September Bloomington Healthy Cells 2012 by Healthy Cells Magazine

BLOOMINGTON/NORMAL

area

Promoting Healthier Living in Your Community • Physical • Emotional • Nutritional

September 2012

FREE

HealthyCells

www.healthycellsmagazine.com

M A G A Z I N E

Advanced MRI Spotting Every Road Sign with 3-Tesla Magnetic Resonance Imaging page 20

Life Without Allergies pg. 15 Male Eating Disorders pg. 19 Pray for the Cure pg. 32

Groundbreaking RESEARCH. Lifesaving CARE. Illinois CancerCare...

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After losing my arm due to an unfortunate farming accident, I found Robin, at CPO, was the right one for my needs. I have been ďŹ t with a body www.cpousa.com (309) 676-2276 powered prosthetic limb that can be adapted to most any activity. From running a tractor to ďŹ ne scrolling with my wood working, I will not let ( " ! + ) %" + ! '! ! ") " & " anything slow me down. I decided " ), % " % "% " " ) !" ! ' " . that I am not going to stop doing ', ! " ' " ) ' !" # " " " " !" what I love. ) #& "), % " " " ! ' " ! ' ' ) ' "

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Advanced Women’s Healthcare The new independent practice of Dr. Dele Ogunleye, is opening this fall. Dr. Ogunleye is well known from his time with the Carle Clinic and Advocate Medical Group, and can be expected to provide a continuation of his caring and direct relationship with every patient. The practice will provide a full range of obstetric and gynecologic services including: • Low Risk and High Risk Obstetrics • In-office Treatment for Heavy Periods, and Endometriosis • Minimally Invasive Surgery as well as other types of Gynecological Surgery Dr. Ogunleye has a special interest in the subspecialty of Urogynecology – the surgical and non-surgical treatment of women with pelvic floor disorders such as urinary incontinence and pelvic floor organ prolapse; and will be offering the services of this specialty with Gretchen Dean, a highly regarded Pelvic Floor Physical Therapist. A d v a n c e d W o m e n ’s H e a l t h c a r e i s p r o u d t o a c c e p t m o s t i n s u r a n c e p l a n s , i n c l u d i n g Health Alliance, Blue Cross Blue Shield, Humana, United, Cigna and others.

Welcoming new, as well as former, patients.

Dele Ogunleye, M.D. Board Certified by the American Board of Obstetrics and Gynecology Fellow of the American Congress of Obstetricians and Gynecologists

2111 East Oakland Avenue (Next to Jewel Osco Plaza)

Bloomington, Illinois

309-531-3012

September 2012 — Bloomington — Healthy Cells Magazine — Page 3

SEPTEMBER 6 8 10 12 14 15 16 18 19 23 24 26 28 30 32 34 35 36 38 40 42 44 46 48

Physical: Cancer Prevention–A Dose of Physical Activity Emotional: Finding Determination in the Face of Limb Loss Nutritional: Amazing Amaranth

This Month’s Cover Story:

2012 Volume 7, Issue 9

Advanced MRI Spotting Every Road Sign with 3-Tesla Magnetic Resonance Imaging page 20

Storm Safety: Six Myths About Tornadoes Athletic Foot Injuries: STEP Back Into School Allergy Sufferers: Life Without Allergies–Is it Possible? Fibromyalgia: Vitamin D and Its Connection to Pain Relief Heart Health: Become a Sodium Sleuth Men's Health: Male Eating Disorders Accepting The Diagnosis: Living with Diabetes Childhood Disorders: Does My Child Have ADHD / ADD? Medicare: Sold! To the Company With the Lowest Bid Prostate Cancer: Our Cancer Nightmare Comes True Cartilage Restoration: Keeping the Joints Oiled Pray For The Cure: Prayer that Heals ICD10-CM Implementation: Counting Down to 2014 Oral Health: Early Childhood Dental Care Health In The Classroom: Back to School With Asthma and Food Allergy A Body In Balance: The Secret to Optimal Health Chiropractic Care: A Pain in the "Backpack" "Affordable" Health Care: Healthcare Law and You Medial Tibial Stress Syndrome (MTSS): Shin Splints Healthy Sleep: TMD and Sleep Apnea Grief Support: Killer Clichés About Loss

For information about this publication, contact Cheryl Eash, owner, at 309-664-2524, ceash7@gmail.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 info@limelightlink.com www.healthycellsmagazine.com and www.pastellemagazine.com Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the greater Bloomington-Normal area. Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE at over 450 locations, including major grocery stores throughout the Bloomington-Normal area as well as hospitals, physicians’ offices, pharmacies, and health clubs. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Bloomington-Normal area. Limelight Communications, Inc. assumes no responsibility for their publication or return.

“I wish to thank all of the advertisers who make this magazine possible. They believe enough in providing positive health information to the public that they are willing to pay for it so you won’t have to.” Cheryl Eash

Moms are finding their

experience to be an extra

BUNDLE of JOY. OB Nurse Navigator Program

Whether you’re a first time mom, or an experienced mom, bringing a new baby into the world is an exciting and special time. At OSF St. Joseph Medical Center, our Birthing Center staff is here to help every mom. To add a level of personalized care, moms have the option of joining our OB Nurse Navigator Program.

Unique to OSF St. Joseph Medical Center, our OB Nurse Navigators are here to deliver a special level of care and attention to moms from 20 weeks into their pregnancy to well after they’ve gone home. From making tasks like pre-registration easier, to giving moms a tour of the Birthing Center, to offering breastfeeding support, an OB Nurse Navigator is always on hand to offer insight and advice. It’s a relationship that continues after mom and baby have gone home — so mom knows whatever she needs in those early days with her baby, there’s an expert on hand to help. Of course, if moms choose not to join the program, our staff is still always ready and available as an added resource.

If you are interested in joining the OB Nurse Navigator Program, or would like to learn more, please call (309) 665-4704 or visit www.osfstjoseph.org/birth.

September 2012 — Bloomington — Healthy Cells Magazine — Page 5

physical

Cancer Prevention

A Dose of Physical Activity By Mary Kay Holloway, RD, CSO, LDN, and Molly Bragg, Dietetic Intern

hat does sitting watching television for three to four hours each evening, sitting at a desk for eight hours or more, and sitting at your computer have in common? If you notice the word “sitting”, you’re right. Organizations such as the American Cancer Society and the American Association of Cancer Research (AICR) have been promoting physical activity to help reduce your risk of cancer for many years. Sitting does not promote physical activity because sitting is a sedentary action. The journal Lancet recently published research that confirms the recommendation to increase your physical activity in order to reduce Page 6 — Healthy Cells Magazine — Bloomington — September 2012

your risk of cancer. This new report states that worldwide, one in ten cases of both breast cancers and colon cancers are due to a lack of physical activity. With statistics that show an estimated 40 percent of Americans will experience a cancer diagnosis at some point in their lives, the recommendation to increase physical activity should not be taken lightly. Physical activity is defined as “any bodily movement produced by skeletal muscles and such movement results in an expenditure of energy.” Physical activity builds strength, immune function, and overall energy levels. It is also a great choice for individuals to

naturally suppress hormone production as lower hormone levels may influence a decrease in breast cancers. It is recommended that adults should get at least 150 minutes of moderate-intensity aerobic activity each week, with muscle strengthening activities at least two days a week. The 150 minutes can be split up during the week to best fit your schedule—30 minutes five times a week or 10 minutes three times a day. Even short bouts of physical activity are beneficial to boost cancer prevention. The key is to become physically active at a moderate intensity. Moderate intensity is different for everyone. As a rule of thumb, if you're doing moderate-intensity activity you can talk, but not sing, during the activity. If you're doing vigorous-intensity activity, you will not be able to say more than a few words without pausing for a breath. Examples of moderate intensity physical activity include walking briskly (3 miles per hour or faster, but not race-walking), water aerobics, bicycling slower than 10 miles per hour, tennis (doubles), ballroom dancing, and general gardening. According to AICR Director of Research, Susan Higginbotham, PhD, RD, the evidence is stronger than ever that more movement protects against cancer. However, she reminds us that it’s only a part of an overall lifestyle that includes other factors that have been shown to lower cancer risk: healthy diet, staying at a healthy weight, and not smoking. “Those factors work together—as soon as you start combining them, cancer risk drops even further.” For more information on prevention guidelines, you can call the Community Cancer Center at 309-451-8500 or go to www.cancercenter.org.

Dental Implants • Aesthetic Dentistry • Sedation Dentistry

Emil M. Verban Jr., DDS. PC 2103 E. Washington St. Bloomington, IL 61701

309•662•8448 Member International Team of Implantology

New Patients Welcome w w w . m c l e a n c o u n t y d e n t a l . c om

All services provided in the comfort and convenience of one location. September 2012 — Bloomington — Healthy Cells Magazine — Page 7

emotional

Finding Determination in the Face of Limb Loss By Robin M. McRae CP, LP, Comprehensive Prosthetics & Orthotics

ealing with the loss of a limb, whether it is after months or years of fighting a non-healing wound or because of an accident that only took minutes to occur, can be as traumatic as the surgery itself. Being able to cope with the loss often times can be the hardest part of dealing with amputation and for many individuals, finding the determination to do so is the key. For Gary Troutman, finding that determination to deal with an injury to his right arm began with multiple trips to several types of physicians. First being referred to a foot and ankle specialist in Peoria, IL, then a pain specialist in Des Moines, IA and finally ending with a chance visit to an orthopedic specialist in Rochester, MN. While each specialist had their own theory as to why Gary was in such pain, he was never able to find relief from the extreme discomfort no matter what type of treatment Page 8 — Healthy Cells Magazine — Bloomington — September 2012

he went through. He became very frustrated and was determined to find a solution. While Gary was out clearing brush on his farm, a 3-inch thorn from an Osage Orange Tree had speared his wrist joint. Although it didn’t hurt at the time and bled only a single drop of blood, Gary never gave the incident a second thought—until he lay in his hospital bed after his surgeon stated that he acquired a fungal infection in his wrist. Unfortunately, the infection destroyed all of the bones in his wrist and there was no way to stop the infection. Finally, Gary had an answer to his problem, but the solution meant amputation below his elbow. Gary’s determination to finally be rid of the pain and discomfort he battled for so many months, allowed him to cope with the loss of his arm and he was able to accept the enormous impact it would have on

his lifestyle. He knew that he could obtain a prosthetic arm that would allow him to continue to participate in the activities he loved. He also knew that it would not be the amputation that would limit him in any way, but a general lack of determination. Luckily for Gary, he was determined from the beginning to return to an active and healthy lifestyle and would not allow anything to get in his way of accomplishing just that. For upper extremity amputees, the array of components available has increased significantly since the recent wars have sent so many veterans home with amputations. That array includes bionic hands which have fingers that can move independently of one another and grasp objects, much like the human hand; to shoulder, elbow and wrist joints that are powered by myo-electric (electrical impulses in muscle) sites on the body. More commonly used in upper extremity prosthetics is a body-powered prosthesis which utilizes certain muscle groups through harnessing to control the elbow and/or terminal device (hook or hand). Every amputee is different and each has specific goals and desires that are addressed by the prosthetist, physician, and therapist when deciding on the most appropriate and beneficial prosthetic design to use. Thankfully, sheer determination is what has allowed Gary to return to the activities he once enjoyed with both hands. He has learned how to modify his surroundings and his equipment to achieve his goals, most importantly not letting limb loss slow him down. Thanks to Gary’s resourcefulness and ingenuity, he has been able to modify a number of tools in his work shop and on his farm that allow him to continue wood working, gardening, running his tractor and skid steer, and also, of course, taking evening rides on the 4-wheeler to enjoy the beauty of nature on his property with his lovely wife.

Robin McRae is a Certified and Licensed Prosthetist at Comprehensive Prosthetics & Orthotics, Inc. (CPO). CPO provides orthotic and prosthetic care to patients throughout Central Illinois. With unmatched patient care and dedicated professionals, CPO also houses an on-site fabrication department where custom orthoses and prostheses are designed and created for each patient. CPO can be reached by calling toll free 888-676-2276. Visit the website at www.cpousa.com.

September 2012 — Bloomington — Healthy Cells Magazine — Page 9

nutritional

Amazing Amaranth By Rachel Darling

Stovetop Amaranth Salad Ingredients: 2 lb. Amaranth Leaves, chopped 2 Tbsp. Olive Oil 1 medium size onion 1 cup coconut milk Salt to taste Directions: Wash and chop amaranth leaves and leave the water to drain. In a large skillet, heat the oil over medium heat. Add the chopped onions and saute for 5 minutes until golden brown. Add the amaranth leaves. Season with salt. Add 1 cup of coconut milk. Cook until desired tenderness. ENJOY! **Serving for 4 people Source: Janet’s Blog: umojagardens.blogspot.com

Page 10 — Healthy Cells Magazine — Bloomington — September 2012

Amaranth Photo Courtesy of John MacRoberts

he Umoja in Umoja Gardens means “unity,” and stands as the principle hope for Umoja Gardens’ owner , Janet Zintambila. But the interest of her customers is not piqued solely by the gardens’ name, or by its mission for unity among all peoples or even by its continuing tradition of organic farming. The unique offerings of Umoja Gardens are what bring people back season after season: amaranth, callaloo, hominy, Red-Russian kale, sweet potato leaves, and white sweet potatoes to name a few, as well as more common vegetables like onions, tomatoes, and various herbs. Many of these vegetables are popular in her native Kenya in east Africa, allowing Janet to share culture as well as good food. Amaranth, in particular, has its own following. Amaranth is a leafy green plant with shocks of burgundy and violet racing through its dark green leaves. Every part of the plant, from seed to leaf, can be used in cooking. The seeds can be ground into gluten-free flour and used like any other flour, or they can be enjoyed toasted as a snack. The leaves can be prepared in almost any way imaginable: roasted, steamed, stewed, sautéed, or dried. They can be used in sides, entrees, as a unique accent to a common dish, or as a meat substitute. Amaranth is very high in protein. It also contains lunasin-like peptides. Lunasin is thought to be the “cancer fighting”

For these reasons, Amaranth and the other vegetables that Janet brings from her native Kenya to the Midwest are worth the challenges of organic farming. Insects are a challenge for anyone attempting to woo something tasty from the ground without artificial insecticides. Janet combats the hordes of malevolent creepy-crawlies with garlic spray and row covers. Weeds, the bane of every garden, are kept in check with ample helpings of hay, which smother them as they grow. Compost and chicken manure gives her crops the nutrition they need without harming the environment. The biggest challenge this year has been the drought. Janet collects rainwater in barrels to get through dry spells and compensates for the intense heat by growing more heat-loving, hardy plants like chowder peas. Despite the challenges, organic-farming yields a variety of benefits. Some of them are purely emotional. Janet learned to garden from her mother who raised crops in a traditional, organic method. Other benefits are equally intangible but powerful: fostering a community better educated about organic food, buying from local sources, and providing a service to the community. There are also the often cited benefits, like more nutritious produce, less stress on the local ecosystem, and richer soil. All of these things lend themselves to promoting umoja among all peoples through health and wellness.

Red Kale

compound present in soy beans. Amaranth is rich in phytosterols, which help lower cholesterol, and contains high levels of nutrients like beta-carotene, and lutein. Several studies have shown that, like oats, amaranth seed or oil may be of benefit for those with hypertension and cardiovascular disease; regular consumption reduces blood pressure and cholesterol levels, while improving antioxidant levels.

Produce from Umoja gardens is available locally at the Farmer's Market every Tuesday from 3:30 p.m. – 6 p.m. in Uptown Normal, and for State Farm employees, every Thursday from 3:00 p.m. – 6:00 p.m. at State Farm Park or online at www.umojagardens. blogspot.com. For more information, you may call 773-979-1961 or e-mail jzintambila@yahoo.com.

827-8004 Heritage HealtH Bloomington

Get Strong. Go Home. RESTORE Your Strength. • • • •

2,500 sq. foot Therapy Department Living Skills Retraining Studio Private Medicare Suites State-of-the-Art Therapy Equipment

HeritageOfCare.com/bloomington September 2012 — Bloomington — Healthy Cells Magazine — Page 11

storm safety

Six Myths About Tornadoes Submitted by Axel Jimenez, State Farm Agent

hen you're in the path of a twister, every second counts. Knowing effective ways to protect yourself and your family could help save lives.

Myth 1: Opening windows equalizes air pressure and helps prevent the roof from being ripped off. Fact: This act does little or nothing to prevent damage and wastes precious minutes in an emergency. Tip: The powerful winds of a tornado can shatter windows. Help avoid injuries caused by flying, broken glass by taking shelter in a windowless room. Myth 2: Taking shelter under an overpass during a tornado will protect me. Fact: Overpasses and bridges can actually concentrate airflow from a tornado and become dangerous "wind tunnels." Hiding under an overpass may subject you to severe injuries from flying debris or even cause you to be blown out into the storm itself. Tip: While not an ideal solution, it may be safer to find a low spot, such as a ditch, and lie face down with your hands covering your head. Myth 3: The safest place to hide in a storm is the southwest corner of the basement. Fact: A corner is often safer than against the middle of a long wall, which may be vulnerable to collapse in a tornado. A better bet is to gather in a small, windowless interior room on the lowest floor in a home. Tip: Protect yourself from flying and falling debris by taking shelter under a heavy desk, mattress, or sturdy stairwell. Myth 4: Tornadoes are easy to spot. Fact: A tornado may not be visible until it has picked up sufficient dirt and debris. Waiting to take shelter until you can actually see a funnel cloud puts you at risk. Tip: Listen to weather reports for tornado warnings. A warning tells you a tornado has been spotted on radar and that you should seek shelter immediately. Page 12 — Healthy Cells Magazine — Bloomington — September 2012

Myth 5: I could outrun a tornado in my car. Fact: It's never a good idea to try. The average ground speed of a tornado is 30 mph, but its winds can exceed 200 mph. Even if you're able to stay ahead of the funnel cloud, you could find yourself driving through drenching downpours and flying debris. You might also encounter downed power lines, trees, and other dangerous obstacles in the road. Tip: While it does not recommend escaping a tornado by car, the National Oceanic and Atmospheric Administration (NOAA) says if you are in open country and the tornado is distant, it may be possible to drive out of harm's way. After detecting the direction of the storm's movement, drive at a right angle away from the tornado. Myth 6: Tornadoes never strike here. Fact: While some areas have a greater likelihood of tornadoes, these dangerous storms have occurred in every state in the U.S., in both urban and rural areas, and over land, mountains, and water. Never assume a particular location will be spared and always heed tornado warnings when they are issued. Tip: Even if tornadoes are rare in your area, develop an emergency plan and practice it with your family. For more information, you may contact Axel Jimenez State Farm Agency, 1520 E. College Ave, Suite E, Normal, IL 61761 at 309-451FARM (3276) or Axel@axelismyagent.com The information in this article was obtained from various sources. While we believe it to be reliable and accurate, we do not warrant the accuracy or reliability of the information. These suggestions are not a complete list of every loss control measure. The information is not intended to replace manuals or instructions provided by the manufacturer or the advice of a qualified professional. Nor is it intended to effect coverage under any policy. State Farm makes no guarantees of results from use of this information. We assume no liability in connection with the information nor the suggestions made.

Every person with ADHD/ADD has a unique portrait. Adult, Adolescent or Child Now you can see it objectively.

Call for an appointment today!

Anjum Bashir, MD Psychiatrist

205 N. Williamsburg Drive, Suite D Bloomington, IL 61704 • —309-808-2326 September 2012 — Bloomington Healthy Cells Magazine — Page 13

athletic foot injuries

STEP Back Into School By Melissa Lockwood, DPM, Heartland Foot and Ankle Associates

ack to school means back to the books, but it also means getting back into fall sports. If kids have spent most of the summer swimming, relaxing, and enjoying their time off—participating in cross-country, soccer, tennis, cheerleading and other strenuous sports can put a strain on out-of-shape muscles, tendons, and bones. It’s important to keep in mind some basic rules of thumb for participation in any sport on any level. Each child physically matures at his or her own rate, and has a different degree of athletic ability. No amount of training can change a child’s natural athletic ability, but training helps improve skills and coordination and, therefore, performance. Children active in sports programs will improve their cardiovascular and musculoskeletal systems, coordination, and state of mind. In addition, participation in sports develops a sense of self, discipline, teamwork, and the recognition of the importance of a healthy body. It’s difficult to reap the benefits of sports if injuries occur. Probably the single most important way to avoid injuries in all sports is to warm up before participating. Warming up helps to loosen muscles and prevent injuries in athletes of all ages. Learning to stretch at an early age will set a good pattern for sports activities as the body develops. In addition, it’s extremely important to wear the correct shoes for the

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.

sport. Your podiatrist can help you choose the right shoes for your children; the shoes should fit the sport. According to podiatrists, repetitive overuse or improper training can lead to problems with ligaments, tendons, bones, and joints in the feet. As children’s feet are still growing, serious injuries can cause long-term problems. Following are some of the most common injuries. • Ankle sprains, which can be stretched or torn ligaments, are more common than fractures. Watch for extensive swelling around the ankle. Immediate treatment by the podiatrist is crucial as he/she can provide treatment as well as recommended balancing and strengthening exercises to restore coordination quickly. • Shin splints are tiny tears or inflammation of the muscles on the front of the leg. Rest is the best way to heal these injuries, but if pain persists, a podiatrist can recommend strengthening, specific shoes, or orthotics (insoles). • Sever’s disease (Calcaneal Apophysistis) is an inflammation of a growth plate where the Achilles tendon is attached to the heel bone and is often felt as pain on the bottom of or around the heel. Rest, ice, and heel lifts, and sometimes orthoses are often prescribed by the podiatrist in these cases.

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

Page 14 — Healthy Cells Magazine — Bloomington — September 2012

• Fractures/stress fractures from overuse in young athletes are commonly seen in podiatric medical offices. Growth plates are particularly susceptible to injuries, but mid-shaft fractures of the bone also occur. If a fracture is not severe, rest and immobilization may be the best treatment. Injuries that are more complicated may require casting or surgical correction. If swelling and pain persist, see a podiatrist immediately. For more information about proper back to school foot care or if you are having any foot problems following a sports related incident, please contact Dr. Lockwood at 309-661-9975 or by visiting www. HeartlandFootAndAnkle.com.

allergy sufferers

Life Without Allergies

Is it Possible? By Jamie Peel, OSF St. Joseph Medical Center

ith fall just around the corner, chances are allergy sufferers are already preparing for watery eyes and an itchy nose. Contrary to popular belief, people who suffer from allergies do not have to live with them. Allergic reactions occur when your immune system experiences an abnormal reaction with a particular substance in the environment. In general, most people suffer from seasonal allergies, which occur in spring, early summer, and early fall. Seasonal allergies are caused by pollen. Pollens are microscopic cells from trees, grasses, and weeds. The major fall seasonal allergen is ragweed. Weeds typically begin pollinating around August 15 and last until the first frost. Weather has a lot to do with allergies. On a dry, warm day, which is typical in the fall, pollens are going to move with the wind a lot more, whereas on rainy days, the pollens are washed away. Typical symptoms for allergy sufferers may include an itchy and runny nose, itchy and watery eyes, sneezing, and nasal congestion. Some people, especially children, can develop allergic asthma. These symptoms include coughing, wheezing, shortness of breath, and chest tightness. To help control these symptoms, try practicing these tips listed below: • If possible, keep windows and doors shut during pollen season, especially during the daytime. • Drive with your windows closed. • Keep pets that spend time outdoors out of the bedroom. • If outdoors on days with high pollen counts, take a shower and wash your hair after returning indoors. • Dry laundry in a dryer only; do not hang clothes outside. • Try taking over-the-counter antihistamines.

Did you know? • Only 20 to 30 percent of the population has allergies. • If one parent has allergies, a child has a 50 percent

If little success is found after trying these steps, it may be time to see a specialist. A specialist will determine the cause of the allergies through skin, blood, or breathing testing and create a treatment plan. Multiple solutions are available to control symptoms. One option is prescription medication, including prescription nasal steroid sprays. If the allergies are severe enough, and avoidance of allergens and prescription nasal sprays do not work, patients may be candidates for allergy shots. Allergy shots work well for 80 percent of patients, because they can desensitize patients to the allergen. In some cases, patients claim cure over five years. Allergy symptoms are controllable when the proper steps are taken to manage them. For more information on how to control your allergies, please contact OSF Allergy at 309-664-3800 or visit www.osfmedicalgroup.org to learn more about the services offered.

Need someone that speaks fluent insurance? Axel Jimenez, Agent 1520 E College Avenue Normal, IL 61761 Bus: 309-451-3276 axel@axelismyagent.com

chance of also having allergies. If both parents have allergies, the chances increase to 85 percent. • Although allergies are inherited, specific types of allergies

I’m your agent for that. No one wants to pay for unnecessary extras and with my help, you won’t have to. I’ll help make sure you understand your options, and that you have the best coverage at the best price. Like a good neighbor, State Farm is there. CALL ME TODAY. ®

are not passed down to children. • There are no hypoallergenic pets. All cats and dogs make allergens; some simply have more than others. • Corn pollen usually does not cause allergies, because the pollen is too large. In fact, corn pollen is twice as large as most pollens. 1001183

State Farm • Home Office • Bloomington, IL

September 2012 — Bloomington — Healthy Cells Magazine — Page 15

fibromyalgia

Vitamin D and Its Connection to Pain Relief By Becky Wiese

idespread pain is one of the most common complaints of fibromyalgia (FM) sufferers. Various types of pain (sharp or dull, throbbing or achy) affecting various parts of the body (muscles, tendons, joints) make fibromyalgia a difficult malady to definitively diagnose as well as treat. Dr. Ben Taimoorazy of Guardian Headache & Pain Management Institute explains about 18 “tender points” such as the inside and outside of the elbow, the knee, the head , and the chest that, when touched with a certain amount of pressure, cause significantly more pain to those suffering from fibromyalgia than to other people. The response to pressure on tender points is one method of obtaining an accurate diagnosis. While there are many theories about fibromyalgia—its cause, why some people are more prone to develop FM, and treatment strategies—some recent research supports a relatively simple reason for the pain and a relatively straightforward remedy. Interestingly enough, this research focuses on Vitamin D—a vitamin that the body produces naturally upon exposure to sunlight. A recent study of Saudi Arabian women, who for cultural and religious reasons are virtually covered completely and receive very little exposure to the sun, showed that most of the women examined had significant Vitamin D deficiency. In addition, a large proportion of these women also suffered from fibromyalgia. Dr. Taimoorazy clarifies the connection: “Vitamin D is necessary for bone metabolism—it works with calcium to harden bone. Without enough Vitamin D, bone becomes spongy and absorbs more water, which in turn causes the periosteum to loosen and lift away from the bone.” The periosteum is a layer of highly enervated tissue that covers the bone—when it loosens, the nerve endings become even more sensitive, making it tender and painful. Page 16 — Healthy Cells Magazine — Bloomington — September 2012

The good news, according to Dr. Taimoorazy, is that “these issues are all very treatable through Vitamin D and calcium supplements.” Some patients find their painful symptoms are considerably diminished by increasing Vitamin D levels. Because Vitamin D is a fat-soluble vitamin, meaning it is absorbed through the intestinal tract with the help of fats, FM patients may experience little benefit with oral supplements due to irritable bowel syndrome and diarrhea, also symptoms of fibromyalgia. “Supplements may help somewhat,” Dr. Taimoorazy says, “but if a patient experiences regular bouts of diarrhea, the absorption of Vitamin D is decreased. Therefore, the recommended treatment is to receive intramuscular injections of this essential vitamin.” What causes fibromyalgia is not well understood, which makes it hard to diagnose and treat. New theories and treatment strategies, such as the importance of sleep and hormone production as discussed last month and the information about Vitamin D, especially when utilized in conjunction with pain medication, help improve the quality of life for many fibromyalgia patients. The constant goal for Dr. Taimoorazy is to decrease the patient’s pain. If a good night’s sleep through the use of a CPAP machine, orthotic device, or other method, along with hormone therapy and/or Vitamin D treatments will help a patient get relief from the pain, he feels it’s a successful strategy. The patient, of course, just feels…better. For more information, you may contact Dr. Benjamin Taimoorazy at Guardian Headache and Pain Management Institute at 309-8081700 or 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.

September 2012 — Bloomington — Healthy Cells Magazine — Page 17

heart health

Become a Sodium Sleuth Submitted by The American Heart Association

ou may have heard the buzz about the effects of sodium on your heart. Eating too much sodium can lead to high blood pressure, increasing your risk of heart attack or stroke. Since hearing that buzz, you may have started leaving the salt shaker on the table, and spicing up your food in healthier ways, maybe using lemon juice, balsamic vinegar or other spices...or you’re using far less or eliminating salt in recipes. Now here’s the bad news: You may not be doing enough to lower your risk of high blood pressure, which raises your odds of coronary heart disease or stroke. That’s because up to 75 percent of the sodium in the average American diet comes from salt added to processed or restaurant foods. In other words, we often don’t even know we’re eating it. And while cutting table salt is wise, it may only be putting a tiny dent in your sodium total. “Sodium shows up in canned soups, salad dressings, and even products that don’t immediately come to mind when we think of “salty” foods, such as pasta, bread and cereals,” said Rachel Johnson, PhD, RD, .a professor of nutrition at the University of Vermont and a volunteer for the American Heart Association. With so much salt in our food, it’s no wonder the average American gets 3,436 milligrams of sodium per day. That’s more than double the American Heart Association’s recommended limit of 1,500 milligrams. Manufacturers use salt to preserve foods and modify flavor, and it’s included in additives that affect the texture or color of foods. Sodium is an essential nutrient, but very little is needed in the diet. In an ideal world, we’d all handpick fresh ingredients and cook them at home, thus ensuring a low sodium intake. In the real world, however, we don’t always have time to cook and who doesn’t enjoy eating out from time to time? So, what’s a real-life solution to uncover this hidden enemy? The secret to becoming a sodium sleuth is knowledge. “Whether you’re walking down a grocery store aisle or ordering at your favorite restaurant, there are ways to avoid sodium if you know what to look for,” Johnson said. In the supermarket, your best ally is the Nutrition Facts Label on product packages, which lists how much sodium is in each serving. As a guideline, to include a “sodium free or salt free” claim Page 18 — Healthy Cells Magazine — Bloomington — September 2012

on the label, a product cannot exceed 5 milligrams of sodium per serving. A product with a “low sodium” claim must not exceed 140 mg per serving. A “no salt added or unsalted” claim on the label does not mean the food is “sodium free.” Compare the sodium content between various products and choose the one with the lowest amount of sodium. Also, look for products with the American Heart Association’s Heart-Check Mark on the label. This red and white icon guarantees that a product meets the association’s sodium requirement of less than 480 milligrams per portion. When eating out, choose restaurants where food is cooked to order. And remember that communication is key. Ask your server about the sodium content of menu items, and when ordering, specify that you want your dish to be prepared without salt. Of course, avoid table salt as well as high-sodium condiments and garnishes such as pickles or olives. For more tips, see the American Heart Association’s online content on “Dining Out.” Step up to Fight Heart Disease at the McLean County Heart Walk on September 22 at the Chateau Hotel & Conference Center. Enjoy free health screenings, health and fitness information, heart-healthy food and a one to three mile walk along the Constitution Trail. To sign up your team go to www.mcleancountyheartwalk.org.

men's health

Male Eating Disorders By Jim Strauss, LCPC, Collaborative Solutions Institute “

en don’t have eating disorders!” is as absurd of a remark as, “Women are all vain!” Have you noticed the proliferation of male-targeted fashion billboards and ads? Men are now bombarded, as women have been for years, with visual comparisons to perfect images of flawless male models that saturate our environment. There is a notable difference in the type and frequency of eating disorders among males. Men tend to want to bulk up rather than reduce to a slighter frame. An estimated 5 to 15 percent of people with anorexia or bulimia and an estimated 35 percent of those with bingeeating disorder are male, yet that doesn’t make their struggles any less significant. As a matter of fact, it may make it easier to hide. The degree that people can dislike their own bodies is not a respecter of gender guidelines. That distortion of thinking knows no boundaries. Excessive exercising for example, in the name of building self-esteem, can cross the line of danger when steroids get involved. Binge-eating as a coping style is another way a man can attempt to manage his high stress. Athletes can resort to extremes to “make the

weight class” they desire for competition. Combine these dilemmas with the societal norm of not expressing emotions because that “is not masculine”, and you have a formula for disordered eating. If you are a male with this struggle or concerned for another, consider consulting a professional counselor. Awareness is the first step towards a better and healthier body. For more information, you may contact Collaborative Solutions Institute (CSI), located at 200 W. Front Street, Bloomington, IL 61701, across form the coliseum at 309-828-2860. CSI offers a comprehensive treatment plan for eating disordered clients involving therapy and counseling.

September 2012 — Bloomington — Healthy Cells Magazine — Page 19

feature story

Advanced MRI Spotting Every Road Sign with 3-Tesla Magnetic Resonance Imaging By Alexander Germanis

riving through unfamiliar territory can be stressful, even frightening. However, even in newly visited areas there are road signs to help the traveler along the correct path. But what happens when a sign is obscured by heavy fog or slushy snow? Missing an exit can prolong one’s journey. Missing a stop sign can shorten one’s life. Catching sight of every road sign along the route is therefore paramount. When journeying within the human body, there are certain road signs medical professionals need to spot in order to make the proper diagnosis for their patient. The problem is, sometimes those signs can be obscured or are rendered entirely invisible due to “inclement” scans. Fortunately, the 3-Tesla Magnetic Resonance Imaging (MRI) machine at Advanced MRI in Bloomington—the only one of its kind in the Bloomington-Normal area—is capable of bringing those vital internal road signs in focus when weaker scans can lose them in the fog. 3 Tesla MRI The Magnetic Resonance Imaging machine or MRI is a scanning device which many people can recognize by sight: a large, white, donut-shape surrounding a long bed-like bench upon which a patient lies during the scan. But most people do not understand how an MRI works. Dr. Wayne Manness, MD, Advanced MRI’s Medical director, explains simply: “It’s a machine that generates pictures using an electromagnetic field and radio frequency sound waves.” The magnet, housed in the donut, works in tandem with the radio waves, causing atomic nuclei to produce a Page 20 — Healthy Cells Magazine — Bloomington — September 2012

magnetic field the MRI scanners use to produce an image of the area being scanned. So isn’t one MRI like another then? “One MRI is not the same as the next,” Dr. Manness insists. “There’s actually a difference you can see. They’re not all created equally.” Without getting further muddled down by the technological terminology, that difference between a 3-Tesla MRI and a typical 1.5Tesla MRI is the strength of the magnet used. Tesla (T), named for Serbian-American inventor and physicist Nikola Tesla, is the name of the unit by which magnetic strength is measured; ergo, a 3T MRI is twice as powerful as a 1.5T MRI. 3T is, in fact, the strongest in existence for clinical use. “With that extra strength we can do a couple of things,” Dr. Manness adds. “If we wanted to get images that look exactly like a 1.5T we can do it in half the time. If we took the same amount of time as the 1.5, it’ll be extremely sharp. What we like to do is meet in the middle—give them better image quality and in a shorter time—about two-thirds the time.” For any patient who can’t sit through a single television sitcom without squirming, that’s good news. So why don’t all sites use 3T MRI’s and all patients use it? Well, it all comes down, unfortunately, to money. The purchase cost of a 3T scanner is significantly more than the lower-powered 1.5T. Fortunately for the patient, however, there is no change to insurance coverage or patient costs for the upgraded scan. Therefore, a 3T MRI is an exceptional value for the patient.

Knee Injuries

When viewed from the outside, the human knee is a relatively unimpressive round structure. But one has only to gently grasp the patella, or kneecap, and start moving it around to know there is a lot more beneath the surface. Using an MRI scan of the area, a trained professional can spot the road signs warning of a “bridge out” within the knee joint. The images on the right are 3T MRI’s of two different patients. On the left is an MRI of a normal knee showing the anterior cruciate ligament (ACL) in its normal position. The second image shows a knee with a ruptured ACL. Although there may appear to be little difference to the layman, the 3T scan shows the trained eye that the lower portion of the ACL is “floating” in fluid whereas the upper portion has retracted and appears to be gone. The true beauty of the advanced MRI is seen when looking for even more painful and life-changing or threatening conditions.

A normal knee showing the ACL (anterior cruciate ligament) in normal position.

Second image is a ruptured ACL, the lower portion is "floating" in fluid and upper portion is gone (retracted).

Spine Syrinx

Patient with headaches and neck pain, worse with exertion. MRI shows spinal cord syrnix (abnormal fluid collection) arrows, and Chiari malformation (cerebellum sticks out below base of skull into spinal canal) open arrow.

Most people have suffered from a headache at some point. Whether it resulted from a minor concussion, too much stress, or eating ice cream way too quickly, the pain came. But in each case, the cause of the pain was different. Sometimes the pains hidden by the muscles of our neck or back have more diabolical origins. That is why proper diagnosis is crucial. Left are two 3T MRI images of a neck and upper back. The patient had suffered from headaches and neck pain. The road signs visible beneath the surface pointed to a spinal cord syrinx, or an abnormal collection of cerebrospinal fluid in a cavity within the spinal cord. This one sign led to another—that of a Chiari malformation, a protrusion of part of the brain into the spinal canal. In this case, the patient’s cerebellum had protruded. This uncommon condition has become easier to detect and is diagnosed much sooner due to advanced imaging techniques. Often, symptoms linked to spinal syrinx and Chiari malformations can be misconstrued as being merely the result of sinus or migraine headaches, leaving the real problem unattended and unfixed without the proper scan. The same can be said in regards to multiple sclerosis.

September 2012 — Bloomington — Healthy Cells Magazine — Page 21

feature story

continued

Multiple Sclerosis

Beneath the rather elegant structure of the human head is the command module of the body—the complex and convoluted mass of the brain. Just as with an advanced motorcar or piece of electronics, the problems with the brain and the rest of the nervous system can be equally complex. Surrounding and protecting your nerves is a fatty sheath known as the myelin. Multiple Sclerosis (MS) is a disease in which your own immune system eats away at that sheath and exposes the nerves, thus interfering with the communication between nerve and brain. This can result in various neuro-muscular malfunctions. There is, unfortunately, no cure for MS. However, there are treatments to aid patients in dealing with the disease; and, like with any disease, catching its existence as soon as possible can aid greatly in its treatment. On the right are two 3T MRI images of a patient with multiple sclerosis. The bright spots shown within the medium gray of the brain matter are clearly pronounced and they are easy to number. “Sometimes, the ‘classic’ lesions of MS are not clearly demonstrated on a 1.5T scan,” Dr. Manness explains. “This

Multiple sclerosis patient. can lead to a missed or delayed diagnosis. In fact, medical research has proven that 3T MRI scans can detect a greater number of MS lesions compared to 1.5T. The 3T scans also more accurately show the ‘active’ lesions—those causing current symptoms.”

Brain Tumors

Similar things can happen with patients suffering from brain tumors. Entire tumors sometimes go undetected on the weaker 1.5T scan. Dr. Manness adds, “Nobody wants a tumor to be growing for years and years without knowing it was there and then all of sudden they can’t walk because they had a tumor nobody saw. Finding it on the first MRI scan is of utmost importance for treatment.” (see images on the left) “Medical research has shown that 3T MRI can also detect more metastatic brain tumors than 1.5T,” Dr. Manness says.

Patient with tumors of the 7th and 8th cranial nerves on both sides Neurofibromatosis, type 2. The 3T brain MRI showed a subtle tumor (arrow) not detected on a 1.5T brain MRI. This prompted evaluation of the spinal cord, where additional tumors were discovered (arrows).

The importance of catching sight of each and every road marker also becomes evident when discussing treatment options. Often, those treatment options change based on the number and location of tumors found. “We’ve experienced many cases where a 1.5T scanner wasn’t sensitive enough to pick up something very subtle that we were able to pick up here that led to the right diagnosis,” Dr. Manness adds. “Our 3T MRI, because it’s clearer, can lead you down the right path.” Page 22 — Healthy Cells Magazine — Bloomington — September 2012

Just ask the poet Robert Frost—going down the right path can make “all the difference.” It all comes back to catching sight of every one of those signs telling exactly what lies ahead.

For more information, you may contact Advanced MRI at 309-665-0640. They are located at 1709 Jumer Drive in Bloomington.

accepting the diagnosis

Living with Diabetes By Amy E. Van Hoveln, RN, BSN, CDE

ith over 26 million people with diabetes in the United States, it makes sense that diabetes would have a huge effect on our local community. Recent statistics show that at least eight percent of our population has diabetes. These individuals are members of our community: doctors, nurses, ministers, computer programmers, business owners, drivers, teachers, counselors, farmers, students, children, moms, dads, grandmas, grandpas, spouses, and friends. If current trends continue, one out of three of us will have diabetes by 2050. Although many people are affected by diabetes and there is a lot of information about diabetes available, it doesn’t mean that the information we hear is accurate. The information presented about diabetes in the media can be very misleading. Some information is incorrect and leads to misconceptions about what living with diabetes means. One misconception about diabetes is that people with diabetes don’t take care of themselves or they don’t make the right choices. In many situations, this can’t be further from the truth. People with diabetes can certainly lead full, healthy lives. Just ask Emma Louise Kahman. Emma graduated from Normal Community High School in Spring 2012. She was diagnosed with Type 1 diabetes when she was in the eighth grade. In addition to the normal challenges that being a teen preparing for high school brings, Emma had a huge curve ball thrown at her: Diabetes. She and her family knew that the diagnosis would not be easy but they also knew that just because something isn’t easy, doesn’t mean it isn’t doable and Emma wasn’t going to let this curve ball slow her down. Upon learning of the diagnosis of diabetes, Emma said, “I decided to accept my diabetes right away because there was no reason to fight that my pancreas was not going to work anymore. I like to keep a positive attitude about my diabetes and I do not let it get in the way of me living my life, it just fits in with my life now.” One of the first things that Emma needed to learn was what Type 1 diabetes is. There are two different types of diabetes and they are very different in how they affect the body. Perhaps the biggest difference

between Type 1 and Type 2 is that a person with Type 1 diabetes does not make any insulin. They must take insulin to keep their blood glucose levels closer to normal. Type 1 diabetes is also an autoimmune disease and may or may not run in families. Some people with Type 1 diabetes are the only people with diabetes in their family. When asked what helps Emma stay on track, Emma said that she seeks out support from family, friends, and support groups. She meets with a support group at school where they discuss low carb options and diabetes issues that occur on a daily basis. Many of the choices that these young adults make are choices that the rest of us should be making: eat foods in moderation, watch portion sizes, be active, exercise, and reduce stress. Having a support system in place provides an opportunity to share challenges and discuss solutions that work in the real world. Emma also said, “We focus on what will happen when we go to college, informing a roommate about diabetes etc. We love to educate people and explain what diabetes is and how the pump/shots work.” Emma currently wears an insulin pump. The insulin pump is a device that delivers insulin. Wearing a pump is an option for patients with diabetes who take insulin. The pump allows the person to receive insulin without having to give multiple shots a day. Some patients feel that wearing a pump gives them more flexibility. Emma agrees and says that her pump allows her more freedom and she has achieved better blood glucose control. One of the biggest things that Emma and all people living in our community need is support and understanding. To learn more about diabetes and support those in our community with diabetes, join us in walking in The Bloomington Step Out: Walk to Stop Diabetes on September 15th. The Walk will raise funds for research, advocacy, and education programs. The Bloomington Step Out will feature a one to three mile walk and a silent auction. Emma challenges everyone to walk with her to STOP diabetes! Anyone wishing to join Emma and walk to stop diabetes can register at www.diabetes.org/bloomington or call 1-888-DIABETES. September 2012 — Bloomington — Healthy Cells Magazine — Page 23

childhood disorders

Does My Child Have

ADHD / ADD? By Dr. Anjum Bashir

any children and parents have mixed feelings about the start of a new school year. There is often a good deal of anxiety along with excitement, especially if the previous school year was a bit frustrating. Symptoms of Attention Deficit Hyperactivity Disorder (ADHD/ ADD) often become more apparent when a child transitions from the long summer break to the school environment. ADHD/ADD is one of the most common childhood disorders and is usually identified in the early elementary years. However, it is being recognized more often in Kindergarten or earlier because today’s kindergarten has more rules and higher expectations than 10 years ago. On the other hand, ADHD/ADD symptoms may not present a problem until middle or high school when students have multiple teachers, the work is more challenging, and students need to have good organizational skills. Regardless of the age that symptoms are noticed, ADHD/ADD can continue into adulthood. Inattention, hyperactivity, and impulsivity are the key behaviors of ADHD/ADD. The terms ADD and ADHD are often used interchangeably, but the difference is that ADD does not include the hyperactivity component. While most children sometimes get distracted, act impulsively, and struggle to concentrate, these behaviors are more severe, occur more often in children with ADHD/ADD, and are more problematic in a classroom setting. Children who have symptoms of inattention may: • Be easily distracted, forget things, and frequently switch from one activity to another

•H ave difficulty focusing on one thing • Become bored with a task after only a few minutes, unless they are doing something enjoyable • Have trouble completing or turning in homework assignments, often losing things (e.g., pencils, toys, assignments) needed to complete tasks or activities • Not seem to listen when spoken to • Daydream, become easily confused, and move slowly • Have difficulty processing information as quickly and accurately as others • Struggle to follow instructions.

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Children who have symptoms of hyperactivity may: • Fidget and squirm in their seats • Talk nonstop • Have trouble sitting still during dinner, school, and story time • Be constantly in motion • Have difficulty doing quiet tasks or activities. Children who have symptoms of impulsivity may: • Be very impatient • Blurt out inappropriate comments, show their emotions without restraint, and act without regard for consequences • Have difficulty waiting for things they want or waiting their turns in games • Often interrupt conversations or others' activities. ADHD can be very difficult to diagnose. Those with extreme symptoms are easy to identify, but there is a wide spectrum of symptoms and most children are somewhere in the middle. Children mature at different rates and have different personalities, temperaments, and energy levels. Sometimes, these normal factors may be mistaken for ADHD. On the other hand, adults may think that children with the hyperactive and impulsive subtypes just have emotional or disciplinary problems. Parents and teachers can miss the fact that children with symptoms of inattention have the disorder because they are often quiet and not disruptive. They may sit quietly, seeming to work, but they are often not paying attention to what they are doing. ADHD is traditionally diagnosed by gathering information about the child and his or her behavior and environment. If the child meets

the criteria for ADHD, which includes having at least six symptoms for more than six months to a degree that is greater than other children of the same age, he or she will be diagnosed with the disorder. The problem with this method of diagnosis is that it is still very subjective and prone to error. A new technology is now available that can diagnose ADHD with greater certainty. The FDA has recently approved the Quotient® ADHD System providing doctors and parents with objective measurement of hyperactivity, inattention, and impulsivity for clinical assessment of ADHD. The test, which only takes about 15 minutes, involves the child sitting at a specially designed computer workstation. The System uses a patented Motion Tracking System to measure an individual’s movement while focusing on visual stimuli and accurately measures motion and analyzes shifts in attention state. The System then compares the results of the patient’s test to other individuals of age and gender matched groups. Results are calculated based on 19 or more parameters that combine to give greater than 90 percent accuracy in identifying ADHD. Results are available immediately allowing doctor and parents to move forward with treatment plans promptly. While there is no cure, proper diagnoses and treatment can eliminate or control many of the symptoms so that people with ADHD can be successful in school and lead productive lives. For more information, please contact Anjum Bashir, MD at 309-531-0050. His office is located at 205 N. Williamsburg, Suite E in Bloomington. He is one of the few physicians in Central Illinois offering Quotient Testing for ADHD diagnosis. More information on Quotient testing, is available online at www.biobdx.com Healthy Cells Ad - Daniel_Layout 1 12/1/11 12:06 PM Page 1

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September 2012 — Bloomington — Healthy Cells Magazine — Page 25

medicare

Sold! To the Company With The Lowest Bid T

hat’s correct; Medicare is auctioning off your right to receive quality home medical equipment, care, and service to the company that has the lowest bid. Home medical equipment is not a part of healthcare that most people think about until they have a need for it, but millions of Americans rely on medically necessary home medical equipment to allow them to live an active and independent lifestyle. Because of this equipment, they are able to live in their homes and not in skilled care facilities. Home medical equipment also provides them

the freedom to travel, grocery shop, to socialize with family and friends outside of the home setting, attend church, and other social events. They can enjoy life to the fullest and be participants in their communities. For these Americans, home medical equipment is a vital part of their lives, and they rely on their home medical equipment providers to provide them with quality care and services to make their lives easier. However, because of a Medicare Law, this will all change. Access to quality care and services will be greatly diminished because many home medical equipment providers will be forced to shut their doors. Additionally, freedom of choice will be eradicated and technology advancements will be hindered. They call it “competitive” bidding. This law requires providers to bid for Medicare contracts, with the right to provide life-sustaining equipment and service being retained by only the lowest bidders, many of which may not be local providers. Here are some facts about how the program can impact a Medicare recipient. • Freedom of choice will be gone. • D ecrease in access to providers or not being able to stay with your current provider. • Forced to work with numerous providers, this can become complicated and confusing instead of the current system of using one provider. • Reduction in services, decrease in product innovation, difficulty with hospital discharges, increased dependence on institutional care. • Financial burdens created by longer stays in the hospital, more trips to the emergency room or possible admission to nursing facilities because of lack of timely service and patient instruction in the proper use of their equipment. • Emotional stress caused by the fear of not receiving service or supplies in a timely manner, loss of familiarity with the current local provider, and the fear of equipment malfunctioning and having to wait extended periods of time for a provider to help them. The facts are as follows: • The nine categories affected are: Home oxygen therapy, power wheelchairs, mail-order diabetic supplies, tube-feeding supplies and equipment, sleep apnea machines and supplies, hospital beds, walkers, and certain types of mattresses. • Even though it is being said that competitive bidding saves significant dollars for the taxpayers, the reality is that home medical equipment and associated services make up only 1.6 percent of the total Medicare budget. • Keeping patients at home means significant savings to the Medicare trust fund. An average night in the hospital cost upwards of $4000 to $7000 per day to the system. Long-term care costs more than $200 per day. One day on home oxygen, the largest sector of the Medicare Part B program, costs the system $5.69.

Page 26 — Healthy Cells Magazine — Bloomington — September 2012

If you would like to help, please go to http://www.house.gov/ or sign the petition at www.aahomecare.org/ to show your support and to let your U.S. Representative and Senators know that Americans have the right to access quality care to help preserve their independence.

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• Those winning the bids will have their payment rates reduced by more than 30 percent. The industry already operates on a five percent margin. • People will be forced to choose from a small list of governmentcontracted providers. These providers could be located locally or may have to come from a distant city. • Medical equipment suppliers will have no incentive to do a better job of making sure the equipment is being used properly. That, in turn, will lead to poorer outcomes, more hospitalizations, ER visits, and doctor’s office visits. • The bidding process will cut prices to unsustainable levels while significantly reducing the number of providers allowed to care for Medicare patients. • There will be scores of jobs lost and those winning the bids will not be able to afford an increase in their workforce to serve the tremendous territory they will have to serve. • These changes are most likely to set the pace for Medicaid and private insurance companies to follow suit by selectively contracting at similarly reduced rates.

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September 2012 — Bloomington — Healthy Cells Magazine — Page 27

prostate cancer

Our Cancer Nightmare Comes True Second in a series of excerpts from “Making Love Again” The subject matter of this book is of a personal and explicit nature, and may not be suitable for younger or ultra-conservative readers. By Virginia and Keith Laken

felt guilty when I walked into Keith’s office, thinking I had let him down and not been there for him when Dr. Barrett called. But Keith was talking on his business phone. Surely, I thought, the fact that he’s back to work means he received good news! As I walked toward Keith, he handed me a piece of paper filled with handwritten notes. At the top of the page was the title “PHONE CALL WITH DR. BARRETT.” I began to read…biopsy is positive…adenocarcinoma…left lobe… probably confined…come in next week to discuss options…suggest surgery and taking of pelvic lymph nodes… Suddenly I felt faint. I fell clumsily into a chair, and was grateful to hear Keith’s voice, as if from a distance. “I’ve gotta go now. I’ll call you back later.” My stomach began to cramp. I could feel the color drain from my face. Keith reached for my hand and held it gently. His eyes reflected concern. Keith always gets upset when he sees me hurting. “How do you feel about this?” I whispered, dragging my focus back to Keith. “I’m numb,” he replied in a level tone. “I can’t take it all in.” Keith paused. “I guess I knew it all along, but when I heard the words I couldn’t believe it. I just stopped feeling.” “How could you go on?” I asked, incredulous. “Make your phone call and do business?” “What else was I supposed to do?” Keith answered quietly. “I can’t do anything to change this.” Keith asked me to be the one to call the children and my mom. I reached out to hold him, and Keith’s voice murmured in my ear: “I don’t want to talk to anyone about it right now.” Beth took the news in her typical stoic manner. “Mom,” she told me, “our family can handle anything.” Steven was equally supportive, but more outwardly emotional. Fighting back tears, he said he’d fly out to be with us anytime we needed him. The call to Mom was difficult. Hearing of Keith’s cancer, I knew, would remind Mom of her own battle with stomach cancer — a topic she tried her best to avoid discussing. It wasn’t surprising, therefore, that Mom said little more than to tell us how sorry she was. The next morning, my first waking thought was of cancer. I looked at Keith, still sleeping, his hair rumpled and his face smooth. “Cancer is eating away at Keith’s body,” I thought, horrified. At breakfast, Keith told me he felt “unclean.” Laptop Notes. January 23, 1995 Tomorrow is my appointment at Mayo to “discuss options”. Still thinking of doing nothing, waiting to see how things develop. Prostate cancer is generally slow growing. We may have some time. Not that I want to take risks. I have a dream of sitting on a porch swing with Gin when we’re in our eighties, watching the family around us. I want Duncan to know his Grandpa, to remember that I took him fishing and flying. And Beth and Care say they’re planning a big family. I can’t miss that. But I also can’t risk this surgery. Page 28 — Healthy Cells Magazine — Bloomington — September 2012

Journal Entry, January 23, 1995 Dear God, please let Keith say yes to the operation. Let him agree to get this cancer out of his body so he can be well again…so we can have our old life back. Now that we know for sure we have to get rid of it… At our appointment with Dr. Barrett he talked about the characteristics and progression of prostate cancer, and reminded Keith of the seriousness of his condition. Of all the treatments available for prostate cancer, the urologist preferred surgery. This option, he said, offered the greatest possibility for a cure. Keith listened intently while Dr. Barrett spoke of recovery time and outcome. Only when he paused did Keith ask the questions that overshadowed all other input for him: “And what about the possibility of becoming impotent?” “That risk is low…about 30%. And you’re young. The odds are in your favor.” Keith then questioned Dr. Barrett about the nerve-sparing technique of prostate surgery, pioneered at Johns Hopkins University Hospital by Dr. Patrick Walsh. “Do you use this procedure here?” Keith asked. “I do,” the surgeon replied readily. “But you can’t assume it guarantees an escape from impotence. There are other factors besides nerve damage that can affect a man’s ability to achieve an erection, such as blood loss and arterial damage. Those causes are almost impossible to predict.”

“Look Keith, if you do become impotent, don’t worry. We can easily treat it. These days we have excellent methods for creating erections. We’re using a new injectable medication that gives a man an erection just like the natural thing. So don’t be concerned.” Neither of us spoke as we left Dr. Barrett’s office and headed across the street for our next appointment. Dr. Barrett had recommended we talk to Nick, a man around Keith’s age who had survived prostate cancer thanks to the same surgery he wanted us to consider. Nick had been diagnosed with prostate cancer at the age of thirtynine, and had elected to have a prostatectomy (prostate surgery in which the prostate gland is removed). He told us it had now been seven years since his operation and, in his experience at least, it had been a blessing. He was still disease-free and doing great. When Keith asked him if “doing great” meant “great in all areas,” Nick grinned coyly and nodded. “I can assure you that I function just like I did before the surgery. No problems whatsoever.” As we walked back to the Clinic, Keith unexpectedly took my hand, and, like a happy schoolboy, began swinging it back and forth. “That was really good for me to hear,” he said as we crossed the street. I looked up. Keith was grinning that wonderful half smile of his. It felt so good to be seeing that smile again! Our final appointment that day was with Dr. Phyliky. Our family doctor for over seven years, Dr. Phyliky wanted to meet with us to discuss any concerns we might still have. Dr. Phyliky began by asking Keith what he had learned from Dr. Barrett and Nick, and how he was now feeling about his situation. Keith quickly summarized the two earlier meetings, then very casually concluded: “…and I’ve made up my mind to go ahead with the surgery.” I couldn’t believe it! I wanted to leap up and smother him with kisses. To laugh. Shout for joy. Cry with relief. Dr. Phyliky nodded and smiled approvingly. “I’m very pleased that you’ve elected to have surgery. Like Dr. Barrett, I feel it gives you the greatest possibility for a cure. I must tell you that my father died with prostate cancer. Prostate cancer kills many men,” Dr. Phyliky stated soberly. “And believe me, it’s not a good way to die.”

Journal Entry, January 14, 1995 I was SO surprised when Keith said He’d decided to have the surgery…for the first time in days I feel like I can take a deep breath…. Keith’s going to have surgery! Prayers are indeed answered! January 15, 1995 — TO ALL EMPLOYEES In an effort to dispel any rumors you may have heard recently, I would like to share some facts with you about my personal health… Should you have any

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questions about my schedule, projects, or condition, please stop by. I am very open about the subject and willing to explain to whatever detail you may want. Thanks for your support, Keith Laken Laptop Notes, January 28, 1995 When I sent out my memo, I didn’t expect much response. But saying I was willing to answer questions must have opened the floodgates. For two days I haven’t gotten any work done. People have been in my office constantly, some wishing me well, others with questions. The amazing thing was how many told me about their fathers, brothers, and uncles who had prostate cancer, and how worried they were about them. Some people hugged me. Some even cried. It was really embarrassing. I didn’t know people cared so much. Laptop Notes, February 3, 1995 Tomorrow I go under the knife. My first operation, and I’m really nervous. I don’t like putting my life in someone else’s hands, but that’s what has to be done. Now I just want to get the whole thing over with. It was a tough decision to have this surgery, but I won’t second-guess myself. I never do.

Journal Entry, February 3, 1995 Tomorrow Keith has his surgery. God, I’m scared. I know he needs this operation, but I’m still so worried. Something could go wrong. Tonight Keith wanted to make love “for old-times sake,” but I just went through the motions. I couldn’t concentrate. I really don’t know how Keith can do it. How can he have a climax at a time like this??? Keith’s been so concerned about being impotent, I’m sure that’s why he wanted to make love tonight. But I just couldn’t get into it. It’s not important to me that we have sex. I don’t care about that. I JUST WANT KEITH TO LIVE. Next month: Keith Goes Under the Knife The book Making Love Again: Hope for Couples Facing Loss of Sexual Intimacy is available at Amazon.com and many major book sellers. You may contact the Lakens at KLAKEN@aol.com

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September 2012 — Bloomington — Healthy Cells Magazine — Page 29

cartilage restoration

Keeping the Joints Oiled By Alexander Germanis

nyone who has seen the Wizard of Oz knows about the Tin Woodsman, particularly the awful squeaking sounds produced whenever he had inadequate oil in his joints. Unfortunately, there’s a real world analog to that sensation—the kind of pain caused when bare bone scrapes across bare bone due to a lack of cartilage in the joint. Even the thought of it makes one cringe. Fortunately, there’s also a real world analog to the oil can: cartilage restoration. However, just because one might have pain in one’s joint does not necessarily translate into a need for cartilage restoration. Dr. Joseph Norris of McLean County Orthopedic, an expert in sports medicine specializing in joint repair, understands the different types of cartilage damage and the variety of procedures that can be utilized to repair, restore, or replace worn or non-existent cartilage. “When most people talk about a tear to their cartilage,” Dr. Nor-

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Page 30 — Healthy Cells Magazine — Bloomington — September 2012

ris explains, “they’re talking about a piece of fibro-cartilage called the meniscus that sits between the two bones, as opposed to articular cartilage. The articular cartilage is the cap (like the smooth surface on the end of a chicken bone) that we have on the ends of our bones, on the backs of our kneecaps, on the end of the femur, or end of the shoulder joint. If you have diffuse cartilage wear (cartilage that is absent), that is arthritis, and some of the restoration surgeries may not be ideal.” Indeed, Dr. Norris emphasizes that “every case is so individualized; there are so many factors.” Therefore, the best place to start with any joint problem is with a clear, accurate diagnosis by someone who has “all the tools in the arsenal to do it.” Those tools in Dr. Norris’ arsenal are as myriad as the joint problems that need fixing. Such tools include: osteochondral allografts, autologous chondrocyte implantations (ACI’s), osteochondral autografts, meniscal allograft transplants, osteotomies, microfractures, tibial tubual ostetomies, and the use of glucosamine/chondroitin supplements. “Each lesion, each injury requires a game plan in its own right,” Dr. Norris emphasizes. “The larger ones do deserve ACI’s”—a procedure in which some of a patient’s cartilage-forming chondrocyte cells are removed, grown in a lab and re-implanted. “Sometimes the bone doesn’t look good either and you end up transplanting a fresh allograft. These are grafts of cartilage and bone from people who have died within the last two weeks. A plug of cartilage and bone is removed from the patient and we then insert a plug of cartilage and bone from the donor.” Similar to the allograft, there is the osteochondral autograft in which the patient is the donor and the recipient. A plug is removed from an area not part of the true joint and implanted where it serves an articular function. For those whose cartilage needs more of a pick-me-up instead of entire replacement, there is the supplement known as glucosamine/ chondroitin. According to Dr. Norris, it is the only supplement that has shown to be beneficial in decreasing pain symptoms in an arthritic knee; but even then, one must beware that “nothing reverses degeneration and makes cartilage grow back on the end of bone.” That’s what makes cartilage work so important and why it is crucial to get the proper diagnosis, in person, by a doctor who knows what to look for and how to fix it. Dr. Norris adds, “If you break a bone, it can heal. If you tear a ligament, you can make a new one. If you lose your cartilage—you’re born with a certain number of cartilage cells and once they’re gone, they’re gone.” With such a thought, it is all the more reassuring knowing that there are those nearby who know how to get those joints moving again and without the proverbial squeaks. For more information about joint pain, cartilage restoration, arthroscopic surgery or other orthopedic questions, you may contact Dr. Norris at McLean County Orthopedics, 309-663-646.

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pray for the cure

Prayer that Heals By Rev. Chereé Johnson, Advocate BroMenn Medical Center and Advocate Eureka Hospital

he use of prayer in healing has had an interesting history. Early practices of healing relied heavily on the use of spirituality, mysticism, rituals, and spoken word to bring healing and comfort to those afflicted by illness, injury, or disease. As healing practices developed, the spiritual components of healing were all but ignored by modern medicine. Scholars in the areas of faith, spirituality, and healing have suggested that the physical laws that guide modern medicine, specifically the cause-effect principles in which consciousness plays no role, encouraged spirituality to be considered irrelevant to health.* Fortunately, there has been a pendulum shift in the past 20 or so years, and current practices in medical care have become more inclusive of the concept of whole person or “holistic” care which by definition includes body, mind, and spirit. Studies have shown that prayer for health reasons gives people peace of mind and a strong sense that God is with them. A study published in the Journal of Clinical Oncology (2007) that examined religion’s role in helping cancer patients cope with illness showed that most people wanted their religious/ spiritual beliefs to be incorporated in their medical care. A 1994 Gallup poll showed that 75 percent of patients think their physicians should address spiritual issues as part of their medical care. Furthermore, 40 percent want their physicians to actively discuss religious issues with them, and nearly 50 percent want their physicians to pray not just for them, but with them. For most patients, faith and spirituality are an integral part of overall health. Some hospitals have recognized this trend and partner with local clergy and communities of faith for “intercessory prayer” or prayer from a distance, where groups or individuals pray generally for the needs of specific hospital units, physicians, staff, and those in need of or receiving care at the institution. For many patients (and staff) at these hospitals, the knowledge that someone, somewhere is praying for them makes a difference in how they experience their health crisis and, for many, a difference in their health outcomes. In a March, 2006 article on the research on prayer and healing, the Washington Post described prayer as “the most common complement to mainstream medicine, far outpacing acupuncture, herbs, vitamins, and other alternative remedies.” Prayer as a conduit to healing invites people into the process of faith and belief, that transcends the limitations of the individual. It incorporates strength from sources richer than just what can be seen and understood. The power of prayer that heals is rooted in spirit, community, faith, knowledge, and a sense of the intention of human existence as good and purposeful. By recognizing the strength of the collective wisdom of religion and medicine while at the same time holding sacred the needs and concerns of individuals in health crisis, prayer can be an important resource for comfort, encouragement, and healing. Rev. Chereé Johnson is the Coordinator for Church Relations at Advocate BroMenn Medical Center and Advocate Eureka Hospital. She is a member of the Bloomington/Normal Pray for the Cure Planning Committee.

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Page 32 — Healthy Cells Magazine — Bloomington — September 2012

aint Teresa of Avila once wrote, “The most powerful and acceptable prayer was prayer that leads to action.” On Thursday, September 6, 2012, from 6–8 p.m., Bloomington/Normal and the surrounding communities will move to action by participating in “Pray for the Cure”, a prayer and worship service for Breast Cancer survivors, their families, caregivers, and healthcare personnel. The event will be held at Mt. Pisgah Baptist Church, 801 W. Market St. in Bloomington. “Pray for the Cure” provides an opportunity to exercise the power of prayer that heals. For more information, you may call 309-268-2253

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icd10-cm implementation

Counting Down to 2014 By Lovina Farden, CPC-A

ny medical, surgical or diagnostic service that is provided in the delivery of health care is assigned a code, which is then used by insurance companies to determine the amount of re-imbursement. Beginning around October 2014, the International Classification of Diseases ICD9-CM version will be updated to ICD10CM (Clinical Modification). The old codes are 30 years old. They are outdated and cannot handle additional categories. With the emerging technologies in healthcare, it is time to revamp and revise the reporting tools for providers, insurance companies, and those who develop disease-fighting protocols. The new codes will be more detailed and external causes will be embedded into the code. It is important to know what this change will mean to both providers and patients. Healthcare professionals will have better data on disease co-morbidities and quality outcomes, payment system design and implementation, public health and bioterrorism monitoring, and health policy planning. For example, if you arrive at the emergency room with a broken ankle and you tell the nurse where it happened and how it happened, other healthcare professionals who need to see the reason for your visit will be able to see the loca-

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tion (if it was at home or on the construction site), and how it happened (falling off a ladder or slipping on a wet floor). This information will be important to insurance companies and all those data miners who want to know how many accidents happen while performing a task. Then this information will be presented in quality reports to help reduce accidents at work for example. Patients will benefit from improved claim processing and payment. Providers will be able to make treatment decisions with the newer codes because they will be more precise with diagnoses and procedure information. The new codes will educate consumers on costs and outcomes of treatment options. For example, ulcers are very common with the elderly population; however, the current ICD-9 codes do not specify the location or severity of the pressure ulcer. With the new ICD10-CM code set, it will identify the location and the severity of the ulcer. With the transition to the new code sets, there will be fewer claim rejections, decreased need to manually review claims, reduced labor costs, increase in productivity, and reduced coding errors. There will also be fewer fraudulent claims. Since WHO (World Health Organization) no longer maintains the ICD-9 code sets, it is imperative that providers embrace the upcoming changes. Not only will patients benefit, but also the world will be able to share public health disease information more efficiently and act with diligence in the event of a bioterrorism threat. The American Association of Professional Coders (AAPC) has over 116,000 members nationwide who are in the process of training for the new code sets. New candidates are joining the ranks monthly to be prepared to code and bill using ICD10-CM. If you are a healthcare professional and would like more information on the ICD10-CM code sets, the Bloomington/Normal AAPC chapter invites you to their seminar “Intro to ICD10-CM” on September 8th in Normal, Illinois at OSF St. Joseph MG – College Ave. For more information on this seminar, please contact Stephanie Bowling, CPC, Education Officer at 309-665-4041. Sources: www.hhs.gov, www.ahima.org, www.aapc.com

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oral health

Early Childhood Dental Care By Christopher Sikora, DMD, Prairie Dental Associates

hile most children have seen a physician several times during their first few years of life, not as many see a dentist until they are older. The American Academy of Pediatric Dentistry (AAPD) recommends that a child should establish a dental home within six months of first tooth eruption or one year of age—whichever comes first. Establishing a dental home early can help the child acclimate to the dental office setting while receiving routine care before any problems arise. It is important for the child to learn that the dental office is not an intimidating place. This is easier to accomplish if the child’s first visit is not an emergency visit due to pain. When preparing for a dental visit, it is important to have a positive outlook. Children are very perceptive and can be influenced by their parents’ negative feelings about visiting the dentist. Assume your child will be cooperative at the dental office. When parents verbalize that their child will not be cooperative, the low expectations are easily met. Bring up a dental visit as you would a trip to Grandma’s or a play date with their friends. Tell them a few days before hand, but not too far in advance that they have time to worry about what will happen at this new place. Give your child some information about what to expect if they are curious. Let the child know that they will be seen by a hygienist and a dentist. Explain that their teeth will be cleaned and counted. The dental staff and dentist have a special vocabulary

for young patients. It is best to let the staff use their own words when describing a shot, filling, or extraction. Again, it is better to have a positive outlook. Do not assume your child will have a cavity or will need serious work. Let the dentist take a look and make the appropriate diagnosis and treatment plan. It is not always easy, but parents need to be brushing for their children after the first tooth erupts. When a child is under the age of one year, a damp, soft, cotton cloth wrapped around a finger can be used to brush the child’s teeth. No toothpaste is necessary before the age of one. For children between ages one and three years old, a small smear of non-fluoridated toothpaste on a tooth brush is recommended. After three years, the child can use a pea-sized amount of fluoride toothpaste; provided that the child is capable of spitting after brushing and does not swallow a large portion of the toothpaste. Parents should continue to help their children brush until they have the necessary manual dexterity. It is recommended that until a child can write in cursive, they require some help in brushing their teeth. Having children practice brushing in front of parents and then having the parents spot clean any areas the child may have missed, is a good way to help older children. The best time to find a dental home and start proper home care is before any problems arise. Earning trust and cooperation may take a few appointments, but with a little patience, it is possible to have a cooperative young patient that has little to no dental anxiety. For the child to have positive dental appointments, it is important not to make a fuss about going to the dentist. Let the child know they are expected to cooperate, but do not make threats in the event they do not. The dental team at your child’s office can provide resources and guidance when necessary for achieving optimum age-appropriate fluoride intake and oral hygiene techniques. 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.

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health in the classroom

Back to School with Asthma and Food Allergy By Dana Dalbak, PA-C, Sneeze, Wheeze, and Itch Associates, LLC

or children with allergies or asthma, heading back to school requires additional preparation to ensure their health in the classroom. Asthma is the number one health problem causing chronic absence from school. Food allergy can also trigger potential problems anywhere from the bus stop to the classroom. Cooperation between the family, physician, and school is essential to ensure the student’s health in the classroom. The following strategies will help prevent asthma and food allergy problems in the school environment. • Develop an Asthma Action Plan or Food Allergy Action Plan. Visit your allergist to develop a written step-by-step action plan for your child in the event of symptoms. An allergist is a physician specializing in care of asthma, allergy, and immunology. This plan can be given to schools, coaches, babysitters, etc. • Know your school’s policies. Visit with educators and the school nurse. Discuss with staff how emergency situations will be handled. Ensure that staff are

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trained to recognize the signs of asthma or food allergy. Staff should also be trained in the administration of emergency medication. This includes coaches, lunch aides, teacher’s aides, etc. • Know your rights. All fifty states have laws protecting students’ rights to carry and use their asthma inhalers while at school. All states except New York also protect students’ right to carry and administer their anaphylaxis medications. (Anaphylaxis is a severe, life-threatening allergic reaction.) Each state law is different. Many states, including Illinois, require written authorization from a parent or guardian and a physician, as well as the prescription label and information about use. Make sure your child’s paperwork is up-to-date, allowing them to use their medication at school. Detailed information on the requirements of each state’s law can be found at www.breatheatschool.org. • Make sure your school has an adequate plan for preventing and treating food allergy. Do you wonder if your school could be doing more to address food allergy? Detailed guidelines specific to Illinois schools for managing and preventing food allergy exposure during school and school events can be found at www.foodallergy.org/page/ statewide-guidelines-for-schools. • Write expiration dates of emergency medications on a calendar and obtain refills when needed. • Ensure regular use of preventive medications. For many children, daily medication is essential to controlling asthma. Be vigilant about ensuring your child is using his or her medication as prescribed, including correct inhaler technique. Don’t let the cost of medications be the reason your child’s asthma is not controlled. There are many prescription assistance services available to provide no-cost or low-cost medication to families that qualify. Visit your allergist for help in connecting with these resources. • Vaccinate against seasonal flu. The Center for Disease Control recommends everyone over the age of six months receive a flu vaccine. This is especially important for individuals with asthma. • Schedule a back-to-school checkup. Visit your allergist to be sure your child’s symptoms are under control, correct medications are prescribed, and the appropriate action plan is in place. The Food Allergy and Anaphylaxis Network also provides valuable resources for students, schools, families, and friends of children with food allergy. Check out their back-to-school tool kit for all grade levels at www.foodallergy.org. With some care and planning, you can ensure your child has an optimal school experience! For more information, contact Sneeze, Wheeze & Itch Associates at 309-452-0995 to schedule an appointment with an allergist/ immunologist.

Page 36 — Healthy Cells Magazine — Bloomington — September 2012

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a body in balance

The Secret to Optimal Health: Re-Balancing Your Hormonal Symphony By Tom Rohde, MD

ur normal function and health depend on the balance among multiple organ systems. The body will always try to restore balance when either internal or external forces start to affect it. The most common initial stressors that affect our body are stress and dietary excesses. Stress affects the adrenals, which alters cortisol levels. Too many carbohydrates in our diets affect our insulin levels, which further affects cortisol leading to further imbalance and weight issues. As the adrenals struggle to maintain cortisol balance they start to regulate down the thyroid—think fatigue. Cortisol and thyroid changes affect the sex hormones, which then shift these further out of balance—hello, hot flashes and weight gain. A vicious cycle begins! The initial changes manifest as loss of vitality with the first symptoms of fatigue being trouble sleeping and weight gain. If you have trouble remembering names and you feel foggy, then your cortisol is not balanced—this is a subtle first warning of brain

compromise! An elevated cortisol can manifest as the tired and wired phenomenon (tired during the day and wired and unable to sleep at night) that is often misdiagnosed as depression! Unless changes are made to restore balance—in relationships, food, stress, and body chemistry—these cycles continue to worsen and then chronic disease states start to emerge and set in. The initial take-home message is that all things are inter-related in the body and looking at only one parameter - such as thyroid, or adrenals, or hormones - and trying to "fix" that item will cause the body to move back toward balance. This is often seen as an initial brief period of improvement with a given treatment. But, if not all the body’s systems that are affected are addressed, and only the underlying cause(s) remedied, then the body will return to the unhealthy baseline status as it adjusts and shifts back. How do you address all the body’s systems and restore this crucial balance? You need to evaluate the complete thyroid sta-

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tus, and you can't do this by looking only at the TSH and perhaps a T4 as is usually done in traditional medical practice. How many of you have heard that your test was normal yet you feel lousy? You need more in-depth testing to thoroughly evaluate conversion to active T3 as well as looking for inactive reverse T3 and thyroid antibodies indicating underlying issues that also need to be evaluated and corrected. Almost everyone needs to evaluate their gut function. Everything that happens in your body is dependent on your ability to digest and absorb the nutrients from the foods you eat—if this doesn't work well or you're on meds that interfere with absorption of vital nutrients, then you're headed for trouble. You will need to look for fungal colonization and/or abnormal bacteria, as well as other infectious causes of mal-performance. Your pancreas, an integral part of your gut, also needs a thorough evaluation by looking at both the production of digestive enzymes for proper nutrient break down, as well as insulin production capabilities. A fasting blood sugar should be less than 90 and a fasting insulin should be between two and six. If these parameters are off, then dietary change to eliminate sugar and minimize carbs is a must! You definitely need to add in regular exercise as this helps with normalization of sugars, elimination of insulin resistance, and improvement in gut motility. Next you need to evaluate the adrenals using the most sensitive testing modality: a 4 point salivary cortisol collected in the serenity of your home and normal routine to get an accurate reading. Getting up, getting ready for the day, then driving to the hospital and getting stuck with a needle can all increase the cortisol level leading to a false normal. Again, how many of you have heard that your test was normal, yet you feel lousy?

"Everything that happens in your body is dependent on your ability to digest and absorb the nutrients from the foods you eat." Finally, you need to look at your sex hormones—all of them—as they all work together. The simplest method is again salivary testing as one specimen allows evaluation of all sex hormones and DHEA for both men and women. Blood testing can also be done, but all of the hormones must be ordered to get a thorough evaluation, which enables a balanced treatment program. So, what's the “take home” message? If you're tired of being tired and you want to get back to a normal vigorous life, then you'll need to make some serious life-style changes along with planning an in-depth evaluation of the multiple players in your symphony of hormones. Get started today! 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!

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September 2012 — Bloomington — Healthy Cells Magazine PagePM 39 8/1/2012 — 3:11:04

chiropractic care

A Pain in the “Backpack” By Dr. Steve Gagliano, Eastland Chiropractic & Lifestyle Center

ith another school year upon us, the hustle and bustle of getting ready becomes a priority. With all the books, gadgets, and supplies that are required of students, it is important to make sure that they not only have a well-designed backpack, but also one that is properlyfitted and correctly worn. It is estimated that over 35 million students head off each day with backpacks. The problem is for most of these students the backpack is slung over one shoulder. Over half of these students, roughly 20 million, are carrying twice the recommended weight in their backpack. This results in stress injuries and spinal pain that can worsen with age and pre-dispose them to lifelong chronic conditions. According to the North American Spine Society and the American Chiropractic Association, over half of their member physicians reported seeing children, teens, or young adults suffering from back pain or spine trauma caused by an overloaded or improperly worn backpack. Conditions range from cervical (neck), thoracic (mid back), and lumbar (lower back region) strains, to spondylolysis, a stress fracture in a vertebrae. In addition, many physicians also reported seeing patients complaining of shoulder, elbow, and hip pain and discomfort. Backpacks are designed to distribute the weight of the load evenly over the body’s strongest muscles. The risk of injury occurs when the backpack is too heavy or worn incorrectly. Experts recommend that the weight carried in the backpack not exceed 10-15 percent of the student’s body weight. Backpacks are a popular and practical way to carry schoolbooks and supplies throughout the day. If the proper guidelines are used the risk of injury diminishes greatly. Parents are encouraged to see that the weight of the backpack is within range and that the proper wearing of the backpack is followed. In addition, they should also observe the child and ask if there is any discomfort. If their child complains of pain, it is recommended that they be seen by a chiropractor who can assess if any injury has taken place. For more information, you may contact Eastland Chiropractic & Lifestyle Center at 309-662-8418 or www.eastlandchiro.com. They are a family-oriented practice with over 25 years of service located at 2406 E. Washington St. in Bloomington.

Guidelines for Choosing the Right Backpack are listed below:

Guidelines to Preventing Injury

• Wide padded shoulders with two straps

• Tighten the straps

• Waist strap

• Have heavy items closest to your back

• Lightweight material

• Lift properly

• Rollers or Rolling Backpack is ideal

• Never sling over one shoulder

Page 40 — Healthy Cells Magazine — Bloomington — September 2012

• Always use both straps

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September 2012 — Bloomington — Healthy Cells Magazine — Page 41

"affordable" health care

Healthcare Law and You By Edward W. Pegg, MD, LLC

ealth care in our country is undergoing tremendous change that will affect every single American. We don’t yet know all of the ramifications of the recently passed Patient Protection and Affordable Care Act (PPASA)—otherwise known as “Obamacare”—and many may be weary of the constant arguments for and against. It becomes very confusing to separate the political rhetoric from the facts and determine if this will be an added improvement in the medical industry or whether it may "break the bank" the way some have prophesized. I’d like to offer some insight from the physician viewpoint—not a republican, not a democrat, not running for any office—simply a physician who has been in practice for many years. Speaking for myself and many of my colleagues, there are both good and bad that will come of this plan. Let’s first discuss the reasons why the government took action and why our country needs a new way of handling health care: skyrocketing costs and the lack of universal health care. The United States has always been blessed with the best health care in the world. Recently, a prominent Canadian official came to the U.S. for heart surgery rather than having it done in his own country because of the perceived difference in the quality of medical care between the two countries. My daughter, who was in the anesthesia residency at Mayo Clinic, saw many high-level dignitaries from all over the world come to our country for medical evaluation and treatment on an ongoing basis. However, there is no question that our present healthcare system can no longer survive at its present rate of growth. In 1980, 256 billion was spent on health care. This number is now up to 2.6 trillion in 2010. It now represents 17.9 percent of the gross domestic product. There are many reasons for the tremendous increase in costs. One has been an increase in technologies and treatments that have produced dramatic improvement in curing or managing many diseases. These effective methods often cost a lot more. Furthermore, we are just now beginning to see an increase in the elderly population as the baby boomers begin to retire and go on Medicare. Most employers have what is known as a “Cadillac” healthcare plan for their employees. This is due to the fact that because of the tax credits, a dollar goes much further for an employee if used to fund his health care versus receiving it as additional salary. As a result, in many cases, this requires very minimal deductibles, leading to little concern by the patient regarding the cost of testing that is done or treatments that are started. You could say that they have “no skin in the game.” There is also no question that doctors practice defensive medicine. If a patient is insistent on a test, the doctor will usually accommodate the request, even if they do not believe it is necessary, provided it is of no risk to the patient. Administrative costs by the insurance companies and government alone represent an additional 7 percent increase. If you have ever tried to change a job or get health insurance with a pre-existing medical problem, you know that it is practically impossible the way our present health insurance is set up. There now will be no penalty for pre-existing conditions (excluding tobacco use). Also, there will be insurance exchanges set up in each state where a person can individually go and buy insurPage 42 — Healthy Cells Magazine — Bloomington — September 2012

ance. This will get around the problem of losing insurance simply because you change jobs. With the new plan, children under 26 are able to stay on their parents' healthcare plans, your insurance company will be unable to drop you even if you have a serious medical problem that requires large sums of money, and it can also set no upper limit on your care. The insurance companies have to make premiums equal. This means that a person with a serious heart condition will be able to pay the same premium as a young, healthy person. Also, women who go through childbearing age, which is very expensive for the insurance companies, will still pay the same premiums as males. Lastly, the government will expand the Medicaid program to include 30 million new people who are presently not insured. This plan was set in place to try to keep everything fair for all Americans, but the question is whether this has resulted in misplaced medical egalitarianism. While the goal of universal health care for all who need it is certainly admirable, in the long run, will health care for this population actually be improved? Next month I will discuss some of the hidden costs of “affordable” health care, the effect of “Obamacare” on Medicaid and Medicare, and the effects on practicing physicians. Dr. Pegg is a Neurologist who has been practicing in the Bloomington/Normal area for 30 years.

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Medial Tibial Stress Syndrome (MTSS)

Shin Splints By Scott Higgins, MPT, Advanced Rehab and Sports Medicine

ost people have heard the term shin splints. However, shin splints is not a medical diagnosis, but rather a group of problems that causes a typical pain over the front and outside of the lower leg. Shin splints usually develop after repetitive running and jumping activities. The most common cause of shin splints is medial tibial stress syndrome (MTSS). The pain caused by MTSS is usually present over the inside of the lower leg just above the ankle. While the pain of shin splints is not usually serious, the pain from MTSS can become so severe that a person cannot continue with their activity. It can even become bad enough to prevent or limit future activity for years. Symptoms of MTSS include tenderness over the bone located on the inside of the lower leg above the ankle. At first, pain may only be present soon after exercise is over and it does not limit activity, but it will eventually progress to pain beginning soon after initiating exercise and lasting for several hours after ceasing activity. If left untreated, and if one tries to “push through the pain”, then a chronic pain condition may result and running, jumping, and sometimes even walking will be significantly limited. This condition most likely will not go away without proper treatment. The best treatment is prevention. Calf weakness is common with this condition, which may be surprising since people usually consider that a basketball player’s calves, for example, would be strong from jumping and running. As the calf fatigues, a small muscle in the lower leg (posterior tibialis), tries to compensate by working harder to push the foot/ankle down. This smaller muscle then becomes overworked and strained, and becomes inflamed at the point where it is attached to the bone. Strengthening the calves can be done by a simple activity of just standing and raising up on your toes. Work up to doing 50 to 100 repetitions for one leg by itself. Many basketball players or runners who think they have strong calves are not able to do even 20-25 repetitions, especially if they have MTSS. Appropriate footwear needs to be considered, especially for proper cushioning. Make sure that shoes are in good shape and not worn out. Even shoes that look in good shape may need to be replaced if they are regularly used over a three to four month period. Changing footwear can sometimes offer immediate relief. Foot posture should be assessed and orthotics considered to correct for abnormalities. A more Page 44 — Healthy Cells Magazine — Bloomington — September 2012

rigid shoe, or one that controls ankle pronation (foot turning in or going flat footed) is recommended, and if this does not help after a couple of weeks, then flexible, non-rigid in-shoe orthoses is recommended to correct for foot posture and decrease stress over the area. A graduated walk/run program should be initiated when pain is under control. Hill running should be discontinued for the time being. Crosstraining activities, such as swimming and bicycling, can be initiated to help with conditioning. Strengthening of the calves should be done as previously mentioned. General strengthening, conditioning, and stretching exercises should be done with appropriate rest between activities to allow for tissue recovery. If symptoms are present, the hallmark of treatment is rest. This can take days to weeks or even months. This is obviously frustrating for the individual who wants to be active, but patience will be the key to long-term success. Icing the area three to four times per day is also important. Other modalities, such as ultrasound, electrical stimulation, and iontophoresis usually do not make too much difference, especially if the condition is chronic. For acute conditions, these can be tried, but if there is no improvement within a couple weeks, you may as well abandon these and stick with rest and ice. Surgery can be an option, but literature seems to indicate an approximate 50/50 chance of success. This procedure tends to be successful in decreasing pain, however it may or may not completely alleviate it, and there is no guarantee that the person will return to full activity. Recovery can take months to over a year, which causes one to consider that maybe the success is due to the rest post-operatively and gradually working back into activity, rather than the success of the operation itself. MTSS is a condition that should be addressed as soon as possible. If symptoms persist, X-rays or bone scans may need to be done to rule out a stress fracture or other bone abnormalities. This condition can be quite frustrating to have and to treat, but with appropriate intervention, pain can be controlled and the individual can return to their previous activity level. For more information you may 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.

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September 2012 — Bloomington — Healthy Cells Magazine — Page 45

healthy sleep

TMD and Sleep Apnea Submitted by Illinois Institute of Dental Sleep Medicine

isa, a receptionist at OSF hospital, had suffered from chronic fatigue, headaches, and depression for the past two years. Lisa’s symptoms were a sign of a much bigger problem. She is one of the 18 million Americans with sleep apnea, a chronic condition in which the airway collapses during sleep. According to the National Sleep Foundation, 90 percent of these patients go undiagnosed. The pauses in breathing can last from 10 seconds to a minute or longer and can increase risk for high blood pressure, stroke, depression, irritability, lower sexual drive, and reduction of intellectual ability. A sleep study revealed that Lisa stopped breathing 13 times per hour during the night. Her physician prescribed a CPAP (Continu-

Page 46 — Healthy Cells Magazine — Bloomington — September 2012

ous Positive Airway Pressure) to treat her sleep apnea. However, Lisa was CPAP intolerant and quit using the machine after a few months. She wasn’t able to find relief, even after being prescribed Ritalin, two depression medications, and a headache medication. “I had to take three medical leaves within 10 months,” she says. “I never felt rested or had energy no matter how much I slept,” she continued. Her physician suggested she try Oral appliance therapy, which has come to the forefront as a very viable and scientifically-based treatment option for snoring and obstructive sleep apnea. 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, preventing snoring and sleep apnea. Oral appliances are similar to athletic mouth guards, but less bulky and completely non-invasive. Oral Appliance Therapy is covered by most medical insurances and Medicare. At her oral appliance consultation, Lisa was also screened for TMD (Temporomandibular Joint Disorder), a condition involving the temporomandibular joint, bone and cartilage resembling a ball-andsocket that sits right above your ear canal on either side of your head. When the joint slips out of position, pain can result causing headaches, neck and facial pain, jaw popping, teeth grinding, and more. “For many years I had lived with intense headaches and facial pain and did not know that I had TMD,” says Lisa. Sleep apnea and TMD are often inter-related, and many patients suffer with both problems. It’s only been a few months since Lisa was treated for sleep apnea and TMD,and she is no longer experiencing extreme fatigue, headaches, or depression. She is able to return to normal life and has energy to work and spend time with her family and friends. “I have been able to quit taking most of my medications, and I no longer feel depressed. I have energy from actually sleeping and getting quality rest.” says Lisa. For more information on oral appliance therapy, contact Dr. Rod Willey at the Illinois Institute of Dental Sleep Medicine. As a general dentist, with a Diplomate from the Academy of Clinical Sleep Disorders Disciplines, Dr. Willey has limited his practice to the treatment of snoring, sleep apnea, and TMJ Disorders with oral appliance therapy. To contact them, call 309-726-4064 or email them at info@illinoissleepdoc.com.

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September 2012 — Bloomington — Healthy Cells Magazine — Page 47

grief support

“Killer Clichés About Loss” Healthy Cells magazine is pleased to present the first in a series of articles on the subject of Grief ❣ Recovery®. The articles are written by Russell P. Friedman, Executive Director, and John W. James, Founder, of The Grief Recovery Institute. Russell and John are co-authors of WHEN CHILDREN GRIEVE - For Adults to Help Children Deal with Death, Divorce, Pet Loss, Moving, and Other Losses - Harper Collins, June, 2001 - & THE GRIEF RECOVERY HANDBOOK - The Action Program For Moving Beyond Death, Divorce, and Other Losses (Harper Perrenial, 1998). The articles combine educational information with answers to commonly asked questions.

e have all been educated to acquire things. We have been taught how to get an education, get a job, buy a house, etc. There are colleges, universities, trade schools, and technical schools. You can take courses in virtually anything that might interest you. What education do we receive about dealing with loss? What school do you go to learn to deal with the conflicting feelings caused by significant emotional loss? Loss is so much more predictable and inevitable than gain, and yet we are woefully ill-prepared to deal with loss.

QUESTION: I have heard that it takes two years to get over the death of a loved one; five years to get over the death of a parent; and you never get over the death of a child. Is this true? ANSWER: Part of the problem is the phrase get over. It is more accurate to say that you would never forget a child who had died, any more than you would ever forget a parent or a loved one. Another part of the problem is one of those killer clichés we talked about, that time, of itself, is a recovery action. Although recovery from loss does take some time, it is the actions within time that lead to successful recovery. Page 48 — Healthy Cells Magazine — Bloomington — September 2012

One of the most damaging killer clichés about loss is time heals all wounds. When we present open lectures on the subject of Grief ❣ Recovery ®, we often ask if anyone is still feeling pain, isolation, or loneliness as the result of the death of a loved one 20 or more years ago. There are always several hands raised in response to that question. Then we gently ask, “if time is going to heal, then 20 years still isn't enough?” While recovery from loss does take some time, it need not take as much time as you have been led to believe. Recovery is totally individual. There is no absolute time frame. Sometimes in an attempt to conform to other people's time frames, we do ourselves great harm. This idea leads us to another of the killer clichés — you should be over it by now. It is bad enough that well-meaning, well-intentioned friends attack us with killer clichés, but then we start picking on ourselves. We start believing that we are defective or somehow deficient because we haven't recovered yet. If we take just the two killer clichés we've mentioned so far, we can see that they have something in common. They both imply that a non-action will have some therapeutic or recovery value. That by waiting, and letting some time pass, we will heal. Let's add a third cliché to the batch — you have to keep busy. Many grievers follow this incorrect advice and work two or three jobs. They fill their time with endless tasks and chores. At the end of any given day, asked how they feel, invariably they report that their heart still feels broken; all they accomplished by staying busy was to get exhausted. Now, with only three basic killer clichés we can severely limit and restrict our ability to participate in effective recovery. It is not only that people around us tell us these clichés, in an attempt to help, but we ourselves learned and practiced these false beliefs for most of our lives. It is time for us to learn some new and helpful beliefs to assist us in grieving and completing relationships that have ended or changed. The primary goal of Grief ❣ Recovery® is to help you “grieve and complete” your relationship to the pain caused by the emotional changes caused by death, divorce, and other losses. Successful application of the principles and actions of Grief ❣ Recovery® allow you to have fond memories not turn painful and help you retake a happy and productive place in your own life. In addition, you regain the ability to begin new relationships, rather than attempting to replace or avoid past relationships. Next month: “Less Than Loved Ones — Hopes And Dreams” For information about programs and services, write to The Grief Recovery Institute, P.O. Box 6061-382 Sherman Oaks, CA 91413. Call 818-907-9600 or Fax: 818-907-9329. Please visit our website at: www.griefrecoverymethod.com.

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www.ftjesse.org Page 50 — Healthy Cells Magazine — Bloomington — September 2012

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Welcome three new Advocate Medical Group family medicine physicians!

Qamer Syeda, MD â&#x20AC;˘ Raju Shanmugam, MD â&#x20AC;˘ Sasi Royyuru, MD

Advocate Medical Group is pleased to welcome three new family medicine physicians to the Advocate BroMenn Outpatient Center. All three physicians are welcoming new patients to their practice. To learn more about each physician or to schedule an appointment, please scan this QR code with your smartphone, call 309.556.7700 or visit welcomeadvocatedoctors.com.

Advocate BroMenn Outpatient Center, 3024 E. Empire, Bloomington, IL 61704