Health - Parenting Hub

Expert Advice from Bonitas Medical Fund

Pregnancy, your body and your baby – week 16 of your pregnancy

You are now 4 months pregnant, and have 24 weeks left to go before you birth day, although this may seem far away your baby has done so much growing in these past 16 weeks and still has lots left to do before they are born. Your body at 16 weeks Your pregnancy hormones can make your veins stretch, giving you varicose veins. While these distinctive purple lumps are the prettiest sight, generally they are painless and harmless. Pregnancy brain is another sign of a baby that you may have noticed, many moms-to-be notice they may become more forgetful or inattentive. The exact reason for this isn’t clear, however, stress and having many items on your to-do list could be contributing factors towards this. You may also notice some pregnancy weight gain (which is normal and nothing to worry about!) and your boobs will have probably gone up a few cup sizes as your body preps for breastfeeding. Be sure to invest in comfortable bras, such as maternity or sports bras, as this can help ease any discomfort. Your baby at 16 weeks Your baby is now the size of an avocado. This week may be the one that you first start to notice small kicks from your little on moving around. Another exciting marker of this time is the fact that your baby can start hearing your voice, so make sure you chat to them throughout your day. This’ll also be roughly the time that their eyes become more sensitive to light, their bones and muscles are hardening and strengthening and their eyebrows, hair and lashes are forming. Things to take note of around this time. During pregnancy you may struggle with constipation. This is a fairly common pregnancy complaint thanks to pregnancy hormones and the extra iron you’re taking in your prenatal vitamins. Eating more fibre, drinking lots of water, and exercise can help keep you regular. If you’re still struggling, chat to your doctor and they may prescribe stool softeners to help.

May 2, 2024

Measles – it’s a serious illness

The World Health Organization (WHO) has warned of an ‘alarming’ increase in measles cases – almost 45-fold in Europe last year – but outbreaks of new cases and even deaths are being reported globally. WHO believe this is a result of fewer children being vaccinated against the disease, especially during the Covid pandemic. However, measles is preventable, thanks to a vaccine that was introduced in 1963. Since 2000, the measles vaccination programme has averted an estimated 57 million deaths worldwide. However, the Covid-19 pandemic disrupted global vaccination activities which, in 2021, resulted in the lowest measles-containing-vaccine first-dose (MCV1) coverage levels since 2008. Dr Themba Hadebe, Clinical Executive at Bonitas Medical Fund takes a look at this ‘childhood’ disease to remind us about what causes it, the symptoms and why we should vaccinate. What is measles? Measles is caused by a virus and can affect anyone but is most common in children. It infects the respiratory tract and then spreads throughout the body. Some of the more common measles symptoms include: High fever Cough Runny nose Red, watery eyes (conjunctivitis) A rash all over the body (3-5 days after symptoms begin). Complications of measles can lead to: Ear infections Diarrhoea Pneumonia (infection of the lungs) Other respiratory infections Encephalitis (inflammation of the brain) which occurs in about one in every 1 000 people with Measles. Blindness Measles can be serious Measles is so much more than just a fever and rash that clears up in a few days. It can cause serious health complications, especially in children under the age of 5 and adults over the age of 30. If a woman catches Measles during pregnancy, it can be dangerous for the mother and can result in her baby being born prematurely with a low birth weight. Even with the best care, people can still die after contracting measles (1 to 3 out of 1 000 people). Being vaccinated is the best way to prevent getting sick with measles or spreading it to other people. Measles is contagious Measles is easily spread through the air when an infected person coughs or sneezes. It is very contagious: One person can infect up to 9 out of 10 people around them if they are not adequately protected. In fact, an infected person can spread measles to others even before they know they have the disease – from up to four days before developing the measles rash to around four days afterwards. The measles vaccine The best protection against measles is the Measles-Mumps-Rubella (German Measles) (MMR) vaccine. The MMR vaccine provides long-lasting protection against all strains of measles. Your child will need two doses of MMR vaccine for best protection: The first dose at between 12 and 15 months of age The second dose at between 4 through 6 years The Measles-Mumps-Rubella-Varicella (MMRV) vaccine, which protects against four diseases, is also available to children from 12 months through 12 years of age. Treating measles As measles is caused by a virus, there’s no specific medical treatment, it has to run its course. However, if your child has measles they need to drink plenty of liquids, get lots of rest and stay at home to prevent spreading the infection. Measles outbreaks The people most at risk during a measles outbreak are non-immune person (not vaccinated or vaccinated but did not develop immunity). Unvaccinated young children and pregnant persons are at highest risk of severe measles complications. The fact is that measles is still common and with a break in the vaccination regime we are seeing more outbreaks. The best way to fight it and prevent it spreading is to vaccinate. Did you know? South Africa follows International Guidelines in providing vaccines to children. This programme is known as the Expanded Programme of Immunisation (EPI). Parents need to take responsibility to ensure their child is vaccinated on time: Not only to help protect the child against certain illnesses but also to contribute to the overall health of children in the general population. ‘Childhood vaccines are a critical part of a child’s health, they work by stimulating and teaching the immune system how to fight certain infections,’ explains Dr Hadebe. ‘Bonitas recognises this and we cover immunisation, on most plans, according to EPI up to the age of 12.’

April 25, 2024

Pregnancy, your body and your baby – week 15 of your pregnancy

Congratulations, you and your baby are now at week 15, while your baby still has lots of growing to do, you should make sure that you make the most out of feeling more energetic during trimester two. Join prenatal classes, enjoy walks outside and start planning how you’ll rearrange your house for the arrival of your new bundle of joy. Your baby at week 15 Your little one is now roughly the size of an apple or pear, and at this point your baby’s ears and eyes are starting to become more developed, and are moving into the correct place on their head. Soon they may even be able to hear the sound of your voice. During this time their bones and muscles are also getting stronger, not only this but her limbs are getting longer and are able to move. You won’t be able to feel any movement just yet, but it won’t be long! Your body at week 15 At week 15, your increased energy levels may also mean that you may experience increased libido. Although you may have higher energy levels, you’ll probably also notice that your expanding belly is itchy, thanks to stretching skin. If you are feeling increasingly hungry, thanks to a reduction in morning sickness, be aware of what you’re putting into your body. Certain foods, such as ripened cheese, can be damaging to your baby. However, the inclusion of healthy snacks can be beneficial to both of you, and by doing research or chatting to a dietician, you can make sure that you include food groups that’ll be nutritious to you and your baby. Things to keep in mind at week 15 Another pregnancy symptom is sensitive gums and teeth. The reason for this is hormonal changes which increase the blood flow to your gums, making them swell. Not only this but you may be more susceptible to gum disease and pregnancy gingivitis (which about half of all women experience during pregnancy). Because of this it’s important that you look after your teeth and gums, and check in the dentist during your pregnancy.

April 22, 2024

Pregnancy, your body and your baby – week 14 of your pregnancy

Week 14 of your pregnancy and you’re in month four of your pregnancy with five to go – almost half way already. Trimester two of pregnancy means you should be feeling renewed levels of energy and you may even notice that your appetite has increased thanks to morning sickness slowly easing up. Your baby in week 14 Your baby is now the size of a peach, and now often moves her arms and legs – but you won’t be able to feel this yet. If you could see into your belly, you may even notice your little one sucking their thumb! Around this time the grasp reflex is evolving, and hair growth is starting as follicle under the skin, so that when they’re born your baby should have silky strands of hair. Your little one’s genitals are now also fully developed, but it’ll still be difficult to tell their gender on ultrasound. Your body in week 14 Luckily during your second trimester you’ll be feeling more yourself, with rising energy levels, breasts that are less tender and dissipating nausea. You’ll also probably starting to show a bit as well, however, some moms, especially those expecting multiples, may start showing sooner. This is because your uterus is rising out of the pelvic region and into your lower abdomen. During the second trimester you’ll also notice that you’ll start to put on weight, don’t be alarmed by this as it’s completely normal and healthy during a pregnancy. Things to take note of If you found that during your first trimester your pregnancy symptoms meant that you generally stayed away from exercise, embrace your renewed energy levels and start doing gentle exercises such as water aerobics, prenatal exercise classes and gentle walks. This’ll be beneficial to both you and your growing little one.

April 15, 2024

Pregnancy, your body and your baby – week 13 of your pregnancy

At week 13 of your pregnancy you are now in your second trimester. This trimester is often nicknamed the honeymoon period, as your pregnancy symptoms should have started easing up, and your baby is still small enough that you don’t feel uncomfortable. Your body at week 13 At week 13 your energy levels should start increasing, but if your nausea and fatigue don’t disappear just yet – don’t despair, some moms experience these for longer than others. This increase in energy won’t stick around forever, so make the most of this time while you can and tick important to-dos off your list. Your blood flow will also increase during this time, and because of this you may see blue streaks under your skin from your veins and experience an increase in libido. Your baby at week 13 Your baby is now the size of a lemon and her body proportion is slowly starting to change, although the head is still the biggest part of the body. Your baby is growing rapidly, and during this time, her intestines are moving from the umbilical cord into the stomach. Her eyelids are shut to protect the eyes as they develop and her vocal cords are also developing, so that when your baby is born she’ll be able to cry and laugh and eventually say her first word. Things to remember in this week Around this time is when some people choose to tell family, friends and employers that they’re expecting. You should pick when you feel most comfortable to tell everyone, however, this time is often chosen, as your risk of miscarriage will have decreased and you’ll have had your first pregnancy ultrasound, which should confirm that your baby is healthy.

April 8, 2024

Pregnancy, your body and your baby – week 12 of your pregnancy

This is now the last week of your first trimester, which is week 1 to 12. Your clothes are probably starting to feel a little tighter than they used to, but the good news is that some of the first-trimester pregnancy symptoms, such as morning sickness and fatigue should be easing up soon. During the first trimester, your baby will have grown from an egg to a fully formed baby (with lots of growing to do) and you’ll have had your first check-up and ultrasound. Your body at week 12 At week 12 you’ll probably notice that your morning sickness may start to subside. This is because the hCG hormone is starting to level off. However, not all moms are this lucky, as some experience nausea in their second trimester as well, or even throughout their whole pregnancy. Stomach pain, cramping and constipation are also pregnancy symptoms you may be experiencing. Not all women experience constipation, however, it is fairly common thanks to pregnancy hormones. If you experience sharp or severe pain, it’s important to seek medical help as quickly as possible. Things to keep in mind Throughout your pregnancy both your mental and physical wellbeing is important. Many articles on pregnancy neglect to explain the mental challenges that expecting moms can struggle with during this time. Pregnancy hormones, the added stresses of a new life growing inside you and previous or current depression and/or anxiety can mean that you may also struggle with antenatal depression and anxiety. Tell-tale signs of antenatal depression are feeling sad or anxious all the time, and lack of interest in things that used to. If you do feel that you’re struggling it’s important that you reach out to a health care provider and rely on family and friends for support. Joining a support group of moms, or moms-to-be in a similar position can also help you feel more at ease. Where is your baby at in week 12 Your growing baby is now roughly the size of a lime or a plum. At this point all your baby’s important features, body parts and organs are in place, they just have lots of growing and maturing to do. Your baby’s tiny developing bone marrow is starting to make white blood cells and their muscles and nervous system are maturing.

April 1, 2024

Advice from the experts

DEBUNKING 5 COMMON MYTHS ABOUT DIABETES

Affinity Health, a leading provider of high-quality health cover, debunks five common myths about diabetes. With millions affected worldwide, diabetes remains one of the leading health concerns of our era. However, alongside genuine information, a great deal of misconceptions surrounds this condition. “Over the past decade, South Africa has seen diabetes cases double, reaching 4.2 million – which equates to one in nine adults,” says Murray Hewlett, CEO of Affinity Health. “Shockingly, 45% remain undiagnosed. As per the International Diabetes Federation’s latest data, it’s now the leading cause of death among South African women and the second highest for both genders.” Affinity Health champions the cause of imparting accurate knowledge about diabetes to all. Understanding Diabetes Diabetes is a complex condition arising from multiple causes. At its core, it’s characterised by the body’s inability to produce or effectively use insulin, a hormone essential for regulating blood sugar. Type 1 diabetes, often diagnosed in childhood, is an autoimmune condition where the body attacks insulin-producing cells. Its exact cause is unclear but is believed to involve genetic, environmental, and possibly viral factors. Type 2 diabetes is more common in adults and is caused by insulin resistance and insufficient insulin production. It’s linked to genetics, obesity, poor diet, sedentary lifestyle, and age. Gestational diabetes affects pregnant women and may increase the risk of Type 2 later in life. Signs and Symptoms The warning signs of diabetes can be so mild that they go unnoticed. Some common symptoms include: Increased Thirst and Urination: High blood sugar levels cause the kidneys to work harder to filter and absorb excess sugar, leading to frequent urination. This can result in dehydration and a consequent increase in thirst. Unexplained Weight Loss: Despite eating more, rapid weight loss can occur as the body uses muscle and fat for energy because it can’t use sugar effectively. Hunger: Fluctuating blood sugars can increase appetite, even after meals. Fatigue: Insufficient sugar in the cells can cause tiredness and lack of energy. Blurred Vision: High blood sugar levels can lead to fluid being pulled from the eyes’ lenses, affecting one’s ability to focus. Slow Healing: Sores, cuts, and bruises may take longer. Tingling or Numbness: High blood sugar can cause diabetic neuropathy, leading to tingling or numbness in the extremities, especially feet and hands. Darkened Skin Patches: Areas of darkened skin, called acanthosis nigricans, can appear, particularly in the neck and armpits. Debunking the Myths Myth: Overeating sugar causes diabetes. Reality: The causes of diabetes are multifactorial. While consuming too much sugar, especially in drinks that contain added sucrose and fructose, such as sodas, is linked to an increased risk of Type 2 diabetes, eating moderate amounts of sugar in isolation does not trigger diabetes. Myth: Only overweight individuals get diabetes. Reality: While obesity is a significant risk factor for Type 2 diabetes, accounting for 80-85% of the risk, many overweight people never develop the condition. Conversely, a fair number of those with average weight can become diabetic. Factors like family history, age, and ethnicity also influence risk. Myth: Diabetics should avoid all carbohydrates. Reality: Carbohydrates are essential to a healthy diet, even for those with diabetes. The key is to opt for complex carbohydrates like whole grains, vegetables, and fruits, which have a lower glycemic index and are processed more slowly by the body. Myth: Diabetes is not a severe disease. Reality: If not managed well, diabetes can lead to chronic health complications such as heart disease, stroke, kidney damage, and vision problems. Effective control of blood sugar levels and regular check-ups are paramount to prevent complications. Myth: Once you start insulin, your condition has worsened. Reality: Insulin is a standard treatment for people with Type 1 diabetes and can be prescribed for Type 2 diabetes if other methods don’t control blood sugar adequately. It’s a crucial step in the treatment process, not an indication of disease progression.

November 15, 2023

THE WONDER THAT IS AUTISM

Autism, is currently referred to as Autism Spectrum Disorder (ASD) although people with ASD themselves consider Autism a neurodiversity rather than a disorder. Almost 2% of the world’s population is diagnosed as being on the Autistic spectrum. “Spectrum” because some people appear to be mildly affected and others profoundly so. Since each person is an individual and presents differently, the diagnostic process involves a number of professional assessments to identify strengths and areas of difficulty. Neurodiversity is not anyone’s fault and the causes of Autism are continuously being researched. There is no link whatsoever with vaccine treatments and the diagnosis of ASD. There does appear to be a genetic link, but the genes are not necessarily passed down from parents, since some genetic differences occur spontaneously. Autism can be understood from a medical perspective, as a condition with symptoms that can be improved but not cured, or from a more relevant social perspective, as an alternate way in which the world is experienced. It is not a sign that a person is ‘stupid’, defiant, sick, selfish, crazy, flawed or weird. All people are unique and that is why there are a number of professionals involved in the diagnosis. Paediatricians are perfectly positioned to follow a child’s developmental progress and although Autism isn’t fixed and changes over time, they may be the first professionals who detect neurodiversity in a child. Often paediatricians will refer their patients to other professionals if they detect a difference or delay in the child’s development. Parents can be overwhelmed by the process and feel isolated, but it’s important to remember that this team of professionals is there to support the entire family. Parents may also benefit from speaking to other parents in similar situations. A psychiatrist may assist with high levels of anxiety, attention difficulties, poor sleeping patterns, worries and extreme emotional fluctuations commonly experienced in Autism. There is no medical cure for Autism however prescribed medication is often helpful in reducing these difficulties. A psychiatrist will often refer their patients with Autism to a psychologist, to facilitate an understanding of Autism with the whole family and assist them to address difficulties with acceptance, emotional responses, behaviour and self-expression. People with Autism DO feel emotion and empathy but may battle to communicate those feelings. Psychologists are often also responsible for administering educational testing, to determine existing academic levels and potentials, for correct school placement. Success at school is largely dependent on the learner’s innate cognitive ability boosted by a support team and up-skilled educators. People with Autism often experience the sensory information in their environments differently to the way in which neurotypical people do. This has an impact on the way they behave in different environments and situations, as well as on their emotional resilience and well-being. This is why extremely picky eating; a strong need for predictability and structure; and specific skill sets and interests are often associated with Autism. Occupational therapists are a vital element in the team supporting children with Autism in this regard. The way in which sensory information is processed can fluctuate throughout the day, as well as from one situation to the next. Common responses for children with Autism include either “shutting down” and withdrawing from or avoiding engagement, or “melting down” and having temper tantrums or emotional outbursts and parents and teachers should understand and support this necessary ‘escape’. Neither of these is misbehaviour, but rather an instinctive response to the environment and the way in which sensory stimuli are being perceived. e.g. in a noisy chaotic place, noise reducing earphones may minimise the overload. The use of Ayres Sensory Integration® in occupation- al therapy sessions goes a long way to helping children and adults with their ability to process the sensory information in their environments, thereby facilitating optimal function in daily activities whether they be daily hygiene activities, learning/ work activities and/or social activities. A visual schedule at home and school is helpful for the child to anticipate what is coming during the day since people with Autism like predictability and structure and are thrown by unexpected changes in their routine. Occupational therapists can also provide support with motor and visual-perceptual development should this be required. Communication is another significant aspect to consider in the diagnosis of Autism. A speech therapist will support the development of communication skills for developing and maintaining relationships. Often more subtle aspects of communication are missed by a communication partner with Autism e.g sarcasm, facial expression, body language and tone of voice, leaving the person with ASD confused and excluded. While they may be able to define sarcasm for example, they may not realise when it is being used. Parents and teachers may need to point out social cues that have been missed. Fluctuating auditory perception and difficulty starting, maintaining and following a conversation can lead to communication breakdown. This is not necessarily related to the child’s understanding of the topic of conversation so rewording may be necessary. Learners with Autism favour facts and brevity over figurative and inferential information, impacting on academic comprehension and output, and social interaction. People with Autism are not deliberately rude but are to the point, often without an awareness of how their communication is perceived so it may be beneficial to discuss the effect of their own communication on others. Social norms are not always innate in neurodivergent children and adults. They may incessantly discuss a subject of their own interest and pay no attention to their conversation partner’s interest or disinterest in what is being said. Reciprocity in conversation may also be limited, leaving the listener with a sense of frustration and annoyance, shutting down opportunities for socialisation and relationship building. A speech therapist would encourage awareness and understanding of communication behaviours to minimise linguistic, social and emotional misunderstandings. Academic support teachers are the touchstone between learners with Autism, their specialist team and the school setting. They facilitate recommendations from the team to the school and vice versa to maximise the learning potential and happiness

November 14, 2023

5 TIPS TO CLEAR MY RACING MIND TO GET A GOOD NIGHT’S SLEEP

Affinity Health is a leading provider of high-quality health cover, sharing five tips to clear a racing mind and pave the way for a peaceful, rejuvenating sleep. “Sleep is as crucial as diet and exercise. It’s the body’s natural reset button – a time for the brain to process, repair, and rejuvenate,” says Murray Hewlett, CEO of Affinity Health. “But when a racing mind impedes this process, it can lead to fatigue, decreased cognitive function, and a plethora of health issues impacting overall health and daily functioning.” The Effects of Lack of Sleep on the Body and Mind Lack of sleep, or sleep deprivation, has profound effects on both the body and the mind. Physiologically, sleep deprivation can weaken the immune system, increase the risk of chronic conditions such as obesity, diabetes, and cardiovascular disease, and disrupt hormonal balances, including cortisol and insulin production. Cognitive and mental repercussions are equally concerning. A sleep-deprived brain struggles with memory consolidation, attention, decision-making, and problem-solving. Moreover, emotional regulation is compromised, often resulting in mood swings, increased irritability, and a heightened risk of mental health disorders like depression and anxiety. Furthermore, prolonged sleep deprivation can lead to microsleeps, brief episodes of sleep that last a few seconds, which can be particularly dangerous during activities like driving. How Much Sleep Should Adults Be Getting? The National Sleep Foundation recommends that adults aged 18 to 64 get seven to nine hours of sleep per night. However, some people feel well-rested and function efficiently with as little as six hours, while others might need up to 10 hours. “It’s essential to note that individual sleep needs can vary,” adds Hewlett. “Factors influencing these needs include genetics, age, overall health, stress levels, physical activity, and lifestyle. Adults must pay attention to their bodies and assess their feelings during the day to determine the right amount of sleep for them.” Restful Sleep Is Within Reach These five tips, while simple, can create a profound shift in one’s sleep quality. 1- Establish a Pre-Sleep Ritual A routine signals the brain about what’s next: by crafting a calming pre-sleep ritual – be it reading, deep breathing exercises, or listening to soft music – individuals can train their minds to transition into a state of relaxation. Choose activities that resonate with you. It’s about consistency and association. 2 -Digital Detox In our interconnected era, screens are a significant culprit behind sleep disturbances. The blue light emitted by phones, tablets, and computers disrupts the production of melatonin, the sleep hormone. Affinity Health recommends powering down all electronic devices at least an hour before bedtime to let the brain unwind naturally. 3- Mindful Meditation Mindfulness and meditation have surged in popularity due to their profound benefits. Focusing on the present moment and practising deep, rhythmic breathing can replace the chaos of racing thoughts with a peaceful stillness conducive to sleep. 4- Journaling Transferring worries onto paper can be a cathartic process. By jotting down nagging thoughts, concerns, or to-do lists, individuals can free up mental space, allowing the mind to rest. 5 – Optimal Sleep Environment The setting plays a pivotal role. A calm, dark room, a comfortable mattress, and soft, breathable bed linens can make a difference. Consider introducing calming scents like lavender, known for its sleep-inducing properties.

November 13, 2023

11 FOODS THAT BOOST YOUR METABOLISM

Affinity Health, a leading provider of high-quality health cover, unveils a list of 11 foods scientifically proven to enhance metabolic rates, ensuring a natural, nutritious boost to energy and overall vitality. Did you know that nature has superfoods that do more than feed us; they kick our metabolism into high gear? These foods don’t just fill our stomachs; they turn what we eat into energy faster and more efficiently. By adding them to our diet, we’re not just eating – we’re fuelling our bodies in the best way possible. Understanding Metabolism Metabolism refers to all the chemical processes that occur within our body to keep us alive. These processes require energy; the minimum necessary amount of energy is known as the basal metabolic rate (BMR). Factors like age, muscle mass, and genetics play a role in determining one’s BMR. However, certain foods can stimulate the metabolic rate, leading to better energy production and utilisation. The 11 Foods to Incorporate for a Metabolic Boost Green Tea: Rich in catechins, green tea can elevate metabolic rate and enhance fat oxidation. Plus, it offers a plethora of antioxidants. Chili Peppers: Capsaicin, a compound in chilli peppers, has metabolism-boosting properties and may promote fat loss. Whole Grains: Foods like oats and quinoa can increase calorie burning as they require extra effort to break down compared to processed foods. Coffee: The caffeine in coffee can jump-start your metabolism and improve fat-burning, all while providing antioxidants. Eggs: Eggs are a protein-packed option, and digesting protein increases calorie burning by 15-30% compared to fats or carbs. Legumes: Beans, lentils, and chickpeas can enhance calorie burning due to their high protein and fibre content. Coconut Oil: The medium-chain triglycerides (MCTs) in coconut oil can increase the metabolic rate more than longer-chain fats. Seaweed: Rich in iodine, seaweed supports thyroid function, ensuring optimal metabolic health. Dark Chocolate: Theobromine in dark chocolate has been shown to stimulate fat burning and increase metabolic rate. Berries: Blueberries, raspberries, and others contain metabolism-supporting nutrients and antioxidants. Greek Yoghurt: An excellent protein source, Greek yoghurt can increase calorie burn and aid muscle repair and growth. While these 11 foods mentioned are great for kickstarting your metabolism, it’s essential to remember that no single food is a magic bullet. Regular physical activity, adequate hydration, and a balanced diet, supplemented with these metabolism boosters, will yield the best results. About Affinity Health Affinity Health is South Africa’s leading health cover provider, offering you a range of options at affordable rates, including access to the widest national provider network. We understand the importance of having medical insurance that meets your needs, budget, and lifestyle. Our healthcare products are designed to protect you and your family when it matters the most. We strive to give our clients peace of mind and the highest standard of service. For more information, follow us on Facebook, Twitter, and Instagram.

November 8, 2023

Avocados as a First Food for Babies

Your baby is nearing six months and the excitement starts to mount as you prepare to introduce solid foods for the first time. As your baby grows, the ability of breastmilk alone to meet the increasing nutritional needs starts to become limited as it is too low in energy, protein, and minerals like iron and zinc. A variety of nutritionally balanced foods are needed to fill this nutritional gap. With all the do’s and don’ts out there, the great news is that avocados are a nutritionally unique food with suitable consistency and texture to feature as a first food in a baby’s diet. First Food Traditional first foods include cereals, soft porridge (e.g., rice porridge or maize porridge) and pureed vegetables like pumpkin. While these are great options, there are many other foods to add to your baby’s diet from early on. Easy to puree into a consistent texture, avocados work very well as one of the first foods. Compared to traditional first foods, avocados are nutritionally unique, containing healthy monounsaturated fats and a blend of soluble and insoluble fibre. Avocados Pack a Nutrient Punch Good first foods should meet the high nutritional needs of a baby, such as energy, fatty acids, and key vitamins and minerals like vitamin A, the B vitamins, iodine, iron and zinc. Avocados are high in energy, high in healthy monounsaturated fatty acids, naturally free from cholesterol and sodium and are a source of fibre – all key nutrient factors in a healthy and balanced diet for a baby. Avocados are also high in vitamin K (necessary for healthy bones), copper (needed for immune function), and biotin (for skin and hair health), and contain amongst the highest levels of a group of antioxidants called carotenoids (namely lutein and zeaxanthin) of any fruit. Avocados Offer Variety It is good practice from early on to offer your baby a variety of flavours and textures. Now while it is important to start with pureed options as your baby first experiences the change in texture from liquid milk, it is easy to get stuck on pureed butternut and mashed banana. The ability to handle lumpier foods is important long term for your baby’s oral development for speech. Avocados offer a variety of texture options from super smooth to slightly lumpy and this can be easily altered depending on how much you mash the fruit. It’s Play Time A baby’s eating experience is about more than just taste: other senses like sight, feeling and smell are equally important. Allowing babies to play with food is key for motor development. Experiment by adding some avocado slices to the tray of the feeding chair or scooping pureed avo into your little one’s hands. This will encourage your baby to start moving the hand to the mouth to learn the important skill of self-feeding, and in a safe and secure manner. As your baby gets older and masters the pincer grasp, small avocado cubes are a great way to practise this newfound skill. Allergen Awareness Many caregivers make the mistake of not offering babies potential allergenic foods. In fact, introducing potential allergen foods from 6 months may even reduce the risk of allergies, according to research. Introduce potential allergens, like wheat, eggs, and nuts, one at a time, monitoring for 2 – 3 days for signs of a reaction. The great news is that avocado is not a high-risk food when it comes to allergies and can be safely and quickly introduced into your baby’s diet. Remember, it’s important to always offer your baby age-appropriate purees and soft foods, which will differ from young babies just starting out with solids to older babies with more practice in their newfound eating skills. BABY FOOD AVO & PUMPKIN PUREE Butternut or sweet potato can be substituted for the pumpkin. Avocado makes a healthy first food, packed with monounsaturated fats and essential nutrients. Number of servings: 4 Preparation time: 5 minutes Cooking time: 10 mins Total time: 15 minutes Ingredients: ¼ small wedge pumpkin, peeled and cut into cubes ¼ ripe, fresh avocado, halved, pitted, peeled and diced 1 tablespoon apple puree, homemade or readymade (optional) Method: Cook pumpkin in 1 cup of boiling water for 10 minutes until very tender. Drain and cool completely. Mash the pumpkin and avocado in a bowl until smooth. Add apple sauce to taste. Serve baby 1 to 2 tablespoons mixture. Extra puree can be stored covered in the fridge, serve at room temperature. (do not heat in the microwave as the avocado will turn bitter) BABY FOOD AVO CHOCOLATE PUDDING Number of servings: 2Preparation time: 5 minutes Cooking time: 0 minutes Total time: 5 minutes Ingredients: ¼ ripe, fresh avocado, halved, pitted, peeled and diced ½ banana 2 dates, pitted, and soaked in boiling water ½ teaspoon cocoa powder ½ teaspoon vanilla extract Method: Drain the dates, and chop. Place all the ingredients in a food processor and blend to a smooth puree. Serve. References Fewtrell M et al. Complementary Feeding: A Position Paper by the Hepatology, and Nutrition (ESPGHAN) Committee on Nutrition. Journal of Paediatric Gastroenterology and Nutrition. 2017;64: 119–132. Ierodiakonou D, Garcia-Larsen V, Logan A, et al. Timing of allergenic food introduction to the infant diet and risk of allergenic or autoimmune disease. A systematic review and meta-analysis. JAMA. 2016;316:1181–92. Comerford KB et al. The Role of Avocados in Complementary and Transitional Feeding. Nutrients 2016, 8, 316; doi:10.3390/nu8050316.

November 7, 2023

Take your air fryer cooking to the next level with the newly-launched Cape Foods I Love Air Fryer Seasonings range

Air fryer cooking has taken South Africa by storm. What started out as a niche cooking method has now become one of the most popular and talked-about ways of preparing food. In fact, in July this year, Cape Talk Radio reported that air fryers have become so popular in South Africa, that it’s affected the cooking oil industry! But what is it about the air fryer that has South Africa buzzing? Well, the benefits of using an air fryer are seemingly endless… It all started during the Covid-19 pandemic, when millions of people around the world (many of whom don’t traditionally cook!) were forced to stay at home and prepare their own food. The air fryer offered a quick, easy and affordable method to prepare fries, chicken, veggies, pizzas and just about any other food. Air fryer cooking is: Healthy Deep-fried food may be delicious, but it is incredibly unhealthy – the consumption of too much fat and oil is a leading cause of high cholesterol, heart disease and obesity. Air fryers work by circulating hot air around a food item to create the same crispiness as in traditional fried foods. This means you can enjoy your favourite foods and flavours without the oil. Quick Air fryers cook food a lot faster than other appliances, saving you time. They are particularly handy when you’re cooking for a family or when you’re rushing to finish the food before loadshedding kicks in. Affordable Because air fryers cook food in less time, you’ll use less electricity, saving you money. Tasty Air fryer food is tasty, and affords you the opportunity to enjoy all your favourite meals, but prepared in a much healthier way. Safe Air fryer cooking is safe, and it eliminates the dangers of cooking with hot oil. International herb and spice manufacturer, Cape Foods, has launched an innovative new range of spices designed specifically for use with an air fryer. The I Love Air Fryer Seasonings range offers customers easy, ready-to-use seasonings for every dish imaginable, and allows you to take your air fryer cooking to the next level. The range is MSG-free, gluten-free and non-irradiated, offering delicious seasoning without the addition of unhealthy ingredients. Cape Foods Air Fryer Spices are available in six delicious variants: Chicken BBQ Seasoning Cook the most delicious “faux fried” chicken with this tasty barbeque spice blend. Roast Veggies Seasoning The perfect addition to your roasted peppers, baby marrow, carrots, pumpkin and more. Spicy Wings Seasoning Bring the heat to your chicken wings with this deliciously spicy blend. Chips & Potato Seasoning The ultimate seasoning for those who love their fries and potato wedges! Oh Crumbs! Seasoning Coat your meat (think schnitzels, pork chops, mushrooms etc.) with a bit of oil and then coat generously with this delicious seasoning. Convenient, tasty and much less waste. Pizza Seasoning Enhance your pizza’s flavour with this delicious versatile seasoning. Cape Foods Air Fryer Spices (RSP: R35.00) are available from Spar, Pick ‘n Pay and Checkers in Gauteng. Learn more at: https://www.capefoods.co.za/ Follow Cape Foods on social media: Facebook: Cape Foods Instagram: @cape.foods

November 7, 2023

Introducing Balene® – the brush that cleans the inside and outside, at the same time

Leading oral care company Ivohealth is proud to introduce Balene®, a revolutionary double-sided toothbrush from Spain, designed to efficiently clean the inside and the outside of the teeth at the same time. Balene® is backed by clinical research, including the most recent study published in the International Journal of Dental Hygiene, which demonstrates Balene’s remarkable efficacy in removing plaque and promoting good oral hygiene. South African dentist, Dr Stephné Fenwick, clinical advisor to Ivohealth, is impressed. “Balene is a breakthrough for patients who struggle to brush correctly. In practice we often see plaque build-up, cavities and decay where people don’t brush effectively. Balene is the ideal solution; it brushes the inside, outside and chewing surfaces of the teeth at the same time.” Who is Balene for? Balene® is suitable for all adults and children, aged six years and above. It is particularly beneficial when: You have limited time to brush correctly. Dental professionals recommend you brush for a full two minutes a day, twice a day. You struggle with fine motor skills, have limited dexterity or challenges that make it difficult for you to reach all the areas of your mouth. You are assisting someone to take care of their teeth. Children are still learning to brush their teeth correctly. Oral hygienist Dirna Grobbelaar says Balene® is ideal for parents, nurses and caregivers. “Balene is perfect to use when you brush someone else’s teeth. It removes plaque from all surfaces quickly, giving a deep and thorough clean in less time.” Balene® can also be used with implants and orthodontic braces. How Balene works Balene® has an innovative dual-sided head that embraces the teeth, brushing the inside and outside of teeth simultaneously, meaning a better clean in less time. The head rotates 180° independently of the handle, so it’s easy to move the brush to all corners of the mouth. The soft, round tipped bristles are angled at 45° to gently clean under the gumline, in line with the bass brushing technique recommended by dental professionals. The antibacterial Tyflex® bristles help ensure a hygienic brushing experience. They also last twice as long as conventional nylon bristles. Watch how Balene® works in this video. It’s a more efficient way to brush. Where to find Balene Balene® manual toothbrushes (for adults and children aged 12 years and older) and Balene® Junior (for children aged 6 to 11 years) come in a range of vibrant colours. The recommended retail price is R350. Available from Dis-Chem stores, online at www.dischem.co.za as well as selected pharmacies and dental practices (in South Africa, Botswana, Namibia and Zimbabwe). For stockists or any additional details visit https://bit.ly/BaleneSA or contact Ivohealth – email info@ivohealth.co.za, call (+27) 0860 456 123 or WhatsApp +27 66 121 0247.

November 6, 2023

Seven Things your dermatologist wishes you wouldn’t do

From sun burn, to DNA damage, to blisters, dermatologists see it all, and are often asked what some of the most common skincare misdemeanours are. Without fail, the sun almost always comes up top when a skincare professional lists the things their patients should avoid to enjoy healthier skin. Despite this, many of us are still guilty of turning a blind eye to the danger of UV rays, and sometimes neglect sun protection guidelines out of ignorance or inconvenience. Techniblock, a leader in sun protection products, aims to make it easy for all South Africans to use sunscreen with ease and efficacy, in turn lessening the occurrence of sun burns, skin DNA damage and more seriously, the development of skin cancer. They’ve compiled a list of the seven things your dermatologist wishes you wouldn’t do: 1- Save sun protection for the beach Many of us grew up believing that sunscreen was a product only necessary at the beach and around the swimming pool. Today we know better, but a lot of people still only apply sunscreen when they’re spending prolonged time directly in the sun. Research has proven that in order to protect our skin from harmful UVA and UVB rays, we need to apply sunscreen every day, regardless of the weather. After all, did you know you can still burn on an overcast day? Take precaution and apply sun protection every day, no matter where you’re headed. You might go for a dark early morning run thinking you don’t need sun protection, but what happens if you run into a friend and end up grabbing a coffee afterwards? If possible, keep a pair of sunglasses and a hat on-hand too, as these offer extra protection when you’re exposed to UV rays. Techniblock SPF 50 Active On The Go (R99.95) comes in a convenient 75ml bottle which can easily fit in a handbag or gym bag, making it the perfect product to keep on-hand – you never know when you may need it! 2- Use sunscreen incorrectly In order to reap the full benefits of your sun protection product, you need to use it correctly. If you choose a cream or lotion formula, that means spreading on at least a shot glass-sized amount to the exposed parts of your body. That’s about 40ml, so if you do the math, a 200ml bottle of sunscreen should disappear within about a weekend. If you enjoy a lotion formula, try Techniblock SPF 50 Body Lotion (R189.00). Water-resistant and non-greasy, it absorbs with ease and leaves skin lightly fragranced (with no greasy residue). It’s important to reapply sunscreen after every swim, even if it has a water-resistant formula, as well as every couple of hours if you’re spending time outdoors. Take care to apply sunscreen to all exposed areas – even the “obscure” ones like on your ears and between your toes. Aerosol sprays are a convenient alternative to lotions and creams, and make it easier to cover the body without missing any spots. Try Techniblock SPF 50 Wet & Dry Convenience (R189.00), which can be sprayed on wet or dry skin and has a light, non-greasy texture. 3- Get a “base tan” Some people sun tan at the start of summer in order to darken their skin for the season, which they believe will protect them from developing sun burn later on. This is a myth – the truth is that there is no such thing as a healthy tan, and even slight darkening of the skin is an indication that damage has taken place. Sun exposure accelerates the development of wrinkles, lines and other signs of ageing. In fact, the darkening of skin is a result of the body producing more melanin to protect skin from the sun. Bottom line – if you want a golden glow, stick to a fake tan. 4- Run shirtless Men run shirtless for good reason – it gets hot! But it’s not a smart move in terms of sun exposure. Stripping down robs you of the safeguard of clothing and puts your skin at risk of sun burn and DNA damage. Try to run with shorts and a cool t-shirt or vest instead – it may not offer complete sun protection, but it’s better than full exposure. Plus, did you know that many active wear brands are now manufacturing clothing with built-in sun protection? Look for the term “UPF” on the label. 5- Forget about your head and lips The head and the lips are two of the most overlooked spots on the body when it comes to SPF application. Men with thinning hair or bald spots are at high risk of developing skin cancers and pre-cancerous growths as these commonly first appear on the scalp. Wearing a hat every time you go outside is first prize (applying sunscreen to a bald spot is easy enough, but it becomes trickier when hair is thinning). Because you can’t easily see on top of your head, an aerosol sunscreen is a better alternative to a cream, as it doesn’t leave a white patch when not rubbed in. Try Techniblock SPF 50 300ml (R299.00). It releases an ultra-fine, invisible mist that effectively protects the skin without leaving an oily residue. The skin on our lips is thin and very prone to sun burn and damage, but because it’s not always pleasant to wear sunscreen on the lips, this area is often neglected. We recommend applying a thin layer of sunscreen on your lips, or alternatively invest in a lip balm with SPF. 6- Take sun burn lightly You wouldn’t take a painful burn from a hot appliance lightly, so you shouldn’t do so with sun burn either. Red, painful skin after a sun burn is a sign that your body’s barrier has been damaged. This means that it cannot function optimally to protect the body from aggressors, making it easier for illness-causing bugs to get through and harder for your body to regulate fluids and temperature. If you feel feverish

November 6, 2023

Symphysis pubis dysfunction (SPD) and to deal with it

Symphysis pubis dysfunction or SPD is pain in your pelvis, which is caused by the relaxing of ligaments in the pelvic bones too early before birth. Many aspects of pregnancy can cause discomfort, and SPD is one of them. Here are the signs of SPD and what you can do if you think you to alleviate your discomfort if you are suffering from it. What is SPD and what causes it? Not all moms-to-be will experience SPD but it is thought to be fairly common in pregnancy. SPD is a pain in the symphysis pubis (which can range from moderate to serve) caused by the relaxing and stretching of the ligaments around the pelvic bone. Pain can be brought on by opening your legs, walking up stairs or even turning over in bed, and this may be accompanied by a clicking/grinding sensation in the pubic area. The cause of SPD in pregnancy is the hormone relaxin, aptly named as it relaxes your joints and ligaments to make it easier for your baby to come out at birth. SPD happens when these hormones come into play too early. Not only that but you’re shifting centre of as your baby grows, which can cause main in your lower back and pelvis as your body shifts to accommodate your little one. What can I do to relieve SPD Living with SPD can be uncomfortable at best, so you may be wondering what you can do to help alleviate some pain. Being fit before pregnancy can help, as stronger glute and abdominal muscles can help support your pelvis. Physiotherapy can help manage SPD pain, as a physio will be able to work with you as your pregnancy and pain levels change. Speak to your doctor first, as they may have recommendations for you. Your pelvis should return to normal between 4 and 12 weeks after birth.

November 3, 2023

Movember – it’s not just about prostate health

November or Movember is traditionally when men around the world grow a moustache to raise awareness and funds for men’s health – specifically prostate cancer. And, although the campaign is synonymous with prostate cancer, it’s also about testicular cancer, mental health and suicide prevention. The clinical team at Bonitas Medical Fund take us through some of the essential health checks and screenings for men. These are tests to check for diseases and health conditions, even before you have any symptoms. By detecting diseases early, they are often easier to treat. Prostate cancer Prostate cancer is one of the most common types of cancer in men. It occurs in the small walnut-shaped gland that produces the seminal fluid that nourishes and transports sperm. The growth is normally slow, and it is the one type of cancer from which you have the best chances of recovery. However, while some types of prostate cancer grow slowly and may need minimal or even no treatment, other types are aggressive and can spread quickly. Most men with prostate cancer are older than 65 years and, with the correct treatment, have good outcomes. Men from the age of 50 (40 – 45 for those at high risk, with a family history of prostate cancer) should have an annual prostate examination. Checking for prostate cancer? Your doctor will recommend a blood test to check the levels of Prostate Specific Antigen (PSA) in your blood. PSA can be elevated in men who have prostate cancer. This must be supported by a rectal examination. For 2024, Bonitas has introduced the Be Better Benefit, paid from risk for a range of screening tests and benefits to allow for early detection. This includes an annual PSA screening test on all plans except BonCap. Factors that affect prostate health include Lifestyle: A healthy lifestyle that includes maintaining a balanced diet rich in fruits and vegetables, regular exercise and avoiding excessive consumption of alcohol and tobacco can contribute to prostate health Hydration: Staying well-hydrated is important for overall health. Drinking plenty of water can help flush out toxins and maintain prostate function. Medications and Supplements: Some medications and supplements, like alpha-blockers, 5-alpha-reductase inhibitors and saw palmetto, may be used to manage prostate conditions. However, it’s important to consult a healthcare professional before using any of these. In summary, maintaining prostate health and being aware of the risk factors and symptoms are essential aspects of men’s health. Regular check-ups, self-examinations and a healthy lifestyle can go a long way in preventing and managing these conditions. It’s crucial to consult with a healthcare professional for personalised guidance and early detection. Testicular Cancer Testicular cancer is relatively rare and typically affects young and middle-aged men. Here are some key points about testicular cancer: Regular self-examination of the testicles is essential. This involves gently feeling the testicles for any lumps, changes in size or unusual sensations. If any abnormalities are detected, it’s important to seek medical attention promptly. Common symptoms include a painless lump or swelling in the testicles, a feeling of heaviness in the scrotum and discomfort or pain. The main treatment is surgery to remove the affected testicle. Depending on the type and stage of cancer, additional treatments such as chemotherapy or radiation therapy may be necessary. The prognosis for testicular cancer is generally quite good, especially when detected early While the exact causes of testicular cancer are not well-understood, certain risk factors include a family history of the disease, undescended testicles and a personal history of testicular cancer Mental Health in men Mental health is of critical concern in South Africa, and it affects both men and women. Men, however, may face specific challenges and stigmas related to mental health. The clinical team at Bonitas stress that, ‘Mental illness is not a character defect, it is a health problem just like arthritis, diabetes or cancer. Fear and misunderstanding often lead to prejudice against people with mental illness and addiction which is a serious barrier to diagnosis and treatment.’ The economic uncertainty, political instability and poor socio-economic conditions in SA have also added to the burden of mental health issues. ‘We have seen a 25% increase in the number of mental health hospital admissions, indicating a need for additional support,’ says Lee Callakoppen, Principal Officer of Bonitas. ‘This need is particularly high in the 18 to 44 age groups. We have further noted that mental health was a key driver for absenteeism in corporate groups.’ Anxiety disorders and depression are the most common mental health problems but others include eating disorders, post-traumatic stress disorder (PTSD), obsessive compulsive disorder (OCD), bipolar mood disorder as well as psychotic disorders such as schizophrenia and personality disorders. Substance abuse, such as drugs and alcohol, is also classified under mental illness. Here are some important points regarding mental health: South African men, like men in other parts of the world, may face societal pressures to conform to traditional notions of masculinity, which can make it difficult to express emotions or seek help for mental health issues. Mental health conditions may be underreported and untreated due to the stigma associated with them. Access to mental healthcare services can be limited in certain areas of South Africa, particularly in rural regions. This can create barriers to seeking help for mental health issues Substance abuse issues are often intertwined with mental health problems. Turning to alcohol or drugs will just exacerbate mental health challenges. In response to what is rapidly becoming a mental health crisis, medical schemes are stepping up. Bonitas, for example, has a Mental Health Programme (MHP) which is part of the Scheme’s Managed Care initiatives. The programme, which is primarily education driven, is aimed at improving quality of life and empowering people with mental health issues to manage their condition. In addition, Bonitas was the first medical scheme to offer it members Panda, a mental wellness app. Panda provides scientifically validated assessment tools to enable users to measure their mental wellbeing objectively. It also enables members to book one-on-one

November 1, 2023

FIVE COMMON REASONS FOR A HYSTERECTOMY

Affinity Health, a leading provider of high-quality health cover, presents a comprehensive overview of hysterectomies, highlighting the five most common reasons for this surgical procedure. “A hysterectomy is a common surgical procedure performed worldwide, with approximately one in five women undergoing this surgery by age 55 and one in five by 60,” says Murray Hewlett, CEO of Affinity Health. “It’s worth noting that advancements in surgical techniques, anaesthesia, and post-operative care have greatly enhanced the safety of hysterectomies over time. Minimally invasive approaches, such as laparoscopic or robotic-assisted procedures, have further minimised the risks associated with traditional open surgeries.” What Is a Hysterectomy? A hysterectomy is a surgical surgery that removes a woman’s uterus. It may also include the removal of the cervix, ovaries, fallopian tubes, and other nearby tissues, depending on the circumstances. You will not be able to get pregnant or menstruate after a hysterectomy. This procedure can be performed via different methods, such as abdominal, vaginal, or laparoscopic approaches, and it may be partial or total, depending on the extent of organ removal. Hysterectomy Procedures Hysterectomies are classified into numerous categories. Your doctor will discuss each procedure’s risks, advantages, and potential side effects with you. Total hysterectomy(the most common type) involves the removal of the entire uterus as well as the cervix. Partial hysterectomy(also known as supracervical hysterectomy) removes only the uterus, leaving the cervix alone (research into the risks and benefits of leaving the cervix intact is underway). A radical hysterectomyis a surgical procedure that removes the uterus, cervix, and upper section of the vagina (typically for cancer therapy). Medical Conditions Leading to Hysterectomy Several medical conditions may warrant a hysterectomy as a treatment option. The five most common reasons include: Uterine Fibroids Uterine fibroids are harmless growths that develop in the uterus. They can vary in size and number, and while some women may have no symptoms, others may experience heavy menstrual bleeding, pelvic pain, pressure on the bladder or bowel, and even fertility problems. A hysterectomy may be recommended when fibroids become large, multiply, or cause significant discomfort and disruption in daily life. Endometriosis Endometriosis is a disorder in which tissue that usually lines the uterus begins to grow outside of it, most commonly on the ovaries, fallopian tubes, or other pelvic organs. Chronic pelvic pain, painful periods, painful intercourse, and infertility can all arise from this. While various treatments, such as medications and surgeries, exist to manage endometriosis, a hysterectomy may be considered when conservative approaches have been exhausted, and the symptoms severely impact a woman’s quality of life. Adenomyosis Adenomyosis occurs when the tissue lining the uterus, called the endometrium, grows into the muscular wall of the uterus. This condition can lead to heavy or prolonged menstrual bleeding, severe cramping, and an enlarged uterus. Women with adenomyosis often experience significant pain during their menstrual cycles. When symptoms are severe, impacting daily activities, and other treatment options have been unsuccessful, a hysterectomy may be suggested to relieve pain and improve quality of life. Uterine Prolapse Uterine prolapse happens when the muscles and ligaments supporting the uterus weaken, causing the uterus to descend into or protrude from the vagina. This condition is more common in women who have given birth, especially multiple times or have gone through menopause. Symptoms may include a sensation of pressure or heaviness in the pelvis, urinary incontinence, difficulties with bowel movements, and discomfort during sexual intercourse. When uterine prolapse becomes severe and significantly affects a woman’s daily activities, a hysterectomy may be recommended to address the condition. Gynecologic Cancer Hysterectomy is a crucial treatment option for various gynecologic cancers, including uterine, cervical, and ovarian. In these circumstances, the operation seeks to remove the malignant tissue while preventing it from spreading further. The extent of organ removal may vary depending on the stage and type of cancer. A hysterectomy is often combined with other treatments, such as chemotherapy or radiation therapy, to provide the best chance of successful cancer management and long-term survival. Recovery Process Recovery following a hysterectomy varies from woman to woman and depends on the surgical approach and overall health. Generally, women can expect some post-operative discomfort, fatigue, and vaginal bleeding or discharge. Pain management, rest, and proper wound care are essential during recovery. The healthcare provider will provide guidelines regarding activity restrictions, resuming everyday daily routines, and follow-up appointments.

October 31, 2023

5 tricks to get your toddler to eat more fruit and veg

Fruit and vegetables are key to a balanced, healthy diet, but we all know that sometimes getting your toddler to enjoy them can be a challenge. Here’s exactly why fruit and veg are so important and sneaky ways to get your toddler to eat – and enjoy! – them. If you’re having trouble getting your toddler to gobble up their fruit and veg, you’re not alone. Between the ages of two and six it isn’t unusual for little ones to get a little more picky about the foods they are willing to try. But fruit and veg are an important part of a balanced diet – they boost immunity, provide important roughage, and are packed full of vitamins and minerals. In short, they ensure your child’s healthy growth and development, promote good health, and protect against diseases. So, how can you get your child to eat more of nature’s bounty? Try these tricks: 1. Sneak veg into sauces and their favourite foods Next time you’re making a pasta sauce, meatballs, cottage pie, or even mac and cheese, add a little veg to the mix. It won’t alter the taste and will ensure that your little one is getting a good dose of veg. Let Squish 100% Veg Puree be your secret weapon. Packed full of veggie goodness, Squish pouches have a convenient resealable lid which means you can use what you need to add some veggies to sauces and meals, then just pop the lid back on, put it in the fridge and use again for another meal. Choose from Squish 100% Butternut + Carrot, Butternut + Carrot + Sweet Potato, and Mixed Veg. Looking for recipe inspiration? Your toddler will love this quick and easy veggie-packed Pasta Sauce. 2. Freeze it! Slushies are fun and delicious – and when they’re made from Squish 100% Pressed Juice you can rest easy knowing your little one is getting a good serving of fruity goodness too. Simply keep a selection of Squish juice boxes in the freezer, then when you need a slushie, remove and let it defrost slightly, then serve – it’s as easy as that! Squish 100% Pressed Juices are made from 100% fruit, are preservative free, and come in a range of thirst-quenching flavours, including Apple, Apple + Prune with Rooibos Extract, Pear + Prune, and Summer Berries. 3. Offer dips Finger foods lend themselves well to dipping and are always a firm favourite with toddlers. Dips are also an easy way to sneak a serving of veg into your toddler’s meal. Add a pouch of Squish 100% Veg Puree to a tub of cottage cheese or cream cheese, or blitz together with a can of drained chickpeas. Squish 100% Fruit and Veg Purees are free of preservatives, flavourants and colourants – and have no added sugar. This is also a good opportunity to offer your child raw vegetables cut into strips or fun shapes for dipping. Try cucumber, red or yellow pepper, or carrots. Remember children often have to try a new taste several times before they’ll eat it with enthusiasm, so keep trying! 4. Get smoothie-licious When you have a stash of Squish 100% Fruit and Veg Puree pouches in your pantry, a delicious smoothie packed full of natural goodness is just a quick blitz away. Smoothies are a great addition to breakfast and are also good to add to your little one’s packed lunch. To make, simply add a pouch of Squish 100% Fruit and Veg Puree to a cup of natural yoghurt (or you can use half milk, half yoghurt) and blitz. Remember, you can use the veggie flavours too, especially Squish 100% Pear, Butternut, Yoghurt + Mango with Cinnamon, Pear + Sweet Potato or Apple, Beetroot + Guava. 5. Bake them in! Every toddler loves a baked treat – but did you know they’re also a great way to sneak a little more fruit and veg into their diet? The next time you’re making your favourite muffin or pancake batter mix substitute the sugar with any Squish 100% Fruit Puree like Squish Summer Berries or Mango + Banana to take them to the next level of nutritious deliciousness. Double the batch, so you can freeze halve – that way you’ll always have delicious snacks on hand for mid-afternoon treats and lunchbox fillers. You’ll also want to try this Chocolate Brownie recipe – your little one will never guess that they’re packed with veggies and fruit!

October 24, 2023

Unpacking common myths around child drowning

Whether you have a pool or have small children in your family or social circle, everyone needs to learn about pool safety. Being able to identify a drowning in progress and acting fast can make a real difference to the child making a full recovery after a drowning incident. Most people imagine that picture A is an accurate depiction of a drowning in progress. In reality, B and C are more accurate – mouth at water level, head bobbing, body upright, little to no splashing and sometimes the appearance of doing doggie paddle. Familiarise yourself with these drowning behaviours: Head low in the water, mouth at water level Head tilted back with mouth open Trying to roll over onto the back to float Hair falling over the forehead or eyes Body is vertical/ upright Eyes glassy & empty, unable to focus Eyes open, with fear evident on the face Hyperventilating or gasping Trying to swim in one direction but without progress Common Drowning Myths Myth: Drowning children will shout for help Drowning children are physiologically unable to call out. The respiratory system is designed for breathing – speech is the secondary function. Drowning children’s mouths alternately sink below and reappear above the surface but while their mouth is above the surface, they need to exhale and inhale before they sink again. There is not enough time to cry out. Myth: Drowning children are unsupervised children 50% of all child drownings will occur 25 metres or less from an adult who was distracted for only a few seconds. Myth: Drowning children wave their arms to attract attention or will thrash in the water Drowning children cannot wave for help. Physiologically, a person who is drowning cannot perform voluntary movements such as waving or moving towards a rescuer. Envisage the surface of the water as a platform. Someone who is drowning often presses down on the surface and tries to use it as leverage to get their mouth above the water’s surface to breathe. So what the onlooker sees are arm movements that can appear to be playful swimming. Children will not kick wildly either. They remain upright in the water with no evidence of a supporting kick. They are quiet, focused only on breathing and show no signs of violent struggle. The child’s struggle is quick — 20 seconds, whereas an adult struggles for 60 seconds. Myth: My child has had swimming lessons so he / she won’t drown No child is ever drown-proof, no matter how good their swimming skills. A few swimming lessons are no guarantee when it comes to drowning prevention. Myth: Water wings and flotation aids will prevent drowning Water wings give a dangerous and false sense of security, often making children think they are stronger swimmers than they actually are. Flotation aids can also suddenly deflate. To prevent a tragedy, be vigilant about pool safety and cover your pool with the leading safety cover from PowerPlastics Pool Covers – The PowerPlastics Solid Safety Cover which also complies with local safety regulations. This cover also saves water, power and chemical input, giving you safety as well as savings, and it brings a beautiful finish to the outdoor living area. Learn more and shop online at www.powerplastics.co.za

October 23, 2023

Breast Cancer – different screening tools

Radiologists from the SCP Radiology practice and Dr Lizanne Langenhoven, who specialises in the treatment of breast cancer, talk about the different kinds of screening for breast cancer. Dr Langenhoven says, ‘When you consider that around 90% of women find their own breast lumps, it is a very important part of the screening process. Although 80 percent of these lumps are not malignant, there are cases where women owe their lives to their own self-examination.’ A guide to self-examination: Lying down or in the shower: Place your right hand behind your head. Using the pads of the fingers on your left hand, feel for changes in your entire breast in a circular. Do the same above and below and in your armpit area. In front of a mirror: Check for any dimpling, puckering or changes in either nipple. See your doctor or clinic if you have any of these symptoms. Have regular screenings at your doctor or clinic. The different screenings include: Mammogram: Is breast imaging using low-dose X-rays to form a 2D image. The advantage is it often reveals abnormalities undetected in a clinical breast examination. Four images are taken, two of each breast. The breast is lightly compressed for less than 1 minute during the examination to improve diagnostic accuracy. Tomosynthesis: This is a form of 3D mammography and uses X-rays as well as sophisticated software to create a 3D image of the breast. It is considered better at detecting cancer and reducing false positives in dense breast tissue. It is invaluable in problem-solving and is used in combination with 2D mammography. Breast Ultrasound: Ultrasound is a supplementary investigation used to further evaluate morphology, blood flow, and consistency of masses and lymph nodes that are abnormal mammography. It uses no radiation but rather real-time imaging, using sound waves to create an image. It’s a slightly longer process and is also valuable in problem-solving. It is used in combination with a mammogram not in place of it. MRI: The digital MR image is created using strong magnetic fields and radio waves but no radiation. You will receive an intravenous injection and then lie on your stomach, in an MRI ‘tunnel’ for around 45 minutes. An MRI for breast screening is usually used for problem-solving, high-risk screening and for women who have breast implants. Biopsy: A breast biopsy may be recommended when a suspicious area is found in your breast, like a breast lump or other signs and symptoms of breast cancer. It is also used to investigate unusual findings on a mammogram, ultrasound, or other breast examination. Thermography: Thermography is a test that uses an infrared camera to detect heat patterns and blood flow in body tissues. Digital infrared thermal imaging (DTI) is the type of thermography that can be used to show these patterns and flow in the breasts.

October 23, 2023

Beating heatstroke

Bonitas Medical Fund offers some advice about heatstroke. What the symptoms are, how to avoid it and what to do if someone, child or adult, develops heatstroke.

October 20, 2023

Barbie® Doll with Down Syndrome, Supported by Down Syndrome South Africa, Now Available in Store

The newest addition to Mattel’s range of inspirational dolls is a Barbie doll with Down syndrome, created to allow even more children to see themselves in Barbie, as well as have Barbie reflect the world around them. Now available in South Africa, ahead of National Down Syndrome Day on the 20th of October, The Barbie doll with Down syndrome is meant to inspire all children to tell more stories through play. “As the most diverse doll line on the market, Barbie plays an important role in a child’s early experiences, and we are dedicated to doing our part to counter social stigma through play,” said Lisa McKnight, Executive Vice President and Global Head of Barbie & Dolls, Mattel. “Doll play outside of a child’s own lived experience can teach understanding and build a greater sense of empathy, leading to a more accepting world. We are proud to introduce a Barbie doll with Down syndrome to better reflect the world around us and further our commitment to celebrating inclusion through play.” To ensure the doll accurately represents a person with Down syndrome, Barbie worked closely with the National Down Syndrome Society (NDSS). NDSS empowers individuals with Down syndrome and their families by providing resources, driving policy change, engaging with local communities. NDSS’s guidance and real-world experiences informed the design process from start to finish, including the dolls sculpt, clothing, accessories, and packaging. The close partnership ensured the Barbie team celebrated individuals with Down syndrome through a doll that would immediately connect with the community. “The launch of new Barbie Doll with Down syndrome in South Africa is a powerful symbol of inclusivity and representation”, says Ancella Ramjas, National Executive Director at Down Syndrome South Africa (DSSA). As an organisation working with persons with Down Syndrome and their families, this presents a unique opportunity to work with Barbie SA to educate, empower and promote acceptance towards a more inclusive world, where everyone’s uniqueness is celebrated.” “’Empowering Dreams, Embracing Diversity’ is the theme that we will be working with our upcoming National Awareness Month in October, and I also think it aligns with the message that we as an organisation see with regards to the impact of the new Barbie Doll. Together let’s break down barriers one doll at a time by Empowering Dreams and Embracing Diversity,” concludes Ancella Ramjas. Children’s early experiences help shape their thoughts and perceptions – and Barbie can play an important role in this process. When a child plays with Barbie, they play out their dreams and imagine they can be anything. Doll play has an incredible purpose during key developmental stages as it may help set children on a course for success by allowing them to develop empathy – fuelling social skills needed to excel as they imagine their futures with an equal playing field. The Barbie doll with Down syndrome allows more children to see themselves in Barbie as well as the world around them, which can help foster a sense of inclusivity. Barbie is the most inclusive doll line on the market – with over 175 looks offering a variety of eye colours, hair colours and textures, body types, disabilities, and fashions to tell more stories. Barbie has introduced dolls with vitiligo, dolls that use a wheelchair or a prosthetic limb, a doll with hearing aids and a doll without hair. This year, Barbie is continuing to represent global belonging and inclusivity with the full 2023 Fashionistas lineup, which also includes new dolls in a variety of body types including a new Fashionista doll wearing braces and a Ken Fashionista doll with a prosthetic leg. Barbie doll with Down Syndrome is available at leading retailers nation-wide, at a RSP of R279.00 Celebrate Down Syndrome Awareness Day by Joining Down Syndrome South Africa at the Pretoria Botanical Gardens for an Awareness Walk and Picnic on the 21st of October. The day will include a fun walk, cup cake decorating, family picnic, face painting, and so much more. RSVP to this event by mailing DSSAofice@icon.co.za

October 20, 2023

10 WAYS TO CARE FOR YOUR MENTAL HEALTH DURING PREGNANCY

Affinity Health, a leading provider of high-quality health cover, explores ten ways to care for your mental health during pregnancy. While pregnancy is a time of excitement and anticipation, it is common for women to experience a range of emotions, including anxiety, mood swings, and even depression. “Hormonal shifts, such as the surge of progesterone, oestrogen, and human chorionic gonadotropin (hCG), can significantly impact a woman’s mood,” explains Murray Hewlett, CEO of Affinity Health. “In addition to hormonal influences, the physical changes associated with pregnancy, such as nausea, vomiting, backache, and alterations in body image, can induce stress and affect emotional well-being. Furthermore, sleep disruptions and the significant life changes accompanying pregnancy can further contribute to emotional upheaval.” Acknowledging the complexity of these factors and their potential impact on mental health during pregnancy is essential. By prioritising mental well-being alongside physical care, women can nurture a positive and supportive environment for themselves and their growing baby. How To Prioritise Your Mental Health During Pregnancy Educate Yourself Hormonal fluctuations can trigger mood swings and emotional instability, and understanding these changes can provide reassurance that what you’re experiencing is normal. Read reliable books, attend prenatal classes, and consult your healthcare provider to learn about pregnancy’s psychological aspects. Talk About Your Feelings Communication is critical during this period. Talk openly about your feelings with your partner, friends, family, or healthcare provider. Sharing your experiences can help you process your emotions and reduce feelings of isolation. Stay Active Endorphins, which are natural mood boosters, are released during exercise. Regular physical activity can help manage stress and anxiety, enhance sleep, and boost energy levels throughout pregnancy. Gentle workouts such as walking, swimming, or pregnancy yoga are ideal. Before beginning any fitness routine, always consult with your healthcare physician. Healthy Eating What you eat can significantly impact your mood and energy levels. A healthy diet of fruits, vegetables, lean proteins, and whole grains will help your mental health. Avoid excessive caffeine and processed foods, which can increase anxiety levels and mood swings. Practice Mindfulness and Meditation Mindfulness and meditation techniques can help reduce stress and anxiety throughout pregnancy by focusing on the present moment. Deep breathing, progressive muscular relaxation, and guided imagery are all options. Consider taking a prenatal meditation class or using meditation apps to help you during your pregnancy. Prioritise Rest and Sleep Fatigue can exacerbate emotional instability. Prioritise rest and make sure you’re getting enough sleep. If you’re having trouble sleeping, discuss it with your healthcare provider. Simple strategies like limiting screen time before bed, maintaining a regular sleep schedule, and creating a calm, dark sleep environment can help. Establish a Support Network Surrounding yourself with a support network can make a significant difference. Whether it’s family, friends, healthcare providers, or a support group of other expecting mothers, having people to lean on can provide emotional stability and reassurance. Seek Professional Help If your emotional distress is persistent, affecting your daily life or causing you to have thoughts of harming yourself or others, it’s essential to seek professional help immediately. Therapists and counsellors are trained to help you navigate these challenges. In some cases, medication may be recommended. Limit Information Overload While it’s good to be informed, the sheer amount of information available can be overwhelming and anxiety-inducing. Limit your consumption of pregnancy-related information to trusted sources and avoid excessive searching and reading, particularly of scary or negative stories. Self-care Rituals Taking time to nurture yourself can boost your mood and overall well-being. Engage in activities you enjoy, pamper yourself, and practice self-care rituals. These include reading a book, taking a warm bath, listening to music, or spending time in nature. Conclusion Pregnancy is a remarkable journey, filled with moments of joy, anticipation, and inevitable challenges. By consciously caring for your mental health during this time, you’re nurturing yourself and creating a healthy environment for your growing baby. Remember, it’s okay to ask for help and prioritise your well-being. Your mental health matters – for both you and your baby. About Affinity Health Affinity Health is South Africa’s leading health cover provider, offering you a range of options at affordable rates, including access to the widest national provider network. We understand the importance of having medical insurance that meets your needs, budget, and lifestyle. Our healthcare products are designed to protect you and your family when it matters the most. We strive to give our clients peace of mind and the highest standard of service. For more information, follow us on Facebook, Twitter, and Instagram.

October 20, 2023

Does what you eat in pregnancy matter?

There’s nothing quite like pregnancy to focus your attention on your health and well-being. Most moms-to-be naturally have questions and concerns about their nutrition so that they meet the needs of their growing baby. Of course, you also want to maintain a strong and healthy body that is well-prepared for birth and the rigours of new motherhood. Healthy eating during your pregnancy helps to ensure a healthy pregnancy weight and helps your baby develop normally and have a birth weight of at least 2.5 kilogrammes. Pregnancy is not the time to be experimenting with diet fads or taking ‘nutrition advice’ from non-experts. Rediscover Dairy dietitian, Maretha Vermaak says, “For your baby to be born healthy, growth and development need to happen on quite a strict schedule during each of the trimesters and therefore these timeframes are called ‘critical periods’. If certain nutrients are in short supply during these critical periods, development or growth may be disrupted. Having a healthy, nutrient-dense diet even before you fall pregnant will give you and your baby a good start.” No, you don’t need to ‘eat for two’ This adage is often interpreted as eating double, but your energy needs during pregnancy actually increase very little. In the first trimester you have no increased energy needs. In the second trimester, you need approximately 1470 extra kilojoules, and in the third trimester, that increases to only 1890 extra kilojoules. However, kilojoule counting is not an exact science, and it’s too hard to accurately maintain on a daily basis. Maretha says, “It can be helpful instead to monitor your weight gain and increase or decrease your energy intake relative to that. However, the best approach is to focus on your nutrient intake, understanding the role of nutrients in a healthy pregnancy and making sure that the nutritional quality of your food is good.” Nourishing nutrients you need From conception to birth, your baby’s cells will divide rapidly, highlighting the importance of having the right fuel to support these processes. Here are six ‘star’ nutrients to focus on: ● Protein – During pregnancy your protein needs increase by 50% to support the development of your growing baby’s body. However, most people exceed the daily recommendation for protein (0.8g/kg/day) and so increasing your protein intake is not likely to be necessary. What you can do is focus on the quality of the protein you consume. Choose a variety of animal and plant-based proteins and opt for minimally-processed foods. Some examples of good protein choices include milk and other dairy products such as maas, yoghurt and cheese; fatty fish such as sardines, pilchards or cooked seafood; meat and poultry, eggs, legumes, nuts and seeds. ● Folate – This is a B-vitamin that is critical for DNA synthesis and cell division. Not having enough folate can lead to neural tube defects in your growing baby. This nutrient is so important that all women of childbearing age are advised to consume it in adequate amounts. Foods rich in folate include dark-green leafy vegetables, fruits and grains as well as nuts, legumes, seafood, eggs, dairy products, meat and poultry. ● Iron – Additional iron is important for mom, because during pregnancy blood volume increases, which means that there are more red blood cells with each needing iron to function. Additional iron is also stored by your baby, especially in the final weeks of gestation. Many women enter their pregnancies with low iron stores and so the risk for iron deficiency anaemia increases as the pregnancy progresses. Good sources of iron are red meat and eggs. Eating vegetables and fruit high in vitamin C together with iron-rich foods will improve the absorption of iron Tip: As milk and dairy inhibit the absorption of iron, it is best to have iron-rich foods (or a supplement) during the day rather than with breakfast, which usually contains milk or dairy products. ● Zinc – This is an important mineral for cell division and immune function, but women generally do not get enough of this nutrient every day. Animal foods such as meat, seafood and dairy products, and also plant-based foods such as legumes, nuts and seeds are good sources of zinc. ● Omega-3 fatty acids – Brain and eye development rely on adequate levels of omega-3 fatty acids. Protein-rich foods such as fatty fish, nuts and seeds are good sources of omega 3 fats too. ● Calcium – Pregnancy boosts your body’s ability to absorb and store calcium. Consuming about 1200 mg of calcium a day during pregnancy calcium is important not only for forming your baby’s bones and teeth but also for maintaining your own bone health. Milk and dairy products such as maas, yoghurt and cheese are great sources of calcium that is easily absorbed by the body. Three to four servings of dairy a day are recommended to help you reach your required calcium intake. Fish usually eaten with their bones, such as tinned sardines, can also be a valuable source of calcium. One extra micronutrient One nutrient that we have not touched on is iodine which plays a role in the production of thyroid hormones. Thyroid hormones impact on maternal energy metabolism and support the growth and development of the baby in the first trimester. In addition, it is a vital nutrient for proper brain development, potentially affecting neurocognitive outcomes of children later in their lives. During pregnancy, thyroid hormone production increases by 50%, which means you need to make iodine-rich foods part of your diet. In South Africa, many people meet their iodine needs by using iodised salt. However, as eating a lot of salt is generally not recommended, especially for those with high blood pressure, it is best not to rely on iodised salt as your only source of iodine. Milk and dairy products can contribute greatly to iodine intake. What else may be missing? Fibre! A high-fibre diet not only offers many health benefits, but it can also help to reduce constipation during pregnancy. Many women experience constipation during

October 19, 2023

When nutrition affects toddler sleep

We don’t often relate bad eating to bad sleeping when it comes to toddlers (12 – 36 months). This is a considered a baby issue, yet it can have a major impact toddlers, and can often lead to very bad habits that are difficult to change. At Good Night we are SLEEP experts and NOT feeding experts BUT with this very intricate relationship, it is something that we can assist with or at least identify issues to ensure healthy sleeping. From my experience, these are the major nutritional factors that can influence your toddler’s sleep: Still drinking milk during the night This is by far the most common nutritional issue we pick up when it comes to toddlers. This can have a large impact not only on their sleep but it can also have a domino effect on the rest of their nutrition and health. For healthy toddlers older than 12 months, solids (normal food) should be their main source of nutrients. Milk becomes secondary to the solids meals and should only be seen as a source of calcium and to quench their thirst. Thus it should be given with a solid meal and rather NOT as a separate meal on its own any longer. It is quite normal though for a toddler to have milk until he’s about 2 years old, especially if you have a milk lover or if you are still breastfeeding. But limit the milk to two feeds a day, one as part of breakfast and one as part of dinner. This also means that your toddler does not need to drink any milk during the night. The reality is that milk during the night can do more harm than good after 12 months for the following reasons: Your toddler is at a higher risk of having iron deficiencies if they drink more than 710 ml of milk during the day. Drinking milk during the night can cause tooth decay. Filling them up with milk at night can fill them up with nutrients that they don’t need and cause them to be picky eaters during the day. Too much sugar Sugary sweets, snacks, and juices should be avoided especially just before bedtime. When toddlers consume sugar, their blood sugar levels will increase and then drop significantly. Their tiny bodies will be hard at work to re-stabilize their blood sugar and, in doing so, will release adrenaline, a stress hormone, which can cause toddlers to experience restlessness. This, in turn, can have a major effect on their sleep. The temptation of sugar is everywhere, but caregivers are in an influential position of introducing kids to more nutritious foods early on. The more healthy foods that toddlers start enjoying while younger, the better. Not weaning your toddler from the bottle Paediatricians recommend that babies be weaned from their bottles by age one, and never later than 18 months for many reasons: Once again because of their teeth! If your toddler spends all day (or worse, all night) drinking from a milk bottle of milk, their teeth (not only the ones you can see) could experience permanent damage and serious decay. Too much bottle time can mean more ear infections. It can have an impact on their development. It can hinder speech as they cannot practice talking if there is a bottle in their mouth. Walking around with a trusty bottle keeps their hands from play and exploration. The reality with toddlers is that they are emotional beings and any changes will be a lot more challenging to administer and champion, but all these changes are for good reason and they will be healthier because of it. Consistency and determination will benefit you and your toddler regarding healthy food choices. By Jolandi Becker – MD of Good Night

October 18, 2023

Q and A – why are some women reluctant to go for a mammogram

The World Health Organization creates awareness around breast cancer in October. First initiated in October 1985, Breast Cancer Month has grown exponentially globally and this year is no exception. According to the Cancer Association of South Africa (CANSA), it’s far better to have an early-stage diagnosis, as it results in better breast cancer treatment and long-term survival. CANSA recommends monthly breast self-examination, annual medical check-ups, and screening. Radiologists from the SCP Radiologist Practice and Dr Lizanne Langenhoven, who specialises in the treatment of breast cancer, address some of the concerns around breast cancer screening. If early detection is recommended and provides the best outcome, why are women reluctant to screen for breast cancer? An informal survey amongst women, who are hesitant to go, even though they have the means to go, shows that the top reasons include the following: It’s going to be too painful Many women still rely on their mother’s experience with early mammograms which were painful. Mammography machines have progressed exponentially since the early days, so the level of discomfort experienced during the procedure is now significantly reduced. Modern technology and digital equipment allow us to use less compression and still obtain quality imaging. Also, the amount of pressure is different for each individual, depending on the breast size and composition. Pressure is often manually adjusted so speak to your mammographer if you experience any discomfort. Fear of exposure to radiation A mammogram uses relatively low-dose radiation. The total dose is approximately 0.5 mSv (2D mammogram). To put it into perspective, we are exposed to 3.0 mSv of background radiation from our natural surroundings per year. Radiologists also strictly follow what’s known as the ALARA principle – to always apply radiation “as low as reasonably achievable”. The benefits of mammography thus far outweigh the risks from this low dose radiation. Fear of finding out you have breast cancer Dr Langehoven says, ‘The good news is that our understanding of the different subtypes of breast cancer has improved significantly over the past few years! We no-longer follow a one-type-fits-all approach and many women may even safely be spared chemotherapy in a curative setting. ‘As with everything else in life, it is easier to address a ‘small’ or ‘early’ problem than it is to address a much larger problem! I’ve seen breast cancer diagnosed at a size of 2mm on mammogram – meaning that treatment is tailored to a very low risk situation. In short, the earlier we become aware of an existing problem, the sooner it can be addressed and with much less invasive treatment.’ I don’t go for mammograms, I only go for thermography At present, thermography cannot substitute mammography but may be used as complementary screening. Dr Langenhoven cautions that thermography is not all it is cut out to be. In order for the cancer to give off heat signals, it has to be significant in size. Mammography on the other hand can detect changes in the breast before they progress to cancer. A mammogram therefore picks up the disease course much sooner than thermography. Why mammography instead of ultrasound, which doesn’t use radiation? Mammography is our workhorse. We look for masses, calcifications, and architectural distortion. Ultrasound is a supplementary investigation used to further evaluate morphology, blood flow, consistency of masses, and lymph nodes that are abnormal on a mammogram. Tomosynthesis is also supplementary, used to further evaluate architectural distortion seen on a mammogram. They all work together. With denser breasts mammography is less sensitive, which is when we add the supplementary investigations to improve the sensitivity of detection. If am diagnosed with breast cancer I am going to die anyway, so I would rather not find out This statement is not true in the current day and age where 90% of women with early breast cancer can be cured of their disease, says Dr Langenhoven. ‘In the same way we don’t drive cars from the 50’s, our treatment is no longer ancient either!’ The side-effect profiles of our new drugs are aimed at improving quality of life during treatment, and the fact that we now identify and treat 4 distinct subtypes of breast cancer means that we can target the specific growth-pattern at play and avoid unnecessary treatment. Previously, because we didn’t know which women had aggressive breast cancers and who didn’t, all women were treated more or less the same up to a few years ago. This meant that women feared finding out they had breast cancer for fear of the radical and toxic treatment they would be subjected to. This has really changed over the past 10 or 15 years and our approach has changed to be specific and conservative when we advise treatment. It is tailored to the specific characteristics of each women’s disease. Surgical outcomes are so much better and very few women would ever be offered a ‘flat’ mastectomy as part of their treatment plan. We no longer approach breast cancer surgery without consideration of the cosmetic outcomes and quality of life of the woman behind the cancer. The notion that cancer means suffering and death comes from a bygone time and we should do all we can to change this outdated perception. The survival rate of breast cancer depends on a number of factors including the type of cancer, the immune receptors, the grade, and the speed at which it is growing – these all determine the survival rate. A big tumour that is slow growing and has a low grade has a more favourable outcome after treatment, than a small tumour that is high grade and fast growing. However, if a cancer is found early and the grade is established earlier, then tailored treatment can begin earlier which may slow down or limit the progress. An early diagnosis will improve treatment outcome. The advantage of screening is early detection for better treatment outcomes and prognosis. Dr Langenhoven adds that early detection really counts when it comes to treatment related side-effects and cost of treatment. An early cancer may very

October 16, 2023

Breastfeeding tips

Symptoms you may experience when not breastfeeding The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Your breasts may become sore, engorged or swollen and firm to touch. You may develop a slight fever. Your breasts may leak a significant amount of milk. You may have some uterine bleeding during this time. If you have any concerns or questions about the symptoms you experience during this time contact your doctor for more information. Care for your breasts when not breastfeeding The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Try ice packs on your breast for 15-20 minutes at a time. If ice doesn’t help, try using a warm washcloth on your breasts. Wear a well-fitting bra that is not too tight. Let your baby nurse at your breasts for a few minutes at a time. Ask your doctor about methods to help release a small amount of milk from your breasts, which may relieve some of the discomfort. Contact your doctor if you have any questions or concerns or you develop chills, or a fever and your breasts are still uncomfortable and swollen after 1-2 days. Benefits of breastfeeding The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Breastfeeding is a skill and can take time to learn; don’t get discouraged if it’s not easy for you at first. Breastfeeding educators are available and can be helpful in overcoming some of the hurdles. Choosing to breastfeed your child provides many benefits for both you and your baby. Some of these include: Decreased likelihood of baby getting sick from infectious diseases or having an ear infection Decreased risk of breast and ovarian cancer for the mother Aids in faster weight loss for the mother Decreased postpartum bleeding Facilitates in mother-baby bonding Free and environmentally friendly Decreased risk of obesity for the child Breastfeeding is still possible after breast surgeries, piercings and tattoos; talk to your doctor about any concerns you may have How to breastfeed The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Some simple tips on how to breastfeed: Find a position that is comfortable for both you and the baby; use pillows to support your arms and prop your feet up Feed your baby whenever they seem hungry or show any of the hunger signs- moving head towards your chest, pulling hands near mouth or sucking noises Newborns need to eat at least every 2 to 3 hours; if your baby has been sleeping for 3 to 4 hours, wake them to nurse Wait to introduce a bottle or pacifier until your baby is 2 to 4 weeks old to avoid nipple confusion. Waiting much longer can create problems getting your baby to accept something other than the breast. Keeping your breasts healthy The following information is to be used as a guide to and at the discretion of the end-user and should not replace a doctor’s opinion. Keeping your breasts healthy during breastfeeding is important. Here are some things to watch for: Sore nipples are normal at first; use moist warm compresses, nipple creams made for breastfeeding or a bit of fresh breast milk See your doctor if soreness continues or increases, you have a swollen or red breast or if you are running a fever

October 13, 2023

WHAT ARE HORMONAL HEADACHES AND HOW ARE THEY DIFFERENT?

Affinity Health, a leading provider of high-quality health cover, delves into the world of hormonal headaches, exploring what sets them apart from other headache triggers, and outlines strategies to manage hormonal headaches effectively. “In our fast-paced, demanding world, headaches have become a common companion. But not all headaches are created equal. Some are triggered by stress or tension, others by dehydration or lack of sleep,” says Murray Hewlett, CEO of Affinity Health. “However, a particular category of headaches are related to hormonal fluctuations, aptly termed hormonal headaches.” Defining Hormonal Headaches Hormonal headaches are triggered by changes in hormone levels, particularly estrogen and progesterone in women. Hormonal fluctuations occur naturally during different stages of a woman’s menstrual cycle, during pregnancy, postpartum, menopause, or when using hormonal contraceptives. It’s during these times that women may experience hormonal headaches. Types of Hormonal Headaches Menstrual Migraines These are migraines that often occur during a woman’s menstrual cycle. Typically, they happen in the days leading up to, during, or immediately after menstruation and coincide with a drop in estrogen levels. Menstrual migraines can be more severe and longer-lasting than other migraines, and they may not respond as well to over-the-counter medications. Pregnancy Headaches During pregnancy, women experience dramatic hormonal changes, which can lead to various types of headaches. Increased blood volume and circulation may trigger frequent tension-type headaches during the first trimester. Conversely, during the second and third trimesters, migraines often decrease due to stable hormone levels. Menopausal Headaches Menopause, a period characterised by significant hormonal changes as menstruation ceases, can trigger increased headaches or migraines. Fluctuating hormone levels notably see drops in estrogen, which can lead to these headaches. Signs and Symptoms of Hormonal Headaches Hormonal headaches can manifest in various ways. The symptoms can differ between individuals and depend on the type and stage of the hormonal cycle. However, Affinity Health highlights common signs and symptoms to watch out for: Head Pain: The pain is usually one-sided and throbbing, although it can sometimes be bilateral. It can be moderate to severe and may worsen with physical activity. Timing: The headache typically occurs in the days leading up to, during, or after menstruation. This timing can help distinguish hormonal headaches from other types. Duration: Hormonal headaches, particularly menstrual migraines, may last longer than regular migraines. They can persist for several hours to a few days. Associated Symptoms: Hormonal headaches can accompany nausea, vomiting, and sensitivity to light and sound. Some women also experience an aura, which includes visual disturbances, like seeing flashing lights, zigzag lines, or even temporary loss of vision. Other Symptoms: During periods of hormonal fluctuation, women might also experience additional symptoms like bloating, breast tenderness, mood changes, and increased irritability. Understanding these symptoms can help in early detection and management of hormonal headaches. However, headaches can also be a sign of other severe conditions. If your headaches are severe, frequent, and accompanied by other worrying symptoms (such as sudden onset, changes in personality or behaviour, fever, stiff neck, vision changes), or if they are different from your usual pattern of headaches, it’s essential to seek immediate medical attention. Can Men Suffer from Hormonal Headaches? While it’s true that hormonal headaches are more common in women due to the cyclical nature of female hormones, men can also experience headaches related to hormonal changes, albeit less frequently. Testosterone, the primary male sex hormone, does influence headaches and migraines. For example, studies have shown that men who suffer from cluster headaches, an excruciating type of headache, may have their headache cycles aligned with seasonal changes in testosterone levels. Moreover, any condition or treatment resulting in significant hormonal changes in men can trigger headaches. For instance, men receiving hormone therapy for prostate cancer, which significantly reduces testosterone levels, often report headaches. “While the connection between hormones and headaches is less studied in men than in women, it’s clear that hormones can influence headache patterns in both genders. It’s always important for any person suffering from regular or severe headaches to seek medical advice, as proper diagnosis and treatment can greatly improve quality of life,” adds Hewlett. Identifying and Managing Hormonal Headaches Hormonal headaches are typically diagnosed based on their timing due to hormonal fluctuations. Tracking your headache patterns, menstrual cycles, or other hormonal changes can help establish a diagnosis. Management strategies for hormonal headaches often involve both lifestyle modifications and medical treatments. Exercising regularly, eating a balanced diet, being hydrated, and getting enough sleep can all help minimise the frequency and intensity of hormone headaches. Medical treatments can include pain relievers, nonsteroidal anti-inflammatory drugs (NSAIDs), triptans, and preventive medications. In some cases, hormonal therapies may be recommended to stabilise hormone levels and prevent hormonal headaches. Discussing these options with a healthcare provider to find a tailored treatment approach that works best for you is crucial. Empowerment through Understanding In conclusion, while common, hormonal headaches are a unique subtype of headaches that primarily affect women due to their link with hormonal fluctuations but can also affect men. Understanding the nature of hormonal headaches, their triggers, and effective management strategies can empower those affected to take control of their symptoms and improve their quality of life. About Affinity Health Affinity Health is South Africa’s leading health cover provider, offering you a range of options at affordable rates, including access to the widest national provider network. We understand the importance of having medical insurance that meets your needs, budget, and lifestyle. Our healthcare products are designed to protect you and your family when it matters the most. We strive to give our clients peace of mind and the highest standard of service. For more information, follow us on Facebook, Twitter, and Instagram.

October 13, 2023

Sensory Smart Teenagers

The onset of adolescence is a very challenging time for both teens and their parents. It is a time that is marked with rapid changes, and it is also when many expectations are placed onto teenagers – academic and sporting responsibilities, social pressures, the development of self identity and emerging freedoms. With increased independence come increased responsibility and the pressure to fit into social groups. The teenage brain is still growing, and it is different to the brain of an adult. Nancy Mucklow, in her book The Sensory Team Handbook, explains how the pre-frontal cortex of a teenager is still developing higher functions of impulse inhibition, emotional regulation, decision-making, attending, and behavior planning and organisation. The cerebellum, responsible for muscle coordination, is also still changing, as is the Corpus Collosum, a thick cable of nerves that connects the two halves of the brain. Due to this ongoing development happening in the teenage brain, skills such as creativity and problem-solving are not yet what it will be once the brain is fully developed. The brain is an amazing thing and it is teaching itself at all times. Teens need to explore, try things out, look at positives and negatives, and make their own decisions. In addition to all the challenges they face, teenagers also need to be aware of the impact of the environment on their sensory systems. They need to understand how their sensory systems work and why it matters in their day-to-day functioning. Not understanding the effect of sensory overload and responses to sensory overload may result in one or more of the following: Inability to focus Easily irritable Disorganisation Lethargy Impulsivity Risk taking Forgetfulness Adopting bad habits First defined by Patricia Wilbarger, a sensory diet is a carefully planned and personal activity plan that provides the sensory input a person needs to stay focussed and organised throughout the day. Just as you may jiggle your knee or chew gum to stay awake or soak in a hot tub to unwind, teens need to participate in stabilising, focussing activities too. Everyone can benefit from a personalised sensory diet. Each person has their own thresholds to sensory input, but they may not have the insight on how to cope with an overloaded and stressed sensory system. Teens need to determine their own unique sensory needs and preferences to promote body and brain function. Creating a sensory diet for teens will help them to develop healthy habits of self regulation that will help them function optimally as adults. Benefits of creating sensory diets for adolescents include: Increased self-awareness Improved ability to self nurture Increased resilience Increased self-esteem and body image Improved ability to engage in meaningful life roles Improved ability to engage in social activities Improved ability to cope with triggers and stress Improved ability to make informed decisions Engage your teen in identifying the events and occasions that make him or her feel overwhelmed, irritable and lethargic. Parents, teens and teachers can each keep a journal recording what they have seen and how the teen dealt with the situation. Think of the times at home, school and socially where experiences were negative and what the possible triggers could have been. Also note the activities that help with calming and regulation, and that lead to the teen feeling better. The activities or things that lead to regulation are what the teen will place in his or her sensory toolbox or sensory kit. A sensory toolbox or kit is a bag, box or container that holds a variety of sensory tools that can be used to both calm or stimulate a person’s sensory system. A sensory kit is unique to each person as each one is unique in their sensory needs. Trial and error will result in finding the right tools for each person. Sensory diets and toolboxes should include and involve all the senses, and the teen should be encouraged to make use of regular sensory breaks to stay regulated. A sensory break is another way of taking a regular old break from seated activities or sedentary activities. It is a time used to gain the needed sensory input in our bodies to stay alert, on task, and focussed. Sensory breaks for teens should take place at least every 45 minutes. For the thrill-seeking teenager encourage fun, but safe activities such as rock wall climbing, horse riding, running, and martial arts. These activities add intensity to the sensory diet without putting the teen in danger. Sensory tools in all the sensory systems can be used as alerting, calming and organising strategies. Alerting strategies and activities: Alerting activities are used for those who look for sensory input or who are unaware of the sensory experiences in their environment. Sensory seekers often need to be bombarded with sensory input in order to register what is happening around them or to stay alert. Fidget toys – Play with “fidget toy” for hands, such as small stress ball Crunchy, spicy, sour and salty foods – Pretzels, carrots, apples, granola, and other crunchy foods Fast and irregular movements – Spinning on a swing or other equipment (can quickly become over-stimulating – use caution!) Lively music – Dancing to rock, jazz, rap, or fast kids music A brightly lit room (full spectrum or natural light) Rocking quickly in a rocking chair Running, skipping, galloping for at least 1-2 minutes (any type of aerobic exercise, really) Jumping in place (trampoline, jumping jacks, jumping rope, etc.) Motor breaks during school – stand and stretch, run an errand for teacher, walk to bathroom, etc. Push on wall as if to move wall Do “chair push-up” in sitting by lifting bottom off floor or chair, holding self up with arms Carrying a stack of books, laundry, groceries, or something else approx. 5% of body weight Drinking grapefruit, cranberry or other tart juice – try partially freezing it Drinking through a long, thin straw, or reg. straw w/thick liquids (stimulates deeper breathing) Cold shower or cold water on face or arms

October 12, 2023

Digital eye strain at work? Here’s how to help those tired eyes

Thursday 12 October is World Sight Day and, this year, the focus (pun intended) is on eye care at work. In this day and age, digital eye strain is arguably the greatest contributor to eye health issues at work. With the average office worker spending seven hours a day in front of a screen, it’s not surprising that at least half of computer users experience it. Symptoms include blurred vision, headaches, red or scratchy eyes, dry eyes and increased sensitivity to light. You may not be able to change the amount of time you’re in front of a computer, or the factors that can cause eye strain, but Wesley Language, Head of Optometry at Spec-Savers, shares some steps you can take to reduce it. Rest your eyes Look away from your computer screen regularly and focus on distant objects, as this relaxes the focusing muscle inside the eye, which in turn reduces eye fatigue. It’s advisable to keep the 20/20/20 rule in mind: every 20 minutes look away from your screens at something that is 20 feet (6 metres) away from you for 20 seconds. This allows your eyes to relax and can alleviate symptoms. Use adequate lighting and reduce glare Glare reflected from light-coloured walls and shiny surfaces, as well as reflections on your computer screen, can cause eye strain. Some ways to reduce this include: Attach an anti-glare screen to your monitor, especially if there’s a window behind you. Reduce the external light by covering windows with curtains or blinds, reduce the lighting in your room and avoid sitting under big overhead fluorescent lights. If you’re a specs wearer, use lenses with an anti-reflective coating to reduce glare. Adjust your monitor’s display settings Make sure the brightness matches the surroundings (bright room, bright screen) and adjust the text size and contrast so that it is comfortable to read. Black print on a white background is the best combination for comfort. If you’re on a screen at night, adjust the monitor’s colour temperature to reduce the blue colours on your screen. Blue light is short-wavelength visible light, and there is evidence that this may be associated with certain eye conditions. Modify your workstation The way you sit at your desk and arrange your equipment can affect your vision. Place documents on a copy stand next to the screen so you don’t need to keep looking down at a piece of paper and then up at your monitor. Make sure your workstation and chair are at the correct height. Improper posture while working on your computer can also add strain. Your computer screen should be 50 to 60 centimetres from your eyes and the centre of the screen should be 10 to 15 degrees below your eye line. Your chair should be set up so that your thighs are parallel to the floor and your back is slightly reclined Enlist the help of customised blue light computer glasses These special-purpose glasses are prescribed specifically to reduce blue light exposure and differ from regular eyeglasses or reading glasses in various ways. The usual positioning of a computer screen means that it’s within your intermediate zone of vision, which is closer than driving (distance) vision, but farther than reading – or near – vision. Generally, computer glasses have about 60% of the magnifying power of reading glasses to enable optimal magnification in this intermediate zone. Computer glasses should accurately correct any astigmatism you might have, and precise measurements should be taken to ensure the optical centre of each lens is directly in front of your pupils when you are using your preferred working distance. For these reasons, computer glasses should be customised to your individual needs. Using weaker, non-prescription reading glasses for computer use typically won’t provide the accurate vision correction you need for sustained clarity and comfort while at your computer. The very best thing you can do, though, is to have a comprehensive eye exam this World Sight Day to rule out any vision problems you may have. When you have your test, let the optometrist know you use computers regularly and how long you use them for. And while you’re there, please spread the love by pledging your eye exam, using #LoveYourEyes to post on social media.

October 12, 2023

Just five percent of women regularly check their breasts for signs of cancer Cheeky CANSA campaign encourages female shoppers to check out their melons

According to the National Cancer Registry 2019, breast cancer remains the most prevalent of cancers amongst women, and females have a one in 27 lifetime risk of developing it. The breast is the leading cancer site in women throughout the world, states research by Bruni et al. (2019). It is also the leading cause of female cancer deaths in almost all countries, except for the most economically developed, in which it is second to lung cancer. While many factors such as age, family history, genetics and even diet play a role in the chances of developing breast cancer, early detection plays a key role in effective treatment and outcomes. To encourage self-screening, the Cancer Association of South Africa (CANSA) has joined hands with retail chain Food Lover’s Market and Grid Worldwide, a leading branding and design agency, in a national campaign that appeals to shoppers to check their breasts as often as they check out their fruit and vegetables. Taking place in October, for breast cancer awareness month, the Check Them Out campaign will see the fresh produce aisles of all Food Lover’s Market and Food Lover’s Eatery stores across the country brandished with cheeky stickers to remind women to perform home self-examinations to spot lumps, bumps and other irregularities, which could be signs of breast cancer. While the campaign aims to get a reaction from shoppers in a good way, the objective is to drive proactive cancer screening, as women treated for early breast cancer are likely to become long-term survivors, according to a study published in 2023 by leading medical research group, The BMJ. In addition to quirky stickers on fruits and vegetables, the Check Them Out campaign also takes the form of rebranded shopping bags and in-store promotional posters that detail how to conduct a self-examination. In-store and campaign artwork directs ladies to the CANSA page for further information and crucial next steps should they find something suspicious. As the ‘Make it Mean Something Company’, Grid Worldwide proactively approached CANSA and Food Lover’s Market for the Check Them Out campaign. “Everyone knows someone who has been affected by cancer” says Lauren Shewitz, creative director at Grid. “As a team, we wanted to create a relevant, memorable and impactful campaign that not only created awareness but also brought meaning to marketing, with the ultimate objective of saving lives.” Terri Coppin Harris, head of Culture and Communication at Food Lover’s Market, says this was an opportunity they couldn’t afford to miss. “As a retailer that holds fast to strong family values, we could not pass on the chance to weigh in and support this campaign. Breast cancer is still listed as the top invasive cancer reported for South African women, and this made us realise that it can so easily affect our shoppers and team members. We loved the idea of creating a bold reminder in our stores to educate our customers and our team about self-examination and screening.” While shoppers will be reminded to ‘check out their melons’ and ‘feel their avos’ through stickers on selected seasonal fruit, Food Lover’s Market has elevated the campaign in-house by creating an equally strong awareness campaign to engage and inform all Food Lover’s Market team members on the importance of preventative screenings. Says Coppin Harris, “I am confident that this campaign will garner the reaction we want. We’re aiming to grab shopper attention in a big way as it’s not every day you see fruit linked to some of our most intimate parts. Hopefully, it will make our consumers stop, think and take action.” “We’re excited to align ourselves with Food Lover’s Market and Grid Worldwide for the Check Them Out campaign,” adds Lorraine Govender, National Manager, Health Promotion at CANSA. “Together, we are raising awareness in a proactive and meaningful way, and delivering on the message that early detection is critical. We want to urge everyone to be aware of their own bodies, look out for anything that is unusual, and get checked out early – it could save your life.” *Breast self-examinations in African women is very low and needs to be driven through awareness tactics for behavioural change. Link to research report can be found here CANSA’s vision is to lead South Africa towards a cancer-free society. Our mission, as a non-profit organisation fighting cancer, is to enable research, educate the public and advocate for, and support, all people affected by cancer. Through collaborative research, we aim to promote and support innovative, effective, and relevant approaches to the prevention, diagnosis, and treatment of cancer. CANSA uses evidence-based research to inform our advocacy work, health education programmes, and service to those living with cancer. Our service comprises health, education, and advocacy awareness campaigns; CANSA Care Centres that offer a wide range of care and support services to those impacted by cancer – cancer screening and early detection; stoma and other clinical support, home-based care and medical equipment hire. We offer a free Tele Counselling service in seven languages and supply patient care and support in the form of 8 CANSA Care Homes in the main metropolitan areas for out-of-town cancer patients and CANSA-TLC lodging for parents / guardians of children undergoing cancer treatment. We further operate a national CANSA Help Desk with a toll-free line to offer information and support.  Food Lover’s Market has grown from its origins as a single Fruit & Veg City store 30 years ago to become South Africa’s largest specialist fresh produce retailer, with over 100 Food Lover’s Market stores in South Africa and 6 other Sub-Saharan countries, including Namibia. The retailer prides itself on its quality fresh produce, its theatre of food experience with a distinctive market feel and its consistent value offerings for the consumer. Food Lover’s Market caters to the discerning customer, the connoisseur, the professional ‘foodie’ and regular customers who are used to the exceptional quality and variety that has always been part of the Food Lover’s offering. Forming part of the Food Lover’s Market family, FVC International is

October 6, 2023

DEALING WITH KIDS AND PREGNANCY

Dealing with pregnancy can be tricky on its own, but when you have a toddler or young kids to look after things can become more difficult. If this is your second pregnancy, you may be struggling with morning sickness, fatigue and a tired achy body and still having to look after another young child. You’re probably wondering how to manage, so we’ve put together some useful tips to help you the second time around. Be patient with them and yourself It’s important that you’re patient with your child. Initially, they may not understand the pregnancy which can make them act out in confusion. Getting them involved and feeling like a big sibling can help them to feel excited about the new addition to the family. That being said you should also be patient with yourself. You may be feeling unwell due to your pregnancy, and with looking after another child you may find things falling by the wayside. It’s likely that only you will notice these things, so don’t be too hard on yourself. Playtime for you and them You might not always be feeling up to playtime with your little one, so this is a good time to encourage them to play independently. This way you free up a little bit more time for yourself while keeping them entertained. As your pregnancy progresses, play in ways that you can manage. Instead of running around, focus on board games, drawing and puzzles. Allowing a little bit of screen time (even together) is another way you can easily entertain your kids. Help and schedules Don’t be afraid to ask for help. If you have a partner, they are the obvious person to lend a hand, but if you are by yourself, either reach out to close family or consider getting paid help for part of the day. Another way to find some time for yourself is to nap when your toddler naps. Syncing up your sleep schedules may mean that you find yourself a little bit more rest time for when you’re feeling tired or nauseous.

October 6, 2023

Paracetamol Use During Pregnancy: What You Need to Know

Even the most trouble-free pregnancy has its share of aches and pains1. The good news is that some of these discomforts will go away as your pregnancy progresses, while others can be easily relieved with the power of Panado®. During pregnancy, your body undergoes a complete transformation as your baby grows. Your centre of gravity decides to play musical chairs, your organs rearrange to make room for your growing baby, and increased weight puts pressure on your joints and muscles.1a The circulatory system, too, faces stress during pregnancy, possibly leading to soft tissue pain due to fluid retention.1b Nerve pain enters the scene, often due to nerve compression from weight gain or uterine pressure.1c The sciatic nerve tends to be impacted, especially in later pregnancy and sometimes post-delivery.1d In the first trimester, shifting hormones and blood volume can trigger headaches. Overall a headache can often be exacerbated by fatigue, stress and eyestrain.2 Additionally, as your body readies itself for childbirth by loosening ligaments, it becomes more prone to strains, resulting in leg aches and back pain.3 As unpleasant as they may be, most of these aches and pains are normal during pregnancy. Medications During Pregnancy When it comes to taking medications during pregnancy, it’s crucial to be aware of the potential impacts on your developing baby. The journey from the moment of conception to birth is an intricate process, and substances you consume can sometimes cross the placenta, affecting your baby’s growth and well-being.4a The use of certain medications during pregnancy has been associated with lower birth weights, meaning that the baby may be born smaller than expected. Premature birth, where the baby arrives before the full term, is another possible outcome due to the influence of certain medications.4b To ensure the healthiest outcome for both you and your baby, it’s recommended to discuss any medications, supplements, or treatments with your health care provider before using them during pregnancy. They can provide guidance tailored to your specific situation, taking into account the potential benefits and risks. Remember, staying informed and seeking professional advice can greatly contribute to a smoother and healthier pregnancy journey.4c The Power of Panado® Panado® contains paracetamol, which boasts over 150 years of clinical experience5, and the first choice of painkiller if you’re pregnant.6 Paracetamol offers reliable relief for mild to moderate pain, encompassing headaches, toothaches, sore throats, general aches, and rheumatic discomfort.7a Additionally, it aids in alleviating flu symptoms and feverishness.7b Clinical studies show paracetamol is not only the choice for pregnancy, but also for those who are sensitive or allergic to aspirin.8a How Panado® Can Help Panado® offers a wide variety of pain and fever solutions to meet the needs of people at all stages of life. From infants and children, to teenagers, adults, pregnant women, and seniors, trust Panado® to provide reliable relief. Panado® is conveniently available in tablet9, capsule10 or effervescent11 form to suit individual preference, and offers fast pain relief. Panado® Tablets provide relief from pain and fever. For those seeking an alternative, Panado® Capsules offer a convenient option: the capsule shells are designed to be smoother and more slippery, making them easier to swallow – especially beneficial for individuals who struggle with tablet consumption. The tasteless and odourless nature of the capsules caters to those who find tablets’ taste or aftertaste bothersome. In cases where swallowing tablets or capsules poses a challenge, Panado® Effervescent formulation serves as a convenient solution. Make pain and fever care easy by shopping for Panado® products from available from Baby City, Pick n Pay, Checkers including Hypers, Shoprite, Clicks, Dis-Chem and Independent Pharmacies. For more information, visit https://panado.co.za/ and join the conversations on Facebook. 2023091310311916 References: Healthline. What body aches can you expect during pregnancy? Available from: https://www.healthline.com/health/pregnancy/body-aches-pregnancy. Last accessed September 2023. Stanford Medicine Children’s Health. Headaches in early pregnancy. Available from: https://www.stanfordchildrens.org/en/topic/default?id=headaches-in-early-pregnancy-134-3. Last accessed September 2023. MedlinePlus. Aches and pains during pregnancy. Available from: https://medlineplus.gov/ency/patientinstructions/000580.htm. Last accessed September 2023. BetterHealth. Pregnancy – medication, drugs and alcohol. Available from: https://www.betterhealth.vic.gov.au/health/healthyliving/pregnancy-medication-drugs-and-alcohol. Last accessed September 2023. 150 years of paracetamol. GP Pharma Update Mar/Apr 2019. Bumps. Paracetamol. Available from: https://www.medicinesinpregnancy.org/. Last accessed September 2023. Cambridge University Hospitals. Pain relief during pregnancy and after birth. Available from: https://www.cuh.nhs.uk/patient-information/pain-relief-during-pregnancy-and-after-birth/. Last accessed September 2023. Australasian Society of Clinical Immunology and Allergy (ASCIA). Allergic reactions to aspirin and other pain killers. Available from: https://www.allergy.org.au/patients/drug-allergy/allergic-reactions-to-aspirin-and-other-pain-killers. Last accessed September 2023. Panado® Capsules approved package insert, August 1984. Panado® Tablets approved professional information, July 2016. Panado® Effervescent (Tablet) approved professional information, July 2016.

October 4, 2023

16 Best Home Remedies For Sick Children

Today’s post covers a few helpful home remedies for sick children. When my son gets sick, it’s always challenging and worrisome. For serious illnesses, the best road to recovery is taking your child to your family physician. However, for various commonplace childhood ailments, there are different home remedies that you can try. You can also use these home remedies in conjunction with doctor-prescribed medicine to speed up recovery and alleviate some of the discomforts your little one is experiencing. Hydration Parents often forget the most important element of getting better – fluids. Kids (and adults alike) need to stay hydrated when their bodies are combating illness. Children experience fluid loss when they run a fever or have a stomach bug that causes diarrhoea and/or vomiting. Offer plenty of fluids like diluted fruit juice or water, even if he takes small sips throughout the day, to help keep him hydrated. Plenty of Rest When your child is asleep, his body is working hard to help him recover from illness. Ensure your child gets plenty of rest in a comfortable and quiet space that promotes peaceful sleep. Steam Therapy Steam therapy can offer welcome relief when your child is having respiratory issues due to having the flu or a cold. You can use a cool mist humidifier in his room to relieve congestion, or you can run a hot shower and let him inhale the steam for about 10-15 minutes. Vicks Vaporub I grew up with my parents always having Vicks Vaporub in our home, and now I use it to help my son feel better. I rub it into his chest and underneath his feet before bedtime to help him breathe easier during the night. Honey Honey is an effective home remedy for cough in children over one year old. It thins the mucus and is a natural cough suppressant. Mix one teaspoon of honey in herbal tea or warm water to help calm his coughing and soothe a sore throat. My neighbour uses a homemade recipe of one teaspoon of Aspen Borstol cough remedy and one teaspoon of honey mixed in half a glass of water. She swears by this recipe; it is the only cough remedy she used for her children and now her grandchildren. Ginger Ginger is the go-to remedy for upset stomach and vomiting. It is a natural anti-nausea home remedy. Not many children like the taste of ginger, but you can add a touch of honey to make it sweeter and more palatable. Make ginger tea by adding fresh ginger slices to hot water and allow it to simmer before draining the tea and adding the honey. Warm Compress A warm, damp cloth helps ease the pain associated with stiff muscles, ear pain, or stomach aches. Apply it to the affected area and remove it after 10-15 minutes. A warm bottle also works wonders for a sore tummy; just ensure the water is not too hot. I don’t boil the kettle completely. However, sometimes the water is still a bit too hot, so I add some cold water until it’s at the right temperature. Chicken Soup / Broth There’s a reason why grandma’s homemade chicken soup always makes you feel better instantly. Not only is it comforting, but it actually helps with alleviating cold and flu symptoms. The warmth of the soup clears indigestion and soothes a sore throat, while the soup itself keeps them hydrated. Saline Nasal Drops Saline nasal drops can be used for babies and small children who can’t blow their noses effectively. A few drops can be gently applied in the nostrils to loosen stubborn mucus. Elevation When your child struggles to breathe and has a nasty cough, you can raise his head to relieve the symptoms caused by illnesses like pneumonia and bronchitis. Create a slight incline by using an extra pillow. Saltwater Gargle When I was a child and frequented the doctor’s office with tonsillitis symptoms, he one day recommended that I gargle with salt water as soon as my throat started hurting. Since then, I’ve used this remedy often, which always seems to offer relief for sore throat symptoms within a day. A saltwater gargle can also do wonders for soothing a sore throat in children. Mix half a teaspoon in a glass of lukewarm water and let him gargle with it a few times throughout the day. Aloe Vera There is a good reason why Aloe vera is used in so many commercial cosmetic products and skin lotions. It offers relief from sunburn and can also be used for skin irritation, minor burns, and insect bites. Aloe vera gel is a common household remedy because of its active compounds that help reduce inflammation and pain on the skin. Probiotics Probiotics boost the immune system and encourage digestive health. You can implement a probiotic-rich diet with foods like plain yogurt or buy child-friendly probiotic supplements at your local pharmacy. Oatmeal Bath Oatmeal is an excellent remedy for irritated and itchy skin linked to chicken pox or rashes. Grind the oatmeal into a fine powder and add it to your child’s bath water. Let him soak in the bath for 15-20 minutes. Comfort Items No one likes to be sick, especially children. Never undervalue the effectiveness of comfort items like a favourite blankie, stuffed animal, or children’s book. These items can offer emotional support and make them feel more secure until life returns to normal for them again. Affection and Lots of Cuddles Above all else, your love and attention can significantly affect the healing process. There is no such thing as too many cuddles in my book, as it reassures them that you are them for them to provide comfort while they’re not feeling well. Final Thoughts I hope you’ve enjoyed reading my post about the best home remedies for sick children. Taking care of our little ones when they are sick can be challenging, but they rely on us as their parents to provide them the love,

October 3, 2023

How to help your child build resilience

our children face many challenges and obstacles as they grow and are faced with what life has to offer. She adds, “Children who have been taught the skill of resilience, are able to bounce back from stress, challenges, tragedy, trauma and adversity in more effective ways than children who do not know how to be resilient. Resilient children are more adaptable, have greater courage and are more curious when facing the world around them.”

September 28, 2023

Bonitas balancing increases with value and sustainability

onitas Medical Fund, one of the leading medical schemes in South Africa, announced its 2024 product line up today. Lee Callakoppen, Principal Officer of Bonitas says, ‘We appreciate that many of our members and South Africans in general, are faced with increasing financial pressures. We have therefore taken great care to balance our benefit enhancements to provide value to our members, while still ensuring that contributions remain affordable. ‘The percentage increase required is methodically worked out by our team of actuaries who determine the minimum increase against ensuring the financial sustainability of the scheme while meeting the regulatory guidelines and requirements. It’s a delicate balancing act,’ says Callakoppen. ‘For 2024, the weighted increase is 6.9% with the average increase across nine of our plans at 6%. This means that over 227 000 members – around 65% of our membership – will experience an increase below CPI.’ How we did this We conducted in depth research over the last year, which included stakeholder engagement, actuarial analysis and projections to look at how to enhance our benefits. In addition, we analysed feedback from over 10 000 member surveys, researched international healthcare protocols, trends and disease burden rates in South Africa. The result: We have stayed true to our ultimate commitment of giving more value to our members, by reducing out-of-pocket expenses, enhancing benefits and providing additional preventative and managed care. Our fiscal health The Scheme is financially sound, including financial indicators to claim’s paying ability and strong solvency levels. And, despite investing over R1.4 billion back to members in 2021 and 2022, we saw our reserves increase to R8.8 billion last year. A feat matched by no other open scheme. We have noted an erratic claims’ catch up emerge over the past 12 months and, it is for this reason that it’s essential to take a well-rounded approach and apply a modicum of conservativeness to our approach. This, to remain sustainable for our members, regardless of increased claim patterns. We also applied prudent investment management strategies that enabled solid returns for the members. Membership growth Membership grew by 62 000 principal members, 80% through organic growth – in a declining industry. New members are 13 years younger than the average, which means we have succeeded in attracting a younger, healthier profile which is coveted across our industry. We attribute this to offering a diversified product range from hospital plans to network options and Edge plans – driven by innovation and technology. So, what’s new? Our research identified various healthcare trends and needs and we have ensured these are met in our plan benefits and enhancements. Our solution to unregulated healthcare costs In South Africa, providers are free to charge patients any tariff they see fit. However, with the economic pressures faced by consumers, funding is usually in short supply. Through engagement and collaboration with healthcare providers we have found solutions to these challenges. We implemented networks at the most favourable tariffs for our members so that they can avoid out-of-pocket expenses and get more value from their medical aid. This applies to GPs, medication, dentistry, optical, specialists and hospitals. Not only do we direct members to the most efficient hospitals, with the best healthcare options but the discounted tariffs reduce co-payments or eliminate them. Specialist’s costs For 2024, we considered the input from specialists, regarding the cost of services and enhanced our specialist reimbursement rates. This allows 85% of our members to have full cover, wallet-free specialist visits. Our specialist network ensures members are covered with the top 15 speciality types contracted into the network. We have introduced three tiers of network specialist rates, based on experience and proximity. The key focus is on specialty types with high claim volumes and major medical costs such as gynaecologists, physicians and cardiologists. Managed Care enhancements Over the years the prevalence of non-communicable diseases, such as diabetes and hypertension, has increased year-on-year. This is further compounded by the increased burden of mental health which is an added risk factor. Mental health One of the key insights noted was that mental health prevalence is at an all-time high. This is exacerbated by factors such as an increased economic burden and increased psycho-social challenges, such as loadshedding. We have seen a 25% increase in the number of mental health hospital admissions, indicating a need for additional support. This need is particularly high in the 18 to 44 age groups. We further noted that mental health was a key driver for absenteeism in corporate groups. For this reason, we have included the Bonitas Mental Healthcare Programme across all plans for 2024 and included depression as a chronic condition. We also offer access to Panda, a digital platform available through the Bonitas app, giving members easy access to expert help, mental health information and community support. Back and neck programme We recognised that not all members have access to the DBC back and neck facilities so, in addition to adding a digital version of the programme, we have established a network of physiotherapists so members can access the benefits of the programme in more remote areas. Preventative screening A key trend across the healthcare industry has been the decline of preventative screening, including wellness checks and health risks assessments. We have taken up the challenge and have intensified our drive to increase screening uptake. Introducing the Bonitas Be Better Benefit! Funded completely from risk, this unique benefit provides a range of screening tests and benefits to ensure members have access to the necessary screenings, to allow for early detection and to be put onto a path to wellness. The Be Better Benefit is available on all options, except BonCap. This benefit is paid for from risk – helping families to get the best possible healthcare. As an added bonus for 2024, childhood immunisations following the State Vaccine Schedule will be added to six of our plans. HPV vaccine We’ve also taken great care to expand our preventative care benefits by including the Human Papilloma (HPV) vaccine on all

September 28, 2023

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