September 22, 2014

To prepare for the fall school year and the holiday season, TRICARE beneficiaries can protect their families by using TRICARE's vaccine benefit. Vaccines lower the chances of catching serious diseases and reduce long-term healthcare costs. That's why it's good news that TRICARE is covering more vaccine claims than ever.

Read more at www.tricare.mil/VaccinesSoar092214.

Sign up for TRICARE e-mail updates at www.tricare.mil/subscriptions.

Connect with TRICARE on Facebook and Twitter at www.facebook.com/tricare and www.twitter.com/tricare.

– MassGeneral and Royal Marsden in London Receive $110,000 Grant –

BOSTON, MA – September 15, 2014 – Children's Cancer Recovery Foundation (CCRF) and its sister charity, Cancer Recovery Foundation-U.K,  recently approved a grant of $110,000 to MassGeneral Hospital for Children (MGHfC) Cancer Center and The Royal Marsden Hospital in London for a collaborative study to fund research on the effects of proton versus photon radiation treatments. This study is consistent with CCRF's steadfast commitment to supporting minimally-invasive and less toxic therapies that greatly improve the quality of life for pediatric cancer survivors.

According to a number of studies, including a 2012 report published by the American Society of Clinical Oncology, cancer survival rates for children have increased, yet treatments often leave the survivor with a diminished quality of life.  Proton radiation, a relatively new treatment, better targets the radiation dose to a specific area with minimal entrance dose and no exit dose.  This allows the radiation to stay concentrated within the tumor.  Radiation therapy in many pediatric tumors is essential to achieving a cure, but often comes with serious, long-lasting side effects from the unintended dose and its effect on normal tissue.

"This study will directly address a dire need for comparative health outcomes data in proton and photon treated pediatric cancer survivors.  It will both inform the debate on proton radiotherapy, and solidify its role in the management of pediatric cancer patients," said Torunn I. Yock, M.D., MGHfC Cancer Center. "In this era of escalating health care costs and budgetary constraints, it is imperative that the value of new medical technologies is measured and proven by comparing the health outcomes between the old and new technologies."

"We are pleased to be able to fund this important study that will help protect the children battling this horrible disease, while improving their overall quality of life," said Greg Anderson, founder and CEO, CCRF. "The new partnership with MassGeneral Hospital for Children and The Royal Marsden Hospital is cause for great optimism. We are eagerly looking forward to the findings of this comparative study, the first ever for the pediatric cancer population."

CCRF is dedicated to funding research that specifically concentrates on less toxic, minimally- invasive treatments to improve quality of life.

About the Children's Cancer Recovery Foundation

Headquartered in Harrisburg, PA with a division in The Woodlands, TX, the Children's Cancer Recovery Foundation supports children under 18 and their families facing the hardships of cancer. The foundation performs acts of care and kindness through the following programs: Bear-Able Gifts (largest distributor of gifts to children with cancer in the U.S.); Toxic-Free Kids (educates families on the dangers of environmental toxins); New Era Cancer Research Fund (funds research for less toxic, minimally-invasive pediatric-cancer treatments); International Aid (provides medications and supplies to clinics in developing and impoverished countries); Helping Hands Fund (provides emergency financial assistance to families); and Camp Scholarships (allows children in remission to reconnect with activities they love). With a national pediatric-hospital partner network of 215+ locations, the foundation directly helps more than 15,000 children affected by cancer and their families every year. Please visit www.ChildrensCancerRecovery.org.

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Losing weight is not just about dieting. More important are making lifestyle changes that can be helpful for losing weight and keeping the weight off. Here are some simple strategies.

But if that's all you do, you may find yourself ultimately regaining the weight you worked so hard to lose. The reason: Weight loss is a matter of lifestyle and, if you don't adopt the healthy habits necessary to sustain your weight loss, you could backslide into overweight and obesity.

Here are some tips aimed at helping you create a healthy lifestyle that will improve your chances for successful weight loss. They might seem like common sense, but many people committed to losing weight neglect these healthy habits and end up struggling to succeed.

1. Watch Your Portions

Portion control is a key challenge to Americans pursuing weight loss. "The best way to control the calories is to go with portion control," says Dr. Gerbstadt. Piling food onto your plate can make you feel pressured to eat it all. Start with small portions, and go back for (a little) more if you're still hungry. Keep in mind that your stomach will grumble early on, until it has shrunk to adapt to the smaller meals you're now eating.

Portion control is doubly important when eating out. "Most people are catching on to the fact that when you eat out at a restaurant, the calories are two to three times what you really need for that meal," says Gerbstadt. "You might get a salad and an appetizer and call it a meal, rather than get a salad and an entrée."

2. Eat Slowly

It takes a little while for your body to realize that you've eaten and to stop sending signals of hunger. If you slow down and savor your food, you probably will eat less before your body acknowledges that you're full.

3. Eat Your Vegetables First

Vegetables contain plenty of fiber and bulk but few calories. By eating them first, you might eat less of any fatty or high-calorie items on your plate.

4. Don't Skip Meals

Skipping meals sounds like a good idea, but it actually undermines your weight-loss plan. Your body thinks it is being starved and starts building body fat in an attempt to store energy away for later. On top of that, you're likely to be even hungrier for your next meal and eat far more than you would have otherwise. The best course is to eat three small meals, with two or three small snacks in between.

5. Drink Plenty of Water

Water helps you feel full throughout your day, aiding your weight-loss efforts. Water also provides innumerable health benefits to your skin and your digestive and circulatory systems.

6. Switch to Healthy Snacks

Swap out the high-calorie or high-fat snacks in your diet for healthier alternatives. Fruits, low-fat string cheese, peanut butter, and whole-grain crackers are some good options. Create snacks that combine carbohydrates and proteins, like peanut butter on apple slices, as they will make you feel full longer.

7. Exercise as Often as You Can

Burning calories through physical activity is essential to weight loss. If you don't burn more calories than you eat, you won't lose weight. "People think they're too busy to walk 20 minutes a day or do a little weight training or ride a bike, and then they wonder why they can't lose weight," Gerbstadt says. "If you try to diet without exercise, it just takes that much more effort." Any physical activity, even long walks, will help.

8. Keep a Record

Food diaries are a proven aid to people pursing weight loss. Keep track of what you've eaten and how many calories the food contained. If you also keep a record of your exercise, you can compare how many calories you're burning to how many calories you're consuming.

Healthy and sustainable weight loss does not occur overnight, despite the promises of fad diets. Losing a pound or two a week is normal, and shows that you are adopting weight-loss habits as a part of your lifestyle.

WASHINGTON, D.C. - Senator Tom Harkin (D-IA) today announced that 12 community health centers in Iowa have been awarded a total of $2,776,851 from the U.S. Department of Health and Human Services (HHS) to increase access to primary care ?services for Iowans. Harkin has been a staunch advocate of these centers and the services they provide through his dual role as both chair of the Senate Health, Education, Labor and Pensions (HELP) Committee and the Senate Labor, Health and Human Services, and Education Appropriations Subcommittee that funds community health centers.

"Community health centers are a critical part of Iowa's health care system and on the front lines of providing care to more than 181,000 Iowans every year," said Harkin. "I have long fought to support the creation of community health centers because I know these facilities provide crucial healthcare for Iowa families in need. I congratulate these centers on today's funding and I look forward to improving access to health care for Iowans who lack access to affordable, comprehensive health insurance."

The health centers listed below are expected to hire 61 additional workers who will assist an estimated 12,135 new patients in Iowa with services, including extending facility hours and new services such as oral health, mental and behavioral health, pharmacy, and/or vision services.

Throughout his career, Harkin has worked to expand community health centers in Iowa by providing vital resources to ensure that all Iowans have access to affordable, quality health care. Under Harkin's leadership, national funding for CHCs has tripled from $496 million in 1989 to $1.5 billion in 2014. Building on this long legacy of expanding annual funding for community health centers, Harkin also successfully included an $11 billion Community Health Centers Fund in the Affordable Care Act (ACA) to significantly expand the number of sites that provide preventative health services and primary care in underserved communities across the nation.  During this time, Harkin's support has helped to increase the number of CHCs in Iowa from only 2 in 1989 to 14 in 2014.  These centers now serve Iowans at over 85 different clinics throughout the state.

Details of the funding are below:

All Care Health Center - $209,876

Community Health Center, Inc.- $298,818

Community Health Center of Fort Dodge, Inc. - $205,432

Community Health Centers of Southeastern Iowa, Inc. - $242,114

Community Health Centers of Southern Iowa, Inc. - $211,212

Crescent Community Health Center -$205,714

Greater Sioux Community Health Center, Inc. - $196,584

Linn Community Care - $200,702

Primary Health Care, Inc. - $299,292

Proteus, Inc. - $195,767

River Halls Community Health Center, Inc. - $246,132

Siouxland Community Health Center, $265,208

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Physician and mindful living expert Romila "Dr. Romie" Mushtaq, MD has a unique perspective to discuss career burnout; not only is she a neurologist specializing in mind-body medicine, but she also used the mindfulness-based techniques she teaches to heal herself from career burnout as a physician.

Career burnout is characterized clinically by loss of passion, physical and emotional exhaustion, cynicism and detachment, and feelings of ineffectiveness and lack of accomplishment.

"Career burnout can lead to stress-related illnesses such as insomnia, anxiety, and ulcers. The Center for Disease Control estimates that 80 percent of doctor's office visits are due to stress-related illnesses," Dr. Romie notes.

In her recent TEDx talk in Fargo, N.D., "The Powerful Secret of Your Breath," Dr. Romie discusses the root cause of career burnout.

"Career burnout arises when our external world is not in alignment with our internal soul compass.  The way we find our life purpose is being aligned with our internal soul compass; this is the place within us where all the answers reside - some call it your intuition, your gut instinct, or your internal wisdom."

Mindfulness, being fully present in the current moment, is as simple as one thing: breathing, Dr. Romie says.

"Being stuck in the past can lead to depression and a feeling of hopelessness.  And when we lose hope we cannot heal. When we are worried about the future, we fuel anxiety. Only in the present moment are we truly connected to our dreams and life purpose."

Dr. Romie combines her expertise and professional experiences in neurology, mind-body medicine and meditation to help individual and corporate clients contend with their stress-infused lives. She teaches how to take mindfulness from the meditation mat into a mindful way of living - and breathing - to prevent or to heal from career burnout. She illuminates the medicine behind the mindfulness and how to connect to life purpose in her TEDx talk: "The Powerful Secret of Your Breath" (https://www.youtube.com/watch?v=slKAFdJ8ZHY).

About Dr. Romie Mushtaq

Dr. Romie completed her medical training and education at the Medical University of South Carolina, The University of Pittsburgh Medical Center, and The University of Michigan.  She previously served as an assistant professor at the Medical College of Wisconsin. A personal health and wellness life coach, Dr. Romie heals clients from around the country at the Center for Natural and Integrative Medicine in Orlando, Florida and travels extensively to speak about the scientific and medical evidence behind mindful living. You can learn more about Dr. Romie on her website: www.brainbodybeauty.com.

Hundreds of Advocates Will Gather to Ask Congress to Support Policies that Combat Cancer

WHAT: Kristine Oswald of Davenport will join hundreds of cancer patients, survivors and caregivers on Capitol Hill next week to urge Congress to make cancer a national priority and help end a disease that still kills 1,600 people a day in this country.

Oswald, who lost her mother to cancer, will meet with her member of congress to discuss the need to support an increase in federal funding for cancer research and prevention. She will also ask that they support legislation that improves patients' quality of life and take action to close a Medicare loophole which often results in surprise costs for seniors when a polyp is found during a routine colonoscopy.

"Congress has a critical role to play in the fight to defeat a disease that kills an estimated 500,000 people in America every year. As someone who's living proof of the power of research, I'm asking Congress to demonstrate a commitment to that fight through these critical policies," said Oswald, ACS CAN.

WHEN: ACS CAN Leadership Summit and Lobby day will take place September 14-17 in Washington, D.C.

INTERVIEWS/GUESTS: Kristine Oswald, ACS CAN volunteer who lost her mother to cancer in 2008.

ISSUES: Increase funding for cancer research at the National Cancer Institute (NCI) and for prevention programs at the U.S. Centers for Disease Control (CDC). Freezes and cuts in federal funding for NCI and the CDC in recent years have put continued progress in the prevention, detection and treatment of cancer in jeopardy. In 2013, Iowa research institutions received $15,049,019 in funding from the NCI and the state's breast and cervical cancer early detection program received $2,474,019 from the CDC to support lifesavings cancer screenings for low-income women.

Co-sponsor legislation to improve the quality of life of cancer patients with better access to palliative care.  Sometimes the pain, stress and side effects of cancer treatment is made worse by the poor coordination among the doctors, nurses and specialists on a patient's treatment team. Patients can receive an extra layer of support, called palliative care, which improves patients' quality of life at any age and at any stage of illness. ACS CAN supports bipartisan legislation that would make palliative care more available to people who need it.

Co-sponsor the Removing Barriers to Colorectal Cancer Screenings Act Half of all colorectal cancer deaths could be prevented each year if everyone over the age of 50 received screening. The biggest barriers to screening are co-pays and other patient costs. The new health care law waives co-pays for proven screenings for colorectal and other cancers, but Medicare patients can still get hit with a bill if a polyp is found during the procedure. ACS CAN supports legislation that ensures seniors receive those screenings without facing an unexpected bill.

The ACS CAN Lobby Day will culminate with an evening Lights of Hope ceremony in front of the U.S. Capitol Reflecting Pool featuring thousands of lights lit in honor of a cancer survivor or to memorialize a loved one who lost his or her fight with the disease.

ACS CAN is the non-profit, non-partisan advocacy affiliate organization of the American Cancer Society, which is dedicated to eliminating cancer as a major health problem. ACS CAN works to encourage lawmakers, candidates and government officials to support laws and policies that will make cancer a top national priority. ACS CAN gives ordinary people extraordinary power to fight cancer. For more information, visit www.acscan.org

WEST DES MOINES, Iowa (Sept. 10, 2014) ? Hy-Vee, Inc., the Iowa Department of Public Health (IDPH) and the Governor's Advisory Council on Brain Injuries have partnered to help educate Iowa's elderly about ways they can prevent falls and injury during National Falls Prevention Awareness Month in September.

The seventh annual Falls Prevention Awareness Day will be observed on Sept. 23, the first day of fall. This year's theme, Strong Today, Falls Free® Tomorrow, seeks to raise awareness about how to prevent fall-related injuries among older adults. Nearly 500,000 people over the age of 65 live in Iowa.

Hy-Vee, IDPH and the Governor's Advisory Council on Brain Injuries hope to keep Iowa's older population strong and falls-free by providing education and resources through several avenues ? pharmacies, websites, social media and a Sept. 17 webinar ? during the awareness month.

In September, when senior citizens fulfill their prescriptions at a Hy-Vee Pharmacy in Iowa, they will see educational information in their prescription bags.

"Our pharmacy staff often witness and help treat the aftermath of a fall, but this initiative enables us to bring awareness to the role we can play in prevention," said Andy McCann, executive vice president and chief health officer of Hy-Vee. "We encourage our customers to review their prescription and non-prescription medications with us, as this is one of the main preventive measures our elderly can take."

Falls are the leading cause of both fatal and nonfatal injuries for people 65 years of age and over, according to the National Council on Aging (NCOA). Every 14 seconds, an older adult is seen in an emergency department for a fall-related injury. And the chances of falling and of being seriously injured in a fall increase with age, the NCOA's website says.

"Older Iowans in our communities had 29,590 fall-related emergency department visits and hospitalizations in 2012. These fall-related injuries resulted in 429 fatalities and approximately $135 million in hospitalization charges," said Maggie Ferguson, IDPH brain injury and disability program manager. "We can change this by bringing greater attention to the many preventive measures that can be easily employed to keep our seniors safe."

Studies show that a combination of interventions can significantly reduce falls among older adults. Falls Prevention Awareness Month promotional materials will encourage Iowa's elderly adults to take the following steps:

  • Review all their prescription and non-prescription medicines with their doctor and pharmacist.
  • Talk to their health care provider about their risk of falling.
  • Have their vision checked at least once a year.
  • Talk to their family about their concerns.
  • Exercise to improve their strength and balance.
  • Make their home safer by removing things they can trip over.

"We thank the Iowa Department of Public Health and Hy-Vee for helping us to bring awareness to this issue. I have personally witnessed how injuries resulting from a fall can steal the quality of life from seniors and their families," said W. Dave Johnson, a member of the Governor's Advisory Council on Brain Injuries.

On Sept. 17 at 11 a.m., the Iowa Falls Prevention Coalition will host a webinar titled "Aging, Fall Risk and Prevention Through Exercise." To register for the webinar, visit https://www1.gotomeeting.com/register/760561400.

For more information about falls prevention, visit a local Hy-Vee Pharmacy; the IDPH Falls Prevention website at www.idph.state.ia.us/FallPrevention; or the NCOA website at www.ncoa.org/improve-health/falls-prevention.

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The American Red Cross is launching a first-of-its kind Blood Donor App today that puts the power to save lives in the palm of your hand. The new app makes it easier and faster for users to find a nearby blood drive, schedule blood donations, track their total donations, get rewards and invite friends and family to join them on a lifesaving team. It's free and available for download through the App StoreSM and Google PlayTM.

As the nation's single largest supplier of blood and blood products, the Red Cross is uniquely positioned to bring this technology to blood and platelet donors. The attached news release details the new app and highlights its key features. By providing this information to your community, you can introduce them to a new way to help meet the constant need for blood.
Going to a restaurant can be challenging for diabetics, but there are ways to eat wisely and still enjoy yourself.

Maintaining a healthy diabetes diet away from home requires planning ahead and making smart choices. It can be a challenge, but dining out doesn't have to be overwhelming. Many of the dietary rules people with type 2 diabetes need to follow ? limiting salt, sugar, and fat intake ? are beneficial for anyone.

The key to enjoying a meal at a restaurant is to have a plan going in, according to Dietlinde Wolter-Nitta, RD, CDE, of the Clinical Diabetes Center of Montefiore Hospital in New York City. That means knowing what's on the menu, what to avoid, and how to control the way food is prepared and served.

Here are some ideas to make your night out more fun and less work.

Tip 1: Do Your Homework

Wolter-Nitta suggests looking at the menu before trying a restaurant. "It's hard to make smart diet decisions when you're hungry," she said. "So if you decide beforehand, you can make yourself stick to it."

For people with diabetes, when they eat can be as important to maintaining their blood sugar level as what and how much they consume. It's a good idea to make a restaurant reservation whenever possible, and avoid peak times when the wait for a table is longer.

If you're concerned about slow service, speak to the waiter and ask if certain meals take longer to prepare than others.

Tip 2: Portion Control

One of the biggest challenges to eating sensibly is the temptation to finish everything on your plate. There are tricks you can use to control that urge.

"Decide to take a doggie bag home before you start eating," suggests Wolter-Nitta. "Put half of the food away before you dig in. With diabetes, you have to watch out for sugar, sodium, and fat, and this will cut those in half."

Another way to reduce portion size is to split a meal with a dinner companion. "Order an appetizer each and split an entrée," she said. "That's a great way to lower calories."

Tip 3: Know What to Eat and What to Avoid

The first thing you usually have to watch out for in a restaurant is the bread basket. "They put it out on the table and it's so hard to say no," said Wolter-Nitta. "You have to ask yourself whether you're at the restaurant to eat bread or your meal."

Sauces and salad dressings can be loaded with salt and fat. "Sauces such as butter sauces, béchamel, au gratin, and hollandaise should definitely be on the do-not-eat list," she said. If you must have salad dressing, try dipping your fork in it rather than pouring it on.

Certain cuisines are trickier than others. For instance, "Chinese restaurants add corn starch and sugar to most foods," she said. "Stick to white rice and vegetables and avoid the soy sauce."

When it comes to food preparation, ask if a dish can be baked, grilled, or broiled rather than fried. When you do eat fried food, remove the fat- and calorie-laden bread coating.

It's not just what you eat: Sugary drinks affect your weight and glucose levels, and they have been directly linked to type 2 diabetes.

Tip 4: Indulge ? a Little

"Eating dessert isn't forbidden," said Wolter-Nitta. "It's just a matter of doing it the right way." One suggestion: "Instead of going for the chocolate cake, go for a piece of fruit or something sugar-free."

A meal at a fast-food restaurant can easily exceed your daily recommended allowance for calories, fat, and salt. If you're going to treat yourself to a grab-and-go bite, the American Diabetes Association (ADA) reminds you to check the nutritional information before ordering, avoid "super-sized" or "deluxe" meals, and ask for healthy substitutions when you can.

Whatever you're treating yourself to, moderation is key.

Here are some more suggestions from the ADA when ordering out: ·

Be Creative. Just because dishes are labeled "appetizers," "entrees," and "desserts" doesn't mean you can't mix things up. The ADA suggests a fruit cup as a starter, or a salad and appetizer as a main course. ·

Order Ahead. Call the restaurant and ask if your food can be prepared to meet your dietary needs. By giving the kitchen advance notice, they might be able to better accommodate you. ·

Think About What You Drink. If you're going to treat yourself to an alcoholic beverage, remember that mixers can pack a lot of calories and sugar.

Watching what you eat and drink all the time "takes a lot of discipline," as Wolter-Nitta points out. "But it pays dividends for your health."

For Breast Cancer Awareness Month, Woman Living
with Incurable Cancer Offers 4 Suggestions

Shy about asking, "What's the etiquette for supporting my loved one, friend or  colleague in their battle against cancer?" many people simply avoid the question altogether - and offer nothing.

"It's okay to wonder, and it's okay to ask. Be direct!" says Jane Schwartzberg, who has been battling stage 4 metastatic cancer for several years. She's the co-author with Marcy Tolkoff Levy of "Naked Jane Bares All," www.nakedjanebaresall.com, which shares her story with candor and humor.

Jane was a 31-year-old newlywed when she was first diagnosed with breast cancer. She underwent treatment and eventually was declared cancer free. She moved on with her life, giving birth to two children and launching a technology company. Then, when she was 42, the cancer returned. She's now 45.

"I'm a fighter, and the support I've received from my family and friends has given me  an immeasurable amount of strength, without which I don't know what I would do," Schwartzberg says.

What are some suggestions for providing support? She offers these:

•  Do it without any expectations or requirements for a response. "I'm often asked, 'What can I do to help?' " she says. "What I've suggested: Be in my life at my pace, let me take the lead; make your presence, availability and support known, but do it without any expectations or requirements for a response."

•  Embrace their big dream, even if it doesn't sound realistic. During a very low point, Schwartzberg was asked by a friend: If you could have anything, swinging for the fences, what would help you get out of this pit? Without skipping a beat, she answered, "I want to take [comedian] Larry David out to lunch." As impossible as it seemed, her friend encouraged her to write to the co-creator of "Seinfeld" -- and he accepted.

"As terrible as having terminal cancer is, there is that undeniable quality of embracing every moment, including asking your heroes out to lunch," Schwartzberg says. "Cancer brings out the boldness in people, which may entail a dream vacation to Hawaii. Don't be afraid to embrace their wishes."

•  Don't hesitate to say, "You look beautiful," when health has returned. After her chemotherapy treatments ended, Jane slowly started looking like her old self - healthy Jane, not cancer Jane. Part of reengaging with life is caring about the superficial things, at least to some extent. On the unforgettable day she met Larry David, the maître d had beforehand told her that she looked beautiful, to which Jane responded, "You have no idea how much I appreciate that."

•  Don't sugarcoat it. "If you want to really infuriate me, you'll tell me that this whole mess is beshert, Yiddish for 'meant to be' - that it's all part of a plan from a higher power," she says. "Maybe terminal cancer is part of some crazy plan, but I promise you that these are the last things I want to hear from anyone."

Don't sugarcoat or try to put a positive spin on what's going on - in fact, it's more of a comfort to Jane when others acknowledge that her situation stinks and that she is looking at a life that's far different from, and likely to be shorter than, anything she'd imagined.

About Jane Schwartzberg

Jane Schwartzberg, 45, is the co-author of the new book, "Naked Jane Bares All," www.nakedjanebaresall.com, the many-layered story - told with humor and candor -- of how she learned to embrace life when she was down for the count. Jane is a financial services executive and founder and former CEO of a start-up technology company.
"Naked Jane Bares All" was co-written by veteran writer Marcy Tolkoff Levy. Following a year of interviews and many late nights with Jane, her family and friends, Marcy formed the foundation of a colorful, poignant and even humorous collection of vignettes about how Jane continues to get back up when life throws her down.

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