Promoting Healthier Living in Your Community • Physical • Emotional
M A G A Z I N E
Jeffrey S. Poulter, MD, FACS
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Trust Your Hearing To A Hearing Professional
Dr. Holly Demichelis
Dr. Jill Pruvost
Hearing aid advertisements can be very misleading for the average hearing aid shopper. In fact, most hearing aid “stores” employ hearing aid dispensers, which are not Audiologists. Some even claim to employ an Audiologist when in fact that Audiologist works at the corporate headquarters or in some other city far away. Most of these hearing aid dispensers have not gone through the years of Audiological Training it takes to get to the Doctorate level. In fact, many hearing aid dispensers do not have any formal university training at all and may only hold a high school diploma. If you want the highest level of hearing health care, you should always ask if the office employs a Doctor of Audiology and will that person be testing and caring for your needs.
We welcome Caterpillar Employees and Retirees
Dr. Katie Wyman
Dr. Becky Braun
A white lab coat does not mean you are being seen by a ‘Doctor’. Peoria Ear, Nose & Throat Group provides a medical team approach to your hearing needs; combining the expertise of Doctors of Medicine and Doctors of Audiology to find the very best solution to your specific needs. Peoria ENT Group believes a hearing aid is only one piece of the puzzle. We provide a comprehensive menu of hearing evaluation, selection, fitting & dispensing of hearing aids and assistive devices, counseling and continuing support. When you seek diagnosis and treatment, trust your hearing care only to a highly qualified audiologist who serves your best interests.
For a Comprehensive Evaluation, call:
7301 N. Knoxville Ave. Peoria, IL. 61614
April 2012— Peoria — Healthy Cells Magazine — Page 3
APRIL 8 10 12 14 16 18 23 24 26 28 30 32 34 36 38 40 42 44 46 48 50
Physical: Muscles Gone Wild—Clinical Use of Botox Emotional: Emotional Healing After Amputation Nutritional: Gluten: A Friend or a Fad?
2012 This Month’s Cover Story:
Volume 14, Issue 4
The Newest Innovation in Plastic Surgery page 20
Keeping Kids Safe: Five Everyday Actions to Promote The Safety of Your Child Animal Assisted Therapy: Animals Helping People Heal Healthcare Decisions: Advance Care Planning Ask The Computer Doctor: Should I Click on a Pop Up? Healthy Homes: Keeping It Clean Indoors Noise Exposure: Protecting Musicians’ Hearing Attention-Deficit/Hyperactivity Disorder: The Role of Accurate Diagnosis in the Treatment of ADHD Child Abuse: Every Child Deserves a Chance Sleep Disorders: Relief From Snoring & Sleep Apnea Diabetes Complications: Wound Care and the Diabetic Patient Fraud Alert: Telemarketing Fraud Prevention Tips — Don’t Become the Next Victim! Pediatric Surgeons: They ARE Just for Kids Disability Employment: Making Success Happen Time and Talents: Helping Your Retired Parents Find Purpose Through Volunteering It’s The Law: Special Needs for Special People Physical Therapy: ACL Reconstruction Recovery Men’s Health: ED—When Medication Isn’t the Answer Healthy Starts: Wake Up Breakfast with Flavor and Antioxidants
Cover and feature story photos by Daryl Wilson Photography
Dr. Jeffrey Poulter, pictured at the Spa entrance of the Senara Health and Healing Center, is pleased to introduce a new way of integrating plastic surgery and facial rejuvenation with health and wellness services at Senara. 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: firstname.lastname@example.org Visit Us On Face Book Healthy Cells Magazine is a division of:
1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 email@example.com
letter from the owner
An Attitude of Gratitude O
ne of the many joys of publishing Healthy Cells is meeting new people. The other day I had a great conversation with someone about a health-related topic. When I hung up the phone, I realized what had made our conversation so special. The person I spoke with had a fabulous attitude of gratitude! She was positive and thankful, despite the many health challenges she faced. Wow! The conversation caused me to reassess my own attitude. Do I have an attitude of appreciation? Do I seem positive to others? Am I thankful and humble for situations I experience even when they are bittersweet or challenging? Am I using my experiences to help others like the woman with whom I spoke? We all like to surround ourselves with optimistic people. It is good to stop and think about what we say and how we say it to others, including strangers. You never know when you might touch a hurting heart or make someone’s day with a kind word or note. I encourage you to make someone’s day special-and your own-with a positive attitude of gratitude! Sincerely,
Photo Courtesy of Photography by Jill
Visit Us On Face Book
Kim Brooks-Miller, Owner, Healthy Cells Magazine, Greater Peoria Area Edition. Comments or questioins email: firstname.lastname@example.org PS- On a personal note, please plan to join me and others to pray for our nation on the “National Day of Prayer,” coming soon on May 3, 2012. Thank you.
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Muscles Gone Wild
Clinical Use of Botox By Lisa E. Snyder, M.D. and M. Barbara Campbell Institute of Physical Medicine and Rehabilitation, Peoria, Illinois
he word “botulism” is derived from the Latin word for sausage, as the first recorded outbreaks of botulism poisoning occurred in spoiled sausage. Botulism is the most potent poison known. It would take less than seven ounces to kill every human being on the planet. Approximately ten cases per year occur in the United States. The third largest outbreak in the U.S. occurred in Peoria in the mid-1980’s, with 25 confirmed cases from ingestion of contaminated sautéed onions at a local restaurant. Oddly enough, this toxic substance now forms the basis of a unique and valuable medication. Botulinum toxins are a group of complex proteins produced by the anaerobic bacterium Clostridium Botulinum. Seven of the eight toxins in this group are neurotoxins which cause paralysis right at the point where neural cells and muscle fibers interact. It isn’t hard to see why fatalities occur when someone eats food contaminated with botulism. For example, the lungs stop working because the nerves and muscles no longer communicate due to the paralyzing effects of the bacteria. The brain may say, “Breathe in!”and the lung muscles may be pliable and ready to expand the chest, but the message never makes it. How is it possible that something so toxic can be so beneficial? Consider Muscles Gone Wild. Most of us have experienced an irritating eye twitch that won’t go away. For some people it’s more than just occasional. Blepharospasm is a condition where the twitching, actually a muscle in continuous spasm, becomes permanent. Another condition, cervical dystonia or torticollis Page 8 — Healthy Cells Magazine — Peoria — April 2012
involves chronic muscle spasm in the neck. Spasticity can also result from strokes, multiple sclerosis, traumatic brain injuries, cerebral palsy or even writer’s cramp. There are times when paralyzing a muscle is the only way to stop the spasm. Toxin A is one of the eight botulinum toxins. It has been approved by the Food and Drug Administration for clinical use as the registered trademark Botox. Botox is a colorless, odorless, painless compound that diffuses readily once it is injected. It generally takes from one day to two weeks after an injection for it to take effect, and it can last for about three months. By 1989, it had
FDA approval for treatment of strabismus, hemi-facial spasm and blepharospasm. Other conditions that are either FDA or Medicare approved include spasticity related to cerebral vascular accidents (stroke), cervical and limb dystonia, cerebral palsy, multiple sclerosis and severe traumatic brain injuries. In October 2010, the FDA approved the use of Botox for treatment of chronic migraine headaches in adults. Off-label uses include treatment for chronic pain, temporomandibular joint (TMJ) and myofascial pain. How it works for pain relief is still not entirely clear, but in individuals for whom more conservative treatments have not worked, Botox may offer relief. Even in our world of high-priced drugs, Botox is very expensive. Because of its cost, other ways of treating spasms or chronic pain are explored before using Botox. For muscle spasms, other options include antispasticity drugs, anxiolytics and physical therapy. For headaches or other chronic pain, there would be many conventional treatments attempted before a certified medical doctor would consider Botox injections. Injections are generally done under the guidance of electromyography or EMG. EMG is an electrodiagnostic way for a physician to see and hear the motor activity of a particular muscle. This allows the drug to be injected in exactly the right spot where the spasm is occurring because the physician can see the area of heightened activity. Another benefit of using an EMG to direct the dose? When a treatment costs as much as Botox, precisely treating only the area that needs it can save thousands of dollars in a single injection. EMGs are commonly performed by doctors who are board certified in physical medicine and rehabilitation, or physiatry. Since physiatrists are specialists in neuromuscular
medicine, these are the physicians trained to treat chronic pain as well as spasticity Ironically, one of the advantages of Botox is its safety. There is no risk of permanent nerve injury like one might get with Phenol or other treatments for spasms. Complications are rare and don’t last long – flu like symptoms or some weakness in the muscle that got the injection. People allergic to the drug, pregnant women or anyone with inflammation at the site of the injection should not receive Botox, and caution should be used in individuals who have neuromuscular junction disease or are on certain IV antibiotics. Some people develop antibodies to Botox and no longer get any relief from injections. This is not uncommon and occurs in between 5 and 10% of patients. Using the smallest possible dose, increasing the time between injections to at least three months and avoiding “booster injections” helps minimize this. 20 years after its original FDA approval, Botox remains the treatment of choice for blepharospasm and cervical dystonia. For many patients, the effects of Botox are dramatic. It can offer relief that no other medication has provided before. With the hoopla surrounding cosmetic use of Botox, many people are not aware that specially trained medical doctors have used Botox for years for treating chronic medical problems. As more people regain muscle function and quality of life with Botox injections, additional uses for this unusual drug with a shady family history will undoubtedly be developed. Got pain? Need help with your balance? Call IPMR today to discover all the services available to help you and your family: 309-692-8110. Visit us on-line at www.ipmr.org.
Friday, April 13th 10:00 a.m. a.m. -- 2:00 2:00 p.m. Several Vendors Crafters Bake Sale Door Prizes Stop by and shop for all of your Mother’s Day needs and more. All vendor fees benefit the American Cancer Society Relay for Life. www.hcr-manorcare.com
Riverview Senior Living Community 500 Centennial Drive East Peoria, IL 61611 309.694.0022 April 2012— Peoria — Healthy Cells Magazine — Page 9
Healing After Amputation By Molly Hill, CO, Resident Prosthetist
mputation affects many people, whether it is due to vascular disease, diabetes, infection, cancer, or a traumatic injury. The Amputee Coalition reports that 185,000 new amputations are performed each year in the United States. When facing the reality of amputation, the life changes ahead can be overwhelming. The recovery process includes not only physical healing, but also emotional healing. Whether one has undergone amputation of one toe or the entire leg, the grieving process is similar. The loss of a limb can affect one as greatly as the loss of a loved one and the grieving process is comparable. Dr. Kubler-Ross defined five stages of grief used to describe and explain the emotional healing process. This process is unique to each individual. Each person experiences the stages for varying periods of time, or in varying order. One may not experience all five stages or may experience certain stages more than once while coming to terms with the amputation. The five stages include: denial and isolation, anger, bargaining, depression, and acceptance. These stages are defined as follows:
Denial and isolation: This stage involves disbelief that the amputation has occurred and withdrawal from friends and family. Anger: This stage involves anger with what has happened and blaming others or a higher power for causing the amputation. Rage and increased energy are often associated with this stage. Bargaining: This stage involves one bargaining with doctors, therapists, or a higher power. This stage may occur internally and be related to feelings of guilt related to the amputation. Depression: This stage involves sadness and worry or anxiety about the future. Symptoms include pessimism, loneliness, restlessness, decreased energy, fatigue, loss of appetite, and loss of interest in activities. Acceptance: This stage involves realization of the reality of the situation and the ability to move forward without reverting to one of the four previous stages. Many factors can influence the length and intensity of the grieving process. These factors can include: age, ability to cope, other health complications, preparation time prior to surgery, cause of amputation, and family/peer support. The ability to overcome the psychological effects of limb loss generally increases with age. Children tend to adapt to life with an Page 10 — Healthy Cells Magazine — Peoria — April 2012
amputation more readily than adults. Other health complications that slow the physical healing process or affect function of other limbs can affect the emotional healing process as the recovery process may seem more daunting or the predicted return of function is less than prior to the amputation. One’s overall outlook on life or personality may also affect the individual’s emotional healing. Those with a positive outlook on life or those who have survived other major life changes may be quicker to reach acceptance of the amputation.
The urgency of amputation often leaves little time for preparation. The amount of preparation time can depend on the reason for the amputation, whether it is due to a quickly spreading infection or has been a long debated option after prolonged healing of a traumatic injury. If one has time prior to surgery, meeting with a prosthetist or a peer who has undergone a similar procedure can be helpful. These meetings are beneficial in that they can provide insight into the recovery process and help set realistic expectations and provide hope for recovery and life with a prosthesis. Following amputation, a strong support system of family and friends and a team approach to recovery are both important. The team can include the patient, family, physician, prosthetist, and physical therapist. Collaboration in care allows for a smoother rehabilitation. Starting rehab early after amputation and regaining independence can help in reaching acceptance. If you or a family member are facing amputation and have questions, a prosthetist can provide information about resources or support groups in the area. He or she can also help to set up a meeting with another patient who understands what you are going through. Molly Hill is a Certified 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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April 2012— Peoria — Healthy Cells Magazine — Page 11
Gluten: A Friend or a Fad? By Jessy Hamawi, CPT, M.S.M. BSC
ust 10 years ago, barely anyone knew what the word gluten meant, let alone gave any thought to avoiding it. But now gluten-free diet menus are in, and high-profile stars such as Gwyneth Paltrow and Victoria Beckham have been linked to the gluten-free lifestyle, which is said to contribute to increased energy, thinner thighs, and reduced belly bloat. What It Gluten Exactly? Gluten is a protein found in the grains wheat, barley and rye. Most of us unknowingly love it, because it gives our favorite foods that special touch: It makes pizza dough stretchy, gives bread its spongy texture and is used to thicken sauces and soups. Gluten-free eating has a basis in science, and it does help a genuine health problem. To people with a chronic digestive disorder called celiac disease, gluten is truly evil. According to CeliacCentral.org, Celiac Disease is a genetic disorder or autoimmune disorder where the immune system attacks the tissue of the Page 12 — Healthy Cells Magazine — Peoria — April 2012
body. It is triggered by consuming gluten which interferes with the absorption of nutrients from food by damaging a part of the small intestine called villi. When nutrients do not get absorbed into our bloodstream it can lead to a host of problems. If untreated, these responses can then lead to intestinal cancers as well as complications such as infertility and osteoporosis. Experts once thought celiac disease was a rare disorder, believed to affect one in every 10,000 people. But an Internal Medicine study in 2003 suggests that celiac disease is far more prevalent than anyone had suspected, affecting one in 133 Americans. With increased testing and awareness, more people realized why they felt sick after eating a piece of bread, and food companies discovered a new market. The Health Hype Thanks to the increase in diagnosed celiac and gluten sensitivity cases, people have latched on to avoiding gluten as a cure-all for many conditions aside from celiac, including migraines, fibromyal-
gia, and chronic fatigue syndrome. While some have found relief, that doesn’t mean gluten-free diet will work in all cases. Then there’s the gluten-free existence is the ticket to speedy weight loss. The solution is not gluten-free, it’s that gluten-free dining limits the number of foods you can eat. With fewer choices, you’re a lot less likely to overeat. That doesn’t mean fat-free or calorie-free. Without gluten to bind food together, food manufacturers often use more fat and sugar to make the product more palatable. Consider pretzels: A serving of regular pretzels has about 110 calories and just one gram of fat. Swap them for gluten-free pretzels and you could get 140 calories and six grams of fat. Should You Go Gluten-Free? If you have celiac disease or gluten sensitivity, the answer is easy: Yes, you have to. But if you just want to give the diet a spin, know this: Giving up gluten may sound as basic as cutting out bread or eating less pasta, but this isn’t just another version of the low-carb craze. Because gluten makes foods thick and tasty, it is added to everything from salad dressing to soy sauce to seasonings. Besides the hassle, you can end up with serious nutritional deficiencies. In fact, research suggests that those who forgo gluten may be more likely to miss out on important nutrients such as iron, B vitamins, and fiber. Seven Signs of Gluten Sensitivity to Keep In Mind More than 2.5 million people may have celiac disease, yet only an estimated 150,000 have been diagnosed. Symptoms of celiac disease can also overlap with other medical problems, so it often confuses both patients and doctors alike. That said, if you think
you might have a problem, don’t ax gluten from your diet before being screened by a specialist. If you go off gluten entirely before having a test done, your results may come back negative even if you have the disease. For more information, please contact Jessy at Club Fitness at 309-689-1400 or e-mail: email@example.com. Visit us on-line today! www.peoriaclubfitness.com.
Celiac Disease Celiac disease has hundreds of recognized symptoms, according to the Celiac Sprue Association. Some common problems include but are not limited to: • • • • • •
Chronic diarrhea or constipation Abdominal pain and bloating Unexplained weight loss Anemia Fatigue Infertility
April 2012— Peoria — Healthy Cells Magazine — Page 13
keeping kids safe
Five Everyday Actions to Promote The Safety of Your Child By Mary Beth Cunningham, MA, LPC, Therapist, Sexual Assault Services, The Center For Prevention Of Abuse
s parents, we always want what’s best for our children. We want them to be happy, healthy, and safe. While it is unrealistic to monitor our child’s every move, it is certainly possible to safeguard them through education. For example, in order to protect our children from bacterial and viral infections, we teach them to wash their hands. Teaching them to look both ways before crossing the street can help them stay safe from dangerous traffic. But how do we keep children safe from sexual abuse? Below are five everyday actions that will help promote the safety of your child. Set Privacy Boundaries Set and maintain healthy family boundaries regarding privacy and personal space. All members of the family, whether adult or child, have the right to bathe, dress, use the bathroom, and sleep in private. Inform babysitters and houseguests of the family’s rules regarding privacy. Impress upon your child that they are entitled to this right in other people’s homes as well.
Page 14 — Healthy Cells Magazine — Peoria — April 2012
Respect Boundaries Teach your child through example that their comfort level matters. If your child expresses not wanting to be touched, tickled, hugged, or kissed, it is important to respect those boundaries. Allow an alternative action such as shaking hands, giving a high five, or blowing a kiss. Make sure that guests and other important people in your child’s life understand how allowing your child to have boundaries helps them to stay safe. Teach Proper Names of Body Parts Teach your child proper names of body parts. With this ability a child can more easily inform safe people in their lives if somebody has touched, looked at, or hurt specific parts of their body. This also allows a child to ask questions and learn about their body without a sense of shame or guilt, thus making it easier for them to talk to safe adults about sexual behaviors or abuse. Finally, it is important to teach your child which body parts are private (a general rule of thumb is “whichever body parts a swimsuit would
cover”) and that it is not okay for anybody to manipulate or trick anybody else into seeing, touching, or hurting those body parts. Teach the Difference between Secrets and Surprises Help your children to learn the difference between a secret and a surprise. Surprises are revealed after a brief period of time and will create joy and happiness (i.e. a birthday present), while secrets are meant to exclude others creating anger or hurt. A child who will not keep a secret for fear of making somebody upset, jealous, or mad is less likely to be vulnerable to abuse. Listen to Your Child’s Gut Respect when your child feels uncomfortable around someone. Pay attention to learn each of your child’s unique ways of showing anxiety. Some children may complain of a tummy ache while others may simply say “I don’t like him” or “She makes me feel nervous.” Our intuition is nature’s way of alarming us to danger. Though nothing can protect our children from all harms of the world, the above guidelines will help your child to be confident in asserting their boundaries with their bodies. The Center for Prevention Of Abuse provides many services to families and children who have been victims of sexual abuse. If you need help or would like to talk to someone please call The Center at 309-691-0551 or visit our website at www.centerforpreventionofabuse.org. Crisis hotline — 1-800-559-SAFE (7233)
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www.brandonwoodretirementcommunity.com April 2012— Peoria — Healthy Cells Magazine — Page 15
animal assisted therapy
Animals Helping People Heal By Lauren Malmberg, Peoria County Animal Protection Services
nimal assisted therapy: The use of animals as therapeutic tools to help patients with physical or psychological medical problems, to stimulate their development, or to keep them entertained. However you define it, animal assisted activities, and therapy, have become invaluable in treating patients as well as enriching the lives of those in long-term care facilities. Fortunately, medical
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professionals, health care providers, activity directors, and animal lovers have come to recognize the value of these activities and incorporated them in many ways. Animals have been used in the treatment of human patients since the 1700’s but only became popular after World War II. Even Florence Nightingale recognized that animals provided a level of social support in the institutional care of the mentally ill. Although different species can be used, the dog most commonly appears in animal-assisted activities or therapy. Various programs have been developed in recent years to use animals to help people. In some, handlers and trained dogs interact with individuals suffering from injury or illness. Senior or residential care facilities often keep “house” cats or dogs for the benefit of their residents. Hospitals allow visiting pets to provide emotional support for their patients. And, to help troubled or traumatized children, psychologists have incorporated animals — even birds and reptiles — in their treatment plans. Professionals find that children particularly respond more readily to treatment and counseling when animals are involved. Therapeutic riding, incorporating horses into physical therapy for the disabled, has proven successful in increasing patient’s agility, development, and quality of life. Specially trained horses provide enormous benefits for individuals with all types of disabilities, including cerebral palsy, spina bifida, autism, and more. Students who ride experience physical, emotional, and psychological
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rewards. The gentle rhythm of the horse’s movements allow a rider who cannot walk alone experience a motion similar to the human gait and improve their flexibility, balance and muscle strength. Individuals with autism become more communicative and responsive after horseback riding. Of course, we’re all aware of the phenomenal benefits of service dogs — whether guide dogs for the visually impaired or those dogs trained to anticipate seizures. But, you don’t have to go that far to glean the health benefits pets bring to their owners and others. Simply petting an animal can lower a person’s blood pressure, and studies have shown that heart attack patients who have pets live longer than those who don’t have an animal. The human-animal bond actually has the power to help heal. Scientific studies report that interacting with pets actually increases a person’s level of the hormone oxytocin. Oxytocin not only helps us feel happy and trusting, it also has longer term human health benefits. The hormone strengthens the body’s ability to heal and even grow new cells. Given the growing attention to the humananimal bond, the National Institutes of Health recently funded a federal research program to study the impact of animals on child development, in therapeutic treatments, and on public health. Locally, the Peoria Humane Society’s Special Pals program provides free animal assisted activities and therapy to the disabled, elderly and young in long-term care facilities. Trained volunteers visit nursing homes, hospitals, residential care facilities, and schools with certified therapy dogs to provide companionship for people away from their own pets. As part of a violence prevention program, the PHS Education Director even works with clinicians during group sessions with incarcerated youth.
“Animal assisted activities, and therapy, have become invaluable in treating patients as well as enriching the lives of those in long-term care facilities.” Dog owners who participate in the program report visible and rewarding experiences. They describe dramatic changes in personality and behavior when patients or residents interact with the dogs. Some people who don’t respond to humans come alive when a therapy dog puts his head in their lap. Children frightened or overwhelmed when faced with treatment for medical issues relax and are reassured by the non-judgmental companionship of a visiting canine. Pet owners have long understood all the benefits animals bring to our lives. Now the medical community has begun to recognize how animals can help heal, develop, and improve patients’ conditions in all kinds of ways. For more information about the therapy program, contact Peoria County Animal Protection Services/PAWS, 309-672-2440. This article is sponsored by Waggin’ Tails Doggy Daycare and Resort, Goodfield, IL. E-mail firstname.lastname@example.org or call 309-642-9299 for your dogs boarding and grooming needs.
Apostolic Christian Home of Eureka Our Mission -
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Come let us care for you! Call Kevin Singletary, Social Service Director at 309-467-2311 to schedule a tour today. 610 W. Cruger Ave., Eureka, IL 61530, www.each.org April 2012— Peoria — Healthy Cells Magazine — Page 17
Advance Care Planning By Dr. Robert Sawicki, Senior Vice President of Supportive Care for OSF Healthcare System
Mary Gastelum, Patient and Rosemary Muchow, Pastoral Care, ACP Facilitator
pril 16, 2012 is National Healthcare Decisions Day, a day to educate and encourage adults to communicate their end-of-life care wishes to family and health care providers. Having discussions about your dying wishes is hard, but making medical decisions for you without your input is even harder. It is very important to designate a Power of Attorney for Healthcare and to discuss healthcare wishes/desires/values with that person. Do your loved ones know your dying wishes? Advance care planning is a process to discuss and document your healthcare choices with your loved ones and healthcare providers. Often times, a patient’s wishes are not known when they are at the end of their life. Advance care planning allows patients to discuss the type of care they want at the end of their life in the event they become unable to make medical decisions. When beginning advance care planning, consider who you want to speak on your behalf as a power of attorney (a spouse, family member or friend). This person will make medical decisions if a patient can no longer speak for themselves. Living wills are very limited in what they say. A living will is one specific kind of advance directive, and is a legal document to express your Page 18 — Healthy Cells Magazine — Peoria — April 2012
desires for life-prolonging medical treatments. According to alllaw.com, a living will does not become effective until the patient is suffering from a terminal illness or is permanently unconscious. “This means that if you suffer a heart attack, for example, but otherwise do not have any terminal illness and are not permanently unconscious, a living will does not have any effect. You would still be resuscitated, even if you had a living will indicating that you don’t want life prolonging procedures. A living will is only used when your ultimate recovery is hopeless,” the site states. As a result of National Healthcare Decisions Day, many more people in our community can be expected to have thoughtful conversations about their healthcare decisions and complete advance directives to make their wishes known. Fewer families and healthcare providers will have to struggle with making difficult healthcare decisions in the absence of guidance from the patient. To learn more about advance care planning, please contact your physician. You can also visit www.nhdd.org. For more information, call: 309-624-6002.
What Patients and Facilitators Say About Advance Care Planning What made you decide to do Advance Care Planning? I did this to resolve any problems in the future - for my children. Rosemary was very thorough and the information was explained very well. — Mary Gastelum, Patient How do you approach each ACP session? I try to present the information in a positive, preventive approach. It is so helpful to think about these choices now to avoid conflicts before a crisis or difficult time. — Rosemary Muchow, Pastoral Care, ACP Facilitator What would you say to encourage others to do ACP? You are doing a favor to yourself, your family and the medical staff so we can provide the best possible care. It gives you peace of mind. — Rosemary Muchow, Pastoral Care, ACP Facilitator
OSF Advance Care Planning (Called OSF Care Decisions) To date, approximately 3,500 patients have received advance care planning across OSF HealthCare. OSF has over 200 trained advance care planning facilitators. Here are some patient testimonials that truly demonstrate how important it is for everyone to have advance care planning. • It’s one thing to sit at home and think about advance directives but when someone is sitting there going over these and getting you to verbalize what you feel and think about how you want this taken care of, it’s something else. My facilitator did a wonderful job keeping us on track. • I feel this is a very good thing for people to do and I am glad I was asked to do this. I probably would have put it off if I hadn’t been asked at my doctor’s appointment. Thank you for providing this service. • You never know what life is going to hand you. It’s nice for people to know what you want. • My facilitator was very professional. I was impressed. She was careful not to be judgmental and not try to influence any of my decisions.
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428 West McClure Avenue • Peoria, IL 61604 • Ph: 682-6616 April 2012— Peoria — Healthy Cells Magazine — Page 19
The Newest Innovation in Plastic Surgery By Sara Browning
Dr. Poulter injects BOTOX filler to ease forehead creases in a patient with the help of nurse Molly Braun, RN, in a procedure room at Senara.
r. Jeffrey Poulter, board-certified plastic surgeon, is teaming up with Senara Health and Healing Center, integrating expertise in plastic surgery with health and wellness. The most recent development in plastic surgery has come to Peoria thanks to Dr. Jeffrey Poulter and the owners of Senara Health and Healing Center, the city’s newest health spa, located just off Willow Knolls Road. Over twenty years, Dr. Poulter’s practice has grown to exceed 18,000 patients from across the Midwest in his Peoria Page 20 — Healthy Cells Magazine — Peoria — April 2012
and Bloomington offices. While patient wellbeing has consistently been a focus of his practice, Dr. Poulter is elevating patient care to a new level by providing patients with services designed to enhance treatment and results. Linking Health and Beauty Dr. Poulter connected with Senara owners, Dr. Keith Kramer and his wife, Penny, to discuss entwining their visions for helping patients.
Dr. Poulter integrates plastic surgery with health and wellness at Senara, a place where you can come to reconnect with yourself, take a break from everyday life, and focus on your health and wellness in a setting where you can relax and recharge.
All the pottery on display at Senara is hand-thrown by artist Jacob Grant. “We wanted to provide them with a great plastic surgery product along with a great wellness product,” Dr. Poulter says. “It’s a health and wellness atmosphere more than a treatment atmosphere. Senara allows me to take care of my patients in their pre-op and post-op periods and give them a great result.” Well-known among medical professionals throughout Illinois for his integrity and dedication, Dr. Poulter and his staff go the extra mile to ensure the quality and safety of patient treatments. Non-surgical facial rejuvenation procedures, such as BOTOX® and Juvederm®, take place at Dr. Poulter’s Senara location. Surgical procedures are performed at his Bloomington office and accredited surgery suite. “BOTOX and Juvederm are some of our more popular procedures,” says Dr. Poulter. “BOTOX treats the lines in the neck, the wrinkles along the sides of the eyes, between the eyebrows and along the forehead. Juvederm is very versatile, most commonly used for improving contours around the eyes, lips, from the nose to the mouth, jowls and chin.” Strengthening Mind & Body Dr. Poulter utilizes Senara’s amenities and services to assist his patients in preparation for consultations and procedures. Contrary to the clinical waiting rooms of ordinary medical offices, patients who visit Dr. Poulter’s Senara location have access to a health spa and tranquil garden that create a secluded, peaceful atmosphere. “When patients have a body contouring consult, before speaking with me they can change into a robe and spend some time in the
relaxation room where healthy snacks and infused spa water are available. They have that moment to relax and let all their thoughts about their hectic day dissolve.” Dr. Poulter says patients may also use the relaxation room in preparation for BOTOX® or Juvederm®. “We have a very effective topical anesthetic our patients can apply, which makes the procedure almost pain free. Patients go to the women’s lounge, wash their face and apply the anesthetic. They wait in the relaxation area for the medication to take affect. This spa setting has a calming effect on those first-time patients who may be just a little anxious. We’re focusing on mental as well as physical health and wellness.” Body contouring patients can prepare for procedures by taking advantage of the personal training and nutritional counseling available at the new location. “Pre-operative patients who need body contouring, such as tummy tucks, liposuction and breast enhancements, get their best results when they’re at their goal weight,” according to Dr. Poulter. “Patients who work with personal trainers are more likely to be successful at achieving their goal weight prior to surgery. Likewise, nutritional counseling is important to help patients lose weight and make smart choices. Nutritional counselors provide guidance on portion control and food types essential to improving health and wellness.” In addition to preparation, post-operative patients at Senara can receive assistance as they recover from surgical procedures. “Massage therapists help with lymphatic drainage to clear the swelling and decrease post-op pain. After BOTOX® and Juvederm® injections, patients can return to the relaxation room, applying ice as long as they need prior to checking out.” Facial rejuvenation patients can receive special attention from aestheticians at Senara that are available to assist with their skin care. The aestheticians can reapply patients’ makeup before patients leave so April 2012— Peoria — Healthy Cells Magazine — Page 21
they can return right away to work or home. “Patients don’t have to leave my office looking like they just had a procedure done,” says Dr. Poulter, adding that the service is “very convenient” for patients. Patient-Focused Care Dr. Poulter combines expertise and precision with integrity and experience to create beautiful results in a comprehensive center designed to meet all patients’ needs. Because patient health and wellbeing are the center of his practice, Dr. Poulter works diligently to ensure his patients are safe, comfortable and exceptionally pleased with the results. During consultations, Dr. Poulter addresses patients’ concerns and discusses their goals for surgical and cosmetic enhancement as well as the outcomes they can expect once the procedure has been performed. Private consultations allow him to guide his patients toward the appropriate procedure that will provide the
Aesthetician Monica Borries applies make-up on a patient after a BOTOX injection by Dr. Poulter at Senara before she goes back to work. highest level of satisfaction. Procedures combine advanced surgical technology with the latest in pain control techniques. “For patients, cosmetic surgery is more than just a procedure, it’s an experience. We want patients to feel comfortable, secure and cared for every step of the way. We are here to assure that patients can relax and enjoy their transformation knowing that their health and wellbeing are our top priorities.” Dr. Poulter’s patients relish the maximum degree of privacy that comes with a surgical suite accredited by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) in his Bloomington office. “Privacy is very important for patients, and it alleviates some of the stress of surgery. Because I have my own surgical suite, I don’t have to rush through a procedure. This advantage greatly benefits the patient without increasing the cost of surgery. Following abdominoplasty, I admit patients to the hospital and pay for their first night, making sure they receive optimal care—managing their pain, treating nausea and minimizing the risk of blood clots.” Dr. Poulter says the integration of plastic surgery with health and wellness is a combination unlike any other in Central Illinois. “It’s a total wellness service to patients that just isn’t available anywhere else. It’s a whole different idea of wellness, and it’s provided at an incredibly high level with attention to detail and patients’ needs first.” Dr. Jeffrey Poulter earned his undergraduate degree with honors in Biology at the University of Illinois and his medical degree at the SIU School of Medicine. He completed his general and plastic surgery residencies, becoming board-certified in both, at the University of Missouri-Columbia.
Crystal Wheeler, Certified Personal Trainer and Certified Nutrition Advisor at Senara, works with Clint Forney, a Technical Coordinator at Peoria Notre Dame High School. Page 22 — Healthy Cells Magazine — Peoria — April 2012
For more information you may contact Dr. Poulter at email@example.com or 309-692-6869 in Peoria at Senara Health and Healing Center. You may call toll-free at 888-841-4108 or 309-663-1222 in Bloomington. Visit www.drpoulter.com for additional information, before and after photos, patient stories and videos.
ask the computer doctor
Should I Click on a Pop Up? By Jim Wilson, Computer Medics
popup is a new browser window which is opened by a website. The most classic use of the popup is internet advertising. Pop ups are used to attract attention of potential customers, just like commercials on television. Certain types of websites are notorious for creating a deluge of pop ups for unwary users. Sites which provide downloads of material of dubious legality often have pop ups, and pop ups are also very common on pornographic web sites. In some cases, these pop ups also include scripts which can harm a user’s computer, and these sites should be navigated carefully, if at all. As a rule, there is nothing good about a pop up. You can prevent most pop ups by editing the settings in your internet browser. Look on the net for the settings for your particular browser, Safari, Firefox, or Internet Explorer. If you are unsure, click on the X at the
upper right hand corner to close the browser or close it down in your task bar. Pop ups may appear to be just an annoyance, but may do substantial harm to your computer. Many contain a virus, or malicious malware, harming your computer causing expensive repairs. Just ask someone who has gone through this experience by simply clicking on what he thought was a harmless, or possibly a helpful, pop up. Is your computer is moving too slow or having problems with a pop up that you downloaded? Contact Jim Wilson immediately at Computer Medics: 309-692-0202, located at 7209 North Allen Road, Peoria, IL. Family owned and operated.
You will receive:
Tuesday, June 12th
• Tour some of the finest senior living communities
8:00 am - 5:30 pm
• Charter coach seating in one of two coaches reserved for this event • Snacks and coffee
Join us on a full day of exploration into the finest retirement communities Central Illinois has to offer. You will be chaperoned to the retirement communities where you will have the opportunity to see for yourself what each community has to offer today’s active senior. Learn what’s new in senior living with others on a fun day of learning and activity.
• Lunch provided and served to you at one of the communities • Goodie bag with complete tour guide along with coupons and offers from area merchants
Seating limited to the first 100 reservations To reserve your ticket, mail your check payable to LimeLight Communications in the amount of $5.00 along with your name, address & phone number to:
Limelight Communications 1711 W. Detweiller Dr. Peoria, IL 61615
$5.00 Reserves Your Seat!
•B uses will board at 8:00 a.m. in the Evergreen Square parking lot (near LensCrafters) in Peoria. You will receive boarding slips and parking instructions by mail the week prior to the tour.
April 2012— Peoria — Healthy Cells Magazine — Page 23
Keeping It Clean Indoors By Sara Browning
n the absence of proper precautions, individuals could be breathing harmful bacteria inside their home. Outdoor pollutants are detrimental to individual health. But what about the harmful contaminants homeowners come into contact with indoors? Leading medical authorities concur that dirt and moisture buildup found in dirty HVAC systems causes mold, germs, fungi and harmful microbes to proliferate over time. HVAC systems left unclean for extended time periods can aggravate pre-existing conditions and contribute to respiratory illnesses. Physicians now commonly prescribe HVAC and air duct cleaning to help alleviate these symptoms. Breathing Easy If your air ducts look dirty, they probably are. That’s the National Air Duct Cleaners Association’s (NADCA) rule of thumb for individuals desiring to keep a clean air environment inside their residence. When air ducts are not cleaned for four or five years or more, the likelihood of breathing contaminated indoor air increases, according to Dave Martens, Owner of Meinder’s Air Duct Cleaning, Inc. in Peoria.
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“People spend 60 percent or more of their time indoors,” says Dave. “It’s important they know the air they’re breathing is safe.” Individuals who have purchased a new home should have their HVAC systems cleaned to remove construction debris. Those who have moved into homes previously owned should have their air ducts inspected for contaminants left from pets, second-hand smoke or poor housekeepers. Every year in a six-room home up to 40 pounds of dust accumulates through everyday living, according to NADCA’s web site. Air ducts in a home’s heating and cooling system act as the “lungs” of a home, taking air in and breathing air out. Over the years, a home’s heating and cooling system pulls dander, dust and chemicals in and re-circulates them an average of five to seven times per day causing harmful contaminants to accumulate and increasing the threat of serious respiratory conditions. Health First Filthy HVAC systems can cause a host of medical conditions, especially in young children and the elderly. In fact, indoor air pol-
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At Premier Physical Therapy we can help. A supervised physical therapy Freeprogram Admission can get you back to doing your normal activities and enjoying life without pain.
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Join us for an afternoon filled with tips to keep For seniors safe. or to schedule a more information
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Join us for an afternoon filled withTRIAD therapist, please contact one of our Brought to you by Tazewell County clinics listed below. tipsand to preventing keep seniors safe. crimes against seniors through education. Reducing
Brought to you by Tazewell County TRIAD Reducing and preventing crimes against seniors through education. Page 24 — Healthy Cells Magazine — Peoria — April 2012
Peoria: (309) 683-6900 Germantown Hills: (309) 383-4708 Lacon: (309) 554-0072 Aquatic Therapy: (309) 683-6900
lution ranks as one of the highest public health concerns in the nation, according to the Environmental Protection Agency (EPA). Health concerns include such respiratory problems as sinus conditions, cough, congestion and sore throat and as well as physical ailments, such as headaches, nausea and fatigue. “We always tell people if they have any type of respiratory problems they should make sure their air ducts are clean,” says Dave. “Elderly people especially often tell me they really experience a difference after they have had their ducts cleaned.” Air ducts filled with mold, dirt and allergens can also exacerbate pre-existing conditions, such as asthma and allergies. “People with pre-existing conditions often find their symptoms get worse as they breath unfiltered air. Once we clean the HVAC system, they discover they can cut back on their medications.” Professionalism Counts Individuals should have their HVAC systems inspected by professionals employed with a reputable company. Dave says individuals can search a company’s track record with the Better Business Bureau (BBB). The BBB will have records of any outstanding complaints against a business. Also, choose a company that has been in business for a number of years. “Experience is really what matters,” Dave says, adding, “Avoid companies that have portable units the employees bring into the house. Portable units cost a company between $3,000-$5,000 and don’t have nearly as much power as units on a truck. Truck units cost between $60,000-$80,000 and are better quality with more power.” A routine HVAC cleaning takes only a few hours and allows the Healthyto Cells Fastest Heart Attack ad 4_12:Layout 1 3/5/12 system function more effectively, reducing the financial burden
“Over the years, a home’s heating and cooling system pulls dander, dust and chemicals in and re-circulates them an average of five to seven times per day causing harmful contaminants to accumulate.” of heating and cooling. The U.S. Department of Energy reports that 25 to 40 percent of energy used for heating and cooling a home with a dirty HVAC system is wasted due to the fact that contaminants cause the system to work harder and wear down sooner. Dave recommends individuals avoid trying to clean HVAC systems themselves. “There’s no way for a person to reach the full length of the duct work and clean it thoroughly without help from a professional.” For more information on Meinder’s Air Duct Cleaning, Inc. con9:09 Page 1 at 309-686-9128. tact theAM Peoria office
The Fastest Heart Attack Care I knew the warning signs of heart attack. I called 911 and went to OSF Saint Francis Emergency Department. Dr. Rabjohns and the OSF heart team were ready and waiting. They opened my blocked artery in 37 minutes. - Greg Lawson, Peoria
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To get your free heart attack survival kit, call 1-888-6-ASK OSF, scan this code with your smartphone, or go to osfsaintfrancis.org/heartattack.
April 2012— Peoria — Healthy Cells Magazine — Page 25
Hearing Submitted by Midwest Hearing Center
n all too common “catch-22” in hearing healthcare is the musician. Whether someone is a rock star, marching band member, music instructor, or sound engineer, his/her hearing acuity is essential but is also threatened by the loud environment he/she frequently experiences. Anyone who is around loud sound for a significant amount of time (shorter time for louder sounds) will eventually have hearing loss. Thus, nearly all musicians will eventually have some degree of noise-induced hearing loss. To get technical: there are tiny hair cells in the cochlea (organ of hearing) that wave in response to sound. When a loud sound is heard, these hairs get violently shaken and sometimes damage occurs. When a ringing sound is heard after being in a loud environ-
IPMR gives you more treatment , including
Acupuncture Available in Peoria, Pekin and Morton!
Acupuncture is used to treat back pain, headache and muscle pain, as well as many other conditions such as stress or menopausal symptoms. IPMR offers the only practitioner in central Illinois licensed specifically in acupuncture. Your insurance may cover acupuncture, or may entitle you to a discount. Please call us if you have questions, because we may be able to help you verify benefits.
Jay Chang, Diplomate, NCCAOM Not sure if acupuncture is right for you? Ask about a free consultation. Call IPMR First 309.692.8110 www.ipmr.org Celebrating over 60 years of excellence in rehabilitation.
Page 26 — Healthy Cells Magazine — Peoria — April 2012
J. Allen Potter, O.D
Steven Jensen, O. D.
• Routine Eye Examinations • Contact Lens Evaluation & Supplies • Pink Eye Evaluation & Management • Foreign Body Removal • Dry Eye Evaluation & Management • Glaucoma Evaluation & Management • Cataract Evaluation & Post-Operative Care • Macular Degeneration Evaluation & Management • Photographic Retinal Exams
309-698-2020 93 EASTGATE DRIVE WASHINGTON, ILLINOIS 61571-9271
ment, this is the reason why. In most instances the hair cells recover, ringing stops, and normal hearing is regained. However, over time and frequent exposure to loud sound, the hair cells eventually sustain irreversible damage and die. It is also possible for these hair cells to die with one exposure to an extremely loud sound, such as an explosion. The more hair cells that die, the more hearing loss that results. One paradox facing musicians is that they depend on their hearing acuity for their profession, yet as a result of this profession (and noise exposure) they acquire hearing loss. Furthermore, since they utilize a larger pitch range than the average person, musicians are highly perceptive of even the slightest hearing loss. Familiar sounds might be perceived as strange or altered in some way. The clarity and richness of both speech and music may be degraded. This lack of clarity and altered pitch perception is frequently a result of noise-induced hearing loss. Another conundrum is that musicians need to hear in loud environments in order to play/conduct/advise well; therefore, using hearing protection is seen as unacceptable. Many musicians feel as though the most readily available hearing protection (often foam earplugs) alter sound too much and reduce everything to an undesirable degree. In response to this dilemma, there are many different products available that give musician’s both protection and un-altered pitch perception. A simple ‘Google search’ will reveal that there are many more options for earplugs than the standard foam plugs. For example, custom earplugs can be made for a person’s ears by an audiologist. Hearing protection for musicians usually incorporates filters to block out some sound while letting some through unaltered. Utilizing filters is a way musicians can hear without being harmed. Depending on
specific needs, there are a variety of filters that can be utilized and switched out if needed. In addition, custom molds will last longer than stock and are ensured to fit securely. Therefore, custom pieces with filters are often preferred as they allow a specified amount of sound through unaltered while keeping harmful sounds out. For performance musicians who need to wear an ear-level monitor for sound quality, there is even a line of custom in-the-ear monitors that protect hearing while allowing different frequencies through depending on the instrument one plays. These monitors vary in cost depending on the sophistication of circuitry. The more speakers/ drivers in a monitor, the more sound detail the musician can hear. The manufacturer that Midwest Hearing Center uses to make these monitors is Westone. Information about specific devices is available on their website. Some audiologists are more familiar with hearing protection products than others; however any will be able to aim someone in the right direction and give advice. You muse see a hearing healthcare professional to obtain custom made products. Under NO circumstances should someone make an impression of his/her own ear or the ear of a loved one, as this could cause serious damage to the ear. While it seems contrary for musicians to wear hearing protection since they need to hear music the most, it is vital that they do so. There are many options other than the standard foam earplugs that will provide better and safer sound quality. It is never too early to start thinking about protecting your hearing. For more information about any of these options, please contact Midwest Hearing Center at 309-691-6616 or 309-284-0164.
Our AIM is to help each individual or family find the path that works best for them to achieve their goals.
Confidential Appointments for Adult and Youth
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3400 New Leaf Lane Peoria, IL 61615
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April 2012— Peoria — Healthy Cells Magazine — Page 27
The Role of Accurate Diagnosis in the
Treatment of ADHD By Heather A. Heinrich, Ph.D., Licensed Clinical Psychologist
mily’s parents are at their wits’ end. They have gotten their third call this week from her classroom teacher, telling how Emily has been spending her time drawing on her worksheets, rather than completing the actual items that need to be done. She is not disruptive in class, but just seems to not follow through with instructions and to become bored easily. When Emily works with her parents one-on-one at homework time, she seems to know the information that she is supposed to be learning and is able to complete her homework with encouragement and prompting. Michael’s parents have also been facing some challenges. From first grade, Michael has had difficulty sitting still during class time and with losing his assignments. This has seemed to increase over time and has become even more problematic since entering high school, where teachers expect him to be more independent. Michael started out strong this semester, vowing to do all of his homework and to stay organized, but started having some difficulties with turning in his work and has seemingly given up on
Kids. Therapy. Progress.
it. He has developed an attitude that he knows he is not able to do the work, so why bother trying. His parents have tried taking some things away as a consequence for not completing his work, but that has not helped with the situation. Michael’s parents worry about his future and how he will function independently. Both of these children, while presenting with different concerns, may meet criteria for diagnosis of Attention-Deficit/Hyperactivity Disorder (ADHD). ADHD is a neurological disorder that impacts frontal lobe or executive functioning. Individuals diagnosed with ADHD may have difficulties with paying attention for sustained periods of time, increased distractibility, impulse control, inconsistency in school and/or work performance, and excessive activity. Based upon an individual’s symptom profile, diagnosis may be ADHD – Predominately Inattentive Type (commonly referred to as ADD), ADHD – Hyperactive Impulsive Type, or ADHD – Combined Type. The subtype of ADHD is important in developing supports and interventions to assist individuals in meeting their full potential.
2500 N. Main St., Suite IA, East Peoria, IL Our daily home hemodialysis program is designed to provide patients with the flexibility, comfort and portability not possible in a conventional outpatient setting.
Track your child’s progress with a FREE, online screening at MaketheFirstFiveCount.org/ASQ. (309) 663-8275 686-1177 Page 28 — Healthy Cells Magazine — Peoria — April 2012
Contact Vicki Dick, RN, BSN at
or call for a personal consultation at your convenience
Because the symptoms that both children are experiencing may be related to a number of different diagnostic categories, having competent diagnosis is essential in developing a treatment plan. Psychologists and pediatricians or primary care physicians, are often consulted for diagnosis of ADHD. It is important to choose a provider who has training and expertise in the diagnosis and treatment of ADHD. When a psychologist is completing the evaluation, it will typically include a clinical interview with the parents and child, completion of behavior rating scales, tests of baseline cognitive functioning, and other assessments as needed to rule out other clinical concerns. The exact tests chosen depend upon the presenting concerns. Since other factors, such as depression, anxiety, and learning disabilities, may impact a child’s attentional resources, it is very important to rule out difficulties in these areas prior to formally diagnosing ADHD. After a formal diagnosis has been made, specific recommendations for treatment may be developed. Interventions may include a medication consultation with the pediatrician or primary care physician, using incentives to encourage appropriate behavior, extended test time, implementation of organizational systems, skill building for underlying processing, and many other strategies tailored to meet an individual’s needs. The parents may also initiate a request for services at the child’s school, if recommended as a result of the evaluation process. Individuals with ADHD may present with very different symptoms, despite having the same diagnosis, and thus the interventions need to be tailored to address each individual’s specific needs. Competent diagnosis of ADHD is the essential first step in treatment of ADHD. By seeking appropriate diagnosis, Emily and
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“Individuals with ADHD may present with very different symptoms, despite having the same diagnosis, and thus the interventions need to be tailored to address each individual’s specific needs.” Michael’s parents can begin the process of finding some solutions for their child’s academic concerns. After a diagnosis is obtained, customized treatment plans may be developed to address the difficulties. Accurate diagnosis and appropriate treatment can help to improve children’s school performance. Psychology Specialists is a group of doctors and counselors with a broad range of specialties. In addition to diagnosing and treating ADHD, we help people with all types of physical and emotional pain. For more information, contact us at 309-648-0782 or visit www.psychologyspecialists.com.
● Daycare ● Full-Time Daycare Available! ● Hours 6:30 a.m. - 6 p.m. ● Ages 6 weeks - 12 years ● Infant & Toddler Rooms ● Limited Enrollment - Call Today ● Before and Aftercare Transportation Available for Elementary
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809 W. Detweiller Drive Peoria, Illinois 61615
www.123younmepreschool.net April 2012— Peoria — Healthy Cells Magazine — Page 29
Deserves A Chance
By Cindy Fischer, Ed. D., Executive Director, Crittenton Centers
hen Linda gave birth to three beautiful children, she wished for them a lifetime of opportunity and promise. Deeply embedded in her heart was the belief that her love could guard her precious treasures from harm. But as Linda sits alone, the violent images that flood her mind remind her that their lives are anything but that. If she cannot escape, their future will not be any different either. Linda and her children are caught up in a nightmare of physical and sexual abuse. Child abuse is one of the great tragedies of our times. Each day five children in this country die as a result of abuse or neglect, and on average, a child abuse report is made every ten seconds-a total of approximately three million reports annually. Locally, Crittenton Centers admitted over 5,000 children in the past year to its Crisis Nursery, a safe haven for children of families in crisis. This is an 18 percent increase over the year before. Understanding child abuse is crucial in ending this unnecessary tragedy. There are four major categories: physical, emotional, sexual and neglect. Physical or emotional abuse is an act or failure to act that causes bodily or mental harm. Sexual abuse occurs when a child is persuaded or coerced to engage in sexually explicit conduct. A lack of supervision or failure to provide a child’s basic needs is considered neglect. To detect abuse, look for unexplained burns, cuts, bruises, welts, bite marks or injuries that do not match the explanation. But beyond the physical signs are behavioral symptoms that include: apathy, aggression, lack of concentration, problems in school, eating disorders, over compliance and excessive aggression. Sexually abused children demonstrate an inappropriate interest or knowledge of sexual acts; suffer from nightmares and bed wetting; can experience difficulty walking and sitting; and may run away from home. Children who are neglected may be unsuitably dressed for the weather, appear dirty, beg for food or be missing from school. Parents and caretakers play a vital role in preventing child abuse by participating in a child’s life, teaching children appropriate touches Page 30 — Healthy Cells Magazine — Peoria — April 2012
and by being aware of changes in conduct. It is important to know a child’s whereabouts. Never leave a child unattended, and notice when someone takes a greater than normal interest in a child. When abuse does occur, perhaps nothing is more important than a swift, comprehensive plan. For an example of how specialized agencies function together, let us take a look at Linda today. After Linda walked in on her husband sexually abusing their fiveyear-old, the explosive altercation that ensued left her with a fractured arm and multiple contusions. Thankfully, a neighbor contacted police before Linda was beaten to death or her children were terrorized further. Linda was taken to the emergency room, and staff there contacted the Crisis Nursery to care for her three-year-old twins. The Pediatric Resource Center’s physician, who is specially trained to perform medical exams on sexually abused children, treated Linda’s daughter; and The Center for Prevention of Abuse supported Linda with domestic violence counseling in the days that followed. It is because of the quick intervention and collaborative efforts of these agencies that Linda and her children received the appropriate treatment to cope and move forward. Now, instead of the violent images that flood her mind, Linda is flooded with the hopes and dreams that she always carried for her children. Every child deserves this chance. If you or someone you know is being abused, please contact one of our agencies before it is too late.
Free and confidential services available in our community: Crisis Nursery – Crittenton Centers • 309-674-4125 • 24/7 for emergency childcare and crisis counseling Center for Prevention of Abuse • 309-691-0551 or 1-800-559-7233 • 24/7 hotline and free counseling
Children’s Home Association of Illinois • 1-855-837-HOPE (4673) • 24/7 hotline and free counseling Court Appointed Special Advocates • 309-669-2939 • support for children going through the court system Pediatric Resource Center • Comprehensive Medical Evaluations • 309-624-9595 Peoria County Child Advocacy Center • 309-669-2900 • Family support and counseling Tazewell County Children’s Advocacy Center • 309-347-6001 • Family support and counseling Call 911 if a child is in immediate danger. If a child is hurt or molested, go to the emergency room. To report abuse, call DCFS at 1-800-25-Abuse (2873). For more information about Crittenton Centers, please call 309-674-0105 or www.crittentoncenters.org. Visit the Healthy Cells Facebook page to learn all the community resources available to help.
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April 2012— Peoria — Healthy Cells Magazine — Page 31
Relief From Snoring & Sleep Apnea By Illinois Institute of Dental Sleep Medicine
aren, had struggled with daytime fatigue, snoring, and acid reflux for years. “About six years ago my husband woke up in the middle of the night and noticed that I had taken a breath and never released it,” says Karen. Her husband expressed his concern to her the next day and Karen immediately went to her physician to discuss the problem. Her physician ordered a sleep test for her, which confirmed that she had a sleeping disorder called obstructive sleep apnea (OSA). The sleep test revealed that Karen stopped breathing 37 times per hour. In people suffering with OSA these apneas can occur up to hundreds of times a night and lead to serious health problems such as chronic fatigue, headaches, depression, high blood pressure, and even stroke or heart attack. Ultimately untreated sleep apnea may result in death. “I snored quite a bit and would wake up tired after a full night’s rest,” says Karen, “but never realized it could be a sleeping disorder. I knew that untreated sleep apnea could cause serious health risks and recognized that I needed to be treated.”
Karen’s physician suggested she use a CPAP to treat her sleep apnea. She tried multiple masks but had problems sleeping because the air would leak out of the side of the mask making a swishing noise that would wake her up. The air pressure of the CPAP also caused Karen to have severe nose bleeds. “One day I was shopping and my nose started to bleed so much that I had to leave the store and go directly to prompt care to get it to stop,” says Karen.
Se ualAwareness Assault Month The statistics are Monthly educational meetings 1st Thursday of every month at Methodist Atrium Building
Support group for families and individuals every 3rd Thursday at Methodist Hospital Education classes available for families and individuals
the CENTER for PREVENTION of ABUSE supports Children and Adult Victims of Sexual Assault.
Services are Free
Call 691-0551 Crisis Line - 800-559-SAFE (7233) or go to our website www.centerforpreventionofabuse.org Page 32 — Healthy Cells Magazine — Peoria — April 2012
Signs & Symptoms of Sleep Apnea • High Blood Pressure • Cardiovascular Complications • Diabetes • Weight Gain • ADD/ADHD • Periods of not breathing during sleep • Daytime Fatigue • Not feeling rested after full night’s sleep • Easily Frustrated, Irritable, or Depression • Morning Headaches • Gastric Reflux Meanwhile, Karen’s husband, Jim’s snoring was getting worse. He saw his physician who suggested that he have a sleep test done. His results confirmed that he had sleep apnea as well. Jim’s claustrophobia prevented him from wearing the CPAP, and a nurse mentioned that he should try an oral sleep appliance. She recommended he see Dr. Rod Willey of the Illinois Institute of Dental Sleep Medicine.
The American Academy of Sleep Medicine issued a statement in the 2006 issue of SLEEP that Oral Appliance Therapy (OAT) was approved as the first line of treatment for those suffering from mild to moderate OSA, and OAT 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 appliance therapy is covered by most medical insurances and Medicare. “Jim decided to use the oral appliance and it worked great for him!” says Karen. Karen’s nosebleeds continued to worsen, and her physician suggested that she also try the oral appliance to treat her sleep apnea. “The appliance has worked great for me!” she says. “I don’t snore anymore, and I feel well rested when I wake up. It’s great for traveling because it fits in my pocket or purse and I don’t have to worry about paying an extra $25 when I fly.” “I knew it was important to do something about my sleep apnea. It was affecting my health and I wanted to be able to spend quality time with my family and to be able to watch my grandchildren grow up,” says Karen. “I would recommend the appliance to anyone: I just love it!” For more information on Oral Appliance Therapy contact Dr. Rod Willey at the Illinois Institute of Dental Sleep Medicine. As a general dentist with a Diplomat in Clinical Sleep Disorders Disciplines, Dr. Willey has limited his practice to the treatment of snoring, sleep apnea and TMD.
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daryl wilson photography www.darylwilsonphotography.com 309 240 8318 April 2012— Peoria — Healthy Cells Magazine — Page 33
Wound Care and the Diabetic Patient Submitted by Jon Koval, Program Director, Advanced Wound Center at Proctor Hospital
iabetes now affects nearly 24 million people in the United States, an increase of more than 3 million in approximately two years, according to 2007 prevalence data estimates released by the Centers for Disease Control and Prevention. This means that nearly 8 percent of the U.S. population has diabetes.1 Of this number, approximately 15% will develop a foot ulcer. Ulcerations of the feet, wound infection, and progressive tissue loss represent a major source of morbidity and mortality in patients with diabetes.2 Diabetes Mellitus (DM) is the leading cause of all lower extremity amputations in the U.S. According to a recent John Hopkins study, there were about 86,000 diabetes-related amputations performed in 2003.3 In 2007, that number would have increased to approximately 120,000 per year, assuming that 0.5% of patients with diabetes received some type of lower extremity amputation. Other studies suggest that the amputation percentage may be as high as 1%.4 Assuming the increase in diabetes incidence remains the same, amputations would then number approximately 135,000 per year in 2009. Peripheral artery disease (PAD) is a decisive factor leading to foot and leg wounds in patients with diabetes.5 The main reason is this patient population is more likely to have PAD, thereby reducing blood flow to the lower legs and feet. In addition, they are more likely to have peripheral neuropathy which increases their risk of getting ulcers and infections that can potentially result in the need for amputation. Chronic wounds become a primary concern for these patients once an injury occurs and healing success decreases significantly due to the presence of tissue hypoxia (low oxygen levels) and potential infection. Literature suggests that if more attention were provided to foot care in this high risk patient population, seriPage 34 — Healthy Cells Magazine — Peoria — April 2012
ous morbidity and even mortality could be prevented.6 One solution to this problem is a multidisciplinary approach to the management of these complicated wounds. Oftentimes the amount of care required for desirable outcomes surpasses the resources which any single physician can provide. Wound healing in a multidisciplinary approach is achieved in cooperation with referring physicians, surgeons, podiatrists, and other specialists as required. Treatment options include the utilization of advanced wound care modalities which have proven to improve healing rates and prevent amputations. Hyperbaric oxygen therapy (HBOT) is used in addition to revascularization procedures or as a primary treatment when revascularization is not an option. Aggressive wound debridement, bioengineered tissue products and negative pressure wound therapy may also be used to support and provide the best opportunity for healing. HBOT, in conjunction with an aggressive multidisciplinary therapeutic protocol, is effective in decreasing major amputations in diabetic patients with severe prevalently ischemic foot ulcers.7 Adjunctive hyperbaric oxygen therapy also improves host response to local soft tissue and bone infection. While treatment of established wounds in patients with diabetes is a major emphasis of multidisciplinary wound clinics, reducing the overall risk of lower extremity amputations in these patients is equally important. Discharge education focuses on patient followup with their primary physician, endocrinologist, and podiatrist to maintain health, receive proper footwear, and undergo frequent foot examination. In this manner, ulcer prevention will become a more significant aspect of the care of these patients. Visit the Advanced Wound Care Center at Proctor Hospital online at www.proctor.org and find Proctor Hospital on Facebook. References: 1. Centers for Disease Control and Prevention press release dated June 24, 2008 2. A merican Diabetes Association (April 7-8, 1999) Consensus Development Conference on Diabetic Foot Wound Care Diabetes Care 22(8) 1354-1360, 1999 3. John Hopkins Health Alert dated January 18, 2007 4. Reiber GE, Lipsky BA, Gibbons GW. The burden of diabetic foot ulcers. Am J Surg. Aug 1998;176(2A Suppl):5S-10S. [Medline] 5. American Heart Association PAD website updated on April 30, 2009 6. A merican Diabetes Association (April 7-8, 1999) Consensus Development Conference on Diabetic Foot Wound Care Diabetes Care 22(8) 1354-1360, 1999
Unequaled. If you or a loved one has been diagnosed with hypertension (abnormally high blood pressure), ask for a referral to our office. Our team of hypertension professionals includes Dr. Robert Sparrow, a highly skilled nephrologist and Certified Specialist in Clinical Hypertension. Dr. Sparrow has been designated a Fellow of the American Society of Hypertension and is one of only about 100 physicians with this designation worldwide. That means that Dr. Sparrow is recognized for offering expert skills and knowledge in the management of clinical hypertension and its related disorders. And he applies his rare expertise right here in Central Illinois – diagnosing, preventing and treating hypertension to help patients lead healthier lives.
No matter where you live in Central Illinois, we are ready to help and heal. Offices in Peoria, Pekin, Bloomington, Morton, Canton, Hopedale, Macomb, Mendota, Ottawa, Peru, Princeton, and Streator
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April 2012— Peoria — Healthy Cells Magazine — Page 35
Telemarketing Fraud Prevention Tips Don’t Become the Next Victim! By Amanda Hendricks, Tazewell County TRIAD fraudulent call therefore making it more difficult to investigate. All of these reasons are why seniors are such a targeted group for telemarketing fraud! Warning Signs of Telemarketing Fraud: • Involves free or low cost prizes, money, products, or vacations • You have to spend money to get your winnings • Caller says “You must act now” • Caller says “You’ve won…” • Caller says you don’t need to check the company out • Caller recommends you don’t discuss the decision with anyone • Caller warns you that others may doubt the opportunity
ou’ve won a free vacation”, “Free Money”, “Must Act Now, you will never see a deal this good again”…all things you may hear on a telemarketing fraud call. Telemarketing fraud is still alive and well. This type of fraud can happen to all ages but seniors are more susceptible to fall victim to a telemarketing scam. Those raised in the 1930s, 1940s, and 1950s tend to have been raised more trusting than those of the younger generations. This trait is easily exploited by a con artist on the other end of the phone line. Seniors have more difficulty hanging up the phone on someone or simply saying no. In addition to the fact that seniors are more easily exploited through telemarketing fraud, they are also less likely to report the crime. This is due to many reasons; not knowing who or where to report it to, being unaware that they were even scammed or being ashamed that they fell victim to this crime. The senior may feel that if they report it and their relatives are made aware of it, their relatives may no longer believe they have the mental capability to handle their own financial matters. The senior may fear that independence might be taken from them. Even when a senior does report it, there may be a lapse in time from when they took the phone call to when they realized they had been scammed. This will result in less facts and details being remembered about the Page 36 — Healthy Cells Magazine — Peoria — April 2012
Tips to Avoid Telemarketing Fraud: • Don’t buy from an unfamiliar company • Never pay for a “Free” prize • Get all the information (company, caller’s name, phone number, address) and check them out with a Consumer Protection Agency (example?, website or 800 number to call?) • Always take your time making financial decisions. If the company is legitimate, they won’t rush you. • Discuss the decision with a trusted friend or relative • Never give personal information to an unfamiliar person • Never pay in advance for services • Ask yourself “What guarantee do I have?” Unfortunately, crime against seniors is an increasing trend. Luckily for our communities, we have many agencies that can help seniors. One of those agencies being Tazewell County TRIAD, an agency comprised of senior citizens, senior care organizations and law enforcement members and their goal is to help educate seniors to help prevent these acts of crime. Join Tazewell County TRIAD at their Safety Fashion Fair on Wednesday, April 11, 2012 1pm-4pm at the Fondulac Administration Building in East Peoria to learn more about their agency and how to protect yourself from being the next victim. For more information on the event, please visit www.courtyardestates.net/peoria. For additional information on this topic or the Tazewell County TRIAD Safety Fashion Fair, contact Amanda Hendricks, Secretary of Tazewell County TRIAD, at Courtyard Estates of Peoria at 309-674-2400 or by email at email@example.com.
PRESENTED BY: Dr. Joseph Banno Monday, April 23, 2012 Check-in: 5:30 p.m. Seminar: 6:00 p.m. - 7:30 p.m. Peoria Public Library North Branch ● Auditorium 3001 W. Grand Pkwy. Peoria, IL 61615
M I DW E ST SI N C E 1 9 4 5
UROL OGI CA L
1-877-433-2873 Space is limited so call today to register.
If you cannot make it to this program, but would like more information, join our WEBINAR on Wednesday, April 25, 2012, at 6:00 p.m. Call 1-877-433-2873 for more details.
Spouses and partners are welcome to attend. Light refreshments will be served. If you can’t make the seminar or webinar, or wish to have a private consultation, simply call our office at 309-692-9898 for an appointment. PL American Medical Systems, Inc. has co-sponsored funding for this patient education material. We are sending this mailing to people who may or may not have the medical conditions mentioned. This material is meant only to provide useful information about our services and products. If you’ve received this letter in error, please disregard this mailing.
April 2012— Peoria — Healthy Cells Magazine — Page 37
They ARE Just for Kids By Jessica Mayo, Student Intern, Children’s Hospital of Illinois
o parent wants to hear that his or her child needs surgery. Leaving your child in the hands of a stranger can be difficult at any time, but especially when it involves health issues. As parents, the loss of control can be overwhelming. If you are ever faced with this situation, ask about the possibility of working with a pediatric surgeon. Pediatric general surgeons are familiar with the fears of children, and are experts in building confidence and trust. In addition to being technically trained, they focus on taking care of the patient as a whole. This means caring for your child before, during, and after a procedure. What’s the difference? The value in using a general pediatric surgeon lies within the knowledge and experience they possess. A general pediatric surgeon completes five years in a general surgery residency program, as well as two additional years in a pediatric surgery fellowship. They know that facilitating care for a child is very different than caring for an adult. According to Mark Holterman, MD, general pediatric surgeon at Children’s Hospital of Illinois, “There is a big difference in treating a 4-month-old versus a 4-year-old versus a 40-year-old.” For example, many children are born with birth
Page 38 — Healthy Cells Magazine — Peoria — April 2012
defects. General pediatric surgeons are specially trained in dealing with these types of diagnoses. Additionally, children are still growing and are not fully developed; therefore, “general pediatric surgeons know that they must treat an illness in a way that the repair helps a child grow healthy into the future,” says Holterman.
Spring is Just Around the Corner! Surgery is not always the answer Even though your doctor sends you and your child to a pediatric surgeon, an operation is not always necessary. “If there is an injury to an adult’s spleen it will most likely need to be removed” says Dr. Holterman. “If there is an injury to a child’s spleen, it will generally repair itself without surgery.”
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Avoid Doing the Following: • D o not make promises you may not be able to keep. Children depend on your words. • D o not bribe your child. Your love and support are especially important. • A void saying: “Put you to sleep” (like the pet was put to sleep). • S uggestion: “The sleep doctor will give you a special medicine that will help you go into a deep sleep.” • Avoid saying: “Cut, slice, and make a hole.” • Suggestion: “The doctor will make a small opening (as small as...)” • Avoid saying: “Gas” (like gasoline?) • Suggestion: “A special medicine that will help you sleep.”
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How to prepare your child for surgery There are many ways you can prepare a child for surgery. Look over this list for some ideas: Helpful Hints: • Provide simple explanations of what surgery will correct. • Explain where on the body the operation will take place. • Answer your child’s questions honestly • E ncourage your child to bring his/her favorite object (stuffed animal, blanket, etc.) • E xplain to your child that he/she will be asleep during surgery because of a special sleep medicine. • Let your child know it’s acceptable to talk about his/her feelings. “It’s okay to be scared.” • G ive your child a role: “Your job is to eat popsicles after your surgery.” • G ive your child something to look forward to after his/her surgery, such as playing a favorite game together or watching a movie.
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#1 in Central Illinois for 34 Years April 2012— Peoria — Healthy Cells Magazine — Page 39
Making Success Happen By The Illinois Department of Human Services
aniel Tate is a proud member of the team at Lowe’s Home Improvement in Belleville, Illinois. He does everything from loading heavy appliances to watering plants. He is regarded by his store manager, Pam Thurston, as, “a good employee who always comes to work with a good attitude and a smile on his face.” By all measures, Daniel is a success at his job. But, as Daniel will tell you, success has a much deeper meaning to him. “Success is job satisfaction and feeling great about my job, not just a paycheck. Success is my living independently in my own apartment, not in a group home.” And the success that Daniel speaks of has happened, in part, because of the services provided to him through the Division of Rehabilitation Services. Daniel has always been a hard worker. Before his work at Lowe’s, he was working as a dinning hall attendant at Scott Air Force Base in Belleville, Illinois, with assistance from Challenge Unlimited, a community rehabilitation provider who works with DRS. He was also living in a group home. Daniel liked his job, but wanted to have more independence and further his work skills. Page 40 — Healthy Cells Magazine — Peoria — April 2012
DRS worked with Daniel and Challenge Unlimited to provide vocational counseling and job placement services. The result was a great job match and a terrific employment outcome for both Daniel and Lowe’s. Daniel was also able to receive assistance with living more independently. “I was living in a group home and now I live in my own apartment. Everything has completely changed!” Daniel also sees the value he brings to Lowe’s. “I fit in Lowe’s Company well and I like being part of their team. They love me to death!” So much so that Lowe’s recently named him “Employee of the Month”. Working together makes success happen; just ask Daniel Tate. 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. Please see our ad on page 5.
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Does Your Investment Portfolio Need a Second Opinion? Second opinions are sometimes necessary in medicine because a misdiagnosis can have significant consequences. The same is true for our financial well-being. Scan the QR code, call us at 309 693 0300 or sign up at www.savantcapital.com/Peoria for a complimentary Second Opinion today! Savant Capital Management is a Registered Investment Advisor. Savant's marketing material should not be construed by any existing or prospective client as a guarantee that they will experience a certain level of results if they engage the advisor's services. Past performance is no guarantee of future results.
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www.countrycomfortretirement.com April 2012— Peoria — Healthy Cells Magazine — Page 41
time and talents
Helping Your Retired Parents
Find Purpose Through Volunteering Submitted by Lutheran Hillside Village
en Crecelius never thought he’d find purpose in life at the bottom of a sundae cup. And yet, several years into his retirement, he’s found exactly that. Leaning out of the window at his retirement community’s ice cream parlor, Ken hands over a pair of cones to a nurse in green scrubs. “Two chocolate…” he says, then produces a cup of ice cream for a care center resident in a wheelchair. “…and one vanilla.” The resident, of course, smiles. The parlor is manned by volunteers who, like Ken, look at it as a chance to get out of the house, make a few friends, and do a little good at the same time. “It’s great,” Ken says. “I think it’s what’s so nice about living at a place like this. You can be as busy as you want. For me, it’s been a real joy.” While it’s said that charity begins at home, that’s certainly not where it ends. For our aging parents, volunteerism can be a fantastic outlet for their energy, and it can help them find a renewed sense of purpose once their working years have come to a close. “The people who live the longest, and the people who describe themselves as being the happiest in retirement, are the ones who say they have found opportunities to help others,” says Pam Gordon, director of volunteers for Lutheran Senior Services. “For many people, living a full life has always meant successfully balancing family, career, and service. We retire from careers, and that leaves more time for family, new interests and – for many seniors – serving others.”
Page 42 — Healthy Cells Magazine — Peoria — April 2012
And a terrific place to find a wealth of volunteer opportunities is your local retirement communities, which find clever and creative ways to get people involved on behalf of local causes and charities, whether they are active and independent or less mobile and in need of care. Residents of senior communities help collect and package goods for relief efforts in disaster-stricken areas, make phone calls on behalf of the Alzheimer’s Association, and much more. While the activity departments in these communities offer a wide selection of volunteer opportunities, some of the most enduring ones are started by the residents themselves. For example, take Gloria Kersten and her friends. “We love quilting,” says senior community resident Gloria Kersten with a grin as she tacks three layers of newly sewn quilt together. “It keeps us out of the taverns.” At that, fresh peals of giggles go up from the dozen or more residents gathered in her community’s craft room. Organized by quilter Elsie Fruend, the quilters have created hundreds of blankets for children at The Ronald McDonald House since Spring 2007. The initial order was for 39 quilts, but the young recipients liked them so much, and the ladies so enjoyed the work that the team kept on quilting. While some volunteer efforts touch hundreds, some touch only one – but that can make a world of difference. For example: on any Tuesday morning, you will find Bill Sullivan (a retired doctor) taking phone calls for an emergency response system that gets help for people in need of immediate attention. One morning, however, a client shared with Bill that she was feeling short of breath. She wanted to “wait it out”, but Bill knew her event history and was determined to persuade her to seek medical help. Concerned that the client would not follow Bill’s advice, a marketing
specialist for the service, followed up with a home health nurse. It turned out the client was in need of emergency hospitalization, and has since returned home. “It’s just another example of the kind of social good that senior communities provide,” says Pam Gordon. “They’re so good at building opportunities for residents of all ability levels to make a real and lasting contribution, regardless of where they are on their journey.” Looking to give of your time and talents? Lutheran Hillside Village – Lutheran Senior Services’ community in Peoria – has a wide assortment of volunteer opportunities for people with servant hearts. Call Pam Gordon at 314-262-8206 today!
One More Reason to Choose CPO Molly Hill, CO, Prosthetic Resident Molly Hill is an ABC Certified Orthotist and is currently completing her residency in prosthetics at CPO. With a Master’s Degree in Prosthetics and Orthotics and a Bachelor’s in Mechanical Engineering, Molly spent a few years in the orthopedic industry before finding her passion in patient care. Her clinical interests include upper and lower limb prosthetics and pediatric orthotics. Her desire to serve patients, coupled with her engineering background, allow her to best help patients regain function and quality of life.
Comprehensive Prosthetics & Orthotics is committed to restoring mobility and quality of life for patients of all ages, with a full range of orthotic and prosthetic services and an on-site fabrication laboratory.
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April 2012— Peoria — Healthy Cells Magazine — Page 43
It’s The Law
Special Needs for Special People By Thomas M. Henry, Attorney at Law
pecial needs for special people’ is what I often say when I am asked about the legal needs of people with disabilities, or other limitations, entitling them to governmental assistance. These special needs people have very special needs. Gifts and assistance must be carefully given in the proper form or else they could inadvertently lose their governmental assistance. As an example, Katie was a young, bright, vibrant girl who contracted West Nile Virus and the resulting stroke left her in a coma requiring a long, rehabilitative hospital stay. To complicate the situation, Katie had lost a sister the previous year and was the beneficiary of her estate. Unfortunately these assets
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309-245-2407 or 309-224-5070. 701 S. Main Street • Farmington, IL 61531 www.americanhealthcorporation.net Page 44 — Healthy Cells Magazine — Peoria — April 2012
Featuring our “Back on Track” rehab to home program with virtual therapy. Our therapy department combined with our caring nursing staff are just what the doctor ordered for getting better and going home. ✩
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threatened Katie’s governmental benefits and medical insurance. The family and their lawyer reached out to me to help prevent Katie from losing the benefits she needed due to her complex medical condition. I was able to get the court to approve a special needs trust for Katie. Because proper planning had not provided for a special needs trust provision in the sister’s estate documents, Katie was forced to seek the court appointed trust with additional limitations and payback requirements that could have been avoided. I urge families who have a special needs person to inquire as to the rules and regulations that govern the giving of assistance in any form to a special needs person. Too many well-intentioned people have not taken the time to protect their special needs family member by setting up an appropriate special needs trust for that individual. I have seen too many hardship cases of families leaving a bequest to a special needs person causing the person to incur legal expenses going to court to correct the over sight. Any attorney who works with special needs people is familiar with the legal rules required to structure gifts, bequests and other legal provision of assets to help the special needs person enjoy a higher quality of life. Feel free to contact my office as I would be happy to extend to the readers of the Healthy Cells magazine a free one half hour consultation to discuss their estate plan and/or issues involving the provision for special need people. Mention this article when you call our office at 309-690-3355.
If you see an unrestrained child in a vehicle, contact us to report the license plate number and vehicle, and we remind the driver of the importance of child passenger safety and Illinois law.
April 2012— Peoria — Healthy Cells Magazine — Page 45
ACL Reconstruction Recovery By Rachel Mulch, DPT, Premier Physical Therapy
he Anterior Cruciate Ligament (ACL) is one of four major knee ligaments and is very important for knee stability. People with an injured or torn ACL often complain of their knee “giving out” and often require surgery to regain strength and mobility. However, complete recovery is much more likely when surgery is combined with a welldesigned physical therapy program. Typically, patients will participate in 6 to 12 rehabilitation sessions before surgery followed by a more aggressive post-operative program to rebuild strength and mobility. Recently, Premier Physical Therapy treated an 18 year old high school male recovering from ACL reconstructive surgery. During his initial post operative evaluation, he had difficulty walking and was easily fatigued. He exhibited a 40% decrease in knee range of motion and had strength deficits in all muscle groups of the injured leg. Emotionally, he was quite frustrated even though he was doing very well considering the extent of his operation. Due to his specific operation, strict guidelines were followed to properly progress his treatment plan. Treatment began with activities to improve range of motion and mobility of the knee joint. As precautions were gradually lifted, his treatment progressed to include strength, motion, stability, agility, endurance, and balance activities. His treatment plan was also supplemented with exercises he could perform on his own to enhance progress. His recovery went very well and he responded favorably to therapy treatment. He was treated over the course of seven months, which is to be expected considering this type of surgery. He did experience some
discomfort and change in symptoms throughout treatment, but exercises were always modified accordingly. Education was also a significant part of his rehabilitation. It was imperative that he learn to distinguish between typical and abnormal knee pain and understand that he should expect some discomfort when doing “new” activities. At the time of discharge, he demonstrated full strength and range of motion (similar to the opposite leg). He was satisfied with his results and is currently working out and jogging regularly with minimal to no pain. He plans to return to playing rugby in the near future. Compliance and cooperation are two key components in any recovery. This patient demonstrated both and his hard work paid off. The pre-surgery referral for therapy was also extremely valuable in improving his outcome after surgery. Not only did it give the physical therapist a chance to improve strength and motion prior to surgery; it also established a rapport with the patient to better prepare him for his procedure and post operative rehabilitation. All of these elements combined led to a successful outcome for this patient Although outcomes can differ for each patient, ACL reconstruction recovery is one of many problems successfully treated at Premier Physical Therapy. If you are in pain, call our office at 309-683-6900 for a free, no obligation screening to find out if physical therapy can help you. You can learn more about Premier Physical Therapy at www.premierhealthcare.biz or find us on facebook at www.facebook.com/ptpremier.
*plus shipping Page 46 — Healthy Cells Magazine — Peoria — April 2012
Peace of Mind
Do you have it?
Dialysis. Near where you live. Near where you work. Life takes careful planning and informed respresentation.
14 locations in the Central Illinois area.
Home dialysis available.
Thomas M. Henry and his staff can provide you with all the information and guidance you need to obtain your peace of mind. We will also make house calls.
■ Coordinated Estate Plan ■ Last Will and Testament
Thomas M. Henry
■ Powers of Attorney ■ Living Will
Attorney at Law
■ Family Trust ■ Medicaid Planning ■ Medicare & Veteran’s Benefits
Elder Law & Social Security Disability Center
309-690-3355 ■ www.thenry.com 7620 N. University St, Ste. 203 ■ Peoria
Come Home to Maple Lawn
Look No Further Than the Communities of Maple Lawn for Your Spring Move. Our cottages, duplexes & estate singles offer carefree living on a beautiful 100 acre campus within a Christian retirement community. Maintain an active, independent lifestyle with privacy and security, peace of mind and continuum of long-term care in our Health Center. Convenient location between Peoria & Bloomington.
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Today’s Health Center
April 2012— Peoria — Healthy Cells Magazine — Page 47
ED: When Medication Isn’t the Answer
illions of men experience erectile dysfunction (ED), the persistent inability to maintain an erection firm enough to have sexual intercourse. Diabetes, heart disease, prostate surgery and medications for other conditions are among common causes. The good news is that nearly every case is treatable today. In recent years, the widespread use of medications for the treatment of ED has greatly raised the public’s awareness of the issue, as well as, hopes and expectations for regaining sexual abilities. These medications have helped many people restore their sexual function. They are highly effective and have brought many patients to my office to discuss their use. Unfortunately, these medications are not for everyone, leaving some feeling that they may be out of options. For instance, men taking nitrites for heart disease or those taking alpha blocking agents (for blood pressure or prostate problems) should not consider ED medication. In addition, some ED drug treatments such as Viagra® do not work for approximately 30 percent of men. But that doesn’t have to be the end of the road. When ED medication is not the answer, there are other effective medical options that can provide a satisfying solution. One solution is the penile prosthesis, or penile implant, which has been in use for
By Joseph J. Banno, M.D.
over 30 years. A penile implant is entirely concealed within the body. It is designed to be simple and discreet to operate, and does not interfere with ejaculation or orgasm. In a study comparing ED treatment options, patients reported a 93% satisfaction rate with penile implants. This far surpasses satisfaction rates for other treatment options. Of course, a surgical solution like a penile implant generally is not the first course of action. For most patients, the benefits of ED medication cannot be understated. But for those who cannot benefit from those medications, a penile prosthesis may provide a permanent, satisfying option. To learn more about ED and Enlarged Prostates, you are invited to attend a free men’s health seminar on April 23rd at the North Branch Library, 3001 Grand Parkway in Peoria, IL. Registration begins at 5:30 pm and presentation begins at 6. Dr. Banno will also be holding an online webinar on April 25th at 6 pm. Call 877-4332873 to RSVP and for more information on both events. If you cannot attend either seminar but would like to schedule an appointment with Dr. Banno, please call 309-692-9898.
Our work doesn’t stop when you go home. When it comes to taking care of your family, OSF HealthCare has been there. When your family needs help in their home, let OSF Home Care Services continue that care. Keep your loved ones safe and comfortable with: • personal response systems • home health • diabetes supplies • hospice • home infusion pharmacy • home medical equipment, including CPAP, oxygen, walkers, hospital beds & much more
1-800-673-5288 www.osfhomecare.org Page 48 — Healthy Cells Magazine — Peoria — April 2012
Finally, free yourself from pain and arthritis...
Research studies have shown multi-disciplinary teams can provide the most effective treatments for all kinds of painful conditions, which received level I scientific evidence in medical history. Our multi-disciplinary, state-of-theart facility is proud to be one of the top pain management and rehabilitation centers in the country.
By adopting “Mayo clinic approach”, our nationally renowned pain and rehab specialists at CPMR provide all you need to relieve the pain under one roof. • Advanced medical management • Office based procedures (safe, convenient, cost-effective)
• EMG/ nerve studies (advanced neurophysiology diagnosis)
• Ultrasound-guidance injections (100% accurate needle placement)
• On-site psychology consult • Physical therapy • Massage therapy • Acupuncture • Prolotherapy
Commonly Treated Condidtions • Back pain • Neck pain • Arthritis (all kinds of joint pain) • Shoulder pain • Knee pain • Hip pain • Neuropathy • Muscle pain/ fibromyalgia • Carpal tunnel syndrome • Herniated or bulging disc • Sciatica
“We provide all natural ways to get you well, your health does not need more medications and surgeries”, – Dr. Yibing Li, MD, Medical Director, Founder
5401 N knoxville, Proctor Professional Building, Suite 117, Peoria, IL 600 S 13th Street, Pekin Hospital, Suite E, Pekin, IL April 2012— — Healthy Cells Magazine — Page 49 For your complimentary consultation, call 309-689-8888, email: email@example.com orPeoria visit: www.cpmrmed.com
Wake Up Breakfast with Flavor and Antioxidants
aking the most of your breakfast may be one of the best things you do all day. “Research shows that people who make smart choices at breakfast are more likely to make smart choices throughout the day, and have healthier diets overall,” says Wendy Bazilian, DrPH, MA, RD and author of The SuperFoodsRxDiet. A smart breakfast choice starts with the addition of spices and herbs, which are a delicious source of natural antioxidants. For example, just a half-teaspoon of ground cinnamon has more antioxidants than three and a half cups of fresh spinach. “Regularly adding spices and herbs to your go-to breakfast fare is a simple step that can add up to big benefits – and, they’re tasty, says Bazilian. “Try stirring cinnamon into a fruit smoothie or sprinkling black pepper on eggs.” To inspire healthier breakfasts whenever or wherever you’re eating, the McCormick Kitchens have created easy tips to wake up your morning meal with spices and herbs, and add an antioxidant bonus. At Home - Weekday: • T oast & Spread: Spread this on your morning toast instead of sugary jams and jellies. Mix 1 package (8 ounces) Neufchâtel cheese (1/3 less fat than cream cheese), softened, 2 tablespoons honey and 1/2 teaspoon McCormick Ground Cinnamon until well blended. (Serves 8) A ntioxidant Bonus: One serving of Cinnamon flavored spread adds more antioxidants than 1/3 cup of fresh spinach. •S crambled Eggs: Sprinkle 1/4 teaspoon McCormick Ground Black Pepper on your scrambled eggs. A ntioxidant Bonus: 1/4 teaspoon Ground Black Pepper adds more antioxidants than 1/2 cup chopped watermelon
On the Go: • Smoothie: Place 1 small ripe banana, sliced, 1 cup frozen strawberries or blueberries, 1 container (6 ounces) vanilla Greek-style yogurt, 1/2 cup orange juice, 1 tablespoon honey and 1/2 teaspoon McCormick Ground Cinnamon in blender. Blend on high speed until smooth. A ntioxidant Bonus: 1/2 teaspoon of Ground Cinnamon adds more antioxidants than 4 medium carrots. •Y ogurt: Mix 1 container (6 ounces) plain or vanilla Greek-style yogurt, 1 tablespoon maple syrup or honey, 1/2 teaspoon McCormick Ground Cinnamon and 1/4 teaspoon McCormick Ground Ginger. A ntioxidant Bonus: 1/2 teaspoon Ground Cinnamon and 1/4 teaspoon of Ground Ginger add more antioxidants than 1½ cups chopped sweet red pepper. At the Office: • Oatmeal: Sprinkle McCormick Ground Cinnamon on your morning oatmeal to perk up your day. For an extra flavor twist, try adding dried cherries with sliced almonds or walnuts. Antioxidant Bonus: 1/4 teaspoon Ground Cinnamon adds more antioxidants than 1/2 cup sliced kiwi. At Home - Weekend: • Breakfast Burritos: Beat 4 eggs, 1/4 cup reduced-fat milk, 1/2 teaspoon McCormick Oregano Leaves and 1/4 teaspoon each McCormick Garlic Powder and Ground Black Pepper. Sauté 1 cup chopped vegetables in 1 tablespoon hot olive oil in nonstick skillet. Add egg mixture; scramble. Stir in 1 cup shredded reduced fat cheese. Spoon into 4 whole wheat tortillas. Antioxidant Bonus: 1/4 teaspoon Oregano adds more antioxidants than 1/2 cup broccoli. Visit www.spicesforhealth.com for additional breakfast tips and recipes.
Page 50 — Healthy Cells Magazine — Peoria — April 2012
Courtyard Estates of Peoria Luxury Amenities Include: • Main Street Beauty Shop, Gift Shop & Lounge • Active Lifestyle Events • Theatre Room & Library • Wine Garden
• • • • •
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Affordable Living for Active Seniors For more information or to schedule a tour contact us at:
(309) 674-2400 117 N. Western Avenue • Peoria, IL www.CourtyardEstates.net/Peoria
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You can rest assured that the very best in cancer treatments, therapies and clinical cancer trials are available to you, right here in your hometown. Recognized TOP 10 by
AMERICAN SOCIETY OF CLINICAL ONCOLOGY in 2007 for contributons to clinical cancer research.
All patients are treated with compassion, respect, experience, and expertise. Richard A. Kube II, MD, FACSS Board Certified, American Board of Spine Surgery Board Certified, American Board of Orthopedic Surgery