Enhance Sept-Oct 2010

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The How-to guide for healthy living in Kansas City

Slow down the clock and age gracefully

S e p t e m b e r / Octo b e r 2010 w w w . e n h a n c e 4 l i f e . co m


Y OUR

BEST CHOICE .

When you or members of your family need hospital care, you want the very best experience possible. At Heartland, we provide superior healthcare. And we work hard every day to give you unbeatable personal service. We support the work of outstanding doctors in many different fields including: spine and orthopedic surgery; neurosurgery; general surgery; weight-loss surgery; plastic surgery; hand surgery; vascular surgery; urologic surgery; ear, nose, and throat surgery; radiology; pain management; gastroenterology; and primary care medicine. For the last seven years we’ve been proudly known as Heartland Spine and Specialty Hospital. Today, our name reflects the diverse, multi-specialty character of this great hospital. Discover for yourself just how good hospital care can be.

Heartland Surgical Specialty Hospital 10720 Nall Avenue, Overland Park, Kansas 65211 913-754-5000 or 1-800-975-4774 www.hssh.org


WHEN YOU HAVE OSTEOPOROSIS, PAIN CAN RULE YOUR LIFE Diseases such as osteoporosis or bone tumors can weaken vertebrae, the bones of the spine, which can then collapse suddenly under the force of normal daily activity. When the vertebrae collapse, it can cause a compression fracture.

KC PAIN CENTERS CAN HELP. SYMPTOMS: One or more symptoms can indicate a spinal fracture: sudden, severe back pain; worsening of pain when standing or walking; some pain relief when lying down; difficulty and pain when bending or twisting; loss of height; deformity of the spine – the curved, “hunchback” shape. The pain typically occurs with a slight back strain during an everyday activity, like lifting a bag of groceries. It’s important to seek evaluation soon for these symptoms. DIAGNOSIS: Vertebroplasty and Kyphoplasty are two minimally invasive procedures used in treating compression fractures. It allows the vertebral body to be “filled in,” restoring the normal height of the vertebra that had been compromised. Pain Management Associates has several physicians who have been specifically trained in performing these procedures. BENEFITS: Most find a marked improvement in their pain.

Within a few days, many can reduce their pain medications significantly and return to the normal activities.

A SERVICE OF PAIN MANAGEMENT ASSOCIATES

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

www.kcpain.com


Why Choose a Pediatric Dentist? Pediatric dentistry is the specialty of dentistry that focuses on the oral health of young people. After completing four years of dental school, two to three additional years of rigorous training are required to become a pediatric dentist. This specialized program of study prepares pediatric dentists to meet the needs of infants, children and adolescents, including children with special health care needs. Good oral health is an important part of total health. At Pediatric Dental Specialists we focus on prevention, early detection and treatment of dental diseases, and keep current on the latest advances in dentistry for children. Pleasant visits to our dental office will promote the establishment of trust and confidence in your child that will last a lifetime. From our special office designs to our communication style, our main concern is what is best for your child.

Pediatric Dental Specialists

Donna K. Thomas DDS MS • Nicole R. Hawkinson DDS Claudia Z. Lopez DDS • Frank Crist DDS MS - Orthodontist Where kids are Dino-mite! Leawood 913-649-5437

11401 Nall Avenue Leawood, KS 66211

Lee’s Summit 816-524-KIDS (5447) 3351 NE Ralph Powell Rd Lee’s Summit, MO 64064

Northland 816-468-KIDS (5437) 209 NE Barry Rd Kansas City, MO 64155


HEALTHY SKIN DON’t LEt tHE SUN tAKE ItS tOLL ON YOUR SKIN From skin rejuvenation therapies to cancer treatments, there are many ways our board-certified dermatologists can help you maintain beautiful and healthy skin. Call us today to schedule your skin consultation.

913.764.1125 www.jocoderm.com


Knee Replacement Myth #114:

You’ve gone on your last girlfriend’s getaway. Truth:

With Stryker knee replacements, Bahamas 2011 may not be too far away. Stryker’s patented knee technology works with your body, not against it, and may offer you a longer lasting knee implant based on laboratory testing.1,2 For more information on Stryker knee technology visit kneemyths.com or call 1-888-STRYKER.

Stryker Knees: Motion Made Easier.*

The information presented is for educational purposes only. Please speak to your doctor to decide if joint replacement surgery is right for you. Individual results vary and not all patients will receive the same post-operative activity level. * 8th Annual EFORT Congress Florence Italy 2007 – Dr. Christina Stukenborg-Colsman Presentation. 1. Stryker Test Report RD-06-013. 2. Stryker Orthopaedics Test Report: RD-04-046. ©2010 Stryker. Products referenced with the ® designation are registered trademarks of Stryker.


“I don’t want to live with a bunch of old people!” A CTIVE SENIORS

I never thought a senior community would fit my active lifestyle. Then my friends said, “Talk to the experts at Lakeview.” So I did and learned that all the opportunities, advantages, amenities and security of their community would not only fit my lifestyle, but free me up to enjoy my life even more! - Pegi Denton, Resident

Ask the retirement experts, learn something new... Become an Expert! Attend a seminar on Sept. 22nd or Oct. 7th. Seating is limited. Call 913.744.2317 or lakeviewvillage.org for reservations.

EQUAL HOUSING

OPPORTUNITY


from the publisher

invest in your health now “We spend the first half of our lives wasting our health to gain wealth, and the second half of our lives spending our wealth to regain our health.”

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This quote conjured up my Jerry Maguire moment. You know – one of those cathartic turning points when the world collides with “self” in an impactful way. I was on a four-day business trip in Milwaukee, no different from any other stressful week on the road in my 15-year career in medical sales. I remember feeling the weight of the world on my shoulders that morning. As the day progressed, it physically felt like an elephant was sitting on my chest. Four hours later, after a borderline EKG, I was at the hospital for a CT scan of my heart. The findings fortunately did not indicate a heart attack, but the cardiologist said stress can create the same sensation and just as much long-term damage as a heart attack. My doctor’s recommendation was to reduce stress or die early. A month later, I was pursuing a new career that did not include as much travel, and I was reconnecting with my spiritual roots. A few months after that, Enhance magazine was born. Over the course of those remaining summer and fall months in 2007, which included viewing of the quote above and a quickly approaching 40th birthday, I came to grips with my mortality and the importance of setting the stage for my 90th birthday party. Hopefully your journey in life has held moments of pause and reflection about the future (without the threat of a heart attack). What are you doing now to ensure that your golden years are spent living life to the full? What benchmarks are you setting for yourself that will whittle away barriers to a long, healthy life? Rather, what things are you incorporating into your lifestyle NOW, regardless of your age, to ensure that you will

age gracefully? The beautiful revelation here, according to the experts on aging, is that as you set the stage for a healthy tomorrow, it gives you a healthier life today. How often do you get win-win propositions like this? In keeping with our “How-to guide for healthy living in Kansas City” mantra, you’ll find dozens of helpful aging gracefully tips in this issue of Enhance. We’ll cover topics ranging from the science of aging, staying mentally active as you age, and, of course, tips on keeping your body and spirit in tip-top shape for years to come. Plus, we’ll connect dots to the vast number of health and wellness resources and providers right here in our community that can help you on your journey to living life out loud, regardless of your age. Grab a fresh cup of tea, coffee or cold beverage, sit back in your favorite comfy chair, turn your hourglass on its side and practice some “deep reading!” Peace,

Publisher and Executive Editor mwilliams@enhancepublications.com www.enhance4life.com.

Photo © Denise Williams

enhance magazine

–author unknown


D r . J a n e M u r r a y, Owner, Sastun Health & Wellness

Healthy Perspective Pursuing a unique vision for more than a decade. We understand the special needs of start-ups. So when Dr. Murray came to Country Club Bank in 1998, we focused on facilitating a small business loan for her health clinic. From the Perspectives on Science major she designed at uCLa to her current writings on Health Care Reform from an Individual Perspective, Dr. Murray has always approached life with a unique vision. We’re happy to help her see it through. Taking a look at a new business? Call or stop by for a healthy perspective.

816 931 4060 w w w. c o u n t r y c l u b b a n k . c o m

Member FDIC

Where roots run deep, relationships grow strong.


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Let us never know what old age is. Let us know the happiness time brings, not count the years.

– Ausonius, fourth century Roman poet

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68 35

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Clockwise from top left: © Istockphoto.com / SF_Foodphoto; Nicholas Hansen; YinYang; DNY59; Digital Skillet; Roel Smart; Cre8tive_studios; Mikko Pitkänen

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Back to school Celebrate self-university week by strengthening your mental muscles.

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Dementia When is a memory lapse a sign of something more serious?

The Legend of the three sisters A Native American story about three crops – corn, beans and squash –provides inspiration for delicious recipe combinations.

The Science of Aging The secret to how fast you age is on the tips of your chromosomes.

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Breast cancer myths During October, learn what you need to know about this disease.

healthy body September is yoga month Take advantage of free local yoga classes, workshops and more.

Volume 2, Issue 6 September/october 2010 Executive Editor Mark Williams

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Splurge: Bacon Schenker Farms’ take on a down-home staple.

Managing Editor/ Art Director Colleen Cooke

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Last call for farmers markets There’s still time to capture some local, fresh, oh-so good for you food in the area.

Contributing photographer Denise Williams

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Financial health, decade by decade Act now to ensure your financial security.

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6 foods to add before age 60 Whole foods that will keep your body at its best.

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5 ways to save your skin Make sure your skin can keep protecting you.

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10 tips for mental health Fight depression by keeping your brain sharp.

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5 things to do for a healthy mouth Age can play a part in your dental health. 3 ways to improve flexibility Our bodies have a harder time doing simple things.

healthy community 12

Local health events Upcoming health events and activities.

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Health resource guide Connecting you to health professionals.

healthy relationships 58

Aging in place Many seniors want to be at home – their own home – as they age.

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Group living Group housing options appeal to those who want to leave the chores to others.

Creative director Dennis Esser

Cover Photo © istockphoto.com / John Burwell Contributing Writers Ryan Brown, Colleen Cooke, Emily Farris, Heather Winslow Gibbons, Gina B. Kellogg, Adam Vossen ADVERTISING Mark Williams, mwilliams@ enhancepublications.com 913-269-9227 Paul Bredemeier, paul@ enhancepublications.com 816-868-8588 Publisher Mark Williams Enhance Magazine is published by Enhance Publications. Any information contained within this publication should not be considered a substitute for consultation with a licensed physician. Enhance Publications, its affiliates, employees, contributors, writers, designers, and its Editorial Board of Advisors (“Publisher”) accept no responsibility for inaccuracies, errors or omissions with information for the claims made by Advertisers. Publisher expressly assumes no liability for any damages whatsoever that may be suffered by any patient, purchaser or user for any products or services advertised or mentioned editorially herein. You expressly agree that your use of the information in Enhance is at your sole risk. Photographs of any model in Enhance in no way suggest or imply that the subject has undergone any procedure or used the products showcased. Every effort is made to ensure accuracy in the information provided. Enhance Publications assumes no responsibility or liability for errors, changes, or omissions. Photography and material in the publication as well as design may not be copied or reproduced in any form without the written permission of: Enhance Magazine, 7111 W. 151st St., Overland Park, KS 66223. Phone: 913-269-9227, Fax: 913-322-1099 mwilliams@enhancepublications.com All rights reserved. ©2010 Enhance Publications.

www.enhance4life.com

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S E P T E M B E R / O CTO B E R 2010 W W W . E N H A N C E 4 L I F E . CO M

preserve your fresh food Make the bounty of the farmers market or CSA last longer with some old-fashioned tips.

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Slow down the clock and age gracefully

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spotlight: aging gracefully

health education

SE PTE MBE R/OCTOBE R 2010

healthy eating

T H E H O W - T O G U I D E F O R H E A LT H Y L I V I N G I N K A N S A S C I T Y

W W W . E N H A N C E 4 L I F E . CO M

healthy mind

ENHANCE

in this issue

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healthy community • calendar

local health events and activities

Laughter Yoga Fridays starting Sept. 3 through Nov. 26, 6 p.m. Plaza Wellspring, 49th and Main in the US Bank building, 816-931-6533 Cost: donations accepted All sessions taught by a Certified Laughter Yoga Leader. Laughter strengthens the immune system and is like internal jogging.

Pepper Party Saturday, Sept. 4, 9 a.m. City Market, Kansas City, Mo. 816-842-1271 • Cost: free Part of The City Market’s 2010 Farm to Table Festival Series.

enhance magazine

Everyday Creativity

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Friday, Sept. 10, 11:30 a.m.–1 p.m. University of Kansas, Burge Union, McCook, room 308 Cost: free • 785-864-4946 Creativity is the ability to look at the ordinary and see the extraordinary. It is a matter of perspective that calls us to reframe problems into opportunities. Shift your paradigm and chal-

lenge your perspective of Creativity in this Food for Thought seminar.

Dining with Diabetes Friday, Sept. 10–Oct. 29, 12:30 p.m. Johnson County Extension Office, 11811 S. Sunset Dr., Olathe, Kan. Cost: $40 for full 8-week course; $10 for an individual class; pre-registration required by Aug. 27 913-715-7000 www.johnson.ksu.edu/classes Following a meal plan is the first step in controlling blood sugar and the complications of diabetes. This program is intended to help diabetics learn how to make better use of artificial sweeteners, low-fat products, herbs and spices and how to make adjustments in preparing favorite foods.

Zona Yoga Saturdays Sept. 4–Nov. 27, noon Information: 816-876-5516 7111 NW 86th St., Kansas City, Mo. www.zonayoga.com Join in the fun practicing Yoga and raising money for Habitat for Humanity. Ages 12 and above.

Tomato & Chile Pepper Fest Saturday, Sept. 11, 10 a.m.–3 p.m. Powell Gardens, 1609 N.W. U.S. Highway 50, Kingsville, Mo. Admission: $9.50/adults, $8.50/ seniors and $4/children 5-12 816-697-2600, ext. 209 www.powellgardens.org Sample dozens of varieties of toma-

toes from yellow to red to purpleblack, and a full range of peppers from mild to extra hot. Get growing tips and shop for vegetables to take home.

Keeping You in Step Tuesday, Sept. 14, 9 a.m. Saint Luke’s East – Lee’s Summit Cost: free Are you concerned about falling? Has your lifestyle changed because you have fallen or fear you may fall? Stacy Byrne, R.N., Joint Care Navigator from the Knee and Hip Center will discuss a variety of issues that put you at risk for falling, plus steps you can take to help prevent them.

Apple Fest at the Farmstead Saturday, Sept. 18, 11 a.m.–3 p.m. Deanna Rose Children’s Farmstead 13800 Switzer, Overland Park, Kan. $2 admission fee; age 1 & under free 913-897-2360 Enjoy old-fashioned fun with crafts, games and more. Children and adults can enjoy homemade kettle corn, applesauce and apple cider. There also will be a beekeeper, square dancing, live music and crafts for $2.

5K Race and Fun Walk Saturday, Sept. 19, 8 a.m. 10701 Nall Ave., Overland Park, Kan. greatprostatecancerchallenge.com Dust off your sneakers and have a free breakfast when you’re done with this run sponsored by the Great Prostate Cancer Challenge.

Do you have a health event you’d like to promote in Enhance magazine? Send your information to editor@enhancepublications.com

© istockphoto.com / DHuss

Kids Gardening Class Wednesday, Sept. 1, 10 a.m.–noon Park Place Fresh Market, 117th St. and Nall, Leawood, Kan. Cost: $5; pre-registration required 913-381-2229 www.parkplaceleawood.com Kids gardening classes conducted by Rosehill Gardens, suggested for children ages 3-12.


Nearly 700 doctors. In sickness and in wellness. or more than 45 years, Shawnee Mission Medical Center (SMMC) has combined compassionate healing with a passion to keep you feeling well – physically, emotionally and spiritually. Of course, we provide leading-edge medical technology and the area’s largest staff of outstanding physicians representing 50 medical specialties. And every year, nearly 50,000 people trust SMMC for emergency care. But we don’t want to see you just when you’re sick. We offer one of the most comprehensive schedules of community Physicians pictured: (L to R) Top row: Gregory Fox, MD; Leah Ridgway, MD; Bottom Row: Regina Nouhan, MD; Srinivasa Rao Vasa, MD.

wellness classes in the area. From parent education and CPR to pre- and post-natal yoga and Zumba, the wellness of our community is at the heart of everything we do.

Health questions? Need a doctor? Call ASK-A-NURSE at 913-676-7777 or visit ShawneeMission.org.


healthy community • calendar

local health events and activities

Speaking of Women’s Health Conference Friday-Saturday, Oct. 1-2 Overland Park Convention Center Tickets: $40 • 913-676-SOWH (7694) www.ShawneeMission.org/SWH An interactive health education experience that pampers attendees and teaches them about their health, well-being and personal safety. It’s not a health fair or an expo; it’s a learning environment with local and national experts on women’s health.

enhance magazine

SPIRIT FILLED CARE OF THE DYING CONFERENCE

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Friday-Saturday, Oct. 8-9, 8 a.m. National World War I Museum, 100 W. 26th St., Kansas City, Mo. Cost: $75, pre-registration required 816-932-6220 www.saintlukeshealthsystem.org Explore the experiences of the dying and their loved ones, with special attention to cultural, economic and racial diversity. We will also explore

the role of caregivers – professional and non-professional – during the dying process and continuing on to bereavement.

The Stroke Walk Saturday, Oct. 9, 9 a.m. Theis Park near the Country Club Plaza www.strokewalk-2010.kintera.org 913-649-1776 This 8th annual fundraiser supports the American Stroke Foundation.

Legacy Workshop Thursday, Oct. 14, 7 p.m. Johnson County Extension Office, 11811 S. Sunset Dr., Olathe, Kan. Cost: $35, includes workbook Pre-registration required: 913-7157000 or www.johnson.ksu.edu/classes Learn how to organize a complete record of financial, medical, legal, emergency, charitable and personal information. This simple ring binder Legacy system can be used in many ways – to gather and store your own information, collect information now from your aging parents, or it can be used in the future by your children and grandchildren.

Waddell & Reed Kansas City Marathon Saturday, Oct. 16 Westin Crown Center, Kansas City, Mo. Run the City of Fountains and experience a beautiful, challenging, hilly, urban 26.2-mile course. This is one of the nation’s fastest-growing

marathons, and it is a qualifier for the Boston Marathon. Events include the marathon, half marathon, 5K, marathon relay and a kids’ marathon.

American Cancer Society Making Strides Against Breast Cancer Saturday, Oct. 23, 8 a.m. Liberty Memorial Park, Kansas City Mo. A 5K walk that celebrates people who have battled breast cancer, with tips on ways to reduce your risk.

Edge of Enchantment ball Saturday, Oct. 30 The Midland by AMC Many sponsorship levels available Contact: Shanna Hilt, 816-201-4300 www.firsthandfoundation.org/edge Transform into your favorite fictional character for this masquerade ball presented by Cerner to benefit the First Hand Foundation. First Hand helps kids with health needs when insurance and other financial resources have been exhausted.

Jowler Creek Winery’s Halloween Candy and Wine Paring Oct. 30-31, 11 a.m. Jowler Creek Winery, Platte City, Mo. Cost: free • 816-858-5528 Stop by the winery tasting room to pair candy corn, Milky Way bars, Twizzlers and other Halloween favorites with Jowler Creek’s hand-crafted Missouri wines.

Do you have a health event you’d like to promote in Enhance magazine? Send your information to editor@enhancepublications.com

© istockphoto.com / Steve Goodwin

Girls’ Night out Thursday, Sept. 30, 6-9 p.m. Big Sky; presented by North Kansas City Hospital Northland Women’s Center Cost: free • 816-691-1688 www.northlandwomenscenter.org Round up your best gals and head over to Big Sky to enjoy food, beverages and the latest health tips. There will be line dancing and the sounds of a live band, County Road 5.


REGISTER TODAY FOR NO SCHOOL DAYS We fill up quicKly MaKe sure you secure your space by registering for the entire year!

OVER

20

NO SCHOOL DAYS! Most school districts have over 20 no school days per year! On “No School Days” we fill your kids time with lots of games, activities, sports, crafts and just plain fun. We even provide a morning and afternoon snack.

all you need to do is pack a lunch! convenient locations hours: 7am - 6pm

CONVENIENTLY LOCATED IN YOUR CHILD’S SCHOOL* Blue Valley, Olathe, Shawnee Mission, Bonner Springs, Center, Louisburg, Osawatomie, Raymore-Peculiar, Spring Hill, Academie Lafayette, Paola and St. Thomas More * Participants are able to attend NSD’s in any district regardless of home area, as we are not able to offer these days in all of our districts.

Call or visit online today!

913.345.9622

KansascityyMca.org/ycare


health education • breast cancer

getting the facts about breast cancer

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In the pink

Pinking the fountains

Look for pink around the metropolitan area during October. Checker Cab will trade the usual green of one of its taxis for pink, and 25 percent of this cab’s fares will be donated to the Susan G. Komen Foundation. The foundation is also sponsoring Massage for the Cure on Tuesday, Sept. 14, at all metropolitan Massage Envy locations. A portion of the price of a massage will be donated to the foundation.

Kansas City Cancer Center will dye the water of several fountains in the metropolitan area pink, starting with a “pinking” ceremony at the J.C. Nichols Fountain on the Country Club Plaza at 10 a.m. on Friday, Oct. 1. The ceremony will include pink treats, giveaways and the unveiling of a special breast cancer awareness promotion. The public is invited to attend. The fountains will remain pink until Monday, Oct. 11.

© istockphoto.com / itographer

enhance magazine

October is Breast Cancer Awareness Month


health bits • breast cancer

10 myths about breast cancer It only affects older women. Although your risk of breast cancer does increase as you age, you can be diagnosed at any age.

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If you have a risk factor for breast cancer, you’re likely to get it. Being diagnosed with breast cancer is never a certainty, even if you have one of the stronger risk factors, such as a gene abnormality.

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If breast cancer doesn’t run in your family, you won’t get it. About 80 percent of women who get breast cancer have no known family history.

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Only your mother’s family history of breast cancer can affect your risk. Consider both your mother and father’s family history to fully understand your risk.

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Using antiperspirants causes breast cancer No evidence has found a link between antiperspirants and breast cancer. The myth about this link comes from a misunderstanding of the anatomy and breast cancer.

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Birth control pills cause breast cancer Levels of estrogen and progesterone, which can be factors in breast cancer, are lower in modern-day birth control pills.

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Eating high-fat foods causes breast cancer Although excess body weight is a risk factor for breast cancer, no studies have been able to find a

direct link between high-fat foods and breast cancer.

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A monthly breast self-exam is the best way to diagnose breast cancer. If a cancer in your breast is big enough to be felt by hand, then it is usually bigger than the average size that can be found on mammography. Digital mammography or high quality film-screen mammography is the most reliable method of finding breast cancer as early as possible. If you’re at high risk for breast cancer, there’s nothing you can do. Minimizing alcohol consumption, not smoking and regular exercise combine with medication can reduce – but not eliminate – the risk of breast cancer in women at high risk. In cases of very high risk, surgery is even an option. Discuss your options with a physician or genetic counselor before you make assumptions about your risk level.

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Being diagnosed with breast cancer is an automatic death sentence Eighty percent of women diagnosed with breast cancer show no signs of metastases, meaning no cancer has spread beyond the breast and nearby lymph nodes.

n Being

overweight, especially after menopause. Fat tissue stores estrogen, and high estrogen levels can increase breast cancer risk. n A diet high in red meat and other animal fats, including fats from dairy products, because of hormones, antibiotics and pesticides in those foods. n A sedentary lifestyle can contribute to your risk. The American Cancer Society recommends 45 to 60 minutes of physical exercise five or more days a week to reduce breast cancer risk. n Alcohol can inhibit your liver’s ability to manage levels of estrogen in your blood. n A small increase in breast cancer risk is associated with smoking. n Estrogen stimulates breast cell growth, and prolonged exposure to estrogen can increase your risk of breast cancer. Taking combined hormone replacement therapy for several years or taking estrogen alone for more than 10 years puts you at risk. n BreastCancer.org recommends “mindful measures” such as meditation, yoga and prayer to decrease your stress and anxiety, which some research suggests can weaken the immune system.

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© istockphoto.com / Ryan Lane

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Risk Factors

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health bits • tidbits

scaring up some safety The number of child pedestrian deaths is four times greater on Halloween. Follow these tips to keep your holiday safe. reflective tape to costumes or bags to help drivers see your kids. n Rather than drive behind your child’s group, walk with a flashlight. If you do drive, don’t wear a mask. n Make sure your kids know to safely trick-or-treat: look both ways before crossing the street and use crosswalks whenever possible. Never dart out into the street from between cars. Obey all traffic signals.

n Costumes

that obstruct a child’s vision also obstruct them from seeing oncoming traffic – try to choose a costume that allows the child to see in all directions at all times. Masks, wigs, floppy hats or eye patches can all be potential hazards. n Choose a low-traffic neighborhood for trick-or-treating. Only walk on sidewalks or on the far edge of the road facing traffic to stay safe.

n Do

not be distracted by your cell phone while driving on Halloween. n Drive below the speed limit to give yourself time to break should someone dart out in front of your car. n Minivans and SUVs are a dime a dozen. Choose a special way to identify your car, such as sticker on the windshield or a toy in the front window to keep your child from getting into the wrong car.

Kansas City’s fastest growing one-stop shop for custom team sports apparel The Uniform Team also provides prime South Johnson County multi-use GYMNASIUM SPACE available for rent.

enhance magazine

• Basketball and other team sport practices • Private Instruction / Personal Training • Dance / Aerobic groups • Birthday parties • Sports multi-purpose flooring

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Quality uniforms for your team without the hassle. 6800 W. 153rd St., Overland Park, KS 66223

913-400-2044

lisa@uniformteam.com

www.uniformteam.com

© istockphoto.com / Alexander Novikov

n Fasten


mouth-Body CoNNeCtioNs

iNfLammatioN: Connecting the mouth & Body

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rush after every meal. Floss daily. See your dental professional regularly. These instructions make sense coming from your dentist to help you sustain your oral health. But now not only dentists, but also many physicians are stressing the importance of maintaining oral health in an effort to keep the rest of the body healthy. Research has long suggested an association between gum disease and other health issues— including heart disease, stroke and diabetes—but now scientists are beginning to shift their focus to understanding why these connections exist. An emerging theory, and one gaining support from researchers worldwide, is that inflammation may link the mouth to the body. Inflammation is the body’s instinctive reaction to fight off infection, guard against injury or shield against irritation. Inflammation is often characterized by swelling, redness, heat and pain around the affected area. While inflammation initially intends to heal the body, over time, chronic inflammation can lead to dysfunction of the infected tissues, and therefore more severe health complications. Periodontal disease is a textbook example of an inflammatory disorder. For years, dental professionals believed that gum disease was solely the result of a bacterial infection caused by a build-up of plaque between the teeth and under the gums. While plaque accumulation is still a factor in the development and progression of gum disease, researchers now suspect that the more severe symptoms, namely swollen, bleeding gums; recession around the gum line, and loss of the bone that holds the teeth in place, may be caused by the chronic inflammatory response to the bacterial infection, rather than the bacteria itself.

Periodontists, the dentists specially trained in the prevention, diagnosis and treatment of gum disease, hypothesize that this inflammatory response to bacteria in the mouth may be the cause behind the periodontal-systemic health link. Many of the diseases associated with periodontal disease are also considered to be systemic inflammatory disorders, including cardiovascular disease, diabetes, rheumatoid arthritis, chronic kidney disease and even certain forms of cancer, suggesting that inflammation itself may be the basis for the connection. More research is needed to pinpoint the precise biological mechanisms responsible for the relationship between gum disease and other disease states. However, previous findings have indicated that gum disease sufferers are at a higher risk for other diseases, making it more critical than ever to maintain periodontal health in order to achieve overall health. To avoid gum disease, comprehensive daily oral care, including regular brushing and flossing, and routine visits to the dentist. If gum disease develops, a consultation with a periodontist, can lead to effective treatment. Patients diagnosed with gum disease should also disclose all health conditions to his or her dental professional, and be sure to update other health care professionals on his or her periodontal health. As research continues to emerge that supports the mouth-body connection, the more vital it becomes that both dentists and physicians work together to ensure the most comprehensive well being for their patients. Other mouth-Body Connections that we will cover in upcoming issues include: • Pregnancy Problems • Osteoporosis • Respiratory Diseases Stroke & Disease • Heart

A visit to Periodontal Specialists can improve your overall health – and give you peace of mind. • Dr. Amy L. Gillihan* • Dr. Daniel J. Thomas* • Dr. Melissa A. Combs* • Dr. Jonathan S. Thomas * Diplomates, American Board of Periodontolgoy

Periodontal SPecialiStS, P.a.

Leawood

913.663.GUMS (4867)

NorthLaNd 816.436.6767

topeka

785.272.0770

Lee’s summit 816.525.GUMS (4867)


healthy body • yoga

open up and say ohm September is National Yoga Month Local residents and businesses can attend free yoga classes, workshops and more during Kansas City Yoga Month in September. Yoga Month is a national awareness campaign to provide education about the health benefits of yoga and to inspire youths and adults to take responsibility for their well-being by focusing on prevention and healthy lifestyle choices. The Kansas City Yoga Month campaign will provide free classes at 11 participating yoga studios and public spaces. The activities are open to all ages and fitness levels. You can download free class passes for the events at www.kansas-city-yoga.com. The theme for the third annual Yoga Month campaign is centered around the question “What is yoga?” “We are using this theme to address common misconceptions and objections to yoga, such as yoga is a religion, yoga requires pretzel flexibility and yoga is for women,” says Darryl Olive, local Yoga Month coordinator.

Web resources The month’s events will also serve as a fundraiser for several local and national non-profits. www.kansas-city-yoga.com Yoga Month is coordinated by the Yoga Health Foundation, www.yogamonth.org

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Saturday, Sept. 4 Yoga in the Park, Nelson Museum Lawn, (meet at south lawn), 9-10 a.m.

Sept. 6-17 200-Hour Yoga Teacher Training, by donation, 8 a.m.-5 p.m.

Sunday, Sept. 5 Introduction to yoga workshop. Learn the basics of yoga breathing, postures and philosophy, 1:30-3:30 p.m.

Saturday, Sept .11 Free Yoga Classes and Open House. 9-10 a.m. Hatha Yoga Class with Mary Cameron and Native American Flute;

11 a.m.-noon Power Yoga Class with Darryl; 12:303 p.m. Open House with free food, games, prizes, henna body designs and more Sept. 13-17 New members enjoy a free week of classes at KCFitnessLink

Thursday, Sept. 23 Movie Night featuring Enlighten Up, 6:30-8:30 p.m. Sunday, Sept. 26 Holistic Health Career, 1:303 p.m. For more information and a list of the participating yoga centers, visit kansas-city-yoga.com.

© istockphoto.com / Stigur Karlsson

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Local yoga month events


I Don’t think of it as aging...

We’re Evolving I have found that the women at midlife (30’s-60’s) who evolve gracefully are the women who take stock of their health and then get busy. If they have a complaint, they take action! It’s exciting to help these vibrant women move forward each year in a positive way.

At The Midlife Wellness Center, Dr. Brenda Smith can help you face the years gracefully. Dr. Smith’s approach includes looking at all aspects of your health: • hormonal health • nutritional and metabolic health • preventative health And above all, you will meet with a true partner in your health. Dr. Smith has worked with women for 24 years and is dedicated to helping women feel vibrantly healthy. NOW OFFERING BREAST THERMOGRAPHY

Dr. Smith is very excited to be offering Breast Thermography – the no-compression, no-radiation way to image the breasts. DR. BRENDA SMITH, MD

Visit www.midlifewellnesscenter.com for testimonials from patients and to learn more about our services.

Dr. Brenda Smith, MD www.midlifewellnesscenter.com

816-587-7979 Give the gift of vibrant health to a woman you love – gift certificates available.


healthy mind • self-university

The purpose of learning is growth, and our minds, unlike our bodies, can continue growing as we continue to live.

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© istockphoto.com / Nicholas Hansen

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–Mortimer Adler, American philosopher


healthy mind • self-university

Back to

School Celebrate self-university week by strengthening your mental muscles. By Ryan Brown Is education something you can truly finish? Or should it be an ongoing process, one that can include formal training, instruction, and maybe even … fun? Sept. 1-7 marks Self-University Week in the United States, and it presents an opportunity for adults to learn something – whether it is enrolling in an art class, reading up on a historical figure, or simply evaluating their lives and determining if there is room to grow.

New Classrooms, New Subjects Classes don’t have to just be studying and taking tests. It can mean figuring out the right sauce to apply to a rack of ribs. It can mean how to determine whether or not a 9-iron or a pitching wedge is called for a particular shot on the golf course. It can mean learning that cooking requires more than calling Pizza Hut. There are classes on how to scuba dive, parasail, and to learn what flowers would make the perfect arrangement for an event. There is more to gain than just knowledge for knowledge’s sake, though. Many hospitals offer first-aid and CPR classes, as well as child-related classes for new and experienced parents. Education is not something that is ever truly “finished.” You might end your formal education after high school or college, but there are opportunities to learn something almost everywhere. Rather than depending on someone else’s opinion to form a belief or thought, you owe it to yourself to reason the issue out for yourself.

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Why Go Back? There are lots reasons to not further your education: It costs too much. No time. Too busy with the kids’ activities. Won’t lead anywhere. But there is one reason that trumps any possible rejection: you. “Education is an investment in yourself,” says Michelle Sodaro, associate dean of general studies at ITT Technical Institute. “Chances are, someone is not doing what they imagined they would be doing when they played the ‘what do you want to be when you grow up?’ game in school. So why not take the time to figure out what you want to be, and do it? Going back to school gives you that chance.” Schools and classes offer flexible

schedules for working adults, and many offer online classes.

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healthy mind • self-education

for parents and kids Expectant parents learn about preparing for childbirth, comfort skills for labor and birth, pain relief, special procedures and postpartum adjustment. St. Luke’s Health Systems wwww.saint-lukes.org • 816-932-2000

Childbirth — Stages of Labor: Comfort Measures and Relaxation Techniques Learn comfort measures during childbirth, including relaxation and breathing techniques, position changes, and massage. Includes a video of a vaginal delivery. Truman Medical Center www.trumed.org • 816-404-4121

Sibling Class Emphasizes the role of the older sibling and ways to welcome the new baby. Includes a tour of the Mother/Baby unit. Appropriate for children ages 3 to 9 years old. St. Luke’s Health Systems wwww.saint-lukes.org • 816-932-2000

Fitness For Two Pregnant women and new moms are welcome. Classes consist of low-impact aerobics, stretching, toning and yoga poses. Education is provided on posture, body mechanics, Kegels and more. Olathe Medical Center www.olathehealth.org 913-791-4312

communicate with them. The Baby Sing and Sign play-based approach combines musical experiences with baby sign, using materials that are readily at hand. Recommended for babies and toddlers 6-18 months. Four sessions. St. Luke’s Health Systems wwww.saint-lukes.org • 816-932-2000

Care of the Newborn/ Breastfeeding This class reviews basics of newborn care and pointers on getting off to a good start with breastfeeding. Participants will receive the Hugster Breastfeeding pillow. Truman Medical Center www.trumed.org • 816-404-4121

Maximizing Brain Development - The First Three Years of Life Most brain development occurs during the prenatal period and the first three years of life. Research shows that our early experiences can dramatically affect the

architecture of the growing brain. St. Luke’s Health Systems wwww.saint-lukes.org • 816-932-2000

First Aid 4 Kids This class is intended for children ages 9-12 and focuses on safety and prevention of injuries as well as the treatment of choking, bleeding and various medical and environmental emergencies. This class fulfills the first aid scouting badge requirement. Instructors are First Aid certified. Olathe Medical Center www.olathehealth.org • 913-791-4312

Homeschooling Basics If you are interested in learning about homeschooling and if it is right for your family, learn about Kansas state laws, homeschooling options, state standards and how to find the help you need. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

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Baby Sing and Sign

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Just because babies can’t talk yet doesn’t mean you can’t

Fitness for Two

© istockphoto.com / Dmitriy Shironosov

Childbirth Preparation



healthy mind • self-education

Geneology

for seniors Learn how to dig up your family roots with techniques to glean and record information from unusual sources. Trace your ancestors in the census records and conduct hands-on research. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

Healthy Teeth at Any Age John Goodman, DDS, discusses healthy teeth and gums and their importance to overall health in this free seminar on Thursday, Oct. 14. North Kansas City Hospital www.nkch.org • 816-691-1688

Starting a Consulting Practice Find out how you can earn income by sharing your training or knowledge with others. This course is designed to help those who wish to set up a consulting practice. Topics will include skills assessments, pricing policies, contracting, and marketing. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

Senior Safety in the Home Officials from the North Kansas City Fire Department advise on how to make your home safer and decrease your risk of fire in this free seminar on Thursday, Dec. 9. North Kansas City Hospital www.nkch.org • 816-691-1688

Start Your Own Arts and Crafts Business Learn how to start your own arts and crafts business from a professional artist. Discover how to create a niche in your chosen craft, price your work effectively, find the best craft shows and market your product to a worldwide internet customer base. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

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A Guide to Navigating Retirement

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Start your own arts and crafts business

Now that you are retired, how should you create an income stream from your investments? This class helps develop that plan for a successful retirement. One-day session, Sept. 28. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

Starting a Nonprofit This course details the aspects of taking a nonprofit start-up from dream to reality. This class is filled with advice and grassroots organization. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

Oh, My Aching Stomach Gastrointestinal issues can be a problem at any age but as we get older, we need to pay more attention to those concerns. Gastroenterologist Gregory Schnell, MD, is the presenter of this free seminar on Thursday, Nov. 11. North Kansas City Hospital www.nkch.org • 816-691-1688

Get Paid to Travel Do you love to travel and enjoy working with individuals? Tour directing may be the career for you. Learn everything you need to start a new career as a professional tour director. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

Senior Lunch & Learn Series This series targets issues for the 55+ crowd. Hear speakers, participate in health discussions and enjoy social interaction. North Kansas City Hospital www.nkch.org • 816-691-1688

From top: © istockphoto.com / Duncan Walker, Floortje

Geneology: How to Dig Up Family Roots I & II


ART I U I I V F I C S I P G S BABY Choosing a fertility program can be overwhelming. How should you compare programs? What about insurance or affordability? Do you fully understand all those high-tech terms? We encourage you to learn as much as possible, so you can be confident about the decisions you make. 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. So learn the facts and check the stats. Visit www.rrc.com or call (913) 894-2323.

Celeste Brabec, M.D. • Ryan Riggs, M.D.

20 years of Innovation


healthy mind • self-university

grown by hand

for fun Students experience an applied approach to effectively leading and coaching models. Develop structures, processes and strategies to create and maintain effective teams. Baker University www.bakeru.edu • 913-491-4432

made by hand

Improve Your Golf Swing An improper golf swing can cause injury and hurt your game. Learn the importance of proper mechanics from physical therapists with North Kansas City Hospital’s Rehab Services Department in this free session on Thursday, Oct. 7. North Kansas City Hospital www.nkch.org • 816-691-1688

Music and the Movies Gain an increased awareness of the many functions of film music and to learn about its prominent role in the cinema. Study film music from its silent film era origins to the present. Baker University www.bakeru.edu • 913-491-4432

Ballroom Dancing Slide, glide and dance your way to health. Learn the fox-trot, rhumba and swing. Couples or singles are welcome. Oct. 5-28. North Kansas City Hospital www.nkch.org • 816-691-1688

Get Funny! Learn from an experienced comedy writer and actress how to come up with jokes or witticisms on the fly, punch up dull material for an audience or make a living as a comedy writer. Learn how to write a one-liner, use physical humor, target your audience and find the humor in everyday events. Punch up speeches and presentations, mix laughter with learning in the classroom, or add humor to your Web site. Six-week online course starting Sept. 15 or Oct. 20. Maple Woods Community College www.mcckc.edu • 816-604-1000

farm-to-table dining private parties catering www.bluebirdbistro.com 816.221.7559

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Espresso Fundamentals

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This three-hour workshop is dedicated to the espresso enthusiast. Learn how to make and taste great espresso. You will learn to recognize a quality shot of espresso through basic preparation and troubleshooting techniques. Nov. 20. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

Espresso Fundamentals

© istockphoto.com / Carla Guastella

Leading and Coaching Teams


healthy mind • self-university

Leading and coaching teams

GET COMFORTABLE DRAWING Don’t be intimidated by drawing – learn the basics of translating what you see onto the page by drawing from objects in the Nelson’s collection. Work with graphite, charcoal and other drawing media in lessons focusing on line, shape, value, proportion and composition. Sept. 16-Oct. 21. Nelson-Atkins Museum of Art www.nelson-atkins.org

History of Rock and Roll An overview of the history of rock & roll/ popular music. Learn the evolution of these genres as they relate to history and culture. Make connections to current trends in music, current media, and popular culture. Baker University www.bakeru.edu • 913-491-4432

The “Dirt” on Composting Composting can be as easy or as enthusiastic as you want. Learn how to add inches of nutritious, soil-loosening compost to your beds. Includes a slide program and handout. For novice and seasoned gardeners alike. One-day session, Sept. 25. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

Become a Certified Competition BBQ Judge If you’ve ever wanted to be in the judge’s chair at a barbecue competition, first you need to become a Certified BBQ Judge. This 5-hour class on Sunday, Sept. 12, covers all aspects of barbecue judging and will earn you an official BBQ Judge Certification as well as an Official CBJ Name Badge. Go through a “mock” BBQ Competition that includes chicken, ribs, pork and brisket sample entries. The Culinary Center, Overland Park, Kan. www.kcculinary.com

ABC, 123 & Finger Spelling This basic sign language course covers the manual alphabet, number signs and finger spelling. Also provides information and details about the deaf culture. Sept. 30. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

emphasis on aridity, tornadoes and the evolution of the field of meteorology. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

Photographing People with Your Digital Camera Photographing people can be fun, exciting – and complicated. This course will make taking beautiful pictures of adults, children and babies simple. After a review of the basics, you’ll discover the best way to shoot faces, repair common problems and take professional portrait and formal group shots. Online course, Sept. 15-Nov. 5. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

Kansas: Weather Kansas weather can prove challenging in the modern era whether you are a farmer, a suburbanite or a meteorologist. Imagine the ways that early settlers tried to cope with the extremes of Kansas weather. This class will focus on the history of Kansas weather with special

Photographing people with your digital camera

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From top: © istockphoto.com / Feng Yu, Jsemeniuk

Growing a Backyard Garden Now is the prefect time to prepare for your spring garden, and it’s easier than you think to grow your own organic vegetables, fruits and herbs. Learn basics of starting our own backyard garden, whether we’re are looking for a few container plants or want to embark on a slightly bigger garden venture. Saturday, Sept. 11. The Culinary Center, Overland Park, Kan. www.kcculinary.com

Pet First Aid Pets get hurt, too, and getting them help quickly can make a big difference in their recovery. The American Red Cross helps cat and dog owners be ready should their pet need immediate first aid. Saturday, Oct. 9. North Kansas City Hospital www.nkch.org • 816-691-1688

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healthy mind • self-university

for your career

Written Communication Explore fundamental issues associated with writing effective prose, such as research sentences, principles of good organization, coherence and redundancy, and grammatically correct sentence structure. Baker University • www.bakeru.edu • 913-491-4432

Web Design Concept and message development, design and production, publishing of Web sites, visual design, color, typography and digital graphics for the Web will be stressed. Text-editing, Web-authoring and image-editing software will be used. Penn Valley Community College www.mcckc.edu • 816-604-1000

Web Development

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An in-depth introduction to the creation of Web pages for a Web site. Create individual Web pages that use all the basic components, then build a site that follows good design and navigation principles. Interactive and multimedia features will be added to the site.

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Web Development

Metropolitan Community College of Kansas City – Longview, Maple Woods and Penn Valley www.mcckc.edu • 816-604-1000

Presenting with Style No more knee-knocking presentation moments. Develop your ability to meet the needs and different personalities of your coworkers and clients. Make your next presentation one that appears confident, well thought and tailored to the audience at hand. One-day session, Oct. 12. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

Leadership: Lessons from History Students evaluate leadership lessons learned across time by surveying leaders and applying leadership theory to their styles. Readings will illuminate the actions taken by many leaders as they struggled with making ethical decisions, thinking critically and building teams of people. Baker University • www.bakeru.edu • 913-491-4432

Online graduate programs Hectic schedule? Don’t have time to drive to class? Or just want to learn while you’re at home? Park University offers dozens of online graduate programs to fit your needs and help you get ahead at work. Get a master’s degree in business administration, communication and leadership, adult education or teacher leadership. Park University • www.park.edu • 800-745-7275

Written communication

From left: © istockphoto.com / James Isbell, Zyuzin Andriy

Wow, What a Great Event! Looking for a new career coordinating special events? Learn proven techniques from a master event planner. Avoid embarrassing and costly planning errors or production mistakes. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu


September is National Prostate Cancer Awareness Month

When you’re battling

prostate cancer you want the best technology on your side. You want Kansas City Urology Care. RAPIDARC PROSTATE CANCER TREATMENTS RapidArc radiotherapy is a breakthrough technology for delivering fast, precise cancer treatments, offering new hope to people battling prostate cancer. With RapidArc, each treatment is completed with a dual rotation of the machine as it generates high-powered x-rays, which targets the tumor more precisely. You don’t have to hold still for long, and it takes only minutes to complete. Trust your treatments to the prostate cancer specialists.

SKILLED SURGEONS Our highly skilled surgeons provide state-of-the-art diagnosis and treatment of urological issues – and each patient is treated as a partner in his or her medical care.

RapidArc radiotherapy provides fast, precise prostate cancer treatments. Kansas City Urology’s Radiation Treatment Center offers the most RapidArc treatments in the city.

Copyright ©2009, Varian Medical Systems, Inc. All rights reserved.

The surgeons at Kansas City Urology Care are experts in diseases of the prostate, kidney stone removal and urinary incontinence. You can trust KCUC for all your urological concerns. Kansas City:

Overland Park:

• Research Medical Center 816-444-5525

• Menorah Medical Center 913-338-5585

• St. Luke’s Plaza 816-531-1234

• St. Luke’s South 816-531-1234

Merriam:

• Shawnee Mission Medical Center 913-831-1003

Lee’s Summit:

• Across from St. Luke’s East 816-524-1007

Lenexa:

• Shawnee Mission Outpatient Pavilion 913-831-1003

North Kansas City: • North Kansas City Hospital 816-842-6717

www.kcurology.com


healthy mind • self-university

for your health Stress Management

Women’s Health Issues

Explore the effects of stress on the human body and learn techniques for coping with and reducing stress. Investigate how stress influences disease processes, as well as emotional health, mental fitness and a general sense of wellness. Focuses on the application of stress reducing and coping strategies. Baker University www.bakeru.edu • 913-491-4432

Examines physical and psychological health issues that are common among women. Learn about various diseases and illnesses, explore risk factors, examine characteristics associated with women‘s health issues, identify behavioral health risks, and learn methods for minimizing women‘s health risks. Topics include cardiovascular health, female cancers and gynecological health, nutritional and fitness-related health, and women‘s emotional and psychological health. Baker University www.bakeru.edu 913-491-4432

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Medicare, Medicaid, and Options for those Underinsured Oct. 13, presented by Peggy McGinnis, MSW, LCSW. Research Medical Center www.researchmedicalcenter.com

Alphabet Soup of Medicare Insurance Are you turning 65 or eligible for Medicare because of disability? What is Plan C, Plan F or Part D prescription drug plan? Learn about Medicare PPOs and HMOs. This two-hour class will help you master the ABCs of Medicare insurance. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

Introduction to Natural Health and Healing True health means wholeness of the mind, body and spirit. Explore naturopathy, which seeks ways for the body to heal itself. Find out about proper breathing techniques that enhance heath and learn about hydrotherapy, diet, biorhythms and fasting. Also includes herbal healing, aromatherapy, body therapies, massage techniques, osteopathy, chiropractic, T’ai Chi, reflexology, yoga, Feng Shui, therapeutic touch and natural remedies for common emergencies. Six-week course starting Sept. 15 or Oct. 20. Maple Woods Community College www.mcckc.edu • 816-604-1000

Has a job loss, graduation or no benefits at work left you uninsured? What is COBRA, State Continuation, or HIPPA? Understand the language of insurance: PPO, HMO, HSA and pool. This class will help you get the most out of your premium dollar. Johnson County Community College www.jccc.edu • 913-469-3803 jcccadmissions@jccc.edu

Family and Friends CPR

Natural Health and Healing

This non-certified American Heart Association class is offered to those interested in learning basic CPR skills for the adult, child and infant as well as how to aid a choking victim. Monday, Sept. 13. Olathe Medical Center www.olathemedicalcenter.org 913-791-4312

© istockphoto.com / Monika Adamczyk

Caregivers Count The American Red Cross presents a free series on Family Caregiving Survival. Attend one or all sessions: • Caring for a Loved One with Alzheimer’s Disease or Other Dementia, Oct. 5 • A Caregiver’s Guide to Healthy Eating, Oct. 19 • You Want Me to do WHAT? Assisting with Personal Care, Nov. 2 North Kansas City Hospital www.nkch.org • 816-691-1688

First Time Buyer’s Guide for Health Insurance


1

#

2010

Parents&

Colleges

sm

BEST COLLEGES

Park University is the top-ranked value

among private colleges and universities, according to Parents & Colleges, an online resource for parents of college-bound students. Institutions included on this list offer a diversity of degrees, have affordable tuitions and/or offer generous financial aid, and report the highest SAT or ACT scores for this incoming class. Park was cited as offering "both proximity to

big-city excitement and the safe, relaxed atmosphere of a small town. The student body represents 50 states and 100 countries, and the school prides itself on its diversity and global outlook. Tuition for full-time undergraduates is a fraction of other private institutions. The average class size is small and the student-tofaculty ratio is low."

(816) 746-2520 | www.park.edu parkville | downtown kansas city | independence | lexington | online Park University’s degree programs are accredited by the Higher Learning Commission, a member of the North Central Association of Colleges and Schools.


Why should you choose a midwife? • Focuses on the natural process of pregnancy, labor and birth • Combines traditional skills and modern techniques • Respects individuality and beliefs • Emphasizes preventative care • Low rates of cesarean sections • Encourages family involvement • Comfortable hospital birth with physician back-up

Valery Webb, CNM

Deann Martin,

CNM

Sarah Darby, CNM

The Women’s Healthcare Group is proud to provide the very best in Midwifery Services in Johnson County.

IN ADDITION, WE OFFER SERVICES IN:

• Obstetrics • Gynecology • Laparoscopic Surgery • Gynecologic Urology • Contraceptive Counseling • Infertility

PLEASE VISIT www.whcg.org FOR MORE INFORMATION

The

Women’s Healthcare Group M.D.

Timothy Martin, M.D.

OVERLAND PARK

Kathleen Stone, M.D.

(Overland Park only)

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

Margaret Estrin, M.D.

Kimberly Tony Moulton, D.O. Schlichter,

M.D. (Overland Park only)

LAWRENCE

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

Courtney Younglove, M.D.

Michael Proffitt, M.D.

Michelle Langaker,

D.O. (Overland

Jennifer Riggs, Kristi Torline,

ARNP (Overland Park only)

PA-C

Park only)

Hospital services provided at Overland Park Regional Medical Center and Shawnee Mission Medical Center.

© ISTOCKPHOTO.COM / MARIYAL

Hal Younglove,


healthy body • aging

aging

gracefully

Take care of your body, mind and finances now to make sure your golden years glow By Emily Farris

“Age is an issue of mind over matter. If you don’t mind, it doesn’t matter.” Unfortunately, that’s easier said than done. It’s hard not to mind when your body doesn’t heal as quickly as it once did, or when you see a new line every time you look in the mirror. But people age 65 and older make up 13 percent of the U.S. population. And with advancements in medicine, that number is only expected to grow. Not only that, but older Americans are living longer and more prosperously than any previous generation, with nearly a third considered “high income,” while another third are living comfortably with “middle” incomes. Perhaps Mark Twain was a little ahead of his time with the idea of embracing aging. Don’t worry, though; embracing your age doesn’t mean letting yourself go, and it certainly doesn’t mean scrambling to look 20 years younger. Whatever you want to call it, aging gracefully is about taking care of your body, your mind and your finances, so you can be healthy and happy enough to benefit from some of that wisdom you’ve accumulated along the way. Looking great while you do it won’t hurt, either.

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© istockphoto.com / Daniel Laflor

– Mark Twain

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healthy mind • peace of mind

financial health, decade by decade There are things you can do at every age to ensure your financial security in your golden years. (And if you’ve missed a few steps along the way, wherever you are, sit down with a financial planner to discuss your options going forward.)

20s: develop good habits

Develop good financial habits and learn to live within your means, says Jason Cole, a certified financial planner at Financial Advisory Service in Leawood, Kan. “Figure out a way to live off of 90 percent of what you bring home,” he says. “Set that other 10 percent aside for an emergency fund so you can stop living paycheck to paycheck.” Take advantage of 401K plans at work or start a ROTH IRA – even if you can only add $25 or $50 a month right now.

30s: make a plan

Now is when you make decisions that will affect the rest of your life, from relationships to major purchases. “Sit down and start ironing out your financial plan,” Cole says. “Do you want to retire at 50, 60 or never fully retire? Start mapping that out.” Go over your retirement goals with a financial adviser, and decide how you plan to achieve them. “You should come out of your 30s with a basic understanding of finance,” Cole says.

40s: educate yourself

“If you’ve lived within your means, you should have developed a little nest egg by your 40s,” Cole says. But what do you do with it? Monitor your investments, understand your risk profile and reexamine your retirement plans. If you need to make some adjustments to ensure you’ll be secure when it comes time to stop working, now is the time to do it.

50s: get a financial check-up

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“The biggest mistake people make when planning for retirement is not making the elimination of their debt a priority. There is no more powerful position to be in on the day you’d like to retire than to be debt free.” -Geoff Huber, certified financial planner at Triune Financial Partners LLC, Overland Park

60s: practice retirement

Take a long vacation in your 60s, a really long vacation. And do it on your planned retirement budget, in the location you plan to retire, so you’ll know exactly what you’re getting into financially when you retire for real. Find out if you can handle having all that time to do nothing, or if you find you’re happier shopping, traveling or getting involved with a charity. “Most people can only sit on a beach for about two weeks without doing anything before they start to go crazy,” Cole says. Make sure you and your savings account are prepared for that.

© istockphoto.com / Amanda Rohde

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Your 50s are all about ratios, Cole says. First: leverage ratio – how much debt do you carry? You should have more capital than debt, and Cole suggests a three-to-one ratio in your 50s. Second: the “quick ratio.” How much money do you have available if you need it quickly? Again, he suggests three-to-one. Third, and most important according to Cole, is the workingcapital ratio, meaning having assets that are working for you.


healthy eating • nutrition

6 foods to add, before you turn 60 An apple a day might keep the doctor away while you’re young, but as you get older, it’s important to eat whole foods that will help keep your body working the way it should for years to come. “What we choose to put into our bodies really set us up for how we’re going to age,” says Leigh Wagner, the Nutrition Educator in the Integrative Medicine program at the University of Kansas Medical Center.

drink up

1. wild salmon

4. quinoa

Quinoa (pronounced KEEN-wah) has recently been promoted as a “super-food” in the U.S., though it has been an important part of South Americans’ diets for centuries. High in protein, this whole grain is also a great source of fiber, which is integral to keeping your digestive system working properly. When cooking, use quinoa in place of rice or couscous.

2. kale

“As we age, we need more calcium, fiber, iron, protein, vitamin C and folic acid,” Wagner says. Each of those are found in kale, a leafy green vegetable. A natural antioxidant, it is also rich in beta carotene, vitamin K, and potassium. And like its cabbage cousins, there are many ways to prepare it. An easy substitute for spinach, it’s great in soups and salads, or sauteed with with whole-wheat pasta in olive oil and sea salt.

5. black beans

The protein in beans is great for maintaining lean body mass, which helps maintain and repair tissue, Wagner says. The darker the bean, the more nutrients it has. So next time you hit the salad bar, throw some black beans on top. Or when you’re out for Mexican food, request black beans in place of refried ones.

3. blueberries

Blueberries are full of antioxidants, which help to combat free radicals. “Free radicals are what begin to cause us to age,” Wagner says. “Antioxidants are powerful in combating those and keeping your cells functioning properly.” Have a handful as a snack, or put them in your cereal or yogurt.

6. walnuts

In moderation, walnuts have been found to help reduce inflammation, lower cholesterol, prevent and control high blood pressure, and boost brain function. That’s because they have “good fats.” When you’re craving something crunchy, grab a handful of walnuts – but just one. Good fat is still fat, and a quartercup of chopped walnuts contains nearly 20 grams of it.

Milk Milk does a body good, whether you’re 16 or 66 – and not just because its calcium helps to keep your bones strong. Wagner says 95 percent of elderly people are vitamin D deficient because they spend less time outside (the sun is a great source of vitamin D). Consuming milk or taking a vitamin D supplement (or both) can help.

enhance magazine

Clockwise from top left: © istockphoto.com / Monica-photo, Karen Massier, Joe Cicak, Vladislav Mitic, Suzannah Skelton, David Heurtaut

“With a lot of chronic diseases, the underlying issue is inflammation, and Omega-3 fatty acids are anti-inflammatory,” Wagner says. If you can’t find or afford wild salmon on a regular basis, Wagner suggests Bear & Wolf brand canned wild salmon as an alternative. And because Kansas Citians don’t eat as much fish as people on the coasts, she suggests a daily fish oil supplement for all her patients, especially as they age.

Green tea Green tea’s antioxidants – catechins – scavenge for free radicals in your body, and studies show that regular consumption can help lower cholesterol, burn fat, prevent diabetes and stroke, and delay the onset of dementia.

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healthy body • skin

5 ways to save your skin Your skin is incredibly resilient – putting up with bumps, bruises, rashes, cuts, infections and burns. It can withstand a lot, especially when you’re young. But it still needs daily care to ensure it can keep protecting you.

1. wear sunscreen

“Sun exposure over the years is what accounts for most aging,” says Dr. John Proffitt of Johnson County Dermatology. Using sunscreen is the most important thing you can do for your skin. Keep it over 30 SPF especially before 30, when you’re more likely to be in the sun regularly.

2. moisturize

“As we get older, our skin gets dryer and loses its ability to hold moisture,” Proffitt says. What’s in your moisturizer is less important than the fact that you moisturize regularly. You might need more moisture in certain areas, like around the eyes, so try a heavier moisturizer or eye cream.

3. exfoliate

Whether you have a professional treatment (microdermabrasion), a cream (Retin-A or alpha hydroxies), or do it yourself at home (a scrub), exfoliation is great for sloughing off the outermost layer of dry skin. But avoid astringents that can dry out your skin.

4. nourish from the inside out

If you’re ignoring what you put inside, it’s going to show on the outside. Focus on real, not processed foods, and don’t overdo the alcohol. And put down those cigarettes! Smoking will cause wrinkles around your mouth as early as your 20s and has been shown to decrease elasticity in your skin all over.

5. when all else fails, botox

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put your best face forward

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As we get older we tend to lose natural color, so women shouldn’t be afraid of adding more to the cheeks or lips.

Kansas City-based professional make-up artist Marina Proctor offers tips for applying makeup.

Lips tend to get smaller the older we get, so use a good lip liner and then powder the lips after applying lipstick to help the color stay on longer. This will also prevent the color from bleeding into the small lines around the mouth.

Foundations with an illuminating base can be nice for a fresh look, but stay away from frosts and shimmers on the eyes – or anywhere.

© istockphoto.com / Jacob Wackerhausen

Many women over the age of 40 turn to Botox or Dysport to help soften facial lines. “It gives you a nice, relaxed, flatter forehead,” says Proffitt, who applies it mostly on the forehead or around the eyes.


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healthy body • flexibility

3 simple ways to improve flexibility Anyone who’s ever had a broken bone or serious injury knows how frustrating physical limitations can be. And as we age, our bodies have a harder time doing things that once came easily. Luckily, there are things you can do today, and every day, to help your body work with you, not against you.

“Getting out of chairs, off the sofa or out of the car can be very difficult for older people,” says Erin Heide, an American Council on Exercise-certified personal trainer in Waldo. Heide suggests sitting in a chair or on your couch and without using your arms to push or pull yourself up, simply stand up. Repeat 20 times in a row. You’ll be strengthening your abdominal muscles and your lower body, as well as stretching out your lower back.

2. pick up

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Picking up around the house doesn’t just keep your home free of clutter; it also keeps your muscles young. Heide suggests picking up one item at a time so you have to keep bending over. Or, volunteer to pick up trash in your neighborhood or a local park. Bend from the waist, Heide says, and keeping your knees slightly bent, pick up an item and stand back up to straight while rolling your shoulders back and down.

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3. stretch

The most obvious and important way to maintain flexibility is to stretch. “As we age, the range of motion and joint flexibility decreases,” says Kim Traub, a physical therapist at Shawnee Mission Medical Center. “The connective tissue tightens up, and that can make it hard to go up and down stairs, walk or reach for objects. It’s very important that we stretch so we can stay active and decrease our risk for falls.” Stretch three to four times a week, whether you’re working out or not. For people who’ve never exercised or properly stretched, start gently, holding simple stretches (like sitting down and holding your arms and legs out) for 10 seconds at a time and working up to two or three repetitions of 30-second stretches.

hold that pose Hold each stretch for 30 seconds or more a day: Hamstring Stretch (2 to 3 reps)
 Bend at the waist and let your upper body and arms hang down with the intent to touch the toes. Lower back stretch (2 to 3 reps)
 Start down on the ground on all fours and push your hips back so that your rear rests on your heels while stretching your hands out in front of you. Walk them away from the body (this is also called Child’s Pose in yoga). Chest and shoulder stretch

(2 to 3 reps)
 Interlace your fingers behind your back. Push your hands down and then pull up until you feel a great stretch across your chest and shoulders.

© istockphoto.com / Ana Abejon

1. stand up


Never underestimate how a good laugh and an optimistic attitude can help anyone feel younger, healthier and more fulfilled. StudieS of people who have lived to 100 years of age show they have two things in common — a sense of humor and optimism. It seems laughter stimulates the immune system, helping protect people from disease. And optimism keeps us positive and looking forward to tomorrow. We know it’s not always easy to be optimistic about the challenges life can set before us. So whether you’re wondering about the freedom of our independent living lifestyle, or the care needs of someone you love, we can help you find answers that work best for you. Just ask. Call today for our free brochure and together,

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healthy mind • depression

1. join the club

Having a variety of interests and activities is crucial as we age, says Stevie Schuart with The Passages, because if physical hardships make it difficult to do what you love, it’s easy to fall into depression. Volunteering is a great way to get involved in new activities.

2. do the sunday crossword

Activities that stimulate your mind are brain workouts. Crossword puzzles, reading and card games like Bridge keep your brain active and keep you engaged.

3. find your spiritual side

“Even if you’re not someone who follows a particular religion, having something in your life that connects you spiritually – whether it’s nature, or going to church – something that keeps you grounded and feeling like a part of the universe is good for your mental health,” Shuchart says.

4. spend time with friends

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“A key to aging well is making sure that you have people around you who support you and care for you,” Shuchart says. Make new friends if you can, and pay attention to the relationships you already have, particularly your marriage.

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5. exercise

hugely under-diagnosed,” says Stevie Shuchart, a Clinical Social Worker with

The National Institute of Health recommends at least 30 minutes of moderate physical activity at least five days a week for adults. It will keep you healthy and happy. Exercises like walking, jogging, dancing or swimming can regulate stress hormones like cortisol, and promote the release of endorphins.

the Passages Program of

6. laugh. every day

had – the sadness they’re

It’s important to laugh, every day, says Shuchart. “Laughing and doing lots of activities will increase those brain chemicals that will make you feel good.”

7. take care of yourself first

Self-care can often become a problem for aging people, especially those in care-giving positions. “Caregivers are particularly prone to depression and anxiety,” she says. Seek help from other caregivers, from profesisonals or from other family members.

8. focus on your sexual needs

Age shouldn’t put an end to a healthy sex life. Talk to a doctor or pharmacist, and don’t be afraid to consult books or the Internet. “Maintaining a healthy sex life

Kansas City Hospice and Palliative Care. “People expect that as they age and incur multiple losses – the people they love, roles they enjoyed and abilities they feeling would be natural.”

as you age can contribute to good mental health, general well-being and feelings of connectedness,” Shuchart says.

9. get a physical

“Sometimes there’s a really fine line between what may be caused by depression, or what’s caused by dementia,” Shuchart says. “And that’s something best diagnosed by a medical doctor.”

10. get a mental checkup

“If it’s clear there’s an organic cause for how you’re feeling, it’s always a good idea to go for a mental health checkup with a qualified professional,” Shuchart says.

© istockphoto.com / Pali Rao

10 tips for mental health

“Depression in seniors is


healthy body • teeth

5 things to do for a healthy mouth How do you know if your clean mouth is also a healthy one? A healthy mouth has 28 teeth, gum tissue that completely covers the bone up to where the crown and the root of the tooth join, and fills in the spaces between the teeth. But age, health issues in other parts of the body, and medications can all play a part in the deterioration of bone and tissue in your mouth.

1. brush gently

Everyone knows you need to brush twice a day, but what products you use and how you use them are just as important to your oral health. Don’t use a hard-bristled toothbrush or too much pressure when you clean, says Dr. Daniel J. Thomas, a periodontist at Periodontal Specialists, P.A. in Leawood, Kan. Some newer electric toothbrushes have pressuresensitive heads that will tell you when you’re using more pressure than you need.

2. floss daily

“If you’re only brushing your teeth, you’re completely skipping two surfaces that are touching the teeth on the other side,” says Thomas. Over time, people who don’t floss will start to see larger spaces between their teeth due to plaque accumulation – if that happens, you’ll eventually be forced to get in there with floss or a toothpick. Thomas recommends flossing twice a day, but concedes that once a day is better than nothing.

3. see a dentist regularly

Medications like antihistamines, diuretics, pain killers and anti-depressants can all affect the production of saliva, and saliva helps to wash away food and neutralize plaque. So if you’re on medications, ask your dentist how often he’d like to see you for a check-up. Thomas encourages diabetes patients to see their dentists more often, too, as higher sugar levels in the body can cause bacteria to thrive in the mouth.

5. consider dental implants

Thomas says it’s estimated that at least half of people age 55 or older (who are not institutionalized) have some form of periodontal disease, and that one out of four people 65 and older have lost of all their teeth. Dental implants can support dentures because on their own, dentures can contribute to tissue loss in the mouth and bone loss in the face. “Teeth help maintain the shape of your face,” he says. Dental implants can have the same effect and make dentures more secure.

Post-menopausal gingivitis Because of the effects of estrogen and progesterone, women are prone to dental issues as they age. Thomas says symptoms of post-menopausal gingivitis include uncomfortably dry mouth, a burning sensation in the gum tissue, altered taste and gum tissue that looks dry and shiny and bleeds easily.

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© istockphoto.com / Zts

Seeing a dentist or periodontal specialist on a regular basis will help to keep your gum tissues healthy as you age, Thomas says. For patients with no medical conditions, he recommends an oral checkup every six months.

4. adjust your dental care to your medical conditions

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health education • aging

The length of the

At the end of each

telomeres – and how

chromosome, there is

fast they burn away –

a little cap called a

determines how quickly

telomere that protects

we age. Luckily, there

the DNA inside the

are lots of ways to keep

chromosome and keeps

your telomeres intact.

it from unravelling. Telomeres are the key to how we age.

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– Satchel Paige

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© istockphoto.com / Gary Caviness

How old would you be if you didn’t know how old you are?


health education • aging

The science of

AGING The secret to how fast you age is on the tips of your chromosomes

It’s easy to look at some perpetually babyfaced people and grouse about how unfair genetics can be. But before you blame the DNA hand you’ve been dealt, you should take a closer look at your genes. It turns out that you have more control over how fast you age than you might think.

Cellular turnover “The body that you identify as ‘you’ didn’t exist a year ago,” Dr. O’Keefe says. All the cells and atoms that combine to create your body are in a dynamic state of change all the time. Studies at the Oak Ridge Atomic Research Center show that 98 percent of the atoms in a human body are replaced each year. And some of the cells are on specific schedules:

n

Skin cells: changed once a month n Liver cells: every six weeks n Lining of gastrointestinal tract from mouth to stomach: lasts five days How can you use this constant turnover to your advantage? “It is possible to recreate a whole new you by focusing on turning on the genes for youthful vigor and good health, and turning off the bad genes that code for decay and disease,” Dr. O’Keefe says. To keep your DNA in optimum condition, you need to maintain those telomeres that stop the DNA from unraveling. How fast you age – and how long you will live – is related to how fast your telomeres burn up. To put the brakes on aging, you need to keep those telomeres intact so you can rebuild healthy new cells for your healthier, strong body.

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Telomeres How fast we age is all about genetics, and it’s controlled to a large degree at the cellular level by something called telomeres. Each cell has a full set of DNA inside it, and that DNA is located inside the X and Y chromosomes. “Your DNA is the unique instruction book on how to build and maintain the one and only you,” says Dr. James O’Keefe, a physician with St. Luke’s Cardiovascular Consultants.

The ends of those chromosomes feature little caps called telomeres – think of them like the plastic tips at the end of shoelaces that keep them from fraying. Each time a cell divides to make of copy of itself, the telomere is shortened, and when it’s gone, the DNA unravels. When that happens, the cell can’t copy itself anymore, and that becomes a problem.

By Colleen Cooke

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health education • aging

healthful diet

vitamin D

exercise

Too many calories in an unhealthy diet – particularly from sugar, white flour and saturated fats – cause your blood sugar to spike after meals, and that triggers oxidative stress. This leads to inflammation and speeds up the burn rate of your telomeres. Excess belly fat also increases inflammation and the rate of telomere decay – and this leads to a shorter lifespan.

Most people don’t get enough vitamin D, and that deficiency contributes to inflammation that hastens the aging process. “Higher serum vitamin D concentrations are linked with significantly longer telomeres,” Dr. O’Keefe says. “This was equivalent to five years of additional lifespan.” Ideally, you should get vitamin D through daily exposure to the sun (for brief amounts – maybe five or 10 minutes a day) and from fortified milk. But for most people, a supplement is called for – Dr. O’Keefe recommends doses of at least 800 IU daily.

“Regular exercise is one of the best ways to slow telomere erosion and prevent premature genetic aging,” Dr. O’Keefe says. Vigorous exercise is associated with longer telomeres, while shorter lengths are considered an independent risk factor for cardiovascular disease. “Scientists have also noted that people who maintain fitness over time also tend to look and act younger than physically inactive people of the same age,” Dr. O’Keefe says.

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In a study published in The Lancet Oncology in 2009, 30 men with low-grade prostate cancer were placed on a diet free of processed carbohydrates (such as refined sugars) and full of whole foods, especially fruits and vegetables. They were also encouraged to do daily moderate aerobic exercise and practice relaxation techniques. The result: After three months, the participants had increased their telomerase levels (an enzyme that prevents telomere shortening) by 29 percent.

Case study Studies indicate that lower vitamin D levels are associated with age-related diseases like cancer, diabetes, high blood pressure, osteoporosis, coronary artery disease, stroke and Alzheimer’s.

Case study A recent study compared a group of young and middle-aged runners to a group of their sedentary peers. The inactive middle-aged subjects had telomeres that were 40 percent shorter than the sedentary young subjects. Meanwhile, the middleaged runners had pretty much preserved their telomere length, with only a 10 percent difference compared to the younger runners. Overall, long-term fitness from running was associated with a reduction in telomere shortening by 75 percent.

From left: © istockphoto.com / Pidjoe, Maria Toutoudaki, Bluestocking

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Case study


health education • aging

Stay out of the shallow end of the gene pool You can delay aging and prevent age-related diseases by taking steps to keep your telomeres intact.

stress

omega-3

Studies consistently show that high levels of emotional stress over time increase your cardiovascular risk, impair immune function and decay your general health. Psychological stress has been linked with higher oxidative stress and shorter telomere length. “A high-stress lifestyle can make you 10 years older, at a genetic level, than you really are,” Dr. O’Keefe says.

Did you know that the Japanese live about four years longer than Americans, and their coronary heart disease rates are less than half of those found in the United States? Recent studies attribute this to their fish consumption, and specifically to the omega-3 fats present in seafood. “Omega-3 may delay genetic aging by slowing the telomere burn rate and, in doing so, may improve longevity and prevent age-related illnesses,” Dr. O’Keefe says. Take 1,000 mg per day of omega-3 fats from fish or fish oil to reach the level that protects your telomeres.

Look at photos of U.S. presidents at the beginning and end of their presidencies, and you’ll see that they have appeared to age at warp speed. One notable exception was Harry Truman. During his seven years in office, he walked for exercise nearly every day, ate a diet full of vegetables, fruits and natural protein like fish and nuts, had hobbies like playing the piano, socialized with friends and family, and had one alcoholic drink per day.

Case study Elizabeth Blackburn won the Nobel Prize in Medicine in 2009 for discovering how chromosomes are protected by telomeres and telomerase. A study she coauthored found that people with blood omega-3 levels in the top 25 percentile had a 70 percent reduction in the rate of telomere loss than those in the bottom 25 percent.

daily – try to make some of it vigorous physical activity, particularly outdoors. n Take a purified fish oil supplement – at least one gram (1,000 mg) of DHA + EPA daily. n Take a vitamin D supplement daily. n Avoid junk food – eat two colorful vegetables or fruits and one serving of healthy protein with every meal. n Keep your waist size to less than half your height. n Sleep seven or eight hours a night. n Control your stress – focus on personal relationships and enjoyable, enriching experiences. n Minimize exposure to smog, smoke, toxic chemicals and radiation (such as unnecessary X-rays).

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From left: © istockphoto.com / DNY59, Katarzyna Krawiec

Case study

n Exercise

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healthy mind • dementia

Dementia: A general term describing the loss or decline of memory and other cognitive abilities. Caused by various diseases or conditions, such as Alzheimer’s, that damage brain cells. Alzheimer’s: The most common cause

of dementia.

Spotting the signs of

DEMENTIA When is a memory lapse a sign of something more serious? By Gina B. Kellogg

In the past, when grandmother couldn’t remember what day it was, we chalked up her memory lapse as being “senile.” Today, we know better. Research has taught us that senility – now recognized as an outdated term – is not a normal part of aging. Doctors who see symptoms of memory loss are more likely to consider a diagnosis of dementia, a

general term referring to memory loss or other severe mental abilities that interfere with daily life. Alzheimer’s disease is the most common form of dementia, accounting for 50 to 70 percent of cases. Other types of dementia include vascular dementia, mixed dementia, dementia with Lewy bodies and frontotemporal dementia.

by the numbers

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million Americans of all ages currently have Alzheimer’s disease (AD). n One in eight people aged 65 and older (13 percent) have AD. n Every 70 seconds, someone in America develops AD. By midcentury, someone will develop the disease every 33 seconds. n African-Americans are about twice as likely to have AD than whites. n Hispanics are about 1.5 times more likely than whites to develop the disease. Source: 2010 Alzheimer’s Disease Facts and Figures, Alzheimer’s Association

© istockphoto.com / Roel Smart

n 5.3


healthy mind • dementia

10 warning signs of Alzheimer’s Disease 01

Memory loss that disrupts daily life. Forgetting recently learned information or important dates or events. Asking repeatedly for the same information, relying on reminder notes or other memory aids or expecting family members to care for tasks the person formerly handled independently. Don’t worry about sometimes forgetting a name or appointment as long as the person remembers it later.

02

Challenges in planning or solving problems. Inability to develop and follow a plan or work with numbers. Difficulty cooking from a familiar recipe or keeping track of finances. Concentrating can be a challenge, and tasks take longer to complete than they previously did. Don’t worry about making an occasional error, such as when balancing the checkbook.

03

Difficulty completing familiar tasks. Problems with driving to a familiar location, managing a budget or remembering the rules of a favorite game. Don’t worry about occasionally needing help to use the settings on a microwave or to record a TV show.

04

Confusion with time or place. Individuals forget where they are or how they got there. Losing track of dates, seasons and the passage of time. Not understanding something if it is not happening immediately. Don’t worry about getting confused about the day of the week as long as the person figures it out later.

05

Trouble understanding visual images and spatial relationships. Vision problems can be an obvious sign. Other problems: difficulty reading, judging distance or determining color or contrast. Not realizing who the person in the mirror is. Don’t worry about vision changes related to cataracts.

06

New problems with words in speaking or writing. Trouble following, joining or continuing a conversation. People repeat themselves or struggle with vocabulary (for example, calling a “watch” a “hand-clock”). Don’t worry about sometimes having trouble finding the right word.

08

Decreased or poor judgments. Difficulty making judgments or decisions, such as giving money to telemarketers or scam artists. Forgetting to bathe or care for hygiene. Don’t worry about making a bad decision once in a while.

09

Withdrawal from work or social activities. Discontinuing hobbies or avoiding social activities. Don’t worry about sometimes feeling too tired to participate in work, family or social obligations.

10

Changes in mood and personality. Those with AD can become confused, suspicious, depressed, fearful or anxious. When they aren’t in their comfort zone, they can easily become upset or get angry with friends or family. Don’t worry about developing very explicit ways of performing tasks and becoming irritable when someone or something disrupts the routine.

07

Misplacing things and losing the ability to retrace steps. Setting items in unusual places or losing them. Accusing others of stealing – events that may occur more frequently over time. Don’t worry about misplacing things occasionally. enhance magazine 49


power up yo T

aking a cue from nature, the latest hearing technology is more natural and powerful than ever before. "Thanks to recent advances in technology, we are seeing a whole new menu of options in audiology," says Tim Steele, Ph.D., F.A.A.A., vice president of Associated Audiologists. The most innovative options fall into three categories--hearing aid systems, deep-fit hearing aids and extendedwear hearing aids. These hearing aids are cosmetically appealing and offer unprecedented performance, but they aren't for everyone. Your options depend on the type and degree of hearing loss you have, and the unique anatomy of your ears.

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"All of these hearing aids are designed to create a more natural hearing experience," Dr. Steele says. "Because the technology involved is more complex than ever before, it's critical for you to consult an audiologist about which hearing solution is optimal for your individual circumstances." Talk with Associated Audiologists, Inc. today about a diagnostic hearing evaluation and personal consultation to find out how you can benefit from these powerful advances in hearing technology.

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25 years

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25 years of hearing your best When James A. Wise founded the first office of Associated Audiologists, Inc. 25 years ago, the field of audiology was different than it is today, but his focus was the same. “From the beginning, my goal has been to provide the highest level of quality and service to patients,” Dr. Wise says. “We are committed to individualized care, to building relationships with our patients.”

Today, Dr. Wise is president of Associated Audiologists, Inc.’s staff of 11 university-trained audiologists. The practice has five offices located in Overland Park, Prairie Village, Shawnee Mission, Lenexa and Leavenworth. Each office uses advanced diagnostic and verification equipment and offers products from the world’s most respected hearing aid manufacturers.

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healthy relationships • group living

Options in

Group living housing options appeal to those who want to leave the chores to

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others

52

By Gina B. Kellogg

Living in their own homes during their twilight years appeals to many adults. But not everyone has a hankering for the ol’ homestead. Many look forward to leaving behind the burdens of homeownership, and for others, having someone do the cleaning and cooking is a relief. Those who fall into the latter category likely will eventually find themselves looking into group housing options. While they may give up some privacy, a large number of seniors are attracted to the wide range of in-home support services these settings offer. They also look forward to spending time socializing with others who have similar life experiences.

When exploring the choices, don’t be overly confused by the various terms used. Marketers differ widely in how they describe the facilities. (The National Association of Area Agencies on Aging has compiled a list of 30 different terms marketers use.) In general, the facilities comprise some type of building or community in which groups of seniors live with amenities and support services to make their lives comfortable. For the most part, you can categorize the offerings according to the level of care they provide: independent living, assisted living and skilled nursing (often referred to as a nursing home).

Resource Eldercare Locator 800-677-1116 www.eldercare.gov This servicefocused organization will connect you with the local Area Agency on Aging for the Kansas City neighborhood in which you live.

From left: © istockphoto.com / Mark Papas, Absolut_100, Digital Skillet

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healthy relationships • group living

54

Kansas City offers a wide range of independent living options for seniors, no matter what size of home in which you’d like to reside. At John Knox Village’s 450 acres in Lee’s Summit, for example, housing choices range from freestanding homes to villas and apartments. Armour Oaks Senior Living Community in Kansas City, Mo., offers similar options. Options include garden villas with fully equipped kitchens and attached garages to oneand two-bedroom apartments. Amenities at most communities take care of the burdens of daily life, as well as offer sweet extras. You’ll typically find weekly housekeeping, linen service and top-chef dining, as well as on-site ice cream parlors, beauty salons, computer labs, fitness centers, gift shops and chapels. To qualify for these communities, seniors must be in good health – both mentally and physically – and able to care for their personal needs. (The ability to manage bowel and bladder functions is also required.) Ready to look into finding an independent living community for yourself or a loved one? Consider the list of questions at right before you choose. During your visits, talk with residents to get their first-hand views. If you drop in at mealtime, accept the invitation to enjoy a complimentary lunch or dinner. And, of course, pay attention to the community as a whole. You’ll want a home that is not only clean and wellmaintained but safe and secure, too.

questions for choosing an independent living community General n Who owns and manages the community? Is it for-profit or not-for-profit? n How long has the managing organization been in business? n Is the community accredited? Has it met high standards in resident services, operations and financial stability? Health Are healthcare services provided on site? n What levels of care are offered? n How much will it cost if a higher level of care is needed in the future? n What is the community’s record regarding state inspections of the assisted living and skilled nursing levels? n

Fees What specifically are the fees? n What amenities, activities, etc., are – and are not – covered by fees? n When do monthly fees increase? What causes an increase? n What has been the average fee increase percentage over the past five years? 10 years? n

Recreational and social activities n What kind of social, cultural and educational activities are offered? n Do residents organize these activities or a staff member? n Is transportation provided for local needs, such as doctor visits or grocery shopping? n What clubs and committees are offered for residents? Waiting Lists/Sign-up Procedures Does the community have a waiting list? n How long do most residents wait? n How do you add your name to the waiting list? Is there a cost? n Do you lose your waiting-list status if you are offered certain housing and you decline? n

© istockphoto.com / Rebecca Ellis

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independent living options


healthy relationships • group living

Assisted living options

© istockphoto.com / Jacob Wackerhausen

Residents can live as independently as possible while still having the safety and security of knowing that 24/7 assistance from licensed staff is right outside their door.

when is assisted living the next step? Assisted living is appropriate for someone who needs some level of assistance with everyday activities, such as meals, medication management, transportation and bathing. John Knox Village offers the following questions to help individuals determine whether assisted living may be necessary for a loved one: n Are

you calling someone more than twice a week for help with daily tasks? n Are you confused about your medications? n Are you afraid of being alone? n Are you falling down? n Are you afraid of falling? n Do you need help with meals and meal planning? n Do you need assistance with bathing? n Do you need assistance with dressing? n Do you need help walking? n Do you feel like you are imposing on your caregiver’s time? If the answer to most questions is yes, contact the Assisted Living Federation of America for a list of local facilities. 703-691-8100, www.alfa.org

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“Residents can live as independently Pets, pedicures, porches – these are not as possible while still having the safety unusual amenities for today’s assisted living communities. As many baby boom- and security of knowing that 24/7 assistance from licensed staff is right ers find they need extra help caring for outside their door,” Panchot says. themselves, assisted living communities On the main floor, a have responded. Options community center fearange from high-rise tures a lap pool, therapy apartments to converted pool with treadmill, exerhomes and campus cise center and bistro. A communities with the geriatric clinic operated charms and conveniencby Shawnee Mission es of a small town. Medical Center provides Typically, people on-site care. move to these communi Such offerings are ties when activities or what make assisted livhealth issues interfere ing facilities a safe haven with their ability to live for seniors who need a independently. But movhelping hand. ing to an assisted-living Another convenience facility doesn’t mean of communities like residences give up a Lakeview Village is its comfortable lifestyle. continuing care option. One of the newest –Colette Panchot, This means the commuofferings in the metro area Lakeview Village nity can relocate seniors is Lakeview Village’s new from independent living to assisted livEastside Terrace building in Lenexa, Kan. “It’s the first short-term rehabilitation ing as they age, all on the same campus. Most communities with continuing care and assisted living facility in the Kansas City area that is designed, built and oper- offer the same amenities to all residents, no matter their level of care. ated around the ‘Person Centered Model At Bishop Spencer Place, near the of Care,’” says Colette Panchot, director Country Club Plaza, that means assisted of marketing and sales. That model includes one floor devoted living residents eat at the same gourmet to one-bedroom apartments for residents restaurant that independent residents enjoy. Providing all dining services for and centers around multiple living room the community is PB&J, which operates areas. Two wings extend from a dining casual dining restaurants in the area, area with a large porch, multipurpose including Yia Yia’s and Coyote Grill. room, spa and laundry area.

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healthy relationships • group living

Skilled nursing Care options

56

SeniorCare Homes One of the newest offerings getting a lot of attention lately is SeniorCare Homes. This homegrown organization focuses on providing care in single-family residential settings, rather than communities housing hundreds of residents. SeniorCare operates three houses in Johnson County, Kan. With individual rooms for each resident, the homes include personalized care and amenities that cater to the individuals living there. Jerry Pullins Jr., president of the Prai-

Online resources Consumers Union www.consumerreports.org Medicare www.medicare.gov/nhcompare The American Geriatrics Society www.healthinaging.org AARP, www.aarp.org

“Own Your Future” Long-term care awareness campaign In a partnership with the U.S. Department of Health and Human Services, Kansas and Missouri offer a free long-term care planning kit by mail or download. www.longtermcare.gov/LTC 202-619-0724

rie Village, Kan.-based firm, developed the idea of SeniorCare Homes after his grandmother developed Alzheimer’s. Much of the appeal of the SeniorCare dwellings is the fact that they are truly homes. And each home creates a “family” of the four to five residents living there. Relatives praise SeniorCare staffers and their homelike settings. A common theme among relatives’ testimonials is the happiness they see in their loved ones who move there. Brookdale Senior Living Some people might prefer the additional amenities available at larger campus com-

munities. For example, Brookdale Senior Living is a nationwide provider with nine campuses in the metro. Its communities, such as The Sweet Life at Rosehill in Shawnee, Kan., include a movie theater, wine cellar, spa, French bistro and art gallery. Residents there have options of secure rooms with round-the-clock care and rehabilitation services on-site. Sunrise Assisted Living Another nationwide chain with communities in the area is Sunrise Assisted Living. With four facilities, all on the Kansas side, the organization has a special focus on dementia care in its skilled nursing centers. Sunrise’s flagship memory care program, called Reminiscence, provides a safe and stimulating environment for individuals to enjoy esteem-building activities. Recently, the organization became an Authorized Validation Organization with the Validation Training Institute. This not-for-profit group offers training and certification in a special technique used in caring for individuals with forms of dementia. Rita Altman, national director of Memory Care Services for Sunrise, says the certification is important because it educates staff about the importance of communication. “Much of the frustration and anxiety of trying to care for those with dementia can be eliminated once caregivers understand how to reestablish the lines of communication,” she says.

© istockphoto.com / Andrew Gentry

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The words “nursing home” are perhaps the most dreaded for any senior. The two words together are probably the main reason so many people avoid thinking about their future care as they age. It doesn’t help that recent media reports have focused so much attention on the subpar conditions and services of many facilities. The good news is that such scrutiny has provided lots of information about this type of care. Still, many people put off the task of exploring options in skilled nursing care (the preferred term today) until they are in the midst of a crisis. Taking time to consider your options now, before an emergency arises, will provide peace of mind and a roadmap to appropriate future care (see p. 57). The variety of options available for those needing round-the-clock care – particularly seniors dealing with Alzheimer’s disease and other forms of dementia – are extremely diverse.


healthy relationships • group living

comparing skilled nursing options

KANSAS CITY

Use these questions, compiled by the ElderCare Rights Alliance (Bloomington, Minn.), to investigate skilled nursing options. Resident rooms

❑ With

❑ Is

❑ Are

there ample closet space? ❑ Room for personal belongings/ furniture? ❑ Availability of locked storage? ❑ Privacy curtains in double rooms? ❑ How many residents share a bathroom? Resident lounges ❑ How

many and how large? the chairs sturdy, comfortable and clean? ❑ Are current newspapers, magazines and TV available? ❑ Is there a separate lounge area, dining room or other room available for private visits? ❑ Are

1 1 0 2 0 1 20

fresh fruits and vegetables? microwaves/steam tables available to warm food? ❑ Can residents choose seating? ❑ Are guests allowed?

VISIT CYTKC.ORG FOR COMPLETE SHOW INFORMATION.

Staffing ❑ How

many residents are assigned per nursing assistant? ❑ Is that number different on other shifts? ❑ How are new staff screened and trained? ❑ On-going training for all staff? ❑ Is there a full-time social worker? ❑ Full-time therapy staff? ❑ A volunteer program? ❑ An employee council? ❑ Adequate activities staff?

Oct 28–31

Facility grounds ❑ Nice,

safe sitting and walking areas? ❑ Smooth terrain for wheelchair movement? ❑ Secure outdoor areas for memory-impaired residents? ❑ Gardens? ❑ Sheltered areas? Air/Environment ❑ Individual

room-temperature

controls? ❑ Air-conditioning? ❑ Designated

smoking areas?

Phones ❑ Free

Meals ❑ Menu

choices interesting?

Resident choice and involvement ❑ What

signs do you see of resident input in decision-making? ❑ A resident council? ❑ Newsletter? ❑ Support group? ❑ Are residents involved in menu and activity planning? ❑ Determining wake-up and bedtime hours? ❑ Participating in their care planning? ❑ How are they notified of and invited to care conferences? ❑ Are activities tailored to each resident’s needs (especially if memory-, hearing-, visually impaired or bedridden)? ❑ Does the home seem like a safe place to live? ❑ Are residents involved in activities? ❑ Is staff visible, helpful, friendly? ❑ Does the home “feel” warm, as a home should?

Feb 17–20

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or pay phones? ❑ How many and where? ❑ Is privacy possible? ❑ Can residents have phones in their rooms?

Nov 4–6

57

Dec 3–12

Feb 10–12

Feb 3–6

Apr 7–10

May 12–15

May 12–15

ACT. SING. DANCE. LIVE.


healthy relationships • caregiving

There’s no place

MANY SENIORS WANT TO BE AT HOME – THEIR OWN HOME – AS THEY AGE. WITH HELP, THEY CAN.

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By Gina B. Kellogg

58

Define “elderly.” Twenty years ago, that might have meant anyone 60 or older. Today, it probably means at least 80 – maybe even 85. “Seniors” is the contemporary term for those 60 and older – and they’re living longer, healthier, more active lives. A recent USA Today article put the average age for someone moving into a nursing home at 81. In the 1950s, it was 65. No matter your age, you’re likely seeing – or experiencing – the effects of this trend. Your grandparents or parents might be seniors, or you are at that stage yourself. How can you make these golden years more golden for yourself or your loved ones? Many experts say the key is to live at home as long as possible. They call the trend aging in place. “There are all kinds of statistical information that substantiate how much happier and healthier people are if they are able to remain in their homes,” says Mike Dodd, president of LifeWise Renovations in Prairie Village, Kan. Dodd’s company cites three main reasons: n A sense of independence in a comfortable environment n The security of familiar surroundings n A home tailored to your specific needs Today’s options for living independently help make these goals easier to achieve. More businesses and agencies are developing products and services that support aging in place. From retrofitting homes to hiring home companions to bringing in nursing care, seniors can enjoy the comforts of home until the sun sets on their twilight years.

© istockphoto.com / Scott Cramer

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healthy relationships • caregiving

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home retrofits

60

One of the newest trends in homebuilding is what’s known as universal design. This movement creates structures that can accommodate anyone, regardless of height, weight, size, strength or abilities. “The No. 1 reason people are forced to leave their homes is because they can no longer accommodate their activities of daily living,” LifeWise Renovation’s Dodd says. “They can make very simple, economical, timely modifications that will allow them to stay.” Dodd is a specialist in the topic as a Certified Aging in Place Specialist through the National Association of Homebuilders. Homeowners can make simple changes themselves, such as replacing fixed showerheads with handheld units and exchanging bypass shower doors with shower curtains to provide easier access. But he warns against taking on projects beyond your abilities. “The single biggest issue we see is with DIYers putting in grab bars,” Dodd says. “If they aren’t installed properly, you run the risk of someone grabbing hold of the bar, ripping it out of the wall and potentially killing themselves.” Dodd consults specialists to determine what types of retrofits are best for a particular residence. “Occupational therapists will evaluate the client’s physical and psychosocial needs based on their age, their physical strength, their medical diagnoses to make recommendations about how can we accommodate their health and their condition not only today, but next year

and five years down the road,” he says. Dodd says homeowners needn’t worry that installing these types of features will make their homes look institutional. Many manufacturers are designing universal-designed products with contemporary designs and finishes. Moen, for example, has developed an entire line of home health offerings. He also says that while such retrofits can get expensive, the cost is worth it when you look at the big picture. “We can take a Prairie Village or a Leawood ranch built in the ’50s or ’60s that has a bathroom that is 6 foot by 8 foot or so, and it’s not unreasonable to think that you could redo that entire bathroom for $20,000,” he says. “Compared to the monthly cost of a nursing home or an assisted living facility, you could redo a lot of bathrooms.”

Update these features first n Nonslip floor

surfaces n Grab bars in

bathrooms n No-step

entrances n Wide doorways

and hallways n Lever-handled

doorknobs and faucets n Rocker light switches n Reachable electrical outlets and switches n Single-floor living

Amy Criger, eMarketing manager for American Companion Care in Overland Park, suggests some easy-to-install options to improve home safety. n Closet organizers and rods that pull down n Cabinets and drawers with D-shape handles n Doors and sinks with lever handles n Lazy Susans to reach items stored on deep shelves n Rocker light switches n Extra-long kitchen-sink spray hose to fill pots on the stove n Smooth, slipresistant floors and steps n Removal of area rugs n Elevated toilet or toilet seat n Bath seat in the tub or shower n Transfer bench or lift for bathtub n Grab bars near the bath and toilet n Handrails extended beyond the top and bottom of the stairs n Phone in the bathroom

© istockphoto.com / YinYang

Home Improvements



healthy relationships • caregiving

62

The daily barrage of responsibilities most adults face – from raising kids to climbing the corporate ladder – affects seniors even though they might have left those responsibilities behind years ago. That’s because their sons, daughters or grandchildren are often so busy with their own lives that they simply can’t run over at short notice to help their loved one with a chore or task that’s become a burden. In-home care fills this void, offering companionship, helping with light chores, dispensing medications and aiding with therapies. It is typically broken into two categories: companion/ private-duty care and skilled/home health agency care. “It’s not an easy job if you do it right,” says Cheryl Smith, founder of Kansas City Home Care in Overland Park. She suggests asking specific questions to learn about the agency’s qualifications. And she emphasizes using an agency to hire a caregiver rather than going through an employment firm or hiring privately. “Employment agencies place the caregivers but usually don’t screen or train them,” she says. And if the caregiver is injured on the job, the client is responsible for the injuries. A home health agency takes care of details such as payroll taxes, background checks and insurance, which otherwise the homeowner would have to deal with. “An agency offers a built-in backup system,” says Sheril Herman, vice president and cofounder of American

Companion Care in Overland Park. “What if the caregiver can’t be there or is late or has to go home early? The agency can provide additional help.” Over time, a senior’s needs might evolve, and he could need additional care. Often, this occurs when he stops taking his medications properly. Privateduty caregivers can’t handle medications – they can only remind clients to take them. Home health agencies also can provide physical therapists to help patients gain strength, occupational therapists to learn new skills or nurses to handle wounds or help with colostomy bags. Usually, a skilled caregiver works in conjunction with a companion caregiver. One main difference between the two: Medicare and Medicaid typically foot the bill for home health services. The Visiting Nurse Association of Kansas City offers specialized services, such as intravenous therapy nursing and a total joint replacement program. VNA also offers the Telehealth Home Monitoring program. This system allows them to monitor a patient’s vital signs daily, including blood pressure, heart rate, weight, oxygen saturation and temperature.

What’s the difference? Cheryl Smith, president of Kansas City Home Care in Overland Park, outlines the differences between companion/privateduty care and a skilled/home health agency. Companion/private-duty care n Is ongoing, usually without a scheduled

end date n Provides help with personal care, such

as bathing, dressing, walking, toileting, getting in and out of bed, and assisting with medication n Helps with homemaking chores n Sometimes lives with the client Skilled/home health agency care n Consists of short visits for a limited

amount of time n Provides help with medical needs and

is usually ordered by a doctor n Typically is paid for by Medicare or

other health insurance n Is provided by health care

professionals, such as registered or licensed practical nurses, physical or occupational therapists and social workers

© istockphoto.com / Brad Killer

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in-home care


healthy relationships • caregiving

questions to ask a home health agency n How do you select your caregivers? n Are your caregivers bonded,

insured and covered by workers’ compensation? n Do you perform background checks on prospective employees? n Can you provide a copy of your insurance binder? n Do you deduct state, federal and local taxes from the caregivers’ checks? n What kind of caregiver consistency can we expect?

n Is there a “contract for services”

n Is there a charge for the

and, if so, what is the cancellation policy? n What is the minimum number of hours of service you provide? n Do you charge extra for night or weekend care? n How do you supervise your caregivers? n How are calls after business hours and on weekends handled? n What kind of care assessment can we expect from your agency?

assessment? n How often do you assess

patient-care needs? n Is this a franchise or a privately

owned company? n How long has the company been in

business? n Will you give us references from

previous clients? n Are you a member of the National

Private Duty Association?

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Chronic Pain Doesn’t Have to Be a Way of Life

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healthy relationships • caregiving

64

In the past, when a senior’s health took a serious turn, her options were limited to moving in with family for her last weeks or months or moving to a nursing home. Nowadays, seniors have additional choices. While institutional care is still available, many prefer home hospice care. “Studies show most people, when given an option, would prefer to die in their homes as opposed to a facility,” says Sherri Bickley, LMSW, director of social services for Crossroads Hospice of Kansas City. In-home hospice allows that to happen. “People can stay in the comfort of familiar surroundings with family, friends and pets,” Bickley says. Cynthia D. Miller, RN, BSN, MS, executive director for Continua Home Health in Leawood, says most patients transition from home health care to hospice when their health is no longer stable. “Usually this means they have a terminal diagnosis of six months or less,” she says. Kansas City Hospice and Palliative Care refers to hospice care as a way to “maximize quality of life … for seriously ill patients who are focused on comfort, rather than cure.” The facility provides patients with regular visits from its staff, who focus on making patients as comfortable as possible at home. This care is often most helpful to patients who have a prognosis of months, rather than years. Bickley recommends the patient and caregivers interview several hospices before making a decision.

“One would want to know the nurse/patient ratio, how often they can expect to see their team and how the on-call process works for afterhour emergencies,” she says. She also recommends asking about the hospice company’s commitment to being at the client’s bedside at the time of death. As an example, Crossroads has a “watch program,” Bickley explains, along with a program called EvenMore Care, which provides 24-hour care when health professionals determine a patient is within the last 24 to 72 hours of life. “We ensure we are present at the time of death for each of our patients. We are over 80 percent successful at this, while I believe the national average for attended deaths by hospice is below 20 percent,” she says. Donna Douglas, public relations specialist at Kansas City Hospice and Palliative Care, says her facility’s staff reassures patients and their families that receiving hospice does not mean giving up hope for the patient’s health. “The point of hospice is to make a time of illness also a time of peace and comfort, bringing a lifeline of support,” she says.

When is it time for hospice care? n Profound weakness or fatigue n Shortness of breath or chest pain at

rest n A decline in overall physical/mental

status n Frequent hospitalizations or E.R. visits n Recurrent edema/swelling n Continuous oxygen n Uncontrolled pain or vomiting n Weight loss in the last six months n Repeat infections n Difficulty swallowing n A history of cardiac arrest n The need for assistance with most

activities of daily living

Hospice services n Respite care, where the patient can be

admitted to a skilled nursing facility for up to five days for care. n Volunteers who can provide

companionship, including reading to patients, assisting with errands or allowing the caregiver and family to be away for short periods. n Spiritual counseling provided by

professionally trained chaplains.

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healthy eating • farmers markets

Last call for

Farmers 35 152

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71

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oh-so-good-for-you food

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at area farmers markets

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healthy eating • farmers markets

Markets 1

Blue Valley Recreation Farmers Market

Produce and honey, all grown within 125 miles of Overland Park. 8 a.m.-1 p.m. Saturdays through Oct. 16. One block south of 135th and Antioch 913-685-6012, www.bluevalleyrec.org

2

BRIARCLIFF FARMERS MARKET

Organic and locally grown produce, flowers, herbs, salsa, jams, natural meats, honey, live music, cooking demos and food samplings. 3-7 p.m. Thursdays through Sept. 30. U.S. 169 and Briarcliff Parkway www.greenacres.com

3

BROOKSIDE Farmers Market

Local and organic vegetables, hormone and antibiotic-free meat, free-range eggs, honey, herbs, fruit, flowers, artisan food, vegan varieties, gluten-free, soaps and crafts. 8 a.m.-1 p.m. Saturdays through Sept. 25. Border Star Montessori School, 63rd and Wornall www.farmerscommunitymarket.com

4

CITY MARKET

INDEPENDENCE FARMERS MARKET

5 a.m.-1 p.m. Saturdays and Wednesday through the end of October. Corner of Truman and Main 816-252-8860

6

KC ORGANICS AND NATURAL MARKET

Locally grown organic produce, freerange eggs, grass-fed meats, honey, edible flowers, herbs, baked goods, body care products, jewelry and crafts. 8 a.m.-12:30 p.m. Saturdays in Minor Park through Oct. 6; 10 a.m.-2 p.m. Wednesdays at Park Place, May 12-Oct. 13. www.kcorganics.com

7

LEE’S SUMMIT FARMERS MARKET

Fresh plants and produce, baked goods and crafts. 7 a.m.-sellout Wednesdays and Saturdays through Nov. 6. Corner of Second and Douglas streets 816-246-6598, www.downtownls.org

8

DOWNTOWN LIBERTY FARMERS MARKET

Farm-fresh produce, meats, eggs, baked goods and crafts. 7 a.m.-noon Saturdays through October. Downtown Liberty Square www.historicdowntownliberty.org

9

NORTH KANSAS CITY FRIDAY’S FARMERS MARKET

Locally grown fruits and vegetables, baked goods, honey, fresh cheese and eggs, jellies, nuts, plants, flowers, herbs, body products and crafts. 7 a.m.-1 p.m. rain or shine. Fridays through Oct. 1. Caboose Park, Armour and Howell www.nkcbusinesscouncil.com

10

OLATHE FARMERS MARKET

Regionally grown fresh produce, plants and flowers. 8 a.m.-sellout Saturdays; 3 p.m.-sellout Wednesdays through Oct. 20. Poplar and Kansas streets 913-971-6263

11

OVERLAND PARK FARMERS MARKET

Produce, flowers, specialty foods and entertainment. 6:30 a.m.-sellout Saturdays; 7:30 a.m.-sellout Wednesdays through October. On Marty between 79th and 80th streets www.downtownop.org

12

SHAWNEE FARMERS MARKET

Produce, arts and crafts, bread and pies. 7 a.m.-4 p.m. Saturdays through October. City Hall parking lot, 11110 Johnson Drive 913-248-2360

13

WESTPORT PLAZA FARMERS MARKET

Local produce, eggs, meats, mushrooms and crafts. 4:30-7:30 p.m. Wednesdays through Oct. 6. Westport Road and Wyoming Street www.farmersmarketkc.org

14

ZONA ROSA FARMERS MARKET

Produce, jams, honey, soaps, breads and herbs. 4-8 p.m. Tuesdays through the end of September. I-29 and Barry Road www.zonarosa.com

Note: This is not a complete listing of area farmers markets.

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Fresh produce from Missouri and surrounding area, bedding plants, fruits, vegetables, herbs, baked goods, sweets, flowers and crafts. 6 a.m.-3 p.m. Saturdays; 8 a.m.-3 p.m. Sundays. Open year-round. Fifth and Walnut, Kansas City, Mo. 816-842-1271, www.thecitymarket.org

5

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healthy eating • preserves

Preserve Make the bounty of the farmers market or CSA last longer with some old-fashioned tips.

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By Emily Farris

68

The bounty of a CSA (community supported agriculture program) or a farmers market is a wonderful thing in the summertime – plump tomatoes, pungent basil – until bounty becomes surplus. No one wants to waste fresh ingredients. But you can only have spaghetti with homemade marinara or pesto so many nights in a row before your palate gets bored and the kids start asking for fast food. Luckily, preserving your summer fruits and vegetables for fall and winter is easier than ever. “Canning seems really daunting, I know, to people who haven’t tried it,” says Amanda Curtis, who grows herbs outside the back door of her Midtown apartment and belongs to the Grower’s Alliance CSA, operated by Hen House. “It’s really so much easier than anyone expects.” Inspired by her grandmother – and a desire to use everything in her weekly CSA share – Curtis began canning and pickling over the summer. “The whole process of turning fresh tomatoes into canned tomatoes takes about 30 minutes,” she says. Her secret? “Personally, I’m scared of pressure cookers, so I just hot process the filled jars in a pot of boiling water.” Freezing is even easier. “My grandma always champions the use of freezer storage bags, which really do make a difference in comparison to regular plastic bags,” Curtis says.

© istockphoto.com / Mikko Pitkänen

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healthy eating • preserves

fruit: freeze it

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Unless you have a food dehydrator, don’t try drying your own herbs at home, says Matt Chatfield, the executive chef at the Culinary Center of Kansas City. Hanging them in the basement like Grandma used to do just isn’t safe anymore. If you have good quality herbs, freeze them with some water in ice cube trays, pop them into a freezer bag when they’re frozen, and melt them when you’re ready to eat. “Don’t be mistaken that it will be the same as using fresh herbs,” he warns. “They’ll still have the same herb flavor, but you’ll lose a little in the transition of being frozen and then thawed.” Remember: water expands when it freezes, so don’t fill your trays up all the way.

70

TRY: PESTO ICE CUBES If you let your basil get too big, it can lose color and flavor. So you want to harvest it while it’s still perfectly piquant. Whatever you don’t use right away, you can freeze into convenient pesto ice cubes. Basic pesto is made

with fresh basil, olive oil, garlic, toasted pine nuts and Permesan cheese, but you can always make the cubes with just basil and olive oil, and add other seasonings when you’re ready to cook. What you’ll need Fresh basil n Olive oil n A food processor n A spoon n Ice cube trays n A freezer bag n

What to do n Mix your ingredients in a food processor n Spoon the pesto into an ice cube tray, filling up the compartments only half way n Freeze n When the cubes are frozen pop them into a freezer bag and keep them in the freezer until you’re ready to put them right into the pan for your next pasta dinner

squashes: use ’em or lose ’em Vegetables like zucchini and squash are just-plain better when they’re fresh, Chatfield says. So, if they’re on the verge of going bad, he suggests you “think outside the box” and try a recipe like zucchini bread or brownies. Breads freeze better than squashes.

Clockwise from top left: © istockphoto.com / Robyn Mackenzie, Angelo Gilardelli, Natallia Yaumenenka

herbs: freeze ’em

For fruits like peaches and apples, Chatfield suggests slicing them and then tossing them with a little bit of sugar. Freeze them on sheet pans, and then put them into freezer bags until you’re ready to use them. If you have extra berries, you can even skip the sugar. Just wash them, dry them, cut off any stems or leaves, and then freeze them on a sheet pan. Transfer them to a freezer bag once they’re hard, and you’ll have berries for smoothies or baking all fall and winter.


healthy eating • preserves

tomatoes: can ’em “In the summer, everybody loves a tomato plant,” Chatfield says. “But when it goes crazy, people don’t always know what to do with all of the tomatoes.” The best way to preserve tomatoes, he says, is to can them, which is a confusing term, considering you technically process them in a sealed jar. Whether you’re canning whole tomatoes or a homemade marinara sauce, Chatfield recommends peeling them first. “When you buy canned tomatoes, they’re peeled,” he says. TRY: CANNED TOMATOES What you’ll need n

n n n n n

What to do Sterilize jars and bands in the dishwasher or boiling water n Wash new seals (never reuse those) with soap and water, but don’t boil them n While the jars are still warm, fill with tomatoes or tomato sauce using a ladle and funnel, but be sure to leave half an inch of space at the top n With a clean wet towel, wipe the rim of the jar n Gently place the seal and cap onto the jar, and then place and tighten the ring n Submerge your jar in a water bath canning pot, making sure the jar is covered with at least and inch of water n Sauces like marinara will cook in a water bath for 20-30 minutes; cooking times will vary for other items Note: If the lid has been sucked down, your canning was a success! If not, use your tomatoes right away. n

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© istockphoto.com / Kristian Peetz

n

Peeled tomatoes with your favorite seasonings, or homemade sauce Canning jars with new seals A canning pot with a rack A ladle A funnel A clean towel Tongs

“There’s a reason for it. You don’t want that skin in your mouth.” Even if you leave the skins on when you make fresh marinara sauce, take them off before canning. Blanching tomatoes – boiling for about a minute and then plunging them into ice water – makes them easy to peel. And don’t be afraid of seasoning. “Often when people can tomatoes, they can be very generic,” Chatfield says. “Then they don’t use them because they don’t taste so great coming out of the jar.”

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healthy eating • recipes

what grows together goes together the Legend of the Three Sisters is a Native American story about three crops that grew up together in the garden. Corn provided a climbing structure for beans, beans nourished the soil, and squash spread her leaves over the ground to crowd out weeds. Plus they get along deliciously on our plates!

Polenta n 6

cups water n 2 tsp salt n 1¾ cups yellow cornmeal n 3 tbs unsalted butter

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Bring 6 cups of water to a boil in a large heavy saucepan. Add 2 teaspoons of salt. Gradually whisk in the cornmeal. Reduce the heat to low and cook until the mixture thickens and the cornmeal is tender, stirring often, about 15 minutes. Turn off the heat. Add butter, and stir until melted.

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Spread polenta over the bottom of a 9 x 13-inch pan. Let cool while preparing the tomato sauté.

Kathy Hale, www.canihaveabite.com

Tomato Vegetable Sauté n 2

tbs olive oil small white onion, diced n 2-3 garlic cloves, minced n 1 tsp fennel seed n ¼ tsp celery seed n ¼ tsp dried oregano or 1 tsp fresh n ¼ tsp dried thyme or 1 tsp fresh n ¼ tsp sage n ¼ tsp cumin n 1 tsp salt n ½ tsp pepper n 2 roasted red peppers, peeled, seeded and chopped n 3 small or 2 medium zucchini, cut into chunks n 1

n 1

32-oz. can diced organic tomatoes n 1 16-oz. can small navy beans n 8 oz. provolone, grated Sauté onions and garlic in oil until translucent. Stir seasoning into onions and garlic and cook for one minute more. Add red peppers, zucchini, tomatoes, and beans and stir. Spread Tomato Vegetable Sauté over polenta in pan. Top with grated provolone. Bake in a 350 degree oven for 20 minutes or until cheese is melted and slightly brown.

Clockwise from top left: © istockphoto.com / Sandra Caldwell, Ming Onn Boey, Michael Hill, Sf_foodphoto

stacked polenta


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healthy eating • recipes

butternut squash tacos with black bean & corn salsa Erin Wilson, GreenAcres Market n 2

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Combine all ingredients except squash, olive oil and taco shells in a large bowl. Cover and refrigerate overnight for optimal flavor. Stir several times before serving.

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Cut squash in half lengthwise and place flesh side up on a large baking sheet. Brush 1 teaspoon of olive oil onto the cut side of each squash. Season with salt and black pepper. Roast until flesh is tender, about 45 minutes. Scoop squash out of skin and mash with a fork. To serve, heat taco shells and assemble tacos by spooning squash into taco shell and topping with black bean and corn salsa. Serves four.

black bean soup n 1

lb black beans, dried cups water n 2 tsp cumin n 1 tbs granulated garlic n 1 tsp oregano n 1 tbs salt n 1 tbs black pepper n 1 tsp thyme n ¼ cup cilantro, chopped n 2 garlic cloves, slightly mashed n 2 cups onion, diced n 1 jalapeno pepper, whole, diced

Kevin L. Lyman, Kokopelli Mexican Cantina n ½

cup tomatoes, diced (add these at the end of cooking)

n 10

Spread the beans out on a cookie sheet and remove any foreign particles. Look out for small black stones that resemble the beans. Rinse the beans in cold water, two to three times, stirring by hand. In a large stock pot, add the beans, water,

grilled sirloin & veggies n 1

lb ground sirloin to taste (optional) n black pepper n Worcestershire sauce n 4 ears sweet corn n 1 green squash n 1 yellow squash n 1 red pepper n 1 small sweet onion n 1 pound green beans, stems removed n salt

Dorna Edgar, Oak Street Coffee Shop

Marinade for Green Beans n ¼

cup red wine vinegar garlic cloves, minced n 1 tsp Dijon mustard n 2 tbs chopped fresh oregano or 2 tsp dried oregano n ¾ cup extra-virgin olive oil n salt and pepper to taste Marinate beans for 30 minutes. Preheat grill. Season beef with salt, pepper and Worcestern 2

cumin, oregano, onion, garlic cloves, salt, jalapenos, cilantro, black pepper, thyme and granulated garlic. Simmer for 3 hours or until the beans are completely soft and start to fall apart. Add the tomatoes right at the end of cooking and add water if necessary. Serve with corn tortillas and garnish with a squash blossom.

shire sauce and set aside. Slice squash, onion and pepper lengthwise. Divide meat into four quarterpound hamburgers. Grill five minutes on each side for medium. On lower heat, grill corn and vegetables on a grill tray. Use any variety of seasonal vegetables. Grilled portabella mushrooms can replace the meet for a satisfying vegetarian dinner.

© istockphoto.com / Freeze Frame Studio

15.5-oz. cans black beans, rinsed and drained n 1 15.25-oz. can corn, rinsed and drained n ¾ cups chopped tomato n ¾ cups chopped red onion n ½ cups chopped green pepper n ¼ cups chopped cilantro n 2 cloves garlic, grated n ½ tsp ground cumin n ½ tsp sea salt n ½ tbs olive oil n 1 small finely chopped jalapeño pepper n juice of one lime n 1 medium butternut squash n 2 tsp olive oil, divided n 12 corn taco shells



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bacon from schenker farms What was once a down home staple has leapt off the plate to become a pop-culture icon.

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Google “bacon,” and you’ll find it comes in lollipops, ice-cream and rainbow colors. It can be battered and deep-fried, dipped in a martini or tucked into a dollop of cupcake frosting. And that’s just the food. Those familiar Where to find wavy stripes adorn adhesive bandages, dental Scheker Family floss, skateboards, T-shirts, wallets and water Farms’ pork, beef bottles. Even bikini models. and lamb: Sadly, for all its flavor and fun, bacon is n Squash Blossom loaded with enough saturated fat to land it at Food Co-op the bottom of the “Go, Slow, Whoa,” list. It’s a www.squash “sometimes” food. blossomcoop.org But when “sometimes” is now and you can n GreenAcres no longer fight your bacon craving, at least buy Market 4175 Mulberry Dr. it from a local producer, like Schenker Family Kansas City, Mo. Farms in McKune, Kan. 816-746-0010 One of the few Certified Naturally Grown n Nature’s Pantry farms in the country, Schenker Family Farms is 19019 E. 48th also Animal Welfare Approved, which guarantees St. South, consumers that the farm animals are treated Independence, humanely. (The Animal Welfare Approved Mo. program began in 2006 and upholds the most stringent animal husbandry requirements in the nation.) “We don’t use any pesticides or growth hormones on our livestock and feed,” says third-generation farmer Cherie Schenker, who adds that their livestock is grass fed, which produces healthier, chemically free products.

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A visit to periodoNtaL speciaLists can improve your overall health – and give you peace of mind. Leawood 11401 Nall Avenue Leawood, KS 66211 913.663.4867

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conquering your pain Chronic pain is like an 800-pound gorilla. It can become the controlling force in your life that dictates how you interact with family, friends and even work. KC Pain CENTERS can help you get your life back. Your back hurts, your muscles ache, your joints are so stiff that you can’t move – pain is the most common reason that a person sees a doctor. Fortunately, pain is often easily treated with a visit to your primary physician. When your pain persists, however, it’s time to call in the experts, and that’s where KC Pain Centers can help. “A statement I frequently hear from patients is that they’ve been told that they just have to live with their pain,” says Dr. George Edwards, who joined Anesthesia Associates in 1984 and is a founding member of KC Pain Centers. “Patients become discouraged and have a feeling of helplessness that nothing can be done. We are here to offer them hope.” KC Pain Centers offer a wide variety of treatments for chronic pain including interventional procedures and medication management. The newest advances in pain management come in the form of minimally invasive procedures that harness new technology. Selective neurostimulation and radio frequency nerve ablation are used to control painful nerves, while disc decompression can be used for relief of a bulging disc. These are just a few of the options available at KC Pain Centers.

Locations • KC Pain Centers South, Kansas City • KC Pain Centers East, Independence • Saint Luke’s East Hospital • Saint Luke’s South • Research Belton Hospital • Heartland Surgical Specialty Hospital • North Kansas City Hospital • Mid America Surgery Institute • Overland Park Surgery Center • Cass Regional Medical Center • Lee’s Summit Medical Center • Centerpoint Medical Center Pain Management Associates Central Scheduling, 816-763-1559 KC Pain Centers – South, 816-941-6700 KC Pain Centers – East, 816-795-6880

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kc pain centers health bits • tidbits

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“You don’t have to live with chronic pain. There are options out there and we can help.” – Dr. George Edwards, KC Pain Centers

Front row, from left, Howard Aks, MD, Rebecca Burfeind, MD, Steven Charapata, MD, Thomas Laughlin, MD. Back row: Mark Chaplick, DO, James Scowcroft, MD, George Edwards, MD, Curt Johnson, MD, Joel Ackerman, MD, Atef Israel, MD.

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the women’s healthcare group

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Spotlight on: menopause

changes in the change of life As women age, many of the changes they experience revolve around menopause. Dr. Hal Younglove of the Women’s healthcare group discusses Aging gracefully and how to cope with some of HORMONES At puberty, a young woman begins producing estrogen, and at menopause, this production stops. Menopause is defined as the absence of periods for 12 months. Not everyone adjusts to the lack of hormones in the same manner, and many women may need hormone replacement therapy to help them cope with night sweats, insomnia, hot flushes or anxiety. Many natural hormones are available, as well as compounded hormones and over-the-counter supplements called “isoflavones and phytoestrogens.”

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IRREGULAR BLEEDING Regular menstrual bleeding is cyclic and occurs every 21 to 38 days, lasting an average of four days with an actual blood loss of about two ounces. With aging, periods may vary in cycle frequency, amount of flow and length of flow. The causes can be hormonal, anatomical or even pathological. Your doctor can diagnose the cause with a few tests, including a Pap smear, blood work, ultrasound and sometimes a sample of the uterine lining. It usually takes a couple of office visits to determine a diagnosis and proper treatment. Further evaluation with outpatient surgery may also be recommended.

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SEXUAL DYSFUNCTION Frequently, but not always, sexuality changes around the menopausal years. Sometimes fatigue, stress, anxiety and attitudes may be from psychological sources, but hormonal changes can also be an underlying cause. As estrogen levels decrease, women may also experience vaginal dryness or a lack of lubrication, causing discomfort and lack of desire. Topical estrogen products may be able to improve this situation. These products have minimal absorption into the circulation, so they are quite safe to use. Other supplementation may be recommended on the basis of hormone levels and the individual patient’s concerns.

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PAP SMEARS Pap smears continue to be an important part of a woman’s exam as she ages. However, for lower-risk women, the frequency of Pap tests can be spread out. Everyone needs to continue to have a yearly gynecological examination for inspection of the entire lower genital tract and palpation of the upper genital tract. Every three to five years for a Pap test is acceptable if prior Pap smears have been normal and no new risk factors are introduced. If you have a high-risk situation, such as previous abnormal cells on a Pap smear, prior cancer or multiple sexual partners, you should continue Pap tests yearly or as recommended by your health care provider. INCONTINENCE Many women have issues with bladder control – urgency, frequency, urination at night and incontinence, to name a few. Many factors can bring on these problems including occupation, pregnancy, childbirth, hormone deficiencies and genetic factors. Your doctor can decide with a test called a “Urodynamics Study” the cause of the problem and how to best deal with it. Many medicines are available, along with physical therapy, biofeedback and various surgeries to correct some conditions. There are many other different issues involved with the aging process, and your doctor is an excellent source of knowledge and experience. The Internet is a good source of information, but as I have told my obstetrical patients over the years, “Obey rule No. 1: Believe nothing of what you hear and half of what you read!” Dr. Hal Younglove has practiced in the Kansas City area for over 30 years. His practice is accepting new patients of all ages.

The Women’s HealthCare Group

Your comfort and health are our top priority. At The Women’s Healthcare Group, we offer services in: • Obstetrics • Gynecology • Laparoscopic Surgery • Gynecologic Urology • Contraceptive Counseling • Infertility • Nurse Midwifery Hospital services provided at Overland Park Regional Medical Center and Shawnee Mission Medical Center Overland Park 10550 Quivira Rd., Suite #410

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