VOL. 11, NO. 3 • JuNe/JuLy 2013 Take- home copy

18 tips for a carefree summer

Healthier, happier— with energy to burn!

Loving Life againCourteney Cox and other celebs on beating depression

How a little boy’s battle with cancer inspired Taylor Swift p. 13

Visit the NEW HealthMonitor.com

Enter to win a free trip to a star- studded LA event!See details p. 15

Mariel Hemingway at 51:

Health Monitor ® (USPS 0000000 / ISSN 1542-8184) is published bimonthly by Data Centrum Communications, Inc.,135 Chestnut Ridge Road, Montvale, NJ 07645. Postage paid at Montvale, NJ, and additional mailing offices. Copyright®

2012 by Data Centrum Communications, Inc. Reproduction by any means, either whole or in part, is strictly forbidden without the written permission of the publish-er. The contents of Health Monitor® are not intended to provide personal medical advice, which should be obtained directly from a physician. Printed in the U.S.A. All rights reserved. Health Monitor ® is a registered trademark of Data Centrum Communications, Inc. Postmaster: Send address changes to Health Monitor, 135 Chestnut Ridge Road, Montvale, NJ 07645., Attn.: Circulation Department

facebook.com/ HealthMonitor

Twitter.com/ HealthMonitor

YouTube.com/ HealthMonitor

2 Health Monitor

features 4 Tuning out copD

Why inhaling and exhaling is music to some patients’ ears

7 help your man live longer5 simple steps to boosting your partner’s health—and your own!

8 The healing power of natureActress Mariel Hemingway on the benefits of a simple lifestyle

10 “I conquered depression”Three stars reveal how they overcame the debilitating condition

13 Remembering RonanHow one mother’s blog turned into a hit song by Taylor Swift

14 The right ways to take painkillersAvoid 6 common mistakes

16 your healthiest summer18 simple wellness tips

departments 3 News flash

heart-healthy workouts and more

18 ask the experts

When your heart flip-flops and more

19 Dig in

Light and healthy al fresco dining

THE BOARD OF EDITORSJoSeph hoBBS, mD

Professor and Chair, J.W. Tollison, MD, Distinguished Chair, Department of Family Medicine, Senior Associate Dean for Primary Care and Community Affairs,

Georgia Health Sciences University, Augusta, GA

DaVID e. SWee, mD Professor of Family Medicine, Associate Dean for Education,

UMDNJ-Robert Wood Johnson Medical School, Piscataway, NJ

ReameR L. BUShaRDT, phaRmD, pa-c Professor and Chair, Department of Physician Assistant Studies, Wake Forest University School of Medicine, Winston-Salem, NC

keN WySockI, phD, NpNurse Practitioner and Genomics Fellow, University of Pittsburgh

School of Nursing and Asthma Institute, Pittsburgh, PA

DeBRa a. aLLaN DaNfoRTh, mS, aRNp, faaNp, Director of the Charlotte E. Maguire, MD, and TMH Clinical

Skills and Simulation Center and Associate Professor, Florida State University College of Medicine, Tallahassee, FL

S TA F FEditor-in-Chief maRIa LISSaNDReLLoDeputy Editor DeBoRah pIke oLSeN

Senior Editor LoRI mURRayProject Editor kaThLeeN eNgeL

Associate Managing Editor LINDSay BoSSLeTTCopy Editor maRINa maRkeToS

Associate Editor STephaNIe gUZoWSkI

Creative Director JohN aNgeLINI Art Director heLeNe eLek

Graphic Designer JeNNIfeR WeBBeRWeb/Graphic Designer eRIca keRBeR

Junior Graphic Designer SaRah chRISTIe

Production and Project Management Director kImBeRLy h. VIVaSAccount Executives coLLeeN gaRULLI, chRISTINa NeLSoN

Digital Managing Editor SUSaN amoRUSo Digital Senior Editor STacey feINTUch

Editorial Assistant DIaNa BIeRmaN

Senior Software Development and Technology Director LIxIN DU Program Analyst cINDy LU

Junior Web Developer yaNg JIN Junior Developer NaNDINI SULkaR

Marketing Manager LINDa LeVINeProgram and Marketing Manager JULIaNa BeLILTSeVa

Alliances and Partnerships Director maRc JeNSeN

Circulation and Physician Network,

Customer Service Director keN TURToRoPhysician Relationship Manager eILeeN BamRIck

Customer Service

DoReeN foRD, JaN paRkeR, kaThLeeN VINDeeD

Vice President, Sales TheReSe heImBoLD Advertising Director JohN mckITTRIck

Sales Directors

SUSaN coyLe, JohN kIm, Jeff kLeINmaN, peTeR meSSINaSales Assistant NaDINe TImpaNaRo

Accounts Receivable and Payable Manager kaTIa caRRoZZa

Executive Assistant maRgIe aBRamS

Vice President, Human Resources ReNee moRmaNDo

Chief Financial Officer DINg yUVice President, Alliances and Partnerships DaVe DoLToN

Senior Vice President, New Products,

Technology and Strategy aLex DoNgPresident keNNeTh fReIRIch

Chief Executive Officer eRIc JeNSeN

“Everyone has control over

their health,” says Mariel

Hemingway.

8

How Colin Farrell beat depression10

19

news flash

THE FAT THAT MAy HElp yOu lIvE lOngER Turns out people who consume high levels of omega-3 fatty acids live about two years longer than those who consume the lowest levels, according to a recent study published in the Annals of Internal Medicine. Oily fish, such as tuna and sardines, are a great source. If you’re not a fish fan, go for walnuts, soybean and canola oils, and Brussels sprouts.

MAkE THE MOST OF yOuR wORkOuT Which will give you the best health benefit—the distance you walk or run, or the amount of time you spend doing it? Distance is actually more important, according to a new study of runners and walkers published in Arteriosclerosis, Thrombosis and Vascular Biology. Although running enables you to cover more distance in a shorter amount of time, brisk walking is just as beneficial. Both activities help slash your risk of high blood pressure and cholesterol, as well as diabetes.

and slash your risk of a stroke and heart attack: Consume no more than one teaspoon of salt daily and boost your intake of potassium-rich foods, such as fresh fruits and veggies, including beans and peas, according to a new study published in the British Medical Journal. In the study, those who ate more potassium-rich foods reduced their risk of stroke by 24%.

Simple ways to lower blood pressure...

Do you really need a scan for lower back pain?

If you have low back pain, don’t push for a magnetic resonance imaging (MRI) scan to pinpoint the cause. An expert panel found that less than half of requests for lower back scans were appropriate, according to a recent study published in JAMA Internal Medicine. The pain usually clears up in six weeks, so talk to your health-care provider about how to cope.

Health Monitor ® (USPS 0000000 / ISSN 1542-8184) is published bimonthly by Data Centrum Communications, Inc.,135 Chestnut Ridge Road, Montvale, NJ 07645. Postage paid at Montvale, NJ, and additional mailing offices. Copyright®

2012 by Data Centrum Communications, Inc. Reproduction by any means, either whole or in part, is strictly forbidden without the written permission of the publisher. The contents of Health Monitor® are not intended to provide personal medical advice, which should be obtained directly from a physician. Printed in the U.S.A. All rights reserved. Health Monitor ® is a registered trademark of Data Centrum Communications, Inc. Postmaster: Send address changes to Health Moni-tor, 135 Chestnut Ridge Road, Montvale, NJ 07645., Attn.: Circulation Department Alliance for Audited Media audit applied for.

DON’T FORGeT TO FOLLOW uS On...

better bReAThIng

Who says pulmonary rehab has to be boring? For some patients, inhaling and exhaling is music to their ears. By DeBORah Pike OLSeN

monary rehab program in Austin, agrees. “When I play, the muscles I use to take a breath—the upper part of my lungs—can feel the relax-ation,” she says.

It will lift your mood. “People feel better about themselves when they make music,” says Bruce Beck, MD, medical director of pulmonary rehabilitation at El Camino Hospital. “There are probably some endorphins [feel-good brain chemicals] released when you play the harmonica.”

The Austin harmonica class recently learned to play “You Are My Sunshine.” Says Rebecca Sutter, “If you play that enough times in one day…pretty soon there won’t be any gray days.”

W hen Dana, a chronic obstructive pul-monary disease (COPD) patient,

joined a pulmonary rehab group called The Better Breathers Club, she had no idea how much fun it would be. The group was taught how to play the harmonica, and members even formed a band—the Better Breathers Blues Band—and performed at a local restaurant. “I get to play songs I know and make up songs using techniques we’re learning in class,” says Dana, whose classes are held at El Camino Hospital in Mountain View, CA. “It’s been a lot of fun.” What’s more, the technique has been effective: “It’s helped a great deal,” says Dana. “When I don’t play the harmonica, I can tell the difference. I have a lot more energy when I play.”

Indeed, harmonica therapy seems to improve symptoms of COPD, a lung disease that encompasses both chronic bronchitis (in which the air-ways are irritated) and emphysema (in which the lungs are damaged). It’s being offered at a growing number of medical centers across the country. “This is a way to do something fun that provides the same benefit as traditional breathing exercises,” says Kitty Collins, manager of the pulmo-nary rehabilitation center at Seton Medical Center in Austin, TX. Here’s how harmonica therapy can boost your quality of life with COPD:

It will improve your breath-ing. When you play the harmonica, you push air from your lungs into the instrument, then suck air back in. “It helps patients learn to con-trol and boost their breathing,” says Meilan King Han, MD, medical

director of the Women’s Respiratory Health Program at the University of Michigan in Ann Arbor. The pattern of inhaling and exhaling through the instrument can also help you become more aware of your breathing. “I’m breathing a whole lot better,” says Claudia Deyton, an Austin, TX, patient.

It will boost lung strength. “To play a song, you have to take a deep breath in and blow out against resistance, which can help strength-en your respiratory muscles,” explains Dr. Han.

It will help you relax. “Playing the harmonica slows breathing,” says Dr. Han. Rebecca Sutter, a COPD patient who is in the pul-

4 Health Monitor

Job # Filename0000051247_M01 51247_51247_M01.indd

Art Director

Artist

B. Previdi

J.Liew

User / Pre-Last Modifi ed

CMYK

4-11-2013 4:22 PM

Bleed

Trim

Saftey

None

7” x 9.75”

None

Path Premedia:Volumes:Premedia:Prepress:51247_51247:Final:Prepress:51247_51247_M01.indd

Derrick Edwin / Tim Kinzler

Client

Create

Proof

Advair

4-10-2013 4:14 PM

Traffi c Rene Rodriguez13_FINAL

Fonts GothamCondensed (Bold, Medium, Book, Light; Type 1), Gotham (Book, Medium; Type 1), Univers LT Std (57 Condensed, 67 Bold Condensed, 47 Light Condensed; OpenType), ITC Avant Garde Gothic Std (Book, Demi; OpenType), Arial (Bold, Regular; True Type), Helvetica Neue LT Std (47 Light Condensed, 67 Medium Condensed Oblique, 67 Medium

Art L13ADV00006_51247_Sky_bkg_simp_4cSWOP_V5.tif (Arts_Logos:Glaxo_Smith_Kline:Art:LiveArtwork:Advair:2013:L13ADV00006_51247_Sky_bkg_simp_4cSWOP_V5.tif), L13ADV00001_51247_Balloon_simp_4cSWOP_V4.psd (Arts_Logos:Glaxo_Smith_Kline:Art:LiveArtwork:Advair:2013:L13ADV00001_51247_Balloon_simp_4cSWOP_V4.psd), L13ADV00007_51247_Pig_simp_4cSWOP_V4.psd (Arts_Logos:Glaxo_Smith_Kline:Art:LiveArtwork:Advair:2013:L13ADV00007_51247_Pig_simp_4cSWOP_V4.psd), gskForYou_4L_

T:7”

T:9.75”

Get your first 30-day prescription FREE and save on refills.*

Savings are in the air.If you have asthma or COPD, ADVAIR DISKUS may help you breathe better.†‡ Ask your doctor if ADVAIR® is right for you. Visit ADVAIRsavings.com or call 1-800-522-5134.

Important Safety Information About ADVAIR DISKUS• People with asthma who take long-acting beta2-adrenergic agonist (LABA)

medicines, such as salmeterol (one of the medicines in ADVAIR), have an increased risk of death from asthma problems. It is not known whether fl uticasone propionate, the other medicine in ADVAIR, reduces the risk of death from asthma problems seen with salmeterol.

• Call your healthcare provider if breathing problems worsen over time while using ADVAIR. You may need different treatment.

• Get emergency medical care if breathing problems worsen quickly and you use your rescue inhaler medicine, but it does not relieve your breathing problems.

• ADVAIR should be used only if your healthcare provider decides that your asthma is not well controlled with a long-term asthma control medicine, such as an inhaled corticosteroid.• When your asthma is well controlled, your healthcare provider may tell you to

stop taking ADVAIR. Your healthcare provider will decide if you can stop ADVAIR without loss of asthma control. Your healthcare provider may prescribe a different asthma control medicine for you, such as an inhaled corticosteroid.• Children and adolescents with asthma who take LABA medicines may have an

increased risk of hospitalization for asthma problems.• Do not use ADVAIR to treat sudden, severe symptoms of asthma or COPD.

Always have a rescue inhaler medicine with you to treat sudden symptoms. • Do not use ADVAIR DISKUS if you have severe allergy to milk proteins.

Ask your doctor if you are not sure. • Do not use ADVAIR more often than prescribed. Do not take ADVAIR with other

medicines that contain a LABA for any reason. Tell your doctor about medicines you take and about all of your medical conditions.• ADVAIR DISKUS can cause serious side effects, including: • serious allergic reactions. Call your healthcare provider or get emergency

medical care if you get any of the following symptoms of a serious allergic reaction: rash; hives; swelling of the face, mouth, and tongue; breathing problems.

• sudden breathing problems immediately after inhaling your medicine. • effects on heart: increased blood pressure; a fast and irregular heartbeat;

chest pain. • effects on nervous system: tremor; nervousness. • reduced adrenal function (may result in loss of energy). • changes in blood (sugar, potassium, certain types of white blood cells). • weakened immune system and a higher chance of infections. You should

avoid exposure to chickenpox and measles, and, if exposed, consult your healthcare provider without delay. Worsening of existing tuberculosis, fungal, bacterial, viral, or parasitic infections, or ocular herpes simplex may occur.

• lower bone mineral density. This may be a problem for people who already have a higher chance of low bone density (osteoporosis).

• eye problems including glaucoma and cataracts. You should have regular eye exams while using ADVAIR.

• slowed growth in children. A child’s growth should be checked often. • pneumonia. People with COPD have a higher chance of getting pneumonia.

ADVAIR may increase the chance of getting pneumonia. Call your doctor if you notice any of the following symptoms: increase in mucus (sputum) production; change in mucus color; fever; chills; increased cough; increased breathing problems.

• Common side effects of ADVAIR DISKUS for asthma include upper respiratory tract infection, throat irritation, hoarseness and voice changes, thrush in the mouth and throat, bronchitis, cough, headache, and nausea and vomiting. In children with asthma, infections in the ear, nose, and throat are common.• Common side effects of ADVAIR DISKUS 250/50 for COPD include thrush in the

mouth and throat, throat irritation, hoarseness and voice changes, viral respiratory infections, headache, and muscle and bone pain.

Please see Brief Summary of Important Safety Information about ADVAIR DISKUS on next page. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

*Subject to eligibility. Restrictions apply.† People ages 12 years and older taking ADVAIR DISKUS 100/50 experienced improvements in lung function and reductions in both asthma symptoms and fast-acting inhaler use, compared with people taking either fl uticasone propionate 100 mcg or salmeterol 50 mcg (inhalation powders) alone. Your results may vary.

‡ ADVAIR DISKUS 250/50 is clinically proven in COPD to signifi cantly improve lung function (measured by a breathing test), compared with people taking either fl uticasone propionate 250 mcg or salmeterol 50 mcg (inhalation powders) alone. Your results may vary.

is right for you. Visit ADVAIRsavings.com or call 1-800-522-5134.

ADVAIR DISKUS sudden breathing problems immediately after inhaling your medicine.

increased blood pressure; a fast and irregular heartbeat;

ADVAIR PIGGY BANK STANDARD P4C + PBW

Client Name: GSK / AdvairJob Number: 0000051247_M01Caption: “Savings are in the air.”Media: Magazine - Standard*THIS IS A TWO PAGE FILE*

Nonbleed: 7”w x 9.75”hLine Screen: 133P4C + PBWPAR # AD5971R0

This advertisement prepared by:Havas Worldwide350 Hudson StreetNew York, New York 10014

AD: B. Previdi x5832AE: C. Wallen x2711Traf: R. Rodriguez x4408Prod: I. Waugh x5824

Bill to: 0000051247

Approved Uses for ADVAIR DISKUS®• ADVAIR DISKUS is for the treatment of asthma in patients 4 years and older.

ADVAIR should be used only if your healthcare provider decides that your asthma is not well controlled with a long-term asthma control medicine, such as an inhaled corticosteroid.• ADVAIR DISKUS 250/50 is approved for adults with COPD, including chronic

bronchitis, emphysema, or both. You should only take 1 inhalation of ADVAIR twice a day. Higher doses will not provide additional benefi ts.• ADVAIR DISKUS is not for, and should not be used to treat, sudden, severe

symptoms of asthma or COPD. ADVAIR won’t replace a rescue inhaler.®

Tuning out COPD

HealthMonitor.com 7

Job # Filename0000051247_M01 51247_51247_M01.indd

Art Director

Artist

B. Previdi

J.Liew

User / Pre-Last Modified

CMYK

4-11-2013 4:22 PM

Bleed

Trim

Saftey

None

7” x 9.75”

None

Path Premedia:Volumes:Premedia:Prepress:51247_51247:Final:Prepress:51247_51247_M01.indd

Derrick Edwin / Tim Kinzler

Client

Create

Proof

Advair

4-10-2013 4:14 PM

Traffic Rene Rodriguez13_FINAL

Fonts GothamCondensed (Bold, Medium, Book, Light; Type 1), Gotham (Book, Medium; Type 1), Univers LT Std (57 Condensed, 67 Bold Condensed, 47 Light Condensed; OpenType), ITC Avant Garde Gothic Std (Book, Demi; OpenType), Arial (Bold, Regular; True Type), Helvetica Neue LT Std (47 Light Condensed, 67 Medium Condensed Oblique, 67 Medium

Art L13ADV00006_51247_Sky_bkg_simp_4cSWOP_V5.tif (Arts_Logos:Glaxo_Smith_Kline:Art:LiveArtwork:Advair:2013:L13ADV00006_51247_Sky_bkg_simp_4cSWOP_V5.tif), L13ADV00001_51247_Balloon_simp_4cSWOP_V4.psd (Arts_Logos:Glaxo_Smith_Kline:Art:LiveArtwork:Advair:2013:L13ADV00001_51247_Balloon_simp_4cSWOP_V4.psd), L13ADV00007_51247_Pig_simp_4cSWOP_V4.psd (Arts_Logos:Glaxo_Smith_Kline:Art:LiveArtwork:Advair:2013:L13ADV00007_51247_Pig_simp_4cSWOP_V4.psd), gskForYou_4L_

T:7”

T:9.75”

ADVAIR PIGGY BANK STANDARD P4C + PBW

Client Name: GSK / AdvairJob Number: 0000051247_M01Caption: “Savings are in the air.”Media: Magazine - Standard*THIS IS A TWO PAGE FILE*

Nonbleed: 7”w x 9.75”hLine Screen: 133P4C + PBWPAR # AD5971R0

This advertisement prepared by:Havas Worldwide350 Hudson StreetNew York, New York 10014

AD: B. Previdi x5832AE: C. Wallen x2711Traf: R. Rodriguez x4408Prod: I. Waugh x5824

Bill to: 0000051247

This summary does not take the place of talking to your healthcare provider about your medical condition or treatment. See full Prescribing Information for complete product information.

What is the most important information I should know about ADVAIR DISKUS?

ADVAIR DISKUS can cause serious side effects, including:1. People with asthma who take long-acting beta2-

adrenergic agonist (LABA) medicines, such as salmeterol (one of the medicines in ADVAIR DISKUS), have an increased risk of death from asthma problems. It is not known whether fluticasone propionate, the other medicine in ADVAIR DISKUS, reduces the risk of death from asthma problems seen with salmeterol.

• Call your healthcare provider if breathing problems worsen over time while using ADVAIR DISKUS. You may need different treatment.

• Get emergency medical care if: - breathing problems worsen quickly and - you use your rescue inhaler medicine, but it does not

relieve your breathing problems. 2. ADVAIR DISKUS should be used only if your healthcare

provider decides that your asthma is not well controlled with a long-term asthma control medicine, such as inhaled corticosteroids.

3. When your asthma is well controlled, your healthcare provider may tell you to stop taking ADVAIR DISKUS. Your healthcare provider will decide if you can stop ADVAIR DISKUS without loss of asthma control. Your healthcare provider may prescribe a different asthma control medicine for you, such as an inhaled corticosteroid.

4. Children and adolescents who take LABA medicines may have an increased risk of being hospitalized for asthma problems.

What is ADVAIR DISKUS? • ADVAIR DISKUS combines an inhaled corticosteroid

medicine, fluticasone propionate (the same medicine found in FLOVENT®), and a LABA medicine, salmeterol (the same medicine found in SEREVENT®).

- Inhaled corticosteroids help to decrease inflammation in the lungs. Inflammation in the lungs can lead to asthma symptoms.

- LABA medicines are used in people with asthma and chronic obstructive pulmonary disease (COPD). LABA medicines help the muscles around the airways in your lungs stay relaxed to prevent symptoms, such as wheezing and shortness of breath. These symptoms can happen when the muscles around the airways tighten. This makes it hard to breathe. In severe cases, wheezing can stop your breathing and cause death if not treated right away.

• ADVAIR DISKUS is used for asthma and COPD as follows: AsthmaADVAIR DISKUS is used to control symptoms of asthma and to prevent symptoms such as wheezing in adults and children aged 4 years and older. ADVAIR DISKUS contains salmeterol (the same medicine found in SEREVENT). LABA medicines, such as salmeterol, increase the risk of death from asthma problems. ADVAIR DISKUS is not for adults and children with asthma who are well controlled with an asthma control medicine, such as a low to medium dose of an inhaled corticosteroid medicine.COPDCOPD is a chronic lung disease that includes chronic bronchitis, emphysema, or both. ADVAIR DISKUS 250/50 is used long term, 2 times each day to help improve lung function for better breathing in adults with COPD. ADVAIR DISKUS 250/50 has been shown to decrease the number of flare-ups and worsening of COPD symptoms (exacerbations).

Who should not use ADVAIR DISKUS?Do not use ADVAIR DISKUS:• to treat sudden, severe symptoms of asthma or COPD.

• if you have a severe allergy to milk proteins. Ask your doctor if you are not sure.

What should I tell my healthcare provider before using ADVAIR DISKUS?

Tell your healthcare provider about all of your health conditions, including if you:• have heart problems • have high blood pressure• have seizures • have thyroid problems• have diabetes • have liver problems• have osteoporosis• have an immune system problem• are pregnant or planning to become pregnant. It is

not known if ADVAIR DISKUS may harm your unborn baby.• are breastfeeding. It is not known if ADVAIR DISKUS

passes into your milk and if it can harm your baby.• are allergic to any of the ingredients in ADVAIR

DISKUS, any other medicines, or food products• are exposed to chickenpox or measlesTell your healthcare provider about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. ADVAIR DISKUS and certain other medicines may interact with each other. This may cause serious side effects. Especially, tell your healthcare provider if you take ritonavir. The anti-HIV medicines NORVIR® (ritonavir capsules) Soft Gelatin, NORVIR (ritonavir oral solution), and KALETRA® (lopinavir/ritonavir) Tablets contain ritonavir.Know the medicines you take. Keep a list and show it to your healthcare provider and pharmacist each time you get a new medicine.

How do I use ADVAIR DISKUS?Do not use ADVAIR DISKUS unless your healthcare provider has taught you and you understand everything. Ask your healthcare provider or pharmacist if you have any questions. • Children should use ADVAIR DISKUS with an adult’s help,

as instructed by the child’s healthcare provider. • Use ADVAIR DISKUS exactly as prescribed. Do not use

ADVAIR DISKUS more often than prescribed. ADVAIR DISKUS comes in 3 strengths. Your healthcare provider has prescribed the one that is best for your condition.

• The usual dosage of ADVAIR DISKUS is 1 inhalation 2 times each day (morning and evening). The 2 doses should be about 12 hours apart. Rinse your mouth with water after using ADVAIR DISKUS.

• If you take more ADVAIR DISKUS than your doctor has prescribed, get medical help right away if you have any unusual symptoms, such as worsening shortness of breath, chest pain, increased heart rate, or shakiness.

• If you miss a dose of ADVAIR DISKUS, just skip that dose. Take your next dose at your usual time. Do not take 2 doses at one time.

• Do not use a spacer device with ADVAIR DISKUS. • Do not breathe into ADVAIR DISKUS. • While you are using ADVAIR DISKUS 2 times each day,

do not use other medicines that contain a LABA for any reason. Ask your healthcare provider or pharmacist if any of your other medicines are LABA medicines.

• Do not stop using ADVAIR DISKUS or other asthma medicines unless told to do so by your healthcare provider because your symptoms might get worse. Your healthcare provider will change your medicines as needed.

• ADVAIR DISKUS does not relieve sudden symptoms. Always have a rescue inhaler medicine with you to treat sudden symptoms. If you do not have an inhaled, short-acting bronchodilator, call your healthcare provider to have one prescribed for you.

Call your healthcare provider or get medical care right away if:

• your breathing problems worsen with ADVAIR DISKUS• you need to use your rescue inhaler medicine more often

than usual• your rescue inhaler medicine does not work as well for you

at relieving symptoms• you need to use 4 or more inhalations of your rescue

inhaler medicine for 2 or more days in a row

• you use 1 whole canister of your rescue inhaler medicine in 8 weeks’ time

• your peak flow meter results decrease. Your healthcare provider will tell you the numbers that are right for you.

• you have asthma and your symptoms do not improve after using ADVAIR DISKUS regularly for 1 week

What are the possible side effects with ADVAIR DISKUS? • ADVAIR DISKUS can cause serious side effects,

including: • See “What is the most important information I should

know about ADVAIR DISKUS?” • serious allergic reactions. Call your healthcare provider

or get emergency medical care if you get any of the following symptoms of a serious allergic reaction:

- rash - hives - swelling of the face, mouth, and tongue - breathing problems • sudden breathing problems immediately after inhaling

your medicine • effects on heart - increased blood pressure - a fast and irregular heartbeat - chest pain • effects on nervous system - tremor - nervousness • reduced adrenal function (may result in loss of energy) • changes in blood (sugar, potassium, certain types of

white blood cells) • weakened immune system and a higher chance of

infections • lower bone mineral density. This may be a problem

for people who already have a higher chance of low bone density (osteoporosis).

• eye problems including glaucoma and cataracts. You should have regular eye exams while using ADVAIR DISKUS.

• slowed growth in children. A child’s growth should be checked often.

• pneumonia. People with COPD have a higher chance of getting pneumonia. ADVAIR DISKUS may increase the chance of getting pneumonia. Call your healthcare provider if you notice any of the following symptoms:

- increase in mucus (sputum) production - change in mucus color - fever - chills - increased cough - increased breathing problems Common side effects of ADVAIR DISKUS include:

In children with asthma, infections in the ear, nose, and throat are common.Tell your healthcare provider about any side effect that bothers you or that does not go away.These are not all the side effects with ADVAIR DISKUS. Ask your healthcare provider or pharmacist for more information.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.Ask your healthcare provider or pharmacist for additional information about ADVAIR DISKUS. You can also contact the company that makes ADVAIR DISKUS (toll free) at 1-888-825-5249 or at www.advair.com.

GlaxoSmithKlineResearch Triangle Park, NC 27709ADD:7MG January 2011

©2013 The GlaxoSmithKline Group of Companies All rights reserved. Printed in USA.AD5971R0 June 2013

Asthma: • upper respiratory tract

infection • throat irritation • hoarseness and voice

changes • thrush in the mouth and

throat • bronchitis • cough • headache • nausea and vomiting

COPD: • thrush in the mouth and

throat • throat irritation • hoarseness and voice

changes • viral respiratory infections • headache • muscle and bone pain

ADVAIR DISKUS, DISKUS, FLOVENT, and SEREVENT are registered trademarks of GlaxoSmithKline. NORVIR and KALETRA are registered trademarks of Abbott Laboratories.

BRIEF SUMMARY

hIs health

5 get active to get him moving too. People are 50% more likely to start exercising if their spouse gets active, according to Dr. Sindelar’s research. And it’s more fun if you do it together. Consider learning a sport like paddle tennis as a couple, or planning an active vacation.

help your man live longer and better By Karen asp

If your partner is like most guys, he probably hasn’t seen his doctor lately. fact is,

men see their doctors for checkups about half as often as women do, according

to men’s health Network, a nonprofit group. and you know nagging him won’t

work. What will: being a good role model. “What you do will affect your spouse’s

actions,” says Jody L. Sindelar, phD, professor at the yale School of public health

in New haven, cT. The bonus? Your health will get a boost, too.

1 hold his hand to melt your stress and his.

Hand-holding may be a thing of your romantic past, but it might be time to revive the tradition. When a woman holds her spouse’s hand, her stress level drops, according to a study in Psychological Science. That’s because it sends a message to the brain that you don’t have to work as hard to manage potential threats in your environment. Researchers suspect men may get the same benefit, but there’s one caveat: “The effect is strongest among couples who are satisfied with their relation-

ships,” says James Coan, PhD, associate professor of clini-cal psychology at the University of Virginia in Charlottesville.

2 Kick a bad habit and so will he. If you want your partner to give up a vice, do it yourself. In a Health Services Research study, spouses were five to six times more

likely to quit smoking and drinking if their partner did the same. It makes sense: If you’re trying to cut back on drinking, for instance, you might serve less alcohol at meals.

3 Pare excess pounds to help him slim down. Spouses of participants

in a weight-loss program wound up slimming down themselves, according to a study in the International Journal of Obesity. A possible explanation? Dieters stocked their pantries with healthy foods, making it dif-ficult for spouses to eat poorly, says study author Amy Gorin, PhD, assis-tant professor of psychology at the University of Connecticut in Storrs.

4 get your vaccines and he’ll follow

suit. If you get your choles-terol levels checked or have a flu shot, your hubby is more likely to do the same. In a study pub-lished in the journal Health Services Research, when women got a flu shot, there was a 60% chance their husbands would, too. When women skipped the shot, only 21% of their partners got one.

National Men’s Health

Week June 10 to 16

no more “used to’s.”“All of my friends say [things like], ‘I used to ride my bike to a friend’s house,’ ” says Bobby. “I say, ‘What do you mean, you used to? Why don’t you do it now!’ ” He and Mariel advise moving as often as you can. Stand up every 20 minutes and take

short, frequent walks. Short bursts of exercise

are just as good for your health as longer work-

outs, according to a study at Oregon State University. Nearly half of people who

participated in exercise sessions lasting 10 min-

utes or less multiple times per day were able to meet the federal

guidelines for being active. The guidelines advise getting at least 150 minutes per week of moder-ate-intensity aerobic activity.

Conquer cravings.“If I have a food craving, the first thing I do is go outside and take a walk,” says Mariel. “If you do some-thing physical, it changes your ener-gy and thought process.” Other strat-egies that work for Mariel include drinking water and taking five min-utes to focus on your breathing.

Throw away three unhealthy items in your fridge and/or pantry. Start with processed foods. “I got rid of any kind of boxed mix,” shares Mariel, who recommends ditching soda and replacing it with water or juice. The couple focuses on fresh, unprocessed foods. “Mariel takes veggies from our garden and makes vegetable soup,” says Bobby.

get in touch with your inner child. “Remember when you were a kid? You fell over at the end of the day,” says Bobby. “Sometimes you’d be carried to bed sleeping. We’ve lost that because we’ve gotten so inundated with our everyday lives and stress. So Mariel

and I go outside and play—Wiffle ball, basketball, badminton, Ping-Pong. We even play hide-and-seek.” The couple finds that being active during the day helps them sleep better. Mariel gets eight hours of shut-eye each night.

Power down. Bobby and Mariel try to keep a lid on the amount of time they spend online. “We put away our electronics at 8 pm every day,” says Mariel. That’s a good idea, since research from the National Sleep Foundation shows that exposure to computer screen light after dusk sup-presses the release of the hormone melatonin, which promotes sleep.

Consider ending your day by watching the sun set. “It’s a great way to feel connected to the earth,” says Mariel.

Indeed, a growing body of research shows that communing with the great outdoors can give your health a boost. In a recent study published in Environmental Health and Preventive Medicine, healthy people who walked through a forest area for a few hours had lower concentrations of the stress hormone cortisol, a slower pulse and lower blood pressure.

The ben-efits aren’t just physical. Spending time in nature may also sharpen your mind: University of Michigan research-ers found that people who spent an hour outside improved their memory and attention spans by 20%. And researchers at the University of Kansas found that people who spent a few days out-doors experienced a 50% increase in creativity.

It all makes sense to Mariel and Bobby, 50. “Everyone has control over their health if they take the time,” says Mariel, who has two daughters, Dree, 25, and Langley, 23.

Here, a sampling of the couple’s healthy-living strategies:

COVeR story

To reach the home Mariel Hemingway shares with life and business partner Bobby Williams, a visitor meanders through bucolic mountain roads bordering Malibu, CA. A majestic

oak tree shades the circular gravel driveway that fronts the couple’s ranch-style home. Their Yorkshire Terrier, Bindu, and Border Collie, Tree, bound out of the house, fol-lowed by the couple. Lean and unlined, with warm and welcoming smiles, the Oscar-nominated actress and former stuntman are physical and emotional testaments to the healthy lifestyle they espouse in their new book, Running With Nature: Stepping Into the Life You’re Meant to Live (Changing Lives Press, 2013). “Connecting with nature helps you live more healthfully,” says Mariel, 51, who’s most famous for her role in Woody Allen’s Manhattan.

The healingpower of nature

actress Mariel hemingway and partner Bobby Williams have discovered the benefits of a simple, outdoorsy lifestyle. Here’s how fresh air and healthy choices can do your body good. By eLLeN ByRoN

Mariel’s Mission to preVent suicideMariel Hemingway is passionate about mental health, since she’s lost seven family members to suicide, including grandfather ernest. she recently filmed Running From Crazy, a documentary about her family’s battle with mental illness. “Mental illness still has a huge stigma,” says Mariel, who recently hosted the american Foundation for suicide prevention dinner in new york city, which Health Monitor attended. and it can be deadly: suicide is the 10th leading killer of americans.

Fortunately, there are steps you can take to help prevent it. if a loved one has any of the following warning signs, encourage him or her to see a mental health professional:

• talkingaboutsuicide

• feelinghopelessordesperate

• havingintenseanxiety

• losinginterestinfavoriteactivities

• experiencinginsomnia

• withdrawingfromfamilyandfriends

• beingirritable

8 Health Monitor HealthMonitor.com 9

Being in nature can help slow your pulse and lower blood

pressure.

10 Health Monitor

CLIENT: Bristol Myers SquibbPRODUCT: AbilifyJOB#: P35211SPACE: Full Page 4/CBLEED: 8.25” x 11.125”TRIM: 7.5” x 10.5”SAFETY: 7” x 10”GUTTER: NonePUBS: VariousISSUE: TRAFFIC: Donna MendietaART BUYER: Betsy JablowACCOUNT: RETOUCH: PRODUCTION: Leonard RappaportART DIRECTOR: COPYWRITER:

This advertisement was prepared by BBDO New York

FontsITC Franklin Gothic (Book Condensed, Medium Condensed), Helvetica Neue LT Std (45 Light, 55 Roman, 65 Medium, 75 Bold, 56 Italic), Bradley Hand ITC TT (Bold)Graphic Name Color Space Eff. Res.Abilify_No_Characters.psd (CMYK; 791 ppi), BMS_Logo_1Line_CMYK.ai, Abilify logo 2_5mg dose.ai, Abilify_2_Char_NueBlu.psd (CMYK; 886 ppi), OtsukaPharmaLogo_4C.ai, OtsukaPharmaLogo_4C.eps

Filename: P35211_BMS_ABI_V17.inddProof #: 17 Path: Studio:Volumes:Studio:MECHANIC...echani-cals:P35211_BMS_ABI_V17.indd Operators: Susalis, Tracie / Wolcott, Catherine

Ink Names Cyan Magenta Yellow Black

Created: 3-4-2013 5:12 PM Saved: 3-28-2013 3:27 PMPrinted: 3-28-2013 3:28 PMPrint Scale: None

This non-profi t organization provides assistance to qualifying patients with fi nancial hardship who generally have no prescription insurance. Contact 1-800-736-0003 or visit www.bmspaf.org for more information.

PATIENT ASSISTANCE FOUNDATION|

Learn about a FREE trial offer at ABILIFYfreeOffer.com or 1 - 800 - 393 - 5553

*Based on 6-week clinical studies comparing ABILIFY + antidepressant versus antidepressant alone.

ABILIFY (aripiprazole) is a prescription medicine used to treat depression in adults as an add-on treatment to an antidepressant when an antidepressant alone is not enough.

Important Safety InformationElderly patients with dementia-related psychosis (e.g., an inability to perform daily activities due to increased memory loss) taking ABILIFY have an increased risk of death or stroke. ABILIFY is not approved for treating these patients.Antidepressants can increase suicidal thoughts and behaviors in children, teens, and young adults. Serious mental illnesses are themselves associated with an increase in the risk of suicide. When taking ABILIFY, call your doctor right away if you have new or worsening depression symptoms, unusual changes in behavior, or thoughts of suicide. Patients and their caregivers should be especially observant within the fi rst few months of treatment or after a change in dose. Approved only for adults 18 and over with depression.• Call your doctor if you develop very high fever, rigid muscles, shaking,

confusion, sweating, or increased heart rate and blood pressure, as these may be signs of a rare but potentially fatal condition called neuroleptic malignant syndrome (NMS).

• If you have diabetes or have risk factors or symptoms of diabetes, your blood sugar should be monitored. High blood sugar has been reported with ABILIFY and medicines like it. In some cases,extreme high blood sugar can lead to coma or death.

• If you develop uncontrollable facial or body movements, call your doctor, as these may be signs of tardive dyskinesia (TD). TD may become permanent and the risk of TD may increase with the length of treatment and the overall dose. While TD can develop after taking the medicine at low doses for short periods, this is much less common. There is no known treatment for TD, but it may go away partially or completely if the medicine is stopped.

• Other risks may include lightheadedness upon standing, decreases in white blood cells (which can be serious), seizures, trouble swallowing, or impairment in judgment or motor skills. Until you know how ABILIFY affects you, you should not drive or operate machinery.

The common side effects in adults in clinical trials (≥10%) include nausea, vomiting, constipation, headache, dizziness, an inner sense of restlessness or need to move (akathisia), anxiety, and insomnia. Tell your doctor about all the medicines you’re taking, since there are some risks for drug interactions. You should avoid alcohol while taking ABILIFY.You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Please read the additional Important Information about ABILIFY on the adjacent page.

Ask your doctor about the option of adding ABILIFY.

“My antidepressant worked hard. But sometimes I still struggled with my depression.“

Adding ABILIFY (aripiprazole) may help with unresolved depressive symptoms as early as 1–2 weeks if you’ve been on an antidepressant for at least 6 weeks.*Adding ABILIFYas early as 1–2 weeks if you’ve been on an antidepressant for at least 6 weeks.*

© 2013 Otsuka America Pharmaceutical, Inc.570US13AB00214 February 2013 03US13P-1099

S:7”

S:10”

T:7.5”

T:10.5”

B:8.25”

B:11.125”

heALThY mind

Three stars share how they overcame their debilitating condition to feel like themselves again.

By deBoraH piKe olsen

“I conquered depression”

“I turned to my doctor and my friends”Courteney Cox, actress, producer and director

• Her journey: “I went through a really hard time…when [daughter] Coco turned 6 months. I couldn’t sleep. My heart was racing. And I got really depressed.”

• low point: She suffered from feelings of “smallness” and had suicidal urges, such as driving off a cliff.

• How she coped: She took medication and got support from close friends Jennifer Aniston and Brooke Shields.

“My family saved my life” Colin Farrell, actor• His journey: The actor became depressed after two films he starred in—Alexander and Miami Vice—flopped. “I couldn’t even buy cigarettes without feeling like I had to say sorry to the guy behind the counter in case he had seen the [films].”

• low point: “It was all I could do to lock my door and just be on my own. [I was] busy being really sad for eight hours every night and then I’d go on a shoot the next day. I was miserable and I had so much stuff in my life that was so good, yet…through abuse of drink and drugs, I was just depressed and profoundly sad.”

• How he coped: “My family stepped in and said, ‘It’s time. You’re killing yourself.’ My family saved my life.” Colin was treated for alcohol abuse in 2006.

“I created introspective music”Janet Jackson, singer and actress

• Her journey: She struggled with depression for many years in the 1990s. “It hits a lot of people—and a lot of artists—and I didn’t know that. Nobody ever talked about that in my family.”

• low point: “You feel like the walls are closing in on you, and you can’t escape. That was happening to me [during recording sessions for The Velvet Rope]. I just felt like there was no way out.”

• How she coped: “Talking it out and creating such an introspective work as Velvet Rope helped me do that.”

HealthMonitor.com 13

ABILIFY®

(aripiprazole)This summary of the Medication Guide contains risk andsafety information for patients about ABILIFY. This summarydoes not include all information about ABILIFY and is notmeant to take the place of discussions with your healthcareprofessional about your treatment. Please read this importantinformation carefully before you start taking ABILIFY anddiscuss any questions about ABILIFY with your healthcareprofessional.

What is the most important information I should knowabout ABILIFY?Serious side effects may happen when you take ABILIFY,including:• Increased risk of death in elderly patients with

dementia-related psychosis:Medicines like ABILIFY can raise the risk of death in elderlypeople who have lost touch with reality (psychosis) due toconfusion and memory loss (dementia). ABILIFY is notapproved for the treatment of patients withdementia-related psychosis.

• Risk of suicidal thoughts or actions: Antidepressantmedicines, depression and other serious mentalillnesses, and suicidal thoughts or actions:Antidepressant medicines may increase suicidal thoughtsor actions in some children, teenagers, and young adultswithin the first few months of treatment. Depression andother serious mental illnesses are the most importantcauses of suicidal thoughts and actions. Some people mayhave a particularly high risk of having suicidal thoughts oractions including people who have (or have a family historyof) bipolar illness (also called manic-depressive illness) orsuicidal thoughts or actions.How can I watch for and try to prevent suicidalthoughts and actions in myself or a family member?• Pay close attention to any changes, especially sudden

changes, in mood, behaviors, thoughts, or feelings. This isvery important when an antidepressant medicine isstarted or when the dose is changed.

• Call the healthcare provider right away to report new orsudden changes in mood, behavior, thoughts, or feelings.

• Keep all follow-up visits with the healthcare provider asscheduled. Call the healthcare provider between visits asneeded, especially if you have concerns about symptoms.

Call a healthcare provider right away if you or your familymember has any of the following symptoms, especially ifthey are new, worse, or worry you:• thoughts about suicide or dying, attempts to commit

suicide, new or worse depression, new or worse anxiety,feeling very agitated or restless, panic attacks, troublesleeping (insomnia), new or worse irritability, actingaggressive, being angry, or violent, acting on dangerousimpulses, an extreme increase in activity and talking(mania), other unusual changes in behavior or mood.

What else do I need to know about antidepressantmedicines?• Never stop an antidepressant medicine without first

talking to a healthcare provider. Stopping an antidepressantmedicine suddenly can cause other symptoms.

• Antidepressants are medicines used to treatdepression and other illnesses. It is important to discussall the risks of treating depression and also the risks of nottreating it. Patients and their families or other caregiversshould discuss all treatment choices with the healthcareprovider, not just the use of antidepressants.

• Antidepressant medicines have other side effects. Talkto the healthcare provider about the side effects of themedicine prescribed for you or your family member.

• Antidepressant medicines can interact with othermedicines. Know all of the medicines that you or yourfamily member takes. Keep a list of all medicines to showthe healthcare provider. Do not start new medicines withoutfirst checking with your healthcare provider.

• Not all antidepressant medicines prescribed forchildren are FDA approved for use in children. Talk toyour child’s healthcare provider for more information.

What is ABILIFY (aripiprazole)?ABILIFY is a prescription medicine used to treat:• major depressive disorder in adults, as an add-on

treatment to an antidepressant medicine when you do notget better with an antidepressant alone.

The symptoms of major depressive disorder (MDD) includefeeling of sadness and emptiness, loss of interest in activitiesthat you once enjoyed and loss of energy, problems focusingand making decisions, feeling of worthlessness or guilt, changesin sleep or eating patterns, and thoughts of death or suicide.

What should I tell my healthcare provider before takingABILIFY?Before taking ABILIFY, tell your healthcare provider if you haveor had:• diabetes or high blood sugar in you or your family; your

healthcare provider should check your blood sugar beforeyou start ABILIFY and also during therapy.

• seizures (convulsions).• low or high blood pressure.• heart problems or stroke.• pregnancy or plans to become pregnant. It is not known if

ABILIFY will harm your unborn baby.• breast-feeding or plans to breast-feed. It is not known if

ABILIFY will pass into your breast milk. You and yourhealthcare provider should decide if you will take ABILIFY orbreast-feed. You should not do both.

• low white blood cell count.• phenylketonuria. ABILIFY DISCMELT Orally Disintegrating

Tablets contain phenylalanine.• any other medical conditions.Tell your healthcare provider about all the medicines thatyou take or recently have taken, including prescriptionmedicines, non-prescription medicines, herbal supplements,and vitamins.ABILIFY and other medicines may affect each other causingpossible serious side effects. ABILIFY may affect the wayother medicines work, and other medicines may affect howABILIFY works.Your healthcare provider can tell you if it is safe to takeABILIFY with your other medicines. Do not start or stop anymedicines while taking ABILIFY without talking to yourhealthcare provider first. Know the medicines you take. Keepa list of your medicines to show your healthcare provider andpharmacist when you get a new medicine.

How should I take ABILIFY?• Take ABILIFY exactly as your healthcare provider tells you to

take it. Do not change the dose or stop taking ABILIFY yourself.• ABILIFY can be taken with or without food.• ABILIFY tablets should be swallowed whole.• If you miss a dose of ABILIFY, take the missed dose as soon

as you remember. If it is almost time for the next dose, justskip the missed dose and take your next dose at the regulartime. Do not take two doses of ABILIFY at the same time.

• If you take too much ABILIFY, call your healthcare provideror poison control center at 1-800-222-1222 right away, orgo to the nearest hospital emergency room.

What should I avoid while taking ABILIFY?• Do not drive, operate heavy machinery, or do other

dangerous activities until you know how ABILIFY affectsyou. ABILIFY may make you drowsy.

• Do not drink alcohol while taking ABILIFY.• Avoid getting over-heated or dehydrated.

• Do not over-exercise.• In hot weather, stay inside in a cool place if possible.• Stay out of the sun. Do not wear too much or heavy clothing.• Drink plenty of water.

What are the possible side effects of ABILIFY?Serious side effects have been reported with ABILIFYincluding:• Neuroleptic malignant syndrome (NMS): Tell your

healthcare provider right away if you have some or all of thefollowing symptoms: high fever, stiff muscles, confusion,sweating, changes in pulse, heart rate, and blood pressure.

These may be symptoms of a rare and serious conditionthat can lead to death. Call your healthcare provider rightaway if you have any of these symptoms.

• High blood sugar (hyperglycemia): Increases in bloodsugar can happen in some people who take ABILIFY(aripiprazole). Extremely high blood sugar can lead to comaor death. If you have diabetes or risk factors for diabetes(such as being overweight or a family history of diabetes),your healthcare provider should check your blood sugarbefore you start ABILIFY and during therapy.Call your healthcare provider if you have any of thesesymptoms of high blood sugar while taking ABILIFY:• feel very thirsty, need to urinate more than usual, feel very

hungry, feel weak or tired, feel sick to your stomach, feelconfused, or your breath smells fruity.

• Increase in weight: Weight gain has been reported inpatients taking medicines like ABILIFY, so you and yourhealthcare provider should check your weight regularly. Forchildren and adolescent patients (6 to 17 years of age)weight gain should be compared against that expectedwith normal growth.

• Difficulty swallowing: may lead to aspiration and choking.• Tardive dyskinesia: Call your healthcare provider about

any movements you cannot control in your face, tongue, orother body parts. These may be signs of a serious condition.Tardive dyskinesia may not go away, even if you stop takingABILIFY. Tardive dyskinesia may also start after you stoptaking ABILIFY.

• Orthostatic hypotension (decreased blood pressure):lightheadedness or fainting when rising too quickly from asitting or lying position.

• Low white blood cell count• Seizures (convulsions)Common side effects with ABILIFY in adults includenausea, inner sense of restlessness/need to move (akathisia),vomiting, anxiety, constipation, insomnia, headache,restlessness, dizziness.These are not all the possible side effects of ABILIFY. For moreinformation, ask your healthcare provider or pharmacist.Call your doctor for medical advice about side effects. Youmay report side effects to FDA at 1-800-FDA-1088.

General information about ABILIFY• Store ABILIFY at room temperature, between 59°F to 86°F.

Opened bottles of ABILIFY Oral Solution can be used for upto 6 months after opening, but not beyond the expirationdate on the bottle. Keep ABILIFY and all medicines out ofthe reach of children.

• Medicines are sometimes prescribed for purposes otherthan those listed in a Medication Guide. Do not use ABILIFYfor a condition for which it was not prescribed. Do not giveABILIFY to other people, even if they have the samecondition. It may harm them.

• This summary contains the most important informationabout ABILIFY. If you would like more information, talk withyour healthcare provider. For more information aboutABILIFY visit www.abilify.com.

Tablets manufactured by Otsuka Pharmaceutical Co, Ltd, Tokyo,101-8535 Japan or Bristol-Myers Squibb Company, Princeton, NJ08543 USAOrally Disintegrating Tablets, Oral Solution, and Injection manufacturedby Bristol-Myers Squibb Company, Princeton, NJ 08543 USADistributed and marketed by Otsuka America Pharmaceutical, Inc,Rockville, MD 20850 USAMarketed by Bristol-Myers Squibb Company, Princeton, NJ 08543 USAABILIFY is a trademark of Otsuka Pharmaceutical Company.

1239550B2 03US12L-0109 Rev February 2012

© 2012, Otsuka Pharmaceutical Co, Ltd, Tokyo, 101-8535 Japan

570US11CBS14701

IMPORTANT INFORMATION ABOUT ABILIFY (aripiprazole)

Abilify0212MDD7x9CBSwip3_.pdf 2/28/12 2:05 PM Page 1

REMEMBERING

I n the fall of 2011, Maya Thompson, a mom of three in Phoenix, got a phone call she’ll never forget. A represen-tative from singer-songwriter Taylor Swift was on the

line, telling her that Taylor was sending Maya tickets to an upcoming concert. It turns out Taylor, 22, was interested in Maya’s son Ronan’s battle with cancer. Maya was stunned. “It was out of the blue,” she recalls.

Holding on to hopeIn August 2010, Ronan was diagnosed with Stage IV neu-roblastoma, a tumor of the nerve tissue that controls bodily functions like heart rate and blood pressure. It’s one of the deadliest childhood cancers. “I was in shock,” Maya says.

Ronan’s treatments included surgery, chemotherapy, a stem cell transplant and radiation. “The poor little guy,” says Maya. “All of a sudden, his head was being cut open and he didn’t know why.” Maya couldn’t accept that her beautiful young boy was terminally ill. “As a mom, you have so much hope,” she says. “I always felt like I loved him so much and he loved me so much, how could that not be enough?” Ronan died on May 9, 2011, surrounded by his mom, dad and brothers.

real-life InsPIRATIOn

RonanHow one mother’s blog about her terminally ill child led to a hit song by Taylor Swift.

By ellen Byron

The song that’s making a differenceMaya’s blog, which she named Rockstar Ronan, quickly went viral. It was a picture of Ronan’s sweet face and star-tling blue eyes that caught Taylor’s attention. Like others, Taylor was moved by the little boy’s fight for survival. Last August, Taylor stunned Maya by telling her she’d written a song about Ronan and would debut it at the televised “Stand Up 2 Cancer” benefit in September. Some of the lyr-ics of the song, called “Ronan,” came from Maya’s blog:

“I remember the last day, when I kissed your face and I whispered in your ear, ‘Come on baby with me, we’re gonna fly away from here… You were my best four years.’ ”

Maya and her family watched the show at home. “There were a lot of tears,” Maya says. “Ronan” hit No. 1 on the iTunes sales chart.

Proceeds from Maya’s share of royalties will go to The Ronan Thompson Foundation (TheRonanThompson Foundation.com), which will fund research on neuroblas-toma treatments. Maya’s dream is to open a neuroblastoma treatment center for children.

In the meantime, the Thompsons are adjusting to life without Ronan. In April, Maya gave birth to a daughter, Poppy. Says Maya, “This baby is going to bring sunshine back into our lives.”

Come on baby with me, we’re gonna fly away from here… You were my best four years.”

—lyrics from “Ronan”

sMART relief

taking otc pain relievers?

Avoid these 6 mistakesWe asked pharmacist wally patel, part owner of Tucker pharmacy in hoboken, NJ, to tell us what folks often do wrong when taking over-the-counter (oTc) painkillers. Read on for his insight, and remember to always tell your healthcare provider and pharmacist what oTc products you take. By LoRI mURRay

Mistake #3:

Taking too small a dose. You know you shouldn’t take too much of an OTC painkiller. But you may not be taking enough. If your doctor says to take two ibu-profen, don’t take just one, since the dose is based on factors such as your weight and how fast the drug works. • The fix: Ask your healthcare provider for specifics. Consider saying: “So, to relieve joint pain, I should take two ibuprofen tablets every six hours, right? What if the pain doesn’t go away?”

Mistake #4:

Not eating. If the label says to take a medication with food, there’s a reason for it. “People call because they think they’re having side effects. They’ll say, ‘It gave me diarrhea’ or ‘I have a stomach-ache,’ ” notes Patel. “Then I’ll ask, ‘Did you take it with food?’ and find out they haven’t.”• The fix: Try pairing doses with your meals (keep the bottle on the kitchen counter or table).

Mistake #6:

Ignoring the expiration date.“The date is based on testing by the manufacturer,” explains Patel. “After that, the drug starts to break down and the maker doesn’t know if it will work because the decomposed molecules haven’t been tested.” • The fix: Throw away expired meds. Ask your pharmacist how to dispose of unused products.

Mistake #5:

Using the wrong form.A general rule of thumb: Liquids and liqui-gels usually relieve pain more quickly because they’re digested faster. But they may leave your body quickly, too. Other fast-acting forms are chewable and rapid-release tablets. Capsules, hard tablets and caplets take effect a bit more slowly. • The fix: Ask your pharmacist for help. Also, find out which strength (regular or extra) is best for you.

Mistake #1:

Using the wrong product. “This is the most common mistake we see,” says Patel. “Someone calls and says, ‘I took something but still have pain.’ Then I find out the per-son has sciatica [nerve pain], which the product isn’t meant to treat.” • The fix: Discuss your symptoms with your healthcare provider. You may find out you can get better relief with a different medication.

Mistake #2:

Not checking label warnings. It’s the first section you should read, says Patel. “You’ll find allergy info and drug or alcohol interac-tions. It lets you know when not to take the drug.” • The fix: Drug info is some-times updated, so check the label on every box you buy—especially if you’ve received a new diagnosis or have recently been prescribed a new medication.

Mistake #2:

14 Health Monitor

To enTersend us lyrics about how diabetes has affected your life or, if you’re a caregiver, the life of someone you love. Write about a turning point, tell us about your silver lining or share your success strategies. this is your chance to inspire and empower millions of others impacted by diabetes—and spread your message of hope!

email your submission to diabetessong@HealthMonitor.com. For complete instructions, visit HealthMonitor.com/diabetes/song.

The winner will…•Receiveanallexpenses-paid

trip to los angeles.

• Have his or her song put to music by a professional performing artist.

• Be our guest of honor at Health Monitor’s concert for diabetes and hear his or her song performed live!

ANNoUNCINg ’s

DiaBeTeS SongWRiTingConTeST!

16 Health Monitor HealthMonitor.com 17

designed with pointy ends that dig into sand—can help keep you stable and pain-free. Buy the lightest set you can find to prevent arm and wrist strain.

Take a worry-free hike. Prevent falls by invest-ing in a pair of rubber-soled shoes, which provide a firm grip and secure traction. Also, walk on the grass when gravel is wet to steer clear of a slip.

Get an (easy) grip on your flower garden. Now that summer’s in full swing, so are the weeds in your garden. Make plucking them pain-free by using a stand-up weeder with a plunger-like mechanism. You just push the handle into the soil and up pops the weed!

Breathe easy with aSThmaWatch pollen counts. Go to the National Allergy Bureau’s website (aaaai.org/nab) for a daily ranking of allergens, including seasonal tree pollens, grasses, weeds and outdoor molds. Stay indoors, if possible, when levels are high or very high.

Manage humidity. With the warmer months comes increased humidity, a major factor in the growth and spread of triggers like mold and dust mites inside your home. Measure your indoor levels with a humidity monitor, called a hygrometer, available at discount or hardware stores. The indoor humidity should be between 35% and 50%. If your humidity levels register above that mark, it’s time to invest in a dehumidifier.

Flying with a nut allergy? Book the earliest pos-sible flight. These days, airliners are usually cleaned just once a day, and often that’s at night. So an early-bird flight helps ensure the most pristine environment possible.

Allergic to bee stings? Avoid flowery prints! Believe it or not, flow-ery shirts and dresses can attract stinging insects like bees and wasps, which may mistake you for their food source.

little LIfesAVeRs

eYe brow Stay safe in the heat with DIaBeTeS

Wear sandals at the beach. Cuts or nicks on feet can be dangerous for people with dia-betes, since their bodies take longer to heal from wounds. So buy sandals or water shoes to wear on land and in the water.

Use a non-deodorant antiperspirant spray to help secure the adhesive on your insulin infusion set. Or, try paper tape. For insulin pump users, excessive perspiration can pose a problem.

Prevent supplies from being damaged. Extreme heat and cold can damage insulin. It should always be kept at 36° to 46°F if unopened and below 86°F once opened. So if you’re going out on a hot day, toss your insulin, syringes, alcohol swabs and glucose in a plastic, zip-top bag and place it in a thermal lunch bag with frozen gel packs. Tip: Never leave your supplies in a hot car. The interior temperature can soar to oven-like temperatures in just minutes!

Vacationing at a hotel? Call ahead to ask if your room will include a fridge. That way, you’ll know where you can store your supplies. You may be able to request a fridge in your room. Most hotels will waive their daily fee if the use of the fridge is medically necessary, so be sure to tell the staff.Have your healthiest

summer ever!Hosting a barbecue? Think shortcuts. Buy preformed hamburgers and precut chicken parts so you don’t have to cramp your hands doing

the work yourself. Buy smaller or precut steaks to reduce

the weight when grill-ing, premade salads to reduce chopping and condiments in smaller, lighter bottles for easier-to-hold

packaging.

Try trekking poles at the beach. Walking

in sand can be especially tough on joints in your feet, ankles and knees. Trekking poles—

Save your skin!Get a “broad-spectrum” sunscreen. It will block both Uva and UvB rays, giving you full protection.

Go for a sun protection factor (SPF) of at least 30. Keep in mind, products with an SPF of more than 50 don’t offer any additional benefits, according to the U.S. Food and Drug administration.

Apply enough. You’ll need an ounce to cover your body—enough to fill a shot glass.

Don’t forget your ears, the tops and bottoms of your feet and the backs of your hands. If your hair is thin or you have a part, cover your head with a hat or scarf.

Reapply often—at least every two hours. and

reapply immediately after swimming or excessive

sweating.

enjoy the great outdoors pain-free—even with aRThRITIS Wear blue to

thwart UV rays Fend off sun damage fash-

ionably: If you’re spending the day in the sun, go for a deep blue or red outfit. Scientists

say those colors provide greater UV protection than shades of yellow

or white.

18 Health Monitor HealthMonitor.com 19

AsK the experts

physical therapist, who can help you become confident in your ability to move around without pain.

—Seema Agrawal, MD, assistant professor of medicine/rheumatology,

Montefiore Medical Center, Bronx, NY

FEARIng CAnCER RECuRREnCE

Q I’m finally cancer-free. I should be happy, but I’m terrified of

recurrence. what can I do?

A It’s common for patients to feel tired, depressed or anxious

after treatment. Fortunately, there are plenty of things you can do to keep the feelings at bay. Exercise regularly, aim for a healthy weight and eat a balanced diet. See your healthcare provider for checkups, and stay on top of routine screenings.

—Kent Ulrich, MD, Texas Oncology, Wichita Falls Texoma Cancer Center,

and Zehra Kapadia, MD, of Texas Oncology, Houston Willowbrook

DRInkIng wITH DIABETES

Q I have type 2 diabetes but can’t resist a glass of

wine. Could this be harmful?

A Alcohol can cause blood sugar to drop, so if you’re taking a

medication that lowers blood sugar, adding alcohol to the mix can lead to hypoglycemia (low blood sugar). Worse, the signs of excessive drinking are similar to those of low blood sugar. Test your blood sugar after eating and again before bed. —Tom Donner, MD, associate professor

of medicine, director, Diabetes Center, Johns Hopkins School of Medicine,

Division of Endocrinology and Metabolism, Baltimore

wHEn yOuR HEART FlIp-FlOpS

Q lately, my 58-year-old husband has been telling me

that his heart feels like it’s “flopping around” and makes him feel light-headed. He says he feels fine after the spell passes. Should I worry? Is what he’s experiencing normal?

A Sometimes a feeling that the heart is flopping around is a sign

of atrial fibrillation, which is the most common form of arrhythmia (abnormal heart rhythm). Your husband should see a doctor, who may recommend a 24-hour EKG to monitor his heart’s electrical activity. There are several types of abnormal heart rhythms. The good news is that these heart rhythms can usually be normalized. Treatment, ranging from medication to surgery, depends on the diagnosis.

—Carlos J. Rodriguez, MD, cardiologist, associate professor of medicine and

epidemiology at Wake Forest University School of Medicine in Winston-Salem, NC

CAn AnXIETy wORSEn pAIn?

Q I have arthritis, and I often worry about doing something

that might bring on joint pain. Could my worrying worsen the discomfort?

A Possibly. Fear and anxiety are normal when you have joint

pain, but these feelings can prevent you from moving around as much as you should. That can lead to more stiffness and pain. Consider working with a

THe gooD NewS IS, AbNoRMAL HeART RHyTHMS CAN USUALLy be RegULATeD

TIPS FOR A HEALTHIER LIFEA Salsa

1 cup chopped fresh or thawed frozen mango

½ cup chopped red bell pepper½ cup packed fresh cilantro leaves,

chopped¼ cup finely chopped red onion¼ tsp fine sea salt1 tbsp freshly squeezed lime juice

Tacos1 tsp ground cumin½ tsp chili powder¼ tsp fine sea salt1 tbsp freshly squeezed lime juice2 tsp vegetable oil4 skinless farmed tilapia fillets

(about 6 oz. each)48-inchwhole-wheattortillas,warmed2 cups shredded purple or green

cabbage

Salsa: In a small bowl, combine mango, pepper, cilantro, onion, salt and lime juice.

Tacos: In a small cup, whisk together cumin, chili powder, salt, lime juice and oil. Brush on both sides of fish, coating evenly.

Grill fish on barbecue set to medium heat, turning once, for 2 to 3 minutes per side or until fish is opaque and flakes easily when tested with a fork. Flake fish into small pieces. Fill warmed tortillas with fish and cabbage and top with salsa.

nutrition facts (per serving) calories 370, fat 9 g (sat. fat 2 g), cholesterol 88 mg, protein 41 g, carbohydrates 34 g, fiber 5 g, sodium 579 mg

DIg in

Low fat, high fiber,

super filling!

Fennel, Orange

and Olive SaladMakes 6 side-dish servings

2 large oranges1 large bulb fennel, halved

lengthwise, cored and very thinly sliced crosswise

½ cup very thinly sliced red onion1⁄3 cup packed fresh mint leaves, torn1⁄8 tsp fine sea salt1⁄8 tsp cracked black pepper2Tbspextra-virginoliveoil½ cuppittedbrine-curedblack olives

(such as kalamata), quartered

Using a sharp knife, cut peel and pith from oranges. Working over a large bowl, cut between membranes to release segments. Squeeze the membranes to release any remaining juice into the bowl.

To the oranges, add fennel, onion, mint, salt, pepper and oil, gently toss-ing to combine. Sprinkle with olives.

nutrition facts (per serving)calories 100, fat 6 g (sat. fat 1 g), cholesterol 0 mg, protein 1 g, carbohydrates 12 g, fiber 3 g, sodium 151 mg

Excerptedfrom5 Easy steps to Healthy Cooking by camilla V. saulsbury © 2012 robert rose inc. www.robertrose.ca. reprinted with permission. all rights reserved.photographs by colin ericson/www.robertrose.ca

Grilled Tilapia Tacos with Mango SalsaMakes 4 servings

al fresco dining was never easier—or more delicious!

guilt-free gourmet!Q

“When I learned of the ‘LifeChanger’ Award, Chris was the first person who came to my mind. She has impressed me for more than eleven years with both professional and personal skills deserving of

recognition and gratitude.We respect people in the

medical world as intelligent and possessing much scientific knowledge in their field. NOT all, however, are able to COMBINE the scientific

knowledge with personal attributes to create the kind of approach that Chris brings to each appointment.

Chris has my vote, my thanks, and my admiration.”

—Katherine R. (patient)

“She has my admiration...”

“My story is dedicated to an amazing woman who totally deserves the ‘LifeChanger’ Award. Her name is Christine Nell-Dybdahl. She has changed my life and many of her patients’ lives with her knowledge, compassion, listening skills, patience and aggressive treatment, if necessary. She also started a group called ‘Women Living with Angina Support Group.’

“She changed my life...”

Collaborating for Better Outcomes

Please include the NP’s full name, place of employment, phone number and email (if available), as well as your name, address, phone number and email. All information will be kept confidential.Visit: HealthMonitor.com/LifeChangerNP for online submissionEmail to: lifechanger@healthmonitor.com Or mail to: “NP LifeChanger Award,” Health Monitor Network,

135 Chestnut Ridge Road, Montvale, NJ 07645

Share your story about a Nurse Practitioner who has made a difference in your life!

The Nurse Practitioner you nominate may win a trip to the AANP Annual Conference.

Chris Nell-Dybdahl, NP, Preventive Caridology, The Emory Clinic, Atlanta, GA — Chris is the winner of the

2013 Health Monitor® LifeChanger Award to be presented at the AANP

Annual Conference in June.

This support group has helped us to form lasting friendships with other women who can relate to what we’re going through, when sometimes our friends and even family don’t understand. I don’t know many NPs who would do all of this for their patients, so that’s why I think she deserves the title of ‘LifeChanger.’”

—Nancy B. (patient)

Announcing the Nurse Practitioner LifeChanger Award 2013 Winner!

NP_ChrisNell-Dybdahl.indd 1 5/23/13 5:02 PM