What your doctor doesn't have time to tell you.

Do
you sometimes feel as if going to a doctor's office is like going through a
revolving door: in, swoosh-blur, out? You fight traffic to get there, wait a
while in the waiting room, wait a while in the exam room, get seen, get dressed
and get out. But once you've gone, you realize you're missing something --
maybe a small piece of helpful information. Below, some insider tips from
medical specialists who tell you what your doctor doesn't have time to tell you
in that all-too-brief appointment.
The oncologist says
Edward T. Creagan, a professor of medical
oncology at the Mayo Clinic College of Medicine, in Rochester, Minnesota
Turn down the grill. When meat is charred at a
high temperature, amino acids in the meat break down and form carcinogens.
"Lower the flame or move the rack up higher," says Creagan. Cooking
may take longer, but you'll avoid the risks.
Adopt a furry friend. Spending time with an
animal produces endorphins (which can enhance immunity) and the hormone
oxytocin (which fosters a sense of well-being) and decreases the stress hormone
cortisol, says Creagan.
Have a European lunch. You know how Italians
linger over meals? It may not be their intention, but that leisurely repast
keeps them out of the sun during the peak times for sun damage, which can lead
to skin cancer. At the very least, try to limit outdoor activities when the
sun's rays are the strongest
The gynecologist
says
Mary Jane Minkin, a clinical professor of
obstetrics and gynecology at the Yale University School of Medicine
Don't play doctor. If you think you have a
yeast infection, there's little harm in doing one round of a drugstore
treatment (like Monistat), but if the symptoms don't clear up, consult your
doctor. "Two-thirds of the time, it's a simple irritation or a bacterial
infection, not a yeast infection," says Minkin.
Reconsider the pill. "The benefits often
outweigh the downsides," says Minkin. Birth-control pills have been shown
to reduce the risk of ovarian
cancer by about 35 to 50 percent (and early warning symptoms for
this deadly disease are hard to spot).
Take a bathroom break. Urinating after
intercourse will help flush out bacteria before they have a chance to cause a
urinary-tract infection. Also, a glass of cranberry juice every day can help
keep bacteria from binding to the bladder walls.
The dentist says
Jennifer Jablow, a cosmetic dentist in New
York City
Eat your antioxidants. The teeth and gums are
made up of collagen, and foods containing antioxidants, like blueberries and
broccoli, help protect them from inflammation.
Limit lemons. It's fine to sip some
lemon-spiked water on occasion, but don't overdo it, and never suck on lemons.
The high acid content of lemon juice can wear away tooth enamel.
Soften up. "Hard-bristle brushes can abrade tooth
enamel and cause gum recession," says Jablow. Consider the newer
soft-bristle electric ones, which alert you when you brush too hard.
The podiatrist says
Marlene Reid, a podiatrist in Westmont,
Illinois, and a spokesperson for the American Podiatric Medical Association
Size yourself up. Have your feet measured
every few years -- especially after a pregnancy or if your weight has changed.
"Don't just routinely buy the size you've always worn," says Reid,
because wearing shoes that are too small can exacerbate foot problems, like
bunions, corns, and hammertoes.
Change your shoes. You shouldn't wear the
same heel height every day. "Even half an inch of difference changes the
pressure on the foot and stretches out the Achilles," says Reid. Take that
as a good excuse to buy those cute flats or kitten heels.
Banish bare feet. When you go barefoot or
wear shoes that have no arch support or motion control (like flip-flops), the
plantar fasciae, the connective tissue that runs under the feet to the heels,
can get overworked. The result is often heel pain.
The cardiologist
says
Nieca Goldberg, an associate professor of
medicine and the medical director of the Women's Heart Program at New York
University, in New York City
Do some navel-gazing. "Even if you're
slim, storing fat around your belly is linked with a higher risk of heart disease,"
says Goldberg. Measure your waist regularly. Ideally, it should be less than 35
inches. To manage your middle, get daily aerobic exercise and avoid simple
carbohydrates, such as pastries and white bread, which can increase belly fat.
Take your numbers. "If you are over 35
and don't know your blood pressure and cholesterol, see your
doctor," says Goldberg. Having that information lets you and your doctor
assess your heart-disease risks.
Go (a little) nuts. Walnuts, which contain
healthy fats and alpha linoleic acid, may be good for your heart. Have a
handful a few times a week.
The sports-medicine
doctor says
Kathy Weber, the director of women's sports
medicine at Rush University Medical Center, in Chicago, Illinois
Risk making a fool of yourself. When it comes to
exercising, doing the things you aren't good at will help you the most.
"People tend to gravitate toward the activities they're best at and ignore
everything else," says Weber. (The naturally flexible become yoga addicts;
those with good cardio endurance focus on running.) But always doing the same
activity can cause imbalances in your muscles, which can lead to overuse or
injury.
Get your rear in gear. Women tend to be
naturally weak in the hips and the gluteals, but if those areas are not strong,
the knee and hip joints must absorb all the impact. Strengthening the backside
helps prevent a lot of injuries, such as hip bursitis, tendinitis, and gluteal
strains.
Buy new sneakers. Runners and walkers
should get a new pair of sneakers after the old ones have 300 to 400 miles on
them, which is about every five months if you walk or run three miles a day,
five days a week. "Wearing them after they break down can lead to problems
ranging from achy feet to knee or hip injuries," says Weber. If you've
lost track of how long you've had your sneakers, compare them with a new pair
and look for signs of deterioration in the soles, the arch support, and the
overall cushioning.
The neurologist and
memory expert says
Gary Small, the director of the Memory and
Aging Center at the University of California Semel Institute, in Los Angeles,
California
Use it or lose it. Studies suggest that
doing things like puzzles, crosswords, and sudoku may protect the brain. You
also need to work on practical memory tasks to help keep your mind sharp.
Small's technique for improving the recall of names, faces, and lists is called
"Look, snap, connect." Look: Focus your attention. Snap: Create a
visual picture in your mind. Connect: Put it into a context that will help you
recall it later.
Put stress in its place. Chronic stress shrinks the
memory centers in the brain, and the stress hormone cortisol can hamper a
person's learning ability and recall. So cutting stress is the first step
toward improving and preserving memory.
Swirl some red. "Choose a glass of
red wine over white," says Small. Resveratrol, the antioxidant compound in
red wine, may have protective effects on the memory. But don't overdo it:
Having more than one drink a day for women and two for men may increase the
risk of cancer and other diseases.
The spine surgeon
says
Sean McCance, a codirector of orthopedic
spine surgery at Mount Sinai Medical Center, in New York City
Work your core to save your back. Focus on exercises that
strengthen your abdominals and back in tandem. McCance suggests the
"Superman." Lie on your stomach, arms extended overhead. Arch your
back and lift your arms, shoulders, and head off the floor. Hold for a few
seconds, then release.
Move in close. Each time you bend over
to pick up something at arm's length, the forces acting on your spine are four
to five times as great, which can lead to back injury. Instead, stand close to
the object, get low, then lift.
Don't sit still. "When you remain in
one position for too long, your muscles get stiff, putting pressure on the
discs in the spine," says McCance. By getting up and moving around every
30 to 45 minutes or so, your back gets to change position, your blood flow
increases, and fluid flows back into the area to rehydrate the discs that
cushion the spine.
The psychologist
says
Karla Umpierre, a clinical psychologist at
the Miami Institute for Age Management and Intervention, in Miami, Florida
Be selfish. Whether you seek counseling, practice
meditation, or keep a journal, it's important to take some time to learn about
yourself, your fears, and what you want in life these days. "When you
don't set priorities or make time for yourself, you rob yourself of the chance
to clear your mind and gain perspective," says Umpierre.
Hit the party circuit. "It's a rare person
who can lead a solitary existence and still be happy," says Umpierre.
Having a strong social network has been shown to improve physical as well as
mental health, so seek out events where you'll connect with people you care
for.
Get high on exercise. To keep your spirits high, schedule in some physical activity every day. Exercise may be a natural antidepressant. Anything from a vigorous workout to a casual stroll around the neighborhood may lift your mood.
The family
physician says
Davis Liu, a family physician with the
Permanente Medical Group, in Sacramento, California
Let your birthday be a health reminder. Think of this day as an
annual opportunity to assess your health. Have you reached a milestone birthday
that means it's time for a test like a mammogram or a colonoscopy? Look back at
the calendar and make sure you aren't overdue for a visit to the gynecologist
or the dentist. "Think about whether or not you've done everything you
need to for your health in the past year, and plan what you should do in the
year ahead," says Liu.
Powwow with your family. As your parents and brothers and sisters age, stay on top of what medical conditions they have, and let your doctor know of any major developments. "Your immediate family members are like a window into your future," says Liu, "and heeding the warnings of any medical issues they're experiencing is one proactive thing you can do for yourself."
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