Lace up your running shoes and race to these six world renowned marathon destinations
26.2 miles. For many people, running a marathon is a bucket list accomplishment. For others, it’s a chance to visit new exciting places while running a race or contributing to an important fundraising effort. Whether you’re interested in the challenge of the race or travelling somewhere beautiful to feed your passion for running, Booking.com, the global leader in connecting travellers with the widest choice of incredible places to stay, shares six marathons that are worth travelling (and training) for.
The Great Wall Marathon, China
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One of the world’s most difficult marathons, The Great Wall Marathon, gives 2,500 athletes the opportunity to run through one of the most iconic monuments in history. Taking place on May 20, participants pass over 5,164 stone steps and cross into the stunning Tianjin Province, which makes for a truly unforgettable experience.
The Beijing Badaling Great Wall Cao’s Courtyard Hostel ,a 200-year-old traditional Chinese-style building from the Ming Dynasty, offers natural views, a large garden and simply decorated rooms with a private bathroom. The property is just a ten-minute walk from Badaling Great Wall, the starting point of The Great Wall Marathon.
Athens Authentic Marathon, Greece
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One of the world’s most famous marathons takes place in the ancient city of Athens. Like its host city, the Athens Authentic Marathon has great historical significance. Held on November 12, the race takes its athletes through iconic landmarks including the Temple of Olympian Zeus and the Acropolis. Covering the same route that the Athenian messenger Pheidippides ran 2,500 years ago, this remarkable marathon starts in the town of Marathon and finishes in the extraordinary Panathenaic Stadium in Athens, which dates all the way back to the 6th century BC!
Situated near the Temple of Olympian Zeus in Athens and 500 metres from the Panathenaic Stadium, the stylish Athens View Loft – 03 has stunning views of the Acropolis, a fully equipped kitchen and a terrace with a lounge area to relax your tired legs after the long race.
Angkor Empire Full and Half Marathon, Cambodia
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The Angkor Empire Full and Half Marathon is being held on August 5 and 6 at one of the most famous wonders of the world. Angkor Wat is by far the largest religious monument in the world and was built between the 9th to the 12th century for the Khmer empire. The magnificent complex has since become the symbol of Cambodia. The course is within UNESCO World Heritage site itself, starting and ending in the Angkor Wat Ruins, right in front of the breathtaking Central Sanctuary.
Just two miles from the race course, Hotel Nita by Vo offers runners the perfect place to wind down after the race and enjoy a drink or two while watching the sun set in the Kingdom of Wonder.
3-Länden Marathon, Germany, Austria and Switzerland
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Literally translated as the three-country marathon, this unique race which will be held on October 8, starts from the beautiful Bavarian harbour of Lindau in Germany, passes through the Austrian towns Bregenz and Hard along Lake Constance, then crosses the Swiss border at St. Margreten, continues across the Rhine embankment back to Hard and finally finishes in Bregenz again. The scenic course is surrounded by beautiful, snow-capped mountain ranges and will pass by the world’s largest open theater where the latest James Bond movie was filmed.
If you’re looking at fully embracing the Bavarian culture, check out Hotel Adara, the quaint boutique hotel located on the scenic island of Lindau on Lake Constance. This little gem is stylishly designed to exude the rustic charms of Bavaria in today’s modern world.
Rock n’ Roll Marathon Series – Lisbon, Portugal
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The Rock ‘n’ Roll Marathon Series is one of the most popular marathons in the world and it will make its pitstop in the beautiful coastal city of Lisbon on October 15 this year. Runners will start in the beach town of Cascais, run along the coast on the river banks of Tagus River and end right in Central Lisbon. True to its name, runners also get to enjoy live music along the course – that’s right, 26.2 miles of live music!
Just a few minutes’ walk to the starting line of the race is Villa Cascais Guesthouse. This beach front property features sea view straight from the bathtub, making it the best accommodation for a relaxing getaway after the long run.
Niagara Falls International Marathon, Canada
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Last but not least, right in our own backyard, known as the race with the “world's most famous finish line”, the Niagara Falls International Marathon will be celebrating its 20thanniversary this year on October 15. The course begins in Buffalo, US and runs through the city towards the International Peace Bridge into Canada and ends near the famous Horseshoe Falls.
If you want to steer clear from the touristy area, the Greystone Manor Bed and Breakfast would be your ideal accommodation to check-in to after the race. Located on River Road overlooking the picturesque Niagara River Gorge, this charming historical building offers the most delicious meals and has the friendliest host, making you feel right at home away from home.

For women of all ages, sallow, dull, or crepey skin can make the chest area or décolletage appear older than it is. Factor in side-sleeping where for hours at a time, your breasts are at battle with gravity leading to deeper lines in the neck and chest. Luckily, there are advancements and solutions available to bring back the glow to the beautiful feminine décolletage. Dr. Lenny Hochstein, world renowned board-certified plastic surgeon based in Miami, Florida and owner of the city’s newest state-of-the-art Hochstein MedSpa, and his team of licensed aestheticians, offer insights on how to achieve and maintain a sexy décolletage.
- Go topical.
There are plenty of things women can do to prevent chest area skin from aging such as applying high-quality, medical-grade skin care products. There are plenty of wrinkle creams on the market. The key is to look for ones with alpha and beta hydroxy acids, retinol, Vitamin C and E, and growth factors. These will reduce the appearance of wrinkles. “This is great for prevention and maintenance. Using creams in your 20’s and 30’s really does help skin retain elasticity and its ability to produce collagen,” explains Larisa Belyakova, Hochstein MedSpa licensed aesthetician.
- Consider lasers.
Lasers will certainly offer that healthy glow, since they are the most powerful tool to address both discoloration and texture imperfections.
“One of the lasers we have had success with in the chest region is the HALO treatment, the world’s first hybrid fractional laser. It’s strong! Results to skin tone and texture are visible after the first treatment,” explains Dr. Lenny Hochstein who prides himself on being incredibly selective about the results-driven treatments he offers. “The HALO is a type of a fractional laser which allows us to obtain optimal results with reduced healing time,” he adds.
There are other options as well. “The other device used for chest rejuvenation is called BBL (broad band light). This treatment is the most effective on the market for clearing up sun damage spots and reducing redness,” adds Jenya Titova, Hochstein’s certified Physician’s Assistant who vast expertise in lasers spans 12 years.
An issue of concern to women are stretch marks to the breast area. “Another laser often used on the chest area is E-matrix. This technology reduces the appearance of scars and stretch marks on the breast,” Jenya adds.
- Try a chemical peel and/or a microdermabrasion.
If the skin itself is supple, microdermabrasion could work very well to address skin elasticity, texture, tone and overall appearance. It’s a less expensive option than lasers. Chemical peels work at the cellular level, smoothing the fine lines in the chest area with very little downtime. There are varying strengths available so it is very important to have an experienced person administer peels. Microdermabrasion and peels are usually recommended in packages of 3 or 4, performed several weeks apart.
- Hydrafacial
This is of the newest treatments that brings out the healthy radiance and glow to the skin of the décolletage area. “It is a high- tech equipment operated procedure that includes several steps, such as deep cleansing, exfoliation, antiaging light treatment and application of powerful antioxidants. Well hydrated and nourished skin on the chest is the immediate and lasting result of this treatment,” explains Hochstein MedSpa Licensed aesthetician, Capri Colello.
- Micro-needling
Micro-needling is a process where a small roller is rolled over the skin creating tiny punctures in the top skin layer. This phase of the treatment triggers a wound healing response in the body. Collagen levels are boosted as the skin regenerates itself leading to skin thickening, scars fading and smoothing of fine lines. Peptides and antioxidant serums are applied and massaged into the skin at the end. “What’s interesting to note about micro-needling is that the skin is essentially put into a healing, rejuvenation mode lasting for several months after the first session takes place. Skin looks better over time. To maintain results it’s advised to repeat the treatment at least 3-4 times,” advises Hochstein.
- PRP (Platelet Rich Plasma)
Microneedling described above, can be enhanced with a very powerful collagen building treatment using your own plasma. “The treatment requires that we draw a small blood sample to extract the concentrated platelet cells out of it. These cells have a natural ability of healing by building new elastic and collagen layer. Fine lines and wrinkles on the chest respond wonderfully to this procedure, with no discomfort, side effects or downtime” says Dr. Hochstein.
- Get smart about sunscreen.
Regardless of what treatment option you choose optimal skin protection is key. “You go through a series of treatments. The last thing you want to do is damage skin and get into this cycle of damage, treat, damage treat,” explains Dr. Hochstein. “You can’t invest $6000 on skin treatments and think a $9.00 bottle of basic sunscreen is going to protect you,” he adds. Any physician will suggest using a sunscreen that offers broad spectrum UVA and UVB protection. “The best results are found when the patient ‘protects the procedure’ and takes preventative measures recommended by their skin care professional,” he recommends.
About the experts:
Dr. Lenny Hochstein is a board certified plastic surgeon in Miami, Florida. World renowned for his meticulous attention to detail, symmetry and overall excellence, including published scientific papers, awards, early entry directly into medical school where he graduated valedictorian; Dr. Hochstein has two decades of experience, over 12,000 surgeries with breast augmentation as his main specialty. His dual accreditation of American Board of Plastic Surgery and American Society of Plastic Surgeons speaks to his high standards and reputation of providing exceptional care to all his patients. In 2017, Dr. Lenny Hochstein added Hochstein MedSpa to his Miami practice to offer lesser invasive treatments and anti-aging solutions adhering to the same values of high standards and quality. Anyone selected to be on his team must be exceptional, credentialed and committed to offering excellent care.
Jenya Titova, board certified Physician Assistant with 12 years of experience in aesthetic field, is Dr. Hochstein’s right hand at Hochstein MediSpa. She is highly skilled in areas of laser medicine and injectable treatments. His wonderful licensed aestheticians, Larisa Belyakova and Capri Colello are also great assets of his skin care team, delivering personalized, quality-driven approach to their patients.
7 Ways to Maintain a Young-Looking Face

We all want to look as youthful as possible for as long as possible. We spend money on creams, facials, fillers, and even sometimes plastic surgery. To get some tips for how we can maintain a young-looking face, we went to several great beauty professionals including Dr. Kirk Brandow, founder and director of the Brandow Clinic for Cosmetic Surgery in Philadelphia, who has appeared on national programs such as Good Morning America and 20/20. Here’s what they all have to say.
- Get rest.
There absolutely is such a thing as beauty sleep. “Women come to my practice thinking they need an eye-job or a facelift when all they need is sleep. Sleep is a time when we rejuvenate ourselves and cellular turnover is at its height. Getting 7-8 hours of sleep nightly will make a huge difference in how youthful a woman appears especially as she approaches age 30 and collagen production decreases,” says Dr. Brandow. “A woman can speed up aging if they are constantly sleep deprived.”
- Use an overnight treatment.
If you suffer from breakouts or skin dryness leading to wrinkles or blotches, treating your skin concerns at night, is a way to maintain a youthful glow. “Work closely with your dermatologist or aesthetician who can recommend non-irritating skin treatments specifically addressing your concern,” advises Dr. Brandow. You want to take advantage of overnight options available to boost collagen and heal skin while sleeping.
- Hydrate
When it comes to anti-aging and putting your most youthful face forward, water is key. Water flushes your system of toxins which helps skin to glow. “Women spend a lot of money on topical creams formulated to boost moisture and hydrate the skin yet, if they integrated more water, even 4, 8 ounce glasses per day, they would see fewer wrinkles and an overall smoother younger skin texture within a month,” says Dr. Adriane Pompa, Miami based board certified dermatologist who specializes in aging skin.
- Be smart about fillers.
Fillers are used to add volume that diminishes as we age but people have taken it to extremes. There have been many advancements with fillers over the past 5 years offering more options and more sophisticated ways to administer them to achieve a youthful look.
According to Dr. Brandow, many patients believe that filling their cheeks will soften their laugh lines, so they push doctors to administer two to four syringes in their cheek bones and cheek area at once. This can result in swelling and doesn’t necessarily lift their face. Fillers are often done as an alternative to a face lift but, if not spread out over several weeks, it just gives the patient an unnatural look that distorts their face and makes them look odd.
“My personal preference is to perform the fillers sequentially. For example, I will use one syringe of filler in multiple locations. Then I’ll have patients return in 4-6 weeks and perhaps do another syringe to the same places, or different places, giving them an overall natural look. This leads to a softer, more natural result. The key to doing fillers well are going with small amounts every 4-6 weeks,” explains Dr. Brandow.
- Get facials.
According to Dr. Adriane Pompa, one facial per month does wonders for skin’s clarity, texture, and ability to produce collagen. “There are many at-home facials available one can do weekly. The key is knowing your skin type and ingredients that address your specific skin concern. Also, you can treat different parts of the face differently depending on skin issue. Let’s say you are prone to breakouts on your jawline, have wrinkles on your forehead and dryness on the cheeks, your dermatologist or aesthetician can recommend a facial plan customized for you.”
- Consider lasers and light!
Lasers are another tool that blasts away acne scars, evidence of past sun damage and evens out skin giving that flawless, youthful glow. There have been so many advancements with lasers resulting in more immediate results without downtime. Lasers typically cost between $600 - $1200 per treatment depending on the city and type of laser. The advantage with lasers is accuracy. You can treat a specific area without affecting the rest of the surrounding skin.
- Tone down your make-up.
One way to immediately take 10 years off your look is to revamp your make-up. Consider hiring a professional make-up artist who can teach you how to enhance and even modernize your look. New York make-up artist, Carlo Geraci, who was protégé to Trish McEvoy and Kevin Aucion, explains that a lot of women are doing their make-up the same way they did 20 years ago. That bronzer that you loved in the 90’s when you were 24 may appear harsh and outdated at 44. “Heavy eye liner and strong lip colors may only accentuate wrinkles and fine lines. As women age, less is more when it comes to make-up. Opt for a great hydrating foundation or a touch of concealer, a pinch of blush, a swipe of mascara or a gray or brown eyeliner and a natural looking lip liner topped with a tinted hydrating balm,” he suggests.
About the Experts:
Dr. Kirk Brandow, founder and director of Brandow Clinic for Cosmetic Surgery is a plastic surgeon with 2 locations in the Philadelphia metro area and a 3rd one at the jersey shore. Named a “Top Doc” in Plastic Surgery by Philadelphia Magazine as well as nationally recognized for one of America’s “Best Plastic Surgeons” of this decade, Dr. Brandow is a trusted expert who has developed many innovative, minimally invasive procedures for the face, body and skin. He has been featured on local, national and international television programs including 20/20, CNN’s Headline News, Good Morning America.
Dr. Adriane Pompa is a board-certified dermatologist and Associate Professor of Dermatology at University of Miami, Jackson Memorial Hospital who is highly trained in medical dermatology, dermatologic surgery and cosmetic dermatology. In addition to her general practice, she specializes in anti-aging skin care, skin cancer prevention and treatment, and laser use in dermatology.
Carlo Geraci, New York make-up artist has worked alongside Kevin Aucoin, helped launch the Trish McEvoy brand, and was invited by Barneys New York to became the first Beauty Guru, a position created specifically for him. His work has appeared in print and commercial campaigns, New York Fashion Week runways, red carpets, Broadway stages, television, film, and fashion editorials. He has also appeared on the Style Network, CBS News, and Today on NBC.
Canadians Lack Access to Obesity Treatments and Support: Report Card
EDMONTON, April 25, 2017 /CNW/ - Canadians living with obesity are gravely underserved by Canada's public health systems and private benefits plans, according to a report released today by the Canadian Obesity Network (CON-RCO).
The Canadian and American Medical Associations, the World Health Organization, the Canadian Obesity Network and other groups now consider obesity to be a chronic disease, like diabetes and cancer. However, many health systems, as well as private and public payers and policy makers, have yet to embrace this definition and dedicate sufficient resources in support of patients.
The Report Card On Access To Obesity Treatment For Adults In Canada 2017 identifies substantial shortfalls in access to treatments outlined in Canadian clinical practice guidelines established in 2006, including behavioural interventions, medically supervised weight management using meal replacements, anti-obesity medications and bariatric surgery.
The report makes seven key recommendations to improve Canada's response to obesity, chief among them being the adoption of a true chronic disease approach to provide treatment and ongoing support for those with the disease.
Among the key findings are:
- There is a profound lack of interdisciplinary healthcare services for obesity management in Canada.
- A very limited number of Canadian physicians are pursuing formal training and certification in obesity management.
- Canadians who may benefit from medically-supervised weight management programs with meal replacements are expected to pay out-of-pocket for the meal replacements, in sharp contrast with coverage available for meal replacements used in diabetes, cystic fibrosis and cancer care.
- Those who rely on public coverage for prescription drug costs do not have access to the two prescription anti-obesity medications in Canada. Pharmacare programs in all the provinces and territories, as well as federal public drug benefit programs, receive a grade of F.
- Less than 20% of the Canadian population with private drug benefit plans have access to these medications.
- Nationally, bariatric surgery is available to only 1 in 183 adults (or 0.54%) every year who may be eligible for it. There are vast differences in access to bariatric surgery from one province to the next.
- Wait times between referral to bariatric surgery and consultation with a surgical team receive a grade of F in all provinces; wait times between consultation and bariatric surgery receive a C grade in Newfoundland, New Brunswick, Manitoba and Alberta, and a B grade in Nova Scotia, Quebec, Ontario, Saskatchewan and British Columbia.
"Treating obesity should only be initiated in patients when abnormal or excessive fat accumulation impairs health – in other words, not everyone of a certain weight or waist circumference needs medical interventions," says CON-RCO Scientific Director Dr. Arya M. Sharma. "However, more than 1.5 million Canadians are classified as having Class II or III obesity*, which is associated with negative health outcomes. Clearly, we need to do a much better job of helping them with the tools at our disposal."
Research suggests that obesity can be successfully managed using the interventions outlined in the Canadian guidelines. If left untreated, obesity can result in significant illness, a profound reduction in quality of life, and increased mortality.
Canadians living with obesity struggle with related health issues, rampant weight bias and discrimination and a lack of access to evidence-based management resources, says Marty Enokson, chair of CON-RCO's Public Engagement Committee and an outspoken obesity care advocate.
"We have a long way to go in Canada before we can say we properly support people with obesity, not just with evidence-based medical interventions, but also with the respect and dignity that any person deserves," Mr. Enokson says. "We don't blame people living with cancer, heart disease or diabetes for their disease, and we don't make them fend for themselves in terms of finding help.
"We have some treatments available for obesity, and there are more on the way – we need to be willing to use them, and we need to make them as accessible as possible, as we would for any other chronic illness," he adds.
To view the recommendations, the full report, online summaries and other materials including study methodology, go to: www.obesitynetwork.ca/reportcard.
The Report Card On Access To Obesity Treatment For Adults In Canada 2017 was produced by the Canadian Obesity Network with the support of an unrestricted grant from Novo Nordisk Canada Inc.
The Canadian Obesity Network is Canada's largest professional obesity association for health professionals, researchers, policy makers and obesity stakeholders, with 15,000+ members. www.obesitynetwork.ca
*Class II obesity defined as BMI: 35.00 kg/m2–39.99 kg/m2; Class III obesity is BMI: ≥ 40.00 kg/m2
SOURCE The Canadian Obesity Network
Seven of the Most Common Myths about Organ Donation Debunked
TORONTO, April 24, 2017 /CNW/ - This National Organ and Tissue Donation Awareness Week (April 23 – 29, 2017), Trillium Gift of Life Network is debunking myths about organ and tissue donation and encouraging Ontarians to register consent for donation.
Registration has the power to saves lives and it gives hope to the over 1,500 people in Ontario waiting for a lifesaving transplant today. The reality is that every three days someone will die because of not getting an organ transplant in time. But you can help. With more registered donors, we could prevent deaths on the waitlist.
To break down barriers and promote donor registration, Trillium Gift of Life Network has debunked seven of the most common myths about organ and tissue donation.
MYTH: A signed donor card is all you need to become a donor.
FACT: Because paper donor cards were a less than ideal way to record a donor's consent, Trillium Gift of Life Network began recording consent in a Ministry of Health and Long-Term Care database. This ensures that a person's wishes about donation can be shared with loved ones at the appropriate time. Formally register at www.BeADonor.ca.
MYTH: I am too old, no one would want my organs or tissues.
FACT: Age alone does not disqualify someone from becoming a donor. The oldest organ donor in Canada was over 90 and the oldest tissue donor was over 100. There is always potential to be a donor; age should not prevent someone from registering.
MYTH: I cannot be a donor because I have a serious medical condition.
FACT: All potential donors are assessed at time of death for medical suitability, which includes a review of their health history as well as serological testing. It is best not to rule yourself out because there is always potential to save or enhance the lives of others through organ and tissue donation.
MYTH: My religion will not allow for organ donation.
FACT: All major religions support organ and tissue donation or respect an individual's choice. However, if you are unsure of your faith's position on donation, consult with your faith leader.
MYTH: Organ donation will delay and impact my funeral plans.
FACT: Organ and tissue donation will not delay or interfere with funeral plans. Medical suitability testing and a recovery surgery typically take place within 24 to 36 hours of someone's passing. After donation, the family can carry out funeral arrangements as planned, including an open casket funeral, burial, cremation, and so on.
MYTH: Families have to pay for the cost of organ donation.
FACT: Donation does not come at a cost to the family. Organ and tissue donation is a gift. The costs of organ and tissue donation and transplantation in Ontario are covered by the Ministry of Health and Long-Term Care.
MYTH: I cannot donate blood, so I cannot be an organ donor.
FACT: The regulations for blood donation are different for organ and tissue donation. Even if you are not able to donate blood, you can still become an organ and tissue donor.
Register today at www.BeADonor.ca or learn more about these myths and find answers to other questions at http://www.giftoflife.on.ca/en/faq.htm.
Did you know?
- National Organ and Tissue Donation Awareness Week is celebrating its 20th anniversary. In recognition of this milestone, landmarks will be lit green to raise awareness for organ and tissue donation - including the CN Tower, Toronto City Hall and the 3D Toronto sign.
- According to an Ipsos study, as many as 1.8 million Ontarians mistakenly believe they are registered organ and tissue donors. Paper donor cards became obsolete when Trillium Gift of Life Network adopted a registry. Check your status or register your consent at www.BeADonor.ca.
Trillium Gift of Life Network is a not-for-profit agency of the Government of Ontario responsible for planning, promoting, coordinating and supporting organ and tissue donation for transplantation across Ontario and improving the system so that more lives can be saved.
SOURCE Trillium Gift of Life Network
Ten Tips for Effective Communication With Your Doctor
By Dr. Karen Trollope-Kumar
Sometimes my work as a family doctor the days don’t always go as expected. On a busy day, I feel like I’ll never catch up, and it’s frustrating that I can’t give adequate time to each individual patient. One afternoon not long ago, I was feeling unusually tired. I looked down at my schedule and saw that my last patient was Beth, a young mother with a seven-year-old son. I thought to myself – Let’s hope this one is just a simple sore throat!
“So what brings you in today?” I asked, after a brief greeting.
“Well, I’m worried about Jimmy”, said Beth anxiously. “He’s getting into trouble at school a lot, and his teachers say he’s not paying attention. Sometimes he has stomachaches. I’m not sure what to do… Also, I’m wondering if you could just check his foot, I think he’s developed a plantar wart.”
I couldn’t help letting out a sigh. “Well, let’s just focus on the main problem,” I say. “What more information can you give me? Have you got his latest report card? Any specific comments from the teacher?”
Beth shook her head. She tried to explain more about her concerns about Jimmy, but she sensed that I was not listening closely, and she tripped over her words. Finally, I said in a voice edged with irritation, “There’s not much I can do in this short appointment. This is a complicated issue. Can you re-book for another time?”
After Beth and Jimmy left the office, I felt very guilty for brushing her off that way. I knew that she was not happy with the appointment, and neither was I. We had a communication problem, aggravated by time constraints. Unfortunately, such problems are all too common between family doctors and their patients and with a little teamwork can get the critical doctor-patient relationship back on track.
Like any healthy relationship, good communication is fundamental and that applies to the doctor-patient relationship as well. When that vital link of understanding is broken between doctor and patient, a cascade of negative consequences can result. If the patient hasn’t been able to fully explain his or her symptoms, an incorrect diagnosis might be made. If the doctor hasn’t clearly communicated his or her assessment of the problem, the treatment plan might fail. Poor communication inevitably leads to dissatisfaction for both doctor and patient.
There are ten quick tips to communicate better with your family doctor, and to make your office visit more effective:
1. If you are seeing the doctor for a complicated issue (like Jimmy’s problem) ask the receptionist to book you a longer appointment.
2. Prepare what you’re going to say ahead of time, and keep it concise and focused.
3. If you’ve done some research on the Internet about your problem and want to share it with your doctor, make sure you use reputable sites to get that information. Doctors get frustrated when patients bring in reams of information of dubious value.
4. Avoid coming into the doctor’s office with a list of unrelated problems – focus on your main concern for that visit.
5. If you are going in to get results of an important test, bring a friend or relative with you. Sometimes it can be hard to remember what the doctor has said, especially when the topic is emotionally laden.
6. If you have a particular worry about a symptom (for example, Could this be cancer?), express that concern to the doctor.
7. If the doctor advises a treatment you don’t feel comfortable with, explain your reasons, and see if an alternative approach would be possible.
8. Keep your follow up appointment, and at that time let the doctor know how well (or not) the treatment has worked.
9. If you’re not happy with the service you’re getting, communicate this clearly but politely, using “I” statements. (for example, “I feel concerned about how long it took to receive these test results.”)
10. If you’re happy with the service you’re getting from your doctor, a word of thanks or a card is always appreciated. Doctors are human too!
Improving communication requires work on the part of both the doctor and the patient. Thinking back on this appointment with Beth and Jimmy, I realized my faults: I was tired and also frustrated because the issue was complex and difficult to address during a short appointment. Yet still, I could have done a better job at communicating with compassion. On Beth’s part, she could have prepared for this appointment by thinking ahead about what information might be useful for the doctor. Working together, patients and family doctors can form great partnerships if they keep communication at the forefront of their relationship.
Dr. Karen Trollope-Kumar is a family physician in Canada and author of Cloud Messenger: Love and Loss in the Indian Himalayas. For more information, please visit www.karentrollopekumar.com.
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It’s a frustrating scenario. You eat right and exercise yet you have gained weight or cannot shed weight. You may have inherited your mom's slow-motion metabolism, but the good news is; you’re not stuck with it. Research shows you can trick your body into burning calories more efficiently, especially if you hit the gym. “By strength-training just a couple of times a week, for example, you’ll reverse 50% of the seemingly inevitable metabolism slow-down that comes with age, says Dr. Christopher Calapai a New York City Osteopathic Physician board certified in family and anti-aging medicine. Here Dr. Calapai shares 7 Metabolism boosters that don’t require a visit to an endocrinologist or a prescription.
1. Value food as fuel and eat.
If you want to weigh less, you’ve got to eat less, right? Wrong! If you take in too few calories, it can cause your body to lose muscle mass and decrease your metabolic rate. Plus, when you skimp on calories, your body slows the calorie burn rate to conserve the fuel it's got. “Under-fueling is just as risky as over-fueling,” says Dr. Calapai. “In an attempt for quick, noticeable weight loss, many people wrongfully believe that eating as few calories as possible is the best solution. Not only can this lead to numerous nutritional deficiencies as the body is getting less food overall, it can actually have the opposite effect on weight loss.”
2. Mix up your workouts.
When it comes to the best workouts for weight loss, neither weights nor cardio can completely move the needle on their own. Interval training is the best way to shed pounds, increase your metabolism, improve your cholesterol profile, and improve insulin sensitivity. Turn your favorite aerobic exercise, (running, biking, even walking) into an interval workout by adding periods of intense speed (start with 30 to 60 seconds) followed by periods of rest (normal speed) for the same amount of time. Do this six to 10 times to complete a fat-slashing workout. As you get better, slowly increase the amount of time of increased intensity.
3. Become best friends with breakfast.
Commit to starting the day with a good breakfast. What should you be having? Morning munchies that are slow to digest and leave you feeling fuller longer. Try a mix of lean protein with complex carbohydrates and healthy fats. Fresh fruit, egg whites, steel cut oatmeal, Greek yogurt, fiber rich cereals are things to grab for. “You’re not kick starting your metabolism if you have coffee for breakfast. Skipping breakfast puts the body in starvation mode slowing your metabolism to a crawl to conserve energy,” says Dr. Calapai.
4. Spice up your diet.
It turns out capsaicin, the compound that gives chili peppers their mouth-searing quality, can also fire up your metabolism. Eating about one tablespoon of chopped red or green chilies boosts your body's production of heat and the activity of your sympathetic nervous system (responsible for our fight-or-flight response), according to a study published in the Journal of Nutritional Science and Vitaminology. The result is a temporary metabolism spike of about 23 percent. Stock up on chilies to add to salsas, and keep a jar of red pepper flakes on hand for topping pizzas, pastas, and stir-fries.
5. Drink green tea.
If you always opt for coffee over tea, you could be missing out on a major metabolism boost. In a recent 12-week study, participants who drank 4-5 cups of green tea daily, then did a 25-minute workout, lost an average of two more pounds and more belly fat than the non-tea-drinking exercisers. What’s is its magic? The brew contains catechins, a type of antioxidant that triggers the release of fat from fat cells and helps speed the liver’s capacity for turning fat into energy.
6. Snack smart all day.
It sounds counterintuitive. Why would you eat continually if you wanted to lose weight? Eating five to six mini meals, portioned to fit on the size of a salad plate, rather than three larger meals every day, keeps your metabolism going. "Snacking every 2 hours will also prevent you from going without food so long that you become so hungry that you overeat," says Dr. Calapai. “Try not to let more than 4 hours elapse between meals and make sure each meal includes protein, for an extra metabolic boost,” he adds. If you eat a high-fiber breakfast of cereal and fruit first thing, for example, have a midmorning snack, such as yogurt and fruit; for lunch (try four ounces of chicken or fish on top of a leafy green salad); then another snack late afternoon, like a banana and a piece of low-fat cheese. Dinner is then a lighter meal for example four to six ounces of turkey, salmon, or another lean source of protein with steamed veggies.
7. Get a good night’s sleep.
Lack of sleep is linked to a major increase in the risk of obesity. This may partly be caused by the negative effects of sleep deprivation on metabolism. Lack of sleep has also been linked with increased blood sugar levels and insulin resistance, which are both linked to a higher risk of developing type 2 diabetes It’s also been shown to boost the hunger hormone ghrelin, and decrease the fullness hormone leptin This could explain why many people who are sleep deprived feel hungry and struggle to lose weight.
About the Doctor:
Dr. Christopher Calapai, D.O. is an Osteopathic Physician board certified in family medicine, and anti-aging medicine. Proclaimed the "The Stem Cell Guru" by the New York Daily News, Dr. Calapai is a leader in the field of stem cell therapy in the U.S. His stem cell treatments have achieved remarkable results in clinical trials on patients with conditions as varied as Alzheimer's, arthritis, erectile dysfunction, frailty syndrome, heart, kidney and liver failure, lupus, MS and Parkinson's. He has worked with Mike Tyson, Mickey Rourke, Steven Seagal, and Gotham's, Donal Logue; and as a medical consultant for the New York Rangers. Connect with him via twitter @drcalapai or at www.drcal.net
The Science behind a Perfect Night’s Sleep [Infographic]
It’s common knowledge today that your lifestyle, what you eat and what you drink play a big part in your sleep pattern and quality of sleep, and while people know this and understand the concept of holistic well-being to some degree, most people don’t know exactly what factors influence their sleep and to what extent.
Normally it’s only when we aren’t sleeping well that we realise just how important a good night’s sleep is. Training regularly and eating well are extremely important to well-being but even a few nights of poor sleep can lead to daytime tiredness, lack of focus and concentration.
But getting a consistent amount of sleep every night is a challenge at the best of times, thankfully scientists have been concerned with sleep research for many years and the tips offered in the below infographic are based on years of research aimed at improving sleep quality.
But before we consider how to get a good night’s sleep, it’s important to understand what a good night's sleep is. As described by Dr. Mehmet Oz, MD these are the most important factors when deciding if we are sleeping well or not:
- Sleep latency – the time it takes to fall asleep
- Sleep stages 1 & 2 – getting enough stage 2 sleep, sleep that rests the parts of your brain that you use during the day
- Sleep stages 3 & 4 – these decline with age but are the restorative stages.
While it can be difficult to monitor these different stages effectively, overall if you’re waking up feeling tired and are tired throughout most of the day then you probably aren’t sleeping through all of the above stages, and it’s likely that your sleep quality can be improved.
For more information about the science behind a perfect night’s sleep check out the following infographic created by De Vere:

Remington Pushes Green Earth Agenda for Earth Day
Downtown Markham NA’s largest LEED® Development
Downtown Markham, April 17, 2017 – The Remington Group remains fully committed to its green agenda for Downtown Markham. This Earth Day it is planning a full program to help the community learn more about being environmentally friendly. And it is focused particularly on its youngest residents. Remington Group is offering a host of activities and festivities to educate the community on how to be more sustainable, learn about and visit with Canada's native animals, and test drive an EVO car.
To provide a distraction for the youngest visitors and reinforce their appreciation for time spent outdoors, they will be offer free rides on the Pride of Canada Carousel, made entirely from recycled materials. Hidden in the colourful characters of the carousel they will find repurposed scrap metal, from all parts of the country.
"Downtown Markham is a unique development in Canada, built from the ground-up to integrate with, rather than build over, the natural environment," says Rudy Bratty, Chairman and CEO, The Remington Group. "We are determined to create a centre where the residents of Downtown Markham can live, work and play in an economically vibrant community that emphasizes sustainable development, public space, alternative energy and a higher quality of life."
Downtown Markham is the largest LEED® development in North America. Projects pursuing LEED® certification earn points across several areas that address sustainability issues. Based on the number of points achieved, a project then receives one of four LEED® rating levels: Certified, Silver, Gold and Platinum. The Remington Group only designs buildings with targets for LEED® Silver or higher. Construction under LEED® criteria allows Remington to measure its ongoing performance, ensuring water, energy and other critical resources are managed in the most effective manner possible.
Green initiatives used by the Remington Group:
- High density development which minimizes the environmental footprint
- Past, current and future buildings will be located close to public transit and bike paths, reducing the dependency on cars
- All high-rise communities have charging stations for electric cars
- Past, current and future buildings will have bicycle storage
- Past, current and future projects will be respectful of natural ecosystems
- Use of “green seal” certified paints are made of mostly natural, biodegradable compounds
- Use of high performance double-glazing windows ensure maximum energy efficiency
- Use of ventilators recover heated or cooled air and guarantee substantial energy savings
- Use of thermal-insulated walls minimize drafts
- Remington is working to preserve the existing Rouge River ecology while taking steps to regenerate hundreds of species of wildlife after years of farming and is committed to creating green spaces around its development projects
- Remington uses natural materials found locally to decrease the carbon footprint
- Remington’s Downtown Markham complex uses high-efficiency water recycling and heating that reduces emissions by 50%
Event Information:
Celebrate Earth Day in Downtown Markham
Date: April 22, 2017
Time: 10am to 4pm
Address: 169 Enterprise Blvd, Downtown Markham
Summer Smart Sunshine Tips to Boost Vitamin D Levels
TORONTO, Ont. (April 6, 2017) – The daylight hours are getting longer, the sun is getting stronger and summer is just around the corner. Make this the year that you optimize your vitamin D levels through effective sun exposure. Enjoy the health benefits and disease prevention from optimal vitamin D levels and learn to control your risks from sun exposure.
Vitamin D is made naturally in your body when UVB rays from the sun convert cholesterol in your skin to pre-vitamin D3. We make about 90% of our vitamin D from UVB sun exposure. UVB rays are short and only reach the earth when the sun is directly above us. We can’t make vitamin D in the winter in Canada because the sun is at too low of an angle and the UVB rays are absorbed in the atmosphere.
You make vitamin D in Canada between the months of May and October. The best time for exposure is around midday, between 10am and 2pm, when the UV index is above 3 and your shadow is shorter than your height. The further you get from noon, the lower the amount of vitamin D you’ll make. The sun’s visible light may penetrate through glass, but UVB light will not therefore you will not make vitamin D.
Full body sun exposure at non-burning levels can create between 10,000-25,000 IU of vitamin D in your skin. You can never get too much vitamin D from the sun as your skin self regulates itself, whereas ingesting vitamin D does not have the same control. In addition, vitamin D that you make from the sun lasts twice as long in your body as vitamin D taken through supplements or food.
Statistics Canada reports that Canadian vitamin D levels have dropped by 10% over the past six years. The root cause of this decrease is lower sunshine exposure. People are just not getting outside around midday in the summer and making vitamin D and when they are outside they are using sunscreen which if applied correctly prevents 95%+ of vitamin D production.
In Canada, 12 million Canadians (35%) have vitamin D blood levels below the recommendations from Health Canada. This puts these people at a higher risk for several diseases, including cardiovascular disease, cancer, osteoporosis, diabetes, multiple sclerosis, Alzheimer’s disease and many more. In fact, a study completed in 2016 reported that if Canadians increased their vitamin D levels to the recommended level of 100 nmol/L, we would save $12.5B in healthcare costs and 23,000 premature deaths annually.
A recent study reported that women who avoided the sun have twice the risk of all cause death. The authors said that “avoidance of sun exposure is a risk factor for death of a similar magnitude as smoking.”
Skin cancer is a concern and risk of sun exposure must be managed and balanced with the benefits from vitamin D and other photoproducts. Research has shown that people with higher sun exposure such as outdoor workers, who have 3-10 times the sun exposure as indoor workers, have a lower incidence of melanoma. The National Cancer Institute reports that melanoma risk is increased as a result of intermittent acute sun exposure leading to sunburn. People who are a skin type 1, with white or very pale skin colour, red or blonde hair colour and who always burn and never tan, should severely limit their sun exposure.
The Vitamin D Society offers the following tips:
- Know your own skin and skin type. Don’t burn. Never overexpose yourself.
- Acclimatize or condition your skin for sun exposure by gradually building or lengthening exposure times as your skin begins to tan to reduce your risk of burning
- Prevent burning and overexposure when required through the use of hats, clothing, shade and sunscreens
- For vitamin D get sun exposure at midday, between 10am and 2pm, when the UV index is above 3 and your shadow is shorter than your height
- Expose more skin for a shorter period of time to generate more vitamin D while reducing your risk of overexposure.
It’s important to manage the risk and enjoy the rewards of moderate sun exposure for good health. Cancer Research UK, through the Consensus Vitamin D Position Statement, offers the following recommendation: “Enjoy the sun safely while taking care not to burn, can help provide the benefits of vitamin D without unduly raising the risk of skin cancer.”
“This advice may go against what current health organizations recommend,” says Perry Holman, Executive Director of the Vitamin D Society. “They typically recommend you stay out of the sun at midday and use sunscreen when outdoors. But this would reduce your potential vitamin D production and does not consider the benefits as well as the risks of sun exposure on overall health. You need to have balance.”
About the Vitamin D Society:
The Vitamin D Society is a Canadian non-profit group organized to increase awareness of the many health conditions strongly linked to vitamin D deficiency; encourage people to be proactive in protecting their health and have their vitamin D levels tested annually; and help fund valuable vitamin D research. The Vitamin D Society recommends people achieve and maintain optimal 25(OH)D blood levels between 100 – 150 nmol/L (Can) or 40-60 ng/ml (USA).
To learn more about vitamin D, please visit www.vitamindsociety.org