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in this issueleadership updateCONTENTSSmoking and Heart Disease:Winter 2019SmokingandHeart Disease:LEADERSHIPUPDATE3 eventedeart Disease:AThatDeadlyDuoThat Can Be anPreventedevented Research provides hope for many“T “TThe start of a new year is always a goodequally as harmful. “While cigar or pipetimesmokinghere is nothing good about smoking andinclude nicotineto isfocus on improvingourreplacementsgeneral like the patch and gum;equallyas harmful.“Whilecigaror pipemedicationssmokinghere is nothinggood about smokingandincludereplacementslike thperceivedas safer, they bothcontainthesamecarcinogensits effect on the heart,” says AbdulrahmanMorad,like eatingWellbutrin,an nicotineantidepressant;and Chantixhealthandwell-being.Areis we Clinichelps inogensits effecton theheart,” saysAbdulrahmanmedications like Wellbutrin, an antidequallyas Heartharmful.“Whilecigar or pipesmokingis perceivednothing workspatch and gum;as cigarettes,”Morad,saysDr. Morad.“Smokingfour cigarsis containMD, cardiologistwith NebraskaMedicine’sa ttes,”medicationssaysDr. smokingMorad.fourcigarsisto rug thataswithsafer,Nebraskathey bothcontainsame 10carcinogensct equallyon the SmokingWellbutrin,anantidepressant;andequivalentto dgoalbybindingreceptorsin worksthe brain and blockingas afterharmful.“Whilecigar orpipe smokingis of dgum;doctorkeepingup ijuanasmokingDiseasePreventionProgram.The goalthefourbindingto nicotine receptorsin thascigarettes,” saysDr. is to armyouthem,a person byto getless esamecarcinogensmedicationslikeofWellbutrin,an antidepressant;and e thepatch and gum;increasesheartrate andtobloodpressure.The rateof brainheart and blockingprogramiscigarstoequivalentarmyou to smokingthem, causing a person to get less sa10attackcigarettes.Marijuanasmokingscreenings?e PreventionProgram.Thegoalof thebybindingnicotinereceptorsin kscinogens Lullabymedicationslike Wellbutrin,an antidepressant; and asedby upwiththe rightincreasestools to haltthedevelopmentof If trmequivalentyouheart diseasethem,causinga persongetless satisfactionfromfivetimes.havea ebestwaytotopreventsmoking is to start dingto pressure.nicotineinattackthe brainandblockingSchedulingantoisannualexamwithsa drugthatworks Commoncancerscreeningsfivetimes.If youhaveathreefold.”history of .“Thesaysbest way to prevent smokingattackrightofaftersmokingmarijuanais increasedbyupforto artrate andbloodpressure.Theinrateheartthem,causinga personto yup toThechemicalsfromsmokingdamagethechildrenatgreata juanaincreasesforbysmokingup to ingofattack,your smokingyourchildrenat a youngage,”saysorfivebytimes.If youhavea historyheartndattackstroke.“Theyourbest riskwayto deathpreventis to explainsDr.Dr.Morad.“Mostpeoplewhosmokestartas earlyas 13f heartthem, causing a person to get less satisfaction fromtokickoffthe Electronicyearto cigarettes,makesureyourcheck, ostwhosmokemarijuanaincreasesyourriskdeathby Dr.uptothreefold.”als lthsaysisofinage.times.Ifsmoking.youhavea thehistoryof ofheartsmoking“Thebestforwayto beenpreventsmokingis tostartyoureducatingvaping,havepromotedasa safealternativetoat aknownMorad.Thesechemicalscausethe14yearsIt is muchstoppeoplesmokingthanit isby fiveup tovaping,beenpromotedasa safealternativeto as earlyMorad.Thesecausethe children1413yearsElectroniccigarettes,also ifestylehabitsforyourcontinuedhealthg hosmokestartasor of age. It is much harder to calsthreefold.”yourat aWhileyoungage,” sayssmoking.e-cigarettesburntobaccoortar, kelihoodto notstart.”oking“The bestwaytosmokingis to start otar,they nowbloodto thicken,whichthe likelihoodto notvaping,beenas a safealternativetohemicalsthe14don’tyearsage. don’tIt istoorstopsmokingthanit garettesor rtearlyas13oforhave HeartDiseasePreventionProgramandwell-being.If asyoua muchprimarycaredoctor,still “Mostincludenicotineotherpotentiallyharmfulof galsoreefold.”yourchildrenat sideWhilethe veinsand arteries.alsosmoking.e-cigarettestobaccoor totar,stoptheyn,vaping,which increasesthepromotedlikelihoodto notstart.”haveasblooda ofsafealternativetoof don’tage.SmokingItburnis muchhardersmokingthanityourisother potentially andraisesyourheartrate andpressure.of asthiss orDr.beenMorad.“Mostpeoplewhosmoke Allstartearly as1413yearsor chemicalsisagreattimetofindone.raisesyour heartratetheyandnicotinebloodAllpotentiallyof thisstilland otherharmful chemicals that can increase blood pressure and yourg insidethe Whileveins andarteries. Smokingalsoe-cigarettesburntobaccoorincludetar,to pressure.notrisk for heart attackandcancer. care clinics provide on-site access to careo smoking.additionalstresstheItdon’theart14 yearsofonage.is muchhardertolivesstopsmoking thanit isstart.” BariatricsurgerychangesOurandprimaryrisk for heart attack and cancer.additionalstresson thethatheartchemicalscan increase blood pressureyourrt stillrate includeand bloodpressure.Allof thisnicotineandotherharmfultar, theytonotheartstart.”There is a silver lining. “It’s never too late to quit,” says Dr.can leadtoattackorpotentiallystroke.There is a includingsilver lining. “It’snever too latequit,” oselookings yourMorad. “Your risk for heart attack and stroke declines 15 to“The more you smoke, the higher your risk,” says Dr.Morad.“Yourriskfamilies.for heart attackand strokecaredeclines15 to“The more yousmoke,the higher” saysDr.late toorThereis a ��says Dr.rt dtheirAprimaryphysicianur30 percent as soon as you quit.Morad. “A person who smokes two packs a day increases his30 15percentMorad.“A personsmokestwoheartpacksattacka day andincreases“Yourstrokehisdeclinesto as soon as you quit.ou smoke,your risk,” saysDr.Theretheis ahighersilver lining.“It’snevertoo latetoMorad.quit,”whosaysDr.risk foris aButpartnerincanyourhealth,whether your goals are focused“Whilequittingsmokingbe verydifficult,or herrisk for heartattack or orstrokeby900percent.Butthe Includecharitablegiving“Whilequittingsmoking can be very difficult,herrisk forheartattackstrokeby 900percent.the30percentasorsoonas youquit.n Morad.who smokestwopacksa eclines15tot,” says factDr. is, no number of cigarettes is good for your heart. ainingyourhealthandwellnessin needanybudgetthe good news is that wehavelots of waysorto youhelp arefacttheis, no numberof cigarettesgood forcanyourLess“Whilequitting issmokingbeheart.very difficult,eart attack orinstroke900Nebraska Medicine’s newHeart Diseaseassoonbyasyoupercent.quit. Butnes3015percenttoNebraskaMedicine’s sthan five s-onmanagementofchronicconditions.ber of“WhilecigarettesgoodforLessquitting smoking can be very difficult,PreventionProgramwillprovidePrevention Program wilNebraska Medicine’s new Heart keisarethosecombinewith smoking-cessationattackor stroke40 percent.secondhandis programsyoubyquit.The mostEveneffectivesmoking-cessationttesday canincreaserisk forheartthea goodnewsis thatyourwe havelotsof waysto helpa comprehensive evaluationof your risk factorI ionNebraskaMed.com/Doctorsa comprehensiveevaluProgram will provideMedicine’snewtoHeartDiseaseaidsto Nebraskaaddressboththe behavioralandnicotineestimatedto be both the behavioral and nicotineestimatedtoareberesponsiblefor king-cessationby40 quit.percent.smokeisyouThe Evenmostsecondhandeffective icianvideosandlearnaboutoura comprehensive evaluation of your risk seeachnewyear.Heart” addressaidstoboth the behavioral and nicotine addictions.”e responsiblefor 35,000deathsfromheartare those thatcombinecounselingwith smoking-cessationdevelopmentof heart minewhichdoctorwouldbethebestfitforSome of thesmoking-cessationaids smoking-cessation aidsUsing formsof tobaccootherthancigarettescan beother than cigarettesPreventionProgramwillprovideSomeof the most successfulUsingformsof tobaccocan mostbe successfuladdictions.”ar.aids” to addressboth thebehavioralandnicotineTo schedule an appointment,pleasean appointcessationTo scheduledevelopment of heart disease.a personalizedplanto prevent theLeg thanpain:Shouldbe concerned?a comprehensiveevaluationof essationaidsyouand yourfamily.ofaddictions.”tobacco othercigarettescanI becallplease800.922.0000.call 800.922.0000.To schedule an appointment,development of heart disease.and awithpersonalizedplan orto preventyou successfulbornepilepsydoes theSome ofArethe lsomakesureyouarecall800.922.0000.To schedule an appointment, pleasedevelopmentofheartdisease.it develop later?n aidsto date on all of your preventive screenings. Regularcall up800.922.0000.To schedule an appointment, pleasemammogramsand colonoscopies are critical for catchingcall 800.922.0000.6-9 features10 in the communitySTOP HEART DISEASE INITS plusTRACKS11 healthSTOP HEART STOPDISEASEINHEARTSTOP HEART DISEASEINITS TRACKSITS TRACKSSTOP HEART DISEASE IN ITS TRACKSITS TRACKS12 overall healthcancerearlybefore itAESTHETIChascaused symptoms,and willVILLAGEPOINTEAESTHETICSURGERY VILLAGEPOINTESURGERY LAGE POINTE AESTHETICSURGERY Start 2019 off right withDREAMSDREAMSMEDSPAthesePOINTEhealthy lifestyletipsILLAGEAESTHETICSURGERY convenientMEDSPACenteroffersaccess to mammography andDREAMSMEDSPAHETICSURGERY colonoscopies,aswellasother preventive screenings.Beauty radiates! Feeling confident about your outer appearance positively influences many other aspects of your life—REAMS MEDSPAVisitNebraskaMed.com/Cancerto houselearnandmoreabout thisourholiday season:including how you feel on the inside. Join us at our holiday opentreat yourselfBeauty radiates! Feeling confident about your outer appearance positively influences many other aspects of yincluding howyou feelinfluenceson the inside.us atour holidayhouse and treat yourself this holiday season:Beauty radiates! Feeling confident about your outer appearancepositivelymanyJoinotheraspectsof youropenlife—includinghow youfeel on theinside. Joinusat ouraspectsholidayhouseand treat yourselfthis holiday season:uty radiates! Feeling confident about your yourlife—servicesandhowpreventionis key. season:Meet our plasticsurgeons,aesthetic nurses and aestheticiansudingyou feelon the inside.at our holidaytreatouryourselfthisholiday positivelyinfluencesmany Joinotherusaspectsof your openlife—house andIt’seasyto letnursesthe andstressesof life get in the way of taking Visit with vendors to learn more about our products and services Meetourplasticsurgeons,aestheticnurses icycle esy open house and treat yourself this holiday season:careofourselves.Thisyear,letus helpandyoumake “you” a andTakeservicesadvantage of promotional packagesmore Visitwith vendors to learnmoreabout ourofproductsto workto ensurehe getshis anddailyexercise.eet our plasticsurgeons,aestheticnursesaestheticians Takeadvantagepromotionalpackages and morepriority.Aswecontinuetoevolveandgrowour services, we Take andadvantagesitwith vendors to learn more about our productsservicesof promotional packages and moreciansFollowVillagePointeAestheticSurgery DreamsMedSpaonFacebookor visit SurgeryVP.com to learn hearfromyou.Pleaseletusknowhowwecan serveservicesFollow Village Pointe Aesthetic Surgery Dreams MedSpa on Facebook or visit SurgeryVP.comto learn more.Follow Village Pointe Aesthetic Surgery Dreams MedSpa on Facebook or visit SurgeryVP.com to learn more.you better in 2019. From all of us at Bellevue Medical Center,we wish you a healthy and prosperous new year!ow Village Pointe Aesthetic Surgery Dreams MedSpa on Facebook or visit SurgeryVP.com to learn more.on Facebook or visit SurgeryVP.com to learn more.NOTICE OF NONDISCRIMINATIONNebraska Medicine complies with applicablefederal civil rights laws and doesnot discriminateNoticeof Nondiscriminationonthe basisof race, color, national origin, age,Noticeof NondiscriminationNondiscriminationNebraskaMedicine complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, didisability, sex, gender identity or sexual eralcivilnotrightslaws and doesdiscriminateon thebasis of race,color, nationalorigin, age, disability, or sex.MedicineNebraskacomplies tbasisof race,services,color,nationalsex.ATTENTION:If youspeakordiscriminateVietnamese, onlanguageassistancefree oforigin,charge,age,aredisability,available orto you.Please call 402.559.2010 or 40Español (Spanish) ATENCIÓN: si habla 0or 402.559.2496.l civilrightslawsanddoesdiscriminateonthebasis of race,color,freenationalorigin,disability,or sex.ON:If youspeakSpanishor notVietnamese,languageassistanceservices,of charge,areage,availableto you.Please call 402.559.2010 or 402.559.2496.tienea ish)asistencialingüística.al 402.559.2010/ ortosex.nguagehe basisassistanceofrace, e,aredisability,availableyou. 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advancesClinical Trials That EnhanceYour Everyday Health and Well-beingResearch at Nebraska Medicine and itsacademic partner, the University ofNebraska Medical Center (UNMC), hasaccomplished big things.Due to clinical trials, there is now anew therapy for people with deadlyrecurring blood cancers that uses thebody’s immune system to attack atumor. Other researchers were part ofan international team that identified atool that allows doctors to recognizesepsis infections before they becomelethal. Another research team has madechanges to an antiviral drug that isshowing promise in treating andeliminating HIV.When most people think of researchand clinical trials, they often think ofhighly advanced drugs and treatmentsfor complex cancers and otherdiseases. But research also providesvaluable information and insight intoeveryday health needs, diseaseprevention and how to improve lifestylehabits and quality of life.“Both types of research providecritical information on how to deliverthe most effective health care duringand after treatment for our patients hereat Nebraska Medicine,” says ChristopherKratochvil, MD, vice president ofresearch at UNMC. Nebraska Medicineand UNMC are involved in both.“The breadth of the research beingdone here is substantial,” saysDr. Kratochvil. “All departments areactively engaged in research

Follow Village Pointe Aesthetic Surgery Dreams MedSpa on Facebook or visit SurgeryVP.com to learn more. Smoking and Heart Disease: A Deadly Duo That Can Be Prevented T here is nothing good about smoking and its effect on the heart,” says Abdulrahman Morad, MD, cardiologist with Nebraska Medicine’s Heart Disease Prevention Program.