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askAAMC.org

Need a doctor? Have a medical question? Get advice from nurses you trust. Call our nurse advice line, askAAMC, at

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-

.

&

ask

theexperts

Health and Wellness Advice From AAMC

Sanjiv Saini, MD,

is a dermatologist

at MD Dermatology,

with locations in

Edgewater, Glen

Burnie and Lexington

Park.

- -

Timothy Fry, DO,

is a

family medicine doctor

with Annapolis Primary

Care.

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Kay Hoskey, MD,

is a

urogynecologist with

the Women’s Center

for Pelvic Health with

locations in Annapolis,

Bowie and Odenton.

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KIDS HEALTH

Q

How can I help my child make

smart choices?

A

Your child may not be able to avoid

peer pressure, but you can help

him or her prepare for it. Here’s how.

Talk about the dangers.

Ask what your

child thinks about issues like drinking,

smoking or taking drugs. Point out the

consequences, such as addiction and bad

health. And set clear rules and expectations.

Start the conversation when your child is

still in grade school—and (hopefully) before

he or she has been pressured to experiment.

Practice saying no.

From “no, thanks”

to “I can’t—my parents would kill me,”

it will help if your child has an answer or

two rehearsed and ready to go.

Model smart choices.

Your actions

will always speak much louder than your

words. If you want your child to avoid

bad habits, set that good example yourself.

Build a strong foundation.

Your child’s

very best defense against peer pressure is a

healthy sense of con dence and self-esteem.

O er praise for a job well done, spend

family time together, surround your child

with positive people, and help your child

nd activities where he or she can excel

and cultivate a sense of accomplishment.

ese steps will help instill positive

values in your child, which can help him

or her make the smart choice—even when

you’re not around to see it.

HEALTHY SKIN

Q

How can I keep my skin

looking healthy?

A

Our skin says a lot about how

healthy we are. Healthy-looking skin

is often an indication of a healthy person,

while the opposite is also true. To improve

your skin’s health:

Get moving.

Regular exercise is

important to help slow the aging process.

Staying active also helps with balance,

endurance and strength. Additionally, add

something to your routine that reduces

stress, such as tai chi or yoga.

Eat your veggies.

Fruits and vegetables

are loaded with antioxidants, which help

to keep your body healthy and aging

better. Load up on fruits, vegetables,

whole grains, lean protein, and be sure to

get plenty of water.

Get plenty of rest.

Getting poor sleep

or not getting enough sleep (seven to nine

hours per night for adults) is associated

with a poorer quality of life, according to

the National Institutes of Health.

Watch the sun time.

Sun exposure in

small amounts is needed for the body to

make vitamin D, but more than that and

you are risking skin cancer and premature

aging. Take precautions, such as wearing a

hat or sunscreen or seeking shade.

Skip the tanning bed.

According to

the American Academy of Dermatology,

research shows that using a tanning bed

increases your risk of getting a melanoma by

75 percent. e Surgeon General stated that

a 2014 analysis estimated 400,000 cases

of skin cancer may be related to indoor

tanning in the United States annually.

WOMEN’S HEALTH

Q

What is a urogynecologist?

A

A urogynecologist is a physician

who specializes in treating women

with a variety of disorders to the pelvic oor.

Before the urogynecology specialty

was created, women with pelvic- oor

disorders typically had to visit multiple

specialists and receive treatment for

problems in the urinary, gastrointestinal

and reproductive systems separately. A

urogynecologist can manage many of

these conditions comprehensively.

In addition to completing medical

school, a urogynecologist must have

completed a four- or ve-year residency

program in urology or obstetrics and

gynecology, plus an intensive three-year

fellowship in female pelvic medicine and

reconstructive surgery.

e National Institutes of Health

estimates one-third of women in the

United States will experience pelvic- oor

disorders in their lifetime. Childbirth,

repeated heavy lifting, chronic diseases,

and surgery can weaken the pelvic oor.

Inherited factors also can contribute.

While pelvic- oor disorders become

more common as you get older, they

are not inevitable. A range of treatment

options are available to minimize the

symptoms or repair the damage, including

physical therapy, biofeedback, pelvic

oor exercises, sling procedures, nerve

stimulators, collagen injections, pessaries,

graft and mesh augmentation, and surgery.

A urogynecologist also specializes in

treatment after prior surgeries have failed.