Generations Fall 2009

redefining life after 45

FALL 2009

FinancialStrategiesfor your 50s

& 60s

Long Island’sBicycle BoomWhere to go for fun & fitness

Parenting...the Second Time Around

Men'sHealthcareChecklist

Patti PageLegendary singer and

spokesperson forNational Committee of

Grandparents forChildren’s Rights

(NCGCR)

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4 | fall ‘09 | generations

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Restorative & Cosmetic Dentistry

• crowns & bridges• dentures• dental implants• porcelain veneers• tooth colored fillings• teeth whitening• general dentistry

By Dr. Terry S. Shapiro - Serving Suffolk County for over 25 years

TTwo prospective patients came intothe office recently with the samecomplaint. Both had lost all of theirteeth and were wearing worn-outand ill-fitting dentures. Theirdentures were loose; they hadtrouble eating foods they wouldhave liked; their faces had thatsunken-in look and they were inconstant pain.

Their previous dentists recom-mended implants to stabilize thedentures. The problem was that asthey were both retired and on fixedincomes they could not affordimplants. What to do? Yes, implantsare a wonderful service and haverevolutionized what we can do toimprove lives. I love implants! Butdue to the laboratory and materialscosts involved, they are expensive.

My approach is different from

other dentists. I make new, custom-fitted dentures for my patients andexplain to them that if the newdentures don't fit and function well,we can then add implants. Myexperience is that the denturepatient does very well with the newdentures and rarely decides to goahead with the implants. Implantsare always an option but they don’thave to be the first option. I believethat patients like these can be wellserved with well-fitting dentures.

CALL TODAY FOR A FREE CONSULTATIONand find out how you can achieve the healthy, good looking smile you have always wanted!

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Sitting on my beach chairat Davis Park on Fire Island, I think how wonderful it is to live on this

beautiful island of ours!We say goodbye to summer and we embrace the coming offall - the harvest, the festivals, THE COLORS!

Enjoy a bike ride, a great form of exercise.What better way to take in thescenery than from one of our many biking trails. Don’t forget the sun block! Readmore about sun damage and the dangers of tanning in our article by Dr. LisaMakrides of Long Island Beauty MD.

Our feature story, “Parenting the Second Time Around,” tells how manygrandparents have been faced with the roll of caregivers to their grandchildren.The National Committee of Grandparents Rights (NCGCR) are advocates forhelping to place children in permanent homes while creating laws to protect thechildren while in kinship care.

In this issue, we are focused on our futures. An interesting fitness article byJohn Boos, “Back to the Future,” searches for the true fountain of youth. You maybe surprised to find where the key lies!

Because Finance is an important matter to our readership, our writers arealways thinking about the big picture. Jonathan Boswick, financial advisor,provides some insight for your “50s and 60s,” asks you to envision what you wantyour retirement to be, and offers advice as to how you can achieve it.

Future happiness and fulfillment and how to realize it is being addressed in aseries of articles by Andrea Fienberg, M.B.A., life coach. “I Can See Clearly Now”will help you think about what is really important to you in life.

Visit our website, click on the blog page, and let us hear from you.Generations Magazine can be found in CVS Stores throughout

Nassau and Suffolk Counties as well as King Kullen, Stop & Shop andBest Yet Food Markets, public libraries and over 700 other highvolume businesses throughout the island.Enjoy our fall issue!

Gia Ricottone - Publisher

PublisherGia Ricottone

EditorPamela Smith

Art DirectionAdvertising Dynamics & Art Inc.

Advertising SalesDorothy RicottonePaul Gembs


Generations MagazinePO Box 961 | Port Jefferson Sta., NY 11776

ph. 631.473.0388|www.generationsmagazine.com

C O N T R I B U T O R S

Andrea Feinberg, MBABrigitte CastellanoTerry Shapiro, DMDJohn L. Boos L.M.T., N.S.C.A.-C.P.T.Lisa Makrides, MD, PCMary Ann Kuntz

Publisher’s

Corner


16 | spring ‘08 | generations

EEven though summer hasslipped away, it’s stillimportant to think aboutsun and UV protection.Melanoma rates are on the riseand a few simple tips can helpyou protect yourself and yourfamily. The sun’s rays are animportant part of our everydaylives and can be beneficial inmany respects; someindividuals require the sun’srays to feel well and all of usneed the rays for vitamin D.However, in excess sunexposure can lead to wrinklingof the skin, age spots, basalcell cancer, squamous cellcancer, melanoma, and evenblindness.The sun’s rays are composed

of ultraviolet light, UVA, UVB,and UVC. Some of these raysare absorbed and some of themare scattered and reflected. Theabsorbed rays cause proteinand cell damage. The proteindamage occurs at the level ofour cellular DNA. DNA damageis manifested as a change inthe cell structure which canlead to abnormal cell growth.Abnormal cell growth cantranslate into skin cancer andpermanent damage to the eyecausing blindness. TheNational Institutes of Healthhave classified solar ultravioletradiation and sun lamps andbeds as a carcinogenic.Carcinogens are agents knownto cause cancer.Sunburn is usually the first

evidence of UVB damage andtanning is the long-term effectof UVA and UVB sun exposure.The UVA rays may be thoughtof as the aging rays and aremost likely responsible for thelong-term harmful effects ofsun exposure. Sun tans are

merely a sign of damaged skin;the bodies defense mechanismagainst sun exposure, i.e., toproduce more melanin in theskin. This damage iscumulative and irreversibleover time. When a physiciansees a patient with tanned skinit should immediately alertthem to look for signs of skincancer.Protection is the key to

avoiding the hazards of sunexposure. Hats, sunglasses,sunscreen, and protectiveclothing are essential foreveryone to wear. When shouldsomeone start thinking aboutprotection? People should startusing sunscreen immediately.Good habits should start asearly as infancy, continuethrough adolescence and followthrough until adulthood. Amajority of sun damage occursbefore the age of 18 so parentsneed to be especially vigilantabout caring for their youngchildren. Teenagers may besomewhat harder to convincebut should be reminded andencouraged often to protecttheir skin. Just remember thata tan is sun damage. It maylook healthy to have a tan butin reality it is not. People of allcolor need to realize thatunprotected exposure overyears is responsible for thevisible signs of aging but evenmore importantly the cancersthat can kill.Not all sunscreens are

created equal. When choosinga sunscreen make sure that itis broad spectrum, meaningthat it protects against UVAand UVB rays. It is importantto apply sunscreen properly.This means applyingappropriate sunscreen 20minutes before you go out so

that it has time to bind to theskin. You need to also applythe proper amount. Theaverage adult requiresapproximately one shot glassamount of sunscreen per eachapplication. Sunscreens alsoneed to be reapplied every twohours. There is some newemerging evidence that notreapplying may be moredamaging than never havingapplied sunscreen to beginwith. Don’t be mistaken andbelieve that a sunscreen willhave adequate protection allday long. Also, “very waterresistant” means that you needto reapply every 90 minutes ifswimming and if “waterresistant” the sunscreen needsto be applied every 40 minutes.Lastly, do not use expiredsunscreen. Make sure youcheck the date before usingand discard old products.I can’t stress enough how

important it is to be sun“smart.” Even if prematureaging isn’t a concern of yours,skin cancer should be. Losinga relative or friend to skincancer is just unnecessary inthis day and age when we aremore educated regarding thehazards of poor protection andunsafe sun practices.

For further informationplease contact Lisa Makrides,MD, PC at 631.751.0542, orvisit www.libeautymd.com

Smart Skin Care


fall ‘09

12 Men's Healthcarescreening checklist

14 Long Island Bicycle Boomwhere to go for fun & fitness

16 Parentingthe second time around

18 Financial Strategiesfor your 50s & 60sputting a plan in place

7 Smart Skin Care

19 Marketplace

20 Fountain of Youth

22 Dinner Parties

24 Bisphosphonates &Osteonecrosis of Jaw

25 Crossword Puzzle

26 Creating Personal Vision

27 Planning for Care vs.Crisis Planning

cover articles


t ab l e o fcontents

crosswordsolutionpuzzle on page 25

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WWhat do residents of IslipLanding have in common? Aftervisiting the charming traditionalneighborhood in Central Islip,they all fell in love with itslifestyle and became homebuyers.

The Islip Landing Communityboasts exquisite, 2- and 3-bedroom town homes andcondominiums with all designerupgrades included.

The Club, featuring a state-of-the-art fitness center, billiard andcard room, community meetingroom, plus a heated outdoor pooland sundeck makes this thesocial “meet and greet” center forall seasons.

A playground in this pet-friendly community of youngprofessionals, families andretirees offers something for

everyone and is only five minutesaway from the East Islip Marinawhere you can fish, crab, eat andenjoy the view of the Great SouthBay.

“Historically low mortgagerates and special buy-downpromotions being offered by thedeveloper makes this a buyer’smarket and a wise investment,”said Joyce Michaels, assistantdirector of sales & marketing ofThe Benjamin Companies, thedeveloper of Islip Landing. Thecommunity is located adjacent tothe Town of Islip’s nine-hole GullHaven Golf Course, and someunits offer golf course views.Nearby are the Southern StateParkway, the LIRR Central Isliprailroad station and the home ofthe Long Island Ducks.

Some residents make thedecision to downsize but still stayon Long Island to be near theirchildren and family. “Theseasonal views overlooking thegolf course from every window ofour townhouse really sold us,”said one homeowner. “We haveour own little communityconsisting of warm and friendlyneighbors and social eventswhich brings everyone together.Our new home and lifestyle isbetter than we ever imagined!”

For further information pleasecontact: 631.297.8008 or visitwww.isliplandingny.com

Islip Landing:Carefree LifestyleFor All Seasons


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WWhile the life-expectancygap between men andwomen has decreased, it’s nosecret that men still need topay more attention to theirbodies. Several things workagainst men. They tend tosmoke and drink more thanwomen. They don’t seekmedical help as often aswomen. Some men definethemselves by their work,which can add to stress.

There are also healthconditions that only affectmen, such as prostatecancer and low testosterone.Many of the major healthrisks that men face – likecolon cancer or heartdisease - can be preventedand treated with earlydiagnosis. Screening testscan find diseases early,when they are easier totreat. It’s important to haveregular checkups andscreenings.

This chart lists recom-mended screenings andimmunizations for men ataverage risk for mostdiseases. These are guide-lines only. Your doctor ornurse will personalize thetiming of each test andimmunization to best meetyour health care needs.

Men’s HealthcareScreening Checklist

SSccrreeeenniinnggTTeessttss

AAggeess 1188 -- 3399

AAggeess4400 -- 4499

AAggeess 5500 -- 6644

AAggeess 6655 aanndd OOllddeerr

General Health:Full checkup,including weightand height

Every 3 years Every 2 years Yearly Yearly

Heart Health:Blood pressure test

Yearly Yearly Yearly Yearly

Cholesterol: Start at age 20,discuss with yourdoctor or nurse.

Discuss with yourdoctor or nurse.



Diabetes: Bloodsugar test


Start at age 45,then every 3 years

Every 3 years Every 3 years

Prostate Health:Digital Rectal Exam(DRE)




ReproductiveHealth: Testicularexam

Monthly self-exam;and part of ageneral checkup.




Colorectal Health:Fecal occult bloodtest

Yearly Yearly

Colonoscopy Every 10 years Every 10 years

Rectal Exam Discuss with yourdoctor or nurse.


Yearly Yearly

Eye Exam If you have anyvisual problems; orat least one examfrom ages 20-29and at least twoexams from ages30-39.

Every 2-4 years Every 2-4 years Every 1-2 years

Hearing Test Starting at age 18,then every 10 years

Every 10 years Every 3 years Every 3 years

Skin Health: Moleexam

Monthly mole self-exam; by a doctorevery 3 years,starting at age 20.

Monthly mole self-exam; by a doctorevery year.



Oral Health: Dentalexam

One to two timesevery year




Mens Health Checklist:fullPg 9/8/09 11:37 AM Page 1


12


13

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FFrom babies to boomers,bicycling is a family friendlyactivity that all ages canenjoy. For Long Islanders whoenjoy biking with family andfriends, we have compiled aguide to bike paths of varyingdegrees of difficulty. For thecasual rider who enjoys lowimpact cycling, you may want tovisit one of the mostly flat,traffic-free recreation paths for asafe ride through interestingplaces with great scenery. Forthe more adventurous cyclists,we highlight two excellent on-road trips through the beautifuleastern end of Long Island’sNorth Fork.Whichever path you choose,

we hope you enjoy the ride!

Heckscher Park-CentralIslip: This flat bikeway is anextremely easy ride and pleasantrun through a grove of woodsand open fields to broad beacheson the Great South Bay.Swimming facilities are providedat Overlook and West beachesand in the Overlook pool.Heckscher State Parkway inEast Islip. (631) 581-2100.

Total Mileage: 10

Bethpage State Park,Bethpage Bikeway: One of LongIsland’s most popular “low-impact” trails, this paved routeruns the length of BethpageParkway, cutting throughBethpage State Park and theMassapequa Preserve to MerrickRoad. It’s good for beginners -most terrain ranges from flat togentle slopes. The route can bepicked up anywhere off theparkway or at the picnic areaparking lot of Bethpage StatePark. (516) 249-0701.

Total Mileage: 7.6

Cedar CreekPark, Wantagh toJones Beach: Cooloff on a hot sum-mer day with thispopular bike androller blade routeto one of Long Island’s mostfamous south shore beaches. It’sa safe, paved trail that runsalong the Wantagh StateParkway to Zach’s Bay, site ofthe Jones Beach Theater. At theend of the trail, there’s a place tolock your bike and walk over tothe bay where you can enjoy arefreshing dip in shallow, stillwater. Or walk just a milefarther through the theaterparking lot to the mainboardwalk area of Jones Beachand go for a swim in the ocean.Cedar Park Parking Field 3.(516) 571-7470

Total Mileage: 9Orient Point to Greenport:

This ride begins at the OrientPoint Ferry Terminal, on theeasternmost tip of Long Island’sNorth Fork. The ride ends indowntown Greenport but it’s alsoa good route if you’reconsidering a tour of LongIsland’s winery region. The shoulders of Rt. 25 from

this point are designated as“Bike Route 25.” Both sides ofthis sometimes busy road arestriped with wide, well-maintained lanes. The ride toGreenport passes quaint “bed &breakfasts,” farm stands, abeach, and a short stretch alongthe scenic Peconic Bay.Ultimately, you will reach MainStreet, where you’ll turn left andcontinue about another mile intodowntown Greenport.Highlights include an historiccarousel, an outdoor amphi-theater, outdoor cafes and a hostof antique shops and craftsboutiques.

Total Mileage: 16

Greenport to Sag Harbor:Some places were just made tobe seen from atop a bicycle. Theareas you’ll pass through on thisride are beautiful from anyvantage point, but there’snothing like seeing them on twowheels. Begin this ride at the Shelter

Island Ferry Station indowntown Greenport. You’ll beriding two separate ferries onthis trip, so be sure to bringmoney to cover both round trips.Ferries leave every few minutesduring peak season.Take your bike on the ferry to

Shelter Island then follow Rt.114South up a short, but prettysteep hill. Traffic immediatelypast the ferry may be a littlebusy, but it opens up once youpass the restaurants and shops.Stay on Rt. 114 South and stickto the shoulder. As you getdeeper into the quiet residentialarea of the island, keep youreyes open for deer. They tend topop out of the woodsunannounced. Follow signs for Rt. 114 until

you reach a downhill that leadsto the South FerryTerminal. Take this ferry toNorth Haven. When you get offin North Haven, stay on Rt. 114,following signs to SagHarbor. Be careful at the trafficcircle! Be sure to go right andloop around as if you aredriving a car. After a short,scenic journey past some reallynice houses, you’ll reach abridge that will take you intoSag Harbor.

Total Mileage: 16

Long Island’sBicycle Boom

Biking-Full pg:memories 9/10/09 3:35 PM Page 1


14


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AAsk any grandmother if sheenjoys her new status as agrandparent and I bet youwill send her gushing abouther wonderful grandchildrenas she whips out the photosof her darlings.

Hey, you can’t blame usgrandparents. We have found ourniche. We get to give ourgrandchildren our hearts withoutgetting the headaches that comefrom parenting.

Not all grandparents are solucky. There is another group ofgrandparents out there who areparenting their grandchildren24x7 and who can’t walk awaywhen junior gets sassy. They arethe selfless champions who areraising children the second timearound. These grandparents aren’tlooking forward to retirement.They worry about day care andschools. They are on top of the

new math as well as being familiarwith iPods, iPhones, and MySpace. It’s a whole different ballgame than when we were raisingour children. The world was safer.Kids could stay outside all dayplaying but had to be in beforedark. Now kids have cell phonesso parents can keep tabs at all

times.In spite of the many

challenges facing thesegrandparent caregivers, whengiven the choice, they chose thechildren every time. Without thesegrandparents stepping in, theirgrandchildren would be in fostercare. Nationally, there are over500,000 children in foster care butover 6 million children in the careof grandparents and otherrelatives.

When I first started as anadvocate for grandparentcaregivers in 1999, upon the deathof my daughter, there was verylittle information available, andcertainly no laws to protect thechildren in our care. Agrandparent could be caring for achild in his/her home for tenyears and, at any time, apreviously absentee or non-

involved parent could come backin and decide to take the child.Judges oftentimes ruled in favor ofthe parent (even when the parentwas a felon). Because of that,many children were treated aspossessions and ripped fromloving homes without a bestinterest test by the court (ashappened to our grandson).

During those years ofadvocacy, we grandparentsdiscovered that it is importantthat we come together as onevoice if we wanted to makechanges, and that is how theNational Committee ofGrandparents for Children’s Rights(NCGCR) started. NCGCR isheadquartered in Long Island, NYat the School of Social Welfare atStony Brook University, and hasgrown to 41 chapters around thecountry.

By Brigitte Castellano

Parentingthe Second Time Around

In spite of the many challengesfacing these grandparentcaregivers, when given the choice,they chose the children every time.

Parenting the second time around:memories 9/8/09 4:15 PM Page 1


16


In 2003 our organizationsucceeded in the passage of theGrandparent Caregiver Rights Act,which states that if a grandparenthas been caring for a child fortwenty-four or more months, anda non-involved parent wantscustody, the court must determinewhat is in the best interest of thechild before making the custodydecision. Since then, other lawsaffecting children andgrandparents have been passed aswell.

Our organization has becomemuch more vocal, holding annualrallies in Albany to makelegislators aware of whatgrandparent caregivers need inNew York State, and we havepartnered with other groups toorganize bi-annual rallies inWashington, D.C. The nationalrallies have resulted in the passageof a federal law called FosteringConnections for Success whichwas signed by President Bush inOctober, 2008. This bill includedthe notification of grandparentsby the Department of SocialServices as soon as children areremoved from a parent’s home byChild Protective Services.

NCGCR is proud to have awonderful grandmother caregiveras our Honorary Spokesperson,and that person is the legendary

singer PattiPage (“TheSinging Rage”).Three years ago,I had theopportunity tointerview Patti.At the time,Patti and herhusband, Jerry

Filiciotto, were raising Patti’s twogranddaughters, Page now 14 andSarah now 16. Patti and her

husband gave us a tour of theirfarmhouse in NH, and we metPage and Sarah who were quitecharming. It was clear that Pattiand Jerry were doing a wonderfuljob raising these girls. In 2007Patti was asked to be ourHonorary Spokesperson.

Since then Patti hasparticipated in other nationalevents giving freely of her timeand talents to the cause ofgrandparents parenting thesecond time around. Sadly, Patti’shusband, Jerry, passed away thispast April so it means Patti is theonly full time caregiver of the girls.

In spite of her hectic schedule,Patti makes the effort to travel toplaces where our events are held.She willingly greets the peoplewho come to meet her and isalways gracious to her fans. At thesame time, she speaks of herexperiences as a grandparentcaregiver and emphasizes that weall must work together to ensurethat the children in our care havethe same opportunities that allchildren deserve. Patti has given avoice to this previously forgottenpopulation.

The 2000 census showed that,on Long Island alone, there were66,000 grandparents caring forminor children and many morechildren in other forms of kinshipcare arrangements. In spite ofthese numbers there were fewservices available andgrandparents struggled to makethe best out of a challengingsituation.

In 2005, our organizationreceived a grant from the NewYork State Office of Children andFamily Services to establish theLong Island KinCare Connectionprogram. This grant enables theorganization to provide walk-in

centers at our office in Hempsteadand at the School of Social Welfareat Stony Brook University. Thegoal of KinCare Connection is topromote permanency for childrenliving with caregiver relatives andto help children to be placed withrelatives. The program providescounseling, support groups,entitlement information, and alsoworks with an attorney whoprovides free consultations tograndparents seeking custody orvisitation.

For furtherinformationplease call our office at

Stony Brook University,

631-444-3160, call our toll free

line at 866-624-9900 or visit

www.grandparentsforchildren.org.

Parenting the second time around:memories 9/8/09 4:15 PM Page 2


17

WWhen you started out in yourcareer, you may have focused onpaying off student loans, buying ahome, and, hopefully, starting tosave for retirement. Generallyspeaking, these are prettystraightforward goals. But by thetime you enter your 50s and 60s,your financial objectives may besomewhat more complex, so youwill need to take great care increating and implementing theright strategies.

What You’ll Need – and WhatYou’ll HaveDuring your 20s, 30s and 40s,

you may have put away as muchas you could afford in your 401(K)and IRA, but your moreimmediate concerns were paying

someone else - your student loanprovider, your mortgage company,your children’s college, etc. Onceyou reach your 50s, you may havefinished with these types ofobligations, and that gives you anopportunity to look ahead.For starters, you’ll want to

envision a retirement lifestyle. Ofcourse, you may have done thisexercise when you were younger,but your plans could easily havechanged. Now it’s time to take aclose look at what you expectfrom retirement.Where will youlive?Will you travel much?Volunteer? Open a small business?

The possibilities are vast – and soare the differences in cost. So, tonavigate your course during theyears left until you retire, you willwant to know what yourretirement will look like - and howmuch it will cost.Once you know about how

much money you will need tofund your retirement, your nextstep is to look at your potentialretirement assets: Social Securitypayments, distributions from your401(k) or other employersponsored plans, and incomefrom your personal investments,such as bond interest and stockdividends. Factoring in all theseresources, will you have enough toenjoy a retirement that could lasttwo to three decades? If not, whatcan you do about it during theyears before you retire? Shouldyou adjust your portfolio toprovide more growth? Can youcontribute still more to your401(k) and IRA? If you have“maxed out” on these vehicles,should you look for another tax-advantaged retirement vehicle,such as an annuity? Clearly, theseare not simple questions toanswer, which is why you may beable to benefit from working witha financial professional –someone who knows yoursituation and can help you createindividualized strategies to meetyour goals.Put Estate Plans in PlaceBeyond estimating the cost of

your retirement lifestyle andassessing your financialpreparedness, what else can youdo in your 50s and 60s to makesure you are on track to meet allyour goals? You need to plan your

estate.Specifically, you will want to

have the appropriate legaldocuments in place. Have younamed the correct beneficiarieson your insurance policies? Doyou have a will and a living trustto make sure your assets will bedistributed according to yourwishes? Do you have a durablepower of attorney so thatsomeone can make financialdecisions on your behalf if youbecome incapacitated?By working with an

experienced estate-planningattorney and tax professional, youcan protect your financialinterests – and those of yourfamily. So don’t delay – the sooneryou start, the less you will have toworry about in retirement.

Financial Strategiesfor your 50s and 60s

For starters, you’ll want to envisiona retirement lifestyle. Of course,you may have done this exercisewhen you were younger, but yourplans could easily have changed.

For further informationplease contact:Jonathan Bostwick, Edward Jones Financial Advisor,Member SIPC. (631) [email protected].



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JJack and Jill went up the hillin search of the fountain ofyouth. They both came downwearing a frown stillsearching for the truth. JackLaLanne and Charles Atlasboth knew the answer tostaying younger. Many of themuscle builders of the ‘40s,‘50s, and ‘60s knew it, as well.But instinctively knowingsomething and being able toprove it are two differentthings. Only in the last fewyears has medical sciencedisclosed how to remainhealthy, vital, disease-free, andyounger for much longer…inother words, the truth of thefountain of youth.

To understand this, we mustunderstand the other side ofyouth, aging. As we age, welose muscle. This muscle loss isaccompanied by a multitude ofother negative changes, suchas raised blood pressure,diabetes, and obesity. Therehave been a number of in-depthstudies performeddemonstrating that by stayingphysically active and workingon maintaining muscle mass,you can ward off the greatesthealth risks and sustain afeeling of youthfulness. One ofthe best works to address theaging process was conducted atTuft’s University by Dr. BillEvans. This may not sound likea big science breakthroughbecause you don’t have to be abrain surgeon to know exerciseis good for you. But there hasbeen a breakthrough that isbig. That breakthrough is thatit’s not just any exercise. It’sexercise that affects a specialkind of muscle tissue. Ourbodies have several differentkinds of muscle fiber types.One class of muscle fibersperform endurance activities,

such as jogging, walking, andaerobic activities. Another classof muscle fibers perform in amore power and strengthfashion as in resistanceexercising (barbells or weighttraining machines).

Until recently, medicalscience believed that the key tohealth and vitality was exerciseand a good diet. However, thenever ending search for morespecifics has revealed that notonly do we lose our musclethrough the aging process, butwe now know what kind ofmuscle fibers we lose. Thedefinition given to “age-relatedloss of muscle mass, strengthand function” is sarcopenia.This muscle loss (atrophy) isseen in the power and strengthfibers. These fibers arerecruited or activated onlyduring high levels of anaerobicexercise, not during lowerlevels or aerobic exercise.Fortunately, sarcopenia issignificantly reversible withappropriately appliedresistance exerciseintervention.

Along with sarcopenia,comes a decrease in sexhormones, body repairinghormones, and body buildinghormones. Proper nutritionuptake of vitamins, minerals,phyto-nutrients, andmicronutrients are essential tocombating the aging process.What is becoming more andmore scientifically evident isthat if the approach is taken todeal directly with muscle tissuethat is associated with strengthand power, it becomes a win-win situation for all of theaforementioned concerns of theaging breakdown. Withproperly executed resistanceexercise, sex hormones remainhigher, nutrition breakdown is

magnified, and the uptake ofprecious enzymes and naturalfood elements are vastlyimproved.

So what is the formula forreversing this muscle,strength, and powerdisintegration? The answer is –intense anaerobic exercise.What is the proper intensityformula? According to medicalresearch, it is 70% to 90% ofwhat a muscle can lift once. Tosimplify, it would be arepetition range of 6 to 14 untilyou can no longer properlyperform the movement. Nowdon’t go stampeding off to thegym and piling on the weight.Exercise in itself is a processrequiring knowledge, know-how, and experience. Pleaseseek professional guidance.

Medical science is finallycatching up with what the old-time physical culturists, likeJack LaLanne, knewinstinctively. When I wasyounger, body building to theoutside world was back alleyfun. Now science is making itfront room news andpromoting it as a necessity tostaying younger while growingolder. If you want to have ayounger future, you now knowyou must go back and get yourstrength and power.

Now it can be said… Jackand Jill went up the hill insearch of the fountain of youth.They both returned from whatthey learned, and now theyknow the truth.

For further informationplease contact John L. Boos,L.M.T., N.S.C.A.-C.P.T. at631.587.4786 orwww.Boosworld.com

Back to the future...the true fountain of youth

By John L. Boos

Fountain of Youth_boos_full:fullPg 9/8/09 5:07 PM Page 1


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DDinner parties are a wonderful wayto share a meal with those that welove. Friends and family gatheredaround the table can be such aheartwarming experience. As a hostI get no greater pleasure than whenmy guests enjoy the meal I haveprepared.

Below is a complete menu for alovely dinner for four. Add a salad ofromaine lettuce and endive andyou’re good to go. Incrementallyincrease the recipe for additionalguests.

Pear Slices with Smoked Troutand Basil (makes 20)2 medium pears, halved & cored1 tbsp. lemon juice8 oz. low-fat cream cheese2 oz. smoked trout, flaked2 tbsp. chopped fresh basil1 tbsp. grated lemon rind*20 small fresh basil leaves

Slice the pear halves into wedgesabout 1/4” thick (about 5 slices perpear half). Place them in a mediumbowl and toss to coat with thelemon juice. (This will prevent themfrom discoloring.)

In another medium bowl,combine the cream cheese, trout,chopped basil and lemon rind untilthoroughly blended.

To serve, top each pear slice witha dollop of smoked trout creamcheese. Garnish with a fresh basilleaf.

Preparation time: 15 minutes• Chef ’s notes: A zester is a great little

gadget for removing the intensely flavoredcitrus rind. Remove the rind before yousqueeze the juice from the fruit. Be sure tograte off only the colored rind and avoidscraping deeply into the white, more bitter,layer beneath it.

For a really fancy presentation,put the cream cheese mixture in apastry bag fitted with a star tip andpipe it onto the pear slices.

Maple Glazed Pork Tenderloin(serves 4)

4 portions pork tenderloin (3 oz. each)1/4 c. diced shallots1 tbsp. canola oil1/4 c. sherry wine vinegar1/4 c maple syrup1/4 c defatted chicken stock

Heat a large no-stick frying panon medium-high heat for 2minutes. Sear the pork tenderloinfor about 2 minutes per side.Reduce the heat to medium andadd the shallots and oil. Cook untilsoft, about 3 minutes. Add thevinegar, maple syrup and stock.Bring to a boil and cook untilsyrupy, about 5 minutes. Soon theglaze over the tenderloin.

Preparation time: 5 minutesCooking time: 15 minutes

Rumaki (makes 60)2 boneless, skinless chicken breasthalves (3 oz. each)1/4 c. low-sodium soy sauce20 pineapple chunks20 water chestnuts5 slices Canadian bacon*

Cut the chicken breasts intonickel-size pieces, approximately 10per breast. In a small bowl,marinate the chicken in 2 tbsp. ofthe soy sauce. In another smallbowl, marinate the pineapple andwater chestnuts in the remainingsoy sauce. Let both marinate forabout 15 minutes.

Cut the Canadian baconlengthwise into 4" x 1/4" strips.Wrap each water chestnut,pineapple or chicken piece with abacon strip and secure with atoothpick. Coat a baking sheet withno-stick spray. Place the rumaki onthe prepared baking sheet. Broil at500º for 5 minutes, turning once.Serve warm.

Preparation time: 10 minutesplus 15 minutes marinating timeBroiling time: 5 minutes

* Chef ’s Note: Buy rectangular ratherthan round Canadian bacon to ensurethat th meat strips will be long enough towrap around the chicken, water chestnutsand pineapple.

Cranberry Rice (serves 4)1 tsp. canola oil1/4 c. diced onions1 1/4 c. water1 c quick-cooking brown rice1/2 c. dried cranberries1/4 tsp. grated nutmeg1 tbsp. chopped fresh parsley

In a medium saucepan, heat theoil on medium until hot. Add theonions and sauté for 3 minutes.

Add the water and bring to a boilover high heat. Add the rice,cranberries and nutmeg; reduce theheat to low, cover and cook for 10minutes, or until al the water hasbeen absorbed. Stir in the parsley.Preparation time: 5 minutesCooking time: 15 minutes

Easy Apricot Soufflé withRaspberry Sauce (serves 4)4 egg whites1/4 c. honey1/4 c. all-fruit apricot spread1 package (10 oz.) frozenraspberries, thawed

In a large bowl, beat the eggwhites with an electric mixer untilthey form soft peaks, about 2minutes.

In a small saucepan, heat thehoney and apricot spread over lowheat until warm, about 1 minute.Fold the warm honey mixture intothe egg whites until just blended.

Coat 4 (8-oz.) custard cups withno-stick spray. Spoon the soufflémixture into the prepared cups.Place the cups on a baking sheetand bake at 400° for 10 minutes, oruntil puffed and golden brown.

Meanwhile, place the berrieswith their juice in a sieve over asmall bowl. Push the berriesthrough the sieve with the back of aspoon. Discard the seeds. Stir theraspberry pulp and juice together tocombine. Pour the raspberry sauceinto a pitcher.

Serve the soufflés right from theoven; pass the raspberry sauce.Preparation time: 10 minutesBaking time: 10 minutes

* Chef ’s note: A soufflé is very sensitiveto temperature changes, so avoid checkingon it during baking. Also, a soufflé willbegin to deflate as soon as you remove itfrom the oven, so serve it immediately.

Dinner Parties

Recipes Dinner for 4:memories 9/10/09 2:29 PM Page 1


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MMany of my mature LongIsland dental patients aretaking the bisphosphonatedrugs, Fosamax, Actonel, orBoniva, to prevent furtherbone loss. No one wants tolose inches or suffer withbroken bones. But you shouldbe aware of a condition calledosteonecrosis of the jaw (ONJ)which has been linked to use ofbisphosphonate medications.

Bisphosphonate ONJ isdiagnosed in a patient who hasan area of exposed bone in thejaw that persists for more than8 weeks and who has nohistory of radiation therapy tothe head and neck and who istaking, or has taken, abisphosphonate medication.The condition is characterizedby pain, soft-tissue swelling,infection, loose teeth, andexposed bone.

It is important that youdistinguish between thebisphosphonate medications(such as Fosamax, Actonel,Boniva) which are taken orallyto treat osteoporosis and others(such as Aredia, Bonefos,Didronel or Zometa) which areadministered intravenously aspart of cancer therapy.

In rare instances, someindividuals receivingintravenous bisphosphonatesfor cancer treatment havedeveloped osteonecrosis of thejaw, or destruction of thejawbone. Still more rarely,

osteonecrosis of the jawbonehas occurred in patients takingoral bisphosphonates.

Patients currently receivingintravenous bisphosphonatesshould avoid invasive dentalprocedures if possible. Visityour dentist and take care ofneeded dental work beforebeginning the bisphosphonatetherapy. Be sure to let yourdentist know if you use anybisphosphonate medication,whether oral or intravenous.

The January 1, 2009 issueof the Journal of the AmericanDental Association reported ona new study at the Universityof South Carolina showing thatthe proportion of people takingoral osteoporosis drugs whodevelop osteonecrosis of thejaw (ONJ) may be much higherthan previously thought.

The USC School ofDentistry’s database showedthat nine of 208 patientstaking Fosamax had activeONJ, a prevalence of about 4percent. All were patients whohad undergone some kind ofdental procedure, such ashaving a tooth removed. Thejaw complication has been seenin patients taking Fosamax foras little as one year. It seems tooccur most frequently afterroutine tooth extraction.

Although no one is surewhy bisphosphonates seem tohave this effect only on jawbones, researchers have

speculated that the drugs maymake it easier for bacteria toadhere to bone that is exposedafter a tooth extraction.

At the USC School ofDentistry patients are put onanti-microbial, anti-fungalrinse one week pre-operativelyor post-operatively if they havebeen on bisphosphonates sixmonths or longer.

It is up to you and yourphysician whether to modifyuse of the bisphosphonatemedication before dentalsurgery procedures. Theconsensus is that good oralhygiene and regular dentalcare will help to lower yourrisk of developingosteonecrosis of the jaw.

For further informationplease contact Terry S. Shapiro, D.M.D.631.751.4433www.drterryshapiro.com

Bisphosphonatesand Osteonecrosis of the Jaw

By Terry S. Shapiro, D.M.D.

Bisphospahtes_Shapiro_full pg:memories 9/8/09 12:15 PM Page 1


24

Crossword Solutionon pg. 6

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director18 Back of the

neck19 Legendary fe-

male pope20 Besmirched22 Newspaper

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source

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symphony5 Surgical probe6 Tennis star

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MSo often we focus on goals thatreflect a change we’d like toachieve: lose weight, stopsmoking, change jobs, plan avacation. How often is the samedegree of planning applied to thevery 'big picture' concepts, thekind that don't often come up inconversation? Concepts like: Whatdo you want for yourself,personally? How do you imagineyour life's 'theme'? How do youshift gears after a lifetime oftraveling a comfortable, well-known path? If you’ve reached a‘fork in the road’ moment, perhapsresulting from the wisdom of ageor the results of a severe economy,you’ll find that answering thesequestions can help. And they’llhelp with more than thecircumstance of today or thecoming months. They representthe kind of thinking and planningthat can direct a lifetime of smalldecisions, making sure wecontinue to follow our owncompass toward a destiny ofpersonal fulfillment, pride andsuccess (however you choose todefine that word).

Here’s an example of what Imean. About 20 years ago, Iwalked away from a truly greatjob to begin my firstentrepreneurial venture. In themonths after this change, Inoticed a tremendous shift in mysense of self. All the externalelements of my former life weregone. The suits, the private office,the secretary and staff, the paidhealth insurance and vacations,the expense account, meals atgreat restaurants, the glamourand credibility conferred on me bymy famous employer - all gone.

In my new business, I’dtraveled a 180-degree departurefrom my prior career. I was in acompletely new industry in whichI had no experience, no influenceor track record. Now, I thought I’dhandled all the right ingredients

before making this life-changingshift:• I knew that my business ideamet my analytical side'scriteria for being good

• I knew how to expertly craftmy product

• I had 12 year's excellentbusiness experience as amanager of a multi million-dollar division

• I was secure with my MBA inmarketingNever the less, there were

some critical things I didn't have.It took me a long time torecognize the value of all thoseenvironmental and intangibleelements I'd left behind - howfundamental they were to mysense of self and how they'dprovided a sense of ‘place’ - whereI fit in the working world'shierarchy. I’d never thought aboutthese things before. As I laterunderstood, professional pride,accomplishment and credibilityhad been conferred on me with abusiness card and a title. Wherewould I find these resources againin a start-up with no namerecognition?

This experience taught me alot about transitions. It has sincebecome the common element inthousands of coachingconversations with clients. Whilewe often consider the logisticalelement of making a change, it’snot the most significant aspect ofensuring a planned change is theright one for us; the one that willenrich our lives rather than causestress at having left the familiarfor the unknown. The facet that’soften left out of our deliberationsis self-awareness: understandingour strengths, priorities and thepersonal needs we must fulfill toknow the shift was the right onefor us.

Another aspect we tend toignore when moving on is theenvironment or context of the

situation we’re leaving behind.How you personally respond tothe stimulus of a newenvironment, whether due to achanged job, industry, level ofresponsibility or authority, or amove to a new community with adifferent local culture, or pace ofinteracting – all those things thathelped to shape your formerfamiliar day may now be gone.

These sensations and changescan have an enormous impact onhow you start to adapt and getcomfortable with your newsituation. How you feel willcontrol the enthusiasm withwhich you undertake your newlife and will affect your ability tobelieve this was the right changefor you. There's a huge emotionalcomponent that goes intoconsidering and executing a lifechange. The key is toacknowledge and address the‘hidden’, intangible elements thatare important to us. Include themin your deliberation of ‘what’snext?’ to determine how criticalthey are as you step toward what’snext in your life.For further information

please contact: Andrea Feinberg, M.B.A., CertifiedProfessional Behavioral Analystand Certified Strategic BusinessLeadership Coach. 631.642.7434.www.coachinginsight.com

I Can See Clearly NowCreating Personal Vision

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MMost Baby Boomers todayfeel that getting signifi-cantly ill or old and frail iseither a long way off orwon’t happen somehow.It is a direct result of how ourmedical advances have allowedus to live very healthy lives forthe most part. We have alsoseen older people in generalliving longer, more healthylives too.

Most of our seniors don’tthink about getting oldereither as.it is too stressful. Ourseniors of today lived in an erawhere people did not survive tobe very old as there was nomedical insurance for seniorsprior to 1966 (when Medicareand Medicaid began) and lessermedical care. .

Most seniors utilizeMedicare and supplementalhealth insurance to pay theirmedical bills and use everevolving medical advances tokeep living much longer. Butthis comes at a cost to thefamilies as to provide homecare or an adequate livingarrangement for our seniorsand parents.

As a result, most people,both old and young, get caughtoff guard at a crisis pointwhereby care needs for theirseniors become immediate andserious. It creates a lot of

serious chaos in the lives of thechildren such as time off fromwork, quitting jobs, losing jobsdue to care issue, etc.

Crisis Care for our seniorstoday is unprecedented in ourhistory. Today’s children ofseniors are the first generationto have to deal with ongoingcare issues for their parents.

Sudden Crisis Care for asenior is very overwhelming. Itis a steep learning curve forthe children of seniors to learnmedical and care issues, legalissues, medical insuranceissues, estate planning, andhousing solutions. All theseissues have a significant depthof learning involved.

How do you plan for care?The best kind of care planningis prior planning. This startswith the senior and the familyas care becomes a joint familyissue. There are a lot ofanswers depending on thestage of the care needs. 1. Age and health of the senior 2. Medical evaluations of

illness and depth of care3. Short term or long term care

plans4. Ability to stay at home 5. Closeness of family member

in emergencies Modern families are not

realistically set up to facilitatethe care of a senior. Womennow have jobs that prevent

them from staying home fulltime. Some families carry 3jobs to make ends meet.

The care of seniors is muchlike child care. Seniors that areolder and more frail need aconsistent daily schedule ofbeing physically (and mentally)cared for.

Care of seniors is also verychangeable. Care needs of asenior can escalate due to anillness or hospitalization andthen stabilize and then worsenagain.

Utilizing health careprofessionals such as GeriatricCare Managers, Elder Lawattorneys for legal issues andyour own medical doctors canassist greatly in developingongoing care plans for yourseniors. For further information please contact: Guiding Light for Seniors516-536-5760www.guidinglightforseniors.com

Planning for Carevs. Crisis Care Planning

By, Mary Ann Kuntz, Medicaid and Senior Care Consultant

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To Implant... or not to Implant

One of the most difficult decisions you may have tomake is choosing a nursing home for an elderly relative.A wonderful new tool provided by the federalgovernment is a website that rates these facilities forquality. The site, www.medicare.gov, providesinformation on 15,800 nursing homes, which you cancompare by region. The site also has information forcommunity-based alternatives to nursing homes thatmay be of great interest to families. Visit www.medicare.gov, go to search tools, and clickon Compare Nursing Homes in Your Area.

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color. Research shows thatthis free radical scavenger iseffective in preventing cancer.Antioxidants can alsostrengthen the immunesystem, as well as boost thebody's overall level of health.

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If your parent or elderly loved onehas been acting out of character, itcould be a sign that they needadvanced care services - or it couldbe nothing. Before you get worried,get informed.Here are the specific changes youshould watch for:

� Personal hygiene problems

� Home in disarray or needing to becleaned

� Weight loss or weight gain - checkfor spoiled food or insufficientfood in the home

� Failure to manage medications ormedical appointments

� Increased difficulty with mobility(such as climbing stairs or using abathtub)

� Changes in judgment, mood oroverall behavior

� Increased forgetfulness - checkfor unopened mail or unreadnewspapers

� Missed bill payments or otherfinancial difficulties

� Unusual or extravagant purchasesthat are out of character

� Decreased social activities orfailing to maintain friendships

If you have noticed a majority ofthese changes in your loved one, itmay be time to find them the helpthey need.

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Generations Fall 2009

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