January - March 2013 Edition: Naples Health

Ask the Experts

Q :

What is the suggested age for a woman to have a base- line mammogram? Theresa Vensel, M.D., answers: A baseline mammogram is a person’s first mammogram. This first mammo- gram shows the breast pattern and is evaluated by a radiologist. This mam- mogram is then used as a comparison for subsequent mammograms, as the breast pattern should not change greatly from year to year. By comparing new mam- mograms to prior (including baseline) mammograms, early signs of cancer may be easier to detect. The American College of Radiology (ACR), the Society of Breast Imaging (SBI), the American Cancer Society, the National Cancer Institute and Susan G. Komen for the Cure recommend that women with average breast cancer risk should receive a baseline mam- mogram at age 40 with annual screen- ing mammograms thereafter. Women with a much higher-than-average risk of breast cancer (including women with an abnormal breast cancer gene) should start breast cancer screening at least by age 30, but not before age 25.

Is it better to use heat or ice for a sprain? Vince Laz, MSPT, manager of out- patient rehabilitation at Green Tree, answers: A sprain is characterized as an injury to a joint. For a sprain, ice is your first line of defense. First aid for a sprain includes Rest, Ice, Compression and Elevation (RICE). Rest provides the joint an op- portunity to heal. Ice will help decrease inflammation as well as reduce pain. Compression and elevation will also help decrease inflammation. Should pain and inflammation persist, follow up with a physician prior to returning to normal activity. A qualified physical therapist can help you return to normal activities by providing exercises and education to help you prevent future injuries.

Do diet drinks and tea count towards my eight glasses of water a day? Debbie Dudley, RN, diabetes educa- tor, von Arx Diabetes & Nutritional Health Center, answers: Adequate water is essential for good health. The kidneys act like a pool filter to clean out the body’s wastes from the blood. Good hydration is needed for kidneys to work properly. Although diet drinks, tea and coffee contain mostly water, they may also contain artificial flavors, colors and sweeteners—all chemicals the kidneys need to remove. A good rule of thumb is to drink at least an extra glass of water for each non- water (caffeinated) beverage you choose. If you don’t like water, try adding a slice of lemon or lime, a slice of cucumber with mint, or even a few frozen berries to your glass of water for extra flavor.

A good rule of thumb is to drink an extra glass of water for each non-water beverage.


Naples Health | JANUARY-MARCH 2013

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