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experience a touch of nature

experience a touch of nature

August/September 2009

A u g u s t / S e p t e m b e r 2009

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Compassion At Truman Medical Centers, a strong heartbeat is not a business objective, it’s our passion. From noninvasive tests to interventional cardiac procedures in a soothing, state-of-the-art environment, you are in the hands of one of the best cardiology teams around. And because we are a not-for-profit healthcare system, our cardiology center is more focused on putting patients before profits. Which means our doctors never have to compromise on care. It’s a person-first approach that’s not only good for business…it’s good for the heart. Discover Truman Medical Centers. For a consultation, call 816.404.3694.

www.trumed.org

is at the heart of our business plan.


Feeling sick is stressful. Getting in to see the doctor doesn’t have to be. Choose the Lee’s Summit Physicians Group for care for your entire family. We accept most insurance plans – call for an appointment or stop by to see us. In-house x-ray, labs, EKG and Bone scans • 2 convenient locations

www.lsphysicians.com

www.raintree-Pediatrics.com

Lee’s summit Physicians GrouP

raintree Pediatrics 821 SW Lemans Lane Lee’s Summit, MO 816-525-4700

1425 NW Blue Pkwy • Lee’s Summit, MO PediatriCS is open 7 days a week, with evening and weekend urgent care 816-524-5600 open Monday-Friday, 9 a.m.-noon and 1-4:45 p.m. 816-554-1918

INtErNaL MEdIcINE

Urgent care available Monday-Friday, 8-11 a.m. Scheduled appointments Monday-Friday, 8 a.m.-noon and 1-4 p.m.


from the editor

the joys of life Following a third plea to my nieces (ages 3 and 7) asking if I could borrow their “Life is good” T-shirts, my brother and his family sent me my very own.

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featured some of the most talented KC physicians and innovators in their fields. Innovators are agile learners – they’re always looking to improve upon the existing, and are driven to create a better tomorrow through process, procedure and technique. They see the glass halffull and are encouraged to do good work in this world. Blessed with the opportunity to meet so many talented individuals, I have found that it doesn’t matter what position you hold in life. Rather, it’s the positive influence you have on others that will make a lasting impression. Life is good. Choose to have contagious optimism.

lsteffey@enhancepublications.com www.enhance4life.com on Twitter: EnhanceMagazine

Letha A Steffey 785-691-9780

Portrait © Denise Williams

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“Let us be grateful to people who make us happy; they are the charming gardeners who make our souls blossom.” – Marcel Proust

It was a gracious gift and a wonderful reminder of how precious and good life really is. Then began what I deem “contagious optimism,” the act of spreading cheer. August is deemed “Happiness Happens” month by the Society of Happy People. And as final vacations are taken, the pools close, school starts, fall sports begin and our schedules quickly fill, why not share some optimism? When you surround yourself with positive people, you can’t help but feel good about life. Happiness is contagious. It can be in the form of a smile, a warm greeting or just having an optimistic outlook. We often need to remind ourselves and others that life really is good. The Monarch butterfly, featured on our cover, gives us optimism and graces us with his beauty while contributing to nature’s eco-system through pollination before the long journey south to a warmer climate. Take a look on page 13 to see how you can experience this amazing migration. The Monarch also symbolizes several other innovative stories featured in this issue. From the good works of the honeybee to the amazing creative thinkers in our medical community, inside you will learn about new technologies and ideas emerging in Kansas City. Working hard to provide the best medical care in the country, we have


Bioidentical

“Natural” Hormone Study NOW RECRUITING Call 913-588-6104 We’re seeking women who have entered menopause during the past seven years and are able to come to KU Medical Center five times over a one-year period. OTHER PREQUALIFICATIONS: • Have a history of menopausal symptoms such as hot flashes or osteoporosis. • Have had a normal Pap smear result and normal mammogram within past 12 months. • NOT have had a hysterectomy or ovaries removed. • NOT have a history of breast cancer, uterine or ovarian cancer, or any bone disease other than osteoporosis. • NOT have a history of blood clots. • If already on hormones for menopause, you will be asked to stop your hormone for 3 months before entering the trial. • You will be given 1 of 4 types of hormone to take. You will NOT know which hormone you are on until the study is over. • We will provide testing at no charge for mammogram, blood tests, and bone scan. No additional remuneration offered.

KU INTEGRATIVE MEDICINE CENTER http://integrativemed.kumc.edu University of Kansas Medical Center 3901 Rainbow Blvd., Mail Stop 1017 Kansas City, KS 66160 913-588-6104


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Clockwise from top left: Š Istockphotos.com / Eray Haciosmanoglu, Oliver Suckling, Tadija, Ina Peters, Vitalina Rybakova, Luis Bellagamba, Gula Khalikova

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The butterfly counts not months but moments, and has time enough.

– Rabindranath Tagore

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Balancing act The essence of a balanced diet lies in this mantra: pick a protein and two colors.

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Going organic 10 reasons to make the transition to organic foods.

© Istockphotos.com / CJMcKendry

AUGUST/SEPTEMBER 2009 W W W . E N H A N C E 4 L I F E . CO M

Vino 101 Hosting the perfect wine tasting party.

Volume 1, Issue 6 August/September 2009 Executive Editor Letha A. Steffey Creative director Dennis Esser Art Director and copy editor Colleen Cooke

local interest 36

A Natural High Rock climbing benefits both mind and body.

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Building better bodies Kansas City boasts a world leader in laparoscopic surgery in Dr. Joseph Petelin.

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Surgical robotics An inside look at the DaVinci surgical system.

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Local foods, healthy eats Take advantage of the explosion in color in local, fresh summer finds in Kansas City.

health focus 26

15 steps to banish belly fat There are not many things you could do to improve your health more than getting rid of the spare tire around your midsection.

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Health Bits Honey and your health; Monarch butterflies in Kansas City; enjoy pizza in a healthy way.

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Filling in the gaps How to best replace a missing tooth.

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Radon gas: the silent intruder Don’t let this deadly gas sneak up on your home.

Contributing photographers Jonathan Braswell, Tom Styrokowicz, Denise Williams Contributing Writers Katie Drisko, Paige DeRuyscher, Kerry Hinrichs, Quinn Katherman, Michael A. Levine, Dr. James O’Keefe, Dr. Andrew Moore, Emily Perkins, Pujan Roka, Dr. Hugh Ryan, Trieste VanWyngarden ADVERTISING To advertise, please call Mark Williams, mwilliams@ enhancepublications.com 913-269-9227 Publishers Mark Williams, Letha Steffey 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. ©2009 Enhance Publications.

www.enhance4life.com

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© Istockphotos.com / LianeM

experience a touch of nature

AUGUST/SEPTEMBER 2009

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Information is power How to become an agile learner and navigate information overload.

H E A LT H A N D W E L L N E S S

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a different approach

ENHANCE

in this issue

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ADVERTISEMENT

Orthopaedics Orthopaedics is the medical specialty that focuses on injuries and diseases of your body’s musculoskeletal system. This complex system includes your bones, joints, ligaments, tendons, muscles, and nerves and allows you to move, work, and be active. Once devoted to the care of children with spine and limb deformities, orthopaedists now care for patients of all ages, from newborns with clubfeet to young athletes requiring arthroscopic surgery to older people with arthritis. And anybody can break a bone.

Your Orthopaedic Surgeon

Orthopaedic surgeons manage problems of the musculoskeletal system. This involves: ■ Diagnosis of your injury or disorder ■ Treatment with medication, exercise, surgery or other treatment plans ■ Rehabilitation by recommending exercises or physical therapy to restore movement, strength and function ■ Prevention with information and treatment plans to prevent injury or slow the progression of diseases While orthopaedic surgeons are familiar with all aspects of the musculoskeletal system, many orthopaedists specialize in certain areas, such as the foot and ankle, spine, hip or knee. They may also choose to focus on specific fields like pediatrics, trauma or sports medicine. Some orthopaedic surgeons may specialize in several areas.

Education and Training

Your orthopaedic surgeon is a medical doctor with extensive training in the proper diagnosis and treatment of injuries and diseases of the musculoskeletal system. Orthopaedic surgeons complete up to 14 years of formal education. Each year your orthopaedic surgeon spends many hours studying and attending continuing medical education courses to stay up-to-date in current orthopaedic knowledge and skills.

Treatment

Orthopaedic surgeons treat many musculoskeletal conditions without surgery, by using medication, exercise and other rehabilitative or alternative therapies. For most orthopaedic diseases and injuries there is more than one form of treatment. If necessary, he/she may also recommend surgery if you do not respond to other treatments.

Surgical Treatment

Orthopaedic surgeons perform numerous types of surgeries. Common procedures include: Arthroscopy – a procedure using special cameras and equipment to visualize, diagnose and treat problems inside a joint Fusion – a “welding” process by which bones are fused together with bone grafts and internal devices (such as metal rods) to heal into a single solid bone Internal Fixation – a method to hold the broken pieces of bone in proper position with metal plates, pins or screws while the bone is healing Joint Replacement (partial, total and revision) – when an arthritic or damaged joint is removed and replaced with an artificial joint called a prosthesis Osteotomy – the correction of bone deformity by cutting and repositioning the bone Soft tissue repair – the mending of soft tissue, such as torn tendons or ligaments Source: http://orthoinfo.aaos.org

Brian E E. Healy M M.D. D

David J. J Clymer M.D. MD

Scott R. R Luallin M.D. MD

Greg R G R. Van den Berghee M M.D. D Matthew T T. Kneidel Kneidel, M M.D. D

Valerie A V A. Deardorff, M M.D. D


Accidents happen. Carondelet Orthopaedic surgeons are ready to help.

Carondelet

Orthopaedic Surgeons, P.A. Specializing in Orthopedic surgery, sports medicine, foot & ankle issues, hand and upper extremities and shoulder injuries. Scott M M. Abraham Abraham, M M.D. D

Jenny Chandra Chandra, M M.D. D

Bill Hussey Hussey, Administrator

913.642.0200 | www.c-ortho.com


health bits

august birth flower: gladiolus Gladiolus, the August birth flower, represents strength of character and moral integrity – not surprising when you consider that its name comes from the Latin word for sword, “gladius.” But while its sword-shaped stems may imply Roman gladiators, its romantic flowers are capable of piercing a heart with their beauty – explaining why infatuation is another one of its meanings as well.

With their wildflower beauty and lush texture, asters have long been considered an enchanted flower. In ancient times, it was thought that the perfume from their burning leaves could drive away evil serpents. Today, they’re known as a talisman of love and a symbol of patience. Also known as starworts, Michaelmas daisies or Frost flowers, the name aster is derived from the Greek word for “star,” and its star-like flowers can be found in a rainbow of colors – white, red, pink, purple, lavender and blue, with mostly yellow centers. 

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The September birth flower, asters also hold the honor of being the 20th wedding anniversary flower.

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Gladiolus last seven to 10 days and are available in a wide variety of colors including white, green, cream, yellow, buff, orange, salmon, pink, red, lavender, purple, blue and terra cotta.

From Left: © istockphoto.com / Willi Schmitz, Nicolae Popovici

september birth flower: aster


Days at the pool, weekends at the lake, nights at the ballpark... This season gives us lasting memories in our heart, but also

summer shows on your face

Let Aesthetic Medical Centre Refresh and Renew  your sun-tired skin to the youthful glow you had during those cherished memories.

With any injectible purchase of $300 or more, receive for  only $25 an FDA-approved treatment for longer, thicker lashes.

Aesthetic Medical Centre Charles E. Stuckey, M.D. and Craig D. Barbieri, M.D. 10600 Quivira, Suite 260, Overland Park, KS  66215

913-322-6840

www.yourselfimage.com


DO YOU SUFFER FROM CHRONIC BACK AND LEG PAIN? Chronic back and leg pain can result from a number of spinal conditions, including: degenerative disc disease, lumbar disc herniation, failed back syndrome, epidural fibrosis or arachnoiditis

KC PAIN CENTERS CAN HELP. Failed back syndrome is a collection of conditions that emerge after any number of surgeries or other treatments. The sensations that crop up after surgery can include diffuse, dull, and achy pain, pain that radiates into the hips, buttocks, and thighs, or sharp stabs of pain in the back and legs. The pain may result from scarring on nerves emanating from the spinal cord, a joint that has become irritated and inflamed because surgery altered the person’s posture, gait, and way of moving; muscle position or function that has triggered myofascial pain related to sore areas within muscles; or scar tissue. Patients with failed back syndrome need a comprehensive evaluation from multiple perspectives, often requiring a team of medical professionals. This team is the core of the multidisciplinary approach to pain management. If your pain is severe, our team of experienced pain management physicians can help you as they have helped so many others manage their chronic pain.

A SERVICE OF PAIN MANAGEMENT ASSOCIATES

To arrange a consultation: 816-763-1559 Outside the metro area: 1-800-200-PAIN

www.kcpain.com


health bits

enjoy pizza in a healthy way By Katie Drisko Are you tired of resisting that second, or even third, piece of pizza? Do you want to finally enjoy pizza without feeling guilty, or eat pizza that works with your diet? Here are some healthy alternatives to satisfy your pizza cravings. n Ask

monarch butterflies Unlike most other insects in temperate climates, Monarch butterflies cannot survive a long cold winter. Instead, they spend the winter in roosting spots. Those east of the Rocky Mountains fly farther south to the forests high in the mountains of Mexico. www.monarchwatch.org In all the world, no Attention teachers: This butterflies migrate University of Kansas biological like the Monarchs of survey Web site offers great North America. They classroom ideas. travel much farther 4 Peak in monarch abundance: than all other tropical Sept. 14-16, 2009, in KC butterflies, up to three thousand miles. They are the only butterflies to make such a long, two-way migration every year. Amazingly, they fly in masses to the same winter roosts, often to the exact same trees. Their migration is more the type we expect from birds or whales. However, unlike birds and whales, individuals only make the round-trip once. Their children’s grandchildren return south the following fall.

LOCAL PIZZA JOINTS Waldo Pizza Kansas City, MO 816-363-5242 Lee’s Summit, MO 816-875-2121 waldopizza.net Minsky’s Multiple locations minskys.com Spin Neapolitan Pizza Kansas City, MO 816-561-7746 Overland Park, KS 913-451-7746 spinpizza.com Blue Grotto 6324 Brookside Plaza Kansas City, MO 816-361-3473 www.bluegrotto brookside.com

Plants that attract butterflies n Monarch

larvae appear to feed exclusively on milkweeds (which come in lavender and pink) in the genus Asclepias. n Milkweeds belong to the family Asclepiadaceae, derived from Asklepios, the Greek god of medicine and healing. n Butterflies themselves are an important part of the ecosystem and can pollinate many plants.

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From Top: © istockphoto.com / Lisa Thornberg, Scott Harms

Catch these beauties in KC in September

for wheat, thin crust. Not only does it cut off the calories that one slice of pizza typically has – usually around 300 calories – wheat crust also has healthier nutrients. n Avoiding carbohydrates all together? Choose a crust that is gluten-free, with no flour or wheat products, but rather substitute products such as rice, potatoes or beans. Waldo Pizza makes a tasty gluten-free version. n Lighten up on the cheese. Even just a small amount of cheese is full of calories and is very high in saturated fat and cholesterol. n Ask for seasonal veggies instead of pepperoni and sausage, which are high in calories, fat and cholesterol. n If you are craving that meat topping, consider prosciutto. This has a satisfying, salty flavor and is less fatty. But if it’s sausage you are craving, choose a lower-fat turkey version or even try vegetarian sausage crumbles. n Add some onion, crushed red pepper, fresh basil or oregano for an extra kick. Garlic is another tasty choice that also has cholesterollowering properties.

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health bits

honey and health By Katie Drisko There is more to honey than just tasting good. Research from the National Honey Board reveals that honey contains vitamins, minerals, amino acids and antioxidants. In fact, honey has been fueling athletes for centuries because it provides a quick source of energy. This is because when consuming organic raw honey, its carbohydrates supply energy that can enhance your endurance and reduce muscle fatigue.

The Honey Hydrator n

½ cup of honey ½ teaspoon of light salt n 2 cups of orange juice n 5½ cups of water n Combine ingredients; using lukewarm water will aid in dissolving the honey. Let solution cool. n

Makes 8 servings Nutritional information per serving (8 oz): calories: 75; carbs: 21 g; potassium: 85 mg; sodium: 77 mg; sugar: 19 g

The antioxidants, flavonoids and phenolic acids found in honey have been linked with protection against cellular damage and possibly prevent the development of chronic diseases. Even though the amount and type of these antioxidant compounds in honey depends largely upon the floral source or variety, all honey still contains traces of it. Source: www.honey.com

How experts use honey When cooking, make these changes when substituting honey for granulated sugar: n Reduce any liquid called for by ¼ cup for each cup of honey used n Add ½ teaspoon baking soda for each cup of honey used n Reduce oven temperature by 25oF to prevent over browning n When measuring honey, coat the measuring cup with non-stick cooking spray or vegetable oil before adding the honey. The honey will slide right out. Besides cooking, honey’s unique composition makes it an effective antimicrobial agent, useful for treating minor burns and scrapes and for aiding the treatment of sore throats and other bacterial infections.

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n Honey

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never spoils because its acidic pH level prevents the growth of many bacteria. n Honey is full of vitamins, minerals, amino acids and enzymes.
 n Honey is the only food that includes all the substances necessary to sustain life, including water. n Honey is a natural “humectant” which means

it attracts and retains moisture (the reason why honey baked goods stay fresher longer). n Honey speeds the healing of open wounds and also combats infection. n A honey bee must tap 2 million flowers to make 1 pound of honey. n Babies under 12 months old should not consume honey.

© istockphoto.com / Lunanaranja

honey facts


You don’t have to live with urinary incontinence.

Heartland Women’s Health Care can help. Millions of women have urinary incontinence,

or loss of bladder control. Women experience urinary incontinence due to pregnancy and childbirth, menopause and the structure of the female urinary tract. While older women experience incontinence more often than younger women, it is not inevitable with age – incontinence is treatable and often curable at all ages.

Heartland Women’s Health Care performs Urodynamics, a test that assesses how the bladder and urethra store and release urine. It can provide the necessary information to create an individualized treatment plan.

Heartland

Women’s Health Care XXXIFBSUMBOEEPDTDPNt

William K. Seifert, D.O., FACOG, FACOOG

James H. Morgan, D.O., FACOOG

Patricia Mooney Smith, M.D., FACOG

Joy E. Saunders, D.O., FACOOG

Sarah E. White, M.D.

Ian M. Rosbrugh, M.D.


Get up and get going! Don’t let pain stop you from getting the most out of life Irritation… discomfort… pain—maybe it’s a problem you can’t even feel. In the end, if it keeps you from enjoying life to the fullest, we can help. The general and vascular surgery specialists at South Kansas City Surgicenter understand you want to enjoy life. From abdominal ailments to gall bladders to vascular issues, our elite team of surgeons are equipped with the most advanced technology and training in the area to perform…

SKCS General Surgeons

• Hernia repairs • Breast biopsies • Laparoscopic cholecystectomy • Venous access ports • Port-a-cath insertions We treat you like family, so you can get on with your life.

5701 W. 119th Street, Ste. 425 Overland Park, KS 66209 913.663.5100 Lon McCroskey, M.D.

10730 Nall Ave, Ste. 101 Overland Park, KS 66211 913.754.2800 Joe Cates, M.D.

10730 Nall Ave, Ste. 101 Overland Park, KS 66211 913.754.2800 Brian McCroskey, M.D.

Visit our Web site for a complete listing of specialists.

913.901.9000 | www.skcsurgicenter.com 10730 Nall Avenue | Suite 100 | Overland Park, KS 66211


health bits

10 reasons to go organic n Organic

going organic

September is Organic Harvest Month Every September since 1992, when the Organic Trade Association founded this celebration, people and organizations across the nation get together and share their organic knowledge. During this month, consumers are introduced to a wide variety of organic produce, both nationwide and locally.

Fast facts n Today

there are more than 1,000 community-supported agricultural programs. Ten years ago, there were zero. There are more than 10,000 organic farms in the United States. n A generation ago, nearly threequarters of all meals were prepared at home. Today, threequarters of meals are prepared outside the home. n The majority of our population has consumed genetically modified foods, those in which research has shown have less nutritional value than organic foods, and some may even be harmful to your health. The FDA does not require food labels on genetically modified foods, so next time you are at the grocery store look for the organic food labels.

Source: http://ota.com

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© istockphoto.com / Dan Moore

In order for produce to be considered organic, it has to fall under certain production standards: It is a heavily regulated industry that requires producers to obtain a special certification in order to market food as organic. This ensures top quality and health conscious food for all consumers. The use of pesticides, insecticides and herbicides is greatly restricted when producing organic produce. Also, organic foods are never genetically modified, which guarantees they will contain higher levels of nutrients and antioxidants.

farming means healthy soil, and because soil is the foundation of the food chain, organic harvesters only practice techniques that are best for the ground we walk on. n The “organic” certification ensures that the products were cultivated under strict standards and contain no toxins. n Differences in the taste of organic food relies simply on the greater soil quality from organic farming techniques. n Organic production protects human health in the long run by avoiding such things as antibiotics that could have profound consequences for treatment of disease in humans. n Organic agriculture is one way to prevent chemicals from getting into the air, soil and water. n Organic farms conserve water resources. n Organic farmers are leading the way for research in organic vegetation, focusing on ways to reduce toxins and minimize damage on the environment. n The loss of a large variety of species is a pressing environmental concern, but organic farmers and gardeners have been collecting and preserving seeds and growing unusual varieties for decades. n Almost every food category has an organic alternative. n Organic agriculture minimizes children’s exposure to toxins in the soil.

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Well aligned. Margaret Simien suffered from severe back pain for 20 years. She tried just about every treatment to realign her spine. By the end, it hurt to sit or stand. And she wondered if she’d ever be able to hold her new grandbaby. That’s when she found the Providence Spine Center and learned about eXtreme Lateral Interbody Fusion (XLIF), a new, minimally invasive spine procedure. The day after her surgery, Margaret was up and moving. And she hasn’t slowed down since.

XLIF is just one of the innovations you’ll find at Providence Medical Center to take you and your family well into the future. For a free physician referral, call 800-281-7777.

We l l

i n t o

t h e

f u t u r e .

8929 Parallel Parkway • Kansas City, KS 66112 • 913-596-4000 • www.providence-health.org


health and wellness

Surgical

Robotics An inside look at the Da Vinci Surgical System By Kerry Hinrichs

The da Vinci® Surgical System is making an impression in the world of minimally invasive surgery. While traditional laparoscopy has already greatly expanded a surgeon’s capabilities throughout surgical procedure, the da Vinci robot takes minimally invasive surgery one step – or perhaps several steps further. optic cable, the other two ports provide access for the robot’s arms, which hold surgical tools and provide a greater range of motion than is possible with human hands. The wrists of the robotic tools mimic the motions made by the physician, who sits at the console beside the patient. The surgeon peers through an eyepiece that provides full-color, magnified, 3-D images of the surgical site from the telescope. While at the console, the surgeon has full control over the robot’s movements, in real-time. The system cannot be programmed, nor can it make the decision at any time to move on its own. In fact, as a safety precaution, the system stops automatically if the surgeon moves his or her head away from the console.

Above: Modeled after the human wrist, EndoWrist Instruments provide surgeons natural dexterity and full range of motion for precise operation through tiny incisions. enhance magazine

Meet the da Vinci The da Vinci consists of three primary components: the surgeon’s viewing and control console, the surgical cart, housing robotic arms that position and maneuver detachable surgical instruments, and the video tower that carries the cameracontrol and video-processing units. The pencil-size instruments that attach to the surgical cart robotic arms – with tiny, computer-enhanced mechanical wrists – are designed to provide the dexterity of the surgeon’s forearm and wrist at the operative site through no fewer than three ports of less than one centimeter each. While one port allows access for the telescope, a tiny camera attached to a fiber-

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health and wellness

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the Benefits of the da Vinci While the da Vinci entered the field in urology, it has made its way into women’s healthcare in the last three years. It is also becoming irreplaceable in cardiothoracic surgeries and some general surgeries. Though traditional laparoscopy is effective and successful, surgeons who work with da Vinci see clear benefits. While other tools can require the surgeon to stand and move awkwardly, lowering his hands to raise the instruments, the da Vinci robot never tires. Other benefits include reduced blood loss, less trauma to the body, less risk of infection, a shorter hospital stay, faster recovery and return to normal daily activities, less post-operative pain and discomfort and decreased scarring. The da Vinci provides a true 3D view of the patient’s organs that is simply unparalleled by any other MIS method. “The real advantage to the da Vinci system is that it’s a next step in minimally invasive surgery for more complicated surgeries,” says Ian Rosbrugh, M.D., of Heartland Women’s Health Care in Kansas City. “While some patients may not need

the advanced technology of the da Vinci, for others facing a more complicated procedure, the da Vinci is the best option.” Still, there are challenges in using the da Vinci System. Patricia Mooney Smith, M.D., FACOG, also of Heartland Women’s Health Care, says it can be difficult to understand the movements of the da Vinci. “Small movements with the robot give big movements with the da Vinci because the instruments are so tiny. There is a learning curve, but for a capable and experienced surgeon, the da Vinci is fantastic,” she says. History and Future of da Vinci Intuitive Surgical® – the global leader in the widely emerging field of roboticassisted minimally invasive surgery – introduced the da Vinci Surgical System in 1999, in a urologic procedure known as radical prostatectomy for prostate cancer. In 2000, the da Vinci became the first robotic surgical system cleared by the FDA for general laparoscopic surgery. Since that time, the FDA has cleared the da Vinci System for adult use in thoracoscopic (chest) surgery, for cardiac procedures performed with adjunctive

Why the da Vinci:

Benefits to surgeons, patients and hospitals n Offers

surgeons superior visualization, enhanced dexterity, greater precision and ergonomic comfort. n Offers patients reduced blood loss, less trauma to the body, less risk of infection, a shorter hospital stay, faster recovery and return to normal daily activities, less post-operative pain and discomfort and decreased scarring. n Offers hospitals and medical facilities improved operational efficiencies due to reduced incidence of complications and post-operative infections, reduced need for blood transfusions and post-operative pain management, simplified post-operative nursing care and reduced length of stay.


Incontinence.

Impotence.

The possible side effects can make even the most determined patient pause.

The only place in this region that offers all treatment options proven in the fight against prostate cancer is The University of Kansas Cancer Center. Cancer patients react differently to treatment. That's why it's very important to seek care where there's deep experience in as many treatment methods as possible–a place like The University of Kansas Cancer Center. This is academic medicine. It is here you'll find specialists most experienced in the most promising techniques. For instance, today we do nine times as many prostate cancer surgeries using the minimally invasive da Vinci® robotic surgery system than just three years ago. These patients are reporting faster, less painful recoveries –with significantly lower incontinence and impotence rates. And our commitment to pioneering the latest treatments has never been stronger. In fact, we are one of only 13 Prostate Cancer Centers of Excellence nationwide. To discuss your case, call (913)588-1227 or visit kumed.com/cancer.

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© The University of Kansas Hospital


health and wellness incisions and for urologic and gynecologic procedures – letting surgeons perform surgeries that, until that point, were either not possible or not reproducible. As of March of this year, more than 860 units were reported in use in the United States, plus 300 more in use globally. Many hospitals and medical facilities boast a Center for Robotic Surgery, with research programs focused on finding safe and innovative applications for robotic technology. In addition, surgical robots are often dedicated exclusively to training surgeons and developing and perfecting new robotic procedures and surgical techniques before they are applied to patients. At the University of Kansas Hospital in Kansas City, Emmanuel Daon, M.D., serves on the only surgical team in the Kansas City area working in a dedicated robotics department. Dr. Daon says it takes an extraordinary commitment by the hospital on several levels to dedicate an entire department to surgical robotics. “It really is a long-term commitment

on the part of the hospital in adopting the system and in putting surgical personnel through training for several years,” he says. Practical Surgical Application n Urology: The da Vinci has become the gold standard of care for men diagnosed with early-stage prostate cancer. Nearly 80 percent of all surgical prostate removals are now performed with the da Vinci. Prostate cancer affects nearly 250,000 men in the U.S. each year and is the second leading cause of death in men over 55. When diagnosed early, the disease is highly curable. Urologists agree that prostate surgery suits the da Vinci robot. In a narrow area, the doctor must do a lot of precision work to avoid rendering the patient incontinent or impotent. n Gynecology: Its use is growing for hysterectomies, myomectomies (removing uterine fibroids, but saving the uterus), several cancer surgeries (including lymph node sampling), and vaginal prolapses – in which a mesh bag is inserted inside a

Local Hospitals Using the da Vinci St. Luke’s Health System Kansas and Missouri locations www.saintlukeshealthsystem.org 816-932-6220 or 800-932-6220 The only health system in the region with three state-of-the-art robotic surgical systems. Shawnee Mission Medical Center 9100 West 74th St. Shawnee Mission, KS 66204 www.shawneemission.org 913-676-2000 The first hospital in a five-state area to offer surgical robotics. In 2001, Joseph Petelin, M.D., was the first physician in the region to perform minimally invasive, robotassisted surgery using the da Vinci Surgical System. The University of Kansas Hospital 3901 Rainbow Blvd. Kansas City, KS 66160 www.kumed.com 913-588-1227 Uses the da Vinci for urology, gynecology and cardiac procedures. The only hospital in the area with a dedicated robotics department.

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NKC Hospital 2800 Clay Edwards Drive North Kansas City, MO 64116 www.nkch.org 816-691-2000 Uses the da Vinci for urology and gynecology procedures. Performs the highest volume of gynecologic procedures using the da Vinci in the Kansas City area.

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Liberty Hospital 2525 Glenn Hendren Dr. Liberty, MO www.libertyhospital.org 816-781-7200 Using the da Vinci for urology and gynecology procedures.


health and wellness

woman to help hold the vagina in place. For women facing any gynecologic surgery, the period of pain, discomfort and extended time away from normal daily activities that generally follows traditional surgery can understandably cause significant anxiety. “The da Vinci is certainly offering women a lot more options in healthcare,” Dr. Mooney Smith says. “I really hope women will feel empowered to speak with a surgeon or gynecologist to understand whether or not the da Vinci is an option and to find the right facility.” n Cardiology: Surgeons are using the da Vinci for surgeries involving the heart, lungs and esophagus. A surgeon performing a thymectomy to remove

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the thymus gland to treat myasthenia gravis – a neuromuscular disease that causes muscle weakness – can work through much smaller incisions rather than opening the chest. “The da Vinci is growing so quickly in these areas,” Dr. Daon says. “I would imagine that any major medical center not doing valve repair using the da Vinci system within three to four years will be out of the game.” A da Vinci Surgeon in Training Surgeons using the da Vinci Surgical System are required to undergo thorough training. According to Intuitive’s Web site, off-site training typically involves a one- or two-day program combining

didactic sessions and a structured, handson laboratory session. The curriculum emphasizes surgical team roles and responsibilities, as well as emergent techniques for optimizing roboticassisted minimally invasive surgery. On-site training highlights the features of the system, system preparation and management, and a hands-on practicum for both surgeons and nurses. Once a surgeon has completed both off-site and on-site training, he or she returns to surgery with supervision. “Training can vary, but most typically requires a formal training course followed by proctoring with mandatory review of many cases,” says David Emmott, M.D., of Kansas City Urology Care.

Robotic Surgery AN OPTION FOR GETTING YOU BACK TO YOUR ACTIVE LIFESTYLE. Robotic surgery may sound like technology of the future but it’s used every day at North Kansas City Hospital. Benefits of robotic surgery: • less pain and blood loss • reduced risk of infection

• less scarring • faster return to daily activities

Robotic surgery is appropriate for certain hysterectomies, prostate cancer surgery, kidney surgery and other procedures.

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Call (816) 691-3023 today for more information on robotic surgery and the physicians who perform it.

YOU’LL LIKE THE WAY WE TREAT YOU.

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this is not your mother’s hysterectomy. One in three women in the United States will experience a hysterectomy by the age of 60. For your mother’s generation, hysterectomy usually meant a painful recovery and potential complications. The da Vinci Surgical System has changed the experience of gynecological surgery with the most advanced technology for minimally invasive surgery. Today, the vast majority of gynecological conditions that require surgery – including the removal of fibroids – can now be treated effectively, without a big incision.

fewer stitches. faster recovery. Robotic surgery allows the doctors to conduct the same procedure through a few tiny incisions, reducing recovery time to just a few weeks. It’s just the latest example of Intuitive Surgical’s innovative practices.

Learn why da Vinci Hysterectomy may be your best treatment option. Talk to your doctor and visit www.daVinciHysterectomy.com


health and wellness

15 Steps to

BanisH

Belly Fat There are not many things that you could do that will improve your health – and your sex appeal – more than getting rid of the spare tire around your midsection. Excess belly fat, especially the kind that accumulates in and around the abdominal organs such as the liver and intestines, churns out stress hormones and inflammatory chemicals. So shedding those extra inches around your waist line is not just a vanity issue: your future health and vitality are at stake. Here are 15 steps that will help to melt the excess belly fat.

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01 Drink Green Tea

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Drink at least 3 cups of green tea per day, or take a green tea supplement. The antioxidants in tea seem to selectively mobilize fat from inside the abdominal cavity.

02

EXERCISE DAILY Every day you need to accumulate at least 30, and up to 90, minutes of moderate or hard exercise.

From left: © istockphoto.com / Simon Oxley, Olivier Blondeau

By James o’keefe, M.D.


03

Do interval training Go hard for 30 to 45 seconds and then ease off for a minute or two while you recover at a slower pace. Try to do at least eight intervals total per training session.

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From left: © istockphoto.com / Tadija, Simone Van Den Berg

How much is too much? The ideal measurement is your weight to height ratio. Your waist should be less than ½ your height in inches. For example: a 5’10” man should have a waist measurement of 70/2, or 35 inches or less.

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health and wellness

04 Do CROSS-TRAINING Mix it up with different types of aerobic exercise, stretching and strength training. Keep it fresh and interesting.

BANISHING BE L LY FAT

exercise & eating

05 BUILD MUSCLE Build more muscle through strength training; ideally you will need to do three or four weight lifting sessions per week.

06 Eat protein with each of your meals – morning, noon and night. Also, try to eat a high-quality protein like whey protein or egg whites within two hours before or after exercise.

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PICK TWO

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Pick two colors with each meal. This means consuming at least two servings of brightly colored veggies or fruits three times per day.

Clockwise From left: Š istockphoto.com / Miodrag Gajic, Beverley Vycital, Elena Elisseeva, Stephen Folkes

EAT PROTEIN


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health and wellness

BANISHING BE L LY FAT

exercise & eating 08

09

DON’t OVEREAT

Three-Bite rule

Never eat until you are overfull. Eat only until you aren’t hungry anymore.

If you are going to cheat and eat a decadent dessert, French fries, chips, cake etc: follow the three-bite rule. Pick a treat but you get only three bites. By the way, you only get to use the three-bite rule one time per day, max.

11 CUT BACK ON STARCHES

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Markedly cut back on starches and sugars. And eliminate essentially all white foods like white flour, white rice, potatoes, bagels and doughnuts.

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Drink only water (6 to 8 glasses per day), coffee, tea and skim milk. No soda pop (even diet pop), no artificial sweeteners, no fruit juices. No caffeine after noon.

Clockwise From left: © istockphoto.com / Dave White, Monica BOyce, Doug Cannell, Floortje

10

6-8 glasses a day


Belly Barometer Belly fat CAN BE a barometer to YOUR health

12 GET SLEEP Sleep 7.5 to 8.5 hours per night. This is a critical component of a belly burning program. Sleep deprivation cranks up your stress hormones that make you crave junk food and then immediately deposit all those calories as fat around your waist.

By TRIESTE VAN WYNGARDEN Not all fat is created equal. The fat you carry around your waistline can actually be a sign of much deeper issues. According to Providence Medical Center Health and Services, excess fat in the belly elevates the risk for a number of serious health problems, including high blood pressure, high cholesterol, arteriosclerosis (hardening of the arteries) and heart attack. In fact, by the year 2010, 50-75 million Americans will experience metabolic syndrome (also known as Syndrome X), the condition occurring when several medical disorders occur at the same time. Three or more of the following disorders qualify as metabolic syndrome:

Central obesity (an apple shape), where fat is localized around the middle High blood pressure (140/90 or above) High triglycerides (150 mg/dl or above) Low HDL-cholesterol (35 mg/dl or lower) Insulin resistance (the body can't properly control blood sugar levels)

Fat Factors

From top: © istockphoto.com / Nadejda Reid, Yanik Chauvin, CLayton Hansen

Age: You do lose muscle as you age, and more muscle increases your body’s ability to burn calories. That’s why it’s important to maintain or increase physical activity as you age. GENETICS: According to the Mayo Clinic, “Your genes can affect your chances of being overweight or obese, as well as where you carry extra fat on your body For most men, however, the problem likely has more to do with lifestyle than inherited traits.” Eating habits: Consistently choosing high fat, high cholesterol foods is the most likely reason for increased abdominal fat.

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Alcohol: Yes, it’s true. Drinking excess alcohol can cause you to gain belly fat, although some research suggests wine might be an exception.

EAT HEALTHY FATS

EXERCISE: Muscle burns fat, and if you don’t exercise, you don’t build muscle. Check with your doctor on the right exercise plan for you.

Try to eat more healthy fats like fish oil and monounsaturated fats. Take 3 fish oil capsules per day and try to eat a handful of nuts per day. Use extra virgin olive oil for your salad dressing and cooking oil uses.

stress: Although cortisol isn’t only secreted in the bloodstream during stress, it has been labeled the “stress hormone” because it gets released during the “fight or flight” responses to life. Excess cortisol can lead to increased blood pressure and increased abdominal fat.


health and wellness

Eat Less Move More

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By HUGH Ryan, M.D., emergency medicine

INCREASE THIS There are two well-defined, gender influenced fat distribution patterns: pear shaped (common in women) with larger buttocks and thighs, and apple shaped (common in men) with larger abdomen and chest.

Take 2,000 IU of vitamin D3 per day. Decreased belly fat is just one of a host of profound benefits you will notice when you bring your deficient vitamin D levels back into the normal range.

The most troubling effect of excess male visceral fat distribution is the predisposition toward heart disease, hypertension, diabetes, sleep apnea, impotence and even cancer. Fat distribution and body stature are primarily influenced by one’s genetic makeup, hormone balance and body maintenance habits. Of these, we have most control over learning to follow a healthy, well-balanced diet and activity routine.

DECREASE THIS

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Keep your alcohol intake modest, and drink mostly red wine. Why do you think it’s called a “beer-belly”? One drink per day will reduce abdominal fat, but anything more than two drinks daily accumulates in and around your belly.

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Solving the problem is easy: just don’t eat anything that tastes good. Or better yet, include fruits and vegetables, whole grains and water with every meal. Limit your red meat intake and avoid fried foods, white flour and high sodium or pre-packaged foods. The right answer: eat less and move more – 20-30 minutes of activity a day is a great place to start. Walk around the office, to the mailbox and around the block every day. Take the stairs, dance with your kids, use “adult swim” to actually swim. And don’t reward activity with empty calories.

Clockwise From left: © istockphoto.com / Maria Toutoudaki, Kutay Tanir, Jakub Semeniuk, Kemie

15

I often tell patients faced with certain serious health issues that can be attributed to their lifestyle choices (like heart disease), that we enjoy in the excesses of life – like gravy, soda and Cheetos – only to face those cumulative effects years later while clutching our chests riding to the emergency room.


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 region’s most experienced in helping infertile couples become parents. We’re also the region’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.

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health and wellness

Rock climbing benefits both mind and body By Emily Perkins

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A Natural

36

Climbing is a sport growing in popularity thanks to its beginnerfriendly nature and noticeable health benefits. When it comes to climbing, it often only takes one attempt to discover a newfound love for the sport. “Climbing is a sport for everyone. You can start at any age,” says Lourie Dawson, a manager at Ibex Climbing Gym in Blue Springs, Mo. “I think the best thing about climbing is that you can make it as challenging as you want. Climbing can be elite and extreme, but it can also be relaxed and easy,” says Jesse Gross, an avid climber and president of the Kansas City Climbing Club. As people discover how easy it is to learn, climbing is becoming more popular across the United States and in the Kansas City area. “Surprisingly, there is a big climbing community here. With climbing gyms popping up throughout the country, it has given ‘flatlanders’ like us access to the sport,” says Jared Miller, a seasoned climber and general manager of Dynamic Earth, an outdoor gear shop in Overland Park, Kan. “The gyms are a great place to meet other climbers and hone your skills so you can be more prepared when out doing the real thing.”

Learning to climb Most people learn to climb in a gym under the supervision of a climbing professional. A gym will typically offer a variety of climbing routes and will offer classes on basic techniques. “There are different skill levels. Climbing on rocks can be easier than climbing up a ladder,” Miller says. It is typically more difficult to find a beginner route outside on natural terrain, while inside a gym there will typically be marked routes for different difficulty levels. The basic equipment necessary for top-rope climbing includes a harness, pair of climbing shoes, chalk bag, locking carabiner and belay device. “The harness is what you wear to keep yourself from hitting the ground if you fall and it is also how you are attached to the rope,” Miller says. “Climbing shoes are similar to ballet shoes – they have a stiff outsole and a sticky rubber surface to catch on footholds. The chalk bag straps to the harness and holds chalk to keep your hands dry while you are climbing.” The rope runs through the belay device, which controls the climber on their way up and way down. The locking carabiner is how the belay device is attached to the harness.

Join the community The Kansas City Climbing Club offers the opportunity to meet and socialize with other climbers in the area. Once a month, club members get together to share climbing stories or to go on organized group climbs. For more information or to join, visit www.kansascity climbingclub. blogspot.com.


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Š istockphoto.com / Jason Lugo

health and wellness

High

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health and wellness

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Climbing equipment

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The basic equipment necessary for top-rope climbing includes: n harness n pair of climbing shoes n chalk bag n locking carabiner (right) n belay device

A healthy hobby Climbing has many health benefits, both physically and mentally. “It’s a great workout. Climbing works your core, your lower body and is definitely good for upper body strength. It is also a cardio workout, depending on how hard you climb,” Dawson says. Miller, who climbs two to three times a week, hasn’t lifted weights in five years. “Climbing made my shoulders a lot broader and helped me shed extra pounds on my frame. Your body doesn’t want to carry weight that you aren’t using, so it adapts and sheds the weight,” he says. A strong core is the foundation for climbing, says Gross, who is also a nurse at St. Luke’s Hospital in Kansas City, Mo. “Your feet and hands are all that is in contact with the rock, so your core is what stabilizes the movements. Aside from your core, your arms and legs should be making deliberate controlled movements, which require your muscles to extend and contract while maintaining tension. It’s similar to the transitions between yoga poses,” he says. Beyond strength and flexibility, climbing also develops focus, concentration and trust. “Placing your hands and feet on small holds requires accuracy,” Gross says. “If you are unable to make a hard

From top: © istockphoto.com / Rich Legg, Richard Mirro

Climbing gyms typically rent the necessary equipment for around $15, but a basic top-rope setup will cost about $200 to $250. While climbing appeals to both men and women, women often excel from the get-go. “Women can be better climbers than men because they use their legs and have a lower center of gravity. Men try to muscle their way through it, and women tend to think about their approach,” Gross says.


health and wellness

move or you get tired, you will fall into the support of your rope. Having this knowledge of what could happen adds to the challenge of having faith that you are physically able to control your upward movement.” Climbing is also a good way to get past a fear of heights. “Once you learn and trust the equipment and understand you can’t fall, you will get over the fear of falling very quickly,” Dawson says. “Climbing requires you to trust who is holding you, too. It’s great for team building and building trust between two individuals.” The climbing community Many beginning climbers in the Kansas City area find the sport has a welcoming, friendly community. “The environment at the climbing gym is really laid back and the climbers are like a family. People are just doing what they love to do,” Dawson says. The teamwork component of climbing makes it a fun group activity. “A group of friends can all do it together at the same time,” Gross says. “All you need is a little equipment, and it is pretty easy to get into.”

know the lingo Basic rock climbing terminology Crag - A climbing area or a face of rock with climbing routes on it. Belay - The process of paying out the rope to the lead climber or taking in rope for a follower, while he/she climbs, and of protecting the climber in the event of a fall. Belay Device - A device that attaches to the climber’s harness through which the rope is threaded for belaying. Its primary purpose is to create friction quickly in the event of a fall so the belayer can stop the rope, which stops the leader’s fall, simply by pulling against the device. Hold - Any feature of the rock which affords the climber a place to grip with hands or feet. Protection - Gear (nuts, pitons, bolts) placed on a climb to protect the climber in the event of a fall. Bolt - A permanent anchor in the rock installed individually as a protection device, or with other bolts or protection devices as an anchor. Carabiner - A metal ring with a spring-loaded gate used to attach the rope to protection. Anchor - That which attaches the belayer to the rock, or otherwise prevents the belayer from being pulled off the belay stance if the leader falls. Fall Factor - The length of the fall divided by the amount of rope paid out. Rappel - The act of self belaying down the length of a rope to descend. Pumped - Referring to the state of forearms in a desperate state, swollen and tired.

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© istockphoto.com / Paulo Resende

Yosemite Decimal System - The most common system used to rate difficulty in the United States. Most technical rock climbing is rated on a scale of 5.0 to 5.14 with higher numbers representing harder climbs.

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health and wellness

where to climb

The Kansas City area offers both indoor and outdoor locations for climbing. It is recommended that beginners start at an indoor facility under the supervision of an experienced climber or instructor, and then progress to outdoor areas once they are more comfortable.

indoor Ibex Climbing Gym 801 N.W. South Outer Rd., Blue Springs, Mo., 816-228-9988, www.climbibex.com Rock climbing walls with 24 ropes and marked routes at different difficulty levels. The gym also has a bouldering area. Basic entry fee is $13, which includes shoe and harness rental. Basic belay class is offered for climbers ages 13 and over. Class is $25 and includes shoes, harness, instruction and climbing after class. First-time entry requires parental approval for those under the age of 18. Monthly memberships and punch cards available.

Monster Mountain at Emerald City Adventure Center 9063 Bond St., Overland Park, Kan., 913-438-4444, www.emeraldcitygym.com Offers 5,000 square feet of vertical and horizontal indoor climbing. For beginners and experienced climbers. Features 16 different top rope areas, caves, cracks, laybacks and a new 45-degree bouldering area. Monthly memberships, classes for kids and adults, and climbing competitions.

Lifetime Fitness 6800 W. 138th St., Overland Park, Kan., 913-239-9000, www.lifetimefitness.com Indoor climbing wall with five auto-belay ropes, bouldering space, multiple top-rope and lead climbing ropes as well as two lead climbing arches.

North Kansas City Community Center 1999 Iron St., North Kansas City, Mo., 816-300-0531, www.nkccc.org Features a 25-foot indoor climbing wall with five courses. Center membership required.

outdoor Truman Lake near Warsaw, Mo. Top roping and sport climbing on a bluff near Truman Lake. To get there: From Highway 70, go south on Highway 65. Once in Warsaw, go west on Highway 7. Cross the Osage River and go north on S.W. 621. Turn left at the stop sign, take the first left and park near the gate. From the gate, follow the gravel road to the trail to the cliffs.

Cliff Drive Scenic Byway in Missouri

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This scenic byway twists and turns along the limestone cliffs above the Missouri river. The limestone cliffs offer 5.7 cracks to 5.12 sport routes. To get there: Drive north on The Paseo past Independence Avenue. Continue past the apartment complex, go around a corner and through the gates into the “Scenic Byway.�

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Ozark Mountains, Ark. Some of the best rock climbing in Mid-America, the Ozark Mountain region offers clean, uncrowded rock climbing and bouldering. Sandstone climbs for beginners and sandstone crags for extreme climbers.


health and wellness

Jared Miller, a seasoned climber and the general manager of Dynamic Earth, an outdoor gear shop in Overland Park, Kan., climbs just outside of Telluride, Colo., in an area known as the pipeline wall.

rock climbing techniques Bouldering The practice of climbing on large boulders. Typically done close to the ground, so crash pads and spotting are used as protection instead of belay ropes.

Indoor climbing This is climbing on an artificial wall with plastic holds.

Top roping

Sport climbing Involves the use of protection or permanent anchors which are attached to the rock walls.

Traditional climbing Involves taking rock climbs in routes which do not have permanent anchors to help climbers when ascending.

Solo climbing The freest and most dangerous type of climbing. It is climbing alone, without a partner and rope or protection.

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A form of climbing where the rope is secured to an anchor point at the top of the route before the climber starts the climb.

Lead climbing Involves a lead climber attaching themselves to a length of climbing rope and ascending a route whilst periodically attaching protection to the face of the route and “clipping in� to it. The lead climber must have another person acting as a belayer.

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local spotlight

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Dr. Joseph Petelin, M.D., FACS

44


local spotlight

Building better

Bodies Kansas City boasts a world leader in laparoscopic surgery

Story By Kerry hinrichs Photography By Tom Styrkowicz in the field of laparoscopic surgery developed many of the techniques that are used around the world today. In 1989, Dr. Petelin developed the first set of curved instruments for use in laparoscopic surgery. He subsequently produced the first papers, texts, and videos detailing laparoscopic common duct exploration, and has lectured on this and many other subjects worldwide. Despite his much-publicized success, Dr. Petelin is quick to note that it’s important to never stop looking ahead. In fact, he identifies with the words of Andy Grove, CEO of Intel Corporation: “Success breeds complacency. Complacency breeds failure. Only the paranoid survive.” And he lives this motto to the fullest, with a contagious appreciation for life and a belief that it is best to accept a personal lack of aptitude for a given talent in exchange for letting the right person embrace that skill and move it forward. Dr. Petelin’s technical expertise in the field of laparoscopic surgery has led to requests for live operation demonstrations of multiple advanced laparoscopic procedures for audiences

Joseph B. Petelin, M.D., FACS n Serves

on the Advisory Council of the Society of American Gastrointestinal Endoscopic Surgeons n Serves as Applications and Clinical Advisor of InTouch Technologies, Inc. n Serves as Clinical Associate Professor of Surgery at the University of Kansas School of Medicine. n Has been a member of several of the most influential editorial boards, peer-reviewed laparoscopic journals in the world. n Is a founding member of the Minimally Invasive Surgery Fellowship Council. n Has published extensively on a wide variety of laparoscopic subjects, and has produced numerous video-based educational tools for surgeons and patients. n Is a member of more than 15 professional societies, having held a number of Board positions. n Partners with several universities and medical schools to work with residents, medical students, nurses and post-graduate fellows.

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It is a true gift to find a doctor who is as passionate as he is competent. But Dr. Joseph Petelin not only exudes both qualities – he embodies so much more. An innovator by nature, Dr. Petelin is an internationally recognized surgeon and pioneer in the field of laparoscopic surgery. In fact, in the early 1990s, Dr. Petelin made surgical history at Shawnee Mission Medical Center in Kansas City as the first surgeon in the world to develop and perform a number of laparoscopic operations that were thought impossible at that time. Scan most medical journals about laparoscopic surgery and you will likely come across his name. A Kansas City native, Dr. Petelin continues to explore new ways to enhance medicine. He is often accompanied by optical equipment specialists from national technology companies as they watch and learn, working to upgrade and develop new, high precision surgical equipment to assist in health care innovation. In the late 1980s, while teaching the principles and application of laser technology to surgeons across the United States, Dr. Petelin and other pioneers

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local spotlight

laparoscopic surgery A wide variety of abdominal operations can be performed using these techniques. Laparoscopic operations require minimal hospital stays, result in significantly reduced infection rates and provide a much quicker return to regular activities. Procedures that can be done laparoscopically or with minimally invasive techniques include: n Cholecystectomy n Esaphagogastrectomy n Partial gastrectomy n Gastric bypass procedures n Laparoscopic management of perforated Duodenal Ulcer n Hiatal hernia repair n Fundoplication anti-reflux surgery for GERD n Pancreatectomy n Splenectomy n Adrenalectomy n Colectomy n Incisional hernia repair n Inguinal hernia repair n Ductal stone removal n Small bowel resection and small bowel injury repair n Thoracoscopy

In practice Dr. Joseph Petelin 9119 W. 74th Street, Suite 255 Shawnee Mission, KS 66204 913-432-5420 Shawnee Mission Medical Center www.shawneemission.org Dr. Petelin has been on the medical staff at Shawnee Mission Medical Center for more than 20 years, and consistently performs more than 1,000 operations at the hospital each year. He was instrumental in establishing Shawnee Mission Medical Center as one of the first 12 hospital systems nationwide to use the Remote Presence RP-6 telerounding robot. Heartland Spine & Specialty Hospital www.hssh.org Dr. Petelin also practices at Heartland Spine & Specialty Hospital, a physicianled and managed center of excellence in Overland Park. He is one of the leading general surgeons there, and is currently focused on eliminating acid reflux through a new technology called TIF, Transoral Incisionless Fundoplication. Dr. Petelin is also affiliated with several other area hospitals.

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of thousands of surgeons around the world. But inside the surgical gloves are the hands of a machinist and a licensed contractor – the hands of a man who is equally as comfortable on his ranch as he is behind a surgical mask. Outside of medicine, he can be found enjoying the peace and tranquility of the outdoors, and constructing various things, but always working with his hands. Believing that “all things are difficult before they are easy,” (John Norley), Dr. Petelin continues to work with industry leaders in the development of instruments and devices that enhance and enable advanced MIS and other surgery. He is passionate about leveraging the talents of the individual – partnering and working together for the greater good and for the convergence of technology. He also played an integral role in the development of the World Congress of Endoscopic Surgery, the largest and most respected meeting of its kind. In his recent work, Dr. Petelin has been instrumental in utilizing the RP-6 and RP-7 remote presence robots to increase physician communication with the patient – improving physician efficiency, quality of care and patient satisfaction. Since March 2007, Dr. Petelin has seen several firsts with the RP-6 and RP-7, including the world’s first telementoring session in which he maneuvered the robot into surgery from across the country, consulting with his fellow on a complicated case at Shawnee Mission Medical Center. Dr. Petelin is internationally recognized for his leadership in establishing the breakthrough technology that has revolutionized patient care, but it’s his constant focus on advancing the power of medicine and his concern for others that have led to unconditional respect from his peers, patients and other medical staff worldwide.

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hearing

OUR MISSION

The mission of Associated Audiologists, Inc., is to establish quality, convenient, caring and comprehensive state-of-the-art hearing care services. In addition, we will establish innovative efforts aimed at education, prevention, rehabilitation and community service.

The Area’s Premier Audiology and Hearing Aid Practice

For patient testimonials and hearing resources visit

www.hearingyourbest.com


your best

ASSOCIATED AUDIOLOGISTS, INC.

ASSOCIATED AUDIOLOGISTS, INC. is the area’s premier audiology and hearing aid practice. We offer the latest open-fit digital hearing aid technology available. Open-fit instruments provide superior sound quality, comfort and cosmetic appeal.

said James A. Wise, Ph.D., F.A.A.A., president of Associated Audiologists. As of 2007, audiologists must hold a doctoral level degree to practice. The Au.D. is the clinical doctorate for audiology. It consists of a four-year doctorate and oneyear externship.

OUR SERVICES INCLUDE: • Accurate Diagnosis of Your Hearing by University Trained Audiologists • Hearing Aid Service and Repairs • Diagnosis and Treatment of Dizziness and Balance Disorders • Tinnitus Evaluation and Management

AMERICAN ACADEMY OF AUDIOLOGY All of the practice’s audiologists also are fellows of the American Academy of Audiology. This certification further demonstrates their dedication to excellence in patient care and an ongoing commitment to further advances in technology, including the highly specialized treatment of patients with dizziness, balance disorders and tinnitus.

HIGHLY QUALIFIED AUDIOLOGISTS “More sophisticated technology and hearing instruments are demanding that all audiologists perform at a higher level,”

(actual size)

OUR OFFICES ARE CONVENIENTLY LOCATED IN: > Overland Park Saint Luke’s South Medical Building 913-498-2827 > Prairie Village Prairie Village Office Center 913-262-5855 > Shawnee Mission Shawnee Mission Medical Building 913-403-0018 > Leavenworth Cushing Medical Plaza 913-682-1870

Associated Audiologists is led by James A. Wise, Ph.D., F.A.A.A., president, and Tim Steele, Ph.D., F.A.A.A., vice president.


THERE’s a concERT insidE youR body Bio-identical hormones may Be instrumental. For both men and women, a healthy lifestyle and higher hormone levels often act like instruments in an orchestra; each one relies on the other to make beautiful music.

do you suFFer From: WoMEn Fatigue/decreased stamina Weight Gain/Fluid retention mood swings low libido hot Flashes/night sweats Problem sleeping Foggy thinking headaches

MEn loss of muscle/strength Fatigue/decreased stamina low sex drive erectile dysfunction Weight Gain memory loss insomnia

But with age, hormone levels often decline, negatively impacting the body, mood, immune system, metabolism, growth and reproductive cycles. change in male and female hormones can even counteract the good nutrition, exercise and lifestyle choices we make, preventing optimal health and well-being, disrupting the concert inside your body.

Rock Creek Wellness also offers: • Laser Treatments • Microdermabrasion • Botox® • Injectible Fillers • Therapeutic Massage • Facials

Turn the volume up and get moving! Call Dr. Mark, 913-727-7700

For optimal health, an integrated approach including bio-identical hormone therapy, nutrition and exercise are needed to restore your body’s natural rhythm.


health and wellness

Local foods, HEalthy eats Take advantage of the explosion of color in local, fresh summer finds in Kansas City

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Š istockphoto.com / Elisabeth Coelfen

By Quinn Katherman

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health and wellness

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Watermelon A sweet, healthy choice that kids will enjoy. Watermelon is in its prime from August to September and is a source of vitamin C, beta carotene, potassium and fiber. While it does contain sugar, watermelon contains only half of the sugar content of an apple.

Green Beans You can get 25 percent of your daily value of vitamin K from one cup of green beans. Also a great source of vitamin A and C, which help reduce free radicals in the body. Few foods can compare to green beans in terms of health benefits. Try sautéing green beans and sprinkling slivered almonds over them.

Tomato Revered as a cancerprevention food because of the lycopene content, this fruit adds bright color to any dish. Tomatoes are also a great source of dietary fiber, vitamin A, vitamin C, vitamin K, potassium and manganese. Try them sliced in a Caprese Salad or dice them up for your own salsa.

Zucchini Don’t peel this summer squash because most of the nutrients that help prevent atherosclerosis and diabetic heart disease are found in the skin. Try it in a casserole with eggplant or serve it raw with a homemade vegetable dip.

Peach You’ll find the best peaches during July and August, so stock up on this juicy treat which is full of vitamin A, phytochemicals and fiber. Slice and serve peaches over vanilla yogurt or coconut sorbet for dessert.

Radish Another cancer-prevention food, these are helpful for liver disorders and improve digestion. With 30 percent of the recommended daily value of vitamin C, radishes add a crunch to any dish. Try adding radish to your tuna, egg or chicken salad for more zest and texture.

Eggplant A good source of vitamin K, thiamin, vitamin B6, folate, potassium, manganese and dietary fiber. Plus, eggplant contains phytonutrients, which have antioxidant activity. Eggplant is extremely absorbent to oil and other ingredients, which makes it perfect for stuffing or in sauces, soups and casseroles.

Pear Pick up some pears between August and October for part of your daily dose of fiber and phytonutrients. Pears ripen from the inside out, so buy unripe pears because they will soften and improve in texture after you take it home. Skewer pears, cheese, grapes and turkey for a tasty and simple appetizer or snack.

Rhubarb Like most of these foods, rhubarb is also high in dietary fiber, vitamin C, vitamin K, calcium, potassium, manganese and magnesium. Rhubarb is most commonly known as the “pie plant” because of its use in pie filling. Try it raw with a little sugar sprinkled on top, or add it to a jam to enhance the fruit taste.

Clockwise from top left: © istockphoto.com / DNY59, Sally Scott, Matjaz Boncina, Eyewave, Edd Westmacott, Jakub Semeniuk, Valentyn Volkow, Eyewave, Angelo Gilardelli

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get it while it’s fresh, and in season


health and wellness

easy summer recipes mango salsa

1 ripe mango, peeled and diced ½ pineapple, chopped or crushed 1 red onion, finely chopped 1 green pepper, chopped 1 jalapeno pepper, minced (include seeds for a hotter taste) 1 bunch fresh cilantro leaves, chopped 2 fresh limes, squeezed for juice Salt and pepper to taste

chicken ziti salad

homemade popsicles

This is a fresh dish that is great for dinner – and the leftovers are delicious for lunch. 1 pound ziti, cooked to package directions 4 split organic chicken breasts 3 sweet peppers – red, yellow, orange 1 red onion, diced 2 lemons 1 ½ cups organic Kalamata olives 2 cups chopped celery ¼ cup fresh dill

Instead of store-bought popsicles, which often carry more sugar and preservatives, try making your own healthy popsicles. Popsicle molds are easy to find, but you can also use small cups and sticks. There are tons of different combinations and recipes you can come up with when making popsicles, but here are a few ideas to get you started.

Dressing 3 tbsp Dijon mustard 3 tbsp light mayo or plain, low-fat yougurt 3 tbsp white wine vinegar 2/3 cup olive oil Grill chicken. Pour the juice of two lemons over the chicken and let stand for at least 10 minutes. Cut chicken into bite-size pieces and mix with pasta and veggies in a large bowl. Mix mustard, mayo/yogurt and vinegar with olive oil in a slow stream and whisk. Pour dressing over pasta, chicken and vegetables and toss.

Orange Juice Pops Use 100% pure orange juice Apricot Pops Mix two cups of apricot juice with ½ cup of soy milk (or skim) and freeze. Raspberry Mint Pops Blend raspberries (about 6 ounces), 1 ½ cup plain yogurt, ¾ cup water, and a handful of fresh mint leaf. After blending well, freeze until solid. Watermelon Grape Pops Puree fresh watermelon and mix with white grape juice.

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From left: © istockphoto.com / Olga Lyubkina, Elisabeth Coelfen

This is a simple recipe that’s great as a dip, or you can add a fresh summer taste by serving it over grilled pork tenderloin, chicken or fish. Just round up the below ingredients, mix them together in a large bowl and chill in the refrigerator for 30 minutes before serving.

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health and wellness

back to school

Healthy packed lunches for the kids and you

Packed lunches are a great alternative to grabbing lunch on the go or giving the kids money to buy cafeteria food. Start with reusable lunch boxes and containers to minimize the amount of trash and save money. Try to avoid prepackaged foods and instead load up on fresh produce and organic items that are more filling and healthier.

Wrap it up! Whole wheat tortilla turkey wraps with lettuce and veggie slices, which is a healthy alternative to cheese.

Tuesday Pasta-crazy. If you cook pasta for dinner the night before, make a little extra and add olive oil, fresh tomatoes, mozzarella and basil for a fresh pasta salad you can eat the next day.

Wednesday Chicken salad got a makeover. Boil several chicken breasts and chop up some red grapes, apples, green onion and walnuts. Tear the chicken and mix with all-natural plain yogurt. Spoon some onto wheat bread for the kids and put on top of some fresh greens for yourself.

Pick a bagel that’s high fiber and low calories; whole grain or multi-grain brands are good or you can go with a sun-dried tomato or pumpernickel flavors. Organic ham or turkey meat and a slice of cheese taste great with a sweet and spicy mustard. Make it fun for the kids by dicing up the sandwich and skewering bitesize pieces with toothpicks.

Friday Kids love PB&J. For a healthy twist, make it with bananas or try a combo of almond butter and 100 percent fruit spread on whole grain bread.

a la carte

Choose any of these great items to go with the above. n

n enhance magazine

n

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n n n

Whip up a quick fruit salad with chopped strawberries, pineapple, kiwi, bananas and apples, squirt a little lemon juice on top so that the fruit stays fresh. Hummus with chopped vegetables and pita bread. Yogurt and granola Sliced apples with honey dip Dried fruit (bananas, cherries, raisins or cranberries) with unsalted almonds Crunchy, raw green beans with low-fat ranch or French onion dip

Clockwise from top left: Š istockphoto.com / Juan Monino, Hamiza Bakirci, Andrea Skjold, Sean Locke, Parker Deen, Monika Adanczyk

Thursday

Monday


health and wellness

where’s your beef?

Where to buy

Another football season is around the corner and this year you can bring something new and healthy to the tailgate. Good Natured Family Farms Good Natured Family Farms has worked diligently to initiate the All-Natural Beef Co-op, which is comprised of 18 family farms in Kansas and Missouri who raise beef cattle that is grass-fed and free of hormones and subtherapeutic antibiotics. With strict humane guidelines and procedures, they trace every cut of meat back to its source. Good Natured Family Farms uses a dry age process for their beef, which gives it tenderness and flavor before it is delivered to Hen House stores. GNFF also supports a bison co-op managed by Jeff Adair. Adair’s bison are raised on natural prairie grass, with no antibiotics, steroids or hormones. A healthy

protein alternative, grass-fed bison is low in fat, low in cholesterol and packed with omega-3s, vitamin E, beta-carotene, selenium and CLA (conjugated linoleic acid). Are you a Locavore? Community Supported Agriculture is a subscription service that allows consumers to buy fresh, organically grown products from local farms. Eating food that’s grown within 100 miles of your dinner table is fresher and more nutrient-dense than other foods you might buy at a grocery store. Eating locally also helps support the local economy and family farmers. To learn more, visit the Kansas City CSA Coalition www.kc-csac.org.

For a complete list of local, grass-fed meats and produce, check out www.localharvest.org Hen House Markets www.henhouse.com GreenAcres Market www.greenacres.com Whole Foods Market www.wholefoodsmarket.com Nature’s Pantry www.pantry.biz Mother Nature’s Market www.mothernaturesmkt.com

Shop, Learn…

be Healthy!

Mother Nature’s Health Market provides the finest quality fresh, natural, organic and whole foods, nutritional products, body care products and health information in a fun comfortable clean, safe environment. 344 South 291 Hwy, Liberty, MO 64068 816-415-4638 • fax: 816-415-4639

• Friendly, knowledgeable staff – you will always be greeted!

www.mothernaturesmkt.com

• Gluten-free products • All major supplement lines

No one cares for you like mom

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STORE HOURS Mon-Sat: 10 a.m.-8 p.m. Sun: noon-4 p.m.

• Free range eggs, meat, poultry

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total knee

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What is an Orthopaedic surgeon? ◆

Expert in treating the musculoskeletal system Expert in maintaining musculoskeletal health Over 17 years of education

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Anatomy of the knee

Made up of three compartments: ◆ Femur (thigh bone) ◆ Tibia (lower leg bone) ◆ Patella (kneecap)

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Assessing joint placement within 3 degrees of accuracy can be extremely challenging. Measuring with six degrees of freedom, there are 5832 possible combinations of placement of the total knee arthroplasty. A measure of accuracy is signicant to perfectly align components, ensure soft tissue balance and articulate compatibility of the femur and quadriceps mechanism.

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Computer assisted navigation technology Computer assisted navigation technology for orthopedic surgery is designed to allow a surgeon to align an articial joint with precision within the mechanical axis of your lower extremity. Precise alignment is an important factor that may reduce joint wear and extend the life of the implant. Orthopedic navigation technology is similar to directional tracking systems used in cars and ships - it is, in effect, a global positioning system (GPS) for the surgeon. Infrared sensors placed in the operating room act like satellites constantly monitoring the location of markers and instruments place along a patient’s anatomy. As a surgeon moves an instrument within a patient’s joint, the infrared sensors calculate its position and smart wireless instruments

instantaneously transfers the data to a computer in the operating room. This information is then displayed as an interactive model of the anatomy or “blueprint” that supplies the surgeon the optimum angles, lines and measurements needed to align the implant within the patient very precisely and accurately. This technology is based on mathematical formulas that has proven to be consistently very accurate and reproducible for the total joint patient. Computer-assisted surgery may allow for less-invasive surgical techniques which has several advantages, including: faster recovery, reduced length of hospital stay, less scarring, and reduced blood loss during surgery, and shorter post-operative physical rehabilitation.

References: Haaker RG, Stockhelm M, Kamp M, Proff G, Breitenfelder J, Ottersbach A. Computer-assisted navigation increases precision of component placement in total knee anthroplasty. Clin Orthop Relat Res 2005;433:152-9

DANIEL FARRELL, MD Dr. Farrell specializes in Orthopedic Surgery. He received his MD at St. Louis University, in St. Louis, MO. He also holds a Masters Degree in Exercise Science/Emphasis in Biomechanics. Dr. Farrell understands the importance of good knees. He enjoys training and participating in the sport of triathlon. Dr Farrell has completed over 500 successful computer assisted total joint arthroplasties.

BOARD CERTIFICATIONS AND ASSOCIATIONS ◆ ◆ ◆ ◆

American Board of Orthopaedic Surgery American Academy of Orthopedic Surgery American College of Sports Medicine Phi Epsilon Kappa Honor Society

CONTACT DR. FARRELL Overland Park Orthopedics, LLC Orthopaedic Surgery & Total Joint Replacement Overland Park Regional Medical Center 12200 W. 106th Street, Ste. 400 Overland Park, KS 66215 (913) 541-8897 info@overlandparkorthopedics.com

www.overlandparkorthopedics.com


health and wellness

Radon gas:

the silent intruder Don’t let this deadly gas sneak up on your home

What is radon? Radon is a natural radioactive gas found in the earth’s rock and soil. According to the EPA, this colorless, odorless, tasteless substance has found its way into one in 15 homes in the U.S. Though many people are unaware that it exists, it’s the leading cause of lung cancer in non-smokers and claims about 20,000 lives annually. Radon enters a building through gaps in foundations, floors and walls, construction joints, crawl spaces, pipes, sump pumps, drains and other openings. Once this gas is trapped indoors, the levels can become concentrated over time, creating a dangerous living space. The gas particles damage the tissue of the lungs – a process that can lead to lung cancer over the course of a lifetime.

How to protect yourself Testing is the only way to know if you and your family are at risk. Simple, inexpensive do-it-yourself kits are available at most local hardware stores, extension offices, national radon hotlines and online companies. A short-term test kit is placed at the lowest lived-in level of your home for a period of time (a few days, weeks or months – depending on the kit). A test is recommended every two years or anytime you move or make structural changes to your home. When building a home, talk with your builder about installing radon resistant features to avoid future risk. Radon testing has become a common step in real estate transactions as well, and many home inspectors are now qualified to measure radon levels. To ensure that the home you’re planning to buy does not have elevated levels, it should be tested. If high levels are found, you could include a requirement to fix the home in the purchase agreement. If you’re selling your home, begin a long-term test as soon as you’ve decided to sell (tests can take three months or more.) Some people opt for professional testing to provide official documentation.

Who’s at risk? Radon has been detected in all 50 states in all types of homes, schools and workplaces. Stay-at-home parents, young children and anyone who spends the majority of their time indoors may experience the greatest threat. While any building can pose a radon exposure risk, certain areas of the country are known for having consistently higher levels. Unfortunately, parts of Kansas and Missouri are among them. That’s the bad news. The good news is, there’s something simple we can do to protect ourselves.

if your home has unsafe levels If a test reveals elevated radon levels in your home (anything greater than 4 pCi/l – picocuries per liter of air ) a ventilation system is strongly recommended. The removal process – called mitigation – varies depending on home size, design and construction. It typically involves PVC pipe and an exhaust fan that work together to move the gas from beneath the house into the atmosphere above ground. Average cost falls between $500 and $2,500. The National Safety Council operates the Radon-Fix-It program, free of charge (1-800-644-6999). They can answer questions, suggest local experts and certified contractors in your area.

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On a recent trip to my hometown, I ran into an old friend who had just lost both of his parents within a year of one another. He was convinced that a deadly home intruder called radon gas was to blame. Never having heard of this potential health hazard, I wanted to learn all I could to protect myself and my loved ones from its harmful effects.

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By Paige DeRuyscher Resources For more info or to order a test kit: 1-800-SOS-RADON The National Radon Helpline 1-800-557-2366 The Radon Hotline 1-800-767-7236 www.epa.gov/radon


health and wellness

radon movement through the house Shower

TRAP

Windows

Soil / overburden Cracks

Sources

Fittings

Well water

Sump

Footings

Pathways

Fractured Bedrock

Drain

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Š istockphoto.com / Ivonne Wierink-vanWetten

Bedrock

Soil gas

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YOUR DREAMS DON’T MATTER...

UNLESS THEY COME TRUE At the Mladenoff Clinic, we have the solution you have been dreaming of. Our knowledge and expertise of cold laser therapy started 15 years ago. The Mladenoff Clinic was one of the first clinics to receive the ZeronaTM LipoLaser outside of the FDA Clinical Trial Sites and the first clinic in the MidWest offering The ZeronaTM LipoLaser Body Contouring.

Mladenoff Clinic brought ZeronaTM LipoDissolve Laser Therapy to Kansas City. Just a few of our patient results: • 71-year-old female lost 11.5 inches • 48-year-old male lost 6.5 inches • 50-year-old female lost 5.5 inches • 56-year-old male lost 4.5 inches

What’s our formula for success? The Mladenoff Clinic includes everything you need: • Complimentary consultation • No charge examination • Pre and Post Total Body Plethysmography Evaluation The treatment procedure is a dream come true. Technologically advanced and scientifically engineered ionic detoxification treatment promotes fat removal from the lymphatic system. • Specific targeting of regions for fat loss • The excess fat is reabsorbed and excreted through the body’s natural detoxification pathways. • Two specific nutrients to boost natural detoxification are provided.

KICK START INTO A HEALTHIER LIFESTYLE No recovery time. Clothes fit better. You feel better. An easy makeover for men and women!

We offer the added advantage of physicians performing every step of all examination and treatment protocols. We recognize the realities and limitations of FDA Clinical trials and therefore offer 12 treatments in four weeks for $3,750.

Call NOW for your free DVD. Dr. Evan Mladenoff, DC

Dr. Diana Mladenoff, DC

913-491-1071 • www.MladenoffClinic.com 11021 Metcalf Ave, Overland Park, KS 66210


No dieting, no crunches, no liposuction and still lose inches? Yes you can! New Zerona LipoLASER® is now in Kansas City – only at Mladenoff Clinic. Lose up to 10 inches from your hips, tummy and thighs in two weeks or less. No dieting, no exercise, no needles or liposuction! Safe, easy, painless and FDA approved. The long-anticipated FDA-approved Lipo-LASER by Erchonia has arrived at Mladenoff Clinic in Overland Park, Kansas. ZERONA® is a new body-sculpting procedure designed to remove fat and contour the body without invasive surgery.

View video of the procedure at www.mladenoffclinic.com

The non-invasive laser helps the body absorb fat by stimulating biological function. Excess fat is then removed naturally by the body without the negative side effects and downtime associated with more invasive procedures such as liposuction.

ABOUT THE PROCEDURE

During the procedure patients most often do not feel anything, the laser that is being administered is a low level laser that does not produce heat, it is completely noninvasive, and has never shown any recorded side effects. Low Level Lasers have been in use for over 40 years for treatment of many different conditions such as chronic pain, wound healing, and many other orthopedic conditions. • The 100% painless process requires six 40-minute treatments performed over the course of two weeks. • During the procedure, the laser light is visible, but there is no sensation during or after the treatment. • There is no pain, no swelling, no needles, no bruising and no recovery time. • Normal activity resumes immediately. • The treatment works for both men and women. • The most commonly treated areas are the lower abdomen (belly), flanks (love handles), buttocks and thighs. • Other treatment areas can include the neck, arms, back and knees. This is not a quick weight loss program. We target the adipose tissue to remove the excess fat and successfully shape the body for a more desirable outcome.

With the ZERONA® treatment you now have an alternative to a shapelier figure without having to endure the fear and sometimes painful process of a surgical procedure.


health and wellness

balancing Act The essence of a balanced diet lies in this mantra: Pick a protein and two colors

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Š istockphoto.com / Andrew Unangst

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By James H. O’Keefe, M.D.


health and wellness

Many Americans’ weight and health problems wouldn’t exist if they would follow the essence of a balanced diet. There are only two fundamental rules. With each of your three daily meals you must: 1. Eat a serving of healthy protein. 2. Choose at least two natural colors.

So let’s break this down. First, protein is not optional. You need it three times each day. Choose a healthy protein such as egg whites, chicken or turkey breast, fish, lean red meat, whey protein, non-fat dairy, etc. For one of your meals, you might try to choose vegetable protein such as nuts, beans, tofu, edemame, etc. As a rule, the protein should not be more than the size and thickness of the palm of your hand. Protein is made up of large and complex molecules that take a long time to break down after a meal. That means your system slows digestion and delays emptying of the stomach as it works hard and long to absorb a protein meal. This keeps your blood sugar and triglycerides in normal, smooth and steady ranges. Additionally, a high-protein meal will keep you filled up much longer than typical, easily digestible high-carb American foods like French fries, white rice, candy, chips, etc. This is key because a meal high in protein and plant fibers prevents food cravings for up to four hours or more. If you are not hungry, it’s easy to avoid eating trashy foods for snacks. But when you are starving hungry, you are at the mercy of every box of doughnuts, plate of cookies or vending machine you come across during your day. By eating a healthy protein with each of your three daily meals you will help to both control your hunger and keep your blood sugar in an ideal range, not too high or too low. This prevents your body from overproducing the free radicals that cause inflammation from inside, which predisposes to premature aging and disease.

choose two colors Second, you need to choose at least two colors (sorry, M&Ms don’t qualify) for each meal, including breakfast. This means eating two or more servings of plants, the fresher and more colorful the better, morning, noon and night. It’s not as tough as it sounds; one cup of strawberries (about eight berries) equals two servings of produce. A half of grapefruit counts as one serving of fruit. Avoid fruit juices – they tend to spike your blood sugar. If you are trying to lose weight, avoid fruit smoothies as well. These are high in calories and have much of the plant fiber broken down by the blender. There is nothing like fresh produce for improving health and achieving weight loss. However, vegetables are more important than fruits, so try to work at least one vegetable into each of your meals. Vegetables are ideal for promoting fat loss and supercharging your health and vitality. You will have no chance of hitting the nine or more servings of vegetables and fruits per day if you don’t start out by consuming at least two servings of produce at breakfast. By consuming at least two natural colors with each meal you are getting all sorts of disease-fighting, anti-aging nutrients that “rust-proof” your brain and body.

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protein is key

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Rejoin your life. Although it may be hard to imagine at this point, you don’t have to settle for a life defined by pain. Medtronic neurostimulation therapy has been delivered to more than 250,000 people worldwide. If you have been in pain for more than 6 months and your current treatment has not provided adequate relief, Medtronic neurostimulation therapy may be the right choice for you. What Is Neurostimulation Therapy? Neurostimulation is an FDA-approved therapy. Neurostimulation therapy may help manage your pain and restore your ability to live a life that is not defined by pain.

How Is Neurostimulation Therapy Delivered? Neurostimulation therapy is delivered with a device implanted under the skin, typically in your abdomen or buttock area. The neurostimulator generates electrical signals, which are delivered to an area near your spine. The impulses travel from the device to your spine over thin insulated wires called leads. You can think of neurostimulation therapy as a way to outsmart pain— the signal from the neurostimulator reaches your brain first, before the pain signal can arrive. So you feel the tingling sensation rather than the pain. A Medtronic neurostimulator is adaptable to changes in your pain. You will be able to adjust the therapy for your specific location and RestoreUltra® rechargeable neurostimulator (Actual size)

level of pain with a handheld patient programmer that works like a remote control. Changing the stimulation levels can help you optimize pain relief each day, depending on the activities you are doing and how your pain changes during the day.

Benefits May Include: • Significant and sustained reduction in leg and back pain1,2,3 • Improved ability to function1,2 • Improved participation in activities of daily living2,3 • Safe and effective when used as directed • Reversible—therapy can be turned off or, if desired, the neurostimulator can be surgically removed Because Medtronic neurostimulation therapy systems are surgically placed, surgical complications such as infections are possible. Device complications can also occur and may require surgery. For a list of adverse effects that have been associated with the therapy, please refer to the Important Safety Information at www.tamethepain.com. Please talk with your doctor to fully understand the risks and benefits. Not everyone responds to neurostimulation therapy in the same way, and your experience may vary, but Medtronic neurostimulation therapy may change your life for the better.


Try Medtronic Neurostimulation Therapy First An important advantage of neurostimulation therapy is that you can try it first during a screening test. Scheduling a screening test will give you a chance to find out if neurostimulation therapy can help to manage your pain.

What You Can Do Don’t let pain define your life. Effective chronic pain relief is possible. Talk to a pain management specialist to learn more about Medtronic neurostimulation therapy. • Your physician can provide you with additional information about Medtronic neurostimulation and work with you to develop an overall pain treatment plan. To learn more about neurostimulation for pain, visit us at www.tamethepain.com/kc or call 1-800-510-6735. To learn more about other therapies, visit www.medtronic.com.

“I am able to sleep, hike, bike, and walk my dog. I couldn’t live a normal life without my neurostimulation system.” – Jaclyn P. , neurostimulation recipient since 2002

Rejoin your life.


References 1. Kumar K, Taylor RS, Jacques L, et al. Spinal cord stimulation versus conventional medical management for neuropathic pain: a multicentre randomised controlled trial in patients with failed back surgery syndrome. Pain. 2007;132:179-188. 2. Kumar K, Taylor RS, Jacques L, et al. The effects of spinal cord stimulation in neuropathic pain are sustained: a 24-month follow-up of the prospective randomized controlled multicenter trial of the effectiveness of spinal cord stimulation. Neurosurgery. 2008;63: 762-770. 3. Turner JA, Loseser JD, Deyo RA, Sanders SB. Spinal cord stimulation for patients with failed back surgery syndrome or complex regional pain syndrome: a systematic review of effectiveness and complications. Pain. 2004;108:137-147.

you say tomato Get in the habit of having a glass of low-sodium V-8 juice at breakfast. It’s a quick and easy way to get credit for two servings of vegetables before you leave the house to start your day. A recent study showed that drinking at least one glass of low-sodium vegetable juice daily can help overweight people with metabolic syndrome lose their excess weight. This Baylor College of Medicine study reported that volunteers who drank at least eight ounces of low-sodium vegetable juice as part of a calorie-controlled DASH diet lost four pounds over three months. Those who followed the same diet but drank no lowsodium V-8 juice lost just one pound. This study also found that vegetable juice drinkers are more likely to meet the government recommendations of three to five servings of vegetables (one and one-half to two and one-half cups) per day. Seven out of 10 American adults fall short of recommendations.

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By drinking a glass of low-sodium V-8 juice, you will significantly increase your intake of vitamin C (125 percent of daily value in just eight ounces) and potassium (a whopping 820 mg. of this blood pressure-lowering nutrient), while decreasing your overall daily carbohydrate intake. And those red pigments in the juice are potent antiaging, disease-preventing antioxidants.

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balanced diet

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Important safety information NEUROSTIMULATION SYSTEMS FOR PAIN THERAPY Brief Summary: Product Technical Manuals and Programming Guides must be reviewed prior to use for detailed disclosure. Indication for Use - Chronic, intractable pain of the trunk and/or limbsincluding unilateral or bilateral pain. Contraindications: Diathermy. Warnings: Defibrillation, diathermy, electrocautery, MRI, RF ablation, & therapeutic ultrasound can result in unexpected changes in stimulation, serious patient injury or death. Rupture/piercing of neurostimulator can result in severe burns. Electrical pulses from the neurostimulator may result in an inappropriate response of the cardiac device. Precautions: The safety and effectiveness of this therapy has not been established for: pediatric use, pregnancy, unborn fetus, or delivery. Follow programming guidelines & precautions in product manuals. Avoid activities that stress the implanted neurostimulation system. EMI, postural changes, & other activities may cause shocking/jolting. Adverse Events: Undesirable change in stimulation; hematoma, epidural hemorrhage, paralysis, seroma, CSF leakage, infection, erosion, allergic response, hardware malfunction or migration, pain at implant site, loss of pain relief, chest wall stimulation, & surgical risks. For full prescribing information, please call Medtronic at 1-800-328-0810 and/or consult Medtronic’s website at www.medtronic.com.

health and wellness


health and wellness

loving care for kids big and small

balanced diet

pediatric

This year Kathleen, our 13-year-old daughter, did a science project at home to see how her system responded to different meals by checking her blood sugar with a home glucometer (blood glucose meter) before and after eating. She had a 400 to 500-calorie, highprotein, low-carb breakfast of scrambled eggs, lean ham and skim milk. Her blood glucose didn’t budge: she had a fasting morning reading of 82 that fell to 80 when we re-measured it 90 minutes after breakfast. For lunch, Kathleen ate white rice dressed with some soy sauce. She drank 16 ounces of a fruit punch drink. Her blood sugar started at 75 and surged to 125 just an hour and a half later. Dinner was grilled salmon, spinach salad dressed with extra-virgin olive oil and lemon juice, steamed broccoli and watermelon for dessert. This meal, also 400 to 500 calories, barely raised Kathleen’s blood sugar from 79 to 85 over the same 90-minute span. Try this experiment on your own. Home glucometers are inexpensive and easy to use. You will be astounded the drastic differences in your blood sugar readings depending on what you eat. Keep in mind Kathleen is a very fit and healthy teenager. Her system is about as as good as it gets for efficiency in clearing sugar from the bloodstream, and still she had a dangerously high spike

in blood glucose after a single meal of white rice and high-fructose corn syrup. Your system is probably less adept at keeping your blood glucose in an optimal range. Many times per day you may be spiking your blood sugar into ranges that cause inflammation and disease, and you are probably completely oblivious to this major determinant of your health, appearance, brain function and longevity. Still, if you pay close attention, you will probably notice some symptoms of inflammation that flare up after eating too many junk food calories. This number – the rise in blood glucose after eating – is one of the most important predictors of how healthy and vigorous you will be in the long run. Yet, because your doctor will probably only measure a sugar and cholesterol profile, you may never know about this problem. Junk food and most of the other popular food and beverage choices cause sudden post-meal surges in the blood sugar and fats that stimulate freeradicals and inflammation – basically rusting you from the inside out, and predisposing you to premature aging, and diseases like Alzheimer’s, cancer, stroke, heart attacks and diabetes. Ideally, your blood sugar shouldn’t rise above 100 to 110 after a meal. To do this, you will need to eat a healthy, balanced diet, keep your serving sizes reasonable and stay physically active.

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providing comprehensive preventive care for newborns through 18 years Susan L. Storm MD Laurie D. Riddell MD Ermalyn Kubart MD Stephanie A Marx MD Kathryn Hauptmann MD Melissa J. beard MD Stephanie R. bays DO Kathleen ballenger PNP Jana Etherton-Still PNP Veda M. Donner PNP

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health and wellness

VINO 101 Hosting the perfect wine tasting party By Michael

speak. Many people who taste and drink wine do know what they are talking about. That knowledge comes from continuous tasting, evaluating and recognition of what traits are found in specific varietals, regions, etc. How can the average Joe (or Jane) accomplish this feat? Or even get a better sense of what they like vs. what they do not like and why? Host your own wine tasting event. Maybe it even becomes a monthly gathering of friends? Either way; the more you sample the more you will learn about the wines you drink.

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A. Levine

The lazy days of summer are passing us by faster than we would care to admit but alas, fall is just around the corner. With the days getting just slightly shorter and everyone’s mind turning to the tail end of the year it’s a perfect time to invite some friends over to taste some wine in a different format. Many of us have attended wine tastings and listened to those who sound like they know what they are talking about when referring to horse saddle leather, tobacco, saw dust and vanilla on the nose followed by … you get the picture; you’ve heard them

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health and wellness

choose a theme for your wine tasting There are many options to consider when setting up a theme. First, and I believe most important, is your audience. Are they very knowledgeable about wine; are they casual drinkers or a mix of all of the above? Some options to consider:

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Horizontal Tasting

(challenging but certainly achievable)

Pick a grape and go with it! Maybe all Sauvignon Blanc or Merlot. Maybe something a bit more obscure like Sangiovese (the main grape in Chianti). Whatever you choose be sure it is accessible to all in the group.

Ask your guests to each bring a specific varietal (the grape) from a specific year. For example: 2005 Pinot Noir or 2003 Zinfandel. You could even get a bit more specific and say 2001 Napa Valley Cabernet Sauvignon or add on a price point to the challenge. You could even make an argument for all red Italian wines under $25. You get the idea!

Vertical Tasting

(more advanced and sometimes more expensive)

A vertical would represent multiple years from a specific vineyard. For example Bennett Lane’s Maximus from 2000, 2001, 2002, 2003, 2004 and 2005 (Yes, I have these winners aging in my cellar as we speak). This would allow the group to sample the same wine aged over time. A great way to truly understand what cellaring does for a bigger wine.

Books and supplies

Local Wine Retailers

www.Oenophilia.com – The Burlap Wine Tasting Kit ($20) www.Dummies.com – Wine for Dummies ($23) www.Amazon.com – Ultimate Wine Tasting Kit ($40) www.Cooking.com – Wine Tasting Party Kit ($25)

Winehouse (new at 300 NE Hwy 291) Lee’s Summit, Mo. Off the Vine Design (www.offthevinedesign.com), Overland Park, Kan. Wine. (www.brooksidewine.com) Kansas City, Mo. Wines by Jennifer (www.winesbyjennifer.com) Parkville, Mo.

© istockphoto.com / Ina Peters

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Varietal tasting

(very easy to do)


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setting the scene

A hard surface with white or lightcolored table cloth to allow guests to discover colors and properly examine each of the wines. Temperature: White wines should be 45 to 55 degrees (about 20 to 30 minutes out of the refrigerator before serving). Red wines should be 55 to 65 degrees (about 20 to 30 minutes in the refrigerator before serving). Water: Both to drink and cleanse the palate as well as to rinse out the glass.

Dump buckets: Even though the idea is a social gathering, you might want to pour out any un-sampled wines during the formal part of the tasting. You can always go back and have more of your favorites at the end.

Personal preference is always the best rule to follow. Here are some suggestions:

Wines The number of wines you sample will depend on the number of guests. Whether you are asking guests to bring an option fitting in to a theme or you are providing the samples I would recommend sticking with no more than eight bottles total. Any more than that and you risk it becoming open bar night at your home! Order I prefer (and your palate will as well) to sample the light and fruity first and gradually go drier. Dessert wines should always be at the end as the sugars will overpower anything else after them.

Blind Tasting vs. Open Tasting Again, it’s what you want your event to be. I prefer blind tasting as long as you are not doing a vertical. Blind tasting takes away the stigma of labels, regions, winemakers, etc. and allows the guest to evaluate each wine for what THEY are getting out of it. Stemware Be sure everyone has at least three to four stems to sample from. You can make do with less but I prefer enough to go through a few rounds without having to dump, rinse, and repeat each time you sample. Pen and paper Each guest should have access to be able to write down comments, scores and winners from the tasting.

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Snacks: I prefer a small cheese plate with some flat breads or lavosh. Be sure nothing is overly seasoned as that will affect the flavors you taste in the wines.

creating the environment

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health and wellness

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five steps to tasting wine Now you’re ready to taste and evaluate the wines. So what do we look for in evaluating a glass of vino? No matter how you do it, be sure the process is the same for each option you sample.

Swirl the wine We swirl for many reasons. Mainly because we see others doing it but why? Swirl allows the wine to interact with oxygen and begin to release the aromas that have been trapped inside the bottle for one, three or five years or more.

Smell the wine

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We’ve stirred up all the aromas and scents that attract us to the glass; now let’s stick our nose right in to examine what’s going on. Is it a strong aroma? A soft aroma? Is there no aroma? Are there any specific smells you are uncovering? Do you get a sense of fruits or earth?

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Sip the wine

(not chug or gulp) Sipping allows your gradually experience the flavors and they unfold on your

palate. I recommend that you swish the wine all around your mouth as well. We all remember that our tongue has different locations to sense different flavors; allowing the wine to be enjoyed in this fashion may give you a better sense of what you are drinking. Now ask yourself what do I taste? Are the tastes the same as the smells or are they different? Is it more powerful or weaker than the smell?

Swallow the wine

(or spit out the wine in to an appropriate vessel)

Many professionals do not swallow at tastings because after consuming 50 samples from a trade event you might have an issue standing up or even being able to evaluate right from wrong. As this is a social setting swallowing is encouraged. Just like before, what do you taste? Is it a short finish or does it linger in the back of your throat? Does your mouth feel like it is coated with a chalky film? Take as many notes as you can before you try to determine what you are drinking.

© istockphoto.com / Stock Snapper

See the wine Examine the color, the intensity, the weight (does it appear to be more like skim milk or whole milk). All of these attributes contribute to a conclusion of what type of wine it could be.


health and wellness

judging your wine tasting results Now that you have gone through the five S’s of wine drinking you might be ready to make an assumption as to what you are drinking. I prefer to rank my wines on a scale of 1 to 10 in the following categories: Appearance; Aroma; Flavor; Finish; and Overall Quality. Each wine sampled would have a total of 50 points possible (a perfect wine as noted by you). Go ahead and rank the wines as you sample them. I always like to place a guess on the varietal, vintage and price point as well. If you are feeling really adventurous you might want to guess where it comes from and/or the producer. After each wine is tasted, discuss what

you thought about the version you just tried. Be sure not to be swayed by peer pressure during your conversation as your rankings are about what you like. At the end of the tasting total up all scores and select your winner. See who else in the group agreed and/or disagreed with your selection. Discuss what makes the winner the best wine for your group. Before uncovering the wine talk about what price point you think it might be and see if there is a consensus. Finally uncover the bottles to see the winners: Were you surprised? Many times the most expensive and least expensive wines are not chosen as the

top or the bottom. Be sure to check your rankings with each of the wines sampled. Did anyone guess a correct varietal, vintage or country of origin? Maybe offer a prize for the most correct. This can also be the point in the evening where you may need to go back and refresh your memory as to a specific bottle or bottles. Try them with other foods too! This is just one of many ways to host a wine tasting party. At the end of the day it comes down to personal preference whether you are hosting the party or selecting a wine with dinner. You should always drink what you like and like what you drink!

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complementary health

INFORMATION

IS POWER How to become an agile learner and navigate info overload

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By Pujan Roka

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Pujan Roka is the author of “Bhagavad Gita on Effective Leadership” and the upcoming “Karmic, Inc.” He can be reached at pujanroka.com.

The way we communicate and exchange information with each other has gone through significant evolution since the days of our ancestors. In the age of hunters and gatherers, information was shared by the use of symbols and signs, such as beacons from reflective objects or smoke. Transfer of information over long distance was challenging, if not impossible. People had to travel a long distance to transfer information from one place to the other. If travel was problematic, information would be contained within limited space or location and it would never get disseminated. As the world progressed into the Agricultural Age, people learned to use animals to travel; the transfer of information thrived along with longdistance travel. Water transportation further helped in moving information from places to places. The Industrial Age revolutionized the way people communicated with each other and transferred information. The revolution in communications came shortly after the understanding of the science of electromagnetism.

Electromagnetism laid the foundation for modern communications, which started with Samuel Morse’s electrical telegraph. Shortly after Morse’s invention, Alexander Bell invented the first telephone that transferred voice in the form of electrical signals. These inventions paved the way for wireless telegraphy that later enabled radios and television. The next transformation came with the Information Age – the age of computers and the Internet. Information and messages could be transferred around the world in matter of seconds, if not less. News and events could be broadcast around the world in real time. People could share email and audio-visual messages in real time. Computers and the Internet have brought a wealth of information and power to our fingertips. They have provided us liberty and freedom to learn about virtually anything imaginable. Take webmd.com for example; you could diagnose and identify treatment options for some illnesses. When your car breaks down, you could browse hundreds of Web sites that help you to diagnose the problem


The brain holds the key to living a long, healthy, happy life. – Eric Braverman, M.D.

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complementary health

Who are Agile Learners?

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n Those

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who believe that change is inevitable and that continuous learning is the only way to stay abreast of changes. When confronted with new challenges, they are equipped with the latest news, information, and facts to tackle any situation. n They are passionate and open-minded to learn new things, so they are curious and imaginative. n They do not hesitate to question facts and data, so they do not get disillusioned with unrealistic circumstances. n They are open to new tools and technologies and consider them important to enhance and enrich their lives. n They think outof-the-box and in terms of big picture. n They are conscious of community and the interactions in that community.

and provide instructions to fix it yourself. Social network Web sites, such as Facebook, have reunited millions of friends and families. Anyone with a digital camera and Internet access could turn into a citizen journalist and report on news that is inaccessible to the traditional media. Easier access to information and knowledge has given rise to a new generation of people who thrive on real time learning. We gain information and knowledge as things happen around us. This is also the basis of agile Learning. Tools and technologies are vital to Agile Learning. In the advanced Information Age, computerized electronic gadgets will become pervasive utilities. Although we could equally argue that they would be unnecessary dependency, they will be important to our productivity – as individuals and as a society. Popularly called “pervasive computing,” this new set of technologies will become mainstream and get assimilated in our every day lives. Consider computerized appliances that are automated for our use: home lights and ovens that can be managed remotely; computerized refrigerators that can detect food levels and order them from the nearest grocery store as needed. In the world of computer science, automation and simulation of human type of intelligence using machines and computers is referred to as artificial intelligence. As advanced gadgets and appliances become

common, artificial intelligence will also become pervasive. We will rely on this intelligence with or without asking for it. how artificial intelligence is already a part of our lives n If you have been buying books and merchandize from amazon.com, your buying history and behavior are already analyzed by complex computer algorithms. Based on this intelligence, amazon.com can recommend you other merchandize that you are likely to buy. n A modern phone can detect its geographical location. Based on this intelligence, merchants can notify the phone user of promotions and discounts in a particular location. Or, if you get lost or get into an accident, rescue workers can detect your location using this intelligence. n Google search creates its search result and the corresponding advertisements based on your location and the search criteria. As illustrated by these examples, we have very little choice not to accept and adapt these new utilities, and by doing so, we become agile learners. We make ourselves knowledgeable and competitive. In the age of advance tools and technologies, agile learning may not only be the path of knowledge and information, but it may very well be the path of our survival. If information is power, then agile learning is the path to that information and power.


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Feeling sick is stressful. Getting in to see the doctor doesn’t have to be.

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raintree Pediatrics 821 SW Lemans Lane Lee’s Summit, MO 816-525-4700

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Lee’s Summit Physicians Group www.lsphysicians.com INtErNaL MEdIcINE open Monday-Friday,

9 a.m.-noon and 1-4:45 p.m. 816-554-1918

Urgent care available Monday-Friday, 8-11 a.m.

Dr. Brenda Smith, M.D., will give tips to help you reduce your risk of breast cancer. Part of the Green Acres Market “Women Take Charge” health series.

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You shouldn’t have to settle for a lemon when you can have lemonade. Sandler TrainingSM utilizes continual reinforcement through ongoing training and individual coaching sessions not only to help you learn but also to ensure your success. With over 200 training centers worldwide to provide support, you won’t fail…because we won’t let you.

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1425 NW Blue Pkwy • Lee’s Summit, MO Pediatrics is open 7 days a week, with evening and weekend urgent care 816-524-5600 Internal medicine open Monday-Friday, 9 a.m.-noon and 1-4:45 p.m. 816-554-1918

For the latest in health and wellness news in the Kansas City area, bring Enhance into your home.

Raintree Pediatrics www.Raintree-Pediatrics.com

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Sandler Selling System is a registered service mark of Sandler Systems, Inc. S Sandler Training Finding Power In Reinforcement (with design) and Sandler Training are service marks of Sandler Systems, Inc. © 2008 Sandler Systems, Inc. All rights reserved.

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821 SW Lemans Lane • Lee’s Summit, MO

816-525-4700 Urgent care Monday-Friday, 8-11 a.m. Scheduled Appointments Monday-Friday 8 a.m.-noon and 1-4 p.m.

hearing your best

ASSOCIATED AUDIOLOGISTS, INC.

OUR MISSION

The mission of Associated Audiologists, Inc., is to establish quality, convenient, caring and comprehensive state-of-the-art hearing care services. In addition, we will establish innovative efforts aimed at education, prevention, rehabilitation and community service.

ASSOCIATED AUDIOLOGISTS, INC. is the area’s premier audiology and hearing aid practice. We offer the latest open-fit digital hearing aid technology available. Open-fit instruments provide superior sound quality, comfort and cosmetic appeal.

said James A. Wise, Ph.D., F.A.A.A., president of Associated Audiologists. As of 2007, audiologists must hold a doctoral level degree to practice. The Au.D. is the clinical doctorate for audiology. It consists of a four-year doctorate and oneyear externship.

OUR SERVICES INCLUDE: • Accurate Diagnosis of Your Hearing by University Trained Audiologists • Hearing Aid Service and Repairs • Diagnosis and Treatment of Dizziness and Balance Disorders • Tinnitus Evaluation and Management

AMERICAN ACADEMY OF AUDIOLOGY All of the practice’s audiologists also are fellows of the American Academy of Audiology. This certification further demonstrates their dedication to excellence in patient care and an ongoing commitment to further advances in technology, including the highly specialized treatment of patients with dizziness, balance disorders and tinnitus.

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have SM lemonade. Sandler Training utilizes continual You shouldn’t have to settle for a lemon when you can913-262-5855 have lemonade. Sandler Training > Shawnee Mission reinforcement through ongoing training and utilizes continual reinforcement through ongoing training and individual coaching Shawnee Mission sessions not only to help you learn but also to ensure your With over 200 training Medicalsuccess. Building individual coaching sessions not only to help you 913-403-0018 centers worldwide to provide support, you won’t fail…because we won’t let you.

The Area’s Premier Audiology and Hearing Aid Practice

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Ph.D., F.A.A.A., president, and Tim Steele, Ph.D.,

F.A.A.A., vice president. Sandler Selling System is a registered service mark of Sandler Systems, Inc. S Sandler Training Finding Power In Reinforcement (with design) and Sandler Training are service marks of Sandler Systems, Inc. © 2008 Sandler Systems, Inc. All rights reserved.

learn but also to ensure your success. Coffman Group 913-236-9055

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Coffman Group 913-236-9055

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> Leavenworth Cushing Medical

SM Selling System registered service markyou of Sandler S SandlerPlaza Training Sandler Finding Power Training In Reinforcement (with design) and You shouldn’t haveSandler to settle for ais alemon when canSystems, haveInc.lemonade. Sandler Training are service marks of Sandler Systems, Inc. © 2008 Sandler Systems, Inc.913-682-1870 All rights reserved. utilizes continual reinforcement through ongoing training and individual coaching sessions not only to help you learn but also to ensure your success. With over 200 training Associated Audiologists is led by James A.let Wise,you. centers worldwide to provide support, you won’t fail…because we won’t

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health and wellness About 69 percent of adults between the ages of 35 to 44 have lost at least one permanent tooth. Before dental implants, a person usually had three options: do nothing, have a partial or complete denture fabricated, or have a fixed bridge attached to their existing teeth with crowns. None of these are desirable options for many people. A partial or denture is removable, and a fixed bridge involves crowning teeth. By Andrew Moore, DDS

Filling in the Another common situation involving dental implants is for the edentulous (having no teeth) patient. If you have a friend or a family member who has dentures, you may have heard them complain about “sore spots,” or not being able to eat the food they really like. Even a well-constructed denture is only 20 percent as effective for chewing as a person’s natural teeth. Implants provide the support needed so dentures are no longer loose. In his 35 years of practice Dr. Jerry Ogilvie, a general dentist practicing in Blue Springs, has seen implants evolve from a time when they were considered to be experimental by some, to a time that they are considered by many dentists to be the “standard of care.”

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“Implants are now one of the more predicable long lasting procedures a dentist has to offer,” Dr. Ogilvie says.

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Quality of Life The bone that supports teeth is called alveolar bone. Once teeth are lost, this bone begins to resorb. Over time a person who wears dentures continues to lose this bone. If you have ever seen the sunken-in face of someone without their dentures, you have seen the effects of this. And, with increased age, muscle function decreases as does the ability to wear a denture. An elderly person who cannot eat a nourishing meal and chew it properly is setting himself/herself up for other health problems. Dental implants provide

the opportunity to not only improve someone’s quality of life, they may have the ability to extend it. “Patients with concerns about their appearance and dental health no longer have to live without a beautiful smile,” says Carol Kyanka, executive director for the Kansas City Dental Implant Society. “Dentists throughout the Kansas City area have treated thousands of patients successfully with dental implants, restoring function and aesthetics – making dental implants the preferred treatment option for missing teeth.”

From top: © istockphoto.com / Talaj, Anthony Rosenberg

Dentures and Dental Implants


health and wellness

Missing a tooth?

Dental implants are the closest thing to a natural tooth in function and appearance, and can last a lifetime. With all these benefits, in most cases a dental implant is the best option for missing teeth. Over the past several decades, with refinement in the development of implants, along with improved surgical techniques, dental implants are predictable and very well tolerated by patients.

Gaps Two-phased approach

One of the most common situations for a dental implant is a single missing tooth. The process of having a dental implant placed usually involves two phases, a team effort between the general dentist and the dental specialist. The surgical phase, where the implant is placed in the bone, often placed by an oral surgeon, periodontist or prosthedontist. At this point it takes about three to six months for the implant to integrate with the bone. In the next phase (restorative phase), the implant is restored with a crown, similar to the way a natural tooth is restored with a crown by the restorative dentist. This is the most common way an implant is completed. However, in some cases a patient can have a temporary crown the day the implant is placed.

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Once the procedure is completed, the patient has the feeling and function of a natural tooth. For those of you who have all of your teeth, this might not sound like a big deal. However, for patients with missing teeth, this can be life changing.

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marketplace

Oral and Maxillofacial Surgery Harold A. Krueger II, DDS

We are a team of surgical care professionals dedicated to providing exceptional quality care sensitive to the needs of our patients.

OFFERING THE FULL RANGE OF ORAL AND MAXILLOFACIAL SURGERY EMPHASIS ON DENTAL IMPLANT RECONSTRUCTION Replacement of teeth day of implant surgery

Jaw Surgery Facial Aesthetics Trauma Biopsy Services Dental Implant Reconstruction Wisdom Teeth

Dr. Krueger provides oral and maxillofacial surgical services that return to patients the ability to chew and speak naturally with a beautiful smile.

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Harold A. Krueger II, DDS

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Board certified, American Board of Oral and Maxillofacial Surgery Sponsor of the Kansas City Dental Implant Society Member, Academy of Osseointegration, dedicated to dental implant research and reconstruction

6807 W. 121st Street • Overland Park, KS 66209 • 913-529-5999

www.halkruegerdds.com


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9100 Park Street Lenexa, KS 66215 lakeviewvillage.org 913 - 744 - 2317

“For me, moving to a senior community wasn’t an ending but a new beginning. I live a very active life. Usually, you’ll find me on my bike – Over the past 25 years, I’ve ridden 30,000 miles and I’m still counting. That’s why I wanted a community with options and opportunities suited to my on-the-go lifestyle. So I took a ride and talked to the Experts at Lakeview. They helped me find the perfect fit – a dynamic, thriving and energized community that focuses on whole-person wellness and gives me the added security of LifeCare. Thanks to the Experts, I didn’t have to burn unnecessary miles, I found everything I was looking for at Lakeview – a community that moves at the speed of life!” -Al Pope, Avid Cyclist, Pastor and Lakeview Resident

Attend a Luncheon Seminar Aug 20th or Sept. 10th. Seating is Limited – Call 913-744-2317 or make your reservations online at www.lakeviewvillage.org.


Enhance Publications 7111 W 151st St. Overland Park, KS 66223

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Enhance Aug-Sept Issue  

Experience a touch of nature with the Aug/Sept issue of Enhance, KC's finest health and wellness lifestyle magazine

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