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Jan/Feb 2012 — Bloomington — Healthy Cells Magazine — Page 3
JAN/FEB 6 8 10 12 14 16 18 23 24 26 28 29 30 32 34 36 38 40 42 44 46 48 50
Rural Health Care: Increased Needs, Increased Costs, Limited Funds Healthy Kids: Healthy Hips For a Happy Baby Physical: A Holistic Approach to Pain Management
This Month’s Cover Story:
2012 Volume 7, Issue 1/2
OSF Weight Management Center
Offering Individualized Weight-loss Solutions
Emotional: Obsessive-Compulsive Disorder Nutritional: Choose My Plate Midwifery: Comprehensive Woman Care Child Development: Make the First Five Count! Cancer Research: Clinical Trials—At the Forefront, On the Home Front Media Literacy: Advertising to Children Traumatic Brain Injury: Cellular Paramedics Eye Health: Do Your Eyes Hurt? Burnout: Recharge Your Batteries Complementary Therapies: Hypnosis and Cancer Treatment Vein Disease: Can You Prevent Varicose and Spider Veins? Testosterone Levels: Male MANopause Resolutions: Keep This One—Color Your Day Infant Health: Reducing Your Baby's Risk of SIDS Pet Health: "Hear Fido!" Life With a Deaf Dog Dental Health: Stress and Your Mouth Health Insurance Coverage: New Year, New Insurance Deductible Vocational Assistance: Local Support for Success Healthy Lifestyles: The Basics for Better Health Healthy Finance: Why You Should Open A Health Savings Account Today
Cover and feature story photos courtesy of OSF St. Joseph Medical Center
For information about this publication, contact Cheryl Eash, owner, at 309-664-2524, firstname.lastname@example.org Healthy Cells Magazine and Pastelle Magazine are both a division of:
1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 email@example.com www.healthycellsmagazine.com and www.pastellemagazine.com Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the greater Bloomington-Normal area. Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE at over 450 locations, including major grocery stores throughout the Bloomington-Normal area as well as hospitals, physicians’ offices, pharmacies, and health clubs. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Bloomington-Normal area. Limelight Communications, Inc. assumes no responsibility for their publication or return.
“I wish to thank all of the advertisers who make this magazine possible. They believe enough in providing positive health information to the public that they are willing to pay for it so you won’t have to.” Cheryl Eash
The best time to lose weight isn’t the New Year – it’s when you’re ready. When you’re ready to lose weight, together we’ll find the right program for you and we’ll be with you every step of the way. OSF St. Joseph Medical Center in Bloomington and OSF Saint Francis Medical Center in Peoria both have surgical and non-surgical programs to help you lose weight. Contact us today for more information about our weight-loss programs and informational sessions. www.osfhealthcare.org/weightloss
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rural health care
Increased Needs, Increased Costs,
Limited Funds By Becky Wiese
ritical Access Hospitals are, by definition, rural hospitals that provide medical care and emergency services. The CAH program helps these hospitals remain financially stable by reimbursing Medicare costs plus one percent. Other benefits of the program include enabling the hospital to focus on community needs by offering patient-focused programs, networking with an acute care hospital for support services, allowing more flexibility in staffing and services, covering some capital improvement costs, and providing access to grant money. In spite of all the positives, rural health centers often walk a very fine line between surviving and going under. Virtually all the issues rural hospitals face are caused by financial issues. The Illinois Rural Health Association (IRHA) currently focuses its attention on several priority areas that impact access to quality health care in rural Illinois. Additional Issues Rural Hospitals Face One of the largest financial outflows, without a corresponding inflow, a hospital may have can be found in its ambulance service. Page 6 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
“It’s a big expense,” says Dr. Brit Williams, a physician at Dr. John Warner Hospital and Rural Health Center in Clinton. One reason he cites is the fact that care provided by EMTs for in-home service (without transport to a hospital) and transfers are not reimbursed. Small hospitals bear the brunt of these costs. In fact, the city of Clinton, which owns the hospital, has found it can no longer support the ambulance service because it is so expensive and doesn’t generate enough revenue to cover costs. Other issues cited by the IRHA regarding ambulance service include the difficulty in recruiting, training, and retaining emergency medical service personnel, regulatory requirements that make it harder for emergency workers to perform their responsibilities, and lack of collaboration among different sectors of the emergency service providers. The economy affects more than just dollars and cents. According to Dr. Williams and the IRHA, and increased need for mental health services in rural areas also strains the medical service providers. “The biggest increase has been in mental health issues,” explains Dr. Williams. “The poor economy results in more unem-
ployment, which causes more stress, which can lead to issues such as depression, substance abuse, and physical issues such as ulcers.” Rural areas often have fewer mental health care workers; according to the IRHA, over 60 percent of rural residents live in a mental health care professional shortage area. Urban areas, of course, see similar rates and types of mental disorders. The differences are found in accessibility, availability, and acceptability of mental health care. Un- and underinsured patients continue to strain the financial stability of rural hospitals. Not only do unemployed workers have little to spend on health care, they don’t have insurance to cover their costs. Medicaid and Medicare reimbursement from the government (state and/or federal) is often delayed, and doesn’t always cover the complete cost of medical service, so an increase in elderly patients who receive Medicare (which is likely in rural areas) and an increase in families with Medicaid benefits will increase the financial burden faced by the hospital. Other issues such as unfunded mandated programs, new technology requirements, and difficulty in attracting and retaining specialized personnel represent significant cost factors in operating hospitals. Concerns regarding the costs of adding mandated technology are compounded by the fact that increased technology can decrease patient census numbers, which result in reduced hospital revenue. Rural hospitals, like any other institution, implement both cost cutting and revenue enhancing strategies in order to counteract the economic effects they face. Cost cutting measures include smaller pay increases for employees, delays in maintaining or
replacing equipment or repairing buildings, and postponing hiring additional staff. Efforts to increase revenue include applying for grants and seeking individual donations, increasing charges for services, raising room rates, and adding new services that will bring in more business. The Non-Medical Role of Rural Hospitals The primary purpose of hospitals is, of course, to treat patients. But hospitals, especially those in rural communities, play a significant role in the overall economic status of the community itself. A stable hospital helps draw (or keep) businesses and residents within the community because access to health care ranks high among desired services for quality of life. Hospitals are often one of the largest employers in rural communities, which, in an economic sense, helps in three ways: the employment multiplier (supplying jobs); the income multiplier (employees earn income and spend it, thus creating other jobs); and the sales multiplier (hospital revenue). The medical sector also has more educated and better paid workers—both of which help the overall quality of life within the community. In spite of the financial struggles, rural hospitals provide not only access to medical care, but also peace of mind for residents. “Patients, especially elderly patients, like knowing there is a doctor [and other medical professionals] close by who knows them by name and who they trust,” says Dr. Williams. For more information, you may contact Dr. John Warner Hospital Rural Health Center, 217-937-5284.
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Healthy Hips for a
Happy Baby By Mike Cavanaugh, CO, LO, Prosthetic Resident, Comprehensive Prosthetics and Orthotics
evelopmental Dysplasia of the Hip, or DDH, is a condition characterized by an unstable hip joint. In general, this condition means that there is general instability, or looseness, of the hip joint and can therefore easily dislocate. DDH may also be referred to using the following terms: Congenital Dislocation of the Hip (CDH), Hip Dysplasia, and Developmental Dislocation of the Hip, Acetabular Dysplasia, Hip Dislocation, or Loose Hips. Although this condition is relatively painless in the early stages, if not treated properly it can lead Page 8 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
to disabling conditions, such as arthritis, later in life. The good news is that the success rate with early diagnosis and proper treatment is very high and there are rarely long term effects. Approximately 1 out of 20 full-term babies has hip instability of some sort with approximately 3 out of every 1,000 infants requiring treatment. Girls are affected more often than boys and babies born in the breech position are more susceptible to DDH. Genetics also play a role in the likelihood of having a child with DDH. Normally there are not symptoms
that are obvious to parents, however if you notice any of the following it may be a sign of DDH and you should bring it to the attention of your doctor: legs held in unmatched positions, uneven fat folds on the thighs, or reduced movement on the affected side. Diagnosis The doctor will examine your child’s hips at the time of birth by moving your baby’s legs and looking for signs of instability. Your child’s hips should be examined at the follow up appointments as they grow. In the case that there are signs of DDH in children younger than 4 months your doctor may ask for an ultrasound to be taken of the hips. Children older than 4 months may have x-rays taken. The following are the four types of dysplasia listed from minor to severe: • Subluxable - the head of the femur is partway out of the acetabulum (hip socket) • Subluxed - the head of the femur is partway out of the socket in a resting position • Dislocatable - the head of the femur can easily be fully dislocated however it is in the normal position at rest • Dislocated - the head of the femur is completely out of the socket at rest. Treatment The type of treatment provided will depend on the age of the child, however no matter the age of the child the goal is always to place the head of the femur back into the acetabulum and keep it in place by providing stability. This process is known as reduction. Children from birth to the age of 6 months may wear an orthotic device known as a Pavlik harness. This device is a soft strapping system that holds the head of the femur in the socket by positioning
the legs away from the midline of the body and flexing the hips, which is a very stable position for the hip joint. The Pavlik harness is relatively non-restrictive and does allow the child to exercise his or her legs. This device will be fit by your doctor or an orthotist and you will be informed of the proper donning procedure at that time. This is a very simple treatment and works approximately 90% of the time. Early diagnosis is essential for success with the Pavlik harness. Children that are diagnosed after 6 months of age or have not had success with the Pavlik harness may require a body cast or more rigid orthotic device (brace) to hold the head of the femur in the acetabulum. Doctors may also choose to perform surgery to place the femur in the socket, known as open reduction. There are also cases when a tendon in the hip is tight and needs to be released in order to ensure that the hip is stable. Early diagnosis and treatment are the keys to having a successful outcome when your child is diagnosed with DDH. The success rate is very high and there are rarely any long term affects when treated early. Most children tolerate the Pavlik harness very well and are so young at the time of treatment that they have no recollection of the process as they grow. Mike Cavanaugh is a Certified/Licensed Orthotist and Prosthetic Resident at Comprehensive Prosthetics & Orthotics, Inc. (CPO). CPO provides patients in Central Illinois with prosthetic and orthotic devices and care, and also houses an on-site fabrication department where custom orthoses and prostheses are designed and created for each patient. CPO can be reached by calling toll free 888.676.2276. Visit the website at www.cpousa.com.
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A Holistic Approach to
Pain Management By Ji Li, M.D., Applied Pain Institute LLC
n continuing our look at integrating advanced pain management and holistic care, we will explore the definition of holistic care. The American Heritage Dictionary defines holistic medicine as “An approach to medical care that emphasizes the study of all aspects of a person’s health, including physical, psychological, social, economic, and cultural factors.” Rather than zero-ing in on a single body part, holistic cares widens the scope to investigate the interconnectivity of the body, mind, and environment. In looking at healthcare from a “whole body” perspective, a qualified pain management specialist may develop a holistic treatment plan that includes modification of the patient’s diet and exercise regimen. Starting with the root cause of a painful condition, services from ancillary care providers may be included that “holistically” treat the “whole body.” Two treatment plans that may include socio-economic factors: America has become a nation of “foodies” – people who revel in gourmet tastes and comfort food. Our meals are often shared with others as a means of socialization, and while our economy is in a recession, our waistlines continue to increase. Page 10 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
• If the diagnosis is diabetic neuropathy – a painful condition of the hands and feet that can occur when blood sugar is out of control for a long period of time - counseling from a registered dietician may be a part of the plan to provide education on nutrition and dietary intake to control blood sugar and prevent further damage to the nerves. • If low back pain exists in conjunction with an obese forward-protruding belly, initial weight loss and future weight maintenance counseling may be necessary to reduce the forward pull of the excess forward weight that classically contributes to low back issues. A treatment plan that may include psychological counseling: • When an injury suddenly causes an otherwise active person to lose the ability to continue working at his or her previous occupation or prevents that person from performing all the daily activities that lead to a productive, enjoyable life, we need to look at more than just the physical pain that is present. The emotional pain and grieving that comes with losing a part of one’s identity must also be addressed; therefore, psychological counseling is a must.
Two treatment plans that may include physical strengthening and stretching: • When an injury has required orthopedic surgery or back surgery with a significant amount of down-time required for healing and recovery, returning to the level of previous activity may result in pain because muscles have become weak, and tendons or ligaments have become tight. A referral to physical therapy may be just what the doctor orders…for stretching, for strengthening, and in some cases, for “work-hardening” where the patient replicates activities during therapy that are similar to work activities. • Alternatively, patients who prefer chiropractic care may continue these services to assist in overall alignment, as well as learning new techniques for strengthening and stretching as it relates to a new or recurrent painful condition. A treatment plan that may include Eastern culture and philosophy by including acupuncture: • Eastern philosophy and the use acupuncture of are a way of life for many. It is a blend of adhering to a healthy lifestyle that attempts to keep yin and yang in balance, and corrects imbalances using acupuncture and herbals. Following an injury when Western medicine practices are used for immediate care (setting a broken bone) the return to Eastern practices allow for healing as well as comfort for the body as a whole. As you can see, approaching the treatment plan from a holistic point of view allows a broader assessment of the patient as a whole and lends itself to greater success through caring for the overall well-being of the patient.
For more information on integrating advanced pain management and holistic treatments, you may contact Dr. Ji Li, M.D., Applied Pain Institute at 309-662-0088 www.appliedpaininstitute.com They are located at 1015 S. Mercer Ave. in Bloomington. Their practice integrates advanced pain management and holistic treatments
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Jan/Feb 2012 — Bloomington — Healthy Cells Magazine — Page 11
Disorder Submitted by Anjum Bashir, MD
couldn’t do anything without rituals. They invaded every aspect of my life. Getting dressed in the morning was tough, because I had a routine, and if I didn’t follow the routine, I’d get anxious and would have to get dressed again. I always worried that if I didn’t do something, my parents were going to die. That was completely irrational, but the thoughts triggered more anxiety and more Page 12 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
senseless behavior. Because of the time I spent on rituals, I was unable to do a lot of things that were important to me. I knew the rituals didn’t make sense, and I was deeply ashamed of them, but I couldn’t seem to overcome them until I had therapy.” People with obsessive-compulsive disorder (OCD) have persistent, upsetting thoughts (obsessions) and use rituals (compulsions)
to control the anxiety these thoughts produce. Most of the time, the rituals end up controlling them. For example, if people are obsessed with germs or dirt, they may develop a compulsion to wash their hands over and over again. If they develop an obsession with intruders, they may lock and relock their doors many times before going to bed. Some common obsessions include having frequent thoughts of violence and harming loved ones, or having thoughts that are prohibited by religious beliefs. People with OCD may also be preoccupied with order and symmetry, have difficulty throwing things out (so they accumulate), or hoard unneeded items. Other common rituals are a need to repeatedly check things, touch things (especially in a particular sequence), or count things. Performing such rituals is not pleasurable. At best, it produces temporary relief from the anxiety created by obsessive thoughts. Healthy people also have rituals, such as checking to see if the stove is off several times before leaving the house. The difference is that people with OCD perform their rituals even though doing so interferes with daily life and they find the repetition distressing. Although most adults with OCD recognize that what they are doing is senseless, some adults and most children may not realize that their behavior is out of the ordinary. OCD affects about 2.2 million American adults, and the problem can be accompanied by eating disorders, other anxiety disorders, or depression. It strikes men and women in roughly equal numbers and usually appears in childhood, adolescence, or early adulthood. The course of the disease is quite varied. Symptoms may come and go, ease over time, or get worse. If OCD becomes severe, it can keep a person from working or carrying out normal responsi-
bilities at home. People with OCD may try to help themselves by avoiding situations that trigger their obsessions, or they may use alcohol or drugs to calm themselves. OCD usually responds well to treatment with certain medications and/or exposure-based psychotherapy, in which people face situations that cause fear or anxiety and become less sensitive to them. Newer treatment approaches may be used for people whose OCD does not respond well to the usual therapies. These approaches include combination treatments, as well as techniques such as deep brain stimulation. Stress management techniques and meditation can help people with anxiety disorders calm themselves and may enhance the effects of therapy If you or a loved one has symptoms of OCD, you should first see your family doctor who can rule out other medical conditions that may be causing the symptoms. The next step is to seek out a psychiatrist who is experienced in diagnosing and treating anxiety disorders. You should feel comfortable talking to the psychiatrist you choose and work as a team to overcome the disorder. The family is very important in the recovery of a person with OCD. Family members should not trivialize the disorder or demand improvement without treatment, but should become educated about the disease so that they can be supportive but yet not make it easy for the person’s symptoms to continue. For more information, please contact Anjum Bashir, MD at 309-808-2326. His office is located at 205 N. Williamsburg, Suite D in Bloomington
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Jan/Feb 2012 — Bloomington — Healthy Cells Magazine — Page 13
“MyPlate” Replaces Food Guide Pyramid
irst L a d y M i c he l l e Obama and Agriculture Secretary Tom Vilsack unveiled the federal government’s new food icon, MyPlate, to serve as a reminder to help consumers make healthier food choices. MyPlate is a new generation icon with the intent to prompt consumers to think about building a healthy plate at meal times and to seek more information to help them do that by going to www.ChooseMyPlate. gov. The new MyPlate icon emphasizes the fruit, vegetable, grains, protein and dairy food groups. “This is a quick, simple reminder for all of us to be more mindful of the foods that we’re eating and as a mom, I can already tell how much this is going to help parents across the country,” said First Lady Michelle Obama. “When mom or dad comes home from a long day of work, we’re already asked to be a chef, a referee, a cleaning crew. So it’s tough to be a nutritionist, too. But we do have time to take a look at our kids’ plates. As long as they’re half full of fruits and vegetables, and paired with lean proteins, whole grains and low-fat dairy, we’re golden. That’s how easy it is.” “With so many food options available to consumers, it is often difficult to determine the best foods to put on our plates when building a healthy meal,” said Secretary Vilsack. “MyPlate is an uncomplicated symbol to help remind people to think about their food choices in order to lead healthier lifestyles. This effort is about more than just giving information, it is a matter of making people understand there are options and practical ways to apply them to their daily lives.” Originally identified in the Child Obesity Task Force report which noted that simple, actionable advice for consumers is needed, MyPlate will replace the MyPyramid image as the government’s primary food group symbol as an easy-to-understand visual cue to help consumers adopt healthy eating habits consistent with the 2010 Dietary Guidelines for Americans. MyPyramid will remain available to interested health professionals and nutrition educators in a special section of the new website. ChooseMyPlate.gov provides practical information to individuals, health professionals, nutrition educators, and the food industry to help consumers build healthier diets with resources and tools for dietary assessment, nutrition education, and other user-friendly nutrition information. As Americans are experiencing epidemic rates of overweight and obesity, the online resources and tools can empower people to make healthier food choices for themselves, Page 14 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
10 Tips to a Great Plate Making food choices for a healthy lifestyle can be as simple as using these 10 Tips. Use the ideas in this list to balance your calories, to choose foods to eat more often, and to cut back on foods to eat less often.
balance calories Find out how many calories YOU need for a day as a first step in managing your weight. Go to www.ChooseMyPlate.gov to find your calorie level. Being physically active also helps you balance calories.
enjoy your food, but eat less Take the time to fully enjoy your food as you eat it. Eating too fast or when your attention is elsewhere may lead to eating too many calories. Pay attention to hunger and fullness cues before, during, and after meals. Use them to recognize when to eat and when you’ve had enough.
avoid oversized portions Use a smaller plate, bowl, and glass. Portion out foods before you eat. When eating out, choose a smaller size option, share a dish, or take home part of your meal.
foods to eat more often Eat more vegetables, fruits, whole grains, and fat-free or 1% milk and dairy products. These foods have the nutrients you need for health—including potassium, calcium, vitamin D, and fiber. Make them the basis for meals and snacks.
make half your plate fruits and vegetables Choose red, orange, and dark-green vegetables like tomatoes, sweet potatoes, and broccoli, along with other vegetables for your meals. Add fruit to meals as part of main or side dishes or as dessert.
switch to fat-free or low-fat (1%) milk They have the same amount of calcium and other essential nutrients as whole milk, but fewer calories and less saturated fat.
make half your grains whole grains To eat more whole grains, substitute a whole-grain product for a refined product—such as eating wholewheat bread instead of white bread or brown rice instead of white rice.
foods to eat less often Cut back on foods high in solid fats, added sugars, and salt. They include cakes, cookies, ice cream, candies, sweetened drinks, pizza, and fatty meats like ribs, sausages, bacon, and hot dogs. Use these foods as occasional treats, not everyday foods.
compare sodium in foods Use the Nutrition Facts label to choose lower sodium versions of foods like soup, bread, and frozen meals. Select canned foods labeled “low sodium,” ”reduced sodium,” or “no salt added.”
drink water instead of sugary drinks Cut calories by drinking water or unsweetened beverages. Soda, energy drinks, and sports drinks are a major source of added sugar, and calories, in American diets.
Go to www.ChooseMyPlate.gov for more information.
their families, and their children. Later this year, USDA will unveil an exciting “go-to” online tool that consumers can use to personalize and manage their dietary and physical activity choices. Over the next several years, USDA will work with First Lady Michelle Obama’s Let’sMove! initiative and public and private partners to promote MyPlate and ChooseMyPlate.gov as well as the supporting nutrition messages and “how-to” resources. The 2010 Dietary Guidelines for Americans, launched in January of 2011, form the basis of the federal government’s nutrition education programs, federal nutrition assistance programs, and dietary advice provided by health and nutrition professionals. The Guidelines messages include:
“MyPlate is an uncomplicated symbol to help remind people to think about their food choices in order to lead healthier lifestyles.” Balance Calories • Enjoy your food, but eat less. • Avoid oversized portions.
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Foods to Increase • Make half your plate fruits and vegetables. • Switch to fat-free or low-fat (1%) milk. • Make at least half your grains whole grains
Foods to Reduce • Compare sodium (salt) in foods like soup, bread, and frozen meals, and choose foods with lower numbers. • Drink water instead of sugary drinks. Located in Northeast Normal at Call us now for Coupled with these tested, actionable messages will be the Raab & Towanda-Barnes Roads information or a “how-tos” for consumer behavior change. A multi-year campaign personal appointment calendar will focus on one action-prompting message at a time meadows to learn more! starting with “Make Half Your Plate Fruits and Vegetables.” at Mercy Creek “What we have learned over the years is that consumers are bomNormal Robert O. Bertsche Community barded by so many nutrition messages that it makes it difficult to focus CEO/President High School 1501 Mercy Creekentrance Drive Visitors Meadows at Mercy Creek will be greeted by a covered suppo on changes that are necessary to improve theirarriving diet,” saidatSecretary Normal, IL 61761 (309)747-3639 Vilsack. “This new campaign calendarstone will help unify the public and columns. A welcoming front porch will surround the front of the Community Bui Apostolic firstname.lastname@example.org private sectors to coordinate efforts and highlight one desired change Christian Church for consumers at a time.” Raab Road As part of this new initiative, USDA wants to see how consumers are putting MyPlate in to action by encouraging consumers to take a photo of their plates and share on Twitter with the hash-tag #MyPlate. USDA also wants to see where and when consumers think about healthy eatN ing. Take the Plate and snap a photograph with MyPlate to share with Meadows Mennonite Retirement Community is an equal opportunity provider, and employer. our USDA Flickr Photo Group http://www.flickr.com/people/usdagov/. For more information, visit www.ChooseMyPlate.gov. Additional resources include: www.DietaryGuidelines.gov and www.LetsMove.gov. Jan/Feb 2012 — Bloomington — Healthy Cells Magazine — Page 15
Woman Care By Jolene Hamann, CNM, WHNP, Ob-Gyn Care Associates
ost Americans spend more time researching their next big purchase – like a car or a TV – than researching the type of provider they want for their health care, including the type of care they want for pregnancy and birth. This, however, is a trend that is changing, and the option of having a midwife for pregnancy and birth – and beyond - is becoming a more common choice for a multitude of reasons. It’s no secret that maternity care in the U.S. today needs improvement. One symptom of this is a cesarean section rate that has skyrocketed to 33% with no corresponding improvement in outcomes for women and babies. In fact, globally, the U.S. is ranked below nearly every industrialized country, including Greece, Bosnia and Herzegovina, and the Ukraine for maternal mortality. The United States spends the Page 16 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
most on health care, with some of the worst death and illness rates for mothers and babies around the time of childbirth among industrialized countries. You might be surprised to know that most countries with the best outcomes for moms and babies utilize midwives for the vast majority of pregnancy and birth care. Doctor or Midwife? The primary difference between having a midwife instead of a doctor is the style of care. The word “midwife” literally means “with woman.” The whole woman is cared for - emotional, spiritual, mental, social and physical concerns are addressed. Visits are typically longer. With thorough prenatal care, the midwife becomes so familiar with each woman that she will quickly be alerted to any deviation from normal,
enabling timely intervention and/or collaboration with a physician. Midwives strive for a high touch, low tech type of care. Empowerment is also an essential part of this care, as midwives recognize it is essential for women to have confidence in their bodies and in themselves. Promoting choice through education, midwives become a partner with a woman and her family. Being “with woman” also includes being available to the woman during labor and birth. It is the midwife’s job to promote optimal relaxation and comfort during the process, which may be different for each woman. Midwives have access to interventions, and are known to use them judiciously and, except in the case of emergency, only after consultation with the woman and her family. Physicians are trained in the medical model, which generally involves looking for and treating anything abnormal, then looking for the next abnormality. There tend to be many more routine interventions, even in normal processes. There can be less time for questions and education at visits. The physician is often thought of as being the one “in charge”, regardless of their gender. It is also more typical for a physician to be present only for the last few moments of labor and birth. While the above is true of most midwives, there are midwives whose practice is more aligned to the medical model of care and physicians who practice more closely to the midwife model. Therefore, it’s important to interview any provider and make sure their philosophy and style will meet your needs. Is Midwifery Care Safe? A review of the research from 1990-2008 that was published in the September/October 2011 of Nursing Economics showed that outcomes of care provided by Certified Nurse Midwives were comparable
or better than care provided exclusively by physicians (Newhouse, R.P. et.al.). The research showed that not only were women equally as safe in CNM care as compared to physician care; but also that women who were cared for by CNMs were less likely to have a cesarean birth, episiotomy, severe tears during birth, and were more likely to be successful with breastfeeding. Many other studies have also shown outcomes with midwife-led care — including infant mortality, patient satisfaction, preterm birth, and low birth weight - were all improved over physicianled care without increased cost, and even controlling for the lower risk patients that typically see midwives. All midwives maintain relationships with Ob/Gyn physicians in the event complications requiring consultation or collaboration arise. Midwives are the experts in normal, and strive to prevent complications, but are well-trained to recognize when complications arise and when to call in other members of the team. It’s important to be comfortable with and trust a provider, especially when it involves something as life-changing as pregnancy and birth. Midwives are becoming a more popular option for many women. Jolene Hamann is a midwife and nurse practitioner with Dr. Joe Santiago at Ob-Gyn Care in Bloomington and can be contacted at 662-2273 or www.obgyncare.com. For more information: American College of Nurse Midwives: www.acnm.org American Congress of Obstetricians and Gynecologists: www.acog.org Midwife and pregnancy information: www.mymidwife.org Quiz to see what type of provider is best for you: www.delivermybaby.org Doulas of North America: www.dona.org
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Make the First Five Count! By Erin Rogers, M.Ed
very year in our nation, millions of young children with unidentified delays and disabilities enter school with learning and health issues that put them far behind their peers and have a lasting, negative effect on their ability to reach their full potential. These children represent lost opportunities; we know that the first five years of children’s lives are years of incredible learning that shape their futures. In fact, several studies, including the Chicago Public School’s Child Page 18 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
Parent Center Study, document the value of high-touch early education programs for young children at risk for disability and developmental delay. The Chicago study estimates that for every dollar we spend today on early intervention and education, we save seven dollars in future costs to society. Investing in young children pays great dividends, and it all starts with identification. Recognizing a potential problem in the following 5 areas
of development is the very first step in ensuring every child gets the services he or she needs early – at the time they can benefit most.
• Knows last name by age 4 • Has a vocabulary of about 1500 words by age 5
Area 1 – COGNITIVE: Thinking skills, including learning, understanding, problem-solving, reasoning and remembering. A child typically… • Responds to his name when called by age 1 • Identifies hair, eyes, ears, nose and mouth by pointing to them by age 2 • Understands simple stories told or read by age 3 • Gives reasonable answers to simple questions such as “What do you do when you are hungry” by age 4 • Understands the meaning of the words “today”, “tomorrow”, and “yesterday”
Area 4 – Social/Emotional: Interaction with others and relationships with friends and family, responding to the feelings of others. A child typically…… • Plays games such as pat-a-cake and peek-a-boo by age 1 • Imitates behavior of others, especially adults and older children, by age 2 • Views self as an individual with own body, thoughts and feelings by age 3 • Plays group games such as hide-and-seek or tag with other children by age 4 • Shares and takes turns by age 5
Area 2 – SENSORY: Interaction with the environment; reaction to and recognition of sights, sounds, textures and smells. A child typically….. • Responds to music with body motion by age 1 • Explores surroundings by age 2 • Recognizes sounds in the environment by age 3 • Recognizes red, yellow and blue by age 4 • Knows spatial relations like, “on top” and “far” by age 5 Area 3 – LANGUAGE: Speaking, using body language and gestures, communicating and understanding what others say. A child typically….. • Says “mama” and “dada” by age 1 • Says 8-10 words you can understand, including names, by age 2 • Talks in short sentences by age 3
Area 5 – Movement: Using large groups of muscles to sit, stand, walk, run, and climb, keeping balance, and changing positions. Using hands to eat, draw, dress, play, and write. A child typically….. • Crawls on hands and knees by age 1 • Turns pages in a book by age 2 • Walks down steps by age 3 • Balances on one foot for short time by age 4 • Throws and catches a large ball bounced to him by age 5 If you suspect your child may have a problem, don’t delay. Talk to your child’s doctor, and contact Easter Seals to get information about additional developmental information or screening. For more information, you may contact Easter Seals at 309-663-8275 visit www.MaketheFirstFiveCount.org. Healthy Cells Ador- Heather_Layout 1 12/1/11 12:08 PM Page 1 (Black plate)
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OSF Weight Management Center Offering Individualized Weight-Loss Solutions By Jamie Peel, OSF St. Joseph Medical Center
Tricia Silver, RN, Elise Mysker, Medical Administrative Assistant, and Weight Management Specialists Monica Nyman, MS, RD, LDN, and Jordan Weber, MS, CHFS, guide patients through their chosen weight-loss course at the weight management center.
ou hear it all the time. “I’ve tried everything, but I just cannot lose weight!” Whether you are five pounds overweight or 100 pounds overweight, typically, the problem is not losing the weight. The problem is keeping the weight off. No matter the amount, many people struggle with how to return to their normal life after they lose weight. OSF St. Joseph Medical Center has the solution for people who are tired of saying they cannot lose weight – and cannot keep it off. The OSF Weight Management Center is helping people achieve their optimal health and weight. OSF Weight Management combines Page 20 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
surgical, medical, behavioral and lifestyle modifications to reach long-term weight loss. “Every one of our patients has tried something and we hear them say over and over again, they cannot keep the weight off,” Weight Management Specialist Jordan Weber said. A team of physicians, registered dieticians, fitness specialists, and support staff provide educational and emotional support to each individual.
“Every patient is an individual. We work to find a solution that will work for them,” Weber said. Nonsurgical Options The OSF Weight Management Center offers several nonsurgical options. The center uses the HMR (Health Management Resources) Diet® program for all nonsurgical programs. HMR is a diet program that supplies meals, shakes and snacks for a healthy way to lose weight. People do not need a physician’s referral to join the OSF Weight Management Center. Anyone who is looking to lose weight in a healthy way may join. When patients first join, they will start in Phase I. Phase I offers three choices: Decision Free, Healthy Solutions and HMR at Home. Patients can order the HMR meals through the weight management center. Each program provides a plan for individual patients. The plan is a how-to map of what changes they will be making in their lives. They will have meal plans, exercise and activity goals, among other things. Decision Free Decision Free is a medically supervised program and is only offered inclinic. Before patients begin the program, they will complete an entrance medical exam, visit with a nurse and have basic lab work done. “The Decision Free program is a low-calorie diet. Any time a patient is eating less than approximately 1,200 calories per day, they need medical supervision,” Weber said. In Decision Free, patients only eat HMR meals and shakes. They also participate in a class at the OSF Weight Management Center once a week for 13 weeks. Patients say Decision Free is easy to follow because it eliminates choices and temptations. They also say they enjoy the meal choices. “By participating in the program, I know I have the tools to help me succeed. Thanks to these tools and all of the support, I won’t be one of those people who gain the weight back,” said Genise Bailey, an OSF Weight Management patient. “The food is tasty. If it wasn’t, I wouldn’t be on the program,” said Jenny DeHaan, an OSF Weight Management patient. The class time is also an important benefit for patients. They are able to share ideas, learn about weight loss and healthy eating, and interact with other patients who have similar experiences. “The classroom aspect offers support and guidance for how to lose the weight and keep it off,” said Weber. “The classroom provides accountability. We celebrate each other’s success and offer support during the struggles,” DeHaan said. “We can bounce ideas off of one another. It’s nice to have people there who understand and know what you are going through.”
John Wieland, MD, LAP-BAND® surgeon, discusses patient orders with OSF Weight Management Nurse Tricia Silver.
Weight Management Specialist Monica Nyman explains the HMR “In The Box” concept. Weekly classes contribute to the success of the OSF Weight Management Center patients.
Healthy Solutions and HMR at Home The Healthy Solutions program is similar to Decision Free but the plan also includes fruits and vegetables. Healthy Solutions can be done in-clinic or at home. In-clinic programs do not require medical supervision unless the patient has diabetes. As with Decision Free, patients will have a personalized plan they must review with staff at the weight management center and attend a class once a week. The HMR at Home program follows the Healthy Solutions diet plan (HMR meals, plus fruits and vegetables) but is done entirely from home. Patients order their food and it is delivered to their house every two weeks. HMR at Home is convenient and easy for people with busy schedules. Although they do not have classroom support, they do have office staff support. HMR at Home provides dieting materials, diet kits and more. Phase II Program Phase II of the HMR program is what makes the OSF Weight Management Center different than other weight-loss options. People learn
Medical Administrative Assistant Carol Hill fills requested food orders before a weekly meeting. Jan/Feb 2012 — Bloomington — Healthy Cells Magazine — Page 21
with the LAP-BAND® System
how to get back to their normal life by eating the right types of food to keep them from gaining the weight back. They will continue to eat the HMR meals, while beginning to eat fruits, vegetables, lean meats and whole grains. Phase II is where patients will learn how to make their new lifestyle work for them. “All of our patients see an increase in the quality of life,” said Weber. “They are all different; whether they can take long walks or get on the floor and play with their grandchildren, they feel so much better.” LAP-BAND® The OSF Weight Management Center started offering the LAP-BAND® surgery in August of 2011. The LAP-BAND® Adjustable Gastric Banding System is a minimally-invasive bariatric surgery that reduces the stomach’s capacity, restricting the amount of food patients are able to eat at one time. The patients will feel full faster and stay full longer, ultimately eating less. “We stress to our patients the band is a tool to help restore them to a healthy lifestyle,” said John Wieland, MD and LAP-BAND® surgeon, of Esch, Wieland, Naour & Holt Surgery. “As we know, the most difficult part about weight loss is keeping the weight off. LAP-BAND® helps encourage less food intake, helping provide long-term success.” “LAP-BAND® is a tool, not a solution. Patients have to make dietary changes and increase activity and exercise in order to lose the weight. It takes as much dedication as a regular diet,” said Weber. LAP-BAND® offers many benefits to patients. The surgery allows patients to lose weight at a healthy rate. On average, patients lose one to two pounds per week. Also, because LAP-BAND® is minimally invasive, there is a quick recovery time and no cutting or stapling of the stomach. Because patients are losing weight at a healthy rate, they are less likely to have loose skin. Is LAP-BAND® for you? Patients who are more than 100 pounds overweight and have tried other weight loss options should consider LAP-BAND®. Also, people with a BMI (Body Mass Index) of 35 or higher and those people who Page 22 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
with HMR at Home®
have other health issues such as diabetes or hypertension, should ask their primary physician if they should consider the surgery. “For whatever reason, some people cannot lose weight. LAP-BAND® is a nice option for people who have comorbidities,” said Weber. Those people interested in learning more about LAP-BAND® can attend “My LAP-BAND® Journey,” a free seminar hosted by the OSF Weight Management Center. Dr. Wieland will discuss the surgery, the success rate and whether this approach is right for you. “When people come to the seminar, they want to know how rapidly they can lose weight post-surgery, how it compares to other surgeries and cost. We discuss all of these things to help them decide if LAP-BAND® is a good option for them,” Wieland said. Anyone Can Lose Weight No matter which program patients choose, they have to do what is right for them. Weight loss is very personal, both physically and mentally. Just because something worked for one person, does not mean the same thing is right for another. However, some things will always remain a constant. Weight loss is long-term commitment and lifestyle change. There is no magic pill when it comes to weight loss. It involves hard work and dedication and it is important to remember you do not have to do it alone. “Anyone can lose weight. We have an option for everyone,” said Weber.
If you are interested in learning more about the OSF Weight Management Center’s HMR program, you can attend one of the free informational seminars offered every Monday and Tuesday. At the seminars, you will learn what program option is right for you, class times, costs and much more. If you are interested in learning more about LAP-BAND®, join Dr. Wieland at his free informational seminars. Registration is required for both program seminars. To register or for more information, please contact the OSF Weight Management Center at 309-661-5040 or visit www.osfstjoseph.org/weightloss.
Clinical Trials: At the Forefront, On the Home Front By Dr. Sachdev Thomas, MD and Dr. Pankaj Kumar, MD, Illinois CancerCare, P.C.
hen a patient is diagnosed with cancer, there are no compromises: they will tell you they just want the best. The best possible care often includes participation in a clinical trial. People may have misconceptions about clinical trials. The term alone can conjure up descriptions such as “guinea pig”, “experimental testing” or “assumptions and speculations not based on fact.” However, quite the opposite is true. Clinical trials are safe, voluntary, and most important – they are vital to the ongoing goal of increasing the treatment options and longevity percentages for patients with cancer. Many people don’t understand how clinical trials work, let alone the high quality of care they would receive by participating. Others aren’t even aware of them as an option. What are clinical trials? Clinical trials are research studies that involve people. They are the final step in a long process that begins with research in a lab and animal testing. These trials test the safety and effectiveness of new or modified cancer drugs and treatments, new drug dosages, new approaches to surgery or radiation therapy, and different combinations of treatments. In cancer research, clinical trials are designed to answer questions about new ways to: • Treat cancer • Find and diagnose cancer • Prevent cancer • Manage symptoms of cancer or its treatment Successful clinical trials have: • Increased survival rates of participants with cancer • Decreased morbidity associated with the surgical treatment of many cancers • Resulted in the development of new compounds and techniques to reduce the side effects of cancer therapies Planned in advance, clinical trials follow a rigorous scientific process with built-in safeguards from participants, who are selected carefully from volunteers. The trials are usually conducted in a progressive series of steps, called phases, beginning with small trials that test the safety
of an intervention. When testing progresses to larger trials, the effectiveness of the new intervention given to the investigational group is compared to the currently accepted standard care given to the control group. Typically, everyone enrolled in a clinical trial receives some form of treatment – placebos are rarely given in treatment trials. Over the past 3 decades access to clinical trials has increased. Previously, cancer patients would have to travel to large research institutions to participate in clinical trials. But today, through special partnerships, national research trials are available in many hometowns – including Bloomington-Normal. There are 30 or so community-based cancer treatment clinics and hospitals in the United States and Canada that are accepted into the Mayo Clinic Cancer Research Consortium (MCCRC), a clinical research group based out of the Mayo Clinic Cancer Center in Rochester, Minnesota. Another group, created in 1983 by the National Cancer Institute (NCI), the Community Clinical Oncology Programs (CCOP) network allows patients and physicians to participate in state-of-the-art clinical trials for cancer prevention and treatment while remaining close to home in their local communities. There are 47 CCOPS in 35 states across the country. The CCOP program provides a national mechanism for community-based physicians to partner with large academic investigators. The primary goal is to accelerate implementation of NCI clinical trials for cancer prevention, control and treatment while delivering the benefits of scientific discovery to the local communities in the network. One astounding, irrefutable fact that patients and health care professionals alike must realize is that today’s standard cancer treatments were yesterday’s clinical trials. By participating in a clinical trial, a patient has the opportunity to be one of the first to receive what might be the next new standard treatment for their particular cancer. More clinical trials means more advanced treatment options. When facing the battle of a lifetime, having more options matters. For more information about a clinical trial, please contact Illinois CancerCare or Illinois Oncology Research Association CCOP at 309-243-3000. Illinois CancerCare is one of only 3 CCOP’s in the state of Illinois outside of the Chicago area. A listing of all clinical trials currently available at Illinois CancerCare is available on the website.
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Advertising to Children By Elizabeth Kosuth
any parents are already aware that excessive television viewing has been linked with childhood obesity. As watching television is a sedentary activity, it’s an obvious conclusion, but there are other factors at play. Children’s programming is awash with advertisements touting the pleasures of consuming food high in fat, sugar and salt. These ads are carefully constructed for maximum
effect, stimulating and inflating desire in children that nearly any parent with a child in tow at the grocery store can tell you is ruthless. Studies indicate eating foods that are high in fat and sugar create a synergistic effect that stimulates and sometimes even extends higher levels of dopamine, a neurotransmitter that carries messages among nerve cells. Dopamine focuses our attention, which is why it can be hard to eat just a few cookies or one small piece of cake. Eating foods high in sugar, fat and salt actually changes how we respond to food—mere desire can become cravings and “addictions,” especially when constantly reinforced by repetitive advertising. Peddling junk food to children has proven to be a lucrative business: in the ten years between 1994 and 2004, development of new food products targeting children jumped from 50 to 470. Page 24 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
A century ago, the purpose of advertising was to sell a product on the merits of its usefulness. Now products are sold through careful construction of appearing to meet an emotional or human need. The images used in ads for food commonly pair emotionally satisfying activities—like having fun or impressing friends—with the sensual pleasure of eating the product. Thus, drinking Mountain Dew is associated with being “cool”—a term that really comes down to being accepted and admired by one’s peers, an emotional need especially strong for tweens and teens. A fast food advertisement may use music and cuddly images to create a connection between warm, fuzzy feelings and their particular children’s food combo, even though those feelings are more likely to be generated by experiencing closeness with the people we love. The power of this manipulation can be weakened if parents talk with their children about the nature of dramatization. Young children especially need to be told that, while it can be entertaining, an ad’s only purpose is to sell products. Point out that the images in an ad are purposefully designed to create certain feelings and desires, and use a child’s personal experience with the performance or pleasure of using a particular toy, in comparison with the ad promoting that toy, to demonstrate your point. For example, note that even if the Skittles commercial shows children experiencing a fantastic barrage of sensual pleasure as they eat this product, the real experience of eating Skittles does not come anywhere near the televised version of it. While this seems obvious to adults, children are less likely to separate the fantasy from reality. Parents can talk to children about the feelings that particular advertisements evoke, and then ask the child to think and talk about what actually creates these feelings for them. Does drinking a Mountain Dew make your friends admire you more than being a loyal and honest friend? Does eating a hamburger and collecting the trinket feel as good as a hug from a parent or sharing a favorite activity with a friend? These questions need to be asked and repeated from an early age, before children have become so habituated to accepting the subliminal reality portrayed by commercials that their answers to these questions become an alarming “yes.” Finally, it doesn’t help when families combine mealtimes with watching television. Not only does the distraction prevent people from realizing when they’ve eaten enough, it sacrifices a prime opportunity for family bonding. With today’s busy lifestyles, opportunities for parents to connect with their children are at a premium. The foods we eat and the products we use have become a form of social identity, pulling children away from identifying with their family’s values to instead adopt the superficial values of consumption and image. We need to provide the emotional bonding necessary for a child to be securely familiar with the warmth of family intimacy, so that eating a fast food meal is nothing in comparison. Elizabeth Kosuth holds a Master’s degree in Communication from Illinois State University, and researches and writes about parenting and media literacy. She strives to empower parents to help their children become critical, conscious consumers.
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traumatic brain injury
Cellular Paramedics By Edward W. Pegg, MD
here are many studies being done on substances that show promise in helping the brain recover from concussion or traumatic injury. As we’ve discussed in previous articles, concussion is a functional, not a structural, problem. This means there is nothing visually wrong. It would be similar to a house that is unlivable after a flood. Once the water recedes, the house is structurally unchanged; it is just wet and muddy. The concussed brain viewed through an MRI or CT is also unchanged but at the cellular level is "wet" and "muddy". Neurotransmitters “rev up” and exhaust the neuron, causing a buildup of byproducts that produce damage to the cell membrane and the internal structures. These byproducts are super-oxides and free radicals that we hear about on commercials that attack our skin and lead
to wrinkles. Super-oxides damage the fatty cell membrane in the brain in a process called peroxidation. The damaged cell membrane has to be fixed if the cell is to stay alive and healthy. DHA omega-3 is now being used at some universities after concussion in athletes. DHA is a polyunsaturated fatty acid that is found in fish, crustaceans, and algae. You have no doubt heard how polyunsaturated fatty acids are beneficial for lowering the risk of heart disease and stroke. Animal studies have shown similar positive benefits after concussion or traumatic brain injury (TBI). There are small patches of omega-3 polyunsaturated fatty acids floating in the brain membrane sea. DHA may act as “cellular paramedics” that are there in case of an emergency to help repair the area of damage in the cell. Our bod-
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ies cannot make polyunsaturated fatty acids, and we must obtain this through our diet. It is thought that DHA may work by several mechanisms. DHA is converted to neuroprotectin in the cell. This molecule prevents peroxidation (damage). DHA may also work by increasing brain-derived neurotrophic factor (BDNF), which is like a brain vitamin. Lastly, DHA has been found to help the transport of glucose into the brain, where it is an important source of energy. The study looked at DHA-treated and untreated mice after concussion. The group that was treated with DHA showed minimal injury 30 days after treatment. Those without DHA showed significant damage. Studies in humans have yet to be conducted. Other animal studies have shown benefits with additional over-thecounter products and additives. The Indian spice turmeric contains a flavanoid (aromatic pigments) called curcumin. This molecule has been found to have anti-inflammatory and antioxidant properties. It is also a product that is lipophilic (fat loving). This allows it to easily get into the brain. Purified curcumin (CNB-001) has been shown to decrease peroxidation in cell membranes. There was also reduced damage to proteins and preserved energy. This may be why there is less Alzheimer disease in India than in the U.S. Human studies using curcumin in Traumatic Brain Injury have not yet been done. Creatine is a building block for proteins and is used frequently by athletes to try to improve physical performance. But creatine is also important for the energy supply in the brain. It is the go-between from the glucose energy source to its use by the cellular machinery. Preclinical studies show creatine and creatinephosphate are used up in concussion, or traumatic brain injury. This lack of sufficient cellular energy may lead to the ultimate damage in the neurons. Studies have
shown that pretreatment with creatine may increase supplies in the brain. Creatine has been tested in the pediatric population after severe traumatic brain injury. Results showed improved communication skills, walking, behavior and cognition in the group that received creatine. Studies have not been done in mild traumatic brain injury or sports concussion at this time. Green tea has three separate protective compounds that have neuroprotective properties: EGCG, theanine and methylxanthine. EGCG and theanine have anti-inflammatory properties on peripheral nerves, spinal cord and stroke. Methylxanthine, or caffeine, has been found to protect against neuronal cell damage and traumatic brain injury but only if used on a chronic basis. Now, I can finally feel good about my caffeine addiction. Lastly, vitamins E and C have been shown to be an antioxidant. Vitamin E is made up of eight naturally occurring compounds. What is of interest is that one of these, gamma-tocopherol, has the strongest anti-inflammatory properties. Vitamin supplements, however, usually provide alpha-tocopherol. The increase in alpha-tocopherol may offset, or lower, the gamma-tocopherol levels in the serum. Vitamin E is also used up while it is doing its work; it is changed, or oxidized. In the oxidized state, it is no longer effective. That is why it is important to also take vitamin C. Vitamin C is able to transform vitamin E back to its original and active form. As time goes on, we may find other natural man-made substances or combinations that will be helpful in helping the brain recover from injury, and possibly prevent the injury from occurring. For more information, you may contact Dr. Pegg, board-certified neurologist, at 309-661-7344.
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Jan/Feb 2012 — Bloomington — Healthy Cells Magazine — Page 27
Do Your Eyes Hurt? Submitted by Saba Quraishi, MD, Bond Eye Associates
Dry eye can occur at any age, but it is most common in people over 50. Sometimes dry eye is a temporary condition and sometimes it is chronic. There are many different causes, some of the most common ones are: • Side effect of some medications • H ormonal changes s uch as pregnancy, menopause, hormone replacement therapy • S ide effect of LASIK or cataract surgery. • Allergies • Infrequent blinking associated with staring at computer or video screens • Both excessive and insufficient dosages of certain vitamins • Diseases of the glands in the eyelids, some immune system disorders, eye infections or inflammation. • Dry environment such an airplane or air conditioning
ave your eyes ever felt like they have a speck of dirt in them for days on end? Do your eyes become very uncomfortable when reading or working at the computer? Do your eyes sting, burn or itch? Are you having trouble wearing your contact lenses? These symptoms are characteristic of a condition known as dry eye. Dry eye feels uncomfortable and occurs when the eye does not produce enough tears, or when the tears are not of the correct consistency and evaporate too quickly. Tears are necessary for overall eye health and are constantly produced to bathe, nourish, and protect the eye surface. They are also produced in response to emergencies, such as a particle of dust in the eye, an infection or irritation of the eye. Dry eye symptoms may include any of the following: • Stinging or burning of the eye • A sandy or gritty feeling as if something is in the eye • Episodes of excess tears following very dry eye periods • A stringy discharge from the eye • Pain and redness of the eye; • Episodes of blurred vision • Inability to cry when emotionally stressed • Uncomfortable contact lenses • Decreased tolerance of reading, working on the computer, or any activity that requires sustained visual attention • Eye fatigue Page 28 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
Treatment of dry eye depends on what is causing it. First try self-care by using artificial tears which are available over the counter. This often will offer temporary relief. Avoid dry conditions and allow your eyes to rest when performing activities that require you to use your eyes for long periods of time. If the problem persists, you should consult an eye doctor. If the underlying cause is a disease, then the disease must be treated. If medication seems to be the cause, you may be able to switch to a different one. If contact lens wear is the problem, you might need to try another type of lens. Sometimes supplements of omega-3 fatty acids (especially DHA and EPA) may decrease symptoms of dry eye. Inserting punctual plugs is a procedure your eye doctor can perform that is usually very successful. These silicone plugs are put into the drainage holes at the inner corners of the eyelids. This helps keep the limited volume of tears on the eye for a longer period of time. The procedure is painless and often provides complete relief. If left untreated, dry eye is not only painful, but it can lead to tiny abrasions on the cornea which can lead to more serious problems. For more information or to schedule an eye exam, you may contact Dr. Quraishi, MD, at Bond Eye Associates, 309-662-3937. Their office is located at 1228 N Towanda Ave, (Towanda Plaza), in Bloomington. Dr. Quraishi specializes in Cataract Surgery, Refractive Surgery and General Ophthalmology.
Recharge Your Batteries By Michael Roizen, M.D., and Mehmet Oz, M.D.
ellphones aren't the only place where batteries always seem drained when you need 'em most. Check your own energy reserves. Thanks to the economy's wild-and-crazy gyrations, burnout's spreading faster than disgust with Congress. In fact, you're more likely to be burned out than ever before—whether you've lost your job, are scared you might or are still employed but find yourself doing the work of two. Nearly half of all employers said their workers are emotionally, mentally and physically exhausted in a disturbing new survey. Being unemployed may be worse: typing "job search burnout" into Google nets more than 2.7 million entries. We YOU Docs know burnout is fixable (hey, we survived med school!). You can recharge, without selling everything you own on Craigslist and catching a freighter to Tahiti. One way: Try the "Stress Free Now" program at ClevelandClinicWellness.com. Another: These personal-battery boosters: Reach out. Humans aren't wired to work solo. Isolation subtly boosts stress, and more stress equals more burnout. You're at extra risk if you're a home caregiver, telecommuter, office worker stuck in a lonely cube—or a daily kitchen-table job searcher. Balance all that alone-time by connecting with like-minded folks. Join a job-search club or caregiver support group. Make time for lunch with office buddies. Network. Volunteer. Visit your happy place daily. Forget waiting till you can swing a massage, much less a weekend in Paris. Hit the pause button every day with a 20-minute relaxation break (we do two 10-minute ones). They'll boost well-being and flood your brain with positive thoughts. Don't just cue up an episode of your favorite sit-com, though laughter is great medicine. Also try guided imagery for an instant mental escape. Stressed nurses and anxious patients at the Cleveland Clinic use it to stay calm. It works! (Find free guidedimagery recordings at healthjourneys.com/free_audio.asp.) You're more physical? Give yourself a walk for an instant ahhhhh. It's not just that walking (biking, swimming, rocking a fast, fun exercise video) reduces stress and ups feel-good brain chemicals. It also counteracts anxiety-fueled threats like jumps in your blood pressure, blood sugar and LDL cholesterol. Restore your sleep. Daytime stress can steal hours of deep sleep from you at night. It's a nasty feedback loop, because bad sleep makes tomorrow more stressful. Really use sleep-friendly strategies. After lunch, sip herb tea, not caffeine. Tonight, relax with a good book and some deep breathing before bed, not a couple of beers and hours of TV or Web surfing—alcohol and glowy electronic lights disrupt sleep. Reconnect with what you love. Too burnt out and busy to follow your bliss? You can't afford not to. We're not suggesting you quit your job/job hunt and start an alpaca farm in Tibet. But when one part of your life swallows everything else—time with family, fun with friends, worship, even knitting that scarf—it's a recipe for more burn-out. Block out regular time for YOU. Or for you two: Trade back rubs with your partner. You'll get the burnout-melting benefits of touch therapy minus the spa price.
Regain control. Not long ago, business experts advised stressedout employees to talk with their boss about unrealistic job duties and late nights—or look for a better job. In a down economy that may not fly! So find ways to feel in control; it's crucial for beating burnout. Make prioritized to-do lists. Devote lunch hours to whatever makes you feel great, whether it's catching up with your office BFF, crossing off mini-chores or stretching at your kitchen "desk." It all helps. Give yourself a mental health check. Our proven battery-chargers should refill your energy reserves. If not, talk to your doc. Behind a case of "I've had it up to here" is soul-deep exhaustion and barrage of negative thoughts. Behind that is chronic stress. The combo can easily morph into full-blown depression that needs expert help. Get it. The YOU Docs, Mehmet Oz, host of "The Dr. Oz Show" and Mike Roizen of Cleveland Clinic, are authors of "YOU: Losing Weight." For more information go to www.RealAge.com. © 2011 Michael Roizen, M.D. and Mehmet Oz, M.D. Distributed by King Features Syndicate, Inc.
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Hypnosis and Cancer Treatment By Rick Longstreth, Certified Hypnotherapist
any cancer patients and cancer survivors are turning to various “complementary therapies” to help relieve certain symptoms of cancer, relieve side effects of cancer treatment, or improve their emotional sense of well-being. Complementary therapies are used along with standard medical treatment, which for cancer, includes chemotherapy, radiation, biological therapy, and surgery. Some examples of complementary therapies include meditation, yoga, massage therapy, Acupuncture and various dietary supplements. Hypnosis or hypnotherapy is one method that is growing in popularity. Hypnotherapy is especially effective as a complement to pain medication and has proved useful for cancer patients to help with pain management and the nausea and vomiting related to chemotherapy.
EDWARD W. PEGG, MD, LLC SPORTS NEUROLOGY & CONCUSSION MANAGEMENT 1505 Eastland Drive, Suite 2400 Bloomington, IL 61701
(309) 661-7344 • (309) 661-PEGG Page 30 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
Hypnosis can be defined as the ability to concentrate on a single thought whereby excluding all others – or focused concentration. Hypnosis is a natural state of consciousness used everyday by everyone. Have you ever become emotional while watching a good movie? Have you ever driven down Veterans Parkway, stopped at a stop light, and then thought to yourself, “I don’t remember the light turning red, but I stopped?” Do you daydream or zone out? These are everyday examples of waking hypnosis. Hypnosis works because our brains operate on two levels. We’re usually attuned to the commentary running through our heads, which is the conscious, or reasoning side but we don’t realize that it’s in our subconscious minds that these ideas can originate. Therapeutic hypnosis – which is far different than the “stage hypnosis” that some may be familiar with - offers a way
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to connect logic, habits, and feelings so a person can gain more control over their behavior, emotions, and even some physical processes that cause problems for them. There has been quite a bit of independent scientific research on hypnosis and it has been shown to be effective. A report from the National Institutes of Health concluded that hypnosis can help reduce chemotherapy-induced nausea and vomiting, and appears to help reduce pain and distress from medical procedures. In another study, giving breast cancer patients a brief hypnosis session before surgery reduced the pain, nausea, fatigue, discomfort, emotional upset, and cost of the procedure. Hypnosis may help control hot flashes in breast cancer survivors. Results of a fiveweek study showed that participants who received hypnosis had a 68% reduction in hot flash frequency/severity and showed significant improvements in anxiety, depression and sleep. If you are thinking about using any complementary or nonmainstream therapies, it is important to first discuss it with your health care team. Hypnosis done under the care of a professionally trained hypnotherapist is very safe when used with standard medical treatment and can significantly help reduce stress, fatigue, pain, side effects of treatment, and improve general outlook. While hypnosis will not influence the development or progression of cancer, it may help to improve quality of life.
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Can You Prevent Varicose and Spider Veins? Submitted by Dr. Bohn and Dr. Nielsen, Illinois Vein Specialists
bout 50 to 55 percent of women and 40 to 45 percent of men in the United States suffer from some type of vein problem. Vein disease is a chronic condition that only gets worse with time and is primarily caused by hereditary factors. The unsightly veins however, can appear due to prolonged standing, trauma to the leg and pregnancy. When veins become diseased, they no longer work efficiently to bring blood from the legs, back to the heart. Some of the symptoms of vein disease are leg cramps, burning, itching,
Page 32 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
heaviness, leg swelling, restless leg syndrome, skin ulcerations and discoloration. It’s not possible to stop the progression of varicose and spider veins but these helpful tips may reduce your symptoms. • Control your weight to avoid placing too much pressure on your legs. • E xercise regularly to improve your leg strength, circulation, and vein strength. Focus on exercises that work your legs, such as walking or running. • E levate your legs when resting as much as possible. • D on’t stand or sit for long periods of time. If you must stand for a long time, shift your weight from one leg to the other every few minutes. If you must sit for long periods of time, stand up and move around or take a short walk every 30 minutes. • Wear elastic support stockings and avoid tight clothing that constricts your waist, groin, or legs. • A void wearing high heels for long periods of time. Lower-heeled shoes can help tone your calf muscles to help blood move through your veins. You should see a doctor about varicose veins if you’re having leg pain, even if it’s just a dull ache or any of the symptoms listed above. The treatment for vein disease has never been better and typically treatments are covered by insurance. Newer treatments require little down time so you can return to your daily activities quickly. For more information about vein disease and leg pain please contact Illinois Vein Specialists at 309-862-4000.
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Harold A. Nord, M.D. Rachel M.H. Dalton, D.O. Genny Petersen, A.P.N., C.N.P. Angela Klein, A.P.N, C.N.P. Dr. Nord & Dr. Dalton have a special interest in gynecological surgery, laparoscopy, infertility and counseling for pregnancy loss. We offer: • Preventive medical exams and wellness education • Pre-conceptual counseling and nutrition • Routine & HIGH RISK obstetrics • Treatment of gynecological problems, including breast • Management of menopause • In-office tubal occlusions • In-office endometrial ablations for heavy periods Accepting New Patients – Call Today For An Appointment We Honor Most Major Insurance Plans & Medicaid
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Male MANopause By Dr. Tom Rohde, Renew Total Body Wellness Center
s discussed in last month’s article, hormones decline as we age and it becomes increasingly important for both men and women to keep their hormones balanced to protect against fatigue, loss of muscle strength, mood swings, disease, obesity and to enjoy an overall healthier sense of well being. Testosterone is one of our sex hormones and is produced in both men and women. Symptoms of low T manifest in a number of ways including physical, emotional, psychological and behavioral changes. Men frequently notice male andropause (MANopause) symptoms as a gradual loss of energy, muscle, mental focus, stamina and libido. Although a decline in hormone levels will occur in virtually all men with age, there is no way of predicting whose symptoms will reach the severity of seeking medical help. The only way to know is to test. As I have said many times before – IF YOU’RE NOT TESTING – YOU’RE GUESSING! How to Fix it First you need to measure the Testosterone levels (free T level) along with several other hormones to figure out what’s going on. These would include DHEA, Estradiol, Di-hydrotestosterone, FSH, and LH levels, and if doing blood testing a sex hormone binding globulin. Next you need to correct sleep problems as lack of sleep reduces T levels. A sleep study may be indicated. Exercise raises T levels so a regular cardiac workout 3-5 days per week helps elevate T levels. Dietary change and weight loss are vital – low carbohydrate with moderate amounts of healthy oils and an adequate protein intake are the best choice – this is the Mediterranean diet. All of these steps will frequently raise T levels back into the normal range. When retesting reveals T below desired levels or clinical symptoms persist after the above lifestyle changes, then T replacement should be considered as the next step. Many choices exist including topical gels or patches in prescription form or compounded creams, injectable, or implantable pellets once a steady daily dose has been determined. These are individualized as no one dose will fit every person. Levels must be retested at regular intervals to keep levels in a safe physiologic range. Worries About Testosterone Replacement Many people still worry that Testosterone causes prostate cancer. I disagree. A normal T level keeps us healthy — it’s all about
BALANCE! God would not have equipped us with a hormone that would lead to bad outcomes. Furthermore, if elevated T levels lead to prostate cancer, why don’t male teenagers get prostate cancer? Sounds simplistic, but it isn’t. Prostate cancer is caused by many factors including: • We are exposed to toxins as we live, many of which function as estrogenic growth compounds in our bodies. • We have too much stress in our lives and we don’t get enough sleep which affects our immune systems proper function • We have low vitamin D levels that would protect us from inflammation • We eat too many carbohydrates and put on weight. This fat serves as an estrogen source. Unbalanced estrogen functions as a tissue growth hormone in our bodies making cells grow. Think miracle grow for your lawn – it makes the grass green but the dandelions also grow, as do prostate cancer cells should they be present. European literature supports a healthy male testosterone level offsetting an elevated estrogen level – the way we were when we were young – higher T like a teenager and a lower Estrogen level. There are many more possible causes too numerous to list. There are some things that do need to be monitored as T replacement can lead to: • Hair loss if the levels convert to too much Dihydrotestosterone, • Testicular atrophy as we shut down our own production if levels get too high, • Male breast growth or gynecomastia if we convert too much T to Estrogen via aromatization • An elevated blood count if levels get too high. The bottom line is that we need to monitor levels regularly and keep them in safe physiologic ranges so we can enjoy the health giving benefits of a normal testosterone level. If you’re not testing – you’re guessing! Dr. Rohde is available to help you Look, Feel, and Be Your Best. You may reach him at 217-864-2700, or check his web site at www. DrRohde.com.
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Amy L. McFarland, Attorney at Law 309-827-8900 ■ www.bloomingtonlegal.com Page 34 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
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Keep This One
Color Your Day By Mary Kay Holloway RD, CSO, LDN, Community Cancer Center
n the beginning of each year many of us make resolutions to add habits or activities to our lifestyles to improve our health. The usual resolutions include exercise and weight loss. Adding exercise often includes memberships to gyms or a basement full of equipment. When we add weight loss goals we often get confused about what “diet” to follow. As February arrives the commitment to the resolution seems to collide with our busy lifestyles. Somewhere along the way something has to give and, unfortunately, it usually is the New Year resolutions. But that’s not the way it has to be. Exercise and better eating habits have many benefits, one of which is the possibility of reducing your risk of certain cancers. According to several case controlled studies lower rates of several common cancers have been observed in people who eat vegetables. These cancers include colon, breast, prostate and lung. So instead of throwing away your resolutions start with small steps, and add color – especially color from vegetables and fruits. Most of all don’t think of the change as a dreaded diet. Instead think of adding all the color from vegetables and fruit as something good you are doing for yourself. What’s color have to do with it? Each of the different colors of the vegetables and fruits mean that there are different phyto-nutrients or plant nutrients which are different than the vitamins and mineral that we usually think of. These nutrients give plants their different colors, taste and smell and have been identified with protecting us against certain cancers. For instance lycopene from red colored produce such as tomato, watermelon, and red grapefruit may be helpful in decreasing risk of prostate cancer. The green cruciferous vegetables such as broccoli, brussel sprouts, bok choy, kale, spinach and cauliflower may Page 36 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
be beneficial for reducing the risks of breast cancer. When you add these to the blue/purple foods (berries) and the orange/yellow varieties of oranges, squash and carrots you get a rainbow of color that start you on the road to weight loss as well as improving your nutrition. Small steps to better eating habits would include: •M aking your day as colorful as you can by adding vegetables and fruit. Work you way up to 1½ to 2 cups per day of a variety of vegetable and 1 to 1½ cups worth of fruit each day. •A s you add color to your day, you can begin decreasing the foods that have little color such as the white breads, pastas, and highly sugared or prepared foods. • Add a vegetarian dish to your menu at least once a week. •A dd fiber from whole grains and beans. Fiber helps you feel less hungry and better prepared to fight cravings. Fiber would include grains such as oatmeal, whole wheat, quinoa, barley and brown rice or beans such as kidney, black, great northern, white, chickpeas and lentils. Aim to slowly increase your fiber to 20-35 grams each day. •S low down when you eat so you can tell when you are full. Try putting your fork down between bites to help you slow down. •U se spices and herbs to flavor up the foods. Just as the color of the vegetables and fruits are powerful the spices and herbs are full of nutrients that will enhance the benefits of the colors. For more information you can call 309-451-8500 or go to our website at www.cancercenter.org.
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Reducing Your Baby’s Risk of SIDS Submitted by Advocate Medical Group
hile these winter nights may be bone-chilling, medical authorities are quick to remind new parents to avoid the temptation of ‘”overheating” their baby at bed time. “Your baby should be wearing the same level of clothing that an adult would feel comfortable in, in that temperature,” says Dr. Aaron Traeger, a pediatrician with Advocate Medical Group Primary & Urgent Care in Normal. “Extra heaters, extra blankets are not necessary, as long as you are comfortable in the room wearing the appropriate amount of clothing.” A baby may be too hot if he is perspiring or if his chest feels hot. According to the American Academy of Pediatrics (AAP), babies that are allowed to get too hot have a greater risk of Sudden Infant Death Syndrome, or SIDS. SIDS is the unexpected death of seemingly healthy babies who are under one year of age. SIDS is diagnosed when no other cause of death can be determined by investigation or autopsy or the baby’s medical history. Page 38 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
The Centers for Disease Control and Prevention (CDC) indicates that SIDS is the leading cause of death among infants aged 1-12 months, with more than 2200 deaths annually. It is most common among babies that are 1-4 months old, but is a risk for the child’s entire first year. While the exact cause of SIDS remains unknown, the AAP has identified several measures that can reduce the risk. In addition to preventing overheating, the AAP strongly recommends: • Putting babies to sleep on their backs for every sleep, rather than on their tummies or sides. Remember: “back to sleep, tummy to play.” According to Dr. Traeger, “Tummy time should be celebrated and played as much as possible during the day when your baby is awake.” • Placing babies on a firm sleep surface, with a tight, fitted sheet. Never put a baby to sleep on a chair, sofa, water bed or cushion.
•K eeping soft objects, loose bedding, and bumper pads out of the crib. “No stuffed animals, no toys, no extra blankets,” says Dr. Traeger. These items increase the risk of entrapment, suffocation or strangulation. • P lacing your baby to sleep in the same room as you, but not the same bed. Babies can get tangled in sheets or blankets or a parent can roll on them during sleep. • B reastfeeding your baby as much and as long as you can. • Keeping current with all of baby’s immunizations. • K eeping your baby away from tobacco smoke. If you smoke, try to quit – but until then keep your car and home smoke-free. • Offering your baby a pacifier at naptime or bedtime. Some babies won’t take a pacifier, but for those who will, be sure that the pacifier doesn’t have a cord or other attachment that could cause strangulation. “If your baby falls asleep and the pacifier falls out, do not feel the need to put it back in,” Dr. Traeger says. • N ot using products that claim to reduce the risk of SIDS. “Baby monitors that claim to reduce or prevent SIDS have not been shown to be effective and are unnecessary,” says Dr. Traeger. Dr. Traeger adds that you should remind everyone you know and everyone who cares for your baby that when they put babies to sleep, place them on their backs and follow these other recommendations. Dr. Aaron Traeger is currently accepting new pediatric patients. To make an appointment, call 1-800-323-8622 or visit www.advocatehealth.com/amg.
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Jan/Feb 2012 — Bloomington — Healthy Cells Magazine — Page 39
Life With A Deaf Dog By Danica S. Billingsly, Au.D., Doctor of Audiology , Bloomington Normal Audiology
osebud ("Rosie") is a one year old mixed breed dog, born into unknown conditions in rural Kentucky. Sometime in her first six months she ended up at an animal shelter, and was placed on "death row". While in the pens, she was attacked viciously by a group of other dogs. A no-kill shelter in McLean County picked her up, performed surgery on her wounds, nursed her back to health, and found her foster care. A few months later, two little girls boarded the adoption bus in a Bloomington parking lot, spied the striking white dog with a pink nose and lots of scars, and fell in love. She was friendly to the girls, she didn't lunge on the leash, she was happy to be petted. The adoption bus staff said cautiously, with hope in their eyes, "There's just one thing. She's deaf." Page 40 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
The word "deaf" didn't scare Danica and Doug Billingsly, however. Human hearing loss has been a part of their family identity since Danica chose a career in audiology. Dr. Billingsly works every day with patients whose untreated hearing losses have affected their self-concepts, and acute hearing is so much a part of our concept of what makes a dog...a dog. Rosie will never be trained as a guard dog, as she can't hear a door open in the house. She wouldn't be a good sports dog as she doesn't hear the approach of other animals at a distance. She can't be called in verbally from the backyard. Rosie is also sometimes socially awkward with other dogs, as she doesn't catch sound cues like low growls, and takes the sniffing "conversation" too far.
Living with a deaf dog takes a full shift in understanding of how we communicate. Take away the usual verbal commands, and you have facial expression, stance, and gestures ... body language. Some trainers will suggest that deaf dogs be trained using a vibrating (not shock) collar, in order to get the dog's attention at a distance. Rosie's new family found that she is attuned to floor vibration, and has made a language of the interplay of light and shadow. Her attention can be easily gained by stomping the floor and waving a hand or by flicking a light switch. Her favorite play is to chase a flashlight beam. She can be called from the backyard quickly (and silently) using a simple laser pointer shone on the ground. Rosie learned the commands of "sit", "stay", "drop it", "come" and "no" as well as the important "good dog" using gestures based in part on American Sign Language. And because Rosie's attention comes from her eyes, not her ears, she walks using a head halter instead of a collar-leash. Rosie's family has found some silver linings in her deafness. A deaf dog doesn't hear the doorbell or the garbage truck. She doesn't care if the "squeak" has been removed from her squeaky toys. She doesn't mind the mail carrier's visits. She doesn't join in the neighborhood barkfests. And she can sleep through the Fourth of July, as long as the blinds are down. But for the most part, Rosie - like her millions of human counterparts with hearing loss - isn't a "Deaf Dog". She's just a dog with a family who loves her, and she happens to not hear. If you see Rosie out walking in Bloomington with Dr. Billingsly and her family, feel free to stop and wave "hi"; Rosie loves to make new friends. For more information about hearing loss in humans and its treatment, you may contact Dr. Billingsly at Bloomington Normal Audiology, 309-662-8346, http://www.bloomingtonnormalaudio.com/
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217-935-9571 ext. 3222 Jan/Feb 2012 — Bloomington — Healthy Cells Magazine — Page 41
Stress and Your Mouth Submitted by The Foehr Group
ost people know that too much stress is bad for your health. Stress is a contributing factor for many physical and emotional illnesses including insomnia, high blood pressure, depression, obesity, headaches and heart disease to name a few. But have you ever considered the impact that stress has on your dental health? Researchers have found that there is a significant connection between stress and oral health. Dentists are becoming more aware of the role that stress plays in the development of many dental problems and while we may not be able to eliminate the stress from your life, (wouldn’t that be nice?!), we can help you become more aware of dental problems that may be caused by stress and treat them before they become serious. Grinding and clenching of teeth (Bruxism) is often directly caused by stress. This can be a particularly difficult problem because people are often unaware that they are doing it – even during the day. Nighttime grinding is even more troublesome because even if it is loud enough to wake up your sleep partner, you can’t control it because you are sleeping. If the grinding and clenching is frequent and severe enough, it can lead to jaw disorders, headaches, damaged teeth and other problems. Some people clench their teeth and never feel any symptoms, but it’s important to know the symptoms which may include: • Teeth that are worn down, flattened, fractured or chipped • Worn tooth enamel or increased tooth sensitivity • Jaw pain or tightness in your jaw muscles •E arache — because of severe jaw muscle contractions, not a problem with your ear • Headache or chronic facial pain • Damage from chewing on the inside of your cheek If you are having pain or other problems, we can prescribe a night guard to protect your jaw and prevent permanent damage to your teeth. Page 42 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
Canker Sores or cold sores are another problem often triggered by stress. These are not dangerous, but they can be painful and are sometimes hard to eliminate. There are a number of prescription medications available that we can prescribe to help them go away faster and keep them from recurring. Gum Disease or periodontal disease, which can be more serious than many people realize, is also more prevalent in people who are under stress. Studies have shown that long-term stress affects our immune systems, which then increases the susceptibility to infections, including those in the mouth. Stress can also affect your dental health in less obvious ways. When you are under a lot of stress, it is easy to neglect regular oral hygiene such as brushing and flossing. Stress can also cause you to eat more foods that are high in sugar and carbohydrates, which promotes tooth decay. Stressed out people are also usually too busy to see the dentist for regular check-ups. A vicious circle can develop where minor dental problems that may or may not be caused by stress, progress and become painful. So then you’ve got a painful toothache or gum disease which adds to your stress level. Ideally, everyone would take steps to reduce the stress in their lives. We’ve all heard it many times – eat well, exercise, get plenty of sleep, learn ways to deal with stress. But most of us don’t do that and we just cope as best we can. If you feel that you are suffering from extreme anxiety or depression, seek professional help. But don’t ignore your mouth. Be aware of the role stress may play and see your dentist on a regular basis to prevent serious problems from developing. For more information go to www.thefoehrgroup.com or call them at 309-663-0433.
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HeritageOfCare.com Jan/Feb 2012 — Bloomington — Healthy Cells Magazine — Page 43
health insurance coverage
New Insurance Deductible By Sam Fowler, PMAC, Office Manager, Heartland Foot and Ankle Associates
he holidays are over and now you can finally get back on budget. After all, regardless of K-Mart’s and Wal-Mart’s layaway, holiday shopping still left a dent in your wallet. But what happens if you or a member of your family has an accident? Are you aware that you may be responsible for the entire medical bill? Nearly all health insurance deductibles re-set and start over on January 1st, every year. Since this is the prime time insurees are questioning their benefits, I wanted to provide you with some information on deductibles. Purpose of Health Insurance Deductibles: Health insurance deductibles are a way to help offset the cost of health care. Health insurance deductibles require the insured (the person who is covered under the health insurance policy) to pay a certain monetary amount toward his health coverage before the insurance company has to begin paying. The insurance company considers the amount of the deductible when determining how much the premiums for the coverage will be. The higher the deductible is, the lower the premiums are likely to be.
How Health Insurance Deductibles are Used: If a health insurance policy includes deductibles, then the insured must pay the deductible amount in full before the insurance company has to pay their portion. For example, if an insured has a $500 deductible, then he is responsible for paying his medical offices for the first full $500 of health costs incurred. After he pays the first $500, then the insurance company will begin paying toward health care costs. Difference Between Health Insurance Deductibles and Co-pays: Health insurance deductibles are not the same as co-pays. If an insurance policy has a $20 co-pay and a $500 deductible, then the insured is responsible for paying for the first $500 of health care costs under his policy before insurance will begin paying. After he has met the $500 deductible, then he is responsible for paying a $20 co-pay to his health care provider each time a claim is filed, usually at every doctor visit. Health Insurance Deductibles for Various Types of Coverage: Some health insurance policies have different deductibles for different types of coverage such as an in-network deductible, an out of network deductible, a DME deductible, an office visit deductible, a surgery deductible, etc. For example, a person might have to meet a $500 deductible before his insurance company will pay for surgeries. However, that same person might only need to meet a $250 deductible before his insurance company will pay towards office visits. Raising Deductibles to Lower Costs: Health insurance policies with larger deductibles generally have lower premiums. This is because the insurance company is less likely to have to pay out as much money under a policy with a higher deductible because the insured is responsible for a larger amount of his health care costs. If you want to lower the amount of money you pay for health insurance coverage, consider asking for higher health insurance deductibles. At Heartland Foot and Ankle Associates, we strive to provide you with your most current benefit information so YOU can make an informed choice about your podiatric health care. If you have questions about your personal health coverage, call 309-661-9975 or go to www.HeartlandFootandAnkle.com to contact a foot care specialist.
Page 44 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
It’s getting slippery out there... McLean County Orthopedics Physicians are dedicated to providing the highest quality and most progressive, cutting edge techniques to restore health and mobility to our patients. Procedures We Provide
Electromyography (EMG) Testing for: • Carpal Tunnel • Sciatica • Peripheral Neuropathy • Ulnar Neuropathy
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Occupational Therapy and Physical Therapy
• Joseph A. Novotny, MD • John G. Atwater, MD • Mark J. Hanson, MD • Jerome W. Oakey, MD • Joseph B. Norris, MD • Nikhil K Chokshi, MD • Craig W. Carmichael, MD • Gerald W. Paul, DPM • Brian L. Hamm, DPM.
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For more information, or for an appointment, call
www.mcleancountyorthopedics.com Jan/Feb 2012 — Bloomington — Healthy Cells Magazine — Page 45
Local Support for
Success By The Illinois Department of Human Services
eather Howe said it best when she said, "everything is starting to pay off!" A single mother of a 9 year old daughter, Heather has shown that with hard work, persistence and support from the Department of Rehabilitative Services (DRS), success can happen! Heather came to DRS in 2004 with a desire to obtain a Bachelor's Degree in Psychology from McKendree College in Lebanon, Illinois. Heather, who has Cerebral Palsy, was specifically interested in counseling. DRS was able to provide services such as vocational counseling and guidance, tuition and child care costs, and job placement. The assistance that Heather received from her Rehabilitation Counselor, Lisa Brink, enabled her to see the value of a rehabilitation counselor. Said Heather, "I became interested in state employment because I realized I could help others like DRS had already helped me." At the time of her graduation, Heather heard that McKendree College was beginning a Master's Degree in Professional Counseling. She discussed with her vocational counselor, Lisa Brink, that she would like to focus her career towards rehabilitation counseling. Lisa agreed with Heather, and in May 2009 she graduated with her Master's Degree in Professional Counseling. Lisa continued to assist Heather with job placement assistance, both in the community and through the State of Illinois, and was offered Page 46 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
a job as a therapist in the community. Heather still completed a State of Illinois CMS 100 application (pdf), and with assistance from Jaci Debrun, Disability Services Coordinator through CMS, was matched with job titles related to counseling. Heather knew she must be persistent to reach her ultimate goal of a rehabilitation counselor. Heather's perseverance paid off, and on April 15, 2010 she accepted a job as a Rehabilitation Counselor Trainee with the DRS Home Service Program. When asked what impact DRS has made on her she states, "I owe my education and career to the DRS program and to my counselor Lisa Brink for helping me accomplish my goals in life, and now it is my turn to help others to accomplish their dreams." Heather's success has happened due to perseverance and hard work by many dedicated individuals. The support she received as a customer will only strengthen her experience and abilities in her work as a counselor. For Heather, it's all come full circle. If you or someone you know has a disability and is having trouble finding or keeping a job, or is interested in furthering their career goals we can help. To learn more, call 1-877-761-9780 Voice, 1-866-264-2149 TTY, 1-866-588-0401 VP, or go to our website at drs.illinois.gov/success.
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Jan/Feb 2012 — Bloomington — Healthy Cells Magazine — Page 47
f you’ve ever struggled with trying to figure out what you need to do to take to maintain a healthier lifestyle, you’re not alone. The 2011 Food and Health Survey, commissioned by the International Food Information Council Foundation (IFICF), found that among the 69 percent of Americans currently trying to lose or maintain their weight: n 70 percent believe that both physical activity and monitoring food and beverage consumption are equally important in weight management. n However, only 54 percent report actually implementing both strategies in an effort to manage their weight. While the survey showed that approximately half of Americans perceive their overall diet as at least “somewhat healthful,” the World Health Organization ranks the United States as 18th (out of 153 countries) in the world for obesity and 28th in the world for cases of diabetes. Why Is It So Hard? There’s a lot of information available about nutrition and fitness, and it can be tricky to sort through it all and put it into practice. Confusion over nutrition, conflicting reports over what’s healthy and what’s not, busy lifestyles that leave no time for exercise — all of these can be roadblocks to better health. Nutrition Made Easier You are what you eat. And how you eat. And when you eat. In the latest edition of her book, “Nutrition For Dummies,” (Wiley, May 2011), Carol Ann Rinzler says that nutrition is simply the science of how the body uses food — and in order to take care of yourself, you need to know a little bit about how that science works. “Nutrition is about why you eat what you eat and how the food you get affects your body and health,” she said. Hunger vs. Appetite Rinzler says that hunger and appetite are two very different things: n Hunger is the need for food. It’s a physical reaction that includes chemical changes in your body. It’s an instinctive, protective mechanism to make sure your body gets what it needs to function. n Appetite is the desire for food. It’s a sensory or psychological reaction (This looks good! That smells good!) which creates an involuntary response like salivation or stomach contractions. It’s also a conditioned response to food — think Pavlov’s dogs. Page 48 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
Understanding the difference is the first step toward more healthful eating. Making Wise Food Choices In her book, Rinzler walks readers through things like the facts on fat and cholesterol, carbohydrates and proteins, building a healthful diet, food labeling, and what happens when food is cooked at home or processed in a plant — all to help make sense of nutrition so that making good choices that please your palate as well as your body, is easy. The Facts on Fitness Fitness can actually mean a number of things. You can be fit to run 5 miles or do yoga. You can look fit — that is, lean — and not have much stamina, strength, flexibility or balance. Suzanne Schlosberg and Liz Neporent, authors of “Fitness For Dummies, 4th Edition” (Wiley, December 2010), want to help people understand what’s involved in becoming fit, how to get started and how to stay motivated. “We want to help make fitness a permanent and enjoyable part of your lifestyle.” The 5 Key Areas Schlosberg and Neporent say that it doesn’t take much effort to get a basic level of physical fitness in the five key areas: cardio, strength, flexibility, balance and nutrition. Why are these so important? n Cardio fitness. Workouts that get your heart pumping and continuously work a lot of large muscles improve your heart, lungs, blood vessels and stamina. They also burn a lot of calories, helping you lose weight. Think walking, cycling and using an elliptical machine. n Strength training. People who don’t exercise lose 30 to 40 percent of their strength by age 65, say the authors. By age 74, more than one quarter of men and two-thirds of women can’t lift an object heavier than 10 pounds. Lifting weights means strengthening your muscles for the long term. It also means strengthening your bones and speeding up metabolism. n Flexibility. Maintaining flexibility helps keep your joints mobile, minimizing risk of injury and allowing you to move with agility and good posture even as you age. n Balance. Balance is important when you’re young, and essential when you’re not. A good sense of balance helps you move more fluidly and prevents unnecessary falls. n Nutrition. When you make wise food choices, you have more energy to exercise and you recover more quickly from your workouts.
The “Fitness” authors say it’s important to keep things interesting. Boredom can be the enemy of any workout. Listen to music, mix up your workouts — running on Monday, yoga on Tuesday, hiking on Wednesday, etc. Vary your pace or terrain, or try different exercise equipment. And remember to stay realistic. “Trying to do too much or setting expectations too high can lead to frustration. Pace yourself and cut
yourself some slack. Everyone improves at a different pace. Fitness is something personal and unique to you.” For more about these books, visit www.dummies.com.
Smart Ways to Eat Out If you go out to restaurants at all, you know that most menus don’t have a long list of healthy foods. In the book “Restaurant Calorie Counter For Dummies, 2nd Edition” (Wiley, May 2011), you can find helpful information for making smart choices. Here are a few tips from the book: n Drink your whole glass of water (or more), but limit other beverages to just one glass. n Physically split a meal in half when it arrives at your table and ask for the to go box right away. n Choose fresh toppings, such as onion, tomato and lettuce, rather than pickled items such as jarred pepper strips or pickles. n Aim to get some lean protein with your meal. At salad bars, choose beans or cottage cheese. For the entrée, choose grilled chicken or fish. The guide also provides calorie counts for menu items at 150 popular restaurants.
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“Fort Jesse Imaging Center and The Gale Keeran Center for Women wish to thank our referring physicians and our patients for allowing our staff and physicians to provide imaging services in 2011. We look forward to serving you in 2012” • ACR accredited in MRI, CT, PET/CT, Mammography and Breast MRI • Full fledged multi-modality imaging center • Convenient parking • Imaging Studies interpreted by board certified, subspecialty trained radiologists • Results in a timely manner to your doctor
Jan/Feb 2012 — Bloomington — Healthy Cells Magazine — Page 49
Why You Should Open A Health Savings Account Today By Wade Carlson, MD, Family Quick Care LLC
SAs, FSAs, HRAs, Oh My! With so much confusion out there, it’s no wonder more people haven’t already signed up for one of the biggest tax benefits out there. According to Paul Zane Pilzer (author of The New Health Insurance Solution), “You should not contribute one more dollar to your traditional IRA, 401(k), or any other savings or brokerage account until you have first contributed 100 percent of the maximum amount allowed, up to $6,150 a year (in 2011), to your Health Savings Account (HSA).” So what are all these different terms? FSAs (or Flexible Savings Accounts) have been around for quite some time. In 1978, Congress created the Flexible Savings Account, which allows employees to shift part of their taxable income into pretax dollars to pay medical expenses other than health insurance premiums. Approximately 50 percent of employers with more than 50 employees offer FSAs. They are most often used by people that have known fixed medical expenses or daycare expenses, because by using pretax dollars you can save about a third of the cost of these items. How-
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ever, FSAs are outdated. FSAs encourage waste due to their “use it or lose it’ feature. Any money left in your FSA account at the end of the year is lost. Newer HSAs (or Health Savings Accounts) are “use it or keep it”, allowing unused funds to grow until retirement for later medical expenses. HRAs (or Health Reimbursement Arrangements) are a fairly new concept as well, but are basically just a way for employers to be able to ‘give’ employees money to pay for their own individual health insurance premiums or fund their HSA. Because they are fairly new and not yet widely used, we will focus mainly on the benefits of HSAs. Health Savings Accounts (HSAs) are designed to help you fund your out-of-pocket medical expenses with pretax dollars. HSAs were introduced in 2004 and have quickly become a prevalent means of financing health care. What is generally referred to as a "HSA" is actually two parts, a financial account (the HSA) and a health insurance policy. • 1. The tax-advantaged Health Savings Account (HSA) is a sort of special checking account with a bank or other financial institution. Funds are withdrawn by writing checks or by using a debit card. • 2 . Before you can establish an HSA, you must be enrolled in an HSA-compatible health insurance plan with certain benefit characteristics, including a high annual deductible. This health insurance plan can be purchased on your own, or may be offered through employer sponsorship. Aside from the healthcare choices a HSA allows you, the tax benefits are enormous. With a HSA, you receive all the same benefits you do with a traditional IRA or 401(k), except you never have to pay income taxes on distributions used for qualified medical expenses – and you can take these distributions without penalty anytime before or after age 65. HSAs have triple tax advantages: 1) Contributions are tax deductible going in, 2) Appreciation is tax-free, and 3) Withdrawals are tax-free (when used for qualifying medical expenses). A HSA is the only tax-advantaged investment vehicle that offers permanent rather than temporary escape from state and federal income taxes So how does one set up a HSA? Currently, hundreds of financial institutions offer HSAs. You should choose a HSA the same way you choose any other IRA or financial service account. HSAs represent the biggest change in health benefits since 1945, when Franklin Roosevelt created the present system, and HSAs will improve healthcare and lower costs for all Americans. More than 1 million American families opened HSAs in just the first 14 months after they became available, so why shouldn’t you? There are many more advantages to HSAs that are too much to discuss here in this short summary. A good book to read for more information is the above-mentioned book by Paul Zane Pilzer. For more information, visit www.familyquickcare.com.
Page 50 — Healthy Cells Magazine — Bloomington — Jan/Feb 2012
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877.566.3879 309.662.7500 www.cinhs . c o m
Central Illinois Neuro Health Sciences is the leading provider of neurosurgical, rehabilitation and pain management services in Central Illinois. A multimodality approach is taken in the management of intracranial, spinal and peripheral nerve diseases to best address the needs of our patients. Neurosurgeons, physiatrists, neuroradiologists, and pain management specialists work with referring physicians to provide comprehensive and technologically advanced care.
CINHS offers evaluation and treatment of all neurological disorders including:
• • • • • • • • • • • • •
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