METRO EAST area Promoting Healthier Living in Your Community • Physical • Emotional
M A G A Z I N E
Glen Ed & Maryville Pharmacy If You Are Not Responding to Traditional Medication, We May be Able to Help page 12
How to Choose the Best Provider for Your Next MRI page 18 With Preventive Screenings You Can Curb Serious Health Problems page 20 Advances in Prostate Cancer Treatment page 21
Maryville Women’s Center • Routine & High Risk Obstetrics • Infertility • Female & Laser Surgery • Menopause • Urine Loss Treatment • In Office Tubal Ligation • In Office Uterine Ablation for Abnormal Bleeding
Accepting New Patients Call today to schedule an appointment
(618)288-2970 2016 Vadalabene Drive • Maryville, IL Please visit us at mymwc.org
Front Row: Tina Gingrich, MD, Kimberly Sanford, MD Back Row: Tammy Young, CNM, Diana Herrick, CNM, Lynn Billhartz, PA
Big City Dentistry - Small Town Friendly GENERAL DENTISTRY
• Fillings • Crowns • Bridges • Root Canals
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You may qualify for a special Medicare election period.
And Humana has plans for you with monthly premiums starting as low as $0* You may be able to choose or change your Medicare plan if: • You’re approaching age 65 • You’ve just moved to the area • You receive Medicaid assistance • You’re losing your retiree health coverage You may also qualify under certain other circumstances. Call me today to find out more! Call today for a personal consultation:
Larry Ervin 1-618-558-6792 (TTY: 711) 9 a.m. to 5 p.m., Monday - Friday
A health plan and a stand-alone prescription drug plan with a Medicare contract. For information call Humana at 1-800-336-6801 (TTY: 711), 8 a.m. to 8 p.m., seven days a week. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. *Monthly plan premiums start as low as $0. More plans are available with affordable premiums. Y0040_GHHH6WDHH File & Use 11262011 11/11
2012 Volume 1, Issue 6
Beauty: Understanding the Positive Effects of Dermal Fillers Emotional: Support for Caregivers
Nutritional: “Super” Snacking Is Easy with Grapes
10 15 16
Healthcare Advancements: How to Choose the Best Provider for Your Next MRI
Whole Body Vibration: AMH Auxiliary Provides New Therapy Equipment Health Plans: With Preventive Screenings You Can Curb Serious Health Problems Men’s Health: Advances in Prostate Cancer Treatment
Cosmetic Procedure: Eyelid Surgery
Health Education Programs: AMH Goes Back to School Through BJC Outreach Program Limb Loss: Lower Extremity Amputation
Glen Ed and Maryville Pharmacies If You Are Not Responding To Traditional Medication, We May Be Able To Help page 12
Physical: Swing Away Elbow Pain & Get Back to Your Game Financial Health: Protecting Elder Americans from Financial Abuse Dental Technology: Why Do I Need Dental X-Rays?
This Month’s Cover Story:
Women’s Health: What Should I Know Before My First Gynecology Appointment? E4D System: Porcelain Restorations
Walk For Diabetes: Walk to Stop Diabetes
Private Duty Services: Bridging the Gap in In-Home Health Care
FastBraces: Ask The Dentist
Support: July is Bereaved Parents Awareness Month
CoolSculpting: Freeze the Fat Away!
In The Community: Calendar of Events
Cover and cover story photos, courtesy of Roger Smith Portrait Gallery.
For advertising information, contact Christine Tyre, owner. Cell: 618-741-7196 • Fax: 309-691-2187 firstname.lastname@example.org Healthy Cells Magazine is a division of: 1711 W. Detweiller Dr., Peoria, IL 61615 • Ph: 309-681-4418 Fax: 309-691-2187 email@example.com 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 Metro East 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 in high traffic locations throughout the Metro East area, including medical facilities and other waiting rooms. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Metro East area. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.
Understanding the Positive Effects of Dermal Fillers By Ooh La La Anti-Aging and Wellness
Mirror, Mirror on the Wall... Why do You Make Me Look So Old When I Feel so Young?!? When you look in the mirror, do you see a worn-out “puppet” staring back at you? Do you have lines from your mouth to your jaw (known as marionette lines)? Or perhaps you have a loss of volume resulting in sunken cheeks or deep folds around your mouth (known as nasal labial folds). There is an effective, in-office procedure, using dermal fillers like Juvederm and Radiesse, to help correct those areas of laxity. Now, you might be thinking, “I’m afraid to put that stuff in my face, what is it??” Here are some details that will shed a more positive light on this corrective, non-surgical enhancement that can lift your cheeks and lift your spirits at the same time! Many facilities boast their cosmetic services. But using fillers is truly an art that is not to be performed by just any Joe-Schmoe. Choose your physician injector carefully; ensuring that she injects to enhance your facial features in a natural, subtle way without looking overdone. When performed correctly, results can rival expensive, painful surgeries, which is why it’s often referred to as a “Liquid Facelift.” Fillers are the ideal answer for those who are not ready to go under the knife but want to enhance and add volume to their face; they give you immediate gratification due to the plumping action of the product but best of all—they are entirely affordable! Juvederm and Radiesse are convenient, safe, and effective dermal fillers. Fillers are used to enhance your facial features, and yes, you will still look like you, only better! Also, don’t worry about a chemical that is lurking in your body as these products are naturally metabolized. Juvederm is comprised of cross-linked Hyaluronic Acid which is a naturally occurring substance in your body. By binding and holding 1000 times its weight in water, the results are smooth and look very natural. Radiesse is comprised of calcium-based microspheres, which are quite similar to the calcium minerals found in our body. Radiesse can stimulate collagen production in addition to restoring lost volume. These products vary in their consistency and their longevity and may last up to 15 months. Your physician will choose the appropriate product based on the area and the amount of volume that you have lost. So, is it painful? That’s such a common, yet valid question. The treatment is not bad at all; many providers will apply a numbing cream prior to the start of the injections and a numbing agent like Lidocaine is usually mixed into the filler to help patients feel more comfortable. While there isn’t any downtime associated with dermal fillers, side effects such as bruising, swelling and redness may occur, this is usually
minimal and only lasts a few days. After the treatment, it is recommended that you apply an ice pack to the injection sites and avoid anti-inflammatory medications and supplements to help minimize these side effects. To boost the effects of your filler and to look even younger, consider procedures that compliment and maintain your treatment. Your physician’s office should offer a comprehensive approach to anti-aging starting with recommending a good skin care regimen based on your skin type, this is a must to build a foundation for healthy, happy skin. They should also offer other procedures such as texture-smoothing chemical peels, collagen-stimulating laser treatments and microcurrent. Also, please don’t forget to protect your investment with a broad-spectrum SPF and mineral makeup such as Jane Iredale!! Imagine waking up tomorrow and seeing a natural, more radiant you in the mirror—not that puppet from yesterday. Take the first step and schedule a consultation to learn about your beauty options. You won’t regret it; you’ll feel youthful and ful-filled!! For more information or to schedule a consultation, contact Dr. Kristen Jacobs at Ooh La La Spa, Monday through Friday during business hours at 618-288-9117 or visit the website at www.OohLaLaWellness. com. Located at 110 Cottonwood in Glen Carbon, IL.
July 2012 — Metro East Area — Healthy Cells Magazine — Page 5
Support for Caregivers Submitted by Senior Services Plus
oday, there are more than 65 million family caregivers in the United States and growing. There is no one else in a better position to ensure continuity of care for their loved ones. Caregivers are the true strength of the American family. In difficult times, Americans come together to ensure our loved ones are comfortable and safe. Whether caring for a parent, relative, or child, our Nation’s caregivers selflessly devote their time and energy to the well-being of those they look after. However, by devoting yourself to the needs of your loved ones you put your self at greater health risks than the ones you care for. You may not recognize, or you may ignore, the Page 6 — Healthy Cells Magazine — Metro East Area — July 2012
signs of illness, exhaustion, or depression that you are experiencing. But science has now proven what family caregiver advocates have talked about for years; that providing care to someone you love can take a huge toll, both physically and emotionally. When was the last time you stopped to think about yourself? It is now recognized that the stress of care giving results in any number of long-term health effects for the family caregiver. These include: infectious diseases, depression, sleep deprivation, premature aging, and higher mortality rate. Yet millions of family caregivers neglect themselves each year.
Are You at Risk? These findings mean that the cumulative effects of the stress of family care giving are no laughing matter. They mean that all family caregivers really do need to start doing some things to reduce their stress or they—and their loved ones—are going to be in a more difficult situation than they already are. Whatever you do, don’t dismiss your feelings as “just stress.” Self-care is very important, and there is a wide-range of preventive health behaviors that caregivers tend to neglect. These include getting exercise, eating right, having medical checkups on a regular basis, and making time for themselves. But time is precious. We live longer lives and we find that we may require some assistance during those later years. Asking for help from neighbors, your church, social services agencies, and or homecare programs may be necessary. But trusting someone you know little about can be very scary both for the caregiver and their loved one. Picking a homecare company or an individual whom you can trust and ensure they have the skills to help requires some expertise and research. Here are just a few questions that should be asked to get the best possible homecare worker for your loved one: • How long has homecare agency been in business? • Are they licensed and insured? • Does the agency meet with the potential client before services start? • Is the agency available during non-business hours? • An absolute must is: “What are your hiring practices?” Some homecare service agencies may not follow state requirements that exclude applicants who are convicted felons. Other agencies do not require drug screenings.
“You need to know who is coming into your home to provide homecare services so that you can be sure your loved ones are looked after in an appropriate and professional manner,” advises Jonathan Becker, Executive Director for Senior Services Plus. SSP feels strongly that they have a responsibility to take every precaution and safeguard in pre-screening their Homemakers before they are trained and sent into a seniors’ home to provide those crucial in-home services “When we hire an employee we are hiring a friend, caregiver, companion, and someone you can trust.” Theresa Collins, Senior Services Plus Homecare Director, agrees that an individual or family member seeking homecare services through an agency should ask lots of questions and before they hire an individual on their own, they should consider these same critical requirements. SSP thoroughly screens all their potential homemakers. They require a physical, drug testing, fingerprinting, reference checks, and training before they are hired and assigned a client. Following these guidelines will help ensure the safety of the senior and prove that the individual has the required skills to do the job. This is especially vital as 40% of the seniors we serve do not have family living in the immediate area and are dependent on the internet and phone conversations to manage their loved one’s care. Taking that extra step in asking questions may save some heartache and avoid problems down the road. For over 37 years, Senior Services Plus has offered a variety of activities, events, programming, and resources for older adults. If you have any questions regarding hiring practices or state guidelines, please contact Theresa Collins at Senior Services Plus 618-465-3298.
July 2012 — Metro East Area — Healthy Cells Magazine — Page 7
“Super” Snacking Is Easy with Grapes I
n today’s busy world, snacking is an integral part of the American lifestyle, but adults and kids often gravitate toward less healthy choices. Why? According to a recent study on snacking trends conducted by Symphony IRI Group, more than half of consumers said that they opt for taste over health in their snacking choices. This can lead to overconsumption of high-fat, high-salt processed snacks. However, 60 percent of consumers also say that they are trying to eat foods that help maintain or improve their health. Unfortunately, those processed foods aren’t up to the task. So what’s the answer? Ellie Krieger, MS, RD, celebrity chef, best-selling author, and TV host, has a solution that appeals to both adults and kids. She’s teamed up with California’s fresh grape growers to help replace those highcalorie snacks with ones featuring fresh grapes, which are naturally sweet, healthy, and portable. According to Krieger, “Both adults and kids want snacking options that are quick and easy, but also flavorful and interesting. Any way you dress them up or down, grapes add a sweet sparkle, crunch, and color to snacks, and they can double for appetizers when entertaining.”
Page 8 — Healthy Cells Magazine — Metro East Area — July 2012
The Original Super Snack Why are grapes such a “super” snack? • One serving (3/4 cup) of grapes contains just 90 calories, no fat, no cholesterol, and virtually no sodium. • Grapes are always ripe and ready-to-use: no peeling or seeding required. • Grapes of every color contain a variety of antioxidants and other polyphenols—natural components in grapes that appear to contribute to a healthy heart. • Grapes can be enjoyed as a snack, on the go or as an ingredient in a tasty dish. Ellie’s Tips for Strategic Snacking: • Snack only when truly hungry • Plan ahead for a healthy snack • Try to keep snacks under 200 calories • Eat regular and balanced meals to prevent hunger munching Source: www.FamilyFeatures.com.
Grapes in a Canoe Created by Ellie Krieger Makes: 4 servings 4 large celery stalks 8 teaspoons peanut butter or almond butter 1 cup red California grapes 32 thin pretzel sticks, preferably whole wheat If necessary, make a slice or two on the spine of each piece of celery, so they lay flat on a plate. Spread 2 teaspoons peanut butter or almond butter into each celery stalk. Place the grapes in a row inside the celery, pressing them lightly into the nut butter. Position 8 pretzel sticks along the sides of each celery “canoe” to look like oars for the grape “rowers.” Nutritional analysis per serving (1 canoe): Calories 120; Total Fat 6 g; Protein 4 g; Carbohydrate 16 g; Fiber 2 g; Cholesterol 0 mg; Sodium 200 mg.
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www.DentistryWithTLC.com July 2012 — Metro East Area — Healthy Cells Magazine — Page 9
Swing Away Elbow Pain & Get Back to Your Game By Laura Bean, MS, OTR/L, PRORehab Hand Therapist in the Fairview Heights clinic
s summer gets into full swing, many of you may have started to get back to the golf course and tennis courts for the first time since last season. Tennis and golf are known to place increased stress on the elbow and lead to irritation of the tendons around the elbow. These conditions are commonly called “tennis elbow” and “golfer’s elbow”. They can be so painful that they can cause some to give up their sport. Proper warm up and stretching of forearm muscles help with prevention and can be a great place to start treatment if you do begin to have pain.
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w w w. F r e e z e T h e F a t A w a y. c o m Page 10 — Healthy Cells Magazine — Metro East Area — July 2012
It was previously thought that the pain associated with chronic tendon pain or “chronic tendonitis” such as tennis elbow, was due to inflammation. However, recent research has shown the tendon to have very little, if any inflammation. Instead, repetitive stress on the tendon causes an over development of scar tissue which effectively weakens the tendon. This is important when we consider the best treatment approach. While rest, ice, and anti-inflammatory medication may initially reduce the pain, they don’t necessarily address the root cause of the injury. The most effective treatment will help stimulate the tendon to remodel itself and get stronger. What is “scar tissue” exactly? Scar is your body’s natural response to an injury to assist with strengthening an area where damage has occurred. The strength of the scar helps to stabilize the damaged area so you can continue your normal activities. In most cases, scar tissue is helpful. On some occasions it can be laid down in excess or in a pattern that doesn’t allow you to perform your normal activities without pain. When you develop a form of tendonitis whether it is acute or chronic; your body lays down scar tissue to help strengthen the area. All the small injuries add up over time until enough damage has occurred and pain and inability to use the affected extremity are noticed. ASTYM is a therapy approach that addresses problems such as scarring, fibrosis and degeneration that occur in soft tissues throughout the upper and lower extremities. ASTYM is effective for new injuries as well as chronic conditions. ASTYM treatment uses instruments along the surface of the skin to locate these problem areas and start the body’s healing process. As your body heals, exercise and activity as directed by your physician and therapist help guide healing, allowing you to return to your activities without pain or limitations. So, if you or someone you know is suffering from elbow pain whether it is from tennis, golf, or gardening, remember a comprehensive treatment approach with elements of stretching, low level strengthening exercises and pain relieving techniques will give you the best chance of getting back to the activities you love quickly and prevent them from returning. Physical therapists are the experts in the evaluation of movement and movement dysfunction. Visit www.prorehabpc.com to learn more on why an injury or surgery doesn’t mean that you can’t be ALWAYS IN MOTION.
Three Illinois Clinics to serve you: Alton: 618-208-3310 Edwardsville: 618-307-3434 Fairview Heights: 618-624-9300 Conveniently located in Downtown St. Louis as well July 2012 — Metro East Area — Healthy Cells Magazine — Page 11
Glen Ed and Maryville Pharmacies If You Are Not Responding To Traditional Medication, We May Be Able To Help By Kelsey Grapperhaus and Christine Tyre
Maryville Pharmacy Staff
aryville Health Mart Pharmacy has been helping customers in the Metro East stay healthy for 35 years. Gary Ceretto, owner and registered pharmacist at the Maryville location, opened his doors around the same time as Anderson Hospital. To serve even more customers in the surrounding area, Glen Ed Health Mart opened two years ago in Glen Carbon. Rod Haselhorst, RPh and co-owner, brings his knowledge and passion to the residents of the Metro East. Both Rod and Gary are passionate about helping their customers get the “right medication at the right dose every time!” They specialize in compounding medications for specific patients, giving each and every patient an individualized solution. Glen Ed and Maryville Pharmacies are independently owned, traditional retail pharmacies that have everything one might need for good health. While they fill regular prescriptions , they also specialize in compounding to bring patients in the Metro East customized medications designed for each individual’s specific needs. They have the capacity to compound sterile as well as non-sterile products. They conveniently serve the community with quality home medical equipment and supplies, have a diabetic care center, mastectomy boutique, individualized pain management treatments, and bio-identical hormone replacement therapy and many other customized medications. Page 12 — Healthy Cells Magazine — Metro East Area — July 2012
What is Compounding? Pharmacy compounding is the art and science of preparing medications that are customized to meet the specific needs of each individual patient. Compounding customizes the drug, strength, size, and dosage form to fit each individual patient specifically. This allows patients with special needs such as difficulty swallowing pills or who have allergies to certain medications, to have their prescription individualized to their specific needs. Both pharmacies offer compounded medications for pain management, bio-identical hormone replacement, podiatry, ophthalmology, pediatrics, dermatology, cosmeceutical, veterinary, and dental use. All compounds are formulated using FDA approved ingredients. With compounding, patients can not only get the exact medication they need, but they can get it in a variety of forms that will best meet their needs. Examples are listed below: • Topicals or Transdermal • Lollipops (Creams, Ointments, Gels, • Special Flavoring Foams, Sprays, Cleansers) • Troches • Solutions and Suspensions • Suppositories • Rapid Dissolve Tablets • Other Combination Therapies
Customized Bio-Identical Hormone Replacement Therapy: Bio-identical hormones have a molecular structure that is identical to hormones that are naturally produced by the human body. They are intended to replace the hormones that diminish with aging, surgery, or disease. The replacement hormones must duplicate the function of hormones that were originally produced by the human body, which means the chemical structures must be identical. Pharmaceutical hormones are synthetic, artificial, and have been chemically altered, and are not identical to the hormones produced by the body that they are intended to replace. These structural differences may be responsible for some of the side effects seen with non-bioidentical hormones. Maryville Pharmacy is no stranger to bio-identical HRT since they have been compounding hormones for over 20 years. Today’s modern women prefer natural hormones. Bioidentical hormones include estriol (E3), estradiol (E2), estrone (E1), progesterone, testosterone, DHEA, and pregnenolone. Glen Ed Pharmacy can customize a special hormone regimen to combat many hormone-related symptoms or problems. The experienced and knowledgeable pharmacists can help women with PMS, cramps, endometriosis, premenopausal symptoms, weight gain, mood swings, reduced libido, vaginal dryness, painful intercourse, hot flashes, night sweats, poor concentration and insomnia. Hormone replacement is also available for men who may need testosterone supplementation. When any of the above symptoms are present, a patient can see their physician and be evaluated to determine if they are deficient in any particular hormone. These compounded prescriptions can be specifically designed for each patient in unique delivery forms. The pharmacists at Maryville and Glen Ed are always available to consult with patients about symptoms, dosages and other alternatives if their current treatment isn’t working to relieve symptoms. Pain Management: Glen Ed and Maryville Pharmacies also specialize in offering customized pain treatment options. When dealing with pain has become a way of life, compounding can offer pain relief. Just as every patient is unique, so are the various types of pain. There are a wide variety of individualized combinations that be compounded that include anti-inflammatories, muscle relaxants and neuroleptics. Glen Ed and Maryville Pharmacies will work with physicians to find the right combination for you. Some of the physicians they work with are podiatrists, orthopedic surgeons, pain management specialists, primary care physicians, rheumatologists and sports medicine. Several physicians who have seen significant improvements in their patients’ level of pain include podiatrists Christopher Dugan, MD and John Lindsey, MD; orthopedic surgeon Peter Anderson, MD; and anesthesiologist/pain management Greg Randle, MD. Dr. Dugan, of Associated Foot Surgeons, believes these well-studied, specially compounded pain medications provide superior relief with fewer side effects than commercially available products. The pharmacists also follow up with patients to make sure the compound is working and to see if any changes need to be made. These compounded medications come in topical gels, creams, and ointments. Below are just some of the types of pain that can be treated with compounds: • Inflammatory Pain • Cramps • Neuropathic Pain • Arthritis (Diabetic Neuropathy) • Fibromyalgia • Muscle Pain • Post Surgical Pain • Plantar Fasciitis • Sports Injuries Other benefits of compounded medications for pain management are that there is less potential for side effects and drug interactions, less overall medication can be used, less potential for abuse, and numerous medications can be compounded into one formulation resulting
Glen Ed Pharmacy Staff in superior results. Unlike traditional oral medication, the topicals go directly to the source of pain without going through the entire body. Pediatric Compounding: When a child has an allergy, medications can be customized to eliminate gluten, dyes, sugar, lactose, alcohol and preservatives. If a child cannot swallow a pill, alternatives such as lollipops or transdermal gels can be compounded If the taste is a problem, pleasantly-flavored suspensions, concentrates, gummies, lollipops or lozenges can encourage a child to take their medication. The pharmacists can also combine medications and supplements into one dosage form to simplify administration and improve compliance. Individualized dosing can be compounded for the optimal dose based on age, weight and disease state to provide the benefits while minimizing risks of side effects. Some of the pediatric conditions that can be treated with compounded medications are diaper rash, cough/cold, fever, psoriasis/eczema, nausea/vomiting, head lice, acne and warts, just to name a few. Veterinary Compounding: Getting pets to take medications can also be a challenge. The pharmacists at Maryville and Glen Ed can assist pet owners in getting their furry friends the treatment they need. It can be very difficult to get animals to swallow pills, so there are topical creams and liquid concentrates available as alternatives. The creams can be rubbed into the animals’ ear, which makes giving the animal the needed treatment July 2012 — Metro East Area — Healthy Cells Magazine — Page 13
much easier. The animals enjoy getting their ears rubbed while getting the benefit of taking their medication. The liquids are flavored with beef, chicken, liver, fish or bacon to make them more desirable. The medications can be concentrated so that the animal takes less medication. Ophthalmic Compounding: Glen Ed Pharmacy has the only sterile lab in the Metro East capable of compounding eye drops and injectables. They can compound antibiotics, vitamin treatments, and serum drops. Of course, the drug, strength and size can be individualized to the exact needs of the patient. The pharmacy stocks a wide range of specialty, commercially available, compounded, and supportive-care ophthalmology medications. OTHER SERVICES Mastectomy Boutique Maryville Pharmacy has a full service boutique for women who have had a masGary Ceretto, RPH, at Maryville Pharmacy and Rod Haselhorst, RPH, at Glen Ed Pharmacy. tectomy or lumpectomy. Diane Ceretto, CFm, runs the boutique and carries a wide • Members of PCCA (Professional Compounding Centers of America) variety of brands and styles of products to make women more comfort• Metro-East Pharmacist Association able after their procedure or surgery. • Illinois Pharmacists Association When non-surgical enhancement is needed after a mastectomy or • Members of the Maryville and Edwardsville/Glen Carbon Chambers lumpectomy, Diane, certified fitter, can help with prosthesis and bra seof Commerce lection and fitting. She offers one-on-one care in a private setting. There are many styles, shapes and colors to choose from; Amoena, Natural Glen Ed and Maryville Pharmacies take pride in making their cusWear, Jodee and ABC and she can help with every choice. The boutique tomers’ lives easier. Some of the services they offer: carries prosthesis that are non-stick and will fit right into the bra pocket • Free Local Delivery and the contact form that adheres directly to the body and follows every • Free Shipping On Compounded Medications movement, just like a natural breast. The boutique offers support bras • Convenient Drive-Thru Service and post-surgical camisoles with drain management for after surgery • Competitive Pricing needs. For compression after surgery, Surgi-Bra is also available. The staff at Maryville Pharmacy believes in 100% customer satisfac Whether you need sterile injectables/intrathecals, topical or transtion and will do whatever it takes to make customers feel relaxed and dermal gels, creams, ointments, sprays, foams, suppositories, troches, comfortable with the absolute utmost discretion. capsules, or rapid dissolve tablets, Glen Ed and Maryville Pharmacies can provide innovative solutions for you. Most of the compounded Durable Medical Equipment medications are covered by commercial insurance. To contact either Maryville Pharmacy has a full supply of home medical equipment. of these two pharmacies, use the contact information listed below: Walkers, wheelchairs, nasal C-PAPs, oxygen delivery systems, oxygen concentrators, as well as conserving devices and cylinders are all • Glen Ed Pharmacy available for purchase or rent. They also carry home nebulizer units, 1 Ginger Creek Meadows glucose screening and blood pressure monitors, breast pumps, over Glen Carbon, Il 62034 the-bed tables and hospital beds. Gary and his staff not only provide Phone: 618-655-9898 dependable equipment but also offer professional support, help with Fax: 618-655-0230 filing health insurance claims, and even follow-up service. www.glenedrx.com Hours: Mon-Fri: 9am-6pm and Sat: 9am-1pm Reliable Staff/Community Service: The reliable, friendly, and expert staff at Glen Ed and Maryville Phar• Maryville Pharmacy macies take the time to give each of their customers the personal at 2700 N. Center tention he or she deserves, and are trained to find the right products Maryville, Il 62062 for each individual. The staff makes an effort to have personal relation Phone: 618-288-7474 ships with each and every person that walks in the door. Not only do Fax: 618-288-1860 these two pharmacies develop relationships with their patients but they www.maryvillerx.com also prove their loyalty and commitment to the community by being Hours: Mon – Fri: 9am-7pm and Sat: 9am-2pm involved in various activities like the ones listed below: Page 14 — Healthy Cells Magazine — Metro East Area — July 2012
Protecting Elder Americans from Financial Abuse Submitted by BARBERVoss Home Care
our parents took care of you when you were little, and there may be a time when you need to take care of them. Even if your parents are still physically able, you will need to look out for them on multiple levels, as elder abuse can come in many forms—physically, emotional, and financial. Because those over 55 control over 77% of the wealth in the United States, elders can be prime targets for financial abuse. Predators can easily gain the trust of those who may be lonely or isolated from family and friends. Additionally, those elders who have diminished cognitive abilities will be easier to manipulate, especially when the abusers hold a position of trust, such as a friend or family member. Sadly, elder financial abuse can be difficult to detect; it is often unreported because it may not be recognized as abuse. In the case of elders who eventually realize what has happened, they tend not to report the crime due to embarrassment or a feeling of responsibility about what happened. Unfortunately, this leaves the predators free to commit this crime again and again. Moreover, if others, such as lawyers, caregivers, or other professionals, realize that elder financial abuse has or is occurring, they may not report the crime because they do not want to prosecute a colleague or want to avoid adverse publicity. Unfortunately, over 60% of the abusers are family members—an adult child no less—who tend to be financially dependent on the elder in question. While any elder can be a target for this crime, women in particular are targeted due to their longer lifespan and possible unfamiliarity with financial decisions after the passing of a spouse, among other reasons. What signs can you look for regarding elder financial abuse? You may notice unusual or excessive worry about finances, larger-thannormal credit and cash transactions in a short period of time, or odd reasons for, or secrecy regarding, withdrawing money. Aside from financial changes, elders may gain new “friends”, be missing possessions, or undergo abrupt or unexplained changes in behavior, grooming, or health.
How can you protect yourself or your loved ones from elder financial abuse? First, make sure to have a reliable and reputable power of attorney. Keep any valuables and important documents safe and record what they are. Never give out personal information—social security numbers or personal banking information—to anyone over the phone. Try to avoid isolation—make sure that there is a network of trusted friends and professionals around your loved one. Professionals, such as medical personnel, social workers, clergy, and nursing home workers, are required to report elder abuse, financial or otherwise. If you, as a friend or family member, suspect elder financial abuse, report it immediately with as many details as possible. For the Metro East area, contact Senior Protective Services at 618-236-5863. For more information or for a presentation to your community group about elder financial abuse and what you can do about it, please contact BARBERVoss Home Care at 618-257-3444 or visit www.barbervoss.com. July 2012 — Metro East Area — Healthy Cells Magazine — Page 15
Why Do I Need Dental X-Rays? By Ty Parker, DMD, PC, Fountains Family Dentistry
ecent news articles have gotten many patients nervous about the use of dental X-rays. Many patients are questioning the amount of radiation received from dental X-rays, as well as the necessity of dental X-rays. Dental X-rays are definitely needed to determine if patients have problems with their teeth. The good news is that dental X-rays are very safe.
Page 16 — Healthy Cells Magazine — Metro East Area — July 2012
Why are dental X-rays taken? Typically patients receive a new set of full mouth X-rays when they go to a new dentist. Then patients receive cavity-detecting X-rays every 6–18 months to determine if new problems have occurred. The amount of X-rays and the type and frequency vary by patient based on how susceptible a patient is to getting cavities.
Dental X-rays not only help determine if a patient has hidden cavities in between their teeth; but also help to reveal abscesses, cysts, tumors, bone loss, foreign bodies, impacted teeth, and the presence of periodontal disease. Dental X-rays also help determine the condition of existing crowns, fillings, and bridges. Without dental X-rays, many of these potentially dangerous conditions would go undetected. How much radiation do dental X-rays expose me to? One of the benefits of dental X-rays is that they are very focused and greatly limit the exposure of the patient to radiation. Some patients are very concerned about their exposure to radiation. This is understandable with recent headlines about the dangers of dental radiation, and the high levels of radiation exposure that many medical X-rays have. Compared to most medical X-rays, the exposure to radiation is much less. With modern digital x-ray sensors, a patient is exposed to only six to eight mREM for an entire full mouth series. An mREM is a unit of measurement used for x-ray exposure. For comparison, a person is exposed to 360 mREM per year from environmental factors such as living in brick homes, sleeping next to people, sunlight, driving, and being near electrical devices. A person is exposed to two to three mREM every time they fly in an airplane. A single chest x-ray can expose a patient to over 10 mREM. Government safety guidelines limit workplace exposure to 5000 mREM yearly; that’s the equivalent of over 800 full mouth dental series! When considering the amount of radiation that people are exposed to, it
becomes obvious how little radiation a person is exposed to from dental X-rays. How does new technology limit radiation exposure from dental X-rays? New technologies have greatly decreased the amount of radiation exposure caused from dental X-rays. Digital X-rays have reduced the amount of radiation that patients are exposed to by 80%. This has helped to calm many of the concerns over dental x-ray radiation exposure. Also, special safeguards such as lead aprons and special x-ray units have also reduced the exposure to patients. The best thing to do if you have concerns about exposure from dental X-rays is to discuss your concerns with a dentist. Many dentists will work with patients to reduce the amount of radiation that their patients are exposed to. However, it is important to know that without dental X-rays a dentist cannot give an accurate diagnosis of dental problems, or may not be able to determine if there are dental problems at all. The small amount of radiation that dental X-rays expose a person to are worth the benefits that come from getting dental X-rays. Dr. Parker and his team use digital x-ray technology to limit patient exposure. If it has been a while since you have had dental X-rays, you should contact Dr. Parker and his staff at Fountains Family Dentistry at 618-622-1800 or visit www.FountainsFamilyDentistry.com.
Your Passage to
www.passageshospice.com Toll-free (888) 741-8985 firstname.lastname@example.org July 2012 — Metro East Area — Healthy Cells Magazine — Page 17
How to Choose the Best Provider for Your Next MRI By Laura Reed for Imaging Center
ust like your option to choose your doctor, you also have the choice of where you can go to get your next MRI. Your doctor will make a recommendation on where to go, but is it the right place for you? There are many factors that you should consider when choosing the best provider; namely quality, cost and convenience. In this economic climate, cost is a key factor when considering where to get an MRI. Charges for MRIs can vary drastically from one facility to another. Consider that some outpatient facilities are able to charge less for MRIs and other imaging services because their overhead is less and they have lower contracted rates than hospitals. Remember that it’s completely acceptable for you to call and ask what the charge is for an MRI and compare costs before you agree to one provider over another. “At Imaging Center we offer both high field MRI and open MRI so our clients can choose which option is best for them. We are also a much more affordable option for patients due to our low overhead.” said Randy Pruetzel, CFO of Imaging Center of Wolf Creek in Swansea and Imaging Center of Alton. Another point to consider when choosing a quality MRI provider is the qualifications of the radiologists. Ask if the radiologist is boardcertified and fellowship trained. Many people do not know that radiologists can also specialize in the type of MRI they read. Some radiologists have furthered their training to enhance their skills. Also ask if the facility is accredited by the American College of Radiology for MRI. Do your research and your experience will be a more positive one. Obviously, choosing an MRI provider that is convenient is also a benefit. If elderly or injured, look for a facility that meets your other criteria and is also at ground level with convenient parking. Some providers also promise same-day appointments and less wait time, which Page 18 — Healthy Cells Magazine — Metro East Area — July 2012
also makes the facility much more convenient for patients. According to Stephanie Dykstra, Managing Member of the Imaging Center of Alton and Imaging Center at Wolf Creek, “Our patients like our convenient locations and caring, friendly staff. We make their visit simple, fast and affordable and that’s how we keep people coming in the door.” So the next time you need an MRI, do your research. Ask friends and family members where they had their last MRI. Also ask them how the facility performed in terms of quality, cost and convenience, and where they would recommend you go for a well-rounded experience. Most of all, remember that it is your choice of where to get your MRI so choose the facility that is right for you. For more information, contact Imaging Center in Swansea at 2777912 or Imaging Center in Alton at 465-7912.
whole body vibration
AMH Auxiliary Provides New Therapy Equipment By Mike Hentrich, Physical Therapist, Alton Memorial Hospital’s Human Motion Institute
he Human Motion Institute owes a sincere debt of gratitude to the White Cross Auxiliary for its recent contribution of the Power Plate Pro 6 whole body vibration unit. Through the Auxiliary’s efforts, physical therapists at Alton Memorial Hospital are able to offer this new and innovative technology to a variety of orthopedic patients. Whole body vibration has been studied thoroughly and uses small amplitude vibrations at varying frequencies. The vibrations stimulate a specific nerve receptor located in muscle and tendon, which contribute to developing tension-generating capabilities. Those familiar with exercise training may have heard the term Plyometrics. A simple example of a Plyometric movement would be jumping, during which a muscle changes the nature of contraction from a lengthening phase to a shortening phase in a very short period of time. This results in stimulation of those specific receptors and subsequently increased tension development within the muscle tendon unit. Human Motion Institute physical therapists Theresa Miller, far left, and Mike Hentrich, far right, with This is a very powerful and advanced members of the White Cross Auxiliary and the Power Plate Pro 6 whole body vibration unit. Auxiliary mode of strength development. members are, left to right, Cass Funkhouser, Kelli Lauschke and Irene McLaughlin. The equipment is However, it also exposes the body located at the HMI Rehab and Sports Performance Center, 226 Regional Drive in Alton. to unwanted compressive forces, which are obviously detrimental to resources that help us to better serve members of our community. arthritic joints. Whole body vibration mimics this phenomenon in a very Our department is only one example of many throughout Alton Memocontrolled situation, protecting the joint surfaces while still stimulating those rial Hospital that has been able to improve the quality of its services specific nerve receptors responsible for helping to generate intramuscular through the efforts of the White Cross Auxiliary. tension, and ultimately, strength. We, at the Human Motion Institute, are continuing to see more paKeep up the great work! We tip our hats to all of you. tients who suffer from degenerative joint disease. The importance of strength in this population is critical in controlling pain and maintaining Mike Hentrich is a physical therapist as well as a certified strength and function, oftentimes in the knees and hips, but also in the spine and conditioning specialist at Alton Memorial Hospital’s Human Motion Instiankles. This form of training provides an excellent adjunct to conventute. The Human Motion Institute is a service of Alton Memorial Hospital tional strength training, and thanks to the White Cross Auxiliary, we are that provides physical, occupational and speech therapy. For purposes of able to offer this to our patients. insurance coverage, look for Alton Memorial Hospital in your provider di In addition to our gratitude to the White Cross Auxiliary, we also rectory and when communicating with your insurance company. For more recognize the community at large who, through their help and support information, visit www.altonmemorialhospital.org. of Auxiliary functions and fund raisers, have ultimately provided the July 2012 — Metro East Area — Healthy Cells Magazine — Page 19
With Preventive Screenings You Can Curb Serious Health Problems By George Andrews, MD, Humana
bout half of American adults suffer with at least one chronic condition, such as heart disease, cancer, or diabetes, according to the Centers for Disease Control and Prevention (CDC). However, many of these conditions are preventable or can be detected early through check-ups and screenings, which oftentimes are free or covered at low costs by most health plans. Being proactive by regularly taking advantage of the availability of preventive tests can decrease trips to the doctor or the emergency room and help detect chronic conditions before they become serious and require expensive treatment. To encourage their members, many health insurers offer rewards, such as free or discounted medications, for taking these preventive tests. Some plans also help make it easy for members to have the screenings by setting up appointments for them or providing home test kits. However, despite these benefits, there is concern that adults aren’t getting the preventive care they need for lifelong health and
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“Many of these conditions are preventable or can be detected early through check-ups and screenings, which oftentimes are free or covered at low costs by most health plans.” well-being. Here are four key areas where Humana suggests you get preventive care: Cancer: Fewer than half of adults over age 50 are up-to-date with screenings for colorectal cancer. However, estimates suggest that a screening, such as a colonoscopy—recommended every 10 years by the CDC—could help save more than 18,000 lives annually from colorectal cancer, the second leading cause of U.S. cancer-related deaths. Additionally, recent studies found that only half of eligible women in the U.S. get their recommended annual mammogram. Mammograms lower the risk of dying from breast cancer by 35 percent in women over the age of 50. Diabetes: Diabetes, which affects 24 million Americans, is the leading cause of heart disease, stroke, blindness, kidney failure, and lower-extremity amputation. With tests available to monitor for cholesterol, blood sugar, blood pressure, blindness and foot issues, it is easier than ever to diagnose diabetes and reduce the progression of related complications. Heart & Stroke: Heart disease and stroke are the first and third leading causes of death, respectively, also accounting for a large number of disabilities for Americans. Fortunately, screenings have helped reduce death rates for both conditions by more than 20 percent since 1999. Cardiovascular screenings every five years to test cholesterol, lipid and triglyceride levels can help detect conditions leading to a heart attack or stroke. It is also important to eliminate smoking, a direct contributor to heart disease and stroke. Today, many health plans like Humana offer help with smoking cessation. Mind/Body: On average, adults with serious mental illnesses live 25 years shorter than their counterparts without these illnesses, which is largely due to preventable conditions. Depression screenings are just one service designed to help monitor for serious mental health conditions. Counseling for alcohol and drug abuse—both of which can lead to a wide range of physical, mental and social problems—are also available. George Andrews, MD, is the Corporate Chief of Quality at Humana. A former Fulbright scholar, Andrews is board-certified in the areas of internal medicine and cardiovascular disease. Humana Inc., headquartered in Louisville, Kentucky, is a leading healthcare company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. For more information, call Humana at 1-800-336-6801.
Advances in Prostate Cancer Treatment Submitted by Illinois Oncology, Ltd.
ccording to the American Cancer Society, prostate cancer is the second most common cancer in men in the U.S. and the second leading cause of cancer-related deaths in men. Each year one in six men will be diagnosed with prostate cancer during his lifetime, and one in 36 will die from the disease.
PROVENGE One of the latest advancements in treatment options for prostate cancer patients is Provenge, the first-in-class immunotherapy. Provenge is the only FDA-approved treatment for certain men with advanced prostate cancer that uses the patient’s own immune system to fight the disease. This therapy is designed to stimulate a patient’s immune system to identify and target prostate cancer cells. Each dose is manufactured specifically for each patient using his own immune cells through leukapheresis. The leukapheresis procedure itself takes place at an American Red Cross facility. PROVENGE is not a chemotherapy drug and is different from hormone therapy, which decreases the level of testosterone in the body. PROVENGE is an immunotherapy that works by stimulating the natural ability of immune cells already in the patient’s body and may help patients live longer. A typical PROVENGE course of treatment can be completed in six weeks and the most common side effects are mild or moderate. PROVENGE Indication and Safety PROVENGE is an autologous cellular immunotherapy indicated for the treatment of asymptomatic or minimally symptomatic metastatic castrate resistant (hormone refractory) prostate cancer.
PROVENGE is intended solely for autologous use and is not routinely tested for transmissible infectious diseases. The safety evaluation of PROVENGE was based on 601 prostate cancer patients in four randomized clinical trials who underwent at least one leukapheresis. The most common adverse events (incidence greaterthan or equal to 15%) are chills, fatigue, back pain, nausea, joint ache, and headache. Serious adverse events reported in the PROVENGE group include acute infusion reactions (occurring within 1 day of infusion) and cerebrovascular events. In controlled clinical trials, severe (Grade 3) acute infusion reactions were reported in 3.5% of patients in the PROVENGE group. Reactions included chills, fever, fatigue, asthenia, difficulty breathing, hypoxia, bronchospasm, dizziness, headache, hypertension, muscle ache, nausea, and vomiting. No Grade 4 or 5 acute infusion reactions were reported in patients in the PROVENGE group. For more information on PROVENGE, please see the full prescribing information at www.provenge.com Illinois Oncology, Ltd, in Swansea, IL is proud to now offer prostate cancer patients PROVENGE. In March, a 63-year-old patient of Dr. G. Rodriguez, of Illinois Oncology, with Stage 4 prostate cancer became the first patient to receive PROVENGE at our Swansea site. He received the three infusions each two weeks apart without any difficulty. For more information, visit www.illinoisoncology.com Illinois Oncology’s main office sites: 4000 N. Illinois, Swansea, IL, 618-288-8000, or 2227 Vadalabene Drive, Maryville, IL at 618-288-6800
July 2012 — Metro East Area — Healthy Cells Magazine — Page 21
Eyelid Surgery By Patricia Novelly, Director of Practice Relations, Illinois Eye Surgeons
re droopy eyelids affecting your vision? Do your eyes feel tired and are you having difficulty keeping your eyes open to do daily tasks or drive? As we age, it is not uncommon to develop extra skin around the eyelids, known as dermatochalasis. It is not uncommon for lower lids to become affected also as the malar cheek pad descends. You may experience “bags” or excess skin in the lower lid from either a laxity in the skin or a prolapse of the fat pads. This condition will only get worse if not corrected. An upper eyelid blepharoplasty is usually considered a cosmetic procedure unless the heavy lids or detached levator muscle causes a decrease in the field of vision. In those cases, insurance companies may consider the blepharoplasty a necessary procedure. With some local anesthetic, the surgeon will make an incision along the upper eyelid crease so it is essentially invisible with the eyes open. The surgeon will determine the amount of skin and muscle to be removed. If the levator muscle is detached, it is reattached to the tarsus muscle. The whole procedure usually takes less than an hour.
Repair of the lower lids is called a lower lid blepharoplasty and is considered a cosmetic procedure because it does not affect the field of vision. Fat pads and excess skin are removed by making an incision along the crease near the eyelashes. Sometimes the lid is very lax and may need to be tightened at the same time. The eyelid tightening is called a canthopexy. Surgery on the lower lids usually takes 60-90 minutes. Recovery time is usually very quick with minimal discomfort. The surgeon uses dissolving sutures in both upper and lower lid surgery so there are no stitches to be removed. If you are suffering from droopy eyelids, call Illinois Eye Surgeons to make an appointment with Dr. Michael Jones at 1-855-260-EYES or visit www.illinoiseye.com. Michael P. Jones, MD, is a board-certified ophthalmologist specializing in cataract surgery, refractive surgery, eyelid surgery, and diseases of the eye. We put lives in FOCUS
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health education programs
AMH Goes Back to School Through BJC Outreach Program
t’s never too early to teach area students a few things about healthy living. Through the help of a $35,000 annual grant from the Alton Memorial Health Services Foundation, Alton Memorial Hospital is able to offer health education programs from BJC School Outreach and Youth Development for several schools in the hospital’s service area. “Each program is designed to address Illinois Learning Standards and target a particular grade level,” says Diana Wilhold, Director of the BJC School Outreach and Youth Development Department. “There are programs in many schools and communities that reach a lot of youth. Unfortunately, many of these programs do not have a formalized method of evaluating the effectiveness of what is being taught. Our programs include pre-post assessment and we have found that there is a 40 percent to 57 percent improvement in knowledge, attitude and behavior change for the various programs.” Programs address the six high-risk health behaviors identified by Centers for Disease Control and Prevention and a comprehensive health career exploration program. The health topics are tobacco, substance abuse, nutrition, physical acErica Oliver, a BJC educator with the School Outreach & Development program, leads a tivity, sexual behaviors, and safety-violence prevensession at Delhi Elementary School under the watchful eye of fourth-grader, Danielle Lambert. tion. BJC health educators, who represent AMH at any Illinois school they visit, will spend 45 minutes people at the scene of a bullying incident are witnesses, so they can do to an hour per session in each classroom of the requested grade level a lot to help curb the problem by speaking up.” in one school building. The intent of the program as a whole is to support the Madison “Programs are usually four sessions in length, although our nutrition County Health Department’s goals of targeting sexuality and addiction program is six sessions,” Wilhold says. issues. Power of Choice (the substance abuse program) and Heart 2 The Jersey School District was added to area schools during the Heart (which discusses teen sexuality, positive dating, and STIs/HIV) past school year, with fourth and fifth grade students participating in are taught in the upper grade levels. the Buddies program. That program dealt with the problem of bullying. “What we do is integrated into each school’s goals for educating Erica Oliver was the BJC educator leading the sessions in four separate the students,” Wilhold says, “and we tailor our programs to the need of classrooms at Delhi and Fieldon elementary schools. each school.” “Everything about the program was just awesome,” said Mary In addition to the Jersey schools, the School Outreach program is Schell, the principal of both schools. “The feedback from both teachin the Alton, Bethalto, Roxana, East Alton, and Wood River-Hartford ers and students has been great. Not that we had a big problem with districts, plus Marquette Catholic High School in Alton, Zion Lutheran bullying before, but you can still see the culture change. Students are School in Bethalto, and St. Ambrose School in Godfrey. complimenting each other and it’s obvious the program has had an “The school administrators have been happy with the services we impact. And the kids really connected with Erica right away. She is offer as each program meet their educational needs and provides excellent at being able to reach them even if she’s only with them for a health information that is needed for a lifetime,” Wilhold says. relatively short time.” Wilhold said that the program is used in 61 school districts in Mis Oliver taught the students that there are five types of bullying—versouri and Illinois, with up to 60,000 students being reached each year. bal, gender, physical, emotional, and cyber. “We teach them it’s important to include others in activities and to For more information, visit www.altonmemorialhospital.org. interact with people other than their closest friends,” Oliver said. “One of the big things is for them to see the power of being a witness. Most July 2012 — Metro East Area — Healthy Cells Magazine — Page 23
Lower Extremity Amputation By Kathy Stephens, PT, Director, The Rehabilitation Center at Anderson Hospital
n the United States, there are approximately 1.7 million people living with limb loss. An amputation is the removal of part or all of a body part. In a lower extremity amputation, this could be the removal of the lower leg at the level of the hip, thigh, knee, calf, ankle, foot, or toes.
There are two types of amputations: Non-traumatic: The amputation is the result of a problem inside the lower leg, such as decreased blood flow and or/healing ability in the leg or foot. Common causes are diabetes, peripheral vascular disease, non-healing wounds, tumors, or infections. Risk factors include obesity, tobacco use, alcohol consumption, high blood pressure, and high cholesterol. Therefore, the best way to decrease the risk of having a lower extremity amputation is by preventing problems in the legs. This includes maintaining a healthy weight, eating a balanced diet, getting regular exercise, and practicing good skin care. Traumatic: The amputation is the result of an injury outside the lower leg. Common causes are motor vehicle accidents, gunshot wounds, and war injuries. The loss of function following an amputation is different for every person. This is due to the level of the amputation and the overall health of the person prior to the amputation. Some of the more common problems following an amputation are tightness in the residual limb from lack of use (contractures), pain in the residual limb/ phantom pain (feeling of pain from the missing limb), problems with healing after the amputation, difficulty with balance and walking, increased fall risk, emotional changes or depression. Some lower extremity amputees are candidates for a prosthesis or artificial limb. Learning to use a prosthesis takes time, strength, and patience. What you will be able to do while wearing a prosthesis will depend on the level of your amputation. With a below-knee amputation, doing what you used to do takes 25-40% more energy than it used to. With an above-knee level amputation, it may take 68-100% more energy. Because doing what you used to do will take so much more energy, exercising, and staying healthy are very important. Your strength, overall health, and determination are even more important than the level of the amputation. Technology has greatly advanced in the world of prosthetics, allowing an amputee to perform almost any activity or sport that they want to do. Losing a limb is a life-changing event. After an amputation, the individual will experience different emotions, such as grief, denial, anxiety, frustration, and helplessness. These feelings and fears are normal and part of the healing process. Support groups offer a chance for people to share stories, share feelings, and feel connected to other people who have gone through similar events. The Rehabilitation Center at Anderson Hospital hosts an Amputee Support Group. For more information on the support group or inpatient rehabilitation, please call Kathy Stephens at 618-391-5230.
Page 24 — Healthy Cells Magazine — Metro East Area — July 2012
What Should I Know Before My First Gynecology Appointment? Submitted by Kimberly Sanford, MD, Maryville Women’s Center
t the Maryville Women’s Center, we have young teen girls and women of all ages that brave that first visit to the obstetrics and gynecology (Ob/Gyn) office. The ages range from as early as 12 years to as late as age 28 or 29 years. In other cultures and countries, young women are not necessarily encouraged to see an OB/Gyn unless they are having a baby or having difficulties. Prior to the first visit to the Ob/Gyn office there are several questions that are pretty common among these young women: • When should I have my first gynecologic visit? • Is it normal to be nervous before? • What should I expect at the first gynecologic visit? • What exams are performed? • What actually happens during an external genital exam? • What are the pelvic exam and the Pap smear? • What are common vaccinations given in the Gyn office? • What special concerns can be discussed with the Ob/Gyn? • What can I do to stay healthy?
The purpose of this article is to offer insight into these common questions. The American College of Obstetricians and Gynecologists (ACOG) recommend that young women, age 13 to 15 years, should have their initial visit to the Ob-Gyn. This is about one to three years after the average start of the menstrual period. The patient is, usually, accompanied by her mother, but in some rare instances, her father. That visit is accompanied by much fear and trembling by both parent and child. This can be soothed with the knowledge that they don’t necessarily need an exam. I find that basic education about menstrual cycles, treatment of menstrual symptoms, and the HPV vaccines offers a tremendous amount of material for the first-timer and even their parents. We understand that this visit represents a transition in a young woman’s life. If the patient is requesting hormonal birth control for either cycle control or to prevent pregnancy, this visit is a little more advanced. If the patient is requesting hormonal birth control medications, we will collect a clear and frank sexual history along with the general medical history. At this point we try to make clear to the teen that mom or dad can be asked to step into the waiting room. It is extremely important that all answers to these questions are candid. The exam that is performed depends on sexual activity and the physical complaint that may have brought the teen into the office. If an exam is warranted, the basic pelvic exam (Fig.1) is explained thoroughly then performed with care. The difference between a pap smear (Fig. 2), the cervical cancer screening test, and the pelvic exam is explained in detail. The pelvic exam is the entire Gyn exam, and the Pap smear is a very specific test that is utilized during the pelvic exam. No woman requires a pap smear until she is 21 years old, unless she becomes pregnant prior to that age. The Pap smear is a test that looks for abnormal cells on the cervix that are caused by the Human papilloma virus or the virus that causes genital warts. An abnormal pap smear can lead to cervical cancer, which was a leading cause of death in women prior
to the start of the Pap smear in the 1920’s. It continues to cause high mortality in other developing countries that don’t, necessarily, have access to health care as we do. There are two vaccines on the market that can be given for two to four types of HPV prevention. These four types of HPV cause 70% of the cervical and pelvic disease, but it should be made clear that there are over 80 different types of HPV that exist. Finally, there are many topics that can be covered during that first visit to the gynecologist. Those topics range from cramps and menstrual periods, acne, weight gain/loss, sex and sexuality, birth control, STD’s (sexually transmitted diseases), alcohol drugs and cigarette smoking, and emotional ups and downs. Although we are specialists, the Ob/Gyn falls under the umbrella of primary care. We look forward to meeting the needs of women. For more information on this condition, please contact Maryville Women’s Center at 618-288-2920.
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Porcelain Restorations Submitted by Troy Family Dental
echnological advancements have benefitted virtually every industry. In the field of dentistry, especially over the past five years, technology has revolutionized a number of long-standing practices. Most local dental practices haven’t been able to keep up with the changing landscape. However, there are some dental practices that have embraced the movement and are leading the way with updated technology. One of the latest additions to the dental technology arsenal is the E4D System. The E4D is a state-of-the-art digital scanner, virtual design center, and a milling unit which designs and creates porcelain restorations. This means that some dentists can now can offer you same-day porcelain crowns, veneers, inlays and onlays. In the past, porcelain restorations have generally taken two full appointments to restore a single tooth, the E4D system enables dentists to scan your tooth, design the final restoration virtually, and create your metalfree restoration in just about an hour. This means you won’t have to wear
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Page 26 — Healthy Cells Magazine — Metro East Area — July 2012
a temporary, come back for multiple appointments or be inconvenienced during the process. Traditional dentistry places crowns in two appointments. During the first appointment, the dentist prepares the tooth, takes an impression and places a temporary crown. The temporary remains in your mouth for 2-3 weeks. During that time the tooth may become sensitive, break, or the temporary may pop off. The E4D system eliminates the waiting period giving you a wonderful result in just about an hour. For more information call Troy Family Dental at 667-8020 today. Or…Visit online at TroyFamilyDental.com. Big City Technology – Small Town Friendly --- Troy Family Dental
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walk for diabetes
Metro East Step Out:
Walk to Stop Diabetes By Dan Brannan, The Telegraph
Associated Press stringer, Calvin May, (right) is pictured with former Cardinals Manager, Tony LaRussa.
alvin May, an Associated Press stringer, is known as Tony La Russa’s First Question Guy for the St. Louis Cardinals baseball team. He also relies on insulin injections to preserve his life. An Edwardsville native, May is excited to be the team captain of Team Red for the Metro East Step Out: Walk To Stop Diabetes. Cardinals’ First Question Guy In 2004, La Russa, then the St. Louis Cardinals’ manager, was looking for May, normally the first to ask him questions in the press-
room after games. May was nowhere to be found, and La Metro East Step Out: Russa missed him. May had Walk To Stop Diabetes. been painting at his home on his day off. The next night, La Russa October 6 gave May a hug and said, SIU Edwardsville “You are my leadoff person from now on; you get the Check-in: 8:30 a.m. first question, and nobody Walk begins: 9:30 a.m. else can ask a question before you.” “He took a liking to me from what I understand,” May said. “When I asked the first question, I always tried to ask something positive. This was amazing to me; who would think this would ever happen to somebody like me?” May is a huge La Russa fan and supporter, and the feeling is mutual to him. After La Russa made him the First Question Guy, May said he had to ask the Cardinals manager why he did it. “He told me, ‘You are a good man. You are real. You are always well-prepared.’” “It is unbelievable to me,” he said. “Why would someone of his stature give a kid from Edwardsville, Illinois, an opportunity like that?” New Cardinals Manager, Mike Matheny, has carried on La Russa’s tradition and has May ask the first question after Cardinals home games under his leadership. The Cardinals’ victory in last year’s World Series was one of the most spectacular moments of his life, said May, who interviewed MVP David Freese after Game 6 when he won the game with a home run. “Who would think what David Freese did in Game Six hitting one out of left field would ever happen?” May said. “It was like a dream come true.” Many don’t know this, but during the last innings of the game, May goes back behind the press box area and injects himself each time with long-lasting insulin. He doesn’t talk about it much, although he said he did speak about it with La Russa on a couple of occasions. May, age 49, has had diabetes since he was a year old. In sixth grade, May gave himself his first injection, prior to a dinner with his basketball team. Before that, his mother had given him the shots. “I had to learn how to give myself the shot, or I didn’t go,” he said. Metro East Step Out: Walk for Diabetes The Metro East Diabetes Walk Website is www.diabetes.org/stepoutmetroeast or call 888-342-2383 to register to sponsor or get information or assistance. The walk starts and ends in Parking Lot A of Southern Illinois University Edwardsville. The route travels the walking path through the Botanical Gardens and Cougar Village. July 2012 — Metro East Area — Healthy Cells Magazine — Page 27
private duty services
Bridging the Gap in In-Home Health Care Submitted By VNA-TIP HealthCare
rivate Duty services provide a customized plan of care that can include: nursing visits, home health aides, companion care, and homemaker services. These services are combined and designed to respond to the individual needs of those who require assistance with the activities of daily living— allowing the individual to live independently, often bridging the gap between independent living and institutional care. The need is so great for these services that the private duty segment of in-home health is rapidly growing. Many patients who are ill, disabled, or requiring assistance need some amount of help to remain in their home, some medical and some not. The range of assistance needed varies from patient to patient and there is flexibility with private duty services to select the tasks and time requirements necessary to allow each patient to live safely and independently. Private duty services usually fall outside of the criteria of “skilled home health care” and therefore are not always an available benefit of Medicare/Medicaid. The most common methods for covering the cost of private duty home care are through private payment or long-term care insurance benefits. Private duty services are provided wherever a patient calls home, whether that is at a client’s home, an assisted living facility, a skilled nursing facility, or a hospital. A specially trained and professional staff should provide a person-centered, hands-on care tailored to each client’s needs. Staffing should be available around the clock, including 24-hour cases, and services should be provided for both short-term and long-term requirements. The broad spectrum of private duty services can include: • Workman’s Compensation Care • Accident Recuperation • Overnight Care, Post Operative Care, and Hospital Stay Support • Alzheimer’s and Dementia Care • Personal Care, Meal Preparation, and Light Housekeeping Duties • Companionship, Travel Assistance, and Medication Reminders Utilizing private duty service enables a seamless method of continued care for those in need of home health services or an integration of one or more services being provided at the same time. For example, if a patient is receiving hospice services and find that the family needs help with household chores, then private duty services fills this gap by providing services in conjunction with hospice care. Page 28 — Healthy Cells Magazine — Metro East Area — July 2012
VNA-TIP HealthCare takes pride in the quality, experienced, and compassionate medical professionals that make up their team. While utilizing the latest in technology, methods of care and therapies, VNATIP is also able to provide a continuum of services including Home Care, Hospice and Private Duty. At VNA-TIP HealthCare, patient independence and quality of life are top priorities. They strive to provide excellent healthcare to patients and their families as the leading premier and complete one-stop patient care provider of in-home health services. With over 30 local, community-based branches located throughout Illinois and Missouri, VNA-TIP ranks as the bi-state’s largest, independent In-Home Health services provider. For more information please call 800-642-6099 or visit www.vnatip.com
Dentistry with a difference! Call Us! ountains Family 618.622.1800 F www.fountainsfamilydentistry.com
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July 2012 — Metro East Area — Healthy Cells Magazine — Page 29
fastbraces Dr. Anna Smith is the owner of the oneand-only Dentistry With TLC in Godfrey, Illinois where she has been practicing for eight years. She provides many different types of braces including traditional, invisible, short-term and Fastbraces. Dr. Smith is the original Fastbraces dentist in the St. Louis area and was selected as the “TOP DOCTOR 2011—2012” of all the Fastbraces dentists worldwide. She does not limit her practice to only orthodontics. She personally performs all types of family, surgical, cosmetic and minimal sedation dentistry. Dr. Smith is licensed as a general dentist in Illinois and is currently accepting new patients.
“Fastbraces were a great option for me even though I drove about half an hour to Godfrey for my appointments. Fastbraces were less of a hassle than other types of braces because Fastbraces only took nine months! I never had problems with any of my braces coming off and the people at Dentistry With TLC made sure I was comfortable the whole time. My dad was relieved when I got Fastbraces because it saved him money! I’m so glad I saw Dr. Smith on TV and I came to Dentistry With TLC for my Fastbraces.” – Alexandria M, Granite City, IL
Page 30 — Healthy Cells Magazine — Metro East Area — July 2012
Dentist By Dr. Anna Smith, Dentistry With TLC Q: Will Fastbraces damage my teeth? A: Fastbraces have been tested and proven safe for children and adults for over 20 years. Fastbraces have no more risks than traditional braces. Fastbraces have changed the way braces work by using amazing technology. There are several unique characteristics of Fastbraces that are increasing their popularity over traditional types of braces. First, Fastbraces are designed to straighten teeth and correct your bite in just three months to about a year. They have this unique ability due to their different design. Traditional braces are usually square in shape and typically move the top of the tooth in the first year and the root of the tooth the second year, thus requiring at least two years of braces treatment. Fastbraces are triangular in shape and gently allow the top and root of the tooth to move at the same time. Therefore, Fastbraces can safely do in one year what slower braces require two years to complete. I think a great way to think about this newer technology is to compare it to traveling. If I told you I was going to travel to California in only four hours you would consider it impossible for me to drive that fast. However, by flying I could easily make it to California in about four hours. Fastbraces are like the airplane, allowing your teeth to straighten faster because of their amazing technology. Many people assume Fastbraces will be painful because they move your teeth faster than traditional braces. This is not true! In fact, university research has shown Fastbraces to create less sensitivity than traditional braces. Just like flying in an airplane does not cause more pain on your body than riding in a car, Fastbraces do not cause more discomfort than braces that use slower technology. The second unique characteristic of Fastbraces is the cost. Fastbraces cost less than slower, traditional and invisible braces. The average cost of traditional braces in this area of the country is about $5,000. Invisible braces tend to cost even more. Fastbraces start at just under $3,000! The shorter treatment time of Fastbraces means there are fewer visits to the dentist which decreases your bottom line. Finally, the very best unique characteristic about Fastbraces is their lifetime satisfaction guarantee. For example, if your dog eats your retainers and your teeth become crooked again you can have Fastbraces again for free! You only pay for the cost of your new retainers and records. No other type of braces offers this type of guarantee. All of these unique advantages have created a buzz about Fastbraces. I have many patients who drive from all over Illinois, Missouri, and even Iowa to have Fastbraces at Dentistry With TLC in Godfrey, Illinois. I offer many different types of braces at Dentistry With TLC. I have never come across any other type of braces that actually deliver all their promises in such a short amount of time. For more information, visit www.DentistryWithTLC.com or call 618-466-9367.
July is Bereaved Parents Awareness Month Submitted By Passages Hospice
ore than one million older adults will lose their spouse this year, the Social Security Administration estimates, joining the 11 million widowed adults living in the U.S. The loss of a spouse can be overwhelming for the remaining partner and for other family members that will help their loved one navigate through the bereavement process. “People who are grieving often feel alone in their grief,” says Passages Hospice chaplain, David Weiss. “To receive the support of others helps them realize that they don’t have to carry the whole burden themselves. There are others who are truly interested and willing to listen.” If you know someone who is dealing with grief, the American Hospice Foundation has some recommendations. Be patient and understanding. Grief will diminish with time, but there is no “right” length of time to grieve. Continue being supportive even if the person seems to be “doing better.” Expect the unexpected. Some people experience delayed grief, especially if the loved one was ill for a long time or there were many
details to arrange after the death. Grief usually surfaces at some point, and he or she may still need help even if it’s weeks or months later. Don’t neglect physical needs. Grief puts stress on the immune system, leaving the body more susceptible to illnesses. Suggest an appointment with a primary care physician who knows that he or she is grieving. “It’s okay to have that feeling of loss, and to recognize it and accept it,” Weiss says. “In essence it’s a reflection of the love we have for that person and their memory.” All hospice providers offer bereavement support for the families of patients for 13 months after the death. Many other community resources are also available. For more advice on grief and grieving, see the National Hospice and Palliative Care’s website at www.caringinfo.org. For more information on hospice care and more, please visit us online at www.passageshospice.com.
Imaging Center did charge me less for my MRI and I saved hundreds. You have a choice. Call and Compare. Swansea Alton 618.277.7912 618.465.4674
M R I • MA M M O GR AP H Y • X -R AY • ULTR AS OUN D www.imaging4life.com July 2012 — Metro East Area — Healthy Cells Magazine — Page 31
Freeze the Fat Away! Submitted by Musick Dermatology
ou diet and exercise, but you just can’t lose those stubborn bulges. Now, there is an amazing cosmetic treatment called CoolSculpting ® that freezes away unwanted fat! Targeted areas include belly-rolls, love-handles, muffin-tops, back fat, inner thighs, triceps and below gluteus—anywhere you can pinch up fatty deposits. CoolSculpting ® is non-surgical, involves no injections, and has no downtime.
What is CoolSculpting®? CoolSculpting® is a procedure that kills fat cells by freezing them underneath the skin. These frozen fat cells die off and are naturally eliminated from your body. This patented treatment was developed at Harvard University by renowned dermatologist R. Rox Anderson, MD (the inventor of laser hair removal) and Dr. Dieter Manstein. It is FDA-cleared, non-surgical, permanent fat reduction and over 350,000 treatments have been performed without significant side effects. CoolSculpting® is a safe, non-invasive treatment to reduce unwanted fat and improve your shape. It is effective for body contouring, but is not a weight loss treatment. How is CoolSculpting® done? Our board-certified dermatologist, Dr. Steve Musick, or our nurse practitioner, Angela Nauman-Musick, APRN, evaluates you to determine if your “target areas” are good sites for treatment. Then you are ready to go! The skin is covered with a gel pad and the target area is drawn into the CoolSculpting® machine applicator with vacuum suction. It is then cooled to a temperature cold enough to kill fat cells, but not cold enough to harm skin cells or other tissues. Mild discomfort, the sensation of a pull and pressure, from the suction and the cooling lasts about five minutes. The treatment takes one hour then there is mild “thawing” discomfort for another five minutes. During the treatment, the patient can read, use electronic devices, sleep, or simply relax. Are there restrictions after CoolSculpting®? After your treatment, you can resume normal activities. You can return to work and there are no restrictions or downtime. For some patients, mild discomfort to the treated area can persist for up to a week and some patients may bruise from the suction. Tingling or mild numbness can occur and typically lasts a few weeks. What results occur with CoolSculpting®? After one treatment, the fatty bulge will decrease, on average by twenty percent in as soon as three weeks, while realizing results up to six months after treatment. The most dramatic results can be seen and felt between two to four months. Additional treatments cause even more loss. You will look and feel better and your clothes will fit better. The results are long-lasting. Of course,
Page 32 — Healthy Cells Magazine — Metro East Area — July 2012
Treated by Musick Dermatology
CoolSculpting® works best when combined with a healthy diet and exercise. CoolSculpting® has been featured on Nightline, Good Morning America, Today Show, CBS Early Show, Dr. Oz, Rachel Ray Show, and in these magazines: Shape, O, Men’s Fitness and Town and Country. To learn more about CoolSculpting ® or to schedule a complimentary consultation, contact Musick Dermatology at 618-6282588 or at MusickDermatology.com. We have performed hundreds of CoolSculpting® procedures since March 2011 and we are the first Certified Practice in all of Southern Illinois and Metro East area to offer this fantastic therapy. Musick Dermatology provides a broad range of services including general dermatology for conditions involving the skin, hair, and nails and the most up-to-date cosmetic dermatology treatments and skin care products. We will provide you with the most effective skin therapies combined with the highest level of patient service and care.
in the community
ALTON MEMORIAL HOSPITAL JULY 2012 CALENDAR OF EVENTS
Monday, July 2 EMS Basic Life Support healthcare provider classes; EMS satellite, 161 N. Bellwood Drive, East Alton; 6-9:30 p.m.; Contact Debbie Woelfel at 618-258-9930 or email@example.com for more information. Tuesday, July 3 Community cholesterol and blood pressure screenings; AMH main lobby; 9 a.m.-noon (no registration required); cholesterol, HDL, glucose: $10; blood pressure: free
session of classes meets for six straight Tuesdays through Aug. 21. Call 800-392-0936 to register. Cost: $42 for six-week session. Thursday, July 19 Diabetes support group; AMH Olin Wing ground floor, Room G-252; 1-2 p.m. Call 618-463-7526 for more information.
Monday, July 9 Parkinson’s Disease support group; Eunice Smith Home Dining Room; 1-2 p.m. Call 618-463-7330 for more information.
Thursday, July 19 Yoga classes; Human Motion Institute Rehab and Sports Performance Center, 226 Regional Drive, Alton; 5:30-7 p.m. Certified instructor Betsy Smith teaches for all ages and abilities. This session of classes meets for six straight Thursdays through Aug. 23. Call 800-392-0936 to register. Cost: $42 for six-week session.
Tuesday, July 10 Life Uniform Sale; AMH connector lobby; 7 a.m.-4 p.m. Call 618-463-7872 for more information.
Saturday, July 21 Prepared Childbirth Saturday class; AMH Hatch meeting rooms; 9:30 a.m.-4 p.m. Call 800-392-0936 to register. Cost: Free
Tuesday, July 10 Grief, Loss, Change support group; AMH Smith Wing third floor, small classroom; 6-7:30 p.m. Call 618-463-7117 for more information.
Saturday, July 21 Yoga classes; Human Motion Institute Rehab and Sports Performance Center, 226 Regional Drive, Alton; 8-9:30 a.m. Certified instructor Betsy Smith teaches for all ages and abilities. This session of classes meets for six straight Saturdays through Aug. 25. Call 800-392-0936 to register. Cost: $42 for six-week session.
Wednesday, July 11 Skin cancer screening; AMH Cancer Care Center; 4:15-6:15 p.m. Screenings given by Dr. Noor Ahmed. Call 800-392-0936 for an appointment. Cost: free. Wednesday, July 11 EMS Heartsaver AED and first aid class; EMS satellite, 161 N. Bellwood Drive, East Alton; 4-10 p.m. Contact Debbie Woelfel at 618-258-9930 or firstname.lastname@example.org for more information. Wednesday, July 11 Diabetes Management class led by Judy Mayhew, AMH diabetes educator; AMH Olin Wing ground floor, Room G-252, 6-7:30 p.m. Call 618-463-7526 for more information. Tuesday, July 17 CPR for Family and Friends (adult, infant, child); AMH Hatch meeting rooms; 6:30-8:30 p.m.; $15 deposit per person is required. Call 800-392-0936 to register. Tuesday, July 17 Tai Chi classes; Human Motion Institute Rehab and Sports Performance Center, 226 Regional Drive, Alton; 1-2:15 p.m. OR 7:15-8:30 p.m. Certified instructor Betsy Smith teaches Sun Tai Chi or Tai Chi for arthritis. This session of classes meets for six straight Tuesdays through Aug. 21. Call 800-392-0936 to register. Cost: $42 for six-week session. Tuesday, July 17 Py Yoga classes; Human Motion Institute Rehab and Sports Performance Center, 226 Regional Drive, Alton; 5:30-7 p.m. Certified instructor Betsy Smith teaches a more advanced form of Tai Chi. This
Tuesday, July 24 Grief, Loss, Change support group; AMH Smith Wing third floor, small classroom; 6-7:30 p.m. Call 618-463-7117 for more information. Thursday, July 26 Books Are Fun sale; AMH Connector Lobby; 9 a.m.-4 p.m. Call 618-463-7872 for more information. Tuesday, July 31 Breastfeeding Basics; AMH Hatch meeting rooms; 6:30-8:30 p.m. The class focuses on the basic techniques needed for establishment of successful breastfeeding. Call 800-392-0936 to register.
Calendar notes Anyone who enrolls in any TWO of the Yoga/Tai Chi/Py Yoga classes will pay a fee of $72. Weight Watchers meets at 5 p.m. each Monday in the Hatch meeting rooms. Sibling tours, designed for children ages 3-8 to help prepare them for the arrival of their sibling, are offered by appointment in the Family Birth Center by calling 618-463-7721 or e-mailing email@example.com. The Family Birth Center is always open and a staff member is usually available for tours. No appointment is necessary. You may wish to call 618-463-7455 to check availability immediately prior to your arrival.
July 2012 — Metro East Area — Healthy Cells Magazine — Page 33
Please call for your complimentary evaluation 7 Bronze Point South, Suite A Belleville, IL 62226 618-222-7032
2118 Vadalbene Drive Maryville, IL 62062 618-288-8920
Since 1917, VNA-TIP HealthCare has remained dedicated to total patient satisfaction as the leading local and complete one-stop provider of in-home health services including; HomeCare, Hospice and Private Duty. Comprehensive Range of Services Include: Skilled Nursing Physical & Occupational Therapies Home Infusion Speech Therapy Medical Social Services Home Health Aid Spiritual & Bereavement Support Education & Community Support
Clinical Expertise in Assessment, Evaluation and Treatment Local and Specially Trained Nurses, Therapists, Social Workers and Chaplains Staff Availability- 24 hours a day, 7 days a week Coordinated Care Tailored To the Individual Needs & Wishes of Each Patient Quality Services Designed To Maintain Patient Independence In Their Home
You have a choice in your home healthcare provider. To learn more about VNA-TIP, please call 800.642.6099 or visit vnatip.com
Page 34 — Healthy Cells Magazine — Metro East Area — July 2012
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