By- Dr. Joan Marie PellegriniGiven Chris Ewingâ€™s weather forecast tonight, it may be a bit hard to fathom needing sun screen anytime soon. However, we are all hoping for a great, sunny summer. Since summer is only a few weeks away, this would be a good time to review some facts about sunscreen.First, letâ€™s review what SPF means. SPF stands for Sun Protection Factor and it is calculated in a rather complex way. There are two types of UV rays: UVA and UVB. SPF refers to protection from UVB. UVA is the type of ray that causes aging of the skin and sunscreen does not protect us well against this type of UV ray. UVB is the type that causes burning and is the type that is absorbed by most sunscreens. Also, there is no linear relationship to the SPF number and how much UV rays are blocked. SPF 15 blocks 93% of the rays and SPF 30 blocks 97% (these numbers are from a WebMD article that I have listed below). Guidelines recommend and SPF of 15 or higher. As you can see from the numbers above, buying a higher SPF screen does not necessarily give you much more protection. More chemical must be added to the screens to obtain the higher SPF and there are some experts who feel that the amount of chemicals in the â€œvery highâ€ SPF screens (over 30) may actually lead to more skin cancers (a very controversial topic). These types of sunscreen protect us because they absorb the UV light. Other sunscreens protect against both types of UV because they provide a physical barrier to block UV rays and usually contain zinc or titanium. They are also heavier and more obvious on the skin (think of the white paste that skiers use on there nose and lips). The WebMD article and the EPA article referenced at the end of this article list which ingredients protect against which type of UV ray.Next, letâ€™s review how the screen is supposed to be applied. Sun screen should be applied to all skin because most summer-weight clothes do not fully protect the skin against the damaging effects of UV radiation. Also, sunscreens that absorb light need to be applied at least 30 minutes before sun exposure because they must be given time to be absorbed into the skin. If you are using one of the sunscreens that provide a physical barrier (they contain zinc or titanium) then you can apply it just before going outside. You will need more than â€œjust a dabâ€ of any of the sunscreens. Sunscreen needs to be applied liberally and often. Therefore, buy a sunscreen that you will not mind using and one that will be easy to apply. The â€œbestâ€ sunscreen doesnâ€™t do you any good if it never gets used.What about vitamin D deficiency? There is some concern that the widespread use of sunscreen may be leading to our widespread vitamin D deficiency however this is quite controversial. I think it is safe to say that the vast majority of national guidelines and experts recommend using sunscreen in an effort to reduce skin cancer rates. If you and your doctor are concerned about your vitamin D level, then it is a pretty simple and safe measure to change your diet to increase your vitamin D intake or to add a vitamin D supplement.Some miscellaneous facts about sunscreen: If you find a sunscreen in your cabinet and you cannot remember when you bought it, it probably is best to throw it away and buy new sunscreen. The active ingredients in the sunscreen may become inactive after 2-3 years. â€œWater resistantâ€ in a sunscreen means that it will last longer in wet conditions. However, it too needs to be reapplied throughout the day (every 2-3 hours). Sunscreens that contain antioxidants offer advantages for skin healing after injury from the harmful effects of the sun.So, to answer the question of which sunscreen is best: buy the sunscreen that is at least SPF 15 and donâ€™t worry about buying the highest SPF you can find. Make sure you get a sunscreen that is easy to apply. If you have a problem with acne, there are sunscreens made specifically for the face that are not so comedogenic (tending to clog the pores). Wear other protective clothing such as hats and sunglasses and remember that sunscreen does not protect against all of the sunâ€™s damaging UV rays. Donâ€™t forget to reapply. These two articles are excellent resources:http://www.webmd.com/skin-beauty/features/whats-best-sunscreenhttp://www.epa.gov/sunwise/doc/sunscreen.pdfThis article addresses the concern of vitamin D levels when sunscreen is used frequently:http://ods.od.nih.gov/factsheets/vitamind/
Get organized- Sit down with your past month’s expenses. Review what the heck you have purchased. You may find that you waste more money than you realize. Many tips to the supermarket, lunch, coffee, snacks out many times a week. For most of us with that kind of careless spending using way more money than we can really afford to spend in that way. So, you need to see what you have done that was out of balance, see what you must pay in mortgage, utilities, etc, and make those payments as automatic as possible.Stop spending- Alter the spending that was out of balance. Cut is back. Don’t put anything else on credit. Take a breather for a year, or two, so you can tackle the debt you have already accumulated. If you pay double what your present credit card payment is you will cut that debt down in short order! Be wise- Don’t buy something simply because it was cheap or on sale. LOVE IT before you buy it. Be the picky princess I know you can be and don’t settle for okay even if the item is on sale. Only buy what is wonderful – and on sale.Save- Even when you are paying down debt, save! Even if it’s $5 a week, or $25 a week, the habit is really a great one and will start making you see the savings as the luscious delight that a savings account can be. Learn to love your savings account.Marion R. Syversen, MBA – PresidentNorumbegaFinancial207.862.2952Marion@NorumbegaFinancial.com
If you have an idea for our next Take This Job and Love It email Chelsey at email@example.comIn many of our Take This Job and Love It segments, reporter Chelsey Anderson is grunting her way through heavy lifting. In this edition, Chelsey went to a more relaxing place. Apollo Day Spa in Waterville.Chelsey: “That’s right. In this job, I wouldn’t be doing any lifting of bagel dough, spawning salmon, or climbing up a telephone pole in lumber jill gear. I would, however, still be getting my hands dirty. It all starts with waxing.”————————-Karen: “We’re going to be demonstrating an arm wax. So kind of load it up and then remove it from the back. And I apply the wax in the direction that the hair grows.”Chelsey: “Like butter. I’m going to grab one of these, and just lay it over the top.” Karen: “Yep. I’ll hold the skin because that’s the important thing, and then you’ll pull in the direction, opposite the direction the hair grows.” Chelsey: “Okay, are you scared?” Karen: “No.” Chelsey: “You ready?” Karen: “Uh-huh.” Karen: “Go that way with it.” (RIP) Karen: “Nice!”Chelsey: “Hey, this isn’t so bad. You’re not even screaming.” Karen: “No, not at all.” Chelsey: “I was afraid for you.”Chelsey: (RIP) “Ooo. That was a slow one. I’m sorry.” Karen: “That’s okay.” Chelsey: “That was like a bad band aid.”Chelsey: “Is that clean enough.” Karen: “That’s perfect.”With Karen’s arms smooth, she moved me on to doing a pedicure on Ashley.Karen: “The first thing you’re going to do is grab her foot.” Chelsey: “Okay.” Karen: “You’re going to take half that.”Chelsey: “Uh-huh.” Karen: “Just to exfoliate the top layer of skin.”Ashley rinses her feet and I dry them.Chelsey: “This is a true pampering here.”Then I removed callused areas with a pumice bar.Karen: “Just file them down a bit.”After a rinse and dry again, I removed Ashley’s old nail polish and filed straight across the nail.Karen: “The file sometimes leaves a little bit of a sharp edge, so you’re going to take a buffing block and just kind of go over like that.”I treated her cuticles with oil and pushed the excess skin back a little. I finish with some lotion and a quick massage before focusing on the polish.Chelsey: “There’s so much concentration here.”And I’m finished.Chelsey: “They’re all shiny.”Ashley: “They’re awesome. She did a really good job.”Next, I did a manicure, which is very similar to a pedicure, except for Karen’s very cool polish choice. Shatter. It crackles right before your eyes.Chelsey: “There. Now it’s pretty.”Finally, I had a clear gloss treatment to mix up with Jess and put on Laura.Chelsey: “There. Is that tight enough? Or is it loose enough, I should say!” (laughter) Laura: “Yeah, I can breath.”Then Jess and I separated Laura’s hair into four sections and glossed down the parts.Jess: “You’re going to start here. Applying at the root and you’re going to work all the way down.”Chelsey: “Should I just take this whole last section?” Jess: “Yep.”I worked my way around Laura’s head and finished by pulling the gloss through the length of her hair.Jess: “You’re doing a great job. It’s easy to have color going everywhere.” Chelsey: “Thank you.” Jess: “You’re being so neat.”When the gloss was finished processing, I rinsed and washed Laura’s hair before it was styled.So after all the yanking, scrubbing, polishing and glossing, would I get the job?Jess: “You could definitely be hired at Apollo Day Spa. You took a lot of care in making sure everybody was comfortable and well serviced. Absolutely.”——————-Chelsey: “Thanks to everyone at Apollo Day Spa for their help and guidance.”
Improved technology! Increased usage! Is there any concern for long-term radiation effects?By- Dr. Jonathan WoodCT scan usage has increased dramatically in the last 20 years. CT scans are a great diagnostic tool, but what is the risk associated with increased usage? Is there a significant increased risk of cancer in people receiving all these CT scans? Experts are working on the answer to this difficult question and the answer is not as conclusive as we would hope.Medical diagnosis has benefitted greatly in recent years from marked improvements in CT scan technology and the subsequent increased availability of scans. â€œHelical CT scanningâ€ and â€œmultidetectorâ€ scanners have resulted in improved image resolution and a dramatic decrease in the time needed to obtain these images.These changes are cited as the main reason for the impressive increases in CT utilization. In the past 10 years alone, CT use has increased 700%. An estimated 62 million CT scans are done annually in the US today, compared with 3 million done in 1980. And why the focus on CT scans rather than other radiology tests? The answer: CT scans involve much more radiation than simple x-rays or other radiology tests. The numbers illustrate this – – although CT scans account for only 15% of the exams involving ionizing radiation, they collectively account for approximately 70% of the total radiation delivered!An example – – one abdominal CT scan involves a radiation dose equivalent to 250 chest x-rays!Children account for 10-15% of CT scans in the US and the annual number continues to increase. This is important because children are likely more susceptible to the harmful effects of ionizing radiation. The main issues:1. Growing children have more rapidly dividing cells, exactly the cells most affected by radiation. Some estimate that a radiation dose administered to a child has a 10-fold increase in the cancer-causing potential as the same dose given an adult.2. Children have a longer lifetime over which radiation-related cancers could evolve.3. Depending on the location of the scan, CT scanning is not always tailored to the size of the patient, as it should be.So is there a true risk? The answer is a qualified â€œyesâ€.The baseline risk of cancer in the US population is already about 20%. A single abdominal CT in a child is thought to increase that risk over a lifetime by 0.1% to 0.3%. Given that 30% of people who have one CT have additional ones later, this may be a conservative overall risk. The data is difficult to interpret, given all the other factors that contribute to the risk of cancer, but it nonetheless seems quite clear that minimizing the number of CT scans is a good idea. Importantly, any reduction in CT use has to be balanced against the fantastic diagnostic value offered by CT scan technology used in the right situation. The immediate risk of not getting the information is often much higher than the long-term risk of developing a cancer.So what can we do?â€¢ As patients and parents, we need to ask questions and make sure that there arenâ€™t other ways to get the same information. We need to realize that â€œjust checkingâ€ involves real risk and we shouldnâ€™t ask for CT scans that are not going to help with the problem at hand. Many CT scans are ordered because people ask for them!â€¢ As physicians, we need to order these tests judiciously and work with our institutions to perform them in the safest possible manner in children. We also need to continually ask if there are other tests that can offer the same information with less risk – – tests like ultrasound, which donâ€™t involve ionizing radiation. Online Resources:An FDA handout for consumers: http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm048578.htm An NCI/NIH webpage for docs: http://www.cancer.gov/cancertopics/causes/radiation/radiation-risks-pediatric-CTâ€œImage Gentlyâ€ – a program sponsored by the Society for Pediatric Radiology: http://www.imagegently.orgCNN article on increased CT usage: http://thechart.blogs.cnn.com/2011/04/05/kids-ct-scans-increase-fivefold/
Money weaves through all of our lives and is woven in to our relationships, too. So when a couple divorce, there are financial consequences. Here are the things to keep in mind before, or during, a divorce.Your credit- The credit rating for both of you could be badly affected during a divorce. There is confusion, disruption and intense emotions and all the bills may not get paid on time during these months. Do what you can, but don’t be surprised, if this occurs. Make sure you communicate with the lenders during this time. And if you have a god relationship with a particular lender, have a talk about what else you might do to come out with flying colors on the single side of the road.Your income- Depending on what your role has been before the divorce, your income could be a problem. Some women make more than their husbands. But some have made the home and caring for the family a full-time job and in that case, there will be some income concerns. Marital assets divided ‘equitably’- I am not an attorney, but the State of Maine is an ‘equitable asset’ state. Meaning that assets (including stocks, bonds, mutual funds, boats, houses, land, outstanding loans, artwork, collectibles, etc.) accumulated together are divided fairly, according to the law. One of the most important questions is do you know anything about your finances? You need to know all you can about how to manage your finances in your new single life. Take control. Don’t be a victim!Citation:Marital assetshttp://www.divorcesource.com/info/divorcelaws/maine.shtmlhttp://financialplan.about.com/cs/divorceandmoney/a/DealWithDivorce.htmMarion R. Syversen, MBA – PresidentNorumbegaFinancial207.862.2952Marion@NorumbegaFinancial.com
Give Mom a break this Mother’s Day by doing the cooking, and it wouldn’t hurt to clean up the dishes too!Texas Roadhouse Head Cook, John Hafford, joined Carolyn Callahan on TV5 News at 5 to share with us a Prime Rib recipe just in time for Mother’s Day.Texas Roadhouse’s Prime Rib at HomeIngredients 1/2 C of your favorite Prime Rib Rub per 6 oz. of prime rib2 C of Water Step 1â€¢ Create your rub using your favorite seasonings and a little bit of liquid. â€¢ Using the rub make sure to cover then entire piece of meat you are cooking, including the bottom. â€¢ Place seasoned piece of meat in the roasting pan and cover with plastic wrap.â€¢ Allow to sit at least 4 hours refrigerated, with the preference being overnight. Step 2â€¢ Preheat your oven to 300 degrees.â€¢ Adjust your shelves placing one shelf on the very bottom and one shelf in the center of the oven for the meat.â€¢ Using a metal pan, fill it with water and place it on the bottom shelf of the oven.â€¢ Place the roasting pan with meat in the oven uncovered. â€¢ Using a stay-in-place thermometer check the internal temperature of the meat every 30 minutes after the first hour of cooking.â€¢ Once meat is finished cooking remove from the oven.Step 3â€¢ Once the Prime Rib is cooked to your desired doneness (see chart below), carve into steaks of your desired thickness and serve.Note: 140 â€“ rare to medium rare 150 â€“ medium 160 â€“ medium well 170 â€“ well* The temperatures are a guide Enjoy!
Recipe Submitted by: Executive Chef Louis KieferTo watch Chef Kiefer making the dish on our morning news, click HEREServes 22, 6oz. fresh filet of sea bassSalt & PepperOil and butter
Recipe Submitted by: Executive Chef Louis Kiefer, The Bar Harbor InnTo watch Chef Kiefer making the dish on our morning news, click HEREServes 8 or 32 dumplingsFor the dumplings:2 oz. Sesame oil4 cloves of garlic, minced2 shallots, fine dice1 tsp. lemongrass paste2 oz. fresh ginger, peeled and minced1 pound of lobster meat, chopped fine1/4 cup tamari soy sauce2 tablespoons Sambal chile sauce2 tablespoons chopped mint2 tablespoons chopped basil32 small wonton wrappersWater or egg wash3/4 quart peanut oil for fryingIn a medium sauce pan, saute the garlic, shallots, lemongrass paste and ginger in sesame oil until slightly browned, remove from heat and transfer to a mixing bowl.Fold in lobster meat, soy sauce, sambal, scallions, mint and basil.Lay out wonton wrappers on a flat surface and brush with water or egg wash.Place a small amount of mixture in dumpling and fold, pinch to seal.Deep fry in peanut oil at 350 degrees until brown, and serve with sauce.Red Curry Coconut Cream2 oz. sesame oil6 cloves garlic, minced2 shallots, minced2 oz. ginger, peeled and minced 1 tablespoon of lemongrass paste1/2 cut rice vinegar1/2 cup mirin2 tablespoons red curry paste2 (8 ounce) cans of coconut milk1 oz. Cornstarch- dissolved in water1/2 bunch of cilantro- coarsely chopped2 limes, juicedIn a small saucepan, add sesame oil and lightly saute garlic, shallots and ginger. Add lemongrass paste and do not let brown, but lightly saute.Cover with rice vinegar and mirin and continue cooking until reduced by half.Stir in red curry paste and coconut milk and bring to a boil, thicken sauce with cornstarch and steep in cilantro and lime juice.
Breakfast in bed is always a nice thing, but a healthy breakfast in bed is even better. Jackie Conn from Weight Watchers is here to show us how to make Mom a breakfast to remember. Whole grain flapjacks with smoky bacon and real maple syrup. Multi-Grain Pancakes with Canadian Bacon and Maple Syrup Weight Watchers Recipe Ingredients 1 cup(s) whole wheat flour 2 tsp whole wheat flour 1/2 cup(s) rolled oats 1/2 cup(s) uncooked cornmeal 2 tsp baking powder 1/2 tsp table salt 3 large egg white(s) 3 Tbsp canola oil 2/3 cup(s) maple syrup, divided 1 3/4 cup(s) fat-free skim milk 6 oz Canadian-style bacon, thinly sliced InstructionsIn a large bowl, combine all of flour, oats, cornmeal, baking powder and salt: mix well and set aside.In another bowl, lightly beat egg whites until frothy but not stiff. Add oil, 1/4 cup of maple syrup and milk: mix thoroughly.Pour egg mixture into flour mixture: mix until just combined.Heat a large nonstick skillet over medium heat (or heat a griddle to about 350Â°F to 375Â°F). Drop batter by 2 tablespoons onto skillet (or griddle) and cook until bubbles on surface of pancakes start to pop: flip pancakes and finish cooking, about 3 to 4 minutes total. As you finish each batch of pancakes, set them aside in an oven-proof dish in a warm oven (200Â°F) until ready to serve. Repeat with remaining batter.Warm Canadian bacon slices in skillet (or on griddle). To serve, stack four pancakes on each of 6 plates, top each with 1 ounce of bacon and then drizzle each serving with about 1 tablespoon of syrup. Course: breakfast PointsPlusâ„¢ Value: 10 Servings: 6 Preparation Time: 10 min Cooking Time: 24 min Level of Difficulty: Easy
Recipe Courtesy: Cathy Speronis3 medium hot house tomatoes, chopped1/4 large red onion, minced1 medium jalapeno, minced2 Tbsp. finely chopped cilantroJuice of 1/2 lime1/2 tsp. kosher saltCombine all ingredients in a medium bowl. Cover and refrigerate overnight.
Recipe Courtesy: Cathy SperonisOne 4.5 lb boneless pork picnic roast4 slices bacon1 medium onion, coarsely chopped3 cloves garlic, peeled & crushed 1 1/2 tsp. Kosher salt2 tsp. roasted ground cumin1 tsp. oreganoJuice of 1 limeJuice of 1 lemon1 3/4 cups waterAdjust oven rack to lower third and preheat oven to 300Â°.Trim off some of the excess fat from the roast and cut into large 2â€ cubes.In a medium Dutch oven or a 6-qt. oven safe stockpot over medium-high heat, brown the bacon rendering the fat. When the bacon has browned, add the onion and garlic cloves and cook to sweat for 3 minutes over medium-low heat.Add the pork and the remaining ingredients to the pot. Bring to a simmer over medium-high heat. Remove from heat, cover and place in oven.Cook stirring every 1/2 hour until pork shreds easily with a fork, about 3 hours.Remove the pork from the stockpot and set aside. Strain the remaining liquid removing solids and fat. Set aside.When pork has cooled, shred with forks removing excess fat. Place the shredded pork into the emptied pot and add some of the strained broth to moisten. Place over low heat and heat through.Serve the carnitas with tortillas, rice, black beans, salsa and sour cream.
Recipe Courtesy: Cathy Speronis5 cups all-purpose flour1 tsp. kosher salt2 tsp. baking powder4 Tbsp. vegetable shortening2 Tbsp. olive oil1 1/4 cup warm waterIn a large bowl combine flour, salt and baking powder. Add the shortening and olive oil cutting it into the flour mixture with a pastry blender or fork.Slowly add the warm water until the dough comes together to form a ball. Knead for a few minutes.Cover with plastic wrap and set aside for 30 minutes.Preheat a cast iron skillet over medium-high heat.Form golf-sized balls from dough. Use a tortilla press or a well-floured rolling pin and board to form tortillas. They should be pretty thin.Place the tortillas, one at a time, onto the preheated skillet. Turn every 15-20 seconds until sides start to bubble and brown slightly.Remove to a plate and cover with a clean kitchen towel to keep the tortillas warm and pliable.Repeat with remaining dough.Tortillas can be made ahead and stored in a plastic food bag. They can also be frozen.