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Promoting Healthier Living in Your Community • Physical • Emotional • Nutritional
October 2012
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M A G A Z I N E
Offers Help and Hope page 14
Mindful Eating: Get Out of Autopilot
page 8
Fleeting Thoughts and Subtle Images page 18 Fall is the Time for Fall Prevention page 22
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live fearlessly
Positive Thinking Can Improve Your Health L
ife has its ups and downs — and adversity touches everyone at some point. But some experts believe that a focus on the positive can help you persevere through tough times. For Anita Moorjani for example, life took a horrific turn when she was diagnosed with late stage Hodgkin’s lymphoma. Admitted to the hospital as a terminal patient, Moorjani slipped into a deep coma, nearly dying before she experienced a spontaneous remission and recovery. Her case has since fascinated the medical community. While spontaneous remission of breast cancer is not uncommon, according to a study done by physician researchers at Dartmouth Medical School in 2009, it is rarely seen in a terminal cancer case. “Her recovery was certainly remarkable. Based on what we have learned about cancer cell behaviors, I am unable to attribute her dramatic recovery to chemotherapy. I speculate that something non-physical switched off the mutated genes,” said Dr. Peter Ko, an oncologist with The University of Southern California, who has studied Moorjani’s case. Moorjani attributes her victory in overcoming cancer to a belief in positive things, learning to live fearlessly, and finally loving herself. In her New York Times bestseller, “Dying to Be Me” (Hay House), Moorjani candidly shares her story, discussing the lessons she learned from her near death experience, what she would have done differently and what she wants people to know now. Here are some tips Moorjani feels can help others face their own trials: • Prior to her devastating diagnosis, Moorjani’s life was driven by fear of illness. Rather than letting similar fears and stressors get the better of you, learn to enjoy yourself and take care of what’s inside. • M uch of our suffering stems from feeling “less than.” Love yourself unconditionally and be yourself fearlessly. Remind those close to you that you love them just the way they are. • Don’t obsess over problems or allow your days to revolve around solving them. It’s actually far more productive to distract yourself and stay occupied with activities that stimulate you in positive, creative ways. • “Thinking positive” can be tiring. Never suppress negative feelings when they creep in. Instead of bottling up your emotions, experience them naturally. After all, a bad mood won’t last forever. • Everyday joys can go a long way toward helping you cope with stress and depression. Be it a box of chocolates, a home cooked meal or a
great bottle of wine, don’t be shy about indulging yourself in moderation at meal time with foods that make you happiest. “What’s most important for your well-being is how you feel about yourself during tough times,” Moorjani says. You can’t always eliminate adversity from your life. Whether you are simply experiencing the stresses of daily life, are grieving the loss of a loved one, or struggling with the ramifications of your own health crisis, knowing how to cope is crucial to your health and can make all the difference in the world. Source: StatePoint
October 2012 — Springfield / Decatur — Healthy Cells Magazine — Page 3
O C TOBER
Volume 3, Issue 10
3
Live Fearlessly: Positive Thinking Can Improve Your Health
5
Computer Precautions: Safe Technology Tips For Kids
6 8
This Month’s Cover Story:
Heartland Health Care Center Offers Help and Hope page 14
Physical: Things To Ask About: At Your Annual Physical Emotional: Mindful Eating: Get Out Of Autopilot
10
Nutritional: Do Carbohydrates Make You Fat?
12
Grief Recovery: As Unconditional As It Gets!
17
A Trainer’s Point of View: Some of My Thoughts
18
Brain Function: Fleeting Thoughts and Subtle Images
19
2012
Financial Health: The Truth about Retirement
For information about this publication, contact Krista Jiroutek at 217-720-5254 or krista@healthycellsmagazine.com
Healthy Cells Magazine is a division of:
20
Advancing Technology: The Role of Prosthetic and Orthotic Care Following Cancer Treatment in Children
1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com • www.healthycellsmagazine.com
22
Balance Support: Fall Is The Time For Fall Prevention
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.
24
Prostate Health: Keith Goes Under The Knife
26
Pass the Plate: Cooking for a Cause
Healthy Cells Magazine is available FREE in high traffic locations throughout the Greater Springfield and Decatur area, including major grocery stores, hospitals, physicians’ offices, and health clubs. Healthy Cells Magazine is published monthly and welcomes contributions pertaining to healthier living. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only. Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the Springfield/Decatur Illinois area.
computer precautions
Safe Technology Tips For Kids Information from www.keepyourchildsafe.org
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s technology continues to grow into a larger part of our children’s lives, pediatricians are seeing more and more young patients for repetitive stress injuries. Encountering these types of complications at such an early age in development can lead to much bigger problems down the road. Here are a few precautions for parents to take to ensure their kids computer or gaming habits don’t lead to health issues. • Have children take 10-15 minute breaks for every hour they are on the computer or playing video games. Spend that time stretching, running around, doing jumping jacks, or engaging in some other form of physical activity. • Encourage correct posture with children by teaching them to sit up straight, with the TV or computer screen at eye level. • Have children stretch their arms and fingers before starting. As with any physical exercise, problems occur when you just jump into it without warming up. • Teach children proper typing techniques. Encourage this from a young age. Not only does it help avoid stress injuries, but it will be a skill they use the rest of their lives. • Encourage children to use different hand positions on their controller when playing video games.
courage him (or her) in other avenues of play. Make sure the ratio of technology time to play time is at least 50/50. If your child complains of hand, wrist, or neck pain, treat it seriously. The longer it is ignored, the worse it will get. If not addressed, the issue can lead to lasting disability. Child safety information by www.keepyourchildsafe.org. Visit our blog for the latest in child safety news and child health information.
While technology for kids isn’t going away, it should not replace traditional childhood play. Technology is an excellent additive to children’s lives only when used in moderation. If you’ve got a little technology junkie in your house, you’ll need to find ways to enOctober 2012 — Springfield / Decatur — Healthy Cells Magazine — Page 5
physical
Things To Ask About At Your Annual Physical
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t’s something far too many of us put off – finding a primary care doctor and getting annual check-ups. But finding a doctor and scheduling an appointment is only part of the battle. You need to know what questions to ask and what tests are important for you. The most important thing to do is to be honest when communicating with your doctor. You should prepare your personal and family medical history, listing any problems you are experiencing and being honest about your personal behavior. You also should prepare a list of medications you take.
Page 6 — Healthy Cells Magazine — Springfield / Decatur — October 2012
Depending on your age and personal history there are different tests which may be recommended. If you are a heavy drinker or smoker, for example, different lung, heart and circulatory tests may be administered. Fortunately, medical testing and screening has advanced in recent years to give you accurate results with less waiting. Here are some preventive medical screenings you should be aware of and ask your doctor about: • Cholesterol: This simple blood test can tell you if you are at risk for heart disease or stroke.
“It’s something far too many of us put off – finding a primary care doctor and getting annual check-ups.” •E lectrocardiogram: Men typically are advised to have this test at age 40, while women usually start at age 50. Sensors are placed on your chest to yield data about your heart rhythm. • Colonoscopy and Stool Tests: These check for signs of colon cancer and other disorders. This test usually is advised for people over 50 or earlier if there is a family history of disease.
•U rine Analysis: This screens your urine for diabetes and kidney problems. • Hepatitis and HIV Tests: Many patients avoid these tests because they used to take many anxious days, requiring two visits to the doctor for the test and results. Rapid, point-of-care tests using new Dual Path Platform technology now have been developed, which yield results in less than 20 minutes, allowing testing and counseling to be accomplished in one visit. For more on rapid testing, visit www.chembio.com. Other annual tests may be necessary, depending on your gender: • Pap Smear: All women are advised to have this annual test to check for cervical cancer. • Prostate Test: Men older than 50 should receive annual exams for prostate cancer, including a blood test. “Patients are constantly asking critical questions about the speed and accuracy of tests,” says Lawrence Siebert, CEO of Chembio Diagnostics, a developer and manufacturer of rapid diagnostic tests for the growing point-of-care testing market. “This is why we’ve developed new types of tests that can test for conditions like HIV and Hepatitis in a mere 15 minutes, with just one blood or fluid sample.” You should also screen for any diseases known to occur in your family. After all, your annual physical is an opportunity for an honest assessment of your health and personalized care.
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October 2012 — Springfield / Decatur — Healthy Cells Magazine — Page 7
emotional
Mindful Eating: Get Out Of Autopilot By Michelle May, MD
H
ave you ever finished a candy bar and wished you had just one more bite? Are you surprised when your hand hits the bottom of the popcorn bucket at the movies? Do you ever feel completely stuffed and miserable after you eat? These are all symptoms of unconscious or mindless eating. Many people eat while they watch TV, drive, work—even while talking on the telephone. And many people eat too fast, so busy filling the next forkful that they don’t notice the bite in their mouth. Since your brain can only really focus on one thing at a time, you’ll miss the subtle signs of fullness so you won’t stop until you feel uncomfortable or until you run out of food. Most importantly, you won’t enjoy your food as much so you have to eat more to feel satisfied. Eating is a natural, healthy, and pleasurable activity when it’s done to satisfy hunger. The bottom line is that weight management is not just about what you eat. How you eat matters just as much. Choosing to eat “mindfully, in other words, giving food and eating your full attention, will allow you to have optimal satisfaction and enjoyment without eating to excess. Mindful eating makes it possible for you to experience the difference between physical satisfaction and fullness. Mindful eating also allows you to feel more satisfied with smaller quantities of food. Learning to savor your food simply makes eating more pleasurable. Knowing what satisfies you and getting the most pleasure from your eating experiences are key factors for a lifetime of weight control. Try the following strategies to help you identify your body’s signals and truly enjoy your food: • Start by recognizing whether you’re hungry before you begin eating. If you aren’t hungry, you won’t be as interested so it will be harder to stay focused. Besides, if a craving doesn’t come from hunger, eating will never satisfy it. • Don’t wait until you’re famished. One of the keys to conscious eating is to keep your body adequately fed to avoid becoming overly hungry which increases the chance that you’ll overeat.
Page 8 — Healthy Cells Magazine — Springfield / Decatur — October 2012
• Next, decide how full you want to be when you’re finished eating. When you eat with the intention of feeling better when you’re done eating, you’re less likely to keep eating until the food is gone. • Choose food that will satisfy both your body and your mind. Our society is so obsessed with eating right that we sometimes eat things we don’t even like. However, satisfaction comes not just from fullness but from enjoying the taste of your food--without guilt. Feeling guilty about eating certain foods actually causes more overeating, not less. • Set the table in a pleasant manner. Creating a pleasant ambience adds to the enjoyment of eating and to your level of satisfaction. Besides, you deserve it. • Eat without distractions. If you eat while you’re distracted by watching television, driving, or talking on the telephone, you won’t be giving your food or your body’s signals your full attention. As a result, you may feel full but not satisfied. • Eat when you’re sitting down. Choose one or two particular areas at home and at work that are only used for eating and eat only there. For example, do not eat while standing over the sink, peering into the refrigerator or sitting in bed. • Appreciate the occasion. Appreciate the atmosphere, the company, or simply the fact that you’re giving yourself the opportunity to sit down and enjoy your meal. • Take a few breaths and center yourself before you begin eating. This will help you slow down and give eating your full attention. • A ppreciate the aroma and the appearance of your food. Notice the colors, textures, and smells of the food and imagine what it will taste like.
• Decide which food looks the most appetizing and start eating that food first. If you save the best until last, you may want to eat it even if you are full. • Savor the aromas and tastes of your food as you eat it. Put your fork down between bites and be conscious of all the different sensations you are experiencing. • If you notice that you’re not enjoying what you chose, choose something else if possible. Eating food you don’t enjoy will leave you feeling dissatisfied. • Pause in the middle of eating for at least two full minutes. Estimate how much more food it will take to fill you to comfortable satiety. • Push your plate forward or get up from the table as soon as you feel satisfied. The desire to keep eating will pass quickly. Keep in mind that you’ll eat again when you’re hungry. • Notice how you feel when you’re finished eating. If you overate, don’t punish yourself. Instead, be aware of the physical and/or emotional discomfort that often accompanies being overly full and create a plan to decrease the likelihood that you’ll overeat next time. Once you’ve experienced the increased pleasure from eating mindfully, you may be motivated to become more mindful during other activities too. Living “in the moment” and becoming more aware can increase your enjoyment and effectiveness in everything you do. Michelle May, MD is a recovered yoyo dieter and the award-winning author of Eat What You Love, Love What You Eat: How to Break Your Eat-Repent-Repeat Cycle. Additional articles and resources: www.AmIHungry.com.
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October 2012 — Springfield / Decatur — Healthy Cells Magazine — Page 9
nutritional
Do Carbohydrates Make You Fat? By Tom Rohde, MD
M
any people suffer from modern medical maladies such as high blood pressure, diabetes, obesity, and high cholesterol. Medications are usually prescribed to help manage the condition or disease, and so begins a long-term marriage with the new medications. People are often told that the problems are genetic, or the cause is unknown, but the truth is that the majority of these problems can be fixed—often in just a few weeks without any sort of drug. What Causes Fat? The cause of many health problems is eating too many carbohydrates. We are genetically designed to eat healthy fats, but we are not genetically tuned to eat the quantity of carbohydrates consumed in the average modern diet! The primary culprit is fructose in the form of high fructose corn sweetener, now being rebranded as “corn sugar” to make it sound safer. Don’t be fooled—it’s still the same poison and is in almost every processed food—just read the labels. What happens? Eating too many sugars and carbs sets off a series of chemical reactions in your body that also makes you hunPage 10 — Healthy Cells Magazine — Springfield / Decatur — October 2012
gry and makes you crave more sweets. Fructose is metabolized differently from glucose. The majority is turned directly into fat because our livers are not designed to handle the quantities contained in most foods. Carbohydrates, especially fructose, cause fat to accumulate and become fixed in your fatty tissue, making it harder or impossible to lose the fat. This may sound familiar if you’re exercising like crazy and not losing weight. As carbs are consumed, your body has to do something with all those excess calories and so it also produces more insulin which further prevents fat from being burned off. Fructose also turns off your appetite center by interfering with your hunger hormone (ghrelin), and your fullness hormone (leptin). Fructose doesn’t suppress your ghrelin and it doesn’t stimulate leptin leaving you feeling hungry, often despite eating. This requires more insulin and ultimately all the circulating insulin makes your tissue insensitive to it leading to another medical problem—insulin resistance. The inflammation caused by the excess carbs and insulin is the direct cause of Type 2 diabetes, heart disease, and many cancers!
Cholesterol is Good But there’s more. Your liver also makes cholesterol which is needed to make every cell in your body and all of your hormones. However, the liver can’t process the fructose and the cholesterol at the same time so you end up with impaired cholesterol formation - decreased HDL (good cholesterol), increased LDL (bad cholesterol), and elevated triglycerides. Your body begins to form arterial plaque to store more fat which increases your risk for heart and vascular disease. Cholesterol is not the cause of arterial plaque build-up, it is the innocent culprit of deranged metabolism due to a poor diet! The abnormal liver metabolism also stimulates a powerful fat storage mechanism. This leads to weight gain and abdominal obesity, elevated blood sugar, and high blood pressure. Fructose drives blood pressure elevation through the production of uric acid, which is a by-product of its metabolism. Uric acid elevates blood pressure and also causes gout in susceptible individuals. This grouping of metabolic catastrophies is what physicians refer to as metabolic syndrome—bad for your health and longevity! Stay Away from “Low-fat” Our ancestors lived a very different lifestyle than we do today. Their diet consisted primarily of vegetables, fruits, nuts, roots, fish, and occasionally some meat if what was hunted didn’t kill them first. These are the foods the human body is designed to eat, but modern processed foods developed so rapidly during and after the industrial revolution that our bodies haven’t had time to “catch up.” Today, the bulk of our food intake consists of refined sugar, high fructose corn sweetener (HFCS), cereals, breads, potatoes, and a much smaller selection of fruits, vegetables, roots, and nuts. Further, many of these foods have been pro-
cessed in a factory rather than prepared from fresh ingredients. This processing damages many nutrients and adds many chemicals. Many people have tried to lose weight by eating a low fat diet. When the fat is removed, HFCS is added. The body’s genetic programming takes over and sabotages your efforts. Get rid of low fat foods and eat healthy fats! Eat Like a Caveman People today who eat like our ancestors—the “Paleo” or caveman diet—experience a rapid improvement in disease markers. A study at UCSF showed a notable improvement in just two weeks on the paleo diet. Without any added exercise, the study subjects had a marked decrease in blood pressure, a 30 point drop in cholesterol usually seen after six months on a statin cholesterol medication, and weight loss as a “side effect” of their dietary change! This isn’t difficult. Start eating a diet rich in fresh unprocessed foods. Organic or chemical free produce is best as the chemicals are metabolic poisons that interfere with weight management. Strive for two servings of fruit and seven servings of veggies per day, about 1/3 of which is eaten raw if possible. Meat should be grass fed and free from antibiotics and growth hormones. Carbs should come mostly from veggies, but not corn or white potatoes as metabolically, they are really just chunks of sugar. Eliminate processed foods and soda and drink filtered water to remove the chemicals. Now add the exercise and watch the fat melt away as the body begins to function in accord with your genetic coding. 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! Healthy Cells Ad - Daniel_Layout 1 12/1/11 12:06 PM Page 1
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October 2012 — Springfield / Decatur — Healthy Cells Magazine — Page 11
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grief recovery
As Unconditional As It Gets! Healthy Cells magazine is pleased to present the sixteenth in a series of feature 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.
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ost of our articles have referred to the death of a human being, or to divorce, or other estrangements. This month we are focusing on the death of a pet, an experience that most of us have had at one time or another There is much talk in today’s world about unconditional love. It would be wonderful if human beings were capable of such a thing. The sad truth is that we fall short of the mark. While unconditional love is probably impossible, it is a wonderful goal and we should continue to strive for it. Page 12 — Healthy Cells Magazine — Springfield / Decatur — October 2012
In reality, the closest thing to unconditional love we ever perceive is probably that which we sense from our pets. Even then, there are a few conditions. After we have fed them and their other basic needs have been met, animals are unconditional. We have yet to hear that someone’s dog, cat, parakeet or hamster judged them or criticized them or called them stupid. What we do know is that people share their most intimate secrets with their pets. We also know that people express their truest and
Next month: “Legacy of Love – or – Monument to Misery” 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.grief-recovery.com.
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deepest emotions to their pets, often much more so than they ever express them to friends or family. We know how incredibly important pets can be to people. We know millions of people who, unable to have children, have been able to experience some of the wonderful and natural parental type feelings for their pets. We know an awful lot about how attached people become to their pets. More importantly, we know how devastating the death of a pet can be. We know how grieving pet owners are often abused by well-meaning friends who say insensitive things. The purpose of this column is to help grieving pet owners complete their relationship to the pain caused by the death of their pet, and to assist friends of grievers with more helpful and supportive information about recovery from one of life’s most significant losses. We are all familiar with the expression that starts with — “I was unhappy about having no shoes until I met a man who had no feet...” While well intentioned, that parable sets up one of the most massive pieces of mis-information in our society. It teaches us to compare our feelings in order to minimize them. And, followed to its logical conclusion, there can only be one griever — the one with the most horrible list of losses. Grieving pet owners, met with the constant line, “It was only a pet,” are set up to compare their feelings to those they may have had when a parent or grandparent died. And if that is not enough, they are then told to, “Go out and get another one,” to replace the loss. No one would be insensitive enough to tell you to go out and, “Get another one” if your mother died, would they? On the other hand, when a baby dies, the parents are often told, “Don’t feel bad. You’re young; you can have other children.” Our human responses to death are normal and natural. Since we have been taught to hide or mask our natural reactions to loss, we often feel that there is something wrong with us when we experience intense feelings. The death of a pet often produces incredibly powerful emotions. The emotions attached to the loss are normal, but society’s treatment of the grieving pet owner is not normal. We must strive to normalize that which is normal. Otherwise, we continue to drive grievers’ feelings underground, buried for fear of being considered “weak.” As a friend of someone who has recently experienced the death of a pet, please remember that their heart is broken. All grief is experienced at 100%. There are no half grievers. Do not try to minimize their pain.
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“As a friend of someone who has recently experienced the death of a pet, please remember that their heart is broken. All grief is experienced at 100%.”
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October 2012 — Springfield / Decatur — Healthy Cells Magazine — Page 13
feature story
Offers Help and Hope
Heartland’s quality and caring staff.
W
hen the lower part of her left leg became inflamed and swollen, Carol Gulick was understandably concerned. She was active, but the pain in her leg was slowing her down. As a diabetic, this health problem and lack of mobility left her frustrated and without much hope. Now, this new development greatly troubled her. She was diagnosed with cellulitis, an infection of the skin and soft tissues under the skin. It occurs when bacteria spreads under or on the skin, and is a common condition to diabetics. This bacterium continues to grow more rapidly in the affected tissue, and quickly spreads if it enters the bloodstream. Diabetics typically have circulation problems, and cellulitis causes further impairment of blood circulation, particularly in the legs, and leads to diabetic foot/foot ulcers. This diagnosis is perhaps the worst thing a diabetic can hear. Her case required amputation and also meant she may never return to her home again. Page 14 — Healthy Cells Magazine — Springfield / Decatur — October 2012
“I was told there weren’t many alternatives so I would have to live in a nursing home,” said the Decatur native. “I was so discouraged I thought it would be better to go off to a field somewhere to die.” Following the amputation, Carol was sure the ambulance was taking her to a nursing home, but was assured by a paramedic that she was going to Heartland of Decatur and that she was going to be in good hands. Despite his assurances, she was unfamiliar with their rehab facilities and doubted that her future held much hope. Now, she’s a believer. “Staying here has been so good. I feel like I’m in the Taj Mahal,” said Carol. “Everyone cares for you and brought my spirits up.” Carol’s emotional recovery isn’t unusual for Heartland patients and is just one of the many ways Heartland helps patients recover from surgery or a long hospital stay.
“We’re not a nursing home,” said Amy Gagnon, Admissions Director. “Our main focus is to get our patients back home. Our slogan is ‘The best way home is through our doors’, and we have the clinical expertise that make that happen. This separates us from other facilities.” The facts speak for themselves. According to Gagnon, 89 percent of Heartland’s rehabilitation patients returned home and 92 percent of those patients felt comfortable taking care of themselves. “We can take more acuity cases than others,” said Gagnon. “We have an amazing therapy center that works with patients daily to set goals, monitor progress, and educate family members on options. We also offer a variety of social services to help patients deal with emotional issues.”
Heartland therapist leads physical therapy exercises with patient.
Patient performs occupational therapy exercises with Heartland therapist.
Prior to coming to Heartland, Carol and her husband, Charles, had become frustrated with her care options, but that quickly changed. Working with the Heartland staff over a four-month stay while her leg heals, Carol has slowly begun to make progress. “When Carol came in, she couldn’t do much, but now, after two months, she’s able to transfer from her bed and maneuver around in a wheelchair,” said Heartland Occupational Therapist Laura Kenney. Following treatments with a PENS machine (which stimulates circulation electronically) and working with a full weight machine, Carol is now able to use a walker to navigate the facility, and has enough stability to hop on one leg. Therapy is also helping her to build arm strength so she can use her wheelchair more effectively, and once her leg has healed, she will be fitted for her prosthesis and learn how to walk again. “I’m ready to go home,” said Gulick. “I’m just waiting on getting a ramp built.” Heartland is a member of the HCR ManorCare health care family, a leader in skilled nursing and rehabilitation services that offers a network of more than 500 centers providing short-term post-acute services and long-term care. Like all of HCR affiliates, Heartland provides state-of-the-art rehab equipment and machines in a cost effective setting, and quality care for patients and residents. This equipment includes the OmniVR, a virtual rehabilitation computer program, which can read balance and coordination progress, and register how many feet walked. Heartland doesn’t outsource their rehabilitation efforts either, with two physical therapists, two assistant physical therapists, one occupational therapist, three occupational assistants, and two speech therapists available on-site. Heartland also provides a variety of services including Alzheimer units and hospice. Heartland has pioneered changes to improve patient rehabilitation services, including cutting costs and lessoning patient’s stay while making care more inexpensive than inpatient rehabilitation or acute care hospital.
October 2012 — Springfield / Decatur — Healthy Cells Magazine — Page 15
feature story
(continued)
The HCR family of hospitals lead in stroke, orthopedic and cardiac care, and Heartland is proud of being a member of the HCR ManorCare family which have received a 92 percent approval rating from patients and their families. In addition to their approval rating, Heartland offers a team of licensed nurses, therapists, nurse practitioners, dieticians, and discharge planners who work with patients and physicians to change the perception of nursing home facilities. Their efforts have lead to saving money on rehabilitation improving patient care. Heartland and the HCR ManorCare family provide proven rehabilitation programs that receive the same level of care from trained nurses and therapists, and the same physician protocol as rehab hospitals. In addition to the care, Heartland provides exceptional service and has the numbers to back this up including: • 98 percent of patients received therapy services • 88 percent come directly from the hospital • 89 percent of rehab patients return back to their lives Because of their outstanding reputation, 156,000 patients choose HCR ManorCare facilities each year for post-acute care nationwide. Heartland and the HCR family are leaders in rehabilitation treating
Patient is improving cognitive function with Heartland therapist. 11,000 patients daily who receive more than 23,000 combined hours of therapy. This leadership and dedication mean HCR Medicare and insurance patients have an average stay of only 30 days. “We have no limitations in rehabilitation and accept all payer sources—Medicare, Medicaid, insurance and private pay,” said Gagnon. While Carol’s physical abilities have improved and she continues to recover, she has become more optimistic. Charles has noticed her improved attitude and increased stamina, and both are impressed with the quality care and the facilities. “Staying here has been so good,” said Carol. “I’m making so much progress. They showed me that I can—and will—walk again.”
For more information, please contact Heartland of Decatur, 444 W. Harrison Ave., Decatur, IL. Phone: 217-877-7333 Patient is utilizing OmniVR, a virtual rehabilitation system, with Heartland therapist.
Page 16 — Healthy Cells Magazine — Springfield / Decatur — October 2012
a trainer’s point of view
Some of My Thoughts By Karen Geninatti, Ace Certified Personal Trainer, Geninatti Gym
Testosterone Did you know that eating a high fat diet, not exercising, smoking, and excess alcohol consumption could decrease your “T” levels? Just think about that. Exercise This is a whole other book, but I will say this: you have to do it, you must be consistent, and you should make it challenging! You must include cardio, weight training, and stretching. For more information, please contact Geninatti Gym and Fitness at 217-825-7957 or visit us at www.karengonline.com
Spaghetti Squash Bake
Should you buy organic? I think if it is something you eat a lot of—yes, you definitely should. Supplements A supplement is exactly that—a supplement to your diet. Eating a healthy diet is so much more beneficial. No supplement can make up for a bad diet. As a personal trainer, I am not qualified to recommend any supplements, but I do feel the best one is “water.” Do not think that just because a supplement is natural that it is safe. Tobacco and pot are natural! Always check with your doctor before self-medicating, even with supplements. Many herbal ones can cause problems, especially if they are mixed with other medications. Binges and Cravings The best way to avoid these is to eat small meals spaced about every three to four hours apart and each meal should contain a lean source of protein. This keeps your insulin levels even, avoiding a sharp rise and fall, which then makes you want more carbs to get the levels back up. Don’t eat until you are full—eat until you are no longer hungry. Eat slowly. This will also help with digestion.
INGREDIENTS: 4 cups cooked spaghetti squash 4 cups frozen spinach, thawed 1 cups diced frozen onions, thawed 1 cups shredded carrots Parsley flakes Cavender’s Salt-free Greek seasoning 2 cups liquid egg whites DIRECTIONS: Cook and shred spaghetti squash. Thaw spinach and onions. Combine all ingredients and mix very thoroughly in large bowl. Pour into a 9x12-baking pan that has been sprayed with pam. Pour the egg whites over mixture. Bake approximately 30 minutes at 350º. Servings: 10 Serving size: 1 cup Per serving: Calories: 70 Protein: 8.3 Gr. Carbs: 9.3 Gr. Fat: 0.7 Gr. Sodium: 134 mg. Fiber: 3.1 Gr. Sugar: 3.7 Gr.
October 2012 — Springfield / Decatur — Healthy Cells Magazine — Page 17
brain function
Fleeting Thoughts and Subtle Images By Dr. Bev Matthews, Central Illinois Neuropsychological Services
D
o you have something in your mind that just won’t go away? Does the thought continue to take up space in your mind? Do you have visions of an experience that you wish would disappear? People that have experienced or have been exposed to a traumatic event in which their lives or their integrity or the life or integrity of someone close to them were threatened sometimes have difficulty forgetting and/or dismissing the distressing thoughts and images. Their response may have involved helplessness, extreme fear, or horror. Events at your place of employment such as fire, police, or military employment can trigger emotions that, left untreated, can trigger posttraumatic stress disorder. Symptoms of PTSD include distressing recurrent images, thoughts or perceptions, reoccurring dreams, feeling or acting as if the event were happening again, reacting to exposure to a reminder of the event, physical responses such as sweating, heart racing or trembling to a reminder of the event. Other symptoms include avoiding anything associated with the trauma, avoiding such things as feelings, conversations, or thoughts that remind you of the trauma, or isolating yourself to avoid people or places that remind you of the event. Difficulty recalling an important aspect of the event is also a symptom of PTSD. Loss of interest in activities and a sense of a foreshortened future are characteristics of this diagnosis. Inability to feel emotions and express those emotions and well as feeling detached from others may also happen. The person with PTSD may also have difficulty with a normal sleep pattern and have trouble concentrating. They may seem more irritable and express anger more often than the average person who has not been traumatized. They adopt a feeling of hyper-vigilance, watching their back and scanning their environment for signs of perceived danger. They may become overly startled if you walk up behind them and they do not know you are there. People who have experienced more than one traumatic event may have complex PTSD in which the cumulative trauma is experienced with similar characteristics but with more intensity. Others may have Page 18 — Healthy Cells Magazine — Springfield / Decatur — October 2012
Acute Stress Disorder, which is experiencing a stressful event but resolving the symptoms with treatment. Treatment includes management of stress by practicing diaphragmatic breathing, progressive relaxation, visual imagery, and mindfulness meditation. Cognitive behavior psychotherapy is also effective. Medications may be prescribed to help the neurotransmitters in the brain function with much more effectiveness. Exercise and reduction of stressful events is also recommended. People with PTSD appear to be depressed and anxious. Many of the symptoms of PTSD overlap with anxiety and depression symptoms. If treated, the person is able to lead a normal life. However, if left untreated, the stress response may cause certain regions of the brain to change overtime, causing cognitive deficits in attention and concentration and short-term memory. For more information about PTSD, contact Dr. Bev Matthews at Central Illinois Neuropsychological Services at 217-876-7929 or 217-825-9010.
financial health
The Truth About Retirement
T
hink about the Future You for a moment—a person just retired. Do you imagine yourself on a beach somewhere? Are you finishing that novel you wanted to write? Maybe you’re spending more time with your grandkids. Whatever the Future You is doing, developing a tangible plan to get there is crucial. The first step in proper planning is separating fact from fiction. Fiction: You need to be wealthy to get help with retirement Almost half of surveyed Americans believe it’s not possible for middleincome families to save for a secure retirement, according to a recent COUNTRY Financial survey. More than half say they don’t have enough money to save or they need the money they have to pay off debts. It’s no surprise they feel this way. With all the news about the future of Social Security and negative savings rates, many people aren’t confident about their future retirement lifestyle. The fact is you don’t need a lot of money to talk with a financial advisor about achieving financial security no matter where you’re starting from. Retirement doesn’t have to cost a fortune, but the security that people feel from having a tangible plan is priceless. Fiction: I’m too young to think about retirement You’re never too young. Start saving today. The earlier you start, the more you can earn off your investment. If a person starts putting away $3,000 per year at age 35, it’s likely that person will have almost
$367,038 by the time he or she retires. If that person begins saving the same amount just a decade earlier, the total would be $839,343. With retirement planning, you need to think long-term. You shouldn’t think about the timing of the market. Instead, think about time in the market. Fiction: I have more important financial obligations Retirement might not seem urgent to you because there’s no monthly bill. It’s easy to pay back a car loan or send a check to the power company when you see a statement every few weeks. Sadly, many Americans don’t feel the same urgency about retirement, even though the planning (or lack thereof) they do now can affect their future quality of life. Think of retirement saving as making a payment to yourself every month. Don’t let myths keep you from planning a successful retirement. The Future You will thank you. A COUNTRY Financial representative can provide a tangible plan for your future financial security. The plan should be understandable, not complicated. If you have questions about retirement, feel free to call me, Julie Hale Miller at 217-483-4355. 1 Assumes hypothetical average annual rate of return of 7% and does not reflect any taxes that may be assessed on distributions. These hypothetical examples are for illustrative purposes only and do not represent the performance of any security.
October 2012 — Springfield / Decatur — Healthy Cells Magazine — Page 19
advancing technology
The Role of Prosthetic and Orthotic Care Following Cancer Treatment in Children By Tracy A. Melton, BEO, Prosthetic Resident, CPed, CFo, Comprehensive Prosthetics & Orthotics
E
very year about 800 Americans are diagnosed with Osteosarcoma, a rare bone cancer most commonly found in children and teens. Most often these tumors are found in the lower leg, thigh, and upper arm. Chemotherapy is a standard treatment for most individuals to shrink the tumor prior to surgical removal of the cancerous tissue. During the removal process of the tumor, efforts are made to save the affected limb. This process is called limb sparring and is common with these types of surgeries, the goal being to save the remaining tissues of the limb. In some situations, amputation of the limb is performed due to irreparable tissue damage. Page 20 — Healthy Cells Magazine — Springfield / Decatur — October 2012
For the Carter family, they have experienced cancer with not one but both of their children. Haley and Austin are two young active individuals, who in a short time, went through the process of limb sparring due to an osteosarcoma in their lower extremities. Haley was the first to be diagnosed with an osteosarcoma in her left leg when she was nine years old and within ten months, Austin was also diagnosed with the same cancer, only his was in his right leg. Both children underwent treatment for the cancer and both went through limb sparring procedures; however, the result was very different for each of them. Haley’s limb sparring procedure was successful and she now has a prosthetic tibia which can be
lengthened to accommodate for growth. She has been through many procedures to get to where she is now and has had her tibia extended three times with good success. Austin’s limb sparring procedure did not work in the same way his sister’s did, his limb sparring failed and resulted in an above-knee amputation. With multiple surgeries and trauma to Haley’s and Austin’s lower extremities, both would need prosthetic and orthotic intervention to allow for better functioning. Haley, with an ankle foot orthosis (AFO) that would provide strength and protection of her prosthetic tibia and Austin, an above-knee (AK) prosthesis to replace what was no longer there. Both Haley and Austin had goals of returning to an active lifestyle as both were very involved in sports and neither wanted their cancer to limit their activities and dictate what they could and could not accomplish. Since Haley’s limb sparring procedure she presents with limited range of motion and instability at her ankle. She also developed foot drop, a condition where someone has difficulty or inability to raise their foot while walking, making it difficult to ambulate without dragging her toes on her affected foot. Haley has been working with her orthotist, Saravanan Sundarkrishnan, CPO, LPO to help manage the condition of her affected limb. The type of device Haley needs to wear is a custom fabricated ankle foot orthosis (AFO) specifically designed to optimize her gait and provide the best support and function possible. Although Haley will most likely have limitations regarding her range of motion and how active she can be until her prosthetic tibia is permanent, she has not let her condition slow her down. Haley is a goalie for her school lacrosse team and she continues to be as active as possible, just like any kid her age should be.
After Austin’s above-knee amputation he has been working with his prosthetist, Robin McRae, CP, LP to get a custom fit prosthesis to replace his amputated limb. His prosthetist specializes in designing and fabricating a socket that will support Austin and allow for attaching the best prosthetic components available to optimize his function during standing, walking, running, and any other activity he feels he is capable of doing. Austin has been wearing a prosthetic leg for several years now and has been through a number of components and sockets to accommodate his changing limb, growth and activity level. He more recently received a specialized running foot that he uses not only for running, which he did prior to his amputation, but for all types of activities; including those that he once felt limited in doing. With his new foot he is again pushing his limits on what he can do and achieving many goals he has set out for himself. Although both Haley and Austin were both affected with the same cancer, their outcomes were very different. Neither of the Carter kids let cancer slow them down and both are determined to live life to the fullest and continue to move forward. Tracy Melton is a Certified and Licensed Pedorthist, Board Eligible Orthotist, and is currently a Prosthetic Resident at Comprehensive Prosthetics & Orthotics, Inc. (CPO). CPO provides orthotic and prosthetic care to patients throughout Central Illinois. Their Bloomington office is located at 908 North Hershey Road; call 309-664-6930. 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 at 888-676-2276. Visit the website at www.cpousa.com.
Today, orthopaedic surgeons are using stateof-the-art techniques to replace knees, hips, shoulders, ankles, elbows, even wrists – and patients of all ages are resuming active lifestyles again after years of frustration. For more on joint replacement, visit orthoinfo.org.
October 2012 — Springfield / Decatur — Healthy Cells Magazine — Page 21
balance support
Fall Is The Time For Fall Prevention By John Sigle, DPM, FACFAS
A
ccording to the Center for Disease Control and Prevention, falls and fall-related injuries are a major epidemic for seniors 65 and older and a national Easy To Reach & Pull health problem. During 2011, Velcro Latches over two million non-fatal fall injuries were reported for seniors treated in emergency departments and more than 600,000 were hospitalized. Over 20,000 seniors died from unintentional fall injuries and Low Profile & Open Dorsal direct medical costs for falls Ankle Design Allows For Easy were over $30 billion. In most Shoe Fitting & Increased Compliance cases, falls result in impaired function and quality of life and often lead to early admission in a nursing home. 1/8” Plastizote Padding Interface Providing Comfortable There is a variety of causes Shock Absorption To The Heel & and risk factors associated Plantar Foot with falls that are documented in the literature; however, the correlation between foot and Custom Footplate Allows for Toes & Forefoot To Be ankle pain, poor balance, and Anchored, Increasing falls is significant. The good Balance & Stability news is that a new custommade ankle foot orthotic device has been developed to effectively reduce the risk of falls. It is particularly beneficial for patients who have difficulty walking, who are at risk of falling because of weak ankles, instability, or arthritis. It can be a benefit to a person who has suffered a stroke or other neurological problems that result in weakness, dizziness, or numbness. It also benefits anyone dependent on a cane, walker, or assistive device. The new device improves balance and prevents falls by reducing the body’s postural sway. It stabilizes the foot and ankle when weakness and fatigue exists. Skin receptors are also stimulated providing feedback to the brain, thereby improving foot clearance and reducing the risk of tripping. The risk of falls is reduced by 30 to 60 percent. The device has several key features that are designed to make it easy to put on. It is light weight and has a posterior leaf design to aid in foot clearance. It is custom made to maximize somatosensory feedback and does not contain any laces or latches. The device eliminates abnormal motion and weakness around the ankle, has no hard Page 22 — Healthy Cells Magazine — Springfield / Decatur — October 2012
Lightweight, Durable Polyester Clothe Covering
Custom Ankle Stabilization, Providing Maximum Somatosensory Feedback
Medium Density Pink Plastizote Lined Tongue For Maximum Comfort Othopedic Grade 1/8” Thick Polypropylene Shell Providing Lightweight, Stable Support Around The Foot And Ankle Custom Orthosis Provides Maximum Arch Support & Midfoot Stability Heel Stabilizing Post Designed To Maximize Balance & Stability
surfaces, provides cushion in the foot plate, and provides added arch support and Velcro latching for easy closure. This device is covered by Medicare and most major commercial insurances. The device is considered to be a long-term solution to be used in combination with a fall prevention strength training program that may lead to physical therapy, making the necessary environmental changes in the home, and a review of the patient’s current medications. Falls can lead to life threatening injuries such as hip fractures. Take action now to prevent a fall or fall-related injury from happening. To determine if you are a candidate for the new device and qualify for reimbursement, complete the Moore Balance Functional Fall Risk Assessment Tool and schedule an appointment with the Foot & Ankle Center of Illinois at 217-787-2700. We are located at 2921 Montzale Drive, Springfield, IL 62704.
Moore Balance Functional Fall Risk Assessment Tool Moore Balance Functional Fall Risk Assessment Tool Date: Date:
Patient Name: Patient Name: Circle appropriate score for each section and total the score below. Circle appropriate score for each section and total the score below. This icon indicates primary consideration for the Moore Balance Brace. This icon indicates primary consideration for the Moore Balance Brace. Parameter Parameter Vestibular Vestibular 3,5
Score Score
0 0 6 3,5 6 (Dizziness) 10 (Dizziness) 10 History of Fall, Near Falls 0 0 History3,4,8,10,11 of Fall, Near Falls 6 3,4,8,10,11 6 (Past 12 months) 10 (Past 12 months) 10 0 Peripheral 0 Peripheral11 Neuropathy 2 Neuropathy 11 2 (Proprioception) (Proprioception) 44 00 Vision Status Vision Status 3,4,8,11 22 3,4,8,11 44
Gait Gaitand andBalance Balance 1,2,3,4,6,9,10,11,13 1,2,3,4,6,9,10,11,13
00 22 22 22 22 22 22
AnkleStrength Strength/ / Ankle RangeofofMotion Motion7,127,12 Range (Postural Control) (Postural Control)
00 22 44
Patient Status / Condition
Patient Status / Condition No complaints of dizziness No complaints of dizziness Intermittent complaints of dizziness Intermittent complaints of dizziness Dizziness that interferes with ADLs Dizziness that interferes with ADLs No falls No falls 1-2 falls or near falls 1-2 falls or near falls 3 or more falls or near falls 3 or more falls or near falls No sensory deficits No sensory deficits Peripheral Neuropathy Peripheral Neuropathy (diminished (diminishedproprioception) proprioception) Profoundly Profoundlyneuropathic neuropathic Adequate Adequate(w/ (w/ororw/o w/oglasses) glasses) Poor (w/ or w/o glasses) Poor (w/ or w/o glasses) Legally Legallyblind blind(advanced (advanced eye eye disease disease that that interferes) interferes) Have Havepatient patientstand standon onboth both feet feet w/o w/o any anyassistance; assistance; then thenwalk walk forward, forward, through throughaadoorway, doorway,then then make makeaaturn. turn.(mark (markall allthat that apply) apply) Normal / safe gait and balance Normal / safe gait and balance Balance Balanceproblem problemwhile while standing standing Balance Balanceproblem problemwhile while walking walking Decrease Decreasemuscular muscularcoordination coordination Change Changeiningait gaitpattern patternwhen when walking walking through throughdoorway doorway Jerkingororunstable unstablewhen when making making turns Jerking Requiresassistance assistance Requires (person,furniture/walls furniture/walls or or device) device) (person, Normalankle anklestrength strengthand and ROM ROM within Normal normal limits; limits;Postural Postural control control within within normal normallimits limits normal Moderatelimitation limitationof ofankle ankle joint joint Moderate rangeofofmotion motionand andstrength strength range Significantankle anklejoint jointinstability instability and and Significant weakness;poor poorpostural postural control control weakness;
Parameter Parameter Medications Medications 2,3,4,8,9 2,3,4,8,9
Predisposing Predisposing Diseases Diseases 4,5,10,11 4,5,10,11
Get Up Up and and Go Go Get 5,9 5,9
Walk Walk and andTalk Talk 66
Foot Foot Deformity Deformity 11 11
Footwear Footwear 11
Total: Total:
11
Score Score
Patient Status / Condition
Patient Status / Condition Based upon the following types of Based upon theanesthetics, following types of medications: medications: anesthetics, antihistamines, cathartics, diuretics, antihistamines, cathartics, diuretics, antihypertensives, antiseizure, antihypertensives, antiseizure, benzodiazepines, hypoglycemic, benzodiazepines, hypoglycemic, psychotropics, sedatives / hypnotics psychotropics, sedatives / hypnotics 0 None of these medications taken currently 0 None of these medications taken currently or w/in the past 7 days or w/in the past 7 days 2 Takes 1-2 of these medications currently or 2 Takes 1-2 of these medications currently or w/inthe thepast past7 7days days w/in 4 Takes 3-4 of these medicationscurrently currently 4 Takes 3-4 of these medications or or w/in the past 7 days w/in the past 7 days Markadditional additionalpoint pointif ifpatient patienthas has had 11 Mark had aa changeininthese thesemedications medicationsorordoses doses change in in thepast past55days. days. the Based upon thefollowing followingconditions: conditions: Based upon the neuropathy,hypertension, hypertension, vertigo, neuropathy, vertigo, CVA, Parkinson’s Parkinson’sDisease, Disease, loss CVA, loss ofof limb(s),seizures, seizures, arthritis, arthritis, limb(s), osteoporosis,fractures fractures osteoporosis, 0 None present 0 None present 1-2present present 22 1-2 morepresent present 44 33orormore Abletotorise riseininone onesingle singlemotion motion loss 00 Able (no(no loss balancewith withsteps) steps) ofofbalance 22 Pushes Pushesup, up,successful successfulininone oneattempt attempt 66 Multiple Multipleattempts attemptstotoget getup,up, but butsuccessful successful 10 10 Unsuccessful Unsuccessfulororneeded neededassistance assistance 00 No Nodeficit deficitininwalking walkingwhile whilespeaking speaking 66 Inability Inabilitytotomaintain maintainnormal normalgait gaitpattern pattern while whilespeaking speaking 10 10 Must Muststop stopwalking walkingininorder ordertotospeak speak 00 No Nofoot footdeformity deformity 22 Presence corns, Presenceofoffoot footproblems problems(e.g. (e.g. corns, bunions, bunions,swelling) swelling) 00 Wearing Wearingsupportive, supportive,appropriate appropriatefootwear footwear 22 Inappropriate, poorly fitted Inappropriate, poorly fittedororworn worn footwear footwear
Gradingofoffalls fallsrisk: risk:Circle Circletotal total score score Grading 0-9 Low Lowfalls fallsrisk risk 0-9
10-20 High High falls falls risk risk 10-20
>20 >20 Extreme Extremefalls fallsrisk risk
Implement actions for identified individual Implement actions for identified individual risk factors, & recommend health promotion risk factors, & recommend health promotion behavior to minimize future ongoing risk (eg behavior to minimize future ongoing risk (eg – increased physical activity, medication – increased physical activity, medication assessment, good nutrition, footwear assessment, good nutrition, footwear assessment, Podiatric specialist referral, home assessment, Podiatric specialist referral, home safety education). safety education).
Implement actions for identified individual risk Implement actions for identified individual risk factors, and implement additional actions for high factors, and implement additional actions for high falls risk (Fall Prevention Center referral, home falls risk (Fall Prevention Center referral, home safety assessment and education, medication safety assessment andassessment, education, medication assessment, footwear assessment, footwear assessment, Physical/Occupational Therapy referral, Moore Physical/Occupational Therapydevices referral,asMoore Balance Brace, other assistive needed). Balance Brace, other assistive devices as needed).
Implement actions for identified individual risk Implement actions for identified individual risk factors, and implement additional actions for factors, and implement additional actions for extreme risk (Fall Prevention Center referral, extreme risk (Fall Prevention Center referral, implementation of home modification devices [e.g. implementation devices [e.g. bathing, toileting of andhome stairs]modification care giver education, bathing, toileting and stairs] care giver education, medication assessment, footwear assessment, medication assessment, footwear assessment, Physical/Occupational Therapy referral, Moore Physical/Occupational Therapy referral, Moore Balance Brace, other assistive devices as needed). Balance Brace, other assistive devices as needed).
October 2012 — Springfield / Decatur — Healthy Cells Magazine — Page 23
prostate health
Keith Goes Under The Knife Third 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
O
n February 4, 1995, Keith kissed me good-bye before technicians wheeled him from his hospital room. I had tears in my eyes, and my knees felt weak. All I could think about was Keith, laying on the operating table, being cut open. I prayed for many things: that Keith would recover; that the cancer hadn’t spread, that I wouldn’t leave the hospital a widow. After about three hours, the “communication nurse’ called my name. “The operation is over,” she said, her face offering no clues. “Your husband is in recovery. You’ll be able to see him soon,” I had been praying to hear these words, yet even as the nurse said them, they did little to allay my fears. Until I actually saw Keith, it would be impossible for me to relax. When I did see him however, I was shocked. He looked so vulnerable — so pale and fragile in his anesthetic-induced unconsciousness. I immediately tried to reassure myself: At least he’s still alive. The next morning I went back to the hospital early. We wanted to be sure to be there when Dr. Barrett Page 24 — Healthy Cells Magazine — Springfield / Decatur — October 2012
made his morning rounds. This was the day we would hear the pathology report. “You folks have dodged a bullet,” Dr. Barrett began. “The tumor was much larger than we thought. It encompassed about 30 percent of the prostate. It was also more aggressive than we suspected. The pathologist rated it a Grade 3+4 out of 10 on the Gleason Scale.” Dr. Barrett continued in a more optimistic tone. “Fortunately the tumor was confined to the prostate, and hadn’t invaded any surrounding tissue. But it certainly needed to come out — and it looks like we got it just in time.” Keith’s hospital recovery went well, and three days after his operation they told us he would be discharged the next day. He would come home with a catheter inserted in his bladder and a drainage bag strapped to his leg — standard procedure for prostatectomy patients. In three weeks, the catheter would be removed. Then, if all went well, Keith would experience only a short period of incontinence. Recovery from the possibility of permanent impotence would be the final stage of the healing process. That recovery, we had learned, could take two years or more. When Keith arrived home from the hospital, we spent most of the day getting him settled. I unpacked his suitcase, made up a day bed on the sofa in the family room, and together, we nervously fumbled with catheter cleaning and changing.
Laptop Notes, February 10, 1995 It was great to be able to make Gin so happy last night! Nothing makes me feel as good as when I can get her aroused. ....... Being her lover is one of the greatest pleasures in my life.
Journal entry, February 10, 1995 Last night was the most romantic and beautiful night of my life! I’ve never felt so adored! I’ll never, ever forget it. This experience was so different from our usual. . . . . . . Last night, everything was different…what we did seemed so natural. I can only think of the whole experience as one of complete devotion. Looking Back Today, I shudder when I look back at what I said to Keith when he was initially concerned about becoming impotent. When I said I wouldn’t miss having sex, I was certain I was speaking the truth. But I was wrong. Within days of Keith’s surgery, I found myself longing to make love with him again. Obviously, I had underestimated the importance sex played in my physical well-being. I had similarly undervalued the delicate interweaving of sex and intimacy in our marriage when I so glibly stated, “It won’t matter if we don’t have sex anymore.” These
“We both cried as we relived the fears and anxieties that had plagued our lives for so long. When we were done, we felt cleansed, and ready to move on knowing that together we could survive anything.” Our first-day-home-together tension continued as we debated about sleeping together. Keith was concerned that I might unintentionally hurt him during the night, by draping a leg over him or kicking him. But we had never slept apart, other than when one of us traveled, and we didn’t really want to start now. So, despite his worries, we decided to take the risk. The next morning when we awoke in each other’s arms we knew we’d made the right decision. On that first full day at home, we spent the morning doing routine tasks. Then in the afternoon, we relaxed in the family room. Soon we began to recount our individual feelings about the past few days, weeks, and months. We both cried as we relived the fears and anxieties that had plagued our lives for so long. When we were done, we felt cleansed, and ready to move on knowing that together we could survive anything. Throughout the remainder of that day, we barely left each other’s side. We touched and hugged continually. By evening, our hugging had progressed to passionate kissing. I was surprised to realize what was happening: I was becoming aroused. I was torn. I knew we couldn’t make love, but I was really enjoying the teasing and intimacy at the same time. Finally, I told Keith, “We’d better stop. Keith smiled and whispered in my ear. “I want to do this.” Keith kissed my neck, took my hand and led me upstairs.
words were most demeaning however, to Keith. I had discounted his statements that it was important to him to be able to satisfy me. Today, when I hear women trying to comfort their partners with the same phrases I used, I cringe. I want to tell them: “You’re wrong when you say you won’t miss making love to your man, because you will. And please honor him by telling him so.” If I could do it all over again, I would express myself this way: “Keith if you become impotent, I understand that things will change in our sexual relationship, and that we will have to significantly alter the way we make love. That’s frightening, but I know we can get through it. Even though we don’t really know what those changes might be right now, I’m committed to doing whatever is necessary to keep our sex life alive. In return, I’ll depend on you to remain a lover to me in whatever way is possible. I’m confident that we can continue to make each other happy and satisfied in ways we’ll be able to discover — together.” Next month: “You Can’t Have One Without an Erection…Can You?” The book Making Love Again: Hope for Couples Facing Loss of Sexual Intimacy is available at Amazon.com and many major book sellers.
October 2012 — Springfield / Decatur — Healthy Cells Magazine — Page 25
pass the plate
Cooking for a Cause I
f you love to entertain and want to support a good cause, now you can do both at the same time. Now in its 10th year, Cook for the Cure presented by KitchenAid is a program that gives people with a passion for cooking a way to support the fight against breast cancer. Through culinary-based fundraising, events, auctions and the sale of pink products, the partnership between KitchenAid and Susan G. Komen for the Cure® has raised over $8 million for the cause. “It adds another layer of purpose to one of life’s great pleasures, cooking and enjoying food with family and friends,” said Debbie O’Connor, senior manager of brand experience for KitchenAid. You can make a difference by hosting a party that lets you Cook for the Cure by raising awareness and funds for breast cancer research. Here are some ideas to get you started: • Invite guests for an evening of appetizers and drinks. (Try these Mushroom-Onion Tartlets.) Encourage fundraising by awarding a prize to the guest with the highest donation. Or, let donors enter their name into a drawing to win a restaurant gift certificate or spa treatment. • Organize a fundraising bake sale. Get the neighbors involved in baking, promoting and selling — it’s a great way to bring everyone together.
“It adds another layer of purpose to one of life’s great pleasures, cooking and enjoying food with family and friends,” •H ost a potluck brainstorming party. Invite people who share your passion for helping others to bring their favorite dish and think up creative ways you can support the cause as a group. Vote on a project and then let everyone pitch in to get started. Cooking good food, sharing time with friends, and giving back to the community — that’s a recipe for a truly great party. Learn more at www.CookfortheCure.com.
Mushroom-Onion Tar tlets Makes 24 tartlets 4 ounces light cream cheese 3 tablespoons butter, divided ³/4 cup plus 1 teaspoon all-purpose flour 8 ounces fresh mushrooms, coarsely chopped ½ cup chopped green onions 1 egg ¼ cup dried thyme leaves ½ cup shredded Swiss cheese Place cream cheese and 2 tablespoons butter in bowl of electric stand mixer. Attach flat beater to mixer. Turn to medium and beat about 1 minute. Stop and scrape bowl. Add 3⁄4 cup flour. Turn to low and mix about 1 minute, or until well blended. Form mixture into ball. Wrap in waxed paper and chill 1 hour. Clean mixer bowl and beater. Divide chilled dough into 24 pieces. Press each piece into miniature muffin cup (greased, if desired). Meanwhile, melt remaining 1 tablespoon butter in 10-inch skillet over medium heat. Add mushrooms and onions. Cook and stir until tender. Remove from heat. Cool slightly. Place egg, remaining 1 teaspoon flour, and thyme in mixer bowl. Turn to medium-high and beat about 30 seconds. Stir in cheese and cooled mushroom mixture. Spoon into pastry-lined muffin cups. Bake at 375°F for 15 to 20 minutes, or until egg mixture is puffed and golden brown. Serve warm.
Page 26 — Healthy Cells Magazine — Springfield / Decatur — October 2012
Odds of a child becoming a professional athlete: 1 in 16,000 Odds of a child being diagnosed with autism: 1 in 110
Some signs to look for: No big smiles or other joyful expressions by 6 months.
No babbling by 12 months.
No words by 16 months.
To learn more of the signs of autism, visit autismspeaks.org
TM
© 2010 Autism Speaks Inc. “Autism Speaks” and “It’s Time To Listen” & design are trademarks owned by Autism Speaks Inc. All rights reserved.
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