Promoting Healthier Living in Central Illinois • Physical • Emotional • Nutritional November 2010
Heartland Foot & Ankle Associates: Putting Your Best Foot Forward! page 20
A New Vein
Unique Treatment for Depression page 28 Bullying — A Serious Threat page 40
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M A G A Z I N E
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.
November 2010 Issue Volume 5, Issue 11
This Month’s Cover Story:
Heartland Foot and Ankle Associates Putting Your Best Foot Forward! page 20
For information about this publication, contact
Cheryl Eash, owner 309-664-2524 firstname.lastname@example.org
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1711 W. Detweiller Dr. Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 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. 8,000 copies are published monthly. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the BloomingtonNormal area. Limelight Communications, Inc. assumes no responsibility for their publication or return. 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 Bloomington-Normal.
Community News: Ray and Kathy LaHood Center for Cerebral Palsy. . . . . Page 6 Physical: What is an Audiologist?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 8 Emotional: Caring for a Loved One With Alzheimer’s Disease. . . . . . . . . . . . Page 10 Nutritional: Scared Off of Calcium? Don’t Be . . . . . . . . . . . . . . . . . . . . . . . . . . Page 12 Cancer Research: Treating People, Not Guinea Pigs. . . . . . . . . . . . . . . . . . . . Page 14 Healthy Finance: No Quick Fixes for Weight Gain or Financial Woes . . . . . . Page 16 Therapy Dogs: Man’s Best Friend—A New Kind of Therapy . . . . . . . . . . . . . . Page 18 Special Insert: A New Vein. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 23 The Right Dose: The ABCs of Flu Shots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 23 Addiction Recovery: When a Parent is Addicted—What About the Children?. . . . . . . . . . . . . . . . Page 24 Head Injuries: What’s Really Going On?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 26 Transcranial Magnetic Stimulation: A New Treatment for Depression. . . . . . Page 28 Home Health Care: Individualized Services Right Where You Live. . . . . . . . . Page 30 Healthy Lifestyle: Head Long into Fitness, Not Face First into Food . . . . . . . . Page 32 Learning Disabilities: Decoding Dyslexia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 34 Pelvic Floor Dysfunction: Postpartum Women at Risk. . . . . . . . . . . . . . . . . . . . Page 36 Cancer Treatment: Benefits of Choosing an Approved Program. . . . . . . . . Page 38 A Serious Threat: The New Age of Bullying. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 40 “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
Page 4 • Healthy Cells Magazine • Bloomington • November 2010
November 2010 • Healthy Cells Magazine • Bloomington • Page 5
Community News Ray and Kathy LaHood Center for Cerebral Palsy:
A Bright Future for Central Illinois
t is estimated that more than 1,000 children with cerebral palsy and their families live in the 21 county area served by Easter Seals. Easter Seals, the Children’s Hospital of Illinois, and the University of Illinois College of Medicine at Peoria currently serve less than 500 children with cerebral palsy—less than 50% of the current need. Announced last fall, Easter Seals will celebrate the official launch of the Ray and Kathy LaHood Center for Cerebral Palsy which will expand the regional capacity and services available to help more children diagnosed with Cerebral Palsy. The center has been named in honor of former Congressman Ray LaHood’s service and commitment to the community. The mission of the Center, which is a collaboration between Easter Seals, the University of Illinois College of Medicine - Peoria, the Children’s Hospital of Illinois, and others, is to expand resources for diagnosis, treatment, education and support for children with Cerebral Palsy while also expanding the availability of these resources throughout the community. The Center will be under the direction of Dr. Andrew Morgan. Cerebral Palsy is a general term for motor impairment resulting from an injury to the developing central nervous system. It can occur before, during, or after birth and is often the result of prematurity, low-birth weight, lack of oxygen or infection. The disorder affects two or three children out of one thousand and is characterized by limited motor coordination, stiffness, weakness, and overall limited
movement, especially with skills such as walking, running and jumping. Children are usually born with the disorder, but it is often not detected until 6 – 12 months of age. Although there is no cure for Cerebral Palsy, supportive treatments will improve the child’s skills and abilities and allow them to overcome many challenges they experience. An important aspect of treatment is helping the child become as independent as possible. This often includes the use of braces, wheelchairs, medications and surgery. Children diagnosed with Cerebral Palsy can experience a variety of symptoms to varying degrees. Some have severe limitations and will require assistance throughout their life, while others have mild limitations and can develop the skills and strategies necessary to accomplish their goals and live independently. Because everyone is affected in different ways, one of the most important considerations in treatment is tailoring it to each individual’s specific needs and goals. Ultimately, the goal for every child with Cerebral Palsy is to reach their full potential and participate in activities they love. The establishment of the Ray and Kathy La Hood Center for Cerebral Palsy is a way to make that goal a reality for more children and families here in Bloomington-Normal and throughout Central Illinois. For more information, you may contact Easter Seals in Peoria, 507 E. Armstrong Avenue, 309-686-1177, in Bloomington, 2404 E. Empire, 309-663-8275 or at www.ci.easterseals.com.
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November 2010 • Healthy Cells Magazine • Bloomington • Page 7
Audiology Awareness Month
WHAT IS AN AUDIOLOGIST? By Deborah S. Pitcher, Doctor of Audiology/Practice Owner: Bloomington-Normal Audiology
When this question was posed to people walking in a busy shopping/business area, the responses included: • “Someone who works at a TV Station” • “I have no idea” • “Someone who adjusts music for recordings” • “Someone who sings” • “Audio, audio, audiolo…geez I can’t even pronounce it!”
Page 8 • Healthy Cells Magazine • Bloomington • November 2010
So what is an Audiologist? Audiologists are the licensed hearing healthcare professionals who diagnose and provide audiological treatment of hearing and balance disorders. These specialists are responsible for identifying and rehabilitating hearing loss in individuals of all ages, from newborns to seniors. Audiologists may practice clinically in hospitals, physicians’ offices or in a private practice setting. Some Audiologists teach at universities and some work in the industrial world, helping employers comply with OSHA noise standards. Research Audiologists conduct research in all areas related to audiology and hearing science. Audiologists can sub-specialize and work exclusively with children or persons receiving a cochlear implant. A few Audiologists work only with professional musicians, for whom hearing preservation is very important to their profession. A select group of Audiologists practice “forensic audiology” and are called to assist law enforcement personnel with cases where knowledge of acoustics is needed. The Americans With Disabilities Act (ADA) specifies hearing loss as a handicap; Audiologists often with work with employers to assist them in making accommodations for their hearing-impaired employees. There are also Audiologists who have special interest in the balance portion of the inner ear and devote themselves to evaluation and treatment of vestibular/ dizziness disorders. For many years the entry level academic requirements for becoming an Audiologist began with completing a Master’s Degree program in Audiology. Upon completing this degree, it was necessary to pass a national “Board type” written examination and then spend one year in a clinical fellowship. Those interested in teaching at the university level or conducting research would complete a Ph.D. Program in Audiology.
Recently, academic requirements to become an Audiologist have changed. A doctoral level degree is now required. Au.D. programs accept persons with a Bachelor’s degree with a strong science emphasis. The Au.D. programs themselves typically include four years more of academic and clinical training. Upon graduation, a national competency examination must be passed. Audiologists who hold an existing Master’s Degree in Audiology may continue to practice. Many Master Degreed Audiologists have chosen to “return to the classroom” and earn their Au.D. degree. The field of Audiology began in the late 1940’s. WW II servicemen and women returned home to find that the excessive noises to which they had been exposed during combat had damaged their hearing. The Veterans’ Administration was the first to train audiologists. During the 1950’s, the US experienced a rubella epidemic that left many children severely hearing- impaired. Audiologists were needed to serve these Veterans and to work with the children who needed assistance to overcome the effects of their hearing loss. Test equipment to assess hearing loss was very basic compared to today’s standards. Audiologists today have multiple types of instrumentation allowing for very detailed and specific results to be obtained. Certainly, examples include the auditory brainstem response test and the otoacoustic emissions test which allow Audiologists to accurately determine the hearing status of a newborn infant. In fact, legislation now exists nationwide which requires that all infants have a hearing assessment prior to discharge from the birthing hospital. The devices now available to assist hearing-impaired patients include high tech digital instruments, bluetooth technology and the much improved cochlear implants that can offer tremendous help to the very severely hearing- impaired population. With the increased life expectancy of the US population, more and more individuals are finding themselves in need of hearing assistance.
It is estimated that 33 million Americans experience hearing loss. As these persons look for care, it’s important that the distinction between hearing aid salespersons/dispensers and academically trained, State Licensed Audiologists be appreciated by the general public. AARP addressed this issue and stated, ”more important than the specific hearing device that might be recommended, is the expertise of the person fitting the device.” Anyone seeking evaluation or treatment for their own hearing loss or for a family member or friend should not hesitate to ask if they will be seeing an Audiologist.
US News & World Report Annual Best Jobs • Audiology among top ten in 2008 and 2009 • Excellent job satisfaction • “One-on-one” helping career US Bureau of Labor Statistics • Audiologist have favorable job prospects • Faster growth than many other jobs
For more information on hearing related issues, you may contact Bloomington-Normal Audiology at 309-662-8346 or on the web at www.bloomingtonnormalaudio.com. They are located at 1404 Eastland Drive, Suite 203 in Bloomington and 1508 Reynolds Suite B in Pontiac.
HBO’s The Alzheimer’s Project Tuesday, Nov. 2 6 pm - 7 pm
Tuesday, Nov. 9 6 pm - 8 pm
Grandpa, Do You Know Who I Am?
Momentum in Science
8 pm -9 pm
Calvary United Methodist Church 1700 North Towanda, Normal
A great program for kids and teenagers
Helpful for family and professional caregivers alike.
Intended for all audiences
To register call 309.662.8392
Question and Answer session will follow each viewing with an expert from the Alzheimer’s Association– Greater Illinois Chapter.
November 2010 • Healthy Cells Magazine • Bloomington • Page 9
Caring For a Loved One With Alzheimer’s Disease By Diane Schmink, LSW, Director of Social Service/Admissions at Meadows Mennonite Retirement Community
lzheimer’s disease is an irreversible, progressive brain disease that slowly destroys memory and thinking skills, and eventually even the ability to carry out the simplest tasks. It is the most common cause of dementia among older people. Dementia is the loss of cognitive functioning—thinking, remembering, and reasoning— to such an extent that it interferes with a person’s daily life and activities. Estimates vary, but experts suggest that as many as 5.1 million Americans may have Alzheimer’s. When you’re living with a loved one who is suffering from Alzheimer’s disease you must be able to survive one emotional upheaval after another. What is most important during this difficult time is that you not only survive the physical demands placed on you as the primary caregiver, but that you learn to cope effectively with the emotional turmoil and preserve the quality of your own life in the process. Caregivers have been known to
Page 10 • Healthy Cells Magazine • Bloomington • November 2010
put their own lives on hold and become entirely devoted to care giving—making this difficult role even harder, and often compromising their own health. The physical, emotional and financial burdens that caregivers experience weigh heavily during the progression of the disease. If you are a caregiver and are experiencing one or more of the following then you are likely experiencing caregiver stress: • Feeling like you have to do it all yourself / do more than you currently are • Withdrawing from family, friends and activities you once enjoyed • Consistently worrying that the person you care for is safe • Feeling anxious about money and/or health care decisions • Denying the impact of the disease or the effects on you and your family • Feeling grief or sadness that your relationship with the person with dementia has changed • Becoming easily frustrated and angry with repetitive questions or actions by your loved one with memory loss • Experiencing health problems that are taking a toll Caregiver stress - if not addressed - can often lead to depression. There comes a time when the only loving decision is the decision to place your loved one in a memory care facility. There is no way to make the decision easy. Most of the time it is a decision we would like to avoid. At best it may be a choice between distasteful options. The decision is made out of necessity, not choice. There are quality long term care facilities that specialize in meeting the needs of someone with Alzheimer’s. Though one of the most difficult decisions to make, it is often the most loving, for the care receiver, as well as the care giver. When a family comes to the realization that it can no longer care for a loved one, that new reality is often difficult to accept. A family can do several things to ensure that they make the right decision in selecting the right home for their loved one. State and government agencies have web sites containing vital information on nursing homes. You can search for these sites with some key words and terms: • Long term care facilities • State survey/results for long term care facilities • Nursing home compare It is important to find a home that allows the person to stay for as long as needed, rather than suddenly being forced to relocate should assets be exhausted, or should the level of care needs change. It is important that the facility be Medicare and Medicaid licensed. Assisted living facilities are becoming very popular. Determine at which point your loved one will need to relocate to a memory care facility. Often when care needs increase, or behaviors arise, the family finds themselves once again searching for a care facility. Change is difficult for the person with Alzheimer’s, and making the initial move to the memory care facility can be the best choice for them and the family. There are many good checklists available online that can be printed off and used as the search for the right home is made. A third party who is not as emotionally invested in the decision should be present while looking for the right facility as they can www.healthycellsmagazine.com
help look around to get a “feel” for the place as you are asking questions. Once the choice has been made, a partnership is formed with the care facility chosen. Allow the staff to be of assistance in dealing with the myriad of emotions that will now be encountered. A caregiver’s role changes (but doesn’t end) when a loved one moves into a care facility. Consider sharing meals or performing an activity together, like attending a church service. A change in the care giving environment can be a difficult challenge for caregivers as well as their loved ones, so it is good to stay active and pursue some personal interests as well. Caregivers should give themselves permission to have fun—it will not mean that they are abandoning or forgetting their loved one. Suggested Reading: “Caregiver’s Reprieve” by Avrene L.Brandt. Impact Publishers, 1998. “Share My Lonesome Valley, The Slow Grief of Long Term Care” by Doug Manning. In-Sight Books, 2001. “When Love Gets Tough: The Nursing Home Decision” by Doug Manning. For more information contact Diane with Meadows Mennonite Retirement Community at 309-747-3661 or email at email@example.com. Meadows is especially designed for the unique needs of caring for people with Alzheimer’s.
November 2010 • Healthy Cells Magazine • Bloomington • Page 11
Scared Off of Calcium? Don’t Be By Michael Roizen, M.D., and Mehmet Oz, M.D.
hake, rattle ... and stall. If you’ve suddenly found yourself staring at your bottle of calcium pills—not sure whether to shake one out or skip it—you’re not alone in feeling rattled. A new study claims that calcium tablets raise your heart-attack risk and are a dud at safeguarding your skeleton. What gives? Is calcium really dangerous? Useless? Both? Here’s why we YOU Docs think this supplement is still safe and essential, when you take it with the right stuff. (Clue: Make sure yours comes with vitamin D-3 and magnesium.) Let’s start with the facts. First, the researchers didn’t actually give people calcium and check their hearts. Instead, they analyzed 11 older calcium studies, none focusing on heart attacks. You can infer interesting things this way; they’re just not always conclusive. Yup, 30 percent more heart attacks occurred in people over age 40 who took calcium pills. But while
that sounds pretty big, in an analysis like this, it’s not. Even the researchers called it only a “modest” difference. Second, the findings plain don’t jibe with most other research. Plenty of other studies have found that calcium (from food or supplements) doesn’t up heart-health risk factors, like raising blood pressure or building up plaque in your arteries. Third, there weren’t any extra heart attack-related deaths. Not that we wanted any! It’s just that if there are extra heart attacks, you’d expect a few extra deaths. Maybe, as a British Medical Journal editorial about the study suggested, the extra heart attacks were misdiagnoses—say, people who were logged into emergency rooms with “heart attack symptoms” but turned out to have severe digestive distress (it happens). Fourth, about those missing bone benefits: This one’s easy. The analysis included only studies where calcium supplements were taken alone. It excluded people who also took vitamin D,
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which is essential for calcium absorption. Without D (especially D-3, the best form), there’s almost no way your body can absorb enough calcium to protect your skeleton. That’s why we say: Don’t toss your calcium pills into the round receptacle based on this analysis. There’s strong evidence that calcium is vital for bones and little proof of heart-attack risk. Besides, calcium-rich foods (like low-fat dairy products) help your heart by keeping a lid on high blood pressure. For now, just do calcium right: Take calcium with the right stuff: vitamin D-3 and magnesium. You need 1,000 IU of D-3 (1,200 IU after age 60) for maximum calcium absorption (and many other reasons: this formidable vitamin helps fight osteoarthritis, inflammation, some cancers, plus it helps regulate blood pressure). You also need 400 to 500 mg of magnesium. Why? Because it keeps calcium from making you constipated, and because if there actually are any cardio risks from calcium (including internal spasms), magnesium relaxes the blood vessels and probably counters ‘em. Tip: Some handy-dandy combo pills contain all three nutrients; for what we recommend, see “Dr. Roizen’s Fab Five” at the Cleveland Clinic’s wellness site, www.360-5.com (we get no money for this). Aim for 1,200 mg of calcium a day—and get as much as you can from food. Sip a glass of skim milk (300 mg), spoon up a cup of plain, low-fat no-sugar-added yogurt (415 mg) or sprinkle your salad with low-fat cheese (200 mg for a quarter-cup). Not into milk products? Have a cup of calcium-fortified soy milk or OJ (300 mg each), or a cup of cooked spinach (290 mg), a tin of sardines (370 mg in 3.5 ounces) or canned salmon (181 mg in 3 ounces). Some mineral waters have up to 108 mg per cup. Check labels. Broccoli, kale, even Chinese cabbage contribute, too.
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“There’s strong evidence that calcium is vital for bones and little proof of heart-attack risk.” Use calcium supplements to fill the gaps. While it’s pretty easy to get a few hundred milligrams a day from food, it’s hard to get all 1,200. So most people—including us—need to take calcium plus you-know-what-else. Go for calcium citrate, by the way; it’s well absorbed, whether or not you have it with a meal. Spread it out. Your body can’t absorb more than 500 to 600 mg of calcium at a time, whether it’s in food or supplements, so space it throughout the day. Once you’ve worked this vitaminmineral trio (D, magnesium and calcium) into your routine, your bones will be singing a happy tune, and, we suspect, so will your heart. The YOU Docs, Mehmet Oz and Mike Roizen, are authors of “YOU: On a Diet.” Want more? See “The Dr. Oz Show” on TV (check local listings). To submit questions, go to www.RealAge. com. (c) 2010 Michael Roizen, M.D. and Mehmet Oz, M.D. Distributed by King Features Syndicate, Inc.
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November 2010 • Healthy Cells Magazine • Bloomington • Page 13
Treating People, Not Guinea Pigs Submitted by Illinois CancerCare
f you mention medical research to most people, they tend to conjure up an image of a mysterious laboratory with boiling test tubes and wild-eyed scientists in lab coats. If you mention medical research with human subjects, many people mumble something about guinea pigs. While these images may be intriguing subjects for Hollywood movies, they do not reflect the reality of human subject medical research today. The reality is much less scary and much more vital to everyone. Even if you don’t have cancer, please read on. The information applies to all kinds of medical research. Medical research is called by several different names, such as research studies, medical research trials, or clinical trials. In cancer research, the preferred term for research involving people is cancer clinical trial. Cancer clinical trials are research studies in which people help doctors find ways to improve health and cancer care. Each study tries to answer specific scientific questions, find better ways to prevent or treat cancer, as well as providing optimal ways to improve quality of life. A clinical trial is one of the final stages of a long and careful cancer research process. Statistically, 1 in 4 people will be affected by cancer. When that happens, people want to know what their options are so they can make the best decisions about their care. Both those doing cancer research as well as those patients who have participated in clinical trials would say that if there is a cancer clinical trial available, the best option is to take part. Why? Cancer clinical trials are the only way new medicines for cancer can be studied, shown to be safe and effective in peo-
ple, and be approved for use by the general public. Every standard treatment for any kind of disease began as an investigational drug or device. What is used routinely today was experimental in the past. Citizens of the United States have the best medical care in the world only because people took part in clinical trials conducted by doctors committed to carrying out good research. These people volunteered to be a part of clinical trials which have led to better treatments for everyone. Those who volunteered were among the first to receive promising new drugs. When the medicines are still investigational, the only way to receive them is through a clinical trial. The path a new drug takes is long and carefully monitored. The path begins in the laboratory (boiling test tubes may be optional) long before the new compound is ever tried in humans. Scientists study the effects of a promising new medicine on cancer cell lines that are grown in the laboratory. By the time the new medicine is ready to be used on people, it has already gone through a lot of study in the laboratory, can be safely manufactured for use in humans, and has been tested in animal models. A drug is studied through several steps in research. These steps are called Phases, beginning with Phase I and going through Phase IV. Phase I clinical trials introduce new drugs for the first time in humans. During this phase, the primary focus is to determine maximum tolerated dose acceptability, or how much of this new drug is enough and what is too much. During this phase, studies are also done to analyze how the human body processes the new drug as well as finding the best way to administer the new drug, (i.e. by mouth or injected).
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Page 14 • Healthy Cells Magazine • Bloomington • November 2010
The Language Connection
Providing services to students with dyslexia: Diagnosis • Remediation Ann Hoopes Champion, Ph.D. 510 E. Washington St. Ste. 203 Bloomington, Illinois 61701 • 3 0 9 - 8 2 8 - 1 2 9 2
“Cancer clinical trials are the only way new medicines for cancer can be studied, shown to be safe and effective in people, and be approved for use by the general public.”
Phase II clinical trials study how well the new drug works in treating different kinds of cancer as well as continuing to gather further information on the side effects. After completing Phase II studies that show promise for a new drug, the company that developed the drug will apply to the Food and Drug Administration (FDA) for approval to market the drug. If the FDA approves the drug, it will approve it only for use in certain kinds of cancer. They call this an indication for the drug. The indication is based on the cancer clinical trial results the company submits to the FDA, but the research does not stop here. Phase III clinical trials involve comparing the new drug to an existing standard treatment. Sometimes this means that the new
drug is combined with the standard treatment and is compared to the standard treatment alone. Phase III studies compare not only how well each treatment works on the cancer, but also the side effects and costs. Sometimes a new treatment only works as well as the standard treatment, so the costs and side effects will help determine which treatment is better for patients. At other times the Phase III studies show that the new treatment works better than the standard treatment. Then the new treatment would become the new standard treatment. Only through clinical trial participation can new standard treatments be proven. Phase IV clinical trials collect additional safety and side effect information. Sometimes the FDA requires a company to collect this additional safety information after the drug has been approved. Only 10% of people who are diagnosed with cancer even know that clinical trials exist. The existence of cancer clinical trials is important information for everybody. The more people who know about clinical trials and are willing to participate, the sooner we can find more approaches to prevent cancer and better treatments and therapies. It is a major goal of the National Cancer Institute to raise the awareness of and participation in cancer clinical trials. These goals of the National Cancer Institute will be carried out by making these cutting-edge cancer clinical trials available throughout the country at a community level. Illinois CancerCare is dedicated to clinical cancer research and at any given time has up to 150 open clinical trials for many cancer types. If you have questions you can contact Illinois CancerCare at 309-662-2102 or visit them at www.illinoiscancercare.com.
November 2010 • Healthy Cells Magazine • Bloomington • Page 15
No Quick Fixes for Weight Gain or Financial Woes By Marta Traylor, Personal Banker, First Farmers State Bank Unfortunately, many people experience this same up and down game trying to rid themselves of financial woes. There are no quick fixes to financial stability, either. Again, it’s a lifestyle change that often requires a lot of self-discipline. Just as you can wake up one day and realize you’ve gained 20 pounds, you can also wake up one day and realize your financial situation has become bleak. You might say, how did this happen to me? Well, life situations and busy lifestyles can very easily distract us from the reality of the weight gain or financial decline. But this doesn’t mean it can’t be fixed. It just probably won’t be a quick fix. Patience is the key. As a single mother of three children, I know it can be difficult at times to keep one’s finances in check.
any of us have experienced the extreme ups and downs of the weight loss, fad diet game. After many unsuccessful attempts to keep the weight off, we realize only a lifestyle change can accomplish long-term, successful results.
Here’s a simple financial lifestyle change checklist that may help: • Create an Easy Budget — With all the free computer software and spreadsheets readily available today, you can easily map out your fixed income and your fixed expenses to determine what is available for spending or saving. Don’t have a computer?
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Page 16 • Healthy Cells Magazine • Bloomington • November 2010
Go to the library or ask a friend to use his or her computer. Many sites offer budget templates that can be printed.
wants because “everyone else has them,” then it’s a matter of want, not need.
• Balance Your Checkbook Each Day — That may seem like overkill, but it will help you realize your daily expenditures. How many times have you looked back upon a week of spending and can’t believe you spent that much? It’s too late to do anything about it then. You are forced to live on little or nothing until your next pay check. But if you are balancing your checkbook daily, you can budget your expenses.
• Appoint a Financial Friend — Ask a trusted friend to be the keeper of bank account for you. Deposit extra money into the account whenever possible. You must discuss withdrawals with your friend. This will keep you from “treating” yourself. A good friend will make sure you spend this money wisely and only when necessary.
• Pay More than the Credit Card Minimum! — Always make the minimum payment and more. Give yourself a goal of at least paying the minimum, plus the monthly interest charge. And, it never hurts to take a peek at the date of payoff if you just pay the minimum. This is an eye opener for most people. Here’s an example: If you have a credit card balance of $5,000, at 14% Annual Percentage Rate and minimum payment as 2% of your credit card balance. Making minimum payments only, it would take you 22 years and $5,887 in interest payments to pay off this debt. But you could pay off the same debt in less than 6 years if you increased your monthly payment to $125. Plus, you’d spend only $1,775 in interest instead of $5,887. Quite a savings! • Question Your Purchases (and your kids’ purchases) — Always ask….do I need it or do I want it? There is a big difference. Do you buy your daughter some new shoes? If her current ones are causing blisters because they are too small, she needs them. But if she found this really cute pair that she
•B ank Your Tax Refund — Your tax refund is a good rainy day fund for those unexpected expenses during the year. Start a savings account, if you don’t already have one. Add to it whenever you can. •T ake Advantage of Free Entertainment — Being financially cautious doesn’t mean you can’t have fun! Many communities such as Bloomington-Normal offer free concerts and activities. Shopping districts and malls also offer free special event weekends. Some companies offer employee outings. Take advantage of these opportunities whenever you can and have fun! Just as in weight loss, don’t be concerned if you backslide every now and then. It will happen because we are human. If you realize this, you can move onto financial sanity and stability. Marta Traylor is a Personal Banker at First Farmers State Bank, 4001 GE Road, Bloomington. First Farmers State Bank, established in 1875, is locally owned with locations in Minier, Delavan and Bloomington and on the web at www.firstfarmers.com.
November 2010 • Healthy Cells Magazine • Bloomington • Page 17
Man’s Best Friend: A New Kind of Therapy By Rachel Perva, OSF St. Joseph Medical Center
ospitals, medical centers, nursing homes, and long term care facilities throughout the country are looking for new and innovative ways to ensure their patients are getting the best possible care at their facilities. The latest trends in patient therapy programs now include man’s best friend. Therapy dogs are being used to provide affection and comfort to patients and their families during their stay. Therapy dogs come in a variety of breeds, although the most important characteristic is temperament. Therapy dogs must be friendly, patient, confident, gentle, at ease in all situations, and most importantly certified by a national canine therapy organization. Both therapy dogs and their handlers undergo rigorous training, health examinations, and guidelines to be accepted into a program. Some basic qualifications for dogs are to: be at least one year old; be able to follow commands such as sit, down, stay, stay and recall on command; be able to walk loosely on a leash without pulling, even when excited or in a new environment; get along well with other dogs; like people; not be overly vocal; and
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of course meet all health, training, and evaluation requirements for the program. The therapy dog’s “job” is to allow patients to make physical contact with them. This contact increases the patient’s socialization, decreases loneliness and depression, increases motivation and allows animals to become part of the healing experience. Typically, patients who meet visitation requirements have the opportunity to visit with a therapy dog for 15 to 20 minutes. During this time, the patient is able to bond with the animal, taking his or her mind off of their current situation. This allows the patient the experience of creating a new relationship with their canine companion. Through this process, patients are able to improve flexibility, lower blood pressure, and reduce stress. While most patients can request to visit with a therapy dog in facilities who have these programs, some patients may be excluded, including those who: refuse or request “no visit;” have a nurse recommendation or physician order for “no visit;” have allergies to dogs; have fear of dogs; and those who are diagnosed with “contact,” “droplet,” or “airborne” isolation; or have other precautions. Even though therapy dogs are new to most healthcare facilities, the tradition dates back to World War II. One of the first therapy dogs was named “Smoky.” He was used on numerous combat missions and eventually bonded with wounded soldiers during their recovery
in army hosptials. In 1976, Elaine Smith, a registered nurse, officially started the first training program for therapy dogs, and over the years healthcare professionals have noticed the invaluable therapeutic effect of animal companionship. For more information about “Karing Partners,” the dog therapy program at OSF St. Joseph Medical Center, please visit www.osfstjoseph.org/karing-partners, or contact Gail Scoates at (309) 662-3311, extension 1320.
Obstructive Sleep Apnea OSA is a serious, potentially life-altering, health issue. People with this disorder stop breathing during sleep for 10-45 seconds at a time, occurring up to 400 times every night. This usually wakes the person, or their partner, resulting in neither getting enough rest. The person having the breathing interruptions will usually not remember waking throughout the night, but may notice sleepiness during the day—or the feeling of not being able to get enough sleep. • An estimated 5 to 10 percent of adults in the US have OSA • Of these, 85 to 90% have not been identified • Sleep apnea can affect persons of any age • It is more common among those 40 years of age or older Please contact your physician if you believe you have symptoms of sleep apnea.
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November 2010 • Healthy Cells Magazine • Bloomington • Page 19
Heartland Foot and Ankle Associates
Putting Your Best Foot Forward! By Jennifer Johnson
HFAA Staff (L-R): Larisa Lindahl, CMA; Dr Melissa Lockwood; Sam Fowler, Office Manager ; Maria Emrick, MA
dmit it. You don’t think much about your feet until they hurt or you’re about to slide them into open-toe shoes. You might even ignore those lingering aches, fearing what treatments a doctor might suggest or figuring there is nothing she could do. You don’t have to. Dr. Melissa Lockwood, a doctor of podiatric medicine or DPM, along with her team at Heartland Foot and Ankle Associates have what your feet need to look and feel better while preventing future problems as well. “Your feet normally shouldn’t hurt,” Dr. Lockwood emphasized on an early September afternoon with just a hint of autumn in the air. Fall weather brings relief from heat and humidity, but it can also be the start of the slippery season when icy conditions make foot and ankle injuries more common. After twisting an ankle, many people wait for months to see a doctor, but it should be x-rayed right away. If it’s broken, it needs to be immobilized. “There’s not a lot that needs to be done for
Page 20 • Healthy Cells Magazine • Bloomington • November 2010
sprains – compression, like an ace bandage, ice and elevation — but it should be done quickly to prevent acute problems, re-injuries, and tenderness down the road.” No matter what discomfort you feel in your feet, ankles, or toes, Dr. Lockwood provides the compassionate care, knowledge, and technology to get you back on your feet and feeling great. Busy Respecting Patients’ Time with Individualized, Personal Appointments Making each appointment as fulfilling as possible for her patients starts with valuing their time. Medical Assistants Larisa Lindahl and Maria Emrick, along with Office Manager Sam Fowler, help the energetic, self-described “slightly OCD” doctor keep on schedule by not overbooking and by holding slots open to accommodate same-day and emergency appointments. “Thank you so much for seeing us that Friday,” one mother wrote. “He [her son]
pitched two innings Monday, two innings Tuesday, and sixand-one-half innings on Thursday for the win.” Since opening in 2008, the busy office continues to grow, with word-of-mouth referrals propelling much of the increase. “Friendly! Dr. Lockwood takes time with you and listens!” said a seventy-two year old female. Women frequently refer girlfriends to Dr. Lockwood, yet both genders and all ages appreciate her unique approach and willingness to take the time to chat. “I was nervous and put off telling my mom I needed my foot looked at,” described one fifteen-year-old male. “After I got to Heartland, I felt relaxed. Dr. Lockwood was fantastic. She took excellent care of me.” Comprehensive Care Embraces Communication Excellent service comes from Dr. Lockwood’s plan for comprehensive care. With digital radiography and ultrasound equipment on site, she quickly diagnoses broken bones, stress fractures, and damage to muscles and joints during a patient’s appointment. She can also show her patients actual transparencies while explaining what they mean in everyday terms.
Communication doesn’t start or end with a treatment or even the diagnosis. Heartland Foot and Ankle Associates maintains a Facebook page, a blog, and Twitter feed (follow @HFAA) all linked on their website, www. heartlandfootandankle.com, where anyone can research foot and ankle problems, identify potential treatments, request an appointment, learn about shoes, request an “e-newsletter” and register for free products, and even print medical forms to save time when they check in at the office. Another key aspect of patient communication is explaining insurance coverage. We all want to know — How much will this cost me? Well the insurance exDr. Lockwood demonstrates how digital xrays can show a bone fracture easily perts at HFAA verify and explain insurance coverage and require Dr. Lockwood is committed to working together with ments to patients so everyone knows how much they’ll have to other physicians and physical therapists, if needed, to propay before they receive treatment. The team at Heartland Foot vide the best comprehensive care possible. The information and Ankle will even call your insurance company on your behalf exchange and patient updates assures that the family docprior to your visit, to find out all the details for your specific treattor is in the loop with their patient’s condition. “It’s a little ment plan. “I don’t want them to have any surprises,” explained different in the cornfield,” she said, both referring to how Dr. Lockwood. she ensures the best recovery for each patient and her loca The only surprise patients might find is the array of truly tion, on Heartland Drive near the intersection of Hershey and “doctor approved” products they can purchase in the office. A Washington Streets.
November 2010 • Healthy Cells Magazine • Bloomington • Page 21
Feature Story continued wide-open reception area invites you to explore the convenience items they stock. Formaldehyde-free nail polishes, anti-fungal socks, memory foam sandals, moisturelocking crème, skid-resistant slippers, and extra-depth shoes are just a sampling of the products that make you feel good fast, that are conveniently located on-site, which help busy people get quality products more easily. The simple square-shaped floor plan ushers visitors down wide hallways along a central core of rooms, which makes it easy to navigate. “Nice set-up,” wrote one fifty-oneyear-old male. As the business continues to grow, there’s area to expand into future services, like pedicures for a spa-like experience. Disney Marries Reality “We are like Disney World,” Dr. Lockwood said as she explains the philosophy HFAA Welcome Room - complete with samples of extra depth diabetic shoes! that underlies her practice. She and her staff ensure everyone is treated like a VIP by spoilcern stems, in part, from her family connection and the special ing them from the moment they walk into the reception area they problems they have faced. It’s what inspired her comprehensive call the Welcome Room. “Everyone is friendly, great office hours, care philosophy and her choice of podiatry as a profession. awesome service, felt welcome upon walking through the doors,” “When I was little, my mom had foot problems,” Dr. Lockconfirmed a forty-four-year-old female patient. wood recalled. Her dad suggested she should become a podia The VIP treatment is Disneyesque, but she adds a solid sense trist so she could take care of her mom’s feet. Later, her father of reality, too — like when it comes to high-heel shoes. “I tell developed diabetes, which helped her understand how important women that I know you’re going to wear what I call half-day shoes,” comprehensive diabetic care is, since the disease affects other Dr. Lockwood said, smiling. “I got married in three-inch heels and areas of the body, too. “I want to be their cheerleader and supthen, after the ceremony, wore tennis shoes with my gown.” She’ll porter without becoming too heavy handed,” she said. talk with women about how to enjoy both at the same time. It’s a A family theme underlies her practice, and not just because Cinderella story that marries fashion with comfort. her mother and her sister have both worked in the office while her husband, Scott Heape, CPA (an Illinois State University alumnus), Custom Orthotics Help Overall Health is her business manager and partner. Together with their staff, For some people, choosing footwear is not just a statement they have worked to make a visit to her practice as much like of style but can be critical to good health. It’s so important that home as possible. Dr. Lockwood also connects with the broader Dr. Lockwood’s office includes her own version of a shoe room. community, too, by volunteering for a variety of service causes: Racks of shoeboxes line one wall and artwork proclaiming, “One Rotary International (Bloomington Club Member), American Diashoe can change your life” decorates another. In many cases, the betes Association, as an advisor to a local college sorority, the phrase is very true. local Illini Club, and in the medical tent at the Avon Breast Cancer Custom orthotics and bracing along with a wide variety of Walk in Chicago. attractive diabetic shoes help her treat patients with the most If her office were a home, it would be one that features modconservative care first, potentially avoiding problems before they ern medical technology, feet-friendly products, a room dedicated progress. Sometimes people delay going to the doctor to avoid to custom-fitting shoes and inserts, and construction that meets discomfort. Yet, in many instances (ingrown toenails, heel pain Americans with Disability Act (ADA) approval down to the big blue caused by musculoskeletal problems, or a toe fracture also known reclining patient chairs in each treatment room. All of it is deas a jammed toe), Dr. Lockwood can help her patients feel better signed with an underlying philosophy that when you walk into the right away with gel inserts, medical-grade padding, or small inoffice they will treat you like family. And in this family, Dr. Lockoffice procedures that can prevent or delay or even preclude the wood has a healthy obsession in making sure you can put your need for surgery. best feet forward when you head out into the real world! It’s especially important for diabetics to take care of their feet since they can suffer nerve damage, which leads to a lack of sensation in their lowest extremity. Diabetic shoes and inserts are Heartland Foot and Ankle Associates is located structured for custom support and protection, which help avoid at 10 Heartland Drive in Bloomington. You may injuries, sores, and infections that, if undetected, can lead to amcontact Dr. Lockwood at 309-661-9975 or online putation. at www.heartlandfootandankle.com Specialty shoes are just one of the ways Dr. Lockwood shows her unique interest in diabetic patients and the elderly. Her conPage 22 • Healthy Cells Magazine • Bloomington • November 2010
The Right Dose
The ABCs of Flu Shots By Cory Patterson, PharmD, Rph
ore than 21 million people globally died during the influenza epidemic of 1918. The toll from that outbreak was more than during the two World Wars combined. Last year, H1N1 affected as many as 89 million and possibly contributed to the deaths of over 18,000 in the United States alone (CDC). Despite its seriousness, many of us still resist or do not find time for the flu shot, perhaps because we do not know what influenza is or how the shot works. What is Influenza? Influenza can be caused by several types of highly contagious viruses, which enter our bodies when we come into contact with others through droplets in the air and on objects. These types are categorized as A, B, or C. A and B can cause human epidemics or pandemics. A affects all ages. B typically affects children and is generally milder. Influenza viruses attach to the surfaces of cells in our bodies, tricking our cells into replicating their virus particles and disarming our immune system as it realizes the threat and tries to fight against them. It is contagious one day prior to symptoms and for a duration of one week or longer. How Does the Flu Shot Work? Each spring, researchers monitor the types of influenza viruses in circulation in the southern hemisphere that will migrate north by the fall. They use this speculative information to develop that year’s flu shot. This year, the 2010-2011 vaccine will contain three different strains of influenza virus that have been identified as threatening: A/Perth/16/2009(H3N2), A/California/7/2009(H1N1), and one influenza B virus named B/Bisbane/16/2008. The vaccine is made up of dead influenza viruses of those three predicted strains, which will be injected into your muscle and then make their way into your blood stream. There, your body’s white blood cells will mine the dead viruses for information about how they work so they can more effectively fight them. After receiving the vaccination you will need to remain at the facility for a minimum of 20 minutes so that you can be monitored for any allergic reactions. Side effects may include soreness at the injection site, tenderness, headache, muscle aches, and fever. The vaccine takes up to two weeks to stimulate an immune response. A Common Misconception Will an immunization make you “get the flu”? No. The influenza viruses in the injectable flu vaccine are dead. If you have ever suffered from the flu even when you received a flu shot, it is either because you were infected with the virus before the vaccine took effect or because you encountered a different strain of influenza virus than you were vaccinated against. Avoid the Flu Shot If You . . . • are allergic to eggs or to any other substance in the vaccine. www.healthycellsmagazine.com
•h ave a history of Gullain-Barrie syndrome within 6 months of a previous influenza vaccine. •a re an infant under the age of 6 months. Note: infants will have some immunity if the mother was vaccinated during pregnancy. Flu Shot Alternatives If you fear shots, you may opt for a nasal spray vaccine that will also protect you for about 6-8 months. Unlike the injectable form, the nasal spray contains a live virus that can cause mild flu symptoms. The shot is for patients 6 months and older, while the nasal spray is for patients ages 2-49. There have been no proven links between flu shots and autism; however, for those who are still concerned, there are thimerosal-free influenza vaccines available for children and expectant mothers. If you still do not want to be vaccinated, you should do what you can to minimize your exposure to the virus, such as wash your hands frequently. You may also try one of four drugs on the market that shorten the duration of the flu should you contract it. You should start this medication within 2 days of contracting the virus. November 2010 • Healthy Cells Magazine • Bloomington • Page 23
When a Parent is Addicted: What About the Children?
Part one of a two-part series on children of addiction Submitted by Sandra Beecher, Corporate Services Clinician, Illinois Institute for Addiction Recovery
nne* remembers what it was like growing up with an alcoholic father. “I have sporadic memories of my dad being drunk when I was younger. I don’t know if I was sheltered from it or it just wasn’t as bad early on. I remember being sent to visit some relatives on the weekends several times. I loved being there because I felt at peace. Now I realize it was probably my protective mother knowing it would be better for me to be away at times. “As I got older, and not fully understanding my father’s addiction, I thought he could stop if he wanted to. Why didn’t he care enough? He loved us so much and I felt it and I knew it, but I just didn’t understand what made him not be able to stop. I remember waiting for him for hours to come home to give me a ride somewhere and I would call the tavern and he would say he would be right home. So I would sit on the porch and wait and wait and wait. By the time he would get home, it was either too late or he was too drunk to drive. “I went from Daddy’s Little Girl to a very unsettled teen thinking she was going to make this better and she was going to question him and get some answers. I’m sure it just made him feel worse. I used to worry that one day I would see my dad on a corner downtown just like the bums. I was so worried that was who he would become. I started suffering from anxiety in my late teens and still occasionally deal with it now as an adult.” Sobering statistics In figures collected between 2002 and 2007 by the Substance Abuse and Mental Health Services Administration (SAMHSA) National Surveys on Drug Use and Health, over 8.3 million children under 18 years of age, or 11.9 percent of the population, live with at least one parent who is dependent on or abuses alcohol or an illicit drug.
Page 24 • Healthy Cells Magazine • Bloomington • November 2010
Of those 8.3 million children, 5.4 million of them under 18 years of age lived with a father suffering from an addiction, while 3.4 million lived with an addicted mother. In addition, research shows that a child of an addicted parent is more likely to become addicted him/herself, due to role modeling and the perception by the child that the behavior is acceptable. Role playing The child of an addicted parent is often forced into a specific role in order to survive within the family. Assuming a role – intentionally or not – helps the child at the time to deal with the emotional chaos as best he or she can. Common roles of children of addicted parents include: The Little Parent – This is the child that is often the oldest, or the most responsible. This child often ends up assuming parental roles with younger siblings when the actual parent is unable. At times the child may even parent the parent. The Little Parent ends up sacrificing his or her own childhood in the process. The Hero – This child feels extreme pressure to succeed, as if the entire family is depending on him or her to overcome the parent conflict and rise above. The child may become the star athlete, top student or cheerleader in an effort to fulfill what the child sees as expectations. The Mascot – Laughter may be the best medicine for The Mascot, but inside that child is crying. The Mascot child sees that humor seems to make family situations seem “better”, and while his or her upbeat demeanor may take the pressure off in the moment, inside this child is extremely frightened and alone. The Scapegoat – “Always in trouble”, the Scapegoat child is often the child who acts out frequently and may unwillingly take the blame for the family, instead of the addiction. Often they are
the children who are the most likely to carry on a parent’s addictive behavior due to their own anger, resentment and feelings of being “trapped”. The Lost (or Forgotten) Child – This child, usually the youngest, is often overlooked, and may as a result immerse himself or herself in books, video games or other fantasy worlds. Because of all the turmoil going on in the family, the parent(s) may not pay much attention to the world of the Lost Child, such as who their friends are or where they go. Anne, being the youngest, saw herself as the Mascot growing up. “At times I still do,” she says. “Put on a happy face! It lightens the mood.” However, she also remembers feeling like the Lost (or Forgotten) Child, though she qualifies this by saying, “I’m not sure if this had as much to do with being the child of an alcoholic as compared to the youngest child. Parents get tired.” In Part Two, the short and long-term effects that children can suffer growing up in a home with an addicted parent will be discussed. The article will also include education on specific measures that can be taken to help them cope not only through childhood, but into adulthood as well. *Name changed to protect privacy For more information or questions on any type of addiction, contact the Illinois Institute for Addiction Recovery at 309888-0993 or visit their website at www.addictionrecov.org. Their Bloomington office is located at the Advocate BroMenn Medical Center and they provide free assessments anytime.
EDWARD W PEGG MD
CONCUSSION MANAGEMENT, SPORTS MEDICINE & NEUROMUSCULAR DISORDERS TEAM PHYSICIAN FOR THE PRAIRIE THUNDER, EXTREME, ISU & IWU
1505 EASTLAND DR. SUITE 2400 BLOOMINGTON, IL 61701
(309) 661-7344 • FAX (309) 661-7343 email: firstname.lastname@example.org
November 2010 • Healthy Cells Magazine • Bloomington • Page 25
What’s Really Going On? By Edward W. Pegg, MD
n the last ten years, there has been more learned about concussion than any other area of sports medicine. People are more aware of concussions, partly because it has become a big story with NFL football players. It’s been found that recurring concussions have significant consequences later in life and acute concussions have complications that can be even more devastating. This has heightened our awareness and allowed us a much better understanding of concussion management. When I was in medical training 25 years ago, the idea of concussion was a complete loss of consciousness. Anything else was just considered a “bell ringer” and was not thought to have the same significance. However, the last ten plus years of research has shown us that even getting “dinged” represents a concussion. Concussion is now defined as a trauma-induced alteration of mental status with or without a loss of consciousness. CAT scans, MRI’s, EEG’s, and even the neurological exam cannot recognize the change in a patient with a concussion. These tests are very sensitive, so it’s natural to think, “What is really going on inside the brain?” So let’s go deep inside the brain and see what actually happens when someone experiences a concussion. At the time of the injury, there is usually an impact that causes the brain and skull to move at different rates of speed. The brain is
protected within the skull by several thin layers of tissue as well as a spinal fluid barrier. When the skull hits an obstacle and suddenly stops, the brain continues to move in a forward direction. If the force is strong enough, the brain is almost like a rubber ball and bounces back and forth within the skull until the energy of the accident has dissipated. Because the brain is anchored at the neck, the lower portion has less movement. The top of the brain, which is not anchored, is free to move through a wider angle backwards and forwards. This results in somewhat of a tearing or shearing effect on the neurons in the brain. This shearing does not literally tear nerves in half, but can cause dents or tears in the wall of the nerve cell so it does not function normally. Looking close up at one of these damaged nerves, there is a sudden over-excessive release of a messenger chemical (neuro transmitter) where it makes contact with another nerve. Normally these chemicals are released in small amounts by one nerve and cross over a very small gap to activate the following neuron in a series. This creates a number of controlled changes in the second nerve and results in the message being exchanged. At the time of a head injury, when the nerve is damaged, it may release an excessive amount of this messenger chemical, thereby causing the next cell to be turned on and literally revved up to the max. This would be similar to starting your car, putting it in neutral and then flooring it. You would not be surprised if after awhile the engine exploded or locked up. This is similar to what can happen in the cells at the time of a concussion due to this increased activation. Fortunately, in most sports concussions this step does not result in a “locked or destroyed” engine. However, the “revving” has caused the cell to run out of gas (glucose and oxygen). This leaves the cell in a vulnerable state.
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One would think that the brain would now try to get more glucose and oxygen to the area where it is most needed so that the cell could recover and be made well again. Unfortunately, the concussion causes a spasm or narrowing of the blood vessel to the damaged area of brain. This leads to a serious state of mismatch where the area of damage has used up all of the energy sources (glucose and oxygen), and the narrowed blood vessels are unable to meet these demands. This mismatch is what is called the “vulnerable period” - a time when a further injury could cause the scales to be tipped beyond the point of return. In this state, the nerves that control the flow in the blood vessels suddenly become dysfunctional; allowing the once narrowed blood vessels to suddenly open up beyond what is safe. This results in a very large blood pressure reaching the area of damaged tissue. The blood vessels
are swollen so much that there is actually leakage of fluid into the damaged area of brain, referred to as edema. Along with this edema, some of the very small blood vessels cannot withstand this increased blood pressure and can actually rupture, causing bleeding in the brain. These two changes of edema and bleeding lead to a swelling in the area where the damage occurred, resulting in a shift or pushing up against the normal tissues of the brain. Since the brain is confined within the skull and there is no place to move, this leads to downward pressure on the brain to literally try and push it out at the base where your spinal cord enters. This can be a life-threatening event. This second head injury, during the time of mismatch and the subsequent changes of edema and hemorrhage, are what has been referred to as “second impact syndrome”. Second impact syndrome (SIS) is a very serious condition that leads to 100% morbidity or mortality. Our goal in concussion management is to be able to nurse someone through the mismatch period before sending them back to play, so that they do not sustain a second injury and put themselves at risk for second impact syndrome. Concussion is a diagnosis to be respected, but not feared. Concussion management has been made much safer in the last ten years because of computerized neuropsych testing that is now done. For more information on concussion management, neuropsych testing, or any neurological issue, you may contact Dr. Pegg at 309-661-7344
November 2010 • Healthy Cells Magazine • Bloomington • Page 27
Transcranial Magnetic Stimulation
A New Treatment for Depression Submitted by Anjum Bashir, MD
epression is a common but serious illness, affecting over 14 million American adults every year. While everyone occasionally feels sad, when a person has a depressive disorder, it interferes with an individual’s thoughts, behavior, mood and physical health, causing pain for both the person with the disorder and those who care about him or her. The exact cause of depression isn’t known, but it likely results from a combination of genetic, biochemical, environmental, and psychological factors. Research indicates that depressive illnesses are disorders of the brain. The parts of the brain responsible for regulating mood, thinking, sleep, appetite and behavior appear to function abnormally. In addition, important neurotransmitters–chemicals that brain cells use to communicate–appear to be out of balance. Most people, even those with the most severe depression, can get better with treatment. It is crucial to first have a com-
plete evaluation by a qualified physician to make sure that the symptoms are not caused by something else. Once the correct diagnosis is made, a person with depression can be treated with a number of methods. The most common treatments are medication and talk therapy. Although antidepressant medications can be effective, they do not work for everyone and there are often unwanted or even intolerable side effects. There is a new treatment option for depression called Transcranial Magnetic Stimulation (TMS) that has recently been approved by the FDA for use in the United States. TMS does not involve any type of drugs or medication, is non-invasive and requires no anesthesia or sedation. TMS was first introduced in the mid 1980’s and has been used in Canada since 2002. The Mayo Clinic has conducted studies involving TMS for nearly 10 years and was part of the trial that was used to gain FDA approval. TMS therapy causes very few side effects and is generally very well
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tolerated by patients. The most common side effect is slight headache and scalp discomfort. TMS works by delivering focused magnetic stimulation directly to the area of the brain that is thought to be involved with regulating mood. These magnetic field pulses are the same strength as those used in MRI machines. During the therapy session, you are wide awake in a comfortable chair while a small curved device, which contains the magnetic coil, rests lightly on your head. As these magnetic fields move into the brain, they produce very small electrical currents. These electrical currents activate cells within the brain, which are thought to release neurotransmitters. It is believed that the symptoms of depression can be alleviated by increasing the levels of these neurotransmitters. TMS therapy has been demonstrated to be safe and effective in treating major depressive disorder in adults who have not been able to achieve improvement from antidepressant medication. Because it is such a new treatment option, most insurance companies are handling it on a case-by-case basis. There are currently very few physicians that have the TMS equipment and are trained and qualified to deliver TMS therapy. If you or someone you know is suffering from depression, TMS therapy could be the answer. For more information about TMS Therapy, 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 TMS Therapy for depression.
November 2010 • Healthy Cells Magazine • Bloomington • Page 29
Home Health Care Individualized Services Right Where You Live By Amy Kennard What is home health care? Home health care is just that – medical care provided in the familiar surroundings of a patient’s home. “Home” can be a traditional residence, assisted or independent living facility or group home. In 2008, there were over 9000 Medicare certified home health agencies throughout the United States. In 2006, over 3 million beneficiaries were served, and 103,931,188 visits made. Home health care providers offer a number of services including: • Physical therapy • Cardiac care • Occupational therapy • Wound care • Speech therapy • Stroke care • Post-operative care • Balance management • Diabetes care • Orthopedic care • Pulmonary care Some of the more common reasons to receive home health care include weakness, stroke, surgery, joint replacements, hip fractures, trauma, heart condition/surgery and balance problems. Research shows that home health care often helps patients recover faster than they might in a hospital, with less chance of re-hospitalization and decreased emergency room visits.
Page 30 • Healthy Cells Magazine • Bloomington • November 2010
Michelle Rathbun, PT, is the Rehab Manager for OSF Home Care Services– Eastern Region. She explains how the process works: “Each discipline that is referred evaluates the patient for their specific needs, then along with the patient and family/caregiver we develop goals to achieve and the plan of care to reach the goals. We are very functionally oriented in home care. For example, we will usually concentrate on home safety including walking, transfers, bathing, dressing and getting in and out of the home.” How do you know if you or someone you know qualifies for HHC? Medicare has specific guidelines regarding home healthcare. Their policy states, “Your doctor must decide that you need medical care at home, and make a plan for this care. You must need one or more of the following: Intermittent skilled services nursing care; physical therapy; speech-language pathology services; continued occupational therapy.” In addition, Medicare requires that you must be homebound or normally unable to leave the home unassisted. How is home health care paid for? Medicare coverage is available for Home Healthcare for qualifying individuals. According to the Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS), home health is covered under the Part A Medicare benefit. It consists of part-time, medically necessary skilled care (nursing, physical therapy, occupational therapy, and speech-language therapy) that is ordered by a physician. The CMS states, “Quality health care for people with Medicare is a high priority for the
Department of Health and Human Services, and the Centers for Medicare & Medicaid Services (CMS).” In addition, these services may be covered through private insurance or workman’s’ compensation. Check with your insurance provider regarding eligibility, pre-certification and co-payment/ deductible requirements. How do I go about finding home health care services? If you or your loved one is in need of home healthcare, contact your doctor for a referral. Even though your doctor may have a preference for a particular home health care agency, you have the choice of which agency you use as long as the agency is Medicare-certified. Once a plan of care is in place and submitted to Medicare, they will re-evaluate that plan every 60 days. If after 60 days you are still in need of home healthcare services, you will be asked to re-certify by your physician as well as Medicare. Michelle says, “Once the patient has achieved their therapy goals, we often assist them to transition to outpatient therapy or to an independent program to continue to make progress toward independence and increased activity.” Home health care encompasses wonderful services that help individuals recover from an illness or injury while allowing them to maintain a sense of dignity and possibly adjust to a new way of living – all in the comfort of their own home. For more information on home health care, contact OSF Home Care Services at (800) 673-5288 or visit our website at www.osfhomecare.org.
November 2010 • Healthy Cells Magazine • Bloomington • Page 31
Head Long into Fitness, Not Face First into Food By: Bryant Cawley July 11, 2010 I am on vacation in Washington D.C., walking through the Holocaust Museum and National Mall, placing my feet in the WWII pond, walking along the Reflecting Pool, standing where Dr. King gave his “I Have a Dream” speech, seeing the names on the Vietnam Memorial Wall, and looking in the President’s backyard. However, I feel absolutely terrible. My feet hurt, my legs hurt, my back hurts, and I am so exhausted I cannot fall asleep. I can’t even walk a mile without sitting down to rest for an hour. I have told myself a million times to lose weight, to eat better, to exercise; and I have also made a million excuses for not doing these things…. I don’t fit in at a gym, I’m not really eating that much, I’ll start tomorrow... I don’t know how much I weigh but I know that this is not the condition a 28 year old man should be in. I am finally ready to acknowledge that my current lifestyle and excuses must change - but I don’t even know where to begin! It is not this day alone that brings me to my conclusion, but the past 6 months. I’ve never been Mr. Slim, but I’ve never been what I would consider a fatso either. But I am never happy with what I see in the
mirror or with how my clothes fit. I get short of breath simply by going upstairs to bed. I grunt to get off the couch, and just mowing the lawn on a cool day makes me sweat profusely. However, I don’t want to lose weight just to look good at the beach or be able to wear a certain size of clothing. I want to feel good and be physically active – not feel like an out of shape middle aged person! It is time to see a change in my body that I can be proud of. It is time to run head long into fitness, instead of face first into food. July 19, 2010 Back from vacation and my resolve has not wavered. I need a lifestyle change and I don’t think I can do it alone. I’ve tried diets and exercise and can never stick with it. My wife suggested a personal trainer, which at first I rejected – I’m not some Hollywood star. But after researching various options, I decided that I absolutely needed some accountability for me to see success. It didn’t cost nearly as much as I thought, and we decided that the benefits would be worth it.
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Page 32 • Healthy Cells Magazine • Bloomington • November 2010
August 2, 2010 Today I completed a nutritional evaluation with Jill Usiak, one of the trainers at Heartland Fitness. For three days I kept track of everything I was eating. Making the list of foods was a simple task with huge emotional implications. I could not believe all that I was eating! Jill calculated some nutritional facts and the habits I have are startling. I eat too many calories, with too much fat, too many carbohydrates, too much sugar, and too much sodium. I have always had a sense that what I was eating was not the best for me, but not until I saw it written did I realize my easy and convenient diet was so unhealthy it was scary. That knowledge alone inspired me to start eating better. My days of self-delusion are over. I find a lot of cravings hard to shake, such as soda, and I had a caffeine headache for three days. However, I am amazed at how quickly my new eating habits are making a difference not only in how my body feels, but how my wallet feels. I’m eating a prepared lunch brought from home rather than a quick bite from a fast food restaurant. With Jill’s helpful encouragement, I’m ready for the next step – exercise. I must start exercising if I want to get into better shape. Next month: The shocking number I saw on the scale, how I’m sticking with an exercise program, and my ongoing journey to gain control over my body and my habits. For more information you may contact Heartland Fitness at 309829-8122. They are located at 716 E. Empire, the corner of Linden and Empire next to the Constitution Trail. They offer a wide range of services including one-on-one fitness/nutrition assessments and training for youth and adults; group exercise geared for girls; services for those needing a medically based exercise program, and more.
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November 2010 • Healthy Cells Magazine • Bloomington • Page 33
Decoding Dyslexia By Ann Champion, Ph.D., The Language Connection
yslexia, or word-level reading disability, is a languagebased learning disability (LD). It is the most common learning disability but often not diagnosed in the schools. Students with dyslexia may have poor phonological processing skills at the oral language level or difficulty recognizing the alphabetic principle, which is the system of mapping phonemes (the smallest sound units in our language) to single letters and letter combinations in our written language. Learning the whole system is no easy task. During the primary grades dyslexic students have difficulty decoding (pronouncing) written words, especially words in isolation and nonsense words. They have poor reading fluency and poor comprehension for text with new and unfamiliar concepts. In addition, dyslexics have difficulty with spelling; they cannot remember spelling rules or build mental representations for words that are not rule based. Writing compositions, which requires the use of many language skills simultaneously, can be overwhelming. For these reasons, school is often unpleasant. A student with dyslexia may feel perplexed and anxious during reading; he/she may balk when asked to write. Dyslexic students also have strengths. They typically have average to above average intelligence, good oral language skills, strong conceptual math skills, and facility with computers. Many dyslexic students have a great sense of humor, have strong spatial-mechanical skills -- can easily beat me at Connect 4 – and are accomplished artists. They are fun to be with and a joy to teach. But learning to read can be a slow and arduous process. It may take two to three years of intense instruction for a dyslexic student to reach grade-level reading and adequate spelling/written language skill. Fortunately, today, we have many good methods for teaching reading. Dyslexic students benefit from a systematic, structuredphonics approach. With this approach, each skill is taught using direct instruction. The student is allowed to practice the skill until learned and then integrate it with previously learned skills. For
Page 34 • Healthy Cells Magazine • Bloomington • November 2010
example, if I were teaching the vowel team “ai” (as in: rain, tail, maintain, contain), I would give the student many examples at both the recognition and recall levels of learning, repeatedly mapping the sound – symbol relationship for “ai”. The student would have the opportunity to read words with the “ai” spelling and then sentences and passages with the same words. It is important to control the reading content so the student is always asked to read words he/she can pronounce. With success, the student gains control over the reading process and becomes a more confident reader. After decoding skills improve, the student will benefit from instruction in reading fluency and comprehension. Fluency can be enhanced through teacher modeling, repeated readings and charting progress. When decoding is automatic, the student can focus on the content of the passage. Learning how authors organize their writing, in both narrative and expository texts, will also aid comprehension. In general, comprehension improves when the reader is engaged in some way with the text. All of this is hard work, but I have found my students up to the task. After all, what skill is as worthwhile and rewarding as reading? Every day as I read newspapers, novels and my computer screen, I explore new ideas and concepts that enrich my life. Everyone should have this opportunity. In adulthood, looking back, it won’t matter how long it took to learn to read. But life will be better as a reader. To explore a wealth of information about dyslexia go to www. interdys.org, the website for the International Dyslexia Association (IDA), or www.readibida.org, the website for the Illinois Branch of IDA. Ann Champion is the founder and owner of The Language Connection, 510 E. Washington St. in Bloomington. She specializes in providing services to students with dyslexia and is currently taking new students. She may be reached at 309-828-1292 or e-mail email@example.com.
November 2010 • Healthy Cells Magazine • Bloomington • Page 35
Pelvic Floor Dysfunction
Postpartum Women at Risk By Jay-James Miller, MD, Miller Urogynecology
regnancy and childbirth are known risk factors in the development of pelvic floor dysfunction–a term used to describe a wide range of functional clinical problems that include urinary and fecal incontinence, obstructive defecation, and pelvic organ prolapse. Despite this, health care professionals do not always inquire about this embarrassing and socially isolating condition in routine assessments. Questions of postpartum pelvic health should be asked routinely. Postpartum women are at high risk of developing pelvic floor dysfunction and are in a very vulnerable position, also having to care for a new baby and often other children as well. The need to address their own health and emotional issues are often brushed to one side as they try to juggle other pressures in their lives. It is important that postpartum women are identified as “at risk” and offered compassionate care in resolving problems of pelvic floor dysfunction. The majority of women presenting in the postpartum period with symptoms of pelvic floor dysfunction can be managed con-
servatively and will not need surgery. As the causes and effects of pelvic floor dysfunction are varied, it is imperative that a competent pelvic floor dysfunction specialist like a fellowship-trained urogynecologist perform a detailed assessment to ascertain the type of urinary and/or fecal incontinence, presence of voiding dysfunction, the severity of the problem, and the impact on the individual quality of life. Prevention should be the goal of any health promotion strategy. Pregnant women who exercise their pelvic floor muscles several times daily are significantly less likely to suffer with stress urinary incontinence postpartum. Weight gain during pregnancy does not impact long-term incontinence, but increased weight loss after delivery lessens the risk. Seventy-five percent of women with urinary incontinence who follow a conservative treatment plan will demonstrate an improvement or cure in symptoms. Advice can be offered about appropriate absorbent incontinence products to use as a coping strategy while active treatments commence.
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Women with pelvic floor dysfunction will often seek information before meeting with a health care professional. An easily accessible tool is the Internet, as it has the added advantage of avoiding face-to-face discussion. While there are many useful websites managed by professional bodies and health care professionals, there are unfortunately a number of sites which display misleading and incorrect information, such as the advice “Try to urinate frequently so your bladder doesn’t get full.” That practice will lead to poor compliance of the bladder muscle and probable urgency and frequency. Similarly, the advice to “Stop the flow of urine while urinating” will lead to voiding dysfunction. As mentioned earlier in this article, a thorough initial assessment by trained and competent staff will aim to gauge the knowledge and practices of the individual patient in order to overcome barriers to treatment and improve compliance. If women are merely given standardized treatment with poor outcome, despondency about a cure may follow. In addition, it has been shown that women will not seek treatment after an initial failed intervention. The value of assessment by a trained and competent pelvic floor dysfunction specialist cannot be overemphasized: it is vital to the management of their care.
For more information call 309.665.0900 or visit www.millerurogyn.com. Jay-James Miller, MD, is a board-certified and fellowship-trained Female Pelvic Medicine and Reconstructive Surgeon/Urogynecologist. He is the first central Illinois-based physician to specialize in this field.
November 2010 • Healthy Cells Magazine • Bloomington • Page 37
Cancer Treatment Benefits of Choosing an Approved Program By Allison Hebron, IWU intern Cheryl West RHIA CTR, Cancer Program Coordinator
hen searching for the best possible treatment program, it is important to understand why choosing an accredited cancer program is beneficial. The American College of Surgeons’ Commission on Cancer (CoC) Accreditation Program encourages treatment facilities and hospitals to become accredited in order to improve all aspects of patient care including quality of diagnosis, treatment, rehabilitation, and support for patients and families. Other cancer-related programs include prevention, early diagnosis, and end-of-life care. By choosing an approved program for cancer treatment, patients are exposed to a full spectrum of medical services in a multidisciplinary team approach. The CoC program recognizes that cancer is a complex group of diseases, and their standards encourage cooperation and consultation between medical oncologists, radiation oncologists, surgeons, radiologists, and pathologists. Accredited programs have services that provide state-of-the-art evaluation and treatment as well as information regarding ongoing cancer research and current treatment options. They also have access to prevention and early detection programs, education programs, and support services. Furthermore, they are entered into the National Cancer Data Base which allows national patterns of occurrence and care to be observed and quantified. Patients who take advantage of approved cancer treatment programs are exposed to the most current treatment programs and are informed of improvements made in the field of oncology. How do cancer programs become accredited? There are 36 standards set by the CoC which are required for accreditation. These standards encompass a wide range of clinical multidisciplinary care, support
services, community outreach, clinical research, quality studies, and cancer data management. Each accredited facility is assigned to a Cancer Program Category based on the types of services offered and the number of cancer cases diagnosed and/or treated at that facility. Cancer program surveys are the means by which compliance to standards are assessed. A survey is performed every three years by a physician surveyor who is specifically trained to assess each of the 36 standards. There are currently more than 1,400 Commission on Cancer accredited cancer programs in 49 states. If you or a loved one has recently been diagnosed with cancer, it will be beneficial to find an accredited program near you by visiting http://www.facs.org/cancerprogram/index.html. Both Advocate BroMenn Medical Center and OSF St. Joseph Medical Centers have accredited cancer programs. The Community Cancer Center, as a joint venture of the two hospitals, offers their cancer-related services including evaluation, treatment, educational and support programs. Approximately 71% of newly diagnosed cancer patients find treatment options and support at one of these 1,400 accredited programs. By receiving treatment at a CoC accredited hospital or facility, you will receive quality care close to home and comprehensive care led by a multispeciality team of physicians utilizing state-of-the-art services. Furthermore, you and your family will receive up-to-date information regarding treatment advances, as well as access to cancer-related information, education, and support. For more information regarding cancer diagnosis and treatment, please contact the Community Cancer Center at www.cancercenter.org.
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422 W. White St., Clinton, IL • 217.935.9571 Page 38 • Healthy Cells Magazine • Bloomington • November 2010
The Highest Quality Surgical Care McLean County Orthopedics Physicians are dedicated to providing the highest quality and most progressive, cutting edge techniques to restore health and mobility to our patients.
Procedures We Provide • Knee and shoulder arthroscopy • Hand Surgery • Foot and ankle surgery • Anterior cruciate ligament reconstruction • Total joint replacements • Fracture care • Spine surgery • Epidural steroid injections For more information, or for an appointment, call
McLean County Orthopedics (MCO) is well known in Illinois. Founded in 1976 by Dr. Jerald Bratberg, a graduate of Harvard Medical School, MCO has always attracted the finest health care professionals, including its nine physicians, 11 therapists, and over 60 employees. MCO also started and spun-off The Center for Outpatient Medicine (TCOM), which is the largest
freestanding surgery center in central Illinois and the only one certified for overnight stay. Located across route 9 (Empire) from the old Bloomington airport, MCO treats all types of orthopedic conditions and offers a comprehensive range of services. Most patients can call for an appointment, although there are some insurances (i.e. Health Alliance, OSF) that first require referral from a primary care physician.
2502 E. Empire • Bloomington • 61704 www.mcleanc ountyorthopedics.com
November 2010 • Healthy Cells Magazine • Bloomington • Page 39
A Serious Threat
The New Age of Bullying By Jordana Katz, Psy.D, Psychology Specialists Ltd.
t nine years old, I knew I was a little different. I had very thick, curly, out-of-control hair, big buck teeth and lots of freckles. I was horrible at sports and usually spent recess sitting next to my teacher reading a book while everyone else would play soccer. I was relatively bright and loved participating in class. One day, three bullies made me their target. They picked on everything, from the way I sat, to the clothes I wore, to the way I spoke in class. I was hurt, confused, and alone. I couldn’t figure out what I had done to provoke them. I believe they knew I was too scared and timid to fight back. I told my parents what was happening and they spoke to my teacher. They all told me to ignore it and that the bullies would eventually get bored and stop. But it didn’t stop. For the next two years, I felt nauseous thinking about going to school the next day as the bullying continued. Sadly, what I went through was relatively tame compared to what the kids of today face. Bullying has changed drastically in recent years. Many still picture bullies as older children taking lunch money from younger children or a group of children accusing a lone child of having “cooties.” Unfortunately, this is no longer an accurate picture. Today’s bullies have much more sophisticated means of hurting their victims. They use sexually explicit words, threats of physical
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violence, and now torment in cyberspace through texts, emails and networking sites, such as Facebook. Home is no longer a sanctuary for children who are bullied at school, as my home was for me. Today, bullying behavior reaches outside of the school and can impact a child even as they sit inside the safety of their own home. Now, children who are targets of bullies literally have nowhere to hide. The incidences of bullying are increasing at an alarming rate. A recent study by the University of California, Los Angeles reported that about three out of four adolescents have been bullied, either at school or online. Children who are bullied have been shown to have more physical illness, more missed days of school, and poorer school performance than their non-bullied peers. Research conducted by the United States Department of Education on school shootings, including the infamous massacre at Columbine High School in Colorado, found that two-thirds of student shooters felt harassed, threatened or bullied by others at school. What can be done to protect children from bullying? Unfortunately, there is no simple answer. Bullying is a complex problem that must be handled on many levels, including in the home and at school. Fortunately, however, most parents and school administrators agree that something needs to be done about it. In many
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• Will you have choices concerning size of the instrument(s), cost and various manufacturers offerings? • Are you being “sold a hearing aid” or receiving the full range of services to help you best compensate for your hearing loss? • Is the Audiology office fully staffed to handle your follow-up needs, service or repair problems?
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states, parents and children have set up anti-bullying task forces in conjunction with schools. The mission of the task force is to find better ways to train staff to identify bullying and to educate parents and students on how to identify bullying behavior and the appropriate avenues for help when needed. This allows parents and children a safe and open forum to discuss this sensitive and often upsetting topic. Further, many schools work proactively to educate children about bullying behavior, as well as working diligently to reduce and eliminate these behaviors within their school. Parents also play a key role, as they can keep the lines of communication open with their children about their academic and social concerns. Parents can also monitor for signs of stress, school refusal, academic difficulties, or self esteem issues that are often found in children who are the victims of bullying behavior. Bullying is a serious threat to our children’s mental and physical well-being. The Children and Family Wellness Institute is available to help your child deal with the effects of bullying. We offer individual therapy and social skills groups for kids to teach them how to handle bullies and how to maintain a good self-esteem through this difficult time. Our goal is to empower children and families to deal with bullying in a positive and effective manner. More information for kids and adults on how to prevent and stop bullying can be found at the U.S. Department of Health and Human Services’ site: “Take A Stand. Lend A Hand. Stop Bullying Now!” (www.stopbullyingnow.hrsa.gov/kids). For more information about seeking a professional child/family therapist, you may contact the Child and Family Wellness Institute at 309-310-4636. Please see our ad on page 6 or visit us online at www.childandfamilywellnessinstitute.com
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November 2010 • Healthy Cells Magazine • Bloomington • Page 41
Page 42 • Healthy Cells Magazine • Bloomington • November 2010
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