1. PTSC Week 1 - 1 October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved. Prime Time Sister Circles ® A Revolutionary You: Mind, Body & Spirit Curriculum for Prime Time Sister Circles ® Curriculum for Prime Time Sister Circles ® Conceived and Created by: Marilyn Hughes Gaston, M.D. & Gayle K. Porter, Psy.D. The Gaston & Porter Health Improvement Center, Inc. with Cheryl D. Reese, M.H.S. & Margo L. Williams, M.H.S. EDUCARE Systems, Inc. Training Modules for Prime Time Sister Circles ® Curriculum Developed by: Mary Sullivan Esseff, Ph.D. & Peter J. Esseff, Ph.D. Educational Systems for the Future ® Facilitator Presentation Week 1 Facilitator Presentation Week 1

2. PTSC Week 1 - 2 Goals: 1.Focus on Your Power to Prevent Certain Diseases 2.Identify Your Risk Factors Objectives: 1.Practice Primary Prevention Prevent Illness & Disease Prevent Illness & Disease Develop Habits of Health Develop Habits of Health Identify & Reduce Risk Factors Identify & Reduce Risk Factors  Controllable & Uncontrollable 2.Practice Secondary Prevention Prevent Diseases from Getting Worse Prevent Diseases from Getting Worse Focus on Early Diagnosis & Early Treatment Focus on Early Diagnosis & Early Treatment Prevent Complications & Premature Death Prevent Complications & Premature Death October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

3. PTSC Week 1 - 3 Reach Your Level of Optimal Health: Make Commitment to Care for Yourself First Make Commitment to Care for Yourself First Believe You Can & Must Do It Believe You Can & Must Do It Determine to Develop & Implement a Plan So You Will Be a Healthier Person— Determine to Develop & Implement a Plan So You Will Be a Healthier Person— Now & for the Rest of Your Life October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

4. PTSC Week 1 - 4 Best Way to Prevent Disease & Illness: Take Action To: Avoid Problems in the First Place Avoid Problems in the First Place Before They Are Allowed To Occur Before They Are Allowed To Occur Reduce or Eliminate Risk Factors: Reduce or Eliminate Risk Factors: Smoking Smoking Unsafe Sex Unsafe Sex October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved. Eat Right Exercise Eliminate Risk Factors

5. PTSC Week 1 - 5 Develop Habits of Health & Lifestyle:  Daily & Repetitive  Continuous, Not Episodic  Permeates Everything  Requires Focus & Planning with Your Health Care Team on a Yearly Basis October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

6. PTSC Week 1 - 6 Many illnesses can be prevented or significantly delayed by:  Decreasing risk factors  Using prevention daily Preventable Diseases: 80%: Heart Disease & Diabetes 80%: Heart Disease & Diabetes 70%: Stroke & Colon Cancer 70%: Stroke & Colon Cancer 90%: Lung Cancer 90%: Lung Cancer 95%: Cervical Cancer & HIV 95%: Cervical Cancer & HIV October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

7. PTSC Week 1 - 7 Avoid Chronic Illness & Live in Health & Wellness: 1.Disease Prevention 2.Health Promotion CDC: Lifestyle Can Impact Health More Than Genetics October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

8. PTSC Week 1 - 8 Modifiable & Relate to Specific Lifestyle Habits: 1.Smoking 2.Overweight & Obesity 3.Inactivity 4.Stress & Depression 5.Poor Nutrition 6.Hypertension October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

9. PTSC Week 1 - 9 CDC Says Smoking: #1 Preventable Cause of Death in US #1 Preventable Cause of Death in US Linked to Hundreds of Thousands of Preventable Deaths in the US Each Year Linked to Hundreds of Thousands of Preventable Deaths in the US Each Year 5M Smoking Related Deaths World Wide 5M Smoking Related Deaths World Wide 38K Deaths Result from Exposure to Secondhand Smoke 38K Deaths Result from Exposure to Secondhand Smoke October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

10. PTSC Week 1 - 10 Major Risk Factor for Diabetes & Multiple Other Illnesses: Cancer Cancer Osteoarthritis Osteoarthritis Heart Disease Heart Disease Hypertension Hypertension Many Others Many Others October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

11. PTSC Week 1 - 11 #3 Preventable Cause of Death In US, Increases Your Risk for: High Blood Pressure High Blood Pressure Heart Disease Heart Disease Stroke Stroke Colon & Breast Cancer Colon & Breast Cancer Diabetes & Overweight/Obesity Diabetes & Overweight/Obesity October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

12. PTSC Week 1 - 12 1.Decreases Risk of: Heart Disease & Stroke Heart Disease & Stroke High Blood Pressure High Blood Pressure Colon and Breast Cancer Colon and Breast Cancer 2.Improves: Bone Density Bone Density Strength & Flexibility Strength & Flexibility Energy Levels Energy Levels Sexual Satisfaction Sexual Satisfaction HDL Cholesterol HDL Cholesterol 3.Decreases or Reduces: Pounds & Abdominal Fat Pounds & Abdominal Fat Slows Down Aging Process Slows Down Aging Process Chance of Fractures Chance of Fractures Stress & Depression Stress & Depression Triglycerides Triglycerides October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

13. PTSC Week 1 - 13 Increase Your Risk For : Damage to Heart, Blood Vessels & Immune System Damage to Heart, Blood Vessels & Immune System Stroke Stroke Diabetes Diabetes Cancer Cancer Overweight & Obesity Overweight & Obesity Poorly Functioning Thyroid Poorly Functioning Thyroid October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

14. PTSC Week 1 - 14 Results from: Too much of the “Bad” nutrients and/or Too much of the “Bad” nutrients and/or Too few of the “Good” nutrients Too few of the “Good” nutrients October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

15. PTSC Week 1 - 15 Hypertension, “high blood pressure”, rarely has symptoms, so you must: Take Your Blood Pressure Frequently to Diagnose It Early Take Your Blood Pressure Frequently to Diagnose It Early Keep It Controlled at Normal Levels (120/70 or lower) Keep It Controlled at Normal Levels (120/70 or lower) October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

16. PTSC Week 1 - 16 Uncontrollable Risk Factors: Race Race Gender Gender Age Age Family History Family History October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved. Age Race Gender Age Race Gender

17. PTSC Week 1 - 17 Changing Your Lifestyle Will Help You to Take Control of Certain "Uncontrollable" Illnesses Known Through Your Family History: Will Help You to Take Control of Certain "Uncontrollable" Illnesses Known Through Your Family History: Identify Your Risk Factors Identify Your Risk Factors Put Into Place Preventive Habits Put Into Place Preventive Habits Decrease Your Risk for Repeating Family's Pattern Decrease Your Risk for Repeating Family's Pattern October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

18. PTSC Week 1 - 18 Prevent Illness & Disease From Progressing: 1.Get Early Diagnosis Routine Check-ups Routine Check-ups Get Medical Screening Tests Get Medical Screening Tests 5 Most Important #s in Health Care 5 Most Important #s in Health Care 2.Practice Self-Care to Prevent: Complications Complications Progression to Severe Stage Progression to Severe Stage Premature Death Premature Death October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.

19. PTSC Week 1 - 19 To Detect Problems Early, Get: Routine Check-Ups Routine Check-Ups On-Going Medical Care On-Going Medical Care Comprehensive Medical Care Comprehensive Medical Care Make Self-Care Your #1 Goal October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved. Annual Check-Ups

20. PTSC Week 1 - 20 Tests That Can Save Your Life: 1.Mammogram 2.Lipid (Fat) Profile 3.Pap Smear 4.Colonoscopy 5.Bone Density 6.Electrocardiogram 7.Fasting Blood Sugar & HbA1C 8.HIV October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved. 1 8 6 7 4 5 2 3

21. PTSC Week 1 - 21 At ALL Times, Know & Follow with Your Health Care Providers: 1.Body Mass Index (BMI) 2.Abdominal Circumference 3.Blood Pressure 4.Fasting Blood Sugar (FBS) 5.LDL Cholesterol October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved. Body Mass Index (BMI) 1 Body Fat Scale 2 4 5 3

22. PTSC Week 1 - 22 1.Body Mass Index (BMI)  Normal 18.5-24.9  Overweight 25-29.9  Obese - >30  Morbid Obesity >40 2.Abdominal Circumference  Normal <35 inches 3.Blood Pressure  Normal <120/80  Prehypertensive – 120-139/80-85  Hypertensive >140/90 4.Fasting Blood Sugar (FBS)  Normal <100mg/dL  Prediabetes 100-125 mg/dL  Diabetes > 126 mg/dL 5.LDL Cholesterol  Normal < 100  in some cases with other heart risk factors < 70 1.Body Mass Index (BMI)  Normal 18.5-24.9  Overweight 25-29.9  Obese - >30  Morbid Obesity >40 2.Abdominal Circumference  Normal <35 inches 3.Blood Pressure  Normal <120/80  Prehypertensive – 120-139/80-85  Hypertensive >140/90 4.Fasting Blood Sugar (FBS)  Normal <100mg/dL  Prediabetes 100-125 mg/dL  Diabetes > 126 mg/dL 5.LDL Cholesterol  Normal < 100  in some cases with other heart risk factors < 70 October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved. 3 Abdominal Circumfere nce 2

23. PTSC Week 1 - 23 Prevent Illnesses From Getting Worse: Complications Complications More Severe State More Severe State Premature Death Premature Death Practice Good Self-Care: Get Consistent, Comprehensive Medical Care Get Consistent, Comprehensive Medical Care Adhere Strictly to Treatment Plans Adhere Strictly to Treatment Plans Take Medications as Prescribed Take Medications as Prescribed Use Daily Primary Prevention Activities: Use Daily Primary Prevention Activities:  Good Nutrition & Exercise  Decreased Stress Monitor Course of Your Illness & Effectiveness of Treatment Plan Monitor Course of Your Illness & Effectiveness of Treatment Plan October 2010© Marilyn Hughes Gaston, M.D. and Gayle K. Porter, Psy.D., 2007. Rev. 2010. All Rights Reserved.