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Dr. Red Duke on Houston Chronicle's Health cover

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  • 7/26/2019 Dr. Red Duke on Houston Chronicle's Health cover

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    GOOD HEALTH IS ABOUT COMMON

    SENSE AND BETTER CHOICES

    DR. RED DUKE

    SUPERSURGEON

    chron.com/health Monday, June 16, 2008

    t

    GEAR GIRL LOVES HER WORKOUT GADGETS. PAGE 11

    SINUSSURGERYNEW PROCEDURECOULD REPLACESHOTS, PILLS

    A BIG STEPFORWARDARTIFICIAL PANCREAS

    FACING ITSLAST HURDLE

    3 SIMPLE

    RULESAT BEACH ORPOOL, SAFETYCOMES FIRST

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    Healthcontents.06.16

    2 Health Monday, June 16, 2008

    HOW TO REACH US801 Texas Ave.,

    Houston, Texas 77002Newsroom: 713-362-7171

    www.chron.com

    TO ADVERTISECall Viki Peltier at 713-362-7049 or e-mail

    [email protected].

    EDITORJeff Cohen

    [email protected]

    MANAGING EDITORJohn Wilburn

    [email protected]

    HEALTH EDITORDiane Cowen

    [email protected]

    ART DIRECTORSusan Barber

    [email protected]

    FEATURES PHOTO EDITORThe Pham

    [email protected]

    DESIGNERJarrod Evans

    [email protected]

    COPY EDITORCarla Torres

    [email protected]

    WRITERSTodd Ackerman, Lynn Cook,

    Linda Gilchriest, Terri Langford,

    Kim Morgan, Dale Robertson, Mary Vuong

    PHOTOGRAPHERSMayra Beltran, Steve Campbell,

    Buster Dean, Gary Fountain,

    Kevin Fujii, Eric Kayne, James Nielsen,Melissa Phillip, Robert Seale

    QUESTIONS OR COMMENTSE-mail [email protected] or

    Attn. Diane Cowen

    Houston Chronicle801 Texas Ave., 9th floor,

    Houston, TX 77002

    Copyright 2008 Houston Chronicle

    114

    18

    12

    6

    4REACH, THROW, DONT GOWhether in a pool or at the beach, stick

    to the 3 simple rules of water safety.

    6THE PERFECT RECIPEPam Anderson - no, not that one - stopsdieting and (finally) loses weight.

    8A CUE FROM THE HEARTSinuplasty procedure could change

    allergy treatment.

    9 HARDER THAN IT LOOKSLynn Cook takes a turn at tumbling, trampoline in

    T&T Fitness class.

    11GEAR GIRLFor runners or campers, gadgets galore.

    12THE ARTIFICIAL PANCREASResearch moves ahead for dramatic

    diabetes project.

    18WORKOUT DVDIVAMary Flood reviews The Abs Diet for Women

    Workout and a new Fast & Firm! plan.

    20BEFORE & AFTERMarie Rockwood credits exercise - and her

    trainer - with melting away the inches.

    Exp.7-31-06

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    Monday, June 16, 2008 Health 3

    A TRAUMASURGEONTO THE CORE

    ON THECOVER

    ROBERT SEALEFOR THE CHRONI CLE

    DR. RED DUKE LIVES BY HISWORD; SAYS LIFES MORE LIKECHESS NOT CHECKERS

    BIOAge:79Born:In 1928 in Ennis, Texas; grew up inHillsboroEarly life:As a child he picked cotton and workeda paper route.Education:Bachelors degree, Texas A&M (1950);divinity degree, Southwest Baptist TheologicalSeminary (1955); medical degree, University of TexasSouthwestern Medical School in Dallas (1960).Teaching career:On faculty at the Universityof Texas Medical School at Houston since 1972.Previously taught at UT Southwestern MedicalSchool; the College of Physicians and Surgeonsin New York; and Nangarhar University School ofMedicine, Jalalabad, Afghanistan.On air:Hosted the nationally syndicated TexasHealth Reports and the PBS series, Bodywatch.Family:Four grown children (a son and threedaughters) and a dog

    At 79, Dr. James Red Duke whose face is just as iconicas the sound of his voice could easily get a pass from24-hour on-call duty or the grungier tasks of being anemergency room trauma surgeon at Memorial HermannHospital. But Duke, the father of the Life Flight helicopterprogram, would have none of that. He still works too

    many hours to count, reports in for marathon hoursand teaches the finer points of medicine to interns andresidents. He took time from his busy schedule recently totalk to Chronicle Health editor Diane Cowen about goodhealth and his lengthy career in medicine.

    Q: You spent years on TV talking about good healthand nutrition, too. Do you walk the walk?A: I try to eat right and have for years. I really did learn alot by doing those TV programs. I wrote all that myself;Ive always been kind of a health nut.

    Q: So what do you eat?A: First, I graze. I dont eat big meals. Today for breakfastI ate grapefruit, cantaloupe, strawberries and blueberriesand some oatmeal. Midmorning I had some cottagecheese. Then I had red beans and cornbread for lunchand I just ate some veggies from a tray in the doctorslounge. Tonight Im eating dinner with my godson andanother doctor whos a good cook.

    Q: Do you take any vitamins or s upplements?A: I take all kinds of things. I take vitamins C, D, Eevery now and then. Fish oil. Niacin, Folate, B12, Zinc,magnesium, calcium. Im probably leaving something out.

    Q: Anything you must have every day?

    A: A glass or two of red wine every night. Red grapesare loaded with flavonoids and good antioxidants.Drinking a little red wine every day can lower theincidence of darned near anything. I think thats in theScriptures, too.

    Q: ER doctors seem to work incredibly long hours.Whats your workday or workweek like?A: I dont even know how many hours I work. At 5:15a.m. I take my dog to day care and I stay at work howeverlong it takes.

    Q: What kind of exercise do you do?A: I like to work out at the UT Rec Center. I warm up on the

    bicycle and like the rowing machine. I go through a seriesof weight training. I dont try to prove that Im 18 anymore.When Im really working out, Ill do it four to five times a

    COVERCONTINUED ON PAGE 4

    For video of a Life Flight

    crew rescue, go to

    chron.com/health.

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    4 Health Monday, June 16, 2008

    PRODUCT TESTWATERPROOF BANDAGES

    Whether youre hitting the beach or pool, washing your car or workingin your garden, nows the time for bandages to do some heavy lifting.

    We tested the waterproof variety, all of which claimed to stay on untilyou want them off and to seal out dirt and contaminants. We gaveall products two tests: a sweaty lawn-mowing session as well as anafternoon spent wade fishing. Heres how they fared.

    DIANE COWEN

    [email protected]

    BAND-AID WATER

    BLOCK PLUS

    Cost:$3.99Buy it:Walgreens (widely

    available)How it worked:In each testthis bandage stayed put, but

    edges started to peel after30 minutes in the water.

    GRADE

    B

    WALGREENS STRONG

    STRIPS

    Cost:$3.29Buy it:Walgreens stores

    How it worked:Ditto forthis brand.

    GRADE

    B

    NEXCARE BANDAGES

    Cost:$2.89Buy it:Target (widely

    available)How it worked:Full-size

    bandages stayed on aspromised in both tests, butsmall finger-wrap styles

    came completely off.

    GRADE

    C

    CVS WATERPROOF

    BANDAGES

    Cost: $2.99Buy it:CVS pharmacy

    How it worked:With theleast adhesive of the lot, this

    bandage came completelyoff while mowing the lawn.Its edges peeled significantly

    in the water but it stayedon.

    GRADE

    D

    week. Lately I havent been doinganything but climbing stairs hereat the hospital. That will burn

    more calories than anything.

    Q: A doctors job let alonethat of a trauma surgeon isstressful. How do you dealwith stress?A: Thats a funny thing. It has todo with the way youre wired, Isuppose. I dont get excited. Thecrazier it is, the better I like it.You could say Im an adrenalineaddict and thats probably true.

    Q: Over the years you talkedabout many health topics.Some were fads, but manywere worth the time. Whathealth trends were worth it?A: Well, I think people got themessage about sunscreen. Acertain segment of the population

    became aware of their diet andthe quality of what they wereeating. And look at the peoplewho exercise now. I jogged backin the 60s when nobody did

    it. We might have made someheadway in safety wearing seat

    belts makes a lot of difference.Bicycle helmets, too.

    Q: Do you have any healthconcerns?A: Mainly that Im getting old.I think I can see better thanthe residents. I am pretty deafand thats because I was a tankofficer in the Army and thosetanks are hard on your ears. Oneear isnt any good at all and theother is fair.

    Q: The last word?A: I always come back to safety.If people are conscious andaware, like at stoplights, theres noreason to hurry to get through astoplight. We see so many peoplehit in intersections. Be awareof your environment and whatyoure doing. Think ahead, andyoull avoid all that stuff. Think,

    damn it, think. Ill bet I say that100 times a day. Were not playingcheckers, were playing chess.

    COVER FROM PAGE 3

    Summer fun has

    risks, so knowsafety rules firstBY KIM MORGAN

    FOR THE CHR ONICLE

    Theres really no betterway to beat the heat of asouth Texas summer thanhitting the pool, lake or beach.Without proper supervision orswimming skills, a fun day ofplay can turn to tragedy.

    According to a Centers forDisease Control report, therewere 312 drowning deaths inTexas in 2005.

    Children ages 0-4 accountedfor 61 of those; 49 werechildren ages 5-19; and 58 wereadults ages 20-29.

    Drowning is the second

    leading cause of unintentionaldeath among children ages 1-14, said Teena Sandberg, RedCross water safety instructorand water instructor for SouthMontgomery County YMCA.Half of all childhood accidentsare water related. Last year, 49children died in the Houstonarea. It takes less than 2minutes for a child to loseconsciousness. Within four tosix minutes, its brain damage.Or death. And it takes lessthan 10 seconds for tragedy tooccur.

    So what do you do if younotice somebody flailing in thewater?

    Sandberg said theres asaying they teach children, andit applies to adults as well. ItsReach, Throw, Dont Go.

    Reach means keepyourself out of harms waywhile helping someone. You

    can get on your stomach andreach out with a piece ofequipment or a towel.

    Throw means toss anitem to the swimmer, such asa noodle, an empty ice chest, aseat cushion, anything they canhang on to that wont weighthem down.

    Dont go refers to resistingthe urge to jump in and grab onto somebody who is panickingand will likely pull you down,too. So dont go in the water,but do call 911.

    The rules change, though, ifthe swimmer is already at thebottom of the pool.

    Chris Crease, managingdirector of health and safetyat the American Red CrossGreater Houston Chapter, saidfirst make sure the area is safe,because you dont know why

    that person is at the bottom.Call 911, and then get moving.It only takes four minutes

    until youre brain dead,Crease said. You need to dosomething pretty quickly.

    If you can get the person outof the pool safely, do it, Creasesaid.

    If you dont know firstaid or CPR, do somethinganyway.There is a rightway and wrong way to doCPR, pushing on the chestand all, but youve got to dosomething, Crease said. Tiltthe head so the airway is open.Start pumping on the chest.Hopefully by then help hasarrived.

    [email protected]

    REMEMBER THIS

    WHEN SOMEONE IS

    FLAILING IN THE WATER:

    What to do: Reach,Throw, Dont go

    What not to do:Jump inAlways:Call 911

    WHEN SOMEONE IS AT THE

    BOTTOM OF THE POOL:

    What to do:If its safe todo so, get them out of the

    water as soon as possibleWhat not to do:Nothing.Something is better than

    nothing.Always:Call 911

    For information: www.ywaterwise.org; www.redcross.org

    STEVE CAMPBELL: CHR ONICLE

    SAFETY FIRST:Tyler Binkley, 5,is instructed by Teena Sandbergon how to reach someonedrowning with a foam noodle.

    TIPS Become knowledgeable

    about and committed to eatingthe right foods. We see so much

    obesity; its a problem in somany ways.

    Keep your brain busy,especially if youre older. Youwant to be interested, involved

    and stimulated.Its stupid to smoke. If you doit, quit.Agree to someday be an organdonor by signing an advanced

    directive and make sure yourfamily is aware of it. (Signing

    the back of your drivers licensedoesnt necessarily get it done).

    [email protected]

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    BY KIM MORGANFOR THE CHR ONICLE

    Youve seen them at thepharmacy, and at one point oranother been curious enoughto try it.

    Blood pressure monitoringis not just for the doctors officeanymore.

    People can buy monitors forat-home use as well, a move theAmerican Heart Associationrecently endorsed for the 72million Americans who havehigh blood pressure.

    Dr. Randall Wright, medicaldirector of the Conroe RegionalStroke Center and president-elect of the MontgomeryCounty Board of Directors

    for the American HeartAssociation, said the message isone of preventive care.

    The at-home devices rangein price from $40 to $100.

    Wright said hed like tosee the monitors covered byinsurance because of theirpotential for better managinghigh blood pressure and forhelping prevent secondarydiseases.

    But do they work? And howdo you know which type toget? How often should you bemonitoring?

    Dr. Jon Heine, cardiologistat the Memorial HermannHeart & Vascular Institute inMemorial City, said they dowork, perhaps best when itcomes to catching patterns.

    The easiest ones are thedigital ones, and I recommendthe arm cuff devices, becausethey are more accurate than

    wrist cuffs, Heine said.

    The best buyConsumer Reports, a

    monthly magazine focusing onproduct testing and publishedwithout advertising, saidin an October 2007 reportthat automatic arm monitorsprovided the most consistentreadings.

    The monitors work bywrapping the cuff aroundyour upper arm and pressing abutton that causes it to inflate,automatically reading yourblood pressure.

    Wrist monitorsautomatically inflate andprovide a digital readout, butlike the name implies, you wrapthe cuff around your wrist.

    Consumer Reports said thatwhile the wrist monitors were

    less uncomfortable, they werealso less consistent than armcuff models.

    Gayle Williams, deputy

    editor of Consumer Reports,said her magazine last rated at-home blood pressure monitorsin 2003.

    Calibrate oftenIf you purchase an at-home

    monitor, take it to your doctorto check its accuracy.

    We compare what theyregetting to what were getting,Heine said. The readings aresurprisingly close.

    Testing recommendationsHeine recommends

    monitors for people beingtreated for hypertension tomake sure their therapy ormedication is keeping theirblood pressure under control.

    But he urges caution.Some people literally get

    addicted to taking their bloodpressure, Heine said. Theytake it all the time and then

    call the doctor the minute itsa little bit high. Blood pressureby itself is not going to makeyou have a stroke the hour yourpressure is up.

    Some experts recommenddaily testing, but Heine saidthat may be too frequent forsome people. He recommendstwo to three times a week atvariable times.

    And it never hurts to stickyour arm in the cuff nexttime you see a machine at thepharmacy, Heine said.

    People go in there formedication or something, andwhile theyre waiting theystick their arm in there and seetheir blood pressure is a littlehigher than it should be, sothey come in to be checked,Heine said. Of course thats agood thing.

    Monday, June 16, 2008Health 5

    Physicians support

    at-home bloodpressure monitoring

    COUR TESY PHOTO

    KEEPING TRACK:Arm cuffblood pressure monitors arerecommended over wrist cuffs.

    What is Asthma?Asthma is inammation (swelling) of the airways that carry air in andout of your lungs. The inammation makes the airways very sensitiveand they react strongly to irritants or allergens. When they react, they

    get narrower and less air ows through your lung tissues.

    What are the Symptoms of Asthma?Wheezing (a whistling sound when you breathe), coughing, chesttightness, and trouble breathing are the most common symptoms.When the symptoms become worse than usual, its called an attack.Severe attacks can be life threatening because the airways close off somuch that not enough oxygen gets to vital organs. This condition is amedical emergency.

    What Causes Asthma?It is not clear what causes the airways to be inamed in the rst place.Many things can bring on an attack, including allergens (pet hair, dust,pollen, mold), medications, cigarette smoke, exercise, and changes inweather. If you have asthma, you should see your doctor regularly. Youwill need to learn what things cause your asthma symptoms and howto avoid them. Your doctor will also prescribe medications to keep yourasthma under control.

    How Can Chiropractic Help?Chiropractic is not a treatment for asthma. However, many patientswho suffer from asthma report improvement by receiving chiropracticcare. Your diaphragm is the primary muscle responsible for breathing.

    Nerves that control the diaphragm exit the spinal cord in the mid-neckat the C3, C4, and C5 area. Spinal misalignments in this area cancause irritation of these nerves and interfere with proper function ofthe diaphragm and lungs. Chiropractic care maintains proper alignmentof the spine thereby reducing irritation of the nerves and restoringproper function to the diaphragm and lungs.

    In fact, research published in the Journal of Vertebral SubluxationResearch documented the results experienced by 81 children withasthma who received chiropractic care. The two-month study revealedthat those under care saw a 45% decrease in the number of attacksand that 31% of the subjects voluntarily chose to decrease theirmedication.

    Naturally, we cant make any promises, and we never advocatepatients decreasing or stopping their medications without talking totheir medical doctor, but if you or your child suffers from asthma, callMarshall Back and Body Wellness Center! We may be able to help!

    CHIR0PRACTIC CARE

    Marshall Back and Body Wellness Center

    510 Waugh Dr.

    Houston, TX 77019

    713-522-1726

    www.marshallbackandbody.comDr. Brandi Hill

    CHIROPRACTIC AND ASTHMA

    CHIROPRACTOR

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    6 Health Monday, June 16, 2008

    QA&When youwrite cookbooks and test recipesprofessionally, its hard to find or maintain your perfectweight. All that baking, tasting,re-baking and re-tasting canadd up to many extra pounds.So when cooking expert andaward-winning cookbook author

    Pam Andersons two teens flewthe coop, she took stock of herlife. The result was a womanwho learned how to let somethings go, resolved lingeringissues with her parents, gaineda new hobby (running) and lost45 pounds. She recently visited

    Houston and talked to ChronicleHealth editor Diane Cowenabout her new health cookbook,The Perfect Recipe for Losing

    Weight and Eating Great.

    Q:Your book is full ofrecipes, but its heartis your personal story

    family issues, weight issues,therapy. Was it hard to makeyourself that vulnerable?

    A:I had gotten used totelling my story whenit was about a particular dish,perfecting it, and my insecuritiesas a cook. I felt like it was time toopen up. I hadnt heardpeople talk about weight lossfrom this perspective. I amsomeone who lost a significantamount of weight and kept itoff for three years, so I havesomething to say.

    Q:You say the way youeat now isnt a diet,but its definitely a plan.Right?

    A:I eat three smaller meals

    and two snacks a day,about 2,000 calories. Every fitperson I know has boundariesor a system. Most people wantother people to come up with itfor them. I hope people will readmy story and use my recipes tocome up with a way of eating thatworks for them.

    Q:What have beenyour biggest dietarychanges?

    A:Portion size. I neverstopped eating pasta but Idid start weighing it. I measurenuts; I dont just eat them fromthe jar.

    Q:There are so many waysto get derailed. How doyou stay focused?

    A:Ive developed a mantra:Im in charge of my life. Ihave to fight old habits when Itravel. I got up this morning and

    found a running route. I couldhave easily said Im in a strangecity and tired becauseIm travelling. No. Theres noexcuse for me not to go out andexercise.

    Q:Is there any food yousimply stay awayfrom?

    A:I dont keep junk food inthe house. A lot of peoplehave a sweet tooth. I have asavory tooth. I find a handful ofnuts are rich, but are not emptycalories.

    Q:What are yourfavorite recipes fromthe book?

    A:Rosemary-flavored nutsare my go-to food for apre-dinner nibble. I love theflatbread pizzas because

    theyre fast and fun. It feelslike if you can have a flatbreadpizza youre never on a diet.Creamy pastas for the samereason. Gingerbread Strawscookies and chocolate pudding,and apricot-cherry bars for teatime.

    Q:Were these dishes youwere already eating?A:Theyre a combination ofrecipes I already had andrecipes that I thought would befun.

    Q:

    Theyre not necessarilyall low-fat or diet

    foods. Are they prepareddifferently?

    A:I believe that food should

    be satisfying and flavorful.I spike my food with a lot offlavor. Lots of herbs, spices,zests. Flavorful, but judiciouslyused, cheese like feta, parm,goat. If you flavor just the surfaceof things you dont need as much.Instead of dunking a coconutmacaroon in chocolate, put threechips on top. Thats all you reallyneed.

    Q:Your book has 50tips sprinkledthroughout. Which meanthe most to you?

    A:Weigh yourself and ownthe number part of thejourney is about being honest.Another is dont let anyone getin the way of you reaching yourgoal.

    [email protected]

    PAM ANDERSON

    COOKBOOK AUTHORS LATEST

    HAS A PERSONAL SIDE

    HOUGHTON MIFFLIN

    STAYING FIT:Pam Anderson is the author of The Perfect Recipe forLosing Weight and Eating Great. She lost 45 pounds three years ago andgained a new hobby running.

    MAURA MCEVOY :HOUGHTON MIFFLIN

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    Monday, June 16, 2008 Health 7

    PAM ANDERSONSRECIPES

    ASIAN CHICKEN

    NOODLE SOUP

    6 cups low-sodium chicken broth

    4 large garlic cloves, minced

    1 tablespoon minced fresh

    ginger, or 1 tsp. ground

    1/4 cup low-sodium soy sauce

    2 cups shredded cooked chicken

    2 packages (3 oz. each) Ramen

    noodles, flavor packets discarded

    2 cups fresh bean sprouts

    4 scallions, white and green

    parts, sliced thin

    1/4 cup chopped fresh cilantro

    leaves

    1 lime, quartered

    In a Dutch oven or soup kettle,

    bring broth, garlic, ginger, soy

    sauce and chicken to a boil. Add

    noodles, return to a boil and cook

    until tender, about 3 minutes.

    Add bean sprouts, scallions, and

    cilantro and ladle into soup bowls

    immediately. Serve with a lime

    wedge on the side.

    Makes about 2 quarts, serves 4

    282 calories per 2-cup service

    GINGERBREAD STRAWS

    3 3/4 cups all-purpose flour

    1 tablespoon ground ginger

    2 teaspoons ground cinnamon1 teaspoon ground cloves

    1 teaspoon ground nutmeg

    3/4 teaspoon salt

    3/4 teaspoon baking soda

    3/4 cup molasses

    1/4 cup water

    1 1/2 sticks (12 tablespoons)

    unsalted butter, softened

    1 cup light or dark brown sugar

    4 tablespoons sugar

    Mix flour, ginger, cinnamon,

    cloves, nutmeg, salt and baking

    soda in a medium bowl. In a

    small bowl mix molasses and

    water.

    In a large bowl, beat butter

    and brown sugar with a hand

    mixer until light and fluffy. Beat

    in molasses mixture, then dry

    ingredients to form a stiff dough,

    adding up to 1/4 cup extra flour if

    dough is sticky. Divide dough into

    quarters, forming each portion into

    a disk. Wrap in plastic wrap and

    refrigerate until firm, about 1 hour.

    (Dough can be refrigerated for up

    to 1 week or frozen for up to one

    month.)

    Adjust oven racks to lower-middle and upper-middle positions

    and heat oven to 350 degrees. Line

    two cookie sheets with parchment

    paper or silicone mats.

    Working with one portion of

    dough at a time on a heavily

    floured work surface, roll into a 9-

    by-7-inch rectangle. Sprinkle with 1

    tablespoon sugar and press sugar

    into dough with a rolling pin. Use

    a pastry wheel to cut dough into

    9-by-1/2-inch sticks. Place sticks

    about 1/2 inch apart on cookie

    sheets.

    Bake, rotating each sheet from

    back to front and from upper to

    lower positions after 10 minutes,

    until straws are fragrant and crisp,

    18 to 22 minutes total. Transfer to a

    wire rack and allow to cool to room

    temperature. (Straws can be stored

    in an airtight container for up to

    two weeks.)

    Makes 56 cookies

    84 calories per cookie

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    8 Health Monday, June 16, 2008

    Technology brings new options to treat allergies, asthmaBY DALE ROBERTSON

    HOUSTON CHR ONICLE

    Houston can be a hellish placefor allergy sufferers. Our heat,humidity and notoriously dirtyair, smelling of chemicals, havelong created a stew of discomfortfor those afflicted with hay feverand asthma.

    But the hard evidencepresented by your runny nose,stuffed-up sinuses, bloodshoteyes and constricted chestnotwithstanding, were not evenclose to being Americas allergycapital. In the current rankings,there are 38 cities across thecountry more put-upon byupper-respiratory afflictions and71 have us beat on the asthmafront.

    So, yes, things could be a lotworse. And, truth to tell, thingsactually appear to be gettingbetter, if only incrementally, asour forward-leaning medical

    community shifts its focus fromtreating allergic responses toattacking the root causes.

    Further, the ban on smokingin public places was a majorvictory in the allergy wars,allowing Houston to make aquantum leap downward in thestandings over less enlightened

    communities. While smoking, aswell as exposure to second-hand

    smoke, doesnt cause allergiesper se, it definitely exacerbatesthe symptoms.

    But if, as you read this, yournose is running and your eyes areweepy and bloodshot, or youregasping for air, such cheerynews probably comes as smallconsolation. At the end of the

    day, and the beginning of it, too,our greatest scourges Gulf

    Coast humidity and an almostperennially hospitable climatefor allergens are unsolvable,only proactive steps can help youfeel better.

    Dr. David Chenault, an eye,ear, nose and throat specialistfor three decades in the FM 1960area, believes more people are

    afflicted than ever before.I think climate change has to

    be considered as a major factor,

    Chenault says.Although Houstons allergies

    are worse in the spring and thefall, they rarely abate completely.Global warming is, by allaccounts, keeping conditionsat their ripest for even longerperiods.

    The problem with Houstonis that were very near to the seaand we dont have much coldweather, says allergist Dr. JuanZambrano. Once the pollencomes, it doesnt necessarilygo away. The grass pollens areparticularly prolonged.

    In addition to fostering thegrowth of molds, the source ofsome of the most serious asthma-causing allergies, our dank airis also particularly hospitableto dust mites, Zambrano said.Almost nothing in Houstonsenvironment is a bigger asthma-causing problem.

    And their far larger fellow

    pests, cockroaches, are partnersin crime.

    What to do? For starters,cleanliness is next to godliness.Frequent dusting andremoving knickknacks thatcollect dust is recommended.Further, no matter much youmay love wall-to-wall carpeting,splurge on a hardwood or tilefloor on hypo-allergenic grounds.

    Animal dandruff is frequentlyfingered as a major allergyculprit, although pet lovers cantake heart in knowing it may be aless serious curse than was oncebelieved. Zambrano said researchshows that very young childrenwho are exposed to dogs and catsactually fare better around themas adults.

    The normal reaction to stuffysinuses and/or lung congestionis to mount a full-frontal attack

    with pills and potions. But, while

    the products that fill drugstoreshelves provide temporary relief,they can have unhealthy sideeffects. We tend to overmedicateourselves out of desperation,perhaps benefiting only from aplacebo effect. And the constantconsumption of antibiotics, suchas Augmentim, have renderedthem increasingly ineffective incombating sinusitis.

    In the war on asthma, newtechnology that measures thelungs output of nitric oxide aslam-dunk asthma indicator ishelping allergists more preciselydiagnose and treat the disease.In turn, the most excitingdevelopment is a procedurecalled Balloon Sinuplasty.

    Similar in concept toangioplasties that treatcongestive heart failure,the procedure has been inwidespread use for barely a year,but doctors are excited about its

    short-term results.A soft, flexible guidewire is

    inserted through the nostril tothe sinus cavity, then a ballooncatheter is advanced over itand positioned across theblocked sinus opening. Whenthe balloon is gently inflated,it causes micro-fractures in thebony edge of the sinus cavityto eliminate the constriction,restoring normal sinus drainageand function. One Houstonpractitioner, Dr. Cary Moorhead,calls it a quantum leap forwardbecause its so minimallyinvasive.

    The less we disturb normaltissues, Moorhead said, thebetter the ultimate result becausewe arent leaving behind anyscarring. Since there isnt lot ofcutting, the patients tolerate theprocedure better than traditionalsinus surgery. Theres a lot lesspain and discomfort.

    In 75 percent of the cases inwhich Moorhead has utilized theBalloon Sinuplasty, no surgerywhatsoever was required.

    The next step in theprocedures evolution is toincrease the precision to thepoint that a general anestheticwont be needed. When thatspossible, Moorhead said,Sinuplasty will move up as afirst-resort strategy, eliminatingthe need for allergy shots andmedications for many.

    Ideally, of course, riddingourselves of the trouble-causingallergens in our environmentwould be the best plan of action.But we probably shouldnthold our breath waiting forthat to happen in Houston oranyplace else.

    [email protected]

    MAYRA BELTRAN: CHR ONICLE

    LESS INVASIVE:Dr. Cary Moorhead performs Balloon Sinuplasty atMemorial Hermann Memorial City Medical Center. He says theres a lotless pain in this procedure compared to sinus surgery.

    INFORMATIONMore information on medicaladvances in allergy treatmentcan be found at these Web sites:

    Asthma:www.aerocrine.

    com, xolair.com, aaaai.org.

    Dr. Juan Zambrano: 281 858-

    5708

    Sinusitis:www.sinuplasty.

    com. Dr. Cary Moorhead, 713

    467-5787; Dr. David Chenault,

    281 440-0734.

    chron.com

    For video of a BalloonSinuplasty procedure, goto chron.com/health .

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    Monday, June 16, 2008 Health 9

    One perfect tumble deserves anotherBY LYNN COOK

    HOUSTON CHR ONICLE

    There was a time lets callit 1983 when I could do thesplits perfectly.

    All my elementary schoolpals could. We had enteredthat beanpole stage and couldpretzel-twist ourselves intopractically any position.

    Flash forward 25 years.Flexibility is not my forte.

    I probably should haveconsidered that beforesigning up for a Tumbling andTrampoline class for adultsat the Jewish CommunityCenter.

    I can touch my toes, but if Ihave to hold that position formore than 30 seconds beads ofsweat break out on my foreheadand my hamstrings start toscream. Thing is, I was seduced

    by the trampoline part of thecourse description.

    Who doesnt love bouncingon a trampoline? I hadnt beenon one in at least two decades,but I was about to learn t heresso much more to T&T class thanjumping up and down.

    The night I tried it out, I wasthe only newbie in attendance.One young woman had takengymnastics most of her life,starting out in early childhood.A man in the class had beencoming off and on for twoyears. Its a great way to blowoff steam after work, he toldme.

    These guys were good.After a brief warm-up of

    running short laps aroundthe gym, stretching and, yes,attempting the splits, myclassmates were ready forpikes, bounders and backflips. Still staggered and

    feeling the massive blood rushfrom our warm-up headstand something else I hadntattempted since third grade Iwas more in the tuck-and-rollstage.

    Still, I never feltuncomfortable. Coach RoumenYordanov gave me si mplemoves to start out with as Ibounced down the long, lowtrampoline runway. Jump,jump, pike. Jump, jump, splitsin the air. Although the rest ofthe class was doing back flips,everybody cheered when Imanaged to execute a wobblyfront handspring, head overheels off the trampoline into aplush, cushy mat.

    Back in 1983 when Iwas doing the splits on theplayground, Yordanov was agymnast training in Bulgaria.

    Today hes the head boys coachfor the Houston GymnasticsClub at the JCCs main campusin Southwest Houston. Healso teaches the T&T class forgrown-ups.

    Yordanov attended aspecial gymnastics school andcompeted internationally,including the 1980 Olympics inMoscow. He again madehis countrys team for the 1984Los Angeles games, but theSoviet bloc boycotted theevent.

    When the iron curtain finallyfell and once-flush socialistgymnastics programs were leftwithout funding, Yordanovemigrated to t he U.S. Hes beenin Houston ever since.

    In a year like this one whenthe Olympic games featuregymnasts, its common for kidsto want to try out their own

    somersaulting, vaulting andbalancing abilities. HoustonGymnastics Club has classes forboys and girls of all ages andlevels of experience.

    But adults get intogymnastics, too. Thats whyYordanov ends his once-a-weekadult tumbling and trampolineclass with 15 minutes of freetime.

    Some went for coach-supervised time on otherequipment or freestyle floorwork. Some of us just wantedone more go on the trampoline.

    Jumping and attemptinghandsprings and flips certainlyset my heart racing, but the

    most strenuous part of theclass came at the end of thenight when I vaulted off atrampoline into a giant pit filledwith foam squares to cushionmy fall.

    It was a soft landing, but Ialmost instantly felt like I wasin quicksand. Hauling myselfout of there was a workout initself. Aside from that indignity,T&T was the most fun class Iveever taken.

    Youre going t o be soretomorrow. You need to go homeand take aspirin, Yordanovtold me. Major understatement.

    [email protected]

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    10 Health Monday, June 16, 2008

    THESKINNYON...

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    OMEGA-3 FATTY ACIDS

    The basics:The holy trinity consists of docosahexaenoic acid(DHA) and eicosapentaenoic acid (EPA), both of which are found

    in fish oils, and alpha-linolenic acid (ALA), from nuts such asEnglish walnuts, canola, soybean, flaxseed, linseed, etc. Fish

    oil helps the blood circulate better and there is evidence thatit reduces blood triglyceride levels, lessening the risk of heartattacks. Studies of DHA and EPA have shown they significantly

    decrease the buildup of atherosclerotic plaques the so-called hardening of the arteries as well as lowering blood

    pressure. ALA offers similar, if less scientifically established,benefits. Research also suggests these fatty acids help fightcancer and benefit children plagued with ADD and behavioral

    problems.A cautionary note:Some people have reported excessive

    bleeding when consuming large amounts (over 3 grams perday) while taking aspirin, and super-large doses are thought to

    have on rare occasions caused hemorrhagic strokes. Anotherreported negative side effect is immune system dysfunction,and the omega-3s can be dangerous for people already in

    advanced stages of congestive heart failure.For expert advice:Numerous Web sites offer a variety of

    educated opinions, most of them positive. If you already haveheart disease, your cardiologist should make the final call.Our two-cents worth:For most of us, swallowing a couple

    of the big gel capsules daily seems a good, reasonably cheapheart-healthy insurance policy.

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    Monday, June 16, 2008 Health 11

    Nike SportBand ($59)Nike has come up with an iPod-

    less version of the same gadget. At$59, some say this is an overpr icedpedometer. But GG likes her

    gadgets simple. Not everything hasto be a junked up, overpriced cell

    phone (Ah, if GG had a dollar everytime she heard a woman vexing over

    her overloaded cycling Polar say: Whycant I get this *@!% thin g to work?).

    The SportBand allows you to

    read distance, pace and calories onyour wrist, instead of pulling your

    iPod off your waistband every 10minutes. GG would love to see a heartmonitor thats just as sleek and easy to

    read. (Hint, hint, Nike.)

    Want to see GG try out some gear? E-mail [email protected]

    Marwares SensorSportsuit ($10)

    Gear Girl admits it. Shesa sucker for tech gadgets,

    especially those for herApple iPod or anythingto make running more

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    Merrells Ahnu ($80)Hiking-shoe maker Merrell is finally beating the clunky

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    diabetes, which is characterizedby the bodys inability toproduce or properly use insulin,

    a hormone that maintainsnormal levels of blood sugar,or glucose, and helps convertsugar, starches and other foodinto energy. About 5 millioninject insulin to treat theirdiabetes, including as many as 3million with Type 1.

    In an effort to maintaincontrol of their glucose- high levels damage bloodvessels and nerves and lead tocomplications - conscientiousdiabetics will prick theirfingers four to 10 times a day totest their levels.

    Studies have found that evenpatients who measure theirglucose as much as nine times aday spent less than 30 percentof the day in the normal range.

    In that context, the Foodand Drug Administrationsrecent approval of continuousmonitors was a breakthrough.The monitor, worn like a pager

    and connected to a sensorplaced just under the skin, tellsthe patient whether levels aretrending up or down.

    The monitors made thingsa lot easier for me, says RobLoar, a Kingwood native andmedical student diagnosedwith Type 1 diabetes in 1992,when he was 6. Because ofthe additional information itprovides Im able to use mypump more effectively and

    avoid the peaks and valleys Iused to experience.

    But the monitors havelimitations. Their readings areusually 15 to 30 minutes behind

    real time. They require users tobe educated and committed tothe task, a requirement thatsresulted in short-term studiesshowing mixed results. Andbecause adoption of the devicehas been limited, insuranceonly sporadically covers its cost- $1,000 plus at least $350 amonth for supplies.

    The fully realized artificialpancreas should change allthat. Researchers predict itwould be universally adoptedby diabetics on insulin - andthus covered by insurance -because itd work automatically,rendering patient involvementunnecessary.

    In the first pediatric trialof a prototype of the artificialpancreas earlier this year, YaleUniversity researchers testedit on 18 teenagers who stayedin a hospital for 36 hours andfound it effectively kept glucose

    levels in the normal rangethroughout. New trials testingthe system in less controlledsettings are in the works.

    But researchersacknowledge there is stillmuch work to be done. Thebiggest challenge is developinga sensor that delivers accuratemeasurements of glucoselevels to the pump in real time.Algorithms that calculate justhow much insulin should be

    delivered at different timesand in different circumstancesneed to be improved, thoughresearchers say that shouldntbe an easy problem to solve.

    Skeptics complain that theyhave been hearing about anartificial pancreas since themid-1970s, when prototypeswere refrigerator sized andhospital based. More than 30years later, hoping instead for abiological cure, they argue itsstill just a lot of hype.

    More specifically, theywarn about the inevitabilityof mechanical failure, whichcould cause catastrophe; theburden of carrying around evenmore technology; and price tagsfigure to be prohibitive.

    Researchers respond thatthey are working on back-upsystems in case of mechanicalfailure, that later-generationmodels of the artificial pancreaslikely would be wholly underthe skin and that insurerswill embrace it because it willdramatically reduce the $100billion annually on diabetes-

    related medical care.Its important to remember

    that an artificial pancreaswont be a cure, said Dr.Philip Orlander, head ofendocrinology at the Universityof Texas Medical School atHouston. Itll still requiredoctors visits and monitoring.But it would be a majorimprovement.

    [email protected]

    FROM PAGE 13

    HOUSTON

    I-10 I-10

    610610

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    2008, DiabetesAmerica

    For more information, to find the Houston area locationnearest to you, or to schedule an appointment, call866-513-5656 or go to www.DiabetesAmerica.com

    Nineof them.

    If you have diabetes, your days of wasting time (and gasmoney) driving all over town to find all the care you need

    are finally over. Our nine Houston area offices all have

    physicians who specialize in diabetes, on-site labs that

    deliver your results during your visit, and Certified Diabetes

    Educators who focus on your specific needs to personalize

    your diet, exercise and lifestyle plans. One visit is all itll

    take to see the difference. Plus we also accept most insurance,

    and we offer all our same-day services for one easy copay.

    Whats even better than

    an entire health center

    devoted to diabetes care?

    Complete, personalized diabetes care, under one roof, with one copay.

    Diabetes runs in my family.Im 37. What symptoms

    should I watch for?

    Characterized by highlevels of sugar in the blood,

    diabetes is a dangerous anddestructive disease, saysDennis Ferrer, M.D., aboard-certified endocrinologist atKelsey-Seybold Clinics SpringMedical and Diagnostic Center

    who will also see patients atKelsey-Seybolds new clinic atThe Vintage starting April 7.

    Diabetes starts as a silentdisease, advancing painlessly,almost imperceptibly, saysDr. Ferrer, who sees 25 to 30diabetic patients per week. Itmainly attacks the small bloodvessels, damaging the kidneys,eyes and nerves. It can also affect

    larger blood vessels.Patients often dont realize that

    coronary artery disease isassociated with high levels ofblood sugar, Dr. Ferrer says.Diabetes and its associated condi-tions can cause coronary arteriesto become inflamed, narrowed orobstructed, thus setting the stagefor a heart attack or stroke.

    Type 1 diabetes most oftenoccurs in childhood and youngadulthood. It is characterized bythe inability of the pancreas toproduce insulin. Although notcurable, it can be managed withinsulin injections and diet.

    In Type 2, typically occurring at

    a more matureage, the pancreasis initially able toproduce insulin,but the bodyscells dont usethe glucoseproperly, causingmetabolicproblems

    including blackouts.Type 2diabetes is usually preventable.Obesity, for example, increasesthe risk. But heredity may alsobe a contributing factor.

    Symptoms of maturity-onsetdiabetes include chronic fatigue,excessive thirst and frequent,sleep-interrupting incidents ofnighttime urination.

    The good news is thatType 2 is sometimes managedthrough lifestyle changes

    without medication, Dr. Ferreradds. If you feel youre at risk,get examined by a qualifiedphysician. And do it soon.

    HEALTHY LIVING

    Diabetes: Beware this

    Silent Disease

    Call 713-442-7587to schedule anappointment or to find a physicianat Kelsey-Seybold Clinic.

    This health information is for educational purposes only and does not constitute medical advice or aguaranty of treatment, outcome or cure, nor is it intended to create a physician-patient relationship be-tween Kelsey-Seybold Clinic or any other physician and the reader. Consult with your healthcareprovider for specific medical advice.

    KELSEY-SEYBOLD CLINIC

    www.kelsey-seybold.com

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    16 Health Monday, June 16, 2008

    Toss the razors and wax and go hairlessBY KIM MORGAN

    FOR THE CHRONICLE

    Sondra Rosenthal hasntshaved or waxed in years, butits not because shes fond ofthe au naturel look, especiallyduring summer.

    Its just that now, insteadof tweezing, plucking, shavingor waxing, she has optedfor permanent hair removalusing electrolysis and lasertreatments.

    It took years to havemy underarms done byelectrolysis, said Rosenthal,56. I had the laser on my legsand one, two, three ... the hairswere gone. There are still someblonde hairs left, though.

    Thats because the laser

    used for hair removal isnt able

    to target those lighter coloredstrands, said Nancy Holmes,owner of Hair Removal ofHouston and Hair Removal ofKaty.

    While electrolysis has beenaround for more than 100years, she said, laser wasntapproved by the U.S. Food andDrug Administration until 1998 but they label it as permanenthair reduction as opposed toremoval.

    The laser does not recognizenon-pigmented or light coloredhair, so it reduces the amountof hairs by only the darkpigmented ones, Holmes said.So far there is nothing in thelight-based laser world that willdo it. Electrolysis is still the only

    way to remove blonde, white or

    grey hairs.Holmes said the laser is only

    interested in the color of thehair below the skin, so if youvechemically treated your hair,you might still be a candidatefor laser. But laser hair removalworks best on people with darkhair and light skin.

    For the rest of us, Holmesrecommends both laser andelectrolysis for the best results.

    Is it safe?According to Holmes,

    youre more likely to get hurtusing your curling iron thanundergoing laser treatment. Shesaid that less than 1 percent ofpeople undergoing laser hairremoval suffer injuries.

    Dr. Suneel Chilukuri, a

    GARY FOU NTAIN:

    FOR THE CHRONICLE

    SAFE REMOVAL:Nancy Holmesuses a laser to remove leg hair.

    surgeon at Memorial Hermann

    Northwest Hospital, saidpermanent hair removalmethods have improvedsignificantly since thedevelopment of lasers in the1980s.

    But things can still gowrong.

    The follicle is heated to thepoint of destruction, Chilukurisaid. Problems arise whenthis heat is dissipated to thesurrounding skin. If the heatdissipation is not properlycontrolled, the skin becomeseither hyper-pigmented(darker) or hypo-pigmented(lighter). If the laser is usedat the improper energy level,there can be permanentdiscoloration.

    Chilukuri said thermalburns can also occur, lookinglike a sunburn or oven burn andcan result in scarring.

    Electrolysis comes with

    similar risks, she said.People should seek a skilled

    provider who understandsthe risks involved with hairremoval procedures and knowhow to treat complications,Chilukuri said.

    If you do take that step to ahairless face, neck, chest, back,armpits, legs or bikini line, youwill want to know: Does it hurt?

    There is a nominal amountof pain involved in any hairremoval, but most peopletolerate it well, said Holmes.

    [email protected]

    THE METHODS

    ELECTROLYSIS

    How it works:Electrical

    current destroys hair growthcells at the base of the

    follicle.Pros:Immediate results.

    Cons:Requires treatmentsuntil it becomes permanent(usually 8-12 months).

    Average cost:$30 for a 15minute session.

    LASERS

    How it works:Light fromthe laser passes through skinand is absorbed by pigment

    in the hair follicle, restrictingits ability to regenerate.

    Pros:Works with lesstreatments than electrolysis,so its more cost effective.

    Cons:Does not work onblonde, grey or light-colored

    hairAverage cost:Depends on

    size of area treated. Femaleclient with hair on upper lipwill spend about $90 every

    other month.

    BIG LOSER.

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    Monday, June 16, 2008Health 17

    BY LINDA GILCHRIEST

    FOR THE CHR ONICLE

    A prescription drug whentaken correctly can save a life,destroy an infection or minimizepain. But without knowing howand when to take it, the medicinecan do more harm than good.

    Heidi Bragg, a pharmacistand University of HoustonSchool of Pharmacy professor,said that many times patientsdont provide doctors all theinformation needed to properlyprescribe drugs.

    A lot of people assume that ifyou are taking over-the-countermedication, it doesnt count,Bragg said. But doctors need tohave the whole picture, not justwhat else you have a prescriptionfor, but what vitamins and herbs

    and non-prescription drugs youare taking.

    For example, the herb St.Johns Wort grabbed headlinesa few years ago as a naturalantidepressant. What manypeople didnt know, Bragg said, isthat St. Johns Wort could not betaken with Vioxx, a popular anti-inflammatory that was takenoff the market in 2004. Theserotonin levels were dangerousfor some, Bragg said.

    Bragg recommends twoactions to help take control ofyour own health: keep a list ofevery prescription, supplementand over-the-counter medicineyou take, and use one pharmacyto fill all your prescriptions.

    The pharmacy professor saiddrug interactions are especiallysignificant for elderly patientswho often take more medicines.

    Bragg said she met with onewoman who took four synthetic

    thyroid medications at onetime all prescribed by differentdoctors, all different dosages andall filled at different pharmacies.

    She could have died, Braggsaid.

    People need to be morepro-active about their healthcare. But that is a lot ofinformation.

    That is where a pharmacistcan step in. Bragg said peopleneed to get to know thepharmacist where they gettheir prescriptions filled. If thepharmacist doesnt have timeto visit with a customer whenhe/she brings a prescription into be filled, the customer shouldmake an appointment so thepharmacist can get a completepicture of all medications,vitamins and over-the-countermedications.

    The profession has comea long way, Bragg said. Weare required to concentrate onmedicines, so we have a lot ofinformation about medicationsand reactions.

    Using only one pharmacyminimizes the chances ofdrug interactions by keepingall medication records at onelocation.

    Bragg recommends Vial ofLife, a nonprofit program thatprovides a complete picture of allthe medicines a patient is taking.The list of medications is put ina medicine bottle which is thenstored in a home refrigerator or

    in an automobile for easy accessin an emergency.

    The Web site vialoflife.comprovides a printable guide forlisting medications and a stickerto post in a vehicle or refrigeratordoor. Bragg said area emergencymedical officials have beentrained to look for the stickerwhen they enter the home of anelderly patient.

    Another site, drugs.com,offers a drug interaction checkerwhere you can provide the nameof a drug to see how it interactswith other medicines you take.

    [email protected]

    Taking medicine? Watch

    what you take them with

    ER IC KAYNE: CHR ONICLE

    READ THE LABELS: Heidi Bragg, a pharmacist and University ofHouston professor, says certain foods and drugs shouldnt mix - such asgrapefruit and Lipitor.

    DID YOU KNOW?

    Thyroid medicines should be taken first thing in the morning

    and without other medicines. It should never be taken with

    iron, which will not allow the synthetic thyroid to be absorbed.

    If a person battling cholesterol regularly drinks grapefruit

    juice and does not want to alter his/her diet, the patient and

    doctor should discuss decreasing the dose of a statin drug such

    as Lipitor or discontinuing the drug. Grapefruit consumption

    causes a longer-lasting alteration in the liver enzymes.

    Aspirin could cause problems for people taking the blood-

    thinner Coumadin.

    Crestor, a relatively new cholesterol-fighting drug, whencombined with niacin, a B vitamin, can cause moderate to

    severe muscle problems.

    Sources: Heidi Bragg, drugs.com and Center for Food and Drug Interaction

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    THE ABS DIET FOR WOMEN WORKOUT

    Cast:Jessica Smith and two other young things

    Bottom line:55 minutes; Abs, cardio, resistance and flexibility;advanced beginning-advanced intermediate; 3-pound or 5-poundweights and a mat (yes, floor work abounds).

    Whats cool:Abs hurt when you laugh two days later. This smartmix of work neednt be done all at once, but youll feel holy if you

    do. The cardio baseline is jogging and at interval heights the super-fit ladies casually defy gravity. One exerciser stays low-impact and

    earth-bound (thank heavens).What left me cold:The ab-centric Pilates and all too quick yogastretches seem afterthoughts. Best if you know those moves

    before DVD runs you quickly through the paces that or masterthe pause button while doing warrior two.

    Buy it:$12.99 at amazon.com

    18 Health Monday, June 16, 2008

    WORKOUTDVDIVA

    [email protected]

    Mary Flood is a legal reporter in our business section. About three years ago, this middle-agedjournalist and lawyer started using workout DVDs doing one-mile walks and using one-pound

    weights in front of her TV. Now she does five-mile walks with 8-pound and 10-pound weights andis always looking for fun and effective ways to get low-impact cardio, resistance and flexibilitytraining in the morning at home. Starting today, her monthly feature will look at new fitnessprograms on the market.

    MARY FLOOD

    GRADE A-

    FAST & FIRM! 4 REALLY BIG MILES

    Cast:Leslie Sansone with mixed age walkers

    Bottom line:56 minutes; Cardiowith a little resistance and flexibility; basic beginning-

    intermediate; stretch band.Whats cool:Walk, lift knees and kick around Memorial Park+in your living room with chatty, chirpy but clear direction. Miles

    quicken to a pony-tail whipping 10 minutes. Boosted walkingis euphemism for jogging in place and its the interval upper

    limit. Endure and youll deserve the nice stretch.What left me cold:Music is lame and at one point seemssimply sped up a la Alvin and the Chipmunks. Pretending to

    do an ab crunch while standing fools no one, no matter whatflashes on the screen about your tummy.

    Buy it:$14.99 at amazon.com; $19.95 at lesliesansone.com

    GRADE B+

    All the vitamins and boost for mom-to-beYummy mummies-to-be may want to

    add one more thing to their shopping list:NutraBellas Bellybar shakes. The companythat makes tasty vitamin chews also hasshakes that can pass the test of even the mosttemperamental tastebuds.

    The eight-ounce shakes come in VanillaDreams and Due for Chocolate flavors. Ourtester who was six months pregnant and hadpretty much lost her appetite for everything declared them the perfect late-day pick-me-up. Not enough for a full meal, she drank the170- to 180-calorie shakes when she needed anenergy boost.

    The shakes and chews, too boast extravitamins pregnant women need: Omega-3DHA, along with protein, fiber and vitaminB6. Shakes are available in four-packs ($9.99-$11.99); chews come in bags of 30 for $11.99.Find them at Babies R Us or online at store.babycenter.com

    DIANE COWEN

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    Monday, June 16, 2008 Health 19

    GETSTRONGLOWER AB EXERCISE

    JAMES NIELSEN : CHRONICLE

    Where youll feel it:Lower

    abdomen and lower back.Step 1:Lie flat on your back withpalms face down near or under

    your hips.Step 2:(Shown in photo.)

    Keeping your legs straight, raisethem into the air to form an L-

    shape with your body.Step 3:Use your abs to push

    your butt and legs further off

    the ground. Return to starting/resting position, but do not letyour feet touch the ground.Watch out for:Bent knees orfeet that touch the ground

    between repetitions.Do:Three sets of eight

    repetitions.

    MARY VUONG

    chron.com

    Watch video of HoustonDynamo Stuart Holdendemonstrating this exerciseat chron.com/health .

    AB-SO LUTE S TRENGT H: Houston Dynamos Stuart Holden demonstrates a lower abdominal exercise.

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    DIABETESIs Type 2 Diabetes a Part of Your Life?

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    To qualify you must be either: Currently not taking an oral antidiabetic medication or insulin.

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    20 HealthMonday, June 16, 2008

    MARIE ROCKWOOD

    HOW SHE DID IT

    Marie Rockwood was amother and grandmotherwho felt old and lookedfrumpy. She suffers fromCrohns disease andtreatments had causedher to gain weight. Asa Christian she felt sheneeded to treat her body as atemple so she decided to cleanup her diet and hire a personaltrainer. She eliminatedprocessed diet as well assweets and sodas. She focuseson lean meats, fruits andvegetables. In a year shelost 22 pounds and manyinches.

    The Katy woman started herexercise regimen using weightmachines with very lowweights. Cardio was difficultbecause she hadnt exercisedsince she was in high school.Her trainer coached her intoheavier weights and longercardio workouts, telling hershe could accomplish anythingshe set her mind to.

    She maintains her fitnesslevel with three hour-and-20-minute workouts, eacha combination of strengthtraining and cardio.

    She just turned 50 and isenjoying life: I cant believewhat size I am now. You wontcatch me in a bikini, but I canwear a sundress.

    BEFOREANDAFTER

    Do you have a weight loss story to tell? Send details and before-after photos of yourself to [email protected] or Attn. Diane Cowen, Health editor, HoustonChronicle, 801 Texas Ave., 9th floor, Houston, TX 77002.

    123LBS.

    145

    LBS.

    WITH EXERCISE SHE

    LOST AS MANY INCHES

    AS SHE DID POUNDS.

    SHE HADNT EXERCISED

    IN 30 YEARS.

    HER TIPS:

    1Hire a trainer. Professional helpwill mean you get more from yourworkouts.

    2The buddy system: If youcant hire a trainer, make a friendyour workout partner and get fittogether.

    3Pay more attention to fruits andvegetables. Theyll fill you up withhealthy calories.

    BUSTER DEAN

    CHRONICLE

    JUNEis Mens Health Monthand it is time to takecare of your health!

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    Free Healthy Knowledge Seminar

    Join the Methodist Center for RestorativePelvic Medicine for a FREE seminaron male treatment options for urinaryincontinence, ED and complications asa result of prostate cancer.

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    Monday, June 16, 2008 Health 21

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    HORSESMULES

    Black or Red AQHAGentle cow horses.$500-1200, 903-738-6962Web #22939243

    FISH

    FREE FISHFOR POND AND LAKESTOCKING ONE WEEK

    ONLY LET US TURNYOUR

    POND OR LAKE INTO ATROPHY FISHING HOLEWITH 10"-12"-14"-16"

    AND LARGER SIZE FISH.WE CAN STOCK TODAYANDYOULLBE FISHINGTOMORROW. MAY ISTHE VERY BEST MONTHO F T HE Y EA R TO

    STOCK.AS WE PREPARE

    FOR OUR SPRINGSPAWNING SEASON,

    W E F IN D T H A T W EHAVE

    5 TO 6 MILLION LARGEFISH IN OUR HOLDINGPONDS THAT MUST BE

    PLACE SOMEWHERE,SOMEHOW, IN ORDER

    TO MAKE ROOM FOROUR SPRING SPAWNYOU MAY PICK ANDCHOOSE FROM CHAN-NEL, CATFISH, BASS,

    BLACK CRAPPIE,HYBRID BLUEGILL,

    COPPERNOSE BLUEGILLAND REDEAR. TIME IS

    OF THE ESSENCE SOCALL TODAY.

    HELP US..... AND HELPYOURSELF. ALL FISHDELIVERED DIRECT TOYOUR POND OR LAKEFROM OUR ARKANSASHATCHERY....ABSOLUTELY NO DELIV-

    ERY CHARGE.PHONE

    501.760.3030501.538.0065

    CONCRETE&BRICKS

    All types of flatconcrete work. Parkinglots, driveways, patios,

    & break outs, etc.Call 281.458.1056

    PROFESSIONALSERVICES

    Caregiver services forelderly. 7 Years exp. withreferences. 281-256-0681

    ANTIQUES&COLLECTIBLES

    Barber Chair and2 Chair Back Bar $2500.Call 281-224-3907Web #22912173

    COMING SOONAntique Bottle Adver-tising Collectible Show

    Saturday, June 21stMarriott Houston

    Hobby (713) 862-1690

    FARMEQUIPMENT

    02 Kuhn hay cutter 9 2"cut, $3100. Double V hayrake $1500. Hay pedder13 6" $950. 832-465-5751

    JANITORIALSUPPLIES

    Truck mount steam car-pet cleaning, $7995 readyto go! 281-531-9810

    JEWELRY&GEMS

    Mens Rolex, S&G, DateJust, like new, warr $2650281.831.3802; 281-444-3938

    MEDICALSUPPLIES

    Jazzy Motorized ChairOrig. $7k Used Only 3mo.$2,500 Neg. 281-242-1541Web #22937741

    MISCELLANEOUS

    $89/mo.Phone systemw/8 lines & 10 phones. Warr.$1,000. Sales 713-928-6828

    ORGANSSchiller baby grand pi-ano. Good cond. $1,000.Galveston 409-974-0123

    PROFESSIONAL

    Houston Base MedicalOffice is looking for Su-pervising Position forone of its Offices. Thepositions are MD, DO,PA.PTand FTavailable.

    Email resume to:houstonmedical

    [email protected]

    UNITED STATESPROBATION OFFICER

    The U.S. Probation Office,S ou t he rn D i st ri ct o f Texas, is seeking proba-tionofficercandidatesforits offices in Brownsville,Corpus Christi, Houston,Laredo and McAllen,Texas. Starting salaryrange: $37,524-$61,336,depending on qualifica-tions. Bachelors degreerequired. 2 years special-izedexperiencepreferredin probation/parole field.Computer skills in WordPerfect 9 and bilingualSpanish skills are alsopreferred.

    A full copy of the job an-

    nouncement and applica-tion instructions are atwww.txs.uscourts.gov.Completed applicationsshould be received by theU.S.DistrictClerksOffice,P.O. Box 61010, ATTN: Hu-man Resources, Houston,Texas 77208, by June 13,2008. The most suitableapplicants will be invitedfor testing and possiblyan inte


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