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Kansas City

H E A L T H a n d W E L L N E SS

enhance your life savor the flavor of fall keep the spirit of summer all year long

O cto b e r / No v e m b e r 20 0 8 w w w . e n h a n c e 4 l i f e . co m


Heartland

SPINE & SPECIALTY

HOSPITAL

Adrian Jackson, MD • Orthopaedic Surgery

Our physician owners designed and equipped Heartland Spine and Specialty Hospital to reduce the risk of hospitalacquired infections. As a result, our patients are much less likely to experience infection as a result of their surgery.

WE’RE REDUCING INFECTIONS • Neurosurgery • General surgery • Orthopaedic surgery • Pain management • Vascular surgery • Plastic surgery • Radiology

10720 Nall Avenue • Overland Park, KS 66211 Referral line: 1-888-362-4774

www.hssh.org


It’s the little things.

Sometimes we need to look closer at all the facts. We encourage you to learn as much as possible so you can be confident of your chance for success. We are the area’s most experienced in helping infertile couples become parents. We’re also the area’s leading innovator with a full range of treatment options ranging from minimal therapies to high-tech procedures. Look closely at the facts and check the stats. Visit www.rrc.com or call (913) 894-2323.

Rodney Lyles, M.D. • Celeste Brabec, M.D.

REPRODUCTIVE RESOURCE CENTER 20 years of Innovation


from the editor

health from the inside out Welcome to Enhance, Kansas City’s premiere magazine focused on your

enhance magazine 

Photo by Denise Williams

total health and wellness. We’re a bi-monthly publication with a mission of bringing you the latest health technologies, spotlights of local service providers, complementary health alternatives and whole living attributes found here in Kansas City. Fall has arrived. After enduring days of rain and wind the first couple of weeks this September, the Midwest offers us a great opportunity to embrace the beauty of fall: crisp mornings, the warmth of the sun and the changing colors of nature. I just love summer, so I’ve been pondering ways to savor the spirit of summer through the fall. Things like picking homegrown tomatoes or stopping by a roadside table full of fresh peppers. Or finding ways to indulge in my passion for walking. I can’t wait to get home, kick off the heels and throw on my shorts and tennies. Part of this passion stems from our year-old lab, Cooper, who impatiently awaits my changeover and whines outside the door anticipating our walk. Being outdoors energizes and invigorates the senses – just what is needed to refresh the mind, body and spirit. As we embrace the change of the seasons and turn back our clocks, there are so many ways to savor the spirit of summer. Fall offers a perfect cool breeze for walking and a great opportunity to smell the fresh autumn air, release stress and strengthen the body. In addition to highlighting some of the best medical professionals and their ser-

vices in this issue, we also offer a few ideas to welcome autumn. We’ve identified fresh fruits and vegetables, outdoor activities and local resources to support a healthy lifestyle. Maybe you’re up for an outdoor weekend adventure along with a few simple, healthy snacks for the trip. Our writers have pulled together some ideas just for you. Through healthy eating habits, regular exercise and ways to soothe your mind, you are well on your way to Enhance life. We are proud to present local specialists, services and superior health programs that are a vital part of our great community. Take a look inside and see for yourself. In other words, starting right now, Enhance your life and the lives of others today.


Health insurance for

less than a tank of gas?

Introducing AffordaBlue™ with rates as low as $39/mo.* Hard to believe, but it’s true. You can get healthcare coverage for less than a fill-up. Talk about cheap…even better, it’s AffordaBlue. This new plan from Blue Cross and Blue Shield of Kansas City was designed for those who are young, relatively healthy and don’t often need to see a doctor. But it’s not like many stripped down health plans that offer only catastrophic coverage. It includes 5 doctor office visits per year for a modest $30 copayment per visit, plus generic prescription drug coverage. Try finding those kinds of added benefits in a typical low-cost, high-deductible plan. So before you gas up, don’t pass up one of the best bargains in health insurance, AffordaBlue. It’s money well spent. To learn more, call us today at 816-395-2592, text “Blue” at 839863 or visit buyblueKC.com.

The health insurance you need, at a price you can afford.

AFFORDABLE Apply Online

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Cost comparison based on average tank (12 gal.) fill-up at the national average gas price of $4/gal. *Rate based on a high-deductible plan with $5,000,000 lifetime coverage for a healthy male, age 19-29, in the metro Kansas City area. All rates subject to underwriting approval and will vary based upon age, sex, residency and health status.

BCP-2510_AffordaBlue_KCE.indd 1

8/22/08 2:10:15 PM


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Adopt the pace of nature. Her secret is patience.

– Ralph Waldo Emerson



8 42

60 28

64

56

soup, weights: © Istockphotos.com / bluestocking; wine: © Istockphotos.com / plainview; Spa: © Istockphotos.com / Pattie Calfy ; acupuncture: © Istockphotos.com / Jacob Wackerhausen

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in this issue

Kansas City

H E a Lt H a n d W E L L n E s s

enhance your life savor the flavor of fall keep the spirit of summer all year long

focus on your health 8 38 56

Pillcam The PillCam gives doctors an advantage in diagnosing intestinal issues.

18

Veneers A winning new smile is within your reach, thanks to dental veneers.

25

personal trainers A certified professional can help you reach your fitness goals.

36 22

Weight-loss surgery Kansas City centers offer surgical solutions to start a better life. Coming into focus Everyday activities are in the picture for sufferers of cataracts. Spotlight: Monarch plastic surgery and Dr. Regina Nouhan spotlight: KU Heart center

endless summer 28

Heal your body after summer The sun giveth and the sun taketh away – take time to heal your body after a season outdoors.

indulge yourself 42

Focus on rejuvenation With a trip to the spa, take the time to reboot yourself – mind, body and soul.

46

Medical spas A medical spa offers a higher level of rejuvenation, thanks to on-site medical expertise.

savor the flavor of fall 50

Fall foods You can find a lot more than cold-weather comfort in some healthy autumn offerings.

12

A glass a day Is drinking wine healthy? The short answer may be yes, but nothing with health is ever that straightforward.

64

red barn farm in weston, Mo. There’s a breath of fresh autumn air waiting just up the road from Kansas City.

Acupuncture The use of this ancient technique to treat common pains is gaining popularity.

Volume 1, Issue 1 October/November 2008 Executive Editor Letha A. Steffey Creative director Dennis Esser Art Director and copy editor Colleen Cooke Contributing photographers Denise Williams Jonathan Braswell Contributing Writers Ryan Brown, Jessie Burch, Colleen Cooke, Susan DeMaro, Paige DeRuyscher, Megan Henderson, Scott Higgins, Catherine Jenkins, Michael A. Levine, Ann Ross ADVERTISING To advertise, please call Mark Williams, mwilliams@ enhancepublications.com 913-269-9227 Publisher Mark Williams Enhance Magazine is published by Enhance Publications. Any information contained within this publication should not be considered a substitute for consultation with a licensed physician. Enhance Publications, its affiliates, employees, contributors, writers, designers, and its Editorial Board of Advisors (“Publisher”) accept no responsibility for inaccuracies, errors or omissions with information for the claims made by Advertisers. Publisher expressly assumes no liability for any damages whatsoever that may be suffered by any patient, purchaser or user for any products or services advertised or mentioned editorially herein. You expressly agree that your use of the information in Enhance is at your sole risk. Photographs of any model in Enhance in no way suggest or imply that the subject has undergone any procedure or used the products showcased. Every effort is made to ensure accuracy in the information provided. Enhance Publications assumes no responsibility or liability for errors, changes, or omissions. Photography and material in the publication as well as design may not be copied or reproduced in any form without the written permission of: Enhance Magazine, 7111 W. 151st St., Overland Park, KS 66223. Phone: 913-269-9227, Fax: 913-322-1099 mwilliams@enhancepublications.com All rights reserved. ©2008 Enhance Publications.

www.enhance4life.com

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Fall: © Istockphotos.com / Juan Estey; Red apple: © Istockphotos.com / Andres Peiro Palmer; Cover: © Istockphotos.com / Willie B. Thomas

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health and wellness

ready for your closeup No longer are doctors left in the dark when examining your intestine for potentially lifethreatening issues, thanks to the Pillcam

enhance magazine

By Jessie Burch



Smile! Swallowing a camera can improve some health outcomes in ways you never pictured. While not intended to replace the thoroughness of a traditional colonoscopy, the PillCam can be a useful and easy-to-use supplemental diagnostic tool. The PillCam, or endoscopy capsule, lets gastroenterologists examine the dark interior of the small intestine – 20 feet of a mostly hidden region of your body. The microscopic camera is encased in a pill-shaped package of biocompatible plastic. It transmits two images per second and uses video imaging to reveal details of the intestine. “It’s gotten us to places in the small intestine we haven’t been able to see – at least, not conveniently either to patient or physician,” says Dr. R. Wade McCullough, who is affiliated with Midwest Gastroenterology. The Pillcam process Before the advent of the PillCam, if an upper and lower endoscopy failed to determine what was wrong with a patient’s GI tract, doctors were forced to provide a best guess diagnosis. But ever since PillCam technology became available in 2001, it’s taken away a lot of the guesswork. “They say it’s an idea whose time has come,” says Matt Tanner, territory manager for Given Imaging, which manufactures the PillCam. “Basically, it’s easier on everyone involved in the process.” The PillCam is the size of a multivitamin. It records pictures of your lower small intestine in color video while you go about your daily routine. “It moves through the body as a meal would,” Dr. McCullough explains, “so we time the images for about eight hours.” Patients with intestinal problems

swallow the PillCam in the morning at the doctor’s office. It’s easily flushed once it’s out of the body. “It doesn’t get stuck in your throat during swallowing. It’s not like trying to choke down a dry pill,” Dr. McCullough says. To prepare for a PillCam examination, patients fast for 10 to 12 hours. Two hours after swallowing a PillCam, you can have liquids, and after four hours, it’s safe to resume eating. After consuming a PillCam, you perform your daily routine wearing a belt provided by your physician, as well as a sensor array on your chest and diaphragm. “What I tell my patients is more or less they get probes put on their body,” Dr. McCullough says. “The signal from the PillCam is sent to a technology belt worn on the body.” A path less invasive Before the PillCam came along, invasive procedures were the only option doctors had to examine the small intestine. An endoscopy was one of those procedures. A traditional endoscopy required the insertion of a long cord to position a microscope into the upper intestine, a procedure frequently performed in the doctor’s office. Doctors also had the option of a full colonoscopy to help diagnose problems within the intestine, but this method is considered outpatient surgery. The PillCam generally costs $450 for the capsule and $400 to $500 for the analysis of its images. Many health insurance plans cover all or a portion of the procedure. “This is a reliable tool that augments our traditional way of viewing the GI tract,” Dr. McCullough says. “It’s helpful in treating anemia. It can discover inflammatory bowel disease when other methods might not. In the right setting, it’s very useful.”

Local Resources Midwest Gastroenterology Lee’s Summit: 816-836-2200 Kansas City: 816-741-5500 www.midwest gastro.com Children’s Mercy Hospital Children’s Mercy Liver & GI Clinic 2401 Gillham Rd. Kansas City, MO 816-234-3000 www.childrensmercy.org Consultants in Gastroenterology Four metro-wide locations 816-478-4887 www.consultgastro. com

Editor’s Note: The PillCam is a supplemental diagnostic tool. It is not intended to replace the need for a colonoscopy.


“It’s gotten us to places in the small intestine we haven’t been able to see conveniently before.” –Dr. R. Wade McCullough,

A PillCam (shown above) is the size of a multivitamin and remains in your system for about eight hours, taking essential video of your small intestine.

enhance magazine

Photo by Denise Williams

midwest gastroenterology




The Women’s

Healthcare Group

Hal Younglove,

Timothy Martin, M.D.

Kathleen Stone,

Margaret Estrin, M.D.

M.D.

M.D. (Overland Park only)

• Obstetrics • Gynecology • Laparoscopic Surgery

Kimberly Schlichter, Tony Moulton, D.O.

M.D. (Overland

Courtney Younglove, M.D.

Michael Proffitt, M.D.

Michelle Langaker,

Kathy Melton, CNM

Patti West,

Julie Gorenc,

Park only)

• Gynecologic Urology • Contraceptive Counseling • Infertility • Nurse Midwifery Hospital services provided at Overland Park Regional Medical Center and Shawnee Mission Medical Center.

Overland Park

D.O. (Overland Park only)

CNM

J.D., CNM

10550 Quivira Road, Suite #410 913-541-0990

Lawrence

1440 Wakarusa Drive, Suite #400 785-841-0326

www.whcg.org

Kara Winkler,

PA-C, CNM (Overland Park Only)

Pamela Pray, CNM


UnitedHealthcare

EDGE

SM

SAVE up to 25% on health care coverage for your small business.

unitedhealthcare.com Or contact your broker.

Why do more small businesses nationwide choose UnitedHealthcare than any other carrier? Well, we offer a wide range of affordable health care solutions, like UnitedHealthcare EDGE, designed to help companies save up to 25 percent. And, employees have lower copayments and coinsurance amounts when they seek care from specialists who meet or exceed quality standards established by professional societies, such as the American College of Cardiology, and who provide cost-efficient care. It’s coverage that’s good for employees and the bottom line. SM

© 2008 United HealthCare Services, Inc. 25% cost savings based on a per-member per month premium compared to the current national best-selling UnitedHealthcare traditional plan. Actual amount of savings varies by state and plan design. #1 for small business claim based on UnitedHealthcare membership systems (December 2007) for groups with 2–99 employees. Insurance coverage provided by or through United HealthCare Insurance Company or its affiliates. UnitedHealthcare EDGE plans are not available in all states. This plan has exclusions and limitations. For costs and complete details of the coverage, call your insurance agent or UnitedHealthcare. UHCKS395031-000


health and wellness

Is drinking wine healthy? The short answer may be yes, but nothing with health is ever that straightforward By Michael A. Levine

A glass a day

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Can your passion for the grape make you healthier or even stronger as you age? Wouldn’t it be great if your love of vino was really good for you in the short term as well as the long run? The perceived benefits, agreed upon by most physicians, come from multiple aspects of the grape including plant nutrients called flavonoids found in grape skins (as well as other fruits and vegetables). Both red and white wine contain flavonoids; however, because red wine is typically produced by fermentation in the presence of the grape skins, red wine has

been observed to contain higher levels of flavonoids and other antioxidants such as resveratrol. Health benefits: Flavonoids Flavonoids make up the major non-alcoholic component of wine. Research has linked moderate red wine consumption and coronary heart disease reduction in Mediterranean populations, possibly because of the antioxidant action of the flavonoids in wine. These flavonoids also appear to fight cancer by affecting the cell division process,

which is highly regulated in normal cells, but doesn’t function properly in sick cells. Research has pointed to the possibility that flavonoids can bring overactive “messenger systems” in the cells to their normal levels, stopping the uncontrolled growth of tumorous cells that can spread quickly. Nutritionally speaking, flavonoids only need to be consumed in small amounts, such as the amounts consumed when eating a well-balanced diet containing fruits and vegetables, to reap any potential health benefit. That glass of wine, in addition to stimulating your appetite, can also be a plus.

© istockphoto.com / MVH

enhance magazine

may keep the doctor away


benefits from wine consumption Improved lung functions from the antioxidants American Thoracic Society, 2002 Reduced coronary heart disease University of California at Davis, 1995

Resveratrol and Breast Cancer When it comes to preventing breast cancer specifically, researchers at the University of Nebraska believe that resveratrol may be the key to stopping it entirely before it starts. “Resveratrol has the ability to prevent the first step that occurs when estrogen starts the process that leads to cancer ... We believe that this could stop the whole progression that leads to breast cancer down the road.” The study also found that relatively little resveratrol was needed to produce these health benefits.

Lower risk of heart attack for men with high blood pressure Worcester Medical Center in Massachusetts, 2004

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Health benefits: Resveratrol Resveratrol is a compound in wine that is thought to reduce serum cholesterol levels when wine is consumed in moderate amounts. It is produced in plants during times of environmental stress such as adverse weather or ecological attack. Resveratrol has been identified in many plant species, including mulberries, peanuts and grapes. It’s found in the skin of grapes, which is why red wines – which come in contact with the skins much longer than white or rose wines – are associated with reduced risk of heart disease and some cancers.

Lower risk of stroke in women Centers for Disease Control and Prevention, 2001

13


health and wellness Red oR white? in restaurants and clubs, alcohol continues to be one of the more popular ways to celebrate with friends and to compliment your meal. researchers believe that fullbodied reds typically have higher levels of flavonoids while lighter reds offer great amounts of resveratrol. so which is better for you? according to Leroy Creasy, professor of fruit and vegetable science at Cornell university, it does. in 1998,

Creasy completed an analysis of more than 100 red wines from five u.s. states and multiple foreign countries. “new york state red wines have higher levels of resveratrol – a naturally occurring substance in grapes that has been found to reduce the chance of heart disease and cancer – than comparable wines from other regions of the world,” he reported.

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to dRink oR not to dRink So what does it all mean? Reports continue to say drinking wine can be good for you and help prevent disease. But even after knowing this, most wine lovers still only drink it for the taste and (possibly) the effect it has when paired with great foods and good friends. One sure way to take advantage of these benefits is to drink some wine. Kansas City is packed with local events offering guests a chance to sample various styles of wines from around the world. You can swirl, sip and sample new styles – maybe you’ll find something that you really like. Not sure how to do it right (not that there is wrong way to do it)? Check out some of the amazing wine classes offered in town as well. Take advantage of some award-winning wine lists at our local restaurants too. There’s no telling what might happen when you really like what you drink and you drink what you really like!

Wine: © istockPhoto.com / anne clark, haPPy couPle (oPPosite Page): © istockPhoto.com / Digitalskillet

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eveRything in modeRation The Grateful Dead said “too much of everything is just enough,” but that’s not the case when it comes to wine. According to most studies and physicians, one or two glasses of wine per day could have positive effects on your health.


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Call us today for more information (913) 661-9977 or visit our website at www.leawoodsurgery.com


health and wellness

Local Wine Resources Great Restaurant Wine Lists

Local Wine Events

Aixois: French Bistro / Crestwood www.aixois.com

www.localwineevents.com

Holy Field: Basehor, Kan. (http://holyfieldwinery.com)

Capital Grille: Steak / Country Club Plaza www.thecapitalgrille.com

Kansas wines (www.winesofkansas.com)

Classic Cup Café: European Bistro / Country Club Plaza http://classiccup.com JJ’s: Contemporary American / Country Club Plaza www.jjs-restaurant.com JP Wine Bar: Wine Bar/Coffee House / Crossroads District www.jpwinebar.com

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Le Fou Frog: French Bistro / River Market www.kansascitymenus.com/lefoufrog

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Local Wineries to Visit (and Sample)

The Bristol: Seafood / Power & Light District www.bristolseafoodgrill.com

Lidia’s Restaurant: Italian / Crossroads District www.lidias-kc.com Starker’s Restaurant: Eclectic / Country Club Plaza www.starkersreserve.com

Jowler Creek: Platte County (www.jowlercreek.com)

Missouri wines (www.missouriwine.org) Somerset Ridge: Miami County (www.somersetridge.com)

Great Wine Bars Vino 100 Southmarket Shopping Center 13135 State Line Road Kansas City, MO www.vino100-kc.com Boozefish Wine Bar 1511 Westport Road Kansas City, MO 64111 816-561-5995

istockphoto.com / webphotographeer

Avenue’s Bistro: Eclectic European / Brookside www.avenuesbistro.com

About.com: http://kansascity.about.com/od/nightlife/ tp/KCWineTastings.htm


“I got the LAP-BAND ® System two years ago and I lost 101 pounds!”

After

Before

After

My weight was affecting my health so much that I was taking medication for everything from high cholesterol and acid reflux to diabetes. I had a standing doctor’s appointment every month just for all the medication I was taking. I was always tired, and it seemed like I was sick all the time. I did my research and chose Dr. Malley because I felt that he was the best. Since I had the LAP-BAND ® System procedure in 2005, I have lost more than 100 lbs. and my BMI has dropped from 43 to 23.8. I don’t have to take any medication at all anymore! I have so much energy, and I enjoy going out and doing things again. For the first time in many years, I feel like I’m actually living life, instead of sitting back and watching everyone else have fun.

!

ey l l a M . r D s k n a Th Shelly

The LAP-BAND ® Advantage UÊÊ œÊVÕÌ̈˜}]ÊÃÌ>«ˆ˜}ʜÀÊÃ̜“>V…ÊÀiÀœṎ˜}ʓ>Ži the LAP-BAND ® System procedure the least traumatic of all weight loss surgeries. UÊÊ,i`ÕVi`Ê«œÃ̇œ«iÀ>̈ÛiÊ«>ˆ˜°Ê UÊÊ-…œÀÌi˜i`ʅœÃ«ˆÌ>ÊÃÌ>ÞÊ>˜`ʵՈVŽiÀÊÀiVœÛiÀÞ°Ê

www.malleysurgical.com 913-492-2530 5820 Lamar Avenue, Suite #200, Mission, KS 66202


health and wellness

when it’s time for bariatric surgery Kansas City centers offer surgical solutions to start a better life By Susan Demaro

18

Stat check According to the Bariatric Center of Kansas City, 35 percent of Americans are overweight and 27 percent are obese. Morbid obesity is typically defined as being 100 pounds or more over ideal body weight or have a Body Mass Index (BMI) of 40 or greater.

scale: Š istockphoto.com / Ugur Evirgen; Clock: Š istockphoto.com / maodesign

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Prejudice against physical appearance has not suddenly gone politically correct. It has just slid under the radar. Nowhere is prejudice more common than against those who are obese, despite the fact that being overweight is one of the most common medical disorders in America. This unhealthy, growing trend is considered a major public health threat because it can be linked to many disabling, life-threatening diseases, including diabetes and coronary artery disease. The reasons vary from genetic differences to depression, anxiety, boredom, stress, poverty and general misinformation. But the results are the same. An unhappy individual who has tried many weight loss programs, failed at all of them and considers him or her self to be less than desirable.


health and wellness

BEEN THERE In Kansas City, many surgeons are at work to improve the future of those who have struggled unsuccessfully with weight loss. One is Stephen D. Malley, M.D., of Malley Weight Loss Center in Mission, Kan. A board-certified surgeon, he began specializing in weight loss procedures five years ago. His motivation was his own struggle with weight. Dr. Malley has dropped from 255 pounds to 170. “I was sick of being fat,” he says. “It affected my health, my sense of well-being and my social life. I have been where so many of my patients have been.” Dr. Malley breaks down the many surgical offerings into two areas. “We can reroute small intestines to reduce the absorption of calories, or we can change how much food the stomach can hold so you feel full with less intake – or some combination of both,” he says. One of the most common procedures is the laparoscopic adjustable gastric banding (LAGB or LapBand). “A soft, adjustable silicone band is placed around the upper part of the stomach and a pouch is placed around that portion,” says Dr. Malley. “Think of it sort of like an hourglass with just a tiny bit above. When you eat, you just fill up the upper part.” Not a magic cure Obesity becomes “morbid” when it reaches the point of significantly increasing the

risk of one or more obesity related health conditions, says Nola Bienhoff, R.N., with The Bariatric Center of Kansas City. Weight loss surgery is not a medical cure; rather it is an attempt to reduce the effects of excessive weight and alleviate the serious physical, emotional and social consequences of the disease. Stanley D. Hoehn, M.D., who runs the Bariatric Center of Kansas City, worked as a general surgeon before becoming a national expert in weight reduction surgery. “These are life-changing procedures, so it’s very rewarding not only for the patient, but also for the physician,” he says. While no two patients are the same, one characteristic is common to most. “They come to us with a feeling of failure,” he says. “These are people who have tried 20 other diets and plans.” The surgeons of The Bariatric Center of Kansas City trained with the pioneers of laparoscopic Roux-en-Y gastric bypass surgery, Drs. Wesley Clark and Allan Wittgrove of the Alvarado Clinic in San Diego, a facility with a 20-year history of success in the procedure. Malley Weight Loss Center offers a patient-driven support group that has proved to be an effective method of helping patients maintain success. “We are a nation of obese people,” Dr. Malley says. “You can’t overcome this problem all by yourself.”

Success story “Gastric bypass is not a magic cure, and they don’t do surgery on your brain,” reports Bryan, a former patient and support group member at The Bariatric Center of Kansas City. “It is a tool,” he says. “Not only do you have to be prepared for the surgery, but you have to be ready for the lifestyle change it brings.” In Bryan’s case, the change included weight loss of 167 pounds and a new opinion about exercise. Bryan’s tips: n

“Before surgery, start exercising to get in better shape, even if it’s just walking. It will help you with your recovery and may even help you lose a few pounds before surgery. As soon as surgery is over, get out of bed and start walking again.”

n

“Stick to the food plan given to you by the dietitian. I didn’t eat anything until I checked the list. I still don’t eat potatoes, rice, pasta and bread and consume very little sugar. I just don’t crave them any more.”

n

“Exercise, exercise, exercise! You don’t have to join a gym – just get out and walk. I take the farthest parking spot in the lot. I take the stairs whenever I can. My wife and I bike around the neighborhood. Instead of choosing food for a stress reliever, I rely on exercise.”

Laparoscopic adjustable gastric banding (LAGB or LapBand), which reduces how much food the stomach holds.

Laparoscopic Roux-en-Y gastric bypass surgery, similar to the LAGB, but uses cameras in small incisions.

Vertical sleeve gastrectomy, similar in some ways to LapBand surgery but uses no implantable device.

LapBand® surgeries are generally performed on an outpatient basis. Bypass surgery typically requires a one-night hospital stay.

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© istockphoto.com / Nicholas Belton

Weight loss surgery Options

19


health and wellness

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QUALITY OF LIFE A successful weight-reduction program includes a comprehensive, multidisciplinary approach. Proper supervision and guidance including dieticians, psychologists, exercise teams, nurse-clinicians, program specialists, support groups and, of course, skilled and experienced weight loss surgeons. “Our goal at St. Luke’s is to help patients improve not only their health,” explains Dr. Price, “but their entire quality of life.” “Surgery is only one step in the journey to better health and long-term weight loss,” says Beinhoff of The Bariatric Center. “An understanding of proper nutrition and fitness is the key to success. However, you don’t have to wait until the surgery to begin a healthier lifestyle. Changing your diet, fitness routine, and other behaviors now will make your post-operative changes even easier.”

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Local weight loss surgery Support Malley Weight Loss Center 5820 Lamar Ave., suite 200 Mission, KS 66202 913-492-2530 www.malleysurgical.com Offerings: n Laparoscopic adjustable gastric banding (LAGB or LapBand) Saint Luke’s Center for Surgical Weight LOSS IN KC 4401 Wornall, Kansas City, MO 64111 816-932-8646 www.saintlukeshealthsystem.org Offerings: n Laparoscopic Roux-en-Y gastric bypass n Laparoscopic adjustable gastric banding n Vertical sleeve gastrectomy n Revision of failed surgical weight loss procedures from any source

The Bariatric Center of Kansas City 8901 West 74th St., Suite #356 Shawnee Mission, KS 66204 (913) 677-6319 www.kcbariatric.com Offerings: n Laparoscopic Roux-en-Y gastric bypass surgery n Adjustable LapBand® gastric banding n Sleeve gastrectomy n Approved as a Bariatric Surgery Center of Excellence by the American Society of Bariatric Surgery and the Surgical Review Corporation in January 2007. n Considered to be the largest laparoscopic weight loss surgery practice in the KC area and cites more than 1,600 successful procedures.


It’s not about what you lose. It’s about what you gain.

© 2008 NewHope Bariatrics, Inc. The LAP-BAND is a registered trademark of Allergan Corporation.

At NewHope Bariatrics, we don’t just help our patients lose weight; we help them change their lives. Our LAP-BAND program offers a safe, minimally invasive surgical option for long-term weight loss. And yes, it really works. But whether we help you lose 50, 100, or 200 pounds, the amount will pale in comparison to what you’ll gain in return. Better health. More self-confidence. And more control over your brand-new life.

For more information, register for our free LAP-BAND seminar at www.NewHopeToday.com or call 913-312-3379.


local spotlight

University of Kansas Hospital | Kansas City, Kansas

heart to heart It’s sort of like falling in love. | Recovering from a heart procedure, such as bypass surgery, you tend to remain hospitalized for a few days longer than if you’d undergone many other common medical procedures. It’s understandable that personal relationships can form. | But time and proximity aren’t the only explanation for the palpable culture of caring at the Center for Advanced Heart Care at The

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Alison Connelly, R.N.

Annie Burger, R.N., B.S.N.

Before opening less than two years ago, the 238,000-square-foot facility, built at a cost of some $77 million, was just a building — an impressive building, to be sure, brilliantly designed and remarkably equipped — but there is an additional ingredient that makes it unique today. “I was very lucky to be in such a great place,” reports T.T., a recent patient. “The nightmare of (a heart attack) was real. But it soon turned into a great experience. The staff was top notch ... better than a five-star hotel.” At the University of Kansas Hospital’s Center for Advanced Heart Care, every patient has a private room; most rooms have wireless computer access; most provide overnight accommodations for family members; integrated technology keeps up-to-the-minute patient data and images available to the entire medical organization; and decentralized nursing stations assure that nurses are never more than a few steps away from the patients they serve.

“These are not just patients I care for,” says Alison Connelly, R.N., who’s worked in Level 4, Cardiothoracic Surgery Progressive Care, since the day the center opened. “They’re people I care about. The reason I love my work is because I love these people.” Typically responsible for no more than four patients at any given time, Connelly and her colleagues agree that the best part of the job is the chance to make lifelong friends. Connelly points out that it’s never just the one nurse “on duty” who forms the bond. “It’s an entire, integrated, experienced team, from the charge nurse to the secretary, each becoming part of an extended family to both the patient and the patient’s family.”

“It’s ironic that the recent quantum leap in medical technology has also engendered an enhanced respect for the personal touch,” says Annie Burger, R.N., B.S.N., who’s also served in progressive care since the center’s first day, “but that’s the way we practice medicine here, and I, for one, am thrilled to be part of such an enlightened institution.”

Photo by Denise Williams

KU Heart Center

Photo by Denise Williams

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University of Kansas Hospital in Kansas City, Kan. By Catherine Jenkins


As the arteries grow hard, the heart grows soft. – H.L. Mencken

Ahead of the curve

Simple but sophisticated

Bob Page

Heart care and surgery at the University of Kansas Hospital routinely set new standards. The national database of the Society of Thoracic Surgeons has given the hospital its highest rating for quality in cardiac surgery. And for the second straight year, U.S. News and World Report ranked the University of Kansas Hospital (as well as St. Luke’s Hospital) among America’s top hospitals for heart care and surgery. Among the many reasons for such attention is the practice among the hospital’s cardiologists to use one of the most advanced treatments for abnormal heart rhythms. Called the Stereotaxis Magnetic Navigation system, it is the only catheter and guidewire navigation system in the world and the first in the region. The system uses computer-controlled, externally applied magnetic fields to control the movement of a magnetic tipped catheter, guidewire, or other interventional device through the blood vessels and chambers of the heart. “The robotic-guided navigation and a softer tipped catheter allow physicians to safely reach previously inaccessible areas of the heart,” said hospital spokesman Dennis McCullogh.

One such physician is Dhanunjaya Lakkireddy, MD, an electrophysiologist who specializes in treating atrial fibrillation. “Think of a child’s toy that uses magnets to move figurines across a surface,” he explains, “and you’ll start to grasp the principal behind stereotaxis. (It’s) simple, but the technology is amazingly sophisticated, with precise robotics and 3-D visualization of the heart.” The stereotaxis system is being used by the hospital’s electrophysiologists during abalation procedures and atrial fibrillation and other heart rhythm disorders. The interventional cardiologists also use it for selected coronary angioplasty procedures. The system was purchased through a gift from community leader and philanthropist Annette Bloch. It has its own dedicated suite in the Richard and Annette Bloch Heart Rhythm Center located within the hospital’s new Center for Advanced Heart Care.

“We made a promise when we announced plans to provide the best heart, lung and vascular programs in the region,” says Bob Page, newly named University of Kansas president and CEO. “We’re proud of how our medical professionals fulfill that promise every day in this outstanding new facility.”

KU Hospital 3901 Rainbow Boulevard Kansas City, KS 66160 (913) 588-1227 or toll-free (800) 332-6048 www.kumed.com

Looking for a doctor? Go to http://referral.kumed.com to find a physician whose specialties match your needs.

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Your heart – you can give it away, you can love with all of it. And now, you can find out if it’s at risk.

Heart disease is the number one killer of women. Sometimes it takes a life without showing any symptoms at all. Are you at risk? Find out. Take the Heart Disease Risk Assessment designed especially for women by women from our heart team at The University of Kansas Hospital. Understand your risk for heart disease. Gain knowledge and peace of mind. We want to find heart disease before it finds you. Please call (913) 588-1227 to schedule an appointment. Complimentary valet parking is available. Advancing the Power of Medicine™

SCHEDULE A WOMAN’S HEART DISEASE RISK ASSESSMENT Our $60 package includes: • Cholesterol (lipid) and blood glucose assessment • Blood pressure and pulse check • Body Mass Index (BMI) evaluation • Waist-to-hip ratio evaluation • Emotional support education • Exercise plan recommendation • Private personal review of your results with a nurse practitioner


health and wellness

coming into focus Everyday activities are in the picture for cataracts sufferers, thanks to new innovations in eye care By Ryan Brown

Diagnosis: Cataracts The slow degradation of vision – difficulty reading road signs, the reduction in the intensity of color in everyday images, the gradual disappearance of detail in other people’s faces – all are signs indicating the formation of cataracts when the natural focusing lens in the eye begins to become obscured or cloudy. It’s a common and natural process of aging ultimately leading to blindness. These days, few medical conditions are more easily treatable.

Traditionally, corrective surgery has offered a one-size-fits-all remedy called monofocal implants, or intraocular lenses (IOLs), which focus light for only one distance. Such replacement lenses allow patients to see well at a distance but still require eyeglasses for near or intermediate vision. Among the professional groups in Kansas City providing effective treatment for cataracts is Silverstein Eye Centers in Independence and Lee’s Summit. The Silverstein group is among a number of practices in the region that offer proficiency in the implantation of three types of replacements for the eye’s natural lens: the Rezoom and the Restor, both multifocal IOLs that work by positioning light at different focal points; and the Crystalens IOL, an accommodative device that allows a wider range of vision and reduces the need for non-prescription reading glasses. “We have a large research department and have been involved in premium lens technology for 12 years,” says Steven Silverstein, M.D., F.A.C.S. “Each of the

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© istockphotos.com / Stefano Tiraboschi

Imagine that on a dark night you can’t make out the riot of constellations spinning in space that have inspired the human species since pre-history. Or consider never recalling that trees have individual leaves, with each shaped differently, each a slightly different color, each uniquely angled to make the most of sunlight. This is the world of cataracts. A world in which you are slowly being robbed of sight without realizing it is happening.

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health and wellness

Facts about cataracts

© istockphoto.com / Andrei Nacu

“While the most common cause of cataracts is aging, cataract formation prior to the age of 50 is common,” Dr. Doane says. “Some patients are in their 20s. This progressive clouding of the natural lens is the leading cause of preventive blindness in the world. With today’s technology, it can be fully corrected during a one-and-a-half-hour visit to a modern vision center.” Glasses or contact lenses cannot sharpen your vision if a cataract is present. The only cure is to have the cataract surgically removed. The time to have the procedure done is when the impaired vision interferes with your lifestyle. Generally speaking, this means sooner rather than later.

About Dr. John Doane

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Dr. Doane is a graduate of the University of Missouri and received his doctorate of medicine with Alpha Omega Alpha honors from the University of Kansas School of Medicine.

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Dr. Doane performed his residency in opthamology at the University of Kansas, followed by a fellowship in corneal, refractive, and anterior segment surgery at the Hermann Eye Center in Houston, and Centro Oftalmologio Colombiano, Bogota, Columbia.

premium lens implants works in a different fashion, but they all serve the same purpose – to help our patients see more clearly.” John F. Doane, M.D., F.A.C.S., is a refractive surgeon and corneal transplant specialist with Discover Vision Centers, one of the country’s largest eye care centers, with eight Kansas City area locations. “We determine the length of the eye and the curvature of the cornea in order to select a lens that will reflect the curvature of the eye,” Dr. Doane says. “For some, the result will be never having to wear spectacles again. For others, ordinary reading glasses may be required. Every year 1.5 million people have cataract surgery with 95 percent success.” A clarity of vision “Today patients require more than monofocal lenses, which can affect depth perception,” Dr. Silverstein says. “That’s not to say they will never need glasses, but most find they can perform daily activities without them. The patients experience a spectacular clarity to their vision that hasn’t been there in some time.” The thought of surgery on her eyes was enough to make one area patient reconsider several times before finally having the procedure done. “It was scary to think they would actually cut into my eyes,” she says. “You start thinking about all sorts of things that

could go wrong.” However, Dr. Silverstein explains that keeping his patients informed every step along the way is the best method for conducting surgery. “The more a patient knows about what is going to happen, the less stress they experience,” he says. “Fear comes from the unknown.” Silverstein Eye Centers uses a comprehensive pre-operative workup that takes many aspects of each patient’s medical history, life history, and lifestyle into consideration before determining what lens to implant. “We do a corneal topography of the patient’s eye as well as what is called wavefront analysis,” Dr. Silverstein says. “This allows us to see the individual aberrations of their eye so we can determine how best to repair it.” Cataract correction surgery is no longer a one-size-fits-all procedure. Patients have more options available to them than ever before. A patient’s unique needs are the primary goal of all professional eye surgeons. “I can see the individual leaves on trees now,” one recent patient reports. “I can thread a needle, do needlework and work my crossword puzzles because I can see so much better. If I had known it would be this much better, I wouldn’t have put it off for so long.”

Local resources Discover Vision Centers 8 Kansas City locations 816-238-EYES (3937) www.discovervision. com Silverstein Eye Centers 2 metro locations 4240 Blue Ridge Blvd., suite 1000 Kansas City, MO 64133 816-358-3600 www.silversteineye centers.com Cavanaugh Eye Center 6200 W. 135th St. Overland Park, KS 866-997-9200 www.cavanaugheye. com


whole living

“Most damage on skin comes before you’re 18. Sun can be your skin’s worst enemy.” –Dr. gary hall, raJeunir meDical sPa

EndLEss

suMMEr the sun giveth, anD the sun taketh aWay – it’s time to heal your boDy after a season outDoors by colleen cooke

Summer is a happy metaphor – shorthand for beach chairs, afternoon naps, vacations and baseball games. In reality, a lazy summer by the beach is probably a myth, especially for those of us stuck at the office, nowhere near a beach in the middle of the country. Most of us must steal our bits of summer. If we’re lucky, we can sneak away for a week of vacation, but inevitably we return exhausted after rushing around photographing Mount Rushmore from every angle.

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If you were able to capture some summer – a tan, the outfits, the pool – the bill has come due now that the days have shortened. The reality of summer’s effects on the body appears just as that hard-fought tan starts to fade. And it’s not just the return of the pale you – it’s the chlorine-stripped dry hair and skin, split ends, a lingering ache in your feet, a patch of stubborn freckles on your chest.

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Now’s the time to make some repairs to your skin, hair and feet so you can let the summer linger gracefully on your body for a few weeks more.


Š istockphoto.com / Lisa Gagne

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whole living endless summeR

sKin CarE & sKin rEpair Just as CHLOrinE Can strip yOur Hair Of mOisturE, tHE CHEmiCaL Can aLtEr tHE OiL and minEraL baLanCE Of yOur sKin CELLs. tHis LEavEs yOu WitH dEad CELLs, dry, pEELing sKin and an OvErLy sHiny faCE. pRoblem: photoaging it’s not really fair: a good suntan can both make you look healthy and can also boost your vitamin d levels. but, as with anything, too much sun can have drastic effects on not only your health, but also on your looks. When you see someone with premature wrinkles and coarse, leathery skin, the culprit is photoaging. photoaging is a slow process and takes several years before you really start to see the visible effects. if you’re already seeing some skin discoloration or if wrinkles are making you look older than you are, you can minimize those effects with locally available non-invasive procedures and products.

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© istockPhoto.com / kateryna govorushchenko

solutions rajeunir medical spa, with locations in Leawood, Lee’s summit and the northland, offers a wide variety of cosmetic procedures that result in little to no social downtime. While surgery might leave you with weeks of healing time, dr. gary Hall with rajeunir says some of the medical spa’s offerings can be performed on your lunch break.


WHEn yOu’vE gOttEn tOO muCH sun aveda’s calming body cleanser from Par Exsalonce “this will purify and condition your body with a calming and cooling blend of aloe vera and witch hazel extracts,” par Exsalonce’s scida says.

fOr WrinKLEs and sun damagE obagi’s condition and enhance kit from Rajeunir “this is a great post-summer kit,” rajeunir’s ferrara says.

OrganiC OptiOn Rosey plum moisturizer from realorganicskin.com made with rose seed oil, which helps maturing and dry skin. it’s a light cream that won’t clog your pores as it does its work.

sELf-tanning CrEam aveda’s sun source from Par Exsalonce Creates a naturallooking color in two to three hours.

yEar-rOund sun bLOCK obagi’s healthy skin protection from Rajeunir

ErasE dEad sKin obagi tretinoin serum from Rajeunir

Contains micronized zinc oxide in a clear application – an ingredient that’s key for true blockage of the sun

a prescriptionstrength exfoliant that helps restore vitamin a, which plumps your skin

pRoblem: fine lines anD croW’s feet solution: fractional skin resurfacing

ipL – or photo facial – targets color on your skin, which is usually caused by an increase in melanin. “melanin is the body’s way of protecting itself,” dr. Hall says. “a tan is a collection of extra melanin that’s protecting your tissue.” ipL will cause the brown spots on your skin to darken two to three shades for a day or so before sloughing off your skin the way sunburned skin eventually peels away. it typically involves a series of one to five treatments, which can cost $300 to $5,000, depending on the extent of the area to be treated.

While a traditional skin resurfacing can leave you more socially inactive – thanks to its “scorch the earth” effect, dr. Hall says – fractional skin resurfacing removes just a portion of the epidermis. you will likely experience rawness and redness, but only for a couple of days. dr. Hall says it’s best to treat those fine lines over time. “the only way to repair these things is on a long-term basis,” he says. the treatment can cost $300-$500 depending on the area to be treated, or $750-$1,000 for a full face treatment.

at-home solution: salon ProDucts

natuRal solution: organic ProDucts

if you’re not ready for minimally invasive procedures, your first step can be with high-grade at-home products. the key to a successful skin care regimen is to first exfoliate to remove damaged skin, then to moisturize with vitamin-enriched products, followed always by year-round protection from a good sunblock. “if you’re going to make an investment in a skin care product, make it in sunblock” says anna ferrara, a skin specialist at rajeunir medical spa. the Obagi product line available at rajeunir is a medical grade skin care line. products average $60-$90 and last three to four months.

stephanie simkins produces the Kansas City-based skin inc. product line in small batches using only natural ingredients – and her products have been featured on www.skindeep.com, which rates the true organic nature of products. she believes it’s important to introduce natural ingredients into your body when you’re trying to repair skin damage. “When you are in need of healing lotions, it’s much better to go with natural ingredients,” she says. “you don’t want to put chemicals on already damaged skin because it will just dry it out more.” Her products are available locally or through her Web site: www.realorganicskin.com.

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pRoblem: Persistent or uneven freckling solution: intense PulseD light

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whole living

endless summeR

Hair rEpair

summEr sun Can dO rEmarKabLE tHings tO yOur Hair, adding naturaL HigHLigHts and giving LifE tO yOur sHadE. but aLL tHat timE in tHE pOOL aLsO LEads tO spLit Ends and sEriOusLy driEd Out LOCKs. Chlorine strips hair of its natural lubricant, called sebum. Without that sebum, your hair becomes less shiny and the ends crack and split. so, if you’ve spent your summer in the pool, you’re going to need some repairs. for starters, go easy on the styling. avoid the heat of curling irons and the additional chemicals of dye. “We see a lot of people with summer damage coming in,” says shannon besfamilny at rostik salon in Overland park. “Color will fade much sooner after the summer, sometimes to a much different result.” to combat split ends, you’ll need to trim at least an inch or so. and it wouldn’t hurt to splurge a little on a special conditioning treatment while you’re at the salon. besfamilny uses pureology’s nano Works restorative hair treatment to instantly transform damaged hair. “it’s like night and day when you put it on,” she says. “split ends and damage are less visible right away.” ann scida at par Exsalonce in Overland park recommends an overall treatment for hair and scalp to deal with summer damage. One popular treatment at par Exsalonce is the botanical hair and scalp therapy, which scida calls a “facial for your hair.” “your hair is repaired with a botanically based treatment that improves the hair’s condition by up to 71 percent,” scida says.

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includes shampoo, conditioner and moisturizing treatment masque. “this drenches even the driest, most brittle hair with moisture, leaving it soft and touchable,” scida says.

fOr CHLOrinE damagE pureology’s purify system – shampoo, conditioner and spray-on treatment from Rostik Salon the green line from pureology adds significant moisture to chlorine-stripped follicles.

© istockPhoto.com / louis aguinalDo

fOr dry Hair aveda’s dry Remedy system from Par Exsalonce


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health and wellness Endless Summer

Best foot forward Our feet take the brunt of our abuse, no matter what the season, but it gets doubly worse after summer. Chlorine dries out your skin, those barefoot strolls roughen up things, and your flip-flops are wreaking havoc on your feet. Of course, that doesn’t stop us from wearing sandals, so what to do about it? Podiatrists recommend striking a good balance between sandal days and footwear with more support built in. “Peak times for symptoms center around summer because people are wearing less substantial footwear,” says Dr. Mitchell Dorris, D.P.M. “It’s not that the shoes are bad – the problem is in the foot.” If you notice long-term pain – particularly in the heel – ask a podiatrist about whether you need specially made inserts to deal with plantar fasciitis, which is inflammation of the connective tissue that supports the arch of the foot. To treat the resulting pain in your heel, you need to give your feet more protection against gravity, which usually comes from some sort of shoe insert. The more damage in the foot, the more rigid – and more customized – the insert needs to be. So, don’t throw away those cute strappy sandals or perfectly broken-in flip-flops just yet. But make sure you don’t skimp on the footcare follow-through.

Minor, temporary pain First, eliminate the source of the pain, which could mean wearing more supportive footwear or giving your feet a break for a while. Dr. Dorris also recommends treating pain with anti-inflammatory medication such as Advil or Aleve, plus some weightbearing stretches. You can roll a tennis ball under your foot to stretch out the tendon, or do a classic Achilles tendon stretch by leaning against a wall with one leg stretched out behind you.

Long-term heel pain Over time the plantar fascia tissues running along the length of your foot lose their shape, thanks to the forces of gravity, creating pain in your heel especially when you first wake up. A podiatrist can create hard plastic inserts molded to shape of your feet to provide the support your feet need. Inserts typically cost about $300. “The price hasn’t changed much in 15 years,” Dr. Dorris says. “Economically, it makes sense.”

Surgical option If you’re still experiencing pain, you could consider surgery as a last resort. A surgeon will cut part of the fascia to release the plantar and let it heal. “The overwhelming majority of people get better with some kind of orthotic control,” Dr. Dorris says. enhance magazine

© istockphoto.com / webphotographeer

foot pain solutions

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local spotlight

Monarch Plastic Surgery | Overland Park, Kansas

balancing act It’s rather ironic: In a field that counts women as a large part of its clientele, plastic surgery is still something of a boys’ club. As one of the few female plastic surgeons, Dr. Regina Nouhan, now with Monarch Plastic Surgery, has brought her board-certified skills and her unique

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perspective to her practice since 1994. By Colleen Cooke

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Regina Nouhan, MD., F.A.C.S.

Family business

Refocus and refine

“In my surgery training, it was a little bit of a boys’ club,” she says. “As a woman, I had to prove myself more to overcome that stereotype.” Dr. Nouhan covers a wide range of plastic surgery areas, particularly cosmetic enhancement, breast and hand surgeries and reconstructive procedures. After graduating from the boys’ club, she has found that being one of the few female plastic surgeons in the area is an advantage. “Not only do I get many women who come to me because they feel that they can relate to me because I’m a woman, but I also get a fair amount of men because they don’t necessarily feel comfortable going to a man about a cosmetic procedure,” she says. As a practice with six plastic surgeons on staff, Monarch Plastic Surgery itself is something of a rarity. In most cases, plastic surgeons tend to have solo practices, but Monarch is able to provide customers with a strong lineup of professionals and specialties. “We have a well-balanced group,” Dr. Nouhan says. “Each individual brings something special to the group.”

With both her parents working in medicine – her father was an OBGYN and her mother has a master’s in psychiatric nursing – Dr. Nouhan grew up in and around the business. She earned a bachelor’s degree in psychology before continuing on to earn her MD. She believes that psychology background has helped her relate better to her patients. During her required surgery rotation, she unexpectedly fell in love with surgery, and of all the surgical specialties, plastic surgery captured her most. “In plastic surgery I found the diversity of things I could do as a surgeon is so much greater,” she says.

When it comes to overall enhancement, Dr. Nouhan believes that it’s crucial to keep the big picture in mind – and not zero in on this or that flaw. “One surgery can improve one problem, but if you’re not bettering yourself as a person, you may be falling short,” she says. “Improve your nutrition, skin care, exercise – all those things are part of the whole package.”

Regina Nouhan, MD, F.A.C.S. Undergraduate degree (psychology), University of Virginia n M.D., Washington University (St. Louis) – residency in plastic surgery n Barnes and Jewish Hospital – Washington University / Residency, General Surgery n Fellowship in Hand and Microsurgery, Kleinert Institute in Louisville, Ken. n

Board certified by the American Board of Plastic Surgery in plastic and hand surgery n Past president of Kansas City Plastic Surgery Society n Has donated her time and expertise through medical missions in Croatia and the Philippines n Hometown: St. Louis n


Photo by Denise Williams

The cutting edge These days, the push in plastic surgery is toward lessinvasive procedures, which has been made possible by technology developments over the last 10 years. Still, only those with certain needs and situations are really good candidates for non-surgical treatments. Because of these changes, Monarch now offers a Skin Rejuvenation Center, where you can opt for a range of minimally invasive procedures, from microdermabrasion to leg vein treatment to a customized skin care regimen. “This is for the people who are not yet candidates for plastic surgery and for those needing maintenance after undergoing a cosmetic surgery. Nonsurgical treatments can be very helpful,” she says. “The center is a nice adjunct to our plastic surgery practice.”

Procedures offered Cosmetic breast Enhancement, reduction and lift

n

Face Sciton micro laser n Face and neck lifts n Eyelid surgery n Rhinoplasty n Facial rejuvenation n Brow lift n Endoscopic surgery n Facial rejuvenation and skin care n Laser skin resurfacing n Chemical peels n BOTOX® cosmetic injections n Mini-peel n Microdermabrasion n Collagen lip enhancement n

Body Contouring Liposuction n Ultrasonic liposuction n Tummy tuck n Body lift n Thigh lift n

Daniel Bortnick, MD, F.A.C.S. n Richard Bene, MD, F.A.C.S. n Regina Nouhan, MD, F.A.C.S. n Jeffrey Dillow, MD, F.A.C.S. n Keith Hodge, MD, F.A.C.S. n Paul Leahy, MD n

Locations 5401 College Boulevard, Suite 203 Leawood, KS 66211 (913) 663-3838 Fax (913) 663-4434 9401 N. Oak Trafficway, Suite 100 Kansas City, MO 64155 (816) 436-3262 Fax (816) 436-4687 www.monarchps.com

enhance magazine

General Reconstructive Breast reconstruction n Hand surgery n Trauma surgery n Nerve compression n Bone/joint n Wound repair n Skin cancer n Burns n

Monarch Plastic Surgery

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outer beauty

ready, set, smile! Thanks to veneers, A winning smile can give you the confidence to enhance more than just your teeth By Megan Henderson Solution: Veneers Today a million-dollar-smile is within reach of thousands of Kansas Citians — for a tiny fraction of the price. The method of choice? Veneers: thin moldings that fill gaps and cover stained or misshapen teeth. When the goal is primarily cosmetic, veneers are an excellent alternative to crowns. “Typically, crowns are made to change the format of the whole tooth or to build up or strengthen the tooth,” explains Kirk Opdahl, D.D.S., of the Center of Dental Excellence. “Veneers are designed to cover the outside of your tooth and are used more to improve one’s appearance. Crowns often require a significant portion of the structure of the tooth to be removed whereas veneers can be applied with only minimal alternations to the natural tooth.”

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“Poor teeth can rob a person of confidence and personality. Our goal is to help them be the person they want to be.”

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–Kirk Opdahl, D.D.S.

Who’s a good candidate for veneers? “Anyone who is embarrassed or self-conscious about his or her teeth should consider investigating the treatment,” Dr. Opdahl says. “Poor teeth can rob a person of confidence and personality. Our goal to help them be the person they want to be.” Patient Jennifer agrees. “Thank you for making me feel comfortable and at ease,” she writes of her experience at the Center of Dental Excellence. “If there is such a thing as a dental spa, I think I experienced it at your office.”

Shades of white Many people begin the bleaching process with overthe-counter substances found in pharmacies, but the more effective, faster techniques are typically available only from experienced cosmetic dentists. “Power-bleaching” is performed within a dentist’s office with a concentrated gel activated by a laser. Results are often seen in a single visit. A winning new smile can give you the confidence to enhance other aspects of your appearance too. For example, it’s frequently reported that cosmetic dentistry leads to a successful exercise and weight loss program.


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Š Istockphotos.com / Stockphoto4u


outer beauty

Fillings vs. hardened enamel A single visit to the dentist can also repair cracks, chips and teeth that have become filed through regular use over the years. The material of choice is hardened enamel. Fillings – once the most popular way to deal with tooth decay – have fallen out of favor for a couple of reasons. One, they have a tendency to wedge-fracture the tooth over time, and two, until the advent of porcelain fillings, shiny metals in the mouth were not appealing to all patients.

Problem: Discoloration

Problem: Small teeth

Enamel on the existing tooth is lightly removed then replaced with a permanently bonded porcelain laminate. Expect to make two or three office visits depending on your requirements.

Problem: Gaps

Local Resources Dental Innovations Mark Manroe, D.D.S. 11221 Shawnee Mission Parkway Shawnee, KS 66203 913 236-8899 Center of Dental Excellence Kirk Opdahl, D.D.S. 19201 E. Valley View Parkway, Independence, MO 64055 816 478-3600

Certification and training

“I do veneers on people of all ages, male and female. They may want the improvement for a job interview, for graduation, for a wedding – there are many very good reasons for improving one’s self-esteem.”

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–Mark Manroe, D.D.S., Dental Innovations

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In this part of the country, cosmetic dentistry is not codified as an organized profession. Thus, the science of veneers is based largely on the knowledge acquired by dental offices and clinical labs. While all dentists tend to apply basic common principles, to a degree, they are also artists, each with a unique style. At Dental Innovations in Shawnee, Kan., Dr. Mark Manroe routinely obtains at least four times the annual continuing education required by the state. “In a business that is ever changing as products improve,” he says, “there is no replacement for ongoing training.”

appearance problems

Discoloration causes

n Discoloration

n Certain

n Uneven

medications can stain and streak your teeth (and those of newborns). n Yellowing is caused both by natural aging, by regular tobacco and certain beverage use.

or misshapen teeth n Chipping and cracking n Asymmetrical bite n Simple, common wear

About veneers Veneers can be made of a variety of materials, including glass silicate porcelain or milled zirconium. Because they are made of extremely polishable materials, veneers tend to resist stains that natural teeth cannot.

How long do veneers last? Veneers are very similar in their longevity to crowns, for example, which can last 50 years or more and have an average lifespan of eight to 10 years.


F i n a l l y. HELP FOR YOUR ACHING BACK.

If you have back and neck pain, our hospitals and spine specialists offer a wide range of services that may help with your diagnosis and treatment. Call 1-888-9HCA-SPINE www.hcamidwest.com

(1-888-942-2774) and make

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Centerpoint Medical Center • Menorah Medical Center • Overland Park Regional Medical Center • Research Medical Center


whole living

commit to

rejuvenation With a trip to the spa, take the time to reboot yourself – mind, body and soul

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By Ryan Brown and Susan Demaro

42


it’s not an appointMEnt. it’s a coMMitMEnt. a commitment you make to yourself to becoming a better you, an always-improving you, a whole you in body, mind and spirit. in many ways, it’s a real, albeit transitory, experience that holds out a promise akin to the more lasting effects of religion. Little surprise, then, that the word most frequently used to describe the complete spa experience is rejuvenation: rebirth. “to those who have never ventured beyond the spa entrance, the world beyond its treatment doors is a mystery,” says veteran national spa critic Kara renee. “Were the uninitiated aware of the tranquility that lies within, they would eagerly enter this domain.”

tHE tHai tHat binds

causE and EFFEct

the modern spa’s popularity has risen of late, but did you know it all began before the birth of Christ as one of the world’s oldest healing arts? initially, the technique was limited to massage in thailand where it was an integral component of buddhism. spa therapy was fundamentally a healing art practiced by those who were also among the first to adopt Chinese medicine. according to the trade publication Skin Inc., when buddhism expanded from northern india into southeast asia, the spa-related healing art spread with it, first to india, then to sri Lanka and finally onto thailand and myanmar. traditional massage practitioners say a prayer in pali, the ancient sacred language of theravada buddhism, according to reporter sarah Kajonborriah, before they begin each day.

today the spa effect is prized among vacationers, alternative medicine seekers and those who just want an hour to relax from the rigors of the daily grind. that many spa techniques are known to contribute to beauty for all ages through the elimination of dry dead skin cells and through exfoliating with sea salts and body scrubs also has grown the industry rapidly over the last few years. tiffany Craig, spa director at the four seasons in Chicago, speaking to writer mary bemis, puts it this way: “the refinement of the epidermis not only makes the skin smoother, but it actually improves microcirculation, enhances penetration of products, and accelerates the growth of new cells – all of which lead to more youthful looking skin.”

o F F E r i n g s o n a F u l l - s E r v i c E s pa M E n u © istockPhoto.com / maksim shmelJov

n

n

n

simplicity medium to deep pressure to relieve muscle tension and enhance relaxation. Often available for couples. shiatsu acupressure and stretching techniques work together to improve energy flow and strengthen vital organs. haRmony two sets of gentle, trained hands work together to relax body and mind.

n

n

n

pRenatal after the first trimester, a welcome relief from pregnancy’s natural discomforts. Other menu items might include body treatments and wraps using such exotic and lifeaffirming ingredients as sea salt, pomegranate, honey, papaya, kiwi, coconut, sweet almond oil, adobe red mud, marine algae. Long, relaxing bathing rituals offer a wide range of therapeutic salts and oils combined with personalized aromatherapy.

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n

thai includes acupressure, yoga, energy balancing in harmony with key energy meridians.

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Š istockphoto.com / Serghei Starus

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whole living

The doctor is in A medical spa offers a higher level of rejuvenation, thanks to on-site medical expertise

By Ryan Brown

A medical spa experience can be relaxing, rewarding and rejuvenating. As society continues to look for the next big thing to help them think, act and, most of all, look young, there has been an explosion of spa demands and service. This has created a huge increase in the number of medical spas sprouting up across the country. A trip to a medical spa is radically different from your normal venture to a standard day spa. While a medical spa offers many of the same amenities and atmosphere, the medical spa also provides trained medical staff and knowledgeable specialists. “A medical spa is like a regular day spa that offers medical services,” says Judy Sanders, the clinical director for Skin Deep Laser Medspa. “We try to make our patients as comfortable as possible. But we also offer things you cannot do without a doctor present, such as Botox, laser treatments and fillers.”

What to expect Expect a full medical evaluation. This standard practice should be administered to any potential client before given treatment. This is to prevent any allergic reactions, which can cause severe illness, even death.

Botox is a popular non-surgical injection that temporarily reduces or eliminates frown lines, forehead creases, crows feet near the eyes and thick bands in the neck by relaxing the muscles that contract to form those lines. Laser hair removal is the use of laser energy to produce long-term hair reduction. This is accomplished by producing heat in the hair, which is transferred to the hair follicle, which in turn produces inflammation. This inflammation sends a signal to the hair follicle to go into the resting (telogen) phase. Chemical peels use a chemical solution to smooth the face. More than one treatment is often needed. Microdermabrasion is a skin-freshening technique that removes the outermost surface of the skin through mild abrasion. It helps repair facial skin that takes a beating from the sun and the effects of aging. Hyaluronic acid is a natural polysaccharide that, in appropriate form, is a versatile soft tissue filler.

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“We want to make sure that we know our clients and that our clients know us,” says Sharon Oldham, the owner and clinical esthetician at Exhale at Lakewood Medispa. “They are our top priority, and they are the No. 1 concern we have. But we need to also be aware of our client’s history, so as to give them the proper care they deserve.”

Med Spa Procedures

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whole living

The doctor is on duty A med spa operates under the full-time, on-site supervision of a licensed healthcare professional. “A medical spa is for someone who needs advanced care of their body,” Sanders says. “We have doctors, nurse practitioners and registered nurses on site to assist and administer these procedures. A medical spa will focus on treatments that make improvements on a patient’s appearance but without the normal downtime associated with invasive procedures.”

FDA approved Another measure of potential risk is the use of non-FDA approved prescriptions or techniques. While these products have yielded some amazing results, long-term effects are difficult to evaluate.

Top five nonsurgical cosmetic procedures in 2007: 1. Botox injection (3.3 million, up 45% from 2006) 2. Laser hair removal (1.6 million up 70%)

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3. Chemical peel (600,000, down 23%)

48

4. Microdermabrasion (1 million, up 19%) 5. Hyaluronic acid (1.2 million up 928%)

Do your homework There are several criteria you should make sure a medical spa meets before you commit to having a procedure done. Be cautious of a standard day spa with a doctor’s name on the door. n “Check with the facility to see how frequently the doctor or medical staff is on site,” Sanders says. n “The doctor doesn’t need to be there 24 hours a day, but they should have a medical director on hand at all times,” Oldham says. Check the medical credentials of the staff. n If the clinic or spa refuses to divulge this information, that is a red flag. n How long have they been in business? n How long have they been in the field? n What is their medical experience? n What is their educational background? © istockphoto.com / Kenny Haner

“A number of people thought the Lipo-Dissolve fat burner was the wave of the future,” says Nathan Irvin, general manager of the Rajeunir medical spa in Leawood, Kan. “There is no way to tell what will happen to someone over the course of their life from taking something the FDA hasn’t approved. The safety and well-being of the patient is our No. 1 concern.”


QuEstiOns tO asK bEfOrE visiting a mEdiCaL spa is the medical spa located within a physician’s office? While problems are infrequent, physician’s offices generally have medical personnel available if a problem develops. is the medical spa located outside of a doctor’s office in, for example, a mall or salon? if so, ask the name of the physician responsible for oversight and when he or she is available for consultation or questions before having any injectable, deep peel or laser treatment. also ask about the training of any other medical personnel. this is vital to protect your health and ensure an optimal outcome. these are generally safe procedures with minimal recovery, but they do have real risks. what are the credentials of the medical professional supervising your treatment in the medical spa? injectables (such as botox and tissue fillers), skin treatments (such as laser, intense pulsed light, and radio frequency) and deep peels should be under the supervision of board-certified plastic surgeons or dermatologists. ask to see these credentials. who is performing the injection? depending on the state you’re in, injections and deep peels may be performed by a nurse, physician’s assistant or nurse practitioner. However, never allow a non-medical, unlicensed person to perform a medical procedure, and be sure that the procedure is supervised by a physician board-certified in plastic surgery or dermatology. your health and safety depend on it. is the product fda approved? is it approved for this use? if your provider is reluctant or does not directly answer this question, don’t proceed with the treatment. don’t be afraid to ask to see the manufacturer’s label for any injectable product. have you been fully informed of the possible benefits and side effects of the proposed treatment, and have you been apprised of possible options? don’t be afraid to ask questions – you are the one who is having treatment done to your body. too many times, patients are too intimidated to ask questions – remember to speak up!

Rajeunir medical spa 11401 nall ave., suite 218 Leawood, Ks 66211 913-338-4247 weston family clinic and medical spa debra C. Keith, d.O. 18215 route 45 north Weston, mO 64098 816-640-2762 www.wfcmedspa.com skin deep laser medspa town Center plaza shopping Center 4809 West 117th st. Leawood, Ks 66211 913-327-8700 www.skindeeplaser.com exhale at lakewood medispa 3483 nE ralph powell rd. Lee’s summit, mO 64064 816-524-8197 www.lakewoodmedispa.com enhance magazine

what if i’m unhappy with the result? a qualified practitioner can provide you with appropriate revisional or after-care. make sure you ask this question before the injection or treatment.

local ResouRces

4


whole living

savor the flavor of

fall foods You can find a lot more than cold-weather comfort in these healthy autumn offerings

50

Š istockphoto.com / Kelly Cline

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By Paige DeRuyscher


For many Midwesterners, summer is the time of year to get healthy again. Along with increased exercise, we typically consume a larger variety of fresh produce and enjoy lighter meals. As the chilly days of autumn arrive, so do the excuses for becoming more sedentary and indulging in often unhealthy comfort foods.

KC area farmer’s markets http://kansascity. about.com

seasonal eating www.slowfood.com www.sustainable table.org

Apples High in vitamin C and fiber, apples contain a mixture of nutrients believed to promote weight loss and reduce the risk of heart disease, type II diabetes and asthma.

Sweet Potatoes Along with a powerful combination of vitamins A, B6 and C, these autumn treasures contain important minerals like manganese, which aids in bone growth, helps regulate blood sugar and maintains healthy reproductive, nervous and immune systems.

local resource: farmer’s markets While the cooler months can be a tempting time to fill our grocery carts with convenient packaged and processed food, more people are recognizing the superior health benefits of eating seasonally. This “slow food” movement is about taking the time to savor what each season has to offer and choosing to buy locally so that our food doesn’t have to travel so far. (These days, produce travels an average of 1,500 miles from farm to plate.) Local farmer’s markets run through October, and many Kansas City area grocers offer these locally grown fall foods fresh from the farm. Choosing seasonal produce from local sources is a wonderful way to support our neighbors and help our bodies become more in tune with the rhythm of the seasons.

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Pumpkin: © istockphoto.com / Orangelimemedia; Yams: © istockphoto.com / YinYang Apples: © istockphoto.com / Ina Peters

Our busier schedules send us to the drive-thru and the microwave for a quick hunger fix and we forget what fresh even tastes like. NEWSFLASH: Delicious, healthy eating doesn’t have to fade with summer days. Autumn offers a whole new world for our taste buds. Pumpkins, squash, sweet potatoes and apples are just a few of the ingredients available to create flavorful meals that are comforting and nutritious. These fall foods are vitaminpacked and offer more health benefits than people often realize.

Pumpkins and Winter Squash Closely related fall gems that are packed with disease-fighting anti-oxidants. Brimming with vitamin A, they also offer healthy doses of vitamin C, E, fiber, potassium and a host of other essential minerals.

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whole living

Fun With Autumn Foods Plan a dinner party with foods that celebrate the season. Hearty soups and wholesome muffins are a great way to incorporate fall flavor.

businesses with local produce selections n

Try a morning walk to the farmer’s market. A brisk family stroll is healthy and fun for all ages, and the market can be a hands-on learning experience for children to identify (and taste-test!) seasonal foods.

Whole Foods Wild Oats n Hen House n Hy-Vee n Eden Alley n Blue Bird Bistro n

Visit a nearby pumpkin farm or apple orchard to enjoy fresh produce and benefit from fresh air and natural exercise.

Other healthy fall favorites

Radishes

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Beets

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A good source of folate, which is linked to mental wellness, healthy pregnancy and new cell growth. Beets provide potassium and are known to be especially potent in fighting colon cancer.

Tomatoes Vitamin C, along with disease-fighting lycopene and an array of other antioxidants, make the tomato a nutritional powerhouse.

Carrots Packed with vitamin A, carrots help protect against cardiovascular disease and promote healthy vision.

Suggested as an alternative treatment for a variety of ailments, radishes offer vitamin C and a hearty mixture of essential minerals.

Turnips When cooked with the greens, this veggie packs a punch! Topping its list of nutrients is vitamin K, believed to prevent debilitating diseases like rheumatoid arthritis.

Bread: © istockphoto.com / akaplummer; Beets & radishes: © istockphoto.com / Christine Balderas; tomatoes: © istockphoto.com / aleaimages; carrot: © istockphoto.com / floortje; turnips: © istockphoto.com / paradoks_blizanaca

Savor some time in the kitchen. Turn off the TV and go on an autumn baking adventure. This can be great family time or a little one-person retreat!


Laughter is the best medicine “Hilarious! A quirky wonder about truth, perseverance, and the vagaries of fame.” – Kirkus Reviews (starred review) “With warm affection and wry humor, Jennings draws an endearing cast of supporting characters to help or hinder the boy in his cause.” – Horn Book

The Great Whale of Kansas by Richard W. Jennings

While digging a hole in his back yard, an 11-yearold Kansas boy finds the fossilized remains of a gigantic prehistoric animal, a discovery that brings both fame and controversy. Houghton Mifflin Harcourt Boston and New York

Available at www.rainydaybooks.com or wherever books are sold


whole living

autumn disHEs cuRRied butteRnut sQuash soup 1 roasted butternut squash, halved 2 cups vegetable broth 1 tsp. curry powder 1 tsp. onion powder 1 tsp. garlic powder salt and pepper n

n n

n

n

roast butternut squash halves in oven scoop out flesh with spoon in medium saucepan, combine squash, broth, curry powder, onion powder, garlic powder, salt and pepper bring to a simmer over medium heat (about 10 minutes) use blender to process mixture until smooth

tasty toasted pumpkin seeds medium-sized pumpkin salt 1 tbsp. olive oil n n

n n n

preheat oven to 300˚ f scoop seeds from inside of pumpkin and rinse well toss seeds in bowl with olive oil and salt spread in single layer on baking sheet bake 45 minutes or until golden brown, stirring occasionally

heaRt-healthy sweet potato chips

n n n n n n n

salt paprika (optional)

preheat oven to 200° f Line two baking pans with parchment paper slice potato very thin and spread slices in pans sprinkle with salt, pepper and paprika bake 50 minutes turn chips over and bake 30-40 more minutes Cool chips on baking sheets – they will crisp as they cool

simple autumn tRail mix

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toss together equal amounts of: Walnuts dark chocolate chips dried cranberries toasted pumpkin seeds

54

add double that amount of: pretzel sticks Whole grain cereal (Chex or Cheerios)

sQuash: © istockPhoto.com / michael hill; seeDs: © istockPhoto.com / Juan monino; Walnuts: © istockPhoto.com / Peter mlekuz; Potatoes: © istockPhoto.com / oliver hoffman

1 large sweet potato freshly ground pepper


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Endorsed Local Provider


health and wellness

find yOur innEr

olyMpian

a pErsOnaL trainEr Can HELp yOu rEaCH yOur fitnEss gOaLs

by scott higgins & ann Ross

56

© istockPhoto.com / ranPlett

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So, while your buddy is talking about his next 5K run, you’re having a hard time motivating yourself to get to the gym three times a week, let alone get off the couch. For those of us able to catch some of the Summer Olympics, maybe a glimpse of that inner athlete began to emerge. And while you may never find yourself in a lane next to Michael Phelps, many of the fundamental movement skills required by high-caliber athletes are equally important to improving how your body performs on a daily basis. Today’s Olympians and people in search of motivation and methods to enhance their fitness each have something in common: access to qualified strength and conditioning professionals. While we have the best intentions of sticking to our work-out routine, some things are better left to the professionals. As the winter months loom, a strength and conditioning coach or personal trainer may be the key to help you get motivated and fit to that body you desire.


Fundamental Movement skills Gardie Jackson, owner of Elevations, based in Park City, Utah, is a quintessential example of a strength and conditioning coach who has built a business on changing the way people perceive personal training. “Everyday people need to focus on fundamental movement skills and integrated movements to address strength and stability in all planes of human motion – just like the elite athlete,” he says. “Every person is an athlete; it’s just to what level they play the game.” Based on your personal goals, health history, body type and current health condition, a personal trainer will develop a training program tailored to fit your needs. Just as your body responds differently to food, it will also respond in a unique way to exercise programs. There is a path to staying healthy, and exercise is a key component. Program Dynamics Elevations’ programs incorporate building strength, stability and balance through dynamic warm-up and flexibility routines. At his facility you are likely to see a group performing a hurdle series to improve hip mobility and stability or dumbbell complexes incorporating Olympic-style lifts. Jackson’s strength programs incorporate pushing, pulling, twisting, lunging and squatting in an environment that emphasizes integrated whole body movements required to function every day. “It’s not traditional personal training,” Jackson says. “I don’t push pins on weight stacks or encourage body building. That’s too narrow in scope.”

By the numbers At any given time, 45% of women and 30% of men are trying to lose weight with programs that focus on decreasing the number of calories one consumes and the time spent in aerobic activity,” says Moody. “They visualize the miles of jogging or running they will have to do just to get back in shape,” he says. “Most of this stuff doesn’t work.” In a 1994 endurance vs. interval training study over a 20-week program, the interval training group had a nine times greater fat loss than the endurance group. A 1998 International Journal of Sport Nutrition study concluded that 45 minutes of aerobic exercise at 78 percent of maximum heart rate, five days a week, had no effect over dieting alone.

What to look for in a personal trainer

A good match Schlossman and Kingsbury match their clients with the right trainers. “We go to great lengths to ensure our trainers

philosophy, education and experience match the goals and needs of our customers.” Education and Background Schlossman precipitates the importance of education, experience and certification when choosing a fitness professional. Each of Schlossman and Kingsbury’s trainers

must first have a fouryear degree in the exercise sciences. This “ensures they have a basic understanding of the application of the principles of exercise and strength and conditioning sciences,” he says. Experience Counts “We are not in our 20s doing this part time to make extra money,” Schlolssman says. “I am

41 and Rob is 55. This is a lifestyle for us. It’s who we are.” So while you are working hard to just keep up with life, know that there are professionals, certified and trained, up-to-date on all the recent trends and ready to help you get fit and stay fit. After all, you need to get that body in shape to keep up the pace.

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© istockphoto.com / Beverly Vycital

While fitness trainers at Results in Overland Park hold many certifications, they have standardized the hiring and service components within their business.

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health and wellness

“I don’t push pins on weight stacks or encourage body building. That’s too narrow in scope.” –Gardie Jackson, owner of Elevations in Park City, Utah

“Individuals need to do their homework and educate themselves, particularly if they have a medical issue and are not in a medically based and supervised program,” Dr. Riggs Klika says. Klika’s non-profit Aspen Cancer Center was built on years of experience received through post doctoral training at the National Institutes of Health and National Institute on Aging.

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A certified exercise specialist with the American College of Sports Medicine and a Cancer Exercise Specialist, Klika is helping to define the parameters in the of field of fitness programming and standards for cancer in the future.

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Kansas City Professionals Close to home, the Center for Athletic Performance in Lenexa, Kan., runs a similar program. Over the last 10 years CAP participants have achieved such great fitness and performance gains that the parents of owner Scott Moody’s athletes begged him to provide training for them. Like Jackson, Moody’s programs emphasize athletic development to improve adult fitness. There’s also a dose of old-fashioned structured intensity. Program of Change While most people are hitting the treadmill and elliptical, people in Moody’s program are shedding the weight and preparing themselves to stay healthy and fit longer. How? Through his innovative: Move

Better, Move Stronger, Move Faster and Longer Program. Jackson’s and Mooney’s methods, philosophy and experience are not easy to come by in a profession dominated by multiple certifications and few industrywide standards. Dr. Riggs Kilka, founder of the Aspen Cancer Institute, now a leader in the provision of scientifically based fitness programming to cancer survivors and patients, echoes a concern by many professionals. Dr. David Schlossman, co-owner of the Overland Park, Results, agrees. He believes that the lack of common standard regulation and best-practice fitness certification within the profession, an individual’s ability to determine if they are working with a qualified fitness professional is difficult.

Local Resources Results Personal Training 12687 Metcalf Ave Overland Park, Kan. 913-317-8833 Centers for Athletic Performance 11042 Strang Line Lenexa, Kan. 913-851-1862 scott@ capprogram.com Building a Healthy Body 913-284-5100 www.buildinga healthybody.com

A simple fact: as we get older, intensity is the primary stimulus for change.

© istockphoto.com / iofoto

How to


MY ROUTINE IS ANYTHING BUT NEW DAY, NEW PATH MOST GUYS MY AGE NEED TO DROP 15 LBS I’M NOT LIKE MOST GUYS

My trainer: Forerunner 405.

©2008 Garmin Ltd. or its subsidiaries

®

I create my workouts and goals. Forerunner keeps score and pushes me to go for more. Time, distance, pace, heart rate, calories burned — this watch records it all and sends to my computer when I walk in the door. Who needs a personal trainer? Mine’s with me 24/7. See the new Forerunner 405 with GPS and wireless sync at www.garmin.com

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complementary health

anCiEnt WisdOm

ModErn outcoMEs tHE usE Of aCupunCturE tO trEat COmmOn pains is gaining pOpuLarity by catheRine Jenkins

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“i’ve seen the past, and it woRks!”

60

so declared famed new York Times reporter James reston after being treated for post-surgical pain with traditional Chinese medicine, primarily acupuncture. growth in demand for tCm treatment has been dramatic in the u.s. over the last decade as more americans seek non-pharmaceutical relief. the Western tipping point for acupuncture came in 1971 when reston made his endorsement on the front page of The new York Times. stricken by appendicitis while in beijing, reston was treated for post-surgical pain with acupuncture and tCm. When applied by a licensed, experienced practitioner, tCm is generally safe, effective and unlike the prevailing myth: pain-free. tCm focuses on the patient’s core, so while the reason for seeking treatment might be specific, the doctor applies a “whole-body” approach. patients often report an immediate reduction in stress and anxiety levels; changes to other symptoms might take hours or a day to appear. the effects of treatment might not be immediate, and it could take more treatments for a satisfactory result. it is important to choose a licensed practitioner, preferably one who has studied in mainland China. many Westerners possess these credentials, so don’t be surprised by the ancestry of your doctor. the national Certification Commission for acupuncture and Oriental medicine has a database of licensed doctors at www.nccaom.org.


Four pillars Acupuncture is one of the four pillars of Traditional Chinese Medicine. The others are acupressure (similar to massage), herbal medicines and QiGong.

Treatments Common patient complaints include chronic or acute pain, stress and anxiety, although there are many other indicators for which this therapy can be useful.

Needle points Traditional Chinese medicine has identified some 500 specific points where needles are to be inserted for specific effects. Today, the needles are twirled, heated, or even stimulated with weak electrical current, ultrasound, or certain wavelengths of light. Some use tuning forks over the acupoints. Others direct laser beams at them. Still others use magnetic BBs on patches applied to acupoints.

Find a certified acupuncture practitioner The National Certification Commission for Acupuncture and Oriental Medicine claims to be the only nationally recognized certification for qualified practitioners of the ancient healing arts of acupuncture, Chinese herbology, Asian bodywork therapy and Oriental medicine.

Acupuncture, point by point n Acupuncture treatment involves the use of micro-fine needles, so fine, in fact, that a patient often only feels a brief tingle at the area of application. n Treatment typically takes place in a doctor’s office, in a quiet room. Aromatherapy, music and dim lighting are often used to help relax a patient. n A patient often lies on a cushioned table while the needles are applied to various points. After all the needles are in, the doctor might leave the patient to rest quietly on the bed for up to 30 minutes. n Removal is painless and takes only a minute or so. Rarely is there a mark on the application points.

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Š istockphoto.com / Yanik Chauvin

To find an active and approved practitioner in the Kansas City area, use the Certification Registry search engine located under the Find a Practitioner tab. 4 www.nccaom.org 4 904-598-1005

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complementary health

a glossary of acupuncture terms Acupuncture

also called needle puncture. a European term invented by Willem ten rhyne, a dutch physician who visited nagasaki in Japan in the early part of the 17th century. Has a clearly recorded history of about 2,000 years, but some authorities claim that it has been practiced in China for some 4,000 years.

Chen

the Chinese character used to describe acupuncture; literally means “to prick with a needle,” a graphic description of this therapeutic technique.

Bian

Chinese character describing the stone knives or sharp-edged tools used during the stone age to puncture and drain abscesses. Literally means the “use of a sharp edged stone to treat disease,” while the modern Chinese character “bi,” representing a disease of pain, is probably derived from the use of bian stones for the treatment of painful complaints.

Chi

also called ch’i or qi, this is an energy that allegedly permeates all things. it is believed to flow through the body along 12 main pathways called meridians. When someone is sick, diseased or injured, there is an obstruction of chi along one of the meridians. acupuncture unblocks chi by inserting needles at specified points on the body to balance the opposing forces of yin and yang.

Meridians

pathways through which chi and blood flow. the 12 pathways are related to the 12 organs: three yin channels of the hand (lung, pericardium and heart), three yang channels of the hand (large intestine, san jiao, and small intestine), three yin channels of the foot (spleen, liver and kidney) and three yang channels of the foot (stomach, gallbladder and bladder).

Yin and yang

When yin and yang are in harmony, chi flows freely within the body and a person is healthy. there are six yin and six yang channels – three yin and three yang channels on each arm, and three yin and three yang on each leg.

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© istockPhoto.com / yanik chauvin

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Sources: healthy.net and wikipedia.org


Find a whole new you in

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local spotlight

simple pleasures at the

Red barn Farm Not ready to say goodbye to the great outdoors of summer? There’s a breath of fresh autumn air waiting just up the road from Kansas City at the Weston Red Barn Farm Story by Paige DeRuyscher

Photos by Strauss Peyton

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Red Barn Farm owners Cindy and Steve Frey purchased the farm in 1989.

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Here, families are taking a much-needed break from fast-paced city life to enjoy the health benefits of pure country livin’, real farm fun and great exercise. Owners Steve and Cindy Frey say they purchased the farm for their family in 1989 to “give our kids and yours the opportunity to experience the traditional American farm.” While many city dwellers spend their evenings parked on the couch, the Freys can be found outdoors, taking care of chores and taking in nature’s beauty after a lively day on the farm.

Physical activity is one thing their guests are given a healthy dose of too, and there are plenty of creative ways to get a workout while savoring the sights and sounds of fall. Daily visitors can take a hike to the pumpkin patch, pick their own delicious apples in the orchard or enjoy a tractor-drawn hayride. Barnyard tours, corn mazes and an observation bee hive provide hours of fun and learning for all ages.  In a culture of commercial and artificial everything, experiencing true farm life can help bring families back in tune with

the natural rhythm of the seasons. Guests have the space to choose simple activities that nurture their spirits, help them relish unhurried moments together and create their own unique memories. The Frey family has benefited greatly from the slower pace of country life. “The mental health effect,” says coowner Cindy, “has been immense.” And while we may not all have the luxury to buy a 25-acre country retreat in the rolling hills of Weston, anyone is welcome to head on over for a healthy little tune-up at the Red Barn Farm.


Fall happenings in Weston, Mo. OCTOBER 10-12, 2008

9th annual Weston Irish Festival On the grounds of O’Malley’s Pub and Courtyard www.westonirish.com Great Irish music, piping, dancing and storytelling, along with traditional Irish food and drinks. November 8-9, 2008

Holiday Weekends kickoff The mayor will officially light the town on Saturday night, and Father Christmas appears. 27th annual Candlelight Homes Tour The theme is Weston Homes Through the Ages. Tour four beautiful homes and a downtown Weston loft, dated from the 1850s to 2002. December 31, 2008

New Year’s Eve in Weston Ring in the new year at O’Malley’s Pub, America Bowman Restaurant and the Vineyard Restaurant. Call 816-640-5588 for reservations. More information: www.westonmo.com

Number of school children touring in 2007: 18,000 Weddings held at the farm: 22 Current staff: three full-time, up to 80 seasonal farmhands Travel time from downtown KC: 45 minutes Red Barn Farm 16300 Wilkerson Rd. Weston, MO 64098 816-Fun-Kids www.westonred barnfarm.com

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Apples: © istockphoto.com / Joe Biafore

NOVEMBER 21-23, 2008

Red barn farm, by the numbers

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local spotlight

Top: The Red Barn Farm’s pumpkin patch is a popular destination in the weeks leading up to Halloween. Left and right: Kids can experience country life by meeting the animals at the petting zoo. While at the farm, families and groups can also visit the new Observation Bee Hive or enjoy a tractor-drawn hayride.

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Below: Visitors can pick apples in the orchard and enjoy the fruit of their labors.

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Magnified apples appear and disappear, Stem end and blossom end, And every fleck of russet showing clear. –Robert Frost, “after apple picking”


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Enhance Magazine - Health & Wellness - OctNov2008