healthy you mind, body, spirit Spring 2007 Vol. 5 Issue 2 YOU CAN GET HIV/AIDS FROM UNSAFE SEX healthy you mind, body, spirit Spring 2007 Vol. 5 Issue 2 dean of the college of human services and health professions Diane Lyden Murphy senior vice president & dean of student affairs Barry L. Wells associate provost for academic programs Sandra N. Hurd editorial director Luvenia W. Cowart, Ed.D., R.N. student editorial board adviser Dessa Bergen-Cico, Ph.D. editorial adviser Gillian Ottman student chief editor & art director Carly L. Migliori interns Marissa Broe Hannah Fessler designer Derek Li illustrators Kristal Michalatos Erin Schechtman photographers Derek Li Melissa Pincus student editorial board Kaitlin Ahern, Jennifer BouChamoun, Marissa Broe, Mallory Creveling, Alyssa Friedman, Nicole Imbrogno, Kat Kondracki, Amanda Lundblad, Kristal Michalatos, Felicia Owusu, David Taube, Jennifer Williams, Gabby Zurrow contributors James R. Jacobs, M.D., Ph.D., F.A.C.E.P., Director of Health Services, Syracuse University Ruth Stein, Ph.D., Interim Director, Academic Office of Integrity Thomas V. Wolfe, Dean, Hendricks Chapel Contact Us Healthy You welcomes letters to the editor and story ideas. Healthy You Syracuse University College of Human Services and Health Professions 426 Ostrom Ave. Syracuse, NY 13244 phone (315) 443-9808 email at [email protected] on the Web healthyyou.syr.edu editorial policy Healthy You is a jointly funded publication of the Syracuse University College of Human Services and Health Professions and the Division of Student Affairs. This publication enhances, broadens, and supports the academic and social experience of students. The Student Editorial Board is responsible for providing the work structure for the magazine’s production, which includes the content, design, production, and distribution. The information contained in this publication is not to be construed as medical advice. Readers should consult a medical professional before engaging in any activity described. The contents of this magazine may not be reprinted without the expressed consent of the editorial director. sxc.hu spring 2007 inside 5 health bytes Turn old food into new food and spice up your dinner plate. mind 6 banish the guilt Studies show the benefits of a sweet treat. 7 selfdiagnosis.web The internet changes the way people deal with mental illness. body 16 guard your soles 19 a serving of health Wearing shower shoes eliminates the risks of foot maladies. 17 a portrait of family medical history 10 life with AIDS Knowing medical history can save your life. 18 achoo! 14 testing positive Homeopathic remedies help solve allergy symptoms. A dietitian keeps your eating habits in check. hiv/aids 8 15 testing on campus Finding out the truth about your personal wellness is just a quad away. beyond the net Magic Johnson threw an unexpected pass in his career and it wasn’t on the court. Experience one man’s journey with the virus. Keeping good spirits eliminates the stigma associated with HIV/AIDS. editor’s note I think we are all looking for the meanings of life. I have always thought it was important to be successful in everything I’ve tried. This method has made me work extremely hard in my academic and career endeavors, but has also forced my social life to suffer at times. Being stressed and unhappy hardly makes for a healthy lifestyle. Perhaps the keys to life lie in what makes us happy and healthy. Throughout my four years here at Syracuse University, I have tried to find the delicate balance between working extremely hard and being happy. It has taken me that long to realize that while my hard work has paid off immensely, it is much more worthwhile to seek out and create happy memories. Some of the best memories and stepping stones for me at SU have occurred while working with this magazine. I have been with Healthy You for two and a half years and am reluctant yet excited to move on. However, all the hard work I have put into Fact vs. Fiction this magazine has truly made a difference in my social and professional lifestyles. I think I was able to find a healthy and happy balance in my editor’s position. This issue was especially different for me, as our senior editorial staff decided to create an issue devoted to HIV/AIDS. We have based our whole Spirit department on HIV/AIDS. Politicians in the United States often ignore the epidemic both in our own country and abroad. While HIV is preventable, millions become infected each year. The most effective way to eradicate the virus is to be educated about it. Our profile on a local man living with AIDS (page 10) is heartfelt and touching. The more clinical article on testing (page 8) should help you feel more comfortable about the HIV test. I hope our pieces focusing on HIV/AIDS open your eyes and help you make better life decisions. Without health, it’s difficult to be happy. May you all find the healthy balance in your lives. There are tons of health concerns about diseases and By Gabby Zurrow, undeclared major our bodies today. Many of us have questions that we feel too embarrassed to ask because we feel like we should already know the answer. There is Someone who seems to have made so many healthy and happy life decisions is Ms. Gloria Steinem. I got to meet Steinem at an event on campus this spring and grew instantly amazed at her intelligence and presence. Her visit to campus goes down as the highlight of my college career. I think we can all learn so much from this trailblazing woman, whose ideas about life and humanity are refreshingly simple yet genius. Kudos to the staff on an issue of which we can all be proud. Carly L. Migliori Student Chief Editor and Art Director always more to learn. Running along the bottom of the magazine pages are a series of common beliefs that people have concerning HIV/AIDS. Take the time to read the facts surrounding the common myths. You can get HIV from kissing. FICTION. To become infected with HIV, the blood or body fluid of an infected person must enter their body. 4 | healthy you health bytes quick doses of need-to-know info The Dirt on Compost By Marissa Broe, magazine journalism major Orange you healthy? The sun is finally showing through the gray clouds that surround the hill, and spirits are high in anticipation of summer. You only have a couple more weeks eating in the dining hall so we thought this recipe might kick things up a notch at any meal! It’s healthy, it’s fruity and even crunchy. Try for yourself, Apple and Grape Salad. Apple and Grape Salad Ingredients: 2 c. apples cubed 1 c. grapes halved 1/2 c. celery chopped 1/4 c. walnuts; chopped 1 t. lemon juice 1/3 c. sour cream 1/3 c. plain yogurt Instructions In large bowl, combine apples, grapes, celery, walnuts, and lemon juice. Mix yogurt and sour cream. Mix lightly into fruit mix. Refrigerate or eat right away. If desired, serve on lettuce lined plates! Recipe courtesy ichef.com Integrity Matters sxc.hu By Ruth Stein, Ph.D., interim director, Academic Integrity Office We always hear honesty is the best policy, but it is difficult to be honest in many personal situations. Because Who’s Doing it? For two students at the SUNY College of Environmental Science and Forestry a simple wood and wire structure behind the school’s greenhouses is much more than the animal cage it appears to be. The structure is a compost bin and an attempt by junior Tina Notas’ and freshman Hannah Kane Morgan’s, along with the Green Campus Initiative at ESF, to create a greener campus. Both women compost at their own homes and the program seemed logical for a school that is known for its environmentally sound practices. With the community compost bin implemented, Notas and Morgan worked to get permission for smaller buckets on campus. Buckets are now at Moon Library, Illick Lounge, Gallery Snack Bar, the landscape architecture studio, and on two floors in Boland Residence Hall. The next step, the women say, is to introduce the buckets at Syracuse University dining facilities. Mark Tewksbury, the assistant director of food services at SU, says the department is interested and the initiative is in preliminary stages. The University has been recycling such products as plastics for 15 to 20 years, Tewksbury says. “This is just another logical step.” Plans for measuring of the we want to look good in the eyes of friends and because we don’t want to hurt people’s feelings, we sometimes bend the truth rather than be totally forthcoming. What impact do these half-truths have upon our personal development? Or on who we are as individuals? If we want to develop a new habit, we’re often told that we should do something three times, and then we’ll feel compostable material at Sadler Dining Hall are in the works, Notas says. This will allow the university to estimate how much space will be needed to store the waste material. “We are willing to collect it,” Tewksbury says “but we don’t want it to end up in the trash.” What is it? Compost is a collection of biodegradable items that are digested naturally by microbes over time, according to the web site Vegweb.com. A variety of items from the kitchen and yard can be composted as long as three elements are maintained and controlled. These are air, water, and food. Air is needed to prevent slow decomposition and minimize odor. Airflow is maintained with occasional turning of the compost. Moisture is essential for the microbes to work and can be sustained with fruit and vegetable waste, according to Vegweb.com. Kitchen byproducts, as well as yard materials, mix together for successful compost. efficient and fast system for compost, but requires the purchase of special worms that are able to survive in decomposing organic substances, according to Vegweb. com. This process occurs best in a covered bin and is suitable for indoor use. Notas and Morgan use a vermiculture system in addition to the community bin. What is it for? When the compost process is finished, a rich soil high in nutrients is left, Morgan says. Plants growing in the soil soak up the nutrients from the compost, according to Vegweb.com. Notas and Morgan say they hope to use the school’s compost as planting soil for a flower sale. Other possible uses include adding the compost to various gardens on campus. Regardless of its use, compost is a way to lessen the amount of waste that goes to the overflowing landfills. Even still, doesn’t it feel good to know that you are doing something environmentally friendly? We think so. How to make it? Compost can be as simple as a pile in the yard and as complex as a vermiculture system with handbuilt or commercial bins falling in between. Piles in the yard often have a slow decomposition and are more susceptible to predators. Vermiculture is an comfortable with it. If we cheat or do something that’s illegal, it bothers our consciences less if we get used to cheating or lying. Sometimes it feels very uncomfortable to tell the truth. Developing the habit of honesty makes us feel good. We can feel comfortable with ourselves because we are not covering anything up. Our friends respect us because they know they can get honest answers to their questions. This habit of honesty with friends will continue with schoolwork and in future careers. When we hear about unethical behavior, we can take steps to ensure we behave ethically, whether it is during a test, or in our dealings with friends, family, and strangers. Integrity does matter, and we each can do our small part to create positive change. Half of new HIV infections in the U.S. are in those 25 or younger. FACT. 15-24 year olds contract half of the 5 million new infections world-wide each year. spring 2007 | 5 mind Banish the guilt By Mallory Creveling, magazine journalism major Photos by Derek Li, graphics major M ost people enjoy a piece of chocolate every now and then, though indulging in the sweet may cause guilt. Many fear chocolate will ruin a diet or cause weight gain. However, research shows chocolate has several health benefits. With this look at dark chocolate, forget about guilt after sneaking a piece of the melt-in-your-mouth candy. Sara Kurlandsky, a nutrition and hospitality management professor at Syracuse University, conducted an experiment involving women who ate dark chocolate in a sixweek period. Over the course of this experiment, the women’s weights and cholesterol levels remained stable. Chocolate contains large amounts of phytochemicals, chemicals that behave like vitamins for the body, which act as antioxidants and contain even more of these chemicals than red wine and green tea. Antioxidants are important for the body to deactivate free radicals – highly reactive molecules that form from the interaction with oxygen. Free radicals can start chain reactions with other molecules in the body and lead to the destruction of cells. They are also linked to Health Benefits of Dark Chocolate • Naturalizes free radicals • Improves blood flow • Helps those with Type-2 diabeties • Acts as an antiinflammatory agent • Helps muscles open up and relax One SU professor tested the results of eating dark chocolate and found the benefits outweigh the costs. insulin sensitivity in a diabetic, cancer and heart disease. making it work better throughout One of chocolate’s most the body. Insulin allows the body important health benefits is the to utilize sugars and certain presence of flavonoids, another carbohydrates. With the help of form of phytochemicals. The chocolate, diabetics can also keep presence of certain flavonoids their blood glucose in control. in chocolate can actually help Though chocolate contains positive muscles open up or relax, leading health benefits for Type II diabetes, to better blood flow. it should still be monitored for Increased blood flow allows for Type I patients. numerous positive changes. Blood Many health benefits may come pressure decreases, which can from chocolate consumption but, be very favorable for those with nevertheless, there are things to high blood pressure. If chocolate consider. For instance, the aboveis consumed over a long period of time, it may also help stop Most importantly, it is necessary to have a the hardening of arteries. Kurlandsky believes better balanced diet, with the proper servings of each blood flow to the brain can food group. Since chocolate is a sweet, it must be improve mental functioning. consumed in moderation. Kurlandsky says it has not been mentioned benefits exist primarily proven but plausible scientific in dark chocolates, not milk or research suggests that with better white chocolate. Kurlandsky also blood flow, both men and women suggests avoiding drinking milk may be able to perform better with with dark chocolate because it their partners. blocks its positive components. Besides neutralizing free radicals and improving blood flow, chocolate Most importantly, it is necessary to have a balanced diet, with the also acts as an anti-inflammatory proper servings of each food group. agent. Inflammatory markers in Since chocolate is a sweet, it must our bodies help heal wounds and be consumed in moderation. With clot blood. However, when these this information, the next time you markers become too large in are debating whether to eat a piece number, it impairs the blood flow of dark chocolate for dessert, you and causes unwanted clotting. can consider the benefits instead of Unwanted clotting can lead to fearing regret. serious health problems, including heart attack, if a clot occurs in a coronary artery, or stroke if a clot occurs in the brain. Chocolate keeps the inflammatory markers stable and helps reduce them if they become too numerous. Chocolate can also help those with Type II diabetes. Chocolate has been shown to improve the If a partner had HIV/AIDS, he or she would tell you and insist on using a condom. FICTION. 25 percent of those with HIV in the U.S. are unaware they are infected. 6 | healthy you mind sELF diagnosis.web In a world where almost anything can be done online, users are finding out even doctors’ visits have become avoidable. By David Taube, psychology, philosophy, and magazine journalism major Illustration by Erin Schectman, illustration major T he stigma associated with mental illness continues to be difficult for some, but the Internet has helped diminish this perceived discomfort with self-help web sites that share privacy the equivalent of online porn. “Many people are afraid others will think they are crazy because they’re seeing a psychologist,” says Susan Walen, Ph.D., a former private practitioner, Johns Hopkins School of Medicine and Towson State University professor, and Baltimore Center for Cognitive Therapy retiree. Some Internet users take selfhelp surfing one step too far, though, falling into the category of cyberchondriacs, individuals who obsessively make their symptoms into maladies from online medical information. “Well-known people have come out of the closet with bipolar disorder or depression,” says Walen, thereby helping balance the taboo of mental illness. But individuals seeking self-diagnoses online are receiving more and more criticism by medical professionals who say that users’ lack of expertise makes them prone to misreading symptoms. When individuals use online medical information, they are more likely to compare information with other sites than to check the credibility of the site itself. When they go to a general practitioner, the opposite occurs: diagnoses are not checked by the patient against other doctors but readily received If anything, online medical information has given individuals the confidence to challenge the assumed infallibility of M.D. prescriptions and assessments, making the web a watchdog for mistakes. by patients who use heuristic cues like diplomas on the wall. In other words, a dramatic decrease in the challenging of authority occurs during face-toface contact and there is virtually no comparison of multiple opinions from doctors. Nevertheless, “Health seekers say the benefits of online information outweigh the risks,” says the Pew Internet and American Life Project in a 2006 meta-analysis of nearly 2,000 Internet users. The survey found that online health information significantly and positively helped about 35 million individuals last year, whereas serious harm only occurred in three percent of respondents or someone they know. The study, conducted by the Princeton Survey Research Associates International, also found that “Younger health [information] seekers are the most likely age group to start at a search engine,” with almost threequarters essentially asking strangers for medical advice. In contrast, people age 65 and older begin at specific web sites they know provide health information. The bottom line: Start online searches for self- diagnosis or medical information on respectable sites after checking the source’s credibility. If anything, online medical information has given individuals the confidence to challenge the assumed infallibility of M.D. prescriptions and assessments, making the web a watchdog for mistakes. There is no cure for HIV/AIDS as of today. FACT. There are treatments that minimize the physical impacts of HIV/AIDS, but there is no cure. spring 2007 | 7 hiv/aids THE DOCTOR HIVtesting By Dr. James R. Jacobs, M.D., Ph.D., FACEP Director of Health Services, Syracuse University Getting tested for HIV can be scary. Healthy You’s contributing physician tackles questions regarding the process. istock.com 8 | healthy you A: First, and this is an important point, there is no such thing as an “AIDS test.” There is a lot of literature and marketing materials that make reference to an “HIV/ AIDS test,” but this is a complete misnomer. What we can test for is evidence of infection with the human immunodeficiency virus (HIV), which is thought to be the cause of the spectrum of illness known as acquired immunodeficiency syndrome (AIDS). Some people can be infected with HIV for many years without developing AIDS. Indeed, one of the goals of anti-HIV medication is to slow or halt the progression to AIDS in spite of infection with HIV. The second important point is that most HIV tests, especially those used to screen healthy people, are actually an HIVantibody test. HIV enters the bloodstream, such as through certain types of sexual contact or through sharing of infected needles, and begins to multiply. Antibodies form to the HIV invader and themselves begin to multiply over the course of several weeks or months. Technologically it is much easier (and less expensive) to test for an antibody to HIV than it is to test for the HIV virus itself. This also explains why there can be a delay between the time of infection and the point at which enough HIV antibodies are present for an HIV screening test to be valid. Tests for HIV particles per se are available, but they are generally used only to monitor hiv/aids the course of disease in a patient receiving anti-HIV medications. Though not often discussed, HIV exists in several strains, most notably HIV-1 and HIV-2. In the United States, sexual transmission of HIV-2 is relatively uncommon, so some HIV testing is performed only to screen for antibodies to HIV-1, whereas others screen for both types 1 and 2. Q: What is a “rapid” HIV test? A: The immunochemistry procedures now used to screen for HIV antibodies have been streamlined and packaged to the point where virtually all HIV screening tests can be performed “rapidly.” In other words, starting with a specimen of blood or saliva (HIV antibodies can be present in both blood and oral fluids), a “yes” or “no” result can be obtained within 30-60 minutes. Accordingly, many communities have clinics or periodic HIV awareness events where results are provided to the patient within this timeframe. There are, however, two significant problems with whileyou-wait rapid HIV screening. First, it is cost-prohibitive for most laboratories to do screening tests like this throughout the day. It is much more cost-effective to batch the laboratory processing of these tests at several discrete times during the day or during the week. Most centers or events offering on-site testing with rapid results are heavily subsidized by a government program of one sort or another. More significantly, any positive rapid HIV test must be confirmed with another technology before the patient can be informed of the result. Confirmatory testing, typically conducted with a Western blot or an immunofluorescent assay, is not performed as a rapid The immunochemistry procedures now used to screen for HIV antibodies have been streamlined and packaged to the point where virtually all HIV screening tests can be performed “rapidly.” test and can take 5-10 days for a result. Hence a paradox: you go for a “rapid” HIV test; an hour later you are told that your test is a preliminary positive but that you will have to return in a week for the results of the confirmatory test; for a week you are terrified that you are infected with HIV, only to return on the appointed date to learn that the confirmatory test is negative and that the positive rapid test must have been a “false positive.” This does not happen often, but it does happen. Given these limitations of rapid testing, some clinics, including many college health centers, do not offer rapid HIV testing. They almost certainly are using the rapid assay technology, but specimen collection is performed on a first visit, with a return appointment for the test results scheduled 7-14 days later. This paradigm builds in time for the laboratory to process specimens in batches, which reduces labor and reagent costs, and which permits a confirmatory test to have already been performed when necessary prior to informing the patient of any results. practical, to optimize the accuracy of the test result, to protect the patient’s privacy, and to safeguard the interests of public health. Q: Should I get an HIV test? A: A thorough answer is complicated and should be laden with statistics and explicit sexual particulars, but here is a simple principle: many of the new cases of HIV infection diagnosed each year were transmitted by a person unaware of his or her infection with HIV. Be aware. Be responsible. Get tested. Get treated. Condoms save lives. 111 Waverly Ave. 315.443.9005 Hours: Mon.-Tue., 8:30 a.m. to 7 p.m. Wed.-Fri., 8:30 a.m. to 5 p.m. Sat., 11 a.m. to 5 p.m. Sun., closed 200 Walnut Pl. 315.443.4715 111 Waverly Ave. 315.443.7273 A: Because of the public health implications of the HIV epidemic, most jurisdictions require patients to sign a specific consent form prior to processing of an HIV screening test. Similarly, there are state and local regulations mandating pre- and post-test counseling to help the patient understand HIV transmission risk factors, risk-reduction measures, the implications of the testing procedures, and a plan for follow up. Further, these regulations require that HIV test results may only be reported to the patient in a face-to-face meeting – not by phone, email, letter, etc. Though simplified markedly during the past decade, the rules and regulations associated with HIV testing are more rigorous than those associated with any other common medical test. The incentives are to equip the patient with as much knowledge as is 1120 East Genesee St. 866.600.6886 Be aware. Be responsible. Get tested. Get treated. Condoms save lives. spring 2007 | 9 hiv/aids Life with aids Education makes the difference. By Kat Kondracki, magazine journalism major Photos by Melissa Pincus, advertising design major “By the way, I’m gay. I’m a gay, black man, 55 years old,” he says loudly, beaming with confidence. Assortments of plants draped from the ceiling, decorating the walls and framing the artwork. “I have a green thumb,” he says. “These are my babies, and this is my comfort zone. Some of these are 11 years old,” he says. Eleven years: the same duration of time he has been surviving the AIDS virus; but you would never know it. He looked happy and healthy, spoke with the utmost self-assurance and buoyancy. He broke the stereotypical AIDS victim profile. Everything about him was so inviting: his house, even his cats, Midnight and Missy Boo. But behind the walls of the West Onondaga Street Co-op apartment complex in Syracuse, Edward Davis was living a life many of us could never imagine. spring 2007 | 11 hiv/aids Searching for an answer to his excessive drug and alcohol addiction, Davis moved to Syracuse from his hometown of Brooklyn in 1989. He lived with his uncle and tried to get his life back on track. Things didn’t prove to be that easy, however. “I did what I had to do and what not, until 11 years ago,” he says. “My drinking and drugging went out of control. I contemplated suicide. But with the grace of God, he was with me. ...I was able to get myself down there to the Rescue Mission, alcoholics’ crisis center, they have down there, and I stayed there for two weeks.” During his stay at the Crouse Health Inc. DBA Commonwealth struggles of living with AIDS, Davis suffers from high blood pressure, high cholesterol, and foot neuropathy, a painful nervous system disease. “I’m down to 20 pills a day,” he says, compared to the 40 pills a day he took when he was first diagnosed with the virus. A mini-pharmacy covered his bed as he emptied out the contents of his pill bag. Through counseling and medications, he was able to get his life headed in the right direction. He now works the overnight shift fulltime for Liberty Resources at the DePalmer House. He also counsels and volunteers at the FACES HIV/ AIDS Outreach and Education Program I want to educate the people, especially the in downtown young people. It’s (HIV/AIDS) affecting people Syracuse. of color mostly. But it’s still affecting all of us. “I want to educate the people, especially the young Place drug rehab center, Davis people. It’s (HIV/AIDS) affecting took an HIV test. Because he was people of color mostly. But it’s still suffering no symptoms at the time, affecting all of us,” Davis says. The the results came as pure shock. FACES program helps to fight HIV/ “I was devastated, in tears,” he AIDS through case management, says. “I had an idea because of the education, and services, says way my lifestyle was and what Sammy Summers, community I did. I was being promiscuous, relations specialist. FACES offers living in New York City...” free on-site testing and numerous Davis opened up about his counseling and support services lifestyle, talking freely about for people who are affected by the shooting up drugs and having virus, according to Summers. unprotected sex. “I got caught out Davis did one-on-one counseling there. And there is no one to blame during the first three years of living but myself.” with the virus. “I did that because After relocating to the DePalmer that helped me to understand House, a transitional housing myself, understand where I’m complex for homeless individuals coming from, who I am, and what living with HIV/AIDS, a place Davis kind of person I am, and to deal says saved his life, things started to with the fact that I’m living with the fall back into place. virus, and that I can’t drink and do Davis believes that living in the drugs,” he says. “I feel so wonderful house and going to support groups about that today though.” for being gay and infected with “I was waiting for something like the virus called him away from that because I was suicidal. I was the drugs and alcohol. “I can live ready to kill myself,” he says, “I just a better life now. I think that’s the couldn’t stop.” only way people can live a better After watching other friends with life,” he says. similar addictions fall through the In addition to the everyday cracks, he decided to get his story 12 | healthy you 1. Davis has kept some of the plants in his apartment for about 11 years, as long as he has known he has AIDS. 2. Down to 20 pills each day, Davis considers this an improvement from his previous 40 pill per day regimen. 3. Portraits of family and friends fill Davis’ apartment. hiv/aids 1 out there. “God gave me a second chance,” Davis says. Even though Davis was willing to share his success and story with others in the community, the hard part was telling those close to him. He told his mother seven years ago, and just recently told his brother living in Virginia, who is now angry with him for not telling him sooner, and expressed concerns over how safe Davis is to be around. “Stories like that – that’s what hurts,” Davis says. But there is still someone very close to Davis that he hasn’t yet told: his son. “He is very supportive in everything I do,” Davis says. “He knows I’m gay. He is very understanding about that. He gave me two beautiful granddaughters, but, no, I’m still not ready to tell everybody.” Davis faces AIDS with a smile, saying, “God told me he was going to give me this disease, but I want you to live a better life. He told me I had to cut off the illegal drug and alcohol and dangerous lifestyle. He kept me stable, and,” he paused, “I’m ok.” I was waiting for something like that because I was suicidal. I was ready to kill myself. I just couldn’t stop. 3 2 Local HIV/AIDS Resources •D ePalmer House 1065 James Street Suite 200, Syracuse • AIDS Community Resources 627 West Genesee Street, Syracuse • FACES HIV/AIDS Outreach and Education Program of the Southwest Community Center 401 South Ave., Syracuse • HIV Care Network 5700 Commons Park Drive, East Syracuse spring 2007 | 13 hiv/aids An HIV positive diagnosis will surely transform your life, but it should not negatively change your spirit. Testing Positive for Wholeness By Thomas Wolfe, Dean of Hendricks Chapel Photograph by Derek Li T he spiritual quest is the search for wholeness. You engage in this quest typically by asking questions about how to find meaning in the world around you and in your relationships. You ask what meaning your life might possess as you imagine spending your life in a manner that counts. For some of you, this is an explicitly religious quest. For others, it is not defined in religious terms but perhaps is expressed through immersing yourself in the works of the great writers and thinkers from history. Regardless, the pathway is unique for each of you. The longer we live, the more complex our categories about In moments like these, your orderly world crumbles. But does its meaning and purpose? I believe you only really begin to comprehend your wholeness when you are faced with significant challenges. Wholeness is not about neat and orderly lives that you think are perfect. Wholeness has more to do with how you see yourself in relationship to everything around you regardless of whether or not you like the circumstances you find yourself in. You are beginning to get your mind around personal wholeness when you are no longer defined by what negative thing befalls you or by some illusion of perfection you create around you. There is an enormous I believe you only really begin amount of freedom in to this place. to comprehend your wholeness getting All of this is when you are faced with particularly relevant to receiving the news significant challenges. that you are positive for HIV/AIDS. With this diagnosis you enter a how life is structured become. confusing world fraught with With it, our ideas about what judgment, shame, anger with wholeness looks like grow in order self, anger from loved ones, to embrace the larger view. The anger at a partner, regret, and truth is that life happens. Some of just plain fear. It is hard to feel what happens is wonderful. You whole. You tend to believe your get the ideal job, find a wonderful life is over before it actually partner, volunteer in ways that began. Nevertheless, the spiritual make a difference and satisfy your quest still holds meaning and is need to contribute. But other critically important, especially things in life happen to you as well. when you are bombarded with These are the hard things to talk false assumptions about who you about. An accident happens, and must be because you have tested you are changed in a permanent positive. Many places in our way. Some external thing happens, world are still very uncomfortable and you discover that no matter even talking about HIV/AIDS. what control you thought you had This silence is killing people. over your situation, you could not We don’t talk about the silence prevent a disappointing outcome. because there remains a huge stigma over testing positive. This pervasive silence about HIV/AIDS cuts people off from necessary health care and spiritual support. A positive diagnosis does change your life. But what it does not change is the reality that you are still a person of meaning and purpose. The spiritual journey sometimes takes you through difficult places. It does not protect you from moments of suffering. But the inherent message is that you are not just mind and body. You are also spirit. Connecting with the spiritual side of yourself, however you may experience it, introduces you to that part of you that finally can believe that you do not have to accept being labeled as unacceptable. Instead, you are acceptable because you simply are. End of discussion. Testing positive for HIV/AIDS does not eliminate you from the spiritual quest. No, despite all of the negative and fearbased feelings and judgments being thrown at you, you discover that you are not ultimately defined by the diagnosis. Your spiritual journey with HIV/ AIDS must be done directly. It cannot be cloaked in denial. Spiritual reflection requires deep honesty. It is an opportunity for personal growth. Your candidness with yourself and later in the confidential relationship with your health and spiritual care providers opens the way to entering a new relationship with yourself and your meaningful future. HIV/AIDS will still be with you, but you will be living with it while you also test positive for wholeness. SEEK HELP • Visit the Counseling Center on campus where you can receive confidential counseling services • 200 Walnut Pl. • 315.443.4715 • Talk to a spiritual leader or chaplain at your local place of worship or on campus at Hendricks Chapel • Main Quad • 315.443.2901 You can get HIV/AIDS from sitting on a toilet seat. FICTION. There is no transmission of bodily fluids while sitting on a toilet seat. 14 | healthy you hiv/aids BEYOND THE NET changing the face of HIV More than a decade ago, Magic Johnson revealed his HIVpositive status during a press conference. This transformed the way basketball was played at all levels. By Felicia Owusu, health and wellness major and Amanda Lundblad, international relations and magazine journalism major M agic Johnson is known for his illuminating smile, his half-buzzer shots, and most importantly his unpredicted passes. However in 1991, he threw one of the most unexpected passes of his career, but this time not to a fellow teammate waiting halfway down the court to throw the ball into the hoop and score. In a press conference, Johnson publicly announced the end of his 13-year NBA career after being diagnosed with human immunodeficiency virus. Johnson lived and breathed basketball. He told USA Weekend “I dribble[d] to the store with my right hand and back with my left, then I slept with my basketball.” So when his personal physician urged him not to continue to play basketball because it would impair his body’s immune system, It is everybody’s Johnson and his Lakers teammates disease, not just were shocked. generated to a In the Los specific population. Angeles Sentinel, Lakers forward James Worthy was quoted saying, “We were looking forward to 50 or 60 games with Magic. ...Now we have to look forward to 82 games without him.” According to Robert Vickers, associate professor of practice in the department of sports management at Syracuse University, “No one would have thought it could happen to Magic. Compared to other players, he seemed to have a child-like personality; he didn’t present himself as a party type that would lead a risky life.” For many years HIV was considered a disease of the gay community. Athletes felt immune to the virus. Johnson changed this notion with his revelation that it could happen to anybody. “Magic cut through this stigma, showing that heterosexual men could also contact the disease,” Vickers says. “It is everybody’s disease, not just generated to a specific population.” Since Johnson’s retirement, no other NBA players have come forward and admitted being HIVpositive, perhaps due to the fear of repercussions. Players are in fear of being a victim of the virus. A fellow Olympic teammate, Karl Malone, expressed his concerns in a Los Angeles Sentinel interview, saying he was scared of a cut or scratch occurring during physical contact during a game, which would put players at risk of contracting the virus. Due to those concerns, the sports world has undergone a series of changes. Vickers says the health of athletes has become much more realized since Johnson’s announcement, focusing not only on drugs, but on terminal illnesses within the game as well. The NBA now presents a sexual health education program to rookie athletes. Each year players are required to attend classes teaching prevention, treatment, and awareness of sexually transmitted diseases. According to an ESPN article, the NBA regulations say if a player suffers from a cut and blood is present, the game must stop and the player must leave the court. The player is treated, and any blood on the court or the ball is thoroughly cleaned by trainers, who wear latex gloves. According to Vickers, contracts have become much more intricate, requiring athletes with higher-risk behaviors to pay higher premiums. However, it is hard to say how many athletes will contract HIV during their career, making it much more difficult to put a price on HIV premiums than on an ankle break or a sprain. Johnson has been an inspiration on the court, but now he has taken that inspiration in a new direction. He has made a comeback to the NBA twice and played in the Olympics despite people’s beliefs that it wasn’t possible. He has become an HIV awareness advocate and is involved in the Living Well Commission, raising awareness and funds for people and families living with HIV. Johnson stated in a Los Angeles Sentinel article that he has “proven that a person with HIV can continue to live an active, productive life… I will continue to lead an active life, like so many others with HIV, but my energies will now be directed to other avenues.” HIV/AIDS transmission only occurs between gay males. FICTION. You can get HIV/AIDS from being in any type of relationship. spring 2007 | 15 Put those flip flops for the shower Mom made you pack to good use. Guard your soles By Jennifer Williams, magazine journalism major Photograph by Melissa Pincus P illows? Check. Notebooks? Check. Ethernet cable? Check. Shower shoes? Errrrr. Included on any basic college shopping list are the token shower shoes. You know, those flip-flopthong-sandal-thingies that don’t usually cost more than $3. While it seems as if shower shoes are only for the squeamish, this small investment has the potential to save students from large hassles. Dorm living is far from glamorous, and communal bathrooms are sometimes the best, or worst, displays of such living conditions. Walking down a long hall to the bathroom at 8 a.m. to take a shower is often inconvenient, but Kimberly Holly, a freshman biology major who lives in a dorm, always takes the time to put on her flip-flops. “I’m afraid of getting foot warts,” she says. “I think that wearing shoes in the shower is more sanitary. Sometimes I see other girls not wearing shoes in the shower, so I like to wear my shoes.” Another freshman dorm dweller, Mike Zimmer, a business major, wears shoes as well. “The floor is gross in there. I don’t want to get any diseases like athletes foot.” At Syracuse University, residence hall bathrooms are cleaned at least once a day, according to a housekeeping employee in Lawrinson Hall. The showers are first sprayed with soap-scum remover, then rinsed. Next, a disinfectant is sprayed onto all bathroom surfaces, including showers, toilets, and sinks. After it has set for ten-minutes, it is rinsed. Still, the employee recommends wearing shower shoes. “Sometimes I find vomit, razor-blades, or broken glass in the showers,” the housekeeping 16 | healthy you employee says. “It is always safer to have your feet protected. You just never know what you’ll run into or who was in the shower before you.” Dr. Lynda Kreitzer, a podiatrist who practices out of North Syracuse, says that it is wise to wear shoes in any public setting such as dorm showers, locker rooms, and even hotels. “You should wear shower shoes because there are a lot of contagious skin conditions like warts and athlete’s foot that thrive in moist environments,” Kreitzer says. However, if you do contract a contagious foot infection, Kreitzer notes that there is treatment available. “Athlete’s foot is a fungus. There are many topical, antifungal medications, both prescription and over the counter, that will work to clear it up. Also, I try and expose the feet to air, because air is the enemy. People with sweaty feet tend to get athlete’s foot more and have a harder time getting rid of it.” However, when it comes to warts, there are multiple treatments, a sign, Kreitzer says, that they are harder to get rid of. “Warts are viruses,” she says. “Picking up a wart often has to do with the person’s immunity. Sometimes it will even go away by itself like a cold. Warts can be removed by freezing, surgery, or even applying duct tape for an extended period of time. But nothing works all the time. These types of things are easily picked up through small abrasions in the skin that we can’t see.” Although slipping on a pair of flip-flops may be different from your home ritual, the truth is that this small inconvenience could, quite possibly, prevent a much larger nuisance in the future. body a portrait of health By Kaitlin Ahern, magazine journalism and psychology major Illustration by Kristal Michalatos, nutrition major F lipping through a family photo album, you may find that the nose you were born with is identical to that of your great aunt’s, or perhaps that you’ve inherited your grandfather’s characteristic eyebrows. Many of us find tracking the physical likenesses through our family line a simple and satisfying task. But, those are just the surface indicators of our deeper similarities. By taking a more in-depth look at your gene pool and those you share it with, you discover an array of useful information, including your family’s medical history. Through the process of compiling a detailed account of this information, you can gain insight into illnesses and diseases that are By understanding your common to your family history, you can family, and even uncover patterns make life choices that of health condiwill lower your risk of tions that have developing these diseases. arisen in different family members over time. According to Michelle Gallant, registered dietitian and wellness educator at Syracuse University’s Health Services, this information is invaluable. “Genetic history is closely related to chronic diseases that are the leading causes of death in the United States,” she explains. She cites heart disease, cancer, diabetes, and high blood pressure, as examples of such diseases. Knowing your family’s medical history can also help you focus your attention in the right areas regarding your health. “By understanding your family history, you can make life choices that will lower your risk of developing these diseases,” Gallant says. Although not quite as simple as flipping through some old photographs, compiling your family medical history doesn’t have to be difficult. Just ask. An ideal time would be a family reunion, when your resources are all conveniently in the same place. But you don’t have to wait for the next big get-together to put together some information. Start asking questions now, and build your knowledge database piece by piece. As you’re doing so, remember that those family members related to you by blood are most important in your search. For example, you may find that you have an uncle who suffers from diabetes, which would be an important piece in your account. However, if your uncle is only related to you by marriage, his illness does not have any biological influence on you. Once you have collected your data, your next move should be to share your complete history with your doctor. In doing so, you give him or her the heads-up on what conditions you are most at risk for, depending on the information you provide and your current state of health. According to Gallant, your doctor’s knowledge is especially important in the screening process for the early detection of diseases. A record of your family’s medical history is revealing, but it certainly is not a predetermined fate. Knowing what illnesses and diseases you are most at risk for can serve as motivation to lead a healthier lifestyle and start taking necessary preventative measures. Gallant asserts that this knowledge can help you to maximize your health. For example, perhaps in your search you learn that your great grandmother was diagnosed with lung cancer. You may, and Finding your family’s medical history may be more difficult than just climbing the family tree. probably should, think twice about lighting your next cigarette. It’s no surprise that a current state of good health can make us feel a little bit invincible at times, and even lessen our concerns for the future. A college-age individual may feel that he or she is too young to be concerned about medical issues that probably will not arise for decades. In recognition of this, Gallant argues that this is the most opportune time to start making the right choices. “At this point, you’re laying the foundation for the rest of your life,” she says. “You have to make the most of it.” I’m adopted, now what? Those who are adopted may find it more difficult to compile a complete family history, as biological relatives may not be in close contact. The task of tracking down those who share your DNA may seem intimidating, but there are some methods you can use to aid the process. One option is to contact the National Adoption Directory Search (childwelfare.gov/nad), a service of the Children’s Bureau, where you can learn how to get your birth parents’ medical and genetic history. The use of birth control pills prevents HIV/AIDS infection. FICTION. Birth control pills do not prevent the transmission of sexually transmitted diseases. spring 2007 | 17 ACHOO! By Kristal Michalatos, nutrition major Photograph by Derek Li Allergies create inconveniences for those suffering the red eyes and non-stop sniffles. Homeopathy can help. H omeopathy continues to attract attention in the media and medical journals as a popular form of alternative or complementary medicine. Allergies are also becoming prevalent, affecting about 50 million people in the United States. Over-the-counter decongestants and antihistamine drugs are used frequently for allergy symptoms and unfortunately, “cause drowsiness and can produce dryness in the throat and mouth that is as uncomfortable as the allergy symptoms it relieves,” says Victoria Dolby, author of the article “Colds & Allergies Can Strike in Any Season and Homeopathy is Ready” in Journal of Better Nutrition. Homeopathy is based on an energy medicine, and it is similar to acupuncture but without the needles. Used as anti-inflammatory Sneezing Itching of the nose and palate Histaminum Sabadilla Arundo or Wyethia Symptoms and remedies provided by health and wellness educator Carol Blair and authors Judyth ReichenbergUllman and Robert Ullman. Those who are willing to try a more holistic approach may consider homeopathy in reducing these unpleasant allergic symptoms. Homeopathy comes from the Greek words homoios pathos, meaning “similar suffering.” According to health and wellness educator and certified nutritionist Carol Blair from Natur-Tyme in Syracuse, “Homeopathy is based on are “based on the totality of your an energy medicine, and it is simisymptoms, mind, body, and spirit, lar to acupuncture but without the not just the physical symptoms.” needles.” Blair explains that it is Blair says they are very inexpensive not the most accurate explanation, and do not interfere with other but the easiest for most westerners medications because there isn’t any to understand. Homeopathy uses the energy from natural substances medicine in them, just energy. “It is even safe for babies,” Blair explains. to repel imbalance out of the body The use of homeopathic remand helps the body to heal itself. edies has been increasing over the Homeopathic remedies “are not years. With such a large market in drugs, they are simply energy,” products out there, it is important says Blair, that helps stimulate the to know how to look for the right body’s own ability to heal using remedy. Many health stores, like small amounts of natural subNatur-Tyme, have sections listed stances. These substances are very just for homeopathy. Most of the diluted, then potentized, and can remedies in the accompanying basically “be made from anything.” chart can be found listed in the inFor example, allium cepa comes gredients of a product. Associates from the red onion, which is found also can be very helpful in directin several homeopathic remedy ing someone to the right remedy in products. Raw onions typically many of these health centers. cause secretion of tears, stinging and irritation around the eyes and nose, clearing nasal passages. Because of the way homeopathy works, “it causes no harm, and works very quickly if you pick the Symptoms Homeopathic Remedy right remedy,” Hay Fever, watery eyes, nasal Allym Cepa says Blair. In discharge, sneezing order to pick the right remedy, it Bee stings, bites, swelling Apls Mellifica might be best Post nasal drip Hyperaspis to consult with Watery eyes, mucus, lump in throat Fadilla someone with exSinus-type symptoms Sinusalia perience because Common allergy relief Allergy Mittel these remedies Free or inexpensive HIV testing is available at most hospitals, health centers, family planning centers, and HIV centers. . Get tested. There’s no excuse. 18 | healthy you A serving of health Registered dietitians provide life-enriching information and support. By Jennifer BouChamoun, nutrition major W food-related companies, private practices, community and public settings, research areas, and even universities and medical centers. Many students are unaware of the nutrition services offered here at Syracuse University. Ruth Sullivan and Michelle Gallant are our registered dietitians on campus. Sullivan works with food services in the dining and meal planning for students with specific needs. She helps As part of our health fee, we have dietary decide which foods are access to confidential nutrition offered in the dining halls and maintains the online counseling and dietary planning. nutrition analysis web site for all meals prepared on campus. One way to ensure you receive “We’re always open to new recipes accurate nutrition and diet and opinions for the dining areas,” information is to search out a explains Sullivan. Gallant provides registered dietitian (RD). An RD is nutrition counseling at the health a professionally trained authority center. As part of our health fee, in the role that food and nutrition we have access to confidential play in health. They are a reliable nutrition counseling and dietary source of nutrition information planning. Questions concerning and can provide sound advice clinical-related issues, eating on eating and health. They can disorders, basic food information, assess or regulate your current or even how to make creative meals dietary intake and answer your in the dining hall can be answered questions regarding weight loss/ by our dietitians. gain/maintenance. They can Registered dietitians can also also introduce you to a plan that hold additional certifications in will assist you in achieving your specialized areas of practice, such personal health and fitness goals. as pediatrics (C.S.P.), diabetes Dietitians can be found in such (C.D.E.), strength/conditioning places as hospitals, fitness centers, (C.S.C.S), among others. Don’t be corporate wellness programs, e all know the ways to stay healthy are through diet and exercise, yet why is it so hard for us to stay fit and in shape? We rely on books and the Internet for different diets, but with all the fad diets and false information out there, how do we know what works? Reading nutrition labels doesn’t help either when we don’t know what all the facts mean. fooled by those who claim to be nutritionists yet have no license in dietetics. Anyone can call himself or herself a nutritionist by doing some research, going online, and ordering a certificate. According to the American Dietetic Association, in order to become a registered dietitian, one must complete a minimum of an ADA-approved bachelor’s degree program, complete an accredited supervised practice program, pass a national examination, and complete continuing professional educational requirements to maintain registration. With the latest and upcoming information on food and nutrition, it is essential that RDs stay up-to-date in their growing field. With health insurance costs on the rise, it is becoming more important to stay healthy. By meeting with an RD now, we can learn the best ways to take care of our bodies in order to avoid or delay future problems and complications. Food is a part of our everyday lives. We couldn’t function without it. We all have questions about nutrition, and if the RD doesn’t know the answer, you can bet he or she would find it out for you. Take advantage of all the accurate nutrition knowledge registered dietitians have to offer. They are there to help you. Where Can You Find A Registered Dietitian? At SU: • Ruth Sullivan (Food Services) • Michelle Gallant (Health Services) In general: istock.com • Hospitals • Fitness Centers • Private Practices Syracuse University College of Human Services and Health Professions and the Division of Student Affairs 426 Ostrom Avenue Syracuse, NY 13244 Phone: (315) 443-9808 Fax: (315) 443-9807
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