extremely WHEN YOU LOOK AT PEOPLE WHO more likely to become septic and have worse A NEW LOOK AT AN Yin has been studying a family of nat- difficult to halt with drugs. outcomes when they become septic,” he says. OLD MEDICAL PROBLEM urally occurring enzymes called caspases, Though four in five cases start out- Recently, doctors in Virginia used a which fuel the kind of aggressive immune DIE IN THE HOSPITAL, BETWEEN side of hospitals, it’s one of the leading cocktail of vitamin C, corticosteroids, response that can lead to sepsis. When he ‘THINK SEPSIS’ For now, Sevransky says the most ONE IN THREE OR EVEN ONE IN TWO important thing doctors can do is “ detect signs of sepsis early—something BY THE that is often difficult. For some people, WILL DIE FROM SEPSIS. NUMBERS confusion is the first outward sign of the problem, he says. About “They often have symptoms that At least don’t often jump and say, ‘I have an infection.’ Somebody gets confused,
900,000 7 in 10 24 billion ” The number of people who develop Of those who get sepsis, the proportion The number of people with sepsis who The amount spent on treating sepsis sepsis in the United States every year. who will die from the disease. had a chronic disease or had been treated cases in U.S. hospitals in recent years. Search for the video The Basics: Sepsis
for some illness recently. GETTY IMAGES at WebMD.com.
44 WEBMD.COM DELICIOUS BITES Food MEALS MADE EASY
GOOD FOR YOU Morning Scramble Protein-rich and inexpensive, eggs can help you power past morning hunger pangs
EGGS, LONG SEEN AS A DIETARY devil because their yolks are chock full of cholesterol, are no longer a no-no. Researchers now know that cholesterol from food doesn’t elevate blood cholesterol in most people. And a large 2017 study of Finnish men found that eating one egg a day didn’t boost their risk of heart disease. One large egg offers more than 6 grams of protein, 41 IUs of vitamin D, and the eye-protective antioxidants lutein and zeaxanthin. Even better, eggs make an easy, inexpensive, and kid-friendly meal. Note this isn’t a thumbs up to daily omelets; researchers say your intake should average no more than an egg a day. Instead of pairing that egg with sausage and greasy hash browns, try veggies, fruit, salsa, or whole-grain toast. —ERIN O’DONNELL GETTY IMAGES
46 WEBMD.COM BY Erin O’Donnell FOOD RECIPES BY Kathleen Zelman, MPH, RD, LD
3 WAYS Oatmeal Think beyond porridge! A standout superfood, oatmeal works well with a surprising array of sweet and savory add-ins and 1THE OUT-OF-THE-BOX BREAKFAST 2THE SWEET START 3THE BRUNCH BOWL provides a tasty way to reduce Old-Fashioned Oats and Blueberry Banana Oatmeal Mediterranean-Style Oatmeal your LDL cholesterol and Veggie Bowl We like to use frozen wild blueberries in Pair the amazing oat with popular type-2 diabetes risk. Savory breakfast lovers: Think of oatmeal as this recipe because we find them more Mediterranean ingredients, including cherry more than a sweet treat. Old-fashioned oats flavorful than farm-raised varieties, but tomatoes. (We like the cheery combo of red (also known as “rolled” oats) make a perfect either type will work. and yellow tomatoes.) Consider this option backdrop for sautéed veggies and eggs for for brunch. a delicious, unexpected way to eat more produce and get the savory start you crave.
THE MIX THE MIX THE MIX Oatmeal + red Oatmeal + frozen Oatmeal + low-sodium pepper, green onions, wild blueberries; chicken stock, baby mushrooms, garlic, red salt; bananas; spinach, salt, freshly pepper flakes, eggs, toasted, chopped ground pepper, cherry fresh thyme, Parmesan almonds; honey; tomatoes, avocado, cheese cinnamon basil, olive oil
MAKE IT Prepare oats according to pack- MAKE IT Prepare oatmeal according to MAKE IT Prepare oatmeal according to age directions. Sauté sliced red pepper, package directions. In the last 3 minutes, package directions, substituting chicken a bunch of green onions (slice and save add frozen blueberries and salt. Spoon stock for water. Stir chopped spinach, salt, tops for garnish), mushrooms, and garlic. oatmeal into four bowls. Top with sliced and pepper into the oatmeal, then divide Season with red pepper flakes, salt, and bananas, almonds, a drizzle of honey, into four bowls. Top each bowl with toma- pepper. Divide oats into four bowls. Top and a sprinkle of cinnamon. Serve toes and avocado, and finish with chopped each with veggies and 1 fried egg. Garnish immediately. SERVES 4 fresh basil and a drizzle of oil. Serve imme- with green onion tops, fresh thyme, and diately. SERVES 4 a sprinkle of shredded Parmesan. Serve immediately. SERVES 4
Old-Fashioned Oats PER SERVING (ABOUT 1½ CUPS COOKED PER SERVING (ABOUT 1½ CUPS COOKED OAT- PER SERVING (ABOUT 1½ CUPS COOKED and Veggie Bowl OATMEAL WITH VEGETABLES AND 1 EGG) | 173 MEAL AND TOPPINGS) | 281 calories, 8 g protein, OATMEAL AND TOPPINGS) | 288 calories, 11 g Season this dish with thyme or calories, 11 g protein, 17 g carbohydrate, 7 g fat (2 g 51 g carbohydrate, 7 g fat (1 g saturated fat), 0 mg protein, 36 g carbohydrate, 13 g fat (2 g saturated fat), other fresh herbs. saturated fat), 176 mg cholesterol, 3 g fiber, 2 g sugar, cholesterol, 7 g fiber, 14 g sugar, 151 mg sodium. 0 mg cholesterol, 7 g fiber, 2 g sugar, 185 mg sodium.
PHOTOGRAPHY: RICK LOZIER; FOOD STYLING: CHARLIE WORTHINGTON CHARLIE STYLING: FOOD LOZIER; RICK PHOTOGRAPHY: GETTY IMAGES 261 mg sodium. Calories from fat: 36% Calories from fat: 14% Calories from fat: 34%
47 48 WEBMD.COM WEBMD.COM BY Matt McMillen FOOD REVIEWED BY Hansa Bhargava, MD Search for the Healthy WebMD Senior Medical Director Recipe Finder at WebMD.com.
MAKE IT • Plan for one or two tacos per person, depending on appetites. • Heat small-size flour tortillas in a single layer on a dry skillet or grid- dle until puffed and lightly charred on both sides. Do not microwave. • Tortillas won’t stick to a hot pan, so preheat your pan on medium for several minutes. • Keep the tortillas warm for up to 30 minutes by wrapping them in a towel and putting them in a plastic bag. • Scrambled eggs, cubed pota- toes, and sausage (chorizo is a great choice) make the best fillings. Cook the potatoes and sausage in advance if you like, but scramble the eggs right before you serve. • Fill your tortillas just enough so that they can still close. • Bring salsa, guacamole, and other toppings to room tem- perature. Lightly heat the salsa if you like. BUILD A BETTER • Top with a variety of fresh, flavorful garnishes, like cilantro, lettuce, scallions, and pico Breakfast Taco de gallo. • Set out the fillings and toppings Start your family’s day with a generous spread of filling morning favorites— like a buffet so everyone can eggs, sausage, and potatoes—stuffed into warm flour tortillas build their own taco. • Invest in a large griddle if you BREAKFAST TACOS MAKE THE DAY’S PERFECT FIRST MEAL, ACCORDING TO PATI JINICH, AUTHOR make tacos often. It allows you of the cookbook Mexican Today and host of PBS’s “Pati’s Mexican Table.” “They have all the to heat several tortillas at once. A tortilla warmer will also come in things you like in one package,” says Jinich, who notes that much can be made or bought in handy, and they don’t cost much. advance. Here, she shares her tips for a delicious way to begin your day. You don’t want cold tortillas.
Milk Substitutes
WANT A DAIRY MILK ALTERNATIVE FOR YOUR CEREAL OR COFFEE, OR SILK ALMOND AND RIPPLE UNSWEETENED GOOD KARMA ALMOND BREEZE COCONUT DREAM TO SAVOR ON ITS CASHEW PROTEIN VANILLA PEA MILK FLAXMILK + PROTEIN UNSWEETENED VANILLA ENRICHED OWN? TRY THESE NUTMILK “Get half the carbs, “Very few carbs, 8 CHOCOLATE ”No protein here, but RECOMMENDATIONS “Beating out dairy milk, more calcium and vi- grams of protein, and “An excellent source for 90 calories and FROM REGISTERED a serving boasts 10 tamin D, and the same omega 3s, it offers of calcium, vitamin D, 5 grams fat, you get DIETITIAN MELISSA grams of protein, half amount of protein and comparable amounts and vitamin E—and 10% of your daily JOY DOBBINS, MS, your daily calcium, and calories as milk, plus of calcium and flavor—with only 40 vitamin A, 30% of HOST OF THE “SOUND 25% of vitamin D. But omega-3s. Great for vitamins D and B-12 as calories and 2 grams calcium, and 25% of BITES” PODCAST. go easy: It’s heavier than people with nut, soy, or milk. Bonus: It’s free of of carbs. But note— vitamins D and B-12.” milk on fat and calories.” dairy allergies.” all major allergens.” only 1 gram of protein.” PHOTOGRAPHY: RICK LOZIER; FOOD STYLING: CHARLIE WORTHINGTON CHARLIE STYLING: FOOD LOZIER; RICK PHOTOGRAPHY:
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. 49 WEBMD.COM BY Kerri-Ann Jennings FOOD REVIEWED BY Hansa Bhargava, MD WebMD Senior Medical Director
1 TOOL, 5 MEALS
A Wiz in the Kitchen BREAKFAST BOX TODAY’S SMOOTHIES ARE AS CREATIVE AS THEY ARE HEALTHY. BREAK OUT YOUR BLENDER AND GET YOUR MOTOR RUNNING WITH THESE FIVE BREAKFAST SMOOTHIES. Eggs in an Instant MONDAY TAHINI-DATE SHAKES This Palm Springs classic gets a break- fast-ready update by swapping the ice cream for plain Greek yogurt, keeping fresh dates as a sweetener, and adding a swirl of tahini for added protein and healthy fats. Add ice cubes and milk to blend it to the right consistency. TUESDAY GREEN GODDESS While they don’t take long Supercharge your green smoothie by to cook, eggs for break- adding a scoop of matcha or spirulina to fast can seem like a lot of a handful of spinach, a squeeze of lime, work—cleaning egg pans plus ½ cup each of frozen mango, fresh banana, coconut water, and coconut milk. is a notoriously sticky business. But you can use your microwave to cook WEDNESDAY up eggs—no pan scrub- TROPICAL TWIST bing necessary. Try these If you haven’t yet been acquainted with three ways. pitaya (aka dragonfruit), you should be. You can find the pulp of this brilliant- Scrambled: In a micro- fuschia fruit in the freezer aisle. Blend wave-safe bowl, beat 1 together ½ cup frozen pitaya cubes with ¼ egg with 1 tablespoon of cup each of frozen pineapple and mango. milk and a dash of salt Cover with coconut water and add a and pepper. Microwave tablespoon of chia seeds, blend, then top for 45 seconds, stir, then with toasted coconut flakes. microwave another 30 to 45 seconds.
THURSDAY Poached: Crack an egg MORNING GLORY into a microwave-safe This winning flavor combination isn’t just for muffins. A high-powered blender bowl and cover with half a works best to get this smoothie ultra- cup of water, a pinch of smooth. Blend together ½ apple, ½ salt and 1 tablespoon of banana, ¼ cup rolled oats, 1 tablespoon vinegar. Microwave on flax seeds, 1 tablespoon walnuts, a dash high for 1 minute. Contin- of cinnamon, ½ cup each carrot juice, ue to cook at 15-second coconut milk, and ice cubes intervals until the yolks are as set as you like them.
FRIDAY “Baked”: Spray a BALANCED BREAKFAST microwave-safe bowl or This smoothie delivers everything you mug with cooking spray. need for breakfast: coffee and a balanced Add a handful of spinach meal. Blend together a cup of cold-brew coffee, a frozen banana, 1 to 2 tablespoons and a slice of ham. Crack of hazelnut butter, and ½ cup milk of an egg on top and sprin- choice, along with ice cubes. Add cocoa kle with grated parmesan powder to turn it into a breakfast mocha. or cheddar. Cover with a
PHOTOGRAPHY: RICK LOZIER; FOOD STYLING: CHARLIE WORTHINGTON CHARLIE STYLING: FOOD LOZIER; RICK PHOTOGRAPHY: damp paper towel and mi- crowave for 1 minute. 50 WEBMD.COM BYBY FirstMatt LastnameMcMillen FOOD REVIEWEDREVIEWED BY BY Hansa First Bhargava,Lastname, MDMd WebMD SeniorWebMD Medical Medical Director Editor
1 1. KUMQUATS Brimming with both sour and sweet flavors, eat these little torpedo-shape fruits whole, skin and all. Or mash them with butter and spread on your favorite breakfast bread.
2. ORANGES 2 Juice them to start your day, slice them thinly and toss into salads and slaws, or roast with fresh lavender to serve on top of your 5 breakfast yogurt.
3. GRAPEFRUITS Yellow, pink, or ruby, let their juice wake up your senses. Or simply slice, sprinkle with chopped fresh mint, and drizzle with honey for a
4 healthy break- fast treat.
4. TANGERINES 3 Smaller, sweeter, and easier to peel than oranges, savor them fresh or dry them and add to homemade granola. Candied, they pair perfectly with breakfast crepes.
FOOD 101 5. LEMONS A kitchen staple, grab a common Citrus Eureka lemon, with its thick skin Sensations and tart taste, and Brighten your morning with these squeeze it over finished dishes. sweet, tangy fruits Or seek out Mey- CITRUS FRUITS BURST WITH JUICY FLAVOR. AND THEY ALL BOAST AN er lemons, ideal for vinaigrettes, abundance of nutritional benefits. Richest in vitamin C, citrus fruits sorbets, and ice also provide calcium, potassium, fiber, and more. “Whether you squeeze, cream. zest, or just peel and eat them, citrus fruits are packed with nutritious
PHOTOGRAPHY: RICK LOZIER; FOOD STYLING: CHARLIE WORTHINGTON CHARLIE STYLING: FOOD LOZIER; RICK GETTYPHOTOGRAPHY: IMAGES goodness,” says Valerie Aikman-Smith, author of Citrus: Sweet and Savory Sun-Kissed Recipes. These five are among her favorites. Search for the slideshow 15 Healthy Ways to Use Lemons and Limes at WebMD.com. 51 WEBMD.COM GETTY IMAGES such as the heart, lungs, kidneys, and brain, or skin. lungs,kidneys, andbrain,such astheheart, orskin. occur invarious ofthebody, parts includingmajororgans body’s own healthy tissue. attacks often-painful These can between healthy cellsandinvaders. Asaresult, itattacks the lupus, theimmunesystem doesn’t recognize thedifference infections thatinvade thebody. Inpeoplewhohave bacteria,andother thatfightviruses, antibodies A healthy immunesystem produces cellscalled disease lupus. lupus. disease autoimmune a form ofthe Americans have Some 1.5 million EDGE CUTTING EXPLORE HEALTH attacks onthebody. theimmunesystem’sto stop umbilical cordbloodtotry cellstakenstem fromdonated plantouse a clinicaltrial,they Carolina wanttochange that. In Medical University ofSouth Researchersat the has nocure. some peopleinremission,lupus play aroleinwhodevelops seemtothe condition.Genes progression, andflare-ups of thedevelopment,triggers MORE ABOUT FACTORS THAT RESEARCHERS MUST LEARN WITHOUT A CURE FOR LUPUS, RELIEVE SYMPTOMS WHILE MEDICATIONS CAN
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— researchers say. safe way toaddressthisrisk, D supplementsmay bea failure.Vitamin related kidney can increasetheriskoflupus- shows vitaminDdeficiency who have research lupus;new which iscriticalforpeople rob thebodyofvitaminD, however,Sun protection, can and limitingtimeinthesun. ups byalways usingsunscreen flare- lupus canhelpprevent the sun.People livingwith these isultraviolet lightfrom mayfactors worsenit.Oneof that environmental several found lupus. Arecentstudy SONYA COLLINS attacking healthy tissue. white bloodcell,from system, suchasthis ways to stop theimmune lupus are lookinginto Researchers studying Under Attack TAKE ACTION WEBMD.COM 52 GETTY IMAGES A rheumatology expert shines alightonthisautoimmunedisease shines expert A rheumatology 5 Things to Know About RA BY THENUMBERS DOCTOR Q&A start treatment, thebetter theresponse,”start Husni says. true acrosstheboard:You onthemASAP. wanttoget earlieryou “The prescribes dependsontheseverityofyoursymptoms,but onethingis rheumatic Whichoneyourdoctor drugs(DMARDs)like methotrexate. differentA few includingdisease-modifying anti- medications treat RA, commonagealthough themost is40to60.” lot morevariable becauseit’s autoimmune,” Husni says. RA, “Kidscanget isa wearing thin.“Rheumatoid arthritis decadesandyourjointsstart few joints ache—isadiseaseofwearandtear. Run, andclimbfora jump,lift, (OA)—theOsteoarthritis thattype makes of arthritis your grandparents’ explains.Clinic, M. ElaineHusni, MD, Centerat Cleveland oftheArthritis MPH,director (RA)affectsarthritis thejoints.Yet, RAismorethansorejoints. WITH THE WORD ARTHRITIS TIME IS OF THE ESSENCE RA ISN’T YOUR GRANDPARENTS’ ARTHRITIS webmd.com/findadoctor. Finder WebMD’sUse Physician Need a specialist? . Go to . Go
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to remainboard-certified. go througharigorous re-certification process Hepassed additionalexams. also orshe must oftraining advanced and levels completed has successfullywhich meansadoctor two-year fellowship. some also residency; do a one- tooncology medical school plus a four-year radiation doaone-yearinternship afteroncologists fellowship (at two least years).Radiation residency,surgery then a surgical oncology afive-year complete must generaldoctor fellowship (anothertwo tothreeyears). tal orclinic),followedbyamedicaloncology (hands-ontraining atcine residency ahospi- athree-yearinternalmedi- complete must tor whowantstobeamedicaloncologist Medical schoolisonlythebeginning.Adoc- A lotoftraining isinvolved who hasprostate orlungcancer. from someone different medical oncologist cancer,has breast may for example, go to a treat thesamekindofcancer. Apatient who treatAll oncologists cancer, don’tall butthey specialized jobisextremely The izes intreating cancerwithradiation therapy. procedures like biopsies. cancer, aswelllessinvasive surgical for breastsurgeries, such as mastectomies in cancerpatients. includesmajor That surgery guessed, isthepersonwhoperforms asneeded. specialists it, andcoordinates carewithothercancer (including thoseforchemotherapy) totreat diagnoses cancer, givesmedications doctor pointperson.This your primary % Most arealsoboard-certified, oncologists To a becomeasurgicaloncologist, whospecial- A radiation isadoctor oncologist asyoumighthaveA surgicaloncologist, willlikelyA medicaloncologist be
REVIEWED BY 51 WebMD SeniorMedical Director
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ILLUSTRATION BY: JAMES STEINBERG EXPERT TIPS it.address million have difficulty control.Don’t withbowel ignoretheproblem.Instead, investigate and incontinenceandabout18 about25millionAmericanadultshaveBy someestimates, urinary forHelp Incontinence urologist, Orlando Health, Orlando, Florida Orlando, Health, Orlando urologist, anddepression.”isolation worry overaccidentscanlead to isnormal,andthe incontinence for theirage. However, noformof iscommon incontinence assume aproblem. Mostnotice patients “Talk toyourdoctorwhenyoufirst JAMIN BRAHMBHATT, MD HEALTH HIGHLIGHTS
Bay Shore, New York New Shore, Bay Hospital, Southside urogynecology, of chief and garments.” vaginal insertsandprotective pads Also,tryover-the-counter leaking. This alonecandecrease episodesof your bladderfrom gettingtoofull. togo you have ornot, toprevent twohours,“Urinate every whether PETER S. MD FINAMORE, CHECKUP
bladder. your on press not does it that so belly your Shrink 1. 10 TipstoCope affect bowel control. bowel affect may that conditions medical about doctor your Ask 5. worsen fecal incontinence. can which foods, greasy and spicy, fatty, on back Cut 4. bowels. control your bladder and that the muscles strengthen to exercises Kegel Practice 3. 2. irritate the bladder. drinks, which caffeinated other and tea, coffee, Avoid
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56 GETTY IMAGES severe formofthedisease severe withthe canhelp withyour doctor triggers, andpartnering medications, newer avoiding buttrying can’t becured, Asthma Breathe Easier high doses of inhaled corticosteroids, Fahyhigh dosesofinhaledcorticosteroids, Even explains. then, asthma medicationsdo, youneedmultipleasthma tocontrolsymptoms,including University ofCalifornia,SanFrancisco Medical Center. clinic at asthma of the severe and critical care medicine and director monary forms,” says John Fahy, MScMD, professorofmedicineinthedivisionpul- neous inasensethat somepeoplehave severe mildformsandsomehave very isthesame.“It’sasthma commondisease,butit’s- avery heteroge alsovery ONE IN EVERY 12 ADULTS HAS ASTHMA, ACCORDING TO THE CDC. BUT NOT ALL LIVING WELL DOCTOR ASK YOUR If you have the severe form, which about 5% to 10% of adults with asthma If youhave form,whichabout 5% to10%ofadultswithasthma thesevere Better atHomeWebMD.com. Search fortheslideshowBreathe
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57
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GETTY IMAGES / MAARTEN DE BOER Brief bouts. Sometimes she’sBrief bouts.Sometimes nonsensical, Mother, celebrates your mom,Bever Your new memoir, of TheSeasons My I planto gettested. Whatwas hard with membered for shebrought thebeauty say: “Look whoitis!It’s Marcia Gay!” Then other times there’sother times clarity. suchastartling the Japanese art of floral arrangement offloralthe Japanese art arrangement asked, “Who?” There are feelings; nohurt incredibly rich,full,determined, loving best coursebest for her. It’s afamily disease made intheworld. It’s atribute to her. Does yourDoes mom,who’s now 80, still There was noformal sit-down on early Mom isshehadn’t putthingsinplace. I’ll hear, “Your daughter.” SoIknow she’s ly, Alzheimer’s whobattles disease. which has a genetic component. Do which hasageneticcomponent.Do called ikebana. What’s your passion? to say, iswhatIwant.” “This Suddenly following AndIlove, itsprinciples. love, up ikebana. Itastonishesmehow Ican Before Ienter theroom hercaregivers lives, andtheirlegacy islostto their You your describe mother’s love for disease. Iwant my motherto bere - everyone’s jugglingto figure outthe People withAlzheimer’s have lived I dopottery. Lately, I,too, have taken She hasearly-onset Alzheimer’s, and candevastate awholefamily. to ourfamily andthechangeshe come up with something beautiful come upwithsomethingbeautiful Thankfully, we have astrong unit. it’s aboutmakingsure she’s OK. you worry aboutgettingit? have ofrecognition bouts TEN QUESTIONS and memory? love to read. 2 1 4 3
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“Code Black”: Isittoughtomake those Hollywood for women olderthan40? I’m Igotbackonthetreadmill trying! this seamless thanitusedto be.seamless You cango of themovie charac Dothese series. - beautiful. Worstbeautiful. istheslowing down. I sexual thatcomefrom escapades love. By thethird [season] Iwas like, “Icandoa to love otherandhave each allkindsof His love isfreed! Andnow they are free an adeptandthoughtful actor. Ilove him. film to theater—and even write abook! erything Ineedisarounderything me, andit’s The best part isthecontentedness. I part The best past January after crackingpast January arib, which ER scenes look so real, and work with looksoreal,ER scenes andwork with tating becausehe’stating But sobeautiful. he’s More opportunity. Inthepast15years, What’s thecurrent landscapelike in It’s asexy actionmovie andafunride! ters possibly need further freeing?!ters possiblyneedfurther thoracotomy, thanks!” AndRob issoirri- We doamedicalbootcampevery year. Onthatnote, are you stilldoingyour can beinthekitchen makingsome - Shades FreedShades , thethird installment from a commercial show to aTV to a thing withmy kids,andIrealize ev the crossover for actors isfar more Which bringsustosex—and 50 What’s andworst thebest part eternally handsomeRob Lowe? don’t want to slow down, ever! 10,000 stepsevery day? —LAUREN PAIGE KENNEDY is finallygetting better. about being58? REAL LIFE 10
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