METRO EAST area Promoting Healthier Living in Your Community • Physical • Emotional
M A G A Z I N E
Comfort and Compassion at the End of Life pg. 12
Hot Flashes: Ways to Beat the Heat pg. 24 Sinusitus: Minimally Invasive Treatment pg. 26 Noise Induced Hearing Loss pg. 34
Maryville Women’s Center • Routine & High Risk Obstetrics • Infertility • Female & Laser Surgery • Menopause • Urine Loss Treatment • In Office Tubal Ligation • In Office Uterine Ablation for Abnormal Bleeding
Accepting New Patients (618)288-2970 ext 114
Front Row: Tina Gingrich, MD, Kimberly Sanford, MD Back Row: Tammy Young, CNM, Diana Herrick, CNM, Lynn Billhartz, PA
2016 Vadalabene Drive • Maryville, IL Please visit us at mymwc.org
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Humana still makes house calls
If you have questions about Medicare, our licensed agents are always happy to talk with you in the privacy and comfort of your home. They’ll listen to what you want in your health plan and help you choose a plan that’s right for you. Personal help from a local licensed Humana agent is just a phone call away. CALL HUMANA TODAY.
Larry Ervin 1-618-558-6792 1-618-343-1514 (TTY: 711) 9 a.m. to 5 p.m., Monday - Friday
DON’T FORGET! The Medicare Advantage annual enrollment dates are Oct. 15th – Dec. 7th.*
Humana is a Medicare Advantage organization with a Medicare contract. *Medicare beneficiaries may enroll in the plan only during specific times of the year. Contact Humana for more information at 1-800-336-6801 (TTY: 711), 8 a.m. to 8 p.m., seven days a week. Y0040_GHHH9V0HH CMS Accepted
2012 Volume 1, Issue 10
Hormone Test: At the Corner of “Stressed Out” & “Fatigued”
This Month’s Cover Story:
Emotional: The Heroin and Drug Epidemic
Physical: Home from the Hospital after Orthopedic Surgery Nutritional: Cheers to a Happy, Healthy Holiday Season
Technology Advancements: Pain Relief with Laser Therapy
Successful Rehab: Getting Back in Action
Anti-Inflammatory Diet: Can What You Eat Increase Your Pain?
National Diabetes Month: Living with Diabetes: Healthy Lifestyle Choices
Non-Invasive Exam: High Field MRI’s or Open MRI’s
Safe and Secure: Safety Tips for Keeping Seniors Safe This Winter
Community News: Memorial Hospital Support Groups
Treatment Options: Anatomy or Biology of Breast Cancer
Dental Health: What are 3-D Dental X-rays?
Women’s Health: Hot Flashes: Ways to Beat the Heat!
Eye Health: Parkinson’s and Your Eyes
Sinus Treatment: Sinusitis: Minimally Invasive Treatment in Physician’s Office Hospital Guidelines: What is Meaningful Use?
Healthy Tips: Working Toward Wellness as You Age
Skin Therapies: Put Your Best Face Forward
Women’s Wellness Exam: Is It a Pap Smear or a Pelvic Exam?
Moving With Ease: Knee Pain Relief
Ear Health Tips: Noise Induced Hearing Loss
Comfort and Compassion at the End of Life pg. 12
Cover and cover story photos, courtesy of Roger Smith Portrait Gallery.
For advertising information, contact Christine Tyre, owner. Cell: 618-741-7196 • Fax: 309-691-2187 firstname.lastname@example.org Healthy Cells Magazine is a division of: 1711 W. Detweiller Dr., Peoria, IL 61615 • Ph: 309-681-4418 Fax: 309-691-2187 email@example.com Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the Metro East area. Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE in high traffic locations throughout the Metro East area, including medical facilities and other waiting rooms. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Metro East area. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.
At the Corner of “Stressed Out” & “Fatigued” is a Place Called Adrenal Dysfunction
Dr. Robert Wise
Sarah Pringle, CNP
Submitted by Ooh La La Spa, Anti-Aging & Wellness
ou’ve probably heard of the hormone called Cortisol. Many weight loss pills and diets claim to block Cortisol as a solution for losing unwanted weight. What if your Cortisol levels aren’t high and don’t need to be blocked? Your Cortisol levels might actually be low resulting in higher or stubborn numbers on the scale, as well as a lengthy list of other symptoms that you might be passing off as “normal” aging. Cortisol is produced by adrenal glands, which sit on top of the kidneys. When you are exposed to stress, the adrenal glands release Cortisol as a preparation for the body’s “fight or flight” response. However, when your body is continually exposed to stress without any support, like exercise or nutrition, the adrenal glands overproduce Cortisol. As the stress continues, the adrenal glands become, literally, exhausted and unable to produce enough Cortisol to support even the smallest amount of stress. The end result is Adrenal Dysfunction. People with Adrenal Dysfunction will experience a variety of symptoms including acne, foggy thinking, achy joints, irritability, lack of sex drive, hot flashes, fatigue throughout the day and difficulty sleeping at night. In fact, it’s estimated that as many as 80 percent of Americans have, or have experienced, Adrenal Dysfunction. There is help! The first step is to get tested. Don’t worry—no needles required for this test—just saliva. Saliva is super sensitive and provides an accurate measurement of actively available hormones. Your Cortisol, Estrogen, Progesterone and Testosterone levels can be measured by a saliva test. Upon determining your levels, a customized plan will be created to better support your adrenals. The second step is putting your plan into action! Your plan will consist of nutritional and dietary supplements, as well as exercise or chiropractic therapy for pain and stress reduction. Acupuncture is also used to help balance the body’s energy, alleviating some stress symptoms and pain. It’s a fantastic alternative to experiencing the many side
effects of taking prescription medications for pain, anxiety, or chronic fatigue. Your Wellness Specialist and Chiropractor will work with you to chart short-term goals to improve your health, and long-term goals to sustain your health. Put more Wellness in your well-being! In a matter of time, your body will respond to stress better, resulting in a more restful sleep, reduced weight, a stronger body, and greatly improved overall health. Are you ready to end the groggy, foggy days and be on your way to feeling great?! Call 618-288-9117 to schedule your appointment with Sarah Pringle, CNP for Bio Identical Hormone Therapy/Women’s Health or Rob Wise, DC for Chiropractic Care/Nutritional Counseling at Ooh La La Spa, Anti-Aging and Wellness.
November 2012 — Metro East Area — Healthy Cells Magazine — Page 5
St. Clair County Medical Society and Alliance Program
The Heroin and Drug Epidemic By Christine Tyre
pproximately 100 physicians, medical professionals, law enforcement and school officials gathered at Four Points Sheraton on Thursday, October 4, 2012 to hear a wide array of speakers on the heroin and drug epidemic in St. Clair and Madison County. The program was organized by the St. Clair County Medical Society and the SCC Medical Society Alliance. Heroin use is growing faster than other street drugs and is taking many lives in our area. It is easy to obtain and very inexpensive, which makes it appealing to drug users. In 2011, there were 94 deaths from drug overdoses in the Metro East area alone. Adrienne Magner, President of St. Clair County Medical Society Alliance, kicked off the event and welcomed everyone to the program. Stephen Raben, MD, President of the St. Clair County Medical Society, introduced the first speaker, Louis Gary, MD, New Vision Medical Director/Physician Coordinator. New Vision Treatment Center is an inpatient medical detoxification and medical destabilization service at Touchette Regional Hospital. Dr. Gary discussed how a heroin addiction is a complex brain disease and has to be treated like any other medical disease. Heroin causes dopamine to be released in the brain, which arouses the pleasure centers in the brain reinforcing the drug. This causes the patient to carve and seek out the drug going to extreme measures of doing almost anything to get it. The brain thinks it needs heroin for survival. Symptoms to look for in teens are increased aggressiveness, depression, change in friends, change in activities such as quitting things they have enjoyed in the past, dropping grades, lying, and stealing. Dr. Gary discussed treatment at New Vision and explained that it is a three-day inpatient program. Low doses of methadone are given and then tapered down to help with withdrawal symptoms. Dr. Gary finished his presentation by stating, “Chemical dependency is a disease. We should provide treatment with the same care and compassion as we would any other disease.” Lula Young, Service Coordinator and Certified Alcohol and Substance Abuse Counselor, also from New Vision spoke. Ms. Young Page 6 — Healthy Cells Magazine — Metro East Area — November 2012
talked in detail how many patients who finally come to the treatment program have burnt bridges along the way with loved ones. Some have lied, stolen jewelry, electronics, and money from family and friends to get the drugs they so desperately need. Many even go bankrupt. The disease causes the people who are addicted to go to any measure to get the drug, even if it means losing a loved one’s respect and trust. Dana Bohnenstiel, from Gateway Foundation Outpatient Alcohol and Drug Treatment Program, detailed how their program helps addictions. Gateway Foundation Outpatient Alcohol and Drug Treatment Program will provide a free and confidential consultation. There are many patients who want treatment, but don’t want anyone to know they are in treatment. Gateway will work with them and allow them to come over a three-day weekend as an inpatient or over a one-week vacation period. When the patient returns to work, treatment can be continued on an outpatient basis. Many do not want their employers to know they have an addiction. Dana pointed out that that all of their clinicians receive extensive training and have a Masters level education. She explained there is someone on call 24 hours a day. Once the treatment is complete, the support continues with texts, email, and phone calls. It is a daily battle for patients even after they leave treatment. Dana stated, “Once addiction is in your brain, it will never leave.” Percy Menzies, MPharm, President of Assisted Recovery Centers of America, was the next speaker. He discussed how ARCA is unique from other programs in that they have a different approach when it comes to medications used during the detoxification process. One of the drugs used is naltrexone, which completely blocks opiate receptors, eliminating the euphoric high. The drug is nonaddicting, and therefore has no withdrawal symptoms, no abuse potential, and no “black market” resale value. ARCA works with all types of addictions including alcohol, street drugs, and prescription drug addiction. It offers more than a 12 step treatment.
Addictive disorders are seen as a chronic medical disease with a strong behavioral component. All requests for help are treated as an emergency and they will offer same day appointments. Cognitive Behavioral Therapy is considered to be one of the most effective relapse prevention therapies available for addiction. To illustrate the effects that addiction has on “real” people in our community, two people shared their personal stories. The first was a young man in his early 30’s who struggled with drug addiction for more than 20 years of his life. He started getting high with his mother when he was just 10 years old. This man was a straight A student and an athlete that eventually gave up all his goals and dreams to drug use. Drugs ruled every decision he made. Currently, he has been clean for six months and is struggling everyday to stay that way. A mother and a nurse spoke of how her own daughter’s life was taken away by heroin in just six weeks of initially taking the drug. Her daughter tried the heroin for the first time just less than a couple of months before her death and was hooked in that short amount of time. It was a heart-wrenching story of how this drug gets a hold on people proving it is way more powerful than they are. Heroin comes in and steals their life, body, and soul. Lastly, Steve Wigginton, US Attorney, Southern District of Illinois wrapped up the program by giving us facts and figures about the drug epidemic in St. Clair and Madison County. The DEA Intelligence Analyst, Mike Shah, also provided information. Steve discussed how cocaine used to be the drug of choice back in 2008 and years prior, but now heroin has taken its place. Some of the reasons for this are that heroin is highly addictive, readily available, and it is fairly inexpensive. It is considered the “street opiate”
which is what people will gravitate to when they can longer get the prescription opiates such as hydrocodone. Getting hydrocodone is much more expensive on the street than heroin. Sadly, it’s being marketed to our young kids in middle school. Steve stated that a very large percentage start using heroin in sixth or seventh grade. Prescription drug abuse is the nation’s fastest growing drug problem. The drug cartels realize that Americans are addicted to prescription opiates, so it makes perfect sense to market heroin, the street opiate. The US Attorney’s Office Southern District of Illinois has a plan in place for Prescription Drug Abuse Prevention. The four parts of the plan are: 1. Education (programs such as this one as well as school programs) 2. Monitoring 3. Proper Disposal 4. Enforcement Hopefully, with law enforcement, school officials, and the medical community, we cannot only educate the community, but help prevent the drug epidemic from becoming larger than it already is. We hope programs such as this one will raise awareness and help keep our communities safer places to live and work. For more information on any of the organizations that took part in this program, contact the following: • N ew Vision Inpatient Medical Detoxification/Stabilization Program, 618-332-5204 • Gateway Foundation (24-Hour Helpline), 877-505-HOPE (4673) • ARCA (24-Hour Information Line), 314-645-6840
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M R I • MA M MO GR APH Y • X -R AY • ULTR AS OUN D www.imaging4life.com November 2012 — Metro East Area — Healthy Cells Magazine — Page 7
Home from the Hospital after Orthopedic Surgery Submitted by Amedisys Home Health
72-year-old grandmother heads home from the hospital after treatment for a hip fracture. She wants to recover quickly so she can go back to helping out with her grandkids. A 60-something weekend warrior finally gets his bum knee replaced and wants to get back on the golf course ASAP. With 10,000 baby boomers turning 65 every day, more and more Americans are facing orthopedic surgery, whether it’s to treat an injury Page 8 — Healthy Cells Magazine — Metro East Area — November 2012
from a fall or workplace accident or to replace a joint damaged with arthritis due to decades of wear and tear. Now, there’s a new program that helps patients in the Metro East region get back on their feet and on the road to recovery in the comfort of their own homes. “Patients returning home from an orthopedic hospital stay have a lot to deal with,” said Kristin Taddei, RN, Director of Operations for
Amedisys Home Health in O’Fallon. “There’s post-op pain and wound care to manage, medication to keep track of, and restrictions on activity. Plus they need to be aware of signs of complications from surgery, such as infection or blood clots. This transition is important both for the recovery process, and to help avoid the need to return to the hospital.” “Our clinicians—RNs, licensed practical nurses, and physical therapists—act as an extension of the patient’s medical team and an additional resource to help patients recover, regain their independence and be safe and healthy at home. And, at home is where we know they want to be,” she added. By combining therapeutic rehabilitation along with skilled nursing care, this orthopedic recovery program aims to assist patients in reaching their highest possible level of independence while recovering at home. Available 24/7 to assist patients and their families, the clinical home health care team also acts as a liaison to the patient’s medical team, providing detailed data on progress toward recovery. “Doctors want to know that, when their patients leave the hospital for home, they’re equipped with the knowledge and resources to follow their plan of care, be safe and comfortable, and get a good start on recovery,” Taddei said. “We start with a thorough evaluation, done in the home, shortly after discharge from the hospital,” she added. “Through that assessment, we learn about the patient’s individual situation and we can tailor the information, services, and coaching we provide specifically for them. From that point on, we’re in close contact with their physician, providing near real-time data on how they’re progressing, until they’re no longer in need of home-based services.”
“Our clinicians—RNs, licensed practical nurses, and physical therapists—act as an extension of the patient’s medical team and an additional resource to help patients recover, regain their independence and be safe and healthy at home.” Orthopedic Recovery at Home is offered by Amedisys Home Health and is available to patients who are under the care of a physician, qualify for home health care and require orthopedic or post-operative treatment. Skilled in the care of joint replacements, orthopedic injuries and recovery from complex orthopedic surgery, Amedisys’ clinical team provides skilled nursing and licensed physical therapy based on established clinical evidence-based guidelines. Amedisys Home Health is one of more than 500 Amedisys care teams across the country—and part of the nation’s largest home health care company. Located in O’Fallon, IL, the Amedisys team is made up of 23 health care professionals who work in interdisciplinary teams to serve area residents needing in-home health care. For more information about home health care offered in the O’Fallon/ St. Clair County area, call 618-622-8854 or visit www.amedisys.com.
TREATMENT of CANCER & BLOOD DISORDERS DR. WILLIAM POPOVIC MD DR. GUILLERMO RODRIGUEZ, JR MD DR. SAMUEL BURSTEIN MD DR. JOHN VISCONTI DO DR. ALFRED GRECO MD
Main sites: 4000 N. ILLINOIS LANE SWANSEA, IL 618-233-8000 WARREN BILLHARTZ CANCER CENTER 2227 VADALABENE DR. MARYVILLE, IL 618-288-6800
Satellites: ALL SITES: 618-233-8000 ST, JOSEPHS HOSPITAL CLINIC 9515 HOLYCROSS LANE BREESE, IL HIGHLAND PHYSICIAN SPECIALISTS 1212 BROADWAY HIGHLAND, IL
November 2012 — Metro East Area — Healthy Cells Magazine — Page 9
t can be challenging to eat right during the holidays, especially when the entire season seems filled with hearty meals, rich dishes and sweet treats. While it’s okay to moderately splurge before kick-starting the New Year with a healthy diet, it’s important to build momentum prior to January 1 by making smart dietary decisions over the holidays to ensure a healthy immune system during the winter months and increased energy for burning off those extra calories. Drink to Your Health A simple way to enjoy a healthy holiday season and New Year is to start each day with a nutrient-rich beverage packed with essential ingredients that produce increased energy levels, decreased cravings for seasonal junk foods, and greater overall wellness. This nutritious and delicious recipe from NutriBullet will help ensure a healthy holiday season and put you on the right track to wellness in the New Year. The NutriBullet emulsifies healthy foods such as fruits, vegetables, and grains into their most easily digestible state. Nutrient Know-How How many times have you read a list of nutrients on a food label, but not really known how each works to benefit your body? Following are
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metroeastplasticsurgery.com Page 10 — Healthy Cells Magazine — Metro East Area — November 2012
some nutrient quick tips so you’re better informed during your next trip to the market. • Calcium: Essential for healthy teeth and bones; also important for muscle, nerve and some gland functions. • Iron: Necessary for healthy blood and normal cell functioning. • Magnesium: Needed for healthy bones; also involved in more than 300 enzymes. • Potassium: Helps maintain healthy blood pressure. • Vitamin A: Helps keep eyes and skin healthy; also helps protect against infections. • Vitamin C: Helps heal cuts and wounds; helps keep teeth and gums healthy, and helps iron absorption. • Folate (folic acid): Helps the body form red blood cells. • Fiber: Helps reduce blood cholesterol and may lower risk of heart disease. How Much Is a Cup? To help you gauge how much produce you’re eating, here’s a quick look at what equals a cup: • 1 small apple • 1 large banana • 1 medium grapefruit • 1 large orange • 1 medium potato • 2 large or 3 medium plums • 12 baby carrots • 1 small wedge watermelon • 8 large strawberries • 2 large stalks celery • 1 medium pear
Sweet Apple Pumpkin Pie An antioxidant-rich, protein-packed, healthy dessert option so you can enjoy the flavors of the season guilt-free. ¼ cup organic silken tofu or organic Greek-style yogurt ½ cup canned pumpkin or cooked fresh pumpkin ½ apple (cut, cored, and seeds removed) 1 tablespoon raw almond butter Pinch of cinnamon Pinch of ground cloves 1–2 teaspoons pure maple syrup 1 cup almond milk Add ingredients to blender and blend until smooth. Enjoy! Learn more at www.nutribullet.com.
November 2012 — Metro East Area — Healthy Cells Magazine — Page 11
Comfort and Compassion at the End of Life Submitted by Passages Hospice
hen Marion Wagner had a stroke a few years ago, her doctors knew she needed special care. Marion was 85 years old and the stroke had left her struggling to talk and do everyday activities like dressing, eating, and bathing. Her husband, Albert, was 85 too, and even with help from their sons, he knew he couldn’t care for Marion by himself. “She always took good care of me,” he said. “I’ll do my best for her.” She wasn’t expected to recover from the stroke, but Albert wanted his wife to be as comfortable as possible. Her doctors suggested the family look into hospice care. Hospice care is specialized care for people near the end of life. It focuses on comfort, not a cure, and uses a team approach to treat each individual’s medical, spiritual, and emotional needs. Hospice services include: medical care from a nurse and a physician, help with self-care like bathing and eating from a Certified Nursing Assistant, and spiritual or emotional care from a chaplain and social worker. Hospice care is a Medicare and Medicaid benefit, with no charge to the individual or family. Many private insurance plans also offer some coverage for hospice care. The coverage includes supplies and medications needed to keep the person comfortable, visits from the members of the Interdisciplinary Team, and other unique treatments as needed. When can I get hospice care? Hospice care isn’t just for the very end. It can help for the last six months! Hospice care focuses on treating the symptoms—not the cause—of a disease. The hospice philosophy acknowledges that death is a natural part of the life cycle, and doesn’t try to keep you alive longer. But it doesn’t shorten your life, either. Hospice care tries to make the time you have left as full and as comfortable as possible by eliminating physical symptoms like pain and emotional concerns like fear or worry. It focuses on quality of life and helps you enjoy time with your family, friends, and hobbies. Where can I get hospice care? Hospice is available in a variety of settings, such as a nursing home, hospital, or private home. Hospice staff will come to you, wherever you are. Who’s eligible for hospice care? Anyone with about six months left in their illness is eligible for hospice care. Hospice care was traditionally used by people with cancer, but today, many diagnoses are eligible. Heart failure, COPD, and dementia are some of the most common non-cancer diagnoses. Once your doctor certifies that you have about six months left in your life, you can start hospice. It’s important to know that by choosing hospice, you are choosing not to try to cure your disease. You’re choosing to be comfortable and live fully in the time you have left. Page 12 — Healthy Cells Magazine — Metro East Area — November 2012
Jo Narup, 92, and a caregiver from Passages Hospice attend a St. Louis Cardinal's game through Hospice Dreams. What about my family? Hospice care is not just for the patient. It’s for the whole family. The end of life is hard for everyone, and hospice care can help. Hospice chaplains and social workers are available to help family members work through any concerns, worries, or fears they have. They can even help by giving guidance and advice on topics like living wills or funeral arrangements. Which hospice is right for me? Remember, hospice is a philosophy of care, not a place. If you’re having surgery, you would choose the hospital that specializes in your type of surgery. Similarly, you want to choose a hospice provider that offers the services you need most. Every hospice provides medications, supplies, and the interdisciplinary team. Some also provide extra services and unique therapies or treatments that add to your comfort and relief. Where can I learn more about hospice care? Call Passages Hospice toll-free at 888-741-8985 or email info@ passageshospice.com. The National Hospice and Palliative Care Organization is also a great resource. If you’re not sure where to start, a hospital social worker or community senior center can help.
Comfort and a Cure
f you’ve been diagnosed with serious illness, but want to treat or cure the disease, hospice isn’t for you. But you might have side effects from the treatments, like pain, nausea, or insomnia. And illness is stressful. You’re worried about your family, and they’re worried about you. Palliative care uses the same holistic philosophy as hospice care, but is offered at the same time as regular treatment. Palliative care includes medications and supplies to manage symptoms, as well as a social worker to help with the stress of the illness. Medicare, Medicaid, and private insurances often, but not always, cover palliative care costs. Like hospice care, palliative care helps the person’s family, too. When should I start palliative care? Palliative care can start as soon as you’re diagnosed with a serious illness. Palliative care is given at the same time as curative treatments like chemotherapy or dialysis, so the earlier you begin palliative care, the more relief you will feel. Where can I learn more about palliative care? Call Passages Palliative Care toll-free at 888-741-8985 or email firstname.lastname@example.org. The National Hospice and Palliative Care Organization is also a great resource. Through the years…
1965 St Christopher’s Hospice established in London by Dame Cicely Saunders 1974 1st US Hospice founded in Connecticut by Florence Wald 1978 The National Hospice and Palliative Care Organization (NHPCO) is founded in the USA 1982 Medicare Hospice Benefit is made permanent 1993 Proposed legislation lists hospice care as a nationally guaranteed benefit in the continuum of care 2004 For the first time there are over a million people in hospice care Current Palliative and hospice care being recognized as important parts of patient experience and care continuum
Annika, a Passages Hospice volunteer, and her Golden Retriever, Sasha, are members of the Passages Pooches program.
Resources: Passages Hospice and Palliative Care www.passageshospice.com 888-941-8985 Illinois Health Care Association www.ihca.com 800-252-8988 National Hospice and Palliative Care Organization www.nhpco.org 800-658-8898
Jeanette Dickerson, Passages Hospice CNA, comforts Nelle Dublar. November 2012 — Metro East Area — Healthy Cells Magazine — Page 13
Nelle is engaging in her favorite pastime. Your life. Your choice. Your Passage. Passages Hospice is dedicated to the human spirit, and to helping patients and families cross a road they may have never faced before. We provide the courage to see the beauty in this last journey and give the expertise that provides the comfort, care, and support needed for each step of the way. The Passages Hospice approach is individualized, comprehensive, and family-centered. Our commitment to excellence is rooted in our passion for tailoring solutions to meet the unique needs of each of our patients. At Passages Hospice, we see hospice as an opportunity to improve quality of life, alleviate pain and provide care with the utmost regard and concern. What sets Passages Hospice apart? • We educate the family, so everyone understands what to expect near the end. • We provide all four levels of hospice care—routine (home) care, general inpatient care, respite care, and Continuous Care (for crisis situations). • We offer memorial services and educational in-service events at your loved one’s nursing home.
Additional Services: Volunteer program: Our compassionate and dedicated volunteer team is available to spend one-on-one time with your loved one. Page 14 — Healthy Cells Magazine — Metro East Area — November 2012
Passages Pooches: Our volunteer dogs are all sizes and breeds, but each one has a gentle, loving personality and a generous spirit. Passages Pooches are accompanied by their dedicated and trained owners on patient visits after passing a thorough health and temperament check. Walking With You video series: Our Walking With You video series helps patients and families understand hospice with short, easy-towatch videos. Each video has a Passages Hospice professional explaining an aspect of hospice care and answering common questions. The videos are available online at www.youtube.com/passageshospice, or on disc through a Hospice and Palliative Liaison.
Do you have a Dream? To help our patients celebrate their hopes and dreams, Passages Hospice started a nonprofit organization, Hospice Dreams. A Dream is available to hospice patients of any provider. In the past, Passages Hospice patients have ridden in a Harley Davidson sidecar, celebrated a wedding vow renewal ceremony and attended a St. Louis Cardinals game as a guest of honor. For more information about Hospice Dreams, visit www.hospicedreams.org.
Pain Relief with Laser Therapy
Our widest range of
heArinG Our widest range deviCes of with options for every budget
with options for every budget
Submitted by David Thayer, DC, Integrated Medical Group
any people suffer from general joint pain, low back pain, headaches/migraines, tendonitis, or other acute or chronic pain conditions. They have tried medications and other remedies that just haven’t helped much. There is an exciting technology available that can help many people stop suffering with the pain they deal with on a daily basis. Laser therapy supplies energy to the body in the form of light, which penetrates deep into the skin. The laser therapy stimulates a set of reactions at the cellular level that aids in reducing pain, swelling, and accelerates tissue healing by supplying needed oxygen and energy to the cells. This allows the cells to heal faster and more efficiently. Laser therapy can help patients with most soft tissue injuries. What types of conditions does laser therapy treat? According to published medical reports, many acute and chronic conditions may be improved or eliminated with laser use. Some of the conditions include: • Arthritis • Sprains/Strains • Knee Pain • Carpal Tunnel Syndrome • Neck or Shoulder Pain • Acute Injuries • Tennis Elbow • Trigger Points • Wound Healing • Bursitis • Fibromyalgia What can be expected during a laser therapy treatment session? Laser therapy is nothing to be afraid of. There are no pulsating shocks or heat felt with the therapy. The touch of the head of the laser is the only noticeable sensation patients will feel. This may feel like a slight tingling or tapping along the nerve pathway. The treatment lasts for 2 to 20 minutes and for most of the treatment, the patient will not feel much of anything. During and after a laser therapy session, approximately 75-80 percent of patients will notice an immediate improvement in their condition. Of course, this will depend on the type of condition and the length of time the patient has had the condition. As with most conditions, the longer it has been present and the more severe it is, the longer it will take to respond. Most conditions can be treated in 4 to 18 treatments. Some conditions may take 3 to 4 sessions before a significant change is noticed. What can I expect at an appointment? First, an evaluation, in-depth history, and exam would be performed to identify or confirm the condition. Once the type and severity of the condition is determined, a treatment plan is put together to help the patient stop suffering. For a free consultation, more information on managing pain, or to see if laser therapy is right for you, contact Dr. Thayer at Integrated Medical Group at 618-692-6700. Offices are located in Edwardsville, Highland, Carlyle, and Greenville. You can also visit the website for a complete list of services at www.drthayer.com.
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Cannot be combined with other offers. Expires Expires12/31/2012 10/31/12. Gregory J. Maag, MA, FAAA
C. Joseph Hopper IV, MS, FAAA
Susan Hamilton, MS, CCCA
Also Located In • Edwardsville, Granite City, Chester, Greenville, Staunton, Waterloo
Gregory J. Maag, MA, FAAA
C. Joseph Hopper IV, MS, FAAA
Susan Hamilton, MS, CCCA
Also Located In • Edwardsville, Granite City, Chester, Greenville, Staunton, Waterloo
Gregory J. Maag, MA, FAAA
C. Joseph Hopper IV, MS, FAAA
Susan Hamilton, MS, CCCA
Also Located In • Edwardsville, Granite City, Chester, Greenville, Staunton, Waterloo November 2012 — Metro East Area — Healthy Cells Magazine — Page 15
Getting Back in Action Participation is Key to Recovery Submitted by Liberty Village
troke. Heart attack. Arthritis. Serious illness or injury often leads to a long, slow return to health. Thoughts of making a comeback take a backseat to simple survival. Recovery can also mean learning how to live with a disability. Researchers supported by National Institutes of Health (NIH) are studying the many roads people take to recovery. No matter where you’ve been, their findings may help you find your way back. Whatever the condition, one of the most important keys to recovery is participation, says Karen Lohmann Siegel, a physical therapist at NIH’s Clinical Center. “Many medical procedures and treatments are done to a patient by a health care provider, and the patient’s role in the treatment is small,” she explains. “That is not the case in rehabilitation. In rehab, the patients do a lot of the work themselves to get better.” Each year about 700,000 people in the U.S. have a stroke and 1.1 million suffer a heart attack. The moment you survive the critical stage of a cardiovascular illness or injury is when you start the recovery phase, says Dr. Michael Weinrich of NIH’s National Institute of Child Health and Human Development (NICHD). “We have good data that people who engage in moderate activity improve their cardiovascular system,” Weinrich says. “That’s particularly true for people who have a stroke.” Results from several studies stress the role of physical activity in rehabilitation. The good news is that it’s possible to help people get enough exercise to improve their chances of recovery. Researchers supported by NIH’s National Institute of Nursing Research, for example, have found that education and encouragement promoted exercise in a rehab program for people recovering from a heart attack or bypass surgery. Physical activity speeds recovery in other areas, too. NICHD and NIH’s National Institute of Neurological Disorders and Stroke are funding a five-year clinical study on improving the motor skills of stroke survivors. The study is looking at how well patients recover function in an arm disabled by stroke. For a period of time, the patient avoids using the healthy arm to perform daily tasks. Instead, the arm weakened by stroke does all the work. Results so far have shown that the forced activity strengthens the weak arm and helps the stroke survivor recover motor skills faster. Joint replacement surgery is another condition for which physical activity speeds recovery. As people live longer and want to stay active, operations to replace worn-out knees and hips with artificial joints have become more common. Recovering from this type of surgery means learning to walk again. Not long after your surgery, doctors and nurses want you right back on your feet. A physical therapist will plan exercises to help you retrain your muscles and adjust to using the artificial joint. You’ll probably feel some pain, but the movement will help you recover more quickly.
Page 16 — Healthy Cells Magazine — Metro East Area — November 2012
Surviving the initial phase of illness was your first success. Playing a major role in your recovery plan and adding some physical activity to your daily routine will help speed you along the way. For more information, come take a tour at Liberty Village of Maryville. Call us at 618-288-3800 to set up at tour. Visit our website at www.simplythefinest.net. Bounce back, rehab, recover, and return home!
Can What You Eat Increase Your Pain?
Curried Salmon Cakes Prep time 20 min, Cook time 20 min, Total time 40 minutes, Makes 4 servings
16 ounces canned salmon 1 ½ tsp Curry powder Salt and Pepper ¼ panko or other bread crumbs 2T bsp grated or 1 Tbsp ground ginger 1-2 scallions, chopped
By Amy Loyet, Athletic Trainer, PRORehab
nflammation plays a major role in the pain associated with arthritis and other musculoskeletal problems. Recently research has linked some foods to increasing inflammation and other foods to decreasing inflammation. This has prompted several new dieting regimens and books on eating to decrease inflammation. The Asian-Style Diet and the Mediterranean-Style Diet also closely follows the principles of the Anti-Inflammatory Diet. Anti-Inflammatory Diets agree on a few points: • Eat more salmon, flaxseeds, walnuts and other omega-3 rich foods • Eat more colorful, antioxidant-rich fruits and vegetables (berries, broccoli, carrots, and spinach) • Eat monounsaturated fats (found in avocados, nuts, and olive oil) eschewing other vegetable oils • Use more spices in your cooking, especially “hot” ones like curry, ginger, turmeric, garlic, and chili peppers • Eat less saturated fats (choose low-fat dairy and lean meats) • Eat less simple carbohydrates (such as pasta and white rice) • Avoid highly processed and “fast” food Here is a simple, tasty recipe to try, based on the “Anti-Inflammatory Diet” principles:
1 large egg, lightly beaten ½ red bell pepper, seeded and diced 1 stalk celery, diced ½ mango, chopped Juice of 1 lime Olive Oil, for pan frying
Mix the salmon and curry powder together. Salt and pepper to taste. Stir in the panko, ginger, scallions and egg. Form into 4 patties and freeze until firm, about 10 minutes. Meanwhile, mix the bell pepper, celery, mango, and lime juice. Heat olive oil in a nonstick skillet over medium heat. Sprinkle the patties with panko on both sides and fry until golden brown, about 2 to 3 minutes per side. Drain on paper towels. Serve with the mango salsa. Enjoy!
Physical therapists take inventory of your overall health status and design an exercise program that is specific to your needs. If you are suffering from muscle or joint aches or pain, call PRORehab for a free screening at 618-208-3310 in Alton, 618-624-9300 in Fairview Heights or 314-307-3434 in Edwardsville.
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www.DentistryWithTLC.com November 2012 — Metro East Area — Healthy Cells Magazine — Page 17
national diabetes month
Living with Diabetes: Healthy Lifestyle Choices Submitted by Senior Services Plus
he prevalence of diabetes is astounding. According to the 2011 National Diabetes Fact Sheet, 25.8 million children and adults in the United States—8.3% of the population—have diabetes. Taking action by making lifestyle changes can help delay the onset of the disease and prevent the severity of the complications. It’s not easy to hear you have diabetes. Learning about the diabetes is the first step toward feeling better and living a longer and happier life. Diabetes is a lifelong (chronic) disease which involves emotional and physical symptoms. Take a deep breath: preparing your mind for your journey with diabetes is one of the best first steps. Learning about this disease is vital to the management of diabetes. The individual with diabetes is in control not the other way around. Being in charge is an empowering feeling that is achieved by education. Have the right “tools” to manage this disease and determine healthy lifestyle choices. To understand diabetes, it is important to understand the normal process by which food is broken down or metabolized by the body for energy. Several things happen when food is eaten and digested. Sugar or glucose enters the bloodstream. Glucose is a source fuel or energy for the body. Glucose triggers the pancreas, the organ that produces the hormone insulin. The role of insulin is to move glucose from the bloodstream into muscle, fat, and liver cells, where it is broken down for energy. People with diabetes have high blood sugar levels because their body cannot move sugar into the necessary cells for fuel. The cause for this is either the pancreas does not make enough insulin or the cells do respond to insulin normally, or both. There are three major types of diabetes with different causes and risk factors for each type: • Type 1 diabetes can occur at any age, most often diagnosed in young children, teens, or young adults. In Type 1 diabetes, the body makes little or no insulin. The treatment plan includes daily injections of insulin. The exact cause of Type 1 diabetes is unknown. • Type 2 diabetes is the most prevalent type diagnosed in adulthood, but teens and young adults are now being diagnosed due to high rates in obesity. Many people with Type 2 diabetes do not know they have it, resulting in an earlier onset of the complications of the disease. • Gestational diabetes is elevated blood sugar that develops during pregnancy in women who do not have diabetes prior to becoming pregnant. Page 18 — Healthy Cells Magazine — Metro East Area — November 2012
•E xercise: Exercise is another important piece in diabetes management. Exercise is anything that is promoting movement: walking, dancing, yard work, fitness classes. Being active is just part of a healthy lifestyle. Exercise promotes overall health benefits for diabetics such as lowering the blood sugar levels and blood pressure readings, weight loss (Type 2), lower cholesterol, improved cardiovascular endurance, to name a few positive results. •M edications: Medications for the treatment of diabetes can be oral, insulin injections, or both. The health care provider may prescribe a single medication or a combination of appropriate therapies. Type 1 diabetics require daily injections of insulin, while the Type 2 diabetic maybe achieve blood sugar control with meal planning and exercise or adding oral medications and/or insulin. The medications therapies are not a “one size fits all”. There are many options with new medications development for the treatment of diabetes.
The symptoms of diabetes can be confused with other illnesses or causes. High blood sugar levels can cause symptoms including: blurry vision, excess thirst, fatigue, frequent urination, hunger, and weight loss (more common in Type 1). The onset of Type 2 diabetes is slower resulting in no symptoms in some individuals. Symptoms of Type 1 diabetes develop over a short period. People may become very ill prior to the actual diagnosis. Testing for diabetes begins with urine analysis to look for high blood sugar levels is an initial test. However, a urine test alone does not confirm the diagnosis. The health care provider may suspect the diagnosis with a random blood test higher than 200mg/dl, but confirmation of the diagnosis is done by other blood testing methods. Fasting blood glucose level: diabetes is diagnosed if higher than 126 mg/dl on two separate times. Fasting blood glucose levels between 100 and 126 mg/dl are referred to as impaired fasting glucose or pre-diabetes. These levels are considered risk factors for Type 2 diabetes and an intervention such as meal planning and exercise are recommended. Another blood test is Hemoglobin A1c test. This test specifically measures the percentage of hemoglobin—a protein in the blood that carries oxygen—is coated with sugar. This test actually determines the management of diabetes as it measures the average blood glucose levels for the past two or three months. Normal less than 5.7 percent, pre-diabetes is 5.7 percent to 6.4 percent, and diabetes is 6.5 percent or higher.
Good diabetes management is the key to good health. Learning about this disease and being proactive enables the person with diabetes to be in the “driver’s seat”. An individual’s health care team of care providers, doctors, nurses, diabetes educators, dietitians/nutritionists, exercise specialist, and other health professionals help construct the right plan to follow the path of living a healthy and productive life with this chronic disease. Understanding what a self-management plan involves, along with the health care team, can empower a person with diabetes to feel good about good self-management, being in control, and feeling good doing it.
The treatment plan for diabetes has three major components: • Meal planning: Living with diabetes does not mean feeling deprived or restricted. It is about making healthy food selections and proper amounts. A visit to a nutritionist or dietitian to develop a personal meal plan is recommended to insure the proper balance of nutrients, such as proteins, fats, and carbohydrates, are appropriate to manage the blood sugar levels.
For more information, contact Senior Services Plus at 618-465-3298 or visit: www.seniorservicesplus.org.
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cross a road they have never faced before; providing the courage to see the beauty in the journey; Passages Hospice, LLC believes in preserving the dignity of the human spirit, helping families giving the expertise that provides the comfort, care, and support needed each step of the way. cross a road they have never faced before; providing the courage to see the beauty in the journey; giving the expertise that provides the comfort, care, and support needed each step of the way.
Non-Core Services • Chaplain/Spiritual Counselors • Chaplain/Spiritual •Counselors Bereavement Services • Bereavement •Services Dietary Counseling •• Volunteers Dietary Counseling
(As approved by the primary care physician in consultation with the Hospice Medical Director and the Interdisciplinary Team)
• Speech-language Pathology Services
and caring for each patient in a manner that ensures dignity and respect. and caring for each patient in a manner that ensures dignity and respect.
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www.PassagesHospice.com www.PassagesHospice.com November 2012 — Metro East Area — Healthy Cells Magazine — Page 19
High Field MRI’s or Open MRI’s: Both Offering Unique Options By Stephanie Dykstra
t some point in your life, your doctor may request an MRI, otherwise known as Magnetic Resonance Imaging, to help diagnose a health concern you or a loved one may be having. An MRI is a non-invasive way for doctors to examine body organs, tissues, and the skeletal system. It produces high-resolution images that can help diagnose a variety of problems that may be affecting internal organs such as the heart, muscles or blood vessels, joint pain, brain, spinal cord, or even breast tissue. High Field MRI’s and Open MRI’s both offer an accurate test that helps doctors diagnose ailments, however both options are unique. What is an MRI? By definition, an MRI (magnetic resonance imaging) is a technique that uses a magnetic field and radio waves to create detailed images of the organs and tissues within your body. In appearance, most MRI machines are large, tube-shaped magnets, allowing you to lie inside and rest while the test is being administered. This highly technical machine is able to carefully, methodically, take “pictures” of your body in sections. The MRI machine can also be used to produce
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Page 20 — Healthy Cells Magazine — Metro East Area — November 2012
3-D images that may be viewed from numerous angles. MRI Testing is painless and usually lasts under one hour. High Field MRI is the latest medical imaging technique that produces a clearer image resolution in comparison to low or mid-field MRI scanners. High Field MRI’s have increased scanner strength, making them an excellent option when diagnosing differences between healthy and damaged tissues. With a High Field MRI, testing occurs more quickly, offering the patient an expedited MRI alternative. Lower Field MRI’s take longer when scanning the patient, therefore individuals are more “prone” to movement, possibly creating test inaccuracies and poorer image quality. Most open MRI’s are considered low or mid-field scanners. If you or a loved one is truly claustrophobic and the thought of a closed MRI seems intolerable, an Open MRI offers patients the convenience of being able to slide in and out of the machine and to never be fully enclosed during testing. Open MRI’s are also better suited for larger individuals or patients who have conditions that would deter them from proper positioning in a closed MRI machine. Although the quality of Open MRI’s is still outstanding and widely used, patients should be aware that there is potential for error and the scans themselves are not as advanced as the higher resolution images produced by a High-Field MRI. Wondering which MRI may be best for you? It’s ultimately your decision. Talk to your doctor about any concerns or questions that you may have and know that the educated choice you make is your own. With today’s medical and technical advancements, early detection through MRI testing can be a key component for having a long and healthy life. Stephanie Dykstra is a Managing Member of the Imaging Center of Alton and Imaging Center at Wolf Creek, providers of MRI, Ultrasound, X-ray, and Mammography. Imaging Center is certified as a Softer Mammogram Provider®, a distinction awarded only to an elite group of healthcare facilities that offers MammoPad® as standard of care. For more information, about Imaging Center and its services, please visit www.imaging4life.com.
safe and secure
Safety Tips for Keeping Seniors Safe this Winter Submitted by Provisions Living
inter is quickly approaching, bringing not only the joy of the holidays, but the threat of inclement weather. The winter months can be a difficult and dangerous time for anyone living in an area that experiences snow, ice, and temperatures below freezing. Senior Citizens are especially susceptible to winter hazards such as icy sidewalks and streets, exposure to cold temperatures, and inadequate home heating. If you or someone you know is elderly and living alone, it is very important to take steps to reduce and/or eliminate the potential for death or injury. Being prepared and taking preventative steps can prove to be invaluable. Some helpful steps to take include the following: • Have the heating system in the home checked before the first frost and regularly change furnace filters. • Install smoke alarms and carbon monoxide detectors near bedrooms and on all floors of the home or apartment—and make sure they are working properly. • Make sure there are plenty of warm blankets and working flashlights on hand in case of a power outage that could leave the home without heat or electricity. • Keep an emergency supply of canned goods, water, and necessities in the home. There should be enough to last several days. • Have a battery-powered portable radio available. It is also a good idea to keep a cell phone for emergency use. Both will be very useful during a power outage. • Stock up on medications that may be needed. • Pre-arrange for someone to check on you or your loved one in the event of a severe storm or emergency.
When the severe weather strikes, our elderly friends and neighbors may also need some extra help. Here are some of the ways you can help them stay safe and secure: • Offer your phone number for emergency calls and check on elderly loved ones and friends regularly to make sure they're safe. • Offer to or arrange for someone to shovel and de-ice their walkways and steps. • During bad weather, ask if they need transportation to and from medical appointments or if they need something from the pharmacy or grocery store. • Make sure they have plenty of fresh food and emergency supplies on hand. Above all, be aware that while winter is often a challenging time for seniors they are often reluctant to ask for help. Don’t wait for them to come to you. Check on them often and by exercising a few precautions we can, hopefully, keep them safe and secure throughout the long winter months. For more information on healthy aging and memory care, contact Provision Living in Godfrey, IL at 618-466-8010.
community news MEMORIAL HOSPITAL
Support Groups Diabetic Support Group A mutual support group comprised of people with diabetes, their families and people who have had their lives affected by diabetes. Memorial Hospital Auditorium 9 a.m. – 11 a.m. Call 618-257-5861 upon arrival. Meetings are held the fourth Monday of each month, except December. Fibromyalgia Third Tuesday of the month at 7:30 p.m. – 9 p.m., Memorial Hospital Auditorium. Does not meet in November and December. To make a reservation or for more information, call 618-667-7361 Hope Blooms A community-based breast cancer support group, Hope Blooms offers an opportunity for women who have been diagnosed with breast cancer to express their physical and emotional needs with others who have had similar experiences. Hope Blooms meets on the second Tuesday of each month at 7p.m. in the hospital auditorium. Call 618-257-5936 for more information. Mended Hearts Inc. – Belleville Chapter Mended Hearts is a volunteer organization consisting of people who have heart disease, their families, medical professionals, and other interested people. Additionally, Mended Hearts members form a support group for one another, contributing emotional backing to recovering patients and their families. Meets third Monday of the month from 6 p.m. – 8 p.m. Alternates between Memorial and St. Elizabeth’s. For more information, call 618-257-5420. Pulmonary Rehabilitation A group for people with diseases of the lung and their families. Participants learn about their disease and share ideas and solutions to their problems. Meetings are held on the last Wednesday of every month (except June-August) at 1:30 p.m. at the Memorial Health Education Center, 706 East Highway 50, O’Fallon. For more information, call Respiratory Care at 618-257-5560. Thyroid Cancer Support Group This group is organized by ThyCa: Thyroid Cancer Survivors’ Association, Inc. ThyCa’s mission is to provide support to patients, their families and friends, and caregivers. Meetings are held on the third Saturday of the month (except December), starting at 10 a.m. in the hospital auditorium. For more information, call Tracy Urick at 618363-4203, or by email: email@example.com. Stroke Support Group This group is for people who have experienced a stroke or brain injury and their families. Participants will learn how to heal physically, cognitively, and emotionally. Meetings will be held in the Orthopedic and Neurosciences Center Community Room. This group meets every third Wednesday of the month, from 5:30 p.m. to 6:30 p.m. For more information, please call Heidi Hoskins at 618-257-5758. AWAKE Support Group AWAKE (Alert, Well, and Keeping Energetic) is a support group for people affected by sleep apnea. Our goals are to educate and encourage those affected by sleep apnea, including spouses and partners, to inform the general public about sleep apnea and other sleep disorders, obtain medical care and testing when needed, and to manage diagnosed sleep apnea and other sleep disorders. AWAKE meets quarterly at 6 p.m. For more information, call Memorial’s Sleep Disorders Center at 618-628-2502. Schedule for rest of 2012: November 7. November 2012 — Metro East Area — Healthy Cells Magazine — Page 21
Anatomy or Biology of Breast Cancer By Morris Kugler, MD, FACS, MS
he fight against breast cancer began with the mastectomy, and has evolved through breast preservation (Lumpectomy) with radiation, and now selective lymph node removal without disturbing the entire axilla (arm pit). While surgery remains curative in many instances, the addition of chemotherapy in the mid 1900s decreased the cancer recurrence rate and increased the patients’ survival rate. Yet it has been statistically stated that out of 100 women treated, only four were benefited. A major advance in cellular biology has been genetic profiling, singling out 21 genes that are key for the growth of breast cancer cells. By assaying these genes in the patient, it is possible to predict the chance of cancer reoccurring as low, medium, or high. This allows the patient to participate in the decision of taking or
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Call Toll Free 800-233-4904 www.seniorservicesplus.org Page 22 — Healthy Cells Magazine — Metro East Area — November 2012
abstaining from chemotherapy. DNA is composed of only four repeating nucleotides that arrange in specific repetitive patterns to form genes with such regularity (as shown in the Jurassic Park movie). A gene scientist told me personally, “Anyone who does not believe in a Supreme Power that created this intricate detail, has simply not taken enough general science courses!” When this repetitive scheme is disrupted, a mutant gene is formed and a cancer cell is born. We are now seeing a new, changing medical picture in treatment, not based entirely on cell types, tumor size, lymph node involvement, nor age, but “how the cell is wired.” This will allow oncologists to specifically target chemotherapy to that cell. The effects of estrogen/progesterone on breast cancer cells have been known for almost 100 years. Blocking agents such as Tamoxifin and Aromotase Inhibitors (AI’s) reduce the recurrence by 50 percent, and likewise, hormone replacement, can increase the incidence of breast cancer as reported by the Women’s Health Initiative. An Edwardsville man, Dr. Jason Weber (son of Dr. Ray and Lucia Weber) is a leading investigator of estrogen research at Washington University, St. Louis. If the study of genes can predict cancer return (recurrence), then it would follow that earlier intervention in altering mutant genes would prevent cancer cells before they occur. A paper presented at the American College of Surgeons last month, reports restoring fetal cleft lip mice to normal in the uterus before birth, by altering genes. The 21 multigene assay test (OncoType Dx*) can be ordered on cancer patients in southwestern Illinois. Oncologists here apply these principles and the same chemotherapy as any other cancer center. When initial treatment of chemotherapy fails, then a referral will be made to another cancer center across the United States, such as an academic center, where experimental protocols are available. However, everything needed for first line treatment is available in southwestern Illinois. A study from Temple University, Philadelphia, concluded that the recurrence rate and cancer survival rate were identical between a good community hospital and an academic hospital. Assuming this, experience has indicated the scales tip in patient care, towards the doctors and local hospitals that know you, know your family, and love you. If you would like further information about the Breast Center, please contact the office at 618-288-7485 or visit the website at www.breastcenterofmaryville.com. *OncoType Dx is a trademark of Genomic Health
What are 3-D Dental X-rays?
Dr. Anna Smith
What are regular 2-D dental X-rays missing? Submitted by Dentistry With TLC
A traditional 2-D dental X-ray
A 3-D X-ray that captures a true image of the mouth in all dimensions.
hree-dimensional (3-D) X-rays capture a true three-dimensional image of the mouth and allow the dentist to study the mouth in slices, just like a CT scan. Three-dimensional X-rays of teeth and the mouth allow patients to see and understand their own dental X-rays. These 3-D X-rays show in great detail many things that 2-dimensional X-rays are not able to capture. Traditional dental Xrays show only two dimensions of a three dimensional object. This is the case whether the X-rays are exposed on film and held up to the light for evaluation, or taken digitally and viewed on a computer. Three-dimensional X-rays make dentistry more predictable and faster for both the patient and the dentist. Dr. Anna Smith explains, “There are times when a patient’s tooth hurts and the 2-D X-rays show no problem. However, on a 3-D X-ray we may see an abscess, an infection, or a crack in the root of a tooth. This patient can have their toothache fixed sooner rather than later.” These 3-D X-rays can be taken quickly and comfortably. This type of X-ray does not require anything be placed inside the mouth.
The patient is simply placed in a standing, sitting, or wheelchair accessible position and the imaging machine adjusts to each individual patient. Positioning errors and X-ray retakes are a thing of the past, which helps to reduce radiation to each patient. The 3-D X-rays can be taken of either just a single tooth or of the entire facial region. 3-D X-rays decrease the guesswork from dentistry. Dr. Anna Smith explains, “Two dimensional X-rays don’t always show exactly where the teeth sit in relationship to the nerves, glands and sinuses. So when a dentist removes a wisdom tooth or places an implant there are many things we don’t discover until we are actually involved in the surgery. 3-D X-rays allow us to know the position of everything before we begin. This greatly reduces the uncertainty involved in any dental surgery and gives the patient peace-of-mind that their surgery can be performed to exacting detail with less risk of complications.” For more information about 3D dental X-rays or to schedule an appointment with Dr. Smith, call 618-466-0733. Dr. Smith personally performs all types of family, surgical, cosmetic, sleep apnea, minimal sedation dentistry and braces. You can get to know Dr. Smith by watching her live interviews on Channel 4 and Channel 5 at www.DentistryWithTLC.com. November 2012 — Metro East Area — Healthy Cells Magazine — Page 23
Hot Flashes: Ways to Beat the Heat! By D’Andrienne Jones, MD
o you suffer from debilitating hot flashes? Do you have trouble sleeping? Do you suffer from fatigue, memory loss, mood swings, weight gain, poor concentration, hair loss, dry skin, or low sex drive? If you answered yes to any of these questions, you may be experiencing peri-menopausal or menopausal symptoms. Menopause is the natural transition from our childbearing years to our golden years. Most women can vividly recall the “birds and the bees” adolescent conversation with their mothers; however, when is the conversation that prepares us when the birds begin flying south and the bees start dying? Your quality of life does not have to suffer during this transition. The key to thriving during these years of fluctuating hormones is to communicate your symptoms to a healthcare provider who is experienced in meeting the unique needs of women. An experienced healthcare provider will not only educate you about your symptoms but assist you in successfully managing them using lifestyle interventions such as diet, exercise, stress management, and smoking cessation. Non-prescriptive treatments may also include nutritional supplements, massage, meditation, and acupuncture.
“The key to thriving during these years of fluctuating hormones is to communicate your symptoms to a healthcare provider who is experienced in meeting the unique needs of women.” There are also prescriptive treatments, which includes hormone replacement therapy, commonly referred to as HRT. Over the years, there has been controversy surrounding HRT; however, a new recent study suggests that women who take hormone replacement therapy (HRT) may lead to a lower risk of heart problems. Each individual woman must make an informed decision about her health with her doctor, who can then recommend appropriate HRT options. Bio-identical hormones are “plant derived Page 24 — Healthy Cells Magazine — Metro East Area — November 2012
hormones” from precursors found in wild yam or soybean. They are modified in a laboratory to be identical to the hormones produced by the human body. They possess the same exact chemical structure as hormones produced by our body. Synthetic hormones are “artificial” and not found in nature and are not identical in activity to our natural human hormones. Bio-identical hormones are custom blended by a compounding pharmacist. The goal of a compounding pharmacy is the Triad, formed by doctor, pharmacist, and patient. By working amongst all three, the compounding pharmacy can tailor-make the prescription to fit each individual patient. The dosage strength and dosage form can be customized to a patient’s specific needs. The Healing Institute Center for Healthy Living, located in Alton, Illinois, is a healing-oriented Integrative Internal Medicine practice that takes account of the whole person (body, mind, and spirit), including all aspects of lifestyle that influence health and wellness. It makes use of all appropriate therapies, both conventional and alternative. Our goal is to help individuals and families adopt and sustain healthy behaviors that affect health and quality of life. In our practice, the physician and patient are partners in their lifelong journey to live a vibrant, healthy, and purposeful life. If you are interested in learning more about treating your menopausal symptoms or other chronic medical conditions, call 618-670-5928 to schedule an appointment with Dr. D’Andrienne Jones, Board-Certified Internal Medicine Specialist.
Parkinson’s and Your Eyes By Mark A.Yates, OD, Illinois Eye Surgeons
arkinson’s disease is a condition that mainly affects movement, but it can also cause changes in the eyes as Parkinson’s progresses. The most commonly reported problems are blurred vision, double vision, excessive watering of the eyes and dry eyes but sometimes the problems can be less specific, such as a general difficulty with reading. As with many other aspects of Parkinson’s, these problems may be exacerbated by fatigue. While some eye and vision problems may be related to Parkinson’s itself, others may be caused by anti-Parkinson’s medication. It is important to report any changes in your vision to your eye care provider who can assess whether the changes are related to the Parkinson’s or just normal age-related changes. Blurred vision or difficulty in focusing Blurred vision in Parkinson’s can be caused by difficulty in moving the eyes, but it can also be a side effect of anti-Parkinson’s drugs, particularly anticholinergics. This often occurs when a patient first starts taking anticholinergic drugs or when the drugs have been taken for a long time or the dosage has been adjusted. The symptoms may improve but if blurred vision persists or worsens, consult your doctor. Double vision Double vision in Parkinson’s is often caused by problems in moving the eyes and, in particular, by problems of tracking. “Tracking” refers to the eyes moving in alignment from side to side, for example moving across a page when reading, or up and down. Impaired co-ordination and fatigue of the muscles that move the eyeballs can mean that the eyeballs do not move together in alignment and can cause double vision. Resting the eyes when this occurs may provide relief or it may be improved by medication. Dry eyes People with Parkinson’s often find that they blink less frequently. Blinking helps to cleanse the eyes by removing dust and impurities. If the rate of blinking is reduced, these impurities can build up make the eyes dry or sore. Symptoms can be reduced by using artificial tears and avoiding dry, hot and smoky areas. Seeing movement Some people with Parkinson’s do not perceive movements accurately, and seem to underestimate the speed of moving objects. This
Bill and Marilynn Kozyak with Dr. Mark Yates at a Parkinson’s Support Group meeting after Dr. Yates presentation.
implies that extra care is needed when negotiating traffic, whether as a driver or pedestrian. Glaucoma and Parkinson’s medication People with glaucoma may experience problems with some antiParkinson’s medications. The use of anticholinergic drugs requires caution in people who have open-angle glaucoma and are not usually recommended for people who have the less common, closed-angle glaucoma. It is helpful if the Parkinson’s specialist and the eye care provider work together when prescribing medication for people who have Parkinson’s and glaucoma. Illinois Eye Surgeons and our local Parkinson’s Disease Support Group are happy to work hand in hand to provide information to patients, family and caregivers. Parkinson’s Disease Support Group Meetings are held the third Wednesday of the month from 10:30 a.m. to 12:30 p.m. at The Glen Carbon Community/Senior Center, 157 N. Main St., Glen Carbon, IL. For more information, contact Marilynn Kozyak at 618-288-3506 or 618-531-3675. The Illinois Eye Surgeons can be reached toll free at 1-855-260-EYES or visit our website at www.illinoiseye.com We put lives in FOCUS Source: Parkinson’s Disease Society
November 2012 — Metro East Area — Healthy Cells Magazine — Page 25
Sinusitis: Minimally Invasive Treatment in Physician’s Office Submitted by ENT Institute of Southern Illinois
eople plagued with sinusitis may now enjoy dramatic and quick improvement in their lives with a new in-office procedure. This innovation in the treatment of debilitating sinusitis symptoms is called XprESS, a balloon sinus dilatation procedure that is so simple and quick that can be done in the physicians office. XprESS is effective for treating patients diagnosed with recurrent or persistent sinusitis, a disease that impacts more than 35 million Americans annually. Performed under local anesthesia, balloon sinus dilation is a quick procedure that opens blocked sinus pathways by inserting and inflating a small balloon, which restores drainage and offers instant lifechanging relief that lasts. Do you suffer from pain, pressure or other symptoms of recurring or persistent sinus infections? Ask your doctor about balloon sinus dilation technology—the life-changing new treatment for recurrent sinusitis. To find out if this balloon sinus dilation procedure is right for you, or to learn more about our services, please call Dr Murray McGrady or Dr. Carl Lee at ENT Institute of Southern Illinois at 618-235-3687.
Page 26 — Healthy Cells Magazine — Metro East Area — November 2012
How a little balloon restores sinus drainage Blocked Sinus Pathway
Your physician first locates the sinus area to be treated.
The device is carefully positioned and inflated to dialate the treatment area.
The balloon dialation expands the sinus pathways to restore drainage.
Artwork provided by Entellus Medical.
What Is Meaningful Use? Submitted by Illinois Oncology. LTD
eaningful Use is a phrase that describes the guidelines physicians and hospitals must follow to receive incentive payments for having a certified Electronic Health Record or EHR. The overall goal, however, is not just to reward physicians for no longer using a paper chart. The Meaningful Use program was designed to improve the quality of patient care and to enable providers to be more efficient. Secondly, Meaningful Use focuses on improving how providers across all specialties share information and thus, in general, improve public health. Patients and families may also have access to their personal health information thru an electronic “patient portal” and will be given or mailed a summary of each office visit. Patients may have already noticed these guidelines being enacted in their physician offices: medication lists are updated on each visit with special attention to drug interactions and allergies; an on going problem list is generated; smoking status is documented as well as blood pressure and BMI (weight and height analysis); prescriptions are sent electronically to the pharmacy rather than on a paper script; educational resources are provided when appropriate. Between now and 2016 when the program is set to be completely in place, Meaningful Use will become more recognizable in the physician office and hospital setting and will ultimately become an effective tool for improving clinical outcomes. Providers and patients will be better informed, have better access to health records and thus improve health care and manage costs.
FREEZE THE FAT AWAY No Surgery • No Downtime *Patient experience and results may vary
MUSICK DERMATOLOGY, LLC
After treatment by Musick Dermatology
After treatment by Musick Dermatology
4932 Benchmark Centre Dr. Swansea, IL 62226
618-628-2588 1st Certified Coolscultpting Practice In Southern ILlinois & The Metro East Area
w w w. F r e e z e T h e F a t A w a y. c o m November 2012 — Metro East Area — Healthy Cells Magazine — Page 27
Working Toward Wellness as You Age Submitted by Humana
hink of your health as a savings account. Throughout your life, you work hard so you can save enough money to live comfortably as you get older. Lifelong well-being works the same way. In order to live a long, healthy life and maximize time spent with your loved ones, you have to invest as much time as possible finding ways to live a healthy lifestyle. There are many steps you can take—from monitoring the type of food you eat to getting regular health screenings—to make certain your health and well-being are ensured for many years. Here are some tips on some of the most beneficial things you can do to help you achieve lifelong well-being. Maintain a Healthy Weight Eating well-balanced meals is an important factor in the battle against the bulge said Mark Kiffer, medical officer Senior Products for Humana’s West Region. “It’s important to make sure your plate has plenty of vegetables and other high-fiber foods to reduce your sugar level and help prevent chronic conditions, including diabetes and colon cancer,” he said. “Foods rich in soluble fiber, such as oat bran and apples, are also helpful for weight management because they help you feel full longer, prevent overeating and reduce the amount of fat going into your intestines.” Some easy ways to increase your fiber intake include incorporating beans into salad or soup, and enjoying oatmeal with chopped apples for breakfast. Daily exercise is the other crucial component to maintaining a healthy weight. Dr. Kiffer said to take at least 30 minutes each day for a healthy activity, like a walk or bike ride around the neighborhood. By doing so at least five times each week, you’ll quickly fulfill the minimum of 150 minutes of exercise per week suggested by the Centers for Disease Control and Prevention (CDC). It’s even easier to stay motivated if you can grab an exercise buddy—whether a spouse, grandchild or neighbor—to join you for a daily physical activity to make it social. Better Manage Chronic Conditions According to the CDC, about 80 percent of older adults have at least one chronic condition, such as heart disease, cancer, or diabetes.2 There are a number of things you can do to reduce the risks associated with these conditions, including regular exercise and reporting any changes in your body to your physician. “Keep in mind that your food intake can also greatly affect how your body deals with chronic conditions,” said Dr. Kiffer. To lower your risk of heart problems, Dr. Kiffer recommended eating fish rich in Omega-3s, such as salmon or tuna, twice a week, and limiting daily salt consumption to one teaspoon. Also, ditch the butter to avoid bad cholesterol build up in your bloodstream and opt for olive or canola oil and choosing healthier ways to cook, such as baking or broiling. Keep your mind healthy with a diet rich in folic acid, B vitamins, and vitamin E, which can be found in whole grains, yeast, meats, citrus juices, and low-fat dairy products. Page 28 — Healthy Cells Magazine — Metro East Area — November 2012
Most health insurance providers offer resources to help you monitor and better manage your chronic conditions. For instance, Humana Inc. has an online tool, the Diabetes Condition Center, that members suffering with diabetes can access for resources on how to manage the condition.
“‘Regular checkups and screenings can help you monitor for signs of high blood pressure, cholesterol and may catch chronic conditions early on,’ said Dr. Kiffer.” Don’t Forget Your Checkups Getting annual medical exams is extremely important as you get older. “Regular checkups and screenings can help you monitor for signs of high blood pressure, cholesterol and may catch chronic conditions early on,” said Dr. Kiffer. While your primary care physician is critical, it’s also important to see specialty doctors such as ophthalmologists and dermatologists, who will closely monitor for certain conditions, such as blindness or skin cancer. The Patient Protection and Affordable Care Act has made preventive screenings more available than ever before. Under the act, Medicare and new private-insurance policies, as of this year, are now required to either completely or significantly cover the cost of 45 medical tests and services currently shown to be most effective in early detection and prevention of disease. The tests include wellness exams, physicals, immunizations, smoking cessation counseling and screening for mammograms, diabetes, colon cancer, prostate cancer, and cardiovascular issues. Know Your Health Benefits Policy Taking advantage of the resources available through your health benefits plan—from mail order prescription plans to health incentive programs—can go a long way toward maintaining your well-being. Call your health insurance company’s local representative to determine if your current health plan is the best fit for you and to find out what resources are at your disposal. Personal help from a local licensed Humana agent is just a phone call away. Call Larry Ervin at 1-618-558-6792 (TTY: 711) 9 a.m. – 5p.m. Monday – Friday. 1 http://www.fitness.gov/execsum/execsum.htm 2 http://www.cdc.gov/chronicdisease/index.htm
Put Your Best Face Forward Submitted by Musick Dermatology
he holiday season is upon us. It’s time to see family and friends up close and personal. So, put your best face forward! If you have ever considered having a cosmetic treatment, now is the time! There are many cosmetic procedures that are available that are non-invasive or minimally invasive with little or no downtime to enhance your natural beauty and glow. The key to successful treatment is that you feel better and look refreshed. When others see you, they do not think “what have you done”, but rather, you simply look your best. Botox® (Botulinum Toxin Type A) is a safe treatment for the wrinkles to the brow, forehead, nose, and crow’s feet. Results from injections last three to six months. Botox® can help you keep or regain a youthful appearance without loss of normal facial expression and is an appropriate treatment for both men and women. Pictures provided by Botox®, taken at maximum frown:
7 Days After
7 Days After
Chemical Peels improve skin texture and tone. Peels improve the skin for those with sun damage, melasma/hyperpigmentation, acne and residual scars, fine lines and wrinkles, and to support the general well-being of the complexion. Juvéderm™ and Restylane® are dermal fillers for minimizing lines and wrinkles around the nose and mouth and for enhancing lips. Results can last for up to one year and can provide a more youthful, natural, rejuvenated appearance. Pictures provided by Juvederm™
spots, uneven skin color, acne, and can generally improve the texture of the skin. Treatment is appropriate for the face, neck, chest, hands, and feet, is comfortable with no downtime, and leaves the skin refreshed and able to stimulate cell growth/collagen production. The VariLite laser is a great treatment for rosacea, telangiectasias (facial veins), angiomas and lentigos (brown pigmented lesions). The laser targets the selected treatment area leaving the healthy skin/cells intact. Generally, a single treatment will attain the desired result, occasionally multiple treatments may be required to obtain the preferred outcome. CoolSculpting® is the coolest, most innovative, non-surgical way to lose those annoying bumps and bulges of stubborn fat in targeted areas such as upper and lower abdomen, “love handles”, “back-fat”, inner thighs and knees, triceps and below the gluteus. This revolutionary technology targets and cools unwanted fat cells in the selected area to induce a noticeable, natural-looking reduction of fat bulges. Unlike most other methods of fat reduction, CoolSculpting® involves no needles, surgery, or downtime. Following the treatment, patients may immediately resume normal activities with no special restrictions. A patient can expect, on average, 20 percent reduction in the treated area. CoolSculpting® is not for weight loss but is an ideal treatment for exercise and diet defiant fat. Treatments by Musick Dermatology:
Laser hair removal is an effective alternative to shaving, waxing, plucking, and electrolysis for dark hair. Permanent hair removal can be achieved with an average of five monthly treatments. Treatments are done with little discomfort and can leave the skin smooth and maintenance-free. Sclerotherapy is the treatment of spider veins and is safe and effective for small, superficial leg veins. Patients may return to normal activity the day of treatment. The vessels fade over the course of weeks.
1 week after treatment
Microdermabrasion is an exfoliation treatment beneficial to patients with large or clogged pores, blackheads, fine lines, sun damage
Musick Dermatology, LLC welcomes you to our practice. We will provide you with the most effective skin therapies combined with the highest level of patient service and care, in a professional and relaxed atmosphere. We treat patients of all ages and all ethnicities. For an appointment or for more information, call our office: 618-6282588 or visit our website: MusickDermatology.com. We are located at 4932 Benchmark Centre, Swansea, IL 62269. November 2012 — Metro East Area — Healthy Cells Magazine — Page 29
Diabetes kills more Americans every year than breast cancer and AIDS combined. It's the #1 cause of blindness in adults. It doubles the risk of heart attack & stroke. 1 in 13 of all Americans have it. 1 in 4 of those don’t know it yet.
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Page 30 — Healthy Cells Magazine — Metro East Area — November 2012
Get screened. If you have diabetes, find out the best ways to manage it. Give your time, your financial support, your hope for a cure. Help us Stop Diabetes once and for all.
www.sahc.org/doctors Monday - Friday 8 a.m. to 4:30 p.m. • Valet Parking
For all your
foot health needs. John Lindsay, D.P.M. podiatrist
special interests n Prevention, diagnosis and treatment of foot and ankle conditions n Sports injuries n Reconstructive foot & ankle surgery n Plantar fasciitis n Board Certified in Foot Surgery
to make an appointment, please call 463-0227. #2 Saint Anthony’s Way, Suite 305 • Alton
Please call for your complimentary evaluation 7 Bronze Point South, Suite A Belleville, IL 62226 618-222-7032
2118 Vadalbene Drive Maryville, IL 62062 618-288-8920
November 2012 — Metro East Area — Healthy Cells Magazine — Page 31
women’s wellness exam
Is it a Pap Smear or a Pelvic Exam? By Kimberly N. Sanford, MD and Christine Wilson, MS3
any women have heard the terms pelvic exam and Pap smear, but there can be some confusion as to which exam their healthcare provider is performing. The pelvic exam is a yearly procedure where your healthcare provider examines the internal and external female organs. The first part of the pelvic exam is the speculum exam. The speculum is a plastic or metal device that widens the vagina so the examiner can inspect the female pelvic organs. During a pelvic exam your healthcare provider will look for any abnormal growths or for signs of infection like discharge or inflammation. Additionally, during the pelvic exam your healthcare provider may use a small cotton swab to take a culture and check for infections like yeast, bacterial vaginosis, or trichomonas. The second part of the pelvic exam is the bimanual exam. In this exam the healthcare provider will manually check for abnormalities in the female pelvic organs including the cervix, uterus, and ovaries. Pelvic exams should be performed yearly along with a breast exam as part of an annual well woman examination. Alternatively, a Pap smear is a specialized test looking for abnormal cells that have the potential of becoming cervical cancer. The Pap smear involves taking a gentle scraping of cervical cells using a spatula and small brush from the opening of the uterus known as the cervix. The cells collected from the scrapings are then examined under a microscope to identify pre-cancerous or cancerous changes. A normal or negative result means the exam did not find any abnormal cells or signs of cancer. A positive result may have one of several different designations. It is important to note that 99 percent of abnormal pap smears result from exposure to the Human Papilloma Virus (HPV) or genital warts. The rate of exposure is approximately three out of four in our population. The most common diagnosis of abnormal findings is atypical squamous cells of undetermined significance (ASC-US). This Page 32 — Healthy Cells Magazine — Metro East Area — November 2012
diagnosis means that there were abnormal cells found. The next result category is squamous intraepithelial lesion or SIL. SIL is divided into low grade (LSIL) and high grade squamous intraepithelial lesion (HSIL). This finding means that abnormal cells were present and the likelihood of these being cancerous is either low or high. A finding of atypical squamous cells cannot exclude HSIL means further testing is needed to rule out HSIL. A finding of atypical glandular cells often indicates precancerous changes. A result of cancer means there are abnormal cancer cells found on the cervix with the potential of spreading deeper into the cervix or uterus. Current guidelines recommend that women between the ages of 21-29 receive a Pap smear every two years when all results have been normal or negative. Women 30 years and older, who have had at least three normal pap smear screenings in a row can extend the screening to every three years. Pap smears may be discontinued after the age of 65 in women who have had three negative pap smears in a row and no abnormal test results in the past 10 years. Additionally, woman who have had a hysterectomy, a surgery to remove the uterus, no longer have to receive pap smears as long as the hysterectomy was for benign reasons. However, woman should continue to receive yearly pelvic exams even if a Pap smear is not needed. Cervical Cancer screening by means of the Pap smear and pelvic exam is an important part of women’s health. If you do not have a gynecologist or have not had this exam performed within the proper intervals, ask your primary care physician for assistance with a referral. For more information, please contact Maryville Women’s Center at 618-288- 2920 or visit our website at MYMWC.ORG.
moving with ease
Knee Pain Relief Submitted by Med+Plus
f you are experiencing knee pain—whether it is from an injury, daily wear and tear, or arthritis—chiropractic, medical, physical therapy, and pain management can be combined together as a team approach to relieve knee pain and return you back to your normal activities of daily living. If you have been told a knee replacement is in your future, but you would like to seek other options, this may be an alternative treatment plan for you. A patient being seen for knee pain should be given a thorough examination, including X-rays and possibly further imaging to determine the cause of the pain. The chiropractic staff, medical staff, and physical therapy staff will then decide together what combinations of treatments are going to benefit you and give you the best chance for success. Treatment options may include knee injections, knee braces, and physical therapy, but your specific condition dictates which options are best for you. There are two different substances that can be injected into the knees to help with pain and inflammation in the knee joint and surrounding soft tissues. The first is sarapin, which is an all-natural anti-inflammatory substance. The second is hyaluronic acid, which is a substance found naturally inside of our knee joints that helps maintain the soft tissues of the knee. These injections are generally done under video fluoroscopy or diagnostic ultrasound to ensure accurate placement of the needle for best results.
There are two Medicare approved knee braces. One is an unloader knee brace that helps stabilize the knee joint during treatment. It makes walking less painful and easier by relieving pressure from the narrowed joint space in the knee. The other knee brace is the only FDA approved device capable of rebuilding knee cartilage. This BioniCare wrap helps to reproduce a healthy knee joint, avoid dependency on medication, and is guaranteed to defer total knee replacement for up to four years. Striving to return you back to your normal daily activities pain-free is the goal, but relieving your pain is only one aspect of your treatment. Another goal is to help you regain your leg strength, knee flexibility, and endurance. Physical Therapists and Physical Therapist Assistants will work with you one-on-one to help you achieve these goals so you are able to enjoy activities that recently you have unable to do. Whether you have knee pain due to an injury or from arthritis, Med+Plus is your complete knee care facility. We are conveniently located in the Metro East area with offices in Maryville and Carlyle. Please call us today for more information on this alternative treatment for knee pain. Maryville: 618-288-5044, Carlyle: 618-594-3671.
Dentistry with a difference! Call Us! ountains Family 618.622.1800 F www.fountainsfamilydentistry.com
314-C Fountains Parkway Fairview Heights, IL 62208 Monday & Thursday 8 to 3 Tuesday & Wednesday 12 to 7 Friday 9 to 1
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New Patients Welcome! Financing Available 1-37172CMDN 2 Mar 2011 at 13:38:34 EST
November 2012 — Metro East Area — Healthy Cells Magazine — Page 33
ear health tips 1 in 3 women suffer from urinary incontinence and pelvic organ prolapse.
You are not alone! Treatment options are available Dr Travis L. Bullock is fellowship trained in Female Urology and Pelvic Floor Reconstruction
Noise Induced Hearing Loss
Gregory J. Maag MA, FAAA
Our Center for Continence Care and Pelvic Medicine offers: • Minimally invasive procedures for stress incontinence (leakage with coughing, sneezing, and exercise) • Treatment of urgency and urge incontinence • InterStim and Botox therapy for neurogenic and overactive bladder • Laparoscopic/Robotic and vaginal procedures for pelvic organ prolapse Offices in Maryville, IL and St. Louis, MO 12855 N. Forty Drive 6812 State Route 162 Suite 375 Suite 200 St. Louis, MO 63141 (314)567-6071 Maryville, IL 60262 (618)288-0900
INTEGRATED MEDICAL GROUP Acupuncture
A Safe, Natural, Holistic Approach to Health Care Utilizing: • Spinal Decompression • Acupuncture • Chiropractic Care • Physical Therapy • Auriculotherapy • Laser Therapy • Nutritional Supplements • Advanced Myofascial Therapy (Therapist on staff specializing in myofascial therapy) • Neck & Back Pain • Headaches • Arm, Leg, and Hip Pain • Arthritis • Carpal Tunnel • IDOT Physicals • Reflexology • Smoking Cessation WE TREAT & PROVIDE CARE FOR: Injuries: Auto, Work, & Sports 4 Convenient Locations: Edwardsville, Highland, Greenville, Carlyle For an appointment call 618-692-6700. Visit us online at www.drthayer.com Most insurance accepted including Medicare FREE Initial Consultation & Screening Exam Page 34 — Healthy Cells Magazine — Metro East Area — November 2012
Submitted by Mid America Audiology Group
oise induced hearing loss can happen at any age. It is preventable and permanent. This type of loss occurs during prolonged exposure to loud noise. Noise induced hearing loss is caused by damage to the hair cells (small sensory cells) found in our inner ear. The job of the hair cells is to convert sounds we hear into electrical signals that travel to the brain for interpretation and recognition. If the hair cells become damaged, they will not grow back and a permanent hearing loss occurs. Prolonged exposure to any noise over 85 decibels (dB) will contribute to noise hearing loss. Typical Decibel Levels: • 60 dB: Normal conversations • 60 dB: Dishwashers • 80 dB: Alarm clocks • 90 dB: Hair dryers, blenders, lawn mowers • 100 dB: iPods, MP3 players at full volume • 110 dB: Concerts (any music genre) • 110 dB: Sporting events • 120 dB: Jet airplane take-off • 130 dB: Ambulances/Fire trucks • 140 dB: Gun shots, fireworks, car stereos Child and Teen Noise Risks: • Noisy toys • Arcades • Band class • iPods and MP3 players • Farm equipment • Movie theaters • Shop class • Motorbikes What to do for Protection? • Walk away from noise • Turn down the volume if possible • Wear protective hearing devices (earplugs or earmuffs). You can pick up simple non-custom earplugs from a local pharmacy or super store retailer. There are many options available including custom earplugs obtained from an audiologist. • Use noise limiting ear buds for iPods and MP3 players. Please feel free to call us for additional information at 1-888-531-6036 or visit our website at www.midamericaaudioogygroup.com
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Dry Eye is a Treatable Disease! See the Dry Eye Experts at Illinois Eye Surgeons Dry Eye Symptoms: • • • • • •
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