Arts & Entertainment

Don’t throw out your seeds after this year’s pumpkin carving. This healthy snack is easy to make at home and a fun project to get the kids involved.

Plus, this versatile Roasted Pumpkin Seeds recipe can be modified with any of your favorite seasonings or spices.

Visit Culinary.net to find more quick, simple snacks.

Roasted Pumpkin Seeds

Roasted Pumpkin Seeds

Ingredients:

Water
1 1/2 cups raw pumpkin seeds
2 teaspoons sea salt, plus additional for seasoning (optional)
2 teaspoons salted butter, melted
1 teaspoon garlic powder
1 teaspoon paprika

Directions:

In pot over high heat, bring water to boil. Add pumpkin seeds and 2 teaspoons salt; boil 15 minutes. Drain water and spread seeds evenly on paper towels to dry.

Preheat oven to 350 F. Line baking sheet with foil or parchment paper.

In medium bowl, toss seeds and butter until coated well. Sprinkle with garlic powder, paprika and additional salt, if desired. Spread seeds evenly on baking sheet.

Bake 25-30 minutes, or until golden brown and lightly toasted. Stir every 10 minutes.

by -
0 1208
Photo from Brandpoint

The Medicare Annual Enrollment Period (AEP) which runs from October 15 to December 7 is here, and with it comes a wave of changes that could make this year one of the most challenging yet for beneficiaries. But navigating AEP doesn’t have to be stressful. Here’s how you can prepare and make the most of this crucial time:

Review Your Current Plan

Start by reviewing your Annual Notice of Change letter, which arrives in September. It will outline key changes to your current plan, including costs, doctor, pharmacy networks and other additional benefits. Knowing these changes can help you decide whether your current plan still meets your needs.2. Compare Your Options

Medicare Advantage and Part D prescription drug plans can vary significantly. Use this time to compare plans and assess how they meet your prescription needs, preferred doctor networks, medical facilities and budget. Doing so could save you money and ensure you’re getting the coverage that best fits your health and financial situation.

Use Available Resources

If comparing plans feels overwhelming, there are resources available to help. Platforms like eHealth provide easy-to-use tools that allow you to compare a wide range of plans from top insurance companies, both online and over the phone. According to a recent study of 67,884 user sessions nationwide, eHealth found that Medicare Advantage enrollees who compared their current Medicare Advantage plan with available 2024 plans using eHealth’s platform could be saving an average of $1,100 per year on medical bills and prescription drugs with a lower cost plan.

Get Help from a Professional – For Free

Licensed insurance agents can provide personalized assistance at no cost to you. They’re knowledgeable about different plans and can help match you with one that suits your needs. An eHealth survey of more than 2,100 Medicare Advantage enrollees conducted in March found that beneficiaries who work with an agent feel more confident in their choice, with 66% feeling “very confident” in their plan selection. And remember, agents are paid the same for similar plan types and there is no obligation to enroll. Their goal is to help you find the best fit for you.

Don’t Procrastinate

It’s tempting to delay deciding, but waiting until the last minute can lead to rushed choices that may not be in your best interest. Schedule time early in the AEP period to review your options, consult with an agent if needed, and make a confident decision.

This year, tackle your insurance plan coverage with confidence. To learn more, compare plans and find help from a professional licensed insurance agent and benefits advisor please visit eHealth at www.ehealth.com or call 844-373-9751, TTY 711. (BPT)

By Daniel Dunaief

It’s back, bigger than ever, with an added Peter-and-the-Wolf style musical debut.

This year’s version of Science on Stage at Stony Brook University, which brings together the research and life experiences of three scientists with the artistic interpretation and creative talents of three playwrights, focuses on the theme of climate change.

Before the reading of the plays at the free October 28th event at the Staller Center’s Recital Hall, a group of eight high school students and two graduate students will perform an original piece of music composed by Professor Margaret Schedel called “Carnival of the Endangered Animals” (see accompanying story below).

Christine Gilbert with graduate student Emily Gelardi. Photo by Conor Harrigan

The event, which has a seating capacity of 379, which is almost triple the potential audience size from last year, and requires advance registration, is sponsored by the Collaborative for the Earth (C4E).

The organizers of Science on Stage “want people to be thinking about [climate change] from new ways or with new perspectives,” said Heather Lynch, inaugural director of the C4E and Endowed Chair for Ecology and Evolution at Stony Brook’s Institute for Advanced Computational Science and Professor in the Department of Ecology and Evolution.

In these performances, professional actors, directed by Logan Vaughn, share a dramatic reading of the scripts, titled “Ghost Forest,” “Counterfactual,” and “Resplendence.” After the performance, the scientists and playwrights will participate in a question and answer session led by Lecturer J.D. Allen, who is managing editor of NPR affiliate WSHU.

Provost Carl Lejuez, whose office provides funding for the C4E, celebrated the ongoing collaboration between the humanities and the sciences.

“Science on Stage is one of our true interdisciplinary gems,” Lejuez explained. “In a time of such misinformation, the arts provide such a powerful vehicle to communicate science in accessible and inspiring ways.”

Indeed, in addition to hearing an original piece of music and listening to a reading of the plays, audience members will have the opportunity to share their perspectives on climate science before and after the performance.

Christine Gilbert, who holds a joint appointment at the School of Communication and Journalism and the School of Marine and Atmospheric Sciences and is one of the participating scientists, is conducting a study of the effect of the experience with audience members.

Attendees can participate in a short mobile-based survey before the plays and immediately afterwards. A social scientist, Gilbert will follow up with those members who are willing to engage in individual interviews in the weeks after the performance.

Event organizers wanted to know “what is it that’s so magical in the intersection between science, humanity and art” that drew a crowd so large last year that the fire marshal had to turn people away, said Gilbert.

By polling the audience, Gilbert, who was one of the people who couldn’t watch the show last year, hopes to explore the effect of teaching complex science in this forum.

She also hopes to assess how audience members feel after hearing more about climate change and plans to share what she learns with Stony Brook and with the broader scientific community through a published paper.

Heavy and humorous

The scientists and the playwrights appreciated the opportunity to learn from each other and to engage in a creative effort designed to use science, or the life of scientists, to appeal to audiences.

Lynch, who participated in the Science on Stage effort last year, suggested that this year’s plays are powerful and evocative.

“These are deep, adult serious issues,” she said, cautioning that the language includes some cursing and that the themes include loss, parenthood and grief. “This is not Disney.”

To be sure, the plays blend a wide range of emotions.

“With short plays that deal with heavier topics, playwrights will gravitate towards humor,” said Ken Weitzman, Founder and Associate Professor of Theater at Stony Brook, who started Science on Stage virtually in 2020. “It’s how we engage” and commune with an audience.

Counterfactual

Playwright Mat Smart

Author of the play “The Agitators,” about a true narrative describing the 45-year friendship between suffragist Susan B. Anthony and abolitionist Frederick Douglass, Smart said he has taken long Uber rides with people whose views differ from his, leading to spirited conversations.

When Smart described his experiences to Reed, they discovered they had similar interactions.

While much of the script involves a combination of conversations and ideas, Smart explained that part of the dialogue in the play came from a discussion he and Reed had about food choices and climate change. 

The interaction about cheeseburgers is “based on something [Reed] said to me,” Smart said. Reed explained the high carbon footprint of a cheeseburger, although he urged Smart to cut back rather than eliminate them from his diet.

“The play is about two people who see things very differently who choose to have a dialogue and to have a tough conversation,” said Smart. “They’re both affected by it.”

Ghost forest

Playwright Gab Reisman

Elizabeth Watson, Associate Professor in the Department of Ecology & Evolution, teamed up with Gab Reisman, who wrote “Ghost Forest.”

In this play, a climate researcher’s subjects spring to life as she writes an important grant proposal.

While it doesn’t reflect how field research or grant writing typically goes, it does capture “some things that have happened to me,” Watson said.

Her field work has involved considerable challenges, including getting stuck in the mud, being covered in ticks, crawling across mudflats, and being abandoned on a raft in a lagoon.

Watson appreciates how the artistic effort allows her to connect with people who probably aren’t the same ones who would read a publication she wrote or come to a presentation.

She also added that the world has what it needs to deal with climate change and that people need to understand the kinds of partnerships and actions that make a difference.

Resplendence

Playwright Kareem Fahmy

After speaking with Gilbert, playwright Kareem Fahmy wrote “Resplendence,” which follows three generations of a family who try to save their island off the coast of Maine.

The New England State is an important setting for playwright and scientist. 

“Maine has such a special place in my heart,” said Gilbert, who has family in the state and attended college at the University of Maine. The pull of the “wild, eastern coast of Maine is so ubiquitous.”

Gilbert appreciated how Fahmy did a “great job of personalizing the context” of the state.

The challenge of preserving destinations, particularly those close to sea level, will likely persist.

“When you do any research about climate change, you have to be aware that this is not just a problem for people living today, but for people 200 years from now,” Gilbert said.

Weitzman said the play was an epic despite its short running time and thought it was “quite touching.”

Beyond the performance

Weitzman suggested that the plays can provide an educational component beyond the confines of the Staller Recital Hall. 

While people can’t produce the plays as part of paid entertainment, teachers can read and use them in the classroom. Actors Bill Heck, April Matthis, Tina Benko, Mandi Masden and Taylor Crousore will provide dramatic reading of the plays.

In a short time, the actors are “practically off the book,” as they embrace the opportunity to bring the words to life, Weitzman said.

He suggested the plays offer a glimpse into researchers’ lives. “Here is this person on the front lines. I’m surprised at the angles that are taken” in these plays.

Stony Brook University’s Staller Center for the Arts, 100 Nicolls Road, Stony Brook will present this year’s Science on Stage: Climate Edition on Monday, Oct. 28 at 4 p.m. Doors open at 3:30 p.m. The event is free and open to the public but reservations are strongly recommended.

To register, go to: https://bit.ly/4dcDtsi or click here.

—————————————-

SBU’s Margaret Schedel brings endangered species to life through musi
Margaret Schedel discusses the ‘Carnival of the Endangered Animals’ with the band and conductor Justin Stolarik during rehearsal. Photo by Heather Lynch

Science on Stage at Stony Brook University added a new dimension to the performance this year, as Margaret Schedel, Associate Professor of Music, composed “Carnival of the Endangered Animals.” The original music, which will debut on Oct. 28 at 4 p.m. at the Staller Center’s Recital Hall, is a recreation of the sounds of a wide range of animals who are in danger of becoming extinct.

“It’s melodic, interrupted by moments of trying to translate” the calls from these animals, Schedel said.

Ken Weitzman, Founder and Associate Professor at Stony Brook, appreciates how quickly music can resonate for audiences.

“Music appeals to the emotions,” said Weitzman. “I’m jealous of how quickly music can do in 10 seconds what it takes me hours to do.”

The animals featured in the piece, along with the instrument that captures their sounds, are: the Atlantic Right Whale (Marimba); the A’kikiki bird, which is a Hawaiian honeycreeper (flute); Sumatran Tiger (trumpet); sage grouse (clarinet); Bajii, which is a Yangtze river dolphin; and the Jiangtun, which is a Yangtze finless porpoise (four-hand piano); gorilla (french horn); African bush elephant (trombone); Koala (bassoon); and the penguin (oboe).

Schedel plans to share information about each piece, which eight area high school students and two graduate students will perform, with the audience through a QR code, so they can connect the sounds with the message or visuals she was conveying.

Schedel tried to use a logical progression of the instruments, mixing up the woodwinds, percussion and brass.

Threatened by land development, the sage grouse includes high and low notes from the clarinet that gets covered up by the sounds of a flute and trumpet, imitating the sounds excavators make when they back up and develop McMansions.

Endangered by the spread of avian malaria carried by mosquitoes, the Hawaiian A’kikiki bird had been able to evade these insects by traveling higher up the mountain, where the colder temperatures kills the mosquitoes. That is not happening as much because global warming is enabling the blood sucking creatures to survive at higher elevation.

The sage grouse music starts with a melodic theme on the flute and as it goes higher, the theme becomes compressed. The buzzing brass, meanwhile, gets louder and louder as the mosquito pursues its meal, infecting the bird with a lethal parasite.

Reflecting the struggle for survival these creatures face, the Yangtze river dolphin, which had about 20 members when Schedel first started composing the music, may have become extinct by the time of the performance. That is, in part, why she combined the dolphin and the finless porpoise on the four hand piano.

As for the sounds of the elephant, Schedel recalled a safari she had experienced when she had been in South Africa. Elephants charged at Schedel and her group, who had come too close to the younger ones in the herd.

The elephants growled at Schedel and her companions.

“You can feel it in your chest, the sound waves moving,” she said. “Little by little, the younger ones put up their trunks and eventually a big momma elephant with a broken tusk put up her trunk, which is a symbol of, “we are calm,’” she said. With the trombone representing the elephant, the bass drum connotes its growling sounds.

When she was growing up, Schedel listened to the Leonard Bernstein version of “Peter and the Wolf” so many times that the recording is “nearly dead,” she laughed. She hopes people enjoy her piece with the same energy and excitement, connecting the sounds and the stories with the endangered animals. 

Schedel described the experience of creating the music as a “labor of love.”

 

Jewel is up for adoption at the Brookhaven Animal Shelter

Free Animal Shelter Adoptions from October 27-31 

The Brookhaven Animal Shelter and Adoption Center’s 2024 “Howl-o-ween Doggie Costume Parade” will be held on Sunday, October 27 from noon to 3 p.m. Children are encouraged to come in costume, ready for Trick or Treating and photos with the shelter’s costumed canines.

Witness a Husky transformed into a Frog Princess, a“Bulldog Banana Split and the cutest little Yorkie Pumpkin.  These lovable, adoptable pups are sure to steal the show. The Barktoberfest celebration includes free adoptions from October 27-31 and include neuter or spay, vaccinations, microchip, license, FIV/FELV tested, flea and fecal.

The Brookhaven Town Animal Shelter and Adoption Center is located at 300 Horseblock Road in Brookhaven. It is open Monday through Friday from 10:00 am to 4:30 pm, Saturday and Sunday 10:00 am to 3:00 pm. For more information, call 631-451-6950 or visit www.Brookhavenny.gov/animalshelter.

Participants will be painting this image.

The Reboli Center for Art & History, 604 Main St., Stony Brook hosts an Autumn Paint Party on Wednesday, Oct. 23 from 6:30 to 9 p.m. Join instructor Linda Davison Mathues in completing a painting in the style of Joseph Reboli. The subject matter for the evening will be Autumn Colors. The cost to attend is $45, all materials are included and no experience is necessary. Frames for your finished canvas will be available for purchase and refreshments and snacks will be served. Registration required by calling 631-751-7707. 

by -
0 227
Image from USPS

Celebrating the stunning symmetry of snowflakes as fall departs and winter begins, the U.S. Postal Service issues the Winter Whimsy stamps. With four intricate designs evoking winter flurries, there’s magic in the air and on seasonal cards and letters.

Each Forever stamp in the block of four includes a design in white, contrasted against a solid color background — navy blue, teal, tan or dark blue-green — and surrounded by small white dots in digitally rendered artwork that is simple and bold, yet sophisticated.

The designs evoke not only snowflakes but also a popular seasonal craft — the fun activity of cutting folded paper with scissors, then opening it up to reveal a delicate, symmetrical design. Paper “snowflakes” are often four- or eight-sided — it is easier for young hands to fold paper into quarters or eighths than into sixths. Paper snowflakes are made by children of all ages and at all levels of intricacy, making homemade snowflakes a fun classic activity for all.

Greg Breeding, an art director for the Postal Service, supervised the project. Bailey Sullivan designed and illustrated the stamps.

The Winter Whimsy stamps are being issued in booklets of 20. They will always be equal to the current First-Class Mail 1-ounce price. Customers may purchase stamps and other philatelic products through the Postal Store at usps.com/shopstamps, by calling 844-737-7826, by mail through USA Philatelic or at Post Office locations nationwide.

by -
0 286
Photo from Brandpoint

Do you find that your health and fitness take a back seat during the fall and winter months? As the temperatures drop and the days grow shorter, it can be difficult to motivate yourself to make healthy choices that support your well-being.

Instead of throwing in the towel, get ahead of the sluggishness of the colder months by taking proactive steps to prioritize wellness. Check out these five expert tips that can help you thrive this fall and winter with ease.

Set a smart routine

One of the best ways to set yourself up for health and fitness success during fall and winter is by establishing and maintaining a routine. For example, waking up and going to sleep at the same time each day can help ensure you’re getting enough rest every day.

That said, new routines can be hard to get into at the beginning. To help you toward your goal, set alarms and reminders on your phone or other devices to remind you when to go to bed and wake up. You can do the same to remind you to get some exercise and any other health and fitness goals you may have.

Caffeinate (wisely)

Caffeine can provide a needed boost of energy to start your morning on the right foot or help you stay focused during the afternoon. However, be careful how much caffeine you ingest. Too much caffeine can make you jittery and can disrupt your sleep patterns, leading to tiredness, stress and anxiety.

Instead of reaching for a cup of Joe or an energy drink, consider an exact or more controlled delivery and vitamin packed option like AdvoCare’s Spark powdered energy supplement. Each sugar-free stick pack offers 120 milligrams of caffeine, b vitamins and minerals that enhance mental focus and elevate energy levels. Available online or at CVS in 12 delicious flavors, Spark is your convenient and flavorful solution for sustained energy at home or on the go. To learn more, visit advocare.com/BrandptSpark.

Get moving

Even during the colder months, it’s important to move your body every day. The weather may prevent you from going on a walk or jogging outside, but you can still engage in an indoor workout for daily exercise.

Any activity will do. If you’re a social butterfly, a dance or group fitness class can make working out more fun, which may make it easier to do more consistently. If you want to pair exercise with mindfulness and meditation, yoga may be more your speed. Don’t worry if you can’t fit in an hour of exercise every day. Any amount of physical activity is better than none and help you feel better.

Double down on nutrition and immune support

Eating a balanced diet with a variety of nutrient-rich foods is key to maintaining your health and wellness. A well-rounded diet is especially important during fall and winter to boost your immunity during flu season. However, even the most balanced diets have nutritional gaps, so consider adding a nutritional supplement to your daily routine.

You could take pill supplements, but a convenient and tasty way to support your nutrition and immune system is with Spark. In addition to a moderate dose of caffeine, each dose contains vitamins A, B, C and E, zinc, copper, chromium and other vitamins that support a healthy immune system.

Manage stress

Stress is an inevitable part of life. Some stress can even be positive when managed properly to help motivate you to achieve your goals or meet a deadline. However, prolonged periods of stress can negatively affect your physical and mental health. For example, you may find that when you’re stressed you adopt poor eating and sleeping habits.

Try out different stress management strategies to keep your stress in check. Mindfulness techniques like meditation, deep breathing exercises or journaling can help ground you after a long day at work or before a big event. Incorporating self-care moments throughout the day, like taking a bath or reading in a quiet and cozy space, can also help you manage your stress.

Good health and fitness don’t happen by accident. Using these five tips, and with the support of your healthcare provider, you can invest in well-being and stay healthy and active all fall and winter long.

by -
0 393
Photo from Statepoint

Even the most skilled cybersecurity expert can fall prey to today’s incredibly sophisticated phishing attempts.

Phishing can take place in a variety of ways, but recognizing these “lures” is a powerful way to defang cybercriminals:

Phishing: Traditional phishing comes in the form of a fraudulent email that encourages recipients to click on a link and provide personal data. Often the subject lines are designed to entice the receiver with an interesting headline, timely topic or urgent request.

Smishing: An attacker sends a text prompting the recipient to click a link or call a number for more information. If the link is clicked, the user downloads malicious software to their phone.

Vishing: An attacker uses the telephone–or voice–to gain access to sensitive information for financial gain. The criminal usually poses as someone they are not, such as another employee, technical support person or someone representing a government agency.

Quishing: An attacker creates a fake QR code and uses it to direct victims to a malicious website that prompts them to enter their personal or financial information.

Ultimately, the easiest way for a cybercriminal to steal your information is to trick you into sharing it. Their fraudulent communications will often look official and appear to have come from a trusted source. However, there are warning signs to watch out for. Pause and ask yourself the following questions before responding:

Do you know the person who sent you the message? The source of an email or text can easily be forged, making it seem that a request is coming from someone you know. If something seems off or if the sender is asking for money or personal information, contact them through a different channel than the original message to confirm the message came from them.

Does the message create a sense of urgency? Criminals will often try to rush you into making an unwise decision. An example of such a message may read, “confirm your login details in the next 24 hours using the link below or your account will be suspended.” Always take the time necessary to think through your response and confirm legitimacy.

Does the offer seem too good to be true? Treat any messages announcing you’ve won money, a prize or the opportunity to purchase an item at a significant discount as suspicious.

Does the message ask you to click on a link or open an attachment? Be particularly wary of emails from people or organizations you don’t know urging you to click on a link or open an attachment. Doing so can lead to malware being installed on your device.

Does the telephone call ask for personal or financial account information? If you receive a call that just doesn’t feel right, trust your instincts. Hang up and call the customer service line from their official company website.

Does the message ask you to scan a QR code? As QR codes become more common in daily transactions, utilize these tips when scanning a code:

• First, check to determine that the QR code has not been tampered with, such as a sticker placed on top of the original code.

• Check the URL to make sure the code is sending you to the intended site and that the site looks authentic. Look for typos or misplaced letters.

• Exercise caution when entering information on a site accessed via a QR code and avoid making payments; manually enter a secure URL to complete a payment.

• Do not download an app from a QR code. Instead, search for the app via your device’s app store.

• If you receive a QR code from someone you know, reach out to them through a known number or address to verify that they sent you the code.

To learn more about cybersecurity best practices, visit PNC Bank’s Security & Privacy Center at pnc.com.

Don’t assume your tech savviness will protect you from today’s cybercrimes. In the face of increasingly sophisticated scams, an ounce of prevention can go a long way in helping you to protect yourself. (StatePoint)

Metro photo
Addressing sleep apnea can avert serious health consequences

By David Dunaief, M.D.

Dr. David Dunaief

Quality sleep feels like it can be elusive these days. Yet, our physical and mental wellbeing depends on getting restful sleep. For those with obstructive sleep apnea (OSA), it can be particularly challenging.

Sleep apnea is defined as an abnormal breathing pause that occurs at least five times an hour while sleeping. While there are many potential causes, the most common is airway obstruction. Some estimates suggest that about 39 million people suffer from sleep apnea in the United States (1).

OSA diagnoses are classified in tiers from mild to severe. The American Academy of Sleep Medicine (AASM) estimates that roughly 80 percent of moderate and severe OSA sufferers are undiagnosed.

Most risk factors for OSA are modifiable. They include excess weight or obesity, alcohol use, smoking, hypertension, type 2 diabetes, and hyperlipidemia (high cholesterol) (2). 

How do you know what to look for?

OSA symptoms include daytime fatigue, loud snoring, breathing cessation observed by another, impaired concentration, and morning headaches. While these are significant quality of life issues, OSA is also associated with an array of more serious health consequences, such as cardiovascular disease, high blood pressure and depression.

Fortunately, there is an array of treatment options, including continuous positive airway pressure (CPAP) devices, oral appliances, positional sleep therapy, and lifestyle modifications.

Sleep apnea and cardiovascular disease risk

In a study of 1,116 women over a six-year duration, cardiovascular mortality risk increased in a linear fashion with the severity of OSA (3). For those with mild-to-moderate untreated sleep apnea, there was a 60 percent increased risk of death; for those in the severe group, this risk jumped to 250 percent. However, the good news is that treating patients with CPAP decreased their risk by 81 percent for mild-to-moderate patients and 45 percent for severe OSA patients.

Another study of 1,500 men with a 10-year follow-up showed similar risks of cardiovascular disease with sleep apnea and benefits from CPAP treatment (4). The authors concluded that severe sleep apnea increases the risk of nonfatal and fatal cardiovascular events, and CPAP was effective in curbing these occurrences.

In a third study, this time involving the elderly, OSA increased the risk of cardiovascular death in mild-to-moderate patients and in those with severe OSA by 38 and 125 percent, respectively (5). But, as in the previous studies, CPAP decreased the risk in both groups significantly. In the elderly, an increased risk of falls, cognitive decline and difficult-to-control high blood pressure may be signs of OSA.

OSA and cancer risk

There have been conflicting study results about the associations between OSA and cancer risk. To reconcile these, a 2023 study of over 62,000 patients in Sweden were followed. Researchers found that OSA was associated with cancer prevalence, independent of other confounding factors (6). 

In a previous study of sleep apnea patients under age 65, researchers also showed an increased risk of cancer (7). The greater the percentage of time patients spend in hypoxia (low oxygen) at night, the greater the risk. The authors believe that intermittent low levels of oxygen, caused by the many frequent short bouts of breathing cessation, may be responsible for the development of tumors and their subsequent growth.

OSA and male sexual function

Erectile dysfunction (ED) may also be associated with OSA and, like other outcomes, CPAP may decrease this incidence. This was demonstrated in a small study involving 92 men with ED (8). The surprising aspects of this study were that, at baseline, the participants were overweight, not obese, on average and were only 45 years old. In those with mild OSA, CPAP had a beneficial effect in more than 50 percent of the men. For those with moderate and severe OSA, the effect was still significant, though not as robust, at 29 and 27 percent, respectively.

Other studies have varying results, depending on the age and existing health challenges of study participants. Researchers have suggested that other underlying health problems may be the cause in some patient populations.

Can diet help with OSA?

For some of my patients, their goal is to discontinue their CPAP. Diet may be an alternative to CPAP, or it may be used in combination with CPAP to improve results.

In a small study of those with moderate-to-severe OSA, a low-energy diet showed positive results. A low-energy diet implies a low-calorie approach, such as a diet that is plant-based and nutrient-rich. In the study, almost 50 percent of those who followed this type of diet were able to discontinue CPAP (9). The results endured for at least one year.

If you think you are suffering from sleep apnea, you should be evaluated at a sleep lab and follow up with your physician.

References:

(1) ncoa.org. (2) Diseases. 2021 Dec; 9(4): 88. (3) Ann Intern Med. 2012 Jan 17;156(2):115-122. (4) Lancet. 2005 Mar 19-25;365(9464):1046-1053. (5) Am J Respir Crit Care Med. 2012;186(9):909-916. (6) BMJ Open. 2023; 13(3): e064501. (7) Am J Respir Crit Care Med. 2012 Nov. 15. (8) Sleep. 2012;35:A0574. (9) BMJ. 2011;342:d3017.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.

by -
0 364
Janice. Photo courtesy of Brandpoint

For Janice, health and fitness were always priorities. Growing up in Jamaica, she’d been a sprinter for her high school track team. After moving to the U.S. in her mid-20s, she built a successful career in sales while raising two young children. Although she was busy, she maintained a healthy and active lifestyle. In fact, other than having slightly elevated blood pressure, she was the picture of good health.

Yet things changed dramatically for Janice when she reached her mid-40s. Her blood pressure escalated significantly and no longer responded to medication. Her menstrual cycles became unpredictable. Most unsettling of all were the alarming changes in her appearance. Her face swelled and she gained a significant amount of weight around the center of her body. “People asked me if I was on steroids,” Janice recalls. Her legs became emaciated and weak. She developed a fatty hump between the shoulders (buffalo hump) and grew so much facial hair she had to start shaving it. She fought constant lethargy during the day, but then would be unable to sleep during the night.

Looking back, she remembers, “I was constantly stressed out. I didn’t look well, and I didn’t feel well.”

“My blood sugar would just skyrocket.”

Things came to a head one afternoon. Feeling unwell, Janice experienced a dizzy spell and fell while getting out of the shower. Unable to move or see clearly, she was rushed to the emergency room, where her blood sugar was measured at 1,000 mg/dL – a level so high it could trigger a diabetic coma. She was diagnosed with type 2 diabetes and discharged with a new regimen of medications and lifestyle modifications.

Despite following her doctor’s instructions, Janice’s problems persisted. “Even when eating healthy and taking all my meds, my blood sugar would just skyrocket after meals.” She soon learned her kidneys and heart were also being impacted.

“Nobody had bothered to put it all together.”

Janice was on up to 25 different medications, but her symptoms continued, and her frustration grew. “I saw so many doctors – nearly every kind of -ologist you can think of,” she recounts.

One day, a chance conversation with someone else’s healthcare provider led to a breakthrough. After mentioning her health struggles in passing, the doctor suggested she might have Cushing’s syndrome. Janice began to research Cushing’s syndrome (also known as hypercortisolism) and was struck by how similar the symptoms seemed to her own. She found a local endocrinologist, shared her suspicions about Cushing’s syndrome, and a combination of blood tests confirmed her theory: Her cortisol levels were highly elevated. Further testing revealed a growth on her pituitary gland was causing the excess cortisol.

“For so long,” she recalls, “nobody had bothered to put it all together.”

“Finally, I look and feel normal again.”

With her Cushing’s syndrome properly diagnosed, Janice underwent surgery to remove her pituitary growth. Her recovery was difficult, but since receiving treatment she has grown stronger, and her Cushing’s symptoms are better. She remembers feeling that “at last, there was light at the end of the tunnel.”

While Janice’s journey has not been easy, today she is much healthier. She has lost 50 pounds, her hypertension is under control, her blood sugar has returned to normal levels, her kidney function is stable, and she has resumed her active lifestyle.

When speaking with other patients who face similar symptoms, she urges them to be proactive in their care. “A lot of people are walking around with Cushing’s and don’t know it. It’s everyone’s responsibility to educate doctors so they can help new patients.” She cites her own experience as living proof, adding: “Finally, I look and feel normal again. And I’m so grateful.”

If you suspect you may have hypercortisolism or Cushing’s syndrome, talk to your doctor.

This article is the experience of one person and is not medical advice. Consult a medical professional for medical advice, diagnoses or treatment. (BPT)