Promoting Healthier Living in Your Community • Physical • Emotional
M A G A Z I N E
Conceiving Women’s Health
Boyd Obstetrics and Gynecology Offers the Latest in Effective Treatment Options page 6
Shake the Habit page 10
Managing Stress for a Healthy Heart page 14
Cyber Bullying page 32
letter from the owner
Eat Right With Color! TM
Welcome to March! It is exciting to see the signs of spring with the days getting longer. Did you know that March is known as “National Nutrition Month®?” The American Dietetic Association gets the credit for providing this title and recognition. We read and hear about nutrition constantly, bombarded with all kinds of mixed messages. It can be confusing at times to find a “clean and livable” message that works. However, the following two rules are simple and easy to keep in mind: • Shop mostly on the outside perimeter of the grocery store where the majority of fresh food selections are located. • When eating fresh vegetables and fruits, the more colorful the better. As the American Dietetic Association states, “Eat RightTM With Color.” With this simple advice in regards to shopping, foods and color, you can’t go wrong!
Sincerely, Photo Courtesy of Photography by Jill
Kim Brooks-Miller, Owner, Healthy Cells Magazine, Greater Peoria Area Edition. Comments or questions call: 309-681-4418 or e-mail: firstname.lastname@example.org
WHAT DOES AN ALLERGIST TREAT? More than you may think...
Allergists treat two of the nation’s most common health problems - allergies and asthma. But you may not know all the conditions allergists treat:
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Mary Tisdale, RN, MSN, CNM
David H. Kindred, M.D. Board Certified and on Staff at all 3 Peoria Hospitals
New Patients Welcome
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Exchange: 309-677-6053 Mon, Tues, Thurs 9:00-4:00 Fri 9:00 - 3:30 Closed Wednesdays March 2011 — Peoria — Healthy Cells Magazine — Page 3
MARCH 10 12
Nutritional: Shake the Habit
Physical: Warning: Loud Noise Can Be Hazardous to Your Health
Heart Health: Managing Stress for a Healthier Heart
Emotional: The Anatomy of a Panic Attack
Colorectal Cancer: March is Colon Cancer Awareness Month
Eye Health: Modern Vitrectomy Surgery
Heart Health: Decreasing Heart Attack Risk
27 28 29
Orthopaedic Surgery: Hip Replacement for the Physically Active
Exploring Aging: Connecting Generations—Life Long Benefits Senior Fitness: You are NEVER too old!
Cosmetic Surgery: Rejuvenate Your Tummy
Cyber-Bullying: Safeguarding Tips for Parents and Children
Complex Wound Care: What You Should Know
2011 This Month’s Cover Story:
Volume 13, Issue 3
Conceiving Women’s Health Boyd Obstetrics and Gynecology Offers The Latest in Effective Treatment Options
Dr. W. Mark Boyd with the da Vinci Robotic Machine. 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 650 locations, including major grocery stores throughout central Illinois as well as hospitals, physicians’ offices, pharmacies, and health clubs. 12,000 copies are published monthly. Healthy Cells Magazine welcomes contributions pertaining to healthier living in central Illinois. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only. 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 central Illinois.
For advertising information, contact Kim Brooks-Miller 309-681-4418 email: email@example.com Healthy Cells Magazine is a division of:
1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 firstname.lastname@example.org
March 2011 — Peoria — Healthy Cells Magazine — Page 5
Conceiving Women’s Health Boyd Obstetrics and Gynecology Offers The Latest in Effective Treatment Options By Mary Hilbert
uch like dentistry, gynecology is an area of health care that, while essential to maintaining a healthy body image, is often unnecessarily met with unease and apprehension by patients. Just as a lack of routine dental care is likely to lead to cavities or even gum disease later in life, neglecting to regularly care for the female body’s reproductive system may eventually lead to what are in many cases preventable problems. The earlier any irregularities or symptoms of an underlying medical condition are caught, the more effectively the condition can be treated. When a young woman first begins her monthly menstrual cycle between the ages of 13 to 15, or when she first becomes sexually active-whichever comes first- it is recommended by the American College of Obstetrician and Gynecologists that she makes her first visit to a gynecologist to discuss birth control options, and begin her yearly pelvic and breast exam. When it comes to deciding upon a qualified gynecologist, there are a few important factors to consider, according to Dana Humes Goff, Certified Nurse Midwife with Boyd OB/GYN in Peoria: (1) the physician or health care provider’s ability to make eye contact and willingness to listen to the patient, (2) a gentle touch, and (3) a strong willingness of the physician or health care provider to followup with patients. Board certification, organizational involvement and participation in continuing education are also vital, as new information and technology are constantly advancing. Visiting a gynecologist at least once every two years is important for three main reasons: (1) the gynecologist is able to provide inforPage 6 — Healthy Cells Magazine — Peoria — March 2011
mation and answers to questions women may have regarding sex and the changing body (2) the gynecologist provides regular testing and expertise, assisting in the prevention of unwanted pregnancy and sexually transmitted diseases, and (3) he or she provides treatment options for reproductive problems. Some doctors are gynecologists while others are obstetriciangynecologists. One of the benefits of choosing an obstetrician- gynecologist (OB/GYN) to meet one’s health care needs is that the physician has an expertise in two areas as opposed to just one. Obstetrics deals with pregnancy and childbirth while gynecology specializes in issues of the female reproduction system. Boyd OB/GYN and Staff Boyd Obstetrics and Gynecology, located at 900 Main St. in Peoria, offers an experienced staff and full range of gynecological services to women in Central Illinois. Dr. W. Marc Boyd has been in private practice in Peoria since 1994. Today he is a leader in obstetric and gynecological treatments, serving as Medical Director of the Methodist Medical Center OB/GYN department and holding privileges at OSF St. Francis Medical Center and Peoria Day Surgery Center. Boyd Obstetrics and Gynecology offers experienced female midlevel care providers who perform the majority of women’s care on a day-to-day basis and understand the value of women’s health. This staff includes Certified Nurse-Midwife Dana Humes Goff, and wom-
Paula Clark, Practice Administrator and Dr. Boyd discuss topics for an office staff meeting. en’s health nurse practitioners, Lindsey M. Fritz and Kim Cheek. Each woman maintains her own area of expertise and is able to meet with patients on a one-on-one basis, much like a regular physician. Goff oversees the majority of gynecological care for Boyd OB/ GYN including sonograms, circumcisions, and high-risk pregnancies, while Fritz specializes in urodynamics and BRCA analysis, and Cheek confers with patients on dietary issues. Also present in the office one day per week are Certified Nurse Midwife Sonia Reeves and Dr. James Crane, obstetrician. Dr. Boyd is often called in to area hospitals when emergency C-Sections are necessary, and also specializes in high-risk pregnancies and robotic hysterectomies, which make up approximately 20 percent of his cases. Procedures Boyd OB/GYN offers a number of services and procedures for women, some of which may even be performed in the office. The most up-to-date treatments offered through Boyd OB/GYN include: • The latest treatments in birth control, including the Essure procedure, which is to-date the first and only FDA-approved permanent birth control procedure to result in zero pregnancies in clinical studies. Found to be 99.8 percent effective, the Essure procedure is covered by a majority of health insurance plans and may be conducted in a doctor’s office under minimal anesthesia. • R obotic hysterectomy, a common treatment that may be performed on women suffering from either cancerous or non-cancerous conditions of the reproductive system, including chronic pain, heavy bleeding, fibroids, endometriosis and prolapse.
Lindsey Fritz, WHNP reviews BRCA Analysis results with a patient. March 2011 — Peoria — Healthy Cells Magazine — Page 7
continued as frequent urination, painful urination or recurrent urinary tract infections should consult a health care professional as abnormalities in urinary flow can in some cases lead to urine being backed up toward the kidneys, resulting in infection or kidney damage. Urinary tract issues may result from a number of different causes, including aging, injury or illness. Informational For women who are experiencing difficulties in conceiving children, infertility evaluations and treatment are available. Other areas in which Boyd OB/GYN provides informational assistance include Family Planning and PMS counseling and treatment. Breast and ovarian cancer screening, or BRCA analysis, is a preventative test available to women who have a family history of
Dana Humes Goff, Certified Nurse Midwife delivers good news about an obstetrics sonogram. Robotic procedures are preferred by Dr. Boyd, because unlike other treatment options, the majority of these procedures enable women to be in-and-out of the hospital the same day and to return to work the following week. Dr. Boyd understands the important role that women play in the home saying it starts in his home, with his wife and children. Likewise, the speedy recovery time associated with various robotic procedures is beneficial to independent women and working moms, many being the main breadwinner for their family. • Thermachoice, a uterine balloon therapy system used to treat women who suffer from heavy periods or menorrhagia. Heavy periods may be caused by a number of medical conditions, Lab Coordinator, Joann Johnson prepares a specimen to be tested. including hormonal imbalance, endometriosis, neoplasia, fibroids, blood clotting or more serious conditions such as cancer, either of these cancers. If results are found to be positive the health care which is why it is important for a women to discuss this issue with can be pro active in helping the patient to prevent the cancer. her gynecologist. Among other services offered, patients looking to lose weight and • Pelvic Floor Repair, a procedure in which the doctor repairs pelvic stay in shape may also inquire about the Boyd Weight Loss program. floor walls that have dropped due to aging and resulted in urinary issues for the woman. Appointments Office hours for Boyd OB/GYN are Monday through Thursday, from Pap smears 8 a.m. to 5 p.m. The office is closed from 12 p.m. to 1 p.m. during A Pap smear is a non- invasive procedure in which a health care lunch hour. New patients are always welcome and Boyd OB/GYN is provider screens for cervical cancer by collecting cells from the cervix one of few obstetrics and gynecology offices in the area that accept and vagina, and evaluating the cell sample under a microscope for Medicaid cards, so Medicaid patients are welcome. The office, located infections or abnormal cells that may grow into a cancerous tumor. in Suite 660 on the sixth floor of the Methodist Atrium building, is conThe American Cancer Society recommends that a woman undergo tracted with most major insurance companies, PPO, POS, HMO and her first Pap smear within three years of becoming sexually active or by more. While nearly 90 percent of Boyd Obstetrics and Gynecology age 21. How often a woman needs to receive a Pap smear depends on childbirth deliveries and surgeries are performed at the Methodist Mediher individual situation. If there are health- concerns involved, a woman cal Center, as a private practitioner he also delivers at OSF St. Francis may need to be tested on an annual basis, but if a woman is in good Medical Center and performs minimally invasive surgeries at the Peoria health she may only receive a Pap smear once every two years. Breast Day Surgery Center. Personal health information is kept confidential in and pelvic exams should be conducted on an annual basis. compliance with HIPAA regulations. Urodynamics Women who experience incontinence may also receive assistance through the services of Boyd OB/GYN. Urodynamic testing may be used to determine the cause of symptoms such as urine leakage or obstructed urine flow. Urodynamics is a study that evaluates the performance of the bladder and urethra when it comes to storing and releasing urine. Women experiencing abnormal urinary symptoms such Page 8 — Healthy Cells Magazine — Peoria — March 2011
For more information on services offered through Boyd Obstetrics and Gynecology visit the office’s website online at www.boydobgyn.com or contact the business office during office hours Monday through Thursday at (309) 687-4230.
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Shake the Habit Submitted by Susan Waltrip, MS, RD, LDN, Peoria Hy-Vee Dietician
mericans love salt. The U.S. Centers for Disease Control and Prevention recently reported two out of three Americans need to cut back on sodium. This is also one of the recommendations from the 2010 Dietary Guidelines for Americans. The average American consumes 4,000 mg of sodium a day and most health experts and organizations agree that we should consume around 1,500–2,300 mg each day. Too much sodium in the diet may increase the risk for high blood pressure, heart disease and stroke. With heart disease being the number-one killer in the United States, less sodium in the diet might be something Americans should consider seriously. A person may be more sensitive to the effect of excess sodium in the diet if he/she has high blood pressure, kidney disease, diabetes or is older than 50. Eating foods with less sodium doesn’t mean food has to be bland or tasteless. A healthy alternative to seasoning food is to add herbs and spices when preparing foods. Season foods with the following solutions to boost the flavor without added sodium:
Flavor Boosters for Low Sodium Hot ‘n’ Spicy: Spice up your favorite food with black pepper, cayenne pepper, hot pepper sauce or crushed red pepper. Citrus Zest: Add citrus zest from oranges, limes and lemons to salad dressings, sauces and marinades. Flavored Vinegar: Use flavored vinegars – white or red wine, rice, or balsamic - with salad dressings, marinades and sauces.
Marinade Magic: Marinate meat with wine, vinegar, lemon or lime juice. Go Nuts: Top salads, vegetables and side dishes with toasted nuts such as almonds, pecans or walnuts. Spice It Up: Season vegetables, soup, rice or pasta with fresh or dried herbs and spices. The following salad combines raspberry vinegar, cinnamon and pepper sauce for a flavorful vinaigrette, adding very little sodium to this delicious, heart-healthy salad.
Berry Salad with Cinnamon Vinaigrette – Serves 6. All you need: • 1 (10 oz) bag baby spinach • 2 cups quartered fresh strawberries • 1/2 cup fresh blueberries • 1/2 cup chopped red onion • 1/4 cup raspberry vinegar • 1 tbsp Grand Selections olive oil • 3 tbsp sugar • 1/4 tsp ground cinnamon • 1/4 tsp hot pepper sauce • Pecans, optional All you do: 1. In a large bowl combine spinach, strawberries, blueberries and onion. Set aside. 2. In a jar with a tight-fitting lid, combine vinegar, olive oil, sugar, cinnamon and hot pepper sauce. Shake well. 3. Drizzle vinaigrette over spinach mixture and toss gently. 4. To serve, divide mixture among 6 plates and top each with pecans if desired. Nutrition Facts per serving: 90 calories, 2.5 g fat, 0 g saturated fat, 80 mg sodium, 17 g carbohydrates, 4 g fiber, 2 g protein. Daily Values: 35% vitamin A, 60% vitamin C, 4% calcium, 10% iron. Talk to a Hy-Vee dietitian or go to www.hy-vee.com and click health for more information. The information is not intended as medical advice. Please consult a medical professional for individual advice.
Page 10 — Healthy Cells Magazine — Peoria — March 2011
National Nutrition Month® 2011
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March 2011 — Peoria — Healthy Cells Magazine — Page 11
Loud Noise Can Be Hazardous to Your Health
ave you ever been anywhere that was so loud your ears were ringing when you left? A rock concert? An exciting sporting event? Although there is no FDA warning when you walk into a music venue or sports arena, these environments can be “hazardous to your health”, or at least “hazardous to your hearing health”. Prolonged exposure to loud sounds can cause hearing loss termed noise-induced hearing loss (NIHL). Some people may be more genetically predisposed to acquiring NIHL, but the fact is, if you are exposed to the noise long enough, you will probably sustain some degree of permanent hearing loss. In fact, the ringing in your ears you experience after being in a loud environment is actually a warning sign that you’ve been exposed to potentially dangerous noise levels. This warning is to be taken very seriously, as NIHL can be a life-altering condition. In order to understand how NIHL occurs, one must understand the basic components and functions of the auditory system. The ear is divided up into three parts: outer, middle, and inner ear. The outer ear is made up of the pinna (the part we see on the sides of our heads) and the ear canal. The middle ear consists of the eardrum and three middle ear bones. The inner ear consists of the cochlea (snail, shaped fluid filled hearing organ) and our balance system. Sound is funneled in by our pinna. Because of its unique shape, high pitched sounds are collected better than other sounds. Sound then travels through the ear canal to the eardrum. When sound strikes the eardrum, it begins to vibrate. This vibration causes the middle ear bones, which are attached to the back of the eardrum, to vibrate. The third bone, the stapes, rocks in and out of the cochlea, setting the fluid in the inner ear into motion. There are nerve endings called “hair cells” in the cochlea which turn the vibration into electrical potentials. These are sent along the 8th nerve (auditory nerve) to the brainstem. It is when the information gets to the brain that we actually perceive it as sound. NIHL can be caused in two ways. One cause is known as acoustic trauma. Acoustic trauma refers to damage to the auditory system caused by one particular exposure to sound, such as an explosion or gunfire. In these instances, the sound is so loud that even brief exposure causes permanent damage to the hair cells and can be accompanied by damage to the eardrum and middle ear bones. Acoustic trauma often causes physical discomfort. The most common cause of NIHL is prolonged exposure to damaging noise. Examples include noise from working in a loud environment Page 12 — Healthy Cells Magazine — Peoria — March 2011
Submitted by Midwest Hearing Center
over a long period of time, listening to loud music, and hobbies that involve loud noise (e.g., motorcycling, woodworking, extensive yard work, hunting). In these cases, the hearing loss usually starts in the high-frequencies. This is partly because the ear collects sounds in the 3-6 KHz region better than other frequencies, so those frequencies are louder to begin with when entering the ear. Also, all sounds start at one end of the snail-like cochlea and travel up the cochlea in the same direction. Only the low-pitched sounds make it all the way to the other end. Since the “starting end” of the cochlea is subject to ALL incoming sounds, it gets damaged first while the other end, which encodes the lower frequency sounds, remains relatively intact. This loss of the high frequencies first often only affects people in certain environments, making NIHL a slow, insidious process – that is, by the time a person recognizes there is a problem, often the hearing loss is very severe and difficult to treat even with the best hearing aids. The silver lining of NIHL is that it can be prevented with a little common sense and vigilance. In many cases, we have control over the volume level of sounds. In these situations (e.g., home radio/TV, car radio, personal headphones), a good rule of thumb is to keep the volume at a level where you could still understand a talker standing 3 feet away from you. This does not mean its okay if they have to YELL to get your attention – you must be able to hear at a normal conversational level. In other environments where you are unable to control the noise level (e.g., listening to live music, working in a factory), a pair of foam earplugs from any discount store can serve as protection. To be effective the foam plugs need to be rolled up and placed well into the ear canal so when they expand they can sufficiently block out the loud noise. Certainly there are situations when wearing earplugs is not practical – in those environments, our best recommendation is to position yourself as far away from the noise source as you possibly can. There’s an old song that says, “Don’t it always go, you don’t know what you’ve got till it’s gone.” Too many times, individuals don’t learn about the danger and effects of noise on hearing until it’s too late. It is our hope that the information provided here will make you think twice about your hearing and protect your hearing whenever possible. For additional information, contact the Midwest Hearing Center at 309-691-6616 (Peoria) or 309-284-0164 (Morton). Visit: www.mw-ent.com.
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March 2011 — Peoria — Healthy Cells Magazine — Page 13
Managing S tress For a Healthier Heart By Carrie Skogsberg, American Heart Association
any risk factors for heart disease are obvious – obesity, smoking, etc. But stress can also take a toll on your heart, elevating your risk for heart disease. Some people respond to situations in ways that can cause health problems. For instance, someone feeling pressured by a difficult situation might start smoking or smoke more, overeat and gain weight. Finding other ways to respond to pressure can protect your health. How Can I Manage Stress? Stress is your body’s response to change. It’s a very individual thing. A situation that one person finds stressful may not bother another. One may become tense when driving; another person may find driving a source of relaxation and joy. Something that causes fear in some people, such as rock climbing, may be fun for others. There’s no way to say that one thing is “bad” or “stressful” because everyone’s different. The key is to manage stress properly, because unhealthy responses to it may lead to health issues. What is stress? Exercise helps you let go of stress! It makes you feel stronger and healthier, helps control weight and makes your heart pump more efficiently. • Stress can make you feel angry, afraid, excited or helpless. • Stress can make sleeping difficult. • Stress can cause aches in the head, neck, jaw and back. • It can lead to habits like smoking, drinking, overeating and drug abuse. Some tips for relieving stress include: • What is upsetting you? Try spending less time with people who bother you or avoid driving in rush-hour traffic. • How can you solve the problems plaguing you? Talk with your boss about difficulties at work, talk with your spouse if there are problems at home, or get help when you have too much to do.
• Change how you respond to difficult situations. Be positive, not negative. • Learn to say “no.” Don’t promise too much. • Give yourself enough time to get things done. How can I live a more relaxed life? Outside events (like problems with your boss, preparing to move or worrying about a child’s wedding) can be upsetting. But remember that it’s not the outside force, but how you react to it inside that’s important. You can’t control all the outside events in your life, but you can change how you handle them emotionally and psychologically. Here are some good ways to cope: • Take 15 to 20 minutes a day to sit quietly, breathe deeply and think of a peaceful picture. • Try to learn to accept things you can’t change. You don’t have to solve all of life’s problems. Talk out your troubles and look for the good instead of the bad in situations. • Engage in physical activity regularly. Do what you enjoy — walk, swim, ride a bike or jog. Letting go of the tension in your body will help you feel better. • Limit alcohol, don’t overeat and don’t smoke. How can I learn more? • Talk to your doctor, nurse or other healthcare professionals. If you have heart disease or have had a stroke, members of your family also may be at higher risk. It’s very important for them to make changes now to lower their risk. • Call 1-800-AHA-USA1 (1-800-242-8721) or visit americanheart.org to learn more about heart disease. • For information on stroke, call 1-888-4-STROKE (1-888-478-7653) or visit StrokeAssociation.org. For more information about the American Heart Association, Midwest Affiliate, visit: www.heart.org/mylifecheck.
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The Anatomy of a
Panic Attack By Brad Post, LCSW, CADC with Chapin & Russell Associates
s we attempt to manage the seemingly endless barrage of demands placed on us from our job, family, school and leisure pursuits, we can become overwhelmed when it comes to managing stress. For many of us, stress is just part of our every day lives as we try to be everything to everyone. But, for others these high levels of stress can result in a panic attack that occurs either as an isolated incident or begins to reoccur as part of pattern. Unfortunately, it appears that more and more people are suffering from these sometimes debilitating attacks that can result in an unplanned visit to the emergency room. Statistics predict that one in sixty people will suffer an anxiety attack at least once during their lifetime. Such an attack is typically a response to an excessive amount of adrenaline that sets off the natural fight or flight response. Researchers are still trying to understand why some people are more likely to experience intense feelings of anxiety than others. A panic attack is a physiological reaction to psychological stress. However, the physical symptoms felt during an anxiety attack are real to those who are experiencing them. During an episode, sufferers Page 16 — Healthy Cells Magazine — Peoria — March 2011
report feeling an intense level of fear that is so powerful that it is often incapacitating. My hope is that by educating you about the biological components of a panic attack that much of the fear will be removed. Let’s look a little more closely at this physiology that is often misunderstood during panic. There are a number of physical changes that occur when we flip on that emergency switch. (Technically this stimulates hormones that engage the sympathetic branch of the autonomic nervous system.) These changes are normal, healthy, lifesaving changes in the body’s physiology and are intended to help us respond to an actual threat. For example, the eyes dilate to improve vision, the heart rate increases to circulate blood more quickly to vital organs, respiration increases to provide increased oxygen to the rapidly circulating blood and the muscles tense in the arms and legs in order to move quickly and precisely. Even our blood sugar level increases to fuel the body’s response. When there is an actual emergency we hardly notice these changes. Instead, we focus on the crisis. However, since this kind of panic is not a response to a real threat, two problems may de-
velop. First, we become stuck focusing on our fearful thoughts and our physical sensations instead of taking action to problem solve. Not using our body’s energy constructively, our tension and anxiety continue to build. The second problem occurs when our breathing rate and pattern change. Instead of breathing slowly and gently from the lower part of our lungs, we begin to breathe rapidly and shallowly from our upper lungs. This shift not only raises the oxygen levels in our bloodstream but it causes us to exhale too much carbon dioxide. In a real physical emergency we produce excess carbon dioxide, so this breathing rate is needed. However, when we are not physically exerting ourselves, it causes us to hyperventilate by discharging too much carbon dioxide. Hyperventilation is responsible for most of the uncomfortable sensations we experience during a panic. Subsequently, most of the interventions for managing a panic attack will focus on how we breathe to significantly reduce our uncomfortable symptoms. Breathing is also influenced in part by the thoughts and the images we focus on, so changing our thinking and imagery is part of counseling for panic. Possible symptoms that can occur from hyperventilation include: irregular heart rate, lightheadedness, tightness in our throat, blurred vision, numbness or tingling of mouth, hands or feet, shaking, fatigue and inability to concentrate. Other symptoms might be shortness of breath, dizziness, nausea, sweating, heart palpitations, and chest pain. In fact, many people in the middle of a panic attack confuse the symptoms with those of a heart attack. Most frightening, however, can be the feeling of suffocating. Anxiety attacks often surface with little or no warning and can last anywhere from several minutes to several hours. At the end of such
an attack, a sufferer may often experience extreme exhaustion and feel extremely fatigued for hours. While stressful events or difficult challenges can increase overall anxiety and provoke a periodic attack, those who suffer from ongoing panic attacks may often be diagnosed with an anxiety or panic disorder. The good news is that anxiety and panic attacks can be effectively treated through education and counseling utilizing a variety of interventions including guided imagery, relaxation training and biofeedback training. For more information on how to deal with anxiety or panic please feel free to contact Chapin & Russell Associates at 309-681-5850.
March 2011 — Peoria — Healthy Cells Magazine — Page 17
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March is Colon Cancer Awareness Month Submitted by Illinois CancerCare Foundation
he Colon is a large muscular tube, approximately 5 feet long that removes water and nutrients from partially digested food and turns the rest into stools. Cancers that start in the colon or rectum are called colorectal carcinoma [CRC]. In the US alone in 2010, there were 102,900 new cases of colon cancer and approx 39,670 cases of rectal cancer resulting in 51,370 deaths. No one knows the exact causes of colorectal cancer, however it is occurs more frequently in people over age 50 and those with a family history of the disease. Other risk factors include: • Colorectal polyps which are growths in the colon or rectum, most of which are non cancerous but some can change into cancer. • P ersonal history of cancer: A person who has already had colorectal cancer or women with a history of ovarian, uterus or breast cancer. • S moking and history of ulcerative colitis and crohns disease. • D iet high in fats, especially animal fat, and low in fiber. • G enetic changes: There have been genetic changes noted in some genes that have been associated with a higher risk of this cancer. Hereditary nonpolyposis colon cancer (HNPCC) is the most common type of genetic colorectal cancer. The average age at diagnosis in a person with this abnormality is 44. People with Familial adenomatous polyposis (FAP) develop hundreds of polyps in the colon and rectum, usually causing colorectal cancer by age 40. One of the most common symptoms of colorectal cancer is a change in bowel habits. These changes can include: • Having unexplained diarrhea or constipation • Feeling that your bowel does not empty completely • Finding blood (bright red or very dark) in stools • Finding your stools are narrower than usual • Losing weight with no known reason Unfortunately, in some patients there are no symptoms of this disease and they present very late to their doctors because of a lack of symptoms. This is why it is very important to have a screening colonoscopy in which a doctor examines the inside of colon and rectum using a tube with a camera attached at the end. The diagnosis of colorectal cancer, as in other cancers, is established by a biopsy, usually during a colonoscopy. Once this diagnosis is confirmed, doctors need to do several tests to find out how far this cancer has spread. Each patient is assigned a stage using the TNM staging system. A patient’s stage helps us to define their chances of disease recurrence. • S tage 0: The cancer is found only in the innermost lining of the colon or rectum, this stage is also called carcinoma in situ. • S tage I: The tumor has grown into the inner wall of the colon or rectum. • S tage II: The tumor extends more deeply into or through the wall of the colon or rectum • S tage III: The cancer has spread to lymph nodes. • Stage IV: The cancer has spread to other parts of the body, such as the liver or lungs. Page 20 — Healthy Cells Magazine — Peoria — March 2011
Colon and rectal cancers are treated differently, depending primarily on the stage of disease. The treatment usually involves surgery, chemotherapy and in the case of early stage rectal cancer, radiation therapy. Why do patients with colorectal cancer have recurrence despite a complete cancer removal? It is most likely because they have disease that has already spread beyond the colon at time of initial presentation. It is probably present in a microscopic form that cannot be detected by scans or other tests. The idea behind chemotherapy after surgery is to eradicate these microscopic cells. This form of treatment is called adjuvant chemotherapy. Adjuvant chemotherapy for colon cancer has been around for about 40 years now. Research in 1990’s showed that a medication called 5-FU with another drug Leucovorin when given to these patients improved the survival of patients with stage III colon cancer. In the past few years new data has emerged thanks to new studies that have been conducted. MOSAIC trial - This was a key international trial that added a new agent called Oxaliplatin to 5-FU and leucovorin (this regimen is called FOLFOX). Nearly 2200 patients participated in this trial; approximately 40% stage II and 60% stage III patients. This treatment increased the survival of colorectal cancer patients significantly as compared to the older treatment. 66% of Stage III patients on this study at 5 yrs were free of cancer as compared to 59% on the older treatment. X-ACT study - Nearly 2000 patients participated in this trial which compared an oral chemotherapy agent called Capecitabine with the older combination of 5-FU and leucovorin. The trial showed that this oral pill was as effective as the IV treatment and it might even be superior to the IV form and it had lesser side effects. Ongoing studies - In the US and internationally, several ongoing studies are currently trying to improve upon the current results that have been obtained in patients in whom colon cancer has been surgically removed and in patients, in whom unfortunately whose cancer has recurred. These studies are looking at combining the chemotherapy with newer biological agents and some studies are elaborating upon the pre clinical discoveries that have been made in the recent past such as the k-ras gene. For further information about colorectal cancer treatment or research trials or the over 100 clinical cancer research studies being conducted by Illinois CancerCare, please contact us at 309-243-3000 or visit www.illinoiscancercare.com. Illinois CancerCare is participating in many of these research studies and is honored to be a part of this discovery process thanks to our patients and their families who agree to participate alongside us. This is an exciting time in cancer research and hopefully this process will continue to improve upon the survival of our patients and ultimately find cures.
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March 2011 — Peoria — Healthy Cells Magazine — Page 21
M odern Vitr e c t o m y S u r g e r y By Kamal Kishore MD
itreous is a clear jelly-like material that fills most of the inside of our eyes. It has a thick jell-o-like consistency in the young eye, but tends to develop pockets of fluid with aging. Eventually the fluid is lost leading to shrinkage of the vitreous body. The retina is the nerve tissue that lines inside of our eyes and provides sight. Vitreous gel is tightly attached to the retina at several places. As the vitreous body shrinks with aging, pulling occurs on the retinal tissue where the vitreous gel is firmly attached to the retina. Such pulling can tear the retina, resulting in bleeding inside the eye, retinal tears and detachment. During embryonic life, vitreous gel provides support to the blood vessels that nourish the front part of the eye including our lens, iris and pupil. However, vitreous gel is not needed for proper functioning of the eye after birth, and its absence due to surgical removal does not damage the eye.
What is Vitrectomy Surgery? Vitrectomy surgery consists of surgical removal of the vitreous gel. This type of surgery was invented in the year 1971 to restore vision in eyes that were blind from bleeding due to diabetes or eye injuries. Initial instruments were designed like a miniaturized vacuum cleaner that would remove vitreous gel along with blood inside it and replace it with saline solution. Numerous improvements in instrumentation, light source and microscopes have made vitrectomy surgery safer. Figure 1 Modern vitrectomy surgery is commonly performed with 25-g instrumentation. Three tiny tubes, or cannulas, each thinner and smaller than the butterfly needle used to draw blood are placed through the white part of the eye (Figure 1). One of them is connected to a bottle containing a solution similar to saline to maintain pressure inside the eye. The remaining tubes are used for active instruments, such as light pipe that provides illumination inside the eye, vitrector that cuts and removes the vitreous gel, forceps, scissors and laser probe. Special lenses are placed on the surface of the eye to enable the surgeon view delicate structures inside the eye. Incisions are self-sealing eliminating the need for sutures which minimizes pain and discomfort after the procedure. (Figure 2) When Do You Need Vitrectomy Surgery? Vitrectomy surgery is commonly performed to remove blood from the vitreous cavity that may result from diabetes, eye injuries or retinal tears and detachments. Other common reasons for performing a vitrectomy procedure are intraocular foreign bodies, retinal wrinkle, Page 22 — Healthy Cells Magazine — Peoria — March 2011
macular hole, retinal detachment, large tears in the retina, infections inside the eye and complications from cataract surgery. How Does Vitrectomy Surgery Improve Vision? Vitrectomy surgery improves vision by removing blood or other material that causes the gel to become cloudy. If scarring over the macula is affecting vision, its removal with special forceps relieves distortion of the macula. A hole in the macula results in loss of central vision and its repair by vitrectomy procedure improves vision. Repair of detached retina and treatment of infection by vitrectomy procedure also improves vision. Why Do You Need to Position Your Head After Vitrectomy? In some cases, vitreous gel is replaced with a gas bubble Figure 2 or silicone oil. A gas bubble is absorbed over time, usually over 2 to 6 weeks depending on the gas used. The purpose of gas bubble is to support the retinal tissue from inside like a cast. It is commonly used in retinal detachment surgery because laser treatment takes about two weeks to seal the retina, and gas bubble holds the retina in place while laser treatment is taking effect. Your surgeon will advise you to position your head in a certain manner to maximize benefit from the gas bubble. You should not fly as long as gas bubble is inside the eye, because change in cabin pressure can dramatically change size of the gas bubble. What are the Advantages of Modern 25-g Vitrectomy Surgery? • It is faster, because the steps of creating an incision and wound closure are eliminated. The incision is only 0.5 mm or about 1/50th of an inch in diameter. • More comfortable. Unlike traditional surgery, where sutures always cause irritation, or foreign body sensation for at least two weeks, most patients have no pain or discomfort after 25-g vitrectomy surgery. • More accurate, because instruments are smaller and do not obstruct surgeon’s view as much as older instruments. • Small instruments ensure complete removal of scar tissue in a less traumatic fashion. • Less traumatic to the delicate tissues of the eye. For more information please contact Illinois Retina today at 309-589-1880
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EVERY LIFE i m p r o v e d . March 2011 — Peoria — Healthy Cells Magazine — Page 23
Decreasing Heart Attack Risk Submitted by Illinois Institute of Dental Sleep Medicine
eggie White, nicknamed “The Minister of Defense,” was a professional football player who played defensive end for 15 seasons in the National Football League for the Philadelphia Eagles, Green Bay Packers and Carolina Panthers becoming one of the most decorated players in NFL history. His life was cut short in 2004, when at the age of 43 he suffered a massive heart attack in his sleep. Reggie White suffered from obstructive sleep apnea, which was a contributing factor to his premature death.
“Over 18 million people in the U.S. suffer from Obstructive Sleep Apnea, but less than 10% have been diagnosed.” – National Sleep Foundation One of the first signs of sleep apnea is snoring. Snoring is the sound of partially obstructed breathing during sleep. When obstructive sleep apnea occurs, the tongue and soft palate collapse onto the back of the throat and completely block the airway, which restricts the flow of oxygen. Breathing pauses can last from 10 seconds to a minute or longer. A person with severe sleep apnea may have hundreds of breathing pauses per night. People with obstructive sleep apnea have a higher risk of death than the normal population. The price they pay includes a potentially crippling deterioration in daily functioning, an increased risk of high blood pressure and stroke, depression, and death either in accidents or in their sleep. There are terrible costs for the family of the person with obstructive sleep apnea, who may experience irritability, mood changes, lowered sexual drive and capacity, and a reduction of intellectual ability. In addition there are major business, insurance, health, and social costs including the loss of productivity, the impact of accidents caused by a driver or worker falling asleep, and the wasted health care dollars spent on alleviating symptoms like heart disease without treating their possible underlying cause. Heart Disease both causes and is the result of Obstructive Sleep Apnea. According to the American Academy of Sleep Medicine, when apneas occur the amount of oxygen in the blood can drop to below 60 percent. At the same time blood pressure can soar as high as 240/130. According to the National Heart, Lung, and Blood Institute, normal blood pressure is below 120/80. The oxygen deprivation causes the heart to pump harder to support the extra effort of the lungs trying to overcome the obstruction of the airway. This stress triggers your body to respond in ways that may promote high blood pressure, heart disease, and other cardiovascular complications. “I had one patient who came to me after suffering 4 heart attacks. He finally realized he had to do something about his Page 24 — Healthy Cells Magazine — Peoria — March 2011
untreated sleep apnea,” says Dr. Rod Willey, a local general dentist who treats sleep apnea with oral appliance therapy. A study in the August 1 issue of the Journal Sleep confirms the urgency of treating sleep apnea. Results show that people with severe, untreated sleep apnea have five times the risk of dying from a heart problem. According to the National Center for Health Statistics, heart disease is the leading cause of death in the U.S with over 600,000 deaths in 2010.
Treatment Options for Obstructive Sleep Apnea
Continuous Positive Airway Pressure (CPAP) has continued to be the gold standard of treatment for severe obstructive sleep apnea. “If a patient is using CPAP and doing well, I want them to stay on it,” says Willey. “Unfortunately, many patients simply cannot get used to the masks, or suffer from claustrophobia that causes them to discontinue wearing the mask,” Willey continues. Reggie White had a CPAP, but his wife Sara said, “He used his mask hardly ever.” Sara White knows firsthand the importance of finding a treatment that will work and sticking with it. She has started the Reggie White Foundation in an effort to build awareness to the symptoms and risks of sleep apnea. According to the American Sleep Apnea Association, “Approximately 60% of CPAP users are still using the CPAP after a few months.” If a patient cannot wear the CPAP, other treatment options include Lifestyle Changes, Surgery, and Oral Appliance Therapy.
Oral Appliance Therapy
Oral Appliance Therapy has come to the forefront as a very viable, scientifically based treatment option for Obstructive Sleep Apnea. The American Academy of Sleep Medicine issued a statement in the 2006 Journal SLEEP declaring that Oral Appliance Therapy was approved as the first line of treatment for those suffering from Mild to Moderate Obstructive Sleep Apnea, and is proving to be effective for severe cases as well. The purpose of the oral appliance is to hold the jaw in a position that allows the airway to remain as open and firm as possible during sleep. Oral appliances are similar to athletic mouth guards, but are less bulky. They are completely non-invasive. “Many patients, with their physicians approval, have been able to lower or eliminate the need for their blood pressure medication as a result of being treated for their obstructive sleep apnea,” says Willey. Dr. Willey partners with area physicians to provide comprehensive care when treating obstructive sleep apnea. Oral Appliance Therapy is covered by most medical insurances and Medicare. For more information contact the Illinois Institute of Dental Sleep Medicine at 309-243-8980 or email@example.com. Please see our ad on page 17.
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Page 26 — Healthy Cells Magazine — Peoria — March 2011
Hip Replacement for the Physically Active By Dr. Richard Driessnack, Methodist Medical Center
Birmingham Hip Resurfacing Implant
Total Hip Replacement
s we go through life’s natural aging process, many of us may face the option of orthopaedic joint replacement to keep our bodies moving and maintain our quality of life. Hip replacement surgery is the second most common joint replacement procedure. For patients with hip arthritis, it can be difficult to know just when the time is right to have replacement surgery. It is normally performed when the hip joint has reached a point when painful symptoms can no longer be controlled with non-operative treatments. Furthermore there are a variety of hip replacement procedures available. The Birmingham Hip Resurfacing (BHR) system, performed at Methodist Medical Center, is one of those systems designed to relieve pain and restore full function to young, active patients who have osteoarthritis of the hip. It has been in use around the world since 1997. The U.S. Food and Drug Administration approved its use in the U.S. in 2006. The BHR procedure is not minimally-invasive, requiring a longer incision than a standard total hip replacement. The recovery is similar but often is faster than a total hip. And the long-term functional activities are much greater than with a total hip, as patients are able to participate in a number of more vigorous activities and sports. Advantages of the procedure when compared to total hip replacement include: lower dislocation rates, bone conservation which leads to easier revision surgeries in the distant future, less leg-length inequality problems, and reduced wear due to the proven metal-on-metal technology. With traditional hip replacement, the entire ball of the hip joint is removed and replaced with a smaller metal ball. The new BHR procedure preserves more of the patient’s bone because only the surface of the joint’s ball is removed to implant a new metal surface or cap. Most wear problems in BHR patients have occurred in females, and in cases where cup position was not optimal. Therefore, the ideal candidates for the BHR procedure are physically active men under 60 years, suffering from osteoarthritis, hip dysplasia, or avascular necrosis of the hip. The bone quality must be good to support the new implant. The BHR system is distinctly different than other competitive designs of hip resurfacing, leading to better long-term performance as shown in numerous joint registries from around the world. The BHR has equivalent 7-10 year survival when compared to total hips, with an activity level that is higher in these patients. The system also has a superior survival when compared with other resurfacing systems. While initially a skeptic of this technique, I became a believer with the availability of the international registry data, along with experience at Vanderbilt University in Nashville, Tennessee over the past year and a half. It was at Vanderbilt that I saw successful BHR procedures performed,
subsequently becoming trained in this procedure which I believe can serve a unique population in the greater Peoria area.
Richard P. Driessnack is a Board-Certified Orthopaedic Surgeon with a special interest in Hip and Knee Arthroplasty. He is Fellowship trained in Adult Reconstruction, and practices at Great Plains Orthopaedics in Peoria. Appointments can be made by calling 309-676-5546.
March 2011 — Peoria — Healthy Cells Magazine — Page 27
Connecting Generations Life Long Benefits Submitted by the Communities of Maple Lawn
he National Council on Aging defines “intergenerational programs” as activities or programs that increase cooperation, interaction or exchange between any two generations. They involve the sharing of skills, knowledge or experience between old and young. There are mutual needs that link adults and children. Adults want to nurture, and children want to be nurtured. Adults have something to teach and children have something to learn. But this concept of reaping benefits from intermingling generations is hardly new it just has changed in a time when extended families are rare and children may see their mature relatives infrequently, if at all. Many benefits abound when mixing children and mature adults. There are some daycare centers, such as Noah’s Ark Children’s Center, located in Eureka, IL, which is part of the Communities of Maple Lawn, which incorporates this philosophy. Having an intergenerational program promotes planned and spontaneous activities with children and mature adults of all ages. Children and residents interact on a regular basis. It has long been believed that as people age they continue to need social contact to thrive. In fact, studies have indicated that isolation might be as deadly to aging adults as a terminal disease. It is a fact that older people need to feel productive and children need stable, loving influences in their lives. Having an intergenerational program satisfies both needs and more! Some organizations have joined together to dispel the myth that the older people get the less they have to offer. There are programs specifically designed as “Intergenerational Programs” that create an environment where the generations come together to share the everyday experiences of living, laughing and friendship. What a great way for children to learn about “the good old days” and history of everyday life experiences that they, in turn, can apply to their own lives. Really it’s not a difficult concept, just one that sometimes gets lost in the rush of everyday lives. Developing a bond between generations takes little effort, although initially some children may be afraid of elderly people in wheelchairs or attached to oxygen tanks. Quickly children learn that just because someone is old and/or disabled doesn’t mean they can’t be loving and kind.
Page 28 — Healthy Cells Magazine — Peoria — March 2011
Said the little boy, “Sometimes I drop my spoon.” Said the old man, “I do too!” The little boy whispered, “I wet my pants.” “I do that too,” laughed the old man. Said the little boy, “I often cry.” The old man nodded, “So do I.” But worst of all” said the little boy, “it seems grown-ups don’t pay attention to me.” And he felt the warmth of the wrinkled old hand. “I know what you mean,” said the old man. –from The Little Boy and the Old Man, by Shel Silverstein. Not long ago a parent who had a student in an intergenerational program relayed a wonderful experience. She was waiting in a checkout lane and in front of her was a gentleman in a wheelchair whose legs had been amputated. His wife stood with him. The parent said that her child approached the man without reservation and asked “So what happened to the legs?” The man proceeded to tell the child that he had been diagnosed as a diabetic and that when he didn’t eat properly the legs had to go. As the two had a very enjoyable conversation, the man’s wife with tears in her eyes said to the parent, “He just loves children but ever since he lost his legs, most children shy away or just stare.” The parent was so thankful that her child could bring joy to this stranger’s life and owed it all to the intergenerational program. This is just one of the fringe benefits that happens when there is actual interaction between young and old. With such programs, there is no greater heart-felt joy than to watch children enter the front door of a nursing or retirement home to see the residents light up as though it was Christmas morning. The smiles, the shouts of “the children are here,” and the innocent laughter of the young as they run to greet their friends is a heartwarming experience. Would you like to make a real difference in your child’s life? Consider a day care that has an intergenerational program. This offers them not only learning school readiness but life long benefits. For more information about Noah’s Ark Children’s Center and Communities of Maple Lawn call 309-467-9050. Or visit: www.maple-lawn.com.
You are NEVER too old! Submitted by Marianne Miller, Club Fitness
ep, today I am writing about something “near & dear” to my heart…the “older” athlete (ugh!). Well, this is going to be a positive piece folks! And, I hope and pray that this will inspire you. I hope this will give you renewed energy & improve your attitude. I pray that it encourages you to be the best you can be…no matter what age. In the past several articles, I have made several references to the book “Younger Next Year”. I will again tell you, especially if you are nearing 50, get yourself a copy and read it…once…twice…whatever it takes. It will change your perspective on growing older. For me, it confirmed what I had been witnessing for the last couple of years. I feel truly blessed to have seen some incredible athletes at an age when many have resigned to losing their vitality. Let me take a moment to tell you a few things that I have witnessed. My parents, God bless them, brought me up thinking that by the time I was in my mid-thirties, I should start slowing down a bit. Play it safe, don’t over-do it. When I started running at the age of 40, and planned to run my first marathon, I was told …and wondered if it was true…that I was “too old”…(ugh!) Well, what I have witnessed since I began competing is very encouraging to say the least! One year I competed nearly every weekend in the local 5k’s (3.1 mile races). I would finish respectfully within my age group, many times placing in the top three. I noticed every week a sweet “older” lady would always win her age group. Her time was ALWAYS better than mine and
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she was 65 years old, 20 years older than me! She became my idol. Finally, one day I introduced myself to her & told her what great respect for her I had. Then, the real kicker; she informed me that the only reason she really ran & raced at all was to improve her mountain climbing skills. Oh My! What an incredible lady. In fact, I researched the results for this year’s Steamboat Classic & found that at 70, she’s still running strong (and fast!!). Her story reminds me of the lady I met a couple of years ago, 4 months before her 65th birthday. She shared with me the fact that she had already reserved a hut at the base of Mt. Everest, and on her 65th birthday, she was set to climb! A few other inspiring “older” athletes that I have read about, but haven’t had the opportunity to meet: Robert McKeague at75 years old finished the Ironman World Championship. Yes, this is the one in Hawaii that everyone aspires for. But, to better than that, he returned at 80 and did it again!! Sister Madonna Buder was the oldest recorded female to finish an Ironman race at the age of 76. For those of you who are unsure of what this entails…It is a 2.4 mile swim, followed by a 112 mile bike & then a full (26.2 mile) marathon. All which must be completed under 17 hours…That is an incredible feet for anyone! Then there is Johnny Kelley, who finished his sixtieth Boston Marathon at age 83! In 1991, Ruth Rothfarb and Ida Mintz, both over 80 years of age, ran the Boston Marathon in a little over 5 hours…INCREDIBLE!! Many people, in an effort to find some excuse for not taking the challenge of becoming an “older” athlete, presume that these athletes were always athletic…and simply carried this talent into their later years. Well, for many older athletes, this is very much to the contrary. Many people, once they become empty nesters, take an honest evaluation of their lives and their health, and decide to forego the “normal” aging process and “fight” it by pursuing athletic challenges. For example, Ada Thomas…started jogging after she retired at the age of 65. At age 68, she ran her first marathon. At age 69 she finished first in her age group in the women’s division. At age 72, she is still running 5 miles a day. Ivor Welch didn’t start his athletic activity until he was 83. Five years later at age 88, he had run 5 marathons. Ok, have I convinced you yet? Get your doctor’s ok first. Once approved, then get out there and attack! Don’t let age stand in your way of having the best life possible! Good luck! See you at the finish line! Believe…and you WILL Achieve! For additional information please contact Marianne Miller at Club Fitness: email@example.com or call 309-689-1400. March 2011 — Peoria — Healthy Cells Magazine — Page 29
Rejuvenate Your Tummy Submitted by Jenny K. Shah, Nurse Practitioner
t is no secret that improving one’s appearance goes a long way towards improving one’s confidence as well. A flat and well-toned abdomen is something many men and women strive for. However, sometimes there is a significant amount of abdominal fat and excess skin that simply will not respond to dieting or exercise, no matter how many sit-ups you do. Even people whose weight is normal can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include pregnancy, aging, significant fluctuations in weight and heredity. A “tummy-tuck”, also known as an abdominoplasty, is a surgical procedure that creates a smoother and firmer belly by removing the excess skin and cinching in weakened or separated abdominal muscles. A woman often considers a tummy tuck if: • H er skin is stretched out and the muscles are lax, often from pregnancy • H er abdomen protrudes and is out of proportion to the rest of her body • S he has lost a large amount of weight and is left with the loose skin and flab. A tummy tuck is performed with a horizontal incision placed just within or above the pubic area. For women, plastic surgeons keep the incision within the swimsuit lines. Working through this incision, the underlying muscles can be tightened by
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Page 30 — Healthy Cells Magazine — Peoria — March 2011
pulling them together and stitching them in place. Any excess skin from the lower abdomen is trimmed away. In addition, liposuction may be combined with a tummy tuck to reshape the waistline. While cosmetic surgery previously was seen as an exclusive luxury of the rich and famous, today’s statistics show that the number of procedures performed is steadily increasing. When choosing a plastic surgeon for a tummy tuck, the surgeon’s experience and your comfort with him or her are the most important considerations. This is a major surgery, so if you’re considering it, be sure to educate yourself and do not rush to make the final decision. It is not a ‘one-size-fits-all’ procedure because everyone’s body is different and the type of procedure will vary from person to person. Cost is always a consideration in elective surgery, however, it may be more affordable than you realize. In the modern office setting, surgery can be performed on an outpatient basis and you may go home to be cared for by your family. Tummy tucks are best suited for men and women who are in good health, non-smokers and who have maintained a stable weight. A tummy tuck can provide you with many benefits. In addition to a flatter stomach, excision of stretch marks and C-section scars, you will find that you feel more comfortable in your clothing and more confident about your appearance. You will be able to move and bend easier with that belly gone. You will feel and look younger! For more information, please contact Dr. K.G. Shah, Knoxville Place, 802 W. Trailcreek, Peoria. 309-692-3630. Visit: www.peoriaplasticsurgery.com.
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March 2011 — Peoria — Healthy Cells Magazine — Page 31
Safeguarding Tips for Parents and Children By Jeanne Anders, Supervisor of School Based Prevention Services, The Center for Prevention of Abuse
pproximately 77% of U.S. students are impacted by traditional bullying each day. It happens on the school bus, in the cafeteria, hallways, playgrounds, and in classrooms. The most frequent form of bullying is words (teasing, ridiculing, name-calling, taunting and gossip). This type of bullying takes place in the “physical” world and that world has time and space limits. Bullying in cyberspace, however, is not bound by school hours, school days or facing the intended bullied victim. Cyberbullying happens when kids use any type of technology to continually hurt, threaten, or embarrass another person. Examples of technology used are cell phones, computer web-sites and social networks like Face Book and MySpace, text messaging, instant messages, blogs and hot or not list. Unfortunately, along with the convenience and communication that these high-tech innovations provide, the emergence of this negative experience is growing exponentially. The statistics are sobering. Of the students who have been surveyed; 43% have been bullied online, 35% have been threatened online and 53% admit having said something hurtful to another person online. Anything that is shared electronically becomes permanent. Anything that is shared on social networking sites becomes public knowledge. Even if you delete a message or a post, it is still out there somewhere. Cyber-bullying can lead to social, emotional and academic pressures. Children who are cyber-bullied feel unsafe and scared. They feel powerless to stop what is happening and may come to believe it is their fault. Cyber-bullying can
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Page 32 — Healthy Cells Magazine — Peoria — March 2011
affect any age group and consequences can be very serious, including suicide. For the bully cyber-bullying is an ideal forum because of its anonymity, high visibility and the ability to send the message out to a large number of people within seconds. Technology becomes a powerful weapon in the hands of the tormentor. Effects on the child doing the online bullying range from dropping out of school and/or getting mixed up in violence or other crimes. What can Parents do? • Educate yourself – learn what cyber-bullying is. • Keep the computer in a general family area so that you can interact more naturally with your child about messages they are reading or sending out to friends. • Consider installing filtering and blocking software, but know that proactive parents are the only real deterrent and the best resource for bullying preemption. • Set age appropriate boundaries for use of technology and agree on a set of rules. • Teach your child appropriate social skills for online communication. • Remind your child not to give out personal information (address, telephone number etc). • Create open and honest relationships with your child so they feel comfortable coming to you with questions or when problems arise. • Do not punish your child if she/he is the target of an on-line bullying incident. Cutting off your child’s Internet access or taking their phone will not solve the problem. This may make them feel as if they are being punished for someone else’s transgressions. What can Children do? • STOP! Do not respond to bullying posts or forward them on. Refuse to cyber-bully. • BLOCK! Block the sender from posting either to your phone, web-site, and e-mail. If it is a social network, un-friend them. • TELL! Show the message to a trusted adult immediately. Don’t delete it. Print the message for proof of the bullying. If it is a social network, report the incident to the site. • BE A GOOD BYSTANDER! If you know someone is being bullied, stand up for them. Let the person who is doing the bullying know that it is not okay and you don’t like it. • Never share your password with anyone except your parents. • Never meet someone who is bullying you online. • Keep your social network profile set to private but keep in mind that doesn’t mean you are completely protected. Everyone in your friend’s list can still see what you post and depending on what your friend’s settings are, their friends and friends of their friends can see it as well. • Don’t accept everyone that sends you a friend request. Choose wisely. As the number of households with Internet access approaches saturation and cell phone ownership expands to the 100 million mark, so do the ways kids bully each other. Children have a right to be safe. The Center for Prevention of Abuse implements a bullying prevention program entitled Steps to Respect in schools located in the general tri-county area. This powerful curriculum focuses on both the bullied and the bully. For further information on cyber-bullying, contact Jeanne Anders at 309-691-0551 and visit our website at www.centerforpreventionofabuse.org.
complex wound care
What You Should Know By Randy Cosby
Signs that should prompt a visit to a doctor can include: • Redness or swelling in • Chills or fever the area of the wound • R ed streaks around • Throbbing pain the wound • Pus under the skin • Tender lumps or • A foul odor coming swelling in the neck, from the wound groin or armpit.
at LTACHs are more likely to regularly perform sharp debridements – which accelerate the healing process – as well as interpret lab results, and keep abreast of new studies and modes of treatment. They also generate timely dressing orders as a wound heals and prescribe appropriate therapy to the recovering patient with the assistance of specialist nurses and therapists. Conversely, wound patients in an STACH primarily are managed by nursing or physical therapy, and often have to rely on a slower, and sometimes less effective method of debridement accomplished with topical creams or certain types of dressings. LTACH staff members also play a prominent role in educating wound patients and their family members or other caregivers about continuing care at home. But no matter where a patient initially seeks treatment for a wound, close attention should be paid to wounds that appear to be healing too slowly or getting worse. For additional information in regards to complex wound care, contact the Triumph Greater Peoria Specialty Hospital, 500 Romeo B. Garrett Avenue in Peoria. Call 309-680-1500 or visit www.triumph-healthcare.com.
he treatment of many wounds – from scrapes, cuts, surgery and the like – is pretty straightforward and easily accomplished at home, in a doctor’s office or a short-term acute care hospital (STACH). But patients with complex wounds – those that heal slowly, become infected or which do not heal properly for a number of reasons – often need the higher level of wound management provided by a specialty hospital called a long-term acute care hospital (LTACH). Wound patients usually come to a specialty hospital from intensive care units (ICUs), medical surgical units, and emergency departments in STACHs, but can be admitted directly by a personal physician. The complexity of a wound can be aggravated by many factors, including but not limited to age, mobility, nutrition and several diseases, not the least of which is diabetes and its potential for amputation if wounds are not effectively treated. Staffed by doctors, nurses and other professionals specifically trained to treat medical conditions that generally are too complex, costly or serious to be treated in STACHs, skilled nursing facilities or rehabilitation hospitals, LTACHs are better able to treat patients with wounds that often result from a combination of other medical conditions. Cardiac, pulmonary, neuromuscular and renal diseases, for instance, can severely complicate the healing process of a wound and extend the treatment time needed by a patient far beyond the usual three-to-five-day stay in a STACH covered by Medicare. By contrast, patients in LTACHs receive treatment for a minimum of 25 days. Wound treatment in an LTACH can include electrical stimulation, hyperbaric oxygen therapy, ultrasound, whirlpool, infrared therapy, application of APLIGRAF and OASIS skin-repair products, and sharp debridement, which is the removal of devitalized, or dead, tissue from wounds with a scalpel or scissors. The extended treatment and therapy window, wide range of treatment options and greater involvement of LTACH physicians in the healing process are the reasons LTACHs generally have more success with wound patients. Because of their specialized roles, physicians March 2011 — Peoria — Healthy Cells Magazine — Page 33
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