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Getting a mammogram

Frequently women will ask me: Where should I get my mammograms? There are several things to think about.

First, you want to go to a Center that is accredited by the American College of Radiology. This means that they have high quality images and well-trained radiologists. It is preferable to have a digital mammogram but if that technology is not available, then film mammograms are better than not having one done. While it is not clear that digital mammograms improve survival, they do allow the radiologist to examine the images more clearly and to use computer assisted diagnostic tools.

The radiologists’ experience is also important. Dedicated breast centers usually have radiologists who are specialized in breast imaging. These sub-specialized radiologists are very experienced in using mammograms, ultrasound, and breast MRI to diagnose breast disorders and are less likely to miss abnormalities.

Convenience is also a consideration. You want to make it easy to get your mammograms. Some Breast Centers will have mobile mammography programs that will bring mammogram screening to your place of work, local community or senior center, or even your church or synagogue. If possible, it is a good idea to get your mammograms at the same Center or within the same hospital system every year. That way the radiologists have easy access to your prior studies and can compare them to the current ones.

Here are some other things to know about getting mammograms:

Gluten-Free in a Gluten-Filled World

For this French/Italian girl that grew up on bagels and loaves of bread, it wasn’t easy to read the lab results telling me gluten was the source of all my problems (digestive anyway). Despite a degree in nutrition, I’m here to break the news that it’s far from easy, not just for me, but the unfortunate waiter, the distressed party hostess, or the sibling that doesn’t quite understand why you are no help in devouring the Oreos.

This post is for anyone with a new diagnosis, those just coming to terms with an old diagnosis, and those that think that gluten intolerance might be a possibility. It’s also for the friends and family of those affected by celiac disease or gluten intolerance, and for those that just want to learn more about it.

What’s the deal with wheat, gluten, and these allergies?

Gluten is a protein found in wheat, rye and barley. You can be allergic to wheat, which is different than being gluten-intolerant (a broader category of things to avoid), which is different from having celiac disease. Here’s a little about each.

Celiac Disease

  • What it is: Not an allergy, but an autoimmune disorder that ....

When to get a second opinion

Dr. Carl Janzen and Dr. Mark Kasper discuss the importance of seeking a second opinion as well as when and why they can be most valuable:

All About Organics

Far too often the word organic is misused and misunderstood. I think it’s most important to understand the reasons behind the difference staring back at you on the price tag, and then only you can decide for yourself whether it’s worth the financial, physiological, and environmental costs.

Educate Yourself

Organic standards prohibit the use of synthetic pesticides, herbicides, fungicides, fertilizers, antibiotics, growth hormones and genetically modified organisms. Additional organic requirements are set to support the environment, including soil improvements and prevention of soil erosion.

What does this mean for you as a consumer? Potentially a greater chance of a reduction in your exposure to harmful chemicals. As an environmentally-conscious consumer? Hopefully refraining from further contributing to soil erosion, energy use, and water pollution while contributing to biodiversity.

Side tantrum: Just because it’s organic does NOT mean it’s healthy. Organic jelly beans (my favorite) are packed with organic cane sugar, tapioca syrup, and full of fruit juice and natural flavors. Can I consume them obliviously thinking I’m fulfilling my quota of that “rainbow” of fruit and veggie servings for the day? Not exactly. Anything full of sugar (even organic sugar) is not a “healthy” food. I would say the importance of selecting organics is greatest for items in the perimeter of the grocery store (think produce, meats, dairy, eggs). Easy, right?

What’s With the Seal?

The USDAs National Organics Program ensures ...

Healthy Traveling Tips

It’s officially summer and many of us—over 36 million Americans—have embraced international travel recently. For students and families in particular, this is the season for exciting adventures overseas. It may not be very glamorous, but, before heading off with passports in hand, how can we ensure the healthiest trip possible?

Your mother was right: plan ahead

  • Check if your health insurance goes beyond the US border. If not, it is easy to purchase a short term travel insurance policy.
  • Find out as much as you can about your destination’s health risks or dangers.
  • Most diseases are preventable. Talk it over with your doctor or see a travel doctor who specializes in such advice.
  • Be certain you have the needed vaccinations and medicines before heading out.
  • Don’t let ....

Culinary Herbs

Like most bright ideas, this one was sparked while sipping a mojito – why am I not growing mint? Well, this “little project” turned into a full-blown garden last year. So my challenge this year is to share with you how to grow some culinary herbs.

Why Growing Herbs at Home is Great…

  • It’s fun. Trust me, the smell of basil straight from the ground will take your mind on a direct flight to southern Italy.
  • It’s economical. How many times have you purchased a ginormous bunch of parsley, only to use a few sprigs? Having live plants means you can take as little (or as much) as you need, when you need it. One $3 basil plant can save you well over $20. You will waste less, and likely will use herbs more frequently since they will always be available.
  • It encourages creativity. When you have an assortment of plants begging to be used, you might take a handful of each and add it to the recipe. You can create endless combinations of herbs and spices to a variety of dishes.
  • It’s easy. Whether you have an amazing boyfriend that will yank rose bushes to make room for your gardening experiment, a balcony that sees the sun, or just a naked windowsill, you really can grow herbs anywhere.

Getting Started…

Spring cleansing - Part 2

 (Read part 1 of this ‘Spring Cleanse' series here for more on how many calories you actually need, how to track your intake, and what you need to know about fluids.)

The Cleanse…

There are thousands of books out there, everything from an intensive fasting period to a detailed 21+ day program. Pick one that seems like it would yield the highest degree of success for you, but remember these basic parameters of all detoxes and cleanses:

  • Don’t go less than 1200 calories a day. (Doing so stimulates a decrease in your metabolism, which unfortunately won’t immediately correct once the cleanse is completed. )
  • Don’t expect more than 2 pounds of weight loss per week. If you see this on the scale, it means you are losing lean muscle mass (not a brilliant idea since this tissue is most metabolically active = your best friend in the battle of the bulge) or you are under-hydrated. The goal is gradual fat loss, hydration maintenance, and preservation of lean muscle mass if you want your results to last.
  • Avoid junk (caffeine, alcohol, sodium, artificial sweeteners, refined sugars and refined grains). You want to get the biggest bang for your caloric buck, so opt for whole grains, fruits and vegetables rather than processed food.
  • Assess your tendency for withdrawal. This can be from caffeine, alcohol, salt, refined grains/sugars, or simply the habit of heading for frozen yogurt on weekends.

What you should know about….

  • Caffeine:
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