Promoting Healthier Living in Your Community • Physical • Emotional • Nutritional
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BARRINGTON • BLOOMINGTON/NORMAL • ELGIN • GLENVIEW July 2012 — Bloomington — Healthy Cells Magazine — Page 3
JULY This Month’s Cover Story:
Physical: You Should Have Listened To Your Mother…
Comprehensive Prosthetics & Orthotics
Emotional: Anger Management
Giving Patients A New Lease On Life page 20
Nutritional: The Anatomy of Cruciferous Vegetables Healthy Babies: The Amazing Journey to Table Foods, Part 2 Rural Health: Emergency Medical Service – Challenges Facing Rural Communities Healthy Lifestyle: What is Metabolic Medicine? Concussion Management: Heal First Then Play Hard – Dealing with Sports-related Concussions Senior Health: What Is Assisted Living? Environmental Health: Preventing the Perils of Household Hazardous Waste Cancer Research: Muscle Wasting in Lung Cancer Sleep Apnea: Relief from Chronic Fatigue, Snoring, and Insomnia Healthy Kids: School and Sports Physicals Oral Health: Got Questions? We've Got Answers Home Care: Reducing Re-hospitalization Childhood Obesity: How to Talk to Your Kids About Losing Weight Fibromyalgia: Sleeping Well Can Lead to Pain Relief Back To School: Are Your Kids Ready? Hemorrhoids: New Technique Results In Less Pain, Quicker Recovery The Miracle League of Central Illinois: A League of Their Own Personal Success: My Success Can Be Your Success Summer Animal Safety: Precautions Can Decrease Animal Activity and Rabies Risk Skin Cancer: When a Freckle Isn't Just a Freckle… Dental Implants: The Gift of Grins to Local Twins Seasonal Allergies: Keep Your Green Thumb – Avoid the Red Nose Food Safety: Clean Food You and Your Wallet Will Love
Volume 7, Issue 7
Cover and feature story photos by Daryl Wilson Photography
6 8 10 12 14 15 16 18 19 23 24 26 28 29 30 31 32 34 36 38 40 42 44 46 48
For information about this publication, contact Cheryl Eash, owner, at 309-664-2524, email@example.com Healthy Cells Magazine and Pastelle Magazine are both a division of:
1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 firstname.lastname@example.org www.healthycellsmagazine.com and www.pastellemagazine.com Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the greater Bloomington-Normal area. Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE at over 450 locations, including major grocery stores throughout the Bloomington-Normal area as well as hospitals, physicians’ offices, pharmacies, and health clubs. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Bloomington-Normal area. Limelight Communications, Inc. assumes no responsibility for their publication or return.
“I wish to thank all of the advertisers who make this magazine possible. They believe enough in providing positive health information to the public that they are willing to pay for it so you won’t have to.” Cheryl Eash
healthy kids KIDS CAN COOK! SERIES Registered Dietitian Kim McClintic demonstrates how you can include your child in meal preparation. The importance of good nutrition for growing bodies will be discussed while the food is being prepared. Please note - classes are appropriate for ages 5-10.
5:30-7:00 p.m. OSF St. Joseph Medical Center, Business and Conference Center $20 per parent/child couple Additional children may be added for $10, additional parent/adult for $5.
4 TH OF JULY GOODIES
Menu includes: Big Berry Bang, Firecracker Stackers, and Uncle Sam Slams.
Tuesday, July 3, 2012
IT’S A WRAP Menu includes: Tasty Tex-Mex Wrap, Garden Veggie Wrap, and Fruit Salsa Wrap.
Wednesday, August 15, 2012
OSF OFFERS CHILD-FOCUSED CLASSES Presentations and health seminars are offered at your business site, organization, or at the Center for Healthy Lifestyles. • Childhood Obesity • Allergies • Communication • Exercise • Nutrition • Healthy Family Eating • Babysitting Course • CPR and First Aid For more information on how the Center for Healthy Lifestyles can partner with you, please call (309) 661-5153.
Kids Too! Personal Training Our exercise physiologists will design a safe, comprehensive, and individualized program for kids and teens, ages 9 - 13. They will learn how to improve flexibility and strength through creative and fun movement activities through the use of exercise equipment at the medical center. A physician’s release may be required prior to exercising. speakers Erin Kennedy, MS, exercise physiologist and Matt Hanks, NSCA-CPT, exercise physiologist location Center for Healthy Lifestyles and Cardiac Rehabilitation at OSF St. Joseph Medical Center $75 per six sessions, cost 45 minutes each (meets twice/week)
Payment is due 48 hours before the program. No refunds or substitutions will be granted without 48 hours prior notice.
Appointments can be made by calling (309) 661-5155.
Visit our website at www.osfstjoseph.org/chl.
July 2012 — Bloomington — Healthy Cells Magazine — Page 5
You Should Have Listened To Your Mother… By Don Willard, MS, PT, Cert.MDT, Advanced Rehab & Sports Medicine
eck pain, headaches, jaw pain, back pain, sciatica—what do these have in common? If you answered “major causes of missed work” or “reasons for thousands and thousands of physician visits a year”, you would be absolutely correct. But the answer I was looking for was “posture.” Did you just sit up or stand up a little straighter when you read that? You are not alone. Take a look around, just about everyone you see could improve their posture. On my very first day of physical therapy school, I had a professor come into the classroom and announce, “Today I am going to teach all of you how to sit, because that is all you will be doing Page 6 — Healthy Cells Magazine — Bloomington — July 2012
for the next three years and not one of you know how to do it correctly.” Why is our posture so important? Poor posture places prolonged, abnormal forces on our muscles, tendons, ligaments, bones, joints and nerves. Over time these forces cause our tissue to break down resulting in inflammation and pain. Try this. Take your index finger and pull back on it, just enough to feel a slight pull. Now hold that there for the next eight hours while you are at work. Then hold it there while you ride home, while you eat dinner, while you watch your child’s baseball game and while you watch the news before going to bed. Now, do that again for the rest of this week and next week and then the week after that. Think about
how that finger is going to feel. We wouldn’t want to do that to our poor finger, would we? But, this is exactly what we do to our spine on a day in and day out basis. Our spine is supposed to have curves. We have an inward curve, called a lordosis, in the lumbar spine and cervical spine. Also, we have an outward curve, called a kyphosis, in the thoracic spine. These curves place our spine in a neutral position where it is best able to accommodate the forces of gravity as well as the demands we place upon it on a daily basis. When we slouch we change these curves, in some cases dramatically. Try this. Hold a bowling ball in your hand just under your chin. Now hold that same bowling ball in your hand at arms length. Which one is easier? Of course, holding it right under your chin is. Well, your head is that bowling ball. When we slouch, our head is protruded forward which places up to 200% more strain on the cervical spine than we would have if we held our head over our shoulders like it should be. In the lumbar spine, slouching reduces that inward curve and often times completely reverses it to an outward curve. This places the lumbar spine in a position of flexion. This compresses the front part of the vertebra which in turn places a compressive force on the front part of the discs. These forces could possibly lead to bulging or even herniated discs in the spine. Now here comes the tricky part, changing habits that have been formed over years and years. It is not easy and it will not happen overnight. Becoming aware of the positions we put ourselves in is the first step. Try this. Take a look at your desk or computer station. Making little changes like adjusting the chair height, monitor height or angle, and keyboard/mouse position can help tremendously. Pull your head and shoulders back and straighten up. It
may feel very awkward and it may be difficult to maintain this position for very long at first. But just like anything new, if you keep working at it you will improve. Your body will thank you for it in the long run! For more information, contact Advanced Rehab & Sports Medicine Services at 309-664-9104 or www.advrehab.com. Their office is located at 135 N. Williamsburg Dr. in Bloomington. Free assessments are offered within 24 hours of contact for patients of all ages.
• Congratulations •
Emil M. Verban Jr., DDS. PC 2012 Recipient McLean County Dental Society Presidential Award 2103 E. Washington St. Bloomington, IL 61701 309•662•8448 Member International Team of Implantology
www.mcleancountydental.com July 2012 — Bloomington — Healthy Cells Magazine — Page 7
Anger Management By Dr. Anjum Bashir
veryone gets angry. It is a basic human emotion that we’ve all experienced. Anger can range from mild irritation to a full-blown rage. Anger may be related to a specific person; to circumstances you can't control, such as bad weather or a traffic jam; or to thoughts about the past or future such as holding grudges or financial worries. Like other emotions, people deal with anger in many different ways. Some people anger easily and openly express it, perhaps yelling or throwing things; others rarely show their feelings and hold everything inside, but their anger may manifest itself as grouchiness, social withdrawal, sulking, or even physical illness such as high blood pressure. Page 8 — Healthy Cells Magazine — Bloomington — July 2012
Anger should be a positive emotion. It offers an opportunity to vent ordinary tensions and frustrations. Anger can help a person gain control and power in certain situations; for example, it may cause a person in an abusive relationship to finally leave. Anger can be the driving force for people to change social injustices such as discrimination or poverty. Unfortunately, anger is more often thought of in negative terms. The image of an out of control person screaming at a flight attendant or someone who is physically aggressive may come to mind. Anger may be used to bully others, may be the underlying cause of a drinking or drug problem or may cause a person to be overly critical or hostile. In the most extreme
situations, anger is the underlying emotion used to justify acts of terrorism, school shootings and other immoral actions. How a person manages and expresses anger is the difference between it being a positive or negative force in their life. Ideally, anger should be expressed by clearly communicating feelings in a way that doesn’t hurt others, but yet meets their own needs. This involves being assertive, not aggressive. But most people are not taught how to do this. Instead, their anger gets out of control, causing problems at work, in personal relationships and maybe even with the law; or else they hold in their anger and live an unhappy life with underlying resentment and frustration. Anger management counseling can be very beneficial to help people learn to express their anger in a positive way and thus improve their relationships. It is extremely valuable for those who have problems with uncontrolled outbursts, but also helpful for anyone that doesn’t express anger in a healthy manner, including those who hold it in. Poor anger management is at the core of many marital and family problems—couples argue and fight without understanding why the other person in angry. Anger management can be done individually, with other family members, or in a group. Counseling for anger management does not strive to eliminate anger. Rather it recognizes and validates angry feelings and teaches people how to express these feelings appropriately. Anger management counseling focuses on teaching specific skills and alternate ways of thinking to react to anger. For example, people learn to identify situations that cause anger and practice appropriate responses; they learn specific techniques such as deep breathing, visualization, or redirecting anger to another activity (like exercise) to stay calm and in control; they learn different com-
• • • •
“Anger should be a positive emotion. It offers an opportunity to vent ordinary tensions and frustrations.” munication techniques that can help lessen the anger and lead to conflict resolution. The reality of life is that there are people and things that make us angry over which we have no control. We can’t get rid of these things and we can’t always avoid them. But the one thing we can do is to control the way we respond and react. An experienced, licensed mental health professional can help. For more information, please contact Anjum Bashir, MD at 309808-2326. His office is located at 205 N. Williamsburg, Suite D in Bloomington. He treats all psychiatric conditions and his office includes the services of three licensed counselors. He is also one of the few physicians in the area that utilizes TMS therapy for depression and ADHD Quotient test for ADHD/ADD.
2,500 sq. foot Therapy Department Living Skills Retraining Studio Private Medicare Suites State-of-the-Art Therapy Equipment
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The Anatomy of Cruciferous Vegetables By Kathy Clark, ISU Dietetic Intern, with Mary Kay Holloway, RD, CSO, LDN, Community Cancer Center
ou may have heard that broccoli is a cruciferous vegetable but where does that name come from? According to the American Institute for Cancer Research, cruciferous plants produce flowers with four petals that appear to be in the shape of a cross, or “crucifer.” Vegetables in this family are nutrient powerhouses but if you don’t like broccoli, don’t despair. Brussels sprouts, bok choy, cabbage, turnips, kale, and cauliflower are all examples of cruciferous vegetables. Some of these vegetables will form heads, like broccoli, while others are headless, like kale. Are you wondering what’s in cruciferous vegetables that make them so good for you? Each one contains varying amounts of vitamins and minerals like vitamin C, folate, potassium, and manganese. There’s also fiber in there that helps us feel fuller longer and supports colon health. Cruciferous vegetables are also packed full of phytochemicals. These compounds perform a lot of health-supporting duties in the body and have been the subjects of a lot of research. Phytochemicals are present in all fruits and vegetables but are more concentrated in ones with bright or dark colors. Many cruciferous vegetables are vivid shades of green so adding them to your diet is a great way to benefit from these naturally occurring diseasefighters. Research is showing that some of these may even have anti-cancer properties. One thing researchers are currently looking at is how some phytochemicals affect estrogen metabolism. While it’s theorized that this may affect breast cancer risk, the jury is still out on Page 10 — Healthy Cells Magazine — Bloomington — July 2012
whether or not cruciferous vegetables help prevent breast cancer. One thing we can be certain of, however, is that cruciferous vegetables will continue to be an area of focus for years to come! How can you work these nutrient powerhouses into your diet? First, think about portion size. The American Cancer Society recommends eating at least 2-1/2 cups of fruits and vegetables every day. An easy way to work toward that number is by making half of your plate fruits and vegetables. If you have difficulty picturing what a half-cup or one cup serving is, don’t be afraid to break out the measuring cups! Did you know that a baseball represents a one-cup serving? You can also picture half of a baseball for a half-cup serving. Second, think about variety. Cruciferous vegetables are a great choice but remember to choose a variety of fruits and vegetables with different colors as well. Trying to eat a rainbow of colors from fruits and vegetables allows you to benefit from all of the different phytochemicals. Aim for eating cruciferous vegetables 3-4 times per week. To get you started, try the broccoli slaw in the following recipe from the website of the Community Cancer Center www.cancercenter.org. It requires no cooking and is packed full of flavor and nutrition! For more information and recipes you can go to www.cancercenter.org and follow the nutrition links or call the Community Cancer Center at 309-451-8500.
Broccoli Slaw Ingredients 1 (16 oz) bag broccoli slaw 1 bunch green onions 1 red bell pepper 2 cups fresh pea pods 1/4 cup sunflower seeds 3 Tbsp low sodium soy sauce 2 1/2 Tbsp water 1/2 Tbsp vinegar 1 Tbsp sesame oil 3 packets of Equal, sugar or other sweetener* 1/4 tsp garlic powder 1/8 tsp crushed red pepper flakes *1 packet of Equal = 2 tsp sugar Instructions Combine the first four ingredients in a large bowl and set aside. Combine soy sauce, water, vinegar, sesame oil, Equal, sugar or other sweetener, garlic powder and crushed red pepper in a separate bowl, stirring thoroughly. Pour over the slaw mixture and blend together. Add the sunflower seeds and mix the salad together. Serve immediately or cover and chill. Keeps well in the refrigerator as the flavor sets in.
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July 2012 — Bloomington — Healthy Cells Magazine — Page 11
The Amazing Journey to Table Foods This is the second in a three-part series on transitioning your baby from formula/breast milk to solid table foods during their first 15 months By Abbey Fairbanks, MS, CCC-SLP/L, Pediatric Speech & Feeding Therapist
t is currently recommended to introduce solid foods at six months of age, unless otherwise specified by your pediatrician. Last month’s article discussed some “pre-feeding” activities and tips for introducing baby’s first experience with a spoon. Let’s continue with our journey from bottle to solid food.
6 ½ months
Stage 1 Purees: After approximately two weeks of practicing with the rice cereal, parents are now able to move baby onto Stage 1 pureed foods. Each baby is different when it comes to the type, texture, and consistency of foods. The main reason we start with Stage 1 purees is because they usually contain a single ingredient and a thinner texture which most babies prefer. A great website for making your own foods can be found at www.wholesomebabyfoods.com. Go with baby’s preference (i.e., if they like the thicker food then go Page 12 — Healthy Cells Magazine — Bloomington — July 2012
with the thicker food); making your own food allows for more change to occur with the consistency. The sequence of events will be the same as previously mentioned; however, now baby is ready to have a verbal cue (i.e., parents say “ahhhhh” as the spoon approaches to encourage an open mouth). With every food, place it first on the tray for exploration, always label the food (i.e., “sweet potatoes, mmmmm, sweet potatoes”, etc…), and always watch baby for their cues. You are done with the feeding when they say they are done. A wise professional in our field, Ellyn Satter, said, “Parents decide the what, how, and when a child eats, but the child always decides how much.” All parents should remember this when feeding babies and toddlers. Never force feed. Start with the orange vegetables (i.e., sweet potato, carrots, butternut squash) and then progress to first fruits (i.e., pear, banana, apple).
Stage 2 Purees & mashed table foods: At this age, we are continuing to move slowly with the introduction of new foods into baby’s diet; however, we are ever so slightly beginning to transition them to thicker purees and then to mashed table foods! At this age, it is best to give baby a spoon of their own, so you now have two spoons at each meal. Mostly they will just play with their spoon in the puree that you put on their tray when you started the meal, but at times the spoon may actually make it into their mouth. At this time baby will advance to two solid feedings per day. Preferably, baby should have one solid feeding in the AM, approximately one hour after nursing and/or bottle-feeding, and then one solid feeding in the PM, approximately one hour after nighttime feeding. The AM meal should be the new food mixed with the rice cereal and in the PM a food that has previously been tried. Baby should get one fruit and one veggie per day with the AM food being mixed with the cereal. As baby approaches nine months, this is the time that he/she will get more independent with feedings. This new independence will free you up a bit to begin eating at the same time and start the most important thing for successful feeding: a family mealtime. At around eight months of age, depending on baby’s hunger, you can advance to three meals per day with the new meal being offered around lunchtime. With the addition of a third meal, meats can now be introduced into the diet. Meats should be first mixed with a known fruit or veggie. Introduction of stage 3 foods can begin to occur toward the end of this stage; however, in my opinion stage 3 foods are often the same consistencies as mashed table foods and since that is our ultimate goal, we tend to skip stage 3s and just progress to mashed table foods at this point.
Next Month: Finger foods and adult table foods Abbey Fairbanks is a Speech Pathologist with Easter Seals, Peoria-Bloomington. She will be teaching “Feeding Baby: Birth – 15 months” this summer at Heartland Community College. For more information, please call 309-268-8160.
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July 2012 — Bloomington — Healthy Cells Magazine — Page 13
Emergency Medical Service
Challenges Facing Rural Communities By Becky Wiese
roviding Emergency Medical Service (EMS) can be a challenging prospect. In fact, in April 2011, the Illinois General Assembly created a task force to study various issues facing EMS providers and stakeholders and, according to the resolution (HR0230), “to formulate practical, timely, and strategic guidance on how to improve equipment, funding, training, manpower, cost savings, and communications with regard to emergency medical services within the State.” The importance of the topic is further highlighted by the fact that public health and safety is at stake. Terrance Hubbard, Manager of EMS Services for Dr. John Warner Hospital in Clinton, knows firsthand the complexities of providing emergency medical service, especially in a rural area such as DeWitt County. “Providing ambulance service to a rural area, the main issues are extended response times and increased operational costs. The call volume is not high enough to support a large number of ambulances that can be spread out to lessen response times, so we have a smaller number of ambulances that have to cover a greater number of miles.” Statistics in a report by the American Ambulance Association (AAA) bear witness to these challenges. According to EMS Structured for Quality: Best Practices in Designing, Managing and Contracting for Emergency Ambulance Service, rural residents experience higher rates of injury and death from trauma. Although only 20% of Americans live in rural areas, 60% of all trauma-related deaths occur in rural areas. Additionally, only 24% of rural residents have access to a level one or two trauma center within an hour and have less access to essential health care services in general than their urban neighbors. Getting to a patient in a rural area may be challenging, but paying for the service is another set of complications. A smaller population means a smaller tax base, so there is less funding available through governmental channels. In addition to tax support, rural
providers may have to obtain revenue from user fees, charitable contributions, grants, and subscription programs. Meanwhile, the costs of providing quality care continue to rise due to new technology, fuel and vehicle maintenance costs, and provider salaries. Recruiting and retaining qualified emergency medical service providers is also a challenge, so much so that many areas must rely on volunteers. The increasing costs along with increasingly difficult economic conditions have forced administrators at Dr. John Warner Hospital to discontinue offering ambulance service at the end of December 2012. The hospital service area encompasses 460 square miles and includes the towns of Clinton, Wapella, Weldon, Kenney, plus many others in DeWitt County. Also included are the Clinton Nuclear Power Plant and Clinton Lake. The costs of providing service to such a large area is one of the main reasons cited by the hospital for discontinuing the ambulance service, another being the high cost of payroll as well as the lessthan-actual-cost reimbursement from Medicare and Medicaid. Hubbard explains, “Reimbursements from Medicare, Medicaid, and other insurances do little to help cover the costs associated with providing ambulance service when we provide services to a patient with an illness or injury. They are only returning a fraction of the money billed out and expecting ambulance services to continue to provide a vital service to the public.” The search for an emergency medical service provider in DeWitt County continues. In an effort to provide a more secure financial base to pay for the service, voters supported the establishment of a levy to add up to 25 cents more per $100 of equalized assessed valuation in the March vote. “After Dr. John Warner Hospital stops providing ambulance service to DeWitt County, another ambulance service will take over providing that service,” says Hubbard, “but they will have some challenges to face that are unique to our community. The referendum passing does make sure that the people of DeWitt County will continue to have ambulance service, the question remains who that provider will be. There are always risks associated with switching ambulance service providers, especially when using one not based in the community it serves.” The goal for DeWitt County, as with any other community according to AAA recommendations, would be that the emergency service provider will be a good fit with the community and provide clinical excellence, response-time reliability, economic efficiency, and customer satisfaction. Dr. John Warner Hospital has many programs to serve the needs of people living in the Dewitt County area including inpatient and outpatient services. For more information, you may contact Sandy Rice at 217-935-957,1 Ext. 3340.
Page 14 — Healthy Cells Magazine — Bloomington — July 2012
What is Metabolic Medicine? By Tom Rohde, MD
eople see a doctor for help with many issues: aches, pains, fatigue or a general feeling of ill health. Patients are usually given a prescription for some sort of medication to relieve the symptoms. For example: if you have heartburn, take Prilosec; if you have trouble sleeping, take Ambien; high cholesterol, then Lipitor may help the problem. The problem with this traditional (allopathic) approach is that it only addresses the symptoms, not the underlying cause, and it often ties you to a lifetime of using that symptomcontrolling medication that resolves nothing. The number of people suffering from a plethora of chronic disease, such as diabetes, arthritis, auto-immune disorders, heart disease, etc., is increasing at an alarming rate, despite the fact that we have more medications to “fight” such diseases than ever before. Clearly, something needs to change. There are some physicians that are taking a new approach to health care. They are practicing what is called Functional or Metabolic medicine. This is a science-based approach to health care that treats the whole person and strives to find the underlying cause of a person’s symptoms or disease. Why do you have heartburn? Why do you have high blood pressure? Why do you feel tired? Metabolic medicine includes nutritional, homeopathic, herbal, environmental, anti-aging, holistic, functional, and preventive medicine all rolled into one. Metabolism is the process your body uses to make energy from the food you eat. This energy runs multiple chemical and hormonal reactions in the body that allows for normal functioning. A metabolic disorder occurs when abnormal chemical reactions in your body disrupt this process, leading to imbalance, which leads to disease or illness. One area of imbalance in your body is like one unbalanced wheel on your car—you can feel it in the entire vehicle. A good example is diabetes. It is a metabolic disorder that includes the pancreas and insulin production but it involves other metabolic problems that begin to negatively affect multiple areas and organs of your body. Insulin injections will control the sugars but won't touch any of the multiple other underlying metabolic processes destroying your body! Traditional main-stream medicine often uses man-made drugs to try to alter the natural process of metabolism and induce an artificial state in which undesirable symptoms are suppressed. Unfortunately, this does not often allow the body to heal or restore the symptom inducing abnormalities to facilitate the return of the body’s natural function. Frequently these medications often affect other metabolic systems and can lead to further problems or side effects. All of your body's systems and biochemical functions are about balance. Your body will heal and return to balance or homeostasis given the right ingredients and support. My job, as a physician practicing metabolic medicine, is to identify the areas where the breakdown of normal metabolic processes that are causing your specific symptoms through comprehensive specialized testing. Once we have determined the cause of your symptoms I can then help you start an individualized restoration program to return your body to full function through various treatment modalities. These treatments might include lifestyle change such as nutrition enhancements, supplying missing nutrients or hormones,
detoxification, supporting or readjusting the immune system, or encouraging the release of personal stress. We would then work toward preventing future recurrence of the problem. As an aging "baby boomer", I desire to maintain my health through hormonal balance at an age appropriate level. I augment a reasonable lifestyle and a healthy diet with natural hormones and nutritional supplementation to be my best! I also maintain my outward appearance in a manner similar to how I maintain my inner health as it is my belief that our appearance has much to do with how we feel, how we function, and how we interact with others. A metabolic physician has special training to uncover root causes and correct underlying dysfunctions that are the foundation of chronic disease. This comprehensive, individualized process takes time and requires the patient to be an active participant to improve their health. Are you ready? Visit Dr. Rohde’s website at www.DrRohde.com, or call 217-864-2700 for your personalized evaluation and a start to a healthier you!
Dr. John Warner Hospital Swing Bed Program TRANSFORMING FROM HOSPITAL TO HOME • Recovery from major surgery, joint replacement, vascular or abdominal procedures • Recovery from major accident or stroke • Pain Management • Wounds that won’t heal • Nutritional Therapy • IV Therapy • Rehabilitation Therapy - Physical, Occupational, Speech In many cases patients are not ready to return home after a hospital stay. The Swing Bed program offers the benefit of highly skilled health care professionals that help each patient achieve and maintain an optimum level of independent functioning.
Dr. John Warner Hospital Mission: ... Committed to personal, compassionate care for you, our friends and neighbors. For more information contact Medical / Surgical Department 217-935-9571 Ext. 3252
July 2012 — Bloomington — Healthy Cells Magazine — Page 15
Heal First Then Play Hard
Dealing with Sports-related Concussions By Alexander Germanis
team works better if it functions like a family; a family works better if it functions like a team. On October 22, 2009, and through the months that followed, the Sons family from Dalzell, Illinois and the girls of a South Carolina college softball team lived by this axiom as the life of a member of both family and team changed abruptly. Samantha Sons, then a freshman attending Southern Wesleyan University, suffered a severe concussion during a muscle building exercise. It was one with which the girls were familiar and had performed many times before, but this time it resulted in Samantha’s head hitting concrete, rendering her unconscious. “[Samantha’s teammates] had been through just as much trauma as our daughter, watching this,” Samantha’s mother, Janel, recalls. “Some of these girls had never seen any injuries like this before…and their main instinct was to get help, to seek the doctors and get it done as quickly as possible…What they did was amazing.” Once Samantha was out of the hands of her caring teammates and into the hands of the doctors, the long road of healing began and Bloomington neurologist, Dr. Edward Pegg, helped guide the Sons family down that road. The first step was in administering the ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) test, a system that gauges the injured person’s attention span, working memory, reaction time, and problem solving ability, among other things. Through the ImPACT, it was determined Samantha had suffered a grade three concussion with a level one brain injury. Her short term memory was heavily affected, she had bouts of nausea, she suffered from chronic migraines from the time of the accident until March of the next year, and she lost motor control to the point where she had to learn how to walk again. Being an athletic-minded unit, every one of the nine member Sons family was ready to work as a team to help bring their Samantha back. “My husband and I have seven children, so it’s always a team effort,” Janel explains. “This healing process of Samantha’s was also a team effort and it affected each one of us in a different way.” The family helped Samantha with mental tasks like word searches, developed memory exercises while watching movies, made sure she was always under observation, and helped her deal with her emotions to keep any rising bouts of depression in check. Perhaps the most touching contribution to Samantha’s recovery was provided by her younger sister, Maggie, then only seven years old. Acting as her training partner, Maggie would at first walk a mile with her big sister, then jog a mile when the comparatively simple act of walking had been re-conquered, then run a mile after that. Although in the beginning Maggie could always complete the distance in less time than her sister; by the end, Samantha had regained her speed. After rebuilding her body and healing her brain, Samantha was able to return to her collegiate studies, regain her high-level grade point average, and even return to the softball field where, in the spring of 2012, she suffered a second concussion resulting from a collision with a teammate. Samantha was understandably distraught. Page 16 — Healthy Cells Magazine — Bloomington — July 2012
Her parents, however, saw the recent injury as well as its more severe predecessor in a more positive light. “Everything happens for a reason,” Janel says. “What we’ve learned from everything is that you can’t take life for granted.” The Sons family, like any good team, plays hard and when “they play hard, injuries will happen,” Janel continues. “They know not to play with fear. When you play with fear, you get hurt worse.” Fear of injury is definitely something physicians like Dr. Pegg wish to wipe out, not just in the athletes but in their family members as well. “I have noticed, as a result of all the press, people have more fear of concussions than is appropriate,” he says. “A concussion can be a serious problem, but I would like them to feel that when one happens, there are steps that must be taken; if handled and treated properly, it need not be feared and they need not worry.” Through these incidents and a football-related concussion suffered by one of their sons in the interim between Samantha’s head injuries, the Sons family became intimately familiar with knowing how to spot signs of injury, knowing when to seek medical help, and knowing how the healing process works. “You heal—you play,” Janel states, matter-of-factly. “But you’ve got to heal first before you go back to what you’ve got to do, because it can affect you the rest of your life…You need to heal first to be a better athlete for the team, for the coach, and for yourself.” For more information on any neurological issue, you may contact Dr. Pegg at 309-661-7344. He has a special interest in sports neurology and concussion management.
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What Is Assisted Living? By Mary J. Dyck, PhD, RN, LNHA, Associate Professor, Mennonite College of Nursing at Illinois State University
he typical Assisted Living (AL) resident is 84 years at admission with an average length of stay between 18 and 30 months. Most commonly, residents require assistance with medications. The purpose of this article is to define Assisted Living in Illinois and discuss questions in choosing ALFs.
Assisted living facilities (ALFs) are residences for older adults who are at risk if they live alone. These are residential facilities for individuals who need assistance in caring for themselves, but do not require nursing care. In Illinois, mandatory services include meals, housekeeping, laundry, and assistance with activities of daily living. ALFs and supportive living facilities are similar. ALF residents pay for their apartments and services, while in supportive living facilities Medicaid may pay for the apartment and services. Maximizing each individual’s independence and dignity are an important focus of AL as functional decline is common. One way to measure independence is through activities of daily living (ADLs) and instrumental ADLs (IADLs). ADLs include personal care activities, such as bathing, dressing, grooming, transferring, and eating. IADLs include home management activities, such as telephone use, transportation, grocery shopping, meal preparation, cleaning, medication administration, and financial management. Many families have been surprised at how ALFs can be quite different in terms of services provided. A common unmet need is for professional nursing services including evaluation of medication usefulness and side effects, care management, and health teaching. While many facilities provide assistance with medications, less than half offered professional nursing services to assess usefulness and side effects of medications and treatments. Monitoring of medications and treatments Page 18 — Healthy Cells Magazine — Bloomington — July 2012
can avoid long-term problems. Prevention of acute and chronic medical problems is important to a quality experience in AL. In order to be admitted to an ALF, the individual must be an adult. At least 80 percent of the residents must be 55 years or older. Three additional requirements for admission to an ALF and for continued residence in an ALF are: •T he services that you require must be provided or secured by the facility •T he level and/or type of services that you require are services for which the facility is licensed •A ppropriately skilled staff in sufficient numbers must be available to provide the services ALFs may deny admission to individuals for a number of reasons. Individuals who require significant hands-on nursing care may not qualify for admission. Common issues for admission denials include total assistance with two or more activities of daily living (e.g., bathing, grooming, and dressing) and treatments that cannot be self-administered or administered by a nurse (e.g., routine insulin injections for diabetics or catheter insertion/replacement). In preparing for a possible admission of a family member to an ALF, one must find a match between the needs of the family member and the services that are offered by the ALF. First, what are the needs of the family member, both ADLs and IADLs? What chronic health problems has the individual experienced? Does the individual require professional nursing care? Has a health care professional completed a functional assessment? If so, what needs are indicated? Second, what services do area ALFs provide? Does the ALF have an RN on staff? Which facilities match with the needs of your family member? Be selective in choosing the best match for your loved one. Dr. Mary Dyck serves on the Board of Directors of Meadows Mennonite Retirement Community. Meadows Mennonite Retirement Community provides a complete spectrum of care including Independent Living, Skilled Nursing and Alzheimer’s care and Meadows at Mercy Creek Assisted Living opening in August 2012. You may contact Robert O. Bertsche (Independent Living) at 309-747-3639; DianeSchmink (Nursing Home) at 309-747-3661; or Holly Hall (Mercy Creek Assisted Living) at 309-433-5725. References Beel-Bates, C. A., Ziemba, R., & Algase, D. L. (2007). Families’ perceptions of services in assisted living residences. Journal of Gerontological Nursing, 33(12), 5-12. Lach, H. W., & Smith, C. M. (2007). Assessment: Focus on function. In A. D. Linton & H. W. Lach, Matteson & McConnell’s Gerontological Nursing: Concepts and Practice. St. Louis: Saunders/Elsevier. Prairie State Legal Services. (2009). Senior Citizens Handbook – Assisted Living and Shared Housing. Retrieved from www.illinoislegaladvocate.org/index. cfm?fuseaction=home.dsp_May 22, 2012. Resnick, B. (2007). Assisted living: The perfect place for nursing. Geriatric Nursing, 28(1), 7-8.
Preventing the Perils of Household Hazardous Waste By Michael Brown, Ecology Action Center
hen I go in my garage, I see all these chemicals and paints and I think, should that even be in our house? I worry about the health of my children and family when I see people I know suffering from inexplicable illnesses and I have to wonder, is it because of our exposure to all of these chemicals in our lives?” -Sarah, mother of two children, ages 3 and 6, Bloomington Safe disposal of household hazardous waste (HHW) is an increasing challenge for communities across the state of Illinois. The United States Environmental Protection Agency estimates that HHW makes up approximately one percent of our waste stream. While these are small amounts individually, collectively the volume is significant. Based on the 2011 municipal solid waste generation rate in McLean County, we generated over 2000 tons of HHW locally last year. HHW is a broad category including harsh household cleaners, yard care chemicals, consumer electronics, items containing mercury such as compact fluorescent lamps (CFLs) and thermostats, asbestos, oil based paints and thinners, automotive fluids, and much more. Historically, state-sponsored HHW collection events were a reliable and safe way to dispose of HHW in Illinois. McLean County benefited from annual collection events coordinated by the Ecology Action Center from 2003 to 2007. Ninety percent of the costs of these events were paid for by the Illinois Environmental Protection Agency. Unfortunately, budget cutbacks have resulted in a loss of funding for this program; McLean County has not had a HHW collection event in almost five years.
Consumption: As consumers, we can purchase appropriate quantities of HHW items that we feel we cannot live without. For example, a smaller can of oil-based paint that we use up entirely means that no surplus paint sits in our basement for 20 years. Collection: We can also support efforts to bring HHW collection back to McLean County. The Ecology Action Center is spearheading a private/public partnership to raise the necessary funds for the first locally funded household hazardous waste collection event, tentatively scheduled for this September. Such a one-day event is expensive and will require the community to raise $150,000. So far we have raised $93,000 and we need your help in order to meet our goal. Your support and financial contribution, of any amount, is urgently needed so that we can provide a much needed service that residents have come to depend on. Find out how to make a tax-deductible donation to the McLean County Household Hazardous Waste Fund at www.ecologyactioncenter.org or by calling 309- 454-3169.
So what’s the big deal? Improper disposal threatens our local environment and ultimately our health. When HHW items are dumped in the trash or down the drain, our ground water and surface water supplies are at risk of being affected. Conventional landfills are designed for “inert waste” items such as paper, food, and plastics, not corrosive, flammable, highly toxic, or explosive HHW items. HHW may weaken the liners of the landfill and ultimately risk leaking into the subterranean geology where it will contaminate vulnerable groundwater supplies. HHW that is improperly dumped in a ditch, drain or storm drain enters our water system where they are not easily removed. According to central Illinois native and IWU alumna, Dr. Sandra Steingraber, in Living Downstream (1997), approximately 75,000 chemicals are now in common commercial use. It is impossible to test for all these different chemicals in our water supply.
Prevention: The best solution lies in prevention—preventing these household hazardous wastes from entering our environment to begin with. We can work toward this solution by making better choices as consumers and taking advantage of increasingly “greener”, safer cleaners, paints, yard care products and other consumer goods. Even if the shelf price is slightly more than a conventional hazardous option, products made from safer components will be much more cost effective in the long run since we won’t have to deal with expensive disposal later on. July 2012 — Bloomington — Healthy Cells Magazine — Page 19
Comprehensive Prosthetics & Orthotics Giving Patients A New Lease On Life By Amy Kennard
This is just a few of the Board Certified clinicians at the ten CPO offices throughout Illinois. (Back Row, left to right) Edward Wells, resident, Todd McAllister, CP, LP, Dennis W. Dillard, C.Ped., L.Ped., CTO, Michael Cavanaugh, CO, LO. (Front Row) Amit Bhanti, CPO, LPO and CEO, Saravanan Sundarakrishnan, CPO, LPO, Donald Goertzen, CP, LPO and president, Yvonne Chavez, resident.
ndependence. It’s something that many of us take for granted. To get from Point A to Point B without even thinking twice about it. To be able to use our four limbs to perform everyday tasks with ease. To move freely and without pain. For some, independence is a lofty aspiration. The first step in reaching that goal is mobility. And the people they contact to help them get there are the team at Comprehensive Prosthetics and Orthotics (CPO). An unchanging mission Seven years ago, CPO was virtually a company of three: Don Goertzen, CP, LPO, BOCPO; Charu Tyagi, Orthotist; and Don’s wife, Donna. Charu’s husband, Amit Bhanti, CPO, LPO, acted as consultant and officially joined the practice in 2007. Their modest accommodation of 2,000 square feet pales in comparison to the 15,000 square feet they occupy now at their main office in Peoria, not to mention their 10 other locations in Bloomington, Quincy, Decatur, Peru, Rockford, Jacksonville and Springfield with clinics in Galesburg, Kewanee, Streator and Ottawa. But despite their incredible growth, they have never deviated from the original mission: to create and deliver the best possible care for their patients. Page 20 — Healthy Cells Magazine — Bloomington — July 2012
Don, co-owner of CPO and also an amputee, is vigilant about making patient care a priority. “We treat our patients like family. At every appointment we make sure that they have a special experience from hello to goodbye. It’s gotten to the point where our patients actually look forward to their office visits, which is a lot to be able to say when you have a disability or are in pain.” Restoring mobility…and more Today, there are six areas of service in which CPO concentrates: • Prosthetics: CPO is in the forefront of the latest advancements and technology of prosthetics — devices that replace or extend a limb, extremity or other body part. Over the years, huge medical strides have been made in the manufacturing and technology of prosthetics. From a prosthetic as small as a tip of a finger to one as innovative as a bionic knee, CPO customizes each device for a comfortable, functional, secure fit. • Orthotics: For individuals who suffer from osteoarthritis, stroke, traumatic brain or spinal cord injury, scoliosis, or general foot or
back pain, an orthotic can help heal, improve function, correct deformity or manage pain. These orthotic devices repair, support or immobilize a body part in order to help heal, improve function, correct deformity or manage pain. • P edorthics: Specializing in footwear and other supportive devices to address conditions of the feet and lower limbs, including, but not limited to, shoes, shoe modifications, foot orthoses and pedorthic devices. The Peoria location houses a fabrication department where custom orthoses and prostheses are created on site insuring quality on-time deliveries to their patients. • Wound Care: CPO works with many diabetics who suffer from lower-extremity wounds related to their disease such as foot ulcerations, foot and toe deformities and other complications. The CPO staff work with the patient’s physician as part of their orthotic treatment to help heal and take preventative measures for their wounds such as shoes, custom orthotics and healing boots. • Lymphedema: Most commonly found in diabetic and vascular patients, lymphedema often occurs after removal of the lymph nodes, which can result in swelling. CPO fitters offer garments appropriate for day wear, when the circulatory system is working against the pull of gravity, as well as night wear, when compression wrapping is often recommended. • Post Mastectomy: Garments and breast forms of varying styles are available for post mastectomy and lumpectomy patients, patients processing through surgical reconstruction, or those women or young adults experiencing hormonal or surgical breast asymmetry. Fitting options range from immediate post surgical garments and lightweight puff prostheses to sports and fashion bras and foam and silicone prostheses. A “Share and Care Closet”, started by the Community Cancer Center but now housed at CPO, offers women the opportunity to either donate or receive gently used garments and forms at no charge. OPEN™ communication In 2011, CPO brought on board Eric Robinson as Chief Marketing Officer. As Eric was reviewing CPO’s Don Goertzen (left), CPO President, and Amit Bhanti (middle), CPO CEO, procedures and processes, he noticed that they work with their patient, Patrick Brougham (right), using a computer to provided a high level of education between the patient align his new microprocessor knee to enhance his daily activities and and the referral sources (such as doctors, nurses, and physical therapists). He saw this focus on education providing the freedom to do whatever he chooses in life. as an opportunity to formalize the education process in order to further train healthcare providers during the limb after surgery to physical therapy training for amputees to post-op continuum of care. Based on this premise, he created OPEN™, instructions and possible complications.” Because of the breadth of the Orthotics & Prosthetics Education Network, designed to assist this program, Eric hopes that OPEN™ could become a universal nethealthcare professionals in managing their patients’ CareStream™ work of education for other practices in the orthotics and prosthetics of rehabilitation. industry. CareStream™ was a term coined by CPO to illustrate the process Branching out in the community from initial patient consultation through rehabilitation. “CareStream™ Seven years ago, neither Amit nor Don could have imagined the is kind of a ‘river of rehab’,” says Eric. “We have a comprehensive impact they would have on so many patients’ lives, nor how far their list of educational topics, from educating nurses on how to wrap a July 2012 — Bloomington — Healthy Cells Magazine — Page 21
Aaron Marrett, CPO prosthetic technician, puts the finishing touches on a customized prosthetic leg with a state-of-the-art cosmetic skin to add a life-like appeal bringing the patient one step closer to restored mobility and self-confidence. services would extend. In September 2011, CPO acquired DJ Peters Orthopedics in Bloomington. Operating under that name with his wife, Janet, Don Peters offered orthotic, prosthetic and pedorthotic care as well as post mastectomy and compression garment therapy services. In fact, through the purchase of DJ Peters Orthopedics, CPO is now an accredited post-mastectomy facility with an American Board for Orthotic and Prosthetic Certification, employing two certified fitters (American Board for Certification). As Don and Janet planned for retirement, it was of vital importance that the company transition would be positive for their employees and current community of patients. Amit commented, “It was our intent that the transition be as smooth as possible, with patient care being our top priority. We wanted to ensure that all employees continued with the association so patients would see the same familiar faces in the Bloomington office.” Don added, “I am pleased to see the passion for patient care and industry development that he has felt being carried on through the next generation of practitioners of CPO and wishes them well.” The acquisition gives CPO an even larger presence in the Central Illinois area with plans to expand the staff and reach of this practice even further in the future. Patients speak for themselves It’s not difficult to find patients with high praise for the work of Team CPO. Many patients have been living in pain for many years. With comments like, “No one was willing to spend the time with me that these folks have” to “I truly believed they saved my life”, everyone has a story of the professionalism, compassion and generosity of the CPO staff. As part of compliance requirements for accreditation, patients are asked to fill out a patient satisfaction survey—and they’re happy to do so. “We have a high satisfaction rating from our patients,” says Eric. “Many of them offer to participate in testimonials and have even modeled for us in order to produce collateral marketing and PR information.” Desire to inspire Each year, CPO is a sponsor of IPMR’s Legends at the Ballpark, an annual event for invitees only at O’Brien Field that brings in a Page 22 — Healthy Cells Magazine — Bloomington — July 2012
former baseball superstar for a night of food, fun and baseball. CPO invites a large group of patients each year to join them at the ballpark for this unprecedented event. This year’s event was held on June 9 and featured baseball legend, Ernie Banks. Their desire to inspire doesn’t end there. CPO continues their involvement in the community to bring awareness to orthotic and prosthetic education by partnering with success stories, like CPO patient, Dana Bowman. Bowman, a Retired Sergeant First Class, is a former skydiver for the U.S. Army Parachute Team, the Golden Knights, who lost his legs in an accident during their annual training in Yuma, Arizona, in 1994. He now tours the country as a motivational speaker and skydiver. CPO also hosts golf tournaments and tennis clinics for amputees, encouraging them and inspiring them to live their lives to the fullest. Over the years, CPO has grown from a staff of three to more than 40 caring professionals including American Board for Certification (ABC) certified orthotists, prosthetists, pedorthotists certified mastectomy and compression wear fitters and a certified lymphedema fitter. Where most companies see a five to 10 percent growth in a year, CPO is doubling, now with 10 locations and serving thousands of individuals in state-of-the-art ABC accredited facilities. Through it all, their commitment to their patients has only become more dedicated as they continue to strive to provide patients with health, hope and independence through newer technologies, streamlined processes and educational programs.
For more information on Comprehensive Prosthetics and Orthotics’ services and locations, visit their website at www.cpousa.com or call 1-888-676-2276.
Muscle Wasting in Lung Cancer By Michele Rice, PharmD, BCOP, Director of Pharmacy and Research, Illinois CancerCare
n addition to investigating new treatments for cancer, clinical trials are also designed around minimizing side effects of treatment or preventing and managing complications of cancer. Supportive care research can be just as important to patients and can impact both quality and quantity of life. For some patients with advanced cancer, the wasting syndrome is one of the more distressing complications of cancer. Wasting syndrome, clinically known as “cachexia,” is a combination of loss of appetite, weight loss, weakness, and fatigue. Patients who develop this syndrome have a poor response to chemotherapy, more side effects from treatment, and are not likely to live as long as patients who retain or gain weight. Lung cancer patients are particularly susceptible to wasting syndrome. Traditionally, nutritional counseling has been provided to improve dietary intake. Some recommendations include avoiding cooking smells, eating smaller, more frequent meals, and eating earlier in the day rather than later. However, nutritional counseling alone has demonstrated limited benefit to patients, particularly if much weight loss has already occurred at diagnosis. Appetite stimulants have also been used to treat patients with wasting syndrome. Both corticosteroids (drugs like Prednisone) and
progestational agents (drugs like Megestrol) improve appetite and increase weight gain. However, both classes of drugs are associated with unpleasant side effects that patients may find difficult to tolerate long enough to see a weight gain benefit. Today, new agents are being investigated to prevent wasting syndrome associated with cancer and to treat those patients in whom wasting has begun. Discovering an effective treatment for muscle wasting will be a tremendous benefit to cancer patients, particularly patients with nonsmall lung cancer. Effective, new treatments cannot be found without the efforts of clinical trials, motivated physicians, and patients committed to finding cures. Dr. Sachdev Thomas at Illinois CancerCare is the local principle investigator for clinical trials that are being investigated to prevent wasting syndrome associated with cancer and to treat those patients in whom wasting has begun. Dr Thomas sees patients in Peoria and Ottawa, but any of his partners can enroll eligible patients. For more information, contact the Research Department at Illinois CancerCare, 309-243-3605.
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Relief from Chronic Fatigue, Snoring, and Insomnia Submitted By Illinois Institute of Dental Sleep Medicine
anet had struggled with snoring, daytime fatigue, and difficulty sleeping for years. “At night my husband couldn’t sleep because of my loud snoring,” she says. I often would wake up in the middle of the night gasping for breath with my heart racing and then I couldn’t go back to sleep. It really scared me.” During the day, Janet was so tired she couldn’t function. “I felt unmotivated, and had a lot of incomplete projects because I just never had enough energy to complete them,” she says. Janet knew she had to do something about her sleeping
problem. She had a sleep test done, and the test results revealed she had Obstructive Sleep Apnea (OSA). There are over 18 million people in the United States alone who suffer from obstructive sleep apnea and sadly, it is estimated that over 90% go undiagnosed. People come to accept that this is normal for them: Never feeling rested, not being able to sleep through the night without waking several times, requiring a daily nap because they feel so tired that they just can’t get through the day without one. Fatigue also causes irritability, lack of concentration and an inability to do the things that they would like to do. If you ask them, they’ll say they are fine. They just don’t know that they can feel any differently. Untreated sleep apnea can also increase your risk for high blood pressure, heart disease, depression, headaches, weight gain, stroke, and drowsy driving. After reviewing her test results, Janet’s physician prescribed a CPAP machine to treat her sleep apnea. “I had a hard time wearing the CPAP, and every time I moved, the CPAP would make a loud noise and wake my husband up,” says Janet.
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“There are over 18 million people in the United States alone who suffer from obstructive sleep apnea and sadly, it is estimated that over 90% go undiagnosed.”
After seeing a commercial about a mouth device for sleep apnea, Janet decided to make an appointment. “I noticed a difference the first night I slept with the oral appliance. It was comfortable sleeping and the next day I woke up feeling great! My husband is happy because now both of us are getting a restful night’s sleep.” Oral Appliance Therapy has proven to be a very viable and scientifically based treatment option for Obstructive Sleep Apnea. The American Academy of Sleep Medicine issued a statement in the 2006 journal SLEEP that Oral Appliance Therapy was approved as the first line of treatment for those suffering from mild to mod-
erate Obstructive Sleep Apnea and is proving to be effective for severe cases as well. The purpose of the oral appliance is to hold the jaw in a position that allows the airway to remain as open and firm as possible during sleep. Oral appliances are similar to athletic mouth guards, but less bulky and completely non-invasive. Oral appliances are covered by Medicare and most medical insurances. “I love having the convenience when traveling,” says Janet. “I’m from Kenya, and the village where my family lives doesn’t have electricity. Now I can take my oral appliance with me. It’s great!” For more information on oral appliance therapy contact Dr. Rod Willey at the Illinois Institute of Dental Sleep Medicine. As a general dentist, Dr. Willey has limited his practice on treatment for snoring, sleep apnea, and TMD with oral appliance therapy. To contact them, call 309-726-4064 or email them at email@example.com.
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Frequently Asked Questions About
School and Sports Physicals By Kelly Galbraith, APN, Family Quick Care
he State of Illinois requires school physicals on all students entering all early childhood programs, kindergarten, 6th grade, 9th grade and students transferring into Illinois from out of state or out of country. Now is a good time to start planning your child’s school, sport or camp physical. Hopefully, the following information will help you prepare.
What to prepare
Parents can prepare for the school physical by completing the health history form including a list of current medications, allergies to medication and food and a current list of immunizations. This is also a good opportunity for parents to ask questions regarding their child’s health, as the school physical is often the only time your child will see a health care provider during the year. Keep in mind there are different forms and requirements for school and sports physicals.
What to expect
With rates of childhood obesity and Type 2 diabetes on the rise, your child will be assessed for risk for diabetes. Other abnormalities, although rare, may also be detected such as heart murmurs, abnormal growth patterns and ADHD. A screening vision exam, vital signs and sometimes a urinalysis, lead screen and hemoglobin may be done depending on the age or condition of the child. Full vision exams by an eye doctor are required for all children entering kindergarten and any student entering the school system for the first time. A dental exam is required for those students entering kindergarten, 2nd and 6th grades.
Immunization Requirements for Kindergarten
•D iphtheria, Pertussis, Tetanus: Four or more doses of DTP/ DtaP with the last dose qualifying as a booster and received on or after the 4th birthday •P olio: Four or more doses of IPV with the last dose qualifying as a booster and received on or after the 4th birthday •M easles, Mumps, Rubella: Two doses – the first dose received on or after the 1st birthday; second dose no less than 28 days later (usually given as MMR) • Hepatitis B: Three doses recommended •H aemophilus Influenza B: Hib immunization not required after 5th birthday Page 26 — Healthy Cells Magazine — Bloomington — July 2012
•C hicken Pox: Varicella immunization is required prior to entrance to kindergarten; one+ dose on or after the 1st birthday, or physician’s statement verifying disease history, or laboratory evidence of varicella immunity. I mmunization Requirements for 6th – 12th Grades • A ll previous vaccination requirements, plus a Tdap vaccination. Beginning school year 2012-2013, any student entering 6th or 9th grade is required to show proof of receiving one dose of Tdap (defined as tetanus, diphtheria, acellular pertussis) vaccine regardless of the interval since the last DTaP, DT, or Td dose. •M eningitis and HPV: (especially for females) are not required, but are recommended.
The goal of the sports physical is to address students who may be at risk of health problems to ensure safe participation in sports. With that in mind, the physical should be planned for at least six weeks prior to the start of the sport’s practice or tryout so there is plenty of time to treat injuries or illnesses identified during the sports physical. During the physical, the health care provider will evaluate the student’s current fitness level and evaluate for any existing injuries or conditioning issues that may put the student at risk for injury. A medical history will ask about any family history of sudden cardiac death or any genetic cardiac disorders. Other questions will evaluate whether the student has any history of heat related illnesses, concussions, seizure disorder and asthma. A menstrual history for females will also be reviewed.
The sports physical can provide an opportunity to not only ensure the student is fit to participate in sports but also to identify, diagnose and treat health concerns that may have been overlooked throughout the year. Family Quick Care, located inside Meijer, provides school and sports physicals every day on a walk-in basis. No appointment is necessary. For more information and hours, see www.familyquickcare.com.
July 2012 — Bloomington — Healthy Cells Magazine — Page 27
Got Questions? We’ve Got
Answers By Daniel Jacobsen, DMD, Prairie Dental Associates
atients often have questions about their dental health. Following are answers to some of the most frequent questions from our patients.
Does the kind of toothpaste I use really make a difference? The differences are certainly not as much as the toothpaste manufacturers would like you to believe! Gum health, whitening, fresh breath, enamel repair, de-sensitizing….the choices are endless. No wonder people are confused. The bottom line is most of the claims are over-rated, especially whitening. The claims of making teeth whiter are hovering on the edge of false advertising. All toothpastes make your teeth whiter by removing stains but this isn’t really “whitening your teeth” like more expensive bleaching procedures.
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What causes bad breath? Unless there is a systemic problem with the stomach, hiatal hernia, indigestion, etc., most bad breath is caused by bacteria from a lack of good oral hygiene, including tongue brushing. Bad breath centers/treatments are mostly a scam. Periodontal treatment and/or a thorough cleaning followed by good oral hygiene will cure most bad breath issues. Avoid mints, candy, and chewing gum—even those advertised as “curing” bad breath. These are sales pitches as well. These sugary items can actually help cause a patient’s decay rates to skyrocket out of control. Are tongue and lip piercings a bad idea or no big deal? From a dental health perspective the vast majority of dentists would agree they are a bad idea. Bulky studs and the like can actually damage teeth and/or soft tissues in the mouth making infections more likely. Dentists find it amazing that patients have these procedures done with no anesthetic. How important are baby teeth? Some parents think that baby teeth aren’t that important because they will eventually be replaced by permanent teeth. Baby teeth are important for chewing and eating and they hold the space for the eventual permanent teeth. Losing them too early makes it more likely your child will have malocclusions (bad bites) later in life to say nothing of the pain and discomfort of having rotten baby teeth (even if you do get them pulled). Better to start life early with good dental health and sustain it throughout life. Baby teeth should be brushed as soon as they appear in the mouth and checkups and cleanings should start around age two or three. What should I do if a tooth gets knocked out? If a tooth is knocked completely out it is best to keep the tooth in the mouth and see your dentist immediately. Keeping the tooth in the mouth is better than milk or water as a patient’s own saliva is best. Do not brush or scrub the teeth as this can destroy the periodontal ligament, which is necessary for a tooth to re-attach. Teeth completely knocked out will require root canal treatment at a later date, usually a week or two. If a tooth gets chipped, this is not usually an emergency situation. Unless it is accompanied by a constant throbbing toothache, you can call your dentist at your convenience and have it looked at. You will probably want to avoid cold or hot drinks.
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Phone: (309) 662-0088 Fa x : ( 3 0 9 ) 6 6 2 - 0 0 8 9 Page 28 — Healthy Cells Magazine — Bloomington — July 2012
For more information or to schedule an appointment, you may contact Prairie Dental Associates, 309-662-7722. Their office is located at 3220 Gerig Drive in Bloomington.
Reducing Re-hospitalization By A.J. Querciagrossa, President and CEO, OSF Home Care Services
e-hospitalization—when a patient discharged from a hospital is re-admitted within 30 days—is getting significant attention in the healthcare industry right now. Next year, Medicare will begin penalizing hospitals if their re-admission rates are too high. That’s a trend throughout the healthcare industry. Quality care means acting to prevent serious problems, not just treating those that arise. In the new world of healthcare, cost is one way we measure quality. Providers are realizing that they share the responsibility with patients to control healthcare costs. Reducing preventable re-hospitalizations and emergency room visits is both a financial and a moral imperative. There is a bridge that continues quality medical care after a hospitalization and between doctors’ appointments. That bridge is home care, which brings clinical expertise, education, specialized equipment and medicine into a patient’s home. Because of the potential to reduce hospitalizations and trips to the emergency room, home care also brings value to the healthcare system. Let’s look at some of the tools in the home care toolbox.
Home medical equipment. Home care has the supplies patients need to be safe and comfortable in their own homes. In-home delivery of everything from respiratory supplies such as CPAP or oxygen to bathroom safety supplies is available, and all of it comes with maintenance and education on how to safely use the products. Personal response system. This program provides subscribers with assistance at the push of a button 24 hours a day, seven days a week. Health care at its best is, above all, collaborative. Home care works with physicians and hospitals to fill the gaps in care until patients can be safely independent in their own homes. Home care is preventive, proactive and personal. For more information, call OSF Home Care Services at 800-673-5288 or visit www.osfhomecare.org
Home health nurse visits. Nurses, like doctors, have specialties. Those include wound care, diabetes management, cardiac rehabilitation, palliative care and more. A visit from a home health nurse between trips to a physician’s office means another set of eyes looking out for patients and seeing to their needs. And home health nurses work with a patient’s primary care physician and specialists, so everyone on a patient’s care team remains on the same page. Education. Home health nurses are teachers. They teach patients and their families how to manage their medications, control diabetes, prevent falls, use medical equipment and do strengthening exercises, among other things. Education and compliance are firmly linked; people need to know how to take care of themselves in order to do it well. Therapy. Physical, speech and occupational therapy are all available through home care. Those services are often vital to a patient’s safely maintaining independence. Hospice. Hospice nurses and physicians provide an option for patients who need medical monitoring and pain control during their final days, often in the comfort of their own home. But hospice also treats emotional and spiritual needs of the patient and the patient’s family. Hospice does whatever it takes to make a patient’s final days comfortable and allow them to spend those days with their loved ones in peace. Tele-monitoring. Home care can provide devices patients use at home to remotely measure weight, blood pressure, oxygen levels and more. Nurses who monitor the incoming data for worrisome changes can anticipate problems and intervene—sometimes even before the patient realizes there is a problem. July 2012 — Bloomington — Healthy Cells Magazine — Page 29
How to Talk to Your Kids About
Losing Weight By Jamie Peel, OSF St. Joseph Medical Center
alking to your child about being overweight can be a difficult discussion. According to the Center for Disease Control (CDC), childhood obesity has more than tripled in the past 30 years. In fact, in 2008, more than one third of children and adolescents were overweight or obese. But when your own child falls into these categories, what do you do? Overweight is defined as excess body weight for a specific height from bone, muscle, or fat, and obesity is defined as excess body fat. Whether your child is overweight or obese, it is important that parents take it seriously. Being overweight does not magically go away and children may not “grow out of it” as they get older. No matter the age of the child, parents can do different things to help their children lose weight.
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Start the Conversation If children are overweight, chances are they are already aware of it. It is important for parents to have an open, honest, and sensitive conversation with kids about their weight, and it is best to have this conversation at a young age. The key aspect of the conversation needs to be the health aspect. Rather than discussing numbers, like weight and sizes, talk about the health benefits of being fit and physically active. Explain how losing weight can improve overall well-being. Although it can be difficult, parents must talk to their children to avoid possible lifelong physical and emotional health consequences. Do Things Together After you have a conversation, there are plenty of things parents can do to help keep their children on track. Studies show families who eat together are healthier families. Parents have more time to prepare food, and they can make healthier food choices. Eating together also provides emotional benefits. Parents and their kids gain quality time to talk. Families can also exercise together. They can take walks, ride bikes, go to the park, walk the dog—the list is endless! This will help encourage kids to be physically active. By doing all of these things together, parents are setting a good example for their children. Out of Your Control If the situation is beyond help within the home, there are different medical professionals who can help. Parents can take their children to a pediatrician to discuss their weight. The pediatrician can help explain the health risks the child has. A nutritionist can also help make meal plans for the entire family. Beyond these options, it may be necessary to determine the possible underlying emotional causes of why the child is overweight or obese. A licensed behavioral health therapist can help the child discover the emotional factors influencing their weight, improve their selfesteem, and help the parents with goal setting. No one wants to admit their child is overweight or obese. But the sooner parents address the concern, the quicker their children can lose weight. Parents should know it is never too late to start. Just remember, the ultimate goal is to improve the child’s overall health. Children who are overweight are not bound to a life of struggling with weight loss. It can get better if families make strides for improvement. If you would like more information on how to begin taking steps to help your child lose weight, please contact Cheri Carroll, LCSW, with OSF Behavioral Health at 309-664-3130 or visit www.osfstjoseph.org.
Sleeping Well Can Lead to Pain Relief By Becky Wiese
ibromyalgia (FM) has frustrated physicians and sufferers alike due to its variety of symptoms and corresponding plethora of treatment options, which often have a variable success in reducing pain long term. There are no specific laboratory tests that will conclusively detect fibromyalgia; therefore a high index of suspicion and relying on the patient’s history and physical examination is key to a proper diagnosis. Dr. Ben Taimoorazy of Guardian Headache & Pain Management Institute describes a new theory about what might trigger some patients that are prone to fibromyalgia to become symptomatic, along with one of the latest treatment protocols that seem to have good success in decreasing the general pain FM sufferers face. Interestingly enough, one new strategy focuses on consistently getting a good night’s sleep. Sleep is often undervalued as a component of good health. Certainly a sense of tiredness and sluggishness can be blamed on lack of sleep, but extended periods of poor sleep can be significantly detrimental to overall health. Poor sleep patterns can be caused by many different kinds of disturbances, everything from pets in the bedroom to acid reflux to physical exhaustion (exhaustion does not equal sleepiness, especially if the brain and body are over stimulated). Jet lag, inconsistent work/sleep occurrences, illness and pain, and a host of other maladies and life events (ask any parent of a newborn) can also wreak havoc on sleep patterns. Sleep generally happens in 90-minute cycles made up of the four stages of non-REM sleep and REM (Rapid Eye Movement) sleep. According to information from the National Sleep Foundation, interruptions during stages 3 and 4 of non-REM sleep—the stages in which the most restorative action takes place—not only alter the body’s circadian rhythm, but also affect the production and secretion of various hormones.
Dr. Taimoorazy adds, “Some female hormones and insulin-like growth hormone are only secreted during certain stages of sleep. If sleep is consistently disturbed by conditions such as sleep apnea or other factors, the hormones that are important to the body’s peripheral and central sensitization to pain are affected.” “This altered hormone level gives the patient an altered perception of pain—things that may not be painful to other people are painful to them because they have a predisposition to pain or heightened sensitivity caused in part by sleep disturbances and resulting hormone imbalances,” continues Dr. Taimoorazy. The fact that female hormones are affected makes sense, as women are five times more likely to suffer from fibromyalgia than men. Fibromyalgia sufferers get caught in a deteriorating cycle of pain causing sleeplessness causing increased pain sensitization. Studies showing a link to deep-sleep deprivation and increased pain sensitization add credence to the theory that fibromyalgia and good sleep are inversely related. “The good news,” says Dr. Taimoorazy, “is that disorders such as sleep apnea and other sleep disturbances are highly treatable. Many fibromyalgia patients experience a significant decrease in pain once they start getting good amounts of healthy, restorative sleep on a consistent basis.” For more information, you may contact Dr. Benjamin Taimoorazy at Guardian Headache and Pain Management Institute at 309-808-1700 or visit www.theGuardianPainInstitute.com. The practice is located at 2203 Eastland Drive, Suite #7, in Bloomington. Dr. Taimoorazy strives to increase awareness and understanding of different types of headaches and other chronic painful conditions and the available diagnostic and therapeutic options for each individual disorder.
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back to school
Are Your Kids Ready? By Erin Rogers, MEd, Executive VP, Programs & Services, Easter Seals
ummer is here, but the kids will be back to school before we know it! When I think of “back to school” time, my initial thoughts go to supplies. But what about school readiness related to development? School readiness is a measure of how prepared a child is to succeed in school cognitively, emotionally, and socially. And oftentimes, we think of school readiness beginning at age four, or at best age three. But in truth, school readiness begins during infancy. Infants develop attachments to trusted adults, which carry over to teachers and others. They develop physical skills for movement and cognitive skills of cause and effect. In toddlerhood, our children learn to follow simple directions, basic turn taking, and their understanding and production of language increases rapidly. And by three years of age, children have typically learned early counting concepts, basic social skills, and have a vocabulary of hundreds of words. So what can parents do to ensure their child is ready for school when the time comes? Here are some suggestions for things to work on that will get children ready to experience success in school: • T alk about “Rules of Engagement.” For young children, these rules are social expectations that are critical to building friendships and behavioral expectations. My personal preference is to keep it simple with three rules: 1) we use gentle hands; 2) we take care of our things; and 3) we make safe choices. These rules are simply positive ways to frame the rule that we don’t do anything to hurt people, property or ourselves. When rules are broken, talk about expectations, how they weren’t met, and then enforce a consistent consequence such as time-out. A safe general rule is one minute of time-out for every year of age, i.e. a two-year-old would have a time-out for two minutes. • B uild routines to promote a feeling of security and to establish expectations. Regular naptimes in a consistent location, eating schedules, and playtime routines all promote feelings of safety and stability and allow children the freedom to explore and learn. • E arly number concepts such as one and one more and counting objects up to 10. • V erbal interaction and reading books. Talk about what you’re doing and where you’re going. When it’s time for speech to
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develop, use one and two word utterances that are easily imitated, and read with your child every day. Songs are also a fun way to engage children and teach language and concepts. • Teach basic body parts such as eyes, nose, mouth, ears, belly button, toes and then add more! • E nroll in quality childcare and pre-school programs that teach critical basics and prepare children for school. • B e sure to take advantage of developmental screenings in the community. For more information or a developmental screening, contact Easter Seals at 309-663-8275. Parents may take a free online screening at www.MaketheFirstFiveCount.org.
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New Technique Results in Less Pain,Quicker Recovery By Eric Alvin and Elizabeth Madden, Advocate Health Care
ndividuals who suffer from the pain and discomfort of hemorrhoids don’t usually talk much about it. They simply buy overthe-counter medications, use home remedies and/or adjust their diet—and most of the time, they experience some degree of relief. But for some, hemorrhoids can be a chronic situation that has typically required a visit to the doctor, and in the worst cases, an invasive surgery called a hemorrhoidectomy, followed by a lengthy recovery period.
But a new technique currently being used by a local colorectal surgeon is changing for the better the way chronic hemorrhoids are treated. Dr. Darryl Fernandes, a general & colorectal surgeon with Advocate Medical Group in Normal, is using a new technique called Transanal Hemorrhoidal Dearterialization, or THD, with many of his patients. “This technique provides a less traumatic and less invasive surgical treatment that has been shown to cause less pain and discomfort compared to traditional surgical hemorrhoid procedures,” says Dr. Fernandes.
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Hemorrhoids are swollen blood vessels that can occur inside the anal canal (internal hemorrhoids) or near the opening of the anus (external hemorrhoids). They develop when there is too much pressure on the pelvic area and can result from straining during bowel movements, pregnancy, and aging. “About 50% of adults have experienced some type of hemorrhoidal complaint at some point in their lives,” says Dr. Fernandes. Over time, hemorrhoids can engorge or become inflamed, sagging downward. This causes bleeding, swelling, and pain. “People often put off seeing a doctor if they know they need a hemorrhoidectomy, because they know it can be a difficult recovery,” explains Dr. Fernandes. Dr. Fernandes believes the option of THD will encourage patients to be more proactive about treating their condition. In a traditional hemorrhoidectomy, a physician removes the hemorrhoid(s). “Because the hemorrhoids are removed from a portion of the anal canal that is rich with sensitive nerve endings, there is often a great deal of post-surgical pain,” says Dr. Fernandes. With THD, the hemorrhoid is not removed. Instead, with the patient under general anesthesia, the surgeon uses ultrasound technology to locate the arteries feeding the hemorrhoids. These arteries lie higher up in the anal canal, in an area with far fewer nerve endings. After the artery is located, a dissolving stitch is placed around the artery to tie off the blood vessels, preventing blood flow to the hemorrhoid, and to raise the hemorrhoid to its proper position. Tying off the blood vessels causes the hemorrhoid(s) to shrivel up due to loss of blood. “By not cutting off the hemorrhoid, this technique preserves tissue, which greatly reduces pain and allows for normal postoperative anal function,” Dr. Fernandes says. While
“About 50% of adults have experienced some type of hemorrhoidal complaint at some point in their lives.” not completely pain-free, discomfort from the procedure is more limited. Recovery after this procedure is about four to six days, compared to around four to six weeks with a hemorrhoidectomy. THD is performed in an outpatient setting and is a lower-risk procedure compared to a hemorrhoidectomy; it is also a less aggressive technique. Because the hemorrhoidal tissue is not removed, there is a slight chance of reoccurrence of a hemorrhoid, although it is not likely, Dr. Fernandes says. Dr. Fernandes believes the ideal patient for the procedure suffers from hemorrhoid symptoms, but has failed using more conservative options. THD is not for every patient, he adds. “There are cases where a hemorrhoidectomy is a better option; it depends on the situation.” For more information, contact Dr. Fernandes’ office at 309-452-1193. Dr. Fernandes accepts referrals from area primary care physicians. Additional information about THD is available at www.thdamerica.com.
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the miracle league of central illinois
A League of Their Own By Lauren McLaughlin, Miracle League of Central Illinois
undreds of children have stepped up to the plate and smashed a big hit, caught a fly ball in the outfield or scooped up a grounder in the infield, but many of these individuals wouldn’t have had the opportunity to cross home plate without the support of The Miracle League. The Miracle League gives physically and mentally challenged children the chance to play baseball just like other kids. The first Miracle League opened in 1997 in Conyers, Georgia, and has grown internationally serving over 200,000 people in more than 250 leagues. Participation is open to all individuals with special needs who would like to play baseball, regardless of age or ability. The league prides itself on providing unforgettable experiences that children would not have had otherwise. Karen Bennett, a local resident, feels that the chance to play baseball has significantly impacted her son, TJ. “To TJ it means to be included in the traditional American pastime, baseball,” Bennett said. “It means staying in your neighborhood
Page 36 — Healthy Cells Magazine — Bloomington — July 2012
and meeting new kids, young and old. The league has taught both TJ & his “Angel in the Outfield” how to be kind, considerate and encouraging. It has helped him develop patience and the understanding of how to be part of a team, but most of all, how to have fun.” Not only does the Miracle League allow children to enjoy America’s pastime, involvement develops a sense of community among families and participants. It is an opportunity without limitations and allows individuals to be themselves without worrying about judgments or explanations about their disabilities. Rae Anne Campbell of Bloomington, Illinois, knows the authentic feel of the game created by the organization has truly made a difference in her son, Brett’s, experience. “The Miracle League has given Brett a sense of pride,” Campbell said. “He is able to share the love of baseball with his peers and the whole experience has been incredible.” The Miracle League of Central Illinois is entering its third year of baseball games that are played on Sundays at the Pony Fields in Bloomington. It will host six teams for the 2012 season, growing by two teams from last year. The first summer session began June 3rd but players may join anytime. To help support the Miracle League, individuals can volunteer to be a buddy or become a team sponsor. Individuals can also become involved by participating in the league’s first annual Make A Miracle Auction July 27th at the Doubletree Hotel in Bloomington. The fundraiser will assist in raising funds to build a specially designed rubberized turf field for special needs players. Donations can be made anytime to the Miracle League of Central Illinois online or through mail to help support the organization’s mission.
For more information about the Miracle League of Central Illinois and how to becoming involved, call 309-451-4500 or visit www.MiracleLeagueCI.com. The Miracle League is always looking for new players to join the league and participants can register online through the Miracle League website.
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My Success Can Be
Your Success Submitted by Illinois Department of Human Service
ost people who go by Susan Shaw’s house know it before they get there. How? Easy, it’s the smell of fresh baked goods coming from her business, Central Illinois Events and Catering, in Elkhart, Illinois. Whether it’s her breads, pies or one of seven types of butter cake, Susan Shaw’s business is prospering. The recipe for her success was simple: mix equal parts passion, determination, training, family support and the assistance of The Department of Human Services, Division of Rehabilitation. But as Susan will tell you, the road to success was a challenging one. Page 38 — Healthy Cells Magazine — Bloomington — July 2012
In 2002, Susan was successfully employed as a customer service order correspondent in Springfield, Illinois. “I handled the orders from the initial call from the sales representative, till the time the supplies were picked up and taken away.” Susan balanced her hectic work schedule with the real passions in her life—her family and her baking. “I always loved baking and cooking for my family and also for people through my church. Baking has always been my passion!” It was then that the road became bumpy. Susan was home recovering from a surgery when she noticed that she didn’t feel well. “I remember I just felt faint, sort of flu-like
symptoms. I decided to go the hospital just to make sure things were okay.” The news at the hospital surprised everyone. Susan was suffering the effects of a blood infection known as Sepsis, and was in septic shock. “My family was told I was being kept comfortable. They didn’t think I was going to make it through this.” Susan ended up losing nine of her ten fingers and all ten of her toes. “Those were the long days—I felt pretty hopeless for a while there. But I knew I had lots of family and friends to help me through this.” That support also included contacting the Department of Human Services, Division of Rehabilitation Services. Staff from DRS’s Home Services Program met with Susan and began to plan how they could help her adjust to her return home. “My work with DRS started with the very basics. They (the staff) helped me adjust to doing things without the use of fingers and toes. It really put things in perspective for me.” Little by little Susan began to increase her independence and plan for her future. She informed her DRS counselor that baking was a passion of hers that she would like to pursue for employment. Susan and her counselor worked together, and shortly thereafter she began the Hospitality and Culinary Arts Program at Lincoln Land Community College in Springfield, Illinois. Having been through so much already, Susan was determined to make it work. “I knew it would be a challenge to make it happen, but I was confident I could start my own business.” Susan discussed this with her counselor and they agreed to a business plan. The Division of Rehabilitation Services assisted Susan with some equipment to start her own business, as well as consultation on the business plan. The result was Central Illinois Event and Catering in Elkhart, Illinois.
“The Division of Rehabilitation Services assisted Susan with some equipment to start her own business, as well as consultation on the business plan. The result was Central Illinois Event and Catering in Elkhart, Illinois.” Susan’s business has picked up in a short period of time. “I now go to many of the farmers markets in the area. I also stay busy with catering, and after the beginning of the year I’ll start providing cooking classes. Things have really turned out very well.” Success for Susan is a recipe she doesn’t mind sharing. To learn more, call 1-877-761-9780 Voice, 1-866-264-2149 TTY, 1-866-588-0401 VP, or read about the Division of Rehabilitation Services at www.dhs.state.il.us. Refer yourself or someone else for services using the online Rehabilitation Services Web Referral.
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summer animal safety
Precautions Can Decrease Animal Activity and Rabies Risk Submitted by McLean County Health Department
cLean County Animal Control, a division of the McLean County Health Department (MCHD), advises citizens to protect themselves, their families and pets from roaming animals, including wildlife, rabid bats, and straying cats and dogs. As the temperatures outside increase, so does animal activity as they breed and hunt for additional food. Unaltered stray cats and dogs are also more likely to roam when the temperatures stay consistently warm. While some wildlife interactions are unavoidable, precautions should be taken to reduce the risk of exposure to stray and wild animals. Recommendations provided by McLean County Animal Control include: • Rinse all recycling containers to reduce odor and residue •Use animal-proof trash containers and keep them in a shed or closed garage, if possible • Use a bungee cord to hold trash lids down • Clean thoroughly after feeding birds or pets outside to keep the area free of food and animal waste Page 40 — Healthy Cells Magazine — Bloomington — July 2012
• Evaluate homes for loose siding, gaps in roofing or other areas that allow wildlife to enter • Block or dispose of sites around your house that wild animals may use for sleeping or raising young The risk of exposure to rabies also increases with warm weather due to roaming animals. The primary purpose of McLean County Animal Control is the prevention and control of rabies. For the protection of everyone, pet owners need to keep their cats and dogs current with rabies vaccinations and county registration. Pet vaccinations greatly decrease the spread of rabies. Pet owners should contact their local veterinarian to vaccinate their cat or dog. Rabies is a deadly disease caused by a virus that attacks the central nervous system. Animal rabies symptoms include loss of appetite, strange behavior, excessive drooling, restlessness or aggressiveness and disorientation. Rabid wild animals often show no fear of humans, and nocturnal animals wander during the day.
Tips for rabies safety include: • If a bat is in your home, keep it enclosed and call McLean County Animal Control immediately at 309-888-5060. • Never approach stray or wild animals, even if they seem friendly. Reinforce this message with children. • Report strangely behaving stray or wild animals to Animal Control. • Call your physician if you are ever scratched or bitten by stray or wild animals. • Exercise extreme caution if you see a nocturnal animal, such as a skunk or bat, in daylight hours. • Keep dogs and cats rabies vaccinations up-to-date. •C all your veterinarian if your pet appears to have been scratched or bitten. • Immediately report straying dogs and cats to the McLean County Animal Control Center. Humans are infected with the virus when the saliva of an infected animal comes in contact with broken skin. The first symptoms of rabies in humans include general weakness, fever, or headache. There may also be discomfort or an itching sensation at the site of contact. Progression within a few days can lead to anxiety, confusion, agitation, delirium, hallucinations and insomnia. Due to the urgent nature of rabies infection, immediate medical intervention is crucial. Wild animals—especially bats, raccoons and skunks—can carry rabies. Most of the recent human rabies cases in the United States were caused by exposure to bats. Bat bites are often undetectable because their teeth are small and sharp. Dogs and cats are at risk, too, and upto-date vaccinations are essential in reducing the spread of rabies.
If a wild animal is on your property, let them wander away on their own. Bring your pets and children indoors. If the animal becomes a nuisance, contact a licensed trapper by visiting webs.extension.uiuc.edu/ wildlife. The McLean County Animal Control program requests that an animal found running-at-large be reported to the McLean County Animal Control Center immediately. If your pet is lost, the Animal Control program encourages owners to contact and visit the Animal Control Center daily to see if their animal was picked up or brought in by a concerned citizen. For more information about the McLean County Animal Control, call 309-888-5060, or visit health.mcleancountyil.gov.
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Children may qualify if they: • Are 4 to11 years of age • Have had asthma for at least six months • Have had asthma bad enough to see a doctor in the last 12 months There are other study requirements that will determine whether your child may participate in this clinical research study. • There is no placebo (sugar pill) in this clinical research study. • There will be no blood draws (no needles) during this clinical research study. • Qualified study participants will receive asthma medication at no charge. • Health insurance is not needed to participate. • Reimbursement for time and travel may be provided.
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(309) 663-6461 July 2012 — Bloomington — Healthy Cells Magazine — Page 41
When a Freckle Isn’t Just a Freckle… By Sam Fowler, PMAC, Office Manager, Heartland Foot and Ankle Associates
odiatrists are uniquely trained as lower extremity specialists to recognize and treat abnormal skin conditions of the feet and ankles. Skin cancers in the lower extremity may have a very different appearance from those on the rest of the body. They can also be easy to miss because most people don’t look at the bottom of their feet! For these reasons, a podiatrist’s knowledge and clinical training is of the utmost importance in the early detection of both benign and malignant skin tumors. Most skin cancers of the feet are painless, and some have a history of recurrent bleeding, cracking, or ulceration. Some skin cancers can look like ulcers, non-healing sores, bumps that crack or bleed, nodules with rolled edges, or distinct scaly areas. Some of the most common cancers of the feet include: Basal Cell Carcinoma Frequently seen on sun-exposed surfaces and is one of the least aggressive cancers in the body. It may appear as pearly white bumps, patches which may ooze or crust, or be similar in appearance to an open sore or ulcer.
Squamous Cell Carcinoma The most common form of cancer on the feet. It is painless, but may be itchy. Squamous cell cancer may resemble a plantar wart, fungal infection, eczema, an ulcer, or other common dermatological conditions of the foot. It may appear as a small scaly bump or plaque, inflamed area of skin, or a hard projecting callus-like lesion. Malignant Melanoma One of the deadliest skin cancers known. It may occur on the tops of the feet, soles of the feet, or beneath a toenail. This cancer has many potential appearances, hence its nickname, ‘The Great Masquerader’. It may begin as a small black, brown, pink, or red spot or bump. Melanomas may resemble moles, blood blisters, ingrown nails, plantar warts, ulcers, foreign bodies, or bruises. When examining a lesion, remember the ABCDs of melanomas: A–Asymmetry: If divided in half, the sides don’t match. B–Borders: They look scalloped, uneven, or ragged.
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If you have been injured on the field or off, let us be your first choice for treatment.
Page 42 — Healthy Cells Magazine — Bloomington — July 2012
C–Color: They may have more than one color. Colors may have uneven distribution. D–Diameter: They can appear wider than a pencil eraser, greater than six mm. These are telltale signs of skin cancer and if you have any of the above mentioned characteristics, please make an appointment immediately. Your podiatrist will investigate the possibility of skin cancer both through his/her clinical examination and with the use of a skin biopsy. A skin biopsy is a simple procedure in which a small sample of the skin lesion is obtained and sent to a specialized laboratory where a skin pathologist will examine the tissue in greater detail. Heartland Foot and Ankle Associates sends all their biopsies to the only board-certified dermatopathologists in the state. Dermatopathologists have specialized training in the analysis of abnormal skin lesions from the ankle and foot. If the lesion is determined to be malignant, your podiatrist will recommend the best course of treatment for you. Remember to wear sunscreen and don’t forget to put it on your feet. If you notice a freckle, mole, bump, or patch of skin on yourself, a friend or family member that meets any of these criteria, get it checked out immediately. If the questionable lesion is located on your feet or ankles, call your podiatrist, if it is located elsewhere on your body, call your dermatologist.
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: • home health, including rehabilitation therapy, wound care and disease management • hospice • home medical equipment, including CPAP, oxygen, walkers, hospital beds & much more • personal response systems • diabetes supplies • home infusion pharmacy Call us at 800-673-5288 or visit osfhomecare.org.
For more information or to schedule a biopsy appointment, you may contact Dr. Lockwood at www.HeartlandFootAndAnkle.com or call 309-661-9975. An early diagnosis could save your life!
We focus on research, diagnosis and treatment of chronic intractable headaches, neck and back pain, and other chronic painful conditions. Our innovative staff is committed to patient care and providing excellent cutting-edge interventional procedures
“Following several treatments performed by Dr. Taimoorazy I am virtually pain free. Our community is so blessed to have these highly trained, compassionate professionals” -Mary J.
Benjamin Taimoorazy. M.D. Diplomate American Academy of Pain Managment Member American Headache Society and American Migraine Foundation
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Dr. Benjamin Taimoorazy will accept patients by referral and by scheduled appointment
For an appointment please call 309-808-1700 www.guardianpaininstitute.com 2203 Eastland Dr. Suite #7, Bloomington, IL 61704 July 2012 — Bloomington — Healthy Cells Magazine — Page 43
The Gift of Grins to Local Twins By Linda Hankemeier
arents everywhere know the joy that comes when their little ones have their first baby tooth break through their gums. That little tooth is the first of many little mouth-fillers yet to come. But in some rare situations, this “normal” phenomena doesn’t occur. Shelly and Laura, twin sisters who are now in their 40s, were born with a genetic condition called Ectodermal Dysplasia, a congenital defect of the ectodermal tissues including the skin, teeth and other body surfaces.* According to the Genetics Home Reference, a service of the US National Library of Medicine, the most common form of ectodermal dysplasia is estimated to affect at least 1 in 17,000 people worldwide. “As long as I can remember, we felt different,” Shelly reflected about their childhood. Due to their condition, both Shelly and Laura grew up without a full set of teeth. They were born missing some teeth, and many of the teeth they had were baby teeth that did not have adult teeth under them. “It was a hard way to grow
Page 44 — Healthy Cells Magazine — Bloomington — July 2012
up,” Shelly continued, “but the good part is we had each other and good friends.” By junior high, their dentist was able to begin to provide them some sense of normalcy through temporary solutions. Both women continued to use these temporary solutions through high school and their adult lives. When their previous dentist retired, he referred the Bloomington natives to Emil Verban, Jr., DDS. “At the first visit, they were uncomfortable even letting me check their teeth even though I was an experienced dentist who had treated these conditions before,” he reflected. Dr. Verban, a general dentist with advanced education and training in several specialty areas, quickly realized he could provide his new patients with an option that would permanently change their lives—dental implants. Seven years ago, Shelly began the process of having dental implants placed. Knowing her condition would make this process
very expensive. Dr. Verban reached out to a dental implant manufacturer and was able to get the equipment for Shelly’s dental implants donated. Then, he also donated his time, giving Shelly the gift she had waited her whole life for. A year ago, her twin sister Laura finally went through the process herself of having dental implants placed. And, she received the same gift from Dr. Verban and a dental implant manufacturer, which gave the twins even more to smile about. Both women glow when they talk about their new smiles, the gift they received from Dr. Verban, and the impact it has had on their lives. “I can’t say enough about Dr. Verban and his staff,” Laura shared. “We love them! Dr. Verban truly wanted to help us from the very first visit. He and his staff are amazing and truly care about us. We are very grateful for everything he’s done for us!” she continued. After this amazing gift, the sisters say they have a new sense of confidence, feel like they have real teeth, and can’t believe the impact their new teeth had on their lives. “It’s amazing,” beams Shelly. “I feel normal finally!” For more information about Emil Verban, Jr., DDS and his practice, McLean County Dental, visit www.mcleancountydental.com or contact his office at 309-662-8448. His practice is located at 2103 E. Washington Street, Bloomington. Dr. Verban’s education, training and experience provide his patients the best of both worlds – general dentistry expertise coupled with the ability to provide specialized services such as dental implants.
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July 2012 — Bloomington — Healthy Cells Magazine — Page 45 Meadows-MC_HealthCells ad.indd 1
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Keep Your Green Thumb Avoid the Red Nose By Margaret Lowery, MD, Sneeze, Wheeze and Itch Associates, LLC
he beauty of budding plants and their bouquet of aromas are sources of satisfaction for many gardeners. For allergy sufferers though, gardening can be as much a chore as pursuit of passion. As many as 40 million people have hay fever (allergic rhinitis), which has nothing to do with hay or fever rather, the culprit is pollen. Pollen from trees, shrub and grasses can cause an onslaught of allergy symptoms, including sneezing, itchy eyes, congestion and in some cases, an asthma attack. But sensitive people can take a few simple steps to minimize their risk of exposure to bothersome allergens. Gardening outside during times of high pollen counts puts patients at risk for severe allergic symptoms. Avoidance measures, as well as the use of medications and allergy immunotherapy, can make the difference between having fun in the garden and being miserable. An allergist/immunologist can help determine what plant species are causing an allergic reaction and advise on the best times of day or season to work in the garden. For example, pollen levels are typically lower on rainy, cloudy and windless days. Allergy shots, medications and other treatments can also help reduce symptoms. People with allergies can also lessen irritation by carefully choosing the plants they include in their landscaping or garden. Certain flowers, trees and grasses are naturally better suited for the gardens of allergic people. Bright and colorful plants often are insectpollinated, producing pollens that are heavier and stickier. These pollens, which are carried by insects and animals from plant to plant instead of wind, are less likely to cause an allergic reaction and will add color and variety to the garden. These include: • Cacti • Cherry • Dahlia • Daisy • Geranium • Iris • Magnolia • Rose • Snapdragon • Tulip
Wind-borne pollinating plants, including trees, grasses, and weeds, are most likely to cause a seasonal allergic reaction. They produce pollen that is light and released in large quantities that can be easily inhaled. In general, plants to avoid include: • Ash • Cedar • Cottonwood • Oak • Maple • Pine • Saltgrass • Timothy It is essential to find out what you’re allergic to so that you can find out when that species pollinates and limit your time outdoors Page 46 — Healthy Cells Magazine — Bloomington — July 2012
during that brief period of time. The best way to determine which plants will trigger reactions is through skin testing at an allergist/ immunologist’s office. An allergist/immunologist can help patients develop strategies to avoid troublesome plants and pollen and can prescribe medication to alleviate symptoms. Other tips to consider Whenever working around plants that are likely to cause an allergic reaction, avoid touching your eyes or face. You may also consider wearing a mask to reduce the amount of pollen spores that you may inhale. Wear gloves, long sleeves, and pants to minimize skin contact with allergens. Leave gardening tools and clothing—such as gloves and shoes—outside to avoid bringing allergens indoors. Shower immediately after gardening or doing other yard work. Consult with an allergist/immunologist Contact an allergist/immunologist to identify specific causes of allergic reactions or to get information on treatment options and tips to reduce allergen exposure. An allergist/immunologist is the best-qualified medical professional to manage the prevention, diagnosis and treatment of allergies and asthma. If you have a green thumb but are bothered by a red, stuffy nose caused by seasonal allergies, contact Sneeze, Wheeze & Itch Associates at 309-452-0995 to schedule an appointment with an allergist/immunologist.
2502 E. Empire St. Bloomington, IL 61704
AT MCLEAN COUNTY ORTHOPEDICS, we are the Central Illinois practice for treating hand and upper extremity conditions, servicing the needs of adults, teenagers and children. Our office provides convenient access to diagnostic services as well as treatment areas and therapy. Our fellowship trained and board certified physician, Jerome Oakey, delivers comprehensive patient care for all injuries and diseases of the hand, wrist and elbow. Cases range from the simplest to the most complex conditions.
“Coordination of patient care promotes continuity and convenience for patients with hand problems. Our team is committed to working with patients to help them achieve their goals; eliminating pain and discomfort while improving mobility.” Jerome Oakey M.D.
HEALTH, LIFE. IMPROVING YOUR
JOSEPH A. NOVOTNY, M.D. MARK J. HANSON, M.D. JEROME W. OAKEY, M.D. JOSEPH B. NORRIS, M.D. NIKHIL K. CHOKSHI, M.D. JOHN G. ATWATER, M.D. CRAIG W. CARMICHAEL, M.D. GERALD W. PAUL, DPM, FACFAS BRIAN L. HAMM, DPM, FACFAS
309.663.6461 MCLEANCOUNTYORTHOPEDICS.COM 2502 E. EMPIRE ST. BLOOMINGTON, IL 61704 July 2012 — Bloomington — Healthy Cells Magazine — Page 47
Clean Food You and Your Wallet Will Love By Michael Roizen, MD, and Mehmet Oz, MD
oes the news that every year 16 million pounds of antibiotics are fed to chickens, pigs, cows and fish that end up on your plate have you worried? If so, you're not alone: Most surveys report that food safety is a big concern for North Americans. But you can eat clean without spending a fortune! This column was inspired by the Food and Drug Administration's recent request that livestock producers cut back on lowPage 48 — Healthy Cells Magazine — Bloomington — July 2012
dose antibiotics routinely added to the feed of chickens, pigs and beef cattle. These antibiotics promote faster growth. Trouble is, this dangerous practice also promotes the development of antibiotic-resistant superbugs that infect about 1.4 million people each year and kill at least 63,000 in North America. The FDA's new stand is a start. But is it tough enough? We think an outright ban, the kind the European Union has had in
place since the 1990s, is a better way to at least partially close the door on antibiotic-resistant bacteria. True, feeding antibiotics to animals isn't the only reason for the rise of superbugs; overuse of antibiotics in humans (like using antibiotics to treat a sinus infection caused by a virus) is part of the problem. But livestock-fed antibiotics are significant troublemakers. This questionable use of antibiotics in the food chain is one aspect of the food-pollution problem. Growth hormones, artificial dyes and pesticides may be lurking in your food, too. And label claims like "all natural" aren't the best way to spot the worst offenders. Here's how to protect yourself: Avoid antibiotics: Careful cooking kills off bacteria in meat, poultry and fish, but handling the raw stuff raises your risk of coming in contact with antibiotic-resistant bacteria. In one study, half of the beef, chicken, pork and turkey in supermarkets was infected with strains of the methicillin-resistant superbug, Staphylococcus aureus— MRSA. So choose cuts labeled "no antibiotics added" or pick certified organic meats and poultry, and wild, rather than farm-raised, fish. True, organic does cost more, but you can save money and your health by pairing smaller portions of clean meat with veggies, beans and grains. Or skip the red meat entirely and dine on antibiotic-free fish, chicken (skinless) or a meatless alternative—great for most people's health (you sidestep higher odds for heart disease and cancer), as long as you get essential proteins, vitamins and some key fats from supplements. Get beyond growth hormones: Adding growth hormones to beef and milk nudges a consumer's cancer risk upward. Growth hormones have been banned in Europe since 1989, but in the U.S.
about 60 percent of cattle get them. These days, you can buy dairy products from cows that received no growth hormones. When it comes to meat, look for cuts labeled "no hormones administered" or "certified organic." By the way, chicken and pork are raised without growth hormones; so don't pay extra for a label saying so! Think twice about artificial dyes: Could food colorings affect kids? One study shows that six artificial dyes may influence the hyperactivity and attention spans of some sensitive kids. Steer clear of Yellow No. 5, Yellow No. 6, Red No. 3, Red No. 40, Blue No. 1, Blue No. 2, Green No. 3, and Orange B on ingredient labels. We like food that looks like it did when it came from the ground. Check this guide to dyes in kids' food: www.brainfoodselector. iatp.org. Push away pesticides: There are some veggies and fruit you should spend extra on to go organic. Common pesticides used in agriculture (and on lawns and in homes) increase the risk for everything from Parkinson's disease to childhood cancers and diabetes. Limit your family's exposure by choosing organic versions of The Dirty Dozen—the Environmental Working Group's annual list of produce with the highest levels of pesticides. Choose organic apples, celery, strawberries, peaches, spinach, imported nectarines and grapes, sweet bell peppers, U.S.-grown blueberries, lettuce, kale and collard greens. Mehmet Oz, MD is host of "The Dr. Oz Show," and Mike Roizen, MD is Chief Medical Officer at the Cleveland Clinic Wellness Institute. For more information, go to www.RealAge.com. (c) 2012 Michael Roizen, MD and Mehmet Oz, MD. Distributed by King Features Syndicate, Inc.
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July 2012 — Bloomington — Healthy Cells Magazine — Page 49
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www.ftjesse.org Page 50 — Healthy Cells Magazine — Bloomington — July 2012
RECLAIM YOUR LIFE! Say Goodbye to Depression
Transcranial Magnetic Stimulation (TMS) for Depression “I had tried so many different options in the past to help me deal with my depression, I was to the point where I didn’t want to leave my house or go to work or even talk on the phone. I felt as if my life was over with. I finally decided to start the TMS and I feel great. It has been a long time since I have felt this good, I thank Dr. Bashir & Lori” -TMS Patient since September, 2009
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Evaluation and treatment of all neurological disorders including: • • • •
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Central Illinois Neuro Health Sciences is a leading provider of neurosurgical, rehabilitation and pain management services in Central Illinois. A multimodality approach is taken in the management of intracranial, spinal and peripheral nerve diseases to best address the needs of our patients. Neurosurgeons, physiatrists, neuroradiologists, and pain management specialists work with referring physicians.
1015 S. Mercer Ave. B l o o m i n g t o n
Providing comprehensive and technologically advanced care.
Immediate Care Services are Moving!
Advocate Medical Group’s Immediate Care services (formerly HealthPoint Urgent Care) are moving on August 20 to the new Advocate BroMenn Outpatient Center at 3024 E. Empire, Bloomington (across from the airport). No appointment is necessary.
Our hours are: Monday through Friday, 7 am to 8 pm, and Saturday and Sunday, 8 am to 5 pm. Some of the injuries and ailments treated at our Immediate Care Center include: • Minor burns • Urinary tract infections • Cuts needing stitches • Earaches • Flu • Fractures
For more information, please visit advocatehealth.com/bromenn or call 1.800.3.ADVOCATE (1.800.323.8622).
Advocate BroMenn Outpatient Center
Comprehensive Prosthetics and Orthotics