Seeing Clearly

There are so many positive aspects to aging – while it’s true some people become more crotchety and stubborn, most become wiser, more experienced, more forgiving and appreciative. But as our brains mature, so do our bodies, and certain health problems endemic to our chronological progression occur. That includes changes to our hearing, our mobility and our eyesight. As an example, more than 24.4 million Americans develop cataracts by age 40 and older.  By age 75, approximately half of all Americans have cataracts.

A cataract is a clouding of the normally clear lens of our eye. For people who have cataracts, seeing through cloudy lenses is a bit like looking through a frosty or fogged-up window. Clouded vision caused by cataracts can make it more difficult to read, drive a car (especially at night), see the print on signs, watch television and movies and use our computers.

Most cataracts develop when aging or injury changes the tissue that makes up the eye’s lens. Normally, cataracts develop slowly and don’t disturb our eyesight early on. But with time, cataracts will eventually interfere with vision. At first, stronger lighting and eyeglasses can help us deal with cataracts. But if impaired vision interferes with usual activities, stronger prescriptions will no longer improve visual acuity, and cataract surgery may be required. Fortunately, the only real solution, cataract surgery, is generally a safe, effective procedure.

Some inherited genetic disorders that cause other health problems can increase our risk of cataracts. Cataracts can also be caused by other eye conditions, past eye surgery or medical conditions such as diabetes. Long-term use of steroid medications, too, can cause cataracts to develop.

How Does a Cataract Form?

The lens, where cataracts form, is positioned behind the colored part of our eye (iris). The lens focuses light that passes into our eye, producing clear, sharp images on the retina — the light-sensitive membrane in the eye that functions like the film in a camera.

As we age, the lenses in our eyes become less flexible, less transparent and thicker. Age-related and other medical conditions cause tissues within the lens to break down and clump together, clouding small areas within the lens.

As the cataract continues to develop, the clouding becomes denser and involves a bigger part of the lens. A cataract scatters and blocks the light as it passes through the lens, preventing a sharply defined image from reaching our retina. As a result, vision becomes blurred.

Cataracts generally develop in both eyes, but not evenly. The cataract in one eye may be more advanced than the other, causing a difference in vision between eyes.

Typical signs and symptoms of cataracts include:

  • Clouded, blurred or dim vision
  • Increasing difficulty with vision at night
  • Sensitivity to light and glare
  • Need for brighter light for reading and other activities
  • Seeing “halos” around lights
  • Frequent changes in eyeglass or contact lens prescription
  • Fading or yellowing of colors
  • Double vision in a single eye

At first, the cloudiness in vision caused by a cataract may affect only a small part of the eye’s lens and we may be unaware of any vision loss. As the cataract grows larger, it clouds more of our lens and distorts the light passing through the lens. This may lead to more noticeable symptoms.

Factors that increase the risk of cataracts include:

  • Increasing age
  • Diabetes
  • Excessive exposure to sunlight
  • Smoking
  • Obesity
  • High blood pressure
  • Previous eye injury or inflammation
  • Previous eye surgery
  • Prolonged use of corticosteroid medications
  • Drinking excessive amounts of alcohol

How to Minimize the Onset of Cataracts

No studies have proved how to prevent cataracts or slow the progression of cataracts. But doctors think several strategies may be helpful, including:

  • Have regular eye examinations.Eye examinations can help detect cataracts and other eye problems at their earliest stages. Ask your doctor how often you should have an eye examination.
  • Quit smoking.Ask your doctor for suggestions about how to stop smoking. Medications, counseling and other strategies are available to help.
  • Manage other health problems.Follow your treatment plan if you have diabetes or other medical conditions that can increase your risk of cataracts.
  • Choose a healthy diet that includes plenty of fruits and vegetables.Studies have shown that a healthy diet rich in vitamins and minerals was associated with a reduced risk of developing cataracts. Adding a variety of colorful fruits and vegetables to our diet ensures that we’re getting many vitamins and nutrients. Fruits and vegetables have many antioxidants, which help maintain the health of our eyes.
  • Wear sunglasses.Ultraviolet light from the sun may contribute to the development of cataracts. Wear sunglasses that block ultraviolet B (UVB) rays when outdoors.
  • Reduce alcohol use.Excessive alcohol use can increase the risk of cataracts.Top of Form

What Happens During Cataract Surgery?

Cataract surgery involves removing the clouded lens and replacing it with a clear artificial lens. The artificial lens, called an intraocular lens, is positioned in the same place as our natural lens. It remains a permanent part of our eye. For some people, other eye problems prohibit the use of an artificial lens. In these situations, once the cataract is removed, vision may be corrected with eyeglasses or contact lenses.

Cataract surgery is generally done on an outpatient basis, so there isn’t an overnight stay involved. During cataract surgery, the eye doctor uses local anesthetic to numb the area around the eye, but the patient usually stays awake during the procedure.

Cataract surgery is generally safe, but it carries a risk of infection and bleeding. Cataract surgery also increases the risk of retinal detachment.

After the procedure, patients have some discomfort for a few days. Healing generally occurs within eight weeks. If cataract surgery is required in both eyes, the doctor will schedule surgery to remove the cataract in the second eye after the patient has healed from the first surgery.

June is National Cataract Awareness Month, and since this age-related disorder afflicts many Americans, it pays to learn cataract warning signs. For most people who have cataract surgery, the results are startling – significantly improved vision, a return to all activities, and for many, the elimination of eyeglasses or the need to wear them for either distance or reading only. Check in with your eye doctor at least annually, and know that even though it may be disconcerting, corrective measures are readily available and highly successful.


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Boning Up on Osteoporosis

Embracing change isn’t always easy, especially those transformations that affect or challenge our health. But, like it or not, chemical, biological and physiological changes take place as we age, and understanding these processes helps us maintain our quality of life and even prolong our years on earth.

As we grow older, new bone is made and old bone is broken down. When we’re young, our body makes new bone faster than it breaks down old bone, increasing bone mass. Most people reach their peak bone mass around age 30. After that, we lose more bone mass than we gain.

Osteoporosis, which affects more than 53 million Americans, is a condition that causes bones to become weak and brittle, making them easier to fracture or break. Our likelihood of developing osteoporosis depends on how much bone mass we attain by the time we reach age 30 and how rapidly we lose it after that. The higher our peak bone mass, the less likely we are to develop osteoporosis as we age.

Osteoporosis affects the structure and strength of bones and makes fractures more likely, especially in the spine, hip and wrists. It is most common among females after menopause, but smoking and poor diet increase the risk for women and men. There are often no clear outward symptoms, but weakening of the spine may lead to a stoop, and there may be bone pain.

We can build strong bones by getting enough calcium and weight-bearing physical activity during our teen years and into our early 20s, when bones are growing the fastest. Young people in this age group have calcium needs that they can’t make up for later in life. In the years of peak skeletal growth, teenagers build more than 25 percent of adult bone. By the time teens finish their growth spurts around age 18, 90 percent of their adult bone mass is established.

It’s important to understand that our bodies continually remove and replace small amounts of calcium from our bones, so stemming the loss of calcium is important. After our late teens, however, we can’t add more calcium to bones, but can try to maintain what is already stored to help our bones stay healthy.

Keeping Our Bones Healthy and Strong

Calcium is found in a variety of foods. Low-fat and fat-free milk and other dairy products are great sources of calcium. Teens can get most of their daily calcium from three cups of low-fat or fat-free milk, but they also need additional servings of calcium to get the 1,300 mg necessary for strong bones.

Other good sources of calcium include dark green, leafy vegetables such as spinach, broccoli and bok choy.  Other sources of calcium include almonds, broccoli, kale, canned salmon with bones, sardines and soy products such as tofu.

There also are foods with calcium added, such as calcium-fortified tofu, orange juice, soy beverages, and breakfast cereals or breads. Adults or kids who can’t process lactose also can take calcium supplements, but should check with their physician to ensure compatibility with other medicines or conditions.

When muscles push and tug against bones during physical activity, bones and muscles become stronger. Weight-bearing exercises, such as walking, jogging, tennis and climbing stairs can help build strong bones and slow bone loss. So, exercise as well as proper nutrition play vital roles in helping us build and maintain healthy bones at any age.

A number of additional factors can affect bone health. For example:

  • Tobacco and alcohol use.Research suggests that tobacco use contributes to weak bones. Similarly, having more than two alcoholic drinks a day increases the risk of osteoporosis, possibly because alcohol can interfere with the body’s ability to absorb calcium.
  • Gender, size and age.You’re at greater risk of osteoporosis if you’re a woman, because women have less bone tissue than do men. You’re also at risk if you’re extremely thin (with a body mass index of 19 or less) or have a small body frame, because you may have less bone mass to draw from as you age. Also, our bones become thinner and weaker as we age.
  • Race and family history.You’re at greatest risk of osteoporosis if you’re white or of Asian descent. In addition, having a parent or sibling who has osteoporosis puts you at greater risk — especially if you also have a family history of fractures.
  • Hormone levels.Too much thyroid hormone can cause bone loss. In women, bone loss increases dramatically at menopause due to dropping estrogen levels. Prolonged absence of menstruation before menopause also increases the risk of osteoporosis. In men, low testosterone levels can cause a loss of bone mass.
  • Eating disorders and other conditions.People who have anorexia or bulimia are at risk of bone loss. In addition, stomach surgery (gastrectomy), weight-loss surgery and conditions such as Crohn’s disease, celiac disease and Cushing’s disease can affect our body’s ability to absorb calcium.
  • Certain medications.Long-term use of corticosteroid medications, such as prednisone, cortisone, prednisolone and dexamethasone, are damaging to bone. Other drugs that may increase the risk of osteoporosis include aromatase inhibitors to treat breast cancer, selective serotonin reuptake inhibitors, methotrexate, some anti-seizure medications and proton pump inhibitors.

If you find it difficult to get enough calcium from your diet, ask your doctor about supplements. Pay attention to foods with vitamin D, include physical activity in your daily routine, and avoid smoking tobacco products or drinking too much alcohol. We can’t get back what we’ve lost when it comes to calcium, but we can do much to minimize future loss and protect our bones and overall wellness.


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

 

Heart Our Kidneys

Our kidneys are workaholics. Seriously. When they report to work normally, wastes and water are routed to our bladders and flushed away as urine.  If they start sloughing off, harmful waste including toxins and extra water build up in our blood.

Fortunately, we have two kidneys, each containing about a million tiny filters that process approximately 40 gallons of fluid daily. Our kidneys also produce several hormones which help control blood pressure, make red blood cells and activate vitamin D, which helps keep our bones strong.

We all lose a little of our kidney function as we age. People can even survive with just one kidney. But when kidney function drops due to illness or an underlying kidney disease, falling hormone production, as well as excess water and toxic waste build up in our bloodstream, leading to dangerous complications. About one in 10 adults – close to 20 million Americans – suffer from kidney damage, and millions more are at risk.

There are different types of kidney disease. Most strike both kidneys at the same time, harming those small filters—called nephrons—and reducing their ability to function properly. When damage to nephrons happens quickly, often because of injury or poisoning, it’s known as acute kidney injury. It’s more common, though, for nephrons to worsen slowly and silently for years or even decades. This is known as chronic kidney disease.

This can occur in a person with normal kidneys or in someone who already has kidney problems.

Anyone can develop kidney disease, regardless of age or race. Family history is a marker, but there are other causes and catalysts. March is National Kidney Month, and a good opportunity to learn about kidney health and to think about improving diets to prevent or mitigate kidney damage and related potential consequences including diabetes, high-blood pressure, and cardiovascular disease.

Warning signs of kidney disease may include general fatigue and weakness, with nausea, vomiting and itching. For people with acute kidney injury or severe kidney disease, dialysis – a process where a machine cleanses our blood – may be necessary to restore normal kidney function or sustain us. In cases where the kidney stops functioning or is permanently damaged, a kidney transplant may be the only viable option.

Early kidney disease has no signs or symptoms. Without diagnostic testing, we may not feel any different until our kidney disease is very advanced. Blood and urine tests are the only way to know if we have kidney disease. A blood test checks our glomerular filtration rate (GFR), which tells how well our kidneys are filtering. A urine test checks for protein in our urine.

The sooner we know we may have kidney disease, the sooner we can get treatment to help delay or prevent kidney failure. Treatment may include taking medicines called ACE inhibitors or ARBs to manage high blood pressure and keep our kidneys healthier longer. Treating kidney disease may also help prevent heart disease.

Limiting or Preventing Kidney Disease

We can take many steps to avoid or delay reaching the point of kidney failure. The best preventative step is to control our blood pressure. A healthy lifestyle, including physical activity and a heart-healthy diet can help to normalize blood pressure and also slow kidney disease.

What we eat and drink can help prevent or slow down chronic kidney disease. Some foods are better for our kidneys than others. Cooking and preparing our food from scratch can help us eat healthier.

The first options for eating right involve choosing and preparing foods with less salt and sodium. To help control blood pressure, our diet should contain less than 1,500 milligrams of sodium each day.

Here are five simple steps for healthier eating and for maintaining healthy kidneys:

Buy fresh food more often. Sodium (a part of salt) is added to many packaged foods. Helpful tips include

  • Use spices, herbs, and sodium-free seasonings in place of salt
  • Check the Nutrition Facts label on food packages for sodium — Daily Value of 20 percent or more means the food is high in sodium
  • Try lower-sodium versions of frozen dinners and other convenience foods
  • Rinse canned vegetables, beans, meats, and fish with water before eating
  • Look for food labels that say “sodium free, salt free, low sodium, reduced or less sodium, no salt added, unsalted or lightly salted.

Eat the right amount and the right types of protein. To help protect our kidneys, eat small portions of higher-protein foods. Protein is found in foods from plants and animals. Consider talking to a physician, nutritionist or dietitian about how to choose the right combination for you. Animal-protein foods include chicken, fish, meat, eggs and dairy. Plant-protein foods include beans, nuts and grains.

Choose foods that are heart healthy. To help keep fat from building up in our blood vessels, heart, and kidneys, grill, broil, bake, roast, or stir-fry foods, instead of deep frying. Cook with nonstick cooking spray or a small amount of olive oil instead of butter. And trim fat from meat and remove skin from poultry before eating. Heart-healthy foods include:

  • Lean cuts of meat, like loin or round
  • Poultry without the skin
  • Fish
  • Beans
  • Vegetables
  • Fruits
  • Low-fat milk, yogurt, cheese

Choose foods with less phosphorus. Phosphorus helps protect our bones and blood vessels, but too much isn’t good for us. Many packaged foods have added phosphorus. Look for phosphorus — or for words with “PHOS” — on ingredient labels. Deli meats and some fresh meat and poultry can have added phosphorus. Ask your butcher to help pick fresh meats without added phosphorus.

Foods lower in phosphorus include:

  • Fresh fruits and vegetables
  • Breads, pasta, rice
  • Rice milk (not enriched)
  • Corn and rice cereals
  • Light-colored sodas/pop

Foods higher in phosphorus include:

  • Meat, poultry, fish
  • Bran cereals and oatmeal
  • Dairy foods
  • Beans, lentils, nuts
  • Colas

Choose foods that have the right amount of potassium. Potassium helps our nerves and muscles work the right way. Salt substitutes can be very high in potassium, so it’s important to find a balance, since too much salt isn’t good for us, either. Read the ingredient label, and check with your provider about using salt substitutes.

Foods lower in potassium include:

  • Apples, peaches
  • Carrots, green beans
  • White bread and pasta
  • White rice
  • Rice milk (not enriched)
  • Cooked rice and wheat cereals, grits

Foods higher in potassium include:

  • Oranges, bananas
  • Potatoes, tomatoes
  • Brown and wild rice
  • Bran cereals
  • Dairy foods
  • Whole wheat bread and pasta
  • Beans and nuts

If genetics are on our side, we eat properly and exercise regularly, kidney disease doesn’t have to be a problem. Speak with your physician about maintaining your kidneys, and take these simple steps to ensure good kidney health.


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Recognizing and Managing ADHD

Time management can be our friend or our nemesis – how we use time, and our ability to stay organized and on task varies from person to person. We may be constantly drawn in several directions simultaneously, often with multiple conflicting priorities. For many task-oriented people, variety is the spice of life and they thrive on challenges and deadlines. But for others, it’s often difficult to remain focused, to complete tasks without interruption or distraction, or to finish one assignment or activity before moving onto something else.

The failure to remain focused, difficulty completing tasks without interruption, and the inability to successfully negotiate distractions can be signs of chemical, emotional, and genetic challenges such as Attention Deficit Disorder (ADD), or Attention Deficit Hyperactivity Disorder (ADHD).

Over the past decades, these symptoms have been more readily diagnosed in children, especially those having trouble in school or unable to relax, play quietly or get along effectively with others. With today’s technological advances, it’s easy to blame over-stimulation for playing a strong supporting role in keeping kids off balance, more easily bored without technology, and wanting more all the time. But for adults, these same symptoms can be more insidious, limiting our efficiency at work and at home, straining relationships, and interfering with sleep and health.

Currently, approximately seven percent of American children are being treated with medications for ADHD, and about half of them will carry those symptoms into adulthood, says the American Psychiatric Association. The Centers for Disease Control and Prevention (CDC) estimates numbers are even higher, at least twice as many. On top of that, many adults have ADHD or ADD but have never been diagnosed.

The average age of ADHD diagnosis is seven years old. Males are almost three times more likely to be diagnosed with ADHD than females, and during their lifetimes, 13 percent of men will be diagnosed with ADHD. Just 4.2 percent of women will be diagnosed.

Signs You Might Have ADD or ADHD

Symptoms of ADHD typically first appear between the ages of three and six, but as many children and adults have never been diagnosed, it’s difficult to judge exactly when symptoms might have appeared, since those inflicted have been living with these challenges most of their lives. Here are common behavioral signs:

  • Lack of focus.Possibly the most telltale sign of ADHD, “lack of focus,” goes beyond difficulty paying attention. It means being easily distracted, finding it hard to listen to others in a conversation, overlooking details, and not completing tasks or projects.
  • Hyperfocus. While people with ADHD are often easily distracted, the flip side of the coin is called hyperfocus. A person with ADHD can be so engrossed in something that they can ignore anything else around them. This kind of focus makes it easier to lose track of time, ignore those around you, and cause relationship misunderstandings.
  • We all forget things occasionally. But for someone with ADHD or ADD, forgetfulness is an everyday part of life. This includes routinely forgetting where you’ve put something or important dates. Some can be menial. Others can be serious. The bottom line is that forgetfulness can be damaging to careers and relationships because it can be confused with carelessness, lack of intelligence, or ambivalence.
  • Impulsivity. Impulsiveness in someone with ADHD or ADD can manifest in several ways:
    • Interrupting others during conversation
    • Being socially inappropriate
    • Rushing through tasks
    • Acting without much consideration to the consequences

Even a person’s shopping habits are often a good indication of ADHD. Impulse buying, especially on items they can’t afford, is a common symptom of adult ADHD.

  • Restlessness and anxiety. As an adult with ADHD, you may feel like your engine never stops. Our yearning to keep moving and doing things constantly can lead to frustration when we can’t do something immediately. This leads to restlessness, which can lead to frustrations and anxiety. Anxiety is a very common symptom of adult ADHD, as the mind tends to replay worrisome events repeatedly.
  • Poor health. Impulsivity, lack of motivation, emotional problems, and disorganization can lead a person with ADHD or ADD to neglect their health. This can be seen through compulsive poor eating, neglecting exercise, or forgoing important medication. Anxiety and stress negatively affect health, so without good habits, the negative effects of these illnesses can make other symptoms worse.
  • Relationship issues. An adult with ADHD or ADD often has trouble in relationships, whether they are professional, romantic, or platonic. The traits of talking over people in conversation, inattentiveness, and easily being bored can be draining on relationships as a person can come across as insensitive, irresponsible, or uncaring.

Treatment and Coping with ADHD

People who experience some or many of these symptoms also change employers more often, miss deadlines, experience higher use of alcohol, tobacco and drugs, and suffer from repeated relationship failures, including divorce. If all of this sounds too familiar, it doesn’t mean you suffer from adult ADD or ADHD. But if you do, here are a few steps you can take to improve your life.

Treatment for adult ADHD or ADD is similar to treatment for childhood ADHD/ADD, and includes stimulant drugs or other medications, psychological counseling (psychotherapy), and treatment for any mental health conditions that occur along with adult ADHD.

Stimulants (psychostimulants) are the most commonly prescribed medications for ADHD, but other drugs may be prescribed. Stimulant drugs are available in short-acting and long-acting forms. Other medications used to treat ADHD include antidepressants. The right medication and the right dose vary between individuals, so it may take some time in the beginning to find what’s right for you. Talk with your doctor about the benefits and risks of medications. And keep your doctor informed of any side effects you may have when taking your medication.

Counseling for adult ADHD can be beneficial and generally includes psychological counseling (psychotherapy) and education about the disorder. The benefits of psychotherapy can include:

  • Improve time management and organizational skills
  • Learn how to reduce impulsive behavior
  • Develop better problem-solving skills
  • Cope with past academic and social failures
  • Improve self-esteem
  • Learn ways to improve relationships with family, co-workers and friends
  • Develop strategies for controlling temper, stress and impatience

ADHD is a neuropsychiatric condition that is typically genetically transmitted. These challenges are caused by biology, essentially a miscue in how our brain is wired. It is not a disease of the will, a moral failing or weakness in character. Professional interventions, medication, support groups and self-education can help those with ADHD manage, or even overcome many of these challenges.


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Feel the Burn… Heartburn, That Is

Millions of Americans suffer from heartburn and digestive discomfort, typically caused by excess stomach acid and related complications. But being in good company is small comfort when you’re uncomfortable or miserable. However, there are steps you can take to mitigate acid-related issues, and it’s important to pay attention to warning signs before untended stomach problems lead to more serious health issues.

Gastroesophageal reflux disease (GERD) is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe (esophagus). The backwash (reflux) irritates the lining of your esophagus and causes GERD.

Both acid reflux and heartburn are common digestive conditions that afflict many people periodically. When these signs and symptoms occur regularly or interfere with your daily life, or when your doctor can see damage to your esophagus, you may be diagnosed with GERD.

What is GERD?

When we swallow, the lower esophageal sphincter — a circular band of muscle around the bottom part of our esophagus — relaxes to allow food and liquid to flow down into our stomach. Then it closes again.

However, if this valve relaxes abnormally or weakens, stomach acid can flow back up into our esophagus, causing frequent heartburn.

This constant backwash of acid can irritate the lining of our esophagus, causing it to become inflamed (esophagitis). Over time, the inflammation can wear away the esophageal lining, causing complications such as bleeding, esophageal narrowing or Barrett’s esophagus (a pre-cancerous condition).

GERD signs and symptoms include:

  • A burning sensation in the chest (heartburn), sometimes spreading to the throat, along with a sour taste in the mouth
  • Chest pain
  • Difficulty swallowing
  • Dry cough
  • Hoarseness or sore throat
  • Regurgitation of food or sour liquid (acid reflux)
  • Sensation of a lump in the throat

Most people can manage the discomfort of GERD with lifestyle changes and over-the-counter medications. But some people with GERD may need stronger medications, or even surgery, to reduce symptoms. Conditions that can increase risk of GERD include obesity, pregnancy, smoking, asthma, diabetes, regular constipation, and poor diet.

Over time, chronic inflammation in our esophagus can lead to complications, including narrowing of the esophagus (esophageal stricture), which can lead to the formation of scar tissue, narrowing the food pathway and causing difficulty swallowing. Another typical complication is the forming of an open sore in the esophagus (esophageal ulcer). This may cause bleeding, pain and make swallowing difficult.

Also, hiatal hernias, which are an opening between the stomach and the esophagus, can occur. If untreated, this can lead to pre-cancerous changes to the esophagus (Barrett’s esophagus). With this condition, the tissue lining the lower esophagus changes. These changes are associated with an increased risk of esophageal cancer; doctors will likely recommend regular endoscopy exams to look for early warning signs.

Managing and Reducing Acid Reflux

Lifestyle changes may help reduce the frequency of heartburn. Here are several helpful and simple steps to consider:

  • Maintain a healthy weight.Excess weight puts pressure on our abdomen, pushing up our stomach and causing acid to back up into our esophagus. If you are overweight or obese, work to slowly lose weight — no more than one or two pounds a week.
  • Avoid tight-fitting clothing.Clothes that fit tightly around our waist put pressure on our abdomen and the lower esophageal sphincter.
  • Avoid foods and drinks that trigger heartburn. Common triggers such as fatty or fried foods, tomatoes, alcohol, chocolate, mint, garlic, onion, and caffeine may make heartburn worse.
  • Eat smaller meals.Avoid overeating by eating smaller meals.
  • Don’t lie down after a meal.Wait at least three hours after eating before lying down or going to bed.
  • Elevate the head of your bed.If you regularly experience heartburn at night or while trying to sleep, raise the pillow end of your bed by six to nine inches (can use wood or cement blocks). Or insert a wedge between your mattress and box spring to elevate your body from the waist up. Wedges are available at drugstores and medical supply stores. Raising your head with additional pillows is not effective.
  • Don’t smoke.Smoking decreases the lower esophageal sphincter’s ability to function properly.

Treatment for heartburn and other signs and symptoms of GERD usually begins with over-the-counter medications that control acid. If you don’t experience relief within a few weeks, your doctor may recommend other treatments, including medications and surgery.

There are a variety of stronger, prescription medications for managing GERD. Contact your doctor before taking any new medications or if symptoms are not relieved. Also, seek immediate medical attention if you experience chest pain, especially if you have other signs and symptoms, such as shortness of breath or jaw or arm pain. These may be signs and symptoms of a heart attack.


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

The Heart of the Matter

As the summer winds down, kids return to school and the pace of life picks up a beat or two, it’s a good time to think about maintaining an active lifestyle, even as the leaves start turning and the cooler weather finds its way back to New England. And though cold mornings and shorter days can change our workout habits, there are other habits that we can think about every day of the year, specifically what we put in our bodies.

September is National Cholesterol Education Month, and a perfect time to eliminate or reduce foods that are high in cholesterol, a major contributor to heart disease and strokes.

Heart disease is the leading cause of death and a major cause of disability in the United States.

Cholesterol plays an important and useful role in our bodies, but not all cholesterol is good for us. So-called “bad cholesterol” increases our risk of heart disease, stroke and developing type-2 diabetes. It can be controlled, to an extent, through diet and exercise, but susceptibility to the development of plaque on our arteries also can be naturally occurring, based on genetics.

The most common heart disease in the United States is coronary heart disease, which often appears as a heart attack. Each year, an estimated 785,000 Americans have a new coronary attack, and about 470,000 have a recurrent attack. About every 25 seconds, an American will have a coronary event, and although heart disease is sometimes thought of as a “man’s disease,” it is the leading cause of death for both women and men in the United States, with women accounting for nearly half of heart disease deaths.

Understanding how cholesterol affects us and how to limit intake or mitigate existing damage are important considerations and well within our control.

Getting a Handle on Cholesterol

Cholesterol is a waxy substance found throughout the body. It is critical to the normal function of all cells. The body needs cholesterol for making hormones, digesting dietary fats, building cell walls, and other important processes. Our body makes all the cholesterol it needs, but cholesterol is also in some of the foods we eat.

When there is too much cholesterol in our blood, it can build up on the walls of the arteries. This buildup is called plaque. Over time, it can cause narrowing or hardening of the arteries a condition called atherosclerosis which can cause blockage and keep our heart from getting the blood it needs.

Keeping our cholesterol levels in check is one of the best ways to keep our hearts healthy, and to lower our chances of getting heart disease or having a stroke. The American Heart Association recommends all adults age 20 or older have their cholesterol, and other traditional risk factors, checked every four to six years. It typically only requires a simple blood test.

Our total cholesterol and HDL or good cholesterol are among numerous factors physicians use to predict our risk for a heart attack or stroke. Other risks include family history, if you are a smoker, diet, the amount we exercise, and if we have high blood pressure.

With HDL or good cholesterol, higher levels are better. Low HDL cholesterol puts us at higher risk for heart disease. People with high blood triglycerides usually also have lower HDL cholesterol. Genetic factors, type 2 diabetes, smoking, being overweight and being sedentary can all result in lower HDL cholesterol. A low LDL or bad cholesterol level is considered good for our heart health.

Certain foods, such as red meats and full-fat dairy products, fried foods, potato chips and cookies tend to be high in cholesterol. Foods to limit or avoid include:

  • Butter and hard margarines
  • Lard and animal fats
  • Fatty red meat and sausages
  • Full-fat cheeses, milk, cream and yogurts
  • Coconut and palm oils, and coconut cream

Why Statins Are Helpful

If your cholesterol levels are off-kilter your physician may recommend dietary changes. He or she also may recommend that you take one of the primary medicines millions of Americans use to help their bodies regulate or offset the negative effects of cholesterola widely prescribed class of drugs called statins.

Statin drugs work by blocking the action of the liver enzyme that is responsible for producing cholesterol. Statins lower LDL cholesterol and total cholesterol levels. At the same time, they lower triglycerides and raise HDL cholesterol levels. Triglycerides are another type of fat, and they’re used to store excess energy from our diet. High levels of triglycerides in the blood, which are associated with atherosclerosis, can be caused by being overweight or obese, physical inactivity, cigarette smoking, excess alcohol consumption and a diet very high in carbohydrates (more than 60 percent of total calories).

People with high triglycerides often have a high total cholesterol level, including a high LDL cholesterol (bad) level and a low HDL cholesterol (good) level. Many people with heart disease or diabetes also have high triglyceride levels.

Statins help stabilize plaques in the arteries. Since their arrival on the market, statins have been among the most prescribed drugs in the United States, with about 17 million users. The statin medications that are approved for use in the U.S. include Lipitor, Livalo, Mevacor (or Altocor), Zocor, Pravachol, Lescol and Crestor. There also are generic versions available.

Statins also carry warnings that memory loss, mental confusion, high blood sugar, and type 2 diabetes are possible side effects. Due to the possibility of side effects that can damage the liver, patients taking statins are required to have periodic blood tests. It’s important to remember that statins may also interact with other medications.

If you experience any unexplained joint or muscle pain, tenderness, or weakness while taking statins, you should call your doctor immediately. Other potential side effects include headaches, difficulty sleeping, muscle aches, tenderness or weakness, or abdominal cramping, bloating or constipation. Also, if you take a statin drug, tell your doctor about any over-the-counter or prescription drugs, herbal supplements, and vitamins you are currently taking or plan on taking. Certain foods such as grapefruits limit the effectiveness of statins and should not be consumed while taking this medication.

Keys to a healthy lifestyle include eating a balanced, heart-healthy diet; regular physical activity; limiting alcohol intake; and avoiding smoking. The winter will be here sooner than we may want, but remaining healthy is a year-round activity we can help control, regardless of our genetics or the temperature outdoors.


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Understanding Glutens and Celiac Disease

 

Many of us may be going easy on cupcakes, cookies, bread, and pasta as the summer – and bathing suit season – rapidly approach. But for millions of Americans, avoiding wheat products or the protein known as glutens is about more than fitting into that sundress or tightening our gut before pool and beach time arrive . . . it’s a digestive health priority.

Until several years ago, many people had never heard of glutens or of the digestive disorder known as Celiac Disease. While only one percent of Americans have Celiac Disease, as many as 10 percent may be gluten sensitive or allergic to wheat, which often causes similar symptoms. Due to similar symptoms, gluten or wheat issues can be misdiagnosed or confused with other common gastrointestinal issues such as lactose intolerance, Crohn’s Disease, Irritable Bowel Syndrome (IBS) and heartburn.

May is National Celiac Disease Awareness Month. Celiac Disease is an autoimmune disease in which a person can’t tolerate gluten, a protein in wheat, rye, and barley. Gluten shows up in bread and pasta, but may also hide in many other foods such as cold cuts, salad dressings, beer and even candy and sweetened drinks.

If a person with Celiac Disease eats gluten, the lining of their small intestine becomes inflamed and damaged. That hampers the absorption of nutrients and can lead to malnutrition and weight loss. Celiac patients also struggle with symptoms such as diarrhea, upset stomach, abdominal pain, and bloating.

Celiac Disease may take years to diagnose because people don’t seek medical help, and because doctors often mistake it for IBS or other stomach disorders. It’s often a waiting game, and a process of testing and running through a list of possible culprits. For long-term sufferers, years of poor calcium absorption, a related side effect, can lead to joint and tooth problems and, for women, delayed menstruation. Besides gastrointestinal symptoms, gluten-sensitive people often complain of fatigue, headaches and arthritis-like symptoms, as well.

Celiac Disease is on the rise, with rates doubling about every 20 years in Western countries.  Ironically, researchers suspect that hygiene may play a role in that expansion. Due to far cleaner environments and hygiene, children today aren’t exposed to as many antigens in the environment while their immune systems are developing. This, it’s theorized, may result in our immune systems responding intolerantly toward glutens.

Though Celiac Disease can be diagnosed through a blood test and an intestinal biopsy, there’s no reliable test for gluten sensitivity. It often runs in families, and diagnosis requires discussion and tracking of symptoms. Patients are typically asked to eat glutens so the body produces antibodies for the blood test to detect Celiac disease. If a person simply stops ingesting gluten, a Celiac Disease diagnosis can be missed or delayed. Currently it is estimated that 80 percent of the Celiac Disease population remains undiagnosed.

Some people experience symptoms found in celiac disease, such as depression, ADHD-like behavior, abdominal pain, bloating, diarrhea, constipation, headaches, bone or joint pain, and chronic fatigue when they have gluten in their diet, yet do not test positive for celiac disease. The terms non-celiac gluten sensitivity (NCGS) and non-celiac wheat sensitivity (NCWS) are generally used to refer to this condition, and removing gluten from the diet resolves symptoms.

Likewise, for people with gluten allergies or sensitivities, a strict, gluten-free diet can typically allow the intestines to restore themselves to health and alleviate suffering.  Supermarkets and health food stores now carry a variety of gluten-free products, and new labeling requirements on processed foods do a better job of listing ingredients. Many restaurants and take-out food services have gluten-free products, as well.

It’s important to note, though, that while gluten-free eating is life-changing for many, if you don’t have gluten sensitivities or Celiac Disease, going “gluten free” is not good for your health. Contrary to common belief, a gluten-free diet won’t aid weight loss, and can cause deficiencies in iron, vitamin B12, vitamin D, magnesium, fiber, and other nutrients that we typically gain through bread, cereals and other grains that are fortified. Additionally, gluten-free products on store shelves are typically higher in carbohydrates, fat and sodium, and lower in fiber.

With proper direction, people can bake healthier breads at home, varieties that are higher in fiber and protein and made with gluten-free grains that have been certified to be uncontaminated and gluten-free, such as quinoa, amaranth, or millet. If you suspect you may be gluten sensitive, talk with your physician – there are many healthy alternatives!


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

 

Protecting Our Hearts

Right about now, the pact you made with yourself back in December to go to the gym and eat more healthfully may be wearing thin, though your waistline isn’t. The cold winter months make exercising more challenging and early sunsets and inactivity can prompt us to stress eat or seek solace in comfort calories.

Even if you aren’t working out as often as you’d like, there are some nutritional adjustments you can make to help further your personal wellness efforts. And since it’s February—which is American Heart Month—it’s a perfect time to eliminate or reduce foods that are high in cholesterol, a major contributor to heart disease.

Heart disease is the leading cause of death and a major cause of disability in the United States.

Cholesterol plays an important and useful role in our bodies, but not all cholesterol is good for us. So-called “bad cholesterol” increases our risk of heart disease, stroke and developing type-2 diabetes. It can be controlled, to an extent, through diet and exercise, but susceptibility to the development of plaque on our arteries also can be naturally occurring, based on genetics.

The most common heart disease in the United States is coronary heart disease, which often appears as a heart attack. Each year, an estimated 785,000 Americans have a new coronary attack, and about 470,000 have a recurrent attack. About every 25 seconds, an American will have a coronary event, and although heart disease is sometimes thought of as a “man’s disease,” it is the leading cause of death for both women and men in the United States, with women accounting for nearly half of heart disease deaths.

Good health begins with good knowledge . . . and action. Understanding how cholesterol affects us and how to limit intake or mitigate existing damage are important considerations and well within our control.

How Cholesterol Works in Our Bodies

Cholesterol is a waxy substance found throughout the body. It is critical to the normal function of all cells. The body needs cholesterol for making hormones, digesting dietary fats, building cell walls, and other important processes. Our body makes all the cholesterol it needs, but cholesterol is also in some of the foods we eat.

When there is too much cholesterol in our blood, it can build up on the walls of the arteries. This buildup is called plaque. Over time, it can cause narrowing or hardening of the arteries—a condition called atherosclerosis—which can cause blockage and keep our heart from getting the blood it needs.

Keeping our cholesterol levels in check is one of the best ways to keep our hearts healthy, and to lower our chances of getting heart disease or having a stroke. The American Heart Association recommends all adults age 20 or older have their cholesterol, and other traditional risk factors, checked every four to six years. It typically only requires a simple blood test.

Our total cholesterol and HDL or good cholesterol are among numerous factors physicians use to predict our risk for a heart attack or stroke. Other risks include family history, if you are a smoker, diet, the amount we exercise, and if we have high blood pressure.

With HDL or good cholesterol, higher levels are better. Low HDL cholesterol puts us at higher risk for heart disease. People with high blood triglycerides usually also have lower HDL cholesterol. Genetic factors, type 2 diabetes, smoking, being overweight and being sedentary can all result in lower HDL cholesterol. A low LDL or bad cholesterol level is considered good for our heart health.

Certain foods, such as red meats and full-fat dairy products, fried foods, potato chips and cookies tend to be high in cholesterol. Foods to limit or avoid include:

  • Butter and hard margarines
  • Lard and animal fats
  • Fatty red meat and sausages
  • Full-fat cheeses, milk, cream and yogurts
  • Coconut and palm oils, and coconut cream

Should You Be Taking Statins?

 If your cholesterol levels are off your physician may recommend dietary changes. He or she also may recommend that you take one of the primary medicines millions of Americans use to help their bodies regulate or offset the negative effects of cholesterol—a widely prescribed class of drugs called statins.

Statin drugs work by blocking the action of the liver enzyme that is responsible for producing cholesterol. Statins lower LDL cholesterol and total cholesterol levels. At the same time, they lower triglycerides and raise HDL cholesterol levels. Triglycerides are another type of fat, and they’re used to store excess energy from our diet. High levels of triglycerides in the blood, which are associated with atherosclerosis, can be caused by being overweight or obese, physical inactivity, cigarette smoking, excess alcohol consumption and a diet very high in carbohydrates (more than 60 percent of total calories).

People with high triglycerides often have a high total cholesterol level, including a high LDL cholesterol (bad) level and a low HDL cholesterol (good) level. Many people with heart disease or diabetes also have high triglyceride levels.

Statins help stabilize plaques in the arteries. Since their arrival on the market, statins have been among the most prescribed drugs in the United States, with about 17 million users. The statin medications that are approved for use in the U.S. include Lipitor, Livalo, Mevacor (or Altocor), Zocor, Pravachol, Lescol and Crestor. There also are generic versions available.

Statins also carry warnings that memory loss, mental confusion, high blood sugar, and type 2 diabetes are possible side effects. Due to the possibility of side effects that can damage the liver, patients taking statins are required to have periodic blood tests. It’s important to remember that statins may also interact with other medications.

If you experience any unexplained joint or muscle pain, tenderness, or weakness while taking statins, you should call your doctor immediately. Other potential side effects include headaches, difficulty sleeping, muscle aches, tenderness or weakness, or abdominal cramping, bloating or constipation. Pregnant women or those with active or chronic liver disease should not use statins. Also, if you take a statin drug, tell your doctor about any over-the-counter or prescription drugs, herbal supplements, and vitamins you are currently taking or plan on taking. Also be aware that certain foods—such as grapefruits—limit the effectiveness of statins and should not be consumed while taking this medication.

Changes in your diet, exercise and even statins won’t fix a broken or lonely heart, so it may be a little ironic that American Heart Month and Valentine’s Day fall in the same month. However, you can give yourself and your loved ones the best Valentine’s Day gift possible by keeping your heart and body healthy. Even if your physician recommends you take a statin, maintaining a healthy lifestyle while taking one of these drugs can improve its effectiveness. Be sure to eat a balanced, heart-healthy diet; get regular physical activity; limit alcohol intake; and avoid smoking. Over time – and with sustained healthy weight loss and regular exercise – some patients are able to go off statins, but always speak with your physician before stopping any prescribed medication.


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

New Lung Cancer Screening Reduces Deaths Through Early Detection

New screening technologies are being used to help identify potential health issues earlier in patients who may be at risk of contracting certain cancers.

Symptoms of lung cancer usually don’t appear until the disease is already at an advanced, non-curable stage. Even if there are symptoms, many people may mistake them for other problems, such as an infection or long-term effects from smoking.

Screening is the use of tests or exams to find a disease in people who don’t have symptoms. Doctors have looked for many years for a good screening test for lung cancer, but only in recent years has research shown that a test known as a low-dose CT (LDCT) scan can help lower the risk of dying from this disease.

The National Lung Screening Trial (NLST) was a large clinical trial that looked at using LDCT scans of the chest to screen for lung cancer. CT scans of the chest provide more detailed pictures than chest x-rays and are better at finding small abnormal areas in the lungs. Low-dose CT of the chest uses lower amounts of radiation than a standard chest CT and does not require the use of intravenous (IV) contrast dye. LDCTs expose people to a small amount of radiation with each test.

The trial compared LDCT of the chest to x-rays in people at high risk of lung cancer to see if these scans could help lower the risk of dying from lung cancer. The study included more than 50,000 people aged 55 to 74 who were current or former smokers and were in fairly good health. The study did not include people if they had a prior history of lung cancer or lung cancer symptoms, if they had part of a lung removed, if they needed to be on oxygen at home to help them breathe, or if they had other serious medical problems.

People in the study got either three LDCT scans or three chest x-rays, each a year apart, to look for abnormal areas in the lungs that might be cancer. After several years, the study found that people who got LDCT had a 20 percent lower chance of dying from lung cancer than those who got chest x-rays. They were also 7 percent less likely to die overall (from any cause) than those who got chest x-rays.

Screening with LDCT also had some downsides. For example, because it is more sensitive to abnormalities (as many as one in four tests) this may lead to additional tests such as other CT scans or more invasive tests such as needle biopsies or even surgery to remove a portion of lung in some people. These tests can sometimes lead to complications, even in people who do not have cancer (or who have very early stage cancer).

Guidelines for lung cancer screening

The cost for a low-dose CT scan as a screening test for lung cancer is generally about $300 for each test, but prices vary widely at different centers. Under the Affordable Care Act, most private insurers must cover the cost of yearly lung cancer screening in people considered at high risk: aged 55 to 80, with a 30 pack-year history of smoking, and either a current smoker or quit within the last 15 years. Medicare also covers the cost of lung cancer screening in people considered at high risk, although the age range is slightly different (55 to 77 years).

According to the American Cancer Society, people who meet all of the following criteria may be good candidates for lung cancer screening:

  • 55 to 74 years old
  • In fairly good health
  • Have at least a 30 pack-year smoking history
  • Are either still smoking or have quit smoking within the last 15 years

Screening should only be done at facilities that have the right type of CT scanner and experience using LDCT scans for lung cancer screening.

If you fit all of the criteria, you should talk to your doctor or health care provider about screening and if it’s right for you. If you smoke, you should consider counseling about stopping. Screening is not a good alternative to stopping smoking, but it’s one more way you can take a more active role in helping to prevent or potentially reduce the risk of contracting a serious disease like lung cancer.


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Seeing Clearly Is Good for Your Whole Body

Remember those stories we heard as children about eating carrots to keep our eyes strong? While it’s true that the beta carotene found in carrots converts to vitamin A during digestion and is rich in antioxidants, the best way to keep our eyes strong is to eat a balanced diet, get plenty of sleep, wear eye protection when appropriate, and make sure to schedule regular eye exams for yourself and your family members.

Millions of Americans wear corrective eye wear or contact lenses, but taking our eyes for granted is common and easy to do. Wearing approved safety glasses on a job site, while working in the yard, or when competing in sports seems obvious enough. But there are so many ways to hit ourselves in the eye or to be injured by thrown objects, splashed liquids, and even wind-blown contaminants or materials. Hospital emergency rooms treat patients with eyes damaged by all manner of chemicals, fish hooks, baseballs, wood chips, and much more. So if you’re doing something that might result in an injury, take the safe and easy step to cover your eyes.

Being aware of the potential damage from ultraviolet light also is important. Sunglasses and clear eyeglasses with protective coatings filter out the sun’s damaging rays, so if you work or spend a lot of time outdoors, you need that extra protection.

Visit your eye care professional regularly

Adults should visit an ophthalmologist at least once every other year, and annually if you have bad eyesight or a family history of glaucoma, cataracts, or other congenital or age-related eye ailments. Many eye maladies develop as we get older, part of the natural aging process. Through a comprehensive eye exam that typically involves dilating your pupils and conducting a number of standard (and painless) tests, eye care professionals (ophthalmologist and optometrists) not only determine sight deficiencies and illnesses, but also find warning signs pointing to other dangers such as heart disease, diabetes, high blood pressure, and cancer. Opticians can prescribe glasses and contacts, but aren’t as highly trained to spot illness and to deal with injuries.

Dry eye syndrome and glaucoma are two common ailments that affect people as they age. If the glands in your eyes stop making enough natural lubricants, you can buy over-the-counter remedies, but you should have your eyes checked for inflammation or infection. Sometimes dry eyes occur from living or working in windy, dry, or low-humidity environments, or in buildings with air-blown hot air. Doctors recommend “fake tears,” which don’t have as many chemicals as the “get the red out” eye drops. Anti-inflammation medications and vitamins or foods like fish oil which are high in Omega-3 are often recommended.

Glaucoma is a group of illnesses that can lead to blindness if not treated. When fluid builds up inside the eye, pressure and tension can result in damage to the optic nerve, including blindness. Glaucoma has no early warning signs. However, symptoms can include blurriness or clouded vision, sensitivity to light, headaches, reduced peripheral, or “tunnel vision”. It’s more common in adults over 60, in African American adults over 40, or in adults with diabetes, or a family history of glaucoma. It is most often treated through medications and surgery.

Here are some common tips for helping to ensure good eye health:

  • Know your family’s eye health history. Talk to your family members about their eye health history. It’s important to know if anyone has been diagnosed with a disease or condition since many are hereditary. This will help to determine if you are at higher risk for developing an eye disease or condition.
  • Eat right to protect your sight. Eating a diet rich in fruits and vegetables, particularly dark leafy greens such as spinach, kale, or collard greens is important for keeping your eyes healthy. Research has also shown there are eye health benefits from eating fish high in omega-3 fatty acids, such as salmon, tuna, and halibut.
  • Maintain a healthy weight. Being overweight or obese increases your risk of developing systemic conditions such as diabetic eye disease or glaucoma which can lead to vision loss. If you are having trouble maintaining a healthy weight, talk to your doctor.
  • Wear protective eyewear. Wear protective eyewear when playing sports or doing activities around the home. Protective eyewear includes safety glasses and goggles, safety shields, and eye guards specially designed to provide the correct protection for a certain activity. Most protective eyewear lenses are made of polycarbonate, which is 10 times stronger than other plastics. Many eye care providers sell protective eyewear, as do some sporting goods stores.
  • Quit smoking or never start. Smoking is as bad for your eyes as it is for the rest of your body. Research has linked smoking to an increased risk of developing age-related macular degeneration, cataracts, and optic nerve damage, all of which can lead to blindness.
  • Be cool and wear your shades. Sunglasses are a great fashion accessory, but their most important job is to protect your eyes from the sun’s ultraviolet rays. When purchasing sunglasses, look for ones that block out 99 to 100%of both UV-A and UV-B radiation.
  • Give your eyes a rest. If you spend a lot of time at the computer or focusing on any one thing, you sometimes forget to blink and your eyes can get fatigued. Try the 20-20-20 rule: Every 20 minutes, look away about 20 feet in front of you for 20 seconds. This can help reduce eyestrain.
  • Clean your hands and your contact lenses properly. To avoid the risk of infection, always wash your hands thoroughly before putting in or taking out your contact lenses. Make sure to disinfect contact lenses as instructed and replace them as appropriate.

Through comprehensive, regular eye exams, your doctor can check for early warning signs of glaucoma, potential retinal detachment (which causes floaters or flashes in the eye but can be sight threatening) and other common eye diseases, and help keep those beautiful peepers of yours sparkling and healthy.


 

Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!